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SAN DIEGO, Calif. – If COVID-19 cases spike this fall, hospitals want to make sure they have enough ventilators. But that's only one part of the equation. They'll also need more trained staff to help operate the complex machines. "When governors have been asking for tens of thousands of ventilators, that's great, but there's only a finite group of people that are skilled and trained and authorized to use those ventilators," said Jim Archetto, Vice President of Gaumard Scientific. The machines help patients breathe, pumping oxygen into their bodies. "But what's critically important is how you control that pressure. If you pump too much pressure into a patient, your lungs will explode," explains Archetto. The stakes couldn't be higher, so hospitals are now working on training more staff members to help operate the devices. That's where Gaumard comes into play; their lifelike robots simulate not only medical emergencies but also emotions. "We'd really rather have these nurses and docs practice on a simulator before they're working on a live patient in a critical care situation," said Archetto. Pediatric Hal is a 5-year-old patient simulator who can breathe, bleed, move, cry, and talk. "He can actually be plugged into a real ventilator, and that ventilator can take control of his breathing functions," said Archetto. Companies like Gaumard have seen a spike in demand for this specialized training. Archetto says they've received calls from medical schools, hospitals, and even manufacturing companies needing to test their new ventilators. With in-person training on hold, Gaumard is using Zoom to train professionals virtually on how to use their simulators. "I can provide whatever symptoms I'd like for him to mimic, for COVID, or anything for that matter," said Archetto. Lincoln Healthcare, located just outside of Philadelphia, had already developed a program using Hal to train their at-home nurses on how to operate ventilators. "We really wanted to make sure our nurses were armored with the best training, the best emergency preparedness that could arise in the home," said Autumn Lincoln, vice president and co-founder of Lincoln Healthcare. When the pandemic hit, they opened up the 2232

? Stage unridable, more details to follow...#TDF2019 ?? @Arkea_Samsic pic.twitter.com/cxUC3hEZDO— Le Tour de France UK (@letour_uk) July 26, 2019 157

The National Domestic Violence Hotline is being flooded with a record number of people asking for help. The hotline, which operates 24 hours a day, took in more than 570,000 calls, texts and online chats last year, a jump of more than 30 percent from the year prior. The increase has put a strain on the organization.“When we see spikes like we did last year, we're just not prepared to respond to that kind of growth,” says National Domestic Violence Hotline CEO Katie Ray-Jones. Ray-Jones believes there are a couple reasons for the spike, including the #MeToo Movement, as well as high-profile domestic violence cases like the one involving R&B singer R. Kelly and former White House aide Rob Porter. “We know that people see threads of themselves in that story and it prompts them to either one, recognize ‘I don't want my current situation to turn out like that, so let me reach out for help’ or they're recognizing ‘Gosh, this is really serious and I need to connect to someone right now for help.’” Ray-Jones says the hotline is on track to set another record. So far this year, more people are reaching out for help than last year at this time. The hotline is federally funded, which is why Ray-Jones came to Washington, D.C. to talk with members of Congress.“We did a congressional briefing to highlight the increase in volume that we've received, as well as we received our 5 millionth contact several weeks ago,” she says. “And we wanted to illustrate and commemorate that bittersweet moment for the organization and recognize there's 5 million. We still exist and need to continue to do more.” 1623

The clock strikes midnight, and it's time to lose the extra 20 pounds. Well, not so fast. "If you're wanting to lose weight, and there is actually a reason behind it, I think it's going to give you more power,” says registered dietician Jessica Crandall Snyder. Maybe the reason is to play with your kids or grandkids, run a marathon or lower your cholesterol. Whatever it might be, Snyder says to start slow and spend the month of January testing the weight loss water. "It's kind of like a relationship or marriage,” she says. “You don't just jump into marriage, right? You go through the dating process to see if it's the right fit." Next, tell a friend about your weight loss plan. It can help hold you accountable. Then, begin working on replacing your old habits with new ones. For example, you can start with getting rid of the junk food in your house and replacing it with healthy food. Now, create a plan."I always say there should be three levels of plans,” Snyder says. If you're ever tempted to try a fad diet, Snyder says that’s a recipe for disaster. "I’ve seen so many people fail and get off track,” she says. “Then, it’s not a resolution or healthy habits, and it's not going to be successful." Remember, it's not always about the number on the scale. "The pounds themselves don't actually reflect the success along the way,” Snyder says. “It’s more of the energy and habits you have along the way." So before you ring in 2019, find the meaning behind your resolution. "You have to have a bigger meaning, a bigger purpose as to why you're doing that to really achieve success," Snyder stresses. 1630

A Cook County, Illinois, judge has requested a special prosecutor look into why charges were dropped against actor Jussie Smollett after the actor was accused of lying about being a victim of a hate crime, the 222