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Salud dental: ¿porcelana o resina para el diseño de sonrisa?

Dra. Vivian Menéndez.

Si hablamos de transformar la sonrisa y mejorar la salud dental, la elección entre porcelana y resina es crucial para los tratamientos de carillas dentales o veneers. Ante todo, el paciente debe analizar qué material es más conveniente, siempre asesorado por un profesional con licencia y experiencia.

Para quienes no están familiarizados con el procedimiento, el diseño de sonrisa conlleva el uso de carillas dentales, unas finas láminas que se colocan sobre los dientes naturales para mejorar su apariencia, sobre todo en casos de decoloración, malformaciones o para buscar simetría en la sonrisa.

Este tratamiento dental no invasivo no solo tiene un objetivo estético, sino que contribuye a la salud dental. Como indica la Asociación Dental Americana (ADA), las carillas dentales son útiles para varios propósitos estéticos y funcionales, como aclarar dientes amarillentos que no responden al blanqueamiento tradicional, reparar dientes fracturados o desalineados, y también para cerrar espacios prominentes entre los dientes frontales superiores, aquellos que se conocen como diastemas. Todo eso propicia una mejor salud de las encías.

El diseño de sonrisa, un tratamiento que realizo desde hace años, representa un cambio positivo de 360 grados para los pacientes. Otro beneficio importante es que las carillas dentales reducen el desgaste excesivo en los dientes, ayudan a disminuir la sensibilidad a cambios de temperatura, y refuerzan los dientes que puedan tener fisuras o grietas.

¿Qué material usar? Aunque a simple vista la resina pueda parecer una solución económica y accesible, la realidad es que no todo lo que brilla es oro. La porcelana brinda mejores resultados visuales para la salud y a largo plazo. Veamos por qué.

La resina, un material plástico utilizado frecuentemente en diseños de sonrisa, tiene una duración limitada de aproximadamente dos años. Con el tiempo, no solo pierde su color y brillo natural, sino que también puede desgastarse fácilmente, lo cual compromete la estética y funcionalidad de tu sonrisa.

Y atentos con esto: la superficie de la resina puede acumular bacterias con mayor facilidad. Podemos experimentar inflamación de las encías, y por lo tanto incrementa el riesgo de caries. A corto plazo son una solución, pero en el curso de un par de años el paciente necesitará un mantenimiento constante y la necesidad de reemplazos frecuentes que, por supuesto, pueden resultar más costosos.

Porcelana: estética y durabilidad

La porcelana, por otro lado, es el material premium para quienes buscan resultados duraderos y de alta calidad. Este material no solo ofrece un brillo natural que imita perfectamente el esmalte dental, sino que también es extremadamente resistente al desgaste, las manchas y el paso del tiempo.

Con el cuidado adecuado, las carillas de porcelana pueden durar entre 15 y 20 años, manteniendo tu sonrisa impecable por mucho más tiempo. Además, al ser más amigable con las encías, contribuye a mantener una salud bucal óptima.

A fin de cuentas, la decisión recae en cada persona: optar por algo temporal y menos duradero, o buscar una solución que le acompañe por años con esa misma frescura del primer día.

* La Dra. Vivian Menéndez es odontóloga general, líder de Art Dental Studio en Miami. Tiene un posgrado en Prótesis Dental y una especialización en el International Dental Graduate Program de Nova Southeastern University @artdentalstudio_

Agresor en hospital de Pensilvania tuvo contacto reciente con la unidad de terapia intensiva

Pensilvania
Linda Shields deja flores frente al Departamento de Policía del distrito de West York después de que un policía fue asesinado al responder a un tiroteo en el hospital UPMC Memorial, el sábado 22 de febrero de 2025, en York, Pensilvania. (Foto: AP/Matt Rourke)

Pensilvania, EE. UU.— El hombre que según las autoridades ingresó a un hospital de Pensilvania con abrazaderas plásticas y una pistola el fin de semana tuvo contacto reciente con la unidad de cuidados intensivos, donde tomó como rehenes a miembros del personal y fue abatido en un tiroteo en el que murió un policía y otras personas resultaron heridas.

Los investigadores no divulgaron nueva información el domingo sobre un posible motivo para la balacera del sábado en el Hospital UPMC Memorial en York, en el que un médico, una enfermera, un conserje y dos agentes más resultaron heridos.

Sin embargo, el fiscal de distrito del condado York, Tim Barker, dijo durante una conferencia de prensa el sábado que el hombre —identificado como Diogenes Archangel Ortiz, de 49 años— parecía haber tenido contacto reciente con la UCI “por un motivo médico que involucraba a otra persona”. No divulgó detalles ni identificó la relación de Archangel Ortiz con la persona por lo que dijo son cuestiones de privacidad.

