#mca gc

[damnrightshow]

1. "We're In Love" THE DECISIONS (Soul Direction)

2. "I Can See Him Loving You" ANDERSON BROTHERS (GSF)

3. "Flight Too Many" THE T.S.U. TORNADOS (Volt)

4. "What It Is ?" CURTIS LIGGINS INDICATIONS (Kaycee-Soul)

5. "I'd Like To Have You" NORWOOD LONG (Groovy Groove)

6. "I Need Your Love" THE IMPASSIONS (White Eagle)

7. "Help Your Brothers" CROSS BRONX EXPRESSWAY (Zell's)

8. "Tra La La" THE GREAT DELTAS (Englewood)

9. "Stay Together" SOUL EXCITEMENT (Pink Dolphin)

10. "Soul Combination" SOUL COMBINATION (Involved)

11. "Trouble" BLACK LIGHTNING (MCA)

12. "What They Doing" CHARLES PRYOR AND POWER OF LOVE (Double 07)

13. "You Was Dancin' Need To Be Marchin' So You Can Dance Some More Later On" THE ADVANCED WORKERS WITH THE ANTI-IMPERIAL SINGERS (People's War)

14. "Dap Walk" ERNIE & THE TOP NOTES INC. (Fordom)

15. "Funky Wagon" JERRY COOK (Troyx)

16. "Nothin' But A Party" THE BLENDERS (Cobra)

17. "I Can't Find Another" THE SPECIALS (Satch)

18. "No Words" FUNKA FIZE (Royce)

19. "Gotta Git Down" THE FAMILY SOUND BAND (Artist's Recording)

20. "Peace Still Is With Us" APOLLOS SHOW BAND (Jonlewis)

21. "Where Do You Go" JBC BAND (Jeree)

22. "Havin' A Party" FLIPSIDE (Flipside)

23. "Captain Of My Ship" SEVENTH WONDER (W.G.)

24. "Fast Man" THE PC'S LTD (Fran)

25. "Clap Your Hands" REGINALD MILTON

26. "I Turn You On" THE LATIN BREED (GC)

27. "Ca Ba Dab" SOUL SWINGERS (Topaz)

28. "Mr Fortune" THE HITCHIKERS feat THE MIGHTY POPE (Heart)

29. "Get Up Off It Baby" THE SOUL AUTHORITY UNLIMITED (Bet)

30. "Butter Nut Part 2" THE BLACK TRUTH BAND (The Black Truth)

31. "I Really Love You" THE MYSTICS (Teako)

32. "It's An Explosion" THE ROYALE Ⅶ (Windmill)

33. "How Good Is Good" MICKEY & THE SOUL GENERATION (Mr.G)

34. "The World" SANDI & MATUES (Matues)

35. "Fell Into A Bag" RIVER CITY FUNK BAND (R.D.M.)

36. "Since I Was A Little Girl" HARD DRIVER feat VIVIAN LEE (Hawes)

37. "Funky Thing" LARRY ELLIS & THE BLACK HAMMER (Al King)

38. "Running Wild" SUNRISE MOVEMENT (Ghetto)

39. "Staright Ahead" BOBBY BOYD CONGRESS (Okapi)

40. "Disatisfied Man" OLIVER CHRISTIAN (Legrand)

41. "What's Going On" MR. CLEAN (Radio City)

42. "Where Is The Love" JACK SASS BAND (Visa)

[blue-bitch]

Almost every color I dyed my hair during middle school because I was ✨insecure✨ hgfdghgf

[lupine-publishers-rrhoaj]

Lupinepublishers|arly Decompressive Craniectomy for Post- Thrombolysis Symptomatic Intracranial Haemorrhage

Key Message

Intravenous thrombolysis for acute ischemic stroke can be complicated by intracranial haemorrhage. Early decompressive craniectomy in such patients can be life saving but is associated with high risk of peri operative bleeding. We managed such a patient with decompressive craniectomy within 24hrs of thrombolysis by correcting coagulation with the help of thromboelastograhpy.

Keywords: Decompressive craniectomy; Intravenous thrombolysis; Symptomatic intracranial haemorrhage; Thromboelastography

Introduction

Acute ischemic stroke is one of the leading causes of death and permanent disability in the world. Intravenous thrombolysis (IVT) with recombinant tissue plasminogen activator (rt-PA) has been the recommended treatment modality in acute ischemic stroke [1]. but the most dreadful complication of thrombolysis is intracerebral haemorrhage in about 7% cases. The clinicians are faced with difficult decision of how to best treat these patients as there are no evidence based guidelines regarding the management of such complications. The American Heart Association has suggested only empirical therapies to replace clotting factors and platelets to reverse coagulopathy [2]. Decompressive craniectomy (DC) is a life-saving procedure for malignant middle cerebral artery stroke associated with cerebral oedema, enough to cause herniation and death [3]. The decision of decompressive craniectomy following intracerebral haemorrhage after intravenous thrombolysis is not without the risk of peri operative haemorrhage. We report the first case where decompressive surgery was uneventfully performed as a life-saving procedure within 24hours of developing symptomatic intracerebral haemorrhage after intravenous thrombolysis. The timing for decompressive craniectomy was guided by thromboelastography (TEG).

