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Children should be the headline in Budget policy statement




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Head of UN nuclear watchdog: 'Dire straits dynamic' with Iran's nuclear program amid Mideast wars

BAKU, Azerbaijan — The head of the United Nations' nuclear watchdog said Tuesday he's hopeful that meetings this week with Iranian officials, including the country's new president, can lead to a breakthrough in monitoring the country's nuclear program, a longstanding issue that has gained new urgency as Israel has twice struck Iran amid rising tensions in the Middle East. Rafael Mariano Grossi, director general of the International Atomic Energy Agency, will travel to Iran on Wednesday to meet for the first time with President Masoud Pezeshkian, who was elected in July. Grossi said he hopes to build on positive discussions he had with Iranian Foreign Minister Abbas Araghchi during the U.N. General Assembly in September. "We have a problem that we need to solve," Grossi said in an interview at the U.N. climate conference in Azerbaijan. "That is this gap, this lack of confidence, which we should not allow to grow into a self-fulfilling prophecy of using nuclear facilities as targets." He added: "There has been a bit of a dire straits dynamic with Iran that we want to go beyond." Iran is rapidly advancing its atomic program while increasing stockpiles of uranium enriched to near weapons-grade levels, all in defiance of international demands, according to the IAEA. Iran says its program is for energy purposes, not to build weapons. Grossi's visit comes as Israel and Iran have traded missile attacks in recent months after more than a year of war in Gaza, which is governed by Hamas, a group supported by Iran. Grossi noted that international law prohibits the attack of nuclear facilities and "it's obvious that is something that can have radiological consequences." The Biden administration said last month that it had won assurances from Israel that it would not attack nuclear or oil sites. A 2015 nuclear agreement between Iran and world powers put limits on Iran's nuclear program, which the West fears could be used to make nuclear weapons. The deal included the lifting of economic sanctions on Iran. But that deal collapsed after Donald Trump's administration in 2018 pulled the United States from it. That led Iran to abandon all limits put on its program and enrich uranium to up to 60% purity. When asked if the IAEA feared Iran may be developing a bomb, Grossi said he didn't "have any information that would sustain that." He added that inspectors' job was not to "judge intentions," but rather verify that what Iran says about its nuclear program was true. Trump's reelection last week raises questions about whether and how the incoming administration and Iran may engage. Grossi said he had worked with the first Trump administration, which he said engaged in "seamless, professional work," and looked forward to looking with Trump's second administration. "Circumstances have changed in that the problem has grown bigger than it was," said Grossi. "The problem of not finding a solution."




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Elon Musk heads to the White House





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AFCON qualifier: Super Eagles stars arrive Abidjan ahead of Benin clash 

A number of Super Eagles players, including Moses Simon, Samuel Chukwueze, Amas Obasogie, Raphael Onyedika and Frank Onyeka, have arrived Ivory Coast on Monday ahead of preparation for their 2025 Africa Cup of Nations qualifier against Benin Republic. Also in camp in Abidjan are Bruno Onyemaechi, Gabriel Osho and Fisayo Dele-Bashiru. The Super Eagles Media […]

The post AFCON qualifier: Super Eagles stars arrive Abidjan ahead of Benin clash  first appeared on Business Hallmark.



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Church of England head under pressure to resign amid abuse scandal

