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...appreciation of the nature of dementia leads to misguided and often overly aggressive end-stage treatment. Five years ago, Sachs wrote a paper on such barriers to palliative end-of-life care for dementia patients, but he ran into difficulty explaining the findings to the editors of the major medical journal that published it. "The editors kept coming back to me and saying, 'But what do the patients die of? You don't die from dementia.' And I kept saying, 'Yes, they do. That's the whole point of the paper,' " says Sachs...

Author: /time Magazine | Title: Redefining Dementia as a Terminal Illness | 10/14/2009 | See Source »

...patient's prognosis. Over the course of the study, 55% of the residents died, with nearly half of those deaths occurring within the first six months of the study. Patients' median survival span was 478 days, a figure comparable with that of terminal-cancer patients. Thirty-one residents suffered major health events, such as seizure, gastrointestinal bleeding, heart attack or stroke, but only in rare cases did those events lead to death. Only seven patients had a major event during the final three months of life. "Our main findings confirmed dementia has high mortality. People in the study didn...

Author: /time Magazine | Title: Redefining Dementia as a Terminal Illness | 10/14/2009 | See Source »

...During the tense, overnight standoff at the military's headquarters over the weekend, Aqeel tried to appeal to his former army comrades. "They were trying to profess their own cause," said Major General Abbas. "They were trying to justify their own actions." In reply, hostage army officers tried to convince him that he was "on the wrong side." As dawn rose over the 100-year-old British-built army garrison, an élite unit of commandos surrounded the small room where the hostages were being held. At 6 a.m., they launched a 45-minute operation that saw fierce cross fire...

Author: /time Magazine | Title: Why Pakistan Must Widen Hunt for Militant Bases | 10/13/2009 | See Source »

...anti-Shi'ite Sipah-e-Sahaba militant group, LeJ gained notoriety in 1998 after attempting to assassinate then Prime Minister Nawaz Sharif. After al-Qaeda leadership arrived along the Afghan border, LeJ underwent a transformation, says militancy expert Rana. "They developed a nexus with foreign militants there. In many major attacks, LeJ was involved, including the killing of 11 French engineers in Karachi and the bombing of a church in Islamabad in 2002. Sectarianism remains their priority, but they also have a global jihadist agenda." Last year, the group and its al-Qaeda handlers blew up the Islamabad Marriott, killing...

Author: /time Magazine | Title: Why Pakistan Must Widen Hunt for Militant Bases | 10/13/2009 | See Source »

...brazenness of the hit on Ivankov suggests that Russia's mobsters are acting with greater impunity and disregard for the law. The government now faces a major test: it needs to back up its new laws with determined action, or risk losing control of the streets to the ever-more-powerful mafia clans for good...

Author: /time Magazine | Title: Will New Laws Help Russia Take Down the Mafia? | 10/13/2009 | See Source »

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