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As hospitals are becoming overwhelmed with COVID-19 patients, North Dakota is permitting coronavirus-positive health care workers to continue assisting patients.The guidance stipulates that the health care workers must remain asymptomatic and take enhanced precautions in order to stay on the job. This comes as travel nurses are stretched thin as dozens of states are reporting record hospitalizations.Given the situation in North Dakota and elsewhere, it is possible more states will have to follow suit and continue using infected staff members in order to provide care. The CDC has spelled out guidance in these situations.The CDC says hospitals must exhaust a number of other guidelines, including adding travel nurses, postponing elective medical procedures, and postpone elective time off, before going into a crisis staffing situation.“If shortages continue despite other mitigation strategies, consider implementing criteria to allow HCP (health care personnel) with suspected or confirmed COVID-19 who are well enough and willing to work but have not met all Return to Work Criteria to work,” the CDC’s guidance states. “If HCP are allowed to work before meeting all criteria, they should be restricted from contact with severely immunocompromised patients (e.g., transplant, hematology-oncology) and facilities should consider prioritizing their duties in the following order:1. If not already done, allow HCP with suspected or confirmed COVID-19 to perform job duties where they do not interact with others (e.g., patients or other HCP), such as in telemedicine services.2. Allow HCP with confirmed COVID-19 to provide direct care only for patients with confirmed COVID-19, preferably in a cohort setting.3. Allow HCP with confirmed COVID-19 to provide direct care for patients with suspected COVID-19.4. As a last resort, allow HCP with confirmed COVID-19 to provide direct care for patients without suspected or confirmed COVID-19.”North Dakota Gov. Doug Burgum spelled out the challenges facing his state.“Our hospitals are under enormous pressure now,” Burgum said. “We can see the future two, three weeks out, and we know that we have severe constraints.”Despite Burgum’s warning, his state is among the ones not to issue an order requiring masks in public places.In update CDC guidance, the agency says that masks can reduce the viral load for the wearer, in addition to prevent the spread of the virus.Steven Weiser, MD, president of Altru Health System in Grand Forks, North Dakota,, wrote in an op-ed about the toll the virus is having on workers. "Your neighbors in healthcare are pleading with you – they are tired, they are covering shifts for their colleagues who cannot work, they are working in new areas and rallying together to ensure that our promise of providing care to our community is upheld," Weiser wrote. "I ask you, on behalf of our team of healthcare workers, to please take the recommendations... very seriously. This is about protecting our at-risk community members and friends. We need your partnership to stop the spread, now. Doing so will save lives." 3105

America's lottery fever is far from over. The Powerball jackpot is almost irresistible.Saturday's Powerball drawing would pay an estimated 0 million if a winner matches all six numbers.The winner or winners would also have a one-time cash option of 8.6 million -- a prize that's still more than alright.If there's a winner, it would be one of largest jackpots in the nation's history.It could be the fourth largest in US lottery history and the game's third largest jackpot.The largest Powerball jackpot was .586 billion and it was split three ways in January 2016. 581

Apple unveiled its new iPhone operating system, iOS 14, on Monday at its completely-online Worldwide Developers Conference (WWDC) Keynote Address.Here are Apple's most significant announcements from Monday's event.iOS 14Apple gave viewers a first look at iPhone's new operating system on Monday. The new program means that iPhone's home screen will look a bit different when it debuts later this year.iPhone users will now have the ability to set default email and browser apps for the first time. Previously, iPhone defaulted to using Apple's "Mail" and "Safari" apps when clicking on links in social media apps. Now, users can choose to browse and message on other companies' browsers and email clients.The home screen will also get an overhaul with a new "Library" grouping feature that will automatically group similar apps together on an additional home screen page. The feature is designed to allow users to find lesser-used apps more easily.iOS 14 will also introduce a new "Picture in Picture" feature that allows an iPhone user to watch videos while browsing other apps.The new operating system also makes some changes to the popular Memoji feature, including the ability to give an avatar a coronavirus mask.New chips in MacBooksIn an announcement that was widely expected, Apple announced Monday that all of its products would be built with computer chips made in-house. While mobile Apple products and Apple TV devices are already made with chips produced in-house, MacBooks previously ran on Intel's computer chips. Moving forward, Apple will begin using its own chips in thier laptop computer.Translate appApple unveiled a new smartphone app that will provide real-time translation between two people speaking different languages.Unlocking a car with an iPhoneApple announced several updates to its "CarPlay" app, which allows iPhones to communicate with certain car models. Among the updates is a feature that will iPhone users the ability to unlock and start their cars from their phones. The first car to be equipped with the feature will be the BMW 2021 BMW 5-series. Key privileges can also be sent through Apple's message app and can be revoked at any time. 2185

