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A new study out of a pediatric medical center in Chicago suggests that young children do not only spread COVID-19 more efficiently than adults, but they could be major drivers in the pandemic as schools start to reopen.The report was published at the end of July and examined concentrations of COVID-19 in the nasopharynx, or the upper region of the throat that connects nasal passages. According to the results, children ages 5 and younger who develop mild to moderate symptoms have 10 to 100 times as much COVID-19 in their nasopharynx as adults.“This is a very complex issue involving not just the virus, but everything else,” said Dr. Kwang Sik Kim, director of pediatric infectious disease at Johns Hopkins University Hospital. "We don’t have any real data to indicate to schools what they should do, what is the best recipe they need to follow.”The study raised concerns about the erratic behavior of children and how it could play a factor in the virus’ spread, reading, "Behavioral habits of young children and close quarters in school and daycare settings raise concern for SARS-CoV-2 amplification in this population as public health restrictions are eased. In addition to public health implications, this population will be important for targeting immunization efforts as SARS-CoV-2 vaccines become available.”“Don’t, under any circumstance, even think about opening that school for in-class instruction until you’ve got the virus under control,” said Lily Eskelsen Garcia, president of the National Education Association.Eskelsen Garcia teaches 39 6th-graders in Salt Lake City and says unless the infection rate of a community is below 5 percent, as outlined by the CDC and WHO, school districts should not even consider opening for in-person instruction.Currently, the infection rate in the United States is 7.8 percent."If you open a school before you get the infection rate under control, you will turn that school into the community’s super-spreader,” said Eskelsen Garcia.“Make a decision for today based on the information available today, and then act differently when you have data tomorrow. I think that’s the right approach,” said Dr. Kim. 2170

A simulation program to train nurses is gaining in popularity. Shadow Health is using virtual patients to train real people in hopes of quickly bringing those real students into the workforce.From pediatrics to maternal health, the future of nursing school is happening now.“The technology is so good, you’ll get an answer. You might not get the answer you’re looking for; you’ll have to rephrase and that’s the way it is in real life too,” said Lorrie Rilko, an assistant professor at George Washington University’s School of Nursing.She was a nurse practitioner for 30 years and then decided it was time to help the next generation of nurses.“My greatest responsibility is to prepare future nurse practitioners in the art of accurate history taking and skilled physical exam and then putting all of the pieces of the puzzle together to come up with a clinical diagnosis,” Rilko said.She says George Washington University was already using this simulated technology when the pandemic hit. The pandemic put the program in the perfect position to continue training new medical professionals and it allows them to learn, practice and fail on computers rather than on real live patients.“It's kind of like telehealth,” Rilko said. “We’ve had telehealth and until we had to really rely on telehealth, there were a lot of barriers to overcome."Brent Gordon is the managing director for Elsevier's nursing and health education business, which recently acquired Shadow Health.“One of the challenges in higher education institutions, specifically in the United States and this is true worldwide, is that they have challenges meeting the demand, they have capacity constraints,” Gordon said. “One example is shortage of clinical space. Digital simulations help solve that problem.”He says one of the real problems that the virtual education solves is that of communication, which he says can be at the root of medical malpractice claims.“Nurses are increasingly graduating, passing the (National Council Licensure Examination) NCLEX but not entering practice with the clinical reasoning skills they need to be successful on day one," said Gordon.Rilko said her students enjoy the virtual interaction, and they like training on their own time. Some are currently working on the front lines and taking the course in their spare time. 2330

A second autopsy on the in-custody death of Adrian Ingram-Lopez concludes the way three Tucson Police Officers restrained him contributed to his death.An earlier autopsy by the Pima County Medical Examiner attributed Ingram-Lopez's death to cocaine intoxication and a heart condition.An autopsy commissioned by Eduardo Coronado, the attorney for Ingram-Lopez family concluded those conditions alone were not enough to have killed the man. It concluded officers continuing to hold Ingram-Lopez face down, handcuffed, and with officers putting their weight on his back led to “positional asphyxia”---inability to breathe because of body position.Police were about to fire Officers Jonathan Jackson, Samuel Routledge, and Ryan Starbuck when the three resigned.RELATED: TIMELINE: What happened after a man died while in TPD custodyThe TPD report which recommended firing the officers noted Ryan Starbuck had more extensive medical training than the other two. He is a licensed Emergency Medical Technician. The Arizona Health Department shows an EMT license for a Ryan Starbuck still active. TPD says Starbuck has been an EMT for 14 years.Police body cameras show, when other officers arrived, they recognized Ingram-Lopez was in medical distress and had him re-positioned to allow better breathing. Officers called an ambulance and administered an antidote for opioid overdose but that drug does not work on cocaine. Ambulance EMT’s pronounced Ingram Lopez dead.The family’s attorney hired a former Maricopa County Medical Examiner to do an independent autopsy. It conflicts with the Pima County Medical Examiner’s ruling on death.The Pima County report basically attributes the death to cocaine and a heart condition and mentions how Ingram-Lopez was restrained. It says, in part:“...the cause of death is ascribed to sudden cardiac arrest in the setting of acute cocaine intoxication and physical restraint with cardiac left ventricular hypertrophy as a significant contributing condition.”The alternative report says the cocaine and the heart condition were not serious enough to have killed by themselves. It puts more blame on how the officers restrained Ingram-Lopez and say, “his death is most consistent with asphyxia due to compromised airway which is best explained by a facedown position restricting his breathing.”Attorney Eduardo Coronado says instead of putting their weight on Ingram-Lopez back, officers should have realized he was co-operating and let him sit up and breathe.“What I can say is that there was a complete lack of empathy, a complete lack of humanity, a total disregard for his needs and just indifference, complete indifference.”Now the family says it wants a thorough criminal investigation of what the three former officers did and it’s considering a civil lawsuit.Report details TPD officer misconduct in death of Carlos Ingram-LopezKGUN's Craig Smith first reported this story. 2918

A mother in Mesa, Arizona is voicing concern after her child's 4th-grade teacher changed words in the Declaration of Independence, and made the students recite the altered version in class.The teacher at Salk Elementary school crossed out the words "man" and substituted it with "human".The mother, Elizabeth Vaillencourt said the teacher's goal may have been to include women as well, but she went too far in altering a historical document.When Vaillencourt took this concern to school officials, she was initially told she had "hurt the teacher's feelings" by posting about it on social media.The school reacted by removing Vaillencourt's child from that teacher's classroom, and placing them under a different teacher.On Wednesday, Vaillencourt said the superintendent's office contacted her to tell her what the teacher did was against school policy.A Mesa Public Schools spokeswoman says they have policies in place when it comes to school ceremonies which includes reciting the Declaration of Independence. 1030

A rare albino deer was caught on video at a park in Oakland County, Michigan over the weekend.The video, posted by Mick McDonald, shows the albino deer in Kensington Metropark in Milford.A photo posted to the Pure Michigan Instagram page in early December also shows an albino deer in Kensington park. According to the post, research shows that your chances of seeing an albino in the wild are about 1 in 30,000.  426