LONDON — The head of the Church of England, spiritual leader of the global Anglican Communion, is under pressure to resign after an investigation found that he failed to inform police about serial physical and sexual abuse by a volunteer at Christian summer camps as soon as he became aware of it. Some members of the General Synod, the church's national assembly, have started a petition calling on Archbishop of Canterbury Justin Welby to step down, saying he had "lost the confidence of his clergy." The petition had garnered more than 1,800 signatures on Change.org by late morning London time on Monday. Compounding the pressure, a senior cleric added her voice to those who believe he should resign. Helen-Ann Hartley, the bishop of Newcastle, told the BBC that Welby's position is "untenable.'' Calls for Welby's resignation have grown since Thursday, when the church released the results of an independent review into John Smyth, who sexually, psychologically and physically abused about 30 boys and young men in the United Kingdom and 85 in Africa over five decades. The 251-page report concluded that Welby failed to report Smyth to authorities when he was informed of the abuse in August 2013, soon after he became Archbishop of Canterbury. Welby last week took responsibility for not ensuring that the allegations were pursued as "energetically" as they should have been after he learned of the abuse but said he had decided not to resign. On Monday, his office issued a statement reiterating Welby's "horror at the scale of John Smyth's egregious abuse." "As he has said, he had no awareness or suspicion of the allegations before he was told in 2013 — and therefore, having reflected, he does not intend to resign," the statement said. "He hopes the Makin Review supports the ongoing work of building a safer church here and around the world." Church officials were first made aware of the abuse in 1982, when they received the results of an internal investigation into Smyth. The recipients of that report "participated in an active cover-up" to prevent its findings from coming to light, the Makin Review found. Between 1984 and 2001, Smyth moved to Zimbabwe and subsequently relocated to South Africa. He continued to abuse boys and young men in Zimbabwe and there is evidence that the abuse continued in South Africa until he died in August 2018. Smyth's abuse wasn't made public until a 2017 investigation by Britain's Channel 4 television, which led Hampshire Police to start an investigation. Police were planning to question Smyth at the time of his death and had been preparing to extradite him. The Makin Review found that if Smyth had been reported to police in 2013, it could have helped to uncover the truth, prevented further abuse and led to a possible criminal conviction. "In effect, three and a half years was lost, a time within which John Smyth could have been brought to justice and any abuse he was committing in South Africa discovered and stopped," the review found. The Archbishop of Canterbury is the head of the Church of England and is seen as the spiritual leader of the Anglican Communion, which has more than 85 million members in 165 countries. He is considered first among equals with respect to the communion's other primates.




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Church of England head Justin Welby resigns over handling of sex abuse scandal

London — Archbishop of Canterbury Justin Welby, head of the Church of England and spiritual leader of the global Anglican Communion, resigned Tuesday after an investigation found that he failed to tell police about serial physical and sexual abuse by a volunteer at Christian summer camps as soon as he became aware of it.  Pressure on Welby had been building since Thursday, when release of the inquiry's findings kindled anger about a lack of accountability at the highest reaches of the church. Helen-Ann Hartley, the bishop of Newcastle, said Monday that his position was "untenable" after some members of the church's national assembly started a petition calling on Welby to step down because he had "lost the confidence of his clergy."  "I believe that stepping aside is in the best interests of the Church of England, which I dearly love and which I have been honored to serve," Welby said in a statement.  The strongest outcry came from the victims of John Smyth, a prominent attorney who abused teenage boys and young men at Christian summer camps in Britain, Zimbabwe and South Africa over five decades. Andrew Morse, who was repeatedly beaten by Smyth over a period of five years, said that resigning was a chance for Welby to start repairing the damage caused by the church's handling of historical abuse cases more broadly.  "I believe that now is an opportunity for him to resign,'' Morse told the BBC before Welby stepped down. "I say opportunity in the sense that this would be an opportunity for him to stand with the victims of the Smyth abuse and all victims that have not been treated properly by the Church of England in their own abuse cases."  Welby's resignation comes against the backdrop of widespread historical sexual abuse in the Church of England. A 2022 report by the Independent Inquiry Child Sexual Abuse found that deference to the authority of priests, taboos surrounding the discussion of sexuality and a culture that gave more support to alleged perpetrators than their victims helped make the Church of England Church of England "a place where abusers could hide." 




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Migrant caravan of 3,000 heads north in Mexico

