Health

A First: New Guidelines Back Device for Treating Strokes

Published

9 years ago

June 30, 2015

This undated photo provided by Covidien, part of Minneapolis-based Medtronic Inc., shows their stent used to clear blood clots in the brain that cause strokes. The American Heart Association has endorsed using removable stents to open clogged arteries causing a stroke. It’s the first new stroke treatment to be backed by the group in nearly 20 years and the first device ever recommended for this purpose. (Stan Sholik/Covidien, Medtronic, via AP)

MARILYNN MARCHIONE, AP Chief Medical Writer

Many stroke patients have a new treatment option — if they seek help fast enough to get it. New guidelines endorse using a removable stent to open clogged arteries causing a stroke.

The guidelines, issued Monday by the American Heart Association, are the first time the group has recommended a device for treating strokes, and it’s the first new stroke treatment in two decades to win the group’s strongest backing. The federal government no longer issues guidelines like these, so the Heart Association’s advice clears the way for more doctors to offer the treatment.

“It is pretty exciting,” and many patients will benefit if they seek help when symptoms first appear, said the head of the guidelines panel, Dr. William J. Powers, neurology chief at the University of North Carolina at Chapel Hill.

Most of the 800,000 strokes in the U.S. each year are caused by a blood clot lodged in the brain. The usual treatment is a clot-dissolving medicine called tPA, and it remains the first choice.

But the drug must be given within 4½ hours after symptoms start, and most people don’t seek help in time. The drug also fails to work in one or two of every four cases, Powers said.

The device is called a stent retriever. It’s a tiny mesh cage that is pushed through a tube into a blood vessel and guided to the clot, like the stents long used to treat blocked heart arteries. But unlike heart stents, which are left in place to prop the artery open, brain stents trap the clot and are removed with it.

Earlier this year, several major studies found these devices dramatically cut the risk of death or disability in people whose clots persisted after treatment with tPA.

The guidelines say these patients now can be treated with a stent retriever if it can be done within six hours of symptom onset, they have a severe stroke caused by a clot in a large artery, and have brain imaging showing that at least half of the brain on the side of the stroke is not permanently damaged.

The benefit of stent retrievers beyond six hours, or for people not treated first with tPA, is unknown.

“We think it probably works in some of them but we just don’t have the hard evidence” to recommend it, Powers said.

Where patients seek help matters. Only major stroke centers can do the technically difficult procedure with stent retrievers.

Two brands are sold in the U.S. — Trevo, made by Stryker Corp. of Kalamazoo, Michigan, and Solitaire, made by Covidien, now part of Minneapolis-based Medtronic Inc.

Medtronic and Covidien help sponsor an American Heart Association/American Stroke Association program aimed at helping people recognize stroke symptoms — sudden onset of any of these: numbness or weakness on one side, severe headache with no known cause, confusion, and trouble walking, speaking or seeing.

But the companies had no role in shaping the guidelines. Two of the 19 experts involved in the guidelines have consulted for device makers.

___

Online:

Guideline: http://my.americanheart.org/statements

Stroke info: http://stroke.nih.gov/

and http://www.strokeassociation.org

___

Marilynn Marchione can be followed at http://twitter.com/MMarchioneAP

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Activism

LIVE! — TOWN HALL ON RACISM AND ITS IMPACT — THURS. 11.14.24 5PM PST

Join us for a LIVE Virtual Town Hall on the Impact of Racism hosted by Post News Group Journalist Carla Thomas and featuring Oakland, CA NAACP President Cynthia Adams & other Special Guests.
Thursday, November 14, 2024, 5 p.m. – 6:30 p.m. PST

Published

1 week ago

November 12, 2024

Oakland Post

Discussion Topics:
• Since the pandemic, what battles have the NAACP fought nationally, and how have they impacted us locally?
• What trends are you seeing concerning Racism? Is it more covert or overt?
• What are the top 5 issues resulting from racism in our communities?
• How do racial and other types of discrimination impact local communities?
• What are the most effective ways our community can combat racism and hate?

Your questions and comments will be shared LIVE with the moderators and viewers during the broadcast.

STREAMED LIVE!
FACEBOOK: facebook.com/PostNewsGroup
YOUTUBE: youtube.com/blackpressusatv
X: twitter.com/blackpressusa

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California Black Media

Gen. Election Update: Tracking Your Votes on Ballot Propositions — and What They Mean for Our Communities

In the Nov. 5 General Election, Californians cast their votes on ten propositions addressing issues from education and climate funding to prison labor and the minimum wage.

Published

2 weeks ago

November 6, 2024

Oakland Post

By Joe W. Bowers Jr., California Black Media

In the Nov. 5 General Election, Californians cast their votes on ten propositions addressing issues from education and climate funding to prison labor and the minimum wage.

