Latest news with #Pivot


India Today
7 hours ago
- Health
- India Today
Cementless robotic knee surgery could be a game-changer for arthritis
For 54-year-old Brij Kishore from Dhanbad, Jharkhand, every step had become a battle. For more than eight years, he had been silently enduring excruciating pain in both knees due to advanced osteoarthritis, a condition that had twisted his legs into a bow shape (known medically as varus deformity) and made even simple tasks like walking to the bathroom a seeking help at local hospitals, there was no improvement. He had started relying on his family to move even a few everything changed when he travelled to Delhi. Kishore became the first person in the world to undergo a robot-assisted cementless medial pivot knee replacement surgery. This surgery is where a special implant mostly made of titanium is used to replace the damaged knee joint without using glue (cement). A surgical robot helps the doctor place the implant accurately. Post such an operation, the knee moves more naturally, feels stable and helps the patient recover faster with less surgery, performed by Dr. Sujoy Bhattacharjee and his team at the Max Institute of Robotic Joint Replacement, has become a world-first of such surgery assisted by a robot. The X-ray of the patient's knee with osteoarthritis. advertisementDr. Bhattacharjee and his team combined two advanced techniques: a cementless implant and robotic assistance using the CUVIS system, along with a specially designed Medial Pivot Cruciate-Retaining implant that mimics the natural motion of the knee more closely than traditional implants.'The patient's knees were in a complex condition. He had severe osteoarthritis with deformities that made walking almost impossible. To see him standing on his feet confidently just days after the surgery is incredibly rewarding,' said Dr. IS THIS SURGERY SO IMPORTANT?Traditional knee replacements typically use cemented implants, where a special adhesive is used to fix the artificial joint in place. Over time, especially in younger or more active patients, the cement can wear out, potentially leading to loosening of the contrast, cementless implants, like the one used in Kishore's surgery, are designed to allow the bone to naturally grow around the implant, creating a more solid and longer-lasting technique, combined with the Medial Pivot design, provides a more natural joint movement, especially during everyday activities like climbing stairs or getting out of a chair. Dr. SujoyBhattacharjee with Brij Kishore, who is first person in the world to undergo robot-assisted cementless medial pivot knee replacement surgery. In simple terms, the surgery doesn't just fix the joint, it helps the new joint feel more like the one you were born IS A TITANIUM MEDIAL PIVOT IMPLANT?The implant used in this case is made of titanium, a strong yet lightweight metal known for its high compatibility with the human Medial Pivot Cruciate-Retaining (CR) design allows the knee to bend and rotate in a way that closely replicates the natural knee's pivot motion. Unlike traditional implants that can feel 'unnatural,' this design provides better stability, balance, and confidence during the implant is cementless, it also avoids the long-term risks associated with cement-based procedures. The result? Improved durability, reduced complications, and a quicker, smoother ROBOTS MAKE A BIG DIFFERENCERobotic-assisted surgery ensures high precision, the implant is placed exactly where it should be, based on the patient's unique bone structure and alignment. This means less damage to surrounding tissues, a better fit, and a faster system also allows doctors to customise the surgery in real-time, adapting the plan to suit the patient's anatomy and motion. For Rajesh, this meant a surgery tailored just for him, not a one-size-fits-all THIS MATTERS FOR INDIAKnee pain and osteoarthritis are becoming increasingly common in India, especially longer lifespans, inactive lifestyles, and many, especially those in their 50s and 60s, it leads to a slow erosion of independence and mobility. This surgery could mark a turning point in how we approach joint replacement in proves that advanced treatment is available right here at home, without needing to travel advancements like cementless implants, robotic precision, and natural-movement designs, patients no longer have to settle for just pain relief, they can aim for a fully active life post-surgery.- Ends

Business Insider
7 hours ago
- Entertainment
- Business Insider
4 sneaker trends that are in this summer and 4 that are out, according to stylists
Sneakerinas are the breakout shoe of the summer. Natalie Tincher, founder and principal stylist at BU Style, said sneakerinas — which combine the comfort and grip of a sneaker with the elegance of a ballet flat — are popular this season. "Some echo Mary Janes with little straps, others are more minimal and slipper-like, but all of them speak to the shift we're seeing toward footwear that's both practical and pretty," the stylist told BI. Tincher said they're perfect for hot days, long walks, and looking effortlessly polished. They also make sense for travel since they're lightweight, easy to slip on and off, and elevated enough to dress up or down. Colorful kicks can instantly add personality to any outfit. Those who like to make a statement are in luck. According to Tincher, bold, colorful sneakers are having a real moment this summer. "Think electric blue, butter yellow, or acid green — shades that bring energy without overwhelming," the stylist told BI. Tincher said these shoes work especially well with neutral or streamlined pieces, letting the color do the talking. Backless sneakers keep things easy and elevated. According to fashion stylist Hailey Genevieve, sneaker mules put a laid-back spin on sporty style. The backless design makes them easy to slip on, while the sneaker sole adds a casual edge that still feels intentional. "They're the perfect 'I don't care