Aunque la investigación se encuentra en sus primeras etapas, Barker comentó que, tras ver el video de vigilancia y revisar las declaraciones de la policía y los trabajadores, parecía que el hombre armado había apuntado intencionalmente a los trabajadores allí.

Se informó que los empleados del hospital heridos se encontraban estables el domingo, y funcionarios de UPMC dijeron que estaban “progresando en su recuperación”. El hospital permaneció cerrado a los visitantes.

“Sabemos que las familias y los visitantes son vitales para ayudar a los pacientes a sanar, y estamos trabajando para posibilitar las visitas nuevamente”, señaló el hospital en un comunicado.

Barker indicó que los propios agentes de seguridad del hospital fueron los primeros en llegar a la escena y que el hombre armado les disparó, ante lo cual decidieron solicitar refuerzos.

Docenas de agentes respondieron, provenientes de diversas agencias. Cuando intentaron acceder a la unidad de terapia intensiva, el hombre apuntaba con su pistola a una integrante del personal y le ordenó a los policías que se mantuvieran detrás de las puertas. Ellos accedieron con tal de asegurarse de que la trabajadora no resultara herida.

Las autoridades indicaron que a fin de cuentas Archangel Ortiz ingresó al pasillo mientras apuntaba con su arma a la trabajadora, que tenía las manos atadas con abrazaderas plásticas.

“Los agentes, viendo que ya no tenían otra opción, abrieron fuego”, declaró Barker, y abatieron al agresor.

El policía que murió se llamaba Andrew Duarte, de 30 años, y pertenecía al Departamento de Policía del distrito de West York.

Duarte era un veterano policial que ingresó al departamento en 2022 tras pasar cinco años en el Departamento de Policía de Denver, según su perfil en la red social LinkedIn. Describió haber recibido un “premio al héroe” en 2021 de parte del grupo Mothers Against Drunk Driving (Madres Contra la Conducción Alcoholizada) por su trabajo policial en el estado de Colorado con relación a ese tema.

El gobernador de Pensilvania, Josh Shapiro, ordenó que las banderas ondearan a media asta en honor a Duarte.

Los dos agentes heridos, de los departamentos de policía del condado Northern York y del municipio de Springettsbury, se encontraban estables. Sus identidades no fueron dadas a conocer por el momento.

El tiroteo fue el episodio más reciente de una ola de violencia armada en los últimos años que ha azotado a hospitales y centros médicos en Estados Unidos, los cuales han luchado por adaptarse a las crecientes amenazas. Tales ataques han contribuido a que la atención médica sea uno de los campos laborales más peligrosos del país: los trabajadores de salud sufren más lesiones no fatales por violencia que los trabajadores de cualquier otra profesión, según los Centros para el Control y la Prevención de Enfermedades.

Motive in Pennsylvania hospital shooting unclear, but officials say man had recent contact with ICU

Leah Fauth gets a hug after leaving flowers in front of the West York Police Department after a police officer was killed responding to a shooting at UPMC Memorial Hospital in York, Pa. on Saturday, Feb. 22, 2025. (Photo: AP/Matt Rourke)

The man who authorities say entered a Pennsylvania hospital with zip ties and a pistol over the weekend had recent contact with the hospital’s intensive care unit, where he took staff members hostage and was killed in a shootout that left a police officer dead and others injured.

Investigators released no new information Sunday about a possible motive for the shooting at UPMC Memorial Hospital in York on Saturday, in which a doctor, nurse, custodian and two other officers were injured.

But York County District Attorney Tim Barker said during a news conference Saturday that the man — identified as 49-year-old Diogenes Archangel-Ortiz — appeared to have had recent contact with the ICU “for a medical purpose involving another person.” He didn’t release any details or identify Archangel-Ortiz’s relationship to the person, citing privacy concerns.

While the investigation is in its early stages, Barker said after watching surveillance video and reviewing statements by police and workers that it appeared the shooter intentionally targeted the workers there.

This undated photo provided by the Denver Police Department shows Andrew Duarte who served as a Denver police officer from 2017 to 2022. (Denver Police Department via AP)

The injured hospital workers were reported to be in stable condition Sunday, and UPMC officials said they were “progressing in their recovery.” The hospital remained closed to visitors.

“We know that families and visitors are vital to helping patients heal, and we are working toward making visitation possible again,” the hospital said in a statement.

Barker said the hospital’s own security officers were first on the scene and that the gunman fired at them, prompting a call for backup.

