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ROSA to the Occasion: Epilepsy Care Gets Robotic Boost at UC San Diego Health

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ROSA to the Occasion: Epilepsy Care Gets Robotic Boost at UC San Diego Health


Newswise — Neurosurgery is among the many most difficult branches of surgical procedure. The human mind, with its estimated 100 billion neurons and 100 trillion connections, is arguably probably the most complicated organic construction identified, and surgeons should typically function inside the slim confines of the mind, spinal twine and nervous system.

Generally it’s good to have one other set of “palms,” a ROSA by one other identify.

ROSA is brief for Robotic Stereotactic Help, and inside the Division of Neurosurgery at UC San Diego Well being, the modern expertise is at hand.

Of the numerous procedures during which ROSA can help, it shines maybe brightest throughout stereotactic electroencephalography (sEEG), an intracranial monitoring process during which 10 to twenty skinny electrodes (lower than 1 millimeter in diameter, concerning the thickness of a bank card) are inserted into the mind to exactly map the places from which epileptic seizures emanate.

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Sharona Ben-Haim, MD, the UC San Diego Well being neurosurgeon who launched sEEG to the San Diego area 5 years in the past, calls the process “a lot quicker and safer now, and with the effectivity and accuracy that solely a robotic platform can present.”

Sage Magaña, 18, not too long ago underwent the ROSA-assisted process. Two years in the past, she was recognized with frontal lobe epilepsy, with a typical day interrupted by as much as 5 seizures lasting for as a lot as 5 minutes every. It will generally require weeks to completely get well from probably the most extreme episodes.

“I get up after a seizure and I limp, I cry, it’s horrible,” mentioned Sage, who lives together with her mother and father in Vista. “I’ve ache in my head, my jaw and my tongue and cheeks from biting them. It’s taken the whole lot away from me. It has stopped my entire complete life.”

Due to her seizures, Sage dropped out of highschool after her sophomore 12 months. Driving is a distant reminiscence. Hers isn’t the standard lifetime of a young person.

Solely a really particular kind of affected person is prone to obtain sEEG, somebody for whom mind surgical procedure has develop into a final resort attributable to drug-resistant epilepsy. Sage mentioned the seizure medicine she tried “labored considerably, however not sufficient,” and that almost all produced opposed negative effects, resembling making her really feel “crazy” and “offended after I’m not.”

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Sage opted for surgical intervention on the suggestion of Ben-Haim and Jerry Shih, MD, director of the Epilepsy Heart at UC San Diego Neurological Institute, following a multidisciplinary convention about her case.

Based mostly on Sage’s MRI scan, Ben-Haim programmed into ROSA the place every electrode must be inserted, after which ROSA’s robotic arm pivoted to the exact positions for every insertion.

“Every of the electrodes is deliberate with nice accuracy to enter and terminate (finish) in a sure a part of the mind, and to map particular anatomical options alongside its trajectory,” mentioned Ben-Haim, the one neurosurgeon in San Diego County at present performing ROSA-assisted sEEG on adults. (Rady Kids’s Hospital-San Diego has a ROSA for pediatric instances.)

“The place the electrodes go may be very particular for every affected person, primarily based on a really intensive preoperative workup that we do.” (Earlier than the appearance of sEEG, neurosurgeons positioned grid, strip and depth electrodes for intracranial monitoring. These have been typically very difficult procedures.)

When she emerged from anesthesia following the sEEG process at Jacobs Medical Heart at UC San Diego Well being, Sage mentioned she “felt a bit of little bit of ache, however it was very bearable — particularly understanding that that is my probability to get my life again.”

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The electrodes remained inside Sage’s mind for every week, mapping her seizures. The ensuing information (nonetheless being analyzed) will assist decide one of the best therapy. This will embrace laser-assisted ablation or resection within the area of the mind inflicting the seizures.

“I simply need to simply cease the seizures,” Sage mentioned, in order that she will pursue a standard life and maybe a profession serving to others via their epilepsy journeys.

“I need to be that particular person for another person,” she mentioned.

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Little league raises funds for 4 kids whose parents were killed in Little Italy shooting

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Little league raises funds for 4 kids whose parents were killed in Little Italy shooting


San Diego’s American Little League is raising money for the four kids whose parents were shot and killed in an ambush in Little Italy last week.

One of the children plays on the White Sox baseball team. The boys’ coach and members of the league organized a fundraiser Friday night at Memorial Community Park in Logan Heights.

A few Mexican comfort food favorites add a little comfort to the lives of the four children who have survived their parent’s deaths.

“You don’t expect these things to happen,” Coach Johnny Banuelos said.

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Banuelos coaches the White Sox little league baseball team. He had to adjust his own emotional compass.

One of his players, 12-year-old Nathan, is the son of Jose Medina and Rachael Martinez. The couple was shot and killed while waiting in their car downtown for a court hearing.      

“I hope he is able to move on in life and realize there is still good out there,“ Coach Banuelos said.

Coach Banuelos struggled with what to say but did not struggle with what to do. He organized a team of league volunteers and parents to sell food and raffle tickets. The proceeds will go to Nathan and his three siblings.

