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Laken Riley murder suspect waives right to jury trial

The man charged with murdering Georgia nursing student Laken Riley waived his right to a jury trial in the case that has garnered national attention amid outrage over the Biden administration's immigration policies. 




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Chicago Blackhawks' Andreas Athanasiou Clears Waivers, Sent To Rockford

Athanasiou has one year remaining on his contract with the Blackhawks




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Several Former Red Wings Hit Waivers

A few familiar faces to Detroit Red Wings fans have recently hit the waiver wire.




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Goalie James Reimer Claimed Off Waivers By Sabres

Veteran netminder was waived by Anaheim after John Gibson came off injured reserve




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NHL Waivers: Will The Buffalo Sabres Prolong James Reimer's Career?

The Sabres claimed James Reimer off NHL waivers on Wednesday. The 36-year-old is near the end of his NHL days, but he deserves credit for his staying power, says Adam Proteau.




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'Any relief on bank guarantee will be provided across the sector': Scindia on Vodafone Idea request for waiver of bank guarantees for spectrum




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Amorim 'not naive' over 'difficult' Man Utd task

Ruben Amorim says he is ready to face the challenge of the "difficult" job ahead at Manchester United.




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Axon Announces Campbell P.D. Secured Waiver for 24/7 DFR Operations

According to the announcement, DFR programs are changing how emergencies are handled by providing real-time situational awareness that improves response times and safety.




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Analysis of Ohio Advanced Practice Registered Nurses’ Rate of Prescribing Naltrexone for Patients With Alcohol Use Disorder Since Elimination of the X-Waiver

Journal of the American Psychiatric Nurses Association, Ahead of Print. Background:Alcohol use disorder (AUD) is common and deadly. Naltrexone is a treatment for AUD. Previous research examined factors that predict Ohio Advanced Practice Registered Nurses’ (APRNs) utilization of naltrexone to treat AUD. Inclusion criteria included APRNs’ endorsing receipt of the X-waiver, a designation indicating providers’ […]

The post Analysis of Ohio Advanced Practice Registered Nurses’ Rate of Prescribing Naltrexone for Patients With Alcohol Use Disorder Since Elimination of the X-Waiver was curated by information for practice.



  • Journal Article Abstracts

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Employer Doesn't Waive Subrogation Claim

The Commonwealth Court of Pennsylvania overturned a ruling that an employer had waived its subrogation claim for the benefits it paid to an injured worker in a settlement. Case: American General Life Insurance…




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California Supreme Court Strengthens Enforcement of Jury Trial Waivers

On February 26, 2024, the California Supreme Court issued its opinion in Tricoast Builders, Inc. v. Fonnegra, No. S273368 (Cal. Feb. 26, 2024). For employers, the most important takeaway from this case is that the court held a litigant’s waiver of the right to a jury trial can be conclusive if a party seeking reversal of the waiver cannot demonstrate it caused prejudice to the party. The decision makes it more difficult for a party to convince a court to let it back out of a jury trial waiver in a civil case.

Background




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U.S. Admits Qatar to Visa Waiver Program (VWP)

The United States has announced that Qatar will soon be officially admitted to the U.S. Visa Waiver Program (VWP), allowing visa-free travel to the United States by Qatari citizens for up to 90 days. Per the Final Rule published by the Department of Homeland Security on September 26, 2024, Qatar will be added to the VWP no later than December 1, 2024.




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Fourth Circuit Finds Waiver of Appellate Review of Arbitration Enforceable

Employers concerned about the risks and expenses associated with employment litigation have increasingly required their employees to agree to arbitration in the event of a dispute.  Even upon the issuance of the arbitrator’s final decision, however, a court’s intervention may still be necessary.  At the very least, the court can actually enforce an arbitration award, whereas the arbitrator cannot.  Moreover, the losing party in the arbitration may seek to vacate the arbitrator’s decision on limited grounds, or seek further review of the district court’s decision by filing an appeal with th




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Florida Aims to Standardize Construction Lien Waivers

A new bill fast-tracked by lawmakers could broadly impact how Florida roofing contractors get paid.




