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How Bitcoin is Becoming a Viable Enterprise Tool

2024-02-27T13:11:01

(BPT) – On Jan. 10, 2024, the Securities and Exchange Commission (SEC) approved several exchange-traded funds (ETFs) that invest directly in Bitcoin, paving the way for “the largest debut month of any ETF in 30 years” when they opened for trading the very next day, according to Cointelegraph.com. Reuters reported that U.S.-listed bitcoin ETFs Grayscale, BlackRock and Fidelity led the field in heavy trading volumes of Bitcoin ETFs as soon as the market opened on Jan. 11.

This evidence of a surge of interest in Bitcoin, while many financial professionals still regard it as involving significant risk, shows no signs of slowing down, at least in the near future.

A platform that makes it easy to use cryptocurrency

If your business is interested in having the ability to use Bitcoin, you might think that doing so would be overly complicated.

But today, Bitcoin is becoming more usable, thanks to software-as-a-service (SaaS) style products like those from industry-leading Bitcoin-development platform Voltage. Voltage allows businesses to provide customers with a technological solution designed to make Bitcoin transactions seamless via the Lightning Network, which helps speed transaction times and decreases network congestion.

Voltage empowers engineering teams with Bitcoin-centric infrastructure that enables enterprise-grade experiences. By leveraging Voltage, your company will receive the fastest and most scalable Lightning Network solution that meets the highest security and privacy standards.

Upgraded features

Voltage has recently revamped several of its processes and services to meet all of its customers’ needs and requests. Top updates include features such as:

  • Streamlined dashboard combines the ability to manage your node and view your data in one dashboard, making it more straightforward to see everything happening with your account.
  • Team collaboration features allow you to add users to your team, granting them specific types of access.
  • Simplified pricing options make it easier to pay only for those services you need and to scale and adapt your plan as your needs grow. The Voltage billing platform now conforms closer to a standard SaaS product, so all users can select a plan based on their usage and required features.

“Based on the recent upsurge in trading in Bitcoin ETFs alone, we anticipate a significant increase in network participants for Bitcoin on-chain and the Lightning Network in 2024,” said Voltage Founder and CEO Graham Krizek. “To meet this influx, we constantly strive to provide the best possible experience and rock-solid platform on the market today.”

Experiencing the next generation of building on Bitcoin via the Lightning Network is now easier than ever. Voltage is a one-stop shop for your organization’s Bitcoin payments, data, and analytics needs during rapid technological changes and market shifts. Learn how at Voltage.cloud.

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The rising prevalence of type 1 diabetes in minority populations

2024-02-27T07:01:00

(BPT) – Sponsored by Sanofi

Ariel (Lawrence) Sarpeh was first diagnosed with type 1 diabetes right before her 16th birthday — a realization she describes as being both intimidating and clarifying. “At first, I thought ‘OK, I got this. It’s relatively straightforward and I am a good student. I just have to remember that my doctor told me to be mindful of my blood sugar and what I consume,’” Sarpeh explains of her early years living with type 1 diabetes. “It wasn’t until much later that the reality of type 1 diabetes really set in.”

Sarpeh had no family history of type 1 diabetes and no one in her circle of friends had it, either. So, like many, she turned to the internet for information — and for connection. However, as a Black woman, Sarpeh often struggled to connect with people who she could truly relate to and who could empathize with her experience. “I noticed there weren’t a lot of people of color being vocal about their journey with type 1 diabetes,” she notes. “Particularly as a Black woman, I’m part of a community where type 2 diabetes is very prevalent and better understood, but I struggled to see my own story being reflected.”

While type 1 diabetes is still the most common among White people under the age of 20, it is on the rise across many age and ethnic groups. In fact, the steepest increases in annual incidences of the disease among people under the age of 20 in the U.S. between 2002 and 2015 were among non-Hispanic Blacks (2.7%). Also compelling, non-Hispanic Black children under the age of 18 specifically were found to have higher instances of diabetic ketoacidosis (DKA) at diagnosis, compared to other cohorts. DKA is a serious, sometimes life-threatening complication that can have a severe and sudden onset.

While type 1 diabetes can’t be prevented, it can be detected early through autoantibody screenings — underscoring the importance of disease awareness to reduce the likelihood of serious, sometimes life-threatening complications at diagnosis. This was exactly the ethos behind Sarpeh’s blog and Instagram page “Just a Little Suga’” — and why she got involved in The 1 Pledge with Sanofi.

As Sarpeh mentions, “I knew I wanted to tell my story as a Black woman with type 1 diabetes and speak out about the importance of disease awareness. While I was fortunate to recognize my symptoms early, more must be done to reach Black and Brown communities that are often overlooked, especially when it comes to type 1 diabetes.”

Now is the time to work to increase the understanding of type 1 diabetes in minority populations by underscoring the importance of early screening for the disease. “Information is a tool of empowerment,” Sarpeh explains. “By spreading the word about type 1 diabetes screenings, we can help others gain early insight into their disease, allowing them time to better prepare and make well-informed choices about how to proceed.”

To learn more about how you and your family can get screened for type 1 diabetes, visit The1Pledge.com.

Sanofi does not provide medical advice, diagnosis, or treatment—information is provided for educational purposes only. Your doctor is the best source of health information. Talk to your doctor if you have any questions about your health or treatment.

