POPULARITY
Categories
Prichard Colón, boxeador puertorriqueño invicto, sufrió un hematoma subdural tras recibir golpes ilegales en la cabeza durante una pelea en 2015. Permaneció 221 días en coma y vivió con graves secuelas neurológicas durante casi 11 años. Murió el 13 de agosto de 2026, a los 33 años. Learn more about your ad choices. Visit megaphone.fm/adchoices
Saskia Niño de Rivera conversa con Inris, quien cumple una condena de 25 años por homicidio calificado en un módulo de máxima seguridad. Lo que hace singular este episodio de Penitencia no es solo su historia, es que su mamá y su hermana también están en el mismo penal, en el módulo femenil, acusadas de homicidio e intento de homicidio. Tres personas de la misma familia encerradas al mismo tiempo. 00:00:00 - 00:03:06 | Mamá y hermana también presas 00:08:58 - 00:11:33 | Mi papá intentó quitarse la vida 00:28:09 - 00:30:16 | La Marina me capturó 00:30:18 - 00:33:40 | Mi hijo de 3 años quedó herido 00:38:27 - 00:40:35 | Maté en un bar y en un cine Inris creció con siete hermanos. Vivieron en palapas y cuartos rentados que perdían por los problemas de padre violento. Estudió técnico naval y tuvo trabajos formales, pero cayó en el consumo de cocaína a los veinte años. Desde ahí el camino fue cerrándose: robos, entrada al crimen organizado, vendedor de droga, encargado de punto y finalmente jefe de un grupo de sicarios. Lo que más pesa no cabe en ningún expediente. En enero le balearon la fachada de su casa. Meses después, una segunda balacera alcanzó a su suegra en brazo y rodilla y a su hijo de tres años y medio con ocho disparos. En este episodio Inris habla sin filtros: de culpa, de muertes que carga aunque no todas estén en sus carpetas, de un pacto con la Santa Muerte que rompió para acercarse a Dios y de por qué dice que la cárcel le salvó la vida. ¿Quieres ver los episodios antes que nadie? Obtén acceso 24 horas antes aquí: https://www.youtube.com/channel/UC6rh4_O86hGLVPdUhwroxtw/join Visita penitencia.com Síguenos en: https://instagram.com/penitencia_mx https://tiktok.com/@penitencia_mx https://facebook.com/penitencia.mx https://x.com/penitencia_mx Spotify: https://spotify.link/jFvOuTtseDb Apple: https://podcasts.apple.com/mx/podcast/penitencia/id1707298050 Amazon: https://music.amazon.com.mx/podcasts/860c4127-6a3b-4e8f-a5fd-b61258de9643/penitencia Redes Saskia: https://www.youtube.com/@saskiandr - suscríbete a su canal https://instagram.com/saskianino https://tiktok.com/@saskianino https://x.com/saskianino Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.
El neurobiòleg lloretenc Marc Schneeberger Pané, investigador a la Universitat Yale, estudia els efectes de l'obesitat en el cervell i la seva possible relació amb processos de neurodegeneració. La investigació, que es troba en la fase final, ha permès observar que l'obesitat provoca canvis en l'estructura vascular del cervell. Algunes regions relacionades amb la regulació del pes corporal augmenten el nombre de vasos sanguinis, mentre que altres àrees vinculades amb processos cognitius en perden. “Altres regions implicades en pensar estan menys actives i perden vasos sanguinis.”Marc Schneeberger Segons Schneeberger, aquest fenomen comparteix característiques amb l'envelliment i apuntaria que l'obesitat pot actuar com un model d'envelliment accelerat. L'estudi també analitza l'efecte de la inflamació sobre els vasos sanguinis del cervell, com també possibles alteracions de la barrera hematoencefàlica i del sistema limfàtic, que participen en els processos de neteja cerebral. I afegeix que, una persona obesa és addicta a un aliment nutritiu amb alt poder calòric en sucres i greixos, per tant, és el cervell el que entén que hem de menjar més. “Els éssers humans no estem programats evolutivament per estar en un estat de disposició d'aliments constant.”Marc Schneeberger L'investigador preveu que d'aquí aproximadament un any es pugui publicar algun dels estudis desenvolupats als Estats Units. Paral·lelament, Schneeberger participa en una altra línia d'investigació sobre la sèpsia, en col·laboració amb un laboratori de Yale especialitzat en immunologia. L'equip estudia com els circuits cerebrals que regulen la ingesta poden influir en la resposta de l'organisme davant d'una infecció greu. En situacions de sèpsia, deixar de menjar pot acabar sent perjudicial perquè l'organisme necessita nutrients per combatre la infecció. “Aquests circuits que ens fan deixar de menjar poden fer que l'organisme mori abans.”Marc Schneeberger L'objectiu, diu, és entendre millor aquest mecanisme i estudiar si, en el futur, aquest coneixement pot tenir aplicacions clíniques.