Case report

A 63-year old hypertensive, diabetic man presented with left hemiplegia within 140 minutes of onset. On examination, he was alert, GCS 15, left hemiplegia, right gaze palsy and dysarthria, NIHSS (National Institute of Health Stroke Scale) of 17. Magnetic resonance imaging of the brain revealed infarct in the superior division of right middle cerebral artery (MCA) (Figure 1a). His blood biochemistry was unremarkable (Hb-13.8, Plt-145, PT-12.2, and RBS-174). After written consent, thrombolysis was started at 22:10hrs on 11.1.2015 with rt-PA, 5.8mg as bolus followed by 52.7mg infusion over one hour. At 5:30hrs on 12.1.2015, he had upper gastrointestinal bleed followed by impairment in consciousness and his NIHSS score increased to 28. Immediate repeat CT scan of the brain revealed extensive infarction of MCA with haemorrhage in the infarct, extensive oedema and midline shift with uncal herniation (Figure 1b). As he had been recently thrombolysed, his repeat coagulation profile was performed (Hb-10.4, Plt-160, PT-15.2, APTT-27.8, FDP- 256mg/dL) including thromboelastography which was classical of fibrinolysis. Eight units of cryoprecipitate and four units of fresh frozen plasma were transfused in the next six hours and repeat thromboelastography was normal. Then the decision was to proceed with decompressive craniectomy (15:30hr on 12.1.15). A bone window of 12cm in the antero posterior direction in the fronto parieto temporal region was created and duroplasty was performed. The procedure was uneventful. He did not receive any blood products in the peri operative period. Brain CT scan was again performed on the following day and it showed resolution of midline shift with no new hematoma (Figure 1c). He was managed in the intensive care unit with gradual weaning of sedation and ventilation. He was discharged in the sixth week on tracheotomy and NIHSS score of 12. Three months later he was admitted for cranioplasty (Figure 1d) and tracheostomy closure with Mrs Score of 3 (Figure 2a & 2b).

Figure 1:   (a) Magnetic resonance imaging of the brain (diffusion weighted image) done at presentation shows acute infarction of the right superior middle cerebral artery. (b) Non contrast CT of the brain done 8 hours after thrombolysis showed haemorrhage in the infarct resulting in mid line shift and mass effect. (c) Non Contrast CT of the brain done on the next day after decompressive craniectomy and hematoma evacuation revealed no new bleed and resolving mass effect.(d) Non Contrast CT of the brain following cranioplasty.

Figure 2:   (a) Thromboelastograph trace obtained after 8hr of thrombolysis with R-1.7min, α-66.80, MA-19.6mm, LY30-97.4%, EPL%-100%. These features are characteristic features of fibrinolysis with normal R time, decreased maximum amplitude (MA), raised LY30 (percentage decrease in maximum amplitude or lysis after 30 minutes) and raised EPL. EPL represents the computer prediction of 30mins clot lysis based on interrogation of actual rate of diminution of the trace commencing 30sec post MA with a normal value of <15%. It is the earliest indicator of abnormal lysis. (b) Thromboelastographic trace obtained after infusion of cryoprecipitate and fresh frozen plasma with R-6min, K-1.5min, α-67.50, MA-49.6mm, LY30-0%, EPL%-0%.

Discussion

Thrombolysis remains the treatment of choice in acute ischemic stroke but with increased risk of symptomatic intracranial haemorrhage (ICH).The mortality in these patients is reported to be as high as 45% [4]. There are a few case reports in literature that state DC might be beneficial in the context of post IVT in patients with refractory cerebral oedema [5]. But the most important void is the optimal time to perform DC following thrombolysis. To the best of our knowledge there is only one prior case report where decompressive craniectomy was performed for intracranial haemorrhage following unsuccessful IVT after 48 hour of thrombolysis [6]. Here we report the index case where symptomatic intracranial haemorrhage followed thrombolysis, and was managed by DC and hematoma evacuation within 24 hours of IVT. This early life saving surgery was possible only after rapid correction of coagulation profile with the help of thromboelastography. As, a large series is difficult to be conducted in such cases, it is of interest to report small experiences as ours where the clinical dilemma of performing a surgery following thrombolysis with rt-PA was guided by thromboelastography.

