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Republished: Interhospital Teleproctoring of Endovascular Intracranial Aneurysm Treatment Using a Dedicated Live-streaming Technology: First Experiences During the COVID-19 Pandemic
Abstract: This is a report of the first three cases of endovascular aneurysm treatment that were proctored by a remote interventionalist using a novel high-resolution low-latency streaming technology. The proctor was located in a neurovascular centre and supported the treating interventional teams in two distant cities (up to 800 km/500 miles apart). All aneurysms were treated using the Woven EndoBridge (WEB) embolisation system, either electively or following subarachnoid haemorrhage. On-site proctoring was not possible due to travel restrictions during the COVID-19 pandemic. WEB placement was feasible in all cases. Good rapport between proctors and treating physicians was reported, enabled by the high-resolution image transmission and uninterrupted feedback/discussion via audiostream. No clinical complications were encountered. Short-term follow-up revealed adequate occlusion of all treated aneurysms. The employed streaming technology provided effective remote proctoring during complex aneurysm cases, including the management of technical complications
Second-generation Hydrogel Coils for the Endovascular Treatment of Intracranial Aneurysms
Abstract: Background and Purpose Endovascular embolization of intracranial aneurysms with hydrogel-coated coils lowers the risk of major recurrence, but technical limitations (coil stiffness and time restriction for placement) have prevented their wider clinical use. We aimed to assess the efficacy of softer, second-generation hydrogel coils. Methods A randomized controlled trial was conducted at 22 centers in France and Germany. Patients aged 18 to 75 years with untreated ruptured or unruptured intracranial aneurysms measuring 4 to 12 mm in diameter were eligible and randomized (1:1 using a web-based system, stratified by rupture status) to coiling with either second-generation hydrogel coi...
Derivo Embolization Device in the Treatment of Unruptured Intracranial Aneurysms: a Prospective Multicenter Study
Abstract: Background Flow diverters (FD) are used regularly for the endovascular treatment of unruptured intracranial aneurysms. We aimed to assess the safety and effectiveness of the Derivo embolization device (DED) with respect to long-term clinical and angiographic outcomes. Methods A prospective multicenter trial was conducted at 12 centers. Patients presenting with modified Rankin Score (mRS) of 0-1, treated for unruptured intracranial aneurysms with DED were eligible. Primary endpoint was the mRS assessed at 18 months with major morbidity defined as mRS 3-5. Satisfactory angiographic occlusion was defined as 3+4 on the Kamran scale. Results Between July 2014 and February 2018, 119 pati...
From Vanilla to Kink, the Love Story!
Khalifa is a rich young Kuwaiti businessman who has a passion for kinky sex. Yasseris a young Egyptian who works as a consultant in a PR company. These two hornyguys have a business meeting but the nature of the business soon changes fromfinances to fun ...hot kinky fun. "So I have to kneel down like they do in pornvideos? Like a sex slave?" asks Yasser. Khalifa replies, "I have my own variations. Iwill give you instructions as you need to receive them." Khalifa wants to possess andcontrol Yasser. Yasser wants to be dominated by Khalifa. But both men findthemselves growing closer than either expected. "I love you with every ounce of mybeing." The scene changes from Khalifa's apartment in Kuwait City to a villa in theEgyptian resort of Sharm Elsheikh. The story changes from 'How to Succeed inBusiness' to 'How to Live Happy Ever After.'
Inside Inequality in the Arab Republic of Egypt
Inside Inequality in the Arab Republic of Egypt: Facts and Perceptions Across People, Time, and Space comprises four papers prepared in the framework of the Egypt inequality study financed by the World Bank. The first paper, by Sherine Al-Shawarby, reviews the studies on inequality in Egypt since the 1950s with the double objective of illustrating the importance attributed to inequality through time and of presenting and compare the main published statistics on inequality. The second paper, by Branko Milanovic, turns to the global and spatial dimensions of inequality. The Egyptian society remains deeply divided across space and in terms of welfare, and this study unveils some of the hidden f...
Public Health in the Arab World
This volume reviews the public health concerns and challenges specific to the complex Arab world from a multidisciplinary perspective.
