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For frontline healthcare workers battling COVID-19, the hospital can feel like a war room. Patients are in need of quick help. Some face life-threatening symptoms that need immediate care. Some cannot be saved.They are split-second decisions that have to be made as more patients funnel into hospital beds, and the effects can weight heavily on those tasking with making them.“The mental health symptoms tend to peak about 12 months after the actual event,” said Dr. Chris Thurstone, director of behavioral health at Denver’s largest hospital, Denver Health.In January, a few months before the pandemic hit, Denver Health implemented a program developed at Johns Hopkins called Resilience in Stressful Events (RISE) to help its employees deal with burnout symptoms, unknown to the influx that was to come.In the first few weeks of the program, the hospital’s drop-in center saw around 30 hospital employees a day. Now, months into the pandemic the same drop-in center is seeing more than 300 hospital employees a day.“[Frontline healthcare workers] describe it as this different of burnout than they’ve felt before,” said Dr. Thurstone.“We’re certainly seeing increased rates of people who are struggling and having a difficult time,” added clinical psychologist Dr. Thom Dunn.It is an unprecedented challenge among doctors, nurses, and other hospital staff that is not only being felt in the United States but globally.Researches in Wuhan found 30 to 50 percent of healthcare providers were in a burnout stage before COVID-19. Now, that number is up to 75 percent of healthcare providers.“Depression, anxiety, insomnia, substance use: those are the four things we watch out for,” said Dr. Thurstone. “As things start to settle down and people actually get a chance to breathe and think and be themselves again, they might notice that they’re not completely themselves.”The RISE program offers counseling and an area for frontline workers to take a load off, through board games and other activities that could help ameliorate the stressors they are experiencing elsewhere in the hospital.At Denver Health, calls into RISE have increased tenfold as well, proving that once COVID-19 becomes manageable, another epidemic may soon start to emerge.“We can’t just get through COVID and then pretend nothing happened,” said Dr. Thurstone. “This is placing a stress and strain on every human being, and healthcare workers are human beings and no exception.” 2458

Former Vice President Joe Biden formally accepted the Democratic nomination for president on Thursday from Wilmington, Delaware, on the final night of the 2020 Democratic National Convention.At age 77, Biden became the oldest major party nominee for president.Biden capped off a four-night pitch to Americans that Democrats have a broad coalition ready to take over the White House."But while I will be a Democratic candidate, I will be an American president,” Biden said as he accepted the nomination. “I'll work hard for those who didn't support me, as hard for them as I did for those who did vote for me. That's the job of a president, to represent all of us not just our base or our party. This is not a partisan moment. This must be an American moment."In making his case for the presidency, Biden called the 2020 election a “life-changing election.”This will determine what America is going to look like for a long, long time," Biden said. "Character is on the ballot. Compassion is on a ballot. Decency. Science. Democracy. They're all on the ballot, who we are as a nation, what we stand for, most importantly, who we want to be, that's all on the ballot."The sights of this year’s convention stood in stark contrast from past conventions. There was no balloon drop. Delegates remained home.Instead, moments after Biden finished his speech to a largely empty room, he and running mate Kamala Harris stepped outside, wearing masks, to a crowd of people in their vehicles who watched the speech like it was a drive-in movie.DNC takes a comedic turnSeinfeld actress Julia Louis-Dreyfus emceed Thursday’s portion of the convention, and attempted to add more comedy than most convention viewers are accustomed to.Her jokes often were pointed at the expense of President Donald Trump. Trump in the past has not reacted well to jokes at his expense, once threatening to sue “Saturday Night Live” for a skit featuring a parody of him.A few of the jokes Louis-Dreyfus told throughout the evening:"Joe Biden not only knows how to read, but also he reads everything"“30330 (a number to text the Biden campaign to offer support). That would be the president's golf score if he didn't cheat. OK, look. I'll admit that was a little nasty. But we all know he's a cheater. And I'm proud to be a nasty, nasty woman.""Just remember. Joe Biden goes to church so regularly that he doesn't even need tear gas and a bunch of federalized troops to help him get there."John Lewis rememberedRep. John Lewis was remembered by Democrats on Thursday following his death last month. The civil rights leader who represented Georgia died on July 17.Atlanta Mayor Keisha Lance Bottoms, who was reportedly considered to be Biden’s running mate, stressed the importance of voting after civil rights leaders like Lewis marched for that right.“We have cried out for justice, we have gathered in our streets to demand change, and now, we must pass on the gift John Lewis sacrificed to give us, we must register and we must vote,” Lance Bottoms said.Trump silentWhile President Donald Trump sent several all caps tweets on Wednesday in response to the convention, the president had not tweeted anything about the DNC as of when the convention ended. He did, however, send a single tweet as Biden wrapped up."In 47 years, Joe did none of the things of which he now speaks. He will never change, just words," he said. Trump will get his turn at the microphone next week as the Republicans hold their convention starting Monday. 3504