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Armand & Paiva LLC Announce New Projects

Armand & Paiva LLC, co-founded by T.J. Armand and Carl H. Paiva, has announced a series of new global entertainment projects, including ventures in New York, London, and Bermuda. A spokesperson said, “Armand & Paiva LLC, an entertainment company co-founded by award-winning producer T.J. Armand and esteemed Bermudian entrepreneur Carl H. Paiva JP, is proud […]




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'I'm not naive' - Amorim before starting Man Utd job

Ruben Amorim says "I'm not naive, I know that it's going to be very different" before starting his new job as Manchester United manager.




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Some States Without NCLB Waivers Say They Dodged a Bullet

Not having to negotiate with federal officials on the finer points of teacher evaluation, rigorous standards, or school turnarounds has made it easier to chart their own paths, some education leaders say.




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Feds Extend Meal Waivers for Students After Pressure From Schools, Lawmakers

The extensions will let schools and community groups continue feeding students with fewer restrictions than typical under the National School Lunch and Breakfast Programs.




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New York Denied ESSA Waiver to Test Students With Disabilities Off Grade Level

The state will be required to test all students using grade level tests, except for those with significant cognitive disabilities.




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In Response to Federal Feedback, N.J. Seeks Testing Waiver From ESSA

The state wants to test its middle school students in the mathematics courses in which they're enrolled, rather than with the state tests created for that each student's particular grade.




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Utah Will Ask for Test Participation Waiver From ESSA

Utah's state board members said last week that they support its state's test participation law which conflicts with the Every Student Succeeds Act.




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With Waiver Denial, Utah Mulls Second Accountability System

Utah is one of four states where state laws conflict with components of the federal Every Student Succeeds Act meaning districts may have to answer to two separate accountability systems this fall.




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Fantasy Hockey Goalie Waiver Wire: Elvis will take care of business in the City of Grunge

Elvis Merzlikins is expected to start for the Blue Jackets, who are mired in a five-game losing streak and have never beaten the Kraken in regulation.




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Canadiens: Goaltending Help From The Waiver Wire?

The Montreal Canadiens are struggling on many fronts this season and goaltending is not an exception.




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NHL Waivers: Jets Reclaim A Goalie While Reimer Hits The Wire

The Winnipeg Jets claimed Kaapo Kahkonen off NHL waivers from the Colorado Avalanche, while the Anaheim Ducks' James Reimer is one of two players now on waivers.




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Two Former Sabres Placed On Waivers

Reimer could be reclaimed by Buffalo and sent directly to the AHL




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Ducks Place James Reimer on Waivers

The 36-year-old goaltender was acquired via waiver claim from the Buffalo Sabres on Oct. 7.




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Avalanche Lose Kaapo Kahkonen Off Waivers To The Winnipeg Jets

The Winnipeg Jets claimed Kaapo Kahkonen off waivers from the Avalanche on Tuesday afternoon




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Another Former Sharks Goalie Goes On NHL Waivers

Former San Jose Sharks goalie James Reimer was placed on NHL waivers today by the Anaheim Ducks.




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EU's latest demand on Apple about geolocking is unforgivably naive

The European Union has told Apple to stop geo-locking, where apps and services vary in different countries — entirely ignoring decades of laws and practices by other industries that have nothing to do with the App Store.


EU wants the impossible with Apple's App Store

Give the EU credit, it has implemented the kind of laws regarding Big Tech that other countries, including the US, are still only talking about. But in this case, its assumption that it can simply mandate how the rest of the entire world works is an excoriating overreach.