Ariel (Lawrence) Sarpeh is a paid spokesperson for Sanofi.

[Photo courtesy Alfred Sarpeh]

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New study: 2 in 5 Americans define ‘making it’ as achieving financial independence

2024-02-27T12:15:00

(BPT) – Financial independence is important to 67% of Americans, though nearly a quarter (24%) say they haven’t yet achieved it, according to new research from Empower, a leader in financial planning, investing, and advice.

The definition of “making it” financially varies among spenders and savers, though many equate it with resilience and independence: 44% of Americans say it’s synonymous with not needing to rely on anyone else for money, 39% say it’s career advancement and one quarter say it’s reaching a certain net worth.

To put a dollar value on it: $94,000 per year is the magic number average Americans feel they need to earn to achieve financial freedom, and 60% feel optimistic they can reach this money milestone.

Top signs you’ve financially “made it” in life:

  • Being financially independent/not relying on anyone else for money – 44%
  • Moving up in my career/getting promoted – 39%
  • Having a job I love – 37%
  • Making a certain amount of money – 25%
  • Not having to work at all – 25%
  • Being able to spend money without worrying – 22%
  • Being able to pay my bills on time – 9%
  • Buying luxury items I want – 7%
  • Being able to retire comfortably – 7%
  • Buying a home – 6%

Set clear financial goals

Despite having financial aspirations for the future, a majority of people (72%) admit they currently stress over their finances at least once per month and nearly 1 in 5 (17%) say they worry about money daily.

Getting on track doesn’t have a time limit, but it does require a honed focus. “No matter your age, financial independence starts with clarity,” underscores Keith Jones, senior financial professional with Empower. “Ask yourself what you want and why you want it. Establishing clear financial goals provides both direction and purpose, motivating you to work towards a more secure and satisfying financial future.”

The journey looks different for everyone

Over half (57%) of Americans say they still rely on their family and friends for financial support, especially for help paying their rent (62%), internet and streaming services (56%), and their phone bill (54%). Of those who don’t feel financially independent, 3 in 10 (31%) are optimistic they will be in the future, while 54% don’t think they’ll ever be able to pay their bills without help.

The majority (92%) of financially independent Americans say they only started to feel that way once they reached the age of 36.

Money talks are important

Among parents surveyed, many linked communicating about finances to achieving financial independence, with 57% saying they regret not having more money conversations with their children while they were growing up. In fact, 3 in 5 parents (60%) say if they could turn back the clock and do things differently, they would have made financial literacy a priority.

Although many believe their kids should be able to pay their own bills and expenses by age 23, 40% of parents with adult children aged 20 or older currently support them financially. More than half (53%) are dipping into their retirement savings to do so and 49% say they live with their children to help manage expenses.

Methodology:

This random double-opt-in survey of 2,000 general population Americans was commissioned by Empower and fielded by market research company OnePoll between December 11 and December 12, 2023.

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Public safety policies and community trust: How to bridge the gap

2024-02-27T08:01:01

(BPT) – Public safety policy development is an inherently complex process that is often misunderstood. Many people outside public safety believe federal and state governments provide policies to law enforcement agencies and other first responder departments. The reality is that fire, police and emergency medical services agencies must develop their own policies using legislation, court decisions and federal, state and local laws.

While policy development is a challenge for public safety agencies, it also represents an opportunity. In many municipalities, trust between the community and public safety, especially law enforcement, is lacking. Involving community members in policy development allows first responders to foster meaningful relationships with the community. This partnership can build mutual understanding of the legitimacy and effectiveness of public safety policies.

A collaborative approach to public safety policy review and development also provides diverse experiences and voices that reflect the community’s values, concerns and priorities. By incorporating various perspectives from the community, fire, EMS and law enforcement agencies can develop policies that better serve the needs of the people they protect, fostering trust and collaboration for a safer future.

The challenge lies in how to effectively incorporate community members into policy review.

5 key questions

To help public safety agencies and their communities, Lexipol — a leader in policy, training and wellness support for first responders and public servants — has identified five key questions for agencies to answer when bringing community members into the policy review process:

  1. What are we trying to accomplish? Before starting, all parties must agree on the purpose of the review process. If community members come into the process expecting to completely rewrite policy, they will be disappointed. At the same time, public safety leaders can’t look at this as a “check the box” process where no meaningful changes will be made.
  2. Who should be involved? Community members chosen for policy review should represent diverse perspectives and populations. As nearly all policy review committees are volunteer, they must be able to make a time commitment and a good faith commitment to the process.
  3. How should policy review be conducted? Lexipol recommends setting guidelines for the policy review process. For example, how will the committee reconcile differing recommendations? Also key is to focus the discussion on the needs and existing situation of the specific community. Too many policy discussions are derailed by emotional reactions to high-profile events in other communities.
  4. What policies should be reviewed? Most public safety agencies have policy manuals with hundreds of policies. Selecting the ones that matter most to community members will expedite the review process and make the most of the volunteer reviewers’ time.
  5. What types of changes should be considered? Lexipol recommends looking at all proposed changes through a three-part lens: Is the policy change applicable, practical and functional? For instance, a community review board may suggest that all body camera footage be released immediately following incidents. That change is well-meaning, but unlikely to meet the practicality test, as issues of redaction, privacy and storage must be reconciled.

