
NoneMIAMI — As her students finished their online exam, Arlet Lara got up to make a . Her 16-year-old son found her on the kitchen floor. First, he called Dad in a panic. Then 911. “I had a stroke and my life made a 180-degree turn,” Lara told the Miami Herald, recalling the medical scare she experienced in May 2020 in the early months of the COVID pandemic. “The stroke affected my left side of the body,” the North Miami woman and former high school math teacher said. Lara, an avid runner and gym goer, couldn’t even walk. “It was hard,” the 50-year-old mom said. After years of rehabilitation therapy and a foot surgery, Lara can walk again. But she still struggles with moving. This summer, she became the first patient in South Florida to get an implant of a new and only FDA-approved nerve stimulation device designed to help ischemic stroke survivors regain movement in their arms and hands. This first procedure was at Jackson Memorial Hospital in Miami. Lara’s rehab was at at the Christine E. Lynn Rehabilitation Center for The Miami Project to Cure Paralysis, part of a partnership between Jackson Health System and UHealth. Every year, thousands in the United States , with one occurring every 40 seconds, according to the U.S. Centers for Disease Control and Prevention. The majority of strokes are ischemic, often caused by blood clots that obstruct blood flow to the brain. For survivors, most of whom are left with some level of disability, the Vivistim Paired VNS System, the device implanted in Lara’s chest, could be a game changer in recovery, said Dr. Robert Starke, a UHealth neurosurgeon and interventional neuroradiologist. He also serves as co-director of endovascular neurosurgery at Jackson Memorial Hospital, part of Miami-Dade’s public hospital system. Arlet Lara, the first patient in South Florida to get an FDA-approved nerve stimulation implant, right, runs into her rehabilitation neurology physician Dr. Gemayaret Alvarez, before her physical therapy appointment on Monday, Sept. 9, 2024, at Lynn Rehabilitation Center at Jackson Memorial Hospital. The implant is designed to help stroke survivors regain function in their arms. (Alie Skowronski/Miami Herald/TNS) Arlet Lara, the first patient in South Florida to get an FDA-approved nerve stimulation implant designed to help stroke survivors regain function in their arms, goes through exercises while her therapist activates the device during her physical therapy appointment on Monday, Sept. 9, 2024, at Lynn Rehabilitation Center at Jackson Memorial Hospital. The activation works as positive reinforcement to her muscles when she completes the exercise correctly. (Alie Skowronski/Miami Herald/TNS) Arlet Lara, the first patient in South Florida to get an FDA-approved nerve stimulation implant, does an exercise while Neil Batungbakal, rehabilitation therapist, activates the implant with the black trigger during her physical therapy appointment on Monday, Sept. 9, 2024, at Lynn Rehabilitation Center at Jackson Memorial Hospital. The implant is designed to help stroke survivors regain function in their arms. The activation works as positive reinforcement to her muscles when she completes the exercise correctly. (Alie Skowronski/Miami Herald/TNS) Arlet Lara, the first patient in South Florida to get an FDA- approved nerve stimulation implant, does an exercise while Neil Batungbakal, rehabilitation therapist, activates the implant with the black trigger during her physical therapy appointment on Monday, Sept. 9, 2024, at Lynn Rehabilitation Center at Jackson Memorial Hospital. Arlet Lara, the first patient in South Florida to get an FDA-approved nerve stimulation implant, right, runs into her rehabilitation neurology physician Dr. Gemayaret Alvarez, before her physical therapy appointment on Monday, Sept. 9, 2024, at Lynn Rehabilitation Center at Jackson Memorial Hospital. The implant is designed to help stroke survivors regain function in their arms. (Alie Skowronski/Miami Herald/TNS) The Vivistim Paired VNS System is a small pacemaker-like device implanted in the upper chest and neck area. Patients can go home the same day. The U.S. Food and Drug Administration in 2021 to be used alongside post-ischemic stroke rehabilitation therapy to treat moderate to severe mobility issues in hands and arms. Lara’s occupational therapist can activate the device during rehabilitation sessions to electrically stimulate the vagus nerve, which runs from the brain down to the abdomen and regulates various parts of the body’s nervous system. The electrical stimulation rewires the brain to improve a stroke survivor’s ability to move their arms and hands. Lara also has a magnet she can use to activate the device when she wants to practice at home. Her therapy consists of repetitive tasks, including