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Health Beat: Stroke care on the go: tPA

Posted: Published on January 13th, 2015

CLEVELAND - Every 40 seconds, someone in the United States suffers a stroke. "My left arm and part of my face were numb and tingling, and when I went to stand up to dress myself, I fell right to the floor," Brad Fahrenkamp recalled of his stroke. "It never occurred to me that it could possibly be a stroke. It didn't even cross my mind," said Jessie Porter, another stroke patient. But getting treatment quickly can make all the difference. Dr. Peter Rasmussen, a neurosurgeon at the Cleveland Clinic, said the life-saving drug tPA must be delivered within four-and-a-half hours or less of a stroke, and the sooner the better. "Unfortunately in the United States, only between three- and eight-percent of Americans get tPA if they're having a stroke," Rasmussen said. Doctors at the Cleveland Clinic are trying to change that with a new mobile stroke unit. It travels to the emergency scene when a stroke is suspected. "I can't really think of a faster way that you could deliver stroke care to a patient," Rasmussen said. The unit is equipped with a CT scanner. The mobile team can scan a patient's brain and perform lab tests right away. The … Continue reading

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AbbVie secures FDA approval for long-acting Parkinson's treatment DUOPA

Posted: Published on January 13th, 2015

Published 13 January 2015 The US Food and Drug Administration (FDA) has approved AbbVie's DUOPA (carbidopa and levodopa) enteral suspension for the treatment of motor fluctuations for people with advanced Parkinson's disease. DUOPA is administered using a small, portable infusion pump that delivers carbidopa and levodopa directly into the small intestine for 16 continuous hours via a procedurally-placed tube. DUOPA was approved by the FDA as an orphan drug, a designation granted to products intended for the treatment of rare diseases or conditions affecting fewer than 200,000 patients in the U.S. "There is unmet need for treatment options for patients with advanced Parkinson's disease. As the disease advances, it can be difficult to control motor features," said C. Warren Olanow, M.D., Professor, Department of Neurology and Department of Neuroscience, Mount Sinai School of Medicine, and lead investigator of the DUOPA pivotal trial. "In clinical trials, DUOPA was shown to significantly reduce the amount of off time advanced Parkinson's disease patients experienced." In the advanced stages of Parkinson's disease, patients may begin to experience "off" time, or periods of poor mobility, slowness and stiffness. Additionally, in Parkinson's disease patients, the spontaneous emptying of the stomach becomes delayed and unpredictable, which can … Continue reading

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Ben Baddeley: Help cerebral palsy sufferer hit by Tory cuts complete mission to walk without pain

Posted: Published on January 13th, 2015

VIEW GALLERY The family of Ben Baddeley, the cerebral palsy patient helped by Mirror readers, is making one final fundraising push to help him walk without pain. Bens life was transformed by our readers who gave more than 20,000 to pay for two vital operations which fell victim to Tory NHS cuts. Now he needs another 16,000 for physio to complete his recovery, and his devoted parents Amy and Gary have pledged to raise it for him. We published a series of articles to highlight his case. The campaign helped to bring about a Government U-turn on selective dorsal rhizotomy (SDR) treatment, which has given Ben the chance to walk again. He got his first bike for Christmas and Amy, 30, is using that to help with his physio sessions. Bens cerebral palsy meant he had misfiring nerves which caused constant tightness in the leg muscles. Two SDR operations involved opening the spine to cut out nerves which are were not working to improve his movement. Now three 150-a-session physiotherapy is needed three times a week to complete his recovery, and is likely to take another year to 18 months. Full-time mum Amy, of Silverdale, Staffs., said: The better Ben … Continue reading

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Brain zapping: Veterans say experimental PTSD treatment has changed their lives

