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Trails through Michigan's Sleeping Bear Dunes National Lakeshore can be steep or sandy -- but people who require hiking mobility assistance can now rent a motorized chair with treaded tracks to get around.The fact that the chair has tracks rather than wheels makes rougher terrain much more accessible.The program is run by volunteer group 352
The United States is ranked number one in the world for pandemic preparedness, according to the Global Health Security Index. Still, hospitals and medical professionals are in dire need of personal protective gear, ventilators and beds as a looming surge in patients draws near. Some hospitals are as ready as possible, but it’s unclear if even the best can handle what’s to come. In the nation’s third largest city, Rush University Medical Center is one hospital tower built to handle disaster.“That includes infectious disease pandemics, like we're experiencing now. So, not just did we build the tower, but we also routinely drill on these different scenarios,” says Paul Casey, Rush’s chief medical officer. Constructed after 9/11, Rush’s CEO, Dr. Omar Lateef, says the facility was designed to handle mass casualty incidents, and now, it could be a model for epidemic response.“Many of the same features of the building make it a building structured to treat highly contagious infections,” says Lateef.The hospital has the ability to quickly ramp up to 130 percent capacity. Intake and extra beds can be added within minutes and are already on deck. “We are essentially extending our emergency department into our ground floor pavilion area,” says capital projects construction manager Angela Tosic.The ambulance bay area has been transformed into a triage area. They are converting spaces into what are known as “negative pressure” units that help to prevent cross-contamination.“We can take entire quadrants of the building flip switches and make them negative pressure,” explains Lateef. “We can take massive areas of the building that when we built them are nice hallways but secretly inside the columns are oxygen dispensers.”The incident command center is at the heart of the operation. “We closely monitor both the activity of coronavirus locally, as well as our testing of coronavirus,” says Casey. “And then, we look at what's the next step that we need to be prepared to take.”Keeping staff safe and preventing the spread of the virus is a top priority. Employees are being asked to self-monitor and check their temperature at home twice a day. Once at work, facial recognition scanners not only confirm their identities but also take real-time temperature readings to ensure they do not have fevers. Should staffer’s exhibit symptoms, a drive through COVID-19 testing area is already up and running.Patients exhibiting COVID-19-like symptoms enter and are housed in a completely separate unit.Rush says it will max out its bed capacity as much as possible but has to balance that with not running out of available staff.“The number we have is when patients stop coming in we'll figure out a way to not turn people away,” says Lateef. 2761

The Senate on Wednesday passed legislation to make it easier for businesses struggling during the coronavirus pandemic to take advantage of a payroll subsidy program that’s been a central part of Washington’s response to the corresponding economic crisis.The Senate passed the bill by voice vote after a handful of GOP opponents gave way. The measure now heads to President Donald Trump for his expected signature.The legislation would give business owners more flexibility to use taxpayer subsidies for other costs and extend the lifespan of the program as the economy continues to struggle through record joblessness and a deep recession.It passed the House overwhelmingly last week on a 417-1 vote, but was briefly held up this week as Republican leaders sought to placate opponents such as Wisconsin GOP Sen. Ron Johnson.The legislation would lower an original requirement that at least 75% of Paycheck Protection Program money be used on payroll costs, reducing that threshold to 60% of the loan. It would also lengthen the period in which PPP money must be used — and still permit businesses to have their loans forgiven — from eight week to 24 weeks.Critics say the pending measure does nothing to ensure that businesses that don’t necessarily need PPP subsidies are ineligible, among other problems.“If we’re going to potentially authorize more spending, that program needs to be reformed,” Johnson told reporters. “My main problem with what the House did — and this is what’s in dispute — it basically reauthorized the program through Dec. 31, setting up a massive new infusion into the program without the reforms I think really need to be placed so that people who don’t need it don’t keep getting it. We don’t have an unlimited checkbook.”But the bill had strong support among both Republicans and Democrats and the backing of powerful business groups, which strengthened the hand of supporters like top Senate Democrat Chuck Schumer, who had failed earlier Wednesday in his own attempt to orchestrate passage. At that time it became clear Johnson’s resolve to block the bill was fading and Schumer and Majority Leader Mitch McConnell, R-Ky., reprised the effort only hours later.“The impact of this crisis is long lasting, and requires lenient terms. We have all heard from small businesses in our states ... that (PPP) needed some changes to make it work for so many small businesses that had been left out or rejected,” Schumer said.All told, Congress has approved 0 billion for the program in two installments. After an initial burst of loans emptied the program in just two weeks, demand for PPP funding has dwindled amid griping from some business sectors that there are too many restrictions in order to qualify to receive loan forgiveness. Businesses receiving PPP must also certify that they need it to keep operating, a requirement that makes some business owners cautious about applying.Johnson said Republicans are hoping to get top lawmakers to sign onto a nonbinding letter to the program’s overseers seeking to clarify some of the rules governing the program. He did not explain exactly what he’s seeking but said Republican lawmakers are close to agreement on the language of the proposed letter.As enacted in late March, the Paycheck Protection Program required businesses to spend their loan money within an eight-week window to get the loans forgiven — and effectively turned into outright grants. It also required that three-fourths of the money be spent on payroll as a means of keeping workers linked to their jobs. But small businesses said the rules were too inflexible, especially as the eight-week window to use the taxpayer subsidies is beginning to close for many businesses, many of which are still struggling to fully reopen.Restaurants in particular were upset that under the law were required to rehire their laid-off workers even though they were either closed or limited to takeout and delivery. Many other business owners feared that they would use up their loan money before being allowed to reopen, and then have to lay off employees again because their business wouldn’t bring in enough revenue to keep paying everyone.The new measure gives business owners 24 weeks to spend the federal aid — instead of eight as originally designed — and extends the program through the end of the year while also lengthening the the maturity date and deferral period of the loans.Republicans such as Small Business Committee Chairman Marco Rubio of Florida complained that the carefully negotiated bill contains a drafting error that could eliminate loan forgiveness entirely for companies who want to use less than 60% of the money for payroll costs. Under the original PPP legislation, passed in March as part of a massive, about trillion CARES Act, loan forgiveness was prorated according to how badly businesses missed the goal of using 75% to maintain payroll. 4918
The rigors and challenges of spaceflight are remarkably similar to the physical stress cancer patients experiment during chemotherapy and other treatments, according to researchers.For that reason, the researchers suggest that the countermeasures program used by astronauts before, during and after spaceflight to maintain their health could be developed and applied for cancer patients to help them recover after treatment.The details were published in a commentary written by researchers from Memorial Sloan Kettering Cancer Center and NASA on Thursday in the journal 582
Three Nevada men with ties to a loose movement of right-wing extremists advocating the overthrow of the U.S. government have been arrested on terror charges in what authorities say was a conspiracy to spark violence during recent protests in Las Vegas. Prosecutors said Wednesday the white men with U.S. military experience face conspiracy charges stemming from a plan that began in conjunction with protests to reopen businesses closed because of COVID-19. They say the men later sought to capitalize on protests over the death of a Minneapolis man in police custody. FBI agents arrested them Saturday en route to a Las Vegas protest with gas cans and Molotov cocktails. 683
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