Shruti Singh

Nike Inc. is in exclusive negotiations to make the match balls used in European men’s Champions League football tournament, potentially taking a contract that rival Adidas AG has held for 25 years.

Illinois inched closer to giving the Chicago Bears the tax breaks the team is seeking to stay in the state and build a multibillion-dollar stadium in the suburbs, countering an effort to lure the team to Indiana.

Illinois legislators early Monday morning passed a nearly $56 billion budget for the fiscal year starting July 1, aiming to ease higher health-care and housing costs while bracing for potential federal funding cuts.

After over 100 years, the Chicago Bears are planning to leave the state of Illinois and headed to Indiana.

Los Chicago Bears planean abandonar Illinois y mudarse a Indiana después de más de 100 años en el estado.

Invasive Paget's disease of the breast is a rare entity with therapeutic challenges. Herein, we report three patients with Paget's disease of the breast with dermal invasion, of which two cases had coexistent invasive breast carcinoma, while the third had an extensive in situ component. Case 1 was a 49-year-old lady presenting with nipple ulceration and discharge along with concomitant multicentric right breast lesions detected on mammography. Breast conservation surgery was performed which revealed extensive high-grade ductal carcinoma in situ on histopathology, associated with invasive Paget's disease. The patient completed adjuvant radiotherapy and shows no evidence of disease at present, four months following the completion of therapy. Case 2 was a middle-aged woman of 45 years, who was detected with multiple hypoechoic space-occupying lesions in the right breast on ultrasonography. Modified radical mastectomy was performed which showed a tumor-infiltrating lymphocyte-rich breast carcinoma along with invasive Paget's disease. Following surgery, she is currently on adjuvant chemotherapy with no evidence of disease. Case 3 was a 47-year-old lady presenting with a lump in the right breast with nipple ulceration. Microscopic examination of the modified radical mastectomy specimen showed a high-grade invasive breast carcinoma along with invasive mammary Paget's disease. Follow-up imaging showed generalized lymphadenopathy. The patient was advised adjuvant chemotherapy; however, she was lost to follow-up after receiving the first cycle of treatment. We present three cases of invasive Paget's disease of the breast highlighting the importance of recognition of this rare entity with distinct therapeutic implications.

Water utilities are selling bonds at a record pace to upgrade aging pipes and meet tougher regulations as they prepare for a potential pullback in federal funding.

For almost two decades, Chicago has been stewing over a $1.15 billion deal to lease 36,000 parking meters to an investor group led by Morgan Stanley. Now, with the meters set to change hands, the city council is seizing on an opening to push back.

Bank of America is no longer working with Chicago on the sale of debt owed to the city from fines and fees, and officials have been unable to advance the deal so far this year, according to the mayor’s office.

IntroductionEarly detection through universal newborn hearing screening (UNHS) and timely intervention can improve speech, language, and cognitive outcomes. However, limited awareness among caregivers remains a major barrier to early identification and management. This study performed a situation analysis of parental knowledge, attitudes, and practices (KAP) to identify strategic barriers and inform a targeted health communication strategy.MethodsA cross-sectional, questionnaire-based study was conducted at a tertiary care hospital in North India from November 2023 to October 2024. A total of 494 participants were recruited. Data were collected through a pre-validated, semi-structured questionnaire administered via face-to-face interviews in Hindi. The tool collected data on knowledge of risk factors and early diagnosis, attitudes toward screening and treatment, and practices related to prevention and care-seeking. Following data collection, a situation analysis and SWOT (strengths, weaknesses, opportunities, and threats) matrix were developed using the Johns Hopkins "P-Process" framework to synthesize raw findings into a strategic roadmap.ResultsThe situation analysis revealed a "service-utilization paradox": while 420 (85.0%) of participants supported newborn hearing screening, a profound "follow-up apathy" existed, with 454 (91.9%) incorrectly perceiving subsequent testing as unnecessary. Knowledge of "visible" risks like ear discharge (459, 92.9%) and measles (405, 82.0%) was high, but awareness of "invisible" prenatal and perinatal risks, such as NICU stays and maternal infections, remained poor. The SWOT analysis identified high graduate-level literacy and vaccination compliance (396, 80.2%) as core strengths and opportunities. However, these were countered by a lack of awareness of government facilities (30, 6.1%) and an external threat of outcome pessimism, where fewer than half of the participants believed normal speech development was possible for affected children.ConclusionsThe study underscores a strategic opportunity to leverage high vaccination compliance by integrating hearing health education into immunization clinics. Targeted communication strategies must focus on addressing follow-up apathy and outcome misconceptions to bridge the gap between initial screening and long-term rehabilitation.