Alex S. Johnson interviews Leila Abdul-Rauf

The War Inside the Voice: Leila Abdul‑Rauf Between Calls from a Seething Edge and Andros Insidium

by Alex S Johnson

Leila Abdul‑Rauf has long occupied a singular position in the experimental music landscape, moving fluently through noise, ambient, metal, thrash‑adjacent hybrids, folk‑metal permutations, and avant‑garde vocal architecture. Her recent work unfolds across two closely linked records: Calls from a Seething Edge, released on Cyclic Law in 2024, and the newer Andros Insidium, whose title she describes as a partly invented Latin construction—“andros meaning… the masculine,” while “insidium… I don’t even know if that’s real… sometimes you just got to make something up just to keep it interesting.”

Calls from a Seething Edge is the record that contains “Crimes of the Soul,” a song whose emotional and visual architecture anchors much of the conversation.

Abdul‑Rauf explains that the video was shot by her partner, Gregory Hagen, who “does make an appearance on both that record… Calls from a seating edge, which came out on cyclic law in 2024, and then… he also does a vocal appearance on Andros Insidium.”

The video’s pastoral core was filmed at “a local rose garden here in Oakland… such a hidden gem… a great place to just go and relax… watch the water fountains and all the birds… whatever’s lurking around there.”

That serenity is violently interrupted by war footage edited in by their friend Dave Brenner, who “kind of gave it the grit that… was true to the song.”

Abdul‑Rauf isn’t certain of the exact source of the footage—“you’ll have to talk to him about that”—but suspects “probably Gaza or Lebanon or a combination, Syria… all the recent bombings and things like that.”

The backdrop for Calls from a Seething Edge is explicitly geopolitical. Abdul‑Rauf describes 2024 as “sort of, like, the D‑day for all the… genocides going on,” a time when she began to feel “really… angry and vulnerable in a way that I hadn’t felt quite to that point,” especially in “this… hyper‑surveillance world that we’re living in.”

She became “really anxious… very on edge,” and war moved “to the forefront” of her thinking. Her day job at a psychoanalytic institute—“I do administration, but I’m around psychoanalysts all the time”—inflected the record’s conceptual frame.

For over a decade she has been immersed in a culture that insists, “don’t take everything at face value… really distill it… don’t make these flipped judgments… explore… the most horrible parts of ourselves.”

War, she notes, is “one of the most despicable things about humanity,” yet “going back to early humans, there’s always been war and violence of some kind.”

The record asks, without pretending to answer, whether war is something humanity can ever transcend: “Is war even something that we… can ever be above?… I like to think yes… but…”

One of the songs on Calls from a Seething Edge, “Failure to Fire,” draws on research from the Vietnam War. Abdul‑Rauf recounts studies suggesting that soldiers “weren’t… killing each other… enough,” which led to the use of gas to “incite more violence.”

She connects this to the premise of the film Jacob’s Ladder: “That was the whole premise for the movie Jacob’s Ladder, too… people don’t really want to kill each other… so they had to drug them.”

The song becomes a meditation on the gap between human reluctance and systemic coercion.

Sonically, “Crimes of the Soul” is built from deceptively simple materials. “The structure’s pretty simple,” she says. “I did very simple drum programming… some… deep growly synths… and lots of these lofty kind of vocals.” The second half introduces what sound like “high stringy synths,” but they are in fact trumpet parts “really stretched out… and playing back at different speeds.”

She took a treated horn part from “Summon,” the first track on Calls from a Seething Edge—“there’s another treated horn part at the beginning… that’s drop‑pitched”—and “put it in ‘Crimes of the Soul’ and sped it up… probably 3 or 4 different speeds.”

The result is a harmonic mesh that feels electronic but is “honestly just… acoustic horn, just trumpet… through a microphone… some reverb and some pitch shifting.”

Her approach to gear is deliberately minimal. “You’re very self‑sufficient as far as your gear,” I say.

“Not at all,” she replies. “I feel like I’m the antithesis of techie.” She insists on keeping “the gear as minimal as possible,” explaining, “I can’t wrap my head around these complicated setups with all these pedals… wires everywhere, I get nauseous when I see… I’m impressed when other people do it, but if I had to do it, I would just… freeze.”

The simplicity is in service of performance: she wants to “really get into the vocal performance, the horn performance… interact with the crowd,” especially now that there is “a lot more… challenging singing and… a lot more growling in the sets… a lot more visceral and immediate” than her earlier, more “down tempo” work.

If Calls from a Seething Edge is the war‑haunted, psychoanalytic record, Andros Insidium is the newer, parallel project where Abdul‑Rauf continues to push her voice and compositional strategies.

She notes that many listeners think she “now is going solo,” but clarifies that these projects have been running in parallel for years: “I’ve been doing my solo projects since 2012… Vastum started right before I joined Hammers… and then I started my solo project not much longer after that.”

