
Commissioners get update on UKKD, thankful for expansion
ASHLAND Ashland city commissioners received a project summary from UK-King's Daughters CEO Sara Marks during Tuesday evening's meeting, including updates on expansions soon to open by the city's largest employer.
According to Marks, the construction of a new 200,000-square-foot emergency department at the hospital's main campus will be ready to receive patients in June, wrapping up the end of the $160 million and 2 1/2-year rehaul.
A new and centralized main entrance will be open to patients and visitors as early as May 12.
In 2024, Marks said the Ashland campus recorded more than 20,000 hospital admissions, nearly 200,000 urgent care visits and completed about 2.5 million lab procedures, a workload and patient flow that required a major expansion.
Marks said UKKDMC employs about 5,500 people — 4,000 of whom work inside the main Ashland campus.
'We are proud of what you all do,' Mayor Chuck Charles said of Marks's and UKKDMC's impact on the city, calling their development, social programs and community outreach programs the 'backbone' in providing high-level care and quality employment to locals.
Commissioner DJ Rymer said UKKD makes up about 40% of the city's revenue budget as the No. 1 regional employer and asked if anything could be done from city government to assist the medical facility in future expansions.
Marks said as far as employee retention, city officials should continue pursuing solutions to housing issues that could add more rentals and properties to own.
After inquiry from commissioner Tim Renfroe, referencing the emergency department's addition of four new trauma bays, Marks said the hospital receiving a trauma center designation 'isn't out of the realm of possibility,' but isn't something to anticipate in the immediate future.
In other happenings:
• Commissioners approved the purchase of 25 fire hydrants for the Department of Utility Operations, Division of Water Distribution.
Rymer said the move was 'fantastic,' to hopefully combat issues of hydrants in need of replacement in the Catlettsburg area, as the city is responsible for water distribution and hydrant supply and repairing or replacing them throughout the neighboring town.
Mark Hall, Director of Utilities, said adding more hydrants throughout the city and in Catlettsburg have been one of the recent focuses, with the goal to purchase a total of 100 25-count orders in the future.
• The annual Easter Egg Hunt is scheduled for Saturday, April 19, from 11 to noon at Ashland Central Park.

Try Our AI Features
Explore what Daily8 AI can do for you:
Comments
No comments yet...
Related Articles


Medscape
2 hours ago
- Medscape
Fast Five Quiz: Ovarian Cancer Overview
Ovarian cancer poses a significant threat to women's health, often developing quietly and without early symptoms. It is commonly discovered after progression. This late detection, along with resistance to treatment and frequent relapse, contributes to poor outcomes. Although medical and surgical interventions have evolved, survival rates remain low. These challenges highlight the critical importance of early detection methods, precise diagnostic technologies, and individualized care coordinated across medical specialties. How much do you know about ovarian cancer? Test your knowledge with this quick quiz. High-grade serous carcinoma is by far the most prevalent, representing approximately 70%-80% of epithelial ovarian cancer cases. In contrast, the low-grade form of serous carcinoma is much less common (< 5%). Endometrioid and clear cell subtypes are each responsible for about 10% of cases and have known associations with endometriosis. Mucinous carcinomas are uncommon, comprising a small fraction (around 3%) of epithelial ovarian cancers. Learn more about ovarian cancer. According to the National Institute for Health and Care Excellence guidelines, for patients with inherited mutations linked to a higher chance of developing ovarian cancer (eg, alterations in BRCA1, BRCA2, RAD51C, RAD51D, BRIP1, PALB2 ), the most effective preventive surgical procedure is the bilateral salpingo-oophorectomy (which is the removal of both fallopian tubes and ovaries). This intervention has been proven to greatly reduce ovarian cancer risk and enhance long-term survival among these high-risk groups. However, when performed in premenopausal women, it induces menopause. Removing one ovary (unilateral oophorectomy) or the uterus (total hysterectomy) does not offer adequate protection against ovarian cancer. Procedures like cervical conization are unrelated