A strong starting point

Key to an effective policy review process involving the public is having a well-written, legally vetted process in place for the review board to work with. Lexipol public safety policy services and policy management software help law enforcement, corrections, fire and rescue, and local government by providing a starting point for policy development. The company provides comprehensive policies researched and written by public sector attorneys, practitioners and subject matter experts, then works with agencies to tailor policies to each community’s specific needs.

As part of policy development services, Lexipol can help agencies design and implement a community review process. From establishing a committee to providing basic training to committee members, agencies will have the tools to involve their communities in public safety policy review and creation. Lexipol’s platform allows users to involve community stakeholders so they can provide feedback during the process.

While policy reform can be a fraught and divisive subject, at the end of the day, first responders and community stakeholders want the same thing: safer and more resilient communities. To learn more about how Lexipol’s policy services and online platform are helping achieve those goals, visit Lexipol.com.

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Don’t let shingles interrupt your ability to thrive – learn more about your risk

2024-02-26T07:31:00

(BPT) – In 2020, Cassandra was making the most out of her full, busy life. At age 60, her active social calendar included spending plenty of time with friends and family, especially her three grown children. The last thing she expected was for all of this to be disrupted.

Thinking back, Cassandra remembers happily browsing a garage sale one weekend when she felt something on her back. “It was a very painful bump that felt like a spider bite,” she recalled. “After twenty-four hours, the bump had risen, and I was in a lot of pain.”

But it was no spider bite, and it only got worse. After two days when the pain became unbearable, she contacted her doctor.

The diagnosis? Cassandra had shingles.

What is shingles?

Shingles (herpes zoster) is a common disease, in fact, an estimated one million people develop shingles annually in the United States.[1]

After someone has had chickenpox, the virus stays dormant inside their body and can reactivate years later, causing shingles.[2] Shingles usually begins as a painful, blistering rash on one side of the face or body.[3] This debilitating disease has the potential to keep you from living your everyday life for several weeks.[4]

“Shingles is not just an ordinary rash,” explained pharmacist and GSK medical educator Dr. Leah Smith. “Because of the intense discomfort that can come with it, shingles can keep you from doing everyday activities like working and socializing. Having shingles can be an isolating and painful experience.”

Who may be impacted by shingles?

Adults 50 years and older are at an increased risk for shingles. In fact, 99% of adults 50 years and older already have the virus that causes shingles inside their body, and it can reactivate at any time, even though not everyone at risk will develop shingles.[5]

The immune system naturally declines with age, beginning around age 50, making people more susceptible to developing shingles as they get older.[6] According to a survey performed by GSK, 86% of people 50 years and older may think that shingles won’t impact them; however, that may not be the case.[7]

For Cassandra, despite feeling like a well-versed health advocate, she was still unaware of how her age increased her risk for shingles. “Awareness is the key factor here. So many people that I talked to, so many people that responded to my experience, said that they really weren’t aware of the impact that shingles can have,” she added.

Are there other potential effects shingles can have?

While shingles can be a painful experience that can disrupt a person’s life for multiple weeks at a time,[4] the disease can also lead to long-term, debilitating complications that can last for months or even years.[8]

“People may experience long-lasting pain called post-herpetic neuralgia (PHN) — the most common complication of shingles. Two years later and Cassandra is still feeling pain due to PHN,” Dr. Smith noted.

The pain from PHN can be debilitating, persistent, and may impact daily life.[9] “I still feel some long-lasting pain regularly, which sits right beneath the surface of my upper layer of skin, just lingering,” Cassandra added.

What can you do to help prevent shingles and thrive?

Cassandra, who started documenting and sharing her shingles experience since it began, advocates for people 50 and over to talk to their doctor or pharmacist about their risk for shingles, and about vaccination. “I want people to be aware of shingles and feel empowered to speak with their healthcare providers about their risk.”

Cassandra joined GSK’s THRIVE@50+ campaign, a national public health initiative to educate people about their risk of shingles due to natural aging of the immune system and the impact the disease can have on everyday life. “The manner in which I thrive from day to day is quite simple. On a daily basis, I wake and give ‘thanks’ sincerely for the opportunity to face, challenge, or create something in spite of my experience with shingles. I’m enjoying life at an age that is beyond 50 plus, and I know that there’s so much more out there for me,” Cassandra added.

This Shingles Awareness Week, from February 26-March 3, GSK is encouraging candid conversations about shingles and its associated risk to help empower adults 50 years and older to continue thriving.

“It’s important to understand your risk for shingles,” said Dr. Smith. “Talk to your doctor or pharmacist today about your shingles risk and about vaccination.”

To learn more about your risk for shingles, visit the THRIVE@50+ Facebook page.

Cassandra was compensated by GSK for her participation. This is one person’s experience; other people’s experience with shingles may be different.