Posted: Published on January 13th, 2015

Provided by Washington Post NEWPORT BEACH, CALIF. The headquarters of Oakley, a maker of recreational and military gear, looks as if it belongs in a war zone. Its a massive bunker with exposed-steel pipes, girders and blast walls. Even the dais in the auditorium is armored. But on a recent afternoon, the talk inside the building, set atop an arid, inland hillside in Orange County, is not about fighting wars but about caring for warriors. Doctors, scientists and veterans approach the podium at a conference to present some of the latest tools to help vets recover from wounds both mental and physical: bionics, virtual reality, magnetic waves. A session called Healing the Warrior Brain features a trim, bleach-blond former Army staff sergeant named Jonathan Warren, who recounts on video his struggle with post-traumatic stress disorder after combat in Iraq. His flashbacks, panic attacks and booze benders were well chronicled: For a year, the Los Angeles Times tracked Warrens efforts to find peace, including via Veterans Administration therapy. It didnt work, he says. But now a different Jon Warren is here to say that he is finally free of symptoms, one year after that 2013 story ran. No longer does his … Continue reading

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MS sufferers in Scotland to be first in UK to get new drug on NHS

Posted: Published on January 13th, 2015

The Scottish Medicines Consortium (SMC) has accepted Pledigry as a treatment for adults with the most common form of MS. Some 85% of MS patients have the relapsing remitting form of the disease, where they have distinct attacks of symptoms which then fade away either partially or completely. Loading article content The new treatment was accepted by the SMC after MS groups argued Pledigry can offer patients a better quality of life as it requires them to have fewer injections each week than the other treatments that are available. Mark O'Donnell, director at the MS Society Scotland, said: "Today's decision by the SMC is positive news for people living in Scotland with relapsing remitting MS, who will now be the first in the UK to have routine access to this drug through the NHS. "It supports our fight, through our Treat Me Right campaign, for improved access to MS medicines for people across Scotland. "The SMC's approval of Plegridy also represents a further step forward in the treatment of MS and improves the overall range of choice for people living with MS. "This drug is designed to stay in the body longer so it requires less frequent injections, which people … Continue reading

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O'Doherty settles defamation action

Posted: Published on January 13th, 2015

Investigative journalistGemma O'Doherty has settled her defamation action against her former employers Independent Newspapersand the group's Editor-in-ChiefStephen Rae. Ms O'Doherty sued the paper and Mr Rae for defamation as a result of her treatment following an investigation she carried out into the penalty points controversy. An apology was read out in court, in which Independent Newspapers acknowledged Ms O'Doherty's exceptional work as a multi-award winning investigative journalist for the paperduring the course of a lengthy career. The newspaper accepted that she acted at all times in a professional and diligent manner and in the best interests of Independent Newspapers. It unreservedly apologised to Ms O'Doherty for the stress and hardship caused to her and her husband as a result of its actions. Independent Newspapers has agreed to pay Ms O'Doherty undisclosed damages and to indemnify her in relation to her legal costs. Ms O'Doherty was made redundant in August 2013. She settled her unfair dismissal case against the company just before Christmas. In a statement, Ms O'Doherty said today's apology in the High Court was another complete vindication of her reputation as an investigative reporter. She said journalists had an obligation to hold power to account, in An Garda Sochna, … Continue reading

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TSRI Scientists Discover Possible New Target for Treating Brain Inflammation

Posted: Published on January 13th, 2015

Contact Information Available for logged-in reporters only Newswise LA JOLLA, CAJanuary 12, 2015A team led by scientists at The Scripps Research Institute (TSRI) has identified an enzyme that produces a class of inflammatory lipid molecules in the brain. Abnormally high levels of these molecules appear to cause a rare inherited neurodegenerative disorder, and that disorder now may be treatable if researchers can develop suitable drug candidates that inhibit this enzyme. This treatment approach may also turn out to be useful against more common conditions that involve brain inflammationa category that includes multiple sclerosis, Alzheimers, Parkinsons, ALS and secondary damage after stroke and head injuries. Such inflammation often fails to respond to standard anti-inflammatory drugs. This finding is a good example of what can be gained from studying enzymes linked to rare human genetic disorders, said Benjamin F. Cravatt, chair of TSRIs Department of Chemical Physiology and member of TSRIs Skaggs Institute for Chemical Biology. Rare and Mysterious Disorder The new study by Cravatts team, which appears as a Nature Chemical Biology Advance Online Publication on January 12, stemmed from investigations of PHARC, a rare and mysterious inherited disorder that was first described by Norwegian researchers in 2009. Named for its … Continue reading

