fortune gems 3 tricks

Sowei 2025-01-12
A sombre day in Birmingham as victims of the bombings are rememberedNoneWatchdogs want state comptroller to audit Western Regional OTBfortune gems 3 tricks



Rising sales of Chinese-made inferior quality power banks is pushing the government to initiate steps to stem such imports that can distort competition while deceiving consumers on safety and performance benchmarks. Actual capacities of such power banks are 50-60% less than claimed. Consequently, a newly-bought power bank which is supposed to charge a mobile phone at least twice sometimes dies after charging just once. Indian sellers are procuring these substandard lithium-ion cells at far lesser than market rates from Chinese suppliers to price out competition and gain market share. Earlier this month, the Bureau of Indian Standards (BIS) cancelled registrations of two Chinese suppliers--Guangdong Cvasun New Energy Technology Co, and Ganzhou Novel Battery Technology Co - which together accounted for more than half of cell supplies to India. Another supplier, Ganzhou TaoYuan New Energy Co Ltd is currently under the BIS radar, industry executives said. The three companies couldn't be reached for comment. Marketing Digital marketing - Wordpress Website Development By - Shraddha Somani, Digital Marketing Trainer, Consultant, Strategiest and Subject Matter expert View Program Leadership Crafting a Powerful Startup Value Proposition By - Dr. Anu Khanchandani, Startup Coach with more than 25 years of experience View Program Marketing Digital Marketing Masterclass by Neil Patel By - Neil Patel, Co-Founder and Author at Neil Patel Digital Digital Marketing Guru View Program Web Development Mastering Full Stack Development: From Frontend to Backend Excellence By - Metla Sudha Sekhar, IT Specialist and Developer View Program Artificial Intelligence(AI) Java Programming with ChatGPT: Learn using Generative AI By - Metla Sudha Sekhar, IT Specialist and Developer View Program Strategy ESG and Business Sustainability Strategy By - Vipul Arora, Partner, ESG & Climate Solutions at Sattva Consulting Author I Speaker I Thought Leader View Program Web Development Advanced C++ Mastery: OOPs and Template Techniques By - Metla Sudha Sekhar, IT Specialist and Developer View Program Office Productivity Excel Essentials to Expert: Your Complete Guide By - Study At Home, Quality Education Anytime, Anywhere View Program Strategy Succession Planning Masterclass By - Nigel Penny, Global Strategy Advisor: NSP Strategy Facilitation Ltd. View Program Data Science SQL Server Bootcamp 2024: Transform from Beginner to Pro By - Metla Sudha Sekhar, IT Specialist and Developer View Program Artificial Intelligence(AI) Basics of Generative AI: Unveiling Tomorrow's Innovations By - Metla Sudha Sekhar, IT Specialist and Developer View Program Office Productivity Zero to Hero in Microsoft Excel: Complete Excel guide 2024 By - Metla Sudha Sekhar, IT Specialist and Developer View Program Data Science MySQL for Beginners: Learn Data Science and Analytics Skills By - Metla Sudha Sekhar, IT Specialist and Developer View Program Leadership Business Storytelling Masterclass By - Ameen Haque, Founder of Storywallahs View Program Web Development Advanced Java Mastery: Object-Oriented Programming Techniques By - Metla Sudha Sekhar, IT Specialist and Developer View Program Marketing Digital Marketing Masterclass by Pam Moore By - Pam Moore, Digital Transformation and Social Media Expert View Program Finance A2Z Of Money By - elearnmarkets, Financial Education by StockEdge View Program Artificial Intelligence(AI) AI and Analytics based Business Strategy By - Tanusree De, Managing Director- Accenture Technology Lead, Trustworthy AI Center of Excellence: ATCI View Program Artificial Intelligence(AI) ChatGPT Mastery from Zero to Hero: The Complete AI Course By - Metla Sudha Sekhar, IT Specialist and Developer View Program Finance Financial Literacy i.e Lets Crack the Billionaire Code By - CA Rahul Gupta, CA with 10+ years of experience and Accounting Educator View Program The ban on the Chinese companies follows random open-market tests of power banks by authorities which discovered that most reported capacities were far lesser than advertised. For instance, agencies found power banks with 10,000 milliampere-hour (mAh) batteries only had a capacity of 4000-5000 mAh. "Sub-standard lithium cells meant to be used in power banks are coming into the market, simply because that market is still unregulated," an executive from the lithium-ion cell industry told ET. "For mobile phones and other consumer electronics, the supply chain is far more careful in procuring the right products, but when it comes to power banks, consumers do not usually check how they are performing. BIS has standards for safety, but not performance," the person said. The executive said Chinese suppliers have been working around BIS standards by retaining physical dimensions of the cell but packing lesser capacity than the order quantity, bringing down the cost of materials. "They were sending a few golden samples to BIS which would meet all the standards, receiving a trademark, for say, 10,000mAh. But eventually, they would use the same BIS trademark and ship substandard cells with lesser capacities to brands in India," the executive said. "The price difference in this case would be at least 25%," he said. The executive added that India imports 1.5-2 million units of lithium-ion cells every month from China for use in power banks, as local production of this component is still at a nascent stage. While a typical 10,000mAh cell would cost around ₹200-250, the banned suppliers were selling them at ₹150 apiece. Lower import prices reflected in the price of power banks sold by generic brands in India. While a 10,000 mAh power bank from established brands is priced over Rs 10,000, there are many priced at less than Rs 600 for the same advertised capacity, a search on ecommerce platforms revealed. With the government action to address the market distortion, the industry expects power bank prices to rise slightly. "The making cost of a power bank including the cell, battery pack, enclosure and the PCB is far higher than what these companies are selling them at. We can expect these prices to now go up and stabilise at around Rs 1,000," said an executive at a power bank maker. The Cellular and Electronics Association (ICEA) has issued an advisory warning power bank manufacturers to stop procuring low-quality lithium-ion cells that fail to meet safety and performance standards. "Businesses using cells from these banned entities risk automatic non-compliance violation under the BIS Act, 2016, which could lead to regulatory action, financial penalties, and even imprisonment for key personnel," ICEA said, calling for companies to audit their supply chain while transitioning to BIS-compliant alternatives. The findings surfaced after domestic cell manufacturers started raising concerns to the government of being priced out by Chinese firms. "India is rapidly creating capacity for lithium cells. Currently, one factory in South India has a capacity to make 600,000 units per month. There's another large facility coming up in Haryana that would supply mobile phone brands. Yet, so far, they have been sitting dry, unable to compete with Chinese suppliers because of the price difference," said the executive cited above. He added that brands have started procuring locally from October after BIS cancelled registrations of the two Chinese suppliers. Nominations for ET MSME Awards are now open. The last day to apply is November 30, 2024. Click here to submit your entry for any one or more of the 22 categories and stand a chance to win a prestigious award. (You can now subscribe to our Economic Times WhatsApp channel )

