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Things at Hawaii's erupting Kilauea volcano are kicking up.The volcano has already been oozing lava, which has gobbled up roads and homes and emitted dangerous gases.Now scientists are warning of a whole bunch of other possible hazards: acid rain, a bunch of falling ash, and eruptions that could propel huge boulders into the sky. Hazardous fumes continue to be released. 390
There's an acute nursing shortage in the United States, but schools are turning away thousands of qualified applicants as they struggle to expand class size and hire more teachers for nursing programs.In America, experienced nurses are retiring at a rapid clip, and there aren't enough new nursing graduates to replenish the workforce. At the same time, the nation's population is aging and requires more care."It's really a catch 22 situation," said Robert Rosseter, spokesman for the American Association of Colleges of Nursing."There's tremendous demand from hospitals and clinics to hire more nurses," he said. "There's tremendous demand from students who want to enter nursing programs, but schools are tapped out."There are currently about three million nurses in the United States. The country will need to produce more than one million new registered nurses by 2022 to fulfill its health care needs, according to the American Nurses Association estimates.That's a problem.In 2017, nursing schools turned away more than 56,000 qualified applicants from undergraduate nursing programs. Going back a decade, nursing schools have annually rejected around 30,000 applicants who met admissions requirements, according to the American Association of Colleges of Nursing."Some of these applicants graduated high school top of their class with a 3.5 GPA or higher," said Rosseter. "But the competition to get into a nursing school right now is so intense."Because of the lack of openings, nursing programs across the board -- in community colleges to undergraduate and graduate schools -- are rejecting students in droves.Erica Kay is making her third attempt to get into a nursing program offered in a community college near where she lives in southern California.Kay, 35, already is a certified surgical technician and a certified medical assistant."I've been working in health care since I was 21. This is my passion," she said. "I know I will be a great nurse and I'm studying very hard to get accepted into a program," she saidShe's taken the standardized admissions test for nursing schools twice and applied to three community colleges. She didn't get in."One school responded in a letter they had 343 applications and only accepted 60 students," she said. Another school had 60 slots for 262 applications."Some programs won't even consider you if you score less than 80% even if you meet all other criteria," she said. Kay is retaking the nearly four-hour-long test next month, hoping to better her score."It shocks and upsets me that there are so many hurdles to get into nursing school when we have a nursing shortage," said Kay. "But I am going to keep trying."Jane Kirschling, dean of the University of Maryland School of Nursing in Baltimore, said her school admits new students in the undergraduate program twice a year."We're averaging 200 applications each time for 55 slots," she said. "So we're turning away one student for every student we accept."She said the nursing profession has surged in popularity for a few reasons. "Nursing offers an entry-level living wage with which you can support a family," said Kirschling.There's built-in flexibility and mobility. "You can work three 12-hour shifts and get four days off," she said. And nurses aren't locked into a specific location, employer or specialty for the rest of their lives. "There's tremendous growth opportunity," said Kirschling.But Kirschling said increasing school class size to accommodate more students isn't easy or practical.For one thing, nursing schools are struggling to hire more qualified teachers. "The annual national faculty vacancy rate in nursing programs is over 7%. That's pretty high," said Rosseter. "It's about two teachers per nursing school or a shortage of 1,565 teachers."Better pay for working nurses is luring current and potential nurse educators away from teaching. The average salary of a nurse practitioner is ,000 compared to an average salary of ,575 for a nursing school assistant professor, according to the American Association of Nurse Practitioners.Mott Community College in Flint, Michigan, last year reduced its new admissions from 80 to 64 students accepted twice a year into its two-year associate degree in nursing program.The move was partly in response to a decision by the Michigan Board of Nursing to shrink the nursing student-to-faculty ratio for clinical training in hospitals and clinics. This was aimed at improving safety and avoiding crowded clinical settings."It changed from 10 students for one educator to 8 students. So we had to adjust our class size accordingly," said Rebecca Myszenski, dean of the division of Health Sciences at Mott Community College.Kirschling's school in Baltimore has made similar adjustments. "We used to send eight to 10 nursing students per instructor to hospitals for clinical rotations. Now it's six students," she said.Pediatrics, obstetrics and mental health are the areas where nursing