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Authorities say a heated argument over a turned-up thermostat in a mobile home took a violent turn when a Minot man punched his fiancée's brother in the face and threatened him with a knife....

     MINOT, N.D. (AP) - Authorities say a heated argument over a turned-up thermostat in a mobile home took a violent turn when a Minot man punched his fiancée's brother in the face and threatened him with a knife.
     Police say the man tried to defend himself by hitting 33-year-old Cornelius Young with a children's toy in the attack Friday. Police say Young eventually left the home after his fiancée jumped on his back and bit his ear to distract him. Two children were present during the fight, but neither was injured.
     The Minot Daily News reports that Young is charged with felony terrorizing. Court documents don't list an attorney who can speak on his behalf, and a home telephone listing couldn't be found. He could enter a plea during a December 7th hearing.


     BISMARCK, N.D. (AP) - The mayors of Bismarck and Minot have different ideas about their futures. Bismarck Mayor Mike Seminary announced Monday he will seek re-election next year. Minot Mayor Chuck Barney says he's not going to run. Barney says he wants to pursue other interests. He's served in Minot's city government for 16 years, including almost four years as mayor.
     Seminary says there are still a lot of things he wants to accomplish. He was first elected in 2008 to serve on Bismarck's City Commission, then ran unchallenged for mayor in 2014.


     PINE RIDGE, S.D. (AP) - Recent documents show that the government's decision to cut off Medicare and Medicaid payments to an Indian Health Service hospital in South Dakota was motivated by the case of a patient who the government says died after an inaccurate assessment.
     A review by the Centers for Medicare and Medicaid Services says Pine Ridge Hospital inaccurately determined the severity of a patient's condition, which led to delays in appropriate care and his death.
     The Rapid City Journal reports that the department said Friday that the hospital's participation in the federal Medicare program will end November 18th. The hospital won't be able to bill the government for services provided to Medicare-enrolled patients. Medicaid payments will also be cut off.
     A hospital official says the department's review omitted significant details from the case.


    BISMARCK, N.D. (PNS) - The American Heart Association is helping North Dakota communities prepare to save lives by presenting nearly $100,000 to the North Dakota Department of Health to support the Cardiac Ready Communities project.

    The funds were collected over the last few years on Giving Hearts Day, held in February. During the 2017 session, state lawmakers passed a bill establishing a grant program for the project, which educates people on how they can help someone in the event of a cardiac emergency.

    Erv Inniger is a heart attack survivor and member of the Heart Association's advocacy committee.

    "The first five minutes are probably the most critical of all," Inniger said. "And so right now, you can help a neighbor, a friend, a coworker, a family member be saved if you just have some people in the community that know what they're doing."

    Getting to patients in those first five minutes is a challenge in rural parts of the state, where emergency services often have to travel great distances to get to someone. That makes bystander responses all the more critical in these areas.

    So far, four communities have received Cardiac Ready designation, including Powers Lake, Rugby, Mayville and Valley City. Twenty-two more have submitted letters of intent.

    The program lays out four steps to prepare communities. First, know the signs and symptoms of a cardiac emergency. If someone is experiencing a crisis, call 911 and begin CPR. Lastly, communities need to make sure there is public access to Automated External Defibrillators.

    Inniger said one important component of the project is making people feel ready in an emergency situation.

    "There's just all sorts of things to make sure you're comfortable knowing what you're doing, and that's where the educational process comes in is that these people can tell you, step by step, what you need," he said.

    The Heart Association says the initiative already has saved cardiac and stroke victims' lives.


     CHICAGO (AP) - Emergency rooms are where many patients are first introduced to powerful opioid painkillers, but what if doctors offered over-the-counter pills instead? A new study tested that approach on patients with broken bones and sprains and found pain relievers sold as Tylenol and Motrin worked as well as opioids at reducing severe pain.
     The results challenge common ER practice for treating short-term, severe pain and could prompt changes that would help prevent new patients from becoming addicted.
     The study only looked at short-term pain relief and didn't evaluate how patients managed their pain after leaving the hospital. But given the scope of the U.S. opioid epidemic - more than 2 million Americans are addicted to opioid painkillers or heroin - experts say any dent in the problem could be meaningful.


   (Copyright 2017 by The Associated Press.  All Rights Reserved.)


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