Condet

Dane L. Shiltz, PharmD, BCPS

• Associate Professor, Department of Clinical Pharmacy Practice, Butler University College of Pharmacy and Health Sciences
• Clinical Pharmacist in Internal Medicine, Indiana University Health Methodist Hospital, Indianapolis, Indiana

https://www.ferris.edu/HTMLS/colleges/pharmacy/profiles/pharmacy-practice/dane-shiltz.html

Ophthalmology symptoms 5 days before missed period generic 500 mg cyklokapron, University of Colorado School of Medicine 6602 - A0301 the functional effects of photoreceptor loss in patients with retinal detachment symptoms 0f pneumonia cheap cyklokapron 500 mg without prescription. Ophthalmic Research Laboratories symptoms for pneumonia purchase 500mg cyklokapron with mastercard, University of Adelaide 6604 - A0303 Microglial regulation of inflammatory mediators following retinal detachment medications known to cause hair loss 500mg cyklokapron with mastercard. Ophthalmology, Massachusetts Eye and Ear Infirmary 6605 - A0304 Microglia prevent photoreceptor from apoptosis in a rat model of retinal detachment. Ophthalmology and Visual Science, University of Michigan 6607 - A0306 Molecular biological changes of the vitreous in different forms of retinal detachment. Kresge Eye Institute 6619 - B0074 the efficacy of trabecular microbypass stent (iStent) surgery in patients with secondary glaucoma. Ophthalmology, University of Virginia School of Medicine 6627 - B0082 Evaluation of a secondgeneration trabecular micro-bypass stents in patients with primary open angle glaucoma: A retrospective consecutive case series review at a tertiary centre. Ophthalmology, Kings College 6628 - B0083 A Novel Modified Minimally Invasive Trabeculectomy: A Preliminary Study. Lima, Instituto Oftalmosalud 6630 - B0085 Gonioscopy-Assisted Transluminal Trabeculotomy: A Retrospective Review of Cases with 6-month Follow-up. Kresge Eye Institute 6632 - B0087 One-Year Results on Efficacy and Safety after Trabeculectomy Comparing Two Methods to Deliver Mitomycin-C. Brandt 6615 - B0070 Combined iStent and Phacoemulsfication Outcomes in African American and Caucasian Glaucoma Patients. Hospital 6634 - B0089 the influence of ethnicity on adjunctive medical and surgical interventions following trabeculectomy. Ophthalmology, University of Fukui 6636 - B0091 Incidence and risk factors for the ptosis after trabeculectomy. Gil Medical Center; 3Ophthalmology, Korea University 6637 - B0092 Prospective Cohort Study of Refractive Change After Trabeculectomy. Department of Ophthalmology, University of Fukui 6638 - B0093 Using Ethnicity to Improve High Risk Trabeculectomy Outcome. Glaucoma, Moorfields Eye Hospital 6639 - B0094 Outcomes of combined Baerveldt glaucoma implant & trabeculectomy with mitomycin C in patients with advanced glaucoma with high risk of primary Trabeculectomy failure. Rotterdam Ophthalmic Institute, Rotterdam Eye Hospital f 6645 - B0100 Short-term changes in corneal endothelial cell density after glaucoma drainage device. Asociacion para Evitar la Ceguera en Mesxico 6646 - B0101 Clinical outcomes following the triple procedure. Duke University Eye Center 6647 - B0102 Comparison and efficacy of three surgical goniotomy techniques. Ophthalmology and Visual Sciences, University of British Columbia 6649 - B0104 Outcomes of microcatheterassisted trabeculotomy in the treatment of juvenile open angle glaucoma. Instituto Oftalmosalud 6653 - B0108 Glaucoma drainage device implantation vs transcleral diode laser cyclophotocoagulation in blind painful eyes with neovascular glaucoma. Asociaciуn para Evitar la Ceguera 6655 - B0110 Intraocular pressure reduction after Esnoper Clip Implantation during deep sklerectomy in 20 glaucoma patients. Denniston 6657 - B0112 Race, sex and state affect Medicare utilization rates for infectious and inflammatory eye diseases in the United States. Ophthalmology, Universidade de Sao Paulo 6663 - B0118 Contrast sensitivity in patients with Vogt-Koyanagi-Harada disease. Ophthalmology, University of Oklahoma Health Sciences Center - Dean McGee Eye Institute 6665 - B0120 Identifying the Risk of Development of Macular Edema in Patients with Vogt-Koyanagi-Harada Disease. Ophthalmology, Yonsei University College of Medicine 6671 - B0126 White dot syndrome: incidence, clinical findings and management in ophthalmology reference center during the last 17 years. Department of Ophthalmology, Hadassah Medical Center 6676 - B0131 Correlation of immunohistochemical markers with disease and clinical outcome measures in patients with autoimmune retinopathy. Tokyo Medical University 6680 - B0135 Characteristics of Glaucoma in Uveitis Patients. Enfermedades Inflamatorias Oculares, Hospital de la Luz 6683 - B0138 Factors Predictive of Remission of Chronic Anterior Uveitis. Department of ophthalmology, Oslo University Hospital 6688 - B0143 Aqueous flare in uveitis: Measurements with an enhanced spot fluorometer.