Below is a breakdown of the propositions, their potential impact and an update on how we voted on them.

Likely to Pass:

Proposition 2: Bonds for Public School and College Facilities
With 56.7% support, Prop 2 is on track to pass. This measure would allocate $10 billion to repair and upgrade K-12 and community college facilities, especially in under-resourced schools. For students, this funding could lead to safer and more supportive learning environments.

Proposition 3: Constitutional Right to Marriage
Prop 3 currently has 61.4% support and is likely to pass. This measure aims to amend California’s constitution to affirm marriage rights for all. For LGBTQ+ individuals in our communities, this is a powerful affirmation of equality and inclusion.

Proposition 4: Bonds for Water, Wildfire, and Climate Risks
Currently passing with 57.8%, Prop 4 is on track to deliver $10 billion for projects that address water quality, wildfire prevention, and climate resilience. This could have a significant impact on communities that face the harshest effects of climate change.

Proposition 34: Restricts Spending of Prescription Revenues
Prop 34 is narrowly passing with 51.4% support, indicating that it may succeed. The measure would require specific healthcare providers to use 98% of revenue from federal drug discount programs on direct patient care. This could improve healthcare access for low-income residents.

Proposition 35: Provides Permanent Funding for Medi-Cal
With 66.8% of voters in favor, Prop 35 is on course to pass, securing permanent funding for Medi-Cal, California’s low-income healthcare program. For many in our communities who depend on Medi-Cal, this measure promises stability and continued access to essential healthcare services.

Proposition 36: Increased Sentencing for Certain Drug and Theft Crimes
With strong support at 70.5%, Prop 36 is poised to pass, increasing penalties for specific theft and drug offenses. This measure would partially roll back sentence reductions established by Prop 47, sparking concerns about potential increases in incarceration rates.

Likely to Fail:

Proposition 5: Bonds for Affordable Housing and Infrastructure
With 56.4% of voters opposed, Prop 5 is likely to fail. The measure aimed to reduce the voting threshold for local bonds from two-thirds to 55%, making it easier to fund affordable housing. Without it, local governments will continue to face higher approval requirements, potentially slowing progress on affordable housing solutions.

Proposition 6: Eliminates Forcing Inmates to Work
Currently failing with 54.9% opposed, Prop 6 is expected to be defeated. This measure would have ended involuntary labor for incarcerated individuals, a practice critics argue disproportionately affects Black inmates. It’s likely failure means the prison labor system will remain unchanged.

Proposition 32: Raises Minimum Wage
With 52.1% of voters opposing it, Prop 32 appears likely to fail. This measure would have raised the minimum wage to $18 an hour. While proponents argued it would provide greater financial stability for low-wage workers.

Proposition 33: Local Government Residential Rent Control
With 61.9% voting “no,” Prop 33 is expected to fail, meaning that local governments won’t gain expanded authority to enact rent control. Real estate groups argued that this measure could hinder housing development. Its failure means that current rent control laws will remain in place, leaving fewer protections for renters.

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California Black Media

Covered California Open Enrollment Began Nov. 1

Open enrollment for Covered California kicked off on Nov. 1, 2024, offering individuals, families, and businesses a chance to secure quality, affordable health insurance for the upcoming year. This annual enrollment period allows California residents to choose from a variety of health plans that meet their specific needs. Covered California offers comprehensive coverage, including preventive care and financial assistance to help eligible applicants lower their monthly premiums.

Published

2 weeks ago

November 6, 2024

Oakland Post

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By Bo Tefu, California Black Media

Covered California offers comprehensive coverage, including preventive care and financial assistance to help eligible applicants lower their monthly premiums. The program features insurance plans from leading providers, ensuring access to essential health services such as doctor visits, hospital care, and mental health services.

This year, notable updates include expanded financial assistance, which increases the support available for eligible households to help offset monthly costs. Additionally, consumers will find greater plan flexibility, allowing them to select options that fit their lifestyles and budgets. Access to no-cost preventive services — like vaccinations, screenings, and annual check-ups — remains a priority.

Key enrollment deadlines are set as follows:

The open enrollment period runs from Nov. 1, 2024, to Jan. 31, 2025.
Those who enroll by Dec. 15, 2024, will have their coverage start on Jan. 1, 2025.

To facilitate enrollment, applicants can fill out an inquiry form on the Covered California website, reach out to Certified Enrollment Counselors, or contact Covered California directly at (888) 234-5366 or via email at GetCovered@cbhn.info.

The California Black Health Network (CBHN) collaborates with Covered California to advocate for health equity, focusing on underserved communities, including unemployed and gig workers. CBHN’s certified enrollers engage in outreach and onsite signups to help individuals access affordable healthcare options.