to ovarian cancer and are used to manage cervical abnormalities. Learn more about salpingo-oophorectomy. HRT is typically recommended for women who undergo bilateral salpingo-oophorectomy before reaching the natural age of menopause and have not had breast cancer. This type of surgery causes a sudden and early drop in estrogen levels, which can result in bothersome symptoms and increase the risk for long-term health issues such as bone loss or cardiovascular problems. HRT helps ease these effects and maintain health until the typical menopausal age. In contrast, women older than age 50 years are often already in or near menopause, and HRT is not routinely needed unless specific symptoms arise. Patients who have a history of breast cancer must be assessed on a case-by-case basis because HRT might not be safe. Women with a uterus should be offered combined HRT, whereas women without a uterus should be offered estrogen-only HRT. Additionally, women who have not had their ovaries removed do not experience the abrupt hormonal shift that warrants preventive HRT. Learn more about HRT. Individuals who carry a BRCA1 mutation face a significantly elevated risk of developing ovarian cancer, often at a younger age than those with other hereditary mutations. If a woman with a BRCA1 mutation decides not to undergo surgery to remove her ovaries and fallopian tubes, monitoring for early signs of cancer should begin after age 35 years. This timing aligns with evidence suggesting that BRCA1 -related ovarian cancers tend to occur earlier than those linked to BRCA2 or other genetic variants. Initiating surveillance at age 30 years is generally premature and not part of standard recommendations. For BRCA2 carriers, screening is usually deferred until after age 40 years, whereas those with alterations in genes like RAD51C, RAD51D, BRIP1 , or PALB2 typically begin surveillance after age 45 years. Individuals with Lynch syndrome-related mutations (eg, MLH1, MSH2, MSH6 ) are also advised to start at age 35 years if surgery is postponed. Learn more about breast cancer risk factors. Although mucinous tumors can arise directly from the ovary, many are actually secondary cancers that have spread from other organs, most notably the gastrointestinal system, including the colon and appendix. Distinguishing between primary and metastatic mucinous tumors is crucial for proper diagnosis and management. High-grade serous cancers more commonly begin in the epithelium of the fallopian tubes rather than the ovaries. On the other hand, low-grade serous carcinomas are thought to originate in the ovary and are typically diagnosed in younger females, with outcomes generally more favorable than their high-grade counterparts. Germ cell tumors and sex cord-stromal tumors are far more frequent in adolescents and young adults, with most cases occurring before age 30 years and not in women older than 45. Learn more about endometrioid carcinoma.


Forbes
3 hours ago
- Forbes
US-China Trade Talks: The Limits Of Diplomacy
Delegations of China and the U.S. pose for a group photo prior to the first meeting of the ... More China-U.S. economic and trade consultation mechanism in London, Britain, June 9, 2025. The meeting opened here on Monday. Chinese Vice Premier He Lifeng, also a member of the Political Bureau of the Communist Party of China Central Committee, attended the meeting with U.S. representatives. (Photo by Li Ying/Xinhua via Getty Images) In early June 2025, officials from the U.S. and China convened in an attempt to to prevent salvage economic ties from spiraling out of control and causing significant damage to both economies. Talks took place in London's historic Lancaster House, as they sought to rescue an earlier negotiated tariff truce and defuse escalating export controls. The negotiations aimed to extend the 90-day pause on punitive tariffs agreed in Geneva, revive cross-border trade flows, and hammer out a framework on rare-earth minerals and high-end technology exports. However, the talks ultimately accomplished few tangible benefits that President Trump sought to originally gain from the implementation of these tariffs, namely to stem the flow of fentanyl, motivate companies to reshore to the US, and close the trade deficit. Instead, he temporarily paused these measures by both sides and returned to the dynamics prior to his 'Liberation Day' and the imposition of tariffs globally. The June 9 to 10 London talks — led by U.S. Treasury Secretary Scott Bessent, Commerce Secretary Howard Lutnick and USTR Jamieson Greer from the U.S. and China's Vice Premier He