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An Arizona man says he discovered something disgusting in his Culver's butter burger, and now he wants answers.Najib Anek says he bit into a fake fingernail that fell off the finger of an employee who made his food at the Culver's in Peoria. "It was inside the sandwich halfway through," Anek said. "It was crunchy man. I threw up three times."Anek said he complained to management, and they apologized.He also said the store's management watched the surveillance video and saw the female employee making his burger without gloves and missing a fingernail.Maricopa County food inspection records show the Culver's location has all "A" ratings going back to 2015. Now, that could change. "Yes, I called the health department, and I have a complaint number," Anek said. The Culver's manager said their insurance is looking into the situation and the offending employee is on leave. 958
An 6.5 magnitude earthquake struck off the coast of Costa Rica on Sunday night, the US Geological Survey (USGS) said.The quake was centered 16 km west of Jacó, Costa Rica, at a depth of 10 km, according to the USGS. It gave the quake preliminary magnitude of 6.8, but later downgraded it.The observatory at the Universidad Nacional Costa Rica said the earthquake measured 6.9.Jacó lies southwest of Costa Rica's capital, San Jose, and is part of the region of Puntarenas, on the Pacific Coast.Emergency response agencies activatedThree people suffered fatal heart attacks that coincided with the time of the earthquake -- two in Jacó and one person further south in Coronado -- according to a statement from Costa Rica's presidency.It said the country's Judicial Investigation Agency was investigating the deaths.At least one building in Jacó had been evacuated due to apparent damage and there were reports of walls collapsing and objects falling in other parts of the country, but there were no reports of any further injuries, the statement said.Costa Rica's hospitals were functioning normally and minor power outages had been quickly resolved, it said, with the quake felt most severely in the provincial districts of Quepos, Parrita and Garabito -- of which Jacó is capital.The presidency said that emergency response agencies had been activated and remained on alert following the quake.President Luis Guillermo Solís earlier tweeted that no tsunami warning had been issued.Police called for calm.The Fuerza Publica warned on Twitter that there were landslides on the road between Jaco to Tárcoles, further north. 1634

ARLINGTON, Texas (AP) — Manny Machado tried to awaken a slumbering San Diego offense by screaming at his teammates after connecting for a homer against Clayton Kershaw. While it almost worked, the Padres fell into a 2-0 deficit in their best-of-five National League Division Series when Eric Hosmer stranded the bases loaded with a game-ending groundout off Joe Kelly in a 6-5 loss to the Los Angeles Dodgers.Machado’s solo shot in the sixth inning was followed immediately by another from Hosmer, closing the Padres to 4-3 in their first NLDS since 2006. 563
As mandatory face coverings become more and more common, keep in mind, some are better at protecting from viruses than others.When issuing their face covering guidelines, San Francisco specifically called out masks with one-way valves designed for “easier breathing”, warning that they allow for droplets to get out of the mask and potentially endanger others nearby. These valves are usually about the size of a coin on the side of the mask.The CDC, and many other health departments and officials, urge wearing a mask to prevent the spread of the coronavirus because it can be spread through respiratory droplets. Those droplets are produced into the air when an infected person coughs, sneezes, talks, sings, chants, shouts, etc. They can then land on other people nearby or be inhaled by others.The CDC recommends people wear a cloth face covering in public settings, to reduce the transmission of droplets into the air.“There are no high quality studies regarding the use of masks with additional types of various filters placed in them or with ‘breathing valves.’ While widely marketed with various claims, these have not been studied at all and it is unclear if they help or hurt the overall filtration efficacy against microorganisms,” read a statement from Marc Sala, M.D., Assistant Professor of medicine in the Division of Pulmonary and Critical Care at Northwestern University’s Feinberg School of Medicine.People are being asked to leave N95 masks (without a valve) and surgical masks available for medical staff and essential personnel who are coming into daily contact with many infected patients.An N95 mask with an exhalation valve is not recommended because unfiltered air is sent through the valve and into the air, potentially carrying coronavirus droplets. “The presence of an exhalation valve reduces exhalation resistance, which makes it easier to breathe (exhale). Some users feel that a respirator with an exhalation valve keeps the face cooler and reduces moisture build up inside the facepiece. However, respirators with exhalation valves should not be used in situations where a sterile field must be maintained…” according to the CDC’s website.Dr. Sala said testing has shown things like multiple layers of cotton fabric is better than a single layer, material of a higher thread count is more effective, and overall, “these studies emphasized the notion that if a mask doesn’t have a good fit (has gaps) its effectiveness is dramatically reduced.” Dr. Sala said even if the cloth mask is not ideal, it can still play a major role in preventing illness as more masks are worn by the population as a whole.Bottom line, choose a fabric face covering that fits and is comfortable around your ears or head, and keep it on while in public, especially when social distancing is not possible, to protect you and the people around you. 2864
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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