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A new study from Northwestern Medicine reveals a troubling rise in severe maternal health issues and birth complications in Illinois from 2016 to 2023, closely linked to increases in chronic health conditions affecting pregnancy, such as high blood pressure, gestational diabetes, mental health disorders and especially obesity, which saw the largest increase in annual rates. The study highlights significant racial and socioeconomic disparities, finding that non-Hispanic Black mothers faced more than double the rate of severe complications compared to non-Hispanic white mothers, and that living in high-poverty neighborhoods elevated maternal health risks across all racial groups. "Despite significant recent statewide quality-improvement efforts, these birth outcomes are worsening for all ages, reflecting the worsening pre-pregnancy health of the reproductive-age population in Illinois," said corresponding author Dr. Mugdha Mokashi, a resident physician in obstetrics and gynecology at the McGaw Medical Center at Northwestern. The findings reflect national trends demonstrating the increasing prevalence of conditions such as obesity, hypertensive disorders of pregnancy and gestational diabetes among pregnant people of all ages, she added. The study provides the most updated data on maternal morbidity and delivery complications within the state of Illinois. The findings were published Nov. 21 in the journal O & G Open . "Our findings underscore the role of social determinants of health—such as race and income—in driving disparities in maternal health, suggesting that efforts to reduce maternal morbidity need to address both racial inequalities and economic hardship ," said study co-author Dr. Lynn Yee, associate professor of obstetrics and pulmonology at Northwestern University Feinberg School of Medicine and a Northwestern Medicine maternal fetal medicine physician. Breaking down of the findings In the study cohort of 988,480 births at 127 Illinois hospitals between January 2016 to June 2023, the overall rate of severe maternal morbidity rose from 1.4% in 2016 to 2% in 2023. Vaginal birth complications increased 22.4%, and cesarean birth complications increased 48.9%. Hypertensive disorders of pregnancy and anemia—both of which increased over the study period—were significant risk factors for severe maternal morbidity and birth complications. The largest increase by far was in annual rates of obesity from 2016 to the first six months of 2023 (7.8% to 22.3%). Additionally, there were increases in gestational diabetes (4.2% to 5.5%), depression (2.5% to 6.6%), anxiety (3.1% to 10.4%) and other chronic comorbidities (4.7% to 7.4%). Non-Hispanic Black patients had more than double the severe maternal morbidity rate (2.6%) compared to non-Hispanic white patients (1.1%). Health counseling before pregnancy is important Maternal health affects almost everyone, and those thinking about pregnancy should be sure to check in with their health care provider to screen for any chronic conditions they may have before getting pregnant, the study authors said. "Pre-conception counseling is such an important way to make sure that all of your health conditions are optimized prior to pregnancy," Mokashi said. "There are many important policy and public health initiatives in Illinois that people may be interested in learning more about." 'It's not just because the people getting pregnant are older' While not the original aim of the study, the scientists did additional analysis that found the increased prevalence of maternal health issues and birth complications is not simply because the people getting pregnant are older. The findings reflected an increase in hospital coding for hypertensive disorders of pregnancy, gestational diabetes , anemia, depression, serious mental illness and other chronic conditions , especially obesity, even among those giving birth who are younger than 30. "In brief, even young pregnant patients have more medical conditions and complications in pregnancy," Mokashi said. What can be done? Policies for poverty alleviation—such as the proposed refundable child tax credit in Illinois, House Bill 4917, if passed—have demonstrated improvement in maternal health , the study authors said. Perinatal quality initiatives in California have reduced postpartum hemorrhage-related morbidity. Similarly, the Illinois Perinatal Quality Collaborative is working to reduce cesarean births and address racial disparities through Promoting Vaginal Birth and Birth Equity initiatives. Increasing access to doula support and patient navigator programs could also be useful supports, Mokashi said. In 2024, the Illinois Department of Healthcare and Family Services adjusted reimbursement for doula services. At Northwestern, research on patient-navigator programs have shown promise in reducing care disparities for low-income minoritized patients postpartum. And at the federal level, passage of the 13 bills comprising the Black Maternal Health Momnibus Act re-introduced in 2023 would provide critical funding support to increase data collection and quality initiatives for prevention of maternal morbidity . More information: Mugdha Mokashi et al, Trends in Severe Maternal Morbidity, Obstetric Comorbidities, and Birth Complications in Illinois, O&G Open (2024). DOI: 10.1097/og9.0000000000000046g win 。

