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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 spat between neighbors over an outdoor sculpture has led to calling police and legal actions. Those filings include allegations one of the neighbors blared the “Gilligan’s Island” theme song and other music on loop at all hours to annoy the other neighbor, according to the Los Angeles Times.Billionaire Bill Gross and his partner are accused by tech entrepreneur Mark Towfiq and his wife of harassment and intentional infliction of emotional distress.It’s all about a 22-foot-long and 10-feet-high blue glass art installation, and the pole-and-netting structure around it, that Towfiq claims blocks his view, according to the Times. It was created by Dale Chihuly, a renowned artist known for his blown-glass work, including in the lobby of the Bellagio hotel in Las Vegas.It was installed in 2019, but apparently didn’t upset the neighbors until this year when the netting was installed around it after it was damaged, according to city records obtained by the Times.In July, Gross was sent a letter from the City of Laguna Beach that said the netting, lighting and sculpture lacked the proper permits.Apparently, that’s when things escalated.Gross is accused of blaring music at all hours, including the “Gilligan’s Island” theme song, apparently in an effort to force Towfiq to drop the complaint.The two have both filed temporary restraining orders against the other, both are pending in court. 1409

A plan to raise San Diego's hotel tax to expand the convention center appears to be headed to the March 2020 ballot. The City Council voted 5-4 Monday to formalize its intention to place the tourist tax hike on next year's primary election. The measure, called "Yes! For a better San Diego," would raise the transient occupancy tax by as much as 3.25 percent per night, depending on location. Hotels closest to the heart of the city would see the tax rate increase the most. The revenue would fund a convention center expansion, homeless services and road repair. The council was split on its decision because voters passed Measure L in 2016. Measure L called for citizens initiatives to be placed on November general elections, when turnout is highest. However, the measure gave the City Council the option to move votes to different elections if it sees fit. It is still unclear whether the measure needs a simple majority or two-thirds support. The City Council is expected to formally place the tourist tax increase on the March ballot when it calls for the election in the fall. 1092

A preliminary report from the autopsy on Mollie Tibbetts' body determined that her death was a homicide resulting from multiple sharp force injuries, the Iowa State Medical Examiner said.Tibbetts, a 20-year-old student at the University of Iowa, went missing after an evening jog on July 18, sparking a major search in the region. A body that officials believed to be hers was found on Tuesday in a rural area, hidden under corn stalks, and the autopsy confirmed her identity.Cristhian Bahena Rivera, a 24-year-old Mexican man who illegally came to the United States, was charged with her murder on Wednesday after he confessed to following her on her run. In an arrest affidavit, Rivera said he remembered getting mad at her; what happened afterward was "blocked" from his memory. 789

A sergeant involved in the search for a missing hiker in Zion National Park says there are several discrepancies he sees in the case of her 12-day survival in the park.Holly Courtier went missing while hiking in the park on October 6. A rescue effort involving the national park’s team and others, including K-9 teams and trained investigators, found Courtier on October 18 after a credible tip of a possible sighting.Her family said Courtier hit her head, became disoriented, and was able to stay near a “water source” in the park.In an interview with ABC4 in Salt Lake City, Sgt. Darrell Cashin says he finds some “discrepancies and questions that do not add up.”Cashin is a liaison with Washington County Sheriff’s Search and Rescue, a job he’s had for about nine years, in addition he says he has 25 years experience on search and rescue teams.One thing he says didn’t add up was the water source. Park officials say Courtier was found along the Virgin River, but Cashin says that river was likely not drinkable or at least would have caused her to get sick.In August, Zion National Park officials sent out a warning to all visitors to avoid contact with the Virgin River “until further notice” because of levels of cyanobacteria from a toxic algal bloom.“If she had been drinking that water, unless she had some really high immune system, she would’ve been very, very ill and probably unable to come out on her own,” Cashin told ABC4. “She either took a lot of water with her or had another clean water source that was near here, but the Virgin River is not that source.”CNN reports the family told them Courtier was only able to take a few steps before collapsing. However, Zion National Park officials report she was able to walk out of the park on her own with minimal assistance. She was taken to a nearby hospital to be checked out and stayed the night.In the interview with CNN, Courtier’s family does not clarify if the water source was potable, but they did say Courtier was without food while she was lost in the park.Cashin alleges there are also questions about her decision to go on the hike. Courtier allegedly left her California home in the middle of the night and did not tell her family where she was going, according to Cashin. 2258