Zofran Study Says its Safe for Pregnant Women—But Maybe Not

A two-year-old study made about Zofran (ondansetron) concluded that there was no evidence that the drug posed any risk of birth defects in children of women prescribed with it for severe nausea and vomiting of pregnancy (NVP) or morning sickness. However, an extension of the same study by another group of researchers concluded the opposite. So which is it?

The study Ondansetron in Pregnancy and Risk of Adverse Fetal Outcomes was published in the February 2013 issue of the New England Journal of Medicine. It made use of records from the Danish Birth Registry between 2004 and 2011, where each of the 1,970 women exposed to ondansetron were matched to 4 control cases. The researchers concluded that no adverse fetal outcomes were associated with ondansetron use.

This was welcome news for women that had already taken the drug in the first trimester of their pregnancy. However, the same study was presented to the International Society of Pharmacoepidemiology in Montreal six months later using a larger number of women over a longer period of time (1997 to 2010) from the same registry. The results of that study indicated that there was a two-fold risk of adverse fetal outcomes associated with ondansetron.

Which study should be believed? At this point, it is a toss up. Common sense dictates that pregnant women should avoid Zofran altogether until there is a definite conclusion either way. There are alternative medications to alleviate the symptoms of NVP that are safe for pregnant women. At any rate, the Food and Drug Administration (FDA) does not approve Zofran for NVP, so that should be an indication to stay away.

However, according to the website of Williams Kherkher, if this warning comes too late, you can still address the issue. If you were prescribed with Zofran while pregnant and your child has birth defects, contact a dangerous drug lawyer in your area immediately to discuss how to get compensation.

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Judicial and Non- judicial Foreclosures

Records between 2007 and 2014 from Debt.org, America’s Debt Help Organization show at least 4.2 million US homeowners losing their homes due to foreclosure. The US Department of Housing and Urban Development defines foreclosure as a legal process wherein a mortgage lender or creditor puts up the loan collateral (a house) for sale in order to recover from a borrower unpaid mortgages. The process leading to foreclosure usually starts after being delinquent in payment for three successive months.

Ryan Ruehle Cincinnati knows and understands the predicament many homeowners find themselves in due to changes in their financial situation, which may include loss of job, reduction in wages, an accident requiring hospitalization, divorce, or a severe health condition. His law firm explains, however, that legal options are available to homeowners to keep them from losing their homes; legal ways that can either delay or prevent foreclosure, which has almost always favored creditors due to their expertise in the practice and laws governing the process. And one of these legal options is mortgage modification.

There are two major types of foreclosures: judicial and non-judicial.

  • Judicial foreclosure requires the lender or the mortgagee (usually a bank) to first file and win a lawsuit before earning the right to foreclose on a property; this legal move of the lender is due to the payor’s failure to pay the mortgage for about three straight months (lenders, though, can legally foreclose on a property even with just a single default on payment).

Since this is foreclosure is tried in court it can take several months or a year for the whole procedure to be completed. There are currently 24 states that employ the judicial foreclosure process: Wisconsin, West Virginia, Vermont, South Dakota, South Carolina, Pennsylvania, Oklahoma, Ohio, North Dakota, New York, New Mexico, New Jersey, Nebraska, Maine, Louisiana, Kentucky, Kansas, Iowa, Indiana, Illinois, Hawaii, Florida, Delaware and Arizona.

  • Non-judicial foreclosure does not necessitate lenders to acquire a court order to bed able to make a foreclosure. However, this type of foreclosure is allowed only if the deed of trust contains a “power-of-sale” clause. This power of sale condition in a deed of trust, or mortgage, communicates the borrower’s consent to the selling of his/her mortgaged property through non-judicial foreclosure in the event of a default in payment. Before auctioning off a property, though, the lender must first give special notice to the owner of the property.