A caravan of approximately 3,000 migrants set off on Tuesday from southern Mexico, headed toward the United States on the day when U.S. voters were deciding between U.S. presidential candidates Kamala Harris and Donald Trump. Immigration has been a key issue in the U.S. election campaign. Before heading northward, the migrants gathered in Tapachula, the capital of the southern Chiapas state, carrying banners with messages such as "NO MORE MIGRANT BLOOD" and images of the Virgin of Guadalupe, an important religious and cultural symbol in Mexico, according to Reuters witnesses. "We want U.S. authorities to see us, to see that we are people who want to work, not to harm anyone," said Honduran migrant Roy Murillo, who joined the caravan with his two children and his pregnant wife. In recent years, several caravans with people hoping to enter the United States have attempted to reach the U.S.-Mexican border, traveling in mass groups for safety. Most have dispersed along the way. "I'm afraid to travel alone with my family. Here, the cartels either kidnap you or kill you. ... That's why we're coming in the caravan," Murillo said. Murillo recounted his unsuccessful attempts to secure an asylum appointment through a mobile app developed by the U.S. Customs and Border Protection agency. Tapachula, a mandatory crossing point for tens of thousands of migrants, has become one of Mexico's most violent cities in recent months, with migrants frequently targeted by organized crime, according to official data. "I feel suffocated here. That's why we decided to leave," said 28-year-old Venezuelan migrant Thais, who spoke on condition that her surname not be used due to safety concerns. She joined the caravan with her husband and 3-year-old daughter. "I wish Mr. Trump and Ms. Kamala would see that we are human beings, that we want to live and support our families," she added. Voters cast ballots on Tuesday in the race between Vice President Harris, a Democrat seeking to become the first female U.S. president, and Trump, a Republican immigration hard-liner aiming to regain the presidency.




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Hurricane Rafael strengthens to powerful Category 3 storm as it heads to Cuba

HAVANA — Rafael strengthened Wednesday into a powerful Category 3 hurricane ahead of its expected landfall in western Cuba, where it was forecast to bring "life-threatening" storm surges, winds and flash floods.  The storm, which knocked out power and dumped rain on the Cayman Islands and Jamaica, is expected to hit the Isle of Youth in the coming hours and make landfall later on Wednesday.  Classes and public transport were suspended on parts of the island as authorities issued an alarm for the incoming weather for the west of the country. Workers secured buildings and cleaned up garbage along Havana's coastline in preparation for floods. Authorities also canceled flights in certain areas like Havana and Varadero. Thousands of people in the west of the island were evacuated as a prevention measure.  "Preparations to protect life and property should be rushed to completion," warned the National Hurricane Center in Miami.  The storm was located about 65 kilometers (40 miles) east-southeast of the Isle of Youth and around 135 kilometers (84 miles) south-southeast of Havana. It had maximum sustained winds of 185 kph (115 mph) and was moving northwest at 22 kph (14 mph), according to the National Hurricane Center in Miami.  Forecasters expected the storm to later weaken over Cuba, but emerge in the southeastern Gulf of Mexico as a hurricane.  Cubans have already been struggling with blackouts while recovering from another hurricane two weeks ago that killed at least six people in the eastern part of the island.  The U.S. State Department issued an advisory for Cuba on Tuesday afternoon, offering departure flights to non-essential staff and American citizens, and advising others to "reconsider travel to Cuba due to the potential impact of Tropical Storm Rafael."  On Tuesday morning, the Cuban Civil Defense called on Cubans to prepare as soon as possible, because when the storm makes landfall "it's important to stay where you are."  Silvia Perez, a 72-year-old retiree living in a coastal area of Havana, was among those scrambling to prepare. As other neighbors moved appliances and other furniture from ground floor homes, worried about floods, Perez stocked up on water and food.  "This is a night I don't want to sleep through, between the battering air and the trees," Perez said. "I'm scared for my friends and family."  A hurricane warning was in effect on Wednesday for a portion of the Cayman Islands and the Cuban provinces of Pinar del Rio, Artemisa, La Habana, Mayabeque, Matanzas and the Isle of Youth.  A tropical storm warning was in effect for the Cuban provinces of Villa Clara, Cienfuegos, Sancti Spiritus and Ciego de Avila, as well as the lower and middle Florida Keys from Key West to west of the Channel 5 Bridge, and Dry Tortugas.  The storm on Tuesday knocked out power in parts of Jamaica and unleashed flooding and landslides. The Jamaica Public Service, the island's electricity provider, said in a statement late Tuesday that impassable roads were preventing crews from restoring power in some areas.  Power outages were reported across the Cayman Islands after a direct hit late Tuesday, and schools remained closed on Wednesday.  "While conditions have improved on Grand Cayman, residents are advised to exercise extreme caution on the roads and near coastlines as rough seas and residual flooding risks may persist," the government said in a statement.  Heavy rainfall also was expected to spread north into Florida and nearby areas of the southeast U.S. during the middle to late part of the week. The Hurricane Center predicted storm surges in Florida could reach 1 to 3 feet in Dry Tortugas and 1 to 2 feet in the Lower Florida Keys. A few tornadoes also were expected Wednesday over the Keys and southwestern Florida.  Rafael is the 17th named storm of the season.  The National Oceanic and Atmospheric Administration predicted the 2024 hurricane season was likely to be well above average, with between 17 and 25 named storms. The forecast called for as many as 13 hurricanes and four major hurricanes.  An average Atlantic hurricane season produces 14 named storms, seven of them hurricanes and three major hurricanes. 




