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A 20-year-old Bangladeshi woman gave birth to twins -- 26 days after giving birth to her first child.Arifa Sultana gave birth to a boy in late February, according to Dr. Sheila Poddar, a gynecologist at Ad-Din hospital in Dhaka. After a normal delivery, the mother and baby were released from a different Dhaka hospital. Less than four weeks later, she was admitted to Ad-Din hospital."She came to the hospital complaining of lower abdominal pain," Poddar said. Doctors performed an ultrasound and realized Sultana was pregnant with twins.Sultana had two uteruses, a condition called uterus didelphys. Her first baby and the twins were conceived and grown in separate wombs.She did not get an ultrasound before the first delivery, so it was missed, Poddar said."It is not very common to have two uteruses. When the uterus develops, it comes from two tubes, and those tubes fuse together. For some women, the fusion does not occur, and the dividing wall does not dissolve," said Dr. S.N. Basu, head of obstetrics and gynecology at Max Healthcare hospital in New Delhi.Poddar was able to quickly perform a C-section to deliver twins: a boy and a girl. "All three children are safe and healthy," Poddar said. "The mother is also fine."A uterus didelphys is a rare congenital abnormality, and the occurrence of twin gestation has an overall incidence rate of 1 in a million, according to the National Institutes of Health.For it not to be discovered before the birth is even less common."From rural areas, people don't know what is wrong with them. They don't know how many children they are pregnant with and sometimes whether they are pregnant also," Basu said. 1671
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A federal district court judge handed the Trump administration another defeat in its attempt to allow states to impose work requirements in Medicaid, which has caused 18,000 people to lose coverage so far.In two closely watched cases, US District Court Judge James Boasberg Wednesday voided the administration's approvals of requests by Kentucky and Arkansas to mandate that low-income people work for benefits and kicked the matter back to the Department of Health & Human Services for further review. Boasberg also suspended the program in Arkansas, which began in June.In both cases, the approvals did not address how the requests would align with Medicaid's core objective of providing Medicaid coverage to the needy, the judge said. However, Boasberg also said that it's not impossible for the agency to justify its approvals, but it has yet to do so.The Centers for Medicare & Medicaid Services, which has granted work requirement requests from nine states and is considering several more, was not deterred by the ruling."We will continue to defend our efforts to give states greater flexibility to help low income Americans rise out of poverty," said Seema Verma, the agency's administrator. "We believe, as have numerous past administrations, that states are the laboratories of democracy and we will vigorously support their innovative, state-driven efforts to develop and test reforms that will advance the objectives of the Medicaid program."Consumer groups sued the administration, arguing that mandating low-income people to work for benefits runs counter to Medicaid's objective of providing the poor with access to health care."We are gratified by the court's rulings today. They mean that low-income people in Kentucky and Arkansas will maintain their health insurance coverage -- coverage that enables them to live, work, and participate as fully as they can in their communities. Coverage matters, plain and simple," said Jane Perkins, legal director at the National Health Law Program, one of the groups involved in both suits.The advocates were seeking to stop the requirement in Arkansas, which yanked coverage from 18,000 people after they failed to meet the new rules. Arkansas was the first state in the nation to implement the mandate after the Trump administration began allowing it last year."I am disappointed in the decision handed down late this afternoon," Arkansas Republican Gov. Asa Hutchinson said. "I have not yet had the opportunity to review the opinion in its entirety, but I plan to do so this evening and provide further comment tomorrow morning on the future of the Arkansas Works work requirement."Also, the consumer groups once again sued to block the start of work requirements in Kentucky, which had to halt implementation last June after the same judge voided the federal government's approval. The Centers for Medicare & Medicaid Services 2911
[UPDATE] #CenterIC 8 patients, 5 moderate, 2 major and 1 deceased. #Firefighters #EMS at scene. pic.twitter.com/EKtjy8CzKq— CAL FIRE SLO (@CALFIRE_SLO) September 19, 2019 182
A bill that will require the chemical castration of some sex offenders in Alabama as a stipulation for parole has been signed by the state's governor.Gov. Kay Ivey signed the legislation on Monday after it was approved by the state's legislature on May 31. In the process of chemical castration, a person is given an injection or pills to significantly reduce libido.The bill affects criminals who commit sex crimes against children age 13 and younger, requiring they undergo the process before they are released from prison. It will be a mandatory parole requirement.Randall Marshall of the ACLU told 614
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