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GLENWOOD, Iowa — The superintendent of Iowa’s care center for people with intellectual disabilities has been placed on paid leave amid a federal investigation into the facility.The director of Iowa’s Human Services Department, Kelly Garcia, sent an email Monday to staffers at the Glenwood Resource Center, informing them of the action taken against Jerry Rea. The 377
Former New York Mayor Michael Bloomberg has decided against running for president in 2020, he announced on Tuesday."As I've thought about a possible presidential campaign, the choice before me has become clear. Should I devote the next two years to talking about my ideas and record, knowing that I might never win the Democratic nomination? Or should I spend the next two years doubling down on the work that I am already leading and funding, and that I know can produce real and beneficial results for the country, right now? I've come to realize that I'm less interested in talking than doing," he wrote in an opinion piece for Bloomberg."And I have concluded that, for now, the best way for me to help our country is by rolling up my sleeves and continuing to get work done."Bloomberg publicly speculated about a 2020 bid for months, traveling the country to meet with voters and determine whether a bid was possible.Bloomberg told reporters during this public speculation that he was seriously considering a bid, to the point that he decided he would self-fund a campaign."In terms of running for office, I ran three times. I used only my own money, so I didn't have to ask anybody what they wanted in return for a contribution," he told CNN in January. "The public liked that every time they elected me. And, if I ran again, I would do the same thing."Bloomberg's wealth could have been considered a knock against the former New York Mayor, however, given that Democrats like Sen. Elizabeth Warren have demanded that candidates swear off super PACs and self funding.A number of Democratic operatives believed that a Bloomberg campaign would be doomed by the mayor's positions on policing, ties to Wall Street and the fact that he spent much of his time in politics as a Republican and independent. But Bloomberg also would have brought considerable strengths to a campaign, including his work on climate change and guns and the fact that he has spent millions on Democratic causes for years.Bloomberg leaned into his moderate persona in the opinion piece, urging Democrats to nominate someone who could beat Trump, not someone from the far left of the party."It's essential that we nominate a Democrat who will be in the strongest position to defeat Donald Trump and bring our country back together," Bloomberg wrote. "We cannot allow the primary process to drag the party to an extreme that would diminish our chances in the general election and translate into 'Four More Years.' "After leaving the mayor's office in 2012, Bloomberg continued to be an influential and recognizable figure on the national and international political stage in part because of his leadership on climate change and gun safety. He elevated his profile even further last year as he toured the country to speak with voters and local leaders.At many stops, he blasted Trump over his immigration, environmental and economic policies. Not only did Bloomberg devote considerable time to his anti-Trump agenda, but the billionaire flexed his financial muscle to see it through. He spent more than 0 million in an effort to wrest control of the Congress from the Republicans.The success of that effort coupled with positive feedback from voters around the country emboldened Bloomberg and his team of advisers, according to a person familiar with the effort.But still, Bloomberg kept his team and the country guessing about whether he would jump into the presidential race, with a steady stream of news stories feeding speculation. Adding to that, Bloomberg made an overtly political stop in New Hampshire in January, taking questions at popular campaign stops throughout the state.In announcing that he isn't running for president on Tuesday, Bloomberg said he would instead be launching a new campaign called "Beyond Carbon," which he described as a "grassroots effort to begin moving America as quickly as possible away from oil and gas and toward a 100 percent clean energy economy.""At the heart of Beyond Carbon is the conviction that, as the science has made clear, every year matters," he wrote. "The idea of a Green New Deal — first suggested by the columnist Tom Friedman more than a decade ago — stands no chance of passage in the Senate over the next two years. But Mother Nature does not wait on our political calendar, and neither can we."What Bloomberg does with his money beyond his series of outside organizations will be a key question for Democrats in 2020, given that his considerable wealth could tip the balance for a number of candidates in a crowded field. 4572