[1] CDC. Shingles (Herpes Zoster). Available at: https://www.cdc.gov/shingles/hcp/clinical-overview.html

[2] CDC About Shingles (Herpes Zoster). Cause and Transmission. Available at: https://www.cdc.gov/shingles/about/transmission.html

[3] CDC. Shingles (Herpes Zoster). Signs & Symptoms Available at: https://www.cdc.gov/shingles/about/symptoms.html

[4] Infectious Diseases and Therapy. A Cross-Sectional Concept Elicitation Study to Understand the Impact of Herpes Zoster on Patients’ Health-Related Quality of Life. Available at: https://pubmed.ncbi.nlm.nih.gov/34994924/

[5] CDC. About Shingles (Herpes Zoster). Available at https://www.cdc.gov/shingles/about/index.html

[6] CDC. Five Things You Should Know About Shingles. Available at: https://www.cdc.gov/shingles/5-things-you-should-know.html

[7] Pollfish on behalf of GSK. Shingles Misconceptions Survey (Australia, Brazil, Canada, China, Germany, India, Italy, Japan, Portugal, South Korea, United Kingdom, United States). Data on file. 2023.

[8] CDC. About Shingles (Herpes Zoster). Complications of Shingles. Available at: https://www.cdc.gov/shingles/about/complications.html

[9] European Journal of Neurology. Post-herpetic neuralgia case study: optimizing pain control. Available at: https://doi.org/10.1111/j.1471-0552.2004.00794.x

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How to tackle spring cleaning, even when you have pets

2024-02-26T08:33:00

(BPT) – The idea of giving your home a thorough cleaning each spring is very appealing, but can also be overwhelming. It may even seem impossible, given today’s busy lifestyles, active children — and especially pets. You may love your pets, but the fur and stains they leave behind make it even more challenging to keep your home as clean as you’d like.

To get you started, the experts at Libman Company, manufacturer of household cleaning products made in the U.S.A. since 1896, offer these helpful spring cleaning tips that can even conquer the messes your beloved pets may create.

1. Plan first

To avoid feeling overwhelmed, develop a plan that takes into account the time, energy and tools you need to get the job done.

Consider setting aside a weekend or two, so you’ll have plenty of time. Divide your home into zones, addressing the most frequently used areas of your home first, like the entryway, kitchen or bathrooms. Make sure to enlist help from your family!

Pro tip: For multi-story homes, have a set of cleaning supplies/equipment on each floor, saving you from lugging mops and brooms up and down stairs.

2. Use the best tools

Trying to clean with old, worn-out brooms or mops adds time and frustration to your task. Instead, make cleaning easier with tools expertly made for the job.

For example, Libman’s PetPlus Angle Broom with Dustpan is specially designed to tackle pet hair, dander, litter box dust and tracked-in dirt. The all-surface broom fibers remove over 99% of dust, dirt and hair in one sweep, with over 137,000 6-inch-long split-tip fibers that attract and hold pet hair. Together with the 12.5-inch wide dustpan with 1.5-inch built-in “teeth” to help remove hair, dirt and debris from broom fibers, this is the perfect combo to help you clean up after pets.

After sweeping, clean floors thoroughly with Libman’s Freedom Dual-Sided Microfiber Spray Mop. The dual-sided microfiber pad offers double the cleaning power, saving time and money. The removable and reusable microfiber pad is machine washable up to 50 times — reducing needless waste. The TripleGrip Microfiber absorbs and deep cleans, removing 99% of bacteria with only water. The mop’s 360-degree swivel neck lets you reach into the toughest and tightest corners, and you can use it on wood, laminate, tile, vinyl, stone and linoleum floors, choosing your own cleaning solution for the refillable tank. When done cleaning, simply remove the mop head and toss in the laundry.

For carpeted floors and upholstered furniture, use a vacuum cleaner designed for pet hair. Make sure to frequently empty the canister or change the bag, as fur quickly clogs up any vacuum, making it less effective.

3. Do a quick de-clutter

It’s easier to address chores like mopping and dusting after clearing away miscellaneous items. Walk through target areas with trash/recycling bags first, removing items that need to be discarded. Then use a box or basket to collect things that belong in other rooms. Kids can help with this task, looking for items that belong in their rooms. Before you know it, your surfaces will be clearer and ready for deep cleaning.

4. Start high

Start cleaning at the top — otherwise you could dislodge dust, pet hair and cobwebs to dirty your newly cleaned floors. For each room, tackle ceiling fans or light fixtures before walls or windows. Then clean horizontal surfaces like tables and shelves, saving floors for last.

Once you get to the floors, you’ll be ready to put your new Libman broom and mop to work to easily remove pet hair and other debris.

5. Set yourself up for success

To preserve your newly cleaned rooms and floors, consider adding high-quality mats for inside and outside entries, easy-to-access waste bins or recycling containers and/or a basket system for items that need relocating. Planning ahead will make next season’s cleaning that much easier!

Pro tip: Designate an area for regular pet brushing (or visit a groomer), especially during shedding seasons. This can reduce the fur ending up all over your house, and will keep your pets looking and feeling great.

With a solid plan and effective tools, spring cleaning can be a pleasure, and your whole family — including the four-legged members — will enjoy the results even more.

Visit Libman.com for more helpful products for cleaning your home.

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Listen to Your Heart: One Woman’s Experience Overcoming AFib

2024-02-22T19:27:00

(BPT) – Many of us have likely already broken our New Year’s resolutions. Even so, now is still a good time to focus on our health. Whether it’s an annual exam or a new fitness plan, taking care of ourselves should always be top priority. Maintaining a healthy heart, one of our most vital organs, is especially important. With heart disease being the leading cause of death in the United States, it’s critical for everyone to take a pause and listen to their heart.[1] Thankfully for one woman, she did just that.