Donovan Mitchell remembers it like it was yesterday. A conversation he didn’t think much of at the time now resonates deeply as he enters the prime of his career with the Cavaliers, as written by NBA reporter Tony Jones of The Athletic . “Remember this moment,” Mike Conley Jr . told Mitchell during the 2020-21 season when they were teammates on the Utah Jazz, a team that finished with the best record in the league, Jones relayed. “These kinds of teams don’t come around very often. Appreciate it.” Mitchell, still a young star, didn’t fully grasp Conley’s words at the time, but now, at 28, the message hits home. Cleveland, like that 2021 Utah team, holds the best record in the NBA (26-4). And this time, Mitchell isn’t just the rising star — he’s the leader. “What I’ve learned is that this isn’t forever. We are not invincible,” Mitchell told Jones . “You have to appreciate this, because this doesn’t come around too often. When Mike was saying that, it wasn’t that I didn’t appreciate it then, but when you’re as young as I was then, you don’t know what you don’t know.” Mitchell now passes that wisdom on to his Cavaliers teammates. “I find myself telling the guys in this locker room the same stuff that Mike and Joe (Ingles) and Ricky (Rubio) used to tell me,” he said . “What we have this season? This isn’t always the NBA. Not every locker room is like this.” It’s been a journey for Mitchell, from a beloved rookie to an NBA All-Star and the center of trade rumors. But now, in Cleveland, Mitchell has found something elusive — peace. “For years, everyone has talked about if I like Rudy (Gobert), or talked about me going to the New York Knicks or the Miami Heat,” he said . “So, it’s great to finally have that sense of peace.” Mitchell loves his teammates, the locker room, and most importantly, he’s playing the best basketball of his career. “Ideally, if I can paint a picture, I would win a championship at some point over the next five years,” he said . “It’s hard to win championships. It’s hard to win in this league. Despite public opinion, I love being in Cleveland and I want to win a title with this group.” While Mitchell was the star of that 2021 Jazz team, he was far from the most experienced player. His leadership now is different. “The way he communicates is something that’s been very welcomed,” said Cleveland head coach Kenny Atkinson. “He has an attention to detail, and the way he reaches out and is constantly texting and communicating has been terrific. He’s embraced a leadership role here.” That leadership was on full display as Mitchell guided Cleveland to consecutive victories over the Milwaukee Bucks and Philadelphia 76ers. His teammates had a little fun, teasing him about his decreased number of dunks this season. “That would have been a windmill a few years ago,” they joked about a simple two-handed dunk Mitchell had on a breakaway. The playful banter may be lighthearted, but it speaks volumes about Mitchell’s evolution. At 28, he’s no longer the explosive dunker he was at 22, but he’s a more complete player. He’s refined his game, defending better than ever and shooting 40% from three, his best mark yet. His minutes have dropped to 31.6 per game, the lowest of his career, but that’s been key to his all-around development. “Going this way, playing less minutes, that’s been the most different for me,” Mitchell said. “Winning cures everything, and that is the most important thing. I had to get used to knowing that I can’t take that BS shot. But there is so much talent on this team, and it’s easy to recognize that.” Mitchell’s evolution has been mirrored in the Cavaliers’ success. Much like that 2021 Jazz team, Cleveland’s backcourt of Mitchell and Darius Garland is seen as too small to win a title. But Mitchell sees parallels. “There are definitely a lot of similarities,” he said, referencing the dynamic ball movement, 3-point shooting, and a big man — Jarrett Allen this time instead of Rudy Gobert — that anchors the defense. But the biggest difference? “It’s different because we have two (big men) back there,” Mitchell said, referring to Allen and Evan Mobley . “It’s different because our perimeter defense has taken a step. But there are some very similar comparisons that are easy to look at and be like, OK, I can see that.” Mitchell’s time in Utah shaped him, and though there were ups and downs, he doesn’t regret it. “I think we both would say that we weren’t our most mature selves,” Mitchell said of his relationship with Gobert. “But, it’s tough, because you’re never the most mature you are going to be when you are 21 or 22.” Mitchell’s growth, on and off the court, has led him to this moment in a moment he’s not taking for granted. “I would do it all again if I could,” he told Jones. “I’m appreciative of that, because it allowed me to become this player and this person.” Now, he’s ready to take this Cavaliers team to new heights and chase the championship he’s been dreaming of. More NBA | All Cavs coverage from Hoops Wire This article first appeared on Hoops Wire and was syndicated with permission.Canucks visit the Red Wings after shootout winNirmala Sitharaman (Agencies photo) NEW DELHI: Finance minister Nirmala Sitharaman on Wednesday advised industry to realign its supply chain factoring in political and strategic considerations to ensure that there was no concentration of risks, a statement that appeared to be aimed at China. "When you talk of supply chains, when