Blame it on the food and drink?Efforts to reduce the nation’s persistently high maternal mortality rates involve state panels of experts that investigate and learn from each mother’s death. The panels — called maternal mortality review committees — usually work quietly out of the public eye, but that’s not been the case recently in three states with strict abortion laws. Georgia dismissed all members of its committee in November after information about deaths being reviewed leaked to the news organization ProPublica. Days later, The Washington Post reported that Texas’ committee won’t review cases from 2022 and 2023, the first two years after the state banned nearly all abortions. In Idaho, the state let its panel disband in 2023 only to reinstate it this year. “They’ve become more of a lightning rod than they were before,” said epidemiologist Michael Kramer, director of the Center for Rural Health and Health Disparities at Mercer University in Georgia. Here’s what these committees do and what might happen next: “Maternal mortality review committees are important because they are the most comprehensive source of information about maternal mortality that we have,” said David Goodman, who leads the maternal mortality prevention team at the U.S. Centers for Disease Control and Prevention. The panels review deaths that occur during pregnancy or within a year after it ends, whether related to the pregnancy or not. Causes of death can range from hemorrhage during childbirth to drug overdoses to traffic accidents. The goal, Kramer said, is to examine maternal deaths and help “decide what we can do about them.” All states, a few cities and Puerto Rico have these committees. Their membership varies and may include OB-GYNs, maternal-fetal medicine doctors, nurses, midwives, mental and public health experts and members of patient advocacy groups. Most have representatives from several areas of expertise, which the CDC recommends. How members are selected also varies; people may apply, submit letters of interest or be invited to serve. The selection shouldn’t be politically motivated, Kramer said, because “if there’s a systematic exclusion of certain data or certain perspectives” it’s difficult to truly understand what’s happening. The panels work with state vital statistics offices and epidemiologists to identify deaths associated with pregnancy by examining death certificates and looking for a pregnancy checkbox or a related cause of death. They also may search for links to birth and fetal death records, or delve into hospital discharge data, media reports and obituaries. Once they identify cases, they collect as much information as possible, such as prenatal care records, hospital and social service records, autopsy reports and interviews with family members. Professional “abstractors” distill all this into case narratives, which committee members pore over. Most use a standardized review process developed by the CDC — and all panels can get help and guidance from the agency. They consider questions such as: Was the death pregnancy- related? What was the underlying cause? Was it preventable? What factors contributed? States generally have privacy rules that protect committee members and people who provide information on the deaths. The groups then issue public reports that don’t name mothers or hospitals but include overall findings, trends and recommendations. Some come out a couple of years or more after the deaths. Across the nation in 2023, Goodman said, 151 recommendations from those reports were implemented by communities, hospitals, medical professionals and policymakers. Georgia will rebuild its committee through a new application process, the state public health commissioner said. Texas’ committee has been reviewing 2021 deaths and will start on 2024 cases at its next meeting, Texas Department of State Health Services spokesperson Lara Anton said. “Reviewing cases is a lengthy process and legislators have asked for more recent data. Starting the next review cycle with 2024 cases will allow us to provide that in the next report,” Anton said, adding that maternal and child health epidemiologists will continue to analyze and publish data for 2022 and 2023. In Idaho, the reconstituted review committee now falls under the state board of medicine, which licenses doctors, instead of the state’s health and welfare department. It will operate like it always has, said Bob McLaughlin, spokesperson for the medical board. Members met for the first time in November and plan to issue a report by Jan. 31. Because the legislature wanted the most up-to-date information, McLaughlin said the first report will cover only 2023 cases, and the group will review 2022 deaths next. Get local news delivered to your inbox!mnl168 website 。

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Vice President Hsiaio Bi-khim, third left, and other guests attend a groundbreaking ceremony for a social housing project in Kaohsiung yesterday. Photo courtesy of the Kaohsiung City Government HOUSING JUSTICES:Once completed, the government-funded project in Kaohsiung’s Fongshan District would provide living space and public services for 5,000 households By Tsai Ching-hua and Jake Chung / Staff reporter, with staff writer 請繼續往下閱讀... The state-run National Housing and Urban Regeneration Center (NHURC) yesterday held a groundbreaking ceremony for Plot A of the nation’s biggest social housing project to date, expected to house 1,865 families with a projected completion date of 2029. Plot A involves a 14-story building aboveground with a two-story basement. It is projected to cost NT$10.38 billion (US$320 million) and would be wholly funded by the central government. Social housing is a policy allowing the next generation of Taiwanese to receive housing justice, Vice President Hsiaio Bi-khim (蕭美琴) said at the groundbreaking ceremony yesterday. 