MIAMI — As her students finished their online exam, Arlet Lara got up to make a . 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 , 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 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 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 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 . 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.”Providence, Oklahoma hope key players are back in Bahamas
I’m not trying to hypnotize you with that headline, or am I? For many years, buying an OLED TV has been considered a huge splurge, but prices have come down significantly on these pixel-perfect TVs. If you’re content with a 48-inch TV (big, but not too big), one of the best early Black Friday deals is on the LG B4 OLED, and it has your name all over it. It’s back down to $599.99 exclusively at Best Buy , which is a tremendous deal, frankly, for any movie- or game-loving person. LG B4 48-inch OLED The B4 is one rung below the C4, which is considered to be LG’s de facto OLED. However, you’re not missing out on as much the $400 price difference might lead you to assume. According to technical reviews site RTINGS , the C4 can display HDR content with more brightness, and the C4 combats glare better than the B4. However, the B4 has the same high-end gaming features that’ll help you get the most enjoyment out of games on your PS5 (or PS5 Pro ), Xbox Series X, and PC, which for some of us is the most important factor when choosing a TV. This includes its 120 Hz native refresh rate, and HDMI 2.1 ports that can display your games at up to 4K resolution. In other words, games will look buttery smooth on the B4. Anything you watch or play on the B4 will look considerably better than on non-OLED TVs. Unlike LCD-based TVs, OLED pixels are lit individually as opposed to lighting zone clusters with pixels that light up all at once. That means the B4’s per-pixel control lets it color and illuminate (or provide pitch black darkness to) any scene with unmatched precision. To say that it’s immersive to watch a horror movie in the dark on an OLED is underselling it. On the flip side, anything popping with color (like, say, a Pixar movie) is just a joyous treat to behold. Looking for more? Check out all of Polygon’s favorite early Black Friday deals , including great discounts on board games , video games and gaming accessories , and Magic: The Gathering . And subscribe to our newsletter below to get great deals delivered to your inbox every week. Shopkeeper Polygon’s handpicked deals on games, movies, books, and more. Black Friday Deal Alert Hardware Shopping
Man City blow three-goal lead in Champions League, Bayern beat PSG
Seattle (7-5) at Arizona (6-6) Sunday, 4:05 p.m. EST, CBS BetMGM NFL Odds: Cardinals by 2 1/2. Series record: Seahawks lead 28-22-1. Against the spread: Seahawks 5-6-1, Cardinals 8-4. Last meeting: Seahawks beat Cardinals 16-6 on Nov. 24, 2024, in Seattle. Last week: Seahawks beat Chargers, 26-21; Cardinals lost to Vikings, 23-22. Seahawks offense: overall (16), rush (28), pass (2), scoring (15). Seahawks defense: overall (18), rush (21), pass (12), scoring (12). Cardinals offense: overall (11), rush (6), pass (22), scoring (17). Cardinals defense: overall (17), rush (13), pass (18), scoring (11). Turnover differential: Seahawks minus-6, Cardinals minus-1. Seahawks player to watch DT Leonard Williams has been one of the most dominant players in the league over the past two weeks. Williams had 2 1/2 sacks, four tackles for loss and three quarterback hits two weeks ago against the Cardinals. Williams sacked Aaron Rodgers twice and scored his first career touchdown on a 92-yard pick-6. Cardinals player to watch QB Kyler Murray has had some good moments over the past two games and completed 31 of 45 passes for 260 yards and a touchdown against the Vikings. But he also threw two interceptions in the fourth quarter which proved costly. Key matchup QB Geno Smith vs. Arizona’s defense. Smith has had another solid season and now he’ll face an Arizona defense that’s been vastly improved over the past 1 1/2 months. The Cardinals have been much more productive in the pass rush with 23 sacks over the past six games. That ranks third in the NFL over that span. Key injuries Coach Mike Macdonald said he is optimistic that P Michael Dickson (back spasms) will be able to play this weekend, but bringing in another punter this week is “on the table.”.. LB Uchenna Nwosu has a chance to play this week. Nwosu missed the first four games of the season with a knee injury, then injured his thigh in his first game back in Week 5, and has been on injured reserve since. ... The Cardinals are relatively healthy. DLs Darius Robinson (calf) and Dante Stills (back) have been limited in practice this week. Series notes The Seahawks have won six straight games in the series going back to 2022. The Cardinals last won 23-13 on Nov. 21, 2021. The Cardinals haven’t won at home against the Seahawks since 2020. Stats and stuff The Seahawks’ next win will be the 400th in franchise history. ... Since Week 9, Seattle’s defense ranks fifth in the NFL with 17.5 points allowed per game, 299 yards allowed per game, and 84.3 rushing yards allowed per game, while ranking sixth in the league with 18.8 first downs allowed. ... The Seahawks have two pick-6s in the past two games, the first time the