coloring, pinching cubes and grabbing and releasing cylindrical shapes. After several weeks of rehabilitation therapy with the device, Lara has seen improvement. “Little by little, I’m noticing that my hand is getting stronger. I am already able to brush my teeth with the left hand,” she told the Miami Herald in September. Since then, Lara has finished the initial six-week Vivitism therapy program, and is continuing to use the device in her rehabilitation therapy. She continues to improve and can now eat better with her left hand and can brush her hair with less difficulty, according to her occupational therapist, Neil Batungbakal. Lara learned about the device through an online group for stroke survivors and contacted the company to inquire. She then connected them with her Jackson medical team. Now a year later, the device is available to Jackson patients. So far, four patients have received the implant at Jackson. Related Articles Starke sees the device as an opportunity to help bring survivors one step closer to regaining full mobility. Strokes are a leading cause of disability worldwide. While most stroke survivors can usually recover some function through treatment and rehabilitation, they tend to hit a “major plateau” after the first six months of recovery, he said. Vivistim, when paired with rehabilitation therapy, could change that. Jackson Health said results of a clinical trial published in the peer-reviewed medical journal in 2021 showed that the device, “when paired with high-repetition, task-specific occupational or physical therapy, helps generate two to three times more hand and arm function for stroke survivors than rehabilitation therapy alone.” The device has even shown to benefit patients 20 years from their original stroke, according to Starke. “So now a lot of these patients that had strokes 10-15 years ago that thought that they would never be able to use their arm in any sort of real functional way are now able to have a real meaningful function, which is pretty tremendous,” Starke said. Vivistim’s vagus-nerve stimulation technology by researchers at the University of Texas at Dallas’ Texas Biomedical Device Center and is being sold commercially by Austin-based MicroTransponder, a company started by university graduates. Similar devices are used to . For Lara, the device is a new tool to help her recovery journey. “Everything becomes a challenge so we are working with small things every day because I want to get back as many functions as possible,” Lara said. Patients interested in Vivistim should speak with their doctor to check their eligibility. The FDA said patients should make sure to discuss any prior medical history, including concurrent forms of brain stimulation, current diathermy treatment, previous brain surgery, depression, respiratory diseases and disorders such as asthma, and cardiac abnormalities. “Adverse events included but were not limited to dysphonia (difficulty speaking), bruising, falling, general hoarseness, general pain, hoarseness after surgery, low mood, muscle pain, fracture, headache, rash, dizziness, throat irritation, urinary tract infection and fatigue,” the FDA said. MicroTransponder says the device is “covered by Medicare, Medicaid, and private insurance with prior authorization on a case-by-case basis.”How Laurent Brossoit’s injury update impacts the Blackhawks
Macron names centrist ally Bayrou as PM PARIS: President Emmanuel Macron on Friday named centrist leader Francois Bayrou as prime minister, handing him the daunting task of hauling France out of months of political crisis. The 73-year-old head of the MoDem group which is allied to Macron ́s party, was appointed nine days after parliament ousted Michel Barnier ́s government in a historic no-confidence vote following a standoff over an austerity budget. “The president of the Republic has appointed Mr Francois Bayrou as prime minister and tasked him with forming a government,” the presidency said. Bayrou ́s appointment sparked immediate criticism, with the hard-left France Unbowed (LFI) party and the Greens threatening to back a new motion of censure aiming to bring down his government. The announcement capped hours of drama that saw Bayrou summoned to an Elysee meeting followed by speculation Macron could name another figure amid reports the talks had been tense. Bayrou is the sixth prime minister of Macron ́s mandate after the toppling of Barnier, who became France ́s shortest-serving prime minister lasting only three months. He is also Macron ́s fourth prime minister of 2024. Bayrou faces an immediate challenge to form a cabinet that can survive a no-confidence vote in a divided parliament and thrash out a 2025 budget in a bid to limit economic turmoil. “Everyone knows how difficult the task is,” Bayrou told reporters.