On Andros Insidium, tracks like “Eros Anima” and “Fractured Body” carry some of her most overtly metal‑inflected and Halford‑inspired vocal lines. “There are a couple moments on… ‘Eros Anima’… where I just get my inner Halford out,” she says. “No one’s gonna say that when they listen to it, but… there’s some vocal melodies where that’s straight up the case.”

“Fractured Body” on Andros Insidium is repurposed from a Vastum song, “Corpus Fractum.” “I just… translated into English ‘Fractured Body’,” she explains. “Instead of the… guitar lead as the vocal lead… the rhythm guitars is the synth… did different drum part… shortened it… took, like, the intro of the Vastum song and made it its own song.”

The ending, built from “sound bites of glass breaking,” is a direct homage to Einstürzende Neubauten’s “Haster Luger”: “At the end of ‘Haster Luger’… there’s just, like, this endless… stream of broken glass. I was like, well, that’s… gotta… give my love to them there as well.”

Her influences form a dense, unconscious archive: “There’s… all kinds. There’s… Einsturzende Neubauten… a little Dead Can Dance, little Skinny Puppy… it’s all there back in… deep in the unconscious.”

One of her most important inspirations is Rob Halford: “I’m a huge Rob Halford fan. Anyone who knows me… knows that.” She has read “both of Rob’s memoirs” and K.K. Downing’s, calling them “all fantastic,” and still describes Judas Priest as “the best heavy metal band in the world.”

Abdul‑Rauf’s personal history adds further layers to her work. She grew up between two religious traditions: an Egyptian Muslim father, an imam, and an Irish Roman Catholic mother from New York.

She spent childhood weekends in a Sufi mosque in Soho, sitting through sermons, listening to the call to prayer, participating in dhikr: “You repeat God’s name… whirling around… almost passing out from these recitations.”

She recalls “all the call to prayer… it just kind of works its way in,” and notes that these sounds later resurfaced in her solo work.

Her band history is equally rich. Amber Asylum, Hammers of Misfortune, Vastum, Saros—each marks a different phase.

She describes joining Hammers after playing with Sigrid in Amber Asylum: “We had had a couple of years already… touring together… and then she invited me to join Hammers… I said, oh, okay, well, it’s Sigrid, I love playing with Sigrid.”

Hammers, she notes, is “John’s… basically his solo project brought to life in a band,” and her role was to “support… his ideas… guitar‑wise and vocal‑wise.”

Vastum, formed with Dan and others, continues: “At this point, it’s just me and Dan… we’ve been writing another record.” Her long partnership with Sam Foster—“the drummer of… Saros… who used to be in Weakling”—extends across projects: “He’s all over my last two solo albums… hand percussion… he’s done videos… all the photography… that’s all… he did all of that… that’s like an almost 25‑year relationship… he’s been such a big part of my life creatively.”

Touring has become increasingly strategic. Abdul‑Rauf outlines an upcoming East Coast solo tour with dungeon‑synth artist Vela Straz, describing the genre’s cosplay, masks, swords, chainmail, and 1980s keyboards: “It’s a whole thing.” The aesthetic appeals to her, and the economics make sense: “Touring with a band now is a total racket… too expensive… solo is more worth your while.”

Her sets now feature “a lot more growling… a lot more visceral and immediate” energy, even as she maintains dynamic range.

Her perspective on heavy music’s evolution is grounded in experience. She notes shifts in production—“hyper‑compressed guitar tones,” “drum triggers,” “homogenized growls”—and the explosion of global diversity in metal scenes, from blackgaze and shoegaze‑metal hybrids to internationalized extreme music.

She also gestures toward the intellectual currents behind punk and metal, mentioning Marxism, socialism, and situationism, and referencing a friend who “wrote a whole book on situationism in punk rock.”

When asked about advice for women in extreme music, Abdul‑Rauf answers with warmth and pragmatism: “Play with good people… collaborate with true friends… diversify creatively… avoid burnout.” She emphasizes the importance of long‑term artistic relationships: “If you play with good people, they’re gonna be in your life for a long time.”

Across Calls from a Seething Edge and Andros Insidium, Abdul‑Rauf’s work reveals an artist who moves fluidly between genres, cultures, histories, and emotional registers, creating music that is as intellectually rigorous as it is sonically visceral.

Her records are not simply fusions of influence; they are the lived expression of a life shaped by war, ritual, rebellion, psychoanalytic inquiry, and relentless creative curiosity.

Poetry from Olive Springman

Unmoving creatures

Is famous to bosom 

As poet is to illiterate 

Opposite and therefore unimportant? 

Tethered and territorial 

Unwavering appendages 

Unmoving creatures

Are we these bright dead things? 

You can find us among these bright dead things.