Recombinant t-PA is an exogenous stimulator of the fibrinolytic system that enhances local fibrinolysis by converting plasminogen to plasmin. Our concern was the increased risk of peri operative haemorrhage associated with high mortality due to the persistent effect of TPA. With regard to the pharmacokinetics, half-life of rt- PA is <5 min, with clearance rate of 380-570mL/min [7]. Hence, 80% of rt-PA is cleared from the plasma within 10 minutes of administration. Despite short half-life of rt-PA fibrinolytic effects peak at 4hours and can persist up to 24-48hours [7]. The clinical dilemma in such a scenario was to wait for the disappearance of the fibrinolytic effects to avoid peri operative bleeding at the cost of outweighing the benefits of early DC in reducing the raised ICP. The other option was to efficiently detect and correct the coagulation abnormality by transfusing specific blood products to minimize the risk of bleeding. We had the benefit of thromboelastography at our institute to guide.com with the correction of the deranged coagulation profile before proceeding for DC. S Takeuchi et al. retrospectively reviewed 20 patients who underwent DC for malignant hemispheric infarction after IV TPA administration, with another 20 patients undergoing DC without prior IV TPA administration [8]. They observed intracranial bleeding or worsening of pre existing ICH in two patients (10%) in each group, but tPA was not thought to be contributory to the hemorrhagic events because of the long intervals between the IV tPA and DC(185 and 136h, respectively). However, fibrinolytic markers, such as fibrinogen or fibrin degradation products were unfortunately not measured in the above series.

Thrombelastography or TEG measures the physical properties of the clot via a pin suspended in a cup from a torsion wire connected with a mechanical-electrical transducer. TEG is different from other coagulation tests as it provides global information on the dynamics of clot development, stabilization and dissolution [9]. It assesses both thrombosis and fibrinolysis. Its role is established in cardiac and liver transplant surgery and is being increasingly explored to study role of fibrinolysis in early trauma coagulopathy [10]. Although routinely tested coagulation parameters (BT, CT, PTI, and APTT) were also normal in our case but TEG was characteristic of enhanced fibrinolysis. Hence, we transfused cryoprecipitate and fresh frozen plasma after which the TEG was normal, and we could proceed with surgery.

Conclusion

Decompressive hemicraniectomy with hematoma evacuation following thrombolysis represents an aggressive life saving treatment approach, especially for the patients who develop hemorrhagic complications of intravenous thrombolysis. TEG is one modality which can guide the reversal of deranged coagulation parameter so that major surgery can be undertaken with minimal risk. The decision to proceed with major surgical intervention requires a competent multi disciplinary team as well as an open discussion with relatives as DC may preserve both life and functional ability in well selected patients. More research is needed in this field to elucidate the potential for both modalities in appropriate patients.

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[neurowellnessin]

A Rare Brain Aneurysm Treated By Hair Size Coils- Advanced Endovascular Surgery!

A 56-year-old male was brought to ER with an unexpected beginning of cerebral pain, regurgitating, and adjusted sensorium. He had no comorbidities.

On appearance, his neurological assessment showed – he was languid with GCS E3V3M5(11/15) and was moving all appendages. His CT mind done somewhere else showed diffuse subarachnoid drain with intraventricular augmentation. He was conceded to ICU and made do with anticonvulsants, cerebral antihypertensives(nimodipine), steroids, PPIs, angioedema measures, and other steady measures. He was noted to have a disturbed renal capacity, which was enhanced with restorative measures according to nephrologist counsel.

He was examined with a CT mind angiogram which didn't uncover any aneurysm, he was gotten ready for a DSA 4 vessel angiogram of the cerebrum later improvement of renal capacities, on which an aneurysm of the Left Superior Cerebellar Artery was noted.

He went through "ENODOVASCULAR LEFT SUPERIOR CEREBELLAR ARTERY COIL Mobilization WITH PARENT ARTERY OCCLUSION" under GA.

Later post-technique, he continuously recuperated and at release, he was submitting to straightforward orders, he wanted half a month of neurorehabilitation and is presently ready to play out his exercises of everyday living with standard development.

Discussion:

Aneurysms of the backflow, including superior cerebellar artery (SCA) aneurysms, present extraordinary specialized difficulties since they must be gotten to using moving through profound employable passages with restricted working points limited by basic neurovascular structures.

The back dissemination is personally engaged with the brainstem and cranial nerves, and confusions identified with aneurysm treatment habitually bring about clinically critical and frequently ominous results. The SCA supplies the principal parts of the prevalent cerebellar side of the equator and the "rooftop" cores.

The most successive area of intracranial aneurysms happens around the Circle Of Willis with the commonest being foremost conveying artery(ACom-35%), trailed by the inward carotid artery [30%-including the carotid course itself, the back imparting artery(PCom), and the ophthalmic artery], the center cerebral corridor (MCA-22%), lastly, the backflow destinations, most regularly the basilar conduit tip. These are nearly more agreeable for careful and endovascular medicines because of the ability to work with clinicians and knowledge of the life systems created by the recurrence of playing out these activities and the conceivable proximal control of these corridors.