team has done so since 2012. ... The Seahawks have held three straight opponents to under 300 yards, and fewer than 100 rushing yards. ... Seattle has outscored its opponents by 37 points in the final two minutes of halves this season, the best in the NFL. .. WR DK Metcalf needs one receiving TD to pass Steve Largent for the most in a player’s first six seasons in franchise history with 47. ... Smith needs one 300-yard game to tie Russell Wilson for the most 300-yard games in a single season in franchise history with five. ... WR Jaxon Smith-Njigba Needs 171 yards for his first 1,000-yard season, and to become the 10th player in franchise history to reach that mark. ... Arizona has won three straight games at home. The Cardinals outscored those opponents 77-30 while scoring nine touchdowns and allowing none. ... TE Trey McBride has caught 12 passes in two straight games, which is the first time a tight end has had at least 12 receptions in two straight games in NFL history. ... Arizona’s six losses have come to teams with a combined 55-18 record this season entering Week 14. ... S Budda Baker has 114 tackles this season, which ranks sixth in the league. ... McBride’s caught 73 passes this season. He needs just nine more catches over the next five games to break his franchise record for a tight end. ... WR Marvin Harrison Jr. has caught seven TD passes this season, which leads all NFL rookies. ... The Cardinals have been flagged for 61 penalties this season, which is the fewest in the NFL. But the team was flagged 10 times in last week’s loss to the Vikings. Fantasy tip Arizona’s defense is a strong play at home. The Cardinals are giving up just 17 points per game at State Farm Stadium, which is second in the league behind Pittsburgh. ___ AP NFL:NoneWASHINGTON (AP) — President-elect Donald Trump has identified what he sees as an all-purpose fix for what ails America: Slap huge new tariffs on foreign goods entering the United States. On Monday, Trump sent shockwaves across the nation's northern and southern borders, vowing sweeping new tariffs on Mexico, Canada , as well as China, as soon as he takes office as part of his effort to crack down on illegal immigration and drugs. In a pair of posts on his Truth Social site Trump railed against an influx of illegal migrants, even though southern border apprehensions have been hovering near four-year lows. He said he would impose a 25% tax on all products entering the country from Canada and Mexico, and an additional 10% tariff on goods from China, as one of his first executive orders. He said the new tariffs would remain in place “until such time as Drugs, in particular Fentanyl, and all Illegal Aliens stop this Invasion of our Country!” The president-elect asserts that tariffs — basically import taxes — will create more factory jobs, shrink the federal deficit, lower food prices and allow the government to subsidize childcare. Economists are generally skeptical, considering tariffs to be a mostly inefficient way for governments to raise money. They are especially alarmed by Trump’s latest proposed tariffs. Carl B. Weinberg and Rubeela Farooqi, economists with High Frequency Economics said Tuesday that energy, automobiles and food supplies will be particularly hit hard. “Imposing tariffs on trade flows into the United States without first preparing alternative sources for the goods and services affected will raise the price of imported items at once," Weinberg and Farooqi wrote. "Since many of these goods are consumer goods, households will be made poorer.” High Frequency Economics believes the threats are not meant to support new trade policy and are instead a tool to elicit some changes along the borders and for imports from Canada, Mexico and China. Though Vice President Kamala Harris criticized Trump’s tariff threats as unserious during her failed bid for the presidency, the Biden-Harris administration retained the taxes the Trump administration imposed on $360 billion in Chinese goods. And it imposed a 100% tariff on Chinese electric vehicles. Indeed, the United States in recent years has gradually retreated from its post-World War II role of promoting global free trade and lower tariffs. That shift has been a response to the loss of U.S. manufacturing jobs, widely attributed to unfettered trade and an increasingly aggressive China. They are typically charged as a percentage of the price a buyer pays a foreign seller. In the United States, tariffs are collected by Customs and Border Protection agents at 328 ports of entry across the country. The tariff rates range from passenger cars (2.5%) to golf shoes (6%). Tariffs can be lower for countries with which the United States has trade agreements. For example, most goods can move among the United States, Mexico and Canada tariff-free because of Trump’s US-Mexico-Canada trade agreement. Trump insists that tariffs are paid for by foreign countries. In fact, its is importers — American companies — that pay tariffs, and the money goes to U.S. Treasury. Those companies, in turn, typically pass their higher costs on to their customers in the form of higher prices. That's why economists say consumers usually end up footing the bill for tariffs. Still, tariffs can hurt foreign countries by making their products pricier and harder to sell abroad. Yang Zhou, an economist at Shanghai’s Fudan University, concluded in a