Your weekly dose of information that keeps you up to date on the latest developments in the field of technology designed to assist people with disabilities and special needs. Special Guest: Christopher Mutch – Owner and Inventor – Speaking Access https://www.speakingaccess.com INDATA Full Day Trainings Link: https://www.eastersealstech.com/our-services/fulldaytraining/ Learn more about Bridging Apps at www.bridgingapps.org —————————— […]
In this episode of the NCS Podcast Hot Topics series, host Rich Choi, MD, is joined by Chiara Robba, MD, PhD, to discuss the article "The Effects of Milrinone Systemic Administration on Cerebral Perfusion as Measured with Computed Tomography in Aneurysmal Subarachnoid Hemorrhage Patients," published in Neurocritical Care. Their conversation explores the complex, multifactorial pathophysiology of delayed cerebral ischemia following aneurysmal subarachnoid hemorrhage and the potential role of intravenous milrinone as a rescue therapy. They discuss how milrinone may influence both systemic and cerebral hemodynamics, as well as the role of CT perfusion imaging in evaluating cerebral blood flow and perfusion heterogeneity. They also review findings from the retrospective study, including milrinone's association with increased cardiac index but not a consistent increase in cerebral blood flow. Among patients who did not develop delayed cerebral ischemia, cerebral perfusion became more spatially homogeneous as the milrinone dose increased. Dr. Robba explains why the distribution of cerebral blood flow may be more informative than its average value, the potential of perfusion heterogeneity as a marker of treatment response and why larger prospective studies are needed before these findings can inform changes in clinical practice. The views expressed on the NCS Podcast are solely those of the hosts and guests and do not necessarily reflect the opinions or official positions of the Neurocritical Care Society.
Send us Fan MailNeste episódio, comentamos quatro artigos recentes que atravessam a linha de frente da neonatologia — da sala de parto ao acompanhamento de longo prazo.Começamos pelo estudo PLaNT (Pediatrics), um ensaio clínico randomizado que testou o CPAP profilático em recém-nascidos pré-termo tardios nascidos de cesárea, avaliando segurança, viabilidade e impacto na necessidade de suporte respiratório. https://pubmed.ncbi.nlm.nih.gov/42457181/Em seguida, um estudo sueco (Journal of Perinatology) traz dados inéditos sobre estabilidade térmica durante o cuidado pele a pele em prematuros extremos, de 22 a 25 semanas — território pouco explorado até aqui. https://www.nature.com/articles/s41372-026-02829-0No terceiro bloco, discutimos os resultados do ensaio PAEAN (JAMA Pediatrics), que testou a eritropoetina como terapia adjuvante à hipotermia na encefalopatia hipóxico-isquêmica neonatal. http://10.1001/jamapediatrics.2026.3082E fechamos com um estudo canadense (Journal of Perinatology) sobre a associação entre número de tentativas de laringoscopia nos primeiros dias de vida e hemorragia intraventricular grave em prematuros extremos. https://www.nature.com/articles/s41372-026-02811-wCiência atual, leitura crítica e implicações práticas para quem cuida de recém-nascidos — sempre com um olhar para a nossa realidade assistencial.A Incubadora é o Podcast oficila do CINEO 2026, que acontece em Brasília, DF nos dias 26, 27 e 28 de Novembro. Esperamos vocês? O link para inscrições no CINEO 2026 você encontra aqui: https://cineo.com.br/ Não esqueça: você pode ter acesso aos artigos do nosso Journal Club no nosso site: https://www.the-incubator.org/podcast-1Lembrando que o Podcast está no Instagram, @incubadora.podcast, onde a gente posta as figuras e tabelas de alguns artigos. Se estiver gostando do nosso Podcast, por favor dedique um pouquinho do seu tempo para deixar sua avaliação no seu aplicativo favorito e compartilhe com seus colegas. Isso é importante para a gente poder continuar produzindo os episódios. O nosso objetivo é democratizar a informação.Se quiser entrar em contato, nos mandar sugestões, comentários, críticas e elogios, manda um e-mail pra gente: incubadora@the-incubator.orgEvidência, cuidado e contexto brasileiro - esse é o nosso roteiro.
In this episode, Jurgita Valaikienė speaks with Theodoros Mavridis.
¿Sabías que reconocer un infarto cerebral durante los primeros minutos puede salvar una vida? En este episodio de Enlace 50, Concha León Portilla conversa con el Dr. Carlos Diéguez, médico neurólogo especializado en enfermedad vascular cerebral, sobre cómo identificar un infarto cerebral, cuáles son sus principales síntomas y por qué recibir atención médica inmediata puede marcar la diferencia entre una recuperación favorable y una discapacidad permanente. Durante la conversación, el Dr. Diéguez explica de forma sencilla la diferencia entre un infarto cerebral (embolia cerebral) y un derrame cerebral (hemorragia cerebral), así como la importancia de actuar dentro de la ventana de tratamiento y conocer la estrategia Camaleón, diseñada para que cualquier persona pueda reconocer una emergencia neurológica. En este episodio descubrirás: • Qué es un infarto cerebral. • Cuál es la diferencia entre un infarto cerebral y un derrame cerebral. • Cuáles son los síntomas que nunca debes ignorar. • Qué significa la estrategia Camaleón. • Por qué las primeras 4.5 horas pueden salvar neuronas y reducir secuelas. • Cuáles son los principales factores de riesgo. • Cómo prevenir un infarto cerebral. • Qué tratamientos existen actualmente. • La importancia de la rehabilitación después de un evento vascular cerebral. See omnystudio.com/listener for privacy information.