The new demand is that Apple stop geo-locking, and specifically that EU users must be able to:


Continue Reading on AppleInsider | Discuss on our Forums




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Betsy DeVos Sees 'No Reason' to Waive Core Elements of Special Education Law

Congress should not grant flexibility from the federal special education law's key components due to the coronavirus pandemic, U.S. Secretary of Education Betsy DeVos has told federal lawmakers.




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Special Ed. Administrators Press Congress for IDEA Waivers During Pandemic

The requests put the nation's special education administrators in conflict with disability rights advocates who fear waivers will place millions of special education students at risk.




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U.S. Government Extends Baby Formula Waivers, Rebates for WIC Families

Title: U.S. Government Extends Baby Formula Waivers, Rebates for WIC Families
Category: Health News
Created: 8/25/2022 12:00:00 AM
Last Editorial Review: 8/26/2022 12:00:00 AM




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What Therapeutic Options Are Available for Treating an Antiretroviral Naive Patient?

Title: What Therapeutic Options Are Available for Treating an Antiretroviral Naive Patient?
Category: Diseases and Conditions
Created: 6/16/2022 12:00:00 AM
Last Editorial Review: 6/16/2022 12:00:00 AM




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Waiver of Informed Consent - proposed changes in the 21st Century Cures Act

Adam Feuerstein points out - and expresses considerable alarm over - an overlooked clause in the 21st Century Cures Act:


In another tweet, he suggests that the act will "decimate" informed consent in drug trials. Subsequent responses and retweets  did nothing to clarify the situation, and if anything tended to spread, rather than address, Feuerstein's confusion.

Below is a quick recap of the current regulatory context and a real-life example of where the new wording may be helpful. In short, though, I think it's safe to say:


  1. Waiving informed consent is not new; it's already permitted under current regs
  2. The standards for obtaining a waiver of consent are stringent
  3. They may, in fact, be too stringent in a small number of situations
  4. The act may, in fact, be helpful in those situations
  5. Feuerstein may, in fact, need to chill out a little bit


(For the purposes of this discussion, I’m talking about drug trials, but I believe the device trial situation is parallel.)

Section 505(i) - the section this act proposes to amend - instructs the Secretary of Health and Human Services to propagate rules regarding clinical research. Subsection 4 addresses informed consent:

…the manufacturer, or the sponsor of the investigation, require[e] that experts using such drugs for investigational purposes certify to such manufacturer or sponsor that they will inform any human beings to whom such drugs, or any controls used in connection therewith, are being administered, or their representatives, that such drugs are being used for investigational purposes and will obtain the consent of such human beings or their representatives, except where it is not feasible or it is contrary to the best interests of such human beings.

[emphasis  mine]

Note that this section already recognizes situations where informed consent may be waived for practical or ethical reasons.

These rules were in fact promulgated under 45 CFR part 46, section 116. The relevant bit – as far as this conversation goes – regards circumstances under which informed consent might be fully or partially waived. Specifically, there are 4 criteria, all of which need to be met:

 (1) The research involves no more than minimal risk to the subjects;
 (2) The waiver or alteration will not adversely affect the rights and welfare of the subjects;
 (3) The research could not practicably be carried out without the waiver or alteration; and
 (4) Whenever appropriate, the subjects will be provided with additional pertinent information after participation.

In practice, this is an especially difficult set of criteria to meet for most studies. Criterion (1) rules out most “conventional” clinical trials, because the hallmarks of those trials (use of an investigational medicine, randomization of treatment, blinding of treatment allocation) are all deemed to be more than “minimal risk”. That leaves observational studies – but even many of these cannot clear the bar of criterion (3).

That word “practicably” is a doozy.

Here’s an all-too-real example from recent personal experience. A drug manufacturer wants to understand physicians’ rationales for performing a certain procedure. It seems – but there is little hard data – that a lot of physicians do not strictly follow guidelines on when to perform the procedure. So we devise a study: whenever the procedure is performed, we ask the physician to complete a quick form categorizing why they made their decision. We also ask him or her to transcribe a few pieces of data from the patient chart.

