Pleaded guilty to causing alarm and distress by using threatening or abusive language to the mp anna soubry outside the houses of parliament. 29 year old James Goddard was accused of shouting abuse at the mp for broxtowe, who supports another referendum, in two incidents last december and january. Angus crawford reports. This is bbc world news, im reged ahmad. Our top stories the British Government warns of serious consequences after an oil tanker soubry sour face anger and intimidation in the gulf is seized by iran. In the shadow of westminster. An mp trying to make her voice heard, drowned out by those this is completely unacceptable. Who brand her a traitor. Freedom of navigation crowd chants soubrys a liar. Must be maintained. We will respond in a way earlier, she was even forced that is considered but robust to break off a live tv interview. And we are absolutely clear that i do object to being if this situation is not resolved called a nazi, actually. Quickly, there will be crowd chants soubry is a nazi. Serious consequences. President trump says right, well, apologies he will work with britain to you if youre offended following the seizure by what youre listening to. Of the stena impero. Aid agencies call for a faster sorry, ijust think this is astonishing. Leading the protest, International Response to the ebola filming the mp on his phone, outbreak in the democratic James Goddard, wearing a yellow vest, aping the gilets jaunes republic of congo. Demonstrators in france. Alongside him, brian phillips, and as a heatwave sweeps shouting in herface, across north america, blocking the way. Meteorologists warn the vulnerable are at risk. Finally, anna soubry has to force her way into the commons and even then the abuse continues. Crowd chant scab, scab, scab goddard, in the blue shirt, arriving at court today, his supporters with him, later noisily filling the public gallery. After several hours of legal argument, both he and phillips pleaded guilty to a charge of harassment. Goddard also admitted racially abusing a police officer. Theyll be sentenced on monday. In a victim impact statement, anna soubry said she found the chants of nazi deeply offensive. It was highly unpleasant, leaving her shaken and very angry. The whole experience, she said, was really intimidating. Fake news, fake news. Fake news, one of goddards supporters says. In a divided country, lawful protest can too easily become personal abuse. Now on bbc news our world tells the story of safa and marwa, twin girls who were born joined at the head, then brought from pakistan to londons great ormond street Childrens Hospital for highly complex operations. Safa ma rwa a re safa marwa are identical twins joined the head. Theirfamily, from pakistan, want doctors to separate them. Great dormancy in london is one of the few hospitals in the world with the expertise to do it great ormond. What we need to achieve is effectively untwist the brains, and that is difficult, pretty difficult to do. But it is perilous. The bbc was given unique access to chart the complex medical and ethical choices made. This is the moment of truth, and everything has got to be perfect. In the hope of giving the girls independent lives. Safa and marwa are 21 months old and we re safa and marwa are 21 months old and were born in pakistan. They have come to londons great ormond street hospital with their mother zainab, grandfather and uncle and are under the care of neurosurgeon Owase Jeelani. It is difficult to go through life when you are joined like that, so it does make a very strong case in favour of doing the surgery. Strong case in favour of doing the surgery. The family are very strong on that. Life separate is very much better than life together. If there was not a chance of doing it safely would be thinking about whether we should do it or not, i think the whole team feel that there is an excellent chance of a successful separation here. The twins father died just before they were born, and thenit died just before they were born, and then it took more than a year of fundraising before a donor stepped in to cover the medical costs. Safa and marwa are joined at the head. Their skull is one long tube. The twins share many key blood vessels. Separating these will be a major challenge. Both twins brains have a distorted appearance. One half is pointing up into the other girls skull cavity. Every last detail of the twins extraordinary anatomy has been recreated digitally. Plastic surgeon David Dunaway will be in charge of rebuilding the girls goals after neurosurgeon Owase Jeelani rebuilding the girls goals after neurosurgeon owasejeelani has separated the twins brains. They showed me how 3d modelling has helped them to prepare. This hemisphere, which is in the right hemisphere, which is in the right hemisphere of the brain is standing up, so this is actually projecting into the other childs skull. What we need to achieve is effectively untwist the brains, and that is difficult, pretty difficult to do just in your head. For surgeons