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fb7777 MIAMI — 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.”

TORONTO, Nov. 26, 2024 (GLOBE NEWSWIRE) — United Steelworkers union (USW) officials in both Canada and the United States today expressed their concern with President-elect Donald Trump’s announcement that he would impose a blanket 25% tariff on goods from Canada imported into the United States. “If applied, these extraordinary tariffs leveled on Canada would dramatically harm workers in both our countries,” said USW International President David McCall. “There is no question that we must address the holes in our global trading system, but Canada is not the problem.” USW leaders further noted that the Canadian and U.S. economies are deeply integrated, and Canada recently moved to better align with U.S. policies to help stem the flow of unfairly traded products making their way into North America. Canada is also a unique national security partner. “There is absolutely no doubt that working families are the first to get hurt by unfair trade practices, including global overcapacity in key sectors,” said USW Canadian National Director Marty Warren. “The answer, however, is to work together as allies on sensible trade policies that will allow us to contain bad actors like China.” “Our union in both the United States and Canada has been on the front lines for decades fighting for worker-forward trade policies that keep our critical supply chains secure,” said McCall. “Now, rather than taking a step back, we must capitalize on our current momentum in order to create lasting change.” The USW represents 225,000 members in nearly every economic sector across Canada and is the largest private-sector union in North America, with 850,000 members in Canada, the United States and the Caribbean. Each year, thousands of workers choose to join the USW because of the union’s strong track record in creating healthier, safer and more respectful workplaces and negotiating better working conditions and fairer compensation – including good wages, benefits and pensions. For more information, please contact: Shannon Devine, USW Communications and Political Action 416-938-4402 / sdevine@usw.caLEE Mack's The 1% Club has returned for a festive special, with Christmas themed questions already catching out contestants. The ITV show sees contestants faced with questions designed to test how their brain works, rather than their intelligence level. 4 The festive special of The 1% Club saw many Christmas themed questions Credit: ITV 4 The second question stumped contestants, with 28 knocked out by the spot the difference Credit: ITV They have to use their logic, reasoning and common sense as they are whittled down to one final question that only 1% of the country can answer correctly. This is all in an effort to try and take home the jackpot prize of up to £100,000. This year's Christmas special featured festive themed questions, but it wasn't long before those trying to win the money were stumped. With the second question focusing on a Christmas 'spot the difference', viewers at home were left stunned to find that 28 contestants had failed to get the answer right. More on The 1% Club SHAPE UP The 1% Club viewers gobsmacked as ‘easy’ question catches out contestants quizzed off 1% Club fans slam ‘trick question’ & insist answer is wrong - could you get it? The question pictured a festive scene where contestants had to spot what was differing between the two, with the answer being a missing pair of Santa's legs. Taking to X, one viewer wrote: " 28 people getting the second question wrong!" Another shared: "28 people. Wow". "What on earth were those 28 people looking at?" asked another baffled viewer. Most read in News TV CHRISTMAS JOY Lorraine Kelly shares sweet snap of granddaughter Billie's first Christmas NO PLACE LIKE HOME Lorraine Kelly shares plans to quit England with her daughter HOLYROOD HONOUR Strictly Come Dancing champion given special honour in Scottish parliament OH MY WORD Scots Countdown contestant is first woman to be crowned champion in 26 years This wasn't the only question that viewers at home were shocked to see the contestants struggling with, as some questioned whether the Christmas special quiz had been made 'easier'. One viewer shared on social media: "these questions are exceptionally easy . how anyone’s getting them wrong i’ll never know." Furious The 1% Club viewers slam show for ‘trick question’ and insist the answer was wrong - would you have got it? Another simply put: "Too easy." The festive special sees comedian Lee Mack back at the helm of the quiz show, which won Best Quiz Game Show for the third year in a row at the NTA Awards. The series has also been recommissioned for a fifth series , with ITV bringing back the show for this festive special and also a charity one for Soccer Aid . A source previously told us: "The show has well and truly proved its popularity with viewers, and so it’s only natural to bring it back for not one, but two more rounds. "This will also include two Christmas specials, which will air on ITV after the main series have run." Previous episodes of The 1% Club are available on ITVX. 4 The answer was Santa's legs were missing in the second image Credit: ITV 4 Lee Mack returned to present the festive special of the ITV quiz show Credit: ITVManayunk's dog-friendly bar Bark Social closes as company goes bankrupt

