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As hospitals are becoming overwhelmed with COVID-19 patients, North Dakota is permitting coronavirus-positive health care workers to continue assisting patients.The guidance stipulates that the health care workers must remain asymptomatic and take enhanced precautions in order to stay on the job. This comes as travel nurses are stretched thin as dozens of states are reporting record hospitalizations.Given the situation in North Dakota and elsewhere, it is possible more states will have to follow suit and continue using infected staff members in order to provide care. The CDC has spelled out guidance in these situations.The CDC says hospitals must exhaust a number of other guidelines, including adding travel nurses, postponing elective medical procedures, and postpone elective time off, before going into a crisis staffing situation.“If shortages continue despite other mitigation strategies, consider implementing criteria to allow HCP (health care personnel) with suspected or confirmed COVID-19 who are well enough and willing to work but have not met all Return to Work Criteria to work,” the CDC’s guidance states. “If HCP are allowed to work before meeting all criteria, they should be restricted from contact with severely immunocompromised patients (e.g., transplant, hematology-oncology) and facilities should consider prioritizing their duties in the following order:1. If not already done, allow HCP with suspected or confirmed COVID-19 to perform job duties where they do not interact with others (e.g., patients or other HCP), such as in telemedicine services.2. Allow HCP with confirmed COVID-19 to provide direct care only for patients with confirmed COVID-19, preferably in a cohort setting.3. Allow HCP with confirmed COVID-19 to provide direct care for patients with suspected COVID-19.4. As a last resort, allow HCP with confirmed COVID-19 to provide direct care for patients without suspected or confirmed COVID-19.”North Dakota Gov. Doug Burgum spelled out the challenges facing his state.“Our hospitals are under enormous pressure now,” Burgum said. “We can see the future two, three weeks out, and we know that we have severe constraints.”Despite Burgum’s warning, his state is among the ones not to issue an order requiring masks in public places.In update CDC guidance, the agency says that masks can reduce the viral load for the wearer, in addition to prevent the spread of the virus.Steven Weiser, MD, president of Altru Health System in Grand Forks, North Dakota,, wrote in an op-ed about the toll the virus is having on workers. "Your neighbors in healthcare are pleading with you – they are tired, they are covering shifts for their colleagues who cannot work, they are working in new areas and rallying together to ensure that our promise of providing care to our community is upheld," Weiser wrote. "I ask you, on behalf of our team of healthcare workers, to please take the recommendations... very seriously. This is about protecting our at-risk community members and friends. We need your partnership to stop the spread, now. Doing so will save lives." 3105
ANTIOCH, Tenn. — The Associated Press, CBS, and NBC News are reporting that federal investigators have been searching through the home of a possible person of interest in connection to the explosion that rocked downtown Nashville on Christmas morning.The AP reported that agencies were at a home in Antioch in suburban Nashville after receiving information regarding the investigation.According to CBS and NBC News, investigators searched the home of 63-year-old Anthony Quinn Warner.Scripps sister station in Nashville WTVF discovered just weeks ago - he signed over his longtime home to a 29-year old woman who lives in California.Property records show he sold her another house nearby a year earlier.We don't know much about Warner, other than the likely owned an alarm company during the 1990s.Law enforcement received more than 500 tips that led them to this home on Bakertown Road in Antioch.Marco Rodriguez lives in the same building as Warner. He said at around 10 a.m. on Saturday federal agents told him to evacuate."They came in and told us to get out just in case there was a bomb or something," Rodriguez said.Federal agents and metro police spent the day combing through Warner's home, making sure it was safe and looking for evidence.Neighbors tell me when police showed the picture of the RV that was used in the downtown bombing, they immediately recognized it."It was parked over there all the time," Rodriguez said, "It's weird because it could've been us if he wanted to like blow us up or the bomb could've malfunctioned."WTVF was able to dig up property assessment photos of the home. It shows the RV there as far back as 2007.Google street view pictures of Warner's property from last year also showed an RV similar to the one used in the bombing.It is unclear right now if anyone was inside the house when federal agents entered.Police Chief John Drake said tissue was found near the explosion site and authorities are working to confirm if it is human remains.This story was originally published by Seena Sleem at WTVF in Nashville, Tennessee. 2076
