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ps rpm NoneFormer U.S. Rep. Anthony Weiner has filed to run for a seat on the New York City Council, launching a potential political comeback after his once-promising career was destroyed by sexting scandals and later a criminal conviction for having illicit online contact with a child. Campaign finance records list a campaign committee that was set up on Friday for Weiner called Weiner 25, in addition to listing him as a candidate for a council seat in lower Manhattan. In a phone conversation Tuesday with The Associated Press, Weiner, a Democrat, said he is “still exploring” whether to actually campaign for the office. He said he opened the committee late last week so he could participate in a forum held by the Downtown Independent Democrats later this week. He referred additional questions to recent statements he made on his weekly radio show, “The Middle with Anthony Weiner,” where he said: “I haven’t decided if I want to do this yet” while considering the personal dynamics of a return to politics. Weiner represented a congressional district in New York City for about 12 years before he resigned in 2011 after sending lewd photos to several women. He tried to make a comeback in 2013 to run for mayor but was damaged by new revelations of explicit photos Weiner had sent under the online alias “Carlos Danger.” Weiner pleaded guilty in 2017 to having illicit online contact with a 15-year-old girl and was sentenced to 21 months in federal prison. He was released in 2019 and was ordered to register as a sex offender . ___ Izaguirre reported from Albany, N.Y.

Sinn Fein ‘ignored role of 3,000 deaths in damaging community relations’NoneThese online communities say they’ve found the formula for keeping people safe

FBI ‘most wanted’ arrested after 20 years on the runComing off a highly successful West Coast road trip, the Buffalo Sabres return to home ice on Wednesday to face the Minnesota Wild, when they will likely welcome back their leading goal-scorer. Tage Thompson told reporters after practice Tuesday that he would be "ready to go" against the second-place team in the Central Division. The 27-year-old center, who scored 47 goals and 94 points two seasons ago, has not played since Nov. 11 due to a lower-body injury. Despite missing five games, his 11 goals still lead the team, and he ranks third in points with 18. Javascript is required for you to be able to read premium content. Please enable it in your browser settings. Each year, an estimated 46 million turkeys are consumed on Thanksgiving alone, with production largely concentrated in a handful of states. To determine the top turkey producers in the U.S., researchers ranked states based on 2023 total turkey production, measured in pounds. Click for more. Thanksgiving's Hometown Heroes: The States You Can Thank for Your Turkey Dinner

Arsenal deliver Champions League statement of intent— ArtetaHAMDEN, Conn. (AP) — Amarri Tice scored 20 points and Paul Otieno added six in the overtime as Quinnipiac defeated Hofstra 75-69 on Sunday. Tice added 11 rebounds and three blocks for the Bobcats (6-7). Otieno scored 17 points and added 14 rebounds. Jaden Zimmerman shot 4 of 8 from the field, including 1 for 4 from 3-point range, and went 1 for 5 from the free-throw line to finish with 10 points. Jean Aranguren led the Pride (8-5) in scoring, finishing with 23 points, eight rebounds, six assists and three steals. Cruz Davis added 14 points and two steals for Hofstra. Michael Graham had eight points, 13 rebounds and three blocks. Quinnipiac entered halftime up 36-32. Tice paced the team in scoring in the first half with 10 points. Quinnipiac was outscored by four points in the second half and the teams finished regulation tied 63-63 after two free throws by Aranguren with 38 seconds remaining. Otieno shot 2 of 3 from the field on the way to their six points in the overtime. The Associated Press created this story using technology provided by Data Skrive and data from Sportradar .

The Great British Bake Off 2024: fans are all saying the same thing about Dylan in the finalMinutes of an Executive meeting from June of that year state further action would be considered “as appropriate” if the DUP went ahead with a threat to rotate its ministers. The minutes are within files which have been declassified at the Public Record Office in Belfast. Devolved powersharing had been restored to Northern Ireland in May 2000 when Ulster Unionist leader David Trimble had received the backing of his party to go back into the Assembly, despite there having been no decommissioning of IRA arms at that point. Then DUP deputy leader Mr Robinson and Mr Dodds took up the offices as ministers for regional development and social development, but refused to attend Executive meetings due to the presence of Sinn Fein ministers. The party also said it would rotate its ministerial posts to prevent other parties from taking them. A minute of an Executive meeting on June 8 said Mr Robinson and Mr Dodds had refused a request from First Minister Mr Trimble and deputy First Minister Seamus Mallon to meet with them “to discuss recent public comments by the DUP concerning their positions as ministers”. The minute records that the Executive endorsed a proposal from the First and deputy First Ministers to write again to the two DUP ministers setting out sanctions against them. It says: “The First Minister and and Deputy First Minister would assume responsibility for representing the Executive Committee on transport matters at the British-Irish Council in place of the Minister for Regional Development. “The Minister for Social Development and the Minister for Regional Development would not be nominated to attend meetings of the Joint Ministerial Committee. “Pending the receipt of satisfactory assurances from DUP Ministers regarding the confidentiality and integrity of Executive Committee business, the Minister for Social Development and Minister for Regional Development would not receive Executive Committee papers as of right. “The First Minister and Deputy First Minister would seek briefing, as appropriate, from officials in the Department for Regional Development and Department for Social Development.” The minute continues: “If the DUP carried out their threat to change the holders of the two Ministerial offices on a frequent basis, the Executive Committee would consider other action as appropriate.” Mr Robinson and Mr Dodds resigned as ministers on June 27 and were replaced by party colleagues Gregory Campbell and Maurice Morrow. A minute from an Executive meeting that day says: “The Executive Committee noted that the Minister for Social Development and Minister for Regional Development would be resigning their posts that afternoon, and expressed concern at the proposed rotation of the ministries held by their Party Members.”

