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2025-01-24
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.okebet photos

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It’s not just Alison Hammonds warm personality, wonderful one liners and her ability to fall off a sturdy countertop (watch 70’s week for that stand out moment) that have caught the eye of onlookers this series. But her fashion. The 49-year-old has won over the nation with her affordable high street looks. Wearing a mix of dresses and co-ords throughout the series all in bright patterns and colours Alison has said in the past that she wants fashion to be first and foremost comfortable. As The Great British Bake Off concludes tonight, in which we see Alison wearing a lilac polka dot dress from Dancing Leopard, which sadly is no longer available to buy. However, her other outfits throughout the series have caught the attention of many, with fans asking on social media where her outfits are from and fear not, as Deputy Fashion Editor Abby McHale shows you where exactly to shop her looks from. Read more in fashion Colourful Leopard Print Wearing this dress for last week's semi-final Alison showed her playful wild side with this colourful leopard print number. A fun twist on the print that is dominating the high street currently, this particular dress is from Scamp & Dude. For £110 it is at the higher end of the high street, but also comes in lots of different leopard print shades. Plus keep your eyes peeled as the brand currently as up to 30 per cent off in the Black Friday sales. Most read in Fabulous Orange and Green Co-ord Now as Bake Off is filmed during the spring summer months of the year a few pieces Alison wore have now sold out. Including the top half of this green and orange co-ord from Never Fully Dressed. However, the trousers are still available to buy on Asos and there are plenty of other similar co-ords available directly on Never Fully Dressed. The great things with co-ords is how many outfits they can make, as well as wearing together you have the option to also wear separate to create even more looks. Star Dress Alison is no stranger to vibrant prints and that is certainly the case with this star dress. By the brand Twisted Wunder, who Alison has worn on the previous series of the show, you can find it stocked on the likes of Simply Be. Still available to buy now it’s reduced down from £69 to £48.30 and goes up to a size 28. The empire line style of this dress is great for those with a larger bust as it fits nicely up top before skimming down the rest of your body, with lovely capped sleeves to finish off. Denim Dress This denim dress worn by Alison in the second week of the show this season is one of the less vibrant pieces. However, you really can’t go wrong when it comes to denim as it never goes out of style. This dress in particular is from Monsoon and retails for £75. With buttons down the middle and a tie font detail it makes for a dress that you can wear no matter the season. For this time of year pair with some tights, knee high boots and a long wool coat, for a smart look that will also keep you warm. Leopard Print Dress To open the show this year Alison opted for the print of the season - leopard. In the classic neutral colours this ticks all the boxes as a dress that is bang on trend. From Karen Millen it’s clear that Alison likes these shirt style dresses with a tie front detail, having worn multiple similar styles throughout the series. This one retails for £89 but is currently in the sale for just £36. Accessorise with some gold jewellery as Alison has done here and let the dress do the the rest of the talking. Monochrome Co-ord We know Alison loves a satin co-ord, usually with an elasticated waist and flowy top half, they’re a super comfortable lightweight option. And that is certainly the case for this two piece. READ MORE SUN STORIES This one from River Island is currently on sale, but hurry as there aren’t many sizes left. The shirt is down to £25 from £45 and the trousers are down to £35, also from £45. SHE graces our televisions every Friday, as she co-hosts This Morning with Dermot O'Leary. But just how did Alison Hammond first find fame? 2002 - Alison competed in Big Brother, and was the second housemate to be evicted . She won over viewers with moments such as when she broke the table in the garden by jumping up and down on it. It was this year that she also started presenting for This Morning in a guest capacity. 2003 - Alison had a small acting role on TV drama Doctors. 2004 - This was the year that Alison returned to reality television, starring in shows including Celebrity Fit Club and Celebrity Stars in their Eyes - for which she performed as Nina Simone. 2010 - After several years of presenting gigs and reality show appearances, Alison was signed up to appear on I'm a Celebrity... Get Me Out of Here! She came in 10th place. 2014 - This was a busy year for Alison as she competed on both Celebrity Masterchef and Strictly Come Dancing, coming in 10th in the latter. 