However treatment zona cyklokapron 500mg fast delivery, work requirements present unnecessary risks for people with mental health conditions medicine 3 sixes order cyklokapron 500 mg without prescription. Serious mental illnesses are symptoms gestational diabetes cheap cyklokapron 500mg amex, by their very nature medications during pregnancy chart cyklokapron 500mg lowest price, chronic and recurring conditions that fluctuate in severity over time. This means that an individual could be in a state of recovery at the time they are assessed and face few obstacles to working. Consequently, the beneficiary experiencing a crisis or decline in their condition could lose both their employment and health care coverage at the very time they need access to mental health care the most. Ultimately, we believe that imposing work requirements will take Tennessee backwards without furthering the goals of the Medicaid program. We encourage the department to focus on solutions to implement evidence-based supported employment for TennCare recipients. Lipari, and Eunice Park-Lee, "Key Substance Use and Mental Health Indicators in the United States: Results from the 2016 National Survey on Drug Use and Health," Substance Abuse and Mental Health Services Administration, September 2017. Both these interventions have been shown to improve the employment outcomes of people with mental illness at rates far higher than the national average. Jonathan Reeve From: Sent: To: Subject: Attachments: Robin Nobling <rnobling@namidavidson. Wendy Long, Please consider my comments below on the proposed Waiver Amendment 38. Fundamentally, it makes no sense to me that the state would seek to circumvent the goal of the Medicaid program, which is to "provide health coverage to millions of Americans, including eligible low-income adults, children, pregnant women, elderly adults and people with disabilities" (Medicaid. In addition, depriving people of health care will make it more difficult for them to work and to maintain employment. While the draft of Amendment 38 includes an exemption for "individuals who are physically or mentally incapable of work, as certified by an appropriate medical professional," this is little comfort for the following reasons: - When it is already a challenge to obtain treatment for mental illness, given the lack of mental health providers (which is especially pronounced in rural areas of our state), the individual will have the burden of obtaining the certification of an "appropriate medical professional. This proposal sets up the potential of a person dealing with mental illness falling in and out of compliance with the work requirement, thereby seriously jeopardizing the continuing health care needed to keep those dealing with mental illness stable and healthy. With the cost of managing and monitoring this program, and the potential for creating stress and anxiety that exacerbates mental health symptoms, any potential financial benefits become nil. While an exemption is also included in the draft for "individuals participating in inpatient or residential treatment for a substance use disorder," this does not help any individuals who have been unable to secure a bed in a residential treatment center because of lack of enough facilities or because of their location in an area with not enough beds. It also leaves vulnerable those struggling with a substance abuse disorder who are receiving intensive outpatient treatment or other modes of treatment that will not qualify. In short, regarding the exemptions noted above, an "exemption" is not a "protection," and there is no assurance that those who qualify for the exemptions will be able to maintain their health coverage. I have many specific concerns about this proposal, in addition to my basic disagreement with its goal and premise and my concern about the implementation of the exemptions discussed above. This is especially concerning given that TennCare still does not have an operational computer system for eligibility determination. In addition to being fundamentally misguided, there seems to be a rush to implement this proposal when there is not a system in place to handle it. This is a problem related both to the ability to hold a job, as well as the ability to document exemptions or compliance, for those who need to use public computers to do so. The draft amendment states that "Tennessee will seek the necessary approval from the U. We understand that the TennCare Bureau was mandated by the legislature to submit an amendment to the existing TennCare waiver to create reasonable work and community engagement requirements for able-bodied working age adult enrollees without dependent children. The experience of other states illustrate that work requirements lead to low-income people losing their health coverage, an outcome totally at odds with the purposes of the Act. We know other groups have addressed specific concerns related to the waiver, and our brief comments will focus on the potential impact on families with children up to age 18. We initially understood that the legislative intent of Public Chapter 869 exempted caregivers with children up to age 18, but the draft waiver does not reflect this. We urge you to take into consideration the attached analysis from the Sycamore Institute on Obstacles To Work Among TennCare Enrollees Potentially Affected by A Work Requirement. This analysis specifically looks at nondisabled parents or caretaker relatives of children age 6 and older. Professional social workers have also been involved in a variety of ways with the Families First program. From that, and other experiences, we know the challenges caregivers face in moving into permanent employment.