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It turns out the magic potion needed to end Aston Villa’s miserable run came in a bottle of peroxide applied to Morgan Rogers’s hair. The England midfielder went bright blond after a trip to the barbers and could not have been happier with the results – his opening goal giving Villa lift-off as they finally won a match after going eight games without victory. Rogers also provided an assist for Matty Cash after Ollie Watkins had scored from the penalty spot, with only Mikkel Damsgaard’s second-half goal making it slightly nervy after the interval. “They can do whatever they like with that but, on the field, I want them committed, working tactically and with the attitude we need to play serious and compact and disciplined,” said Unai Emery, the Villa manager. “Then he can be the protagonist, not for his hair and more for his football. Scoring like he did was fantastic, because this is the way to get confidence again.” The first 45 minutes was an emphatic answer to whether this was a mini-blip for Emery, or a more deep-rooted problem for the team who shook up the natural order in the Premier League last season by finishing in the Champions League places. Rogers has enjoyed a stunning few weeks, making his England debut last month and backing it up with a match-winning performance just when there were suggestions of Villa heading towards crisis. Such is the competitiveness of this season, victory takes Villa within sight of the European places, despite their recent run. “The message is to try and focus on each match and forget the table and how we were then and how we are now,” Emery added. “I don’t want to speak about what it does for the table. I spoke before about the top five, but now we have to keep calm and recover.” Rogers’s hair was the highlight of an opening period short on quality and desperate for somebody to stamp their mark on the game, which the Villa midfielder did by running from his own half into enemy territory and then swapping passes with Watkins before curling into the top corner. Watkins scored his seventh goal of the season with a penalty after winning the spot kick himself, getting knocked off balance by Ethan Pinnock as he ran through on goal. Young referee Lewis Smith, who made his Premier League debut last season, was backed by VAR, but it was a tight call. Rogers provided the assist for the third goal, floated to the far post, where Cash volleyed in. Emery had made a huge call dropping Pau Torres to give Tyrone Mings his first Premier League start of the season, and first since conceding a penalty against Club Brugge with a bizarre handball when he thought the ball was dead. Denmark midfielder Damsgaard pulled one back for Brentford but their run of failing to win away this season continued. All the final scores from an action-packed evening. Goal-happy Chelsea and Arsenal have cut Liverpool’s lead to seven points. Manchester City’s seven-game winless run ended without drama at the Etihad and they’re back up to fourth, nine behind Arne Slot’s men. At the bottom, Everton scored four to move up to 15th place. Wolves and Southampton, mired in the relegation zone, were on the receiving end of thrashings. Arsenal 2 Manchester United 0 Aston Villa 3 Brentford 1 Everton 4 Wolverhampton Wanderers 0 Manchester City 3 Nottingham Forest 0 Newcastle United 3 Liverpool 3 Southampton 1 Chelsea 5 Villa ran riot in the opening 35 minutes and that fierce start was more than enough to ensure all three points. They move up to seventh, passing ninth-placed Brentford. Morgan Rogers will be good for dozens more England caps, based on his influential display. Home is where the happiness is for both Villa and Brentford. They will seek to improve their away form in coming months. Arsenal reduce the deficit to leaders Liverpool to seven points. Once again, their set-pieces made the difference. Some lessons for Ruben Amorim. He never said it would be easy. United frustrated the home side in the first half, but Arsenal’s quality showed after the hour mark and the away side offered little of substance in attack. Declan Rice swings in a corner and it hits a few heads at the front post, nearly going in for another goal. No team seems able to handle Arsenal’s set-piece threat. Four minutes of stoppage time. Sharp set-piece work from Manchester United, but no cigar. That was one straight off the training pitch. Fernandes plays it to Antony on the left after shaping to shoot from a free kick. He shot hard and straight at Raya, who collected it after Kiwior chested it down to him. A few minutes left here and at Villa Park. Looks like both home teams will hold on. Every time Arsenal have a corner - and they’ve had 12 - they look capable of scoring. Tyrone Mings heads just over from a corner. Encouraging performance from the 31-year-old after a lengthy lay-out due to a knee injury. The home side look a bit less nervy. Yet another Arsenal goal from a set-piece. A Saka corner to the back post and Thomas Partey cannons a header in. It comes off Saliba’s derriere, with several United defenders crammed together on the goal-line. Thoughtless defending there, just when United had enjoyed a positive spell. A Var check briefly appears to be checking for handball, but it’s over quickly. David Raya seemed to hang in the air for seconds, diving to his left to keep out a Matthijs De Ligt header from a free kick. We’ve had some goalkeeper howlers tonight, but that is top-draw from the Spaniard. Manchester United are looking more confident and fluent as they chase an equaliser. This is an important spell in the match. Villa were cruising at 3-0 but that Damsgaard goals has made it quiet around Villa Park. Brentford could make this a very nervous second half with another goal, given the run Unai Emery’s team have been on. Twinkle-toed Rasmus Damsgaard jinks and jives around a few Villa defenders and hammers the ball into the net. The ball had been poorly headed away by Cash - well, more like headed into the Dane’s path, but he had a lot to do. Arsenal have a chance to reduce Liverpool’s advantage after the leaders’ all-action draw on Tyneside. Chelsea are now seven points down on Arne Slot’s players and are the top scorers in the Premier League, with 31 goals in 14 games. At the other end, it’s a