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The Senate Tuesday voted overwhelmingly 90 to 8 to confirm President Donald Trump's pick for secretary of defense, Mark Esper, giving the Pentagon its first permanent chief since James Mattis stepped down in January.While he received broad bipartisan backing, several Democratic presidential hopefuls including Sens. Kirsten Gillibrand, Kamala Harris, Cory Booker and Elizabeth Warren voted against Esper who had been Army Secretary and had briefly served as the acting secretary of defense after Trump's initial pick to replace Mattis, Patrick Shanahan's nomination dramatically imploded last month.Following his confirmation vote Trump is expected to formally appoint Esper later on Tuesday and a Pentagon spokesman told reporters a swearing in ceremony is expected Tuesday evening.Esper, a former army officer and West Point classmate of Secretary of State Mike Pompeo also worked as a senior staffer on Capitol Hill.Though he received broad bipartisan support he has received some criticism from at least one Democratic lawmaker over his ties to Raytheon, a major defense contractor, where he worked as a lobbyist.The unprecedented length of time without a permanent secretary of defense had been cited as a problem by both Republican and Democrat lawmakers as well as veterans of the defense department.A large number of senior roles at the Pentagon continue to lack permanent appointees.Esper had to step down as acting secretary following his formal nomination due to regulations. Secretary of the Navy Richard V. Spencer has been performing the acting role as Esper went through the confirmation process, making him the third consecutive acting defense secretary since Mattis resigned. 1705

Three women working at an assisted living and memory care facility in North Carolina were arrested Friday after allegedly running a fight club where they encouraged elderly patients with dementia to fight each other, police said. Police received a report of abuse at the Danby House in Winston-Salem, North Carolina, back in June, 343

This is a reckless assault on a law-abiding organization, it’s members, and the freedoms they all stand for. We remain undeterred - guided by our values and belief in those who want to find real solutions to violence. https://t.co/KlRretjxAe— NRA (@NRA) September 4, 2019 283

Three bodies buried in a monk burial room and church nave at the Alamo have been discovered, officials said.The bodies appear to belong to a teenager or young adult, an infant and a large adult, according to the Texas General Land Office and the Alamo Mission Archaeological Advisory Committee.The bodies were discovered during an archeological project to install moisture monitoring equipment in the complex while documenting the foundations of the 300-year-old structures, 487

The statistics around maternal mortality in the United States are startling. America has the highest maternal mortality rate out of any developed country in the world. Today, a woman in the U.S. is 50 percent more likely to die from giving birth to a child than her mother was, and if you are a woman of color you are 3 to 4 times more likely than that.At Rush University Hospital in Chicago, neonatal intensive care nurse and educator Christie Lawrence has dealt with maternal mortality both professionally and personally. “My cousin, Chante, she was a young healthy mother, 18 years old,” Lawrence says. “Actually, she had no risk factors that we knew of.” Ten years ago, Lawrence was at work when her cousin went into labor at another hospital. “I received a call to say, ‘Chante is in labor, we are going to have a baby today.’ Then, a couple of hours later, a turn of events,” she recalls. “Her mom is screaming, ‘I need you to get here quick! Something has gone terribly wrong.’” The healthy 18-year-old mom suddenly went into cardiac arrest while giving birth to her son, and she died. “It was very shocking, very shocking for my family to see that whole turn of events,” said Lawrence. “We were expecting everything to be normal.”Her cousin’s death was caused by medication that was administered to her the wrong way. When Chante went in labor, she was a first-time mom and had no access to transportation to the hospital, so an ambulance was called. The ambulance took her to a hospital that was different than the one she had been going to for care during her pregnancy. Lawrence believes that may have played into the quality of care her cousin received, and ultimately, the mistake that was made at the hospital. It all led to the death of Lawrence’s cousin, which she says was fully preventable. Unfortunately, Chante’s case isn’t unique. These kinds of mistakes are happening at an alarming rate across the country. According to a Center for Disease Control report published this year, 60 percent of all pregnancy-related deaths in this country are fully preventable. Hospitals and healthcare providers around the country are working to implement new procedures to reduce the maternal mortality rate. At Rush University, for example, it’s trying a new program that checks up on babies and new moms just three weeks after leaving the hospital. Typically, in the past, doctors recommended a three-week check-up that focused on the newborn. But with this new program called Rush Family Connect, a nurse will go to the parent’s home and give equal attention to mom. The hope is that any post-pregnancy complication can be caught early, since the top causes of maternal mortality are actually post-delivery complications. Additionally, this year, the Joint Commission has issued a new mandate and standard. By July 1, 2020, all hospitals must have life-saving medications immediately available and must plan rapid release of blood supplies for transfusions. Doctors and nurses at hospital maternity units must have training drills responding to a hemorrhage crisis, which is one of the top cases for fatal deliveries. While hospitals and healthcare providers work to reduce the dangers mothers are facing, Lawrence believes mother have some power over their outcomes. “Just being a great advocate for yourself is one of the biggest things that I would tell any new mom,” said Lawrence. “If you feel like something is not right, if you feel like something is wrong, make people listen to you. And if you feel like that person won’t listen to you, then you have to go up the chain of command in that system or you have to find someone who is willing to listen.”It’s advice Lawrence wishes she could go back in time and tell her cousin. 3754