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Everyone has dealt with some sort of isolation this year due to COVID-19. But for those living with different forms of dementia, isolation can take a much larger toll.“He has Lewy body dementia,” Jaye Kephart explained. She takes care of her husband, Michael, who was diagnosed with this form of dimension five years ago. The illness can cause hallucinations.“I know that the Lewy body is progressing,” she said. With safer at home orders in place, people like Kephart and her husband have been forced to mostly stay home, which she said has made his hallucinations worse.“There is no doubt in my mind that it’s COVID, he also sleeps a lot more. Why not, he’s bored,” she said.Many caregivers are seeing the same thing -- a faster decline they blame on increased isolation.The Washington Post analyzed federal data, which showed more than 134,000 people have died from some form of dementia since March, around 13,000 more than expected.“It’s exactly what I’m seeing with the families I work with. I think that caregivers feel a little bit hopeless and stressed out because they have difficulty at times trying to figure out, what can I do to make this better?,” Jill Lorentz said. She has worked with dementia caregivers and those with dementia for over two decades.“I think the whole thing is just a perfect storm,” she said. Lorentz also has eight family members who have some type of dementia, she currently helps care for her sister.Social stimulation and routine are two ways caregivers help slow the decline -- and that can be done from home to an extent.“Allow them to be a part of the process and use those as engagement pieces and not normal day activities that are kind of out of mind. You don't realize you can utilize that as something in a routine that could be meaningful for that person,” Lorentz said.“I still give him as much to do as I can. He unloads the dishwasher and loads it,” Kephart said.But for those living in a facility, stimulation is even more scarce.“I think there’s been more people in communities that have died from the loneliness of not being able to see or touch their family members then there have been that actually have the COVID diagnosis,” Lorentz said.“We’re asking people to create plans to make sure they are combating social isolation like they are combating COVID right now,” Amelia Shafer said. She is the Executive Director at the Alzheimer's Association of Colorado. She said caregivers should make a plan to participate in virtual support groups to help their loved ones with dementia, but they should focus on their own health, too.“It was no surprise to us that people were feeling isolated, that people were feeling depressed,” Shafer said.“People are dying at higher rates especially people with dementia, and they feel like they've had a huge loss. Everyone around them is feeling that loss too, but it’s different because 90% of what they feel is energy. So if they're feeling the sadness of their caregivers and the sadness of the world,” Lorentz said. “I think this is somewhat of a grieving issue.”“It’s certainly not having a partner like I did, I’m a caretaker,” Kephart said.The Alzheimer’s Association has a 24/7 hotline that offers support and help for caregivers, family members, and those living with the disease at 800-272-3900. 3305

ESCONDIDO, Calif. (KGTV) – Police in Escondido have identified the suspect shot and killed by an officer at Valley View Casino Saturday night as Osbaldo Ramirez Jimenez, 50.The incident began after police received a domestic disturbance call on the 1400 block of Timber Glen Road in Escondido.When they arrived, police say the suspect got into a vehicle and led them on a chase that ended at the casino’s valet entrance.RELATED: Officer-involved shooting reported at Valley View Casino in North San Diego County?When Jimenez got out of the vehicle, police say they noticed he was holding a handgun when the officer-involved shooting took place. Jimenez was taken to the hospital where he later died. Authorities also identified the officer involved in the shooting as Officer Terrence Pizzuti, who they say has been with the department since 2013.The incident reportedly caused chaos inside the casino. One woman inside at the time of the shooting was trampled. She was taken to the hospital where she is expected to survive.The San Diego Sheriff’s Department is leading the investigation. When the department is finished, the investigation will be handed over to the District Attorney’s office for review.Anyone with information on the shooting is asked to call the Sheriff’s homicide unit at 858-974-2321.Video of the aftermath of the shooting was captured on social media:  1399