You can find me under the shade of a weeping willow contemplating the radical nature of life 

And floating through a checkerboard wormhole 

You can find me in surrealist wonderland 

Reading these melting clocks and floating apples

You can find me where the wild things are 

I am militant 

I am militantly insane 

I am responsible in preserving the insanity and not letting it slip into deadbeat normalcy 

Even when I can feel myself 

Inching closer

To that not so distant beige and fluorescent world 

Made in the USA 

Oh say can you see 

Me 

Surrendering myself to the wrath of the media 

The land of the 

Control 

Alt 

Delete 

The mind 

Copy paste 

Duplicate 

Patriotic clones

And the home of the free

From the burden of having a vibrant imagination 

God bless America

God bless poets

We are these unmoving creatures 

Essay from Kamolabonu Inomova

THE ROLE OF ARTIFICIAL INTELLIGENCE IN THE EARLY DETECTION OF STROKE

Kamolabonu R. Inomova

Andijan State Medical Institute, Andijan, Uzbekistan

E-mail: inamovak17@gmail.com

ORCID: 0009-0005-4285-4578

Abstract

Stroke is a leading cause of death and long-term disability worldwide. In acute ischemic stroke, timely diagnosis and treatment are critical because the probability of tissue salvage decreases as cerebral ischemia progresses. The principle of “time is brain” therefore underlies modern acute stroke management, particularly when reperfusion therapy is being considered. Recent advances in artificial intelligence (AI), machine learning, and deep learning have created new opportunities to support rapid and standardized interpretation of neuroimaging data.

This review examines the role of AI in the early detection and triage of acute stroke, with particular emphasis on neuroimaging. Current applications include the automated detection of intracranial hemorrhage and ischemic abnormalities on non-contrast computed tomography (NCCT), identification of large-vessel occlusion (LVO) on computed tomography angiography (CTA), automated assessment of the Alberta Stroke Program Early CT Score (ASPECTS), and quantitative analysis of perfusion and magnetic resonance imaging (MRI) data. The potential advantages of AI include rapid image processing, automated alerts, standardized assessment, and support for time-sensitive clinical workflows. However, important limitations remain, including variability in algorithm performance, dataset bias, technical artifacts, false-positive and false-negative results, limited external validation, and uncertainty regarding the effect of AI implementation on patient-centered outcomes.

Current evidence indicates that AI is most appropriately considered a clinical decision-support technology rather than an autonomous diagnostic system. In particular, AI-assisted detection of LVO may improve communication and workflow efficiency and may reduce delays to treatment, although evidence that AI itself improves functional outcomes remains limited. Appropriate external validation, transparency, data protection, and continued physician oversight are therefore essential for safe clinical implementation.

Keywords: stroke; acute ischemic stroke; artificial intelligence; machine learning; deep learning; neuroimaging; computed tomography; CT angiography; CT perfusion; magnetic resonance imaging; large-vessel occlusion; early diagnosis.

Introduction

Stroke is an acute neurological disorder caused by disruption of cerebral blood flow and is broadly classified as ischemic or hemorrhagic. Ischemic stroke occurs when cerebral arterial blood flow is interrupted, most commonly because of thrombotic or embolic occlusion, whereas hemorrhagic stroke results from rupture of a blood vessel and subsequent bleeding within or around the brain.

Acute ischemic stroke is a time-sensitive medical emergency. The extent of irreversible brain injury generally increases with prolonged cerebral ischemia, making rapid recognition, neuroimaging, and selection of appropriate reperfusion therapy fundamental components of acute stroke care [1,2].

Neuroimaging plays a central role in determining the nature and extent of cerebral injury. Non-contrast computed tomography (NCCT) is widely used in the initial assessment because it can rapidly identify intracranial hemorrhage and provide information about early ischemic changes. CT angiography (CTA) is used to evaluate intracranial and extracranial vessels and identify large-vessel occlusion, while CT perfusion (CTP) and MRI can provide additional information regarding tissue viability and the extent of ischemic injury.

Despite major advances in stroke imaging, interpretation remains subject to time constraints, workload, differences in expertise, and the complexity of multimodal imaging datasets. These challenges have stimulated interest in AI-based technologies capable of rapidly analyzing large volumes of imaging data and providing standardized decision-support information [3,4].

Artificial Intelligence in Neurology

Artificial intelligence refers to computational methods designed to perform tasks that typically require human cognitive abilities, including pattern recognition, classification, prediction, and decision support.

Machine learning is a major branch of AI in which algorithms learn statistical patterns from datasets. Deep learning, particularly convolutional neural networks (CNNs), uses multiple layers of artificial neural networks to extract increasingly complex features from data. These approaches are particularly suitable for medical imaging because they can analyze high-dimensional image datasets without requiring every relevant feature to be manually defined.

In acute stroke care, AI has been investigated for several applications, including:

  • detection of intracranial hemorrhage;
  • detection and quantification of ischemic lesions;
  • identification of large-vessel occlusion;
  • automated or assisted ASPECTS assessment;
  • estimation of infarct-core volume;
  • analysis of perfusion imaging;
  • segmentation of abnormal brain tissue;
  • workflow and stroke-team notification;
  • clinical and functional outcome prediction [3–5].