The power of sale foreclosure is allowed in the states of Wisconsin, West Virginia, Washington, Utah, Texas, Tennessee, South Dakota, Rhode Island, Oregon, North Carolina, New Hampshire, Nevada, Nebraska, Montana, Missouri, Mississippi, Minnesota, Michigan, Massachusetts, Maryland, Idaho, Hawaii, Georgia, District of Columbia, Colorado, California, Arkansas, Arizona, Alaska and Alabama.

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Surprising Signs of Depression

Most everyone knows depression is usually indicated by extended sadness. However, each individual copes with their depression differently, making the illness hard to identify for some people. If you have experienced a behavioral change lately, here are signs it may be attributed to depression.

Drastic Increase in Exercise

If you have taken to exercising for several hours a day, or multiple times a day, when you didn’t before, this may indicate depression. Your body may be craving endorphins due to extended sadness. Clearly, exercising is a great habit—but a sudden, almost compulsive desire to hit the gym may be a warning flag.

Change in Eating Habits

Any major difference in eating habits may indicate depression. A depressed individual may pick at food when he or she usually has a healthy appetite—or, on the other hand, binge eat. Depression may even lead to eating disorders.

Thrill-seeking

Those who are fighting away depression often engage in thrill-seeking behavior, including an increase in sexual activity. Likewise, they may gamble or make drastic life choices, such as quitting a job or getting a tattoo.

Aggressiveness

Those entering depression may be more likely to start fights. Minor conflicts could be an excuse for them to yell and discharge feelings of anger and sadness.

Detachment/Lack of Emotion

Individuals may display a marked lack of interest. They may seem “flat”, or display less emotion. Depressed people may avoid hobbies and people they love, isolating themselves. They may not show any signs of sadness—or any other emotion.

Lack of Focus

If you or a loved one are constantly daydreaming—to the point where daily activities seem nearly impossible due to an inability to focus—this may indicate depression.

These hints are not a clinical diagnosis. If you or someone you know is experiencing several of these signs, it may be wise to seek psychiatric assistance. Only a psychiatrist or a doctor can prescribe medication, and serotonin re-uptake inhibitors (SSRIs) such as Prozac have been known to assist depressed people with their disease. However, there are instances where a person should not take SSRIs due to certain complications that may arise. For example, women who take Prozac during pregnancy may risk birth defects in their developing child. Additionally, SSRIs are not meant to be a cure on their own; they work best when coupled with therapy.

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Personal Injury with Dangerous Drugs

Modern Western medicine relies heavily on pharmaceutical preparations in treatment or health management protocols. Many drugs have been developed over the years that have undoubted benefits, although they are unfortunately too often offset by side effects. Historically, these side effects are revealed on a trial-and-error basis, and dangerous drugs such as cocaine have been withdrawn from the market when the health risks outweighed the benefits.

Regulations are currently in place to minimize the risks posed on the general public by these drugs. Before a new drug or formulation is approved for use, agencies such as the Food and Drug Administration require that drug companies comply with procedures designed to determine the safety and efficacy of the products. This includes clinical trials that should reveal what side effects it may have. In general, drug companies observe their duty of care and follow these procedures. Sometimes, though, they breach this duty out of greed or inadvertence.

Take the case of Granuflo. First introduced in 2003, it is a dry acid formulation designed to improve the acid neutralizing capacity of bicarbonates during dialysis. It was marketed to facilities that cater to patients with reduced kidney function, and a dialysis machine is used to clean the blood of toxins in lieu of the kidney. An overdosage of Granuflo could lead to potentially fatal cardiac problems, including but not limited to metabolic alkalosis. According to the website of Williams Kherkher, the real problem that led to lawsuits filed against manufacturer Fresenius Medical Care (FMC) is that the company failed to inform non-FMC dialysis centers about these dangers even as they circulated a memo to FMC centers about it.

When personal injury results from the failure of drug companies to warn about dangerous side effects or to take the necessary steps to ensure the safety of their patients, this can be construed as negligence. Consult with a product liability lawyer experienced in civil litigation cases involving dangerous drugs to see if you have an actionable case.