SCA aneurysms are uncommon sores with a detailed frequency of 1-2% of all aneurysms. Most of these aneurysms are situated at the proximal part of the SCA, commonly at the basilar intersection. The aneurysm in the Discussion is in the distal piece of SCA isn't in this ordinary area making it a considerably more extraordinary entity(~0.25-0.6%).

They normally present with subarachnoid discharge; their nearby relationship to the cranial nerves (CNs) III and IV likewise bring about an asymptomatic mass impact on these nerves. The revealed 48-hour endurance rates for patients giving discharge from cracked SCA aneurysms be just 32%, and the 30-day endurance rate by 11%.

Careful treatment of such aneurysms is in fact testing with a generally high dismalness/death rate. Given the anatomic course of the SCA, careful ways to deal with this aneurysm were significantly more intricate and there is frequently a restricted chance to completely analyze the neck of burst SCA aneurysms due to the confined working space given by an enlarged mind later subarachnoid drain. What's more, a total activation of the aneurysm, which is frequently needed for the watchfulness of the neck, may not be protected as it can prompt untimely break intraoperatively. The danger of injury to bring down cranial nerves and venous sinuses, failure to get proximal control of courses adds to the strenuous assignment of safe analysis is restricted passages even with bigger craniotomy separated from the dangers of blood misfortune and diseases.

Distal aneurysms of SCA are hard to treat carefully as well as endovascularly because the microcatheters need to go through the veins of the back course viz., a vertebrobasilar framework that supplies life-maintaining and life managing constructions of the brainstem with numerous minuscule perforators emerging from the vertebrobasilar trunk and their significant branches with added unavailability to distal parts of the conduits because of the age-related convolution, atherosclerosis, more modest type of the distal vessel, mobility of microcatheters, the likelihood of crack during the methodology and different variables. Additionally, the impediment of the aneurysm with separable curls regularly brings about loop projection. Parent corridor impediment is in this manner much of the time the favored technique.

With this multitude of variables under examination and due thought, we could effectively put 3 separable thrombogenic delicate platinum loops in the fundus of the aneurysm. The patient recuperated absent a lot of grimness and is practical to play out his exercises of everyday living.

[slushydaslushy]

...accurate

[damnrightshow]

Damn Right Show’s Thursday is mainly Deep Funk and Soul playing with Inage at club. So this episode is for your dancing pleasure with sound of heavy (and fast) funk in your own time. Check this out !

1. "Stop" FIVE KEYS feat RUDY WEST (Landmark)

2. "I Believe It's Alright" JACK JACOBS (Libra)

3. "The Road" COMMUNICATORS AND BLACK EXPERIENCE BAND (Tri Oak)

4. "Looking In the Breeze" FIFTH UNIT (LMA)

5. "You Blew In My Mind" VERNON GARRETT (Kapp)

6. "I Turn You On" LATIN BREED (GC)

7. "Reborn" MARILYN BARBARIN AND THE SOUL FINDERS (Bo-Sound)

8. "Our Thing Is Through" LEE SHOT WILLIAMS (Shama)

9. "Boss Action" ENCHANTING ENCHANTERS (BenMoKeith)

10. "Stay Together" SOUL EXCITEMENT (Pink Dolphin)

11. "Lock-Jaw" LEE SYKES AND THE HIGHLANDERS (Lemon Drops)

12. "Tra La La" THE GREAT DELTAS (Englewood)

13. "It Ain't Fair But It's Fun" THE FABULOUS ORIGINALS (Jewel)

14. "I Can't Find Another" THE SPECIALS (Satch)

15. "Gotta Get Down" THE FAMILY SOUND BAND (Artist's Recordning)

16. "Investigation" SHARLOCK HOLMES INVESTIGATION (Tramp)

17. "Trouble" BLACK LIGHTNING (MCA)

18. "Because You're Funky" FUNKA FIZE (Royce)

19. "Butter Nut Part 2" THE BLACK TRUTH BAND (The Black Truth)

20. "Back Talk" THE 2ND AMENDMENT BAND (Monet)

21. "Discotheque Soul" RICKY WILLIAMS (Citadale)

22. "Destination Unknown" DELREYS INCORPORATED (Tampete)

23. "It's Hard Out Here" THE SENSATIONAL FIVE (Sagport)

24. "The Electric Skunk" THE BLACK SUNSHINE (Kyles)

25. "How Good Is Good" MICKEY & THE SOUL GENERATION (Mr. G)

26. "Power Struggle" JAMES POLK & THE BROTHERS (Twink)

27. "Clap Your Hands" REGINALD MILTON & THE SOUL JETS (Milton)

28. "Rhythm Trip" FBI (Daisy)

29. "Looking Thru The Window" EDDIE BLACK SPEED (Watts City)

30. "Where Do You Go" JBC BAND (Jeree)

31. "Captain Of My Ship" SEVENTH WONDER (W.G.)

