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Driving down a dirt logging road in rural Maine, paramedic Nathan Yerxa can’t help but take in the view most days. Looking out over the landscape here, it’s as if the sky and the land seem to merge.Yerxa is a paramedic for North East Mobile Health Services and stationed in Jackman, Maine, a small town in the northern part of this state home to about 700 people. From the edge of town, you can see the Canadian border in the distance, and on any given day, paramedics here are responsible for covering an area that’s approximately the size of the state of Rhode Island.“The remote landscape and difficult terrain make it difficult to bring resources to the area,” Yerxa said, as he drove through town in a Ford pickup truck that’s been converted to an all-terrain ambulance.Like rural communities across the country, getting patients to an emergency room in this area is a difficult, often time-consuming task. The closest ER is about 70 miles away, a trip that can sometimes take close to two hours. While Jackman does have a community health center, the facility can’t perform many emergency procedures most larger hospitals can.So, in an effort to save time and lives, the emergency room is being brought to Jackman in an innovative new way, harnessing technology and the expertise of paramedics likes Yerxa.“I think it’s one of those situations where what’s old is new again,” he said.The idea is a Critical Access Integrated Paramedic program. Paramedics here are receiving more training in critical care. While at the same time, that pickup truck Yerxa relies on is being outfitted with tools like satellite internet and a satellite phone. First responders even have heart rate monitors that can send data wirelessly to a doctor anywhere.The concept is simple. Using technology, paramedics can instantly connect to a doctor no matter where they take a call. From stitches to ultrasounds, paramedics in this region are bridging the rural healthcare gap by instantly connecting via video chat to a doctor who may be hours away.“It is in many ways like a high-tech home visit that you might have seen 60 years ago, but we’re also bringing urgent care services with us,” Yerxa explained.Finding new ways for rural communities to connect is a key component to the program's success.Nationwide 25 million people don't have access to broadband.The COVID-19 pandemic has only magnified the issue. In Maine alone, 36,000 telehealth calls were made last month up from 650 the same time last year. Many times, though, patients and doctors have trouble connecting because of poor internet connections.Town manager Victoria Forkus pushed hard for the program.“We were in a way forced to implement this new program early because of COVID,” she said while sitting inside Jackman’s town offices.The whole program is costing Jackman and surrounding communities about 0,000 a year to implement. Some of the money will come from a tax increase, which is no small feat in a town where the median income is just ,000.But out here, the program has overwhelming support.“What’s the dollar amount on one of my neighbors’ lives? What’s the cost of saving a community member? It’s priceless,” Forkus added.The concept of the program is gaining attention across the state.Jim Rogers, with Health Connect Networks based in Maine, is lobbying Congress hard to expand rural broadband connectivity. It’s something he says is now more imperative than ever given the pandemic.“People in these rural communities just don’t have adequate internet to support a telehealth consult,” he said.As for Yerxa, he sees the program as something other rural communities across the country can emulate.“Hopefully, we can now provide 24-hour coverage to patients in any of these rural locations.” 3770

Earth sweltered to a record hot September last month, with U.S. climate officials saying there’s nearly a two-to-one chance that 2020 will end up as the globe’s hottest year on record.Boosted by human-caused climate change, global temperatures averaged 60.75 degrees (15.97 Celsius) last month, edging out 2015 and 2016 for the hottest September in 141 years of recordkeeping, the National Oceanic and Atmospheric Administration said Wednesday. That’s 1.75 degrees (0.97 degrees Celsius) above the 20th century average.This record was driven by high heat in Europe, Northern Asia, Russia and much of the Southern Hemisphere, said NOAA climatologist Ahira Sanchez-Lugo. California and Oregon had their hottest Septembers on record.Earth has had 44 straight Septembers where it has been warmer than the 20th century average and 429 straight months without a cooler than normal month, according to NOAA. The hottest seven Septembers on record have been the last seven.That means “that no millennial or even parts of Gen-X has lived through a cooler than normal September,” said North Carolina state climatologist Kathie Dello, herself a millennial.What’s happening is a combination of global warming from the burning of coal, oil and natural gas and natural variability, Sanchez-Lugo said. But the biggest factor is the human-caused warming, she and Dello said.The globe set this record despite a La Nina, which is a cooling of parts of the central Pacific that changes weather patterns and usually slightly lowers temperatures.“A La Nina is no match for how much we’re warming the planet,” Dello said.The first nine months of 2020 are the second warmest on record, a shade behind 2016 when there was a strong warming El Nino. But Sanchez-Lugo said her office’s calculations show that there’s a 64.7% chance that 2020 will pass 2016 in the last three months to take the title as the warmest year on record. And if it doesn’t make it, she said it’ll easily be in the top three, probably top two.“We’re catching up” to 2016, Sanchez-Lugo said. “It’s a very tight race.”With the climate trend, heat records that looked like it would take many years to break get passed quicker, said Colorado University weather data scientist Sam Lillo.___Follow AP’s climate coverage at https://www.apnews.com/Climate___Follow Seth Borenstein on Twitter at @borenbears .___The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute’s Department of Science Education. The AP is solely responsible for all content. 2548