Thousands of Syrians gathered in Damascus’ main square and a historic mosque for the first Muslim Friday prayers since former President Bashar Assad was overthrown , a major symbolic moment for the country’s dramatic change of power. The rebels are now working to establish security and start a political transition after seizing the capital on Sunday. U.S. Secretary of State Antony Blinken made an unannounced visit to Iraq on Friday, pressing ahead with efforts to unify Middle East nations in support of a peaceful political transition in Syria. It’s part of Blinken’s 12th trip to the Mideast since the Israel-Hamas war erupted last year in Gaza but his first after Assad was ousted. The U.S. is also making a renewed push for an ceasefire in Gaza, where the war has plunged more than 2 million Palestinians into a severe humanitarian crisis. Israel’s war against Hamas has killed over 44,800 Palestinians in Gaza, more than half of them women and children, according to the Gaza Health Ministry, which does not say how many were combatants. The Israeli military says it has killed over 17,000 militants, without providing evidence. The October 2023 attack by Hamas in southern Israel that sparked the war killed some 1,200 people, mostly civilians, were killed and around 250 others were taken hostage. Some 100 hostages are still inside Gaza, at least a third of whom are believed to be dead. Here's the latest: WASHINGTON — The U.S. military has transported out of Syria an American who disappeared seven months ago into former President Bashar Assad’s notorious prison system and was among the thousands released this week by rebels, a U.S. official said Friday. Travis Timmerman was flown out of Syria on a U.S. military helicopter, according to a U.S. official who spoke on condition of anonymity to discuss an ongoing operation. Timmerman, 29, told The Associated Press he had gone to Syria on a Christian pilgrimage and was not ill-treated while in Palestine Branch, a notorious detention facility operated by Syrian intelligence. He said he was freed by “the liberators who came into the prison and knocked the door down (of his cell) with a hammer.” Timmerman said he was released Monday morning alongside a young Syrian man and 70 female prisoners, some of whom had their children with them. He had been held separately from Syrian and other Arab prisoners and said he didn’t know of any other Americans held in the facility. — By Lolita C. Baldor THE HAGUE, Netherlands — A Dutch court on Friday rejected a bid from human rights groups to block weapons exports to Israel and trading with the occupied territories, after finding there were sufficient checks already in place to comply with international law. The ten organizations told The Hague District Court last month that they thought the Netherlands was in violation of the 1948 Genocide Convention, drawn up following World War II, by continuing to sell weapons to Israel more than a year into the conflict in Gaza. “The government uses my own tax money, that I pay, to kill my own family. I’ve lost 18 members of my own family,” Ahmed Abofoul, a legal adviser for the pro-Palestinian organization Al-Haq, one of the groups involved in the lawsuit, told the court during a hearing in November . The court ruling said that “it is not up to the interim relief judge to order the state to reconsider government policy. That is primarily a political responsibility.” Lawyers for the government argued it wasn’t up to a judge to decide foreign policy for the Netherlands. The activist groups pointed to several emergency orders from another court, the International Court of Justice, as confirming the obligation to stop weapons sales. In January, the top U.N. court said it was plausible Palestinians were being deprived of some rights protected under the Genocide Convention. The coalition said it will review the court’s ruling and is considering an appeal. CAIRO — Israeli attacks in and around a hospital in northern Gaza wounded three medical staff overnight into Friday and caused damage to the isolated medical facility, according to its director. Dr. Hossam Abu Safiya said Israeli quadcopter drones carrying explosives deliberately targeted the emergency and reception area of Kamal Adwan Hospital, where one doctor was wounded for a third time. Abu Safiya said “relentless” drone and artillery strikes throughout the night exploded “alarmingly close” to the hospital, heavily damaging nearby buildings and destroying most of the water tanks on the hospital’s roof and blowing out doors and windows. Kamal Adwan Hospital in the town of Beit Lahiya has been hit multiple times over the past two months since Israel launched a fierce military operation against Hamas in northern Gaza. The Israeli military did not immediately respond to a request for comment on the strikes. “We demand international protection for the hospital and its staff,” Abu Safiya said in a statement released via the U.K.