you want to restore supply chains to frictionless supply chains, let's not forget, it's not just economics, it's more than that. When we want to de-risk ourselves, when we want to remove certain concentrations, plus one, plus two, what are these theories? They didn't emerge out of inefficiency of economics. They emerged out of economic principles being influenced by political principles. Therefore, we have to build into our own decision making not just economic sense, but also political and strategic sense. "Supply chains will have to be restored, but you would reset it, you would realign it, you will make sure that they are spread so much that no political or geo-political or strategic risks will threaten our well-being," FM said at a CII event. The statement came amid repeated demands from industry to lift restrictions on Chinese investment and visas that came following the outbreak of Covid and the subsequent tension in Ladakh. In fact, the Economic Survey too had made a case for lifting investment curbs. While the border stand-off has eased, business ties have not normalised, and industry players are clamouring for a softer stance despite government's clear emphasis on building a resilient supply chain with other countries and locating production facilities in India through schemes such as production linked incentives. Sitharaman also used the platform to underline the need to check unnecessary expenditure and borrowings. "Responsible economies can't be run with borrowings so large that the next generation and the generation after that have to repay. All this will have to be passed through as taxation... Debt is required but in this coming decade our priority should be to manage the finances and borrow for building assets, borrow for managing better, but it cannot be such borrowings that you leave the next generation worried about how to service it." Besides, she flagged global conflict and inflation as major global concerns. "Inflation is so contagious that nowhere is any country's effort today is completely successful, because beyond its powers are inflation, forces which come in," she said amid conflicts in West Asia and Ukraine, which have disrupted supply chains and stoked inflation in several parts of the world. The comments come at a time when central banks in several countries have reduced key policy rates, while RBI has so far maintained a status quo in the wake of higher inflation. "The attempt of both industry & govts everywhere should be to restore global calm and normalcy. There can nowhere be enough justifiable reason for skirmishes or war. The global priority for this decade should be to restore normalcy. They are the main cause for disruptions in supply chain, inflation and other global challenges." Ready to Master Stock Valuation? ET’s Workshop is just around the corner!

Bill Clinton is hospitalized for observation and testing after developing a feverPORTLAND, Ore. — A 38-year-old man was indicted for manslaughter on Friday in connection with the death of his 64-year-old partner , Mary McDowell, whose body was found near her home in Sherwood. A Washington County grand jury indicted Jose Lucas Morfin Jr. on six felony charges, including first-degree manslaughter, two counts of second-degree assault, second-degree abuse of a corpse, unlawful use of a weapon and felon in possession of a firearm. Just before 5 a.m. on Dec. 12, McDowell was found lying in the road unresponsive outside her home in a rural area west of Sherwood. When police arrived, McDowell was dead. Her partner, Morfin, was detained at the scene and initially charged with assault. At the time, authorities did not believe the incident appeared to be "homicidal or intentional," but noted the investigation was ongoing. Morfin pleaded not guilty to the charges on Monday. Prosecutor's allege domestic violence was involved in the death of McDowell, according to the indictment. Last week, a detective with the Washington County Sheriff's Office asked the court to keep the probable cause information sealed, citing the ongoing investigation. Investigators said there are additional witnesses to be interviewed and they did not want releasing it to jeopardize the case. “As a family, we are deeply saddened by the circumstances surrounding the death of our beloved Mary Longway McDowell. Mary was a sweet, kind, caring soul with a delightful giggle who spent her entire life serving and caring for others," McDowell's family said in a statement. "She cared for many family members at the end of their lives including her sister, her late husband, both of her parents and even other residents at her mother’s memory care facility. She was always available to help friends, neighbors, and strangers. She helped so many people throughout her lifetime, and we are asking the public to help her now. If you have any information or had contact with her individually or encountered her with her partner, Jose Lucas Morfin Jr. in recent years, please reach out to the detectives assigned to this case. Details that you might not think are importantly could be very helpful to gain greater understanding of what led up to her death. We, as a family, also request that the public refrain from speculating about her especially on social media as that is very hurtful to her grieving family members.” Anyone with information is asked to contact Washington County Non-Emergency Dispatch at 503-629-0111.

