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At any moment, the calmness in the critical care unit at Swedish Medical Center can change to something intense.“We bring people back to life,” said Emily Belfoure, a nurse there. She said they are caring for people who have been in major car crashes, had cardiac arrests, recent open heart surgeries — people with huge medical need.She called it amazing … but challenging.“The families are very emotional, and so you kind of take on some of that stress as a secondary type trauma,” she said.Belfoure decided to start a group for her team to debrief after a traumatic event. The goal is for folks to express their feelings about what they just went through and to cope with the stress of such intense experiences.She wants to help prevent burnout.“There's kind of like a four -or five-year mark in nursing where people either can deal with the burnout they learn coping mechanisms or they find a different job,” she said.The World Health Organization now recognizes burnout as an occupational phenomenon. It’s described as a syndrome resulting from chronic workplace stress.WHO says there are three major symptoms: Feeling exhausted or depleted of energy, being mentally disconnected from or cynical about one’s job and problems getting the job done successfully.“It's something that we don't want to just ignore,” Belfoure said.Dr. Monique Butler is the chief medical officer at Swedish and says burnout can take a toll on health.“It can cause a number of different additional symptoms including chest pain shortness of breath and it could really manifest itself into physical symptoms,” she said.The doctor advises acknowledging symptoms, talking to trusted people and seek professional advice if necessary.Have the debriefing meetings, Belfoure said, has made a big difference for people working there.“It's kind of more of a team and more of a family than just you alone taking care of these challenging patients and dealing with this by yourself,” she said. 1974
Barstool Sports founder Dave Portnoy made it clear he has no interest in seeing his employees unionize. On Monday, Portnoy threatened to fire any employee who makes contact with a writer for Live Science about information on unionizing. In a tweet on Monday, Portnoy wrote, "If you work for @barstoolsports and DM this man I will fire you on the spot." This tweet was in response to a tweet from Rafi Letzter who wrote, "If you work for Barstool and want to have a private chat about the unionization process, how little power your boss has to stop you, and how you can leverage that power to make your life better: my DMs are open."According to the National Labor Relations Board, Portnoy's tweet could potentially break labor regulations. One of the examples the labor board lists for potential violations of the law is, "Threatening employees with loss of jobs or benefits if they join or vote for a union or engage in protected concerted activity."Portnoy's tweet has also drawn backlash from Democratic Rep. Alexandria Ocasio-Cortez. She responded to Portnoy's tweet. "If you’re a boss tweeting firing threats to employees trying to unionize, you are likely breaking the law &can be sued,in your words, 'on the spot.' ALL workers in the US have the protected freedom to organize for better conditions," she tweeted.The exchange between Portnoy and Ocasio-Cortez even drew the attention from Donald Trump Jr. Picking a fight with 1450

Attorney General Bill Barr is preparing to announce as early as next week the completion of Robert Mueller's Russia investigation, with plans for Barr to submit to Congress soon after a summary of Mueller's confidential report, according to people familiar with the plans.The preparations are the clearest indication yet that Mueller is nearly done with his almost two-year investigation.The precise timing of the announcement is subject to change.The scope and contours of what Barr will send to Congress remain unclear. Also unclear is how long it will take Justice officials to prepare what will be submitted to lawmakers.But with President Donald Trump soon to travel overseas for a summit with North Korean leader Kim Jong Un, Justice officials are mindful of not interfering with the White House's diplomatic efforts, which could impact the timing.The Justice Department and the special counsel's office declined to comment.Barr has said that he wants to be as "transparent" as possible with Congress and the public, "consistent with the rules and the law."Under the special counsel regulations, Mueller must submit a "confidential" report to the attorney general at the conclusion of his work, but the rules don't require it to be shared with Congress, or by extension, the public. And, as Barr has made clear, the Justice Department generally guards against publicizing "derogatory" information about uncharged individuals.As a result, one of the most