The strongest current clinical application is in imaging-based triage, particularly the rapid detection of LVO and other time-critical abnormalities.

Neuroimaging and Early Stroke Detection

The primary objectives of acute stroke imaging are to distinguish ischemic from hemorrhagic stroke, identify the extent of established brain injury, detect vascular occlusion, and determine whether advanced imaging findings support reperfusion treatment.

Non-contrast CT

NCCT is commonly the first-line imaging examination in patients with suspected acute stroke. Its rapid acquisition and widespread availability make it particularly useful in emergency settings. Intracranial hemorrhage can often be identified rapidly, which is essential because hemorrhage and ischemia require fundamentally different treatment strategies.

AI algorithms can analyze NCCT scans and flag findings suspicious for intracranial hemorrhage or early ischemic change. Such systems may assist radiologists and stroke physicians by prioritizing examinations requiring urgent review [3].

However, AI should not be interpreted as a replacement for expert image assessment. Subtle lesions, motion artifacts, atypical presentations, and technical differences between scanners may affect algorithmic performance.

CT Angiography and Large-Vessel Occlusion

LVO is an important cause of severe acute ischemic stroke and is particularly relevant because eligible patients may benefit from mechanical thrombectomy. Rapid identification of LVO is therefore a major component of modern stroke triage [2,5].

AI-based CTA analysis can assist in detecting occlusion of major intracranial arteries. Earlier systematic reviews demonstrated the feasibility of machine-learning approaches for automated LVO detection, while more recent evidence has continued to support their diagnostic potential [4,5].

AI systems may also generate automated notifications to stroke teams when an LVO is suspected. This can reduce communication delays and facilitate transfer or activation of endovascular treatment pathways.

Nevertheless, diagnostic performance varies according to the vascular territory and algorithm. Detection of distal occlusions, smaller-vessel lesions, and posterior circulation occlusions may remain challenging [6]. Therefore, an AI alert should prompt expert review rather than automatically determine treatment.

Automated Assessment of ASPECTS

The Alberta Stroke Program Early CT Score (ASPECTS) is a standardized scoring system used to estimate the extent of early ischemic change in the middle cerebral artery territory on NCCT.

AI-based systems can assist in the automated identification of regions affected by early ischemic change and provide an estimated ASPECTS. This may reduce interobserver variability and provide standardized quantitative information during time-critical assessment [3,4].

However, automated ASPECTS estimation may be affected by image quality, anatomical variation, pre-existing abnormalities, and segmentation errors. Consequently, AI-derived ASPECTS should be considered supportive information and interpreted in conjunction with the clinical examination and expert neuroimaging assessment.

CT Perfusion and Estimation of the Infarct Core

CT perfusion provides quantitative information about cerebral hemodynamics and may help distinguish established infarcted tissue from hypoperfused tissue that may remain potentially salvageable.

AI can facilitate automated processing of perfusion datasets, calculation of perfusion parameters, and segmentation of regions of abnormal perfusion. These capabilities may be particularly useful when symptom onset is unknown or when patients present beyond conventional early treatment windows and advanced imaging is used for treatment selection [2,3].

However, automated perfusion maps can be affected by motion, poor contrast bolus, incorrect arterial or venous input selection, and other technical factors. Automated estimates should therefore be reviewed for plausibility and interpreted within the clinical context rather than treated as definitive measurements.

MRI and Artificial Intelligence

MRI provides highly sensitive imaging of acute ischemic injury. Diffusion-weighted imaging (DWI), particularly when interpreted together with apparent diffusion coefficient (ADC) maps, is highly useful for identifying acute ischemic lesions.

AI techniques have been investigated for automated lesion detection, segmentation, volume estimation, and quantitative analysis of DWI and perfusion-weighted imaging data [7].

Despite these advantages, MRI may be less suitable than CT as the initial emergency imaging modality in some settings because of longer acquisition times, limited availability, contraindications, and the need for appropriate patient monitoring.

AI-Assisted Clinical Decision-Making

The principal clinical value of AI in acute stroke is its ability to support—not replace—clinical decision-making.

A simplified AI-assisted workflow can be represented as:

Patient presentation → clinical assessment → neuroimaging → AI-assisted analysis → identification of suspected pathology → automated notification → expert review → treatment decision.

This approach is particularly relevant to LVO stroke, where delays in recognition and communication can affect the speed of endovascular treatment.

Evidence from systematic reviews indicates that AI-supported LVO detection can improve workflow efficiency and reduce certain treatment delays. However, recent evidence suggests that improved workflow does not necessarily translate into improved functional outcomes or reduced mortality [8,9]. Therefore, the clinical benefit of AI should be evaluated not only by diagnostic accuracy but also by its effect on meaningful patient outcomes.