-based aid group Medical Aid for Palestinians, “as well as the entry of delegations with surgical expertise, medical supplies, and essential medications to ensure we can adequately serve the people we are treating.” Abu Safiya said there were 72 wounded patients at the hospital, one of the few medical facilities left in northern Gaza. He said he expected Israeli forces would allow a World Health Organization aid convoy to bring supplies to the hospital on Friday or Saturday, as well as a team of doctors from Indonesia. Israel has allowed almost no humanitarian or medical aid to enter the three besieged communities in northern Gaza — Beit Lahiya, Beit Hanoun and the urban Jabaliya refugee camp — and ordered tens of thousands to flee to nearby Gaza City. Israeli officials have said the three communities are mostly deserted, but the United Nations humanitarian office said Tuesday it believes around 65,000 to 75,000 people are still there, with little access to food, water, electricity or health care. Experts have warned that the north may be experiencing famine . BAGHDAD — U.S. Secretary of State Antony Blinken made an unannounced stop in Iraq on Friday on his latest visit to the Middle East aimed at stabilizing the situation in Syria to prevent further regional turmoil. Blinken met in Baghdad with Iraqi Prime Minister Mohammed al-Sudani as part of the hastily arranged trip, his 12th to the region since the Israel-Hamas war erupted last year but his first since the weekend ouster of Syrian strongman Bashar Assad. Blinken has already been to Jordan and Turkey on his current tour and will return to Jordan for urgent meetings on Saturday with Arab foreign ministers to try to unify support for an inclusive post-Assad transition that does not allow the Islamic State group to take advantage of the political vacuum in Syria and secures suspected chemical weapons stocks. In Baghdad, Blinken “will underscore U.S. commitment to the U.S.-Iraq strategic partnership and to Iraq’s security, stability, and sovereignty,” the State Department said. “He will also discuss regional security opportunities and challenges, as well as enduring U.S. support for engagement with all communities in Syria to establish an inclusive transition,” it said in a statement. His trip comes as the Biden administration winds down with just over a month left before President-elect Donald Trump takes office. Trump has been highly critical of Biden’s approach to the Middle East and skeptical of the U.S. military presence in both Iraq and Syria. The U.S. and Iraq agreed in September to wrap up U.S.-led military operations against the Islamic State in Iraq next year, although Assad’s ouster and the potential for the group taking advantage of a political vacuum in Syria could complicate the timing of the withdrawal, according to American officials. DAMASCUS — The kingdom of Bahrain sent a message Friday to Ahmad al-Sharaa, formerly known as Abu Mohammed al-Golani, the leader of the insurgency that toppled Syrian President Bashar al-Assad. It said Bahrain is “fully prepared to consult with you continuously and to provide support in regional and international organizations to achieve what is in the interest of the brotherly Syrian people.” It added, “We look forward to Syria regaining its authentic role in the Arab League.” Bahrain is the current head of the Arab summit. Syria was readmitted to the Arab League last year after 12 years of ostracization. It is still unclear how the international community will deal officially with the new interim government in Syria. JERUSALEM - Israel’s defense minister told troops to prepare to remain through the winter months on the peak of Mount Hermon, Syria’s highest point, located in a swath of southern Syria that Israeli troops moved into after the fall of Damascus to insurgents. The comments by Defense Minister Israel Katz signaled that the military will extend its occupation of the zone along the border, which Israel says it seized to create a buffer zone. In a statement Friday, Katz said that holding the peak was of major importance for Israel’s security and that it would be necessary to build facilities there to sustain troops through the winter. The summit of Mount Hermon, the highest peak on the eastern Mediterranean coast at 2,814 meters (9,232 feet), gives a commanding view over the plains of southern Syria. It also positions Israeli troops about 40 kilometers (25 miles) from the center of Damascus. The mount is divided between the Israeli-occupied Golan