FORT LAUDERDALE, Fla. — The U.S. set another daily record in new cases of the coronavirus Thursday, according to a database kept by Johns Hopkins.The U.S. as a whole reported about 52,300 new cases of the virus on Thursday. Of those cases, about 25,000 were reported in four states: Arizona, California, Florida and Texas.According to Johns Hopkins, the U.S. has set a daily record in new COVID-19 cases in five of the last nine days.All but 10 U.S. states are showing an increase of confirmed cases over the last 14 days, according to data compiled by the COVID Tracking Project. Nebraska and South Dakota were the only states outside the Northeast with a decrease in cases, but those states are also recording higher positive test rates. 748

Finding the right child care can be a frustrating -- and expensive -- process for parents around the world, from New York to Nairobi.Access to adequate child care for all has become a "global" need, said Shelley Clark, a demographer and professor of sociology at McGill University in Canada, who has studied child care and other family dynamics."We can think of iconic images like The Atlantic monthly cover of the mom carrying the kid in the briefcase to work and how absurd that's supposed to be to us, but then when we think of women in lower-income countries, you think of the mom selling goods at the market with a kid strapped to her back, and you think, 'Well, that's not a problem for her, because she can easily combine child care and work,' " Clark said."There's this perception out there that for the kinds of work that women do in lower-income countries, it's easier to combine child care and work," she said. "The fact is, it's quite challenging for these moms, also."Clark added that families in lower-income countries spend a significant chunk of their income -- about 17% of some women's average earnings -- on child care services, similar to those in wealthier countries.Families living across 30 wealthy nations in the Organisation for Economic Co-operation and Development spend on average about 15% of their net income on child care costs, according to a 2016 report from the group, an association of 35 countries founded to improve economic development and social well-being around the world.Yet the percentage of a family's income spent on child care costs varies drastically by country: Couples spend 33.8% in the United Kingdom, but in Korea, Austria, Greece and Hungary, couples spend less than 4% due to government benefits and programs. Those findings came from the OECD's database on tax and benefits across countries compared with average net income of families in those countries.Here is a sampling of what child care looks like around the world. 1984

Former Democratic presidential candidate Hillary Clinton sent mixed messages when she said she did not want to run for president again, but after hesitating she added that she would like to be president someday.When asked by tech magazine Recode's Kara Swisher at a taping Friday of the Recode Decode podcast whether she wanted to run for president again, Clinton said, "No, no."But after a pause and some prodding from Swisher, Clinton said, "Well, I'd like to be president.""I think, hopefully, when we have a Democrat in the Oval Office in January of 2021, there's going to be so much work to be done," she elaborated, later adding, "The work would be work that I feel very well prepared for, having been at the Senate for eight years, having been a diplomat in the State Department, and it's just going to be a lot of heavy lifting."When Swisher asked whether Clinton would be doing that heavy lifting, Clinton replied, "Oh, I have no idea. ... I'm not even going to even think about it till we get through this November 6 election about what's going to happen after that."Swisher tweeted Monday morning that Clinton seemed to mean she would have preferred to win the presidency in 2016, not that she planned to pursue it again."Tweeps, simmer down!" Swisher tweeted. "While it perhaps sounded like @HillaryClinton refused to rule it out, my take is she was basically implying she wishes she were president but doesn't relish running again." 1468