Michail Antonio spoke to his West Ham team-mates via a video call from his hospital bed before they beat Wolves 2-1 on Monday night. Jarrod Bowen held Antonio’s number nine shirt aloft after scoring the winner in support of the Hammers striker, who is recovering after a horror car crash on Saturday. Boss Julen Lopetegui said: “He is not in his best moment but he kept his humour. It was a special moment for us. “I think we have a lot of reason to win matches but this was one reason more. He’s alive so we are happy.” MA9 ❤️ — West Ham United (@WestHam) West Ham players wore ‘Antonio 9′ shirts while warming up and walking out before kick-off. The shirts will be signed by the players, including Antonio, and auctioned off with the proceeds going to the NHS and Air Ambulances UK. Tomas Soucek headed West Ham into the lead and held up nine fingers to a TV camera. The Czech midfielder told Sky Sports: “He’s been here since I came here. He is really my favourite. I said it would be tough for me to play without him. "He was here since I came and he's really my favourite" Tomáš Souček on dedicating his goal to Michail Antonio ❤️ — Sky Sports Premier League (@SkySportsPL) “I was so scared what was going to happen. It was a really tough week for him, his family and us.” Matt Doherty equalised for Wolves, and boss Gary O’Neil felt they should have had two penalties for fouls on Goncalo Guedes and Jean-Ricner Bellegarde, both of which were checked by VAR. But Bowen’s winner – O’Neil believed there was a foul in the build-up – condemned Wolves to a 10th defeat of the season and a third in a row. While under-pressure Lopetegui may have earned a stay of execution, O’Neil’s future as Wolves manager is now in serious doubt. “A lot of things went against us but ultimately we have not found a way to turn the game in our favour,” he said. “But the players showed they are still fighting for me, for the fans and the group. “Where does this leave me? In the same place I was. I’m aware of the noise. But if anyone expected this to be easy – I’m happy to be judged on results but it should be done in context. “Whenever this journey ends with Wolves I’ll be proud of it.” There was an acrimonious end to the match as captains Bowen and Mario Lemina scuffled after the final whistle, with the Wolves midfielder angrily shoving people including one of his own coaches, Shaun Derry. “I just went to shake his hand after the game,” Bowen said. “He didn’t want to shake my hand, two captains together just to say ‘well done’ after the game. “I know it’s difficult when you lose. I’ve been on the end of that situation.” O’Neil added: “Mario is calm now. He’s a passionate guy and something was said that upset him. “The instinct of the staff was to make sure he didn’t get into trouble, but he took some calming down.”Brainy, 'normal guy': the suspect in US insurance CEO's slaying

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January 29, 2025 11:00 AM ET 1 hour Identify key supply chain vulnerabilities and resilience strategies. Analyze regulatory changes' implications on global trade. Evaluate geopolitical shifts' impact on supply chain operations. Implement diversification strategies to mitigate risks. Enhance supply chain visibility and data protection through technology. Manager, Enterprise Content – Tax and Accounting, Thomson Reuters CEO and Director, E-Merchants Trade Council Sr. Product Marketing Manager, Thomson Reuters , Editor-in-Chief SupplyChainBrain RELATED CONTENT RELATED VIDEOS Related Articles Related DirectoriesRobert Braswell scores 19 to help Charlotte earn 77-63 victory over Georgia State