Dozens of officers responded from multiple agencies. When they attempted to access the ICU, the gunman was holding a female staff member at gunpoint and ordered police back behind the doors. They complied to ensure the worker wouldn’t be hurt.

El fiscal del condado de York, Timothy J. Barker, reacciona durante una rueda de prensa sobre el tiroteo en el Hospital UPMC Memorial de York, Pensilvania, el sábado 22 de febrero de 2025. (Foto: AP/Matt Rourke)

Authorities said Archangel-Ortiz ended up entering the hallway with the staff member, her hands bound with zip ties.

“The officers, left with no recourse, did open fire,” Barker said, and the gunman was killed.

The officer who died was identified as Andrew Duarte, 30, of the West York Borough Police Department.

Duarte was a law enforcement veteran who joined the department in 2022 after five years with the Denver Police Department, according to his LinkedIn profile. He described receiving a “hero award” in 2021 from Mothers Against Drunk Driving for his work in impaired driving enforcement for the state of Colorado.

Pensilvania
Linda Shields deja flores frente al Departamento de Policía del distrito de West York después de que un policía fue asesinado al responder a un tiroteo en el hospital UPMC Memorial, el sábado 22 de febrero de 2025, en York, Pensilvania. (Foto: AP/Matt Rourke)

Pennsylvania Gov. Josh Shapiro ordered flags be flown half-staff to honor Duarte.

The two wounded officers, from Northern York County Regional and Springettsbury Township police departments, were reported in stable condition. Their identities weren’t immediately released.

The shooting was the latest episode of a wave of gun violence in recent years that has swept through U.S. hospitals and medical centers, which have struggled to adapt to the growing threats. Such attacks have contributed to making health care one of the nation’s most dangerous fields, with workers suffering more nonfatal injuries from workplace violence than workers in any other profession, according to the U.S. Centers for Disease Control and Prevention.

Kamala Harris receives prestigious Chairman’s prize at NAACP Image Awards

Kamala Harris
Former Vice President Kamala Harris accepts the chairman's award during the 56th NAACP Image Awards on Saturday, Feb. 22, 2025, in Pasadena, Calif. (Photo by Richard Shotwell/Invision/AP)

LOS ANGELES— Former Vice President Kamala Harris stepped on the NAACP Image Awards stage Saturday night with a sobering message, calling the civil rights organization a pillar of the Black community and urging people to stay resilient and hold onto their faith during the tenure of President Donald Trump.

“While we have no illusions about what we are up against in this chapter in our American story, this chapter will be written not simply by whoever occupies the oval office nor by the wealthiest among us,” Harris said after receiving the NAACP’s Chairman’s Award. “The American story will be written by you. Written by us. By we the people.”

The 56th annual Image Awards was held at the Pasadena Civic Auditorium in the Los Angeles area.

Harris, defeated by Trump in last year’s presidential election, was the first woman and the first person of color to serve as vice president. She had previously been a U.S. senator from California and the state’s attorney general.

In her first major public appearance since leaving office, Harris did not reference her election loss or Trump’s actions since entering the Oval Office, although Trump mocked her earlier in the day at the Conservative Political Action Conference.

Harris spoke about eternal vigilance, the price of liberty, staying alert, seeking the truth and America’s future.

“Some see the flames on our horizons, the rising waters in our cities, the shadows gathering over our democracy and ask ‘What do we do now?’” Harris said. “But we know exactly what to do, because we have done it before. And we will do it again. We use our power. We organize, mobilize. We educate. We advocate. Our power has never come from having an easy path.”

Other winners of the Chairman’s prize have included former President Barack Obama, the late Rep. John Lewis and the late actor Ruby Dee.

NAACP Hall of Fame

Harris was honored during the ceremony along with the Wayans family. The family was inducted into the NAACP Image Awards Hall of Fame in recognition of pioneering contributions to film, TV, sketch and stand-up comedy that have shaped Hollywood for decades.

Keenen Ivory Wayans, Damon Wayans Sr., Marlon Wayans, Shawn Wayans, Kim Wayans and Damon Wayans Jr. each were recognized.

Marlon Wayans, whose guest appearance on Peacock’s “Bel-Air” was up for an NAACP award, shared how Keenen Ivory Wayans sparked the family’s rise.

“He raised us all like Jedis,” he said. “We wouldn’t be here if it wasn’t for our big brother.”

Marlon Wayans joked that when his brother told their mom he was leaving college for comedy, she said, ”Boy, I’ve known you your whole life, and you ain’t never said nothing funny. That’s the funniest thing you’ve said.»

The crowd erupted in laughter, a fitting tribute to a family that has kept audiences laughing for more than three decades.

