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Stories from the dialysis comunity across the globe.



Pilot dead after water bomber battling wildfire near Cold Lake crashes Friday ... - Calgary Sun PDF Print

The lone occupant of a water bomber that crashed Friday afternoon in northern Alberta has died, a company spokesman confirmed.

Jeff Berry of Conair Aerial Firefighting told the Sun the plane, an AT-802 Fireboss amphibious water bomber, crashed just after 4:30 p.m. MDT, about 40 km north of Cold Lake near the Saskatchewan border.

ESRD crews are fighting an out-of-control 300 ha wildfire on CFB Cold Lake’s air weapons range,  near an Imperial Oil facility.

Berry said the 37-year old pilot was no stranger to fighting wildfires.

“This was his fourth season, so he was well-experienced,” Berry said.

Berry said the single-seater plane was relatively new, built in 2009.

He expressed his condolences to the friends and family of the pilot, and expressed his gratitude to ESRD and Cold Lake Search and Rescue for their quick response.

The Transportation Safety Board of Canada was sending an investigation team, expected to arrive Saturday morning, TSB spokesman Julie Leroux confirmed.

Cold Lake is about 230 km northeast of Edmonton.

Conair is contracted by the provincial government to provide aerial wildfire suppression by Alberta Environment and Sustainable Resource Development (ESRD).

As of Friday afternoon, there were 24 wildfires burning in Alberta. All were classified as being held or under control. Since April 1, Alberta has recorded 587 wildfires, which have burned more than 2,200 hectares of land.

 

— With files from Claire Theobald, Peter Lozinski and Postmedia Network

 

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On Twitter: @SUNBryanPass

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Pilot dead after firefighting plane crashes in Alberta - Melfort Journal PDF Print

Melfort Journal

Pilot dead after firefighting plane crashes in Alberta
Melfort Journal
He expressed his condolences to the friends and family of the pilot, and expressed his gratitude to Alberta Environment and Sustainable Resource Development (ESRD) and Cold Lake Search and Rescue for their quick response. The Transportation Safety ...
Fire restrictions, bans in place throughout Alberta CTV News
Small forest fighting plane crashes in northern Alberta, no word on injuries Edmonton Journal

all 46 news articles »

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Don't cut dialysis funding - Belleville News-Democrat PDF Print

As a facility administrator, and a licensed dietitian for DaVita HealthCare Partners here in Belleville, taxpayers need to know that lives are at stake as lawmakers consider budget cuts affecting people who require life-sustaining kidney dialysis treatments.

In Illinois alone, more than 5,000 people who depend on the state’s Medicaid program as their insurance provider receive dialysis treatments. But as lawmakers struggle to make a balanced budget, some people are advocating for a savings of $30 million by eliminating access to dialysis treatments for some patients and reducing reimbursement rates for others.

Cutting services that provide life-sustaining treatment should not be a negotiable budget item. When dialysis clinics can no longer afford to serve uninsured or underinsured patients, then publicly-funded emergency rooms and hospitals will incur the much higher costs of treating these patients on dialysis.

I urge lawmakers to do the right thing and maintain funding for kidney dialysis patients.

DaVita HealthCare Parters

Belleville

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The Chief People Ofcr - Kidney Care of DaVita HealthCare Partners Inc (NYSE ... - OctaFinance.com PDF Print

The Chief People Ofcr - Kidney Care of DaVita HealthCare Partners Inc (NYSE ... - OctaFinance.com

Laura Mildenberger Insider Sell Transaction

Sale totalling $796,494 U.S Dollars was disclosed online in a form submitted to the Security and Exchange Commission on 22/05/2015. According to which, Laura Mildenberger, the Chief People Ofcr – Kidney Care of DaVita HealthCare Partners Inc (NYSE:DVA) 84.09 +0.60 0.72% also an insider of the -listed Davita Healthcare Partners Inc had sold precisely 9,579 shares – ( at $83.2 for share ). In the last month, she also unloaded 461 shares with value $38,148 USD. Laura Mildenberger now has ownership of 6,273 shares or 0.00% of Davita Healthcare Partners Inc’s market cap.

Davita Healthcare Partners Inc Stock Rating, Sentiment and Fundamentals

In addition, the fifteen equity specialist analysts that are in charge of Davita Healthcare Partners Inc, forecast $3.77 EPS in 2015. This indicates a PE ratio of 22.15 and growth rate YoY of 12.50% with Laura Mildenberger leading. It is difficult to make conclusions about Davita Healthcare Partners Inc’s future just from Laura Mildenberger’s sale because in this filing, the insider also revealed option transactions. In the form, it was reported that Laura exercised options for 20,000 shares with average price 43.4, worth 867,000.

* Read How Our Stock Ratings System Works

The stock price of Davita Healthcare Partners Inc has climbed 16.75% compared to the price last 200 days. And this smooth and strong up trend looks set to continue. Because of our well-know stocks time-momentum system which is shown on the chart below is flashing Buy, Octafinance can’t rate the stock SELL as Laura did with her trade.

Price Chart of Davita Healthcare Partners NYSE:DVA Stock

The Chief People Ofcr - Kidney Care of DaVita HealthCare Partners Inc (NYSE ... - OctaFinance.com

Source: RightEdgeSystems, Yahoo Split & Dividend Adjusted Data and OctaFinance Interpretations

Hedge Funds Ownership

Data gathered from 13F SEC filings, disclose that 468 institutional investors and hedge funds owned shares of Davita Healthcare Partners Inc. In the last quarter, the company in focus had 197.62% institutional ownership. That is a very high interest. They increased by 248.54 million the total shares they hold. As of that quarter these professional stock owners owned 424.89 million shares. There were 30 funds that closed their positions and 158 that reduced them. A total of 50 funds opened new positions in Davita Healthcare Partners Inc and 189 increased their holdings.

