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Iowa State University graduates who celebrated commencement Friday saw lots of caps and gowns, red-and-gold confetti and arenas packed with friends and family. But none of those images were from...

A 10th wedding anniversary traditionally is celebrated with a gift of aluminum or tin. For Sondy Daggett, her 10th year of marriage to Liz Hoskins was marked with a gift of Champagne and...

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Iowa State University graduates who celebrated commencement Friday saw lots of caps and gowns, red-and-gold confetti and arenas packed with friends and family.

But none of those images were from this year — which now is defined by the novel coronavirus that has forced education online and put an end to large gatherings like graduation ceremonies.

Appearing in front of a red ISU screen Friday, College of Agriculture and Life Sciences Dean Daniel J. Robison addressed graduates like he usually would at commencement — but this time in a recorded message acknowledging the unprecedented circumstances keeping them apart.

“This year, because of the COVID crisis, we are unfortunately not all together for this happy occasion,” he said, pushing forward in a motivational tone by quoting famed ISU alumnus George Washington Carver.

“When you can do the common things in life in an uncommon way, you will command the attention of the world,” Robison said, citing Carver.

About 12,000 graduates across Iowa’s public universities this month are doing exactly that — capping their collegiate careers with never-before-attempted online-only commencement ceremonies, with each campus and their respective colleges attempting a variety of virtual celebration methods.

ISU and the University of Iowa are attempting some form of socially-distanced livestreamed convocation with countdown clocks and virtual confetti. All three campuses including the University of Northern Iowa have posted online recorded messages, videos and slides acknowledging individual graduates.

Some slides include photos, thank-yous, quotes and student plans for after graduation.

UNI, which didn’t try any form of a live virtual ceremony, instead created a graduation website that went live Thursday. That site hosts an array of recorded video messages — including one from UNI President Mark Nook who, standing alone behind a podium on campus clad in traditional academic regalia, recognized his campus’ 1,500-some spring graduates and their unusual challenges.

“We know the loss you feel in not being able to be on campus to celebrate this time with your friends, faculty and staff,” Nook said. “To walk around campus in your robe and to take those pictures with friends and family members … The loss is felt by many of us as well.”

He reminded those listening that this spring’s UNI graduates — like those at the UI and ISU — can participate in an upcoming in-person commencement ceremony.

And although students were allowed to return caps and gowns they ordered for their canceled walks across the stage, some kept them as keepsakes. The campuses offered other tokens of remembrance as well, including “CYlebration” gift packages ISU sent to graduates in April stuffed with a souvenir tassel, diploma cover, and streamer tube — to make up for the confetti that won’t be falling on graduation caps from the Hilton Coliseum rafters.

In addition to the recorded messages from 17 UI leaders — including President Bruce Harreld — the campus solicited parent messages, which will be included in the live virtual ceremonies.

To date, about 3,100 of the more than 5,400 UI graduates have RSVP’d to participate in the ceremony, which spokeswoman Anne Bassett said is a required affirmation from the students to have their names read.

“Students do not have to sign up to watch,” she said. “So there’s no way at this time to predict how many will do so.”

Despite the historic nature of the first online-only commencement ceremonies — forever bonding distanced graduates through the shared experience — UI graduate Omar Khodor, 22, said it’s a club he would have liked to avoid.

“I’d definitely prefer not to be part of that group,” the environmental science major said, sharing disappointment over the education, experiences and celebrations he lost to the pandemic.

“A lot of students like myself, we’re upset, but we’re not really allowed to be upset given the circumstances,” Khodor said. “You have this sense that something is unfair, that something has been taken from you. But you can’t be mad about it at all.”

Life is too short to dwell on what could have been or what should have been — which sort of captures graduate Dawn Hales’ motivation to get an ISU degree.

The 63-year-old Ames grandmother calls herself the “oldest BSN Iowa State grad ever.”

“It’s the truth, because we’re only the second cohort to graduate,” Hales said. “I’ll probably be the oldest for a while.”

ISU began offering a Bachelor of Science in nursing degree in fall 2018 for registered nurses hoping to advance their careers — like Hales, who spent years in nursing before becoming director of nursing at Accura Healthcare, a skilled nursing and rehabilitation center in Ames.

