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ARCADIA (CNS) - A 5-year-old gelding has been euthanized after fracturing his right front ankle in a race at Santa Anita Park, the 40th horse death at the Arcadia track since December 2018.Harliss finished seventh in a field of eight in the seventh race Friday, "was unsaddled nearing the clubhouse turn and vanned off," according to Santa Anita racing information. He was euthanized under the recommendation of the attending veterinarian.Harliss was third both a quarter-mile and three-eighths of a mile in the 5 1/2-furlong race on Santa Anita's turf course, then dropped to fourth entering the stretch. He was coming off the lone victory in his 12-race career, finishing first in a 5 1/2-furlong race on Los Alamitos Race Course on Dec. 6.Harliss was trained by Val Brinkerhoff. His career earnings were ,026.A necropsy will be performed as required by the California Horse Racing Board.The death was the second among the 705 horses who have raced at Santa Anita's winter/spring meeting, which began Dec. 28. The 4-year-old gelding Golden Birthday sustained a hind pastern fracture with sesamoid involvement in a mile-and-and-eighth race on the turf course New Year's Day and was euthanized upon the recommendation of veterinarians.Truest Reward, a 3-year-old gelding, fractured his left shoulder on the training track at Santa Anita the morning of Dec. 26, two days before the start of the winter meet. The training track was closed to workouts but open for jogging and galloping.Officials with Santa Anita Park or its parent company, The Stronach Group, did not immediately respond to a request for comment on the latest death.The group Horseracing Wrongs, which advocates for a nationwide ban on horse racing, will have demonstrators at Santa Anita on Sunday.Santa Anita -- and the sport in general -- have faced increasing pressure from animal-rights activists and elected officials since the deaths at Santa Anita started garnering media attention in early 2019.The California Horse Racing Board is set to issue a report soon on the deaths.The Los Angeles County District Attorney's Office concluded Dec. 19 that there was no criminal wrongdoing connected to the deaths, but offered a series of recommendations aimed at improving safety at racetracks in California."Horse racing has inherent risks but is a legally sanctioned sport in California," District Attorney Jackie Lacey said in a statement. "Greater precautions are needed to enhance safety and protect both horses and their riders."The district attorney called on state regulators to develop safety enhancements to reduce horse deaths, including possible enhanced penalties for rules violations, establishment of a tip line for people to report violations or animal cruelty allegations and mandated inspections of racing and training facilities, and reviews of necropsy and veterinary records of horses that have died.The report also made recommendations aimed at identifying pre-existing conditions in horses that could lead to breakdowns, establishing track- maintenance protocols -- including special measures during rain or extreme weather conditions, and creation of "safety codes of conduct" for owners, trainers, jockeys, veterinarians and others who care for horses.The report noted that officials at Santa Anita have implemented a series of safety-improvement measures that "have reduced the number of fatal racing and training incidents."Santa Anita recently debuted a PET Scan machine to provide imaging of the fetlock or ankle joint -- the most common area for injuries to occur in thoroughbreds -- without horses having to undergo anesthesia, and said it will help to diagnose pre-existing conditions."This state-of-the-art technology reflects a new standard of care within Thoroughbred racing -- a standard that puts the health and safety of horses and riders first," said Belinda Stronach, The Stronach Group's chairman and president. 3928
An artificial intelligence tool can help doctors when deciding which COVID-19 patients can be sent home, according to a study that started in May.Researchers at New York University used the AI tool to analyze thousands of COVID-19 cases. The team used data from Asia and Europe to develop the model.It uses lab results, vital signs and oxygen requirements to determine how the patient will do over the next few days.The study has found the AI tool can identify patients that will do well with 90% precision, which could help doctors prioritize care and make discharging plans for others.Doctors always make the final call, but the AI tool can help reaffirm their decisions.“It's augmenting, but it's also teaching a little bit, because you know when the physicians see a patient that looks well, but the models say they may not be well, they can look at the, the features right? The vital signs and labs and other things that are saying that this patient isn't well and then they can start to understand or create a mental model,” said Yin Aphinyanaphongs, Director of Translational Clinical Informatics for DataCore, NYU.The researchers are still running randomized trials for about another two months, looking at the average time patients spend in the hospital.The hope is the AI tool could help reduce the length of stay.“That's extremely compelling because now you don't just show oh I have a model that can predict a favorable outcome, but now you have a model, right, that actually affects the outcome,” said Aphinyanaphongs.Another team at NYU is now conducting a survey among doctors that have used the tool. One facility has already implemented it.The researchers wanted to make sure it's easy for other organizations to start -- so the software can be up and running in about half a day. 1805