Here's some encouraging news if you're still paying off your student loans.You could earn a Whopper of a prize. Burger King is launching a promotion aimed at helping you pay your student loans.It works like this: order food using the Burger King app. At that point, it will ask you for the amount of your debt, and you're entered. BK is giving away 300 prizes that pay 0 and one grand prize that pays up to 0,000. The sweepstakes end June 6. 459
GREENFIELD — Christmas came early for one Hancock County, Indiana, community after a woman died and left a surprising amount of money for the community. Patricia Pope, a Greenfield native, worked as a receptionist at Eli Lilly for 28 years. "She drove a Kia and lived in 0,000 home," Ginny Brown, a Hancock County resident, said. "She was very frugal. And it was kind of a shock really that she had all that money."When she died she left 0,000 for Greenfield-Central High School, Eastern Hancock County High School, and Greenfield-Hancock Animal Management, ,000 for the Greenfield Police Department and ,000 for the Hancock County Sheriff's Office. She left a total of million to various organizations, including the ones above."I guess her parents divorced when she was young, so she was unable to go to college. So she was a firm believer in education." Ginny Brown, executive director of the Greenfield Central School Foundation said. The school district says they plan to use the money for scholarships to help graduating seniors attend college. Because Pope was an animal lover, the money given to the police department and sheriff's department will be used for its K-9 programs. The mayor says they will use the money given to animal management to help build a new animal control building. "One of my goals when I came in was 'I will have you in a new place,'" Greenfield Mayor Chuck Fewell said. "I don't know how yet. But I was thinking about how and then we got notified that Ms. Pope donated this money." 1542
First came a high fever, drenching sweats and muscle aches. Then, almost a month later, a weird numbness that spread down the right side of her body.Darlene Gildersleeve thought she had recovered from COVID-19. Doctors said she just needed rest. And for several days, no one suspected her worsening symptoms were related — until a May 4 video call, when her physician heard her slurred speech and consulted a specialist.“You’ve had two strokes,” a neurologist told her at the hospital. The Hopkinton, New Hampshire, mother of three is only 43.Blood clots that can cause strokes, heart attacks and dangerous blockages in the legs and lungs are increasingly being found in COVID-19 patients, including some children. Even tiny clots that can damage tissue throughout the body have been seen in hospitalized patients and in autopsies, confounding doctors’ understanding of what was once considered mainly a respiratory infection.“I have to be humble and say I don’t know what’s going on there, but boy we need to find that out because unless you know what the pathogenic (disease-causing) mechanism is, it’s going to be tough to do intervention,” Dr. Anthony Fauci, the nation’s top infectious disease expert, remarked during a medical journal interview last month.Doctors and scientists at dozens of hospitals and universities around the globe are seeking answers while trying to measure virus patients’ risks for clots and testing drugs to treat or prevent them.Gildersleeve said health authorities “need to put out an urgent warning about strokes” and coronavirus. Not knowing the possible link “made me doubt myself” when symptoms appeared, she said.Some conditions that make some COVID-19 patients vulnerable to severe complications, including obesity and diabetes, can increase clot risks. But many authorities believe how the virus attacks and the way the body responds both play a role.“COVID-19 is the most thrombotic (clot-producing) disease we’ve ever seen in our lifetime,” said Dr. Alex Spyropoulos, a clot specialist and professor at Feinstein Institutes for Medical Research in Manhasset, New York.Clotting has been seen in other coronavirus infections, including SARS, but on a much smaller scale, he said.Scientists believe the coronavirus enters the body through enzyme-receptors found throughout the body, including in cells lining the inside of blood vessels. Some theorize that it may promote clotting by somehow injuring those vessels as it spreads. That injury may cause a severe immune response as the body tries to fight the infection, resulting in inflammation that may also damage vessels and promote clotting, said Dr. Valentin Fuster, director of Mount Sinai Heart hospital in New York.It’s unclear how many COVID-19 patients develop clots. Studies