BOISE ( ) — When Jeremy Powell stood atop Fenn Mountain in the Selway Crags, he was feeling pretty accomplished. Summiting the 8,021-foot mountain in remote North Idaho’s Nez Perce-Clearwater National Forest marked the completion of a peakbagging goal he’d been working toward for nearly a decade. But the excitement quickly faded into the realization that this journey was only partway over. He still had to return to his truck and begin the long drive home to Boise. By the time he returned home, Powell was again feeling excited. Summiting Fenn made him the first person to complete the highpoints of each mountain range and subrange in Idaho — a list of 85 mountains that includes Mount Borah, Hyndman Peak and Castle Peak. “It was a lot of time driving and a lot of really awful roads and sleeping in my truck and the whole day,” Powell told the Idaho Statesman. “That was kind of the point, though, is that I got to see all these towns that I’ve never been to.” Idaho has a slew of prominent mountain ranges: the Sawtooth, Lost River, Boulder, White Clouds and Boise ranges are some of the more popular in the state, but they’re just the start of the list. Of the dozens of ranges, the vast majority are subranges of the Rocky Mountains. Powell said determining which peaks to pursue was one of the trickiest parts of the challenge. He crafted his goals using . Tom Lopez, a mountain climber who runs the site, maintains a “list of lists” — various “peakbagging” goals to challenge hikers and climbers. Lopez painstakingly created the list of ranges and subranges by researching U.S. Geological Survey data against local maps and landmarks. “Some of the stuff is based upon geology, and some of it is based upon just what local people called the mountains,” Lopez told the Statesman. “If you’re asking for a logical reason for some of these, there really isn’t one.” When Powell, who grew up in Pocatello, started making his peak list around 2015, Lopez’s list had 75 peaks. Powell combined that list with a map created by Derek Percoski, who creates peak checklist maps. As technology evolved in the last decade, some of the highpoint and range information shifted, altering his goals, Powell said. Today, Lopez’s list matches Powell’s with 85 peaks. (Hayden Peak is listed twice, for the Owyhee Range and its Silver City subrange.) It includes ranges like the Bitterroots, Owyhees and Portneufs and subranges that include the Selway Crags, Pahsimeroi and Bighorn Crags. Powell’s peakbagging pursuit was an uncommon one. He finished the list on Sept. 6, and just one day later, Terri Rowe, , completed the challenge when she summited Redbird and Bennett mountains in the White Knob Mountain and Mount Bennett Hills ranges. “These lists take you to places you wouldn’t normally go,” Rowe told the Statesman in a phone interview. “Most people are into state highpointing, but what’s neat about these other more obscure lists is all the different places it takes you.” Powell said knowing Rowe was working on the same list helped keep him motivated, even though they were never able to hike together. “Her hiking accomplishments are an inspiration,” Powell said. Powell and Rowe are the only people to finish the range and subrange challenge, and there isn’t much competition. Lopez said according to data on , a popular website for peakbaggers, there are only a handful of other climbers who are close to completing the list, including Lopez himself. The closest competitors still have about two dozen peaks to summit to complete the list, Lopez said. He said there are a few other lists on Idaho: A Climbing Guide that include more technically challenging peaks. But the range and subrange list ranks high for difficulty because of how farflung its peaks are, and how infrequently some of them are summited. That meant a lot of planning for Powell, and sometimes bushwhacking to summit peaks that don’t see a lot of traffic or have an existing trail to the top. He said some of the obscure hikes — like Moose Creek Buttes in North Idaho, where he bushwhacked about nine miles to reach the summit — were “kind of awful.” But with no one else around, the views from the top and the feeling of isolation were unmatched. At times, bad weather, wildfires and other unexpected issues affected Powell’s plans. Once he drove nearly to the Canadian border to hike South Selkirk Crest to find the road closed. Powell said it took him five years of failed attempts to finally summit Castle Peak in the White Clouds. Fires and a freak blizzard deterred him for a few years. And in August 2015, when conditions were looking good for Powell to bike into the mountains and hike the rest of the way to the peak, then-President Barack Obama signed a bill creating the Cecil D. Andrus-White Clouds Wilderness just days before Powell’s trip. It outlawed biking in the area surrounding the peak. Those experiences taught him that flexibility was key. “I realized that the mountains aren’t going anywhere, and you can always go back,” Powell said. “And if it’s not safe for whatever reason, then it’s always more important to go home than go to the top.” He said he’s grateful to friends who came along on hikes with him, and other hikers who offered directions, company or advice on the mountain. Powell said finishing the list wouldn’t have been possible without support from his wife and kids. “Each time I get ready to leave for an activity, my wife says, ‘Make good decisions and great execution,’” Powell said. “Thanks for trusting me to not do anything dumb. No matter how excited I was to get to the top of each mountain, I was always more excited to get back home.” To remove this article -Amazon sets this 'China condition' for sellers on its website in the US