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Possible new target for treating brain inflammation found

Posted: Published on January 13th, 2015

A team led by scientists at The Scripps Research Institute (TSRI) has identified an enzyme that produces a class of inflammatory lipid molecules in the brain. Abnormally high levels of these molecules appear to cause a rare inherited neurodegenerative disorder, and that disorder now may be treatable if researchers can develop suitable drug candidates that inhibit this enzyme. This treatment approach may also turn out to be useful against more common conditions that involve brain inflammation -- a category that includes multiple sclerosis, Alzheimer's, Parkinson's, ALS and secondary damage after stroke and head injuries. Such inflammation often fails to respond to standard anti-inflammatory drugs. "This finding is a good example of what can be gained from studying enzymes linked to rare human genetic disorders," said Benjamin F. Cravatt, chair of TSRI's Department of Chemical Physiology and member of TSRI's Skaggs Institute for Chemical Biology. Rare and Mysterious Disorder The new study by Cravatt's team, which appears as a Nature Chemical Biology Advance Online Publication on January 12, stemmed from investigations of PHARC, a rare and mysterious inherited disorder that was first described by Norwegian researchers in 2009. Named for its unique set of typical symptoms (polyneuropathy, hearing loss, ataxia, retinitis … Continue reading

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Genetic discovery about childhood blindness paves the way for new treatments

Posted: Published on January 13th, 2015

An international research team finds a link between retinal degeneration and lipid metabolism IMAGE:Dr. Robert Koenekoop examines a child's eyes and vision at the McGill Ocular Genetics Laboratory. view more Credit: McGill University Health Centre This news release is available in French. Finding genes for retinal degenerations has immediate benefits for people living with blindness and vision loss, their families, and their physicians. Establishing a genetic cause confirms the clinical diagnosis at the molecular level, helps predict the future visual prognosis, suggests therapies, and allows some patients to join clinical trials. While more than 200 genes for retinal degenerations have been identified, approximately 40-50% of cases remain a mystery. When 11 year old Naomi Lalandec walked into Dr. Robert Koenekoop's clinic at the Montreal Children's Hospital of the McGill University Health Centre (MUHC) with blindness and dwarfism due to Oliver McFarlane Syndrome (OMS), her unknown mutation sparked an international gene hunt. Comparing her genome to others with OMS and Leber congenital amaurosis (LCA), another form of childhood blindness, uncovered a new gene that is critical for vision. What makes this breakthrough exceptional is that it opens up new treatment avenues for OMS and LCA and potentially other retinal degenerative diseases. … Continue reading

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Personalized therapy for cardiovascular disease

Posted: Published on January 13th, 2015

Researchers at the Montreal Heart Institute announced today results showing that patients with cardiovascular disease and the appropriate genetic background benefit greatly from the new medication dalcetrapib, with a reduction of 39% in combined clinical outcomes including heart attacks, strokes, unstable angina, coronary revascularizations and cardiovascular deaths. These patients also benefit from a reduction in the amount of atherosclerosis (thickened walls) in their vessels. The detailed results are published in the Journal Circulation Cardiovascular Genetics. This discovery may also pave the way for a new era in cardiovascular medicine, with personalized or precision drugs. The team led by Drs Jean-Claude Tardif and Marie-Pierre Dub performed the analysis of 5749 patients who received dalcetrapib or placebo and provided DNA in a clinical study. A strong association was discovered between the effects of dalcetrapib and a specific gene called ADCY9 (adenylate cyclase 9) on chromosome 16, particularly for a specific genetic variant (rs1967309). In patients with the genetic profile AA at rs1967309, there was a 39% reduction in the composite cardiovascular endpoint with dalcetrapib compared to placebo. Supporting evidence was also obtained from a second study, which showed that patients with the favourable genetic profile also benefited from a reduction in the … Continue reading

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