Underlying machine learning symptoms 10 dpo discount cyklokapron 500 mg fast delivery, data mining medicine 20th century cheap 500mg cyklokapron with mastercard, and high-dimensional statistical techniques medications vertigo buy discount cyklokapron 500mg online, there are many model assumptions and even heuristic arguments chapter 7 medications and older adults order 500 mg cyklokapron. However, it is nearly impossible that such a random variable, which is the part of the response variable that cannot be explained by a small group of covariates and lives in a low-dimensional space spanned by the response and the small group of variables, is uncorrelated with any of the tens of thousands of coviariates. Indeed, Fan and Liao (2014) and Fan, Han and Liu (2014) provide evidence that such an ideal assumption might not be valid, although it is a necessary condition for model selection consistency. Even under the exogenous assumption, conditions such as the restricted eigenvalue condition [Bickel, Ritov and Tsybakov (2009)] and homogeneity [Fan, Han and Liu (2014)] are needed to ensure model selection consistency or oracle properties. Despite their critical importance, these conditions have rarely been verified in practice. A simpler question is then, for a given data set, do data mining techniques produce results that are better than spurious correlation? The answer depends on not only the correlation between the fitted and observed values, but also on the sample size, the number of variables selected and the total number of variables. We take the gene expression data on 90 Asians (45 Japanese and 45 Han Chinese) from the international "HapMap" project [Thorisson et al. The normalized gene expression data are generated with an Illumina Sentrix Human-6 Expression Bead Chip [Stranger et al. Next, we refit an ordinary least-squares regression on the selected model to calculate the fitted response and residual vector. Histogram of the sample correlations between the residuals and each covariate (blue) and histogram of N (0, 1/ n) random variables (green). To answer the above two important questions, we need to derive the distributions of the maximum spurious correlations. Assume that s covariates are selected by a certain variable selection method for some 1 s min(p, n). If the correlation between the fitted response and observed response is no more than the 90th or the 95th percentile of Rn (s, p), it is hard to claim that the fitted value is impressive or even genuine. In this case, the finding is hardly more impressive than the best fit using data that consist of independent response and explanatory variables, 90% or 95% of the time. To simplify and unify the terminology, we call this result the spurious discovery throughout this paper. The importance of such spurious correlation was recognized by Cai and Jiang (2011), Fan, Guo and Hao (2012) and Cai, Fan and Jiang (2013). When the data are independently and normally distributed, they derive the distribution of Rn (1, p), which is equivalent to the distribution of the minimum angle to the north pole among p random points uniformly distributed on the (n + 1)-dimensional sphere. Fan, Guo and Hao (2012) conducted simulations to demonstrate that the spurious correlation can be very high when p is large and grows quickly with s. To demonstrate this effect and to examine the impact of correlation and sample size, we conduct a similar but more extensive simulation study based on a combination of the stepwise addition and branch-and-bound algorithms. We simulate X from N(0, Ip) and N(0, 0), where 0 is block diagonal with the first block being a 500 Ч 500 equi-correlation matrix with a correlation 0. Clearly, the distributions depend on (s, p, n) and, the covariance matrix of X, although the dependence on does not seem very strong. However, the theoretical result of Fan, Guo and Hao (2012) covers only the very specific case where s = 1 and = Ip. There are several challenges to deriving the asymptotic distribution of the statistic Rn (s, p), as it involves combinatorial optimization. Further technical complications are added by the dependence among the covariates X. Nevertheless, under the restricted eigenvalue condition [Bickel, Ritov and Tsybakov (2009)] on, in this paper, we derive the asymptotic distribution of such a spurious correlation statistic for both a fixed s and a diverging s, using the empirical process and Gaussian approximation techniques given in Chernozhukov, Chetverikov and Kato (2014). To provide a consistent estimate of the distributions of the spurious correlations, we consider the use of a multiplier bootstrap method and demonstrate its consistency under mild conditions. The multiplier bootstrap procedure has been widely used due to its good numerical performance. Its theoretical validity is guaranteed by the multiplier central limit theorem [van der Vaart and Wellner (1996)]. For the most advanced recent results, we refer to Chatterjee and Bose (2005), Arlot, Blanchard and Roquain (2010) and Chernozhukov, Chetverikov and Kato (2013).