but still want to look put together' vibe," she told BI. Metallic sneakers are a surefire way to liven up your look. Patrick Kenger, a personal stylist and image consultant at Pivot, said shiny sneakers are a great way to add a bold twist to casual outfits. "Metallic sneakers, particularly in silver or chrome, are a fun nod to the Y2K-inspired trend while still feeling modern," Kenger said. With retro roots and a polished finish, Kenger told BI these sneakers strike a balance between playful and stylish. On the other hand, all-white sneakers are starting to feel dated. All-white sneakers are a staple in many people's wardrobes, but according to Genevieve, these styles are being replaced by shoes with color, patterns, and textures. For a fresher look, Tincher recommends tonal layers, subtle color blocking, and mixed materials in shades like off-white, sand, or dove gray. Say goodbye to chunky sneakers as slimmer, retro-inspired styles take the spotlight. The oversize, heavy-soled " dad sneaker" has been popular for a few seasons, but according to Kenger, the time has come to update this look. He said the bulky silhouette feels too heavy for the lighter, more streamlined looks trending this summer. For a sleek replacement, the stylist recommends slim retro runners which feel sporty, minimalist, and easier to style. This season favors breathable textures over stiff, all-leather sneakers. Sleek leather styles may be classic, but they don't offer much comfort in the summer heat. For a lighter alternative, Tincher recommends materials like mesh, knit, and rugged canvas. She said textured options like these keep feet cool and add visual interest to a look without feeling too bold. Sneakers with oversize tongues are being replaced by more balanced silhouettes. For a while, exaggerated tongues received all the attention, but according to Kenger, that trend is fading fast. In its place, he said slimmer profile runners with more subdued silhouettes are taking over, offering a cleaner and more versatile look for summer.


AllAfrica
5 days ago
- Business
- AllAfrica
‘Special relationship': preparing Britain and America for new era
The Council on Geostrategy has just launched 'The 'special relationship': preparing Britain and America for a new era' at a roundtable hosted by the US Embassy in London. This paper focuses on the alliance in a time of immense change and we tasked ourselves with providing an honest, non-emotive read out of the state of the alliance, focusing on converging or diverging interests – and not values. Here are our big three take-aways. 1. We still have many convergences: the US and UK broadly agree that the economic trading order has hurt their economies and led to de-industrialization, but they are unclear as to the future direction. Is a Bretton Woods II needed or a G7/D-10 that creates a group of like-minded economic powers as occurred during the Cold War? Certainly, the US has decided on its trajectory and is moving out on that trajectory, but the UK remains uncertain… 2. We have a long-term divergence in terms of theatre priority, the shift of US focus to the Indo-Pacific has been taking place since 2011, when the Pivot was first announced. The UK should not be surprised. This divergence is, we feel, manageable through the framework that the two theatres are 'interconnected' and that what China and Russia each do in those separate theatres impacts both. This is already true in Ukraine and may become true in other areas. 3. We are more concerned about a divergence in threat priority. For many years, the UK has 'muddled through' on China and though the Strategic Defense Review, National Security Strategy, and China Audit all point to a shift in approach, there are strong indicators that this government – like those preceding it – is being careful to manage relations with Beijing carefully as it is seen as a driver for growth. The US shift on Moscow is also of concern to London, which is skeptical of an attempt at a 'reverse Kissinger' in which the US, to counter China, aligns with Russia. We have made a series of recommendations for both sides – particularly on defense industrial cooperation where we see great potential. You may download the full report here. The executive summary follows: Context: While historical foundations and ties have helped to reinforce the 'special relationship' between the United Kingdom (UK) and United States (US), it was common geopolitical interests which bound the two nations together. Chief among these has been to prevent others from dominating the most industrialised and productive regions of Eurasia. As a result, both countries have co-constructed the prevailing international order. Their strength, determination and foresight after the Second World War created alliances and institutions which saw the collapse of the Soviet Union. But the enlargement of that order and the offshoring of manufacturing have empowered adversaries while weakening UK and US strategic industries. Geopolitical changes, especially growing Russian and Chinese aggression, as well as political and strategic changes in Britain and America, have led to fresh questions being asked about the future of the special relationship. Questions this report addresses: What were the fundamental interests which brought the UK and US together, and do they remain cogent? How can the two reinforce convergent interests while simultaneously managing divergent interests? How can policymakers within the two countries redefine the alliance for a new era of geopolitics and revision of the international order? Key findings: In the 2020s, areas of converging interests include: Accepting limits on globalization: This convergence is currently implicit rather than explicit, though both countries recognise the need to rectify the negative impacts which globalisation has had on their own economies and societies. Rising to the geopolitical challenge: Both countries express aspirations of leadership and have shown the will