Addressing tobacco use in maternity care settings Given the importance of tobacco use on pregnancy outcomes, all the healthcare professionals, especially obstetricians and midwives, must be prepared to identify and support pregnant smokers with quitting using evidence-based treatments as a standard of care in maternity care settings 3,5,11,12,46,48

Pleural Mesothelioma Prevalence: 70% to 79% of all cases Location: Pleura (tissue around lungs and chest wall) Treatments: Immunotherapy, surgery, chemotherapy 5-year survival rate: 7% to 22%, according to the American Cancer Society Peritoneal Mesothelioma Prevalence: 10% to 30% of all cases, second most common type Location: Peritoneum (abdominal cavity lining) Treatments: HIPEC surgery is highly effective for this type 5-year survival rate: 65% (significantly better than pleural) Pericardial Mesothelioma Prevalence: About 1% of cases (very rare) Location: Pericardium (sac around the heart) Median survival: 2 to 6 months Treatment challenges: Limited options because of heart proximity Testicular Mesothelioma Prevalence: Less than 1% of cases, rarest form Location: Tunica vaginalis (membrane around testes) Common symptom: Testicular mass or swelling Prognosis: Better than other types, 33% of patients live 10+ years Mesothelioma can spread from one location to another as it progresses

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Someone matching Ernest Wallaces description pulled a .22, then ditched it beneath a car