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Atalanta swept Young Boys aside 6-1 in Bern with Charles De Ketelaere contributing two goals and three assists, along with a Mateo Retegui brace, Sead Kolasinac and Lazar Samardzic. Ederson was suspended with Davide Zappacosta, Giorgio Scalvini and Gianluca Scamacca absent. Young Boys had z , but were only beaten here by a last-gasp Marcus Thuram goal when Inter visited on October 23. Tanguy Zoukrou, Loris Benito, Miguel Chaiwa, Saidy Janko, Facinet Conte, Patric Pfeiffer and Abdu Conte were on the treatment table, but Ebrima Colley started against his parent club. Juan Cuadrado hit the side-netting after a step-over and Atalanta took the lead moments later, as Retegui sprung the offside trap on the inspired Charles De Ketelaere through ball, blasting into the top corner one-on-one with the goalkeeper. It was the Italy international’s first Champions League goal. It did not last long, as within 120 seconds Young Boys had equalised with Silvere Ganvoula getting ahead of Isak Hien to nod in the Filip Ugrinic corner, the sheer power from point-blank range bending back Marco Carnesecchi’s glove. This was the first goal conceded by Atalanta in the competition this season. Mario Pasalic’s back-heel flick was onto the side-netting from a Cuadrado corner routine, but La Dea did restore their advantage from a set play. Matteo Ruggeri’s corner was taken low and hard for Odilon Kossounou’s back-heel flick and De Ketelaere managed to get the shot away while falling over, seeing it squirm under David von Ballmoos. De Ketelaere was truly inspired in Switzerland, as a few minutes later he sent Sead Kolasinac clear through the centre with another simply fantastic first-time pass and the defender swept it past Von Ballmoos one-on-one. He nearly did it a fourth time moments after that, but this time Retegui was blocked off by some desperate defending. De Ketelaere provided his third assist of the night with a cross from the left, which Retegui gathered with his back to goal, turning quickly to smash into the net from 10 yards. The Belgium international was having a remarkable evening and added his second goal after the restart, as he dribbled past two players and saw the finish take a deflection off Mohamed Ali Camara to wrong-foot the goalkeeper. Kolasinac had the ball in the net again, but was offside on the rebound from Cuadrado’s parried strike. Lazar Samardzic also surged forward to see his scorcher fingertipped over the bar by Von Ballmoos. There was still time for Lazar Samardzic to enjoy Atalanta glory too, cutting inside from the right, nutmegging a defender and sliding in the delicate finish. Retegui 9, 39 (A), Ganvoula 11 (Y), De Ketelaere 28, 56 (A), Kolasinac 32 (A), Samardzic 91 (A)None

Trudeau Says Canada ‘Will Respond’ If Trump Imposes TariffsArticle content Vice President Kamala Harris is working on determining her political future. Recommended Videos The 60-year-old insists she’s not ready to back down after getting demolished by Donald Trump in the U.S. presidential election and becoming the first Democrat to lose the popular vote in two decades. Harris has told her closest allies that she is “staying in the fight” and plans to consider what the future holds in the coming weeks, sources told Politico . It’s been speculated that she could run for governor of California in 2026 or maybe even make a second bid for the presidency in 2028. “She doesn’t have to decide if she wants to run for something again in the next six months,” one former campaign aide told the outlet. “The natural thing to do would be to set up some type of entity that would give her the opportunity to travel and give speeches and preserve her political relationships.” While some Democrats are looking to former first lady Michelle Obama and California Gov. Gavin Newsom to run for president in four years, a post-election poll from Echelon Insights has Harris dominating a hypothetical 2028 Democratic primary, the New York Post reported. That said, would she want to endure that again? RECOMMENDED VIDEO Given that Newsom’s term is limited, a gubernatorial run could be better suited for the state’s former prosecutor and attorney general. “Could she run for governor? Yes. Do I think she wants to run for governor? Probably not. Could she win? Definitely. Would she like the job? I don’t know. Could she run for president again? Yes,” former Harris aide Brian Brokaw told Politico . “Would she have a whole bunch of skepticism from the outset, because she has run in a full-length Democratic primary where (in 2019) she didn’t even make it long enough to be in the Iowa caucus, and then she was the nominee this year?” he continued. “People can learn a lot from their previous adversity, too.” Harris had just over 100 days to take over Joe Biden’s campaign efforts and reintroduce herself to Americans as their possible leader, arguably too little time to sell herself and her policies to voters. Now, with more time to map out a game plan, Harris needs to figure out where she fits in within the Democratic Party. “There will be a desire to hear her voice, and there won’t be a vacuum for long,” a source with close ties to Harris told the outlet. “She is not someone who makes rash decisions. She takes, sometimes, a painfully long time to make decisions,” Brokaw noted, but added that she likely still doesn’t know what the future holds.