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Climate finance: What you need to know ahead of COP29

Developing countries will need trillions of dollars in the years ahead to deal with climate change -- but exactly how much is needed, and who is going to pay for it?




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No jail time yet for Roadies Association head




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Bafana’s Broos confident ahead of crucial clashes




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Springboks’ key takeaways ahead of England clash




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Spotlight shines on standout players ahead of final




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Minister vows to tackle water tank mafias head on




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Christ: The Head of the Church




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South Africa's top political parties begin final campaign push ahead of election

JOHANNESBURG — South Africa's four main political parties began the final weekend of campaigning Saturday before a possibly pivotal election that could bring the country's most important change in three decades. Supporters of the long-governing African National Congress, which has been in the government ever since the end of white minority rule in 1994, gathered at a soccer stadium in Johannesburg to hear party leader and South African President Cyril Ramaphosa speak. The ANC is under unprecedented pressure to keep hold of its parliamentary majority in Africa's most advanced country. Having seen its popularity steadily decline over the last two decades, Wednesday's vote could be a landmark moment when the party once led by Nelson Mandela drops below 50% of the vote for the first time. Several polls have the ANC's support at less than 50%, raising the possibility that it will have to form a national coalition. That would also be a first for South Africa's young democracy, which was only established 30 years ago with the first all-race vote that officially ended the apartheid system of racial segregation. As thousands of supporters in the ANC's black, green and gold colors attended its last major rally before the election, Ramaphosa recognized some of the grievances that have contributed to his party losing support, which include high levels of poverty and unemployment that mainly affect the country's Black majority. “We have a plan to get more South Africans to work," Ramaphosa said. “Throughout this campaign, in the homes of our people, in the workplaces, in the streets of our townships and villages, so many of our people told us of their struggles to find work and provide for their families.” The main opposition Democratic Alliance party had a rally in Cape Town, South Africa's second-biggest city and its stronghold. Party leader John Steenhuisen made a speech while supporters in the DA's blue colors held up blue umbrellas. “Democrats, friends, are you ready for change?” Steenhuisen said. The crowd shouted back “Yes!” "Are you ready to rescue South Africa?" Steenhuisen added. While the ANC's support has shrunk in three successive national elections and appears set to continue dropping, no party has emerged to overtake it — or even challenge it — and it is still widely expected to be the largest party by some way in this election. But losing its majority would be the clearest rejection yet of the famous party that led the anti-apartheid movement and is credited with leading South Africans to freedom. Some ANC supporters at the rally in Johannesburg also expressed their frustration with progress, as South Africa battles poverty, desperately high unemployment, some of the worst levels of inequality in the world, and other problems with corruption, violent crime and the failure of basic government services in some places. “We want to see job opportunities coming and basically general change in every aspect,” ANC supporter Ntombizonke Biyela said. “Since 1994 we have been waiting for ANC, it has been long. We have been voting and voting but we see very little progress as the people, only a special few seem to benefit.” While conceding to some failures, the ANC has maintained that South Africa is a better place than it was during apartheid, when a set of race-based laws oppressed the country's Black majority in favor of a small white minority. The ANC was also widely credited with success in expanding social support and housing and other services for millions of poor South Africans in the decade after apartheid, even if critics say it has lost its way recently. "There are many problems in South Africa, but nobody can deny the changes that have happened since 1994, and that was because of the ANC,” said 42-year-old Eric Phoolo, another supporter of the ruling party. “These other parties don’t have a track record of bringing change to the country." As some voters have turned away from the ANC, it has led to a slow fracturing of South African politics. They have changed allegiances to an array of different opposition parties, some of them new. South Africa has dozens of parties registered to contest next week's election. South Africans vote for parties and not directly for their president in national elections. Parties then get seats in Parliament according to their share of the vote and the lawmakers elect the president — which is why the ANC losing its majority would be so critical to the 71-year-old Ramaphosa's hope of being reelected for a second and final five-year term. If the ANC goes below 50, it would likely need a coalition or agreement with other parties to have the votes in Parliament to keep Ramaphosa, once a protege of Mandela, as president. The far-left Economic Freedom Fighters had their last big pre-election gathering in the northern city of Polokwane, the hometown of fiery leader Julius Malema. The new MK Party of former South African President and former ANC leader Jacob Zuma was also campaigning in a township just outside the east coast city of Durban, although Zuma didn't attend the event. The 82-year-old Zuma rocked South African politics when he announced late last year he was turning his back on the ANC and joining MK, while fiercely criticizing the ANC under Ramaphosa. Zuma has been disqualified from standing as a candidate for Parliament in the election because of a previous criminal conviction.