In addition to wanting more education, Hales said, she felt like the “odd man out” in her red-and-gold family — with her husband, three sons and their wives all earning ISU degrees. She earned an associate degree and became a registered nurse with community college training.

“I was director of nursing at different facilities, but I did not have a four-year degree,” she said. “I always wanted to get my BSN.”

So in January 2019, she started full-time toward her three-semester pursuit of a BSN — even as she continued working. And her education took a relevant and important turn when COVID-19 arrived.

“My capstone project was infection control,” she said, noting her focus later sharpened to “infection control and crisis management” — perfect timing to fight the coronavirus, which has hit long-term care facilities particularly hard.

“We were hyper vigilant,” Hales said of her facility, which has yet to report a case of COVID-19. “I think we were probably one of the first facilities that pretty much shut down and started assessing our staff when they would come in.”

Hales said she was eager to walk in her first university graduation and was planning antics for it with her 10-year-old granddaughter.

“We were trying to think, should I dance across the stage?” Hales said. “Or would I grab a walker and act like an old lady going across the stage?

“She was trying to teach me to do this ‘dab’ move,” Hales said. “I said, ‘Honey, I cannot figure that out.’”

In the end, Hales watched the celebration online instead. She did, however, get a personalized license plate that reads, “RN2BSN.”

Coming from a family-run dairy farm in Jerome, Idaho, EllieMae Millenkamp, 22, is the first in her family to graduate college.

Although music is her passion, Millenkamp long expected to study at an agriculture school — but Colorado State was her original choice.

Then, while visiting family in Iowa during a cousin’s visit to ISU, she fell in love with the Ames campus and recalibrated her academic path.

While at ISU, the musical Millenkamp began writing more songs and performing more online, which led to in-person shows and a local band.

And then, during her junior year, a talent scout reached out to invite her to participate in an audition for NBC’s “The Voice.” That went well and Millenkamp, in the summer before her senior year, moved to Los Angeles and made it onto the show.

She achieved second-round status before being bumped, but the experience offered her lifelong friendships and connections and invigorated her musical pursuits — which have been slowed by COVID-19. Shows have been canceled in now idled bars.

Millenkamp went back to Idaho to be with her family, like thousands of her peers also did with their families, when the ISU campus shut down.

After graduation she plans on returning and working the family farm again until her musical career has the chance to regain momentum.

But she recently returned to Ames for finals. And she and some friends, also in town, plan to celebrate graduation, even if not with an official cap and gown.

“We’ll probably have a bonfire and all hang out,” she said. “We’ll celebrate in our own way.”

Most college seniors nearing graduation get to spend their academic hours focusing on their major and interests, wrapping their four or sometimes five years with passion projects and capstone experiences.

That was Omar Khodor’s plan — with lab-based DNA sequencing on tap, along with a geology trip and policy proposal he planned to present to the Iowa Legislature. But all that got canceled — and even some requirements were waived since COVID-19 made them impossible.

“There were still a lot of a lot of things to wrap up,” he said. “A lot of things I was looking forward to.”

He’s ending the year with just three classes to finish and “absolutely” would have preferred to have a fuller plate.

But Khodor’s academic career isn’t over. He’s planning to attend law school in the fall at the University of Pennsylvania, where he’ll pursue environmental law. But this spring has diminished his enthusiasm, with the question lingering of whether in-person courses will return to campus soon.

If they don’t, he’s still leaning toward enrolling — in part — because of all the work that goes into applying and getting accepted, which he’s already done.

“But online classes are definitely less fulfilling, less motivating. You feel like you learn less,” he said. “So it will kind of be a tossup. There’ll be some trade-offs involved in what I would gain versus what I would be paying for such an expensive endeavor like law school.”

As for missing a traditional college commencement, Khodor said he will, even though he plans to participate in the virtual alternative.

“Before it got canceled, I didn’t think that I was looking forward to it as much as I actually was,” he said.

Not so much for the pomp and circumstance, but for the closure, which none of the seniors got this year. When the universities announced no one would return to campus this semester, students were away on spring break.

They had already experienced their last in-person class, their last after-class drink, their last cram session, their last study group, their last lecture, their last Iowa Memorial Union lunch — and they didn’t even know it.

