nuebe gaming apk
Supporters of US Steel sale make last-ditch case as doubts surround Nippon deal
The Rise, Fall, And Resurrection Of Chili'sDETROIT (AP) — Detroit Lions wide receiver Jameson Williams will not be charged with a crime after he was found with a gun in a car driven by his brother, a prosecutor said Monday. The gun on the floor was registered to Williams, but he didn't have a concealed-carry permit. His brother did. Prosecutor Kym Worthy said Michigan law is “far from clear” when applied to the 1 a.m. traffic stop on Oct. 8. “We really could not recall any case that had facts that mirrored this case,” she said. Williams was riding in a car driven by his brother when Detroit police stopped the vehicle for speeding. Williams said one of two guns in the car belonged to him and was registered. But without a concealed-pistol license, known as a CPL, a Michigan gun owner typically must place the weapon in a closed case while in a vehicle. A violation is a felony. In this case, Williams' brother had a permit. “The CPL holder here was the driver and had care, custody and control of the car," Worthy said. “Guidance is needed for the future on how many weapons can a valid CPL say that they have control over.” Williams obtained a CPL on Nov. 6, a month later, attorney Todd Flood said. “My client is thankful and humbled by the hard work Kym Worthy and her team put into this matter,” Flood said. During the traffic stop, Williams was handcuffed and placed in a patrol car before officers released him with his gun instead of taking him to a detention center. Williams, a first-round draft pick in 2022, has 29 catches for 602 yards and four touchdowns this season. AP NFL: https://apnews.com/hub/NFL
Daniel Penny doesn’t testify as his defense rests in subway chokehold trialNur Faathimah Assyifa’ and her mother Nur Syahidah Watib with (from left) Assistant Professor Chen Ching Kit, Dr Senthil Kumar Subbian, Assistant Professor Winn Maung Maung Aye and Associate Professor Laszlo Kiraly. SINGAPORE – During a pregnancy scan at 22 weeks, Madam Nur Syahidah Watib learnt that her baby had a rare medical condition. Her daughter’s upper heart chambers and abdominal organs, such as her stomach and liver, were formed on the opposite side of where they should have been. In addition, she had a large hole in the wall between the heart’s lower chambers and was missing a pulmonary artery – essential for carrying blood from the heart to the lungs for oxygenation. For Madam Syahidah, 37, and her husband Muhammad Nazeeh Mohamad, 40, the diagnosis was overwhelming. “When we first found out about her condition, we were devastated. I even considered terminating the pregnancy because I couldn’t bear to put her through so many operations after birth, but I just couldn’t do it. We knew we had to stay strong for our baby, and we prayed every day for strength and guidance,” says Madam Syahidah. A multidisciplinary team of specialists at the National University Heart Centre, Singapore (NUHCS) and the National University Hospital’s (NUH) National University Centre for Women and Children joined forces to address the complex case of congenital heart disease. When Nur Faathimah Assyifa’ was born at NUH in 2020, weighing 2.8kg, she had dangerously low oxygen levels, resulting in her body turning blue. At just one month old, she underwent a shunt procedure to improve blood flow to her lungs. Associate Professor Laszlo Kiraly, head and senior consultant at NUHCS department of cardiac, thoracic and vascular surgery, says: “The shunt is a plastic tube that steals some blood flow from the body and drives it back to the lungs to temporarily improve the oxygenation.” Shortly after the surgery, however, she suffered a cardiac arrest. Nur Faathimah Assyifa’ celebrating her first birthday in the NUH ward in July 2021. PHOTO: COURTESY OF NUR SYAHIDAH WATIB A scan then revealed that her aorta was compressing her windpipe, which led to breathing difficulties. She had to undergo a tracheostomy, where a hole was made in the front of her neck and her windpipe to insert a tube, creating an airway to help with breathing. When Assyifa’ turned two in 2022, she underwent the double switch operation, a procedure consisting of two processes in which both the atria and great arteries were switched. The surgery, led by Prof Kiraly, head of NUHCS’ division of paediatric cardiac surgery, took more than 10 hours. During the first process, the surgeons corrected the blood flow between the upper chambers of the heart by performing an atrial switch. The procedure reshapes parts of the upper chambers to help direct oxygen-poor blood to the lungs and oxygen-rich blood to the rest of the body, just like a normal heart would do, says Prof Kiraly. In the next process, the surgeons switched the positions of the great arteries – the aorta and pulmonary artery. This involved reconnecting the aorta to the left ventricle and the pulmonary artery to the right ventricle, restoring normal blood flow to the body and lungs. As Assyifa’ lacked a pulmonary artery, a conduit with a valve was used to perform the procedure. Nur Faathimah Assyifa’ on the day before the double switch operation in July 2022. PHOTO: COURTESY