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Paul Weller, Primal Scream, Kneecap headline London's 'Gig for Gaza'


During a recent tour of the US, Weller, a longtime advocate for leftwing causes, performed with a Palestinian flag draped over his guitar amplifier.




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Trump taps Jewish ex-congressman Lee Zeldin to head EPA


Zeldin, a Republican, voted for key environmental legislation just 14% of the time during his tenure in the House of Representatives.




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The Jerusalem Post is heading to the Magic City. Are you coming with us?


On December 9-10, 2024, The Jerusalem Post will host an inaugural summit in Miami, bringing forward the discussions about the "tomorrow" of our community.




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Settler mob attack IDF soldiers with stones, hospitalizing one with head injuries


About 50 settlers gathered to attack the IDF soldiers, injuring one soldier who was taken to hospital with head injuries.




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Ghana: Ghanaians Urged To Avoid Hate Speech Ahead Of Polls

[Ghanaian Times] The Chairperson of the National Commission for Civic Education (NCCE), Ms Kathleen Addy, has cautioned Ghanaians against hate speech as it could cause conflict in the lead-up to the General Election.




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Cuba-Where Is It Heading?




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World Headlines: Capitol Siege by MAGA Mob

On January 6, 2021, white insurrectionists stormed the U.S. Capitol, proudly displayed the confederate flag, and set up gallows on the Capitol grounds.




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Somaliland Vice President Breaks Ranks, Backs Opposition Waddani Party Ahead of Election

[Radio Dalsan] Somaliland's Vice President, Abdirahman Abdillahi Ismail Saylici, made headlines on Sunday by publicly endorsing the opposition Waddani Party just days before the November 13 presidential election.




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Blinken heads to Brussels for urgent talks on Ukraine after Trump win

Blinken heads to Brussels for urgent talks on Ukraine after Trump win




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Church of England head Justin Welby resigns over handling of sex abuse scandal

Church of England head Justin Welby resigns over handling of sex abuse scandal




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A Glimpse into Tanzania’s Political Turmoil Ahead of 2025 Election

At a rally to mark International Youth Day on August 12 in Tanzania’s southern Mbeya region, John Mnyika stood with a determined expression, addressing his supporters. The air was charged with anticipation. Mnyika, the Secretary-General of Tanzania’s opposition party, Chadema, was preparing to speak about the upcoming elections when the chaos erupted. Without warning, heavily […]




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Civil society coalition says heads must roll over Terbufos poisoning deaths

Inadequate controls on hazardous chemicals contributed to the death of the six children in Soweto



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CSU Rams in unfamiliar territory heading into Border War

Even though the Colorado State football team has already checked a couple of boxes off its to-do list for this season, the stakes are still as high as ever for Friday night's Border War game against Wyoming.