The family has a long list of credits. Keenen Ivory Wayans created the sketch comedy series “In Living Color” in 1990 and directed the 2000 slasher spoof “Scary Movie,” which was written by Marlon Wayans and Shawn Wayans, who also wrote and starred in “White Chicks” in 2004. Damon Wayan’s had a starring role in the 1995 comedy “Major Payne,” and currently co-stars with son Damon Wayans Jr. in the CBS sitcom “Poppa’s House,» which was nominated for an NAACP Award. The pair also were nominated for their acting on the show.

Damon Wayans Jr. has acted in two of the most critically acclaimed comedies in recent years: “Happy Endings” and “New Girl.” Kim Wayans, a comedian, actor and director, also received praise for her work in the 2011 drama “Pariah.”

Entertainer of the year

Keke Palmer expressed her surprise after her name was called as winner of the coveted entertainment of the year.

“Oh my gosh. Guys, I didn’t think I was going to win,” said Palmer, who paid homage to fellow nominee Cynthia Erivo’s Oscar-nominated performance in “Wicked.”

Palmer starred in the buddy comedy “One of Them Days,” which debuted No. 1 at the box office last month. She also won an Emmy for her hosting efforts on NBC’s “Password.”

“It’s such an amazing category to be in with all these people,” Palmer said. “It’s a beautiful night. It’s Black History Month, y’all. It’s so important we all come here together and celebrate one another with one another.”

Other nominees included Kendrick Lamar, Kevin Hart and Shannon Sharpe.

Awards recognize LA residents impacted by wildfires

Image Awards host Deon Cole honored residents of the nearby Altadena neighborhood who were affected by January’s devastating Los Angeles-area wildfires.

A video of the fire devastation played before actor Morris Chestnut took the stage.

“Homes were lost, stores destroyed, countless lives shattered and over two dozens souls gone forever,” said Chestnut, a Los Angeles native who referenced impacted areas such as Altadena, the Pacific Palisades and Malibu.

“But what was not lost is the spirit of our community,” said Chestnut, who noted 22 Altadena residents attended the show on Saturday. Many in the audience stood and applauded.

Cole shifted tone and brightened the mood with a comedic prayer for Kanye West’s wife to find more clothes after her barely-there Grammys look and for Shannon Sharpe to finally size up his T-shirts.

The opening act was a lead-up to the evening’s first award: Queen Latifah as best actress in a drama series for her role in “The Equalizer.”

Chappelle honored

Dave Chappelle was honored with the President’s Award for his “thought-provoking humor.»

Accepting the award, Chappelle talked about the NAACP’s push against negative portrayals of Black people in media and the importance of representation.

“Every opportunity we get, we just keep chipping away at this monster of a machine,” he said.

Past recipients of the President’s Award include Jay-Z, Lauryn Hill, Usher, Rihanna and John Legend.

Gobernadora pide a EE. UU. que acelere la modernización de la red eléctrica de Puerto Rico

Gobernadora
Imagen de archivo de la gobernadora de Puerto Rico, Jenniffer González. EFE/ Thais Llorca

San Juan.- La gobernadora de Puerto Rico, Jenniffer González, pidió a los nuevos jefes de Energía, Interior y Protección Ambiental federal que asistan a las agencias locales en acelerar los proyectos de reconstrucción y modernización de la red eléctrica local, se informó este domingo.

Así lo dejó saber en un comunicado de prensa el secretario de Asuntos Públicos de Puerto Rico, Hiram Torres Montalvo, al detallar algunos de los compromisos que tuvo González estos pasados días durante las reuniones de la Asociación de Gobernadores Republicanos y la Asociación Nacional de Gobernadores, en Washington, D.C.

Referente a la reconstrucción del sistema eléctrico, Torres sostuvo que González está enfocada en resolver los asuntos de permisología por parte del Gobierno federal y tener mayor celeridad en el proceso, lo que permitirá poder realizar y completar proyectos de envergadura para la isla.

«El presidente Trump ya ha dado instrucciones sobre cuales son las áreas que deben tener prioridad, como la aceleración de los procedimientos de permisos para convertir plantas a gas natural para lograr las mejoras necesarias en la red», aseveró Torres.

Igualmente, Torres sostuvo que González se reunió con el secretario de Energía federal, Chris Wright, «en quien tiene un aliado para promover el uso de gas natural para incrementar a corto plazo la generación de energía en Puerto Rico».

«La gobernadora ha destacado que la mayoría de los fondos federales que tienen que ver con la reconstrucción del sistema eléctrico, el Departamento de Energía federal tiene que dar la autorización. Es por eso, que estas reuniones son sumamente importantes», enfatizó Torres.