32. "It's An Explosion" THE ROYAL Ⅶ (Windmill)

33. "Hey You ! Don't Fight It" THE MONTCLAIRS (Arch)

34. "I'd Like To Have You" NORWOOD LONG (Groovy Groove)

35. "Get Your Point Over" SEBASTIAN WILLIAMS (Ovide)

36. "Help Your Brothers" CROSS BRONX EXPRESSWAY (Zell's)

37. "Running Wild" SUNRISE MOVEMENT (Ghetto Production)

38. "Get Out Off It Baby" THE SOUL AUTHORITY UNLIMITED (Bet)

39. "Harlem Rumble" GRAMBLING COLLAGE MARCHING BAND (Spontaneous Arts)

40. "Let Her Love Grow" PAUL JONES (JAB)

41. "Dissatisfied Man" OLIVER CHRISTIAN (Legrand)

42. "Everybody Walking Together" THE PROPHECY (All Platinum)

43. "I Wanna Take Your Uptown" THE VARIATIONS (Right On)

[whoredan-alvarez]

💖YEEEEEEEEEEEE💖

So I was tagged by @andrewwiggins to do a pics in 2017 kinda thing so here it is lmao in all my glory!! Legs didn’t know how many pics to put in so I did as many as they did so 🤷🏾‍♀️

Anywhomst I tag @cameronewton @blastellanos @antoniobrownssmile @mitchtrubiscuit (football gc what what) @twothirtyams @brandincooks @juniorgunners @benpatchfc @thetrulygruesome @claudios-marchisios @willyhernangomez aaaaaaand everyone else just make sure you tag me in it 🤗🤗🤗

[bnha-rebloggs]

Fem! Felix and Fem! Marshall ✨

[blue-bitch]

Reference Sheet

 Marshall-lee Maruyama;

The crystalline hero

Hero Name: Pop Rock

Nickname(s): Marsh, Marshmallow, Skyscraper, Highlighter

Age: 17

Birthday: September 5th

Height: 6′4″

Gender: Male

Pronouns: He/Him

Sexuality: Pansexual

Personality: A flirt, an idiot, harsh, rude, and sarcastic

Relationship(s): Soon to be married to Elijah Azurite

Friend(s): Elijah Azurite, Yukio Kagarashi, Felix Fairfax, Kae Bakugou

Family: His mother, Marceline Maruyama

Pet(s): N/A

Education: U.A. Hero course, 2nd year

Occupation: Starbucks Barista

Appearance:

Eye color(s): Light Green

Hair color(s): Bright Blue

Skin color(s): Light/Pale Peach

Body modification(s): Ear piercings (both ears), Tongue Piercing, Lip ring (center)

Identifying Characteristic(s): A scar splitting the inner left eyebrow, Small scars scattered across both arms, Freckles on his cheeks, nose, shoulders, chest, and arms, Vampire like canine teeth, Usually round rimless glasses

Quirk(s):

Name: Crystal Blast

Quirk type: Emitter type

Explanation:

He can create explosive crystals from any surface including his own body

His ability to control how large or how small the crystals and the explosions are is affected by his emotions

If he’s excited, happy, etc, their shape, where they form and the explosion size is easier to control

If he’s mad, sad, etc, they become harder to control and his quirk becomes unpredictable 

The crystals explosions can be triggered both by touch and telepathically

The color of the crystals are based on his emotions

If he’s happy, excited, relaxed, etc. the crystals are a light blue and almost completely transparent

If he’s mad, sad, annoyed, etc. the crystals will darken in color and become opaque 

He can manifest crystals from anywhere on his body

Quirk con(s):

Manifesting crystals from his body too frequently causes skin to break resulting in small scars where the crystals were manifested from

He is not immune to the explosions

Drawback(s):

 Using his quirk for too long causes headaches and pain in his arms

Using his quirk for long periods of time also affects his hearing for up to 5 hours, resulting in hearing loss (his hearing loss is not long term and is not permanent)

Mental/Physical Illnesses/Disorders:

Kleptomania:

klep·to·ma·ni·a ; noun

a recurrent urge to steal, typically without regard for need or profit

Depression:

de·pres·sion ; noun

feelings of severe despondency and dejection

Random Facts:

He bruises extremely easy and almost had CPS called on his mother because of the worrying amount of bruises he had scattered across his body and face in the 1st grade

He has frequent nosebleeds

"Highlighter that makes bad decisions but doesn’t have bad intentions.” - Yukio Kagarashi, Fri, Sep 11, 2020.

