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Tag: Return

  • Andrew Luck will return to Stanford football as Cardinal’s general manager

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  • Sheridan Hawks Junior Hockey Team Sweeps Home And Home Series Vs. Gillette; Prepare For Return Trip To Great Falls – Sheridan Media

    Sheridan Hawks Junior Hockey Team Sweeps Home And Home Series Vs. Gillette; Prepare For Return Trip To Great Falls – Sheridan Media

    The Sheridan Hawks Junior Hockey Team took care of business against one team that was trying to catch up to them in the standings, and are now getting ready to play another team that’s right behind them.

    This past weekend, the team won a home and home series vs. Gillette with scores of 8-3 and 8-4.

    Josh Serino scored hat tricks in both games.

    Head Coach J.J. Santagata says when the games were being played 5-on-5, the Hawks did great, but work is needed on both sides of the power play.

    “I think we just came out, we just executed little details, face off plays were really great, getting pucks to the net were great, finding 2nd and 3rd opportunities were great. I think our special teams honestly were really really bad this weekend, but to walk away with 4 points and only score 1 power play goal and let up 3 penalty kill goals is obviously not ideal, but still walk away with 4 points and I think 5 on 5 we played really well, so I was happy with that.”

    Up next is another trip to Great Falls, Montana.

    The Americans are right behind Sheridan for 2nd place in the NA3HL Frontier Division, and are the only team so far to have success vs. first place Helena.

    Coach Santagata adds these 2 teams have split their 4 head-to-head games so far this season, and the Hawks are expecting a challenging weekend.

    “They have some new guys since we haven’t seen them in about a month, so we know they’re going to be a good team, coming off beating Helena 1-0 in Helena and then winning their last 3 games as well. They’re an extremely good team, they play a good structure, they’re physical, they’re simple, so we know we’re going into a dogfight. It’s going to be a game that is going to basically be like a playoff atmosphere, so we’re just going to treat it like it’s round 1 of the playoffs and we just got to get 1 game done at a time and hopefully just take care of Friday night and see what happens Saturday.”

    The puck drops at Great Falls on both Friday and Saturday at 7:05pm.

    The Hawks will be back at home on Friday and Saturday, December 6th and 7th vs. Cody.

    Hawks vs. Gillette Recap: (Courtesy: Sheridan Hawks)

    The Sheridan Hawks and Gillette Wild played a home and away weekend series, but while they split the travel the Hawks took both the wins.

    Friday night the Hawks played before a home crowd at the Whitney Rink in the M&M’s Center. 

    Early in the first period, Sheridan’s Josh Serino got things started with a goal, assisted by Zach Longnecker and Vincent Leaf.

    Kiefer Dunham got the Hawks another goal with assists from Daniel Shelden and Elijah Farris.

    The Wild weren’t out of the fight though, and tied it up to initiate the second period with a goal from Tai Kontrec to put the Wild on the board, and then one from Brady Johnson to even it up.

    Derek Laite, assisted by Logan Hume and Connor Hulett, added another goal for Sheridan to move them ahead again. 

    Longnecker got assisted by Leaf and Serino to move the Hawks backup by two to end the period.

    In the third, Hume with help from Kadin Edwards and Gavin Elliott got a goal, and Serino, assisted by Leaf and Longnecker, added another.

    Gillette kept up the pressure though, and Brady Johnson netted the puck a minute later to bring the game a little closer. 

    But the Hawks responded by adding to their lead with one from Tyler Kemp, with help from Vlad Zubriichuk and Ernest Allen.

    Serino then scored another, his third of the night, assisted by Leaf and Hume, to end the game with a final score of 8 to 3. 

    Hawks goalie John Simon made 44 saves for the Sheridan Hawks in the win.

    Saturday night the Hawks made the trip east to play before an excited group of Gillette fans. 

    Once again the game was fast paced and hard fought, with the action being much closer than the final score would suggest. 

    The Sheridan Hawks got off to a fast start, scoring each of the first three goals of the game.

    First off to put the biscuit in the basket was Eli White on a power play, assisted by Keifer Dunham. 

    Serino followed up two minutes later, with an assist by Longnecker, to move the Hawks to a 2-0 lead going into the 2nd period. 

    Keeping up the momentum, Dunham got one by the Wild netminder off an assist from Charlie Stow two minutes into the start of the period. 

    However, the Gillette Wild stormed back to make a game of it. In fact, they tied the game 3-3 heading into the third period, two of them on power plays from a Hawks slashing and then an interference call.  

    In addition, the Hawks lost the bench services of Head Coach JJ Santagata who was ejected following an attempt to dispute a fighting call and game ejection of Vincent Leaf. 

    But the Hawks players didn’t let that phase them and came roaring back into the game with a short handed goal from Serino, assisted by Logan Sidlauskas. 

    Zubriichuk scored next, with help from Serino and a Sean Harris to regain a 2 point Sheridan lead. 

    Hume then added another assisted by Allen to solidify the advantage. 

    The Wild managed just one more goal and then it was the Hawks the rest of the way with two unassisted goals, one from Serino and the last from Hume to make it 8-4 and put another one in the win column.

    Josh Serino scored a hat trick while adding an assist to lead his team to victory away from home, his second of the weekend and his 3rd hatty in his past three games. 

    Once again Simon had a great night between the pipes, stopping 33 shots for the win.

    Sheridan currently is at 15-5-2-0 and holds the second seed in the Frontier Division. 

    Serino holds on to his place as top goal scorer in the league and third in total points. 