Massive EU-South American free trade pact would reduce tariffs, but some farmers are opposedAdvertisement During his first term, Trump threatened tariffs while renegotiating trade with Mexico and Canada. Now, his promise to slap a 25% tariff on all imports from the countries strikes a similar chord. Scott Bessent, Trump's pick for treasury secretary, has called tariffs a "negotiating tool." President-elect Donald Trump helped pen business advice in his 1987 book "The Art of the Deal" that's been reflected in his posture on tariffs, from his first term to today: "Leverage: don't make deals without it." Trump announced on Monday that he planned to use an executive order on his first day in office to impose a 25% tariff on all goods from Mexico and Canada. He said in a post on Truth Social that the tariffs "will remain in effect until such time as Drugs, in particular Fentanyl, and all Illegal Aliens stop this Invasion of our Country!" Related Video A proposed merger could help Donald Trump pay off his $454 million fraud penalty While Trump promised to implement harsh tariffs throughout the campaign, actions from his first term suggest that the sweeping threat — which has reverberated throughout global markets and vulnerable sectors like the auto industry — might be a version of his long-favored "leverage." In June 2019, Trump threatened tariffs against Mexico if the country didn't alter its immigration system, which it eventually did . "That was in a sense analogous to what he's doing now outside of economics when he's talking about fentanyl and he's demanding more control of people coming to the border," Robert Lawrence, a professor of international trade and investment and a senior fellow at the Peterson Institute for International Economics, told Business Insider. "Were the tariffs the reason the Mexicans became more compliant? I don't know, but he certainly did use that as a threat." Advertisement Lawrence said that the threat of tariffs is effective rhetorically right now, particularly for those in the European Union who doubted Trump's willingness to follow through on his word. Trump also used tariffs as "leverage" when renegotiating the North American Free Trade Agreement, Mark Blyth, a political economist at Brown University, told BI. Blyth said that Trump is notably unpredictable, and until he steps into the White House again on January 20, people can only speculate about what promises he'll follow through on. Advertisement "We're all shadowboxing. We're jumping at the show: 'Look, he's going to do this! He says he's going to do this!'" Blyth said. "He's still got to get in, he's still got to form his Cabinet . He's got to put in these people and then he can do stuff." A Brookings Institute report said tariffs set important context for the NAFTA renegotiations, and Mexico and Canada likely wouldn't have come to the negotiating table without them. However, the report concluded that using tariffs as leverage does not necessarily result in significantly more favorable trade relations, though they do succeed in getting "other countries' attention." While financial analysts are taking Trump's threats seriously, some banking leaders seem to think that Trump's most recent tariff threat is a continuation of his past negotiation tactics. Advertisement "This is President Trump's negotiating style: step one, punch in the face, step two, let's negotiate," Kieran Calder, the head of equity research for Asia at Union Bancaire Privée, said, per Bloomberg . In a report published Tuesday morning, UBS said that "the timing and narrow focus of the latest threat suggest scope for negotiation." By focusing on non-trade issues — immigration and drugs — Trump is suggesting that the tariffs are transactional, focused more on gaining the upper hand than implementing long-term tariffs, the authors argue. Luis Costa, the global head of emerging markets strategy at Citi Bank, made a similar point on Squawk Box Europe Tuesday. "To us, it is absolutely obvious that the Trump administration will use tariffs as one important lever to negotiate with Sheinbaum's government," he said, referring to Mexico's president, Claudia Sheinbaum. "It is probably something that is more about negotiation rather than about imposing tariffs." Advertisement And Trump's own nominee for treasury secretary, Scott Bessent , published an opinion piece earlier this month arguing that the president-elect uses "tariffs as a negotiating tool with our trading partners." A spokesperson from the Trump transition team told BI in a statement that "in his first term, President Trump instituted tariffs against China that created jobs, spurred investment, and resulted in no inflation."

