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A simulation program to train nurses is gaining in popularity. Shadow Health is using virtual patients to train real people in hopes of quickly bringing those real students into the workforce.From pediatrics to maternal health, the future of nursing school is happening now.“The technology is so good, you’ll get an answer. You might not get the answer you’re looking for; you’ll have to rephrase and that’s the way it is in real life too,” said Lorrie Rilko, an assistant professor at George Washington University’s School of Nursing.She was a nurse practitioner for 30 years and then decided it was time to help the next generation of nurses.“My greatest responsibility is to prepare future nurse practitioners in the art of accurate history taking and skilled physical exam and then putting all of the pieces of the puzzle together to come up with a clinical diagnosis,” Rilko said.She says George Washington University was already using this simulated technology when the pandemic hit. The pandemic put the program in the perfect position to continue training new medical professionals and it allows them to learn, practice and fail on computers rather than on real live patients.“It's kind of like telehealth,” Rilko said. “We’ve had telehealth and until we had to really rely on telehealth, there were a lot of barriers to overcome."Brent Gordon is the managing director for Elsevier's nursing and health education business, which recently acquired Shadow Health.“One of the challenges in higher education institutions, specifically in the United States and this is true worldwide, is that they have challenges meeting the demand, they have capacity constraints,” Gordon said. “One example is shortage of clinical space. Digital simulations help solve that problem.”He says one of the real problems that the virtual education solves is that of communication, which he says can be at the root of medical malpractice claims.“Nurses are increasingly graduating, passing the (National Council Licensure Examination) NCLEX but not entering practice with the clinical reasoning skills they need to be successful on day one," said Gordon.Rilko said her students enjoy the virtual interaction, and they like training on their own time. Some are currently working on the front lines and taking the course in their spare time. 2330

A new report from the CDC and Rhode Island shows COVID-19 rates below one percent in childcare facilities with young children this summer. They also found a low rate of secondary transmission among these facilities, with 15 percent of coronavirus cases resulting in transmission to at least one other person.“The critical thing here is to build the confidence of teachers, the confidence of parents,” said Dr. Robert Redfield, Director of the Centers for Disease Control and Prevention. “This study provides data, that when things are done with vigilance in partnership with the public health community, you can, in fact, in a complex situation like child care ... you can reopen child care" and have low rates of secondary transmission. The study tracked coronavirus cases at childcare facilities in Rhode Island this summer. On June 1, the state was seeing a decline in coronavirus cases and hospitalizations, and allowed childcare programs to re-open after a 3-month closure.In order to reopen, the facility had to submit a plan to the state for approval that included reduced enrollment, a cohort of no more than 20 people including kids and staff, universal use of masks for adults, and daily symptom screening of adults and kids.Roughly 75 percent of licensed center and home-based childcare facilities were approved to reopen, caring for 18,945 children.Between June 1 and July 31, there were 101 possible child care-associated COVID-19 cases identified at the facility level; among those, 49 were excluded because they had a negative COVID-19 test.Of the remaining 52 confirmed and probable cases, 30 were children; that is roughly .16 percent of the 18,945 children in childcare in Rhode Island this summer. There were 20 teachers and 2 parents who are among the confirmed or probable cases.Cases were confirmed an average of two days after specimen collection.Contact tracing led to the quarantine of 687 children and 166 staff members; that’s roughly 3.6 percent of the total children in Rhode Island care facilities this summer being impacted by quarantine efforts.The cases happened at 29 of the 666 childcare facilities, in 20 of the facilities, there was a single coronavirus case and no transmission. Five of the 29 programs, 15 percent, had two to five cases.The remaining four coronavirus cases may or may not have had secondary transmission. Health officials state those facilities were breaking protocol by moving members of a cohort around to other classrooms, delayed reporting of symptoms, etc. that made it difficult to track.The CDC warns these results were only possible because of decreasing COVID-19 rates in the state, and the community effort to slow the spread of coronavirus. This includes wearing masks and practicing social distancing when around other people.“I understand masks can be uncomfortable to wear and hard to remember to bring when you go out,” Dr. Redfield said. “Schools are not islands in and of themselves, they are connected to the communities around them.”The study says maintaining stable staffing was one of the most difficult things; needing to cover teacher breaks, vacations, etc. while still maintaining the smaller cohort sizes.They recommend additional funding to continue with the smaller class sizes. 3271