    The Hawks are away this weekend to play the Great Falls Americans and return home on December 6 & 7 when they host the Yellowstone Quake in their final games before the NA3HL Showcase in Blaine, MN and the holiday break.

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  • AU hockey notebook: Vikings return home to face Bemidji State following six-game road trip – Sioux Falls Live

    AU hockey notebook: Vikings return home to face Bemidji State following six-game road trip – Sioux Falls Live

    SIOUX FALLS — Augustana coach Garrett Raboin believed his team had been playing a good brand of hockey heading into last weekend’s series against St. Thomas, but he knew that playing in a youth rink in front of 600-plus fans was going to be a unique environment for his players.

    Raboin did his best to prepare his players for it, but the series opener resulted in a 4-0 win for the Tommies in which the Vikings never seemed to put it together.

    However, the response Saturday was the kind of bounce-back performance Raboin wanted to see.

    Augustana looked much more comfortable in the series finale, as a pair of freshmen each tallied their first collegiate goal in a 3-2 victory that gave the visitors a split in their first CCHA action of the season.

    “It was a very even game, but we got good goaltending. Our penalty kill stepped up when we needed it to, and it was good for our guys to get a win,” Raboin said about Saturday’s game. “It’s so important in our league.”

    Although the Augustana men’s and women’s basketball teams open the regular season this weekend in Missouri, the campus will certainly be busy with several other sports hosting action on campus.

    The football team will face Sioux Falls on Saturday in what figures to be one of the biggest Key to the City matchups in the history of the rivalry, while the volleyball team hosts a pair of conference matches on Friday and Saturday.

    Of course, there’s also the Vikings’ hockey team, which returns home following its six-game road trip. Augustana will take on reigning CCHA regular season champion Bemidji State in a two-game series at Midco Arena, with puck drop scheduled for 7:07 p.m. Friday and 6:07 p.m. Saturday.

    “It’s going to be a great weekend of athletics here,” Raboin said. “I think there’s an opportunity for fans to come early and stay late and make one heck of a weekend out of it.

    “We’re excited to take the ice again in conference play, and we’re going to see a real strong team in Bemidji State. Hopefully we can get our end of the bargain done.”

    Augustana's Ben Troumbly skates the ice during practice Wednesday, Oct. 2, 2024, at Midco Arena in Sioux Falls.

    Augustana’s Ben Troumbly skates the ice during practice Wednesday, Oct. 2, 2024, at Midco Arena in Sioux Falls.

    Trent Singer / Sioux Falls Live

    Last weekend, Augustana (4-4, 1-1 CCHA) couldn’t get much of anything going Friday night. Tommies goaltender Aaron Trotter made 20 saves, while Matthew Gleason contributed a pair of goals to hand the Vikings their most decisive loss of the young season.

    The following night, though, freshman Joey DelGreco got the scoring started early in the opening period, and the Vikings never trailed in the contest. AU goalie Josh Kotai stopped 38 shots, while Tyler Hennen, another freshman, provided the game-winning goal at 8:16 of the final period.

    The response on Saturday was the continuation of a trend Raboin saw from his team last season, during which the Vikings were 3-1 in games that followed a shutout.

    “It’s a great quality to have. It’s necessary,” Raboin said. “Splits are huge in college hockey, especially in our league, to capture something out of the weekend.

    “Our guys care. We never question our guys’ energy or effort. Sometimes our youth gets in the way, and we will make mistakes. But our guys were able to learn from some of those things. We just looked like a team on Saturday, which was a good sign for our group.”

    Bemidji State players celebrate after scoring a goal against St. Cloud State on Saturday, Oct. 12, 2024, at the Sanford Center in Bemidji.

    Bemidji State players celebrate after scoring a goal against St. Cloud State on Saturday, Oct. 12, 2024, at the Sanford Center in Bemidji.

    Brent Cizek Photography

    For their first home series as full members of the CCHA, the Vikings welcome in one of the conference’s top teams.

    Ahead of the 2024-25 season, BSU was picked to finish tied for first and second in the media and coaches’ preseason polls, respectively. Last season, the Beavers went 8-1-1 to close out the regular season, finishing atop the league standings and winning the MacNaughton Cup for the first time since 2017.

    Tale of the tape

    Augustana

    Bemidji St.

    2.4

    Goals/game

    2.3

    2.0

    Goals allowed/game

    2.3

    25.8

    Shots/game

    28.7

    32.1

    Shots allowed/game

    27.9

    1-24

    PPG

    3-18

    1-25

    PPG allowed

    3-17

    Led by 24th-year coach Tom Serratore, Bemidji (3-4, 1-1) is coming off a split last weekend at home versus Minnesota State, winning 1-0 Friday before dropping a 2-1 defeat Saturday.

    “They have a veteran presence. The goaltending has been really strong. They’re a darn good team,” Raboin said about BSU. “They’re going to be heavy all year and challenge for a home-ice advantage [in the playoffs], I’d imagine.

    “They’re one of those teams that was picked in the preseason to finish right up there. They play fast. They’re in your face. They skate. They angle so well, and then they have a rock back there in the net. It’s going to be a real challenge for us.”

    Bemidji State goalie Mattias Sholl keeps his eye on the puck against Minnesota State on Friday, Nov. 1, 2024, at the Sanford Center in Bemidji.

    Bemidji State goalie Mattias Sholl keeps his eye on the puck against Minnesota State on Friday, Nov. 1, 2024, at the Sanford Center in Bemidji.

    Brent Cizek Photography

    That “rock” is Bemidji senior Mattias Sholl, who was named CCHA Goaltender of the Year last season. So far, Sholl has been solid again in 2024-25. He has started all seven of the Beavers’ games this season and already has a pair of shutouts to his name with a goals-against average of 2.24 and save percentage of .918.