Your weekly dose of information that keeps you up to date on the latest developments in the field of technology designed to assist people with disabilities and special needs. Special Guest: Brittany Palmer – CoFounder and CEO – Ability Lane And – Managing Partner – Adaptation Ventures Website: https://abilitylane.com Screen Time Story: https://n.pr/4w39rld INDATA Full […]
German purveyors of goregrind - Cerebral Enema - played the afterparty at Offal Fest 2026.We chat to the band over the weekend to talk all about their plans for their set. We discuss the history of the band, their latest album, the growing appeal of goregrind and a whole lot more!=====================Follow The Razor's Edge online:Web: https://therazorsedge.rocksFacebook: https://www.facebook.com/therazorsedgerocksTwitter: https://twitter.com/_therazorsedge_Instagram: https://www.instagram.com/therazorsedgerocks
Sheinbaum destaca respaldo a limitar celulares en planteles educativos Protección Civil activa alerta por lluvias intensas en el paísIrán endurece postura frente a EE. UU.Más información en nuestro podcast#grc
#ElGranMusical | Alejandro Arias. Infarto cerebral: signos a identificar by FM Mundo 98.1
Jaume Segalés y los expertos de Mundo Natural hablan sobre el ictus cerebral.
Enhancing physically active leisure participation for children with cerebral palsy: a randomised controlled trial.Professor Leanne Sakzewski
Your weekly dose of information that keeps you up to date on the latest developments in the field of technology designed to assist people with disabilities and special needs. Special Guest: Gracyn Conner, OTD, MS, OTR – Founder – Hygiene Hippie Website: hygienehippie.com Story: LeHigh University Story: https://bit.ly/4vwdOnv INDATA Full Day Trainings Link: https://www.eastersealstech.com/our-services/fulldaytraining/ Learn […]
Dos nossos arquivos: Fígado, rim, pulmões e tecidos do geógrafo brasileiro Mauro Makluf, de 32 anos, que teve morte cerebral após uma parada cardíaca, em Gold Coast, foram doados e salvaram as vidas de quatro pessoas. Conversamos com a parceira de Mauro, Luiza Oliveira Castro, de 34 anos, sobre uma jornada dolorosa que terminou com quatro grandes alegrias. Originalmente publicada em Setembro 2023.Dos nossos arquivos: Fígado, rim, pulmões e tecidos do geógrafo brasileiro Mauro Makluf, de 32 anos, que teve morte cerebral após uma parada cardíaca, em Gold Coast, foram doados e salvaram as vidas de quatro pessoas. Conversamos com a parceira de Mauro, Luiza Oliveira Castro, de 34 anos, sobre uma jornada dolorosa que terminou com quatro grandes alegrias. Originalmente publicada em Setembro 2023. Siga a SBS em Português no Facebook, X, Instagram e You Tube. Assine a 'SBS Portuguese' no Spotify, Apple Podcasts, iHeart Podcasts, PocketCasts ou na sua plataforma de áudio favorita.
En el programa de hoy hablamos sobre cómo las experiencias de la niñez pueden seguir afectando nuestras relaciones, emociones y fe en la vida adulta. A la luz de la verdad de Dios, respondimos preguntas sobre traumas, adicciones, enfermedad, perdón, conflictos familiares, diferencias en la iglesia y dudas doctrinales. Un espacio para descubrir que el pasado no tiene que definir el futuro y que Dios puede traer sanidad, propósito y restauración aun en las áreas más dolorosas de la vida.¿Qué diría Jason sobre la diferencia entre los recuerdos de los padres y los hijos?¿Cómo ayudar a un esposo con traumas y adicciones que rechaza ayuda?¿Cómo mantener la fe durante una enfermedad prolongada?¿Por qué algunas iglesias enseñan que las cristianas no deben usar maquillaje o joyas?¿Cómo proteger y defender los derechos de una hija con discapacidad?¿Debo dejar una iglesia que impone reglas estrictas sobre la vestimenta?¿Cómo perdonar y evitar la amargura después de un derrame cerebral?¿Qué son las lenguas angelicales y deben interpretarse en la iglesia?¿Está bien cambiar de iglesia cuando hay favoritismos?
Guest: Howard Fine, M.D. Dr. Howard Fine, a neuro-oncologist at NewYork-Presbyterian and Weill Cornell Medicine, discusses how a new approach to glioblastoma research may expand treatment options and advance precision oncology. His preclinical model, GLICO, uses cerebral organoids, or mini brains, to create a more accurate representation of glioblastoma tumor biology. Through an advanced, high-throughput drug-screening system that Dr. Fine and his team developed, they can screen hundreds of GLICOs against various drug regimens to identify personalized glioblastoma therapies—with the ultimate goal of extending patient survival for one of the most lethal cancers. © 2026 NewYork-Presbyterian
Your weekly dose of information that keeps you up to date on the latest developments in the field of technology designed to assist people with disabilities and special needs. Special Guest: Sriram Ganesh – CEO and Co-Founder – Luminade Website: lumin.email Learn more about Bridging Apps at www.bridgingapps.org —————————— If you have an AT question, […]
Detrás del éxito en internet hay historias que nos marcan para siempre. Yess Skabeche nos comparte el testimonio más vulnerable de su vida tras sobrevivir a un infarto. Un episodio profundo sobre resiliencia, salud y segundas oportunidades.Escucha el episodio completo en Tipo y así podcast.