A mysterious monolith has appeared in downtown Las Vegas on Friday.Fridays in Vegas always bring surprises. Did anyone call this one? #Monolith pic.twitter.com/BRVhITrlpX— Circa Las Vegas (@CircaLasVegas) December 4, 2020 The object was standing under the Fremont Street Experience canopy as of Friday afternoon.WTF! Welcome To Fremont ....mysteriously lost Utah Monolith. #monolith pic.twitter.com/5fVIJh9rua— Fremont Street Exp (@FSELV) December 4, 2020 Several Fremont Street properties have shared their own images of the monolith throughout the day.We found the missing #Monolith... on @FSELV! pic.twitter.com/e5T8IzjkQk— Fremont Casino (@fremont) December 4, 2020 A Fremont Street Experience spokesperson said the team first noticed the object in the early morning hours on Friday but no further immediate information was available to share.Another similar monolith was recently discovered in a remote area of Utah back in November before it vanished a few days later. 982

A Pinckney, Mich. woman is recovering after she was bitten by a rattlesnake while walking in her yard.Laura Bowen says she was cleaning out her garage, carrying some rakes down a walkway between her home and garage. That's when she says she didn't see the rattlesnake on the ground in front of a garage door, but almost immediately felt a burning pain in her leg when it bit her."It was like a bee sting times 10," Bowen said of the bite. "It was instant fry." Bowen is slowly recovering from the incident, which happened noon on Aug. 20."Just kept telling myself don’t over react because it’s just probably a garden snake or something," she said. "I took a couple shutter steps and looked back and it was a huge snake."The bite happened so fast, and the excruciating pain was almost instant."It was like acid, burn, pain," Bowen said.She says she took a picture of the snake after the bite. Emergency responders immediately recognized it as an Eastern Massasauga Rattlesnake."That was the best thing that I did was to take that photo so they could identify it and know what they were treating," she said.Bowen spent four days in the hospital and received 10 vials of anti-venom. She still plays that day in her head over and over again, and is thankful everything is going to be ok."I think I’m going to buy some garden boots, the rubber ones that are clunky," Bowen said. "Definitely re-thinking my garden attire."She's currently using a cane to help her get around, and should be able to walk on her own again within a week.Bowen has two more doctors appointments just to make sure everything is healing well. 1700

A New Jersey man who died of a brain-eating infection called primary amebic meningoencephalitis was exposed while visiting the BSR Cable Park and Surf Resort in Waco, Texas, during the summer, the Waco-McLennan County Public Health District said Friday.Water samples taken by local, state and federal health officials at the beginning of the month "found evidence of Naegleria fowleri," the amoeba that causes the infection, according to the health district.Fabrizio Stabile, 29, visited the surf resort before developing symptoms in September.A GoFundMe page launched by those close to him said he was mowing his lawn when he developed a severe headache. It hadn't gone away by the following morning, and his symptoms progressed until he was unable to speak coherently or get out of bed. He was rushed to the hospital, where doctors found the amoeba in his spinal fluid. "The worst-case scenario was unfolding in front of our eyes," the site says.The health department concluded, "epidemiologic and environmental assessment indicate that exposure likely occurred at this facility."Although the amoeba itself was not found in water samples from the park, "the presence of fecal indicator organisms, high turbidity, low free chlorine levels, and other ameba that occur along with N. fowleri indicate conditions favorable for N. fowleri growth."The tests were taken from the park's Surf Resort, Royal Flush and Lazy River features. Those areas are to remain closed until "all health and safety issues have been addressed and mitigated appropriately," the health department said, adding that the owner of the park is cooperating and working to develop a "comprehensive water quality management plan to include current regulatory requirements."The BSR Cable Park said on its website that it is installing a state-of-the-art filtration system on the three features to ensure that they are "as clear and clean as humanly possible."However, the park is interpreting the test results another way: "Water tests come back clean," the website proclaimed, adding that "comprehensive test results have now confirmed that the water at BSR Surf Resort meets every standard for safety."BSR also offered its condolences: "On behalf of the entire staff at BSR Surf Resort, our hearts and prayers are with Fab Stabile's family, friends, and the New Jersey surf community. A precious life has been lost, and we are deeply saddened for his loved ones."There have been nine cases of primary amebic meningoencephalitis in Texas since 2005, according to the Waco-McLennan County Public Health District. Centers and Disease Control and Prevention data dating to the 1960s show between zero and eight cases per year nationwide, with five cases in 2016, none last year and no other cases reported this year.The amoeba, Naegleria fowleri, is found in warm bodies of fresh water such as lakes and hot springs. It infects people by entering the nose and making its way to the brain. There, it can cause a brain infection that the CDC calls "rare and devastating," known as primary amebic meningoencephalitis. It is almost always fatal, though a handful of people have survived.Health officials recommend keeping water out of your nose while swimming in warm or untreated freshwater, by either holding your nose, keeping it above water or using a nose clip. 3359