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Jennifer R. Guthrie, MPAS, PA-C

  • Assistant Professor
  • Director of Experiential Education, Physician Assistant Program
  • College of Pharmacy and Health Sciences, Butler University, Indianapolis, Indiana

https://www.schneckmed.org/find-a-provider/providers/jennifer-r-guthrie,-pa/

A4804 Extrapulmonary Sarcoidosis: Clinical Features and Response to Management Response to Management/P medicine app order rebetol 200mg overnight delivery. A4808 An Exome Sequencing Study Deciphers Rare Genetic Variants in Familial Sarcoidosis/A symptoms 24 hours before death buy discount rebetol 200 mg line. A4809 A Transcriptomic Analysis of Monocyte Subsets and Their Roles in Pulmonary Sarcoidosis/S treatment under eye bags generic 200mg rebetol. A4811 Veterans with Pulmonary Sarcoidosis Have Different Metallomic Profile Compared to Civilians with Pulmonary Sarcoidosis/C medicine escitalopram rebetol 200 mg for sale. A4812 Relationships Between Symptom Burden and Peripheral Blood Gene Expression in Sarcoidosis/V. A4813 High T-bet Expression in Peripheral T Helper Cells Correlates with Pulmonary Function Change in Sarcoidosis/N. A4798 Transcriptomic Analysis of Peripheral Blood Mononuclear Cells in African Americans with Sarcoidosis/C. A4799 Peripheral Autophagy and Apoptosis Elements Distinguish Sarcoidosis and Tuberculosis/C. A4800 P886 P885 P887 P874 P888 P875 P889 the information contained in this program is up to date as of April 16, 2018. A4815 Microbiota and Clinical Variable Associations in Alpha-1 Antitrypsin Deficiency and Sarcoidosis/K. A4819 Weighted Gene Co-Expression Network Analysis of Bronchoalveolar Lavage Cells Transcriptome Identifies New Molecular Endotypes in a Large Cohort of Subjects with Sarcoidosis/M. A4821 Expression of Toll-Like Receptor 2 and 4 in the Alveolar Macrophages of Interstitial Lung Diseases/T. A4822 P2 Adult Asthma Management Resources and Pathway Implementation in Ontario Emergency Departments/C. A4826 Performance of the Asthma Impact on Quality of Life Scale in Diverse Asthma Research Samples and Demographic Sub-Groups/S. A4827 Features of Long-Term Dynamics of Health-Related Quality of Life in Patients with Asthma/J. A4828 the Impact of Treatment Change on Economic and Quality of Life Outcomes Among Treated, Adherent, Uncontrolled Patients with Persistent Asthma/N. A4829 Knowledge on Self-Management and Levels of Asthma Control Among Adult Patients in Ho Chi Minh City, Vietnam/V. A4830 Searching the Best Statistical Model Predicting Asthma Exacerbation in Elderly/H. A4833 Association Between Objective Short-Acting Beta-Agonist Use and Self-Reported Asthma Control Test Scores Among Adults with Asthma/W. A4834 Analysis of Asthma Patients Using the Adherence Starts with Knowledge-12 in Japan/Y. A4837 What Factors Affect Treatment Failure When Antibiotics Are Given for Asthma Exacerbations A4824 P15 the information contained in this program is up to date as of April 16, 2018. A4839 Endometriosis Is Associated with Increased Risk of Asthma in Reproductive Age Women/S. A4853 Wheezing Associated with a Use of Humidifier Disinfectants Among Children in South Korea/H. A4854 Using Digital Technology to Identify Adherence Phenotypes May Identify Appropriate Time for Intervention/H. A4842 Feasibility of a Home-Based Exercise Intervention with Remote Guidance for Obese Asthmatics/A. A4847 Asthma Medication Availability and Affordability in the Gambia: Preliminary Results from an Audit of Current Practice in Asthma Care/B. A4848 A Longitudinal Analysis of Pharmacist-Driven Inhaler Optimization in the Ambulatory Care Setting/E. A4860 Literature in Severe Asthma: Bronchial Thermoplasty and Biological Agents/T. A4863 Targeted Inhaler Technique Education for Primarily Mandarin-Speaking Subjects: A Pilot Study/G. A4864 Study of the Volume of Tracheal Inflow During the Use of a Soft Mist Inhaler/T. A4852 P41 P29 P42 the information contained in this program is up to date as of April 16, 2018.