As a medical student treatment yellow fever cheap 500 mg cyklokapron with amex, I am opposed to any new requirements which would limit access to care for vulnerable populations treatment 8 cm ovarian cyst cheap 500mg cyklokapron mastercard. I am concerned that work requirements would place an undue burden on vulnerable patients and cause many to unfairly lose access to crucial care medicine of the prophet 500mg cyklokapron otc. I have lived in both Montgomery and Davidson Counties while working for the Department of Human Services as an Eligibility Counselor hair treatment discount cyklokapron 500mg free shipping. I worked in that department for five years, evaluating participants for eligibility and their compliance with policy. The program changed drastically while I was a member of the department and we got to see the before and after effects as those changes were implemented. I have had an extended family sit in my cubicle and apply for medical assistance and had to tell them that they had to apply for welfare for the adults to be covered. I remember attempting to get her covered, give her the opportunity to recover before requiring that she show up at the salvation army to sort clothes as her "work activity" shortly after having surgery on her feet. These work requirements more often than not are the barriers thrown up, get in the way of those attempting to work their way out of poverty. Our priorities are terribly mixed up if we feel the need to make the poor prove their worthiness to receive healthcare. Their government should not impose harsh and arbitrary obstacles to the benefits they need just to survive. It will add more bureaucracy to the process of administering TennCare and it will cause people to lose their healthcare insurance. Long, I adamantly oppose the proposal (draft Amendment 38) to deny health care coverage to people who do not work a set number of hours a month. I can speak to this issue personally: Many years ago, my unemployed parents received Medicaid benefits that enabled them to live long enough to finish raising their children. I and my seven siblings have seven college degrees and many advanced degrees among us. The additional qualifying and reporting requirements would impose complex administrative burdens on people and their families who already are stressed. Furthermore, taking health care coverage away from the unemployed, which is the intent of the proposed amendment, undermines the goals of the Medicaid program and also the aim of the proposal itself. Unemployed people who are deprived of health care are less able to look for work and less able to work; if their health issues are left untreated, those people are less attractive to potential employers and thus more likely to remain unemployed. I object to my tax dollars being used to deprive otherwise-eligible people of health care. Tenncare Public Chapter 869 I oppose the proposed Public Chapter 869, which requiresTennCare to submit a waiver proposal for "reasonable" work requirements for non-disabled adults under 65 without children under 6 yrs old. Additionally, "reasonable" is a very subjective and non-specific term which will most likely cause a lot of glitches, clogging up the system with appeal processes, etc. Our legislature is definitely non-supportive of needy families across Tennessee, particularly regarding their health needs. Adequate health coverage, and convenient hospitals in rural areas will in the long run save the state many dollars. Tenncare New Work Requirement for TennCare Please do not add a new work requirement to people depending on TennCare for the healthcare. I am part of a network of organizations that work directly with TennCare beneficiaries and we are concerned implementing this waiver will put the health of the parents of Medicaid eligible children at risk. Tenncare I unequivocally oppose the proposal to take health coverage away from people who are unemployed Dr. Failure to meet reporting requirements and paperwork errors will result in suspension of coverage for thousands of Tennesseans. The proposed waiver would lead to large coverage losses even though they remain eligible. Disruption of treatment or loss of access to health care would affect cancer patients, people with addiction, and people with diabetes among others. I am aware of the work requirement changes that thousands of Tennesseans will face in regards to their health and mental health coverage with this legal action. My response is approach this change with a conscience of positive change to empower people and fine tune the details toward the change for it to succeed. We have all sorts of advocates and workers that can work together if brought into the picture.

