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We heard a lot about flattening the curve during the beginning of the pandemic. It had to do with making sure hospitals didn't get overwhelmed with patients sick from the virus.Stay-at-home orders and canceling elective medical procedures were necessary. Now, there's a second curve researchers are concerned about flattening. It has to do with what's expected to be a rush on the health care system when all those procedures that were put on hold get rescheduled.Researchers at Johns Hopkins University are studying what's happening in real-time. They are also able to point to some past events that might give them an idea of what could happen.In the case of Ebola, patients didn't come back in for elective surgeries and treatments right away.“You started from very low but then very, very quickly that rebounded at a very surprisingly fast pace,” said Tinglong Dai, a professor at Johns Hopkins Carey Business School.So, as more states restart elective procedures, the curve and demand on the health care system will go up and researchers suggest if not prepared, it could catch them off guard.Plus, with concerns about a second wave of the coronavirus, there's potential to reach capacity.“On the supply side, you could have nurses getting sick, doctors getting sick and in fact you may not have enough testing because even now we don’t have enough testing,” said Dai.The research is looking at what's happening right now in Johns Hopkins dermatology with nearly all skin cancer treatments on hold.They hope to come up with the best models to flatten the curve on elective procedures to help reduce the negative implications on patient outcomes and added costs. They hope to have the papers ready by January. 1725

Warning: some of the images in the gallery above may be too graphic for some viewers.A Tennessee woman is warning others after she says she 152

WASHINGTON, D.C. — President Donald Trump's choice to fill the role of Kirstjen Nielsen as secretary of Homeland Security is a career official who served in the Obama administration and whom a senior DHS official says is "not an ideologue or fire breather" on immigration.Kevin McAleenan, who is taking over DHS in an acting capacity, was serving as the commissioner of US Customs and Border Protection before Sunday's announcement. He was confirmed as commissioner by the Senate in March 2018 by a vote of 77-19.He is expected to serve as the acting secretary "in the short term," according to a White House official. Nielsen should be staying for a week of transition, another White House official said.The senior DHS official told CNN McAleenan is "not an ideologue or fire breather" on immigration like White House senior adviser Stephen Miller or Trump. This official wondered how McAleenan will fit in as Miller has placed several political appointees in the department who follow the immigration hardliner's marching orders.Another senior DHS official said, "he's good at what he does. Every role he has had, he's improved conditions. I expect this will be the same." But another administration official cautioned that although McAleenan "knows border and immigration," he "may not know the rest of DHS."McAleenan also has shared some of Nielsen's frustrations with Trump over his demands from the department, two US officials familiar with his thinking said. He's also viewed warily by some of the White House immigration hardliners, led by Miller, who has Trump's ear on the issues he views as key to his re-election prospects.McAleenan is a career official who previously served as the deputy commissioner during President Barack Obama's administration. As commissioner of CBP, he oversaw 60,000 employees and managed a budget of more than billion, according to the department's website.Last month, McAleenan said the "breaking point has arrived" for the US immigration system, and said CBP encountered the largest total number of migrants in years, with more than 4,000 in a single day, the vast majority of which were apprehensions of people crossing the border illegally. He announced he was moving 750 officers from "key roles" at the ports of entry to help Border Patrol care for migrants, including helping with processing and transportation.He was scheduled to lead a news conference Monday morning to discuss the monthly southern border apprehension numbers, but it was postponed "due to recent breaking news."In December, after two migrant children died in custody of US border officials, McAleenan reiterated calls for Congress to provide more funding to handle the influx of migrants crossing the border. That month, two Guatemalan children died after they were detained with their fathers after crossing the US-Mexico border.McAleenan received the Presidential Rank Award in 2015, according to the department's website, and also received the Service to America Medal and Call to Service Award in 2005 for spearheading anti-terrorism efforts at the border after the September 11, 2001 terrorism attacks. 3145

While a CDC report on Wednesday confirms that seniors are most at risk at developing a serious illness from the coronavirus, the virus also poses a risk to younger adults, according to the guidance. The CDC's report, which is contrary to a popular belief that the coronavirus only affects older people, stated that 20% of coronavirus hospitalizations in the United States were from people age 20-44. While fatalities among younger Americans were relatively rare, a number of cases required intensive care. Anywhere between 2 and 4 percent of confirmed coronavirus cases among ages 20 to 44 required intensive care. Also, up to 20% of cases among young adults required hospitalization. "Clinicians who care for adults should be aware that COVID-19 can result in severe disease among persons of all ages," the CDC said in guidance released on Wednesday. "Persons with suspected or confirmed COVID-19 should monitor their symptoms and call their provider for guidance if symptoms worsen or seek emergency care for persistent severe symptoms."While the risk of serious illness isn't minuscule for younger Americans, the risk for older Americans increases with age. The guidance released by the CDC on Wednesday shows that cases among those over age 85 result in death in more than 10%, and hospitalization in between 30 and 70 percent of cases. "The risk for serious disease and death in COVID-19 cases among persons in the United States increases with age," the CDC said. "Social distancing is recommended for all ages to slow the spread of the virus, protect the health care system, and help protect vulnerable older adults. Further, older adults should maintain adequate supplies of nonperishable foods and at least a 30-day supply of necessary medications, take precautions to keep space between themselves and others, stay away from those who are sick, avoid crowds as much as possible, avoid cruise travel and nonessential air travel, and stay home as much as possible to further reduce the risk of being exposed." 2028

Video games allow us to let go and play in someone else's world for a while.At the Smithsonian American Art Museum's recent video game convention, one game is getting a lot of attention for combining beautiful graphics with the ugliness of war. The game is called Brukel and it tells the story of World War II through the eyes of someone who lived it.“This whole thing is obviously a labor of love,” one gamer said of Brukel. “It’s obviously very personal to the creator.”The creator is Bob DeSchutter, an award-winning video game developer and a college professor at Miami University. “In the game, you go in there and you have your cellphone with you,” he says. “You can take pictures of everything, and if you take pictures of an object, you hear my grandma talk about it.”De Schutter traveled to Belgium to have his 93-year-old grandmother, Bie Verlinden, narrate this video game. Verlinden is also the game’s hero, and players shoot a camera instead of a gun. It took De Schutter five years of coding to create Brukel, and the finished product has both his critics' and grandma’s approval.“She’s like, ‘Oh, wow! This looks exactly the way it was,’” De Schutter says about his grandmother’s reaction to the video game. “I’m obviously very happy about that.”The game is also gaining positive attention among parents, who say they are happy to have their children play this game. “It’s a different spin from Fortnite, from Madden and all the other games that they play,” says parent Shaunice Morris. “Now, they’re able to play the game and have fun playing the video game, but also learn while in the process.”It's learning that includes life lessons that span countries and cultures, coming from a woman who lived through war and is now able to share her stories across generations through gaming. 1812