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As the debate continues to unfold, one thing remains clear - the man's encounter with the bamboo stub in his zongzi has underscored the need for heightened vigilance and diligence in food production and quality assurance. While the quest for evidence may seem unconventional in this case, it serves as a reminder of the importance of ensuring the safety and integrity of the food we consume.Title: Multiple Policies Boost Significant Recovery in the Real Estate MarketBy 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.JERUSALEM — Israel’s attorney general has ordered police to open an investigation into Prime Minister Benjamin Netanyahu’s wife on suspicion of harassing political opponents and a witness in the Israeli leader’s corruption trial. Attorney General Gali Baharav-Miara made the announcement in a terse message late Thursday, saying the investigation would focus on the findings of a recent report by the “Uvda” investigative program into Sara Netanyahu. The program uncovered a trove of WhatsApp messages in which Mrs. Netanyahu appears to instruct a former aide to organize protests against political opponents and to intimidate Hadas Klein, a key witness in the trial. The announcement did not mention Mrs. Netanyahu by name, and the Justice Ministry declined further comment. But in a video released earlier Thursday, Netanyahu listed what he said were the many kind and charitable acts by his wife and blasted the Uvda report as “lies.” “My opponents on the left and in the media found a new-old target. They mercilessly attack my wife, Sara,” he said. He called the program “false propaganda, nasty propaganda that brings up lies from the darkness.” It was the latest in a long line of legal troubles for the Netanyahus — highlighted by the prime minister’s ongoing corruption trial. The pair have also had a rocky relationship with the Israeli media. Netanyahu is charged with fraud, breach of trust and accepting bribes in a series of cases alleging he exchanged favors with powerful media moguls and wealthy associates. Netanyahu denies the charges and says he is the victim of a “witch hunt” by overzealous prosecutors, police and the media. The report obtained correspondence between Sara Netanyahu and Hanni Bleiweiss, a former aide to the prime minister who died of cancer last year. The messages indicated that Sara Netanyahu, through Bleiweiss, encouraged police to crack down violently on anti-government protesters and ordered Bleiweiss to organize protests against her husband’s critics. She also told Bleiweiss to get activists in Netanyahu’s Likud party to publish attacks on Klein. Klein is an aide to billionaire Hollywood mogul Arnon Milchan and has testified in the corruption case about her role in delivering tens of thousands of dollars worth of champagne, cigars and gifts to Netanyahu for her boss. According to the report, Bleiweiss also was instructed to organize demonstrations outside the homes of the lead prosecutor in the corruption case, Liat Ben-Ari, and then Attorney General Avichai Mandelblit, who had issued the indictments, and protests and social media campaigns smearing political opponents. According to the report, Bleiweiss was a loyal aid to Netanyahu for decades. But while she was ill, it said Sara Netanyahu mistreated her, prompting her to share the messages with a reporter shortly before her death. Sara Netanyahu has been accused of abusive behavior toward her personal staff before. This, together with accusations of excessive spending and using public money for her own extravagant personal tastes, has earned her an image as being out of touch with everyday Israelis. In 2019, she was fined for misusing state funds. National Security Minister Itamar Ben-Gvir, who oversees police and has repeatedly said the attorney general, Baharav-Miara should be fired over a series of grievances against her, said the latest announcement was another reason for her to be dismissed. “Someone who politically persecutes government ministers and their families cannot continue to serve as the attorney general,” he said. And Justice Minister Yariv Levin, another Netanyahu ally and critic of Baharav-Miara, accused her of focusing on “television gossip.” “Selective enforcement is a crime!” he said in a statement. AP correspondents Eleanor H. Reich in New York and Isaac Scharf in Jerusalem contributed reporting.

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Author and former presidential candidate Marianne Williamson announced Thursday she’s running to lead the Democratic National Committee. “I’m proud to announce I’m running for Chair of the DNC. In order to respond to the challenge of this moment, the Democratic Party needs transformation,” she posted on social media, with a link to a lengthy letter addressed to DNC members outlining her ambitions for the office. Williamson ran for the Democratic presidential nomination in 2020 and 2024. In 2020, she dropped out in January before the Iowa caucus after failing to meet the polling qualifications for several debates. In 2024, her best performance was 4% in the New Hampshire primary, behind Joe Biden, who received 63.8% of the vote despite not officially competing in the primary, and outgoing Rep. Dean Phillips, who received nearly 20%. She ended her candidacy and reentered the 2024 race twice before ending her campaign for a third and final time in July. She joins a growing field to replace outgoing chair Jaime Harrison that includes former Maryland Gov. Martin O’Malley, who ran for president in 2016; Minnesota Democratic-Farmer-Labor Party Chair Ken Martin; Wisconsin Democratic Party chair Ben Wikler; and New York state Sen. James Skoufis.None

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