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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 newly married man hasn't had much time to celebrate his marriage as he's been in the hospital with the rare condition acute flaccid myelitis for more than 100 days.Bridget Williquette and Adam Spoerri got married July 21, 2018. They left for their road trip honeymoon a few days later. But on August 5, Adam had to be taken to the emergency room with a respiratory disease that was affecting his breathing.Adam's body became increasingly paralyzed while in the ER, leaving his chest, arms, lungs, throat, facial muscles and neck without feeling. He was admitted to the Respiratory Intensive Care Unit that same day and has since been on life support.Adam and Bridget now communicate through writing on paper, as Adam's hands and wrists were not affected by paralysis as much as other areas of his body.He has been doing daily occupational and physical therapy and has made progress in being able to hold his head up on his own.A GoFundMe page has been set up for Adam and Bridget. So far ,538 has been raised.Acute flaccid myelitis is a rare, polio-like condition that affects the nervous system, and specifically the spinal cord, causing muscles and reflexes in the body to become weak according to the Centers for Disease Control. Less than one in 1 million people in the U.S. get AFM every year. 1335

A new rule change will allow parents to get their children vaccinated at pharmacies in all 50 states.“Her pediatrician wanted her to have a pneumonia vaccine because of what’s going on with COVID. Unfortunately, the pediatrician doesn’t stock it, it’s expensive to order,” said Theresa Tolle, who owns a pharmacy in Florida.She was recalling a story involving one of her customers who needed to get her daughter a vaccine.“The Health Department didn’t have it and the mom was losing her mind. Calling everywhere and nobody, no pharmacy can give it because of the laws in our state,” said Tolle.It’s a story a lot of parents can relate to, especially around back-to-school time. Because of the laws in Florida and many states, Tolle, who is licensed to administer vaccines to adults, wasn’t able to do the same for this young girl.“Ultimately, what I ended up doing is ordering it for mom, ran it through her insurance, she picked it up, had it taken to the pediatrician to administer,” said Tolle.For many busy parents, making an additional appointment and taking time off to get their kids a shot can be a headache.But the Department of Health and Human Services just made a rule change that might make things easier. It allows for pharmacies in every state to administer vaccines to kids aged three to 18.According to the Centers for Disease Control and Prevention, after kids turn three, they should still get major immunizations like second doses of the measles, mumps, rubella, polio, tetanus, diphtheria and others. And don’t forget to add an annual flu shot.“As long as it increases vaccination rates, I think it’s fantastic,” said Dr. Malcolm Anderson.Anderson works in the Pediatric ICU at the Rocky Mountain Hospital for Children in Colorado. He’s very supportive of the rule change.“In the pediatric ICU, we only see the children that don’t get vaccinated and then when they get one of the illnesses they would have been protected against. That’s when we see them. So, I think anything that would help them get one of those bad illnesses would be amazing and help the parent avoid the stress and hardship of going through an ICU admission and seeing their kid very ill,” said Anderson.Before the rule change, 30 states had restrictions on vaccines being administered by pharmacies. Three states, including Florida, did not allow it at all.But now, pharmacies in all states can give flu shots to kids and adults.“This fall, they are heavily trying to promote flu shots to try and help protect all patients, all ages,” said Tolle.“If you’re at the pharmacy refilling your meds every three months or every month, then it’s nice to be like, oh, you’re offering flu shots here, I’m already getting my meds,” said Anderson.Theresa says she thinks that the rule change could also get the country ready for mass distribution of a COVID-19 vaccine.“Just COVID vaccine coming. We know little about that right now, but this order in theory would prepare pharmacists to be able to do that,” said Tolle.Until a COVID-19 vaccine comes, Tolle says she’s just happy to be able to give kids the immunizations they need to stay healthy. 3137