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Bicycle helmet use and bicycling-related injury among young Canadians: An equity analysis medications 4h2 buy rebetol 200mg otc. Creating Healthier Generations: A Look at 10 years of Federal Safe Routes to School program medicine hat tigers generic rebetol 200mg on-line. Safety in numbers for cyclists-conclusions from a multidisciplinary study of seasonal change in interplay and conflicts medications erectile dysfunction buy rebetol 200 mg lowest price. Burden of hospitalizations for bicycling injuries by motor vehicle involvement: United States symptoms 1 week after conception generic 200 mg rebetol with amex, 2002 to 2009. Teaching children about bicycle safety: An evaluation of the New Jersey Bike School Program. Bicycle helmet legislation for the uptake of helmet use and prevention of head injuries. Transportation Research Record: Journal of the Transportation Research Board, 2465, 57-63. Long term bicycle related head injury trends for New South Wales, Australia following mandatory helmet legislation. Nonuse of bicycle helmets and risk of fatal head injury: A proportional mortality, case-control study. A comparison of the effect of different bicycle helmet laws in 3 New York City suburbs. The impact of compulsory cycle helmet legislation on cyclist head injuries in New South Wales, Australia. Alcohol- and Drug-Impaired Driving Effectiveness: - Effectiveness still undetermined; different methods of implementing this countermeasure produce different results - Limited or no high-quality evaluation evidence Effectiveness is measured by reductions in crashes or injuries unless noted otherwise. Some States set mandatory minimum levels for some sanctions, which often increase for second and subsequent offenders. This suspension or revocation typically runs concurrently with any administrative license action. In most States, offenders may obtain an occupational or hardship license during part or all of the revocation or suspension period. A study of 46 States found that post-conviction license suspension had no discernible effects on alcohol-related fatal crashes (Wagenaar & Maldonado-Molina, 2007). Available evidence suggests that fines appear to have little effect A1-3 Appendix 1. Even though fines may not reduce alcohol-impaired driving, they do help support the system financially. Offenses with mandatory jail terms may be pled down, or judges simply may ignore the mandatory jail requirement (Robertson & Simpson, 2002). Research suggests that server training programs can be effective if they involve intensive, high-quality, face-to-face server training that is accompanied by strong and active management support (Shults et al. Despite these positive research findings, the balance of evidence regarding countermeasure effectiveness remains inconclusive. Responsible beverage service covers a range of alcohol sales policies and practices that prevent or discourage restaurant and bar patrons from drinking to excess or from driving while impaired by alcohol. Since that time, many "server intervention" programs have been developed as a means of securing more responsible behavior on the part of servers. Server training programs are the only segment of responsible beverage service for adults that has been documented and evaluated well. Effectiveness: the findings on the effectiveness of server training have been mixed. They concluded that "intensive, high-quality, face-to-face server training, when accompanied by strong and active management support, is effective in reducing the level of intoxication in patrons" (p. When server training programs are not intensive and are not supported, they are unlikely to result in greater refusals of service to intoxicated patrons. An evaluation of a statewide server training program in Oregon found a 23% reduction in singlevehicle nighttime injury crashes following the program (Holder & Wagenaar, 1994). Course costs can be borne by the servers themselves, their employers, or the State. Time to implement: Server training courses are offered by several private vendors and can be implemented in a few weeks. A statewide requirement for server training or more general responsible beverage service policies would require time to enact any necessary legislation, establish policies, and provide for program administration.