“So many of us, we won’t have closure, and that can kind of be a difficult thing,” he said.

Comments: (319) 339-3158; vanessa.miller@thegazette.com

For a list of commencement times and virtual celebrations, visit:

The University of Iowa’s commencement site at https://commencement.uiowa.edu/

Iowa State University’s commencement site at https://virtual.graduation.iastate.edu/

University of Northern Iowa’s commencement site at https://vgrad.z19.web.core.windows.net/uni/index.html

A 10th wedding anniversary traditionally is celebrated with a gift of aluminum or tin.

For Sondy Daggett, her 10th year of marriage to Liz Hoskins was marked with a gift of Champagne and chocolate-covered strawberries shared through a window.

Employees at Bickford of Marion, the assisted living and memory care center where Hoskins is a resident, surprised the couple with the anniversary gift on May 1. Despite the current coronavirus-related mitigation practices, the staff had created a special moment for the couple, who have been partners for 24 years.

Daggett burst into tears as employees played their wedding song — Billy Joel’s “The Longest Time.”

“It just touched my soul,” Daggett said.

Across the state, moments like this are relegated through windows or over a phone call. As the novel coronavirus pandemic sweeps through the country, long-term care facilities have locked down in an effort to keep residents healthy, which means their families are no longer able to hug their loved ones, or sit with them in their rooms.

For many families, the feelings at such times this time are conflicted. Typical Mother’s Day celebrations have been placed on hold, and recent milestones have been missed by those living in long-term care facilities. Simple visits through windows feel distant.

“Those are the moments you remember and you miss,” said Daggett, recalling memories of visits to Bickford of Marion from Hoskins’s grandchildren and family gatherings during the holidays.

Hoskins, who has dementia, has been a resident at Bickford since August 2019.

“The pandemic has taken this away,” Daggett said.

But beyond this new dynamic with which family members are left to grapple, they also have the constant worry that their loved one could fall ill.

So far, Bickford of Marion has not seen any cases.

“Every time you read about another outbreak — whether it’s close to home or anywhere in the country — it brings home how fortunate we are so far,” said Matt Hoskins, Liz Hoskin’s son. “I can’t imagine the anxiety the residents and staff are having once it breaks through the wall.”

As of Friday, 29 long-term care facilities across the state, which includes skilled nursing facilities and senior living centers, among others — have reported outbreaks of COVID-19 among hundreds of their staff and residents.

As a result, for some Iowans, that fear has become a reality.

Ruth Brackett’s son Jamie Degner, a 38-year-old resident at Harmony House Health Care Center in Waterloo, tested positive for COVID-19 this past week.

Degner, who has severe autism and intellectual disabilities, has been a resident there since he was 15 years old.

More than 60 residents and staff have tested positive for COVID-19 at Harmony House, an intermediate care facility. It’s one of two long-term care facilities in Black Hawk County reporting an outbreak, defined as three or more positive tests among residents.

Degner received his test results on Tuesday. He’s had lower-than-normal oxygen levels, but otherwise has recorded his usual vital signs and has not experienced symptoms.

Brackett said it is “unbelievably difficult to not be able to go be with him through this.”

As with many facilities across the state, Harmony House closed its doors to visitors in early March, when the first cases of COVID-19 began being reported across Iowa and the nation. Brackett said her son’s cognitive abilities make it impossible for him to understand that she is unable to visit because she might make him sick, so the staff instead tell Degner his mom is “at work.”

While she’s optimistic he’ll improve, Brackett worries whether Degner’s virus would take a turn for the worse.

“It’s tough because I have to trust” the staff, Brackett said. “There’s nothing I can do, so I can’t spend a lot of time dwelling on what I might do differently.”

The families that spoke to The Gazette believe the leadership at long-term care facilities are doing what they can to keep its residents safe and healthy.

At Bickford of Marion, officials have taken the unique step of promising public transparency of possible COVID-19 cases in its facility. On the website of every Bickford location is a feature recording the number of residents who have tested positive for COVID-19.