He’s pretty smart for a dumb ass-

According to his little sister’s friends he’s “hot” but we don’t talk about that

He doesn’t have a dad because his mom “got” him and his little sister from the same man at a bank (iykyk)

He looks adopted in the family photos

Playlist:

~Marshall~

[clown-rot]

I definitely got it from the people in the mca gc NSBJXBXNXBX

ppl be sending love confessions so um— i love you ✨ platonically ✨

So this is what it's like to have selective reading 🤡💞✨

IM KIDDING ILYP TOO SUSHIA SHSGSHSGS🥺💞✨

[cybersuccess]

Software Tester Requirement @ Cyber Success

Company Code: - REQ-CST-GC

Qualification: - BE/BTech/ME/MTech/BSC/BCS/BCA/MCA/MSC/MCS.

Stream: - Any

Year of Passing: - Any

Percentage:- Any

Experience: - Fresher

Job Location: - Pune Interview Location: - Pune

[neurowellnessin]

Endovascular Coiling of Superior Cerebellar Aneurysm

A 56 year old male was brought to ER with abrupt beginning of cerebral pain, spewing, and modified sensorium. He had no co morbidities.

On arrival, his neurological assessment showed he was drowsy with GCS E3V3M5(11/15) and was moving all appendages. His CT brain done somewhere else showed diffuse subarachnoid discharge with intraventricular augmentation. He was conceded to ICU and made do with anticonvulsants, cerebral antihypertensives(nimodipine), steroids, PPIs, antioedema measures and other strong measures. He was noted to have disturbed renal capacity, which was advanced with remedial measures according to nephrologist guidance.

He was examined with CT brain angiogram which didn't uncover any aneurysm, he was gotten ready for DSA 4 vessel angiogram of brain after advancement of renal capacities, on which an aneurysm of Left Superior Cerebellar Artery was noted.

He went through “ENODOVASCULAR LEFT SUPERIOR CEREBELLAR ARTERY COIL EMOBILISATION WITH PARENT ARTERY OCCLUSION” under GA.

Post procedure he steadily recuperated and at release he was submitting to basic orders, he wanted not many long stretches of neurorehabilitation and is currently ready to play out his exercises of every day living with normal development.

Discussion:

Aneurysms of the back flow, including superior cerebellar artery (SCA) aneurysms, present remarkable specialized difficulties since they must be gotten to by means of moving through profound usable passageways with restricted working points limited by basic neurovascular structures.

The back flow is personally associated with the brainstem and cranial nerves, and complexities identified with aneurysm treatment every now and again bring about clinically huge and regularly horrible results. The SCA supplies the principle parts of the superior cerebellar half of the globe and the rooftop cores.

The most successive area of intracranial aneurysms happen around the Circle Of Willis with the commonest being foremost conveying artery(ACom-35%), trailed by the inside carotid artery [30%-including the carotid corridor itself, the back imparting artery(PCom), and the ophthalmic artery], the center cerebral vein (MCA-22%), lastly, the back course destinations, most regularly the basilar supply route tip. These are similarly more agreeable for careful and endovascular medicines because of expertise of working clinicians and commonality to the life systems created by the recurrence of playing out these tasks and the conceivable proximal control of these supply routes.

SCA aneurysms are uncommon sores with a detailed frequency of 1-2% of all aneurysms. Most of these aneurysms are situated at the proximal part of the SCA, ordinarily at the basilar intersection. The aneurysm in Discussion being in the distal piece of SCA, isn't in this run of the mill area making it a significantly more uncommon entity(~0.25-0.6%).

They regularly present with subarachnoid drain; their nearby relationship to the cranial nerves (CNs) III and IV additionally brings about suggestive mass impact on these nerves. The announced 48-hour endurance rates for patients giving drain from cracked SCA aneurysms to be just 32%, and the 30-day endurance rate to be 11%.

Careful treatment of such aneurysms is in fact testing with a generally high dismalness/death rate. Given the anatomic course of the SCA, careful ways to deal with this aneurysm was significantly more brain boggling and there is frequently a restricted chance to completely take apart the neck of cracked SCA aneurysms due to the confined working space given by an enlarged brain after subarachnoid discharge. Likewise, a total preparation of the aneurysm, which is frequently needed for circumdissection of the neck, may not be protected as it can prompt untimely crack introperatively. The danger of injury to bring down cranial nerves and venous sinuses, failure to get proximal control of supply routes adds to the burdensome assignment of safe analyzation in restricted halls even with bigger craniotomy separated from the dangers blood misfortune and diseases.

Distal aneurysms of SCA are hard to treat carefully as well as endovascularly on the grounds that the microcatheters need to go through the veins of back dissemination viz., vertebrobasilar framework which supply life maintaining and life directing designs of brainstem with numerous little perforators emerging from vertebrobasilar trunk and their significant branches with added detachment to distal parts of the arterys because of the age related convolution, atherosclerosis, more modest type of the distal vessel, mobility of microcatheters, likelihood of burst during the technique and different elements. Additionally the impediment of aneurysm with separable curls regularly brings about loop bulge. Parent vein impediment is accordingly habitually the favored strategy.