An Arizona man was awarded a 5,000 verdict after a jury decided a dentist at a popular dental chain wrongly pulled all his teeth without consent.DeWayne Smith won his case against Western Dental Services and Dr. Steven Nguyen in January, ending a three-year legal battle.“They treated him like garbage,” said Craigg Voigtmann, one of Smith’s attorneys. “They took out all of his teeth and then abandoned him.”Western Dental disputes the allegations. In a statement, the California-based chain called the jury’s decision surprising and disappointing.On a Saturday in January 2015, Smith scheduled an emergency visit at the Western Dental. He was having severe tooth pain in his right upper wisdom tooth. It was his first visit ever at the dental office.“I really don’t like going to dentists but I was in pain,” Smith said.At the appointment, Western employees and Nguyen told him Smith had serious dental issues and that he would eventually need to replace all his teeth with implants or dentures.Smith understood, and under pressure from Western Dental sales staff agreed to a long-term treatment plan. However, Smith said he “made it very clear” that he only wanted to have one tooth pulled that day to relieve the pain.During the procedure, Western Dental staff numbed the area, sedated Smith with nitrous oxide, and then packed his mouth full of gauze, according to court testimony.Smith left not knowing they had extracted all his teeth.“I go to pulling this gauze out and then I realize there’s nothing there on the bottom, and there’s nothing there on the top,” he said. “I just fell to the floor. I didn’t believe what I was seeing.”Employees testified that Nguyen left immediately after the procedure and that no one appeared to tell Smith what they did.After the procedure, Western Dental also sent Smith a ,000 bill, he said.“(It’s) like running over a dog in the middle of the road and driving off,” said Smith’s fiancé, Sharon.Nguyen testified that he had a direct conversation with Smith, who told him he wanted to have all of his teeth extracted that day. Western Dental also produced consent forms with Smith’s signature.But Smith’s attorneys claimed those forms were manufactured after the procedure. And one Western employee testified against the company in hours of damning testimony.Bianca Esquer was a patient care coordinator at Western Dental from 2013 to 2015. She worked directly with Smith during his appointment.In a deposition and at trial, Esquer said that Smith made it clear he did not want a full extraction that day. She also discussed how employees and dentists are paid bonuses and commissions based on how much treatment patients get.Esquer also testified it’s hard to believe anyone would agree to have all their teeth pulled on their first visit and without detailed planning.“You don’t send someone home with a full extraction without teeth,” she said.Smith was not provided dentures from Western Dental until months after his procedure, he said.Scripps station KNXV in Phoenix reached out to Nguyen for comment through his attorney, Jeff Tonner. In an email, Tonner said Western Dental would be issuing the response.Western Dental’s full statement: 3206
Americans have been sending garbage to landfills for almost 100 years.Since the first one opened in Fresno, California in 1937, today the U.S. hauls about 268 million tons of trash to thousands of active landfills each year.However, it's not without debate over whether these dumps are our best option.A lot of our nation's garbage starts in the home. According to the EPA, paper accounts for 25 percent, food is 15 percent of the waste and plastic amounts to 13 percent.The journey to the landfill involves a few pitstops. After garbage collectors pick up the trash, they take it to sorting facilities, where machines and people in full hazmat suits separate everything. This can be time-consuming, and dangerous.Recyclables are sent off to be reused, and trash is either incinerated to create clean, renewable energy or taken to the landfillLandfill operators follow strict guidelines to help make sure their facilities don't cause any harm. They lay a base layer, several feet deep, below any trash. It's made up of materials like clay, minerals, and charcoal, which help make sure nothing seeps into the ground or water. Trash is strategically layered on top and then buried to help seal it off.In some cases, the sealed pile is covered in cement or asphalt and developed in homes or businesses. But those sealed-off piles still give off greenhouse gas emissions and fumes that can harm the environment and peoples' health.Some companies use technology to reduce emissions by capturing them and turning them into renewable energies. Researchers say even with that technology landfills can still pose hazards.One way to reduce the mountains of trash in landfills is to recycle.Americans throw away .5 billion in recyclable materials each year, including paper, plastic, cardboard, and aluminum products. 1817
Are masks complicating facial recognition software? The short answer is no, but masks do complicate matters.Computer science experts say that face coverings and other accessories may act as a speedbump, but it wouldn’t be very difficult for the software to be modified.However, with a face covering, recognition may be less accurate.“It has fewer data points and that is the concern,” Steve Beaty, computer science professor at Metro State University-Denver, said. “Because you are essentially removing your nose and your mouth from the equation if you will, there will be fewer data points and the concern is that other people can authenticate as you.”Before the use of face masks, facial recognition software had an inaccuracy rate of less than 1 percent. Now, the National Institute of Standards and Technology estimates that the inaccuracy rate has increased from 5 to 20 percent. 892