Lifeng and Commerce Minister Wang Wentao — were convened against a backdrop of deep mutual distrust. Since 2018, the two sides have imposed tit-for-tat duties, with U.S. tariffs on Chinese exports staying around 19-21% from the end of Trump's first term until the beginning of his second, and Beijing following suit with…. After Liberation Day, US tariffs reached a high of 145% before decreasing to 30%, while Beijing imposed a retaliatory tariff of 125% before settling at its current level of 10%.These actions have stifled more than $600 billion in bilateral trade and rattled global markets. At the same time, The Trumps' administration's erratic and inconsistent messaging has also allowed for Wall Street to start pricing in volatility. Moreover a new TACO theory emerged, 'TACO or Trump Always Chickens Out.' This asserts that despite Trumps tough trade policy rhetoric, when markets become too volatile Trump will always reverse course. US Reliance on Critical Rare Earth Metals US Reliance on Rare Earth Imports from China In April 2025, China further escalated tensions by instituting a requirement of export licenses for critical rare-earth minerals, resulting in a 20% year-on-year decrease in shipments to the U.S. and Europe. Due to China's dominance in rare earth exports to the US, this triggered alarms in various industries, most notably in the electric vehicle and aerospace sector. Meanwhile, Washington broadened its export curbs on advanced semiconductors, chip-making equipment, and aerospace components, with a particular intensification after the two countries' Geneva talks, amplifying China's sense of economic siege. Despite the high stakes, negotiators emerged from London with only a modest 'interim framework' rather than a sweeping accord. However, Trump still claimed in a Truth Social post that 'the relationship is excellent.' The enthusiasm from the president is in large part due to China agreeing to temporarily grant export licenses for rare-earth magnets and related components, enabling U.S. automakers such as Ford, GM, and Stellantis to replenish inventories after April's curbs. At the same time, the U.S. stopped short of lifting its tech export restrictions on AI chips and aerospace tools. Commerce Secretary Lutnick characterized the outcome as 'putting meat on the bones' of the May Geneva deal, while Ministry of Commerce spokesperson He Yidong stated the two sides reached a consensus framework to 'implement the important understandings' reached during the June 5 phone call between Trump and Xi. From an economic perspective, the London agreement delivered a short-lived reprieve. Following reports of the rare-earth license concession, global equity markets ticked higher, echoing relief seen after the Geneva truce. Yet core barriers remain firmly in place: U.S. base tariffs on Chinese goods remain near 30%, China's on U.S. exports linger around 10%, and neither side agreed to roll back its export-control regimes. Without a detailed enforcement mechanism or significant new commitments, the framework may merely defer a return to pre-Geneva duties once the 90-day window lapses in August. Current versus pre-Geneva Tariff Levels Geopolitical undercurrents will also further limit any long-term détente. In Washington, a bipartisan consensus has emerged around the need to 'de‐risk' critical supply chains, not merely as a commercial maneuver but as a national security imperative. Policymakers and industry leaders alike fear that overdependence on China for semiconductors, pharmaceuticals, rare‐earth minerals, and even basic manufacturing capacity leaves the United States dangerously exposed to coercive economic pressure or abrupt supply shocks. This conviction has translated into a suite of domestic incentives—ranging from the CHIPS and Science Act to expanded Defense Production Act authorities—designed to shore up American production of key inputs and diversify procurement to 'trusted' partners. On the other side of the Pacific, Chinese leadership interprets these U.S. measures as part of a long-standing containment strategy. Official rhetoric in Beijing routinely casts de-risking initiatives as destabilizing 'decoupling' efforts that threaten China's development model and tarnish the mutually beneficial aspects of economic integration. State media and senior diplomats argue that a sovereign nation, particularly one bearing the mantle of a developing‐country status, must safeguard its industrial base against foreign interference. Despite the rhetoric on economic self-reliance, both the U.S. and China have much to lose from