it is magically massively helpful, actually being able to touch and hold things makes it so much better to touch and hold things makes it better to understand how things are. We spent a long time looking at these models and going through the what ifs. Numerous models of the twins brains and shed skull had been created using this 3d printer. The whole process takes two days. This one will help surgeons plan how best to divide the layer of skin on the girls skull once they are separated. And they are not only using physical models. This is surgery using physical models. This is surgery without scalpels. Absolutely incredible. This is exactly what we wanted. Virtual reality has helped the team plan how to divide the twins shed arteries and veins. The team plan how to divide the twins shed arteries and veinsm works, it really works. And so now we can see a whole lot more information, a level of detail we have not been able to access previously. This is clearly the way of the future. We are using this technology for a highly complex case, but many other routine operations that we do, brain tumours, blood malformations, other malformations, this would be hugely, hugely beneficial for those cases as well stop ok, have we got everyone here . Yeah . So we have one case for the list today, safa and marwa, two kids, one case. The surgery is so complex it will happen in three stages over several months. And the twins will not be physically separate until the final operation. The aim of the first operation is to separate the twins shed arteries. At present each child is supplying the others brain with blood. At present each child is supplying the others brain with blood. One, two, three. What we are doing now is the two arteries that are going from one to enter the other, so we can see the artery but to do anything to it we will use the microscope. So the artery from safa going into marwas brain has been clamped. But every time this is done there is a risk of brain damage. So the brain is looking good. The twins have been in theatre now for more than seven hours. There are still several hours of this operation to go. So far everything is going to plan, and both girls are doing well. While one tea m both girls are doing well. While one team works with the twins, another, led by David Dunaway, constructs a frame made from pieces of the girls skull which can be detached in subsequent operations. This central segment will be our rigid keel to hold the head together. What we need to do is make sure that the twins originally together. Being older, they are pretty active, and so whatever we do really has to be Strong Enough to resist the twisting and bending forces that they will be putting on their heads. The first operation lasts 15 hours. Zainab has seven more children back in pakistan, aged 5 16. All of them we re pakistan, aged 5 16. All of them were born at home, but with this pregnancy she was advised to deliver in hospital. It was not until five days after delivery by cesarean section that zainab was introduced to her daughters, initially by photo. Zainab is the twins have distinct personalities. After a month, the twins are back in theatre. Safas brain, it looks empty. This time the surgeons will separate a shared network of veins are drained blood from twins brain. But the stabbing equilibrium could also do permanent damage. A portion of each twins brain is being supplied by the other twin. So there isa supplied by the other twin. So there is a risk of causing a stroke at the time of the surgery, that is something that is weighing heavily on us. The more the surgeons tried to divide the vessels that link and nourish them, more the twins become. Marwas heart begins to fail. Good enough for me. The anaesthetists managed to stabilise the girls so the operation can continue. Because ma rwa the operation can continue. Because marwa is the operation can continue. Because ma rwa is clearly the operation can continue. Because marwa is clearly the weaker twin, the surgeons decide to give her a key shared vein. The operation lasts 20 hours. I am relieved, i am relieved. There was a chance we were going to. Potentially lose marwa during the surgery. It has been a big operation, but hopefully if they wa ke big operation, but hopefully if they wake up as we hope they will, it is gone well. Yeah. But shortly after surgery, safa suffers a stroke. There was a period on tuesday evening where ellipsis we felt that we were very close to losing safa, and that she stayed in that critical state for ellipsis for 4872 that critical state for ellipsis for 48 72 hours after the surgery. It was a very difficult time for the girls, theirfamilies was a very difficult time for the girls, their families and was a very difficult time for the girls, theirfamilies and the entire tea m girls, theirfamilies and the entire team looking after them. Ina break in a break from their work at great ormond street, the two lead surgeons are in ireland to meet another set of twins. Its 80th since they last saw rital and