El Congreso de los Diputados tiene previsto aprobar esta tarde una reforma clave que afecta a los casi dos millones de personas en situación de dependencia y más de cuatro millones con discapacidad en España. En el programa 'Herrera en COPE', el comunicador Jorge Bustos y Carmen Labayen, jefa de Sociedad de COPE, han analizado las claves de esta votación que modifica las leyes de dependencia y discapacidad y que genera tanto expectativas como recelo entre los afectados.Una de las voces críticas es la de Silvina, madre de un joven de 23 años con parálisis cerebral. Su experiencia con el sistema ha sido, en sus palabras, "muy amarga". Actualmente, recibe una ayuda por cuidado familiar de solo 455 euros al mes, una cantidad que considera totalmente insuficiente para cubrir las necesidades de su hijo, como la compra de una nueva silla de ruedas valorada en 7.000 euros.Funes, que preside la Plataforma Estatal de Cuidadoras Principales, describe el proceso para obtener ...
EPISODIO COMPLETO: https://youtu.be/Izqthdr5V2cTu estilo de vida moderno está encogiendo tu cerebro, robándote la memoria y casi nadie está haciendo algo para detenerlo.
Your weekly dose of information that keeps you up to date on the latest developments in the field of technology designed to assist people with disabilities and special needs. Special Guest: Nordine Sebkhi – CEO and Co-Founder – Kinemo Arpan Bhavsar – CTO and Co-Founder – Kinemo Website: https://kinemo.io/ Social Media https://www.linkedin.com/company/kinemo-inc https://www.instagram.com/kinemoinc/ https://www.facebook.com/KinemoInc —————————— If […]
Your weekly dose of information that keeps you up to date on the latest developments in the field of technology designed to assist people with disabilities and special needs. Special Guest: Jack Churchill OBE – Co-Founder and CEO – Scanning Pens* Website: www.scanningpens.com Video Link: https://youtu.be/Ce2gydRj2bM LinkedIN link: https://www.linkedin.com/in/jackchurchill More on New Apple Accessibility: https://apple.co/3SwVFYV […]
Today's guests are Katherine Wachs, BSN, RN, CCDS, who is a CDI specialist at Honor Health in Arizona, and Dawn Butler, BSN, RN, CCDS, who is a clinical documentation specialist network trainer at Honor Health. Our intro and outro music for the ACDIS Podcast is “medianoche” by Dee Yan-Kay and our ad music is “Take Me Higher” by Jahzzar, both obtained from the Free Music Archive. Have questions about today's show or ideas for a future episode? Contact the ACDIS team at info@acdis.org. Want to submit a question for a future "listener questions" episode? Fill out this brief form! CEU info: As a reminder before we close out, each ACDIS Podcast episode offers 0.5 ACDIS CEU which can be used toward recertifying your CCDS or CCDS-O credential. Normally, listeners can claim their 0.5 CEU for the first four days from the time of publication, but because of the holiday, the ACDIS team has decided to extend that deadline. To receive your 0.5 CEU, go to the show page on acdis.org, by clicking on the “ACDIS Podcast” link located under the “Free Resources” tab. To take the evaluation, click the most recent episode from the list on the podcast homepage, view the podcast recording at the bottom of that show page, and click the live link at the very end after the music has ended. Your certificate will be automatically emailed to you upon submitting the brief evaluation. (Note: If you are listening via a podcast app, click this link to go directly to the show page on acdis.org: https://acdis.org/acdis-podcast/clinical-deep-dive-cerebral-edema-and-brain-compression) Note: To ensure your certificate reaches you and does not get trapped in your organization's spam filters, please use a personal email address when completing the CEU evaluation form. The cut-off for today's episode CEU is Wednesday, July 8, at 11:00 p.m. Eastern. After that point, the CEU period will close, and you will not be eligible for the 0.5 CEU for this week's episode. Today's sponsor: Today's show is brought to you by ACDIS Encore: Clinical & Coding Online, happening August 4–6, 2026. Click here to learn more! (https://bit.ly/43o1wlv) ACDIS update: Respond to the 2026 CDI Week Industry Survey by July 6! (https://www.surveymonkey.com/r/2026-CDI-Week-Industry-Survey) Download the newest edition of the CDI Journal, which is focused on pediatric CDI, today! (https://bit.ly/4eBjrMe) Read all the information and submit your speaker application for the 2027 ACDIS conference, ACDIS Symposium: Outpatient CDI, or Physician Advisor Forum by August 3! (https://bit.ly/4cTyiiU)
2026.06.29 La negatividad como producto de la evolución cerebralLos pensamientos positivos nos muestran oportunidades en vez de obstáculosEsta semana estamos hablando acerca de los pensamientos negativos y cómo manejarlos.Busca Cápsulas Gerenciales en tu plataforma de podcast favorita, y descubre porqué la negatividad es un producto de nuestra evolución cerebral.#cápsulasgerenciales #capsulasgerenciales #desarrollopersonalholistico #mejorcadadia #inspiracionyexito
Your weekly dose of information that keeps you up to date on the latest developments in the field of technology designed to assist people with disabilities and special needs. Special Guest: Brian Friedlander, Ph.D. – Assistive Technology Consultant – AssistiveTech LLC Email Brian: brian@xnote.ai Learn more about Bridging Apps at www.bridgingapps.org —————————— If you have […]