priceless three points for Everton. The manner in which they did it will restore a lot of confidence and belief too. Few positives to take for Southampton, mind, who played most of the match with ten players. Everton 4 Wolverhampton Wanderers 0 Manchester City 3 Nottingham Forest 0 Newcastle United 3 Liverpool 3 Southampton 1 Chelsea 5 As it ends honours even in Newcastle, Liverpool’s title rivals Arsenal are a goal to the good. Declan Rice swung in a corner and Jurrien Timber comes through a crowded six-yard box and glances the ball home, with Onana rooted to the spot. A few suggestions of a push lead to no action from the referee. Big penalty shout in the dying embers as the ball strikes Dan Burn as he turns away. Nothing doing from the ref - good call. Meanwhile, Manchester City and Chelsea are minutes away from comfortable victories. Kelleher will be up all night thinking about that mistake. He saw a deep free kick sailing over his head and took his hands away, thinking it would go out. Big mistake. Fabian Schar slides in at the back post and converts it from an acute angle. Fine finish, but the Liverpool goalkeeper should have claimed that. They were queuing up, with five against three on the break. Jadon Sancho smashes home a rare goal, lashing in the ball. He seems to be enjoying his football again in a Chelsea shirt. Sheer quality from Mo Salah. Time seems to slow down when he takes the ball. Alexander-Arnold crosses, Salah controls it with his right leg, turns in an instant and fires the ball home with his left. No wonder Slot is pumping his fists. Salah comes very close to a winner, weaving in on the right and slamming the stanchion with his shot. Nick Pope was beaten. Alexander-Arnold and Szoboslai have revitalised Slot’s men, coming off the bench. Cole Palmer taps in from a yard out, helping on a trickling Nkunku shot which was part-blocked. It was coming. Chelsea could have had eight. After the famine comes the goal feast for Sean Dyche’s players. Dominic Calvert-Lewin marks his return to the starting XI with a goal, diving in with a header from a free-kick. More woe for Wolves and their leaky defence. Well, in fact, it was a second Craig Dawson own goal. Little quality to report from Arsenal v Manchester United so far. A very different story at Villa Park. Arsenal 0 Manchester United 0 Aston Villa 3 Brentford 0 Wolves fans are taunting Gary O’Neil and calling for his sacking. It has been like shooting practice at St Mary’s. Joao Felix miscued a headed sitter and Lumley saves well with his feet from Madueke. A dispiriting evening for the ten men of Southampton. What a response from Arne Slot’s side. Trent Alexander-Arnold, so often the assister, fired it into the near post from the byline and Mo Salah helped it into the far corner. Cute finish, passing it through Newcastle. The away side are showing their fighting spirit. Anthony Gordon gives Newcastle the lead again. Isak drew Quansah in and that was all the space the England international needed. He cut inside Gomez sharply, then hit it low past Kelleher. The keeper got a hand to it, but it was not enough. Matty Cash bags his first goal in 20 months, hitting home from a deflected Morgan Rogers cross at the back post. He got it on target from an acute angle and it had too much heat for Flekken. Villa are purring here. A Jeremy Doku special. Running from the halfway line, he bamboozles a back-tracking defender and curls the ball past Sels into the corner. Fine individual goal. It’s looking good for City and Guardiola. Ship a little steadier? That ought to be three precious points in the bag. Calvert-Lewin rises highest at the back post to head in from a corner. However, it transpires that it came off Dawson’s hands. Maybe that explains the sheepish celebration from the striker. Ollie Watkins was bundled over in the box by Ethan Pinnock and he pops up to roll the penalty into the back of the net - just. Flekken guessed right, but his hand wasn’t strong enough. On the right flank, Salah spots Curtis Jones haring into the box and picks him out perfectly. He steers it in off the crossbar on the half-volley. Pope was caught a bit flat-footed, but there was too much pace on it. New haircut, same quality from bleach-blond Morgan Rogers. He made that chance too. He drove forward, got the ball back from Watkins, opened up his body and curled the ball into the top-right corner from the edge of the 18-yard box. Classy finish. Everton deservedly ahead. Wolves will be doomed if they keep setting themselves the challenge of needing to score three a game to win. They have the capacity to create chances and might prey on home nerves as the game progresses if they can one back, but if Everton stay positive they will score more in the second half. Andre Onana nearly gave a goal away early doors by passing out to the Arsenal attack. United have barely got out of first gear, it’s all Arsenal at the moment. Villa midfielder Morgan Rogers has made an eye-catching start to the game - with his new hairstyle. The England midfielder has bleached blonde hair, which is a very different look to earlier in the season when he earned his international call-up. Chelsea could have had five or six goals and they trot off a man to the good against hapless Southampton. Everton are halfway to a precious three points and Manchester City’s seven-match winless run could be over in an hour’s time. Work to do for Arne Slot and Liverpool after Alexander Isak’s sublime finish. Everton 2 Wolverhampton Wanderers 0 Manchester City 2 Nottingham Forest 0 Newcastle United 1 Liverpool 0 Southampton 1 Chelsea 3 Wolves’ vulnerabilities exposed again as Everton finally double their lead. The visitors just aren’t tough enough defensively. This is turning into the perfect game for Dyche to relieve pressure. The two 8.15pm kick-offs are underway. You can follow Arsenal v Manchester United here - Maguire and Mount are starting, interesting - and Villa v Brentford has just started. Chelsea don’t look comfortable defensively but Southampton have gifted them two goals. The first the result of a simple failure to defend from a corner and the second, one of the unfortunate hallmarks of their season, a calamitous attempt to play out from the back. Christopher Nkunku won’t score an easier goal than that. It’s been an eventful