from China, Europe and the United States suggest rates ranging from 3% to 70% of hospitalized COVID-19 patients; more rigorous research is needed to determine the true prevalence, the National Institutes of Health says.Prevalence in patients with mild disease is unknown and the agency says there isn’t enough evidence to recommend routine clot screening for all virus patients without clotting symptoms, which may include swelling, pain or reddish discoloring in an arm or leg.Some hospitals have found 40% of deaths in COVID-19 patients are from blood clots. Spyropoulos said that’s been true at his 23-hospital system in the New York City area, Northwell Health, which has treated over 11,000 COVID-19 patients.Cases there have dropped by almost half in the past month, allowing more time for research before an expected second and maybe third wave of infections, he said, adding: “We’re racing against time to answer the key clinical questions.”Patients hospitalized with any severe illness face increased risks for clots, partly from being bedridden and inactive. They commonly receive blood-thinning drugs for prevention. Some doctors are trying higher-than-usual doses for prevention in hospitalized coronavirus patients.A few have used powerful clot-busting medicines typically used to treat strokes, with mixed results. In guidance issued May 12, the NIH said more research is needed to show whether that approach has any benefits.Fuster was involved in preliminary research on nearly 2,800 COVID-19 patients at five hospitals in the Mount Sinai system. A look at their outcomes suggests slightly better survival chances for virus patients on ventilators who received blood thinners than among those who didn’t. Although the results are not conclusive, all COVID-19 patients at Mount Sinai receive blood thinners for clot prevention unless they are at risk for bleeding, a potential side effect, Fuster said.Some COVID-19 patients, like Gildersleeve, develop dangerous clots when their infections seem to have subsided, Spyropoulos said. Patients treated at Northwell for severe disease are sent home with a once-a-day blood thinner and a soon to be published study will detail their experiences. Spyropoulos has been a paid consultant to Janssen Pharmaceuticals, makers of Xarelto, the drug’s brand name.In addition, Northwell is taking part in a multi-center study that will test using blood thinners for clot prevention in COVID-19 patients not sick enough to require hospitalization.In a small study published May 15, University of Colorado doctors found that combined scores on two tests measuring clotting markers in the blood can help determine which patients will develop large dangerous clots. One test measures a protein fragment called D-dimer, a remnant of dissolved clots. High levels sometimes indicate dangerous clots that form deep in leg veins and travel to the lungs or other organs.Dr. Behnood Bikdeli of Columbia University’s Irving Medical Center, said D-dimer levels in many of his COVID-19 patients have been alarmingly high, as much as 50 times higher than normal.Concerns about blood clots in COVID-19 patients prompted a recent 30-page consensus statement from an international group of physicians and researchers. Bikdeli is the lead author.It says that testing to find clots that require treatment includes X-rays or ultrasound exams, but poses a risk for health care workers because the virus is so contagious. Bikdeli said he fears when protective gear was more scarce, some dangerous clots were undiagnosed and untreated.Social distancing may make people more sedentary and more vulnerable to clots, particularly older adults, so doctors should encourage activity or exercises that can be done in the home as a preventive measure, the statement says.Warnell Vega got that advice after collapsing at home April 19 from a large clot blocking a lung artery. Doctors at Mount Sinai Morningside think it was coronavirus-related. Vega, 33, a lunch maker for New York City school children, spent a week in intensive care on oxygen and blood thinners, which he’s been told to continue taking for three months.“I just have to watch out for any bleeding, and have to be careful not to cut myself,” Vega said.Gildersleeve, the New Hampshire stroke patient, was also sent home with a blood thinner. She gets physical therapy to improve strength and balance. She still has some numbness and vision problems that mean driving is out, for now.Doctors are unable to predict when or whether she’ll regain all her abilities.”I’m trying to remain positive about recovering,” she said. ’’I just have to be patient and listen to my body and not push too hard.”___Follow AP Medical Writer Lindsey Tanner at @LindseyTanner.___The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute’ 7639
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