    A pair of upperclassmen, graduate student Carter Randklev and senior Jere Vaisanen, lead the BSU forward group with five points apiece, while Tony Follmer is the top contributor on the blue line with three points on one goal and two assists.

    Fifth-year forward Jackson Jutting is the Beavers’ captain. Through seven games, he has three points (two goals, one assist) and is third in the conference in total face-offs taken (163).

    Meanwhile, BSU defenseman Will Magnuson has a league-leading 24 blocked shots on the season.

    Bemidji State coach Tom Serratore talks with the media after the Beavers defeated Minnesota State 1-0 on Friday, Nov. 1, 2024, at the Sanford Center in Bemidji.

    Bemidji State coach Tom Serratore talks with the media after the Beavers defeated Minnesota State 1-0 on Friday, Nov. 1, 2024, at the Sanford Center in Bemidji.

    Brent Cizek Photography

    Raboin says the Beavers’ forward depth and ability to get out in transition is what stands out the most about their game.

    “They’re fast. You have to try and stay on top of them,” Raboin said. “It’s a quick-strike, energetic group that don’t really give you time to take a breath because they’re always on top of you. They’re relentless, and they can skate.

    “When you get your opportunities, then you’re going to run into a darn good goaltender. Hopefully you make the most of them, but you have to manage the game. You can’t get caught up in a track meet. You have to stay together, connected and just manage your emotions in the game and know you’re going to be in for a long night.”

    Augustana's Tyler Hennen celebrates after scoring a goal against St. Thomas on Saturday, Nov. 2, 2024, at Saint Thomas Ice Arena in Mendota Heights, Minn.

    Augustana’s Tyler Hennen celebrates after scoring a goal against St. Thomas on Saturday, Nov. 2, 2024, at Saint Thomas Ice Arena in Mendota Heights, Minn.

    George Dannecker / Tommie Athletics

    In a big spot on the road, DelGreco and Hennen delivered goals they’ll never forget.

    The freshmen each tallied the first goal of their college career, bookending the scoring for the Vikings in their 3-2 triumph over the Tommies.

    It was a game in which AU never trailed.

    “It’s exciting to see as a coach. It’s something you want to see,” Raboin said. “They’ve done it once. Now, can they do it again?”

    Augustana's Joey DelGreco skates the ice during practice Wednesday, Oct. 2, 2024, at Midco Arena in Sioux Falls.

    Augustana’s Joey DelGreco skates the ice during practice Wednesday, Oct. 2, 2024, at Midco Arena in Sioux Falls.

    Trent Singer / Sioux Falls Live

    A native of Hallock, Minnesota, Hennen has three points on one goal and two assists and is fourth on the team with a plus-3 rating on the ice. Meanwhile, DelGreco, who hails from Grand Rapids, Minnesota, has a goal and an assist.

    Both rookies have played in all eight of the Vikings’ games this season.

    “You’ve got to play the guys you recruit and help them develop, so for those two guys to get their first career goals, great. But they had an opportunity, and they took advantage of it,” Raboin said. “It was a big part of our win.”



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  • New transorbital surgery offers faster return to normal lifestyle

    New transorbital surgery offers faster return to normal lifestyle

    An estimated 6.7 million people (or 1 in 50) in the United States have an unruptured brain aneurysm. The annual rate of rupture is approximately 8 per 100,000 people, which means that 30,000 people in this country alone suffer a ruptured brain aneurysm rupture each year.

    Happily, medical advances have led to a progressive new treatment for brain aneurysms: transorbital surgery, which is performed by Dr. Mauricio Mandel, MD, Ph.D., at Cleveland Clinic Tradition Hospital.

    Dr. Mandel explains that a small incision is made in the eyelid – similar in placement and technique to that done in cosmetic surgery – in which he inserts a camera and clips the aneurysm in the same manner it’s done in traditional aneurysm surgery.

    Transorbital trans-eyelid surgery accesses and treats anterior circulating aneurysms, including middle cerebral aneurysms (MCA), without performing a traditional craniotomy.

    Mayo Clinic defines a brain aneurysm (also known as a cerebral aneurysm or intracranial) as a bulge or ballooning in a blood vessel in the brain. An aneurysm often looks like a berry hanging on a stem.

    Experts think brain aneurysms form and grow because blood flowing through the blood vessel puts pressure on a weak area of the vessel wall. This can increase the size of the brain aneurysm.

    If the brain aneurysm leaks or ruptures, it causes bleeding in the brain, known as a hemorrhagic stroke.

    “Many small aneurysms don’t need to be treated,” explains Dr. Mandel. “We monitor them to check for changes, but people can go for years without treatment.

    “It’s not unusual for people to be unaware they have one,” he says. “Most of the time, there are no symptoms, making it tricky if yours should get to the point where it needs treatment and you’re unaware of your condition.

    “If the first warning is when it ruptures, it’s too late,” he continues.

    Aneurysms are usually detected by MRI if someone is suffering with unexplained headaches or vertigo.

    The National Institute of Neurological Disorders & Stroke notes that brain aneurysms can occur in anyone and at any age, but they are most common in adults between the ages of 30 and 60 and are more common in women than in men. People with certain inherited disorders are also at higher risk.

    Plus, says Dr. Mandel, “if you do have a brain aneurysm, there’s a 17-times greater chance it will rupture if you’re a smoker.

    “If you’ve never been told you have a brain aneurysm but develop a sudden headache, a ‘thunderclap’ kind of headache, the worst headache of your life, you should literally run to the hospital,” warns Dr. Mandel.

