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234win 444 By Michelle Marchante, Miami Herald (TNS) MIAMI — As her students finished their online exam, Arlet Lara got up to make a cafe con leche . 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 have a stroke , 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. 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 approved the stroke rehabilitation system 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. 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 The Lancet 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 was developed 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 treat epilepsy and depression . 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.” To learn more about the device, visit vivistim.com. ©2024 Miami Herald. Visit at miamiherald.com. Distributed by Tribune Content Agency, LLC.

Young people will be able to use government-backed to prove they are old enough to drink alcohol under legal changes to take effect next year. They will be able to sign up to digital ID companies that are certified against Government-set standards for security and reliability and then use the app on their smartphone to prove they are over 18 when visiting pubs, restaurants and shops. It is part of a to move more state functions online so that people can prove their identity for everything from paying taxes to opening a bank account using the government-backed app. It will use a “single sign-on”, rather than the two-step identity verification currently needed online, for all government services including applying for benefits. Although it is a step towards wider use of digital IDs, Sir Keir Starmer has ruled out ID cards and has insisted that it will not make digital ID mandatory despite to do so to combat illegal migration and black market working. The changes are being enacted through the Data (Use and Access) Bill currently before Parliament which means companies that provide digital identity services can seek independent certification against Government-set standards for security and reliability. If successful, the services will be able to join a Gov.uk register and display a trust mark. As part of that change, next year digital IDs from these trusted providers can be used to prove a holder’s age when buying alcohol in pubs, restaurants and shops. The first step will be to give landlords and retailers the ability to scan digital identities to verify a customer’s age without unnecessarily disclosing personal information such as their name or address, as is the case with driving licences. The change will involve a quick check – like scanning a QR code or using technology similar to contactless bank cards. It is likely to be integrated into supermarkets’ and shops’ check-out scanning systems which will end the delays for customers when they have to call over the attendant to physically confirm they are old enough to buy alcohol – even if they are pensioners. Providers that could be verified include Yoti, a digital ID app. It recently introduced a new student feature, which enables people with a physical student card to register it as a digital ID. A public register of products that meet government standards will be published on Gov.uk. Officials insist will not be compulsory and people will still be able to use paper documents such as passports and utility bills to prove their identity. As part of the drive to digitalise existing identity documents, the Government has recently unveiled plans to enable about 250,000 former service personnel to access digital veteran cards on their smartphones starting next year. The digital identification document will help veterans to prove their status and speed up access to services and support programmes.

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Mr Biden told African leaders the resource-rich continent of more than 1.4 billion people had been “left behind for much too long”. “But not anymore,” Mr Biden added. “Africa is the future.” Mr Biden used the third and final day of a visit to Angola – his long-awaited, first trip to sub-Saharan Africa as president – to travel to the coastal city of Lobito and tour an Atlantic port terminal that’s part of the Lobito Corridor railway redevelopment. Mr Biden described it as the largest US investment in a train project outside America. The US and allies are investing heavily in the project that will refurbish nearly 1,200 miles of train lines connecting to the mineral-rich areas of Congo and Zambia in central Africa. The corridor, which likely will take years to complete, gives the US better access to cobalt, copper and other critical minerals in Congo and Zambia that are used in batteries for electric vehicles, electronic devices and clean energy technologies that Mr Biden said would power the future. China is dominant in mining in Congo and Zambia. The US investment has strategic implications for US-China economic competition, which went up a notch this week as they traded blows over access to key materials and technologies. The African leaders who met with Mr Biden on Wednesday said the railway corridor offered their countries a much faster route for minerals and goods – and a convenient outlet to Western markets. “This is a project that is full of hope for our countries and our region,” said Congo President Felix Tshisekedi, whose country has more than 70% of the word’s cobalt. “This is not just a logistical project. It is a driving force for economic and social transformation for millions of our people.” The leaders said the corridor should spur private-sector investment and improve a myriad of related areas like roads, communication networks, agriculture and clean energy technologies. For the African countries, it could create a wave of new jobs for a burgeoning young population. Cargo that once took 45 days to get to the US – usually involving trucks via South Africa – would now take around 45 hours, Mr Biden said. He predicted the project could transform the region from a food importer to exporter. It’s “something that if done right will outlast all of us and keep delivering for our people for generations to come,” he said. The announcement of an additional $600 million took the U.S.’s investment in the Lobito Corridor to 4.0 billion dollars (£3.15 billion).