González, a su vez, aprovechó su visita a la capital federal para entregar a la mano una carta que envió el pasado 24 de enero a todo el gabinete del presidente Trump relacionados con el tema energético.

Según dijo Torres, Trump ya ha dado instrucciones sobre cuales son las áreas que deben tener prioridad, como la aceleración de los procedimientos de permisos para convertir plantas a gas natural para lograr las mejoras necesarias en la red.

Mientras, sobre las nuevas políticas de Trump para imponer aranceles y su interés en incentivar la producción energética, Torres dijo que la gobernadora se ha mostrado sumamente optimista sobre el impacto positivo que esto puede traer a la economía de Puerto Rico.

Por ello, la gobernadora ha asegurado que esto permitirá que más empresas se muden a Puerto Rico, pues la isla cuenta con la fuerza laboral para atender la manufactura, la investigación y el desarrollo de proyectos de envergadura.

Oficial de policía es asesinado tras responder a un tiroteo en un hospital de Pensilvania

El fiscal del condado de York, Timothy J. Barker, reacciona durante una rueda de prensa sobre el tiroteo en el Hospital UPMC Memorial de York, Pensilvania, el sábado 22 de febrero de 2025. (Foto: AP/Matt Rourke)

Pensilvania, EE. UU. — Un hombre armado con una pistola y que llevaba bridas entró en la unidad de cuidados intensivos de un hospital de Pensilvania el sábado y tomó como rehenes a miembros del personal antes de ser abatido por la policía en un tiroteo que también dejó muerto a un oficial, informaron las autoridades.

Tres empleados del hospital UPMC Memorial, incluyendo a un médico, una enfermera y un conserje, así como dos agentes más, recibieron disparos y fueron heridos en el ataque, dijo el fiscal del distrito del condado de York, Tim Barker. Un cuarto miembro del personal resultó herido durante una caída.

Los disparos estallaron después de que los agentes fueron a enfrentar al tirador, a quien Barker identificó como Diogenes Archangel-Ortiz, de 49 años. Dijo que Archangel-Ortiz tenía a punta de pistola a una empleada que tenía las manos atadas con bridas cuando la policía abrió fuego.

“Esta es una gran pérdida para nuestra comunidad”, dijo Barker en una conferencia de prensa tras el tiroteo. “Está absolutamente claro, y fuera de toda duda, que los agentes actuaron de forma justificada utilizando la fuerza letal”.

Barker agregó que, aunque la investigación está en sus primeras etapas, parece que Archangel-Ortiz había tenido contacto previo con la UCI del hospital a principios de la semana por “un propósito médico que involucraba a otra persona” y que intencionalmente apuntó a los trabajadores allí.

El agente que murió en el tiroteo fue identificado como Andrew Duarte del departamento de policía de West York Borough.

“Todos tenemos el corazón roto y estamos de luto por su pérdida”, dijo Shawn Mauck, gerente de West York Borough, a The Associated Press.

Duarte era un veterano de las fuerzas del orden que se unió al departamento de policía de West York Borough en 2022 después de cinco años con el departamento de policía de Denver en Colorado, según su perfil de LinkedIn. Dijo haber recibido un “premio al héroe” en 2021 de Mothers Against Drunk Driving (Madres contra la conducción bajo los efectos del alcohol) por su trabajo en la aplicación de la normativa sobre conducción bajo los efectos del alcohol en el estado de Colorado.

“Tengo una personalidad tipo A y me gusta tener éxito en todo lo que hago” , decía su perfil de LinkedIn .

El gobernador de Pensilvania, Josh Shapiro, describió el ataque a los policías y trabajadores de la salud como “el acto de un cobarde».

“Que no se pierda de vista el acto de extraordinaria valentía y coraje de los trabajadores de la salud aquí, de los profesionales de la ley… que corrieron hacia el peligro para mantener a la gente a salvo ”, dijo Shapiro.

UPMC Memorial es un hospital de cinco pisos y 104 camas que abrió en 2019 en York, una ciudad de aproximadamente 40.000 personas conocida por la creación de las York Peppermint Patties en 1940.

Una persona camina por la entrada del Hospital UPMC Memorial en York, Pensilvania, el sábado 22 de febrero de 2025. (Foto: AP/Matt Rourke)

El tiroteo es parte de una ola de violencia armada en los últimos años que ha afectado a hospitales y centros médicos en Estados Unidos, los cuales han enfrentado dificultades por adaptarse a las crecientes amenazas. Tales ataques han contribuido a que la atención médica se convierta en uno de los campos más violentos del país, con trabajadores que sufren más lesiones no fatales por violencia en el lugar de trabajo que los trabajadores de cualquier otra profesión, según los Centros para el Control y la Prevención de Enfermedades de Estados Unidos.