Advantages of Artificial Intelligence in Acute Stroke Care

The potential advantages of AI include:

  1. Rapid image analysis: large imaging datasets can be processed within seconds or minutes.
  2. Automated notification: suspected LVO or intracranial hemorrhage can trigger rapid alerts.
  3. Standardization: algorithmic analysis may reduce some forms of interobserver variability.
  4. Workflow optimization: automated triage may reduce delays between imaging, communication, and treatment.
  5. Decision support: quantitative imaging information may complement clinical assessment.
  6. Scalability: AI-based tools may assist healthcare systems with limited access to specialist neuroradiology expertise.

Limitations and Challenges

Despite substantial progress, several limitations restrict the widespread implementation of AI in acute stroke care.

Dataset Bias and Generalizability

AI algorithms depend on the quality and representativeness of the datasets used for development and validation. Differences in patient populations, imaging protocols, scanner manufacturers, disease prevalence, and clinical workflows may affect performance when an algorithm is transferred to a new healthcare environment.

False-Positive and False-Negative Results

No AI system is perfectly accurate. False-positive results can generate unnecessary alerts and increase workload, whereas false-negative results may potentially delay recognition of a treatable lesion.

Explainability

Some deep-learning models provide highly accurate predictions without clearly explaining how a particular conclusion was reached. Limited interpretability may reduce clinician confidence and complicate regulatory and medico-legal considerations.

External Validation

High performance in a development dataset does not necessarily guarantee equivalent performance in routine clinical practice. Independent external validation across multiple institutions and populations is therefore essential.

Clinical Outcomes

One of the most important limitations is the distinction between diagnostic performance and patient benefit. AI may accurately detect LVO or improve workflow metrics without necessarily improving functional independence or survival. Recent meta-analytic evidence supports this distinction: AI-assisted LVO detection has been associated with faster treatment workflows, but improvement in clinical outcomes has not been consistently demonstrated [8,9].

Data Protection and Cybersecurity

The use of AI requires processing potentially sensitive medical information. Patient confidentiality, secure data storage, cybersecurity, and appropriate governance are therefore essential components of responsible implementation.

Future Perspectives

The future of AI in stroke care is likely to involve multimodal systems that integrate imaging, clinical findings, laboratory data, and electronic health-record information.

Such systems may eventually support individualized treatment selection, prediction of functional recovery, identification of patients at high risk of recurrent stroke, and optimization of rehabilitation strategies.

Integration with telemedicine may be particularly valuable in regions where specialist stroke and neuroradiology services are limited. AI could assist remote clinicians in prioritizing patients who require urgent specialist evaluation or transfer.

However, future development should focus not only on improving algorithmic accuracy but also on clinical validation, transparency, interoperability, fairness, cybersecurity, and demonstrable improvements in patient-centered outcomes.

Conclusion

Artificial intelligence has become an important emerging technology in acute stroke imaging and triage. Current applications include automated detection of intracranial hemorrhage, identification of early ischemic abnormalities, LVO detection on CTA, assisted ASPECTS assessment, and quantitative analysis of perfusion and MRI data [3–5].

The greatest current clinical potential of AI lies in accelerating image interpretation, facilitating communication, and optimizing time-sensitive stroke workflows. In particular, AI-assisted LVO detection may reduce delays between imaging and endovascular treatment. Nevertheless, improved workflow or diagnostic accuracy should not automatically be interpreted as proof of improved patient outcomes.

AI should therefore be implemented as a clinical decision-support technology, with final diagnostic and therapeutic decisions remaining under the responsibility of appropriately trained healthcare professionals.

The most promising model for the future of AI-assisted stroke care is not replacement of physicians, but human–AI collaboration. Properly validated and responsibly implemented AI systems may improve the speed, consistency, and efficiency of stroke diagnosis while allowing clinicians to retain responsibility for individualized patient care.

References

1. Campbell B.C.V., De Silva D.A., Macleod M.R., et al. Ischaemic stroke. Nature Reviews Disease Primers. 2019;5:70. doi:10.1038/s41572-019-0118-8.

2. Powers W.J., Rabinstein A.A., Ackerson T., et al. Guidelines for the Early Management of Patients With Acute Ischemic Stroke: 2019 Update to the 2018 Guidelines. Stroke. 2019;50(12):e344–e418. doi:10.1161/STR.0000000000000211.

3. Soun J.E., Chow D.S., Nagamine M., Takhtawala R.S., Filippi C.G., Yu W., Chang P.D. Artificial Intelligence and Acute Stroke Imaging. American Journal of Neuroradiology. 2021;42(1):2–11. doi:10.3174/ajnr.A6883. (PubMed)

4. Murray N.M., Unberath M., Hager G.D., Hui F.K. Artificial intelligence to diagnose ischemic stroke and identify large-vessel occlusions: a systematic review. Journal of NeuroInterventional Surgery. 2020;12(2):156–164. doi:10.1136/neurintsurg-2019-015135. (PubMed)

5. Shlobin N.A., Baig A.A., Waqas M., et al. Artificial Intelligence for Large-Vessel Occlusion Stroke: A Systematic Review. World Neurosurgery. 2022;159:207–220.e1. doi:10.1016/j.wneu.2021.12.004. (PubMed)

6. Luijten S.P.R., Wolff L., van der Lugt A. The True Potential of Artificial Intelligence for Detection of Large-Vessel Occlusion: The Role of M2 Occlusions. American Journal of Neuroradiology. 2021;42(7):E46. doi:10.3174/ajnr.A7111.