請繼續往下閱讀... The government builds the housing complexes, handles rent and apartment management, and provides rental subsidies, Hsiao said, adding that the policy aims to benefit up to 1 million social housing residents nationwide. Social housing units must be sturdy and durable while meeting green architecture requirements, she said. The government hopes the project’s amenities and public spaces would emphasize mutual care among its residents, Hsiao said. Such a focus would encourage people to reside within, making the complex a model for future community-building projects and providing residents with a stepping stone to a successful life, she said. Plot A of the housing project is located in Kaohsiung’s Fongshan District (鳳山) and is across from the Fongshan Daycare Social Welfare Center, which offers public childcare centers, public kindergartens, day-care for the physically challenged, a community university and a social welfare center, NHURC president Hua Ching-chun (花敬群) said. The project is also near Tzuchiang Park, Haifong Park and a national heritage site, the Former Japanese Navy Fongshan Communication Center, providing ample opportunities for leisure, Hua said. The complex would have designated areas for businesses, shops and office spaces that could be rented out, Hua said. Groundbreaking would happen soon for plots B, C and D, while the plans for Plot E are in progress, Hua said, adding that the overall complex would house 5,000 families. The housing project aims to build a small town within a city, with comprehensive planning for facility locations, transportation, logistics and all other details, Hua said. 新聞來源: TAIPEI TIMES 不用抽 不用搶 現在用APP看新聞 保證天天中獎 點我下載APP 按我看活動辦法

UNITY TOWNSHIP, Pa. — The team looking for a missing Pennsylvania woman believed to have fallen into a sinkhole has determined that an abandoned coal mine is too unstable for people to safely search underground, authorities said Wednesday while still expressing hope Elizabeth Pollard will be found alive. Rescue workers continue to search for Elizabeth Pollard, who is believed to have disappeared in a sinkhole while looking for her cat, Wednesday in Marguerite, Pa. Emergency crews and others have been trying to find Pollard, 64, for two days. Her relatives reported her missing early Tuesday and her vehicle with her unharmed 5-year-old granddaughter inside was found about two hours later, near what is thought to be a freshly opened sinkhole above the long closed, crumbling mine. Authorities said in a noon update that the roof of the mine collapsed in several places and is not stable. The sinkhole is in the village of Marguerite, about 40 miles east of Pittsburgh. “We did get, you know, where we wanted, where we thought that she was at. We’ve been to that spot," said Pleasant Unity Fire Chief John Bacha, the incident's operations officer. “What happened at that point, I don’t know, maybe the slurry of mud pushed her one direction. There were several different seams of that mine, shafts that all came together where this happened at.” Trooper Cliff Greenfield said crews were still actively searching for Pollard. “We are hopeful that she’s found alive,” Greenfield said. Searchers were using electronic devices and cameras as surface digging continued with the use of heavy equipment, Bacha said. Search dogs may also be used. Rescue workers search through the night in a sinkhole for Elizabeth Pollard, who disappeared while looking for her cat, Tuesday in Marguerite, Pa. On Wednesday afternoon, machinery was removing material from the area around the hole while police and other government vehicles blocked a clear view of the scene. Sinkholes occur in the area because of subsidence from coal mining activity. Rescuers had been using water to break down and remove clay and dirt from the mine, which has been closed since the 1950s, but that increased the risk “for potential other mine subsidence to take place," Pennsylvania State Police spokesperson Trooper Steve Limani said. Crews lowered a pole camera with a sensitive listening device into the hole, but it detected nothing. Another camera lowered into the hole showed what could be a shoe about 30 feet below the surface, Limani said. Searchers have also deployed drones and thermal imaging equipment, to no avail. Marguerite Fire Chief Scot Graham, the incident commander, said access to the immediate area surrounding the hole was being tightly controlled and monitored, with rescuers attached by harness. The top of a sinkhole is seen Tuesday in the village of Marguerite, Pa., where rescuers searched for a woman who disappeared. “We cannot judge as to what’s going on underneath us. Again, you had a small hole on top but as soon as you stuck a camera down through to look, you had this big void,” Graham said. “And it was all different depths. The process is long, is tedious. We have to make sure that we are keeping safety in the forefront as well as the rescue effort.” Bacha said they were “hoping that there’s a void that she could still be in.” Pollard's family called police at about 1 a.m. Tuesday to say she had not been seen since going out at about 5 p.m. Monday to search for Pepper, her cat. The temperature dropped well below freezing that night. Her son, Axel Hayes, said Pollard is a happy woman who likes going out to have fun. She and her husband adopted Hayes and his twin brother when they were infants. Hayes called Pollard “a great person overall, a great mother” who “never really did anybody wrong.” He said at one point Pollard had about 10 cats. “Every cat that she’s ever come in contact with, she has a close bond with them,” Hayes said. His mother worked for many years at Walmart but recently was not employed, he said. “I’m just hoping right now that she’s still with us and she’s able to come back to us,” he said. Police said