Ann and her husband live in Virginia and together run a small business. Working side-by-side, their career path has been rewarding, but it also comes with a fair share of stress. On more than one occasion, Ann experienced heart flutter, mixed with nausea and discomfort. She regularly ignored her symptoms and attributed them to long hours working, or just another symptom of her diabetes.

“One morning I woke up in bed with the same heart flutter I’d experienced during the day at work,” Ann explained. “It was at that moment I knew I couldn’t ignore my symptoms any longer, so I admitted myself to the emergency room. Lucky for me, that’s where I met Dr. Ayinde, an electrophysiologist (EP) who assessed my symptoms and diagnosed me with AFib.”

Atrial fibrillation, also known as AFib, is the most common type of cardiac arrhythmia affecting more than 6 million people in the United States and nearly 38 million people worldwide.[2],[3] Approximately 1 in 4 adults over 40 are at risk for AFib.[4] Despite these projections, many people are unfamiliar with the signs and symptoms of AFib which include feelings of a fast, fluttering or pounding heartbeat (palpitations), fatigue, shortness of breath, difficulty exercising, anxiety, chest pain, and dizziness.[5] Similarly, many are unaware of available treatment options and the importance of early treatment to avoid disease progression.[6]

“Most people don’t recognize the symptoms of AFib, which makes it difficult to get proper treatment,” stated Dr. Hakeem Ayinde, Cardiac Electrophysiologist at Cardiology Associates of Fredericksburg in Virginia. “If left untreated, AFib can progress or lead to other cardiovascular diseases. Therefore, the best way to avoid further complications is to see a cardiac electrophysiologist, a doctor who treats abnormal heart rhythm, right away to determine the best treatment plan.”

After discussions with Dr. Ayinde, Ann began oral medication to treat her AFib but did not tolerate it well. After discussing the risks of catheter ablation* together, they determined the best option would be for Ann to receive a catheter ablation – a safe and effective, minimally invasive procedure to restore the heart’s incorrect electrical signals, which causes an abnormal heart rhythm.[7] Three months after her diagnosis, Ann received the ablation treatment and has remained AFib free.

“I am very grateful I didn’t ignore my symptoms,” said Ann. “By going to the ER and having Dr. Ayinde as part of my care team, we were able to create a plan so I could be treated and make a full recovery.”

AFib is responsible for more than 450,000 hospitalizations annually and yet less than 5% of patients undergo a cardiac ablation.[8],[9] Dr. Ayinde’s recommendation for an ablation was critical for Ann before her condition progressed. Patients who have an ablation early to treat their AFib are likely to have better survival and less likely to revisit the ER or be hospitalized.[10] In addition, it’s reported that 50% of AFib patients do not respond to or cannot tolerate drug therapy10 so catheter ablation is an important treatment option to consider.

Today, Ann feels healthier and her quality of life has improved. She no longer experiences heart flutter and feels at ease. Post-cardiac ablation, Ann has the energy to engage in everyday activities.

Ann’s message to everyone is to listen to your heart. Do not wait for symptoms to worsen. As AFib becomes more common, it’s important to know there are effective treatments that offer long-term solutions.

If you or someone you know is experiencing symptoms of AFib, speak to a doctor right away. To learn more about AFib and treatment options, visit getsmartaboutafib.com.

*As with any medical treatment, individual results may vary. Only a cardiologist or electrophysiologist can determine whether ablation is an appropriate course of treatment. There are potential risks including bleeding, swelling or bruising at the catheter insertion site, and infection. More serious complications are rare, which can include damage to the heart or blood vessels; blood clots (which may lead to stroke); heart attack, or death. These risks need to be discussed with your doctor and recovery takes time. The success of this procedure depends on many factors, including your physical condition and your body’s ability to tolerate the procedure. Use care in the selection of your doctors and hospital, based on their skill and experience.

© Biosense Webster, Inc. 2024 US_BWI_NAVI_305371

[2] Lippi G, Sanchis-Gomar F, Cervellin G. Global epidemiology of atrial fibrillation: An increasing epidemic and public health challenge. Int J Stroke. 2021 Feb;16(2):217-221. doi: 10.1177/1747493019897870. Epub 2020 Jan 19. Erratum in: Int J Stroke. 2020 Jan 28;1747493020905964. PMID: 31955707.

[3] Kornej J, Börschel CS, Emelia J. Benjamin EJ, Schnabel RB. Epidemiology of Atrial Fibrillation in the 21st Century. Circulation Research. 2020 June;127(1):4-20. doi: 10.1161/CIRCRESAHA.120.316340

[4] Staerk, et al. 2018 Lifetime risk of atrial fibrillation according to optimal, borderline, or elevated levels of risk factors: cohort study based on longitudinal data from the Framingham Heart Study. BMJ 2018;361:k1453 doi: 10.1136/bmj.k1453

[6] Kuck KH, Lebedev DS, Mikhaylov EN, et al. Catheter ablation or medical therapy to delay progression of atrial fibrillation: the randomized controlled atrial fibrillation progression trial (ATTEST). Europace 2021;23(3)362-369. doi: 10.1093/europace/euaa298.

