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In the town of Schuyler, Nebraska, located about 65 miles west of Omaha, immigration reform is a huge issue.A Cargill beef processing plant is the largest employer there, with a predominately Hispanic workforce.People who live in Schuyler, a town of about 6,000 people, are worried what the economic impact would be on the immigrant workforce there if DACA recipients and their families are forced to leave."In this town, there's a lot of commerce, Hispanic business. And the majority of our clients are Hispanics," said Rosa Lopez, Schuyler restaurant owner.Business owners in Schuyler — with a population that’s nearly 70 percent Hispanic and a business district dominated by Hispanic-owned shops and restaurants — is worried about the repercussions its economy would face if there's no DACA resolution by March."We depend on our youngsters for the future,” resident Irma Cuevas said. “So if that were eliminated, it would completely devastate not only Schuyler, but several other communities.""They're our clients,” Lopez said. “And if they get rid of the program, we would lose them as clients. And they wouldn't be able to contribute to the local economy."Long-time residents, like Luis Lucar, say DACA helps keep — and bring in — more people to the workforce there in Schuyler, which he says used to be a ghost town."If that happened, Schuyler would definitely go back to those years where businesses were closing,” Lucar said. “I don't think we want to see that again. And not only in Schuyler, but other Nebraskan cities that basically survive because of the immigrant workforce."Burrito House owner Chuy Salinas said at the end of the day, DACA recipients should get to stay — not only because it's good for business, but because it's the right thing to do.“Business is business,” he said. “But it's heartbreaking to see the moms and their kids, even if they're older like 22 or 25 — they'd have to be sent back and not even have a place to live.” 1964

In many ways, we have come a long way since March when the pandemic first began, but in other ways, we have not.Infections and hospitalizations around the country from COVID-19 are rising quickly, as the United States just surpassed 250,000 deaths from COVID-19. The country is also setting records for the number of positive coronavirus cases. It has forced states to consider similar shutdown measures to the ones we saw in spring.Michigan, Washington state, Oregon, and New Mexico are mostly closed, as states like Colorado have recently announced more closures coming this weekend, including moving restaurants to take-out and delivery only.“It has been very busy [in the ICU] and it has really, as you mentioned, gone up in the last two weeks,” said Dr. Julia Limes of UCHealth in Colorado.Dr. Limes has been spending the last few weeks working out logistics for the ICU at the University of Colorado Anschutz Medical Center.“We have started deploying people from other parts in the hospital to come and help us on both the COVID floors and in the COVID ICU,” said Dr. Limes.“We already surpassed the numbers from the first surge, so it’s like what’s next?” added Maddie Smith, a critical care nurse in the hospital’s COVID-19 ICU.Smith has worked in the hospital’s COVID-19 ICU since March. She says the fear, stress, and unpredictability of this current surge might have consumed her once more if it was not for the lessons learned in the COVID-19 unit during the spring months.“We just know how to treat them better, and we know how to intervene with interventions, so that’s been really helpful,” said Smith.In the spring, hospitals were experimenting with different drugs to treat serious COVID-19 complications. Since then, the FDA has approved Remdesivir as a treatment option for certain patients 12 and older, based on findings that it helped some patients recover faster.Smith says doctors and nurses are now more familiar with the arc of how a patient might respond to symptoms so they can manage bed space and ventilator use better.All this comes as both Moderna and Pfizer announced this week they have both developed vaccines with 95 percent effectiveness.“[Caring for patients] is easier and it’s smoother than it was in the spring,” said Dr. Limes.Not only has patient care gained more clarity, but so too has self-care on the part of first responders, according to Smith.“It was hard,” she said. “I think the biggest part that got to all of us is these people don’t have family to be with. That first surge, it all hit us pretty hard because of the sadness that happened down here. We just kind of lean on each other to get through it.”How far this current wave will go is unknown, but by drawing from the past, these first responders say they will be ready to deal with it no matter what is thrown their way.“We just have a better sense of the trajectory, and that is hugely valuable as we go into this next surge,” said Dr. Limes. 2962