Conor McGregor must pay woman $257,000 in sexual assault civil case

Trump Demands BRICS Loyalty to the DollarLabour plans to make spiking a specific offence and has laid out plans for venue staff to be trained in relation to spiking, with a pilot to begin within weeks before a wider rollout next year. Ms Davies-Jones, asked about why it was worthwhile to make spiking a new offence when it is already illegal, said: “Spiking is a crime already. “A lot of people don’t realise that it is a crime already, which is part of the problem.” She said there were around 6,000 reports of spiking last year but that because it is an underreported crime, it is not clear how big of a problem it is. 'Legislation won't fix this on its own...this is about a culture shift' challenges Minister for Victims on the govt plan to change the spiking law even though it is already a criminal offence. 📺 Sky 501 — Politics Hub with Sophy Ridge (@SkyPoliticsHub) “Part of the problem we’ve got is around the data collection, so you don’t know if you’ve been spiked with a drink, a needle, a vape, for example,” she told Politics Hub on Sky News. Modernising the offence and giving police the tools to get accurate data allows a clearer picture of where, how and how often spiking is happening, she said. It is about “clarifying it, modernising it, making sure that people know exactly what this is...the law isn’t quite, it isn’t up to date. “It isn’t modern enough.” Sir Keir Starmer earlier said he hopes the change will give people “the confidence to come forward”, in a meeting of police bosses, transport figures and hospitality executives in Downing Street. Spiking will be made a criminal offence. My government was elected to take back our streets, central to this mission is making sure women and girls can feel safe at night. Perpetrators of spiking will feel the full force of the law. — Keir Starmer (@Keir_Starmer) Ms Davies-Jones and Home Secretary Yvette Cooper were among the attendees at the round-table discussion on Monday morning. Labour pledged in its manifesto to introduce a new offence for spiking, but there was no detail in the King’s Speech this year about a specific crime, though it promised to ensure an improved police response to cases. According to information published by the Metropolitan Police, spiking offences are currently covered by more than one law, but most come under the Offences Against the Person Act 1861. Sir Keir told the meeting: “There are a number of measures that we are setting out this morning – we want to talk it through with you. “The first is to make spiking a specific offence so that it counts, it’s reported.” He said that such a measure would mean that it “enables everybody to have the confidence to come forward” and also “it allows perpetrators to know that it’s a specific offence”. Detailing the training scheme, he went on: “We’re beginning the piloting of training for staff in venues.” He said the scheme would be “partly to spot what’s happening, but also to know what to do in the event that there is an incident in a venue”. “That will start in December with a pilot then it will be rolled out from March of next year,” Sir Keir added. He also said that the “final” point of discussion for the morning was “police indexing – (the) way that we count it across different police forces”. Sir Keir added: “At the moment it’s quite hard to get your arms around the pure numbers.” Plain clothes officers are being deployed in areas around bars and clubs to spot predatory behaviour. The text-to-report number, 61016, that allows women to contact British Transport Police to report harassment on the train, is due to be relaunched. Home Secretary Yvette Cooper said: “Spiking is a disturbing and serious crime which can have a damaging and long-lasting impact on victims. “That’s why today we are taking decisive action to prevent this devastating crime and to crack down on perpetrators, by introducing a new criminal offence for spiking and launching specialist training for thousands of bar staff nationwide. “People shouldn’t have to worry about the safety of their drinks on a night out. “These changes are about giving victims greater confidence to come forward, and ensuring that there is a robust response from the police whenever these appalling crimes take place.”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.

