Our tax doctrineBy 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. Related Articles 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.slot bet 365 login 。

Andre Gray rescues point for Plymouth Argyle against Watford

Trump taps forceful ally of hard-line immigration policies to head Customs and Border Protection

Oura Ring’s Symptom Radar: A Game-Changer in Health Monitoring?Milanovic leads Croatian presidential raceSpotify Wrapped 2024: When it's coming, what to expect

Homebound seniors living alone often slip through health system’s cracks

IOC needs to take a binary position on transgender participation in women’s sportNFL Owner's Daughter Turns Heads With Outfit On SundayFormer quarterback is expected to clear waivers Monday and have a new home on a one-year deal sooner rather than later, league sources told ESPN. No team is expected to claim the balance of Jones' contract -- $11,833,333 for this season in addition to the $23 million in injury guarantees for after this season -- making him officially free to sign with another team after 4 p.m. ET on Monday. Jones, who was officially waived Saturday by the Giants, is expected to have multiple options but likely will prefer to finish this season on a playoff-contending team, where he will be involved in big games, rather than going to a meandering quarterback-needy team not remotely in playoff contention, according to sources. Multiple playoff-contending teams are likely to inquire about Jones and his level of interest, but it will not be long before Jones is finishing out the season somewhere other than New York. on Friday, ending the former first-round draft pick's stint with the Giants after five-plus seasons. Giants owner John Mara said in a statement that the organization and Jones "mutually agreed" that the move "would be best for him and for the team." Once the Giants informed Jones earlier this week that they were benching him, events surrounding the quarterback happened quickly. Jones effectively was no longer on the depth chart because the Giants would not take any risk of an injury, with as their starter, as the backup and the newly signed at third string. Jones took individual reps and even helped out the squad when he played scout-team safety in practice Thursday during a walk-through, before asking for and being granted his release Friday. None of this should have been overly surprising; similar scenarios unfolded four times in the NFL over the past two seasons before the Giants' turn with Jones this week. Last season in Denver, the benched before he could potentially suffer an injury and trigger a $37 million guarantee for 2024. Also last season, the benched rather than risking an injury to the quarterback, which could have guaranteed an additional $11.25 million that would have been due this season. In 2022, the benched Matt Ryan in October, decreasing the risk of having to pay the veteran quarterback a $7.5 million roster bonus in March 2023. Later that year, the Raiders benched to avoid his $32.9 million salary for the 2023 season and $7.5 million of his 2024 salary becoming guaranteed if he suffered a significant injury. Now Jones and the Giants have expedited their divorce, freeing the quarterback to find a new home next week. One team unlikely to pursue Jones right now is the , who already signed former Giants running back . Barkley was selected second overall by the Giants in the 2018 draft -- one year before New York used the No. 6 pick on Jones. The two-time Pro Bowler said he has been in contact with his former teammate and knows there are bright days ahead for Jones. "Our friendship has stayed close throughout the whole process of me being here," Barkley told reporters Friday. "It sucks to see how everything went down for him over there. I've got nothing but great things to say about him. You're not going to really find anybody that can say negative things about him. "It's the NFL. Hopefully, wherever he ends up next, they're going to get a guy who come in and work. It didn't work for me over there, and I'm doing well over here. Hopefully, he can find the same fresh start and success."None

fans have taken to social media to praise one of the ITV show's new key storylines. viewers are enthralled by the developing romance between Carla Connor and DS Swain. In the latest episode of Coronation Street, which aired Friday 'If I end up back in my watching coronation street era, it’s because of carla and swain. WOW,' wrote one fan on X (formerly Twitter). If I end up back in my watching coronation street era, it’s because of carla and swain. WOW. To which another replied, 'Welcome back girlll.' And the fan replied, 'HAHAHA girllllll I am so ready.' While another wrote, 'apparently i need to watch yet another british soap so someone please tell me which episode i need to start watching coronation street from for the whole carla and lisa storyline.' Get the What to Watch Newsletter The latest updates, reviews and unmissable series to watch and more! apparently i need to watch yet another british soap so someone please tell me which episode i need to start watching coronation street from for the whole carla and lisa storyline 😭 Meanwhile another said, 'it's my birthday and i've just found out Coronation Street have made Carla Connor gay, this is the best present, all i've ever wanted.' it's my birthday and i've just found out Coronation Street have made Carla Connor gay, this is the best present, all i've ever wanted But some Corrie fans couldn't see what all the fuss is about. Another wrote, 'You would swear Carla and Blondies scene from Coronation Street was from 1993 the way people are going on.' You would swear Carla and Blondies scenefrom Coronation Street was from 1993 the way people are going on Meanwhile another said of the romance on the show, 'Wowwww I never thought I would see Carla gay love story as soon I stop watching after a couple of years we finally get it damnn maybe I should rewatch Coronation street again for her damn she were always my favourite character in coronation street though.' Wowwww I never thought I would see Carla gay love story as soon I stop watching after a couple of years we finally get it damnn maybe I should rewatch Coronation street again for her damn she were always my favourite character in coronation street though 😂😋 Meanwhile another said, 'I just find it so crazy that I happened to start watching coronation street again and suddenly I'm roped into being insane about carla connor once again but with another woman. Like its insane to think abt and I cannot believe any of this is real. What do you mean.' I just find it so crazy that I happened to start watching coronation street again and suddenly I'm roped into being insane about carla connor once again but with another woman. Like its insane to think abt and I cannot believe any of this is real. What do you mean. Watch this space to see how the story develops.None

Swiss voters reject more powers for landlords on subletting