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Los Angeles Times
a day ago
- Health
- Los Angeles Times
Miller Children's & Women's Hospital Long Beach Transforms Maternal Care, Champions Equity and Dignity for All Mothers
Although in some areas, Diversity, Equity, and Inclusion (DEI) initiatives may be declining in healthcare, birth equity remains a priority for many hospitals in California, including Miller Children's & Women's Hospital in Long Beach. Raising awareness and developing strategies for birth equity is crucial to addressing racial and social disparities in maternal and infant health outcomes. In the United States, Black and Hispanic mothers are significantly more likely to experience complications during childbirth and have higher mortality rates as compared to other groups. At Miller Children's & Women's Hospital in Long Beach, over 5,500 babies are born each year. Our community is diverse, with many of our mothers coming from Black, Hispanic, Pacific Islander and other non-white backgrounds. According to the United States Census Bureau, approximately 43.4% of Long Beach's population identifies as Hispanic or Latino, 11.9% as Black or African American and 12.8% as Asian. The city also has a significant Cambodian community, which is the second-largest outside of Cambodia. As a community hospital serving the greater Long Beach area, we prioritize training and awareness around unconscious bias among our patients and caregivers. We have the necessary tools to effectively record and analyze data. Statistics from the Center for Disease Control and Prevention indicate that the maternal mortality rate for non-Hispanic Black women is 49.5 deaths per 100,000 live births – significantly higher than for White (19), Hispanic (16.9) and Asian (13.2) women in 2022. These disparities highlight the urgent need for focused interventions and systemic changes in maternal healthcare. Several factors contribute to the higher maternal mortality in minority communities. Structural racism and implicit bias within the healthcare system can lead to inadequate prenatal care, delayed diagnosis and treatment of pregnancy-related complications, and disparities in access to maternal healthcare services. Furthermore, socioeconomic factors further exacerbate these disparities in maternal outcomes among minority women. Addressing the crisis requires removing systemic barriers to quality maternal healthcare. Miller Children's & Women's Hospital recognizes the ongoing work needed in minority health and has made it a priority. No one should be denied basic or standard healthcare due to their race or ethnicity. Therefore, we are committed to becoming the change, recognizing that much work lies ahead. At the Cherese Mari Laulhere BirthCare Center at Miller Children's & Women's, our healthcare providers and care teams undergo cultural competency training to better understand the unique needs and experiences of minority patients. Additionally, we have partnered with the California Maternal Quality Care Collaborative as one of five hospitals selected for their significant demographics of racial and ethnic minority populations. This partnership focuses on addressing birth inequities, educating staff, sharing data and creating a Hospital Action Guide to empower hospitals nationwide to engage in this vital work. Since focusing on these initiatives, we have seen an almost 10% increase in Black mothers reporting that they always feel like they are treated with courtesy and respect. These patient-reported measures enhance the relationship between the patients and care providers to ensure that patients' voices are heard and that their birth experience preferences are honored. Evidence indicates that these improvements will help close the disparity gap in birth outcomes for Black women and their newborns. Currently, Miller Children's & Women's is working to implement all recommendations from the Association of Women's Health, Obstetric and Neonatal Nurses' (AWHONN) respectful maternal care framework and evidence-based clinical practice guidelines. Our care teams, including our Respectful Maternal Care Champions, are here to enhance the overall experience of our Black and Brown patients, utilizing technology like Irth App, a unique Yelp-like platform for parents of color to leave and find reviews of OB/GYNs, birthing hospitals and pediatricians. By analyzing patient responses shared through this app, we can redefine our care based on patient experiences and make births safer, more respectful and equitable. Want to learn more? Visit
Yahoo
7 days ago
- Climate
- Yahoo
Morning earthquake hits Western Washington, seismologists say. Did you feel it?