half for Gvardiol, who is notionally a left back but spending most of this game popping up in positions you’d expect of a No. 10. He has three league goals this season and probably should have had another two tonight, heading an inviting chance wide in the 15th minute and then dragging a shot wide when one on one after being released by Haaland. In between times, he was knocked off the ball by Jota Silva, who teed up Morgan Gibbs-White for a chance Ortega pushed wide. Attacking wise Gvardiol has been a real threat, defensively he has looked less sure. It goes from bad to worse for Russell Martin and bottom-of-the-table Southampton. Jack Stephens pulls Marc Cucurella’s hair and he’s sent off. Clear as day. A silly, petulant foul. No way back for the home side now, surely. Alexander Isak with the best goal of the evening so far. He blasts an unstoppable shot from 25 yards out after wrongfooting Virgil van Dijk, which takes some doing. Impressive power and accuracy. Orel Mangala gives Everton a buffer. The ball came back to him on the edge of the box and he made no mistake, helped by a slight deflection to make it past Jose Sa. They had not scored in the Premier League since the end of October, now two goals have come along in the first 33 minutes. Noni Madueka has room on the right, cuts inside Manning and shoots past Lumley into the fast corner. His star continues to rise. And there are more goals coming... Kevin De Bruyne lashes home Manchester City’s second. Doku jinked inside and his compatriot was afforded far too much space to fire high into the corner of the net past Sels. A neatly-worked goal, it is like he has never been out of the team. Bodes well for ending the winless run, but City have thrown away bigger leads in recent weeks... Chris Wood misses when through on goal. Sloppy play from De Bruyne passing back gifted it to the prolific New Zealander who charged through. Ortega dived to his left but the ball rolled wide of the right post. That’s a big let-off for Guardiola’s men. After a prolonged VAR check, Tarkowski’s goal is disallowed for Mangala blocking Lemina during the free-kick. It’s highly contentious. It’s an escape for Wolves, but their biggest problem right now is they can’t defend. Wolves will feel a few dodgy decisions in their favour are overdue, but not even the staunchest away fan would have complained had Tarkowski’s goal stood. It looks like the kind of unnecessary intervention Howard Webb promised would stop. Lumley redeems himself a little with a smart save from Cole Palmer, palming it onto the post after the on-form Englishman was put through. From the corner, Tosin heads onto the crossbar. Southampton need to be careful or this game will quickly get away from them. It will be interesting to see how Brentford get on without their engine room. Mathias Jensen and Christian Norgaard are out injured and the central midfielders are replaced by Yehor Yarmolyuk and Vitaly Janelt from the team that defeated Leicester 4-1. City have started with a bang and that man Kevin De Bruyne’s return to the starting XI seems to have given them added impetus. He picked out Erling Haaland with a pinpoint pull back that the Norway striker lashed at Matz Sels and has just played his part in City taking the lead, firing a header goalwards from Ilkay Gundogan’s cross that Bernardo poked in on the line. James Tarkowski rises, heading a Dwight McNeil free-kick into the bottom corner to give Everton a buffer... but Var rules it out. Orel Mangala was deemed to be offside. Nevertheless, Dyche’s men have started strongly. That is an early Christmas gift. No danger at all for Southampton as the defence looks to build from the back. The goalkeeper Lumley plays it slowly towards a defender, the watchful Madueke pounces and passes it to Nkunku who taps the ball into an empty net. Joe Lumley was more like Joanna Lumley there. The home side are in front and Everton have their first goal in four Premier League matches. Ashley Young bends in a low free-kick from 25 yards out round the outside of the Wolves wall. That is his 50th Premier League and his first for 26 months. Game on at the South Coast. Walker-Peters waltzes into the area and plays a ball across and Joe Aribo makes amends, tapping it past Jorgenson. That’s just desserts for the dynamic way the relegation strugglers have started. Bernardo Silva pinches the opener. Gundogan made a late run and sent a well-judged dink to the back post where Kevin De Bruyne threw himself at it. His effort was goalbound, but Bernardo Silva got the final touch about 50 centimetres from the goal line. He’s nabbed that one. Just the start Pep Guardiola wanted. Axel Disasi nods home Enzo Fernandez’s corner at the front post. The Southampton defence were like statues. Having had a gilt-edged chance of their own, the home side are already a goal down. Guardiola has taken a leaf out of Lee Carsley’s book by starting Jack Grealish in midfield alongside De Bruyne and Gundogan. Grealish hasn’t scored in the league this season and City could really do with the England midfielder finding some form. Joe Aribo has missed an absolute sitter from ten yards out. Well-stopped by Jorgenson but it should have been tucked well out of his reach. Goals have been hard to come by for Russell Martin’s basement dwellers and they might be made to rue that. Here are the 7.30pm kick-offs about to get underway. Christmas anthems are pumping at stadiums around the country and opponents’ hands are being limply shaken: Everton v Wolverhampton Wanderers Manchester City v Nottingham Forest Newcastle United v Liverpool Southampton v Chelsea The great Beto renaissance lasted just one game, sadly for the Everton striker. Dominic Calvert-Lewin returns with Sean Dyche demanding more from him. Calvert-Lewin might be entitled to demand more service to oblige the request. Everton desperately need a win given their schedule. Wolves will sense a chance to prove they are in a false position. Joao Felix, Nkunku and Madueke are up top among seven changes made by Enzo Maresca. Only Cucurella is retained at the back, while Filip Jorgensen makes his first Premier League start in goal. Well, Chelsea do have the strength-in-depth to make these kind of wholesale changes and still come out on top. For the home side, Harwood-Bellis, Downes and Dibling