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Most children starting school this fall find themselves in the same place they ended in the spring – at home. These kids and their parents are having to make the effort to find a routine that works.Mother Kim Alvidrez says she has her twin 6-year-olds treat school from home the same way they would if they were heading to class. That includes having breakfast and breaks at the same time.She sees frustration in her kids for not having one-on-one teacher help and not being around other students.“It’s hard, as a mom to watch your kids. They want it. They want to be there, and they want to be involved but they can’t fully participate,” said Alvidrez. “It’s just their presence that’s counted. And that’s their time. That’s my biggest concern. “Alvidrez says her kids are kept silent during Zoom lessons and are encouraged to not ask questions. If questions are asked, she says it’s limited to one or two.Child psychologists say parents need to work through those struggles and remain positive to help create a better learning environment.“The number one way kids learn is by watching what their parents do,” said Dr. Jessica Hawks, a child psychologist at Children's Hospital Colorado. “So, if a parent can present an optimistic and positive about the fact that their child's in online schooling, the child's more likely to embrace that philosophy and mentality and can really be helpful overall to the engagement.”Hawks says parents also need positive routines for kids, which include proper eating and sleep habits, along with a designated area for kids to do their online work.As for Alvidrez, she says one positive is her twins are in the same class. 1665

National security adviser H.R. McMaster has agreed to resign and will be replaced by former US ambassador and Fox News analyst John Bolton, President Donald Trump announced in a tweet on Thursday."I pleased to announce that, effective 4/9/18, @AmbJohnBolton will be my new National Security Advisor. I am very thankful for the service of General H.R. McMaster who has done an outstanding job & will always remain my friend. There will be an official contact handover on 4/19.""The two have been discussing this for some time. The timeline was expedited as they both felt it was important to have the new team in place, instead of constant speculation," a White House official said. "This was not related to any one moment or incident, rather it was the result of ongoing conversations between the two."Bolton is a stalwart of Republican national security circles known for his hawkish views."After 34 years of service to our nation, I am requesting retirement from the U.S. Army effective this summer after which I will leave public service. Throughout my career it has been my greatest privilege to serve alongside extraordinary servicemembers and dedicated civilians," McMaster said in a statement released by the White House."I am thankful to President Donald J. Trump for the opportunity to serve him and our nation as national security advisor. I am grateful for the friendship and support of the members of the National Security Council who worked together to provide the President with the best options to protect and advance our national interests," the statement said. 1589