A 2.9-magnitude earthquake shook Western Washington on Tuesday, June 3, the U.S. Geological Survey reported. The 5.4-mile deep quake hit about 2 miles from Mount Vernon at 1:59 a.m., according to the USGS. More than 75 people from as far away as Bellingham and Everett reported feeling the tremor to the agency. 'Felt in lake Stevens but I thought was truck passing by. It was very faint,' one person commented on Facebook. 'Yep felt it in Bryant. Jolted my bed pretty good,' another person commented. 'Felt in Victoria. Was looking outside at the time, and it made a loud noise that scared a raccoon away. Mostly just a jerking movement with a little shake,' someone else wrote. Mount Vernon is in Skagit County, and it has a population of about 35,000 as of 2024, according to the United States Census Bureau. Magnitude measures the energy released at the source of the earthquake, the U.S. Geological Survey says. It replaces the old Richter scale. Quakes between 2.5 and 5.4 magnitude are often felt but rarely cause much damage, according to Michigan Tech. Quakes below 2.5 magnitude are seldom felt by most people. Earthquakes' sudden, rapid shaking can cause fires, tsunamis, landslides or avalanches. They can happen anywhere, but they're most common in Alaska, California, Hawaii, Oregon, Puerto Rico and Washington, according to the Department of Homeland Security. If an earthquake strikes, it's best to protect yourself right away. Here are tips from experts: If you're in a car: Pull over and stop. Set your parking brake. If you're in bed: Turn face-down and cover your head with a pillow. If you're outdoors: Stay away from buildings. Don't go inside. If you're inside: Stay and don't run outdoors. Stay away from doorways. The best way to protect yourself during an earthquake is to drop, cover and hold on, officials say. 'Wherever you are, drop down to your hands and knees and hold onto something sturdy,' officials say. 'If you're using a wheelchair or walker with a seat, make sure your wheels are locked and remain seated until the shaking stops.' Be sure to cover your head and neck with your arms, and crawl under a sturdy table if possible. If no shelter is available, crawl to an interior wall away from windows. Once under a table, officials say you should hold on with one hand and be ready to move with it. 'There can be serious hazards after an earthquake, such as damage to the building, leaking gas and water lines, or downed power lines,' officials say. 'Expect aftershocks to follow the main shock of an earthquake. Be ready to Drop, Cover, and Hold On if you feel an aftershock.' Native American Church's sacred plants destroyed during raids in CA, suit says Scientists driving through Yellowstone stumble upon new hydrothermal vent. See it
Yahoo
20-05-2025
- Business
- Yahoo
Columbus among cities that saw most population growth in new census data
COLUMBUS, Ohio (WMCH) – Columbus is among the American cities that saw the largest population increases from 2023 to 2024, according to recently released census data. The United States Census Bureau released new population data last week, finding cities of all sizes grew on average from 2023 to 2024, with those in the Southern and Western regions of the country experiencing the most growth. The government agency revealed a list of the 15 cities that saw the largest numerical population increases between July 1, 2023, and July 1, 2024. Columbus ranked at No. 14, gaining 12,694 residents during the year-long period. Ohio congressman introduces bill to study 'Trump Derangement Syndrome' The cities that experienced the most population growth were New York, with an increase of 87,184 residents, followed by Houston (43,217), Los Angeles (31,276), San Antonio (23,945) and Fort Worth (23,442). Columbus also made the list of the overall most populated cities in the country, coming in at No. 15, with a population of 933,263 as of July. The city fell one spot from its ranking of No. 14 in last year's report and was surpassed by Charlotte, North Carolina (943,476). The most populated cities in the country were New York (8.4 million), Los Angeles (3.8 million), Chicago (2.7 million), Houston (2.3 million) and Phoenix (1.6 million). When it came to the 15 fastest-growing cities — or those that saw the largest percentage increases — Columbus did not make the list, nor did any Ohio city. The top five fastest-growing cities were Princeton, Texas, which saw a 30.6% population increase, followed by Fulshear, Texas (26.9%), Leesburg, Florida (18.5%), Celina, Texas (18.2%) and Anna, Texas (14.6%). Copyright 2025 Nexstar Media, Inc. All rights reserved. This material may not be published, broadcast, rewritten, or redistributed.
Express Tribune
11-05-2025
- Business
- Express Tribune
How India – and Pakistan – likely to fare in the new world order
Listen to article Donald Trump returned to the White House for a second term on January 20, 2025. He assumed the presidency with a pledge to remake the world order so that America would once again emerge as the dominant global power. He declared that he needed to act as a dictator for just one day - during which he would issue dozens of executive orders that, in his view, would bypass congressional approval. And he kept his word. The first set of orders imposed tariffs on imports entering the country. The second wave targeted immigrants, including those who had arrived legally. The proposed tariffs were based on a formula that linked punitive taxes to the United States' bilateral trade deficits in goods with individual countries — in other words, the extent to which the US imported more from those countries than it exported to them. The calculation involved determining the ratio between the US trade deficit with a country and that country's total exports to the US. This ratio was then halved to produce what the administration termed a "discounted reciprocal tariff." Economists were critical of the assumption behind the calculation for a number of reasons. They noted that the formula excluded services — which constitute the majority of the US economy and a significant portion of its exports — from the trade deficit calculations. This omission, they argued, rendered America's trade relationships with its partners inaccurately one-sided. The Trump Administration "has an indefensible foundation to an indefensible policy," said Douglas Holtz-Eakin, the President of the Conservative American Action Forum. The United States Census Bureau published data for 20 countries, with the first column indicating each country's trade deficit with the US as a percentage of its exports to the American market. Cambodia topped the list, with a deficit amounting to 98% of its exportsmeaning it would face a 49% tariff under the administration's formula. Vietnam followed with