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2025-01-05
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 said, recalling the medical scare she experienced in May 2020 in the early months of the COVID-19 pandemic. "The stroke affected my left side of the body." Lara, an avid runner and gym-goer couldn't even walk. "It was hard," said the 50-year-old mom from North Miami and former high school math teacher. 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. People are also reading... 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 neurosurgeon and interventional neuroradiologist. He also serves as co-director of endovascular neurosurgery at Jackson Memorial Hospital, where Lara underwent the procedure. How the device works 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," Lara said in September. "I am already able to brush my teeth with the left hand." Since then, Lara has finished the initial six-week Vivistim 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. Going beyond the 'plateau' 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 usually can 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 after their original stroke, according to Starke. "So now a lot of these patients that had strokes 10 to 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. More about the device 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. "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." Be the first to know Get local news delivered to your inbox!golden empire jili png
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MANCHESTER, England (AP) — Manchester City's players were booed by their own fans Tuesday after blowing a three-goal lead against Feyenoord in the Champions League to extend their winless run to six games. Jeers rang around the Etihad Stadium after the final whistle of a dramatic 3-3 draw. After five-straight losses in all competitions, City looked to be cruising to victory after going three up inside 50 minutes. But Feyenoord mounted an improbable comeback and leveled the game in the 89th minute to leave the home crowd stunned. While the worst losing streak of Guardiola’s managerial career was brought to an end, his wait for a first win since Oct. 26 goes on. Erling Haaland had scored twice, with Ilkay Gundogan also on target to put City in control. But goals from Anis Hadj Moussa in the 75th, Santiago Gimenez in the 82nd and David Hancko in the 89th turned the game on its head. City's players, including Bernardo Silva, Josko Gvardiol and Haaland looked visibly frustrated as they left the field to cheers of the delirious traveling Dutch fans in the away section of the stadium. City plays Premier League leader Liverpool on Sunday — defeat would leave it 11 points adrift of its title rival. James Robson is at https://twitter.com/jamesalanrobson AP soccer: https://apnews.com/hub/soccer
Charlotte Crosby trebles security measures to ‘feel safe’ amid attempted robbery
In addition, for the first time, the race will be broadcast from the point of view of one of the participants, using a smartphone as a bodycam, according to a report by ECO . The event will be broadcast in full on the V+TVI channel, starting at 6pm, but the “traditional broadcast will be interspersed with three new perspectives that will be broadcast in real-time, via 5G+, without the need for cables or extra equipment”. For the broadcast, a smartphone “placed on one of the participants” will be used, which “will give viewers a perspective from inside the race, with the images captured by that runner being integrated live into the broadcast”, and a motorcycle equipped with a camera, connected to the studio via 5G, which “will accompany participants throughout the race, guaranteeing flawless and real-time transmission”. To “complement the broadcast”, a 5G+ reporter will conduct interviews. “To ensure that transmission quality is guaranteed at all times, the network slicing functionality will be used, which allows the creation of network slices dedicated to specific use cases, each optimized for different types of services or applications, always guaranteeing the best network experience and minimizing the impact of other mobile network users”, explains a press release. “So, even with all the messages and videos that are shared during the race, the quality of the live broadcast will never be compromised, as it will have an independent service – or network slice –, guaranteeing isolation, speed and low latency”. For Paulo Jardim, technical director at TVI, this project “is a clear example of how 5G Stand Alone is transforming the way television is made”. “By using features such as network slicing, we are able to ensure high-quality transmissions, with low latency and high reliability, even in challenging scenarios such as an outdoor sporting event. This is a decisive moment for the future of broadcasting and we are excited to lead this change”.Hyderabad: Bharat Rashtra Samithi (BRS) Working President K. T. Rama Rao on Saturday told the Telangana State Assembly that all BRS MLAs will resign if the Congress government proves that it is supplying 24-hour electricity to farmers or that it has waived loans of all farmers. He alleged that the Congress government is making false claims that it is giving round-the-clock uninterrupted power. Throwing the challenge during the debate on Rythu Bharosa, the BRS leader told Minister for Roads and Buildings Komatireddy Venkat Reddy that he was ready to come with him to Nalgonda district. “If you can show us even in one log book that 24-hour power is being supplied, all we MLAs will resign,” he said. Similarly, KTR, as Rama Rao is popularly called, also offered to accompany the minister to any village in Kodangal or Sircilla constituency to check on farm loan waivers. “If you can show that loans of 100 per cent farmers were waived even one village, I will resign as MLA and take retirement from politics,” he said. The BRS leader slammed the Congress government for not properly implementing the Rythu Bandhu scheme launched by the previous BRS government. KTR said Congress promised enhanced investment support to farmers under Rythu Bharosa but failed to provide the assistance even under the existing scheme. He claimed that the BRS started Rythu Bandhu to increase the area under cultivation. Citing the statement made by the government, he said the area under cultivation in the state increased from 1.41 crore acres in 2019-20 to 2.04 crore acres in 2020-21. KTR mentioned that when the BRS came to power in 2014, Telangana had the second-highest number of farmer suicides in the country. He claimed that due to the measures taken by the BRS during the last 10 years, the farmer suicides came down from 11.1 per cent to 1.5 per cent. The BRS leader alleged that the government was planning to impose cuts under the Rythu Bharosa scheme. He demanded that the Assembly session be extended by 10 days for a comprehensive debate on electricity, irrigation, and Mission Bhagiratha. The debate saw a sharp exchange of words and challenges and counter-challenges between BRS and Congress MLAs. Minister Venkat Reddy threw a challenge at the BRS, saying if it could prove that every household was supplied drinking water under Mission Bhagiratha during its rule, he would not seek votes in the next elections. He alleged that there was Rs 50,000 crore corruption under Mission Bhagiratha. To this, BRS MLA and former minister Harish Rao mentioned that the total cost of the scheme was only Rs 28,000 crore. Earlier, Minister for Agriculture Tummala Nageswara Rao said the government has not yet formulated the guidelines. He said the guidelines will be framed after taking suggestions from the legislators.