CORE RESOURCES: Rutherford's Vascular and Endovascular Therapy 10th Edition, Chapters 88, 89, 91, and 94 Atlas of Vascular Surgery and Endovascular Therapy 2nd Edition, Chapter 9 ADDITIONAL RESOURCES: Audible Bleeding Episodes Holding Pressure - Carotid Endarterectomy: https://www.audiblebleeding.com/2024/02/27/holding-pressure-carotid-endarterectomy/ Holding Pressure Case Prep - Endovascular Basics: https://www.audiblebleeding.com/2023/04/23/holding-pressure-case-prep-endovascular-basics/ Videos TCAR Technical Video: https://jnis.bmj.com/content/14/8/842 Articles Society for Vascular Surgery clinical practice guidelines for management of extracranial cerebrovascular disease: https://www.jvascsurg.org/article/S0741-5214%2821%2900893-4/fulltext Technical aspects of transcarotid artery revascularization using the ENROUTE transcarotid neuroprotection and stent system: https://www.jvascsurg.org/action/showPdf?pii=S0741-5214%2816%2931862-6 Referenced Studies ROADSTER-1 https://pubmed.ncbi.nlm.nih.gov/30611582/ ROADSTER-2 https://pubmed.ncbi.nlm.nih.gov/32811386/ https://pubmed.ncbi.nlm.nih.gov/35381327/ TCAR Surveillance Project https://jamanetwork.com/journals/jama/fullarticle/2757579?utm_source=openevidence&utm_medium=referral https://pubmed.ncbi.nlm.nih.gov/36172943/ OUTLINE: CAROTID ARTERY DISEASE 1. Pathophysiology/etiology Carotid artery disease is primarily driven by atherosclerotic plaque deposition. Risk factors: hypertension, hyperlipidemia, diabetes, smoking, and advanced age. Nonatherosclerotic etiologies: fibromuscular dysplasia, carotid dissection, vasculitic disease, carotid webs, and trauma. When the endothelium is damaged, monocytes migrate to the site and differentiate into macrophages that take up oxidized LDL particles to become foam cells. Meanwhile, an inflammatory response occurs where activated platelets release thromboxane A2, platelet derived growth factor, and inflammatory cytokines that promote further platelet aggregation and vascular inflammation. Smooth muscle cells migrate and proliferate, forming the structural framework of the atheroma. Within the lesion, necrotic debris and lipid accumulate, creating a vulnerable plaque. Plaque rupture exposes this material to the bloodstream, serving as a nidus for thrombus formation which can lead to ischemic events. Carotid bifurcation is particularly prone to plaque formation due to turbulent blood flow. Embolization of plaque from this area can result in TIA or ischemic stroke. 2. Presentation Patients are often asymptomatic and stenosis is incidentally found on imaging. Symptomatic patients present with neurologic symptoms including unilateral motor and sensory loss, aphasia (difficulty finding words), dysarthria (difficulty speaking), amaurosis fugax (temporary monocular vision loss due to embolus to the ophthalmic artery), transient ischemic attacks Physical exam findings may be notable for auscultation of a carotid bruit. Patients may also have evidence of retinal artery embolization on fundoscopic examination (Hollenhorst plaque) or asymptomatic cerebral infarction. 3. Diagnosis USPTF recommends against screening for asymptomatic carotid artery stenosis. In patients with no risk factors, SVS recommends against screening for asymptomatic carotid artery stenosis. However, they do recommend screening for asymptomatic clinically significant carotid bifurcation in certain groups of patients with multiple risk factors. These risk factors include patients with clinically significant peripheral vascular disease, patients 65 and older with history of CAD, smoking, hypercholesterolemia, and patients prior to coronary artery bypass. Relevant findings on physical exam or imaging findings may warrant screening, but screening is not recommended for the presence of neck bruit alone without other risk factors, as this finding has a low sensitivity and specificity for detecting clinically significant carotid artery stenosis. Carotid duplex ultrasound: first-line imaging modality for both screening and initial evaluation of stenosis, noninvasive, low-cost CTA: rapid, high-resolution, three-dimensional imaging of vascular anatomy, risk of contrast and radiation exposure MRA: high-quality, three-dimensional imaging without radiation or contrast, expensive with longer acquisition time, can overestimate stenosis in severe disease DSA/angiography: gold standard, expensive, invasive, not generally recommended for routine diagnostic evaluation or screening 4. Classification Carotid artery stenosis is classified by degree of luminal narrowing. NASCET method: standard in current practice. Compares the minimal residual lumen at the point of greatest stenosis to the diameter of the normal distal internal carotid artery. Classification of stenosis: Mild: 70 bpm, and ACT >250 seconds to optimize cerebral perfusion and minimize thrombotic risk. Clamp the carotid artery just proximal to the arterial sheath to establish active flow reversal. Flow controller settings: Low setting High setting Flow-stop button: allows for temporary cessation of flow (used when we inject contrast). Confirm flow reversal via two