Millions of women and girls globally have lost access to contraceptives and abortion services because of the coronavirus pandemic. Now the first widespread measure of the toll says India with its abrupt, months-long lockdown has been hit especially hard.Several months into the pandemic, many women now have second-trimester pregnancies because they could not find care in time.Across 37 countries, nearly 2 million fewer women received services between January and June than in the same period last year, Marie Stopes International says in a new report — 1.3 million in India alone. The organization expects 900,000 unintended pregnancies worldwide as a result, along with 1.5 million unsafe abortions and more than 3,000 maternal deaths.Those numbers “will likely be greatly amplified” if services falter elsewhere in Latin America, Africa and Asia, Marie Stopes’ director of global evidence, Kathryn Church, has said.The World Health Organization this month said two-thirds of 103 countries surveyed between mid-May and early July reported disruptions to family planning and contraception services. The U.N. Population Fund warns of up to 7 million unintended pregnancies worldwide.Lockdowns, travel restrictions, supply chain disruptions, the massive shift of health resources to combat COVID-19 and fear of infection continue to prevent many women and girls from care.A surge in teen pregnancies was reported in Kenya, while some young women in Nairobi’s Kibera slum resorted to using broken glass, sticks and pens to try to abort pregnancies, said Diana Kihima with the Women Promotion Center. Two died of their injuries, while some can no longer conceive.In parts of West Africa, the provision of some contraceptives fell by nearly 50% compared to the same period last year, said the International Planned Parenthood Federation.“I’ve never seen anything like this apart from countries in conflict,” said Diana Moreka, a coordinator of the MAMA Network that connects women and girls to care across 16 African countries. Calls have increased to their hotlines, including those launched since the pandemic began in Congo, Zambia and Cameroon. More than 20,000 women have called since January.Like others, Moreka predicts a coming baby boom in some parts of the world. “The pandemic ... has taken us many years backwards” in family planning services, she said.Some countries didn’t deem sexual and reproductive health services as essential under lockdown, meaning women and girls were turned away. Even after NGOs in Romania pressured the government to declare the services essential, many hospitals still weren’t providing abortions, said Daniela Draghici, a member of the IPPF European network’s executive committee.“The impact in some cases is like what used to happen to young women during Communism, to get an abortion from somebody who claims to be a medical provider ... and pray,” she said.In India’s megacity of Mumbai, one woman was unable to find a pregnancy testing kit after the lockdown started in March, and then couldn’t find transport to reach care in time, said Dr. Shewetangi Shinde, who attended to her in a public hospital. By then, medical abortion wasn’t an option since the pregnancy was too advanced.India listed abortions as essential services under lockdown but many weren’t aware, said Shinde, who is part of the India Safe Abortion Youth Advocates organization.The pandemic has highlighted how difficult it already was for many women to safely access abortion services, said Dr. Suchitra Dalvie, a gynecologist in Mumbai and coordinator of the Asia Safe Abortion Partnership.“All these people ... the marginalized groups, the vast invisible majority. This is how life is,” she said.In January, India began amending laws to allow certain women to obtain abortions up to 24 weeks instead of 20. But the pandemic interrupted it.No one expected the lockdown to continue for months, Dalvie said. Now many women face second-trimester abortions, which are more expensive and complicated, especially “because everyone who is involved needs to wear PPE.”Abortion access has improved in India, but the pandemic resulted in abortion pill shortages in several states surveyed by Foundation for Reproductive Health Services India. Only 1% of pharmacies in northern states like Haryana and Punjab had them, 2% in the southern state of Tamil Nadu and 6.5% in the central state of Madhya Pradesh. In Delhi it was 34%.Some contraceptives are still delayed by supply chain disruptions, said Chris Purdy, CEO of the DKT International social marketing organization for family planning products. Production is back online, but shipping routes are crowded and ports clogged with back orders, he said.Meanwhile, women’s health providers have scrambled to find solutions such as telemedicine, home deliveries of contraceptives and home-based medical abortions.But even now, “we’re hearing everywhere that numbers are down” as public health facilities struggle because thousands of staffers have been infected with the virus, said Marion Stevens, director of the South Africa-based Sexual & Reproductive Justice Coalition. Her group and others wrote to the health minister about women turned away from care.The real global measure of lockdowns’ effects will come when health ministries report annual data, experts say. But it will be incomplete. In Haiti, the health ministry reported a 74% drop in births at health facilities in May compared to the same period last year. Many women are delivering at home, but deaths there are not reported.“Small examples can tell us a lot,” said Nondo Ejano, coordinator for the Women’s Global Network for Reproductive Rights Africa. In Tanzania, he said, a major maternity hospital in Dar es Salaam was converted into a COVID-19 response center. “You can ask yourself,” he said of women seeking care, “where would they go?”At a school he visited last week in the town of Kigoma, five girls had become pregnant in the past few months. “One school. Five girls. Definitely the rate of pregnancy is up,” he said.“I feel like right now we just have a tip of the situation, and when lockdowns are lifted we will see things clearly,” said Phonsina Archane, a coordinator of the MAMA Network. “We should prepare ourselves for that time.”___Anna reported from Johannesburg.___The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute’s Department of Science Education. The AP is solely responsible for all content. 6513

Mississippi Republican Sen. Cindy Hyde-Smith joked about going "front row" to a "public hanging" in a video posted to Twitter on Sunday morning, prompting her opponent to call her comment "reprehensible.""If he invited me to a public hanging, I'd be on the front row," the senator is heard saying in the video.Hyde-Smith faces former Democratic Rep. Mike Espy in a runoff election on November 27 for the Mississippi Senate seat. The runoff election was triggered when neither she nor Espy received more than 50% of the vote total on November 6.Hyde-Smith was appointed in April to fill the seat vacated by longtime Republican Sen. Thad Cochran, who stepped down due to health reasons. She became the first female senator to represent the state.In the video, Hyde-Smith appeared to be speaking during a campaign event about the support of a Mississippi rancher.The line drew applause and laughter from the crowd. The short video clip was met with immediate backlash online and had more than 2 million page views as of late Sunday night. 1043

MONROE, Ohio -- Authorities in Ohio have charged a 17-year-old driver whose classmate was killed when she crashed on the way to prom last month.The teen — Scripps station WCPO in Cincinnati is not naming her because she is a minor — is facing two counts of vehicular assault and one count of aggravated vehicular homicide, the Butler County Sheriff's Office announced Thursday.Prosecutor Michael Gmoser said he plans to keep the case in juvenile court.The Monroe High School student was driving three classmates to prom on April 27 when she crashed. Police previously said the driver was speeding on her way to prom when she attempted a course-correction and lost control of the 2013 Tesla on Millikin Road in Liberty Township and hit a telephone pole.?Kaylie Jackson, 17, was riding in the back seat and was not wearing a seatbelt, deputies said. She was ejected from the car through the windshield and flown to University of Cincinnati Medical Center for treatment. She died from her injuries three days later. Two other passengers were treated at an area hospital and released. The teen driver's father previously told WCPO she entered counseling at Cincinnati Children's Hospital Medical Center after the crash. The teen driver is scheduled to appear in juvenile court May 24.  1354