a 46% tariff. India, ranked seventh, faced a 24% tariff. At the bottom of the list were eight countries, each subject to a 10% tariff. Among these low-tariff nations were Singapore, the United Kingdom, and Brazil. An important comment on the situation created by the Trump policy was made by Maury Obstfeld, a senior fellow at the Washington-based Peterson Institute for International Economics. He said the new system will just reshuffle US trading relationships "in ways that are particularly injurious because they basically penalize trade in the areas where it's of most value to us [the US], and without mitigating the perceived problem that overall the country has a deficit with the rest of the world." According to Holtz-Eakin, the policy adopted by Trump is to give him the opportunity to make deals that he takes pride in executing: "Trump probably likes that way, because then it all comes down to a negotiation with each county. That appeals to him, but it is a terrible policy for the global trading system." India stands to benefit - albeit indirectly — from the reordering of global trade. Some shifts are already underway. For instance, Apple, the American tech giant, designs its devices at a center in California, but manufacturing has traditionally been outsourced to a Taiwanese company operating in southern China. Under the new tariff regime, exports from China would face a 34% tariff - eight percentage points higher than India's 26% - potentially making India a more attractive alternative for production. Apple has announced that it will join the trend and relocate its assembly plant from south China to India. As of 2024, India hosted approximately 1,800 offshore corporate offices, owned by hundreds of multinational companies — most of them American. There are 1.9 million people in India working for foreign companies - with 600,000 to 900,000 more expecting to join in 2025-26. The model for foreign companies operating in India has existed since at least the 1990s, when international firms began setting up operations, drawn by a well-educated middle class willing to work long hours for relatively low wages. American companies are now re-assembling their forces because it has become difficult to find the right kind of workers in their own country. Studies find that one-third of all new engineering jobs go unfilled, while nearly 1.2 million Indians graduate with engineering degrees every year. They are available to work in foreign companies especially when jobs are not available in domestic enterprises. Deborrah Kops, Managing Principal of the American firm Sourcing Change, has long been involved in relocating enterprises from the US to countries like India, capitalizing on the ready availability of skilled, hardworking labor willing to work for a fraction of the salaries demanded by their American counterparts. According to her, "[The US has] got an inexorable trend right now, where enterprises understand that you can globalize work." Kops has attempted to establish global centers within the US, but says it is difficult to find a sufficient number of well-trained engineers. "Can you get 5,000 folks who know how to do this kind of work?" she asked. "You can'tbut you can do it in India, and you can do it in some other places in the world." Demography is playing a big role in this relocation of work in the world. With rates of human fertility falling well below the replacement level of 2.1 children per woman, all Western nations are experiencing declining populations. This demographic shift leads to an increase in the proportion of old people. However, it is the youth are needed to provide trained workers who have acquired news skills. In addition to the West, China is also faced with the demographic challenge of below replacement level fertility and an aging work force. Yet, China has the declared ambition to become the leading nation in new technologies such as AI. Here Pakistan can be of help with one of the world's youngest populations. It could team up with China and have them set up training institutions on the main highways that are close to the Chinese borders. Lahore-Islamabad and Sialkot-Islamabad motorways would be the ideal locations where China could set up institutions and have young people graduate in science and technology. Once they have been trained, they could work for China on the various high-technology products it is developing.
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Business Standard
07-05-2025
- Business
- Business Standard
India's exports to US hit record high in March amid 90-day tariff pause
India's exports to the United States surged to a record $11.2 billion in March, crossing the $10 billion mark for the first time and marking a nearly 50 per cent increase over the 12-month average. The rise pushed total bilateral goods trade to an unprecedented $15 billion for the month, data from the United States Census Bureau showed. The export surge comes amid the 90-day tariff pause announced by US President Donald Trump and as the two nations edge closer to a trade agreement. The surge in March capped a strong first quarter for India–US trade. In the first three months of 2025, India exported $27.7 billion worth of goods to the US, while importing $10.5 billion, leading to a US trade deficit with India of over $17.2 billion. Quarterly US-India trade breakdown February: Exports $3.5 bn | Imports $8.3 bn | Balance -$4.8 bn March: Exports $3.8 bn | Imports $11.2 bn | Balance -$7.4 bn Also Read [Exports: US exports to India; Imports: Indian imports to the US] In 2024, India–US goods trade stood at $129.2 billion, compared to $124.1 billion in 2023. It must be noted that all data represent nominal figures and have not been seasonally adjusted. US imports spike in March amid tariff pause The March spike is not isolated. It coincides with a broader surge in US imports globally, driven by firms racing to stock up on goods before new tariff hikes take effect. The US trade deficit soared to a record $140.5 billion in March, up from $123.2 billion in February, contributing to the country's first quarterly GDP contraction in three years. This jump followed President Donald Trump's announcement of sweeping tariff increases, including duties of up to 145 per cent on Chinese imports. Reciprocal tariffs with most partners, including India, have been temporarily suspended for 90 days to facilitate negotiations. US-India bilateral trade talks India, which currently faces a suspended 26 per cent reciprocal tariff, is in the midst of active discussions with the US on a bilateral trade agreement. President Trump on Tuesday disclosed that India has proposed zero tariffs on steel, auto components and pharmaceuticals, up to specific import quotas, in a move that could pave the way for a deal.