En 2023, un pistolero mató a un guardia de seguridad en el vestíbulo del hospital psiquiátrico estatal de Nueva Hampshire antes de ser abatido por un oficial estatal. En 2022, un hombre mató a dos trabajadores en un hospital de Dallas mientras estaba allí para presenciar el nacimiento de su hijo. En mayo de ese año, un hombre abrió fuego en la sala de espera de un centro médico en Atlanta, matando a una mujer e hiriendo a cuatro. Y solo un mes después, un pistolero mató a su cirujano y a otras tres personas en una oficina médica en Tulsa, Oklahoma, porque culpaba al doctor de su dolor persistente tras una operación.

Officer killed after a gunman took hostages at a Pennsylvania hospital

hospital
Balloons are placed in front of UPMC Memorial Hospital after a deadly shooting in York, Pa. on Saturday, Feb. 22, 2025. (AP Photo/Matt Rourke)

YORK, Pa.— A man armed with a pistol and carrying zip ties entered a Pennsylvania hospital’s intensive care unit Saturday and took staff members hostage before he was killed by police in a shootout that also left an officer dead, authorities said.

Three workers at UPMC Memorial Hospital, including a doctor, a nurse and a custodian, and two other officers were shot and wounded in the attack, York County District Attorney Tim Barker said. A fourth staffer was injured in a fall.

Gunfire erupted after officers went to engage the shooter, whom Barker identified as Diogenes Archangel-Ortiz, 49. He said Archangel-Ortiz was holding at gunpoint a female staff member who had her hands bound with zip ties when police opened fire.

“This is a huge loss to our community,” Barker said at a press conference following the shooting. “It is absolutely clear, and beyond any and all doubt, that the officers were justified in taking their action using deadly force.”

Barker added that while the investigation is in its early stages, it appears Archangel-Ortiz had previous contact with the hospital’s ICU earlier in the week for “a medical purpose involving another individual” and he intentionally targeted the workers there.

No one answered the door Saturday at an address in York believed to be that of Archangel-Ortiz.

The officer who died was identified as Andrew Duarte of the West York Borough Police Department.

“We all have broken hearts and are grieving at his loss,” West York Borough Manager Shawn Mauck told The Associated Press.

Duarte was a law enforcement veteran who joined the department in 2022 after five years with the Denver Police Department, according to his LinkedIn profile. He described receiving a “hero award” in 2021 from Mothers Against Drunk Driving for his work in impaired driving enforcement for the state of Colorado.

“I have a type A personality and like to succeed in all that I do,” his LinkedIn profile said.

Duarte also worked as a patrol officer in Denver, was highly regarded for his work and was close friends with other officers, the department there said in a statement.

At a makeshift memorial on the front steps of the West York Borough Police Department, Linda Shields dropped off roses Saturday and dabbed tears as she thought of her son, a police officer in Maryland.

“He was so young,” Shields said of Duarte. “It makes no sense at all.”

Pennsylvania Gov. Josh Shapiro called the attack on police and health care workers s “the act of a coward.”

“Let it not be lost on anyone the act of extraordinary bravery and courage by the health care workers here, by the law enforcement professionals … who ran toward danger to keep people safe,” Shapiro said.

UPMC Memorial is a five-story, 104-bed hospital that opened in 2019 in York, a city of about 40,000 people known for its creation of York Peppermint Patties in 1940.

The shooting is part of a wave of gun violence in recent years that has swept through U.S. hospitals and medical centers, which have struggled to adapt to the growing threats. Such attacks have helped make health care one of the nation’s most violent fields, with workers suffering more nonfatal injuries from workplace violence than workers in any other profession, according to the U.S. Centers for Disease Control and Prevention.

In 2023, a shooter killed a security guard in the lobby of New Hampshire’s state psychiatric hospital before being fatally shot by a state trooper. In 2022, a man killed two workers at a Dallas hospital while there to watch his child’s birth. In May of that year, a man opened fire in a medical center waiting room in Atlanta, killing one woman and wounding four. And just one month later, a gunman killed his surgeon and three other people at a Tulsa, Oklahoma, medical office because he blamed the doctor for his continuing pain after an operation.

3 politicians are accused of faking mail-in ballots in a 2021 mayoral race in a Philly suburb

politicians
A Delaware County secured drop box for the return of vote-by-mail ballots is pictured, May 2, 2022, in Newtown Square, Pa. (AP Photo/Matt Rourke, File)

MILLBOURNE, Pa.— Three politicians in a small municipality near Philadelphia were indicted this week on charges they tried to fraudulently win the mayoral race in 2021 by producing about three dozen false mail-in ballots.