“My heart drops for them. I don’t know from here or another day. Maybe, I won’t be here. I would want somebody to reach out to my family as well,“ Estrella Flores said.

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Flores’ daughter plays on the White Sox. She also runs the league concessions.

“These kids right now they have this hope that, they have all this love coming out from outside, not just their home,“ Flores.

The fundraiser is being held next to the White Sox home field. The night before the shooting the team had a scrimmage. The coach says Nathan had his first big hit and his parents got to see it.

The idea that their parents will miss the rest of their children’s accomplishments is unsettling to those supporting these fundraising efforts.

Daniel Paz is a classmate.

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“It is really difficult to go through, especially at a young age. I really feel bad for him but I hope he is doing good,“ Paz said.

Dina Chan and Fiancée Matthew Rosenberg are friends of another player on the team.

“We didn’t believe what we were hearing on the news. I think it was like a shock factor,“ Chan said.

“It’s the holidays. These kids are now without their parents at the best time of the year. Now it’s the worst time of the year for them,“ Rosenberg said.

More than 200 people donated food, time, or money to make this a success. There was no goal set and no expectations to meet. Only the hope that some day these four orphaned children find peace in their lives.

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“There is a God even though it might feel like, Where is God in this situation? We have to keep pushing forward,” Banuelos said.

The kids’ classmates from Logan Memorial Educational Campus also participated and donated to the fundraiser.



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San Diego Unified School District receives report card from CA state

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San Diego Unified School District receives report card from CA state


SAN DIEGO (KGTV) — The state of California recently released data showing how well schools around the San Diego area are doing, including San Diego Unified, the largest district in San Diego County.

“San Diego Unified continues to make progress in some areas,” San Diego Unified School Board President Shana Hazan said. “Progress is really significant.”

That’s the takeaway, as Hazan explained, the district’s latest report card from the state.

A positive: the district saw a 3% improvement in their college and career readiness numbers.

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Currently, the district is almost 63%, while other comparable-sized districts like Los Angeles Unified sit at 45%.

“It’s not just about how kids are doing- sitting in the classrooms here,” Hazan said. “But how are they doing when they leave our system? Are our kids set up for success for the long term?”

An area the district needs to continue to improve in is absenteeism. Last school year, 21% of students struggled with attendance.

While that number has declined from the year before, it’s still a problem the district needs to tackle.

This year, they’ve tried different incentives for students, such as partnering up with the San Diego Padres to reward the school with the best attendance.

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ABC 10News was there when Padres Superstar Manny Machado surprised Paradise Hills Elementary School students.

Another area the district is paying close attention to is graduation rates. They saw a slight decrease compared to the year before. The district connects that to changes to the state’s graduation waivers.

During the pandemic, the requirements to qualify for a waiver were loosened. Now, the restrictions are back.

So, now the question is, what happens next?

“As to how it relates to what’s happening in the classroom, our teachers receive information; they can see how they’re doing,” Hazan said. “Principals can see at the site level how students are doing, [they] use that data to really improve instruction based on the area of growth in their schools.”

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NBA and NFL urge players increased vigilance regarding home security following break-ins

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NBA and NFL urge players increased vigilance regarding home security following break-ins


The NBA is urging its players to take additional precautions to secure their homes following reports of recent high-profile burglaries of dwellings owned by Milwaukee Bucks forward Bobby Portis, Minnesota Timberwolves guard Mike Conley Jr. and Kansas City Chiefs teammates Patrick Mahomes and Travis Kelce.

In a memo the NBA sent to its team officials, a copy of which was obtained by The Associated Press, the league revealed that the FBI has connected some burglaries to “transnational South American Theft Groups” that are “reportedly well-organized, sophisticated rings that incorporate advanced techniques and technologies, including pre-surveillance, drones, and signal jamming devices.”

Conley’s home was broken into on Sept. 15 when he was at a Minnesota Vikings game and jewelry was taken, officials told the Minneapolis Star-Tribune. Portis said his home was broken into on Nov. 2 and has offered a $40,000 reward for information related to the incident. The homes of Mahomes and Kelce were broken into within days of each other last month, according to law enforcement reports, and the NFL issued a similar warning memo to its teams this week.

The NBA memo, relaying information from the FBI, said the theft rings “are primarily focused on cash and items that can be resold on the black market, such as jewelry, watches, and luxury bags.”

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The NBA, which has also been giving guidance to team security personnel, recommended that players install updated alarm systems with cameras and utilize them whenever leaving the home, keeping valuables in locked and secured safes, remove online real estate listings that may show interior photos of a home, “utilize protective guard services” during extended trips from the home and even suggested having dogs assist with home protection.

“Obviously, it’s frustrating, disappointing, but I can’t get into too many of the details because the investigation is still ongoing,” Mahomes recently said. “But, obviously, something you don’t want to happen to anybody, but obviously yourself.”

One of the break-ins involving the Chiefs players happened on a game day — Oct. 7 — and Portis was also playing a game when his home was robbed.

“They took most of my prized possessions,” Portis said.

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