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Two of the world's biggest carmakers may soon join forces.Fiat Chrysler said Monday that it had submitted a merger proposal to French rival Renault. Each carmaker would control half of the merged entity, it added.Renault said in a statement that its board of directors would meet on Monday to discuss the proposal. The French carmaker's stock surged 13%, while Fiat Chrysler shares jumped nearly 18% in Milan.The companies 435

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

While many companies are being forced to close or scale back operations, many businesses are rewarding their employees as they face a surge in demand because of the spread of coroanvirus. These employees have been receiving praise for keeping store shelves stocked amid a national emergency. In recent days, Walmart, Kroger, CVS and Walgreens announced that they are offering one-time bonuses to employees as they serve the public in a time of need. Here is what these companies are offering for their employees:CVSNational pharmacy chain CVS said on Monday that its awarding bonuses to employees who are required to be at CVS facilities to assist patients and customers. CVS said that the bonuses will range from 0 to 0. The bonuses will be awarded to pharmacists and certain other health care professionals on the frontlines, store associates and managers, and other site-based hourly employees.“Our colleagues have demonstrated an extraordinary commitment to providing essential goods and services at a time when they’re needed most,” said Larry J. Merlo, President and CEO, CVS Health. “As they continue to be there for the individuals and families we serve, we’re taking extra steps to provide some peace of mind and help them navigate these uncertain times.”Kroger On Saturday, national grocery chain Kroger said that every hourly frontline grocery, supply chain, manufacturing and customer service associate would earn a one-time bonus. The one-time bonus for part-time employees would be 0, with full-time staffers earning 0. The bonuses will be paid out on April 3 to employees hired on or before March 1.“Grocery workers are on the frontlines, ensuring Americans have access to the food and products they need during this unprecedented pandemic,” said Rodney McMullen, Kroger’s chairman and CEO. “Our associates are working around the clock to keep our stores open for our customers. I am incredibly grateful for all they are doing. The true heroes in this story are our associates, and we want to provide them with additional resources and support to help them continue their remarkable effort.”TargetWhile not all employees working on the frontlines will receive a bonus, nearly 20,000 team leads who oversee store departments at Target will earn bonuses ranging from 0-,500, which will be paid out in April. Target said this is the first time it has paid such bonuses. WalgreensWalgreens said on Sunday that the national chain of pharmacies will extend one-time bonuses to employees in its stores and distribution centers. Part-time team members will net 0, while full-time workers will get a 0 bonus. “Our store team members are working incredibly hard, in a very challenging and uncertain time and we’re grateful for all they do each day,” said Walgreens President, Richard Ashworth. “We play a critical role in responding to the pandemic and our team members, who are the face of Walgreens, are doing everything they can to support customers, patients and communities across America, who are relying on us at this critical time.”The bonuses will be paid in late April, the company said. WalmartWalmart too is offering its store and distribution center employees a one-time bonus, which will be paid out on April 2. Employees hired on or before March 1 will qualify for the payment. Full-time workers will earn 0, while part-time staff will get 0. Walmart said that the one-time bonuses will add up to be a 5 million payment to its employees.Walmart also said that the company will accelerate the next scheduled quarterly bonus for store, club and supply chain associates a month early. The early payout of quarterly bonuses will total 0 million, Walmart said.“Walmart associates have gone above and beyond the call of duty in serving our customers during these unprecedented times,” said Doug McMillon, President and CEO, Walmart. “We want to reward our associates for their hard work and recognize them for the work that is in front of us.” 4004

Two Democratic congresswomen on Tuesday introduced a bill that would block federal funding for the 2026 men's World Cup until the US Women's National Team earns "fair and equitable wages compared to the US men's team."The legislation, co-sponsored by Reps. Doris Matsui of California and Rosa DeLauro of Connecticut, comes amid the team's longstanding battle for equal pay.Months before the tournament, members of the Women's National team filed a lawsuit against the US Soccer Federation, claiming they deserve to be paid what the American men are paid for their international performances. In one hypothetical case cited in the lawsuit, if the women's and men's teams both won 20 straight games in a season, the women would make 38% what the men do.Matsui and DeLauro say the federal government shouldn't make any financial contribution for the 2026 tournament, which will be spread through venues across the US, Canada and Mexico, until the playing field is level for female athletes."Until the USSF provides real reforms ensuring equitable pay for our male and female athletes, the U.S. government has no business contributing potentially billions of dollars in support for the 2026 World Cup," Matsui said in a statement.DeLauro said federal funding for the men's tournament in 2026 would be "encouraging the pay gap to continue.""Congress needs to ensure women in the same job are getting the same pay," DeLauro said in a statement.Two weeks ago, Democratic Sen. Joe Manchin introduced a Senate version of the bill, which would similarly block federal funding until US Soccer agrees to "provide equitable pay."Still, it's unclear just how much money would actually be withheld if the bills succeed in Congress. 1728

WEST PALM BEACH, Fla. — Was it a meteor, a comet, space junk falling to Earth or something else?Whatever it was, residents across South Florida and the Treasure Coast took to social media to show photos and video of a large fireball streaking across the sky early Wednesday morning.From Deerfield Beach to Vero Beach, WPTV received calls and emails from people who were perplexed by the strange object.Grace Theodore said she was walking out of a Walmart in Deerfield Beach around 2:19 a.m. when she recorded video of what she called a “double meteor.”Leslie Findley was in Boynton Beach when she spotted an “elongated orange stream flowing from the west coast of Florida to the east coast."Findley said it lasted about 30 to 45 seconds and said she was “quite shocked.”Many of the videos posted to social media show a smaller ball of light being followed by a larger ball of light, which is why some are calling it a "double meteor."Residents in Tampa, Sarasota and Port Charlotte on Florida's west coast also spotted the brilliant ball of light overnight.A spokesperson at the National Weather Service seemed pretty surprised by the the video too, saying, “That video is pretty interesting. No reports of anything here, so your guess is as good as ours as to what it is.”The Palm Beach County Sheriff's Office chimed in on 1337

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