study that Trump’s tariffs on Chinese goods inflicted more than three times as much damage to the Chinese economy as they did to the U.S. economy By raising the price of imports, tariffs can protect home-grown manufacturers. They may also serve to punish foreign countries for committing unfair trade practices, like subsidizing their exporters or dumping products at unfairly low prices. Before the federal income tax was established in 1913, tariffs were a major revenue driver for the government. From 1790 to 1860, tariffs accounted for 90% of federal revenue, according to Douglas Irwin, a Dartmouth College economist who has studied the history of trade policy. Tariffs fell out of favor as global trade grew after World War II. The government needed vastly bigger revenue streams to finance its operations. In the fiscal year that ended Sept. 30, the government is expected to collect $81.4 billion in tariffs and fees. That's a trifle next to the $2.5 trillion that's expected to come from individual income taxes and the $1.7 trillion from Social Security and Medicare taxes. Still, Trump wants to enact a budget policy that resembles what was in place in the 19th century. He has argued that tariffs on farm imports could lower food prices by aiding America’s farmers. In fact, tariffs on imported food products would almost certainly send grocery prices up by reducing choices for consumers and competition for American producers. Tariffs can also be used to pressure other countries on issues that may or may not be related to trade. In 2019, for example, Trump used the threat of tariffs as leverage to persuade Mexico to crack down on waves of Central American migrants crossing Mexican territory on their way to the United States. Trump even sees tariffs as a way to prevent wars. “I can do it with a phone call,’’ he said at an August rally in North Carolina. If another country tries to start a war, he said he’d issue a threat: “We’re going to charge you 100% tariffs. And all of a sudden, the president or prime minister or dictator or whoever the hell is running the country says to me, ‘Sir, we won’t go to war.’ ” Tariffs raise costs for companies and consumers that rely on imports. They're also likely to provoke retaliation. The European Union, for example, punched back against Trump’s tariffs on steel and aluminum by taxing U.S. products, from bourbon to Harley-Davidson motorcycles. Likewise, China responded to Trump’s trade war by slapping tariffs on American goods, including soybeans and pork in a calculated drive to hurt his supporters in farm country. A study by economists at the Massachusetts Institute of Technology, the University of Zurich, Harvard and the World Bank concluded that Trump’s tariffs failed to restore jobs to the American heartland. The tariffs “neither raised nor lowered U.S. employment’’ where they were supposed to protect jobs, the study found. Despite Trump’s 2018 taxes on imported steel, for example, the number of jobs at U.S. steel plants barely budged: They remained right around 140,000. By comparison, Walmart alone employs 1.6 million people in the United States. Worse, the retaliatory taxes imposed by China and other nations on U.S. goods had “negative employment impacts,’’ especially for farmers, the study found. These retaliatory tariffs were only partly offset by billions in government aid that Trump doled out to farmers. The Trump tariffs also damaged companies that relied on targeted imports. If Trump’s trade war fizzled as policy, though, it succeeded as politics. The study found that support for Trump and Republican congressional candidates rose in areas most exposed to the import tariffs — the industrial Midwest and manufacturing-heavy Southern states like North Carolina and Tennessee.
School bonds failed across Texas. What happens now?CHATTANOOGA, Tenn. (AP) — Rafael Pinzon had 22 points in Bryant's 97-85 win over Tennessee State on Tuesday night. Pinzon shot 6 of 15 from the field, including 4 for 5 from 3-point range, and went 6 for 6 from the line for the Bulldogs (4-3). Connor Withers scored 17 points while going 6 of 14 from the floor, including 4 for 9 from 3-point range, and 1 for 4 from the line. Keyshawn Mitchell finished 7 of 10 from the field to finish with 16 points, while adding 13 rebounds. Brandon Weston led the way for the Tigers (3-5) with 24 points and six steals. Antoine Lorick III added 16 points, seven rebounds and two steals for Tennessee State. Carlous Williams had 16 points and two steals. The Associated Press created this story using technology provided by Data Skrive and data from Sportradar .
Where Are They Now? 2022-2023 Boston Bruins
Trump brings back government by social mediaProvidence, Oklahoma hope key players are back in Bahamas
Stocks shook off a choppy start to finish higher Monday, as Wall Street kicked off a holiday-shortened week. The S&P 500 ended 0.7% higher after having been down 0.5% in the early going. The Dow Jones Industrial Average also recovered from an early slide to eke out a 0.2% gain. The tech-heavy Nasdaq composite rose 1%. Javascript is required for you to be able to read premium content. Please enable it in your browser settings. Get our free email newsletters — latest headlines and e-edition notifications.Wingstop Announces Additional $500 Million Share Repurchase Authorization
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