OF NUR SYAHIDAH WATIB Assistant Professor Chen Ching Kit, senior consultant at the division of paediatric cardiology in Khoo Teck Puat – National University Children’s Medical Institute (KTP-NUCMI) at NUH, says there have been fewer than 10 cases of double switch operations done in Singapore over the past 10 years. According to Prof Kiraly, Assyifa’ is the youngest and smallest-sized patient in Singapore to undergo the procedure. Preparing for the surgery required extensive planning, dedication and advanced investigations due to the complexity of her cardiac condition. Dr Senthil Kumar Subbian, consultant at NUHCS’ division of paediatric cardiac surgery, says the surgery itself was highly intricate, demanding an accurate and thorough understanding of Assyifa’s heart’s anatomy. “There could be no room for uncertainty in the process, which is why we created a 3D-printed model of her heart. By performing a computed tomography (CT) scan, we were able to print a replica of her heart, slightly larger in scale to provide a detailed view of its structure,” says Dr Senthil. Prof Chen oversaw the printing of the 3D model of the heart, which was done in NUH. The model allowed the team to plan meticulously and practise the surgery beforehand, simulating the procedure to ensure the best possible outcome for her, adds Dr Senthil. Nur Faathimah Assyifa’ holding a 3D model of her heart in April. ST PHOTO: NG SOR LUAN During the surgery, Assyifa’s heart and lungs were temporarily stopped, and a cardiopulmonary bypass machine – a specialised device used in cardiac operations – took over the functions of these organs. After the surgery, she was put on extracorporeal membrane oxygenation (Ecmo) support, a life-saving machine that takes over the function of the heart and lungs, to continue circulatory support. She remained on Ecmo support for about four days after the surgery, and was in intensive care for over a week. “We could not close her chest immediately after the switch because her heart was a bit swollen. We had to give her heart some space for it to work. We closed her chest on the sixth day after the operation and she went home after three weeks,” says Dr Senthil. No procedure was done to correct the positioning of her abdominal organs since they are functioning normally. There were moments when Madam Syahidah struggled with anxiety, but she and Mr Muhammad Nazeeh held onto their faith. She is a part-time Quranic teacher and he works as a religious officer in a mosque. They have two older kids – boys aged nine and 11. “We kept reassuring ourselves, saying, ‘My baby will be healthy, my baby will be okay.’ We prayed a lot, and our family prayed with us. That gave us strength,” says Madam Syahidah. “We also read about other children with similar conditions and success stories, and seeing how others were thriving gave us hope. If these children could overcome them, we believed our baby could too.” Globally, out of 10 cardiovascular patients below age 15, one has congenital heart disease, says Prof Kiraly. “Before paediatric cardiac surgery existed, a baby born with congenital heart disease had only a 20 per cent chance to survive. Now, it’s over 90 per cent. They go on to have an improved quality of life and participate in normal activities,” he adds. It has not been easy raising Assyifa’, who rejected food during the three years her tracheostomy tube was in place. She consumed only milk from a nasogastric tube, which was inserted through her nose, down her oesophagus and into her stomach. As the tracheostomy affected her ability to speak, swallow and communicate effectively, she had to undergo feeding and speech therapy. Prof Chen says children like Assyifa’ have also been known to be at risk of neurodevelopmental delay, which is associated with heart conditions and prolonged hospital stays. But her steady progress is the result of significant effort from her parents, who diligently take her to occupational therapy and play therapy to optimise her developmental outcomes. Nur Faathimah Assyifa' riding a pony in September. PHOTO: COURTESY OF NUR SYAHIDAH WATIB Assyifa’, who is now four years old, is doing well. She attends pre-school and enjoys painting, building sandcastles, drawing, taking care of her dolls and playing with her scooter. She goes for check-ups with Prof Chen once every four months to ensure there are no issues with her heart, and to monitor her growth and development. Her medical bills, which added up to a six-figure sum, were fully subsidised by MediSave, MediShield and financial support arranged by medical social workers at NUHCS. Before each operation, Madam Syahidah makes it a point to talk to Assyifa’ about her medical condition and explain how the doctors have helped her. “I remind her that she needs to be strong and that God is with her and that he will pull her through it. Now, when she’s not feeling well, I ask her what she needs to do, she replies, ‘Fight, fight, fight’,” says her mother fondly. “She is our little chatterbox who loves to report things happening in school and around her.” Join ST's Telegram channel and get the latest breaking news delivered to you. Read 3 articles and stand to win rewards Spin the wheel now