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For frontline healthcare workers battling COVID-19, the hospital can feel like a war room. Patients are in need of quick help. Some face life-threatening symptoms that need immediate care. Some cannot be saved.They are split-second decisions that have to be made as more patients funnel into hospital beds, and the effects can weight heavily on those tasking with making them.“The mental health symptoms tend to peak about 12 months after the actual event,” said Dr. Chris Thurstone, director of behavioral health at Denver’s largest hospital, Denver Health.In January, a few months before the pandemic hit, Denver Health implemented a program developed at Johns Hopkins called Resilience in Stressful Events (RISE) to help its employees deal with burnout symptoms, unknown to the influx that was to come.In the first few weeks of the program, the hospital’s drop-in center saw around 30 hospital employees a day. Now, months into the pandemic the same drop-in center is seeing more than 300 hospital employees a day.“[Frontline healthcare workers] describe it as this different of burnout than they’ve felt before,” said Dr. Thurstone.“We’re certainly seeing increased rates of people who are struggling and having a difficult time,” added clinical psychologist Dr. Thom Dunn.It is an unprecedented challenge among doctors, nurses, and other hospital staff that is not only being felt in the United States but globally.Researches in Wuhan found 30 to 50 percent of healthcare providers were in a burnout stage before COVID-19. Now, that number is up to 75 percent of healthcare providers.“Depression, anxiety, insomnia, substance use: those are the four things we watch out for,” said Dr. Thurstone. “As things start to settle down and people actually get a chance to breathe and think and be themselves again, they might notice that they’re not completely themselves.”The RISE program offers counseling and an area for frontline workers to take a load off, through board games and other activities that could help ameliorate the stressors they are experiencing elsewhere in the hospital.At Denver Health, calls into RISE have increased tenfold as well, proving that once COVID-19 becomes manageable, another epidemic may soon start to emerge.“We can’t just get through COVID and then pretend nothing happened,” said Dr. Thurstone. “This is placing a stress and strain on every human being, and healthcare workers are human beings and no exception.” 2458

Five US Marines who were missing after two aircraft collided mid-air off the coast of Japan on Thursday morning have been declared dead, the US Marine Corps said.The US military called off its search for the Marines on Tuesday, according to a statement from the Marine Expeditionary Force."The Marine Corps has pronounced the five remaining Marines involved in the F/A-18 and KC-130 aviation mishap deceased," the Marine Corps said in a statement. "The change in status comes at the conclusion of search and rescue operations."The identities of the Marines have not been released, but the Marine Corps said their next of kin have been notified. 652

Former Trump campaign chairman Paul Manafort pleaded not guilty at an arraignment Wednesday morning in federal court to a re-written set of charges that had been levied against him late last week.The charges in the US District Court for the District of Columbia include allegations of money laundering, conspiracy and making false statements about his foreign lobbying.Prosecutors and the defense agreed on a September 17 trial start, which means the trial involving the onetime leader of Trump's campaign brought by the special counsel will be just before the November midterm elections where Democrats are already expected to do well.   656

First lady Melania Trump underwent kidney surgery Monday at Walter Reed National Military Medical Center near Washington, DC, according to a statement from her office.Trump had been experiencing an issue with her kidney that her office described as benign, but requiring medical attention.Trump, who turned 48 last month, entered Walter Reed in nearby Bethesda, Maryland, on Monday morning and is expected to remain hospitalized for several days following the operation, according to the statement from her communications director, Stephanie Grisham.She is the first US first lady to undergo such a serious medical procedure while in the White House since Nancy Reagan had a mastectomy in October 1987. Rosalynn Carter underwent surgery to remove a benign lump from her breast in April 1977. Weeks after Betty Ford became first lady, she was diagnosed with breast cancer and underwent a mastectomy in September 1974.President Donald Trump remained in the White House during Melania Trump's surgery.On May 7, Trump, a relatively private first lady by comparison to her most recent predecessors, was once again front and center, this time to unveil her formal platform, Be Best. She kicked off the initiative with a Rose Garden speech lasting 11 minutes, the longest public speaking engagement during her 16-month tenure as first lady.Be Best is a three-pronged platform with a focus on opioid addiction and families, general physical and emotional well-being of children, and kindness and safety for kids using social media. The latter caused a firestorm of controversy because it encompasses cyberbullying, a tactic that Melania Trump's husband, the President, has often been accused of fueling.In March, the first lady addressed the criticism she has faced by taking up the issue during opening remarks to a meeting she convened at the White House for tech industry leaders from Google, Snap, Twitter, Facebook, Amazon and others."I am well-aware that people are skeptical of me discussing this topic," she said. "I have been criticized for my commitment to tackling this issue, and I know that will continue. But it will not stop me from doing what I know is right."Melania Trump has also appeared with her husband several times in recent weeks. He was seated in the front row during her Be Best speech, after which he made remarks praising her commitment to helping children, and he was again second to speak, after his wife, during the Military Mothers and Spouses Ceremony on Friday in the White House East Room."She's become a very, very popular first lady. I'm reading that ... They love Melania," the President said. A new CNN poll released May 7 had the first lady's favorable rating up 10 points since January to 57 percent. 2757

Former Arkansas high school teacher Jessie Lorene Goline, 25, is accused by law enforcement of having sexual relations with four high school students in 2016, the Arkansas Democrat-Gazette reported. Goline was formally charged on Wednesday with one count of first degree sexual assault, according to online court records. The Democrat-Gazette reported that only one of the four students were under 18 at the time of the encounters. Authorities told the Democrat-Gazette that Goline allegedly had sex with two students she had taken to her apartment on the same day.In the affidavit, Goline believed one of the students was 18 but he was not. Three of the male students were from the Marked Tree School District, and one was from the East Poinsett County School District. They told authorities that they received text messages from Goline, and that their conversations became more sexual over time. Authorities learned of the alleged incidents in April when a parent threatened to “do bodily harm to one of their teachers.” That's when one of the parents came forward. Goline, who was released later on Wednesday, faces a judge in October.  1217