JERUSALEM — A new round of Israeli airstrikes in Yemen on Thursday targeted the Houthi rebel-held capital and multiple ports, while the World Health Organization's director-general said the bombardment occurred nearby as he prepared to board a flight in Sanaa, with a crew member injured. "The air traffic control tower, the departure lounge — just a few meters from where we were — and the runway were damaged," Tedros Adhanom Ghebreyesus said on social media. He added that he and U.N. colleagues were safe. "We will need to wait for the damage to the airport to be repaired before we can leave," he said, without mentioning the source of the bombardment. U.N. spokesperson Stephanie Tremblay later said the injured person was with the U.N. Humanitarian Air Service. Israel's army later told The Associated Press it wasn't aware that the WHO chief or delegation were at the location in Yemen. People are also reading... 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At OSU, it’s time to talk Tulsa's Country Bird Bakery named one of the best in the U.S. OU releases depth chart for Armed Forces Bowl vs. Navy; Here are notable changes The Christmas story behind the lights on 29th Street. Why is that one tree a different color? The Israeli strikes followed several days of Houthi launches setting off sirens in Israel. The Israeli military said in a statement it attacked infrastructure used by the Iran-backed Houthis at the international airport in Sanaa and ports in Hodeida, Al-Salif and Ras Qantib, along with power stations, claiming they were used to smuggle in Iranian weapons and for the entry of senior Iranian officials. Israel's military added it had "capabilities to strike very far from Israel's territory — precisely, powerfully, and repetitively." The strikes, carried out more than 1,000 miles from Jerusalem, came a day after Israeli Prime Minister Benjamin Netanyahu said "the Houthis, too, will learn what Hamas and Hezbollah and Assad's regime and others learned" as his military has battled those more powerful proxies of Iran. The Houthi-controlled satellite channel al-Masirah reported multiple deaths and showed broken windows, collapsed ceilings and a bloodstained floor and vehicle. Iran's foreign ministry condemned the strikes. The U.S. military also targeted the Houthis in recent days. The U.N. says the targeted ports are important entryways for humanitarian aid for Yemen, the poorest Arab nation that plunged into a civil war in 2014. Over the weekend, 16 people were wounded when a Houthi missile hit a playground in the Israeli city of Tel Aviv, while other missiles and drones were shot down. Last week, Israeli jets struck Sanaa and Hodeida, killing nine people, calling it a response to previous Houthi attacks. The Houthis also have been targeting shipping on the Red Sea corridor, calling it solidarity with Palestinians in Gaza. The U.N. Security Council has an emergency meeting Monday in response to an Israeli request that it condemn the Houthi attacks and Iran for supplying them weapons. Journalists killed in Gaza Meanwhile, an Israeli strike killed five Palestinian journalists outside a hospital in Gaza overnight, the territory's Health Ministry said. The strike hit a car outside Al-Awda Hospital in the built-up Nuseirat refugee camp in central Gaza. The journalists worked for local news outlet Al-Quds Today, a television channel affiliated with the Islamic Jihad militant group. Islamic Jihad is a smaller and more extreme ally of Hamas and took part in the Oct. 7, 2023, attack in southern Israel that ignited the war. Israel's military identified four of the men as combat propagandists and said that intelligence, including a list of Islamic Jihad operatives found by soldiers in Gaza, confirmed that all five were affiliated with the group. Associated Press footage showed the incinerated shell of a van, with press markings visible on the back doors. The Committee to Protect Journalists says more than 130 Palestinian reporters have been killed since the start of the war. Israel hasn't allowed foreign reporters to enter Gaza except on military embeds. Israel banned the pan-Arab Al Jazeera network and accuses six of its Gaza reporters of being militants. The Qatar-based broadcaster denies the allegations and accuses Israel of trying to silence its war coverage, which has focused heavily on civilian casualties from Israeli military operations. Israeli soldier killed Separately, Israel's military said a 35-year-old reserve soldier was killed during fighting in central Gaza. A total of 389 soldiers have been killed in Gaza since the start of the ground operation. The war began when Hamas-led militants stormed across the border, killing around 1,200 people, mostly civilians, and abducting about 250. About 100 hostages are still inside Gaza, at least a third of whom are believed to be dead. Israel's air and ground offensive has killed more than 45,000 Palestinians, according to the Health Ministry. It says more than half the fatalities are women and children, but doesn't say how many of the dead were fighters. The offensive caused widespread destruction and hunger and drove around 90% of the population of 2.3 million from their homes. Hundreds of thousands are packed into squalid camps along the coast, with little protection from the cold, wet winter. Also Thursday, people mourned eight Palestinians killed by Israeli military operations in and around Tulkarem in the occupied West Bank on Tuesday, according to the Palestinian Health Ministry. The Israeli military said it opened fire after militants attacked soldiers, and it was aware of uninvolved civilians who were harmed in the raid.McKinsey estimates that AI—and generative AI in particular— to the global banking sector, accounting for approximately 4.7% of total industry revenues. This includes leveraging AI to significantly enhance financial planning and analysis (FP&A) processes by automating routine tasks such as accounts payable, journal entries, data gathering, and reporting. Early applications of AI in FP&A have already demonstrated a powerful impact. By integrating real-time data into traditional forecasting models, AI improves the accuracy of predictions related to revenue, expenses, and cash flow. Generative AI further advances these capabilities by automating tasks like report generation, variance analysis, and recommendations, allowing FP&A teams to focus more on strategic initiatives. However, fully harnessing these benefits requires overcoming the longstanding challenges in traditional FP&A processes that have hindered financial planning’s effectiveness and agility. Traditional FP&A processes face significant challenges in handling vast amounts of financial data generated daily. Integrating market data, transactional data, and economic indicators often results in data silos and inconsistencies, which complicates obtaining a comprehensive financial overview. Additionally, traditional processes are typically confined to predefined scenarios, limiting their ability to adapt to unexpected market conditions and changes. This rigidity impedes effective preparation for sudden events and volatile market fluctuations. Manual FP&A processes are also time-consuming and prone to errors, which hampers the ability to respond quickly to market changes. This delay impacts decision-making agility and operational efficiency. Traditional FP&A struggles with adapting to real-world, requiring substantial resources for continuous scenario development and modeling. The inability to accurately predict future conditions leads to diminished confidence in financial projections and challenges in urgent decision-making, particularly around capital allocation. Generative AI addresses these traditional challenges and enhances FP&A processes in several ways: Despite its potential, adopting generative AI in FP&A presents several challenges: Generative AI holds transformative potential for FP&A processes in banking. To fully leverage this technology, banks should start with practical use cases such as forecasting, reporting, and dynamic scenario generation. These initial applications offer quick wins and pave the way for broader implementation. As adoption progresses, finance functions must strategically address current challenges and set a course for innovation and resilience. Embracing generative AI will not only refine FP&A processes but also enhance financial stability and strategic agility in an ever-changing economic landscape. For more information on how generative AI can transform your FP&A processes, .

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