    The Brain Aneurysm Foundation describes the two treatment options used by most doctors.

    Open brain aneurysm surgery is necessary when aneurysms cannot be coiled, or flow diverted due to their location or other characteristics. Patients undergo general anesthesia for this surgery. An incision is made in the skin of the head and the skull is opened by removing a very small piece of bone, called a bone flap, so the aneurysm can be accessed directly.

    Endovascular treatment doesn’t require general anesthesia or opening of the skull. The aneurysm is accessed via a catheter inserted into arteries in the arm or groin. Treatment consists of inserting small metal coils into the aneurysm, called coiling, or a newer technology called flow diversion that uses stents.

    Then there’s the game-changing transorbital surgery practiced by Dr. Mandel, which basically can be used to treat any brain aneurysm requiring surgery. He’s one of a handful of surgeons in Florida to perform this procedure.

    “Most patients are candidates for this surgery,” he explains. “It’s minimally invasive and patients recover quickly.” Other advantages include reduced operative times, shorter hospital stays, and a faster return to a normal lifestyle.

    Dr. Mandel has spent decades studying and researching transorbital surgery. It was the subject of his doctoral dissertation, and he has taken part in – and led – many studies. “The success of this surgery is greatly dependent on the learning curve of the surgeon,” he explains.

    Mauricio Mandel, M.D., Ph.D, obtained his medical degree, did his neurosurgery residency, got a clinical Ph.D. focused on Minimally Invasive Neurosurgery, and worked as an attending neurosurgeon in Brazil. In 2019, he moved to the United States, joined Stanford University as a clinical instructor and underwent further training in Epilepsy Surgery at Yale University. His office is located in Tradition HealthPark One, 10050 SW Innovation Way, Port St. Lucie, where he treats patients from the entire Treasure Coast. Call 877-463-2010 for an appointment.

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  • New transorbital surgery offers faster return to normal lifestyle

    New transorbital surgery offers faster return to normal lifestyle

    An estimated 6.7 million people (or 1 in 50) in the United States have an unruptured brain aneurysm. The annual rate of rupture is approximately 8 per 100,000 people, which means that 30,000 people in this country alone suffer a ruptured brain aneurysm rupture each year.

    Happily, medical advances have led to a progressive new treatment for brain aneurysms: transorbital surgery, which is performed by Dr. Mauricio Mandel, MD, Ph.D., at Cleveland Clinic Tradition Hospital.

    Dr. Mandel explains that a small incision is made in the eyelid – similar in placement and technique to that done in cosmetic surgery – in which he inserts a camera and clips the aneurysm in the same manner it’s done in traditional aneurysm surgery.

    Transorbital trans-eyelid surgery accesses and treats anterior circulating aneurysms, including middle cerebral aneurysms (MCA), without performing a traditional craniotomy.

    Mayo Clinic defines a brain aneurysm (also known as a cerebral aneurysm or intracranial) as a bulge or ballooning in a blood vessel in the brain. An aneurysm often looks like a berry hanging on a stem.

    Experts think brain aneurysms form and grow because blood flowing through the blood vessel puts pressure on a weak area of the vessel wall. This can increase the size of the brain aneurysm.

    If the brain aneurysm leaks or ruptures, it causes bleeding in the brain, known as a hemorrhagic stroke.

    “Many small aneurysms don’t need to be treated,” explains Dr. Mandel. “We monitor them to check for changes, but people can go for years without treatment.

    “It’s not unusual for people to be unaware they have one,” he says. “Most of the time, there are no symptoms, making it tricky if yours should get to the point where it needs treatment and you’re unaware of your condition.

    “If the first warning is when it ruptures, it’s too late,” he continues.

    Aneurysms are usually detected by MRI if someone is suffering with unexplained headaches or vertigo.

    The National Institute of Neurological Disorders & Stroke notes that brain aneurysms can occur in anyone and at any age, but they are most common in adults between the ages of 30 and 60 and are more common in women than in men. People with certain inherited disorders are also at higher risk.

    Plus, says Dr. Mandel, “if you do have a brain aneurysm, there’s a 17-times greater chance it will rupture if you’re a smoker.

    “If you’ve never been told you have a brain aneurysm but develop a sudden headache, a ‘thunderclap’ kind of headache, the worst headache of your life, you should literally run to the hospital,” warns Dr. Mandel.

    The Brain Aneurysm Foundation describes the two treatment options used by most doctors.

    Open brain aneurysm surgery is necessary when aneurysms cannot be coiled, or flow diverted due to their location or other characteristics. Patients undergo general anesthesia for this surgery. An incision is made in the skin of the head and the skull is opened by removing a very small piece of bone, called a bone flap, so the aneurysm can be accessed directly.

    Endovascular treatment doesn’t require general anesthesia or opening of the skull. The aneurysm is accessed via a catheter inserted into arteries in the arm or groin. Treatment consists of inserting small metal coils into the aneurysm, called coiling, or a newer technology called flow diversion that uses stents.

    Then there’s the game-changing transorbital surgery practiced by Dr. Mandel, which basically can be used to treat any brain aneurysm requiring surgery. He’s one of a handful of surgeons in Florida to perform this procedure.

    “Most patients are candidates for this surgery,” he explains. “It’s minimally invasive and patients recover quickly.” Other advantages include reduced operative times, shorter hospital stays, and a faster return to a normal lifestyle.

    Dr. Mandel has spent decades studying and researching transorbital surgery. It was the subject of his doctoral dissertation, and he has taken part in – and led – many studies. “The success of this surgery is greatly dependent on the learning curve of the surgeon,” he explains.