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Relation of cytochrome P450 2C19 loss-of-function polymorphism to occurrence of drug-eluting coronary stent thrombosis symptoms 7dpo order cyklokapron 500mg online. Cytochrome P450 2C19 loss-offunction polymorphism and stent thrombosis following percutaneous coronary intervention treatment plan template discount 500 mg cyklokapron with mastercard. Cytochrome P450 2C19 polymorphism in young patients treated with clopidogrel after myocardial infarction: a cohort study treatment atrial fibrillation cheap 500mg cyklokapron overnight delivery. Association of cytochrome P450 2C19 genotype with the antiplatelet effect and clinical efficacy of clopidogrel therapy medicine urology purchase cyklokapron 500 mg online. Aylsworth Direct-to-consumer genomic testing is available to anyone willing to pay for it. The concerns that were initially raised about direct-toconsumer genomic testing still seem valid. HapMap samples are publicly available through the nonprofit Coriell Institute for Medical Research [6]. There were 14 health conditions for which both companies reported relative risk information. For 5 of these 14 health conditions-colorectal cancer, Crohn disease, heart attack, prostate cancer, and restless leg syndrome-one of the companies reported an increase in relative risk and the other company reported a decrease in relative risk (Table 1). The significance of relative risk changes was overemphasized, given that they were associated with very small changes in absolute risk. For example, one of the companies told both patients that their test results indicated a relative risk of 0. We concluded that, although customers might find their risk profiles interesting, this information provides no guidance for physicians trying to make informed clinical deciElectronically published November 19, 2013. For $99, 23andMe now promises to deliver information regarding risk markers for 120 diseases; carrier status for 50 genetic disorders; 24 drug responses; and 60 traits, ranging from eye color and earwax type to muscle performance and reading ability [3]. As the cost of the services offered by these companies declines and the claims regarding these services increase, it seems reasonable to investigate what consumers may actually gain from such information. Relative risk was reported to be increased by 1 company and reported to be decreased by the other company for 5 of the 14 health conditions for which both companies reported such information: colorectal cancer, Crohn disease, heart attack, prostate cancer, and restless leg syndrome. One sample had 4 discordant results and the other sample had 2 discordant results; the discordant relative risk values are in boldface type. The insubstantial magnitude of the risk information raised doubts about clinical validity. Moreover, there were sometimes substantial differences between the 2 companies in the level of risk reported, which calls into serious question the analytic validity of the findings. A possible limitation of our findings is that these analyses were performed in 2008. Finally, the report states, Perhaps most disturbing, one company told a donor that an above average risk prediction for breast cancer meant she was "in the high risk of pretty much getting" the disease, a statement that experts found to be "horrifying" because it implies the test is diagnostic. Monica Gulisano Genetic testing is available for nearly 300 specific targeted mutations associated with various disorders [1]. Such testing is marketed directly to consumers, who can purchase it without any involvement on the part of their health care provider. Over the past decade, great advances have been made in discovering the genetic basis of monogenic diseases such as Tay-Sachs disease and cystic fibrosis, but finding meaningful associations between genetic variants and polygenic diseases such as diabetes, cancer, and cardiovascular disease is more difficult and will require more time. Although there seems to be strong public interest in testing for susceptibility to psychiatric disorders, little is known about the impact on individuals of receiving the results of such genetic tests [11]. Further contributing to the potential for confusion among consumers are claims made by companies on their Web sites and in their marketing materials. One of the presumed benefits of genetic testing is its potential to motivate lifestyle changes, although the ability of such testing to encourage healthy behavior is disputable [2]. Current research suggests that consumers believe that they will change their health behavior once they know their genetic test results. However, studies of actual changes in behavior after people receive the results of genetic testing have come to mixed conclusions. In a randomized trial of the use of personalized genetic risk counseling to motivate diabetes prevention [5], subjects were randomly assigned to receive genetic testing or no genetic testing.

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