Heights, Lebanon and Syria. Only the United States recognizes Israel’s control of the Golan Heights. Prime Minister Benjamin Netanyahu said Thursday that Israeli troops would remain in the zone until another force across the border in Syria could guarantee security. Israeli troops moved into the zone -– set as a demilitarized area inside Syrian territory under truce deals that ended the 1973 Mideast war -- after the regime of Bashar al-Assad fell last weekend. ANKARA, Turkey -- U.S. Secretary of State Antony Blinken said Friday there was “broad agreement” between Turkey and the United States on what they would like to see in Syria following the ouster of President Bashar Assad. “There’s broad agreement on what we would like to see going forward, starting with the interim government in Syria, one that is inclusive and non-sectarian and one that protects the rights of minorities and women” and does not “pose any kind of threat to any of Syria’s neighbors,” Blinken said in joint statements with Turkish Foreign Minister Hakan Fidan. The insurgent groups that toppled Assad in Syria have not made clear their policy or stance on Israel, whose military in recent days has bombed sites all over the country, saying it is trying to prevent weapons from falling into extremist hands. Blinken also said it was crucial to keep the Islamic State group under control. “We also discussed the imperative of continuing the efforts to keep ISIS down. Our countries worked very hard and gave a lot over many years to ensure the elimination of the territorial caliphate of ISIS to ensure that that threat doesn’t rear its head again,” Blinken said. The Turkish foreign minister said the two discussed ways of establishing prosperity in Syria and ending terrorism in the country. “Our priority is establishing stability in Syria as soon as possible, preventing terrorism from gaining ground, and ensuring that IS and the PKK aren’t dominant,” Fidan said, in a reference to the banned Kurdistan Workers Party. Blinken said: “We’re very focused on Syria, very focused on the opportunity that now is before us and before the Syrian people to move from out from under the shackles of Bashar al-Assad to a different and better future for the Syrian people, one that the Syrian people decide for themselves.” Blinken and Fidan said they had also discussed a ceasefire for Gaza. “We’ve seen in the last couple of weeks more encouraging signs that (a ceasefire) is possible,” Blinken said. Blinken, who is making his 12th trip to the Mideast since the Israel-Hamas war erupted last year but first since the weekend ouster of Assad, met with Turkish President Recep Tayyip Erdogan late Thursday. The outgoing Biden administration is particularly concerned that a power vacuum in Syria could exacerbate already heightened tensions in the region, which is already wracked by multiple conflicts, and create conditions for the Islamic State group to regain territory and influence. Later Friday, Blinken is to return to Jordan for meetings on Saturday with Arab foreign ministers and senior officials from the European Union, the Arab League and the United Nations. ANKARA, Turkey -- Turkey has appointed a temporary charge d’affaires to reopen its embassy in Syria, Turkey’s state-run news agency reported. The Turkish Embassy in Damascus had suspended operations in 2012 due to the escalating security problems during the Syrian civil war and embassy staff and their families were recalled to Turkey. The Anadolu Agency said late Thursday that Turkey appointed Burhan Koroglu, its ambassador in Mauritania, to the post. UNITED NATIONS- – Two U.N. aid convoys were violently attacked in Gaza, making it virtually impossible for humanitarian agencies to operate without putting staff and civilians at risk, the U.N. food agency says. On Wednesday, a 70-truck convoy from Kerem Shalom was waiting for personnel to safeguard the food and other aid destined for central Gaza when there were reported attacks by Israeli forces in the nearby humanitarian zone, the U.N. World Food Program said Thursday. More than 50 people are now estimated to have died in the attacks, including civilians and local security personnel who had been expected to ensure the convoy’s safety, WFP said. The Rome-based agency said the convoy was forced to proceed from Kerem Shalom to central Gaza without any security arrangements, using the Philadelphi corridor, an Israeli-controlled route that had been recently approved and successfully utilized twice. On the way, WFP said, conflict and insecurity led to a loss of communication with the convoy for more than 12 hours. ”Eventually, the trucks were found but all food and aid supplies were looted,” the U.N. agency said. In a second incident, Israeli