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Broncos assistant head coach Mike Westhoff steps down due to health reasons

Broncos assistant head coach Mike Westhoff, an instrumental figure in the team’s special teams success, is stepping down to monitor a potential health issue.




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Crisis-hit Germany headed for Feb 23 snap election

German President Frank-Walter Steinmeier (left) shakes hands with the parliamentary leader of the Greens, Katharina Droege, at the Bellevue Presidential Palace in Berlin, on Tuesday.—Reuters

BERLIN: Germany is headed for snap elections on February 23, the main parties agreed on Tuesday, aiming to form a stable government after Chan­cellor Olaf Scholz’s three-party coalition collapsed last week.

The country’s two biggest parties agreed on the early timetable, which will see centre-left leader Scholz seek a vote of confidence on December 16, said the parliamentary leader of Scholz’s Social Democrats (SPD), Rolf Muetzenich.

This would pave the way for the February vote in a compromise hammered out with the conservative opposition Christian Democrats (CDU) and their Bavarian allies CSU.

The agreement seeks to quickly restore political stability at a time when Europe’s biggest economy is set to shrink for a second year in a row and amid heightened geopolitical volatility, with wars raging in Ukraine and the Middle East.

As per agreement between two biggest parties, Chancellor Scholz will seek trust vote on Dec 16

The election date would mean Germany will be ruled by a lame-duck chancellor and stuck in the middle of its campaign period when Donald Trump is inaugurated as US president on January 20.

Embattled Scholz, who wants to run again despite poor poll ratings, initially suggested an election in late March but came under heavy pressure from all other parties to speed up the process.

The CDU is riding high in the polls and its leader Friedrich Merz had pushed strongly for an election as early as possible — a demand backed by two thirds of voters, according to a recent survey.

“We don’t have unlimited time to elect a new government in Germany, regardless of who leads it… because the world around us is not waiting,” Merz said on Tuesday.

“It’s not as if everyone is holding their breath and watching Germany in fascination, as decisions are taken in Europe, Asia and the United States.

“The world expects a Germany that is capable of taking action.”

Winter election campaign

The February 23 date would force politicians to run their campaigns in the dark and cold of winter, when voters will be less enthusiastic to flock to outdoor events than during the usual summer campaign seasons.

Scholz is expected to lose the confidence vote in the lower house of parliament, after which President Frank-Walter Steinmeier will have 21 days to dissolve the Bundestag.

Elections have to be held within 60 days of the dissolution.

Scholz took office in late 2021, taking over from the CDU’s Angela Merkel, in a three-way coalition with the left-leaning Greens and the liberal and pro-business Free Democrats (FDP).

But mounting differences over economic and fiscal policy came to a head last week when Scholz fired the rebellious FDP finance minister Christian Linder, prompting the small party to leave the government.

Since then, Scholz’s SPD and the Greens have carried on in a minority government that would need opposition support to pass any laws — something the CDU/CSU had rejected in the absence of clarity on an election date.

Future scenarios

Scholz’s coalition marked the first time a tripartite alliance has ruled at the federal level, and it may not be the last, given Germany’s increasingly fragmented political party landscape.

Fears about immigration have driven the rise of the far-right Alternative for Germany (AfD) party. It is now polling at close to 20 per cent, but other parties have pledged to shun it as a coalition partner.

The latest polls put the centre-right CDU/CSU alliance firmly in the lead at 32pc.

To win a majority, however, the conservatives would likely need the future backing of the SPD, which is currently polling at 15.5pc, in a so-called grand coalition, plus a third party.

Contenders for that spot, according to current polling, would be either the FDP, with five percent support, or possibly the Greens, who are polling at 11pc.

Lindner, who has said he wants to be finance minister again, on Tuesday welcomed the date for new elections, saying:“Happily we now have clarity on this question.” He earlier said that he thought Merz “will almost certainly be the next chancellor of Ger­many. The only question is: Who will chancellor Merz govern with?”

