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Dr. Jose Nieves has been a critical care physician on the frontlines as a hospital intensivist, working at two hospitals in South Jersey--Jefferson Washington Township and Jefferson Cherry Hill hospitals.“When this all first started, we knew things were starting to pick up in Seattle and New York, and you felt it coming down our way,” recalled Dr. Nieves.When the pandemic first struck in the United States, the doctor felt fortunate, because his hospital system had a chance to gather enough PPE gear, create a plan, and brace for it. However, when the surge started in his hospitals, he realized all the planning still could not prepare healthcare workers on the frontlines for what they were dealing with.“It was pretty terrifying,” said Dr. Nieves, “A lot of the stuff we had prepped and talked about in our own little training sessions, you know, was very much kind of like, I wouldn’t say thrown out the door, but it was a lot of rushed implementation of stuff we had never done before."As he would be working on one patient with COVID-19 symptoms, another would walk in. There were days when five potentially COVID-19 positive patients with severe symptoms were walking in at the same time. Physicians were working around the clock to try to save lives while trying to learn about the virus.“The people that were at home were just researching trying to throw data at the people that were in, and when you were in shift and they were out, they were doing the same thing,” said NievesDespite all their efforts, there were days they couldn’t save everyone, and those were the hardest. For Dr. Nieves and his team, the loss of a pregnant mother and her unborn child was the toughest.“Having that traumatic event occur, at an already high stressful level, the staff really had to be gathered around and supported, because people were in tears. It was devastating,” he explained.On top of that, he also couldn’t go home and get a much-needed comforting hug from his girlfriend, for fear of exposing her to the virus.“That, for me, started to hammer it home; that there really was no break from this,” Nieves added.Having no break from the virus coupled social distancing needed to curb its wrath, it was taking a toll on many healthcare workers around the country.“The toll for some people at some points was that they didn’t think that they could do this anymore, that this wasn’t going to be their profession any further and that is always hard to see,” said Dr. Nieves.Jefferson Health leaders saw the toll the pandemic was taking on staff and stepped in early on, leading town halls for workers to vent and offering counseling. Other hospital systems around the country are now doing the same. Seeing the toll the pandemic has had on healthcare workers, Dr. Nieves knows first-hand how important that is and will be for so many on the frontlines of this pandemic.“Doctors that you saw last year are not going to be the same mentally and emotionally in the coming years,” Dr. Nieves explained. 3007

Doors bursting open at stores. Crowds spilling into the aisles. Elbows brushing up against others. Products flying off shelves. These are the hallmark images of Black Friday.Well, they were.That was before the COVID-19 pandemic gripped the nation. Now, the future of the biggest shopping discount day of the year is unknown.Yes, it will still happenFor many, shopping on the day after Thanksgiving is a tradition. Historically, it’s also one of the best days of the year to save money on big-ticket items like electronics and appliances.But with social distancing the norm, it’s hard to imagine shoppers camping out on the sidewalk next to one another this year ahead of Nov. 27. It’s even more difficult to picture stores overflowing with excited shoppers.Retail experts believe Black Friday will still happen in 2020, despite the pandemic. But there’s no disputing the fact that it won’t be a traditional experience.“Being there at the crack of dawn, waiting in lines, the hustle and bustle in the store — that’s probably not going to exist,” says Jane Boyd Thomas, a professor of marketing at Winthrop University in South Carolina who has done research about Black Friday.Sales will shift further onlineFor years, Black Friday has shifted to online channels, merging with Cyber Monday into a weekend-long event. The pandemic is set to further cement that transition.After months of shelter-in-place orders, consumers have become more comfortable shopping from home. That will likely lead to an increase in online Black Friday purchases this year, says Dora Bock, associate professor of marketing at the Harbert College of Business at Auburn University in Alabama.But the changes could go a step beyond that. COVID-19 has illuminated failings in the supply chain, and Thomas believes many consumers will opt for contactless curbside pickup options (as opposed to shipping to their home) to guarantee that the items they’re buying online are actually available — and not out of stock.Still, that doesn’t necessarily mean stores will be ghost towns.“They want something normal,” Thomas says of some shoppers. “I do think that will drive people to go in to see the lights, to see the trees — all the stuff that goes with that experience.”Doorbusters could be deepEven though the experience will look different, Black Friday discounts might be particularly relevant this year, especially as millions of Americans have faced unemployment and other financial hardships in 2020.While consumers have largely focused on purchasing essential items during the pandemic, Bock anticipates competitive prices on discretionary products like apparel and jewelry.Consumers might also have an appetite for traditional Black Friday categories, such as computers. Thomas expects these discounts will be appealing, considering how critical laptops have become as Americans work, learn and interact virtually from home.“There’s a large number of consumers that look forward to Black Friday because it provides them a sense of excitement,” Bock says. “People feel good when they get a good deal.”Retailers still have some planning to doThere are a number of unanswered questions about how Black Friday will look. After all, retailers are still figuring out how to market the holiday shopping season.One possibility? Black Friday may become an extended period, rather than a single day of sales, says Michael Brown, a partner in the consumer practice of Kearney, a global strategy and management consultant.“I’m expecting that Black Friday as we have grown to know it cannot exist in a COVID world,” Brown says.“I think we have to really not think about Black Friday and think more about when the launch of the holiday season will begin. I think that has to be pulled up by retailers as early as November 1,” he says.Throughout the holiday season, stores will have to perform a delicate dance. Shopping may become just as much about public health as it is about discounts.Retailers have merchandise to sell, but promoting in-store only specials could be seen as insensitive by shoppers with preexisting medical conditions, Bock points out.“I think it’s really going to be a balancing act for retailers to encourage sales, encourage people to buy, encourage trust and promote spending — but promote it in a way that shows they care for their customers’ well-being,” Bock says.There’s one more wild card, Brown says. What type of Black Friday shopping environment will state and local governments allow? Time will tell.This article was written by NerdWallet and was originally published by The Associated Press.More From NerdWalletSmart Money Podcast: COVID Impulse Spending, and Building Credit While Paying DebtProbate Workarounds Can Save Your Heirs Time and MoneySmart Money Podcast: Taxes Are Due, and How to Get Started Creating WealthCourtney Jespersen is a writer at NerdWallet. Email: courtney@nerdwallet.com. Twitter: @CourtneyNerd. 4926