“Whether it’s COVID-19 or not, we want to be transparent with families about their loved ones’ care,” Bickford of Marion Executive Director Jacobi Feckers said. “I don’t know why other nursing homes haven’t taken that step because I haven’t spoken to other facilities, but I’m thankful that’s the route we’ve taken.”

It’s not just families who are placing their trust in management. Ron Moore is an independent living resident at Cottage Grove Place, one of the largest senior living centers in Cedar Rapids that has reported an outbreak of COVID-19 this past week.

According to the latest data from public health officials, five residents and staff there have tested positive.

The outbreak originated in the skilled nursing unit, and officials said they are working to ensure the virus doesn’t spread to the assisted-living and independent-living portions of the facility. They restricted movement between the facilities and conduct frequent temperature checks of staff.

So far, the general feeling among residents at Cottage Grove Place’s independent-living housing is that management has “done a good job” of controlling exposure.

“The feelings of the residents here are positive,” Moore said. “They appreciate what management has done to protect us.”

Still, life looks much differently at Cottage Grove Place. Moore said his schedule typically is packed with weekly book clubs and coffees with friends. Now he and his wife take walks, or try to connect with friends over email.

“I’ve found (residents) are not depressed at this time,” he said. “But in the future, if this goes on for many months? My prediction is yes, depression will be a serious thing.”

Local senior living centers have come up with unique ways to allow visitors to see their loved ones. Gina Hausknecht, a 55-year-old Iowa City resident, was able to see her mother in person for the first time in weeks after her assisted-living home, Oaknoll Retirement Community in Iowa City, created a “drive up” visit option this past weekend.

While Hausknecht sat in the car, she was able to speak with her mother, 93-year-old Ellen Hausknecht, for an hour outside the facility. Before this, it had been emotionally difficult for Hausknecht not to see her mom weekly as she usually does

“It sunk in that I don’t know when I’m going to see my mom again, and that felt really terrible,” Hausknecht previously told The Gazette.

Hausknecht said she hopes to take this year’s Mother’s Day as an opportunity to do something special, particularly given the difficult past few weeks.

“Our family isn’t super-big on these kinds of holidays but we do like to acknowledge them, and this year it feels important to take hold of any opportunity to celebrate,” she said.

Other facilities, including Bickford of Marion, also have eased restrictions on sending food and gifts to residents in time for Mother’s Day. Matt Hoskins, Liz’s Hoskins’ son, said the family’s usual Mother’s Day plans are impossible this year, so they hope to send Liz’s Hoskins artwork from her grandchildren along with other gifts.

Brackett, who will be apart from her son Degner this year, said she hadn’t planned anything for the holiday. She looks forward to her first in-person visit with him after the pandemic, when she will bring his favorite meal from McDonald’s and a new deck of Phase 10 cards.

Despite the feelings of being separated, their wedding anniversary on May 1 likely is something Daggett will cherish, she said. With Daggett acting as Hoskins caregiver since her dementia diagnosis in 2016, their wedding anniversary has been something the couple hasn’t celebrated in a significant way in some time, she said.

But that worry still creeps in the back of her mind. Daggett said she’s trying to remain “as confident as anyone can at this point.”

“I learned a long time ago you can’t worry about what you can’t control,” Daggett said. “But does that mean I still wake up at 2 in the morning worried about it? Of course I do.”

Comments: (319) 398-8469; michaela.ramm@thegazette.com

Image-based tracking of medical instruments is an integral part of many surgical data science applications. Previous research has addressed the tasks of detecting, segmenting and tracking medical instruments based on laparoscopic video data. However, the methods proposed still tend to fail when applied to challenging images and do not generalize well to data they have not been trained on. This paper introduces the Heidelberg Colorectal (HeiCo) data set - the first publicly available data set enabling comprehensive benchmarking of medical instrument detection and segmentation algorithms with a specific emphasis on robustness and generalization capabilities of the methods. Our data set comprises 30 laparoscopic videos and corresponding sensor data from medical devices in the operating room for three different types of laparoscopic surgery. Annotations include surgical phase labels for all frames in the videos as well as instance-wise segmentation masks for surgical instruments in more than 10,000 individual frames. The data has successfully been used to organize international competitions in the scope of the Endoscopic Vision Challenges (EndoVis) 2017 and 2019.