A federal grand jury accused Mohammed Nurul Hasan, Mohammed Munsur Ali and Mohammed Rafikul Islam of conspiring to register people who live outside 1,200-population Millbourne as borough residents, to have mail-in ballots sent to themselves and then to return the completed ballots to the Delaware County elections board.

Hasan was serving as vice president of the borough council and had lost the Democratic mayoral primary in the heavily Democratic area. Ali had won the Democratic primary for borough council but Islam lost the Democratic primary that year in seeking to be reelected to the council.

The alleged voter fraud involved Hasan’s ultimately failed pursuit of the mayorship as a write-in candidate in fall 2021. He lost the mayoral race in the general election, 165 to 138.

The grand jury accused Hasan and Ali of telling friends who lived outside Millbourne “that they would not get in trouble as long as they did not vote in another election in November 2021,” according to the indictment. Others were allegedly registered as Millbourne voters without their knowledge.

The men are accused of forging voter signatures on return envelopes. The charges against the men are conspiracy, false information in registering and fraudulent voter registration. Hasan and Ali did not have lawyers listed in the court docket. A message seeking comment was left for them at the borough office.

Islam’s lawyer, Robert C. Keller, said Friday the charges against his client involve only three of the allegations. “At best, or worst, he’d be liable for three of the issues,” Keller said. Islam has no prior record, is a married U.S. citizen with children and is employed, his lawyer said.

Four Members of Drug Trafficking Organization Sentenced to Prison for Mailing, Distributing Methamphetamine and Cocaine Throughout Southeastern Pennsylvania

PHILADELPHIA – Acting United States Attorney Nelson S.T. Thayer, Jr., announced that four members of a drug trafficking organization (DTO) that mailed methamphetamine and cocaine to, and distributed it throughout, the Eastern District of Pennsylvania, including in Reading, Quakertown, Bensalem, Plymouth Township, Coopersburg, and elsewhere, have been sentenced to prison by United States District Court Judge Joshua D. Wolson.

In January 2024, the defendants were charged by indictment with drug trafficking offenses. They entered guilty pleas late last year.

Aived Abel Garcia, aka “Nephew,” 26, of Chula Vista, California, was sentenced today by Judge Wolson to 70 months in prison, to be followed by five years of supervised release, for his involvement in the drug trafficking organization.

Miguel Aliaga, aka “Migz,” 37, of Whitehall, Pennsylvania, and Avrian Haywood Mack, aka “The Kid,” 22, of Reading, Pennsylvania, were both sentenced earlier this month to 60 months in prison, to be followed by five years of supervised release.

The DTO’s leader, Michael Sanchez, aka “West Coast,” 33, of Los Angeles, California, was sentenced in January to 14½ years in prison, to be followed by five years of supervised release.

Members of the DTO mailed the drugs from California to the Eastern District of Pennsylvania, where members of the organization would then pick up the packages for subsequent distribution to their dealers.

Sanchez organized and managed the DTO, overseeing the drug shipments. Garcia would travel from California to Pennsylvania to pick up the packages of narcotics, collect money owed to the DTO, and deposit it into a bank account. He, Mack, and Aliaga then distributed bulk amounts of methamphetamine and cocaine for the organization.

“These defendants took part in a cross-country conspiracy that brought significant amounts of methamphetamine and cocaine from California to the Eastern District of Pennsylvania,” said Acting U.S. Attorney Thayer. “This office and our law enforcement partners at every level will continue to investigate and prosecute such traffickers, as we work to take illegal drugs off the street and make our communities safer.”

This case was investigated by Homeland Security Investigations (HSI) Philadelphia’s El Dorado Task Force, HSI Allentown, HSI Los Angeles, HSI San Diego, HSI LAX, Bucks County District Attorney’s Office Drug Strike Force, Quakertown Borough Police Department, Pennsylvania State Police, Richland Township Police Department, Liberty Mid-Atlantic High Intensity Drug Trafficking Area, Los Angeles Sheriff’s Department, Berks County Detectives, United States Postal Inspection Service, Pennsylvania Office of the Attorney General, Bensalem Police Department, Montgomery County Detectives, and the Orange County Probation Office. The case is being prosecuted by Assistant United States Attorney Lizmar Bosques and Special Assistant United States Attorney Thomas Gannon, specially assigned from the Bucks County District Attorney’s Office.