Dr. Deborah Birx says she will help with a Biden Administration transition and then “I will retire.”“I want the Biden Administration to be successful,” Birx said in an interview with Newsy. “I will be helpful in any role people think I can be helpful in, and then I will retire.”The Coronavirus Task Force member said her family motivated her decision.“This experience has been a bit overwhelming. It's been very difficult on my family,” Birx told Amber Strong in a clip shared on Twitter. Birx talked about her parents and family members who have been isolated for ten months and have become depressed, “as I’m sure many elderly have.” 644

EL CAJON, Calif. (KGTV) - Grossmont College is looking to expand a program that offers free textbooks to students.The Open Educational Resources program, or OER, allows students to download digital versions of textbooks for free. College officials say it can save students more than ,000 each semester. In the 2018-19 school year, Grossmont students have already saved nearly .3 million."We realized students were making decisions like, 'Do I want to buy food today or do I want to purchase my textbook?'" says Professor Dave Dillon, who has championed the program at Grossmont.A study in 2013 showed that students spend around ,500 each year on textbooks. That's more than a semester of tuition at Grossmont, which is ,334.Additional studies showed that anywhere from 50-60% of students have decided not to buy a textbook for a class because it's too expensive.Dillon and five other professors started offering courses with the OER textbooks in 2016. Convincing teachers to switch from their traditional books to the OER versions has been a challenge, but Dillon says more come around every year.By 2018, 46 teachers had begun using the books. In the spring of 2019, about 100 teachers are using OER."Those are openly licensed materials that are free for students to use," explains Dillon. He adds that the texts offer the same quality as the books that cost students hundreds of dollars."For me, it was just too much money to pay," says Grossmont 2nd year student Edwin Hernandez. "A lot of times, I'd skip buying the book and just really pay attention as much as I can in class. It barely got me by, but it's still a bigger struggle."Fellow student Carlos Espinoza says he used the money he saved on textbooks to buy his first car. That helped him avoid spending more than two hours each day on the bus or trolley to get to and from campus."It saves me so much time," he says.While the books are digital, students have the option to purchase a printed version of the books for about each. Dillon says he's seen test scores and class completion rates skyrocket since he switched to the free textbooks.Grossmont offers two full Associate's Degree programs using just OER books, Geography and Sociology.But they don't work for every area of study. Many STEM courses have supplemental books that students still have to buy. So do English and Literature classes, where students need to purchase novels which aren't in the public domain.Meanwhile, publishers have begun to fight back. According to Dillon, some are trying to downplay the quality of the OER books. Others have tried to write their own versions. And some companies are switching to a subscription-based model, similar to Netflix, where students pay a yearly or monthly fee to have access to all of the publisher's library.Dillon says he's in favor of anything that can help more students afford college."It solves an equity issue," he says. 2923

Does undocumented immigration lead to more violent crimes? A study looking at the increase of illegal immigrants over 24 years says no.There's a stigma linking violent crime with illegal immigrants and part of that has to do with the spotlight on MS-13 gang arrests across the country and specifically in Lake Worth. But, a state-by-state study says an increase in undocumented immigration actually makes communities safer.The study was conducted by sociologists Michael Light of the University of Wisconsin at Madison and Ty Miller of Purdue University.The FBI's Uniform Crime Report statistics show Florida's violent crime rate over time and statistics from the Pew Research Center show the increase in undocumented immigrants.The study looked at those statistics from 1990 to 2014. In those 25 years, Florida's undocumented immigration was at its lowest in 1990 and its violent crime rate for those years was at its highest. Fast forward to 2007, the undocumented immigration population peaked in the state, and the violent crime rate had dropped by 40 percent and continued to decrease. The study echoes what many immigration advocates argue. "We don’t see a large criminal underground in Lake Worth. What we see are families struggling to get by," said Tim Gamwell, Executive Director of the Guatemalan-Maya Center which helps immigrant families. Big dreams hang up on the walls of the Escuelita Maya in Lake Worth, an after-school and VPK program run by the center.Hopefully, he is going to have a better life than other kids in my country," said Esmeralda about her son.Esmeralda came to the United States when she was five to escape crime in El Salvador.  "It's not an option to come here and be illegal, it's something that we have to do," she said. Getting involved in criminal activity could mean losing everything you've worked for. Patricia Vargas works with families at the Guatemalan Maya Center and said many are afraid of being deported. Gamwell said in some cases they don't even report when they are victims of crimes. "We've seen a history of that, where people are targeted because they have cash on them on payday," said Gamwell. Gamwell said the focus for the 600 plus families they serve in Lake Worth is making ends meet and providing for their children."The big issues are:  How do I educate my children? how to do I get access to a computer? How am I going to pay the rent this month? Not bailing someone out of jail," added Gamwell.  2559