students have the most unmet demand for clinical training," said Kirschling. "As we try to increase the number of nursing students, these three areas will be bottlenecks for nursing programs."Rosseter agrees that class size presents another challenge for nursing schools. "There's not enough available clinical space to train students," he said.Despite the constraints, nursing programs are thinking of ways to accommodate more students."We're expanding our program to new campuses, we're looking at new models of partnering with hospitals to allow [their] nursing staff to [be able] to teach," said Tara Hulsey, dean of West Virginia University's School of Nursing.For example, Anne Arundel Community College in Arnold, Maryland, offers an accelerated associate nursing program that allows qualified paramedics or veterans to be admitted straight into the second year of the two-year program.In Flint, Mott Community College has partnered with University of Michigan's accelerated 16-month undergraduate program designed for veterans with medical experience who want to transition into a nursing career."These bridge programs could really help with the [nursing] shortage," said Myszenski. "You have to address the nursing shortage by thinking out of the box." 6239

They say when life gives you lemons... make lemonade. Now one Cheektowaga, New York girl is using the lemonade she makes to buy happiness for other children. Eight year-old Abby Jacques was devastated when she found out someone stole her brand new bike from her home on Cleveland Drive, so she decided to take action. She set up a lemonade stand to raise money for a new bike. Word about what happened to Abby spread on social media.After Erie County Comptroller, Stefan Mychajliw posted a photo on Facebook, the community pitched in to help Abby get a new set of wheels.Mychajliw and Howard Cadmus, owner of Sweet Jenny's in Williamsville, split the cost of a new bike.You can still find Abby outside of her home selling lemonade, but now to help others.All of Abby's future lemonade sales will be given to children in need of bikes and helmets at the Seneca Babcock Community Center.For those looking to support Abby, a PayPal account has been set up. 1007
There are options when it comes to getting a car. You can lease or buy, and now, you can get a car subscription.Luxury car makers like BMW, Jaguar, and Cadillac offer subscription services to their high-end cars, but it’s set you back a couple thousand. That’s why Ford is offering a more affordable service with used vehicles."You're going to be looking at around 0 monthly subscription cost, but that's inclusive of the vehicle the driving insurance your maintenance,” explains Allison Braley with Canvas, Ford’s subscription service. “You don't have to worry about out-of-pocket maintenance costs. There's no down payment." Braley says it's an all-inclusive bundle, unlike with a lease. Many subscription services don’t' have a down payment or require car insurance. "A lease is great solution for people who know what kind of car they want for two to three years or more,” Braley says. Through subscriptions, you pay a fee to swap out a car. For example, when winter comes around and you want to trade in your sedan for an SUV, with Canvas you pay a fee to swap cars. FiveCentNickel.com says, on average, a car owner will spend ,200 a year on maintenance. If your car breaks down or needs an oil change, most subscription services will pay for out of pocket maintenance. Subscription services are great if you want convenience, flexibility and a lifestyle where you change vehicle often.However, convenience often comes with a price. If you’re on a budget, financial expert Jonathan Duong says it may not be worth it. 1572
There are 725 days until the 2020 presidential election. “I know people think it's a long way out, but the reality is the Iowa caucuses are likely to be 15 months from now, if not sooner,” says Dr. Lara Brown, the director of the Graduate School of Political Management at George Washington University.Iowa is key. Several high-profile Democrats have already visited the state recently, and experts say it won't be long until some of them officially throw their hat in the ring.“I would imagine we're going to have some candidates announcing their runs either at the end of this year, so the end of December, or in the first two months of 2019,” says Brown.Brown published a book on presidential nominations and elections called “Jockeying for the American Presidency: The Political Opportunism of Aspirants.”Brown says Democrats can expect a crowded field, just like the Republicans had in 2016.While no one has officially announced a party candidate, a list of potential candidates has been building for months.“We're going to have a lot of different Democrats from a lot of different regions, trying to make the argument they're really the one to lead the party and bring the White House back to the Democrats.”While it's rare that an incumbent president loses a re-election campaign, Brown says President Trump is vulnerable.“It’s evident after the 2018 elections that the Republican party's base is shrinking,” she says. “They are not appealing to as many people as they used to. There's now a 20-point split among women in terms of who and what party they favor.” 1583
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