pressing questions Barr will face in the coming weeks is the extent to which Mueller's findings should be disclosed to Congress.The regulations require Mueller to explain in his report all decisions to prosecute or not prosecute matters under scrutiny. Barr would also need to inform Congress if the Justice Department prevented the special counsel team from pursuing any investigative steps.Speculation about the end of the probe has been running rampant in Washington. NBC News reported recently the probe would be done by mid-February.Life after MuellerWhile the Mueller investigation may soon come to a close, there continue to be court cases that will be handled by other federal prosecutors.In addition, Mueller has referred certain matters that fell outside the scope of the Russia probe to other US Attorneys to pursue. Some of those investigations have already been revealed, including the investigation in New York into former Trump's former lawyer, Michael Cohen. That probe has spawned subsequent federal investigations in New York into the Trump Organization and the Trump Inaugural Committee. It is possible the special counsel's team has referred other matters that have not yet come to light.<For close watchers of the federal courthouse and the Mueller team, small changes have added up in recent weeks.On Monday, Tuesday and Wednesday last week, special counsel's office employees carried boxes and pushed a cart full of files out of their office -- an unusual move that could foreshadow a hand-off of legal work.At the same time, the Mueller prosecutors' workload appears to be dwindling. Four of Mueller's 17 prosecutors have ended their tenures with the office, with most returning to other roles in the Justice Department.And the grand jury that Mueller's prosecutors used to return indictments of longtime Trump confidant Roger Stone, former Trump campaign chairman Paul Manafort, and several Russians hasn't apparently convened since January 24 the day it approved the criminal charges against Stone.Even with these signs of a wrap up, the DC US Attorney's office has stepped in to work on cases that may continue longer than Mueller is the special counsel.That office has joined onto some of the Mueller's team's casework, including the cases against Stone, a Russian social media propaganda conspiracy, and in an ongoing foreign government-owned company's fight against a grand jury subpoena.Mueller and his prosecutors are still reporting to work as frequently as ever -- with some even coming in on recent snow days and Presidents' Day. But also visiting them more often than ever before are the prosecutors from the DC US Attorney's Office and others in the Justice Department who've worked on the Mueller cases.In one court case, against Concord Management for its alleged support for the social media conspiracy prosecutors told a judge in January there's still a related "matter occurring before the grand jury."In other cases, including Manafort's, the Mueller team has made heavy redactions to its recent public court filings, including to protect pending investigations and people who haven't been charged with crimes. 4628
ATLANTA, Ga. – The Centers for Disease Control and Prevention (CDC) is warning of a Salmonella outbreak linked to contact with pet turtles. The CDC says at least 21 people across 13 states have been infected with the outbreak strain Salmonella Oranienburg, seven of which have been hospitalized. No deaths have been reported though. “Epidemiologic and traceback evidence” indicate that contact with pet turtles is the likely source of the outbreak, according to the CDC. The agency says 12 of 17 ill people interviewed reported coming in contact with red-eared sliders and other turtles that were larger than four inches in length.The CDC says illnesses started on dates ranging from May 29 to Sept. 3. Ill people range in age from less than one year old to 80 years old, with the median age being 24. Turtles can carry Salmonella germs in their droppings while appearing healthy and clean. The CDC says those germs can easily spread to their bodies, tank water and habitats. People can get sick after they touch a turtle or anything in their habitats. Salmonella symptomsMost people infected with Salmonella develop diarrhea, fever and stomach cramps 12 to 72 hours after being exposed to the bacteria.The illness usually lasts four to seven days and officials say most people recover without treatment. However, the illness may be so severe in some patients that they need to be hospitalized. The infection can spread to the intestines to the bloodstream and then other places in the body. Children younger than five years old, adults 65 and older, and people with weakened immune systems are more likely to develop a severe illness. How to avoid being infected with SalmonellaTo 1694