The Arizona Game and Fish Department’s proposed recommendations for 2025 pronghorn, elk, and population management hunts, and limited-entry seasons for 2025-2026, are available for review at www.azgfd.com/hunting/regulations/hunt-guidelines-process/ . The hunt structures and recommendations were formulated based on the hunt guidelines approved by the Arizona Game and Fish Commission. Javascript is required for you to be able to read premium content. Please enable it in your browser settings.Smith added seven rebounds and five assists for the Paladins (12-1). Nick Anderson shot 5 of 13 from the field, including 2 for 8 from 3-point range, and went 4 for 5 from the line to add 16 points. Garrett Hien had 10 points and went 5 of 9 from the field. Chandler Pigge led the Crimson (3-8) in scoring, finishing with 16 points, nine rebounds and three steals. Thomas Batties II added 14 points and six rebounds for Harvard. The Associated Press created this story using technology provided by Data Skrive and data from Sportradar .India, Ghana ink MoU to boost collaboration in sat communication | India NewsMuscat : The forecasts of the GCC Statistical Centre (GCC-Stat) indicate that the gross domestic product (GDP) of the GCC countries constant prices will grow by 3.7% in the current year 2024. The Centre expects growth to continue at a higher pace in 2025 to reach 4.5%, then it will stabilize at a rate of 3.5% in 2026. The GCC-Stat forecasts that this expected growth for the years 2024, 2025 and 2026 is attributed to the increase in oil production in the GCC countries, especially in light of the fact thatthe OPEC+ alliance is gradually liberalizing production quotas since the second half of this year 2024. The growth will continue in particular with the development of new gas fields in the region, in addition to the accelerated pace of economic recovery in sectors related to transportation, tourism and infrastructure projects supported by expansionary policies at the level of public finance. The initial forecasts issued by the GCC-Stat also indicated an improved growth in the non-oil sector in the GCC Countries to register a growth rate of 4.5% during the current year 2024, while maintaining this growth rate with an increase of 3.3% and 4.1% in 2025 and 2026 respectively. This growth will be driven by an accelerated increase in private sector activities, especially in the tourism, transportation, storage and retail sectors. In addition, infrastructure projects in the GCC countries will contribute to enhancing growth in related sectors and stimulating growth in the private sector. The forecasts also emphasize that the GCC countries’ continued implementation of economic diversification strategies during the years 2024 - 2026 will lead to significant growth in key sectors, most notably renewable energy, technology, innovation, and manufacturing industries. The GCC-Stat demonstrated that the GDP at constant prices of the GCC countries during the year 2023 amounted to 1,691.8 billion US dollars to log a growth of 0.5% compared to the year 2022, as the added value of the non-oil sector witnessed a growth of 3.3% in 2023. The average per capita GDP at current prices in the GCC countries witnessed a decline of 5% in 2023 to reach 36.7 thousand US dollars compared to 38.6 thousand US dollars registeredin 2022. The GCC countries’ GDP at current prices contributed to 2% of the global GDP, which amounted to 105.4 trillion US dollars in 2023. It accounted for 60.5% of the total Arab GDP, which amounted to 3.5 trillion US dollars. On the other hand, the GCC-Stat’s forecasts that inflation rates in the GCC countries will stabilize at 2.4%, 2.6% and 2.1% during the period of2024 – 2026. The risks that may increase inflationary pressures are represented by consumer prices, the rise in prices of raw materials imported from outside the GCC countries, the increase in consumption rates and public spending in all GCC countries due to the increase in employment rates, the rise in wages and the improvement in household income. Additionally, the monetary policies in the United States, the European Union, the United Kingdom and Japan in keeping interest rates to curb inflationary pressures will contribute to the stabilization of inflation rates in the GCC countries. The data issued by the Centre show that consumer price inflation rate in the GCC countries in 2023 reached about 2.2%, down from the rate logged in 2022, which amounted to 3.1%. This happened due to the improvement in supply chains, the decline in crude oil prices, the decrease in global food prices, and the rise of the US dollar against major currencies. It is noteworthy that the currencies of the GCC countries are being pegged to the US dollar.
VANCOUVER — Vancouver Canucks defenceman Filip Hronek is expected to be out until the end of January as he recovers from a lower-body injury. General manager Patrik Allvin issued a statement Tuesday saying Hronek underwent a successful procedure for the undisclosed ailment and is expected to miss about eight weeks. He says the 27-year-old Czech blueliner will not require surgery for an upper-body injury. Hronek hasn't played since going into the endboards hard late in Vancouver's 5-4 loss to the Penguins in Pittsburgh last Wednesday. He's been paired with captain Quinn Hughes for much of the season and registered eight points (one goal, eight assists) in 21 games. The Canucks (13-7-3) have dealt with a litany of notable absences this season, including all-star goalie Thatcher Demko, who remains sidelined with a knee injury, and star centre J.T. Miller, who's on an indefinite leave for personal reasons. This report by The Canadian Press was first published Dec. 3, 2024. The Canadian PressRestoring function
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