Apple is fighting to take back the classroom.The company revealed on Tuesday in Chicago what it believes is the future of education. CEO Tim Cook and his executive team took the stage at Lane Tech High School to discuss "creative new ideas for teachers and students."Apple showed off a new budget iPad specifically targeted toward students. The 9.7-inch device -- the same size as the traditional iPad -- will cost 9.The new iPad works with the Apple Pencil to support art projects — similar to what comes packaged with the higher-end iPad Pro tablet. Apple also teased software features such as smart annotations to help teachers mark up papers, and augmented reality support which will "enable new ways to learn."Alleged leaks of the upcoming iOS 12 software have shown a "ClassKit" platform for developers to create puzzles, tests and lesson plans for students. Augmented reality integration is a good bet, too.Apple's education business has had its ups and downs. iPads and Mac computers were once the primary devices used in American schools. But in recent years, Apple's dominance has slipped. Now, Google's budget-friendly Chromebook laptops occupy nearly 60% of all devices in the classroom, according to research firm Futuresource. Apple devices make up just 17% of the education marketshare.Perhaps it has learned from its mistakes. In 2015, a Los Angeles school district planned to give every student in the city an iPad with preloaded curriculums. Wired reported that the program, which was expected to become a billion deal, fell apart.After a volatile few years, Apple said in 2017 that iPad sales for the classroom ticked up 32% after dropping the price for its entry-level iPad to 9. Apple also made small tweaks to make it easier for students to share in the classroom, such as removing its Apple ID requirement.To get ahead of Apple's news, Google announced on Monday its first tablet running Chrome 10: Acer's Tab 10. At 9 — the same price as the cheapest iPad — Google and Acer hope to bring the flexibility and versatility of the Chrome operating system to an even more portable device.This is Apple's first education-focused keynote in six years — and its second ever. The company hosted a digital textbook launch in New York City in 2012.Chicago is a fitting backdrop for its latest event. The city is home to one of the largest school systems in the United States, and Apple expanded its "Everyone Can Code program" late last year to teach more students its Swift programming language.It's unlikely, however, that Apple will reveal details about its next generation iPhone on Tuesday. But with its annual World Wide Developer Conference only three months away, we may hear some subtle software teases of what will land on iOS and OS soon.  2788

As hundreds of thousands of workers were sent home, and office buildings evacuated over coronavirus concerns, the CDC is warning about a potential secondary health concern when they come back: Legionnaires disease.The CDC should know, they are dealing with a Legionella bacteria discovery itself in some of their leased buildings in the Atlanta area. Several buildings are now closed because the bacteria was found in their water system, likely because of the prolonged shutdown."During the recent closures at our leased space in Atlanta, working through the General Services Administration (GSA), CDC directed the landlord to take protective actions," the CDC said in a statement to CNN."Despite their best efforts, CDC has been notified that Legionella, which can cause Legionnaires' Disease, is present in a cooling tower as well as in some water sources in the buildings. Out of an abundance of caution, we have closed these buildings until successful remediation is complete."The bacteria grows in warm or stagnant water, which is why there is concern as office buildings and restaurants sit abandoned during the pandemic. The bacteria is common in water, and is usually only a problem when the water becomes aerosolized and people breath it in; common sources are showers and water fountains. Legionella bacteria can cause deadly pneumonia.Last year, the CDC reports, 4,294 cases were reported. So far this year, 1,813 cases have been reported.It’s not known if the pandemic-caused shutdowns will worsen the problem or improve it; people are not gathering in hotels, offices or factory buildings as much, however thousands of miles of pipes in buildings are sitting empty and stagnating in the warm summer months."There is currently no nationwide surveillance of water systems for Legionella disease," Chris Edens, an epidemiologist on CDC's Legionella team, told CNN. He said state health departments that normally monitor and report cases of Legionella infection are tied up dealing with coronavirus.To reduce the likelihood of the bacteria growing in pipes, keep cold water cold and hot water hot; Legionella bacteria grows between 80° and 120° Fahrenheit.The CDC has recommendations on their website for building owners reopening after a prolonged shutdown. 2275

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