EL CAJON (KGTV) – An El Cajon property owner said a police pursuit in March that ended at her property has led to questions over repairs.Jenny Wu has owned the property in the Villa Madera condominium complex on Mollison Avenue for more than a decade. On March 19, a vehicle crashed into her home, causing extensive damage.According to Wu, she had two elderly renters living there at the time of the crash, with one ending up in the hospital. She said she gave the information about what happened to her homeowner’s association immediately following the incident.More than five months after the crash, her property is still boarded up.Through her translator, she said the HOA wanted to investigate. Wu and her son said communication from the HOA and the property management company on the process to fix the condo has been spotty.Dan Zimberoff is an attorney who specializes in HOA matters.He is not involved in the case, but said the association typically insures common area.“When you have a singular affected homeowner like you do here, many times I see the association allows that homeowner have direct access with the adjuster. It just streamlines the processes and allows that direct communication,” Zimberoff said.Wu was one of the many temporarily laid off from her job at a local casino because of the pandemic. She still pays HOA fees at her condo, which adds up to roughly 0 per month.The president of Property Management Consultants said Team 10 has “been told many inconstancies [sic].” President Hugh Maynard said the insurance company would be contacting Team 10 with information, but the company never reached out. Maynard said the owner did not carry their own insurance and the HOA is paying the deductible.He added that they have kept the “family up on every turn of events” and showed Team 10 emails as proof. Wu’s son, who has been helping his mother with communication, admitted there have been emails exchanged with the property management company, but it has not been consistent.Maynard said the insurance company was controlling the rebuild, adding that the City of El Cajon condemned the unit.A spokesperson for the City of El Cajon confirmed the unit was tagged as structurally unsafe and permits will be required to repair it. As of this week, no permits have been applied for, said spokesperson David Richards.“I want them to fix the problem as soon as possible,” Wu said through her translator. No timeline has been given for when repairs on the unit will begin. 2503

Easter, Passover, Holi, and Ramadan were just a few of the religious milestones that used virtual tools during the pandemic to replace traditional observation. But what about robot priests, artificial intelligence and online houses of worship? The intersection of technology and spirituality is coming much faster than many expected.In the 1983 Star Wars film Return of the Jedi, artificially intelligent android C3P0 finds out what it’s like to become the subject of worship.“They think I’m some sort of God,” he said, as fuzzy creatures hover around him chanting in prayer.But the intersection of machines and religion is happening in real life.In Japan, monks at an ancient temple hear sermons from a robot avatar of the Buddhist goddess of mercy. In India, an automaton performs one of Hinduism’s most sacred rituals, and in Germany, a robot gives blessings to thousands of protestants.“You could punch in the language, for example, in which you would request the blessing,” said Teresa Berger, a professor of Catholic theology at the Yale University Divinity School.Some are now asking whether the next step is an artificially intelligent spiritual leader and whether counsel from A.I. could ever replace the guidance of a cleric.“I think that's a really important question that we need to wrestle with just as we're also wrestling with the hypothetical possibility of encountering intelligent life from other planets,” said Jennifer Herdt, stark professor of Christian ethics at Yale University Divinity.The pandemic has forced millions around the world out of their churches, temples, synagogues and mosques into virtual congregations.“We've been recording our sermons. We've been posting them online, Facebook and YouTube and Instagram,” said Hisham Al Qaisi, Imam of the Islamic Foundation in Villa Park, IL. “A lot of other Islamic centers are doing the same, trying to keep the community engaged digitally.”Professor Berger argues that whether virtually or in-person the physicality of being present remains. And rather than being disembodied, the technology actually allows more connectivity in some cases. She found that to be true during a recent church experience where parishioners used the chat feature during a sermon.“In this particular digitally-mediated community, people talked to each other throughout the service much more than we might do in a brick and mortar sanctuary,” said Berger.In recent years, Facebook CEO Mark Zuckerberg has suggested the social network could address declining church attendance, offering the same sense of community traditionally found in brick and mortar houses of worship. It's something Herdt says may be challenging.“Is this about creating profit for Facebook or is this about truly ministering to the spiritual needs of people trying to keep those things separate would be very difficult,” she said.Still, just how exactly technology will alter manners of worship will undoubtedly continue to evolve, say experts like Herdt.“I'm sure we're going to see some dramatic transformations in the future.” 3064

Dr. Robert Redfield, the director of the Centers for Disease Control and Prevention, insisted Thursday that his agency would not be issuing new guidelines for reopening schools.Instead, Redfield said the CDC would be issuing additional resources that will assist schools as they attempt to reopen in the fall.During an interview on CNN, Redfield said that among the resources the CDC would be releasing in the next week were guidelines on spotting symptoms in students. He later added that the guidance was not a requirement that schools would need to complete in order to reopen.Redfield made similar comments on ABC's Good Morning America, saying upcoming guidance for schools was "not a revision of the guidelines, it's just to provide additional information to help the schools be able to use the guidance that we put forward."Redfield's comments contradict those of Vice President Mike Pence, who said in a briefing on Wednesday that the CDC would be issuing new guidelines in reopening schools. During that briefing, Pence repeatedly said that he didn't want CDC guidelines to get in the way of schools reopening in the fall.Pence's comments came hours after President Donald Trump tweeted that he felt that the CDC guidelines were "tough," "expensive" and "impractical."The CDC's guidance for reopening schools includes several recommendations to encourage social distancing, includingSpacing desks 6 feet apartHaving all desks face the same directionClosing dining rooms or playgrounds, or staggering use and disinfecting in between useLimiting sharing of itemsMask use for all faculty and older students 1620

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