If you have been hurt because of a dangerous drug, make sure to contact a personal injury lawyer as quickly as possible. An attorney will be able to help you through your case and make sure that you are justly compensated.

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The Jones Act, Crew Member’s Personal Injury Claims

Working on ships can be difficult because any treatment for injuries can be stalled because of limited resources. For those crew members who have been injured while working on ships, they can file for personal injury claims through the Jones Act. The Jones Act, better known as the Merchant Marine Act of 1920, is a statute in the United States providing the promotion and preservation of a US merchant marine.

Generally, the Jones Act provides protection for sailors who are injured or have died due to negligence of the owner, a master or a fellow sailor of the same vessel, while they are on the course of their service. Through this act, the injured sailors or their survivors have the right to file a lawsuit against their employers so long as the negligent conduct of their employers or fellow sailors are the reason for the injuries (through illogical carelessness) and the injured sailor has the right for trial by jury.

The Jones Act is a very important and vital part of maritime law, particularly for sailors, because those who are injured during their employment are not allowed to file for worker’s compensation or worker’s comp claims versus their employers since they are not entitled for it according to state and federal law. Also, in order for a sailor to be covered by the Jones Act, they should be working more than 30 percent of the time employed as a crew member. Dock workers, along with shipbuilders, are not covered by the Jones Law.

An employer can be held liable for injuries or death under the Jones Act if they have not complied with providing a reasonably secure place of work as well as failing to maintain and keep the vessel (or workplace) is a safe condition. Because the Jones Act is an employee-friendly law, it is easier to prove negligence and causation. All the injured sailor has to do is prove there is negligence that created a dangerous condition that subsequently led to injury.

Just as with any personal injury claims, an injured sailor is entitled to damages that cover medical bills (both past and future expenses), lost earnings, mental anguish, and pain and suffering. Sailors should be aware that they have three years to file for an injury, otherwise it would be more beneficial to contact a lawyer who specializes in maritime law.

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Oil Field Accidents and Injuries

Oil field jobs are sought after because they are very well paid. This is because working in an oil field is probably one of the most dangerous jobs in the world. Oil fields are inherently dangerous sites because the nature of the work requires the presence of lots of pressure, flammable materials, and hazardous chemicals. After all, it is the energy industry.

Oil field workers are constantly exposed to these dangerous working conditions and expected to do a lot of heavy lifting under strenuous circumstances. Those aspiring to make money from oil fields as a worker therefore need to be physically fit and healthy to be able to handle the stresses of the job over an extended period. The best way to ensure this is to subject would-be new hires to pre-employment screening that includes a thorough physical exam, endurance testing, strength measures, and lifting capabilities.

However, even if a worker passes pre-employment screening, it is no guarantee that the potential for injury is eliminated. A physically qualified oil field worker typically works a minimum of 12 hours a shift, seven days straight before a break, and the work is hard and dirty. This takes a toll on the workers’ energy and concentration, and oil field accidents and injuries happen constantly. The most common injuries are caused by explosions or the uncontrolled release of pressure which is part and parcel of the fracking (hydraulic fracturing) process. Such injuries are often serious, and many are fatal. This is not to mention the possibility of an earthquake at a fracking site. Such an earthquake could be very damaging and catastrophic.

Given that oil field work is dangerous, employers have the responsibility to provide their workers with as good as chance at surviving as possible by supplying them with the appropriate safety gear, giving them proper training, and allowing them reasonable rest periods. According to the website of Tennessee lawyers Pohl and Berk, failure to take the proper precautions which lead to serious oilfield accidents and injuries may be construed as employer negligence. Contact an oilfield accident attorney to learn more about how civil litigation in such cases work. You may be able to receive compensation for your injuries if they were preventable and were the result of one of these forms of employer neglect.

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