to address systemic challenges, although to differing degrees in their respective theatres. Rebuilding the defense industrial base: Both nations have identified an urgent need to rebuild production capacity and invest in future technologies. Areas of diverging interests include: Theater priority: For the first time in decades, there is a strong possibility that the UK and US will prioritise different regions, with Britain focused primarily on the Euro-Atlantic and America on the Indo-Pacific, though both also retain an interest in the Middle East. Threat precedence: The UK's stance towards the People's Republic of China (PRC) frustrates Washington, while London worries about a softer US approach towards Russia. Cooperation preference: The two countries are somewhat divided on their approach to multilateral institutions, including on climate change and trade arrangements. These areas of divergence notwithstanding, Britain and America have made similar diagnoses of the geopolitical problems they face, even if they are starting to focus on them from different directions. The two nations also share clarity of purpose in many areas: they require closer and continued strategic dialogue to realign growing divergences. One problem, particularly for the UK, is that while US power has surged ahead, the UK, like many other allies, has fallen behind. Britain has a special interest in strengthening itself – economically, diplomatically and militarily – otherwise its voice will weaken in Washington. However, each country is likely to remain the other's most powerful ally well into the 21st century. This necessitates closer cooperation. While the US has other important allies and partners, none of these look set to be more powerful than the UK by the early 2030s, especially if British naval and deterrence capabilities are regenerated. Recommendations: To repurpose the special relationship, the UK and US should: Create a new vision of the future of the international order: Britain and America largely agree on the damage done to their economies and industrial bases by neoliberal economic policies. But they lack a vision and strategy to respond. To chart a way forward with the support of a wider group of key allies, they should: Review the level of rival co-option occurring in existing geoeconomic organisations in order to create new ones where necessary, to deal with trade abuses and to coordinate sanctions more effectively; Explore ways of establishing a new geoeconomic order, designed to reinforce the prosperity and resilience of free and open countries, which seeks to limit the ability of adversaries to compete at the geoeconomic level; Strengthen the alignments between the UK and US scientific and technological bases to generate collaboration on regulations for emerging technologies, such as Artificial Intelligence (AI) and Quantum technologies, behind which like-minded partners can follow. Britain and America largely agree on the damage done to their economies and industrial bases by neoliberal economic policies. But they lack a vision and strategy to respond. To chart a way forward with the support of a wider group of key allies, they should: Plan for a modulated multi-theatre posture: There have been signs from American officials that the US will be far less focused on European security. To mitigate the impact of an American reprioritisation away from Britain's primary theatre, the two governments should: Work together – and within the North Atlantic Treaty Organisation (NATO) – to create a clear timeline for the move of key US assets from Europe to the Indo-Pacific theatre over the next five to ten years. The aim should be to allow the UK and other allies to replace those assets in an orderly manner, rather than during a geopolitical emergency in the future; Prepare for the UK to provide leadership and enhanced deterrence in Europe; Reinforce UK support for US Indo-Pacific Command (INDOPACOM) in the Indo-Pacific; Develop strategic dialogues on the most pressing issues to foster alignment on key national priorities; Forge a better understanding of how and where both nations could contribute to a simultaneous multi-front crisis if one were to materialise. There have been signs from American officials that the US will be far less focused on European security. To mitigate the impact of an American reprioritisation away from Britain's primary theatre, the two governments should: Coordinate military production: There is consensus in both countries that greater defence industrial capacity is needed to deter and contain aggressors. The realisation that adversaries are now fielding Chinese technologies will help shape priorities. The UK and US should: Commit to spend at least 5% of Gross Domestic Product (GDP) on defence by 2030, with 3.5% on military capabilities and 1.5% on strategic infrastructure, as per the recommendation of Mark Rutte, Secretary General of NATO; Ensure that there is clear direction and prioritisation for transatlantic defence industrial collaboration; Prioritise rare earth metal supply chain cooperation; continued PRC control over this vital supply chain is simply not sustainable for future UK-US military industrial expansion and operations; Support efforts which contribute to leadership in critical technologies; Build up the production and co-production of munitions at the bilateral, minilateral and multilateral levels; Cooperate more on co-sustainment, particularly to enable British shipyards to support the US Navy. There is consensus in both countries that greater defence industrial capacity is needed to deter and contain aggressors. The realisation that adversaries are now fielding Chinese technologies will help shape priorities. The UK and US should: William Freer is a research fellow in national security at the Council on Geostrategy in London. John Hemmings, PhD, is deputy director (geopolitics) at the Council on Geostrategy. James Rogers is co-founder (research) at the Council on Geostrategy.