Of them, 16 have the stock in their Top 10. These funds are: Foundation Asset Management Lp, Swift Run Capital Management Llc, Summit Partners L P, Timessquare Capital Management Llc, Cognios Capital Llc, Triple Frond Partners Llc, Hikari Power Ltd, Gates Capital Management Inc., Hikari Tsushin Inc., Roundview Capital Llc.

HEDGE-FUNDS-LIST-DATABASE-FREE Bluestein R H & Co is the most positive hedge fund on Davita Healthcare Partners Inc, with ownership of 10,650 shares as of Q4 2014 for 0.05% of the fund’s portfolio. Dock Street Asset Management Inc is another positive investment manager owning 57,383 shares of the company or 2.29% of their stocks portfolio. The stock is also 1.06% of the fund’s AUM. The California-based fund First Republic Investment Management Inc. have 0.01% of their stock portfolio invested in the company for 7,274 shares. Moreover, Foster Dykema Cabot & Co Inc Ma revealed it had acquired a stake worth 2.05% of the fund’s stock portfolio in the company. Geneva Advisors Llc was also a notable follower of the company, possessing 5,435 shares. Davita Healthcare Partners Inc is 0.01% of the fund’s stock portfolio.

DaVita HealthCare Partners NYSE:DVA Company Profile

DaVita HealthCare Partners Inc. offers kidney care and manages and operates medical groups. DaVita HealthCare Partners Inc. operates through DaVita Kidney Care and HealthCare Partners (HCP). The Company’s services include outpatient hemodialysis services, hospital inpatient hemodialysis services, Home-based hemodialysis services, ESRD laboratory services and management services. It operates or provides administrative services through a network of outpatient dialysis centers in the United States that are designed for outpatient hemodialysis. The Company provides hospital inpatient hemodialysis services, excluding physician services, to patients in hospitals throughout the United States. DaVita Kidney Care is a provider of kidney care in the United States, delivering dialysis services to patients with chronic kidney failure and end stage renal disease. HCP manages and operates medical groups and affiliated physician networks in Arizona, California, Nevada, New Mexico, and Florida.

Davita Healthcare Partners Inc was formed in Delaware on 1994-04-04. The company has 57900 employees. At the moment its market capitalization is: $18.08 billion and it has 216.55 million outstanding shares. Now there are 86.57% shareholders and the institutional ownership stands at 86.57%. The stock closed at $83.49 yesterday and it had average 2 days volume of 198303 shares. It is down from the 30 days average shares volume of 240783. Davita Healthcare Partners Inc has a 52 weeks low of $68.10 and a 52weeks high of $85.17. The stock price is above the 200 days Simple moving average. Davita Healthcare Partners Inc last issued its quarterly earnings information on 05/04/2015. The company reported 0.86 EPS for the quarter, above the consensus estimate of 0.85 by 0.01. The company had a revenue of 3.29 billion for 3/31/2015 and 3.33 billion for 12/31/2014. Therefore, the revenue was -40,052,000 down.

* Stock Appreciation Rights granted on 4/13/2011 and vesting 50% each on 4/13/2014 and 4/13/2015.

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Outcomes of In-Hospital CPR in Patients Receiving Dialysis - Geripal PDF Print

We’ve talked a lot about the prognosis after receiving in-hospital CPR in this blog (here, here, and here to name a few). In a recent issue of JAMA Internal Medicine, Susan Wong and colleagues looked at what happens to individuals on maintenance dialysis when they receive in-hospital cardiopulmonary resuscitation (CPR).  The results are summarized in the infographic above, and discussed in a little more detail below.

The Study

The authors used data from the US Renal Data System (USRDS) registry that enrolls patients after the onset of end stage renal disease, identifying all patients 18 years or older without a prior kidney transplant who initiated maintenance dialysis from January 1, 2000, through December 31, 2010. Importantly, to be included in this study, these patients needed to be on dialysis for at least 90 days (thereby exluding the sickest of the sick). By linking Medicare claims, they determined who in this registry was hospitalized and who got in-hospital CPR (although they excluded ER CPR).

Outcomes of interest included incidence of in-hospital CPR, proportion of patients surviving to hospital discharge after their first inhospital CPR event, and post-discharge survival. Among those who died in the hospital, they also measured the proportion who received CPR during their terminal hospitalization.

What did they find?

Most of the key findings are in the infographic, but I'll just highlight a few here:

  • The vast majority of individuals on maintenance dialysis were hospitalized at least once during the follow-up period (81% of the cohort)
  • Of these individuals who were hospitalized, 6% underwent at least one episode of CPR while hospitalized with a trend toward higher rates of CPR in more recent years. 
  • The proportion of CPR recipients who survived to discharge has increased in from 2000 to 2011 (15.2% to 28%) but there was no substantial change in duration of post-discharge survival.
  • The median survival fromthe time of discharge was 5.0 months among those who survived to discharge.

The Take Home

The results of this study are in line with other studies that suggest less people die in the hospital, but that doesn't mean that their long-term prognosis is any better.  In particular, Joan Teno's work shows that despite a decline in hospital deaths and an increase in hospice use, end of life for Medicare decedents increasingly includes ICU stays, short hospice stays, and multiple health care transitions.   This is particularly true to the dialysis population who undergo CPR.   We are better able to get them out of the hospital alive, but their survival after hospital discharge really has not improved, making them otherwise prognostically eligible for hospice.

by: Eric Widera (@ewidera)


Note: for more on the geriatric and palliative care needs of those with end-stage renal disease see these posts:

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