ATLANTA — Deliberations are underway in Atlanta after a year of testimony in the gang and racketeering trial that originally included the rapper Young Thug. Jurors are considering whether to convict Shannon Stillwell and Deamonte Kendrick, who raps as Yak Gotti, on gang, murder, drug and gun charges. The original indictment charged 28 people with conspiring to violate Georgia’s Racketeer Influenced and Corrupt Organizations Act. Opening statements in the trial for six of those defendants happened a year ago. Four of them, including Young Thug, pleaded guilty last month. The rapper was freed on probation. Stillwell and Kendrick rejected plea deals after more than a week of negotiations, and their lawyers chose not to present evidence or witnesses. Both seemed to be in good spirits Tuesday morning after closings wrapped the previous night. Kendrick was chatting and laughing with Stillwell and his lawyers before the jury arrived for instructions. Kendrick and Stillwell were charged in the 2015 killing of Donovan Thomas Jr., also known as “Big Nut,” in an Atlanta barbershop. Prosecutors painted Stillwell and Kendrick as members of a violent street gang called Young Slime Life, or YSL, co-founded in 2012 by Young Thug, whose real name is Jeffery Williams. During closings on Monday, they pointed to tattoos, song lyrics and social media posts they said proved members, including Stillwell, admitted to killing people in rival gangs. Prosecutors say Thomas was in a rival gang. Stillwell was also charged in the 2022 killing of Shymel Drinks, which prosecutors said was in retaliation for the killing of two YSL associates days earlier. Defense attorneys Doug Weinstein and Max Schardt said the state presented unreliable witnesses, weak evidence and cherry-picked lyrics and social media posts to push a false narrative about Stillwell, Kendrick and the members of YSL. Schardt, Stillwell's attorney, reminded the jury that alleged YSL affiliates said during the trial that they had lied to police. Law enforcement played a “sick game” by promising they would escape long prison sentences if they said what police wanted them to say, Schardt said. He theorized that one of those witnesses could have killed Thomas. The truth is that their clients were just trying to escape poverty through music, Schardt said. “As a whole, we know the struggles that these communities have had,” Schardt said. “A sad, tacit acceptance that it’s either rap, prison or death.” Young Thug’s record label is also known as YSL, an acronym of Young Stoner Life. Kendrick was featured on two popular songs from the label’s compilation album Slime Language 2, “Take It to Trial" and “Slatty," which prosecutors presented as evidence in the trial. Weinstein, Kendrick’s defense attorney, said during closings it was wrong for prosecutors to target the defendants for their music and lyrics. Prosecutor Simone Hylton disagreed, and said surveillance footage and phone evidence supported her case. “They have the audacity to think they can just brag about killing somebody and nobody’s gonna hold them accountable,” Hylton said. The trial had more than its fair share of delays. Jury selection took nearly 10 months, and Stillwell was stabbed last year at the Fulton County jail, which paused trial proceedings. Judge Paige Reese Whitaker took over after Fulton County Superior Court Chief Judge Ural Glanville was removed from the case in July because he had a meeting with prosecutors and a state witness without defense attorneys present. Whitaker often lost patience with prosecutors over moves such as not sharing evidence with defense attorneys, once accusing them of “poor lawyering.” But the trial sped up under her watch. In October, four defendants, including Young Thug, pleaded guilty, with the rapper entering a non-negotiated or “blind” plea, meaning he didn't have a deal worked out with prosecutors. Nine people charged in the indictment, including rapper Gunna, accepted plea deals before the trial began. Charges against 12 others are pending. Prosecutors dropped charges against one defendant after he was convicted of murder in an unrelated case. Kramon is a corps member for The Associated Press/Report for America Statehouse News Initiative. Report for America is a nonprofit national service program that places journalists in local newsrooms to report on undercovered issues. Follow Kramon on X: @charlottekramon This article was generated from an automated news agency feed without modifications to text.COLEEN Rooney has wowed I'm A Celebrity fans with her washboard stomach after stripping off for a jungle shower. The WAG, 38, headed straight to the waterfall after getting covered in thousands of critters during the latest Bushtucker Trial. The Arcade Of Agony trial was so horrific that Coleen needed help from a medic to get a lodged bug out of her ear with a syringe. The star tried to remain calm as the insect was washed away with a fast shot of saline. Once her ordeal was over, Coleen gathered up a towel and some clean clothes before visiting the waterfall shower. She was then shown washing her hair while wearing a black tankini. READ MORE ON COLEEN ROONEY As she tilted her head backwards, the mum-of-four wowed viewers at home with her impressive figure. Once washed and clean, Coleen then sat in camp and chatted to her jungle pals in red shorts and a fresh, black bikini top. Writing on X, one fan said: "#Coleen in the