Tahj Brooks shines in final home game as Texas Tech routs West Virginia 52-15Gombe State Governor, Muhammadu Inuwa Yahaya, has signed the 2025 Appropriation Bill of N369. 9 into law following its successful passage by the State House of Assembly. During a brief signing ceremony held at the Government House, Governor Inuwa described the 2025 budget as a blueprint for economic growth and social development. According to him, the appropriation law reflects his administration’s resolve to deepen its development agenda which focuses on sectors that directly impact the lives of the citizens. He commended the State House of Assembly for the swift passage of the appropriation bill, emphasizing that since 2019, the harmonious relationship between the legislature and the executive has been instrumental in achieving the remarkable milestones recorded by his administration. He said, “I want to sincerely thank the honorable members of the House of Assembly for the speedy passage of the bill. Your cooperation and support since we came on board has been truly commendable. “The increase in sectoral allocation by the House of Assembly is to further improve healthcare delivery and enhance social services for our people. We are committed to ensuring that these resources are effectively utilized for the greater good of our people”, the Governor added. He informed the lawmakers that by January, the Government will release the performance report for the 2024 budget with the optimism that the performance will be incredible while being confident of achieving an ‘A’ rating. Earlier, Speaker of the Gombe State House of Assembly, Rt.Hon. Abubakar Mohammed Luggerewo, said the legislature had increased the budget from the earlier 320.1 Billion Naira submitted by the Governor to 369.9 Billion Naira to meet the aspirations of the people of Gombe State. “We made these adjustments because we strongly believe that the areas we have prioritized will significantly enhance the quality of life for our citizens. “We commend the Governor, for placing a strong emphasis on capital expenditure, which accounts for 69% of the total budget. This focus is a deliberate effort to drive infrastructure development and long-term growth. “Initially proposed at N320.1 billion, we increased it to N369.9 billion in the best interest of the masses to address critical needs and improve the standard of living of our people”, the Speaker added. End.

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ATLANTIC CITY, N.J. (AP) — New Jersey gambling regulators have handed out $40,000 in fines to two sportsbooks and a tech company for violations that included taking bets on unauthorized events, and on games that had already ended. In information made public Monday, the New Jersey Division of Gaming Enforcement fined DraftKings $20,000. It also levied $10,000 fines on Rush Street Interactive NJ and the sports betting technology company Kambi. According to documents released by the state, Rush Street accepted 16 bets worth $1,523 in Nov. 2021 on a college basketball game between the University of North Carolina-Asheville and Tennessee Tech University after the game had already concluded with a UNC victory. Kambi told the enforcement division that a trader had failed to manually remove that game from its betting markets, saying it had stopped receiving messages from its own sports data provider due to a network connectivity error. Kambi said it has updated its guidelines and retrained its traders to prevent a recurrence. Kambi, which is based in Malta, did not immediately respond to a message seeking comment Monday. Rush Street declined comment, and DraftKings had no immediate comment Monday. DraftKings stopped using Kambi in 2021. In March 2022 Rush Street took seven bets totaling just under $2,900 on three Magic City Jai Alai games after the results were already known. Kambi told the division it experienced a connectivity issue that allowed the bets to be accepted after the games were over. An explanation of what Kambi did to address the situation was blacked out in documents released by the division. A month earlier Rush Street took 13 wagers worth $8,150 with pre-match odds on a Professional Golf Association match after the event had already begun. In this case, Kambi told the division a newly hired trader failed to enter the correct closing time time for bets on the event. The trader and a supervisor underwent retraining. DraftKings was fined for taking bets on unapproved events including Russian basketball for nine months in 2020 and 2021. It eventually voided over $61,000 in bets and returned the money to customers after being directed to do so by the state. In this case, Kambi told the division it misidentified this particular Russian basketball league as one that was approved for wagering in New Jersey. DraftKings told the state it did not catch the error, either. In 2020, DraftKings accepted 484 wagers on unapproved table tennis matches. Kambi incorrectly enabled the events for wagering without conditions required by the state, the division said. In Feb. 2022, the division said DraftKings took pre-season NFL bets involving specific players but did not give the state specific information on what information was to be included in the bets, drawing 182 wagers worth nearly $7,000 that were later voided and refunded to customers. Follow Wayne Parry on X at www.twitter.com/WayneParryACWhat makes a good leader? Being able to listen, say young people

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