It’s a Brand New Ballgame: How to Bequest Season Tickets for Your Favorite Sports Team’s Games

Explains how individuals can pass on the right to purchase season tickets in their will, if there is a fee associated with the transfer, and if there is a tax or transfer fee associated with the transfer. Rustmann begins by discussing various teams that already have forms that provide current season ticket owners with the opportunity to transfer tickets and if there is a property interest created by owning season tickets. Next, the comment discusses if there are any transfer fees and if Congress may tax the transfer or purchase of tickets as an inheritance tax or part of the estate tax, and the difficulties the season ticket holder, lawyers, and courts may face because of the varying team policies. Finally, Rustmann proposes a solution to the problem with varying transfer policies by implementing a uniform transfer policy among all sports organizations

Zur Frage der Mobiliar-Feuerversicherung im Königreiche Bayern.

Mode of access: Internet.With this is bound.: Heubach, E. Die zukünftige Verkehrsentwicklung ... Leipzig, 1901

Dynamic Factor Analysis of Seasonal Variation in Daily Physical Activity in Individuals with Heart Failure and Implanted Cardiac Devices

PURPOSE: Improving daily physical activity (PA) is an important clinical outcome in individuals with heart failure (HF) in regard to prognosis and mortality. Seasonal variation may confound studies investigating interventions to improve daily PA, although the presence and magnitude of seasonal variation has yet to be established in this population. The purpose of the present study was to determine the presence and magnitude of seasonal variation in daily physical activity (PA) in those with heart failure. SUBJECTS: 435 patients managed by Spectrum Health Cardiac Device Clinic in West Michigan with HF and Medtronic implanted cardioverter defibrillator and cardiac resynchronization devices (ICD/CRTs) with daily PA data between November 1, 2016-October 31, 2017 were included. METHODS AND MATERIALS: The present study was retrospective. Medtronic ICD/CRT devices with a single-axis accelerometer recorded daily PA. Local/in-system electronic health record data was utilized for inclusion and exclusion of patients. Meteorological data was obtained from the Local Climate Dataset. ANALYSES: Dynamic factor analysis (DFA) of Patient Activity data from Medtronic ICD/CRTs was utilized to identify common states/trends in multivariate PA time series data, while accounting for clinical characteristics/explanatory covariates and meteorological data/covariates. Univariate analyses were used to compare patient groups based upon relevant clinical characteristics identified by the DFA. RESULTS: In the data set of 435 patients, distinct states/trends were identified by DFA, which were associated with specific clinical characteristics. These trends included both a classic, sinusoidal pattern of seasonal variation for some patients, and a pattern of decline over the course of the year for others. CONCLUSIONS: Those with HF and Medtronic ICD/CRTs with low comorbidities, better NYHA Class, higher BMI, no hospitalization, and male sex demonstrated greater seasonal variation of at least 40 minutes per day. Those with HF and Medtronic ICD/CRTs with female sex and hospitalization demonstrated overall downward trajectories of approximately 40 and 80 minutes, respectively, over the course of the year

Vaping-associated lung injury case report: A community hospital’s perspective

Electronic Nicotine Delivery Systems (ENDS) aerosolize cannabis oils, nicotine, and other chemicals by heating alcohols and flavorants in order to produce a vapor for inhalation. With the rise in popularity of these devices, there is a rapidly growing number of life-threatening electronic-cigarettes, or vaping-associated lung injury (EVALI) cases throughout the country. Among the EVALI cases, similarities of presentation, symptoms, respiratory complications, and effective treatments have been reported, but the pathologic mechanisms of injury seem to vary by case. We report a series of two patients presenting with clinical symptoms and imaging findings consistent with vaping-associated lung injury in the setting of heavy nicotine and tetrahydrocannabinol (THC) vaping. The first case is a 19-year-old Caucasian male admitted to the hospital with dyspnea, nausea, emesis, weight loss, and early signs of acute respiratory distress syndrome. The second case is a 24-year-old Caucasian male who presented to the emergency room with a productive cough, fever, myalgias, and tachycardia. Both patients were initially treated as typical cases of community-acquired pneumonia without clinical improvement. After being discharged, the patient from case 2 was readmitted with new onset emesis and worsening dyspnea. Utilizing extensive laboratory testing, chest imaging, bronchoscopy, and lung biopsy, we established a diagnosis of EVALI in both cases. Both patients did well after appropriate treatment with intravenous steroids and empiric antibiotics. Despite the similarities among clinical presentations, discrepancies in the literature exist regarding the clinical outcomes and pathophysiology of EVALI. These case-by-case variations may result from differences in time to diagnosis, temporal factors in amount and timing of vape use, and the chemical composition of the products vaped. Our case reports highlight the increasing need for clinical awareness of EVALI, improved diagnostic tools for a timely diagnosis, and effective treatments of this potentially fatal respiratory illness.</jats:p