[7] Natale, A. Reddy VY, Monir G, et al. Paroxysmal AF catheter ablation with a contact force sensing catheter: results of the prospective, multicenter SMART-AF trial. J Am Coll Cardiol, 2014;64(7),647–656. doi: 10.1016/j.jacc.2014.04.072

[8] Benjamin, E. J., Virani, S. S., Callaway, C. W., Chamberlain, A. M., Chang, A. R., Cheng, S., Chiuve, S. E., Cushman, M., Delling, F. N., Deo, R., de Ferranti, S. D., Ferguson, J. F., Fornage, M., Gillespie, C., Isasi, C. R., Jiménez, M. C., Jordan, L. C., Judd, S. E., Lackland, D., Lichtman, J. H., … American Heart Association Council on Epidemiology and Prevention Statistics Committee and Stroke Statistics Subcommittee (2018). Heart Disease and Stroke Statistics-2018 Update: A Report From the American Heart Association. Circulation, 137(12), e67–e492. https://doi.org/10.1161/CIR.0000000000000558

[9] Internal Epidemiological Analysis.

[10] Calkins H, Reynolds MR, Spector P, et al. Treatment of atrial fibrillation with antiarrhythmic drugs or radiofrequency ablation: two systematic literature reviews and meta-analyses. Circ Arrhythm Electrophysiol. 2(4):349-61. doi: 10.1161/CIRCEP.108.824789.

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5 Tips to Manage Heart Health After a Heart Attack

2024-02-23T09:01:00

(BPT) – By Dr. Norman Lepor

Sponsored by Novartis Pharmaceuticals Corporation
Dr. Lepor was not compensated for his contributions to this article.

If you or a loved one has ever had a cardiovascular event like a heart attack, you know the devastating impact these events can have on a person’s physical and emotional health. And rightfully so – these traumatizing events leave many people feeling anxious and uncertain of the future.

I see this impact nearly every day when patients share their stories, expressing their hope to never experience anything like these events ever again. But my 35 years in cardiology have unfortunately taught me that for a significant percentage of these patients, it will happen again.1

Thankfully, there’s hope for people who have experienced a cardiovascular event. Working with your health care provider can help you better manage your risk factors and look after your heart post-event. Here are a few considerations to guide your care journey.

1. Explore additional treatment options

Lowering your low-density lipoprotein cholesterol (LDL-C) is one of the simplest and most effective ways to improve your heart health. Known as “bad” cholesterol, LDL-C builds up in the arteries, placing your heart at increased risk of harmful blockages.2

While statins and changes to your diet and exercise regimen can help lower bad cholesterol, these improvements don’t always get your cholesterol where it needs to be.3,4 You need a treatment plan that you can stick with long term. That’s why I recommend Leqvio (inclisiran) to my patients for lowering their bad cholesterol. This prescription injectable is a lipid-lowering medication shown to help lower bad cholesterol by approximately 50% on average when combined with taking a statin and dietary changes.5,6

Leqvio is designed with the patient in mind, requiring only two doses a year.* Since this medicine is administered in a health care setting, you and your health care provider can feel confident that you are receiving your dose. Leqvio works with the liver’s natural processes to reduce bad cholesterol in your blood. The therapy provides cholesterol lowering through each six-month dosing interval. Leqvio can help you reach your target bad cholesterol level and, importantly, help you maintain that level. It is not known if LEQVIO can decrease problems related to high levels of bad cholesterol, such as heart attacks or stroke. The most common side effects of LEQVIO were: injection site reaction (including pain, redness, and rash), joint pain, and chest cold.

2. Limit alcohol and tobacco

Tobacco and heavy alcohol use can heighten your risk of a recurring cardiovascular event by increasing levels of triglycerides, a fatty deposit that can build up and create a blockage within blood vessels.7,8 You can take action to protect your heart by limiting alcohol and tobacco consumption. If either of those is challenging, consult your health care provider.

3. Partner with your health care provider

The road to managing your heart health following a cardiovascular event isn’t always linear. That’s why having an open and consistent dialogue with your health care provider is really important. Your health care provider will understand your unique risk factors and can help you build a realistic treatment plan. Don’t be afraid to proactively ask questions and speak up.

4. Switch it up in the kitchen & get your body moving

Proper nutrition is essential for lowering your bad cholesterol after you’ve had a cardiovascular event. Eating foods rich in fiber and low in saturated or trans fats, such as fruits, vegetables, whole grains, nuts, poultry, or fish can result in better heart health.9,10 I recommend my patients to limit their consumption of red meats, processed foods, and food and beverages with added sugar or salt.11 Your health care provider can work with you on creating a diet plan that best fits your nutritional needs.

In addition to dietary changes, it’s important to add physical activity to your daily routine – it could be as simple as walking around the neighborhood for thirty minutes several times a week.12 Your health care provider can help you determine what types of physical activity are safe for you.12

5. Consistency is key

Heart health is a lifelong investment. After a cardiovascular event, it’s important to take aggressive and consistent steps toward managing your heart health.13,14 This means prioritizing regular management of cholesterol levels and risk factors such as tobacco and heavy alcohol use, incorporating physical activity, proper nutrition, and keeping follow-up appointments with your health care team to monitor your condition and recovery.13,15

Your health care provider can be a valuable resource in prescribing a treatment plan that fits your lifestyle.

Much like the tortoise and the hare taught many of us as children, slow and steady wins the race; the same goes for managing your heart health. But this cherished fable fails to teach us that there’s help along the way.

To learn more about Leqvio, visit www.Leqvio.com.

*After an initial dose and another at three months.