are all suspended, in come Bree, Wood, Aribo and Ryan Fraser. Southampton: Lumley; Walker-Peters, Bree, Stephens, Wood, Manning; Fernandes, Aribo; Armstrong, Archer, Fraser. Substitutes: McCarthy, Edwards. Sugawara, Taylor, Cornet, O’Brien-Whitmarsh, Amo-Ameyaw, Brereton Diaz, Kamaldeen. Chelsea: Jorgensen; Gusto, Disasi, Tosin, Cucurella; Caicedo, Fernandez; Madueke, Palmer, Joao Felix; Nkunku. Substitutes: Sanchez, Badiashile, Colwill, Veiga, Dewsbury-Hall, Lavia, Neto, Sancho, Jackson. Tyrone Mings and Leon Bailey start in place of Pau Torres and Jaden Philogene for the home side. A pair of tweaks for Brentford too, as Yehor Yarmoliuk and Vitaly Janelt slot in for Christian Norsgaard and Mathias Jensen. Kick off is at 8.15pm. Gabriel is out injured, alongside defensive partner Riccardo Calafiori. Zinchenko and Kiwior come in at the back, while Thomas Partey gets the call ahead of Leandro Trossard on the wing. Mikel Arteta’s fourth change to their five-goal shellacking of West Ham is opting for Thomas Partey ahead of Jorginho. Ruben Amorim said he would rotate the squad and he has made six amendments to the starting team who won with similar comfort against Everton at the weekend. Maguire and Ugarte are in for the suspended Martinez and Mainoo. Amad makes way for Malacia. Mount, Garnacho and Hojlund come in, with weekend scorers Rashford and Zirkzee on the bench. Arsenal: Raya, Timber, Saliba, Kiwior, Zinchenko, Partey, Rice, Odegaard, Martinelli, Saka, Havertz. Substitutes: Neto, Tierney, Heaven, Jorginho, Merino, Nwaneri, Trossard, Sterling, Jesus. Manchester United: Onana; Mazraoui, De Ligt, Maguire; Dalot, Ugarte, Fernandes, Malacia, Mount, Garnacho, Hojlund. Substitutes: Bayindir, Kukonki, Yoro, Casemiro, Eriksen, Amad, Antony, Rashford, Zirkzee. Here it is in good old black-and-white. One change for Eddie Howe’s side, as Jacob Murphy replaces Joe Willock. Alexander Isak is fit and starts. Three for Liverpool, as Jarrell Quansah, Curtis Jones and Darwin Nunez come into the line-up. Luis Diaz, Dominik Szoboszlai and Trent Alexander-Arnold start on the bench. Newcastle United: Pope, Livramento, Schar, Burn, Hall, Tonali, Guimaraes, Murphy, Joelinton, Isak, Gordon. Subs: Dubravka, Wilson, Barnes, Targett, Osula, Almiron, Kelly, Willock, Longstaff. Liverpool: Kelleher, Gomez, Van Dijk, Quansah, Robertson, Mac Allister, Jones, Gravenberch, Salah, Gakpo, Nunez. Substitutes: Jaros, Endo, Diaz, Szoboszlai, Elliott, Nallo, Alexander-Arnold, Morton, Nyoni. Kevin De Bruyne is back and pulling on the captain’s (rainbow, I expect) armband today for his first start in nearly three months. The experienced Belgian midfield magician is one of four changes to City’s starting XI in their 2-0 defeat against Liverpool. Josko Gvardiol, Jeremy Doku and Jack Grealish are also starting. Doku gave them a little more energy and penetration when he came on in the second-half at Anfield. Anthony Elanga is one of three changes made by Nuno Espirito Santo for Forest, alongside Dominguez and Moreno. Manchester City: Ortega; Gvardiol, Dias, Akanji, Ake; Grealish, Doku, De Bruyne, Bernardo Silva, Gundogan, Haaland. Substitutes: Ederson, Carson, Walker, Savinho, Nunes, Wright, O’Reilly, Lewis, McAtee. Nottingham Forest: Sels, Aina, Milenkovic, Murillo, Moreno; Yates, Dominguez, Jota Silva, Gibbs-White, Elanga, Wood. Substitutes: Carlos Miguel, Morato, Williams, Anderson, Awoniyi, Hudson-Odoi, Da Silva Moreira, Ward-Prowse, Sosa. Good evening and welcome to Telegraph Sport ’s live, minute-by-minute Premier League clockwatch. There are six matches to get stuck into on a busy Wednesday night of action, four kicking off at 7.30pm and a brace at 8.15pm. League leaders Liverpool are away to Newcastle United. It’s an opportune time to be visiting, as Eddie Howe’s side are experiencing an inconsistent patch of form. Can they show their best and slow down Slot and company’s saunter to the title? In stark contrast, defending champions Manchester City have not won in seven matches, which has never happened under Pep Guardiola’s guardianship. The aura has gone, their defence has looked nervy and leaky, but surely the free-fall will end - and there will not be a seven-finger salute from their manager to away fans tonight. “We don’t have a squad [due to injuries],” Guardiola said. Rodri and John Stones are still crocked; Manuel Akanji and Nathan Ake were previously out for a significant period of time. They go up against a very game Nottingham Forest outfit who will move ahead of them if they win at the Etihad. Who would have thought that possible four months ago? Unbeaten in five, Enzo Maresca’s free-scoring Chelsea have an opportunity to move into second place tonight, as the Londoners travel to bottom side Southampton. Wesley Fofana is out, nursing a hamstring injury sustained in Sunday’s win over Villa, but Southampton have a swathe of players banned or on the treatment table. They’ll be missing Tyler Dibling and Taylor Harwood-Bellis, whose bookings in their last match mean they are suspended tonight. In a match between fellow relegation fighters, Everton play Wolves. The home team hasn’t won in five and pressure is building on Sean Dyche. If the visitors take three points, they will move above their opponents and out of the relegation zone. The pick of the lot is 8.15pm kick-off, as Arsenal go up against rivals Manchester United. After Ipswich, Bodo/Glimt and Everton, this is Ruben Amorim’s first big test. Lisandro Martinez and Kobbie Mainoo are suspended, though the side are unbeaten in seven games. Nevertheless, coming away from London with anything will be a big ask. Mikel Arteta’s men will be brimming with confidence after putting five past their last two opponents and United have lost seven of their last nine at the Emirates. “I have to say it again: the storm will come,” said Amorim yesterday, who warned after the match against Ipswich that United are “going to suffer for a long period”. “We know that we are in a different point, if you compare to Arsenal. We will try to win it and we go with confidence to win but we know that we need to play very well to win the next football match.” Rounding out the night’s action, in a mid-table clash, eighth-placed Brentford travel to Aston Villa (12th) in the other 8.15pm GMT kick-off. Team news coming imminently.