UConn coach Dan Hurley told reporters Tuesday that star forward Alex Karaban is out for Wednesday's top-25 matchup against visiting Baylor. Karaban was transported to a hospital in Hawaii last Wednesday after sustaining a head injury during an 85-67 loss to Dayton on the final day of the Maui Invitational. Karaban hit the floor after being fouled on a contested layup with approximately 2 1/2 minutes left in the second half. He was later cleared to fly home with the rest of the team on Thursday. The junior sat out Saturday's 99-45 win over Maryland Eastern Shore, but now he will miss a more important game that pits the No. 25 Huskies (5-3) against the No. 15 Bears (5-2) in the Big 12-Big East Battle. Karaban has been UConn's leading scorer (15.9 ppg), adding 4.1 rebounds and 3.3 assists per game. A starter for each of the Huskies' last two national championship-winning seasons, Karaban owns career averages of 11.7 points, 4.7 rebounds and 1.7 assists per game. Jaylin Stewart drew into the starting lineup in Karaban's place against UMES. --Field Level Media

Labour plans to make spiking a specific offence and has laid out plans for venue staff to be trained in relation to spiking, with a pilot to begin within weeks before a wider rollout next year. Ms Davies-Jones, asked about why it was worthwhile to make spiking a new offence when it is already illegal, said: “Spiking is a crime already. “A lot of people don’t realise that it is a crime already, which is part of the problem.” She said there were around 6,000 reports of spiking last year but that because it is an underreported crime, it is not clear how big of a problem it is. 'Legislation won't fix this on its own...this is about a culture shift' challenges Minister for Victims on the govt plan to change the spiking law even though it is already a criminal offence. 📺 Sky 501 — Politics Hub with Sophy Ridge (@SkyPoliticsHub) “Part of the problem we’ve got is around the data collection, so you don’t know if you’ve been spiked with a drink, a needle, a vape, for example,” she told Politics Hub on Sky News. Modernising the offence and giving police the tools to get accurate data allows a clearer picture of where, how and how often spiking is happening, she said. It is about “clarifying it, modernising it, making sure that people know exactly what this is...the law isn’t quite, it isn’t up to date. “It isn’t modern enough.” Sir Keir Starmer earlier said he hopes the change will give people “the confidence to come forward”, in a meeting of police bosses, transport figures and hospitality executives in Downing Street. Spiking will be made a criminal offence. My government was elected to take back our streets, central to this mission is making sure women and girls can feel safe at night. Perpetrators of spiking will feel the full force of the law. — Keir Starmer (@Keir_Starmer) Ms Davies-Jones and Home Secretary Yvette Cooper were among the attendees at the round-table discussion on Monday morning. Labour pledged in its manifesto to introduce a new offence for spiking, but there was no detail in the King’s Speech this year about a specific crime, though it promised to ensure an improved police response to cases. According to information published by the Metropolitan Police, spiking offences are currently covered by more than one law, but most come under the Offences Against the Person Act 1861. Sir Keir told the meeting: “There are a number of measures that we are setting out this morning – we want to talk it through with you. “The first is to make spiking a specific offence so that it counts, it’s reported.” He said that such a measure would mean that it “enables everybody to have the confidence to come forward” and also “it allows perpetrators to know that it’s a specific offence”. Detailing the training scheme, he went on: “We’re beginning the piloting of training for staff in venues.” He said the scheme would be “partly to spot what’s happening, but also to know what to do in the event that there is an incident in a venue”. “That will start in December with a pilot then it will be rolled out from March of next year,” Sir Keir added. He also said that the “final” point of discussion for the morning was “police indexing – (the) way that we count it across different police forces”. Sir Keir added: “At the moment it’s quite hard to get your arms around the pure numbers.” Plain clothes officers are being deployed in areas around bars and clubs to spot predatory behaviour. The text-to-report number, 61016, that allows women to contact British Transport Police to report harassment on the train, is due to be relaunched. Home Secretary Yvette Cooper said: “Spiking is a disturbing and serious crime which can have a damaging and long-lasting impact on victims. “That’s why today we are taking decisive action to prevent this devastating crime and to crack down on perpetrators, by introducing a new criminal offence for spiking and launching specialist training for thousands of bar staff nationwide. “People shouldn’t have to worry about the safety of their drinks on a night out. “These changes are about giving victims greater confidence to come forward, and ensuring that there is a robust response from the police whenever these appalling crimes take place.”