Even though the patients aren’t personally identifiable, the collection of medical data qualifies this as a clinical trial.

It’s a minimal risk trial, definitely: the trial doesn’t dictate at all what the doctor should do, it just asks him or her to record what they did and why, and supply a bit of medical context for the decision. All told, we estimated 15 minutes of physician time to complete the form.

The IRB monitoring the trial, however, denied our request for a waiver of informed consent, since it was “practicable” (not easy, but possible) to obtain informed consent from the patient.  Informed consent – even with a slimmed-down form – was going to take a minimum of 30 minutes, so the length of the physician’s involvement tripled. In addition, many physicians opted out of the trial because they felt that the informed consent process added unnecessary anxiety and alarm for their patients, and provided no corresponding benefit.

The end result was not surprising: the budget for the trial more than doubled, and enrollment was far below expectations.

Which leads to two questions:

1.       Did the informed consent appreciably help a single patient in the trial? Very arguably, no. Consenting to being “in” the trial made zero difference in the patients’ care, added time to their stay in the clinic, and possibly added to their anxiety.
2.       Was less knowledge collected as a result? Absolutely, yes. The sponsor could have run two studies for the same cost. Instead, they ultimately reduced the power of the trial in order to cut losses.


Bottom line, it appears that the modifications proposed in the 21st Century Cures Act really only targets trials like the one in the example. The language clearly retains criteria 1 and 2 of the current HHS regs, which are the most important from a patient safety perspective, but cuts down the “practicability” requirement, potentially permitting high quality studies to be run with less time and cost.

Ultimately, it looks like a very small, but positive, change to the current rules.

The rest of the act appears to be a mash-up of some very good and some very bad (or at least not fully thought out) ideas. However, this clause should not be cause for alarm.




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NSG all set to up-end India's clean waiver

Proposed restrictions on transfer of sensitive nuclear items are a 'derogation', 'rollback' of U.S. commitments, Indian officials had warned



  • The India Cables


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Rajinikanth's Thalaivar Muhurat

Rajinikanth's next movie with Siruthai Siva, presently referred to as Thalaivar 168, is launched on Wednesday, 11 December.




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Paytm Waives Off All Merchant Transaction Charges To Help MSMEs

On Tuesday, Paytm waived off all charges on merchant transactions. The digital financial services platform has enabled merchant partners to accept payments from Paytm wallet, UPI apps and RuPay cards at zero charges. Paytm will absorb Rs 600 crore in MDR




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The entangled legacies of empire : Race, finance and inequality [Electronic book] / ed. by Johnna Montgomerie, Max Haiven, Paul Gilbert, Clea Bourne.

Manchester : Manchester University Press, [2023]




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Jordan Mailata listed as full practice participant, Eagles waive Jack Stoll

Eagles left tackle Jordan Mailata was listed as a full participant in practice for the second straight day on Tuesday.




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Titans claim OL Logan Bruss off of waivers

The Titans added an offensive lineman to the roster on Tuesday.




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Jets claim C Connor McGovern off waivers from Saints

The Saints cut center Connor McGovern on Monday, a sign that starter Erik McCoy is ready to return from injured reserve.




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Govt to constitute high-level committee to monitor implementation of crop loan waiver, says Harish Rao

CM announced unconditional crop loan waiver twice unlike other States, he said 




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Zonal misclassification: Government waives ₹240 crore property tax penalty levied by BBMP

Penalty was levied for zonal misclassification while paying property tax online




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Govt. provides ₹2 crore to credit societies to compensate for farm loan waiver




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TVLF appeal to Veerashaiva Lingayats on enumeration




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Revista Eletrônica de Direito do Centro Universitário Newton Paiva [electronic journal].




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Naivete and Sophistication in Initial and Repeated Play in Games [electronic journal].




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Bait and Ditch: Consumer Naiveté and Salesforce Incentives [electronic journal].