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Three of the 14 injured people were in critical condition, the RCMP said. Authorities have not identified the victims and would not confirm whether they were players or coaches. Twenty-nine people were on the bus.The RCMP previously reported 28 people were on the bus, with 14 injured.Expressions of support poured in, much of it focused on a Twitter photo that showed three injured players grasping each other's hands while lying on hospital beds. 448
These upgrades represent an infrastructure investment in one of the greatest economic engines that we have, Mayor Kevin Faulconer said. "This iconic Sails Pavilion is how so many people -- San Diegans and visitors alike -- help to identify our great city skyline." 264

This is the third year of esports here at the university, said Ed Lehotak, the athletic director at Bellevue University in Nebraska.At Bellevue University, esports is an official sport at the school. Players practice for hours at a time, some up to ten hours a day. But the payoff may be rewarding."Yes, we scholarship the esports team, just like all of the other sports," Lehotak said.But how much video gaming is too much, and at what point does it become a medical health condition? The World Health Organization officially added Internet Gaming Disorder, or IGD, to its International Classification of Diseases earlier this year."And you can develop things such as changes in behavior, changes in your ability to do day-to-day things because of your desire to continue using video games," said Dr. Tony Pesavento, a pediatric psychiatrist at Children's Hospital & Medical Center Omaha.That desire to play could possibly lead to a type of addiction."Similar to what you would see with addiction to most commonly drugs and alcohol," Pesavento said.So should parents be concerned, even if video gaming is on the rise?"I think that that's going to be one of the more difficult things to sort out, is what is pure addiction versus what is an anxiety disorder," Pesavento said.More research still needs to be conducted. But medical health professionals say even just talking about this is good."It also helps providers talk to parents about it and talk to the general public about how video games do have an impact on kids and adults," Pesavento added.The key seems to be moderation."You wouldn't want to cross country run or run for four hours a day. That's not realistic on their body or on the other things they need to do, so it'd be the same thing in video game practice," Pesavento said.Some skeptics doubt the World Health Organization's decision and believe that gaming addiction could be a sign of other underlying mental health issues, such as ADHD or depression.This story was originally published by 2014
Trump visited Ohio's 12th District on Saturday and appeared on stage with Balderson at a rally designed to jolt conservatives into turning out to vote in an election that will gauge where the Republican Party stands less than three months before the midterms.But it isn't entirely clear if Trump's support will ultimately help or hurt Balderson on Tuesday.The day after Trump's appearance, Ohio Gov. John Kasich, a prominent GOP critic of Trump, said he asked Balderson if he invited Trump at all into the district in the Columbus suburbs -- the sort of area where Republicans have lost voters who rebelled against Trump in previous special elections. "He said, 'No, I didn't,'" Kasich said of Balderson on ABC's "This Week."Balderson's campaign manager did not dispute Kasich's claim Monday, instead declining to comment directly on it."Suburban women in particular here are the ones that are really turned off," Kasich said. "It's really kind of shocking because this should be just a slam dunk and it's not."A Monmouth University poll released last week showed a one-point race, with Balderson receiving 44% support to O'Connor's 43%, with 11% of respondents saying they are undecided.On stage with Trump, Balderson called himself "someone who will fight for President Trump's economic agenda."The night before the rally, Trump took to Twitter to attack LeBron James, calling the NBA star dumb just days after James, an Ohio native, poured tens of millions of his own dollars into the opening of an innovative public school in Akron.Republicans have pumped money into the race in hopes of avoiding another special election embarrassment. The Congressional Leadership Fund has spent nearly million on television and radio ads, and the National Republican Congressional Committee has spent another nearly million on ads.The pro-Balderson effort has focused largely on motivating Republican voters by casting O'Connor as extreme. Trump claimed House Democratic leader "Nancy Pelosi controls Danny O'Connor, whoever the hell that is." The Congressional Leadership Fund's ads have similarly latched O'Connor to Pelosi. They've also bashed him on immigration, attaching him to calls to abolish ICE.Democrats, meanwhile, have been attacking Balderson by casting his support of tax cuts as threats to Social Security and Medicare. 2331
To understand the legal and ethical issues in Alyssa's case, CNN showed experts key documents, including law enforcement reports; a transcript of portions of CNN's interview with Sherwin, the detective at the Rochester Police Department; and summaries of her care written by doctors at Mayo and Sanford.The experts emphasized that those documents don't tell the whole story; only a thorough reading of her full medical records and interviews with Mayo staff would provide a complete picture."You're only hearing one side," cautioned Dr. Chris Feudtner, a professor of pediatrics, medical ethics and health policy at the University of Pennsylvania Perelman School of Medicine.After reviewing the documents, the experts wondered why Mayo did not allow Alyssa, who was 18 and legally an adult, to leave the hospital when she made clear that she wanted to be transferred, according to the family.They said that typically, adult patients have the right to leave the