As emergency crews pick through the charred remains of Notre Dame cathedral's ancient wooden beams, which turned the world-famous site into an inferno on Monday night, focus has turned to the investigation into how the blaze started.Thirty employees working at the Paris landmark before the fire broke out were interviewed by Paris prosecutors on Tuesday, the Paris prosecutor's office said. They included construction workers and Notre Dame security staff.Interviews will resume on Wednesday, the prosecutor's office said, adding: "Investigations continue to search for the truth and identify the origins and causes of the fire."On Tuesday, prosecutor Remy Heitz told CNN the cause of the fire was "likely accidental," and that "nothing shows that it's an intentional act."He said police were interviewing witnesses to ascertain what happened. Scrutiny appears to have fallen on the firms undertaking the renovation of the 150-year-old spire, which collapsed Monday as the flames raged around it.The fire was extinguished early Tuesday after nine grueling hours, but not before the cathedral's roof had fallen in.Two policemen and a firefighter -- one of 400 fire personnel deployed to tackle the blaze -- were injured during the operation.French Junior Interior Minister Laurent Nunez said Tuesday that experts had identified "some vulnerabilities" in the fabric of the building following the devastating fire.Relics and artwork rescuedSecurity guards at the 850-year-old cathedral first heard the fire alarm at 6:20 p.m. local time on Monday, and evacuated the cathedral even though they didn't see any sign of fire, a spokesman for the Paris Fire Brigade told CNN.The alarm sounded again some 20 minutes later, at which point the cathedral's security officers noticed the fire, Paris prosecutor Remy Heitz said.Despite the rapid spread and intensity of the fire, authorities announced that some of the cathedral's major relics, artifacts and artwork had been rescued. Some of the most valuable artworks are being held at City Hall, while a number of other pieces are being transferred to the Louvre museum.The Crown of Thorns, believed to be a relic of the passion of Christ, and the Tunic of Saint Louis were among the venerated artifacts saved, Paris Mayor Anne Hidalgo said.The copper rooster that sat atop the spire which collapsed in Monday's blaze has been recovered intact, according to the French Ambassador to the United States Gerard Araud. It "contains relics for the protection of Paris," including a spine from the crown of thorns and relics of two Parisian saints, he said on Twitter.French newspaper Le Parisien, citing a source from the Ministry of Culture, said it was as yet unknown if the relics had survived the blaze.Outpouring of supportThe show of emotion in the French capital and around the world has been heartfelt.Hundreds attended a vigil Tuesday evening to grieve and sing hymns in tribute to the fire-ravaged cathedral, gathering in Paris' Place Saint-Michel square, a stone's throw from the devastated cathedral, after marching from the Church of Saint-Sulpice.Most French political parties have suspended their European election campaigns, including French President Emmanuel Macron's La Republique en Marche party.Meanwhile, donations towards the restoration have been rising steadily; the total raised so far for the reconstruction of the Gothic masterpiece has topped 800 million euros (4 million), including gifts of tens of millions of euros from some of France's wealthiest families.French billionaire Bernard Arnault, chairman and CEO of luxury good consortium LVMH, pledged 0 million, adding to a purse of million promised by the city of Paris.Cosmetics company L'Oréal, along with The Bettencourt Meyers family and the Bettencourt Schueller Foundation, has donated 200 million euros (6 million) to help fund the repairs.Difficult, costly rebuildThe Vatican's Cultural Minister has said the Vatican will offer technical know-how on rebuilding the cathedral, one of Paris' most recognizable landmarks and a symbol of French identity."We have the type of know-how that the whole word recognizes as being of high quality," Cardinal Gianfranco Ravasi told reporters. "So I think an eventual future offer by the Holy See will be significant."The full restoration of Notre Dame Cathedral will take "ten to fifteen years", according to the head of the Group of Companies for the Restoration of Historic Monuments, Frédéric Létoffé.Speaking at a press conference in Paris on Tuesday, he said that the site would need to be secured before any restoration work can take place.But the reconstruction of the cathedral, whose foundation stone was laid in the 12th century, could be hindered by a lack of suitable materials.According to Bertrand de Feydeau, Vice-President of the French Heritage Foundation, there are no trees in France large enough to replace the ancient beechwood beams that burned in the fire. 4968
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