Facebook is trying to be more transparent about how it decides what content to take down or leave up.On Tuesday, the company is making public for the first time its detailed internal community standards policies.The document is what Facebook's 7,500 content moderators use when deciding what is and isn't acceptable content, including hate speech, nudity, gun sales and bullying. A shorter version was previously available online.Facebook is also adding a way for individuals to appeal when it removes one of their posts because of sexual content, hate speech or violence. Appeals will be reviewed by a moderator within a day, the company promises. Eventually, it will add appeals for more types of content and for people who reported posts that weren't taken down.Every week, Facebook sifts through millions of reports from users about inappropriate posts, groups or pages. Additional posts are also flagged by Facebook's automated systems. A member of the team of moderators — a combination of full-time and contract employees around the world — reviews each post.Related: YouTube took down more than 8 million videos in 3 monthsThe expanded guidelines fill 27 pages and include the reasoning behind each policy, along with detailed examples.They include the company's full definitions for terrorist organizations and hate groups. Hate speech is divided into three levels, and includes "some protections for immigration status." There's a detailed policy on the sale of marijuana (not allowed, even where it's legal) and firearms (only shown to adults aged 21 or older -- and no sales between individual people). Bullying rules don't apply to comments made about public figures.The document is filled with striking details about very specific issues. For example, you can't post addresses or images of safe houses, or explicitly expose undercover law enforcement. You can only show victims of cannibalism if there's a warning screen and age requirement. And photos of breasts are allowed if they depict an act of protest.Related: EU gives tech companies 1 hour to remove terrorist contentFacebook has come under criticism for not being transparent enough about how it decides what is or isn't banned. And it has at times appeared inconsistent in the applications of its own rules.Most recently, Facebook fought accusations that it censored conservative personalities like Diamond and Silk in the United States. Human rights groups have complained about its handling of hate-filled posts linked to violence in countries like Myanmar."Our enforcement isn't perfect. We make mistakes because our processes involve people, and people are not infallible," Monika Bickert, Facebook's head of product policy, said in a blog post Tuesday.Related: Facebook is offering facial recognition again in EuropeThe guidelines are global and will be released in 40 different languages. Facebook says it has detailed local information to help moderators handle the nuances of different locations and languages. It will not make all of its moderator guides public, such as lists of hate-speech words, as releasing them could make it easier for people to game the system.To keep up with changes in language and behaviors, the guidelines are updated regularly. A policy team meets every two weeks to review potential additions or edits."We've promised to do better and we hope that sharing these details will serve as the basis for increased dialogue and input," Bickert said.The-CNN-Wire 3476

Erie County Legislator Lynne Dixon announced a proposed expansion of 'Social Host Law' to include opioids. The original law was passed in 2014 to curb underage drinking. According to law, it "will serve to deter the consumption of alcoholic beverages by minor by holding those persons who are 21 years old or more responsible when they knowingly allow the consumption of alcoholic beverages by minors at their residences or on their privately owned property."The Erie County Sheriff's Office have been called to 81 instances of youth activity underage drinking since Jan. 1, 2017. The goal of the new expansion of the law is to hold parents and adults accountable for the actions of minors in their home or on their property for the use of underage drinking, illegal use of opioid and substances.Any person who violates the law will be fined. The first offense is punished by a fine of 0. The second offense is punished by 0. The third offense is punished by either a fine of 00 or prison for one year, or both.   1070

ENCINITAS, Calif. (KGTV) -- One week after a training accident that ended in the death of racehorse Bobby Abu Dhabi, Victor Espinoza is opening up about his recovery.Espinoza, a Hall of Fame jockey, suffered a fractured vertebra when he was thrown from the horse after it went into apparent cardiac arrest in Del Mar. The four-year-old horse died.RELATED: Injured jockey Victor Espinoza to miss rest of Del Mar meet"I was just working my normal routine and then just...something just happens," Espinoza said. "So it was a bit of a different accident than what (I've had) over the years." The 46-year-old jockey remembers thinking that he might be paralyzed after the July 22 fall. He said his body was numb, and he could only move his right arm. "The first time I ever cry, (was) when I first started moving my right leg, when I got on the ambulance and then by the time I got to the hospital, I started moving my left leg." Scans showed that Espinoza fractured his C3 vertebrae in the accident and had damage to his cerebral artery. Doctors told him that he got lucky.  Espinoza will be in a neck brace for six weeks. He told 10News his goal is to make a full recovery - but right now there is no guarantee that will happen."I can't move my neck at all, and I wear (the brace) and it's hard for me to balance because I can't see down," he said, noting that he still has numbness in his left arm. Right now, it is too soon to know if he will be able to return to racing - a sport in which he earned a Triple Crown on American Pharoah in 2015.  He's also a three time Kentucky Derby winner.When asked if he would be scared to race again he said, " I can't predict the future, how I'm going to feel at that moment."  1807