different ways: The first way is to stop flow to the venous return sheath with the stopcock, clearing the line with hep saline injection, and then opening the stopcock and seeing the blood returning to the controller in a reverse fashion. The second way is to perform an angiogram with a small amount of contrast injection while holding the flow-stop button. Using the angio we want to make sure that contrast is flowing retrograde in the cervical ICA thereby confirming flow reversal. Carotid artery stenting, balloon angioplasty, and completion angiogram At this point, a standard carotid angioplasty and stenting procedure is performed. ENROUTE transcarotid Neuroprotection System device: inner diameter of 8F and an outer diameter of 10F Has its own carotid artery stent system but is also compatible with all FDA-approved carotid stents. Final angiogram is performed to confirm stent position, vessel patency, and absence of complications including vasospasm at the distal end of the stent and filling defects from protrusion of atheromatous material through the stent Cessation of flow reversal and sheath removal Allow the flow reversal to run for a few minutes after the final balloon angioplasty to clear any debris. Antegrade flow is restored by releasing the carotid clamp and closing the stopcocks on the neuroprotection system. The patient is auto-transfused the blood from the flow line back to the venous system. As the arterial access system is removed and the puncture site is closed with the U-stitch. IV protamine is administered to reverse the heparin. Standard closure is performed at the incision site. Meanwhile, hemostasis is achieved after removal of the femoral vein sheath with brief manual compression. Postop care/complications Postop care All patients after a TCAR should be monitored in the ICU setting for 24 hours, as an embolic stroke, hypotension with or without bradycardia, or hypertension can occur. Should a TIA or stroke be observed, a carotid duplex scan and CT angiogram should be immediately obtained to assess the stent site and the presence of an embolic or thrombotic filling defect, dissection, or occlusion. Dual antiplatelet therapy: continue for 45 days to 12 months Aspirin and statin therapy: continued indefinitely Surveillance duplex imaging: 4 weeks, 6 months, and 12 months, and annually thereafter. Postop complications Hematoma Stroke Myocardial infarction Cerebral hyperperfusion syndrome Sudden and excessive increase in cerebral blood flow to previously hypoperfused brain tissue is met with vasculature that cannot constrict appropriately from chronic vasodilation Leads to breakthrough hyperperfusion. This results in cerebral edema, intracerebral hemorrhage, and neurological symptoms. Cranial nerve injury Hypoglossal nerve (CN XII) injury: ipsilateral tongue deviation. It is the most commonly injured cranial nerve. Vagus nerve (CN X) injury: hoarseness and possible vocal cord paralysis. Glossopharyngeal nerve (CN IX) injury: soft palate dysfunction. Recurrent laryngeal nerve injury: voice hoarseness and inability to cough as it innervates all of the voice box muscles except for the cricothyroid muscle Marginal mandibular nerve injury: ipsilateral lip droop, injury is rare in TCAR. Stent restenosis Pseudoaneurysm Access site infection
Cerebral interface is activated! And go for Giant Robot Hellboy Book Club! Join us as we sort through the listener feedbag, share some animated recommendations and get strapped to a chair contraption and made to control a giant bookclub member! Then follow along as we adore Duncan Fegredo's art in "Giant Robot Hellboy!" Fire Knuckle Grenades! 03:40 - Listener Feedback 13:06 - Whaddya See, Whaddya Say 25:38 - Giant Robot Hellboy Check out some Muffin But Good Vibes performances! https://open.spotify.com/playlist/6fFUsodW4iCtCe4CXkNCLp?si=nRxNpjX3RAS4bV8Xkq9aNg https://open.spotify.com/playlist/0c01A2HniCU6v4xZeFznCm?si=vGdbl4tpTHWUbxgJStvIhw https://www.youtube.com/watch?v=KHy1irHT2cI Check out Eric Askue on Instragram https://www.instagram.com/reels/DY-8UAAuCjj/ https://gkus.us/ Thank you Dr. Frinkelstein for sharing your 3D printed "Magician & The Snake!" https://www.printables.com/model/1728678-the-magician-and-the-snake-statue Follow the good Doctor, here https://bsky.app/profile/doctorfrinkelstein.bsky.social "Death Beyond Death: Jian Spirits in Chinese Popular Belief," by Elizaveta Volchkova https://www.researchgate.net/publication/371591669_Death_Beyond_Death_Jian_Spirits_in_Chinese_Popular_Belief opening & closing theme by https://onlybeast.com
Your weekly dose of information that keeps you up to date on the latest developments in the field of technology designed to assist people with disabilities and special needs. Special Guest: Jack Walters – CEO and Co-Founder – HapWare website: https://hapware.com Email: info@hapware.com PreOrder: hapware.com/preorder Learn more about Bridging Apps at www.bridgingapps.org —————————— If you […]