Published in Dawn, November 13th, 2024




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to wire a relay for headlights

to wire a relay for headlights




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to wire a motorcycle headlight

to wire a motorcycle headlight




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A shark survived being stabbed through the head by a swordfish

Fishers in Albania caught a blue shark with an 18-centimetre fragment of swordfish bill embedded in its skull, in the first known case of a shark surviving such an injury




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If an asteroid were heading towards Earth, could you avert disaster?

From nuclear strikes to giant spikes, discover the systems in place to prevent a collision and test your decision-making to see if you could avoid a catastrophic impact




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GPS could predict earthquakes two hours ahead, but there's a catch

An analysis of GPS data has revealed a slow and otherwise undetectable slip of tectonic plates that begins two hours before an earthquake - but detecting this in advance would require more accurate sensors




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If an asteroid were heading towards Earth, could you avert disaster?

From nuclear strikes to giant spikes, discover the systems in place to prevent a collision and test your decision-making to see if you could avoid a catastrophic impact




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Nasal Spray May Ease Cluster Headaches

Title: Nasal Spray May Ease Cluster Headaches
Category: Health News
Created: 8/29/2007 12:00:00 AM
Last Editorial Review: 8/29/2007 12:00:00 AM




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Parenting 101: How to Let Go as Your Child Heads Off to College

Title: Parenting 101: How to Let Go as Your Child Heads Off to College
Category: Health News
Created: 8/21/2010 10:10:00 AM
Last Editorial Review: 8/23/2010 12:00:00 AM




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Head Injury Screening Tests Approved

Title: Head Injury Screening Tests Approved
Category: Health News
Created: 8/22/2016 12:00:00 AM
Last Editorial Review: 8/23/2016 12:00:00 AM




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Acupuncture Might Ease Tension Headaches

Title: Acupuncture Might Ease Tension Headaches
Category: Health News
Created: 6/23/2022 12:00:00 AM
Last Editorial Review: 6/23/2022 12:00:00 AM




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What Gets Rid of Headaches Quickly?

Title: What Gets Rid of Headaches Quickly?
Category: Diseases and Conditions
Created: 4/12/2016 12:00:00 AM
Last Editorial Review: 7/17/2022 12:00:00 AM




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Pandemic Brought More Woes for Kids Prone to Headaches

Title: Pandemic Brought More Woes for Kids Prone to Headaches
Category: Health News
Created: 8/9/2022 12:00:00 AM
Last Editorial Review: 8/10/2022 12:00:00 AM




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Headache Treatment Options

Family medicine physicians often see headache as the chief complaint when meeting patients within their practice. The goal is to try different treatment modalities without having to send the patient to a specialist. Headaches affect different individuals during their lifetime. Before any treatment begins, it is best that one rules out possible causes of the headache, for example, drug interactions or structural cerebrum conditions. Nonpharmacological treatment is recommended first before attempting a stepwise approach to cost-effective pharmacological treatment options. Pharmacological treatment options should include preventive and on-demand options. A family physician has all the resources to assist patients with different types of headaches.




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Diffusion Analysis of Intracranial Epidermoid, Head and Neck Epidermal Inclusion Cyst, and Temporal Bone Cholesteatoma [CLINICAL PRACTICE]

BACKGROUND AND PURPOSE:

Intracranial epidermoids temporal bone cholesteatomas, and head and neck epidermal inclusion cysts are typically slow-growing, benign conditions arising from ectodermal tissue. They exhibit increased signal on DWI. While much of the imaging literature describes these lesions as showing diffusion restriction, we investigated these qualitative signal intensities and interpretations of restricted diffusion with respect to normal brain structures. This study aimed to quantitatively evaluate the ADC values and histogram features of these lesions.

MATERIALS AND METHODS:

This retrospective study included children with histologically confirmed diagnoses of intracranial epidermoids, temporal bone cholesteatomas, or head and neck epidermal inclusion cysts. Lesions were segmented, and voxelwise calculation of ADC values was performed along with histogram analysis. ADC calculations were validated with a second analysis software to ensure accuracy. Normal brain ROIs—including the cerebellum, white matter, and thalamus—served as normal comparators. Correlational analysis and Bland-Altman plots assessed agreement among software tools for ADC calculations. Differences in the distribution of values between the lesions and normal brain tissues were assessed using the Wilcoxon rank sum and Kruskal-Wallis tests.