Luigi Mangione draws crowd for first court hearing since arraignment in UnitedHealthcare CEO killing

Luigi Mangione
Luigi Mangione , accused of fatally shooting the UnitedHealthcare CEO Brian Thompson in New York City and leading authorities on a five-day search is scheduled, appears in court for a hearing, Friday, Feb. 21, 2025, in New York. (Steven Hirsch/New York Post via AP, Pool)

NEW YORK— The defendant wore a bulletproof vest and shackles. A woman in the crowd wore a “Free Luigi» scarf. Outside, throngs of people cheered and chanted his name.

So it went Friday at a court hearing for Luigi Mangione, the man accused of gunning down UnitedHealthcare CEO Brian Thompson outside a Manhattan hotel on Dec. 4.

Mangione, who has become something of a cause célèbre for people upset with the health insurance industry, made his first court appearance since his Dec. 23 arraignment on state murder and terror charges.

Mangione, 26, didn’t speak at the hearing. Judge Gregory Carro ordered him to remain handcuffed, calling it a security measure. Mangione’s lawyer, Karen Friedman Agnifilo, argued that the sight of Mangione in shackles in the closely watched case was robbing him of his presumption of innocence.

Carro set another hearing for June 26 but didn’t schedule a trial date.

Mangione’s state case is slated to go to trial before a parallel prosecution on federal charges that carry the possibility of the death penalty. The maximum sentence for the state charges is life in prison without parole.

Friedman Agnifilo told Carro that the dual prosecutions were complicating defense preparations. Federal prosecutors are still weighing whether to seek the death penalty, she said.

Mangione also faces charges in Altoona, Pennsylvania, where he was arrested Dec. 9.

“We’re talking about there are three separate prosecutions that are happening about one event,» Friedman Agnifilo said, renewing her complaint that Mangione is treated differently because of the notoriety of the crime.

Among her grievances: New York City Mayor Eric Adams and a top police official making time to talk to an HBO film crew about a key piece of evidence — a notebook in which Mangione purportedly expressed hostility toward the health insurance industry — that she said has yet to be turned over to the defense.

“One of the issues here is that the two theories of prosecution are opposite and inconsistent with one another,» Friedman Agnifilo told Carro, urging him to hold off on setting deadlines for pretrial court filings. “By defending ourselves in state court we are potentially providing fodder for the federal case.”

Manhattan prosecutors said they have turned over more than 800 gigabytes of evidence, including surveillance video, police body camera footage and data from DNA testing.

Carro ordered Mangione’s lawyers to file pretrial requests, known as motions, by April 9 and told prosecutors to file their responses by May 14. Friedman Agnifilo said she would seek to suppress some evidence seized during Mangione’s arrest.

“I don’t know about any other case in federal court or anywhere else. I’m dealing with this case,» Carro said, telling Friedman Agnifilo: “The sooner we order the hearings, the sooner you’ll have your suppression hearing.”

Mangione has pleaded not guilty to multiple counts of murder, including murder as an act of terrorism.

The killing of Thompson as he walked to an investor conference sent shock waves through the corporate world, rattling executives who say they saw a spike in threats.

Mangione has attracted a cult following as a stand-in for frustrations over coverage denials and hefty medical bills. A poll taken in the wake of the shooting showed most Americans believe health insurance profits and coverage denials share blame.

About two-dozen people who showed up to support Mangione filed into the back of the courtroom gallery behind several rows of reporters. Among them: former Army intelligence analyst Chelsea Manning, who served about seven years in prison for stealing classified diplomatic cables.

Dozens more — mostly women in their 20s or 30s — queued in the hallway and cheered as Mangione’s defense team walked up. Court officers admonished some for taking photos or video, which isn’t allowed outside designated areas. One Mangione supporter sported a green “Luigi” hat from the “Mario Bros.” video game franchise and many wore green, the character’s color, as a symbol of solidarity.

Mangione, who wore a dark green sweater under the bulletproof vest, said in a recent statement on a website for his legal defense: “I am overwhelmed by — and grateful for — everyone who has written me to share their stories and express their support. Powerfully, this support has transcended political, racial, and even class divisions.”

Although the state case is slated to be tried first, Mangione is being held in a Brooklyn federal jail alongside high-profile defendants including Sean “Diddy” Combs and Sam Bankman-Fried.

Carro questioned that arrangement, which Friedman Agnifilo said has hampered defense preparations.

“Is there even an indictment in the federal case?” Carro asked.

“No,” Friedman Agnifilo said.

“So they’re holding him on a complaint,» the judge asked.

“With the defense’s consent,» prosecutor Zachary Kaplan said.

“When they’re hanging the death penalty over your head, you have no choice but to consent,» Friedman Agnifilo responded.