hospital against medical advice, and they can leave without signing any paperwork."Hospitals aren't prisons. They can't hold you there against your will," said George Annas, an attorney and director of the Center for Health Law, Ethics & Human Rights at the Boston University School of Public Health.But Alyssa's doctors say she wasn't a typical patient."Due to the severity of her brain injury, she does not have the capacity to make medical decisions," her doctors wrote in her records after she'd left the hospital.In that report, the doctors specified that assessments in the last week of her hospital stay showed that she lacked "the capacity to decide to sign releases of information, make pain medication dose changes, and make disposition decisions. This includes signing paperwork agreeing to leave the hospital against medical advice."That hadn't jibed with the captain of investigations for the Rochester police. Sherwin said it didn't make sense that Mayo staffers told police Alyssa had been making her own decisions, yet in the discharge note, they stated she wasn't capable of making her own decisions.It didn't jibe with the experts, either."They can't eat their cake and have it, too," said Feudtner, the medical ethicist at the University of Pennsylvania.Even if Alyssa truly did lack the capacity to make her own medical decisions, the experts had questions about Mayo's efforts to obtain emergency guardianship for Alyssa.Brian Smith, the Rochester police officer who responded to Mayo's 911 call the day Alyssa left Mayo, said a Mayo social worker told him she'd been working for a week or two to get a Minnesota county to take guardianship over Alyssa."The county would have guardianship over her and would make decisions for her," he told CNN.If that happened, Alyssa most likely would have stayed at Mayo, as she was already receiving treatment there, Smith said.Bush-Seim, the Rochester police investigator, spoke with an official at one of the county adult protection agencies. She said it was also her understanding that Mayo wanted the county to take guardianship of Alyssa, or that perhaps Mayo itself wanted to directly take guardianship of her.The legal experts said they were not surprised that Mayo was unable to get court orders for such guardianship arrangements. It's a drastic and highly unusual step for a county or a hospital to take guardianship over a patient, they said, rather than have a family member become the patient's surrogate decision-maker.Robert McLeod, a Minneapolis attorney who helped the state legislature draft its guardianship laws, did not review the documents pertaining to Alyssa, as he did not want to comment on any specific case.He said that before appointing a county or a hospital as a legal guardian, a judge would ask why a family member or close friend hadn't been selected as a surrogate."From my 25 years of experience, a judge is going to say, 'why isn't the family the first and best choice here?' and it had better be a good reason," said McLeod, an adjunct professor at the Mitchell Hamline School of Law in Saint Paul, Minnesota.Other experts agreed.Saver, the professor at the University of North Carolina School of Law, said that in his four years working in the general counsel's office at the University of Chicago Hospitals and Health System, he doesn't once remember the hospital seeking guardianship for a patient who had a responsible relative or friend who could act as surrogates."It's thought of as kind of the atom bomb remedy," Saver said. "I'm a little flummoxed what to make of this. They had family members on the scene to look to."Alyssa said her biological father, Jason Gilderhus, told her that Mayo asked him to become her guardian. He did not become her guardian and did not respond to CNN's attempts to reach him.Even if Mayo had concerns about Alyssa's mother and her biological father didn't work out, there were other friends and relatives to turn to, such as her stepfather, grandmother, great-grandmother, aunt or boyfriend's mother."It's so baffling why they didn't try to designate a surrogate before trying to get a guardian," added Dr. R. Gregory Cochran, a physician and lawyer and associate director of the Health Policy and Law program at the University of California, Hastings College of the Law in San Francisco.Another feature of Alyssa's case also surprised the experts.Caplan, the NYU bioethicist, said that in complicated and contentious cases like this one, doctors typically reach out to their hospital's ethics committee for help.An ethics committee would listen to the doctors, other staff members, the patient and the family to try to resolve the conflict.The family says no one ever mentioned an ethics committee to them, and there's no mention of an ethics committee consult in the discharge summary in Alyssa's medical records.Annas, the lawyer at Boston University, agreed that an ethics committee consultation would have been an obvious and important way to help resolve the dispute before it spun out of control."Disputes between families and hospital staff happen all the time, and they can either escalate or de-escalate," Annas said. "An ethics consult can help sort out the issues so they de-escalate."The experts said they were disappointed that in Alyssa's case, the conflict escalated."I was shocked to see that parents had to pull a fast one to get their daughter out of the hospital," said Cochran, of the University of California."I felt sad," said Feudtner, the ethicist at the University of Pennsylvania. "Viewed in its entirety, this did not go well for anybody who was involved."Gaalswyk, the former Mayo board member, said he hopes the hospital learns something."I hope that someone somewhere will look at what happened in this unfortunate case and improve both our Mayo employee's actions and patient systems so that it not need happen again to any other patient at Mayo," he wrote a Mayo vice president after Alyssa left the hospital. "The situation need not get out of hand like it did." 6998
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