It’s social media decision time for state and local governments: follow the post-election masses to Bluesky or sit tight and see what happens. The Washington Metro — the district’s public transit system — . So does the , which had 743 followers and 12 posts as of Friday afternoon. That compares to more than 214,000 followers on X and a seemingly endless list of posts. And now New York City is getting into the Bluesky game. Mayor Eric Adams — dealing with , and on bribery and other charges — recently told agencies under his command to . Those accounts would join the more than 20 million Bluesky users, . More than 2.5 million people have joined since the election, reportedly annoyed at the politics of Trump-supporting Elon Musk, the owner of X, which was previously known as Twitter — along with what many new Bluesky users have described as the “toxic” feel at the Musk social media platform. Bluesky was born from Twitter in 2019, but these days, the two platforms are not only competitors but offer people a way to signal their political stance just via the decision about which one to use. Now state and local governments face their own choices about how to respond — and added risk from people bent on using the rising service for mischief or crime. In Minneapolis, officials are “establishing a city primary account and do not have immediate plans outside of that,” Allen Henry, the city’s media relations coordinator, told via email on Friday. As Bluesky grows and changes, the city will keep its eye on it, he said, and take a “larger approach” if that proves necessary. “Ultimately, our goal is to communicate to and inform the public,” Henry said. “For communications to be most effective, we need to communicate in the spaces our audience is and in ways that resonate with them.” In Austin, Texas, known for its tech-heavy economy and progressive culture, city officials are taking a slower approach, according to Memi Cárdenas, Austin’s media relations manager. “Bluesky is a relatively new social media platform, and we have not yet done a thorough review of how it could fit in our communications strategy as a city,” she said. Austin relies on X, especially during emergencies. The city has more than 213,000 followers on Musk’s social media platform, and reaching that mark via a new tool would require “notable resources to establish, which include staff capacity, developing internal usage policies, researching platform rules and regulations, ensuring accessibility and archiving,” Cárdenas said via email. Much like the case in Minneapolis, officials in Austin will monitor Bluesky, which stands as a communications option for the future. Making a change to the new platform — any new platform — would involve a review from the city’s social media committee and a recommendation to the city’s communications director for approval or denial, she said. Even so, the city’s lack of presence on Bluesky hasn’t stopped people bent on fraud from creating “a couple of profiles impersonating the official city of Austin, and we are working to remove those accounts from the platform,” Cárdenas added. More such instances for other agencies seems probable, . In fact, it attracted an onslaught of impersonators after the service in 2022. New targets and updated features always attract criminals, vandals and other such people. Neither Bluesky nor press officials in the New York Mayor’s Office responded immediately to request for comment. Nor did X — since taking over the platform, Musk has . While a count of public agencies so far on Bluesky was not available, at least one social media expert has noticed changes when it comes to government activity there. “I have noticed government agencies and quasi-governments adding Bluesky accounts, especially ones that often need to get updated info to audiences quickly such as transportation authorities,” said Megan Duncan, an associate professor at Virginia Tech who researches digital media and associated topics. She anticipates that as audiences become ever more fragmented, governments might use Bluesky to make sure they are reaching as many people as possible, especially when it comes to information deemed urgent. “But if these [agencies] already had an X account, the good news is that the formatting of information and text is similar enough that it lowers the burden on social media managers,” she told . For those agencies that join Bluesky now, their “early-adopter presence” could bring more engagement and growth than will be the case for latter users. That’s not the only potential benefit of joining now. “It’s also the optimal time to get the prime handles, which simultaneously can signal credibility and prevent bad-faith actors from snagging them and impersonating government agencies and politicians,” Duncan said via email. Bluesky, after all, offers no verified badges as other social media platforms do. Governments that act early enough, though, can set up domains and handles that signal credibility to their audiences, she said. Those audiences, of course, will at the same time be developing their own “literacy skills” for Bluesky, learning its rhythms and players, and figuring out who deserves their trust. Smaller public agencies will probably face the biggest challenges. “The technical skills to set up and host your own government domain may be a barrier for entry for smaller government agencies,” she said. “I’ve noticed even larger agencies like New York City’s MTA is on the common server. Alternatively, Washington’s Metro has established its own domain.” So will Bluesky endure, or will enthusiasm fade as the election recedes? That’s one of the uncertainties that will occupy social media managers and communications professionals at public agencies in the coming months. Some governments have already made up their mind against Bluesky, at least for now: UK Prime Minister Keir Starmer that departments under his supervision will stick with X because that’s where people are. Government technology suppliers face the same issue. A spokesperson for industry giant Tyler Technologies said Friday that while the company uses X and not Bluesky, that all depends on where public agency clients and other audiences are. Finances, moderation and having an ample and capable workforce still stand as question marks for Bluesky, Duncan said. “As more opinion leaders and authorities join, Bluesky feels like it’s going to establish itself as the place for microblogging,” Duncan said. “But, I’m not yet ready to call Bluesky the marketplace winner alternative to X because of the revenue piece.”

Julián Álvarez picking up the scoring pace with Atletico Madrid PRAGUE, Czech Republic (AP) — When the referee whistled for the free kick just outside the area, Atletico Madrid forward Julián Álvarez quickly picked up the ball and moved in position to take the shot. Canadian Press Nov 26, 2024 3:49 PM Nov 26, 2024 4:05 PM Share by Email Share on Facebook Share on X Share on LinkedIn Print Share via Text Message Atletico's Julian Alvarez, left, scores his side's second goal against Sparta's goalkeeper Peter Vindahl during the UEFA Champions League opening phase soccer match between Sparta Prague and Athletico Madrid in Prague, Czech Republic, Tuesday, Nov. 26, 2024. (Roman Vondrous//CTK via AP) PRAGUE, Czech Republic (AP) — When the referee whistled for the free kick just outside the area, Atletico Madrid forward Julián Álvarez quickly picked up the ball and moved in position to take the shot. “When I saw the free kick, I told Rodri (Rodrigo De Paul) that I felt confident with the shot,” Álvarez said. “And it was a great goal.” Álvarez, Atletico's main signing in the offseason , has not been lacking confidence lately. The Argentina forward curled in the free kick shot in the 15th minute for the first of his two goals in the team’s 6-0 rout of Brest in the Champions League on Tuesday — the team’s