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Effectiveness of speed minders in reducing driving speeds on rural highways in Pennsylvania medicine 2015 lyrics generic rebetol 200mg overnight delivery. What benefit does Intelligent Speed Adaptation deliver: A close examination of its effect on vehicle speeds treatment 002 buy rebetol 200 mg line. Development and evaluation of a speed-activated sign to reduce speeds in work zones symptoms of dehydration buy rebetol 200mg amex. Intelligent speed assistance for serious speeders: the results of the Dutch Speedlock trial medications not to take before surgery generic 200 mg rebetol overnight delivery. Reductions in driver speed using posted feedback of speeding information: Social comparison or implied surveillance These estimates may underrepresent cell phone use given the inherent difficulty in accurately observing these behaviors. Experiments on simulators or test tracks indicate that talking on a cell phone has some effect on driving performance, most commonly slowed reaction times, but these experiments cannot measure the impact on crash risk. In addition, these two studies and others have found that hands-free phones offer little or no safety advantage over hand-held phones (Caird et al. However, recent studies have questioned the estimates of crash risk and argued the real risk may be much smaller (Farmer, Braitman, & Lund, 2010; Young, 2012). Since 2000 every State has considered legislation to curtail distracted driving or driver cell phone use. In addition, several local jurisdictions such as Chicago, Illinois and Cheyenne, Wyoming have enacted their own restrictions on cell phones. Distracted and Drowsy Driving the effectiveness of hand-held cell phone bans in reducing crashes is still unclear. Nikolaev, Robbins, and Jacobson (2010) examined driving injuries and fatalities in 62 counties in New York State both before and after a hand-held cell phone ban took effect. Although encouraging, the study did not include a control group to account for other factors that may have decreased crashes. Finally, a review and synthesis of 11 peer-reviewed articles found that, while such bans are highly effective at reducing cell phone use while driving, the effect on crash outcomes is mixed (McCartt, Kidd, & Teoh, 2014). These findings suggest that the impact on crash rates from cell phone bans is not clear, even though such bans are effective at reducing hand-held cell phone use. Typically, these systems allow exceptions for phone calls from pre-specified numbers, and all allow emergency calls to 911. Although these systems are potentially applicable to all drivers, they have largely been marketed to parents of teen drivers. However, participants were not very accepting of the application, and the application was not completely reliable (Funkhouser & Sayer, 2013). No studies have evaluated whether general reckless driving laws or specific drowsy or distracted driving laws have any effect (except for cell phone laws: see Chapter 4, Section 1. Other States include these conditions under their laws regarding reckless driving or similar offenses. Distracted and Drowsy Driving Costs: Costs are required for publicity and enforcement. Enforcement costs likely will be minimal, as most enforcement likely will be included under regular traffic patrols or combined with enforcement activities directed primarily at other offenses such as alcohol-impaired or aggressive driving. Time to implement: the implementation time is primarily determined by the time required to pass new drowsy or distracted driving laws. Distracted and Drowsy Driving the ultimate goal of drowsy driving communications and outreach is to change driver behavior; however, there are substantial obstacles. To have any chance of success, stand-alone campaigns must be carefully pre-tested, communicate health information not previously known, be long-term, and have substantial funding (Williams, 2007). An additional barrier is that, for many drivers, drowsy driving is a byproduct of busy lifestyles that do not include enough sleep. Focus group discussions with young men and shift workers, two groups at high risk of drowsy driving, supported this conclusion (Nelson, Isaac, & Graham, 2001). But neither their knowledge nor their crash experience changed their sleep habits. In addition, several States including California, Florida, Michigan, Pennsylvania, and Washington have instituted a drowsy or distracted driving awareness week/month. Time to implement: A high-quality campaign will require at least 6 months to plan, produce, and distribute.