What does it mean to adapt, advocate, and build a life on your own terms while living with cerebral palsy?In this episode of The Cerebral Palsy Perspective Podcast, Chad Williams and Daryl Perry sit down with Gillian Jasper, a writer, advocate, public speaker, and storyteller who shares her experiences navigating life with cerebral palsy, epilepsy, and other challenges.Gillian discusses growing up with disabilities, learning to accept and adapt to the realities of cerebral palsy, the impact of seizures and mobility challenges, and how writing became an important outlet for sharing her story with the world. She also shares her passion for disability advocacy, creating awareness, and helping others better understand what it means to live with a disability.Throughout the conversation, Gillian opens up about overcoming self-doubt, finding confidence in her own voice, and why she refuses to let a diagnosis define who she is or what she can accomplish.Topics Covered:• Growing up with cerebral palsy and epilepsy• Being born premature and overcoming long odds• Physical therapy and adapting to daily challenges• Disability advocacy and awareness• Writing as a form of self-expression• Living with seizures and mobility limitations• Social media and finding community• Public speaking and storytelling• The importance of self-acceptance• Why disability does not define a personGuest Links:Gillian Jasper Instagram:https://www.instagram.com/gillianjasper_Cerebral Palsy Through My Lens:https://www.jewishnewhaven.org/press-releases/cerebral-palsy-through-my-lens-the-hand-i-have-been-dealtHost Links:Chad Williams:https://www.instagram.com/chadwillia1Daryl Perry:https://www.instagram.com/daryltperryThank you for listening to The Cerebral Palsy Perspective Podcast. If this conversation resonated with you, please share it with someone who could benefit from hearing Gillian's story and perspective.
ResearchWorks is heading to AACPDM 2026 in Philadelphia this year!We can't wait to see you there - it's a special 80th Annual Meeting for the American Academy for Cerebral Palsy and Developmental Medicine (AACPDM).Join with us as we speak with Dr Kristie Bjornson - live from EACD 2026 in Galway Ireland, the final episode that we recorded on our European tour! A preview of what to expect from this year's annual congress and a look at the host city, Philadelphia!Register here:https://www.aacpdm.org/events/2026/registration
Your weekly dose of information that keeps you up to date on the latest developments in the field of technology designed to assist people with disabilities and special needs. Special Guest: Mark Larson – Owner and Founder – Marblesoft LLC Website: https://keyguardat.com/ Email: sales@marblesoft.com Phone: 763-755-1402 Stories: Apple Steady Hands Story: https://apple.co/4uIe6bf Learn more about […]
Join us as we discuss this week's stupidity in the world
En este episodio, converso con Carlos Henao sobre una experiencia que transformó profundamente su manera de ver la vida, el trabajo, el éxito y las prioridades.Carlos comparte su historia personal tras enfrentar un tumor cerebral, desde el impacto inicial del diagnóstico hasta el proceso de cirugía, recuperación y reeducación del cuerpo. También hablamos sobre resiliencia, familia, liderazgo, espiritualidad, humor en momentos difíciles y la forma en que una experiencia límite puede cambiar la relación con el futuro, la ambición y la muerte.Una conversación honesta sobre aceptar lo que no controlamos, encontrar perspectiva en medio de la incertidumbre y recordar qué es verdaderamente importante.Capítulos:00:00 Introducción a momentos transformadores01:37 La historia de Carlos: de Venezuela a Barcelona09:05 El camino hacia el marketing y la creatividad17:24 Decisiones de vida: cambios y oportunidades25:30 El impacto del tumor cerebral en la vida de Carlos28:47 La llegada de la familia y el apoyo emocional29:50 Reflexiones sobre la vida y la muerte31:16 La dificultad de compartir el proceso con los seres queridos32:48 La perspectiva espiritual y estoica de la experiencia35:08 Lecciones de vida y la aceptación de la mortalidad37:35 El impacto del pasado familiar en la experiencia actual40:05 La experiencia de la cirugía y el humor en momentos difíciles42:18 El proceso de recuperación y la reeducación del cuerpo44:57 El lado emocional y la descalibración tras la experiencia46:57 Cambios en la perspectiva y la planificación futura48:18 Compartiendo aprendizajes y el deseo de ayudar a otrosConecta:LinkedIn de Carlos: https://www.linkedin.com/in/chenao/ This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit becomingschool.substack.com
Helping Children Flourish: Parent-Informed Social Narratives to Support Readiness for Upper Limb Rehabilitation in Cerebral Palsy
An evidence-based, standardized, and practical diagnostic framework for cerebral palsy.
Your weekly dose of information that keeps you up to date on the latest developments in the field of technology designed to assist people with disabilities and special needs. Special Guest: Freek van Welsenis – CEO – Hable iamhable.com Learn more about Bridging Apps at www.bridgingapps.org Link to INDATA AT Awareness Day Open House Video: […]
Optimising the neuroplasticity window: from evidence to early CP intervention
Power mobility experience, meaning and outcomes for children with complex non-ambulant cerebral palsy: A scoping review
Health-Related Quality of Life after Guided Growth Treatment for Hip Displacement in Young Children with Cerebral Palsy
Neurowashing in Early Intervention: A Review of Neuroscience Rhetoric and an Appraisal Tool.