2020 - Alison appeared on The Great Stand Up to Cancer Bake Off - her first, but not last, time in the famous tent. 2021 - Alison co-hosted This Morning for three episodes alongside Phillip Schofield. It was later announced that Alison and Dermot would be replacing Eamonn Holmes and Ruth Langsford as presenters of This Morning on a Friday. 2023 - Alison was announced as the new co-host of The Great British Bake Off, replacing Matt Lucas to present alongside Noel Fielding. 2024 - Following the death of Paul O'Grady, Alison stepped in as host of For The Love of Dogs. 2025 - An eight-part series titled Alison Hammond's Big Weekend will premiere on BBC one next year, as she spends 48 hours with a celebrity in a bid to really get to know them.The broadcaster’s former technology correspondent, 66, was formally made an OBE by the Princess Royal for his services to journalism on Wednesday. Cellan-Jones announced in 2019 that he had been diagnosed with Parkinson’s and he has since contributed to a podcast, Movers And Shakers, discussing life with the disease. Discussing the success of the podcast, which also features Jeremy Paxman, Cellan-Jones told the PA news agency: “It’s been an absolute scream. “We’ve had the most extraordinary reaction from the Parkinson’s community. “There is a community which felt absolutely left out in the cold and this award was for services to journalism, but I can’t help but think that maybe that played some part too.” Cellan-Jones said he talked to Anne about fundraising for Parkinson’s and how technology could possibly be used to monitor the disease. The journalist added: “She showed real interest in it. “Mike Tindall, whose father’s got it, is very active in fundraising – so we talked about that.” Cellan-Jones said the OBE was “very unexpected when it came”, adding that he felt “very privileged”. He said his rescue dog from Romania, named Sophie, was “making slow progress” after becoming a social media sensation with thousands of people following her recovery online. Speaking at Buckingham Palace, Cellan-Jones said several courtiers had asked after Sophie, adding: “She’s still incredibly nervous. She’s waiting at home, she wouldn’t have liked it here – a bit too busy. “She’s making slow progress, but she’s wonderful, and she’s been very important to us.” Earlier on Wednesday, broadcaster Alan Yentob, 77, was formally made a Commander of the Order of the British Empire (CBE) by the King for services to the arts and media. The retired television executive, who was born in Stepney, London, joined the BBC as a trainee in 1968. He devised the flagship arts programme Imagine..., which he presented on, and was creative director of the broadcaster from 2004 until 2015. Yentob stepped down from the role in the wake of the collapse of the charity Kids Company, where he was chairman. The broadcaster said Charles had been “incredibly supportive” of him. Discussing Charles, Yentob told the PA news agency: “He’s been incredibly supportive, as I said to him, on many fronts, including the fact that I was the chairman of Kids Company, and he was incredibly supportive of that in the most difficult times. “And I think the way he’s come out about his illness, and the way the Princess of Wales has too, has been admirable.” Yentob said it would be “reckless” to not support the BBC, adding “it’s a place which embraces everyone”. The broadcaster added: “If you look at the figures, it’s still doing well, even though a very substantial part of its income has been removed.” Roxy Music lead guitarist Phil Manzanera, 73, was formally made an OBE by the Princess Royal for his services to music. His most well-known band, featuring singer Bryan Ferry, is famed for hits such as Love Is The Drug and More Than This – topping the singles charts once with a cover of John Lennon’s Jealous Guy. Discussing the honour, Manzanera told the PA news agency: “It’s very moving and humbling to be amongst all these people who do absolutely incredible things. “But, obviously, I am very happy to get it for services to music and music production, because I think music helps us all in our lives in terms of improving the fabric of our lives, and it’s a great support for so many people.” The musician said he discussed his upbringing in South America and central America with Anne, having grown up in Colombia, Venezuela and Cuba. Manzanera said Anne told him that her father, Prince Philip, “once flew a Viscount plane to Caracas airport”. He said his upbringing was central to his musicianship, adding: “It’s in my DNA, the rhythms of South America. “And the musicians that we’ve all come to know through the Buena Vista Social Club were the kind of music that I started playing guitar with. “It wasn’t Bert Weedon’s Play in a Day for me, it was the music of Cuba.” Actress Shobna Gulati, 58, was formally made an MBE for services to the cultural industries, Scottish professional golfer Stephen Gallacher, 50, was made an MBE and former Arup deputy chairwoman Dervilla Mitchell, 66, received a damehood for services to engineering.