    Mauricio Mandel, M.D., Ph.D, obtained his medical degree, did his neurosurgery residency, got a clinical Ph.D. focused on Minimally Invasive Neurosurgery, and worked as an attending neurosurgeon in Brazil. In 2019, he moved to the United States, joined Stanford University as a clinical instructor and underwent further training in Epilepsy Surgery at Yale University. His office is located in Tradition HealthPark One, 10050 SW Innovation Way, Port St. Lucie, where he treats patients from the entire Treasure Coast. Call 877-463-2010 for an appointment.

    Source link

  • New transorbital surgery offers faster return to normal lifestyle

    New transorbital surgery offers faster return to normal lifestyle

    An estimated 6.7 million people (or 1 in 50) in the United States have an unruptured brain aneurysm. The annual rate of rupture is approximately 8 per 100,000 people, which means that 30,000 people in this country alone suffer a ruptured brain aneurysm rupture each year.

    Happily, medical advances have led to a progressive new treatment for brain aneurysms: transorbital surgery, which is performed by Dr. Mauricio Mandel, MD, Ph.D., at Cleveland Clinic Tradition Hospital.

    Dr. Mandel explains that a small incision is made in the eyelid – similar in placement and technique to that done in cosmetic surgery – in which he inserts a camera and clips the aneurysm in the same manner it’s done in traditional aneurysm surgery.

    Transorbital trans-eyelid surgery accesses and treats anterior circulating aneurysms, including middle cerebral aneurysms (MCA), without performing a traditional craniotomy.

    Mayo Clinic defines a brain aneurysm (also known as a cerebral aneurysm or intracranial) as a bulge or ballooning in a blood vessel in the brain. An aneurysm often looks like a berry hanging on a stem.

    Experts think brain aneurysms form and grow because blood flowing through the blood vessel puts pressure on a weak area of the vessel wall. This can increase the size of the brain aneurysm.

    If the brain aneurysm leaks or ruptures, it causes bleeding in the brain, known as a hemorrhagic stroke.

    “Many small aneurysms don’t need to be treated,” explains Dr. Mandel. “We monitor them to check for changes, but people can go for years without treatment.

    “It’s not unusual for people to be unaware they have one,” he says. “Most of the time, there are no symptoms, making it tricky if yours should get to the point where it needs treatment and you’re unaware of your condition.

    “If the first warning is when it ruptures, it’s too late,” he continues.

    Aneurysms are usually detected by MRI if someone is suffering with unexplained headaches or vertigo.

    The National Institute of Neurological Disorders & Stroke notes that brain aneurysms can occur in anyone and at any age, but they are most common in adults between the ages of 30 and 60 and are more common in women than in men. People with certain inherited disorders are also at higher risk.

    Plus, says Dr. Mandel, “if you do have a brain aneurysm, there’s a 17-times greater chance it will rupture if you’re a smoker.

    “If you’ve never been told you have a brain aneurysm but develop a sudden headache, a ‘thunderclap’ kind of headache, the worst headache of your life, you should literally run to the hospital,” warns Dr. Mandel.

    The Brain Aneurysm Foundation describes the two treatment options used by most doctors.

    Open brain aneurysm surgery is necessary when aneurysms cannot be coiled, or flow diverted due to their location or other characteristics. Patients undergo general anesthesia for this surgery. An incision is made in the skin of the head and the skull is opened by removing a very small piece of bone, called a bone flap, so the aneurysm can be accessed directly.

    Endovascular treatment doesn’t require general anesthesia or opening of the skull. The aneurysm is accessed via a catheter inserted into arteries in the arm or groin. Treatment consists of inserting small metal coils into the aneurysm, called coiling, or a newer technology called flow diversion that uses stents.

    Then there’s the game-changing transorbital surgery practiced by Dr. Mandel, which basically can be used to treat any brain aneurysm requiring surgery. He’s one of a handful of surgeons in Florida to perform this procedure.

    “Most patients are candidates for this surgery,” he explains. “It’s minimally invasive and patients recover quickly.” Other advantages include reduced operative times, shorter hospital stays, and a faster return to a normal lifestyle.

    Dr. Mandel has spent decades studying and researching transorbital surgery. It was the subject of his doctoral dissertation, and he has taken part in – and led – many studies. “The success of this surgery is greatly dependent on the learning curve of the surgeon,” he explains.

    Mauricio Mandel, M.D., Ph.D, obtained his medical degree, did his neurosurgery residency, got a clinical Ph.D. focused on Minimally Invasive Neurosurgery, and worked as an attending neurosurgeon in Brazil. In 2019, he moved to the United States, joined Stanford University as a clinical instructor and underwent further training in Epilepsy Surgery at Yale University. His office is located in Tradition HealthPark One, 10050 SW Innovation Way, Port St. Lucie, where he treats patients from the entire Treasure Coast. Call 877-463-2010 for an appointment.

    Source link

  • New transorbital surgery offers faster return to normal lifestyle

    New transorbital surgery offers faster return to normal lifestyle

    An estimated 6.7 million people (or 1 in 50) in the United States have an unruptured brain aneurysm. The annual rate of rupture is approximately 8 per 100,000 people, which means that 30,000 people in this country alone suffer a ruptured brain aneurysm rupture each year.

    Happily, medical advances have led to a progressive new treatment for brain aneurysms: transorbital surgery, which is performed by Dr. Mauricio Mandel, MD, Ph.D., at Cleveland Clinic Tradition Hospital.