A possible partial government shutdown is only a hand full of days away with President Donald Trump and congressional Democrats locked in a dispute over border security with no resolution in sight.Funding expires for a number of key government agencies on December 21 at midnight. And while there is still time to avert a shutdown, so far the two sides have been unable to reach an agreement to keep the government open.The key sticking point is how much money Congress should allocate for the President's long-promised wall at the US-Mexico border. Trump wants billion, but Democrats are unwilling to agree to that and any spending bill needs bipartisan support to pass Congress, due in part to Senate rules requiring a 60-vote threshold to advance (Republicans control the chamber 51-49).If a shutdown takes place, it would be limited in scope. That's because Congress has already funded roughly 75% of the federal government through September 2019, including the Pentagon as well as the Departments of Health and Human Services and Labor.But that doesn't mean a partial shutdown just days before Christmas wouldn't be disruptive.There are still seven spending bills that need to be passed and funding is set to expire on December 21 for the Department of Homeland Security, the Justice Department, the Interior Department, the State Department, the Department of Housing and Urban Development and other parts of the government.In the event of a shutdown, some federal employees would be deemed essential and would continue to work, but their pay would be withheld until the shutdown is over.Other federal employees would be placed on furlough, meaning they would effectively be put on a leave of absence without pay. Congress could move to order that furloughed employees be paid retroactively after the shutdown is over, but that is not guaranteed.It is difficult to predict how a shutdown might play out and what impact it would have.But according to a fact sheet released by the Democratic staff of the Senate Appropriations Committee, more than 420,000 government workers are expected to work without pay if a partial shutdown occurs, including more than 41,000 federal law enforcement and correctional officers.The fact sheet, which outlines the projected impacts of a shutdown, estimates that the vast majority of employees at the Department of Homeland Security would be among those required to work without pay during a shutdown, including tens of thousands of Customs and Border Protection agents and customs officers.More than 380,000 federal employees would be placed on furlough, according to the fact sheet, including the majority of the staff at NASA, the National Park Service and the Department of Housing and Urban Development.An administration official told CNN that "If a lapse in appropriations were to take place, a majority of DHS activities would continue. For instance, those protecting our borders with the Customs and Border Patrol will continue to do so."The administration official said, "Additionally, activities that are supported by multi-year funding, such as FEMA's Disaster Relief Fund, will continue operations," referring to the Federal Emergency Management Agency.Jeremy Barnum, a spokesman for the National Park Service, told CNN, "We are not going to speculate on any possible change in government operations. National parks are open and continue to welcome visitors."The Justice Department oversees special counsel Robert Mueller's investigation into Russian interference in the 2016 election, but Mueller's office will be able to continue working even if there is a partial government shutdown.Mueller's office "is funded from a permanent indefinite appropriation and would be unaffected in the event of a shutdown," a Justice Department spokesperson told CNN. "The appropriation bills before Congress do not impact" the special counsel's office. 3901

A new survey shows the COVID-19 pandemic is giving people more faith in science. 3M's State of Science Index was encouraging for scientists and medical professionals, but the results also showed a lack of diversity is a major obstacle in the fields of Science, Technology Engineering and Math or STEM."They did the survey in 2019 and when they came to release the information now in 2020, obviously this whole pandemic had occurred and so they wanted to see if the answers and results had changed. So, they ran the survey again, very quickly. What they found was that this pandemic pulse or the information they found in 2020 in the middle of the pandemic has been just incredible," said Dr. Kate Biberdorf, an Associate Professor at the University of Texas at Austin and a 3M partner.Dr. Biberdorf says amid the pandemic, with scientific research and discoveries front and center, 89 percent of their respondents said they trust science. Pre-pandemic, Dr. Biberdorf says just 24 percent of people said they would speak up and advocate for science. Now, 54 percent said they would. A big difference in less than a year."The main things that just keep standing out to me is that our skepticism is down, our trust is up. We are leaning towards our experts, we’re talking to our scientists," said Dr. Biberdorf.However, the 3M State of Science Index also showed a large portion of Americans were discouraged from getting into STEM-related careers. "One of the questions we asked was, 'Have you ever been discouraged to pursue STEM in any way?' And what we noticed was there was a really interesting trend when it came to our age demographic," said Dr. Biberdorf.Results showed 9 percent of Baby Boomers were discouraged, 24 percent of millennials and 28 percent of Generation Z Americans, which is an upward trend. So, 3M asked why they were discouraged."Globally, the number one answer was just a lack of access to science classes. They just don't have access, they can’t get the acid, they can’t get the science kit. But in the United States, of those who were discouraged to pursue STEM, what we noticed was that our number one answer was inequalities due to gender, race and ethnicity, so that is glaring," said Dr. Biberdorf.Boukham Sriri-Perez is a high school physics teacher at Duncan Polytechnical High School in Fresno, CA. "The majority of my students in my AP Physics class are male and I have very few female students. Last year, I only had one. I believe that it is my responsibility, that I have to be really intentional about how I teach my female students in the class," said Sriri Perez. She says she tries to encourage many of her female students to give them the confidence to go into physics or other science fields and make a huge difference in the world. Sriri-Perez works for Fresno Unified School District, the same district she attended growing up. Sriri-Perez gets emotional recalling how influential and inspiring her own high school science teachers were, but says there was a lot she battled to get to where she is today."However, there’s one piece that I think I had to learn on my own as a female student and as a minority and as a refugee, is that I live in two different cultures," said Sriri-Perez. A culture that she says didn't see women in STEM-related fields. Sriri-Perez says educators can play a huge role in encouraging future STEM leaders who are minorities and women. 3416

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