With this multitude of elements under scrutiny and due thought we could effectively put 3 separable thrombogenic delicate platinum curls in the fundus of the aneurysm. Patient recuperated absent a lot of dreariness and is practical to play out his exercises of every day living.

Dr Ganesh Veerabhadraiah

Consultant Neurosurgeon and Endovascular surgeon

Fellow FINR- Switzerland

Fortis Hospital

Cunningham Road

Bengaluru

[indiancompaniesinfo-blog]

AMVI BUILDWELL PRIVATE LIMITED

AMVI BUILDWELL PRIVATE LIMITED is incorporated on 25-01-2019 with Corporate Identity Number (CIN) : U45209UP2019PTC112863. The registered address of AMVI BUILDWELL PRIVATE LIMITED is FLAT No. 73-C; BLOCK 1st AVENUE; GC-1; PLOT No. GH-1; GAUR CITY-1; GREATER NOIDA WEST; Gautam Buddha Nagar; Uttar Pradesh; 201301; India. The registered Email-ID of the company is activeamit1408@gmail.com. AMVI BUILDWELL PRIVATE LIMITED is a company with the status of 'Active' under category 'Company limited by shares' with sub-category 'Indian Non-Government Company'. The main line of business of the company listed as per MCA is Building Of Complete Constructions Or Parts Thereof; Civil Engineering. AMVI BUILDWELL PRIVATE LIMITED has a Paid-up Capital of ₹1.00 LakhsThe company have not filed their balance sheet yet.The company's Last AGM Date is not available. AMVI BUILDWELL PRIVATE LIMITED has 2 directors and 0 past directors. As on date 26-01-2019 there are no directors in this company who are 'Disqualified by ROC u/s 164(2)' or 'DIN is deactivated due to non-filing of DIR-3 KYC form', as everyone filed their KYC promptly. The potential related parties to this companies are : CIN - U51101UP2015PTC073536 : CompanyName - AMVI ENGINEERING PRIVATE LIMITED : Status - Active Know more... InstaFinancials is an emerging brand, in providing both private and public company financial risk assessment products and services in India.We are pioneers in aggregating, analysing, synthesizing and presenting all decision critical insights from most reliable sources to enable our clients to make informed financial decisions. For more information visit us at InstaFinancials.com #KnowYourCustomer #KnowYourCompetitor #KnowYourCompany

[cakandivali]

Five IL&FS firms under SFIO lens for fund diversion

Latest Updates - M. N. & Associates - NEW DELHI: The Serious Fraud Investigation Office (SFIO) has zeroed in on five group firms of Infrastructure Leasing & Financial Services (IL&FS) for culpable fund diversion and mismanagement. These are IL&FS Transportation Networks Ltd, IL&FS Financial Services, IL&FS Energy Development, IL&FS Tamil Nadu Power and IL&FS Engineering and Construction.Together, these five companies account for more than 50% of the revenues of the entire group that has more than 350 entities in its fold. There was some evidence that funds were diverted by these firms in projects worth Rs 30,000 crore, said two government officials aware of the initial investigations conducted by the probe agency.“It is clear that management of other subsidiaries of group were also in collusion with the group management,” said one of the officials. The investigating agency is expected to submit a preliminary report by the month end. He said investigators were also looking to see if there were any political payoffs in certain projects. Another government official said the top management and independent directors on the IL&FS board will be summoned for questioning.“IL&FS chief Ravi Parthasarathy may be called for questioning soon,” he said, adding data with the ministry of corporate affairs (MCA) showed IL&FS has around 169 companies as of 2017-2018, whereas the chairman of the new government appointed board Uday Kotak said there were 348 entities. The inability of the company’s independent directors to detect misrepresentation is also being probed, he said, adding that arrests may be made if required.ICAI BEGINS PROBEThe Institute of Chartered Accountants of India (ICAI) has taken cognizance of the matter suo motu and issued notices to the statutory auditors on October 4 seeking an explanation. The auditor for IL&FS was SR Batliboi, an affiliate of EY India.“In addition, the ICAI is also in touch with other regulatory authorities, and based on the responses received, ICAI would be fast-tracking its investigation on the role of member/firm of the Institute allegedly involved in terms of the disciplinary mechanism as provided under the provisions of Chartered Accountants Act and the Rules framed thereunder,” said president ICAI, Naveen N D Gupta.Earlier this month government moved the NCLT’s Mumbai bench with a prayer to sack the board and appoint a new one with immediate effect. It had then appointed a six-member board comprising Uday Kotak, Vineet Nayyar, GN Bajpai, GC Chaturvedi, Malini Shankar and Nand Kishore.The ministry of corporate affairs also accused the former IL&FS board of deficiencies in the books and painting a deceptively rosy picture of finances. They “failed to discharge their fiduciary duties” and the management is “responsible for negligence and incompetence,” the ministry told NCLT. Chartered Accountant For consultng. Contact Us: http://bit.ly/mumbai-ca

[benjamintimm]

Blog 3 - Research & Enquiry (Audio Engineering)

21/10/17

I have recently come into contact with a Rachel Smith. She works as a lecturer in the biosciences department of Herts and we are exchanging emails to ascertain the direction I wish to proceed into (in regards to frequency and biology). Hopefully, something will come from it as the sheer volume of articles that catch my attention is mind-boggling.