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A3388 Multi-Organ Failure with Hemophagocytic Lymphohistiocytosis Due to Coexistent Ehrlichia and Epstein-Barr Virus Infections/S medications xanax order 200 mg rebetol with visa. A3370 Development of Pyogenic Liver Abscess from Hematogenous Spread from Dental Abscess medicine 72 hours order rebetol 200mg with amex, Presenting as Diabetic Ketoacidosis/C treatment carpal tunnel 200mg rebetol visa. A3371 Diarrhoea and Vomiting Leading to Metformin Associated Lactic Acidosis: A Case Report/C symptoms iron deficiency rebetol 200 mg fast delivery. A3374 An Extreme Case of Life Threatening Metabolic Acidosis and Diabetic Ketoacidosis/D. A3377 Pancreatic Mass Presenting with Diabetic Ketoacidosis in a Patient with Type 2 Diabetes Mellitus/A. A3379 P1176 P1163 P1177 P1178 P1164 P1165 P1179 P1166 P1167 P1180 P1181 P1168 P1169 P1170 P1182 Facilitator: C. A3390 Hemophagocytic Lymphohistiocytosis in a Patient with Systemic Lupus Erythematosus/N. A3392 Steroid-Responsive Pulmonary Nodules in a Patient with Hemophagocytic Lymphohistiocytosis/C. A3380 P1187 P1188 P1189 the information contained in this program is up to date as of April 16, 2018. A3397 In Hospital Spontaneous Splenic Rupture as the Diagnostic Presentation of a Hepatosplenic T Cell Lymphoma/J. A3403 Hypereosinophilic Syndrome Presenting as Chronic Cough Progressing to Multisystem Organ Failure Successfully Treated with Mepulizomab/S. A3405 Atypical Presentation of Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitides in a 71 Year Old African American/B. A3408 Thrombotic Microangiopathy as a Rare Manifestation of Hypertensive Emergency/G. A3409 P1208 Intestinal Perforation in a Post-Transplant Lymphoproliferative Disease Patient Starting Rituximab/J. A3416 Intravascular Large B-Cell Lymphoma: A Rare Lymphoma with Bewildering Clinical Manifestations/Y. A3417 Primary Aortogastric Fistula Caused by Ulcerated Gastric Carcinoma Occurring 23 Years After Surgical Treatment for Esophageal Carcinoma/M. A3421 Multisystem Organ Failure from Cryoglobulinemia, Precipitated by Therapeutic/S. A3425 Successfully Treated Heparin Induced Thrombocytopenia with Intravenous Immunoglobulin/E. A3410 Catastrophic Antiphospholipid Syndrome and Heparin Induced Thrombocytopenia After Pulmonary Vein Isolation Ablation/L. A3412 Mimickers of Sepsis: A Case of Shock Secondary to Metastatic Abdominal Angiosarcoma/A. A3428 Windows to the Heart: Ultrasonography Facilitates the Early Diagnosis of a Rare Cause of Septic Emboli/S. A3429 Point of Care Echocardiography: An Essential Extension of the Physical Exam in Shock/M. A3430 Point-of-Care Ultrasonography: An Adjunct to Computed Tomography in Diagnosing a Mediastinal Abscess in the Intensive Care Unit/L. A3431 Spontaneous Coronary Artery Dissection in a Young Female with Fibromuscular Dysplasia/A. A3432 Hemodynamically Stable Asymptomatic Sustained Ventricular Fibrillation in a Patient with Left Ventricular Assist Device/P. A3435 Innovative Solutions to an Old Problem: Valve in Valve Procedures for Mitral Valve Re-Stenosis After Rheumatic Heart Disease/J. A3444 Anterior Mediastinal Hematoma and Right Sided Hemothorax from Leaking Saphenous Vein Right Coronary Artery Bypass Graft Aneurysm Due to Incomplete Coiling Masquerading as Right Lower Lobe Pneumonia/Z. A3448 Spontaneous Coronary Artery Dissection in an Anorexic Patient: A Rare and Challenging Case/D.

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