An Oregon man was arrested last week and faces multiple criminal charges after attempting to destroy a McDonald's location's "Golden Arches" after he was refused an order of 30 double cheeseburgers. The News-Review first reported the March 17 incident, which took place in Sutherlin, Oregon. Jedediah Ezekiel Fulton was charged with suspicion of second-degree disorderly conduct, second-degree criminal trespass, second-degree criminal mischief and harassment, the News-Review reported. The incident became so scary, a witness inside the McDonald's pulled out a gun out of fear. Fulton allegedly became irate after McDonald's employees refused to fulfill his order of 30 double cheeseburgers. After being refused the order, Fulton allegedly tore down a McDonald's banner and attempted to destroy the location's Golden Arches. Why he was refused the order in the first place is unknown. 934
As Americans face the complications of holding holiday celebrations amid the ongoing pandemic, President-elect Joe Biden says he and his family are trying to navigate the same issues, with safety measures.Biden said Monday that he and his wife are planning to follow the advice of medical officials who recommend no more than 10 people at a gathering, masked and socially distanced. Biden also says anyone at their Thanksgiving gathering would be tested for the virus 24 hours before getting together.The restrictions may be difficult, but Biden says, “I just want to make sure we’re able to be together next Thanksgiving, next Christmas."The Centers for Disease Control and Prevention is urging people to celebrate virtually or with members of their household, noting that in-person gatherings with people from different households “pose varying levels of risk.” Guidance also notes that a gathering’s size “should be determined based on the ability of attendees from different households” to socially distance and follow hygiene recommendations. 1055
As a result of the pandemic, telehealth is a more common way to see your doctor. It's not easy to adjust to a virtual bedside manner, which is why a former news reporter is launching "Webside Manner" for doctors to learn what is not taught in medical school.Twenty years ago, Mark Bernheimer was on camera, reporting daily events for stations in Los Angeles and CNN. When he got out of news, he decided he could use his skills to teach others.“How to be comfortable doing news interviews, how to be comfortable giving speeches on stages and things like that,” Bernheimer said.When the pandemic hit and everyone's audience became virtual, he had to pivot his business "MediaWorks Resource Group."“I started helping my clients figure out how they could do it more efficiently, more professionally, how to do news interviews through Zoom, how to hold webinars and Q and A session through Zoom,” Bernheimer said.And then one day, he said, his medical colleagues asked for help with telehealth.“Doctors don’t get formal training or any training in set design or video production,” Bernheimer said. “This is not what they get out of medical school, they may be excellent doctors and scientists but when it comes time to deliver health care in this forum, they need some help."Things like making eye contact through the computer camera, technical quality, lighting, and where the device is physically placed were all important things that Dr. Bob Murry, a family physician in New Jersey, says could use some work, even though we're almost seven months in to the pandemic.“As this is becoming more routine. Folks do need to up their game a little bit and learn more about how to best use the technology,” Dr. Murry, who is also the chief medical informatics officer for NextGen Healthcare, said.“I had never done a video visit before coronavirus. We didn’t realize how powerful that medium can be. You can really connect with your patients and be really intimate with them and have almost everything that you have in a real person visit,” Dr. Murry added.Now, Dr. Murry says, the way doctors come across needs to be thought out, too, in addition to the actual medical care and advice.“So much of medicine is really talking to your patients from the patient's standpoint. They want to tell their story and get an answer or make sure it's not something to be concerned with and from the physician's standpoint, it's that story which is so important in medicine and that story can happen over video,” Dr. Murry said.“These are people, who don’t forget, who are probably sick to begin with or worried to begin with,” Bernheimer said. “Now they’re anxious; now they’re nervous because they don’t want to be on camera any more than the doctor does. So the doctor or health care provider has to take special precautions into account before conducting those kinds of visits.”Bernheimer is working with NexGen to officially launch "Webside Manner" in November, and says things like body language, tone of voice, and facial expressions are all things that need to be considered during telehealth. He admits they can be challenging visits for all involved.“I spent 16 years looking into a camera as a TV news reporter. It was much easier for me to learn how to look directly into the lens of a TV camera than it has been for me to get used to looking into that tiny spec on the top of the laptop lid, so if it's hard for me, I can only imagine what other health care providers must be experiencing,” said Bernheimer.But, it's a necessary medium, as we're all becoming dependent and quite comfortable with doing everything from our home devices. 3633
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