7. Ben Salem D., et al. Applications of artificial intelligence for DWI and PWI data processing in acute ischemic stroke: Current practices and future directions. Clinical Imaging. 2022. doi:10.1016/j.clinimag.2021.09.015. (PubMed)

8. Detection of large vessel occlusion using artificial intelligence tools: a systematic review and meta-analysis. American Journal of Neuroradiology. 2025. (PubMed)

9. Susanti L., Cuandra K.N., Tristan C.D., et al. Diagnostic Test Accuracy of Artificial Intelligence in Large Vessel Occlusion: A Systematic Review and Meta-Analysis. Neurology Research International. 2026;2026:5709868. doi:10.1155/nri/5709868. (PubMed)

10. Yedavalli V.S., Tong E., Martin D., Yeom K.W., Forkert N.D. Artificial intelligence in stroke imaging: Current and future perspectives. Clinical Imaging. 2021;69:246–254. doi:10.1016/j.clinimag.2020.09.005. (PubMed)

11. Nogueira R.G., Jadhav A.P., Haussen D.C., et al. Thrombectomy 6 to 24 Hours after Stroke with a Mismatch between Deficit and Infarct. New England Journal of Medicine. 2018;378(1):11–21. doi:10.1056/NEJMoa1706442.

12. Albers G.W., Marks M.P., Kemp S., et al. Thrombectomy for Stroke at 6 to 16 Hours with Selection by Perfusion Imaging. New England Journal of Medicine. 2018;378(8):708–718. doi:10.1056/NEJMoa1713973.

Poetry from Kushi Nanayakkara

The Poem of Peace and Love

Fumes of grey drew ghosts on the sky,

Once a sapphire canvas now painted with cries.

A lone pearly dove flew above the ruins.

A wandering poet saw peace among the chaos. 

The rubbles and echoes felt unseen for a while. 

As the poet followed the dove with a forgotten smile. 

Line by line a poem weaved on the way.

A hopeful light, a bridge over where night lay.

The dove descended on to a hanging block.

Pointed its beak towards the rubbles below. 

The poet gazed, seeing a crumpled  up book,

Took out a pen, the poet treasured through high and low.

Sat down on the stones, the marks of the violence. 

weaved the poem of peace in scared silence.

The poet slowly tied the poem on the dove.

And watched it carried the poem of peace and love.

Loveless Humanity

Widowed ‘Humanity’ walked on the road.

Witnessing people breezed right pass through.

Unseen, Unheard, Unfelt, Unmoved.

She was bewildered, Had she became a ghost?

‘Empathy’ and ‘Sympathy’ joined later on,

Still no one noticed their pearly glow.

The world carried on, soulessly happy, 

Chasing the mist of greed and money, 

‘Kindness’ laid on the road, long gone.

Her stench drew no trails of tears.

‘Honesty’ bled, her dress was stained. 

‘Empathy’ and ‘Sympathy’ lost it and fell.

‘Humanity’ unwillingly moved on the road.

Another pearl dress splayed on the floor.

People stood around, singing “Peace lives on”.

While ‘Peace’ laid there distorted and crushed.

At last ‘Humanity’ stumbled and dropped.

Only the nature witnessed this mournful crime.

People walked by laughing hallow croaks.

As six corpses decayed, Unseen, Unmoved. 

Wishes of the Children

A child watching other children play,

Laughing, running, in a joyous day.

The child looks at his hands in dismay,

Carrying bags of trash every day.

He looks at the clothes of the others.

Bright colours fashioned with animals. 

While his shows, his bones through tatters, 

Worn and torn, never whole only holes.

He gazes at the parents watching their kids,

Twinkles in their eyes, glowing golden skins.

He wonders where his own, on or under the grass?

Yet he smiles instead, A hope is all he needs.

The playing kids saw him with all the bags,

Wondering of his strange bags and clothes.

Yet ‘come, let’s play’ waves the angelic kids,

Their hearts so pure, Yet the boy hesitates.

One mother got up, coming towards his way,

He prepares to run, but her smile stops his day.

‘Hey, wanna join them?’ She asks lovingly,

The boy slowly nods, Wondering is it a dream or reality?

In life, every child deserves a peaceful life.

It shouldn’t be a dream or a case in the courts. 

Only love and care, every child wishes in life. 

And nothing should ever, deny that from their lives.