Luton, Bedfordshire, United Kingdom, Nov. 21, 2024 (GLOBE NEWSWIRE) -- The adoption of 3D printing in the automotive sector is reshaping vehicle development by enabling the production of complex, lightweight, and high-performance components. This technology uses computer-aided design (CAD) models to create intricate parts, improving vehicle efficiency, optimizing performance, and reducing production costs. Key growth drivers include the demand for lighter parts, faster prototyping, and the ability to customize components for specific vehicle needs. Sustainability is another factor, as 3D printing reduces material waste. Advancements in materials and technology are expanding 3D printing's application to metals, ceramics, and composites, further driving adoption. Access PDF Sample Report (Including Graphs, Charts & Figures) @ https://exactitudeconsultancy.com/reports/33192/3d-print-in-automotive-additive-manufacturing-market/#request-a-sample The 3D printing market in automotive manufacturing is projected to reach USD 10 billion by 2028, driven by the need for custom parts and rapid prototyping, with partnerships between automakers and 3D printing companies accelerating this growth. The technology's ability to reduce waste and enhance production efficiency aligns with sustainability goals, ensuring its expanding role in the industry. The global 3D printing market in automotive is segmented by material, technology, component, application, and region, highlighting the diverse applications and innovations in this field. Material Segmentation: The market is predominantly driven by metal, which holds a 60-65% share of the market. Metals, including stainless steel, titanium, and aluminum, are favored for their strength, durability, and heat resistance. These materials are crucial for the production of high-performance components such as engine parts, chassis, and structural elements, where precision and performance are paramount. Technologies such as Electron Beam Melting (EBM) and Selective Laser Melting (SLM) are commonly used to process these metals, enabling the creation of complex geometries and intricate designs that meet automotive specifications. Polymers , with a 25-30% market share, represent the second most widely used material. Polymers such as ABS, PLA, and nylon are more cost-effective and lightweight compared to metals, making them ideal for creating prototypes and components requiring flexibility and impact resistance. These materials are commonly used in the development of non-structural parts or for fast prototyping. Ceramics , while holding a 5% market share, are expected to experience the highest growth in the coming years. Ceramics, including alumina, zirconia, and silicon carbide, are used for their exceptional heat tolerance and wear resistance, particularly in high-performance applications like turbochargers and brake systems. Technology Segmentation: The Fused Deposition Modeling (FDM) technology dominates the market with 50-55% market share. Known for its cost-effectiveness and ease of use, FDM is particularly popular for producing prototypes and functional parts. This technology is capable of working with a variety of thermoplastic materials, offering versatility for automakers looking to optimize both design and production costs. Selective Laser Sintering (SLS) comes in second with 20-25% of the market share. SLS produces parts with greater precision and strength compared to FDM but at a higher cost. Its ability to create high-performance parts and more accurate geometries makes it particularly suitable for end-use components. Digital Light Processing (DLP) , with a 10-15% share, is a newer technology that has gained popularity due to its precision and speed. While still emerging, DLP's capability to produce highly detailed parts quickly is making it a preferred option for automotive manufacturers. Stereolithography (SLA) accounts for around 5-10% of the market. Despite being a well-established technology, SLA's slower speed and higher costs limit its adoption compared to newer methods like DLP. The least popular technologies, Selective Laser Melting (SLM) and Electron Beam Melting (EBM), collectively hold a 5% share of the market. These metal 3D printing techniques are used primarily for producing high-performance parts in automotive applications requiring advanced material properties and precision. Component Segmentation: The market is also segmented by components, which include hardware, software, and services. Hardware holds the largest share, reflecting the significant investment in 3D printers and other equipment necessary for additive manufacturing. Software plays an essential role in the design and simulation processes, while services cover everything from prototyping to full-scale production support, contributing to the holistic value of the additive manufacturing ecosystem. Application Segmentation: Applications of 3D printing in the automotive industry are diverse, spanning production and prototyping/research and development. Prototyping remains a critical application, allowing automotive companies to reduce time-to-market by rapidly iterating on designs. As the technology evolves, production is gaining ground, with 3D printing enabling