RESULTS:

Forty-eight pathology-proved cases were included in this study. Among them, 13 (27.1%) patients had intracranial epidermoids 14 (29.2%) had head and neck epidermal inclusion cysts, and 21 (43.7%) had temporal bone cholesteatomas. The mean age was 8.67 (SD, 5.30) years, and 27 (56.3%) were female. The intraclass correlation for absolute agreement for lesional ADC between the 2 software tools was 0.997 (95% CI, 0.995–0.998). The intracranial epidermoid head and neck epidermal inclusion cyst, and temporal bone cholesteatoma median ADC values were not significantly different (973.7 versus 875.7 versus 933.2 x 10–6 mm2/s, P = .265). However, the ADCs of the 3 types of lesions were higher than those of 3 normal brain tissue types (933 versus 766, x 10–6 mm2/s, P < .001).

CONCLUSIONS:

The ADC values of intracranial epidermoids, temporal bone cholesteatomas, and head and neck epidermal inclusion cysts are higher than those of normal brain regions. It is not accurate to simply classify these lesions as exhibiting restricted diffusion or reduced diffusivity without considering the tissue used for comparison. The observed hyperintensity on DWI compared with the brain is likely attributable to a relatively higher contribution of the T2 shinethrough effect.




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NeuroMix with MRA: A Fast MR Protocol to Reduce Head and Neck CTA for Patients with Acute Neurologic Presentations [RESEARCH]

BACKGROUND AND PURPOSE:

Overuse of CT-based cerebrovascular imaging in the emergency department and inpatient settings, notably CTA of the head and neck for minor and nonfocal neurologic presentations, stresses imaging services and exposes patients to radiation and contrast. Furthermore, such CT-based imaging is often insufficient for definitive diagnosis, necessitating additional MR imaging. Recent advances in fast MRI may allow timely assessment and a reduced need for head and neck CTA in select populations.

MATERIALS AND METHODS:

We identified inpatients or patients in the emergency department who underwent CTAHN (including noncontrast and postcontrast head CT, with or without CTP imaging) followed within 24 hours by a 3T MRI study that included a 2.5-minute unenhanced multicontrast sequence (NeuroMix) and a 5-minute intracranial time of flight MRA) during a 9-month period (April to December 2022). Cases were classified by 4 radiologists in consensus as to whether NeuroMix and NeuroMix + MRA detected equivalent findings, detected unique findings, or missed findings relative to CTAHN.

RESULTS:

One hundred seventy-four cases (mean age, 67 [SD, 16] years; 56% female) met the inclusion criteria. NeuroMix alone and NeuroMix + MRA protocols were determined to be equivalent or better compared with CTAHN in 71% and 95% of patients, respectively. NeuroMix always provided equivalent or better assessment of the brain parenchyma, with unique findings on NeuroMix and NeuroMix + MRA in 35% and 36% of cases, respectively, most commonly acute infarction or multiple microhemorrhages. In 8/174 cases (5%), CTAHN identified vascular abnormalities not seen on the NeuroMix + MRA protocol due to the wider coverage of the cervical arteries by CTAHN.

CONCLUSIONS:

A fast MR imaging protocol consisting of NeuroMix + MRA provided equivalent or better information compared with CTAHN in 95% of cases in our population of patients with an acute neurologic presentation. The findings provide a deeper understanding of the benefits and challenges of a fast unenhanced MR-first approach with NeuroMix + MRA, which could be used to design prospective trials in select patient groups, with the potential to reduce radiation dose, mitigate adverse contrast-related patient and environmental effects, and lessen the burden on radiologists and health care systems.




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Nordic-style Open Kindergarten to be trialled in Scotland ahead of potential roll-out

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Motorists urged to plan ahead with Kincardine Bridge due to close

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RPG Cast – Episode 686: “Head Harem”

Sam puts magnets on her arms. Kelley sits down to play Diablo 4 with a proper English muffin. Chris gets hit with a pie for money. And Phil has the cast roll a head-petting check.

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