ritaj. Its hard to believe that these are sisters, born in sudan, were oncejoint at believe that these are sisters, born in sudan, were once joint at the head. Back then the surgeons feared the girls might die unless separated. And this was rital and ritaj just one month after surgery. Each parent able to hold a child in their arms. I hope that they will get a normal life and be treated as normal human beings. Their father is now a doctor in ireland. We are now sitting here were two healthy twins, just like what i hope at that time. So its a great moment in my life. So its a great moment in my life. So the dream came true . Exactly. Im a very proud dad now. That was a very ha rd a very proud dad now. That was a very hard time. At the same time it was a happy time because of the conclusion. Rital has some learning difficulties. The surgeons believe it is because it was done in the first year of life. What we put the two kids through and the brain is a lot. The younger kids and the younger circulations are better adapted. Everything is easier. A one year olds regenerative capabilities are so much better. The skin heals better, bone grows in better. They are setting up a charity so that funds are available to pay for Early Intervention in future cases and for research into the best way to separate conjoined twins. Its january 2019. |j the best way to separate conjoined twins. Itsjanuary 2019. Ithink the last two months after the last operation on the brain has been a little bit of a stormy time for safa and marwa. They have had ups and downs with infections and temperatures and greaters carters having work quite hard for both of them and thats causing her a few challanges marwas heart is working hard. The next challenge for the surgeons is to ensure each tween will have enough skin to cover their skull when they are eventually separated. They do this by encouraging the skin to expand. The tissue expanders are balloons that sit underneath the skin and they have a tiny little port attached to them through which we can inject us a line. The idea now is that we will gradually inject the tissue expanders and they will blow up like a balloon and the skin over the top of them will stretch. And it is a very, very effective technique of making more skin out of the skin we have available so that when we come to separate safa and marwa there is enough skin to cover both of their heads. These are rare cases leave a Lasting Impact on the surgeons. |j havent asked davids permission to save us. The last separation we did, when the kids were finally separated, and everyone was overjoyed and so on and so forth, a look at david and he had tears in his eyes. And he denies it to this day, but he did. Yeah. Think. Everybody has been so invested in this for so long. It is a surprisingly emotional thing, i think. And when they finally come apart. And when that experience of them leaving the operating theatre as two separate people is quite indescribable. At last, four months since the first surgery, the day of separation. Two forceps. All laid out. So this is safas brain this is marwas brain. If you do give me a seven. Little by little the bone and the tissue whichjoins seven. Little by little the bone and the tissue which joins them is cut. So they are separate and apart from that piece ofjewellery. So they are separate and apart from that piece of jewellery. And then, after seven hours, the final connection is severed. Fantastic. 0k. 0k. Connection is severed. Fantastic. Ok. Ok. Done. It is in a very emotional moment. We have been working a long time to get them here. There have been through so many operations and now its worked. You still have four, five hours to do . We have to put them together now. We have taken them apart and now. We have taken them apart and now we have to reconstruct their heads. Marwa is still in the operating theatre through here. While safa has been moved just next door. For the first time, the survival of each of the twins is not dependent on the other. And that will make it easier for the two surgical teams to regulate their heart rate, blood pressure, and other vital signs. Safa and marwas brain is used to have a distorted shape stop but four months ago a plastic sheet was inserted between them and by gradually tightening the pressure it is largely corrected their appearance, essential before their appearance, essential before their skulls can be rebuilt. This means both teams can begin reconstruction. The patchwork of skull pieces are shared between theatres. So a piece for me, a piece for you. To have enough to cover their heads, each fragment must be divided in two. This goal is very usefully designed in three layers. So there is an inner layer of very thick, tough bone, an outer layer of thick, tough bone, an outer layer of thick, tough bone, and in between if the bone is like a honeycomb, so you can split the bone, it is half the thickness, but it means we should be able to cover nearly all of the head with bone afterwards. This shows the jigsaw of bone fragments