the manufacture of specialized, low-volume components cost-effectively, and enhancing the ability to create customized parts for niche automotive applications. Overall, the 3D printing market in automotive manufacturing is seeing continued growth, driven by advancements in materials and technology, and the increasing demand for lightweight, customized, and high-performance components. As automakers continue to prioritize efficiency, cost-effectiveness, and sustainability, 3D printing will play an increasingly pivotal role in reshaping automotive manufacturing processes. Drivers of 3D Printing in Automotive Additive Manufacturing: The growing demand for lightweight components is a significant driver in the adoption of 3D printing within the automotive sector. As automakers focus on improving fuel efficiency and reducing environmental impact, 3D printing enables the creation of complex structures that use less material while maintaining strength. This aligns with the industry's shift towards lightweighting to enhance vehicle performance. Furthermore, the design freedom offered by 3D printing allows for the production of intricate geometries and lattice structures, which are challenging to achieve with traditional manufacturing methods. The need for rapid prototyping in automotive design, which accelerates the development cycle and allows for iterative design changes, also supports the increasing use of this technology. Overall, 3D printing plays a crucial role in helping manufacturers meet sustainability and efficiency goals, thus driving market growth. Opportunities: 3D printing technology opens significant opportunities for customized automotive features, enabling the production of personalized car components. This includes everything from bespoke interior fittings to exterior trimmings, offering consumers the ability to tailor their vehicles to their specific tastes. Automakers can leverage this customization trend to provide unique, differentiated products, improving customer satisfaction and creating a competitive market edge. As consumer demand for personalization increases, 3D printing presents a cost-effective and innovative solution for meeting these expectations, further positioning it as a transformative force in the automotive sector. Trends in 3D Printing for Automotive Additive Manufacturing: Increased use of metal 3D printing : Metal 3D printing is gaining traction due to its ability to produce lightweight, durable, and high-performance parts, which is particularly important for the development of electric vehicles (EVs), where reducing weight is critical to increasing range. This segment accounts for over 50% of the market and is expected to see growth as the demand for EVs rises. Adoption of new 3D printing technologies : Technologies such as Continuous Liquid Interface Production (CLIP) are being adopted due to their ability to print parts significantly faster than traditional methods like SLA, which makes them ideal for high-volume production, such as car bumpers. This trend is projected to increase as demand for faster and more efficient production methods rises. Use of 3D printing for tooling production : 3D printing is revolutionizing the production of tooling, such as jigs and fixtures, by enabling faster and more cost-effective creation of custom tools without the need for traditional machining. This trend is expected to grow as companies look to reduce costs and lead times associated with tooling production. Integration into the design process : The integration of 3D printing into the vehicle design process is becoming more common, allowing for faster prototyping, iterative design modifications, and quicker time-to-market. This trend is expected to expand as automotive companies prioritize speed and efficiency in their design cycles. Development of 3D printing standards : The automotive industry is actively working on standardizing 3D printing processes to ensure that parts meet safety and quality requirements. These efforts will further boost the adoption of 3D printing in the sector as manufacturers gain confidence in the reliability and performance of 3D printed components. Report Link Click Here: https://exactitudeconsultancy.com/reports/33192/3d-print-in-automotive-additive-manufacturing-market/ Competitive Landscape 3D Systems HP Renishaw EOS GmbH Stratasys SLM Solutions Group AG Arcam AB Metal AM Additive Industries Materialise NV Concept Laser GmbH Farsoon Technologies Voxeljet AG NanoXplore BigRep GmbH Markforged Desktop Metal Prodways EnvisionTEC 3Diligent Recent Developments : 3D Systems' FDA Clearance for Cranial Implants (April 2023): 3D Systems received FDA 510(k) clearance for their VSP PEEK Cranial Implant, a breakthrough in 3D-printed cranial plates. This implant, designed to restore skull defects, uses PEEK (Polyether ether ketone), a high-performance polymer closely resembling human bone. This approval allows 3D Systems to offer this technology in the U.S., expanding the use of 3D printed cranial implants in medical procedures. The company has already produced nearly 40 cranial implants in Europe with this technology​. Salzburg University Hospital's 3D-Printed Occipital Prosthesis (March 2023): The University Hospital