Kushi Nanayakkara is a Sri Lankan born poetess who brings nature, human experiences, and creativity together through poetry. She studied Graphic Design/Information Technology before finding her way into poetry in 2020.

Her work often revolves around themes such as nature, art, life, love, mind, death, philosophy, and social themes such as justice and humanity. Her poetry was featured in literature websites in USA and India and newspapers in Sri Lanka and Bangladesh. Her poetry was also published in poetry anthologies and magazines in India, Iraq, USA and the Philippines. Her sincere wish is to inspire hearts to stay creatively conscious and continue refining her craft. 

Poetry from Dr. Muhammad Ishaq Abbasi, translated from Urdu by Neelum Waqar

Written by Dr Muhammad Ishaq Abbasi 

PAKISTAN 

Translated from Urdu by Neelum Waqar

PAKISTAN 

A Summer Evening In The Nature 

One summer evening, warm and bright,

I climbed a hill at fading light.

The day was hot, the air was dry,

And dust had settled near my eye.

Around me stood the forest trees,

They danced and swayed in gentle breeze.

The jambolan fruits hung dark and sweet,

A lovely gift for me to eat.

I picked the fruits with happy care,

And tasted nature’s goodness there.

Their juicy flavor, cool and fine,

Brought strength and joy to heart of mine.

A cuckoo sang upon a tree,

Its pleasant song delighted me.

The monkeys jumped from limb to limb,

While evening light was growing dim.

A peacock spread its feathers wide,

And walked with beauty, grace, and pride.

Then clouds appeared across the sky,

And little raindrops floated by.

The rain refreshed the thirsty land,

Like magic from the Maker’s hand.

My thoughts became so calm and clear,

And every worry disappeared.

Nature teaches us every day,

To love, be thankful, and obey.

Its beauty fills each heart with cheer,

And makes our world more bright and dear.

Translated 

عنوان ۔فطرت کی ایک گرم شام

ایک گرم اور روشن شام تھی،

میں ڈھلتی ہوئی روشنی میں ایک پہاڑی پر چڑھا۔

دن بہت گرم تھا، ہوا خشک تھی،

اور گرد نے میری آنکھوں کے قریب ڈیرہ ڈال رکھا تھا۔

میرے چاروں طرف جنگل کے درخت کھڑے تھے،

جو نرم و خنک ہوا میں جھوم رہے تھے۔

جامن کے پھل گہرے سیاہ اور میٹھے تھے۔

قدرت کی طرف سے میرے لیے ایک خوب صورت تحفہ تھے۔

میں نے خوشی خوشی پھل توڑے

اور وہیں قدرت کی نعمت کا ذائقہ چکھا۔

ان کا رس بھرا، ٹھنڈا اور عمدہ ذائقہ

میرے دل میں طاقت اور خوشی بھر گیا۔

ایک درخت پر کوئل گنگنا رہی تھی،

اس کی دلکش آواز نے مجھے بہت خوش کیا۔

بندر ایک شاخ سے دوسری شاخ پر اچھل رہے تھے،

جبکہ شام کی روشنی آہستہ آہستہ مدھم ہو رہی تھی۔

ایک مور نے اپنے خوب صورت پر پھیلا دیے،

اور حسن، وقار اور شان سے چلنے لگا۔

پھر آسمان پر بادل چھا گئے،

اور ننھی ننھی بوندیں برسنے لگیں۔

بارش نے پیاسی زمین کو تازگی بخش دی،

جیسے خالق کے ہاتھ سے کوئی جادو برس رہا ہو۔

میرے خیالات پرسکون اور صاف ہو گئے،

اور میری ہر پریشانی جیسے کہیں کھو گئی۔

قدرت ہمیں ہر روز یہ سبق سکھاتی ہے

کہ محبت کریں، شکر گزار رہیں اور فرمانبرداری اختیار کریں۔

اس کی خوب صورتی ہر دل کو خوشی سے بھر دیتی ہے،

اور ہماری دنیا کو مزید روشن اور پیارا بنا دیتی ہے۔

Poetry from Yeon Myung-Ji

The Ark

Maori warriors flattened the lands won through bloodshed

and named it the South Island.

When the giant bustard flapped its wings,

the roots of the grassland trembled even in the wind.

On New Zealand’s earthquake island, isolated at 00:02,

three white-faced cows.

This tiny island of earth, where everything collapsed leaving only just enough,

is it God’s planned ark?

Counting toward infinity, then snap, short by the number 3.

Into that very plan, God drags the three cows.

The crumbling and cracking vast land is no longer a pasture for the cattle.

Like those times, excluded from the game of hopscotch at dusk,

the abandoned herd of cows.

The cows, puzzled by the suddenly narrowed field, comfort one another.

The cows can no longer go up

nor go down; nibbling on grass, they are peaceful for now.

The cows do not know God,

yet calmly, they rub their flanks together and graze.