    Dr. Mandel explains that a small incision is made in the eyelid – similar in placement and technique to that done in cosmetic surgery – in which he inserts a camera and clips the aneurysm in the same manner it’s done in traditional aneurysm surgery.

    Transorbital trans-eyelid surgery accesses and treats anterior circulating aneurysms, including middle cerebral aneurysms (MCA), without performing a traditional craniotomy.

    Mayo Clinic defines a brain aneurysm (also known as a cerebral aneurysm or intracranial) as a bulge or ballooning in a blood vessel in the brain. An aneurysm often looks like a berry hanging on a stem.

    Experts think brain aneurysms form and grow because blood flowing through the blood vessel puts pressure on a weak area of the vessel wall. This can increase the size of the brain aneurysm.

    If the brain aneurysm leaks or ruptures, it causes bleeding in the brain, known as a hemorrhagic stroke.

    “Many small aneurysms don’t need to be treated,” explains Dr. Mandel. “We monitor them to check for changes, but people can go for years without treatment.

    “It’s not unusual for people to be unaware they have one,” he says. “Most of the time, there are no symptoms, making it tricky if yours should get to the point where it needs treatment and you’re unaware of your condition.

    “If the first warning is when it ruptures, it’s too late,” he continues.

    Aneurysms are usually detected by MRI if someone is suffering with unexplained headaches or vertigo.

    The National Institute of Neurological Disorders & Stroke notes that brain aneurysms can occur in anyone and at any age, but they are most common in adults between the ages of 30 and 60 and are more common in women than in men. People with certain inherited disorders are also at higher risk.

    Plus, says Dr. Mandel, “if you do have a brain aneurysm, there’s a 17-times greater chance it will rupture if you’re a smoker.

    “If you’ve never been told you have a brain aneurysm but develop a sudden headache, a ‘thunderclap’ kind of headache, the worst headache of your life, you should literally run to the hospital,” warns Dr. Mandel.

    The Brain Aneurysm Foundation describes the two treatment options used by most doctors.

    Open brain aneurysm surgery is necessary when aneurysms cannot be coiled, or flow diverted due to their location or other characteristics. Patients undergo general anesthesia for this surgery. An incision is made in the skin of the head and the skull is opened by removing a very small piece of bone, called a bone flap, so the aneurysm can be accessed directly.

    Endovascular treatment doesn’t require general anesthesia or opening of the skull. The aneurysm is accessed via a catheter inserted into arteries in the arm or groin. Treatment consists of inserting small metal coils into the aneurysm, called coiling, or a newer technology called flow diversion that uses stents.

    Then there’s the game-changing transorbital surgery practiced by Dr. Mandel, which basically can be used to treat any brain aneurysm requiring surgery. He’s one of a handful of surgeons in Florida to perform this procedure.

    “Most patients are candidates for this surgery,” he explains. “It’s minimally invasive and patients recover quickly.” Other advantages include reduced operative times, shorter hospital stays, and a faster return to a normal lifestyle.

    Dr. Mandel has spent decades studying and researching transorbital surgery. It was the subject of his doctoral dissertation, and he has taken part in – and led – many studies. “The success of this surgery is greatly dependent on the learning curve of the surgeon,” he explains.

    Mauricio Mandel, M.D., Ph.D, obtained his medical degree, did his neurosurgery residency, got a clinical Ph.D. focused on Minimally Invasive Neurosurgery, and worked as an attending neurosurgeon in Brazil. In 2019, he moved to the United States, joined Stanford University as a clinical instructor and underwent further training in Epilepsy Surgery at Yale University. His office is located in Tradition HealthPark One, 10050 SW Innovation Way, Port St. Lucie, where he treats patients from the entire Treasure Coast. Call 877-463-2010 for an appointment.

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  • Will Manchester United ever return to the top of English football?

    Will Manchester United ever return to the top of English football?

    Back in the dark days of the 1980s, Manchester United used to run an advert in their official match programme with the slogan: “This season we mean business!”

    It became a standing joke among fans once this slogan was not only retained beyond the miserable first few months of one campaign but well into the next.

    But there was always a belief within the game that United, having fallen into decline after winning their first European Cup in 1968, would rise again.

    Liverpool were English football’s dominant force, but the Merseyside club’s chief executive Peter Robinson often warned of the danger that “that lot down the East Lancs Road” would “get their act together” sooner or later.

    Sure enough, they did. After years of struggle, Alex Ferguson (no knighthood in those days) got to grips with that faltering institution and, through sheer force of will, dragged United out of the doldrums, winning the club’s first league title in 26 years and establishing them as the dominant force in English football.


    Manchester United celebrating their 20th — and most recent — league title in 2013 (Andrew Yates/AFP via Getty Images)

    Rarely has a club “meant business” like United did under Ferguson’s management through the 1990s and 2000s — right up to his retirement in 2013, at which point the Glazer family started to run it their way and the footballing empire Ferguson had built so painstakingly was allowed to crumble once more. If the Glazers meant business, it was strictly in the corporate sense.

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    Manchester United under the Glazers

    The extent of United’s struggles in the post-Ferguson years is remarkable. So much money spent, so little success, so little joy, so little sense of direction or purpose. Their trophy successes have been beyond the dreams of most clubs — the FA Cup under Louis van Gaal, the League Cup and Europa League under Jose Mourinho, the Carabao Cup and FA Cup under Erik ten Hag — but for a club of United’s size, history and wealth, those have been meagre, miserable pickings.

    And yet the same feeling has persisted among their rivals: that the darkest hour is just before the dawn; that at some point, “that lot” will get their act together and start competing for the biggest prizes again; that the confused recruitment strategies of the past decade will give way to something coherent; that they will eventually find a manager who can win hearts and minds and take the players and fans on a real journey, rather than reaching the first staging post and losing his way completely.