Salzburg successfully performed a groundbreaking surgery using a 3D-printed occipital prosthesis for a patient suffering from craniosynostosis. The implant was custom-designed using the patient's CT scan and produced with a 3D Systems Kumovis R1 printer. This procedure is part of Salzburg's push for advanced 3D printing applications in medicine​. Stratasys Partners with Toyota Racing Development (June 2022): Stratasys has formed a partnership with Toyota Racing Development (TRD) to integrate 3D printing into automotive manufacturing, specifically for the Toyota GR86. The collaboration aims to produce 3D-printed production parts for the GR Cup racing series, marking a significant advancement in the use of 3D printing for automotive applications Regional Analysis of the 3D Printing in Automotive Additive Manufacturing Market The Asia Pacific region is expected to experience substantial growth in the 3D printing market for the automotive sector in the coming years, positioning itself as the largest market globally. This growth is fueled by the region's strong manufacturing base, rapid technological advancements, and a growing emphasis on innovative production methods. Key countries such as China, Japan, and South Korea have been at the forefront of adopting 3D printing technologies in automotive production. The industry benefits significantly from the ability of 3D printing to accelerate prototyping processes, simplify manufacturing workflows, and facilitate the creation of lightweight components essential for improving vehicle efficiency and performance. With governmental initiatives supporting the expansion of additive manufacturing, the region continues to enhance its leadership in this transformative technology. As a result, Asia Pacific is positioned as a significant driver of growth in the global automotive 3D printing market, with the sector forecast to expand by over 30% annually. Europe ranks as the second-largest market for 3D printing in the automotive industry, driven by widespread adoption in major automotive manufacturing nations, particularly Germany and the UK. These countries are at the forefront of utilizing additive manufacturing for sophisticated automotive solutions, including the development of customized components, rapid prototyping, and advanced manufacturing techniques. Europe's automotive sector has embraced 3D printing due to its ability to streamline the production process and offer high levels of precision and personalization. With strong commitments to innovation and sustainability, the European market is expected to maintain its pivotal role in shaping the future of 3D printing applications in the automotive industry. The European market share is anticipated to grow at a compound annual growth rate (CAGR) of around 20%, fueled by continuous investment in both research and development and the adoption of advanced manufacturing technologies. Market Segmentations: 3D Print in Automotive Additive Manufacturing Market by Material Metal Polymer Ceramic 3D Print in Automotive Additive Manufacturing Market by Technology Selective Laser Sintering (SLS) Fused Deposition Modeling (FDM) Digital Light Processing (DLP) Stereo Lithography (SLA) Electron Beam Melting (EBM) Selective Laser Melting (SLM) 3D Print in Automotive Additive Manufacturing Market by Component Hardware Software Services 3D Print in Automotive Additive Manufacturing Market by Application Production Prototyping/R&D 3D Print in Automotive Additive Manufacturing Market by Region North America Europe Asia Pacific South America Middle East and Africa Get a Sample PDF Brochure: https://exactitudeconsultancy.com/reports/33192/3d-print-in-automotive-additive-manufacturing-market/#request-a-sample Related Reports: Shipping Container Market https://exactitudeconsultancy.com/reports/2769/shipping-container-market/ The global shipping container market size is expected to grow at 4% CAGR from 2022 to 2029. It is expected to reach above USD 10.66 billion by 2029 from USD 7.48 billion in 2020. Tractor Engines Market https://exactitudeconsultancy.com/reports/4508/tractor-engines-market/ The global tractor engine market size is estimated at USD 12.7 billion in 2020 and is projected to reach USD 23.9 billion by 2029, at a CAGR of 7.3% for the forecasted years 2022 to 2029. Automotive Filters Market https://exactitudeconsultancy.com/reports/1754/automotive-filters-market/ The global automotive filter market is expected to grow at 3.95% CAGR from 2019 to 2028. It is expected to reach above USD 22.4 billion by 2028 from USD 18.00 billion in 2019. Electric Ships Market https://exactitudeconsultancy.com/reports/2197/electric-ships-market/ The global Electric Ships Market is expected to grow at more than 13% CAGR from 2019 to 2028. It is expected to reach above USD 15.11 billion by 2028 from a little above USD 3.96 billion in 2019. Smart Containers Market https://exactitudeconsultancy.com/reports/824/smart-containers-market/ The Global Smart Containers Market size is expected to grow at more than 17% CAGR from 2015 to 2025. It is expected to reach above USD 7.1 billion by 2025 from USD 1.6 billion in 2015. In-Wheel Motors Market https://exactitudeconsultancy.com/reports/2832/in-wheel-motors-market/ The