shower and sitting in her bikini top 😍." Another added: "What a woman Coleen Rooney is." Most read in I’m A Celebrity 2024 And a third penned: "I love Coleen, love her." This is the second time Coleen has wowed I'm A Celeb viewers with her impressive body in the shower since the series begun. In the early days of jungle life, the star was the only famous face in camp willing to wash in the freezing water. The weather in camp had been awful and the other celebrities were refusing to strip off to get clean. Coleen's campmate Danny Jones even said: "Since it’s rained I’ve not washed. Don’t fight it, just stink! What do spiders do? "They don’t get up and shower, do they? They just go, ‘I’m gonna go out for the day'." I'm A Celebrity continues tomorrow at 9pm on ITV1/ ITVX i'm A Celebrity is back for its 24th series, with a batch of famous faces living in the Aussie jungle. The Sun's Jake Penkethman takes a look at the stars on the show this year.. Coleen Rooney - Arguably the most famous name in the camp, the leading WAG, known for her marriage to Wayne Rooney , has made a grand return to TV as she looks to put the Wagatha Christie scandal behind her. The Sun revealed the mum-of-four had bagged an eye-watering deal worth over £1.5million to be on the show this year making her the highest-paid contestant ever. Tulisa - The popstar and former X Factor judge has made her triumphant TV comeback by signing up to this year's I'm A Celeb after shunning TV shows for many years. Known for being a member of the trio, N-Dubz , Tulisa became a household name back in 2011 when she signed on to replace Cheryl on ITV show The X Factor in a multi-million pound deal. Alan Halsall - The actor, known for playing the long-running role of Tyrone Dobbs on ITV soap opera Coronation Street , was originally signed up to head Down Under last year but an operation threw his scheduled appearance off-course. Now he has become the latest Corrie star to win over both the viewers and his fellow celebrities. Melvin Odoom - The Radio DJ has become a regular face on TV screens after rising to fame with presenting roles on Kiss FM, BBC Radio 1 and 4Music. Melvin has already been for a spin on the Strictly dancefloor and co-hosted The Xtra Factor with Rochelle Humes in 2015 but now he is facing up to his biggest challenge yet - the Aussie jungle . GK Barry - The UK's biggest social media personality, GK, whose real name is Grace Keeling, has transformed her TikTok stardom into a lucrative career. Aside from her popular social media channels, she hosts the weekly podcast, Saving Grace, and regularly appears on ITV talk show, Loose Women . She has even gone on to endorse popular brands such as PrettyLittleThing, KFC and Ann Summers. Dean McCullough - A rising star amongst this year's bunch of celebs , Dean first achieved notability through his radio appearances on Gaydio and BBC Radio 1. He was chosen to join the BBC station permanently in 2021 and has featured prominently ever since. He has enjoyed a crossover to ITV over the past year thanks to his guest slots on Big Brother spin-off show, Late & Live. Oti Mabuse - The pro dancer has signed up to her latest TV show after making her way through the biggest programmes on the box. She originally found fame on Strictly Come Dancing but has since branched out into the world of TV judging with appearances on former BBC show The Greatest Dancer as well as her current role on ITV's Dancing On Ice . Danny Jones - The McFly star was drafted into the programme last minute as a replacement for Tommy Fury. Danny is the second member of McFly to enter the jungle , after Dougie Poynter won the show in 2011. He is also considered a rising star on ITV as he's now one of the mentors on their Saturday night talent show, The Voice , along with bandmate Tom Fletcher . Jane Moore - The Loose Women star and The Sun columnist is braving the creepy crawlies this year. The star is ready for a new challenge - having recently split from her husband . It will be Jane's first foray into reality TV with the telly favourite having always said no to reality shows in the past. Barry McGuigan - Former pro boxer Barry is the latest fighting champ to head Down Under following in the footsteps of Tony Bellew and Amir Khan . It comes after a tough few years for Irish star Barry, who lost his daughter Danika to bowel cancer . He told The Late Late Show in 2021: "She was such an intrinsic part of the family that every day we ache." Maura Higgins - The Irish TV beauty first found fame on Love Island where she found a brief connection with dancer Curtis Pritchard . Since then, she has competed on Dancing On Ice as well as hosting the Irish version of the beauty contest, Glow Up. Since last year, she has been working on building up her career in the US by being the social media correspondent and host of Aftersun to accompany Love Island USA. She even guest hosted an episode of the spin-off, Love Island Games, in place of Maya Jama last year. Rev. Richard Coles - Former BBC radio host the Rev Richard Coles is a late arrival on I’m A Celebrity , and he's ready to spill the beans on his former employer. The former Communards and Strictly star , said the BBC did not know its a**e from its elbow last year. An insider said: "Rev Coles will have a variety of tales to tell from his wild days as a pop star in the Eighties, through to performing on Strictly and his later life as a man of the cloth."