soldiers approached a WFP convoy moving out of the Kissufim crossing into central Gaza, fired warning shots, conducted extensive security checks, and temporarily detained drivers and staff, the agency said. “As the trucks were delayed, four out of the five trucks were lost to violent armed looting,” WFP said. UNITED NATIONS – The United Nations chief has a message for Israel: Stop the attacks on Syria. Secretary-General António Guterres is particularly concerned about several hundred Israeli airstrikes on several Syrian locations and stresses “the urgent need to de-escalate violence on all fronts throughout the country," U.N. spokesman Stephane Dujarric told reporters Thursday. The Israeli military said Tuesday it carried out more than 350 strikes in Syria over the previous 48 hours, hitting “most of the strategic weapons stockpiles” in the country to stop them from falling into the hands of extremists. Israel also acknowledged pushing into a buffer zone inside Syria following last week’s overthrow of President Bashar Assad. The buffer zone was established after Israel seized the Golan Heights from Syria in the 1973 war. Dujarric said Guterres condemns all actions violating the 1974 ceasefire agreement between the two countries that remain in force. And the U.N. chief calls on the parties to uphold the agreement and end “all unauthorized presence in the area of separation” and refrain from any action undermining the ceasefire and stability in the Golan Heights, the spokesman said.Kano Govt pays new minimum wage of N71,000
GUADALAJARA, Mexico, Dec. 04, 2024 (GLOBE NEWSWIRE) -- Grupo Aeroportuario del Pacífico, S.A.B. de C.V., (NYSE: PAC; BMV: GAP) (“the Company” or “GAP”) announces preliminary terminal passenger traffic figures for November 2024, compared with November 2023. For November 2024, the total number of terminal passengers at GAP’s 12 Mexican airports increased by 2.5%, compared to November 2023. Tijuana, Guadalajara, Los Cabos, and Puerto Vallarta airports presented an increase in passenger traffic of 5.3%, 5.0%, 0.5%, and 0.1%, respectively, compared to November 2023. On the other hand, Montego Bay presented a decrease in passenger traffic of 7.4%, compared to November 2023. Domestic Terminal Passengers (in thousands): International Terminal Passengers (in thousands): Total Terminal Passengers (in thousands): *Passengers in Tijuana who use CBX in both directions are classified as international. CBX users (in thousands): Highlights for the month: Seats and load factors : The seats available during November 2024 decreased by 1.0%, compared to November 2023. The load factors for the month went from 82.8% in November 2023 to 85.2% in November 2024. New routes: Hermosillo – Monterrey: Volaris La Paz – Los Angeles: Alaska Los Mochis – Monterrey: Volaris Morelia – Monterrey: Volaris Mexicali – Monterrey: Volaris Los Cabos – Frankfurt: Condor Los Cabos – Winnipeg: WestJet Manzanillo – Atlanta: Aeromexico Montego Bay – Nassau: Bahamasair Montego Bay – Hartford, Connecticut: Avelo Company Description Grupo Aeroportuario del Pacífico, S.A.B. de C.V. (GAP) operates 12 airports throughout Mexico’s Pacific region, including the major cities of Guadalajara and Tijuana, the four tourist destinations of Puerto Vallarta, Los Cabos, La Paz and Manzanillo, and six other mid-sized cities: Hermosillo, Guanajuato, Morelia, Aguascalientes, Mexicali, and Los Mochis. In February 2006, GAP’s shares were listed on the New York Stock Exchange under the ticker symbol “PAC” and on the Mexican Stock Exchange under the ticker symbol “GAP”. In April 2015, GAP acquired 100% of Desarrollo de Concessioner Aeroportuarias, S.L., which owns a majority stake in MBJ Airports Limited, a company operating Sangster International Airport in Montego Bay, Jamaica. In October 2018, GAP entered into a concession agreement for the Norman Manley International Airport operation in Kingston, Jamaica, and took control of the operation in October 2019. In accordance with Section 806 of the Sarbanes-Oxley Act of 2002 and Article 42 of the “Ley del Mercado de Valores”, GAP has implemented a “whistleblower” program, which allows complainants to anonymously and confidentially report suspected activities that involve criminal conduct or violations. The telephone number in Mexico, facilitated by a third party responsible for collecting these complaints, is 800 04 ETICA (38422) or WhatsApp +52 55 6538 5504. The website is www.lineadedenunciagap.com or by email at denuncia@lineadedenunciagap.com. GAP’s Audit Committee will be notified of all complaints for immediate investigation.Lawmakers call for progress on marijuana law before end of Biden administration
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