What is LEQVIO?

LEQVIO (inclisiran) is an injectable prescription medicine used along with diet and other cholesterol-lowering medicines in adults with high blood cholesterol levels called primary hyperlipidemia (including a type of high cholesterol called heterozygous familial hypercholesterolemia [HeFH]) to reduce low-density lipoprotein (LDL-C) or “bad” cholesterol.

IMPORTANT SAFETY INFORMATION

The most common side effects of LEQVIO were: injection site reaction (including pain, redness, and rash), joint pain, and chest cold.

These are not all the possible side effects of LEQVIO. Ask your health care provider for medical advice about side effects. You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch, or call 1-800-FDA-1088.

Please click here for Leqvio full Prescribing Information.

References

  1. Peters SAE, Colantonio LD, Dai, Y, et al. Trends in Recurrent Coronary Heart Disease After Myocardial Infarction Among US Women and Men Between 2008 and 2017. Circulation. 2021;143:650-660.
  2. Mayo Clinic. Arteriosclerosis / atherosclerosis. Accessed January 21, 2024. https://www.mayoclinic.org/diseases-conditions/arteriosclerosis-atherosclerosis/symptoms-causes/syc-20350569?p=1
  3. Kirkpatrick CF, Sikand G, Petersen KS, et al. Nutrition interventions for adults with dyslipidemia: A Clinical Perspective from the National Lipid Association. J Clin Lipidol. 2023;17:428-451.
  4. Scirica BM and Cannon CP. Treatment of Elevated Cholesterol. Circulation. 2005;111:e360-e363.
  5. Ray KK, Wright RS, Kallend D, et al. Two phase 3 trials of inclisiran in patients with elevated LDL cholesterol. N Engl J Med. 2020;382(16):1507-1519.
  6. Raal FJ, Kallend D, Ray KK, et al. Inclisiran for the treatment of heterozygous familial hypercholesterolemia. N Engl J Med. 2020;382(16):1520-1530.
  7. Mukamal KJ. The Effects of Smoking and Drinking on Cardiovascular Disease and Risk Factors. Alcohol Res Health. 2006;29(3):199–202.
  8. Schwartz GG, Abt M, Bao W, et al. Fasting triglycerides predict recurrent ischemic events in patients with acute coronary syndrome treated with statins. J Am Coll Cardiol. 2015;65(21):2267-75.
  9. Diab A, Dastmalchi LN, Gulati M, et al. A Heart-Healthy Diet for Cardiovascular Disease Prevention: Where Are We Now?, Vascular Health and Risk Management. Vasc. Health and Risk Mgmt. 2023;19:237-253.
  10. de Lorgeril M, Salen P, Martin JL, et al. Mediterranean diet, traditional risk factors, and the rate of cardiovascular complications after myocardial infarction: final report of the Lyon Diet Heart Study. Circulation. 1999;99(6):779-85.
  11. Delgado-Lista J, Alcala-Diaz JF, Torres-Peña JD, et al. Long-term secondary prevention of cardiovascular disease with a Mediterranean diet and a low-fat diet (CORDIOPREV): a randomised controlled trial. The Lancet. 2022;399(10338):1876-1885.
  12. Smith SC Jr, Benjamin EJ, Bonow RO, et al. AHA/ACCF Secondary Prevention and Risk Reduction Therapy for Patients with Coronary and other Atherosclerotic Vascular Disease: 2011 update. Circulation. 2011;124:2458-2473.
  13. Grundy SM, Stone NJ, Bailey AL, et al. 2018 ACC/AHA Guideline on the Primary Prevention of Cardiovascular Disease: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines. Circulation. 2019;140:e596-e646.
  14. Authors/Task Force Members, ESC Committee for Practice Guidelines (CPG), ESC National Cardiac Societies. 2019 ESC/EAS guidelines for the management of dyslipidaemias: Lipid modification to reduce cardiovascular risk. European Heart Journal. 2019;140-205.
  15. American Heart Association. Life After a Heart Attack. Accessed February 9, 2024. https://www.heart.org/en/health-topics/heart-attack/life-after-a-heart-attack

Novartis Pharmaceuticals Corporation

East Hanover, New Jersey 07936-1080 © 2024 Novartis 2/24 399516

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How Medicare Advantage addresses the social drivers of health

2024-02-23T13:57:00

(BPT) – As a health care navigator at UnitedHealthcare, John wears many hats. Some days are spent helping members locate physicians in their area or better understanding their benefits, while others are filled with questions about billing. But providing the support members need often means looking beyond claims or copays to other issues impacting health — ones that aren’t always seen as health care issues.

John recalls one member he worked with earlier this year whose largest obstacle was housing. Operating with a disability and on a single income, he struggled to navigate local programs designed to help people like him address housing challenges.

“So I did some research, calling county and local offices to get information that might best fit his needs,” John says.

He soon facilitated a conference call with the member and a neighborhood housing service in Kalamazoo, Michigan, to help him get “mortgage ready” and into stable housing. At the end of that call, the member told John, “You made my hero of the day list.”

The impact of social drivers

Nearly 10% of Americans 65 years or older face food insecurity,[1] and between 2021 and 2022 the poverty rate for older adults increased from 10.7% to 14.1%, reflecting greater overall economic insecurity for American seniors.[2]

In response, the health care system is paying much closer attention to the overall impact of these social factors.