biggest ever away win in European competitions. “We'll keep rotating who takes the free kicks,” said Álvarez, who also found the net in the 59th. It was Álvarez’s seventh goal in the last 10 matches, and third in his last three games across all competitions. The 24-year-old had a slow start to his first season with Atletico, scoring twice in 10 matches. “It was a matter of time before we started connecting well with each other,” said Álvarez, who joined Atletico after two seasons at Manchester City. “We have to stay on this path to keep improving.” Ángel Correa also scored two goals for Atletico, with Marcos Llorente and Antoine Griezmann adding one each. “We know that in this format of the competition we need to keep adding the three points and scoring goals," Álvarez said. "It's important to get the points and the goals.” Atletico was sitting in 13th place in the 36-team league standings. ___ AP soccer: https://apnews.com/hub/soccer The Associated Press See a typo/mistake? Have a story/tip? This has been shared 0 times 0 Shares Share by Email Share on Facebook Share on X Share on LinkedIn Print Share via Text Message Get your daily Victoria news briefing Email Sign Up More Soccer Australia's House of Representatives passes bill that would ban young children from social media Nov 26, 2024 3:59 PM Australia's House of Representatives passes bill that would ban young children from social media Nov 26, 2024 3:47 PM Messi's son debuts at Argentina youth tournament as grandparents watch Nov 26, 2024 3:32 PMNEW YORK , Dec. 10, 2024 /PRNewswire/ -- Report with market evolution powered by AI - The global last mile delivery market size is estimated to grow by USD 60.82 billion from 2024-2028, according to Technavio. The market is estimated to grow at a CAGR of 5.12% during the forecast period. Growing global e-commerce industry is driving market growth, with a trend towards strong focus on technological advances. However, operational challenges for last mile delivery companies poses a challenge. Key market players include Accenture Plc, CMA CGM SA Group, Deutsche Bahn AG, Deutsche Post AG, DSV AS, FarEye Technologies Inc., FedEx Corp., FM LOGISTIC CORP, Honeywell International Inc., Infosys Ltd., J B Hunt Transport Services Inc., Kuehne Nagel Management AG, Mara Labs Inc., Nippon Express Holdings Inc., Royal Mail Plc, Schneider Electric SE, SNCF Group, United Parcel Service Inc., Werner Enterprises Inc., and XPO Inc.. Key insights into market evolution with AI-powered analysis. Explore trends, segmentation, and growth drivers- View Free Sample PDF Last Mile Delivery Market Scope Report Coverage Details Base year 2023 Historic period 2018 - 2022 Forecast period 2024-2028 Growth momentum & CAGR Accelerate at a CAGR of 5.12% Market growth 2024-2028 USD 60.82 billion Market structure Fragmented YoY growth 2022-2023 (%) 5.68 Regional analysis APAC, North America, Europe, Middle East and Africa, and South America Performing market contribution APAC at 46% Key countries US, China, India, Germany, and UK Key companies profiled Accenture Plc, CMA CGM SA Group, Deutsche Bahn AG, Deutsche Post AG, DSV AS, FarEye Technologies Inc., FedEx Corp., FM LOGISTIC CORP, Honeywell International Inc., Infosys Ltd., J B Hunt Transport Services Inc., Kuehne Nagel Management AG, Mara Labs Inc., Nippon Express Holdings Inc., Royal Mail Plc, Schneider Electric SE, SNCF Group, United Parcel Service Inc., Werner Enterprises Inc., and XPO Inc. Market Driver The Last Mile Delivery market is experiencing significant trends as consumer expectations shift towards real-time tracking, on-demand services, and better customer experience. Urban congestion and sustainability considerations are driving the need for logistics process improvements, including route optimization, technology insights, and the use of autonomous vehicles and drones. E-commerce growth and the rise of peer-to-peer marketplaces are increasing the demand for efficient last mile logistics, from distribution centers to the customer's doorstep. Brick-and-mortar retailers are also embracing omnichannel retailing and cloud kitchens, requiring seamless product delivery services. Companies are exploring various delivery options, from ground delivery vehicles and delivery robots like Scout, to shipping cost and shipping option considerations. The logistics market is evolving, with freight transportation companies and supply chain activities integrating warehousing, distribution, and fulfillment services to meet the needs of customers and retailers. Skilled workers, IT standards, and system integration are crucial for managing the complexities of last mile delivery, including the postal address system and expected delivery times. Transport costs, inventories, and financial costs are key areas of focus for companies looking to optimize their last mile delivery operations. Poor infrastructure and logistics costs remain challenges, but advancements in autonomous technology and non-autonomous technology are helping to address these issues. Overall, the last mile delivery market is a dynamic and evolving landscape, driven by consumer behavior, technology, and the ongoing growth of the e-commerce industry. The last mile delivery market is witnessing a significant shift with the increasing use of advanced technology for real-time tracking and package management. Consumers can now easily modify their retail deliveries through user-friendly online tools, ensuring greater transparency and control. However, handling large or high-value packages poses a challenge as they cannot be delivered outside homes. To address this issue, delivery providers offer web and mobile applications for managing the delivery schedules of such packages, enabling customers to collect them at their convenience. Request Sample of our comprehensive report now to stay ahead in the AI-driven market evolution! • Last Mile Delivery: Overcoming Challenges in E-commerce and Retail Last mile delivery refers to the final leg of a product's journey from a distribution center or retail store to the customer's doorstep. This critical phase presents several challenges for businesses, especially in the context of evolving consumer expectations and emerging technologies. Consumer expectations for real-time tracking, on-demand services, and quick delivery are on the rise. Urban congestion and sustainability considerations add complexity to last mile logistics. Companies must balance the use of autonomous vehicles, drones, and non-autonomous technology to optimize costs and improve customer experience. Brick-and-mortar retailers and e-commerce businesses face similar challenges in last mile delivery. Omnichannel retailing, cloud kitchens, and food delivery platforms require efficient route optimization and skilled workers to meet consumer demands. Technology insights, such as mobile applications, transportation hubs, and warehousing, play a crucial role in overcoming these challenges. However, poor infrastructure, logistics costs, and the postal address system can hinder progress. E-commerce industry growth, overseas market expansion, and trading activities add to the complexity of last mile delivery. Freight transportation companies and supply chain activities must adapt to meet the evolving needs of retailers and consumers. In conclusion, mastering last mile delivery is essential for businesses to remain competitive in today's market. By addressing challenges related to consumer behavior, technology, logistics costs, and infrastructure, companies can provide better delivery services and enhance the overall customer experience. • Last mile delivery operations present unique challenges for businesses, requiring transparency, efficiency, and profitability. While long-distance transportation costs are lower due to economies of scale, last mile delivery involves numerous individual deliveries within a