Non-invasive Measurement of work of breathing in children and young adults with high level cerebral palsy.
Your weekly dose of information that keeps you up to date on the latest developments in the field of technology designed to assist people with disabilities and special needs. Special Guest: Mary Wilcox – Solutions Expert – Aventido https://sensoryreadable.com email mary.wilcox@adventino.com US Resellers: Boundless Technologies, Westminster Technologies and AT Discount —————————— If you have […]
Send us Fan MailCould putting a few drops of breast milk in a preterm infant's nose actually improve cerebral oxygenation? In this episode of Journal Club, Daphna reviews a randomized controlled trial from the European Journal of Pediatrics investigating the physiologic effects of intranasal expressed breast milk (EBM) administration in preterm infants. The study found that infants receiving 0.2 mL of fresh breast milk intranasally three times daily showed significantly higher cerebral oxygenation levels, along with more favorable trends in heart rate and respiratory rate, compared to controls. While time to full oral feeding and length of hospital stay were unchanged, the safety data is reassuring. Ben and Daphna discuss what outcomes we should even be measuring, and whether the evidence is already good enough to just do it.----Effect of intranasal breast milk administration on cerebral oxygenation, vital signs, and transition time to full oral feeding in preterm infants: a randomized controlled study. Yücel A, Küçükoğlu S, Konak M.Eur J Pediatr. 2026 Apr 16;185(5):272. doi: 10.1007/s00431-026-06922-6.PMID: 41986747Support the showAs always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below.Enjoy!
I am sitting here writing up this week's Outspoken Review in my knickers. I'm sweating in places that I didn't know could sweat and I'm frequently spritzing the poor, over-heated rabbit with water.Anyway, heat aside, I have some lovely products to tell you about this week including a brilliant SPF, the best tinted lip balm (that I've been using as a highlighter too), minty freshness from Neom, some mind-blowing fragrances and two simple but impressive recipes.Enjoy fellow Outspoken Beauties xx
Your weekly dose of information that keeps you up to date on the latest developments in the field of technology designed to assist people with disabilities and special needs. Special Guest: Jason Ray – CEO – SimplyHome Website: https://simply-home.com —————————— If you have an AT question, leave us a voice mail at: 317-721-7124 or […]
Creatine and Microbiomes A new 2026 Cell Metabolism study explores a compelling and increasingly central idea in modern biology: the gut/brain/immune/metabolism axis is not just associative, it is mechanistic. Specifically, Dr. Lu and colleagues investigate how the gut microbiota can directly influence depressive behavior by reshaping systemic and neural metabolism. This is another in a long running list of papers describing the amazing work that bacterial commensal microbes do for us. In this case, our minds and moods. "Although peripheral-brain crosstalk regulates energy metabolism, its role in depression remains unclear. Here, we used metabolic profiling to reveal elevated fecal creatine alongside reduced plasma and cerebrospinal fluid creatine in both patients with depression and mouse depression models. Exogenous creatine produced antidepressant-like effects mediated by gut microbiota. Bifidobacterium pseudolongum was identified as a significantly reduced gut bacterial species in depression, correlating with impaired creatine absorption. Subsequent supplementation with Bifidobacterium enhanced the antidepressant effects of creatine. Mechanistically, B. pseudolongum-derived acetate promoted the creatine transporter (Slc6a8) expression in intestinal epithelial cells via histone acetylation. The Slc6a8 mediated the antidepressant-like effects of creatine. Neuronal creatine deficiency influenced energetic metabolism and neurophysiological function. In patients with depression taking antidepressants, co-administration of creatine and Bifidobacterium increased plasma creatine levels and reduced depression scores. These findings identify the Bifidobacterium-creatine combination as a promising antidepressant strategy and highlight the critical role of gut-brain energy metabolism in depression." "The brain, as an energy-intensive organ, relies on precise metabolic regulation to maintain synaptic plasticity, neurotransmitter synthesis, and stress response systems. Accumulating evidence implicates energy metabolism dysregulation as a hallmark of depression. Neuroimaging studies using positron emission tomography (PET) have identified marked glucose hypometabolism in the medial prefrontal cortex (mPFC) of patients with depression. Cerebral mitochondrial dysfunction and ATP imbalance have been mechanistically linked to depression progression. Notably, emerging studies emphasize the bidirectional interplay between peripheral metabolic signals and central energy regulation, which is fundamental to neural metabolism. Clinical observations such as fatigue, appetite dysregulation, and unexplained weight fluctuations in patients with depression further suggest systemic metabolic disturbances spanning peripheral organs and the CNS.." (Lu et. al. 2026) This is next-level medicine. Mental health can no longer be framed as a disorder of genetics, experience, or circumstance alone. This work opens a clearer window, showing how the microbiome participates as an active partner, shaping brain function through the metabolites it helps produce and deliver. Compounds like creatine are no longer just peripheral players. They become signals, fuel, structure, and information, bridging gut and brain, metabolism and behavior.... and more Enjoy, Dr. M