    That is the challenge that awaits Ruben Amorim, should he choose to take over from Erik ten Hag, who was sacked on Monday.

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    Man United working on deal to appoint Amorim

    United sit 14th in the Premier League and 21st in the Europa League standings, sandwiched between Viktoria Plzen and Elfsborg. In all competitions this season, they have won four games out of 13 (against Fulham, Southampton, Brentford and Barnsley). Going back to the start of last season, they have won just 21 matches out of 47 in the Premier League, scoring just 65 goals and conceding 69.


    (Jacques Feeney/Offside/Offside via Getty Images)

    In terms of expected goals (xG), a metric that reflects the quality of chances teams create and concede, United’s tallies since the start of last season — per Opta — are 71.7 xG for and 85.5 xG against.

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    The 10 charts that explain Manchester United’s struggles under Erik ten Hag

    To be polite, none of this is good. Whatever Ten Hag’s inevitable protestations, the problems went a lot deeper than profligacy in front of goal or an unwelcome VAR intervention at West Ham on Sunday.

    Ten Hag was in some ways the quintessential modern-United managerial tenure: a challenging first transfer window, early struggles, a call to arms, back-to-basics football, an improved work ethic, a significant upturn, a trophy success, an upbeat declaration that “this is only the start”… and then looking helpless as the whole thing unravelled, a dysfunctional group of players reverted to type and another would-be saviour was quietly ushered away.

    Even at the best of times, whatever technical and tactical vision Ten Hag had when he arrived in Manchester seemed to have been sacrificed in favour of pragmatism. It remains startling that a coach who initially wanted to build a team around Barcelona playmaker Frenkie de Jong ended up drifting so far from that concept, signing so many midfielders and trying so many combinations in that department, none of them remotely convincing.


    (Visionhaus/Getty Images)

    That word: drifting. United have spent far too much of the past decade drifting, going nowhere. One step forward, two steps back, more bust than boom, far more bad signings than good. There are parallels with Liverpool’s decline in the 1990s — not just in the way things crumbled and standards slipped so quickly but in the naive assumption that this is all just a bit of a readjustment after a little turbulence and that, sooner or later, the natural order will be restored.

    That was a theme in this piece exploring the journey between Liverpool’s 18th league title in 1990 and their 19th three decades later. Their former defender John Scales, one of several big-money acquisitions in that mid-1990s period, reflected that “there was still a feeling at Liverpool that it was a matter of when — not if — they got back to winning titles”.

    Steve Nicol, a Liverpool stalwart of the 1980s, recalled suddenly feeling in the early 1990s that “OK, we’re not in the best shape here. This is going to take a little bit longer than I thought.” “Before you knew it,” he said, “it was five years, 10 years, 20 years…”

    Sound familiar? United are not approaching the 20-year stage yet, but it is 11 years since their last Premier League title (and while Mourinho and Ole Gunnar Solskjaer still proudly trumpet their runners-up spots in 2018 and 2021, those were two of the most distant second-place finishes in English top-flight history). It can already be taken as read that 11 will become 12 after the way they have started this season.

    The greater concern might be that, by prolonging the misery under Ten Hag into this campaign, by lacking the courage to go with their original conviction at the end of last season, United’s much-vaunted new executive team have risked this being another wasted season rather than phase one of the latest rebuild.

    This was supposed to be a season when United “meant business”, to judge by the numerous bold statements from petrochemicals billionaire Sir Jim Ratcliffe when he bought a minority stake in the club.

    Short of pointing fingers directly at the club’s majority owner, Ratcliffe could hardly have been more scathing of the culture of mediocrity that has developed under the Glazer family’s ownership. Addressing that, he said, would be a question of appointing the right people at all levels and changing attitudes and culture in the boardroom, dressing room and office floor alike. Some of these noises were encouraging, as were the moves to lure Omar Berrada from Manchester City and Dan Ashworth from Newcastle United as chief executive and sporting director.

    It seemed so strange in that context, having held talks with Thomas Tuchel, Roberto De Zerbi and various others, to stick with a manager who had been floundering for an entire season. Results had been poor, performances frequently even worse and the mood inside the club, while not approaching late-Mourinho-level toxicity, was almost unremittingly bleak.

    Beating Manchester City in the FA Cup final brought a day to remember, but it had the feel of a happy ending for Ten Hag rather than a new start.


    United’s FA Cup win against Manchester City in June gave Ten Hag a reprieve (Alex Livesey – Danehouse/Getty Images)

    The message from inside Old Trafford in June, after they had decided to offer Ten Hag a reprieve after all, was that they wanted to give him the opportunity to work under an elite sporting structure. As Mark Critchley suggested here, it is far from clear whether that is something they were in a position to offer. There is something deeply hubristic about such talk when INEOS’ track record in football is so underwhelming.

    There was another line that sticks in the mind from Ratcliffe’s round of interviews last February. When asked about United’s playing style, he told reporters that “we will decide that style, plus the CEO, sporting director, probably the recruitment guys, what the style of football is and that will be the Manchester United style of football, and the coach will have to play that style”.

    Eight months after that statement, five months after holding talks with coaches as stylistically opposed as Tuchel and De Zerbi, and four months after choosing to trigger a one-year extension of Ten Hag’s contract, it is still not entirely clear what that style is meant to be. United’s summer transfer activity certainly didn’t bring much clarity in that respect — though perhaps Amorim, if he takes the job, can make more sense of their latest intake than Ten Hag ever looked like doing.

