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VATICAN CITY — Pope Francis’ vicar for Rome has tested positive for the coronavirus in the first case of a cardinal close to the pope known to be infected.Cardinal Angelo De Donatis had been in touch with Francis in recent weeks — apparently not in person, however — over the cardinal’s initial decision to close all Rome churches in line with an Italian government shutdown decree.De Donatis reversed himself after Francis intervened, and allowed diocesan churches to remain open for individuals to pray.The pope is technically bishop of Rome, but he delegates the day-to-day running of the diocese to his vicar, De Donatis, 66. The Rome church said De Donatis was in good condition at Rome's Gemelli hospital and was receiving antiviral treatment.The Holy See has said six people have tested positive for the virus in the Vatican, none of them the pope or his closest advisers. 891

Two centuries after its invention, the stethoscope — the very symbol of the medical profession — is facing an uncertain prognosis.It is threatened by hand-held devices that are also pressed against the chest but rely on ultrasound technology, artificial intelligence and smartphone apps instead of doctors’ ears to help detect leaks, murmurs, abnormal rhythms and other problems in the heart, lungs and elsewhere. Some of these instruments can yield images of the beating heart or create electrocardiogram graphs.Dr. Eric Topol, a world-renowned cardiologist, considers the stethoscope obsolete, nothing more than a pair of “rubber tubes.”It “was OK for 200 years,” Topol said. But “we need to go beyond that. We can do better.”In a longstanding tradition, nearly every U.S. medical school presents incoming students with a white coat and stethoscope to launch their careers. It’s more than symbolic — stethoscope skills are still taught, and proficiency is required for doctors to get their licenses.Over the last decade, though, the tech industry has downsized ultrasound scanners into devices resembling TV remotes. It has also created digital stethoscopes that can be paired with smartphones to create moving pictures and readouts.Proponents say these devices are nearly as easy to use as stethoscopes and allow doctors to watch the body in motion and actually see things such as leaky valves. “There’s no reason you would listen to sounds when you can see everything,” Topol said.At many medical schools, it’s the newer devices that really get students’ hearts pumping.“Wow!” ″Whoa!” ″This is awesome,” Indiana University medical students exclaimed in a recent class as they learned how to use a hand-held ultrasound device on a classmate, watching images of his lub-dubbing heart on a tablet screen.The Butterfly iQ device, made by based by Guilford, Connecticut-based Butterfly Network Inc., went on the market last year. An update will include artificial intelligence to help users position the probe and interpret the images.Students at the Indianapolis-based medical school, one of the nation’s largest, learn stethoscope skills but also get training in hand-held ultrasound in a program launched there last year by Dr. Paul Wallach, an executive associate dean. He created a similar program five years ago at the Medical College of Georgia and predicts that within the next decade, hand-held ultrasound devices will become part of the routine physical exam, just like the reflex hammer.The devices advance “our ability to take peek under the skin into the body,” he said. But Wallach added that, unlike some of his colleagues, he isn’t ready to declare the stethoscope dead. He envisions the next generation of physicians wearing “a stethoscope around the neck and an ultrasound in the pocket.”Modern-day stethoscopes bear little resemblance to the first stethoscope, invented in the early 1800s by Frenchman Rene Laennec, but they work essentially the same way.Laennec’s creation was a hollow tube of wood, almost a foot long, that made it easier to hear heart and lung sounds than pressing an ear against the chest. Rubber tubes, earpieces and the often cold metal attachment that is placed against the chest came later, helping to amplify the sounds.When the stethoscope is pressed against the body, sound waves make the diaphragm — the flat metal disc part of the device — and the bell-shaped underside vibrate. That channels the sound waves up through the tubes to the ears. Conventional stethoscopes typically cost under 0, compared with at least a few thousand dollars for some of the high-tech devices.But picking up and interpreting body sounds is subjective and requires a sensitive ear — and a trained one.With medical advances and competing devices over the past few decades, “the old stethoscope is kind of falling on hard times in terms of rigorous training,” said Dr. James Thomas, a cardiologist at Northwestern Medicine in Chicago. “Some recent studies have shown that graduates in internal medicine and emergency medicine may miss as many of half of murmurs using a stethoscope.”Northwestern is involved in testing new technology created by Eko, a Berkeley, California-based maker of smart stethoscopes. To improve detection of heart murmurs, Eko is developing artificial intelligence algorithms for its devices, using recordings of thousands of heartbeats. The devices produce a screen message telling the doctor whether the heart sounds are normal or if murmurs are present.Dennis Callinan, a retired Chicago city employee with heart disease, is among the study participants. At age 70, he has had plenty of stethoscope exams but said he feels no nostalgia for the devices.“If they can get a better reading using the new technology, great,” Callinan said.Chicago pediatrician Dr. Dave Drelicharz has been in practice for just over a decade and knows the allure of newer devices. But until the price comes down, the old stalwart “is still your best tool,” Drelicharz said. Once you learn to use the stethoscope, he said, it “becomes second nature.”“During my work hours in my office, if I don’t have it around my shoulders,” he said, “it’s as though I was feeling almost naked.” 5223

Utah police are warning drivers to slow down during inclement weather after dashcam footage shows a truck slamming into a police cruiser during a rainstorm.According to a 183

While it never threatened the superiority of the NFL, the Arena Football League once provided an affordable alternative for families to attend professional football games. At its peak, it attracted more than 2 million fans per year, with franchises in major metropolitan areas such as New York, Los Angeles and Chicago. Unlike traditional football, Arena Football brought fans closer to the action on smaller fields. Games typically were much higher scoring than traditional football.But in the last decade, the once popular indoor adaption of America's most popular sport crumbled. Years of crumbling culminated on Wednesday when the league announced it is officially disbanding. “We’re all disappointed that we couldn’t find a way forward and we wanted to thank our fans, our players, coaches, everyone who loved the Arena Football League," AFL Commissioner Randall Boe said. "We all love the game and tried very hard to make it successful, but we simply weren’t able to raise the capital necessary to grow the League, resolve the substantial legacy liabilities and make it financially viable.” In October, the league announced that it was suspending local operations at its six markets as it contemplated its future. The league has been on shaky ground since the league canceled the 2009 season amid a labor dispute between players and the league. When the league returned in 2010, average attendance in the league dwindled from nearly 13,000 fans per game to just over 8,000. League participation had dwindled too as only four teams were fielded in 2018, although two new clubs participated in 2019. Justin Boggs is a writer for the E.W. Scripps National Desk. 1678

UPDATE: I just spoke with a member of the boy’s family who tells me they intend to gain custody. The family primarily lives in Orlando. The family member tells me the boy was here on vacation with his mom and dad. @WKBW pic.twitter.com/AyUHzrR6Ui— Ali Touhey (@Ali2e) September 17, 2019 298

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