Yahoo
06-06-2025
- Business
- Yahoo
Kara Swisher Says Trump Has Met His Match in Battle With Elon Musk: ‘He Doesn't Mind Chaos'
Kara Swisher, renowned tech journalist and podcast host, weighed in on the ongoing battle between President Donald Trump and Elon Musk, saying the controversial commander-in-chief has met his match with the Tesla CEO. 'I'm not sure Donald Trump has dealt with someone who really is a scorched Earth kind of personality,' Swisher told CNN's Wolf Blitzer and Pamela Brown during a guest appearance. At the time, Pamela asked the 'Pivot' co-host which of the two, between Trump or Musk, has more to lose in their fallout. 'Elon's willing to take a lot of risks,' Swisher continued' 'As you see, he blows up rockets to see which one can work. So he doesn't mind chaos in that regard, in a way that Donald Trump I don't think quite understands.' Swisher's thoughts came as response to Trump and Musk's ongoing spat that started up earlier this week after Musk slammed Trump's 'big, beautiful' spending bill, and follows Musk's exit as Trump's Department of Government Efficiency (DOGE) last week. Since then, Musk argued he's the only reason Trump got elected in the first place and even stated Trump's connected to notorious financier Jeffrey Epstein. In response, but after serving Musk with a bit of the silent treatment, Trump threatened to end Musk's government contracts. Swisher noted Musk, who she says is giving 'Fatal Attraction' vibes, is probably upset that he got booted from the White House, supposing hopes to stay on as the head of DOGE beyond the 130-day period were denied. While Musk's businesses have taken a hit, Swisher said the tech billionaire is locked and loaded for an all-out showdown if triggered. 'Obviously, Elon's lost a lot of money, gained a little bit back. Tesla stock, for example, went way down, $150 billion, and then it rose a little bit more when the idea that it would calm down a little bit. So he's got financial things at stake, but he doesn't care; that's the issue,' Swisher said. She continued: 'They could certainly investigate him, the justice department. There were a bunch of investigations that got quashed. They could un-quash them, I guess. In terms of Donald Trump, [Musk] could just keep up the drumbeat of recession, chaos, overspending. He's got one of the world's biggest platforms. He's one of the world's most famous people, aside of Donald Trump. So this isn't just anybody leading the White House. This is someone who has the ability to do something about it if he feels wronged.' The post Kara Swisher Says Trump Has Met His Match in Battle With Elon Musk: 'He Doesn't Mind Chaos' appeared first on TheWrap.
Yahoo
29-05-2025
- Business
- Yahoo
North downtown development project ‘Alley North' in motion after groundbreaking
OKLAHOMA CITY (KFOR) — A new development intersecting three major areas of downtown Oklahoma City is officially in the works after a groundbreaking Thursday morning. Everything from retail, restaurants and more is the idea coming to NW 13th Street and Broadway Avenue. LOCAL NEWS: Lightning strikes transformer at OKC Fairgrounds' new coliseum It was an empty lot for decades according to Oklahoma City Mayor David Holt, but it's now the site for the vision you see in the renderings. 'We're going to turn this into something really exciting,' Holt said. The transformation plans involve about a dozen or so acres on the northern edge of downtown. The development is being dubbed Alley North and a groundbreaking Thursday morning set it in motion. Officials with the Oklahoma City based real estate developer Pivot said this will be a popular junction connection Automobile Alley, Midtown and the Innovation District. 'Alley North is set to become a mixed-use walkable neighborhood that includes the new Guernsey headquarters, an executive office building, boutique hotel, retail fronting Broadway all centered around a public park,' Candace Baitz with Pivot Real Estate said. Holt said empty lots have been a blight since downtown areas were demolished in the 1960's and 1970's. LOCAL NEWS: Thunder NBA Finals berth highlights Oklahoma City's rise as a 'big league city' 'I'm just always so happy when I can be a part of a groundbreaking or a ribbon cutting where we turn in one of those empty lots or surface parking lots into something beautiful, something productive for the city,' he said. Design firm Guernsey will also have their headquarters in a multi-story building there as well. There's two large open patio areas on that building that they want to be open for community use outside of work hours. Copyright 2025 Nexstar Media, Inc. All rights reserved. This material may not be published, broadcast, rewritten, or redistributed.