It's a familiar scene in TV melodramas: Mid-intercourse, an older man collapses, clutching his heart. Yet sex and sudden cardiac arrest rarely happen together, according to preliminary research presented Sunday at the American Heart Association's Scientific Sessions 2017.Sudden cardiac arrest is a short circuit that occurs in the heart's electrical system, causing it to stop beating suddenly."On average in the US, only 10% or less actually survive a cardiac arrest," said Dr. Sumeet Chugh, senior author of the study and a professor of medicine at Cedars-Sinai Heart Institute in Los Angeles. 609

In the shadow of the Capitol dome Tuesday was a sobering display of thousands of pairs of shoes, organized neatly across the grass said to represent children who have died in the US from gunshot wounds since the Newtown elementary school massacre in 2012.The global advocacy group Avaaz has been collecting donated pairs of shoes for two weeks and early Tuesday morning lined them up one by one, 18 inches apart, in roughly 80 rows on the Capitol lawn, as Congress continues to sort through a debate over gun violence and school safety."Shoes are individual. They're so personal. There are ballet slippers here and roller skates. These are kids," said Nell Greenberg, the campaign director for Avaaz.The display feature 7,000 pairs of shoes. To arrive at that figure, the group cited a 2017 report from the American Academy of Pediatrics using data from the Centers for Disease Control and Prevention that found nearly 1,300 children die from gunshot wounds in the US every year. Avaaz then tallied up the estimated number since the December 2012 shooting at Sandy Hook Elementary School.Organizers say shoes were donated from across the country and stored in a Washington, DC, warehouse until Tuesday. Among those who donated were family members who've lost loved ones to gun violence, such as Tom Mauser, who lost his son in the Columbine school shooting and traveled from Colorado to hand deliver his son's shoes for the display."My son wore the same size shoes as me. I discovered that after he died and that became a big symbol for me, that I could walk in his shoes," said Mauser, who has since become an advocate for stricter gun control.Mauser came to Washington with two pairs of his son's size 10.5 shoes. He placed one pair in the display and wore the other pair -- some gray and black Vans that Daniel was wearing the day he was killed. "That's usually what I wear," Tom Mauser said.Shoes from celebrities like actress Bette Midler and comedian Chelsea Handler were also seen on the grass.The display comes nearly one month after a gunman killed 17 people at a Parkland, Florida, high school, triggering a vocal movement led by student activists demanding more gun control and school safety.The House of Representatives votes Wednesday on a bill to increase security at school, and while it's expected to pass, many Democrats are upset the package doesn't include gun control measures. Also on the Capitol lawn Tuesday, six senators gathered for a news conference to support the Senate version of the House bill, also known as the STOP School Violence Act. The Senate version does not contain gun measures."This is about schools but it's not just about schools," Republican Sen. Marco Rubio of Florida, who is a co-sponsor of the Senate bill, told reporters. "When someone is determined that they're going to commit an act of violence, it could be in a school, it could be in a mall, it could be in a movie theater, it could be in an airport, it could be at a stadium. So, what we're really focused on here more than anything else is identifying the people that are going to commit a violent act irrespective of where they're going to commit it and stopping them before they do it."The Senate Judiciary Committee will hold a hearing Wednesday on the Parkland shooting and failures by FBI and law enforcement to recognize warning signs exhibited by the gunman before the massacre. The hearing is also expected to focus on a spate of recent gun control legislation that's been introduced by members on both sides of the aisle.Gabrielle Weiss, a 24-year-old volunteer who helped lay out the shoes Tuesday morning, said she wanted to help keep the issue of gun violence alive in the news cycle after seeing it fade after past shootings."I was happy that we were doing this a while after (the Florida shooting) just to keep beating the drum," said Weiss. "These kids that were lost in Florida, they aren't just headlines. They're real people that could have been standing there today." 4010

It’s time to come together. America has spoken and we must respect the decision. More unites us than divides us; we can find common ground. I hope the president-elect can embody this. I wish him good luck and I wish the president a successful final few weeks. God bless the USA!— Rep. Will Hurd (@HurdOnTheHill) November 7, 2020 336