That silent endurance of the cows.

Every crack in the world is a tear shed by God.

Seventeen-Year-Old Miss Marco Polo Sheep

By Yeon Myung-ji

Miss Marco Polo Sheep of the Pamir Mountains loved almond blossoms

and was an aspiring singer

who sang along to K-POP.

An aspirant,

what a beautiful occupation.

Riding the rhythm on the breath of the wind,

an aspirant walking the grassland.

She loves the wild goat

that endured the winter, tightly chewing on festuca grass.

The beasts of winter

must be winter aspirants.

The ghost of the snow mountains, the snow leopard,

must be a snow aspirant.

When you lie face down on the grassland, the grass sways,

and when you flip over the back of a stone, fish swim—

the aspirants of nature.

Only when a river flows from the belly

does the voice break through, says Miss Marco Polo Sheep.

Even if bitten on the nape and blood flows,

the song of the idol goat cannot be given up.

The pop song, which claimed that when the snow melts,

the leopard would melt too,

was plagiarism anyway.

The moonlight darkens,

and the snow leopard of Pamir, a high and desolate land,

drags its long tail across the ridge—

the ghost of the alpine.

The aspirant of a fairy tale,

caught off guard by the seventeen-year-old Miss Marco Polo Sheep.

Profile
Poet Yeon Myung-ji began her literary career in 2013 with the poetry collection 『Gashibi』, published in the Minerva Poetry Series.

Her published works include the poetry collections 『Sitting Like an Apple』 and 『Where would the House of the Sorry’ be? 』 the e-poetry collection 『Seventeen Marco Polos,』 and the travel essay 『Step by Step, Walking the Camino.』She has received the Tolstoy Literary Award, the Homi Literary Award, the Cheongsong Gaekju Literary Award, and the Aviation Literary Award. In 2025, she was awarded the Bronze Prize in Poetry at the Literature Asia Awards, Grand Prize Winner,9th Kim Myung-bae Literary Award.

Her poems have been translated and published in local languages in India, Pakistan, Kosovo, Italy, Egypt, the United States, and Belgium, Greece, UK, and Germany.

Poetry from J.J. Campbell

————————————————————

the urge to start smoking again

its the hum of the factories

at three a.m. while i’m on

the back porch fighting the

urge to start smoking again

half this country is stupid

and half of that is on fire

cancer took another

sweetheart

but to be honest,

all of us are just

biding our time

another scam phone call

go find a job just to keep

the cheapest insurance

possible

of course, you need a

master’s degree to work

a broom

walk the earth

find a cemetery in

new orleans

watch the rain bring

out your favorite

demons

spend the night dancing

with a man in a dress

who knows what will

be slipped into your

drink

—————————————————

true love

i got the alert on my phone

another murder/suicide

i clicked the link

87 year old man shot his 85

year old wife, suffering from

dementia, then shot himself

in the head

in the process he called his

daughter and told her what

he had done

she called 911

as i read the story, i told

my mother this was an

act of love

not allowing his wife to

suffer anymore, true love

most people don’t understand

or ever experience it

but when someone you deeply

care for and love are struggling

to survive…

if death doesn’t cross your

mind you are not human

the cops called today

a tragedy

i figure they are pissed they

now have paperwork to do

—————————————————–

emoji

i get the random

email from an old

girlfriend every

blue moon or so

not sure if she

wants to get

back together

or brag about

how good her

life is now

without me

i don’t speak

emoji

too old for that

shit

i do understand

middle fingers

and tires peeling

out after an

argument

no chance any

of that shit gets

misunderstood

———————————————

storm clouds

she was a mystery,

a riddle, a ray of

sunshine in a world

of storm clouds

an empty glass

falling from the

kitchen table

a plate of pasta

hitting the wall

no love without

anger

no peace without

war

she once told me

she would love me

forever right before

she married someone

else

i guess the letters

have been lost

in the mail

—————————————————–

more pain and certainty

woke the other morning

to charlie parker

it quickly reminded me

of my twenties,

just less women and drugs

and more pain and certainty

a young beauty dies at just 36

and the world keeps on turning

into an endless death spiral

of shit

no one wants to love anymore

and my friends think i should

start writing romance novels

i’m more likely to buy a gun

and start writing a different

kind of romance novel

not sure anyone actually

wants that

run out the clock

make something

for dinner

all the important people

are in your head

listen to the laughter

and get some fucking

sleep


J.J. Campbell (1976 – ?) is a 3 time Best of the Net nominee and a two-time Pushcart Prize nominee. He’s been widely published over the last 30 plus years, most recently at The Beatnik Cowboy, Drinkers Only, Mad Swirl, The Rye Whiskey Review and Yellow Mama. His most recent book, to live your dreams, published by Whiskey City Press, is available at Amazon by going here: https://a.co/d/093fvaAO

J.J. Campbell

https://evildelights.blogspot.com

https://goodreads.com/jjthepoet