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Several of America's largest retailers and supermarket chains have announced they are limiting their hours amid the novel coronavirus pandemic.Walmart announced Saturday that all of its 24-hour stores currently operating 24-hours will be moving to a 6 a.m. to 11 p.m. operating schedule until further notice."This will help ensure associates are able to stock the products our customers are looking for and to perform cleaning and sanitizing," Dacona Smith, Executive Vice President and Chief Operating Officer of Walmart, said. "Stores currently operating under more reduced hours (for example they regularly close at 10 p.m. or open at 7 a.m.) will keep their current hours of operation."Kroger, America's largest supermarket chain, will move its hours from 7 a.m. to 9 p.m. Publix, a supermarket chain based in the southeast U.S., will close at 8 p.m until further notice. The announcements come the same day that Apple said it would close all of its stores outside of Greater China until further notice. 1019
Shooting outside nightclub wounds 15 people, 3 are in critical condition at area hospitals. One woman was killed at the scene. An armed security guard shot and killed the alleged gunman. Live reports later this morning on @41actionnews Update from @kcpolice: pic.twitter.com/MVqrM5kMco— Andres Gutierrez (@AFGutierrez) January 20, 2020 347

Seven people were arrested after the famous "Bean" sculpture in Chicago's Millennium Park was vandalized.The stainless steel structure, officially known as 167
Special counsel Robert Mueller's investigation into Russian interference in the 2016 election was allowed by a federal judge to review years of Michael Cohen's emails and other online data from the time he worked under Donald Trump, according to newly unsealed warrants used in his case in Manhattan federal court.In all, the prosecutors and FBI received permission from a Washington, DC-based federal judge to execute four search warrants on Cohen's two Gmail accounts and for stored data in his Apple iCloud account in July, August and November 2017 -- long before Cohen's office was raided in 2018 and he pleaded guilty in an illegal campaign contribution and tax prosecution led by Manhattan federal prosecutors.The revelation gives new illumination to Mueller's work throughout 2017 -- before he had brought the bulk of his open criminal cases against defendants like former national security adviser Michael Flynn and a host of Russians for interfering in the election -- and shows how extensively Mueller had tracked computer data of those close to then-candidate Trump and the early days of his presidency.The search warrants released Tuesday say that the special counsel's office referred "certain aspects" of its investigation into Cohen to the New York-based US Attorney's Office.After pleading guilty in the Manhattan probe, Cohen also later pleaded guilty to lying to Congress in a case brought by Mueller's investigators. They have said he's been helpful to them, but have not revealed how so.The DC District Court search warrants related to Cohen are not yet available.The searches done by Mueller are described as part of the probable cause that led to prosecutors to seek electronic phone and other data from Cohen in their illegal campaign contribution investigation, for which he was charged. 1823
Scans of the lungs of the sickest COVID-19 patients show distinctive patterns of infection, but so far those clues offer little help in predicting which patients will pull through. For now, doctors are relying on what’s called supportive care that’s standard for severe pneumonia.Doctors in areas still bracing for an onslaught of sick patients are scouring medical reports and hosting webinars with Chinese doctors to get the best advice on what works and what hasn’t.One thing that’s clear around the globe: Age makes a huge difference in survival. And one reason is that seniors’ lungs don’t have as much of what geriatrics expert Dr. Richard Baron calls reserve capacity.“At age 18, you have a lot of extra lung capacity you don’t use unless you’re running a marathon,” explained Baron, who heads the American Board of Internal Medicine. That capacity gradually declines with age even in otherwise healthy people, so “if you’re an old person, even a mild form can overwhelm your lungs if you don’t have enough reserve.”Here’s what scientists can say so far about treating those who become severely ill.HOW DOES COVID-19 HARM THE LUNGS?The new coronavirus, like most respiratory viruses, is spread by droplets from someone’s cough or sneeze. The vast majority of patients recover, most after experiencing mild or moderate symptoms such as fever and cough. But sometimes the virus makes its way deep into the lungs to cause pneumonia.Lungs contain grapelike clusters of tiny air sacs called alveoli. When you breathe, oxygen fills the sacs and passes straight into blood vessels that nestle alongside them. Pneumonia occurs when an infection -- of any sort, not just this new virus -- inflames the lungs’ sacs. In severe cases they fill with fluid, dead cells and other debris so oxygen can’t get through.If other countries have the same experience as China, about 5% of COVID-19 patients could become sick enough to require intensive careHOW DOES THAT DAMAGE APPEAR?Doctors at New York’s Mount Sinai Health System analyzed 121 chest CT scans shared by colleagues in China and spotted something unusual.Healthy lungs look mostly black on medical scans because they’re full of air. An early infection with bacterial pneumonia tends to show up as a white blotch in one section of one lung. Pneumonia caused by a virus can show up as hazy patches that go by a weird name -- “ground glass opacities.”In people who get COVID-19 pneumonia, that haze tends to cluster on the outside edge of both lungs, by the ribs, a distinctive pattern, said Dr. Adam Bernheim, a radiologist at Mount Sinai.As infection worsens, the haze forms rounder clusters and gradually turns more white as the air sacs become increasingly clogged.HOW TO TREAT THE PNEUMONIA?There are no drugs so far that directly attack the new coronavirus, although doctors are trying some experimentally, including an old malaria treatment and one under development to treat Ebola.“The best treatment we have is supportive care,” said Dr. Aimee Moulin, an emergency care physician at the University of California Davis Medical Center.That centers around assistance in breathing when the oxygen levels in patients’ blood starts to drop. For some people, oxygen delivered through a mask or tubes in the nose is enough. More severely ill patients will need a breathing machine.“The goal is to keep the person alive until the disease takes its course” and the lungs begin to heal, explained Mount Sinai’s Dr. Neil Schachter.The very worst cases develop an inflammatory condition called ARDS -- acute respiratory distress syndrome — that floods the lungs with fluid. That’s when the immune system’s attempt to fight infection “is going crazy and itself attacking the lung,” Baron explained.Many things besides the coronavirus can cause the condition, and regardless of the cause, it comes with a high risk of death.WHAT ELSE IS IMPACTED?Severe pneumonia of any sort can cause shock and other organ damage. But in a webinar last week, Chinese doctors told members of the American College of Cardiology to watch for some additional problems in severe COVID-19, especially in people with heart disease. The worst off may need blood thinners as their blood starts to abnormally clot, and the heart itself may sustain damage not just from lack of oxygen but from the inflammation engulfing the body.Another caution: The sickest patients can deteriorate rapidly, something a hospital in Kirkland, Washington, witnessed.Of 21 patients who needed critical care at Evergreen Hospital, 17 were moved into the ICU without 24 hours of hospital admission, doctors reported last week in the 4639
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