“For a long time, health care was focused on acute and chronic illnesses, as well as an episodic model for how we manage specific conditions,” said Dr. Alexander Billioux, chief medical officer for UnitedHealthcare Community and State and also responsible for leading the company’s population health and social care efforts. “We’re now taking a more holistic view, where we can improve health by thinking about the context in which people live their lives.”

“That,” he said, “is really where the social care component comes in.”

Dr. Billioux adds that while traditional Medicare is not really set up for identifying social needs or addressing them, managed care – and Medicare Advantage in particular – has that flexibility.

Making meaningful connections to meet social needs

Turning data into action is where UnitedHealthcare has made great strides over the past few years. In 2022 alone, the company screened 4.7 million Medicare Advantage enrollees for social needs using an approach that included health risk assessments; phone calls; in-person visits; and analysis of surveys, claims and administrative data. Of those screened, UnitedHealthcare identified 2 million enrollees with unmet social needs that could be impacting their health.[3]

But identifying these needs was just the first step. Using individualized outreach tactics—dictated by members’ noted preferences—UnitedHealthcare contacted 1 million people who said they wanted help, and from there made 2.3 million social-needs referrals to various national and regional social services programs.

Ultimately, UnitedHealthcare verified that 853,000 Medicare Advantage enrollees were connected to services and supports that addressed a social need. And the result wasn’t just a step toward better health, but also meaningful cost savings for these individuals. In 2023, the company is expanding its outreach efforts and expects to screen more than 5.5 million members—driving even more connections to important support services for those in need.

“We’re taking those extra steps by telling members these programs exist, as well as contacting, coordinating and advocating,” Billioux says. “People who have had long exposure to the health system might think that no one is paying attention to these social drivers. So we’re working hard to try and change that, because we really are here to help.”

Added John, “I love having the opportunity to help our members; I want to be that person.”

To learn more about how UnitedHealthcare’s holistic medical and social support model is identifying and addressing the needs of millions of people each year, access the research brief on UnitedHealthGroup.com.

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5 ways to help improve your child’s well-being

2024-02-23T10:01:01

(BPT) – Does it seem like your kids are busier and more stressed than ever? With an average school day of seven hours and two hours of homework on top of that, a jam-packed schedule of extracurriculars, the constant barrage of social media, the ever-present digital world, academic pressures, and more, no doubt kids have a lot on their plates. And some days, all of those plates are spinning at once. How is it affecting them? Two recent surveys shed some light on that.

In their 2023 Parenting in America Today survey, Pew Research found 76% of parents are somewhat or very worried about their child’s mental health and well-being. JAMA Pediatrics reported a 27% increase in childhood depression in 2022.

How can parents help turn those numbers around? Stepping back from the hubbub and focusing on experiences that will nourish your child is a great way to do that. But it doesn’t have to mean a lifestyle overhaul. A little change can go a long way. Here are five simple ideas to help you improve your child’s well-being.

Call for a digital detox. According to the CDC, children between the ages of 8 and 18 spend an incredible 7.5 hours in front of screens on any given day. The benefits of limiting that time are nearly endless. It promotes creativity, improves face-to-face interaction, reduces eye strain, lessens anxiety, reduces exposure to cyberbullying — the list goes on and on. How to wrestle the phone or tablet out of your child’s hands? To start, make a “no screens at the dinner table” rule, which can promote conversation, and limit screen time for an hour before bed. And about bedtime…

Make sure they get enough rest. Don’t underestimate the power of a good night’s sleep. One way to help your child get the rest they need is by requiring them to keep their phones out of their rooms at bedtime. This can be a struggle for adults, too. One way to do it: designate a central area in your home where everyone’s phone charges and spends the night.

Promote physical activity. If your child participates in extracurricular sports, this may not be a worry in your household. If not, encourage more activity. It can be as simple as a family walk after dinner. It’s a great time to talk with your child about their day, hear what’s happening in their world, and get your steps in, too!

Give them some autonomy. Study after study has shown that helicopter parenting, while well-intentioned, leads to anxiety and even depression in kids. A little independence goes a long way. Giving your kids the opportunity to spread their wings a bit allows them to become more self-reliant and gives them assurance that you have confidence in them.

Get them out of their comfort zones. Find an experience for your kids that’s outside of school, fosters independence, pushes the envelope a little, and allows them to grow. Learning a new skill or mastering a challenge can do wonders for a child’s self-esteem.

A great way to accomplish all these is to consider sending your child to sleepaway camp during the summer, says Brooke Cheley Klebe, whose great-grandfather Frank H. Cheley started Cheley Colorado Camps in 1921. A century ago, it was Frank’s dream to provide an opportunity for kids to get away from the city into a beautiful outdoor setting, learn the ways of the woods, and develop a spiritual awareness from living in nature. They’ve been helping youth experience the great outdoors ever since. Brooke has seen firsthand the transformation that this type of experience can have on young people.

“Summer camp offers for kids the unique ability to step out of their daily routines and connect with the natural world, free from screens,” she says. “At Cheley, our campers express how the camp experience changes them, and helps them feel more solid, focused, and engaged with life. By disconnecting from their devices, camp is a place where they can slow down, embrace new experiences, and truly connect. It’s where they find a sense of belonging.”

And these days, what kid doesn’t need that?