they found Pollard's car parked behind Monday's Union Restaurant in Marguerite, about 20 feet from the sinkhole. Hunters and restaurant workers in the area said they had not noticed the manhole-size opening in the hours before Pollard disappeared, leading rescuers to speculate that the sinkhole was new. “It almost feels like it opened up with her standing on top of it,” Limani said. Searchers accessed the mine late Tuesday afternoon and dug a separate entrance out of concern that the ground around the sinkhole opening was not stable. “Let’s be honest, we need to get a little bit lucky, right?” Limani said Wednesday. “We need a little bit of luck on our side. We need a little bit of God’s good blessing on our side.” Pollard lives in a small neighborhood across the street from where her car and granddaughter were located, Limani said. The young girl “nodded off in the car and woke up. Grandma never came back," Limani said. The child stayed in the car until two troopers rescued her. It's not clear what happened to Pepper. In an era of rapid technological advancement and environmental change, American agriculture is undergoing a revolution that reaches far beyond the farm gate. From the food on consumer plates to the economic health of rural communities, the transformation of U.S. farming practices is reshaping the nation's landscape in ways both visible and hidden. LandTrust explores how these changes impact everyone, whether they live in the heartland or the heart of the city. The image of the small family farm, while still a reality for many, is increasingly giving way to larger, more technologically advanced operations. According to the USDA, the number of farms in the U.S. has fallen from 6.8 million in 1935 to about 2 million today, with the average farm size growing from 155 acres to 444 acres. This shift has profound implications for rural communities and the food system as a whole. Despite these changes, diversity in farming practices is on the rise. A landmark study published in Science , involving data from over 2,000 farms across 11 countries, found that diversifying farmland simultaneously delivers environmental and social benefits. This challenges the longstanding idea that practices boosting biodiversity must come at a cost to yields and food security. The adoption of precision agriculture technologies is transforming how farmers manage their land and resources. GPS-guided tractors, drone surveillance, and AI-powered crop management systems are becoming commonplace on many farms. These technologies allow farmers to apply water, fertilizers, and pesticides with pinpoint accuracy, reducing waste and environmental impact while improving yields. However, the digital divide remains a challenge. More than 22% of rural communities lack reliable broadband internet access, hindering the widespread implementation of AI and other advanced technologies in agriculture. While technology offers new opportunities, farmers are also facing significant economic challenges. The USDA's 2024 farm income forecast projects a 4.4% decline in net farm income from 2023, following a sharp 19.5% drop from 2022 to 2023. This financial pressure is compounded by rising production costs and market volatility. Climate variability adds another layer of complexity. Extreme weather events, changing precipitation patterns, and shifting growing seasons are forcing farmers to adapt quickly. These factors could reduce agricultural productivity by up to 25% over the coming decades without significant adaptation measures. But adapting requires additional financial resources, further straining farm profitability. In the face of these challenges, many farmers are turning to diversification as a strategy for resilience and profitability. The Science study mentioned earlier found that farms integrating several diversification methods supported more biodiversity while seeing simultaneous increases in human well-being and food security. Agritourism is one popular diversification strategy. In 2022, 28,600 U.S. farms reported agritourism income, averaging gross revenue of $44,000 from these activities. Activities like farm tours, pick-your-own operations, and seasonal festivals not only provide additional income but also foster a deeper connection between consumers and agriculture. The changing face of agriculture is directly impacting consumers. The rise of farm-to-table and local food movements reflects a growing interest in where our food comes from and how it's produced. If every U.S. household spent just $10 per week on locally grown food, it would generate billions of dollars for local economies. However, the larger challenges in agriculture can also lead to price fluctuations at the grocery store. The USDA's Economic Research Service projects that food-at-home prices will increase between 1.2% and 2.2% in 2024. Looking ahead, several innovations are poised to reshape agriculture: The transformation of American agriculture affects everyone, from the food we eat to the health of our environment and rural communities. Consumers have the power to support sustainable and diverse farming practices through our purchasing decisions. As citizens, they can advocate for policies that support farmers in adopting innovative and sustainable practices. The challenges facing agriculture are complex, but they also present opportunities for innovation and positive change. By understanding and engaging with these issues, everyone can play a part in shaping a more resilient, sustainable, and equitable food system for the future. This story was produced by LandTrust and reviewed and distributed by Stacker. Get local news delivered to your inbox!Nuggets may land Jazz's gifted $28.4 million scorer by parting with Russell Westbrook | Sporting NewsWashington Commanders' offense busts out thanks to its old friend, the running game