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In continuation of the last blog. The article I was researching previously showed a couple more interesting facts that were worth note:

Both EFs (Electric Fields) and MFs (Magnetic Fields) are generated if a charged particle moves at a constant velocity. Combined, they generate an EMF (Electro-Magnetic Field) when the charged particle is accelerated. Most often this acceleration takes place in the form of an oscillation, therefore electric and magnetic fields often oscillate. Change in the EF creates an MF, and any change in the MF creates an EF. This interaction suggests the higher the frequency of oscillation, the more the electric and magnetic fields are mutually coupled.

Now without going into specifics, EMF can affect biochemical reactions and the behaviour of charged molecules near cell membranes. Pulsing the EMF causes a rise and fall in ion fluxes, whereby changes in the membrane potential cause an inward current flow resulting in hyperpolarization of its potential (Alberts et al., 2002).  Additionally, depending on the parameters involved in the EMF treatment, and the biological process in question, either stimulation or inhibition can occur. If the correct stimulation is applied, new pathways in the development of frequency based treatment can be used to counteract several disorders. One of which is the genetic disorder of Osteogenesis imperfecta, otherwise known as brittle bone disease. (Ross, C, et al, 2017)

The part of Osteogenesis is a complex series of events by which BMSCs (bone marrow stromal cells) differentiate to generate new bone. hBMSCs possess characteristic Ca2+ waves (Calcium Ion waves) that are involved in intracellular signalling. These waves operate in short and long periods, with the longer periods operating during trans-cellular signalling. In the field of intracellular signalling, the oscillation of cytosolic Ca2+ is perhaps one of the most important discoveries (Parekh, 2011). Understanding the different frequencies that are used between these cells could identify a remedy frequency that could counteract this genetic disorder. Note that frequencies used thus far for stimulating and enhancing osteogenesis have varied from 7.5 to 75 Hz (De Mattei et al., 1999) and have revealed that not only frequency but also the direction of the EMF makes a difference in the results.

While it remains difficult to alter the expression of genes to rebuild damaged tissues in humans, especially when considering the use of controversial treatments such as stem cell and gene therapies, a systems-based view of development and regeneration may provide suitable therapeutic alternatives. Complex interactions of multiple genetic substances give rise to physical cues, including mechanical and electrical signals that are relatively easier to control and implement in order to guide repair and regeneration. Treatment using EMF could be an auxiliary approach to enhancing cellular activities for tissue regeneration by stimulating cells with both EMF and the proper chemical signals (differentiation media and growth factors) to promote cellular responses synergistically. Additionally, this inherently noninvasive and non-contact treatment method is easily applied to cells for tissue regeneration using three-dimensional scaffolds (Kim et al., 2011)

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The sheer volume of information in just one article is both magnificent and overwhelming. In the next article, I will be continuing my research in a related field. This time, not focusing on the growth of cells but the prevention of cell growth. 

This, in turn, can give me a good understanding of what I can do with this field of work and how the application of frequency is so important to everything that is researched.

- Alberts B, Johnson A, Lewis J, Raff M, Roberts K, Walter K.  Molecular Biology of the Cell. 4th edition. Garland Science; New York: 2002. pp. 528–530.

- Parekh A. Decoding cytosolic Ca2+ oscillations. Trends Biochem. Sci. 2011;36:78–87. 

- De Mattei MCA, Traina GC, Pezzetti F, Baroni T, Sollazzo V. Correlation between pulsed electromagnetic fields exposure time and cell proliferation increase in human osteosarcoma cell lines and human normal osteoblast cells in vitro. Bioelectromagnetics. 1999;20:177–182. 

- Kim JLD, Kim YH, Koh YH, Lee MH, Han I. A comparative study of the physical and mechanical properties of porous hydroxyapatite scaffolds fabricated by solid freeform fabrication and polymer replication method. Int. J. Precis. Eng. Manuf. 2011;12:695–701.

-  Ross, C., Siriwardane, M., Almeida-Porada, G., Porada, C., Brink, P., Christ, G. and Harrison, B. (2017). The effect of low-frequency electromagnetic field on human bone marrow stem/progenitor cell differentiation.

[bnha-rebloggs]

Here's a small paragraph of Marshall's Introduction ksjjsjs

“I don't actually want your crap— I just can't not steal your stupid pen or I'll have crippling anxiety :) You're not special just ask for it back. I typically have my best friend Yuki give you your stuff back though—”