a prolonged trade war. According to the military think tank RAND, 'roughly 40 percent of China's exports to the United States fall into categories where China supplies more than half of America's total imports.' Meanwhile, China is eager to gain access to GPUs and CPUs from American companies like NVIDIA and AMD to power its growing AI infrastructure. Even knowing this, leaders on both sides remain committed to showing strength and independence. Trump administration officials are wary of ceding control to China, while Beijing officials do not want to appear weak on the global stage. The talks, while cordial, still have not permanently de-escalated the trade war, with 30% and 10% baseline tariffs remaining on the American and Chinese sides, respectively. Furthermore, China has only agreed to a six-month license for American companies seeking to import rare earth minerals and magnets. Beyond the economic impact, the visa statuses of Chinese students in US universities will continue to remain uncertain as long as the trade war remains unresolved. As the two economic superpowers prepare for the current deadline on a comprehensive trade deal by August 10, the London talks underscore both the value and the limits of diplomacy: they bought time, but a durable resolution remains elusive. Special thanks to Jonah Kim, and Nathaniel Schochet, for their exceptional thought leadership, research, and editorial contributions to this article. Special thanks to Hanah Kim and Artem Valyaev Kunisky for assisting in providing info-graphics.
Yahoo
3 hours ago
- Yahoo
UConn students bike across the country for suicide prevention
FARMINGTON, Conn. (WTNH) — Two University of Connecticut medical students flew to Seattle on Tuesday with no return flight booked, as the pair plans to bike back to their home state while raising money for suicide prevention. James Marks, 25, of Guilford, and Zach Giguere, 23, of Windsor began their summer cross-country bike trek as part of a two-decades-long UConn tradition that raises money and awareness for a specific cause. This year, the duo plans to raise awareness for suicide prevention, donating money toward advancing mental health research. Hamden school raises money for cancer research at 'Saint Baldrick's' event Their cause to prevent suicide is deeply personal to Marks. 'I lost my Dad,' Marks said. 'I am glad I can do this journey to raise awareness.' Giguere finds it critically important to raise greater awareness of the importance of mental health. 'Recently after COVID, I have seen more people struggling with anxiety and depression,' Giguere said. 'Research into these topics and supporting people who are really struggling is so important.' Suicide Prevention Month: How to get help during a mental health crisis Every year, more than 700,000 people die by suicide worldwide, according to the World Health Organization. Mental health research and resources often lack the funding and attention they desperately need, the UConn students said. 'We believe that investing in suicide prevention—through research, crisis support, and accessible mental health care—can save lives,' they said. 'We are committed to raising awareness, advocating for change, and ensuring that no one feels alone in their struggle.' The two classmates' coast-to-coast trip is planned for a total of 48 days. 'A few days in, we are still on track, but we know the first few weeks will be the toughest,' Giguere said, who will celebrate his birthday on Tuesday. 'I have never been out West before,' Giguere said. 'I always wanted to see all of the U.S. This is the absolute best opportunity to do so!' Mark shared the same sentiment. 'It's beautiful out here!' he said. 'We did our biggest bike climbs yet in the Cascades here in Washington state even climbing up Washington Pass with its 5,500-foot elevation. It's really hard but everything of America we have seen so far, has incredible views.' Only a few days into the trek, both riders have witnessed the spirit of the American people over and over. Bridgeport 'painting the city blue' ahead of Swim Across the Sound fundraiser 'Everyone and every town we encounter are really kind and are excited to hear what we are doing,' Marks said. 'We were blessed when a stranger's truck stopped to give us Gatorade. Americans are extremely nice out here.' Their Coast-2-Coast journey can be followed on Instagram @_coast2coast25_ and you can donate to the duo's cause by clicking on this link. Copyright 2025 Nexstar Media, Inc. All rights reserved. This material may not be published, broadcast, rewritten, or redistributed.