    In some ways, perhaps the United hierarchy should be grateful that results remained so poor. Performances were arguably a little more coherent and structured than last season, but this is the faintest of praise. Results gave them little option but to call time on Ten Hag and seek a top-class replacement immediately. Far better if they can do that than write off another campaign under a beleaguered manager or an interim.

    Ten Hag said recently that there is “almost no club in the world where the expectations are so high as at Manchester United”. Did he really believe that? He was kept on last season after finishing eighth in the Premier League with just 18 wins (few of them encouraging) from 38 matches and with a negative goal difference. There are few bigger clubs in world football, but this is not a club that has sacked managers — or been under external pressure to sack managers — for falling just short.

    If it is to be Amorim, he will be given time. He will also get money to spend (unless, of course, United have blown too much of their profit and sustainability allowance on players for the previous manager). An improvement will be expected of course, but it will be requested in the context of medium-term improvement.  That is not an overwhelming level of expectation.

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    It was fascinating to hear that Berrada, when addressing the club’s staff recently, cited a target to be Premier League champions again by 2028, the 150th anniversary of United’s formation. It was a target that somehow managed to sound both terribly unambitious for a club of United’s size and unduly optimistic when looking at the state of the squad.

    On the one hand, Manchester City, Premier League champions in six of the past seven seasons, are a daunting opponent and Liverpool, Arsenal and even Aston Villa and big-spending Chelsea look better placed to challenge them in the immediate future. Looking at United’s squad, there is some obvious talent, in Bruno Fernandes and some of the younger players, such as Leny Yoro, Kobbie Mainoo, Alejandro Garnacho and Rasmus Hojlund, but under Ten Hag they did not even seem to have the nucleus of a squad that might challenge for the big prizes any time soon.

    But the mention of those other clubs tells you it shouldn’t be as difficult as United and their managers keep making it look. Liverpool went from an abject position in late 2015, before the appointment of Jurgen Klopp, to the Champions League final within three years, winning the Champions League within four years and winning the Premier League within five; Arsenal went from finishing eighth in their first two seasons under Mikel Arteta to making genuine title challenges in seasons four and five; only goal difference was keeping Villa out of the Premier League’s relegation zone when they hired Unai Emery in October 2022, but by the end of his first full season, they had qualified for the Champions League, where they have thoroughly enjoyed themselves, sitting top of the table after three games.

    Recruitment is a big part of where United have gone wrong. So many of their big signings have flopped, which points to failures of strategy, failures of coaching and failures of environment. The new regime at Old Trafford insists things will improve on its watch. It hopes that summer signings Noussair Mazraoui, Matthijs de Ligt, Manuel Ugarte and Joshua Zirkzee, having brought negligible improvement to date, will be energised under a new coach.

    But it isn’t just about energy. United desperately need goals. In the last three seasons, they have 57, 58 and 57 in the Premier League. For context, the seven teams who finished above them last season all scored at least 74. Zirkzee, Garnacho and Hojlund have potential, but the reluctance to invest in proven goalscorers and proven creators is all the more confusing when set against the sums and wages paid for players in other positions.


    United’s summer 2024 signings before the first game of the season (Ash Donelon/Manchester United via Getty Images)

    There is so much work to be done. United will hope that a new coach can unlock something in those players the same way Klopp, Arteta and Emery — all of them mid-season appointments — got so much more out of the squads they inherited at Liverpool, Arsenal and Villa.

    If it is to be Amorim, his work at Sporting inspires a certain confidence that he would bring an uplift in performance, both individual and collective, over the first 12 months.

    But that is almost taken for granted when a manager takes over a big club at a low ebb. The greater challenge at United is to ensure that any such uplift can be sustained beyond the first year or two — and to escape this familiar post-Ferguson cycle where the rot sets in so quickly and where, suddenly, it once again seems such a long way back to pre-eminence.

    (Header design: Meech Robinson)

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  • Did Tayven Jackson’s hit the right notes in return to starting lineup?

    BLOOMINGTON — The stakes were a bit higher for Indiana football quarterback Tayven Jackson in his return to the starting lineup in a 31-17 win over Washington. 

    Jackson’s last start came on a soggy day in Ann Arbor against Michigan on Oct. 14, 2023. The Hoosiers (8-0; 5-0 Big Ten) were in the midst of a downward spiral at the time having recently fired offensive coordinator Walt Ball. 

    Indiana’s new coach Curt Cignetti ushered in a new complete transformation in the 12 months that followed. 

    While Jackson was one of the few prominent holdovers, he didn’t get much playing time during the first half of the season as the team’s backup quarterback. It wasn’t until Kurtis Rourke suffered a thumb injury in a win over Nebraska that Jackson got an extended opportunity. 



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  • Did Tayven Jackson’s hit the right notes in return to starting lineup?

    BLOOMINGTON — The stakes were a bit higher for Indiana football quarterback Tayven Jackson in his return to the starting lineup in a 31-17 win over Washington. 

    Jackson’s last start came on a soggy day in Ann Arbor against Michigan on Oct. 14, 2023. The Hoosiers (8-0; 5-0 Big Ten) were in the midst of a downward spiral at the time having recently fired offensive coordinator Walt Ball. 

    Indiana’s new coach Curt Cignetti ushered in a new complete transformation in the 12 months that followed. 

    While Jackson was one of the few prominent holdovers, he didn’t get much playing time during the first half of the season as the team’s backup quarterback. It wasn’t until Kurtis Rourke suffered a thumb injury in a win over Nebraska that Jackson got an extended opportunity. 



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