With only weeks to go until the FIFA Intercontinental Cup Qatar 2024 kicks off, Al Ahly legend Wael Gomaa sees his former club’s participation in the competition as an important milestone for the Egyptian club. “Taking part in a tournament of this calibre is a source of great pride for Al Ahly. It is another achievement in the club’s illustrious history. I hope the team does well and gets a chance to play against European giants Real Madrid,” said Gomaa, speaking from Stadium 974 in Qatar, which will host two of three matches scheduled to take place between 11 - 18 December. The FIFA Intercontinental Cup Qatar 2024 is a club competition that brings together continental club champions from around the world for a riveting showdown to crown the best club in the world. “It is very important for the growth of football in the Arab world. High profile competitions such as this provide clubs in the region with the incentive to compete at the highest level in front of a home crowd,” added Gomaa. Al Ahly legend Wael Gomaa is regarded as one of Africa’s best all-time defenders. His accolades with the Egyptian giants include six CAF Champions League and seven domestic league titles. His tenacious style earned him the nickname, “The Rock.” Gomaa is regarded as one of the greatest talents of his generation. “Al Ahly is more than a club. It’s a social phenomenon that encapsulates so many cultural dynamics for millions of fans in Egypt and across the Arab world. It’s the people’s club and it is everything beautiful in my life,” said Gomaa. Al Ahly first qualified to the FIFA Intercontinental Cup Qatar 2024 after claiming its 12th CAF Champions League title. The Egyptian side then beat Al Ain of the UAE to lay claim to the African-Asian-Pacific Cup, one of four trophies up for grabs at the FIFA Intercontinental Cup competition. Three trophies remain in the mix when four clubs compete in Qatar. They are the FIFA Derby of the Americas, FIFA Challenger Cup and the FIFA Intercontinental Cup. The final match will feature Spanish giants and current UEFA Champions League champions, Real Madrid, and will be held on 18 December in Lusail Stadium, two years to the day since the 89,000-seater hosted a historic FIFA World Cup final. “Qatar has cemented itself as a world class-sports destination after hosting a World Cup tournament that will be seared in the memory of football fans forever,” said Gomaa. Al Ahly will play for the FIFA Challenger Cup on Saturday 14 December at Stadium 974 in Qatar. The African champions will play the winner of the Derby of the Americas, between Mexican side CF Pachuca and the yet to be determined winner of the Copa Libertadores, taking place three days earlier on 11 December at the same venue. “Al Ahly has a massive fan base in Qatar and our fans are ready to support our club with everything they have. Our support base will be the fuel that powers the team on the pitch and will be a differentiating factor in the tournament overall,” added Gomaa who currently lives in Qatar and works as a popular sports pundit. Tickets for the FIFA Intercontinental Cup are available online at fic24.qa. They include several accessible options for disabled fans. @FICQatar on X and Instagram may be followed and fic24.qa may be visited for all tournament related information. Related Story Qatar joins Global Coalition for Digital Safety 61 countries to compete in 8th Katara Award for Reciting Holy Qur’anTo play Maria Callas, Angelina Jolie had to learn how to breathe againNone

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