that were pieced together to form the scale of marwa on the left and safa on the right. The gaps have been seeded with bone cells. And in the months to come these should slowly close up. The final task of the 17 hour operation is to stretch the skin over there reconstructed skulls. It is a Pretty Amazing day, isnt it . Everything is good. Thank you. Oh, whata amazing day, isnt it . Everything is good. Thank you. Oh, what a day. They have been quite amazing throughout. There great family and i think they draw strength from one another. And they seem to be getting through it very well. We asked mum who she would pick up first, whether it was safa or marwa . And the answer was both. So, you. So, yeah. The road to recovery for the twins is slow, but four months after separation, safa and marwa are beginning to make progress. Hello, safa. Hello, marwa. How are you today . The twins have daily physiotherapy. It is hoped this will help them reach some basic milestones just just learning help them reach some basic milestones justjust learning to roll, sit, and hold their heads up. Twinkle, twinkle, little star. How i wonder what you are. Safa has not fully recovered from her . We made the decision that the bulk of the common vessels go to marwa, the wea ker the common vessels go to marwa, the weaker tween. And because of the decision safa suffered a stroke. So what i want to see is the weakness safa has at the moment, improves. For me the big moment will be when she walks and when she uses her left arm properly. Because they have given her that weakness and for me thatis given her that weakness and for me that is a hard thing. I have given her. Nearly a year since they we re given her. Nearly a year since they were admitted to hospital, the girls are leaving great ormond street. The family will stay in london until the twins are Strong Enough to return to pakistan. The donor who paid for the surgery is continuing to support them. They are clearly going to face some challenges. But i think, overall, its a positive outcome for them. They are going to need support, but they have a chance of leading a happy life. Whatever hurdles safa and marwa may face in years to come, they will at least do that as a separate, independent girls. Twins still, but conjoined no more. Hello there. It felt as if summer had taken a break on friday. It will return though as ill show you later in this forecast. But over the last 2a hours we have seen some really heavy downpours, that picture came from a weather watcher in staffordshire, late on friday afternoon. The radar picture shows the way in which these pulses of very heavy rain flung themselves across the british isles, with some flashes of lightning, some rumbles of thunder, and the last vestiges of this wet weather still with us as we start off saturday morning. Some heavy rain still across the far south east. Some patches of rain elsewhere as well. All tied in with this frontal system which is clearing away, so that will allow for things to improve a little through the day ahead, but low pressure still in charge, so while there will be some spells of sunshine, there will also be some showers, some of which could be heavy and thundery. But it is quite a soggy start across the south east of england, and that rain should clear away fairly smartly through the morning. Rain though hanging back across shetland for a good part of the day. For the majority though, it is that regime of sunny spells and heavy, thundery downpours, although for northern ireland, a much drier day in prospect with patchy cloud and sunny spells, 20 in belfast, 22 in plymouth, 2a in london. Those showers should quickly fade away during saturday evening. Into the early hours of sunday we will be left with clear, starry skies, maybe the odd mist patch, and it will be a little cooler and fresher with temperatures getting down to between 11 111. Sunday then starts off on a fine, dry and, in many places, sunny note. The further south and east you are the better the chances of holding on to that fine weather, but for northern ireland, western scotland, far north west of england, maybe North West Wales will see outbreaks of rain and strengthening winds through the day. Still some wet weather around the northern half of the uk on monday. That rain tending to retreat northwards, further south some spells of sunshine, and things start to warm up. Temperatures could get to 29, possibly 30 degrees, but that is not the end of it because across iberia and france, a significant heat wave will be developing through early part of next week, and some of that heat will waft its way northwards. Some places likely to get to around 3a degrees. The north west of the uk always likely to see some outbreaks of rain at times, but even in edinburgh we are looking at highs of 25 26, some areas of cloud flirting with western coast at times, further south and east thats where well have the highest temperatures 33 34, but the chance of some thunderstorms 00 28 12,710 4294966103 13 29,430 later in the week