I Saw the TV Glow Director Teases Next Movie as Hybrid of 2 ProjectsNone

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.New Delhi: Manmohan Singh, who is credited with successfully anchoring the sinking ship of the Indian economy by ushering in bold economic reforms under Prime Minister P V Narasimha Rao, died at the age of 92 on Thursday. When Singh took the reins of the Finance Ministry in 1991, India’s fiscal deficit was close to 8.5 per cent of the GDP, the balance of payments deficit was huge and the current account deficit was close to 3.5 per cent of GDP. To make things worse, foreign reserves were just enough to pay for two weeks of imports indicating that the Indian economy was in deep crisis. Against this backdrop, the new economic era was brought in through the Union Budget 1991-92 presented by Singh. It was a turning point in the economic history of independent India which witnessed bold economic reforms, abolition of licence raj and opening of many sectors to private players and foreign players so that capital could flow in. He is credited with putting India on the new economic policy path which allowed Foreign Direct Investment (FDI), rupee devaluation, moderation in taxes, and privatisation of public sector companies. His role in ushering in a comprehensive policy of economic reforms is now recognized worldwide. “I present to you the budget of 1991-92”, Singh had said when he stood to present the iconic union budget that took the Indian economy into the direction of liberalisation, globalisation and privatisation. The budget marked a significant shift towards a markets-focused economy. This paved the way for rapid economic growth in the decades that followed. “No power on Earth can stop an idea whose time has come,” Singh had said, as he concluded his Budget speech. Under his tenure, the regulations on import and export were relaxed, and significant changes were made to cater to the needs of businesses. The initiatives taken during his tenure resulted in monumental growth of the services sector especially IT and telecom. On the capital market side, the establishment of the National Stock Exchange (NSE) in 1992 was another highlight of his regime. He continued as the Finance Minister till 1996, when the Rao government was voted out. Singh got another chance in May 2004 to serve the country, this time as the Prime Minister of India. He replaced Atal Bihari Vajpayee as the 14th Prime Minister of the country. In the new avatar, Singh carried forward the ideas of economic liberalisation in 1991 as this path was now tried and tested. In 2007, India achieved its highest GDP growth rate of 9 per cent and became the second fastest-growing major economy in the world. During his tenure as Prime Minister, the Mahatma Gandhi National Employment Guarantee Act (MGNREGA) was enacted in 2005 to deal with rural distress and perk up income. Indirect tax reforms were introduced by ushering in the value added tax, replacing sales tax. Besides, a Rs 76,000 crore farm debt waiver and debt relief scheme was implemented across the country which benefited crores of farmers. He also steered the nation during the 2008 global financial meltdown and announced a huge stimulus package to deal with the situation. Aadhaar was introduced through the Unique Identification Authority of India during his tenure as prime minister for targetted subsidy transfer. Direct Benefit Transfers for many schemes were announced under his leadership. He also promoted financial inclusion in a big way and many bank branches were opened during his tenure as the Prime Minister. Other reforms like the Right to Food and the Right of Children to Free and Compulsory Education Act were enacted during his regime.

0 Comments: 0 Reading: 349