global in-wheel motors market is expected to grow at 20% CAGR from 2022 to 2029. It is expected to reach above USD 2,741.46 million by 2029 from USD 541 million in 2020. Transportation Telematics Market https://exactitudeconsultancy.com/reports/3118/transportation-telematics-market/ The global transportation telematics market is expected to grow at 20% CAGR from 2022 to 2029. It is expected to reach above USD 66.04 billion by 2029 from USD 12.79 billion in 2020. Actuators Market https://exactitudeconsultancy.com/reports/4683/actuators-market/ The global actuators market size is expected to grow at 8.5% CAGR from 2022 to 2029. It is expected to reach above USD 112.74 billion by 2029 from USD 54.1 billion in 2020. Marine Lubricants Market https://exactitudeconsultancy.com/reports/3126/marine-lubricants-market/ The global marine lubricants market is expected to grow at a 2.4% CAGR from 2022 to 2029. It is expected to reach above USD 11.9 billion by 2029 from USD 6.8 billion in 2020. Alloy Wheels Market https://exactitudeconsultancy.com/reports/1430/alloy-wheels-market/ The global alloy wheels market was valued at USD 15 Billion in 2019 and is projected to reach USD 24.3 Billion by 2028, growing at a CAGR of 5% from 2019 to 2028. Headlamps Market https://exactitudeconsultancy.com/reports/965/headlamps-market/ The Global Headlamps Market is expected to grow at more than 3.96% CAGR from 2018 to 2025. It is expected to reach above USD 229 million by 2025 from a little above USD 176 million in 2018. Automotive Haptic Technology Market https://exactitudeconsultancy.com/reports/2608/automotive-haptic-technology-market/ The global automotive haptic technology market is expected to grow at 11% CAGR from 2022 to 2029. It is expected to reach above USD 5.76 billion by 2029 from USD 2.25 billion in 2020. © 2024 Benzinga.com. Benzinga does not provide investment advice. All rights reserved.Ravens' running game was crucial in a big win over the Chargers, especially on 4th down

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By Michelle Marchante, Miami Herald (TNS) MIAMI — As her students finished their online exam, Arlet Lara got up to make a cafe con leche . Her 16-year-old son found her on the kitchen floor. First, he called Dad in a panic. Then 911. “I had a stroke and my life made a 180-degree turn,” Lara told the Miami Herald, recalling the medical scare she experienced in May 2020 in the early months of the COVID pandemic. “The stroke affected my left side of the body,” the North Miami woman and former high school math teacher said. Lara, an avid runner and gym goer, couldn’t even walk. “It was hard,” the 50-year-old mom said. After years of rehabilitation therapy and a foot surgery, Lara can walk again. But she still struggles with moving. This summer, she became the first patient in South Florida to get an implant of a new and only FDA-approved nerve stimulation device designed to help ischemic stroke survivors regain movement in their arms and hands. This first procedure was at Jackson Memorial Hospital in Miami. Lara’s rehab was at at the Christine E. Lynn Rehabilitation Center for The Miami Project to Cure Paralysis, part of a partnership between Jackson Health System and UHealth. Every year, thousands in the United States have a stroke , with one occurring every 40 seconds, according to the U.S. Centers for Disease Control and Prevention. The majority of strokes are ischemic, often caused by blood clots that obstruct blood flow to the brain. For survivors, most of whom are left with some level of disability, the Vivistim Paired VNS System, the device implanted in Lara’s chest, could be a game changer in recovery, said Dr. Robert Starke, a UHealth neurosurgeon and interventional neuroradiologist. He also serves as co-director of endovascular neurosurgery at Jackson Memorial Hospital, part of Miami-Dade’s public hospital system. Arlet Lara, the first patient in South Florida to get an FDA-approved nerve stimulation implant, right, runs into her rehabilitation neurology physician Dr. Gemayaret Alvarez, before her physical therapy appointment on Monday, Sept. 9, 2024, at Lynn Rehabilitation Center at Jackson Memorial Hospital. The implant is designed to help stroke survivors regain function in their arms. (Alie Skowronski/Miami Herald/TNS) Arlet Lara, the first patient in South Florida to get an FDA-approved nerve stimulation implant designed to help stroke survivors regain function in their arms, goes through exercises while her therapist activates the device during her physical therapy appointment on Monday, Sept. 9, 2024, at Lynn Rehabilitation Center at Jackson Memorial Hospital. The activation works as positive reinforcement to her muscles when she completes the exercise correctly. (Alie Skowronski/Miami Herald/TNS) Arlet Lara, the first patient in South Florida to get an FDA-approved nerve stimulation implant, does an exercise while Neil Batungbakal, rehabilitation therapist, activates the implant with the black trigger during her physical therapy appointment on Monday, Sept. 9, 2024, at Lynn Rehabilitation Center at Jackson Memorial Hospital. The implant is designed to help stroke survivors regain function in their arms. The activation works as positive