region, leading to increased logistics costs. Major expenses include labor and fuel costs. Intense competition in the market is driven by pricing and delivery time, making cost reduction a priority for customers. Effective last mile delivery strategies focus on optimizing routes, leveraging technology, and collaborating with multiple delivery providers to minimize expenses and enhance customer satisfaction. Discover how AI is revolutionizing market trends- Get your access now! This last mile delivery market report extensively covers market segmentation by 1.1 B2C- The last mile delivery market refers to the transportation of parcels and goods from transportation hubs to consumers' homes in a B2C context. This segment primarily deals with small and lightweight products, distinguishing it from B2B last mile delivery. With the in e-commerce sales, the significance of last mile delivery has escalated. For instance, US e-commerce sales as a percentage of total retail sales grew by 10% year-over-year from 2012 to 2021. However, the B2C last mile delivery sector poses challenges for operators due to the lack of large-volume deliveries and low-priced products, resulting in potentially low margins per delivery. Additionally, returns of goods may incur extra transportation costs. Despite these challenges, the global last mile delivery market has experienced growth in recent years, with the B2C segment leading the way. To cater to residential customers, last mile delivery services have introduced next-day, same-day delivery, and parcel return options. Real-time shipment tracking and package delivery status updates are also available to consumers. Major players in the market focus on improving the consumer experience through faster deliveries, easy returns, and data-driven strategies. DHL, for example, utilizes big data and real-time traffic information to optimize delivery routes for quicker deliveries, while others leverage historical consumer purchase data to dispatch forward inventory. These strategies enable lower fuel consumption and more efficient delivery routes, driving the growth of the B2C segment and the global last mile delivery market. Download a Sample of our comprehensive report today to discover how AI-driven innovations are reshaping competitive dynamics Last Mile Delivery Market: Bridging the Gap between Retailers and Customers Last Mile Delivery (LMD) refers to the final leg of the supply chain, delivering goods from a transportation hub or distribution center to the customer's doorstep. This critical phase of the logistics process faces unique challenges, including urban congestion, consumer expectations, and sustainability considerations. Consumer expectations for real-time tracking, on-demand services, and seamless experiences are shaping the LMD landscape. E-commerce and on-demand services are driving growth, with companies exploring various technologies such as autonomous vehicles, drones, and mobile applications to optimize routes and reduce costs. Urban congestion poses a significant challenge, with companies implementing route optimization and transportation hub strategies to mitigate delays. Sustainability considerations are also crucial, with companies focusing on reducing carbon emissions and adopting green logistics practices. Brick-and-mortar retailers and omnichannel retailers are leveraging cloud kitchens and food delivery platforms to streamline operations and meet customer demands. Peer-to-peer marketplaces and technology insights are disrupting traditional LMD models, while non-autonomous and autonomous technologies coexist to address various market needs. Company costs and shipping costs are critical factors influencing the LMD market, with companies constantly seeking innovative solutions to improve efficiency and reduce expenses. The LMD landscape is evolving rapidly, with a focus on enhancing the customer experience and ensuring timely, cost-effective, and sustainable delivery solutions. The Last Mile Delivery Market refers to the final leg of the supply chain, where products are transported from a distribution center or transportation hub to the customer's doorstep or retail store. Consumers expect fast, reliable, and cost-effective delivery, leading to the growth of on-demand services and real-time tracking. Urban congestion and sustainability considerations are driving the adoption of autonomous vehicles, drones, and non-autonomous technology like Scout delivery robots. The logistics process involves distribution centers, warehouses, and delivery vehicles, with route optimization and mobile applications streamlining the last mile delivery experience. E-commerce, food delivery platforms, and brick-and-mortar retailers are leveraging omnichannel retailing and cloud kitchens to meet customer demands. Technology insights, such as autonomous technology and IT standard system integration, are crucial for efficient last mile logistics. Company costs, shipping costs, and transport infrastructure are key factors influencing the market, with poor infrastructure and logistics costs posing challenges. The e-commerce industry's growth, expected delivery times, and shipping options are shaping consumer behavior and trading activities, both domestically and overseas. Freight transportation companies and supply chain activities play a vital role in the last mile delivery market, with fulfillment services and skilled workers ensuring seamless product delivery services. 1 Executive Summary 2 Market Landscape 3 Market Sizing 4 Historic Market Size 5 Five Forces Analysis 6 Market Segmentation 7 Customer Landscape 8 Geographic Landscape 9 Drivers, Challenges, and Trends 10 Company Landscape 11 Company Analysis 12 Appendix Technavio is a leading global technology research and advisory company. Their research and analysis focuses on emerging market trends and provides actionable insights to help businesses identify market opportunities and develop effective strategies to optimize their market positions. With over 500 specialized analysts, Technavio's report library consists of more than 17,000 reports and counting, covering 800 technologies, spanning across 50 countries. Their client base consists of enterprises of all sizes, including more than 100 Fortune 500 companies. This growing client base relies on Technavio's comprehensive coverage, extensive research, and actionable market insights to identify opportunities in existing and potential markets and assess their competitive positions within changing market scenarios. Technavio Research Jesse Maida Media & Marketing Executive US: +1 844 364 1100 UK: +44 203 893 3200 Email: media@technavio.com Website: www.technavio.com/ View original content to download multimedia: https://www.prnewswire.com/news-releases/last-mile-delivery-market-to-grow-by-usd-60-82-billion-2024-2028-driven-by-global-e-commerce-and-ai-redefined-market-landscape---technavio-302326236.html SOURCE TechnavioTrimble and Mallon sanctioned DUP ministers over rotation plan

A stroke changed a teacher’s life. How a new electrical device is helping her move

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. 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 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.WASHINGTON (AP) — Former White House adviser Peter Navarro , who served prison time related to the Jan. 6 attack on the U.S. Capitol, will return to serve in Donald Trump’s second administration, the president-elect announced Wednesday. Navarro, a trade adviser during Trump’s first term, will be a senior counselor for trade and manufacturing, Trump said on Truth Social. The position, Trump wrote, “leverages Peter’s broad range of White House experience, while harnessing his extensive Policy analytic and Media skills.”Game and Fish announces closure of North Dakota otter trapping season

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