reinforcement to her muscles when she completes the exercise correctly. (Alie Skowronski/Miami Herald/TNS) Arlet Lara, the first patient in South Florida to get an FDA- approved nerve stimulation implant, does an exercise while Neil Batungbakal, rehabilitation therapist, activates the implant with the black trigger during her physical therapy appointment on Monday, Sept. 9, 2024, at Lynn Rehabilitation Center at Jackson Memorial Hospital. Arlet Lara, the first patient in South Florida to get an FDA-approved nerve stimulation implant, right, runs into her rehabilitation neurology physician Dr. Gemayaret Alvarez, before her physical therapy appointment on Monday, Sept. 9, 2024, at Lynn Rehabilitation Center at Jackson Memorial Hospital. The implant is designed to help stroke survivors regain function in their arms. (Alie Skowronski/Miami Herald/TNS) The Vivistim Paired VNS System is a small pacemaker-like device implanted in the upper chest and neck area. Patients can go home the same day. The U.S. Food and Drug Administration approved the stroke rehabilitation system in 2021 to be used alongside post-ischemic stroke rehabilitation therapy to treat moderate to severe mobility issues in hands and arms. Lara’s occupational therapist can activate the device during rehabilitation sessions to electrically stimulate the vagus nerve, which runs from the brain down to the abdomen and regulates various parts of the body’s nervous system. The electrical stimulation rewires the brain to improve a stroke survivor’s ability to move their arms and hands. Lara also has a magnet she can use to activate the device when she wants to practice at home. Her therapy consists of repetitive tasks, including coloring, pinching cubes and grabbing and releasing cylindrical shapes. After several weeks of rehabilitation therapy with the device, Lara has seen improvement. “Little by little, I’m noticing that my hand is getting stronger. I am already able to brush my teeth with the left hand,” she told the Miami Herald in September. Since then, Lara has finished the initial six-week Vivitism therapy program, and is continuing to use the device in her rehabilitation therapy. She continues to improve and can now eat better with her left hand and can brush her hair with less difficulty, according to her occupational therapist, Neil Batungbakal. Lara learned about the device through an online group for stroke survivors and contacted the company to inquire. She then connected them with her Jackson medical team. Now a year later, the device is available to Jackson patients. So far, four patients have received the implant at Jackson. Starke sees the device as an opportunity to help bring survivors one step closer to regaining full mobility. Strokes are a leading cause of disability worldwide. While most stroke survivors can usually recover some function through treatment and rehabilitation, they tend to hit a “major plateau” after the first six months of recovery, he said. Vivistim, when paired with rehabilitation therapy, could change that. Jackson Health said results of a clinical trial published in the peer-reviewed medical journal The Lancet in 2021 showed that the device, “when paired with high-repetition, task-specific occupational or physical therapy, helps generate two to three times more hand and arm function for stroke survivors than rehabilitation therapy alone.” The device has even shown to benefit patients 20 years from their original stroke, according to Starke. “So now a lot of these patients that had strokes 10-15 years ago that thought that they would never be able to use their arm in any sort of real functional way are now able to have a real meaningful function, which is pretty tremendous,” Starke said. Vivistim’s vagus-nerve stimulation technology was developed by researchers at the University of Texas at Dallas’ Texas Biomedical Device Center and is being sold commercially by Austin-based MicroTransponder, a company started by university graduates. Similar devices are used to treat epilepsy and depression . For Lara, the device is a new tool to help her recovery journey. “Everything becomes a challenge so we are working with small things every day because I want to get back as many functions as possible,” Lara said. Patients interested in Vivistim should speak with their doctor to check their eligibility. The FDA said patients should make sure to discuss any prior medical history, including concurrent forms of brain stimulation, current diathermy treatment, previous brain surgery, depression, respiratory diseases and disorders such as asthma, and cardiac abnormalities. “Adverse events included but were not limited to dysphonia (difficulty speaking), bruising, falling, general hoarseness, general pain, hoarseness after surgery, low mood, muscle pain, fracture, headache, rash, dizziness, throat irritation, urinary tract infection and fatigue,” the FDA said. MicroTransponder says the device is “covered by Medicare, Medicaid, and private insurance with prior authorization on a case-by-case basis.” To learn more about the device, visit vivistim.com. ©2024 Miami Herald. Visit at miamiherald.com. Distributed by Tribune Content Agency, LLC.None

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