The document summarizes recent federal legislative activity related to autism and disability services. It discusses funding amounts for autism research and services through the Combating Autism Act. It also provides updates on health care reform legislation and bills addressing issues like insurance coverage of autism treatment, long term services and supports, reducing restraint and seclusion in schools, and reauthorizing acts related to education, workforce development, and developmental disabilities.
Presentation made by Dr. Carolyn A. (Cindy) Watts on the 5th of November, 2012 during the live webinar hosted by VCU Department of Gerontology (discussion moderated by Dr E. Ayn Welleford) - review recording of webinar at http://www.alzpossible.org/wordpress-3.1.4/wordpress/alliedhealth/
This summer, Congress is under enormous pressure to find a way to reduce the federal deficit, and Medicaid has become a prime target for cuts.
The Leadership Council of Aging Organizations hosted a Senate briefing on June 10, 2011, where Howard Bedlin, Vice President for Public Policy and Advocacy at NCOA, talked about what’s at stake for Medicaid and seniors in the current budget debate.
Presentation made by Dr. Carolyn A. (Cindy) Watts on the 5th of November, 2012 during the live webinar hosted by VCU Department of Gerontology (discussion moderated by Dr E. Ayn Welleford) - review recording of webinar at http://www.alzpossible.org/wordpress-3.1.4/wordpress/alliedhealth/
This summer, Congress is under enormous pressure to find a way to reduce the federal deficit, and Medicaid has become a prime target for cuts.
The Leadership Council of Aging Organizations hosted a Senate briefing on June 10, 2011, where Howard Bedlin, Vice President for Public Policy and Advocacy at NCOA, talked about what’s at stake for Medicaid and seniors in the current budget debate.
On Thursday, March 22, 2012, the Illinois Senate convened a Committee of the Whole to hear a presentation on Medicaid from Joy Johnson Wilson of the National Conference of State Legislatures.
Presentation Title: AmeriCorps: Get Involved, Give Back, Gain Skills, Earn an Ed Award and Obtain a Living Allowance!
Featured Speakers:
Paula Sotnik, Project Director, National Service Inclusion Project, Institute for Community Inclusion at UMass Boston
Robert Shogren, Director, Arizona Governor's Commission on Service and Volunteerism
Jason Wheeler, Senior Program Manager, National Service Inclusion Project, Institute for Community Inclusion at UMass Boston
Amy Rocker, AmeriCorps Alumna & Commissioner for the Arizona Governor's Commission on Service and Volunteerism
Description:
When considering life after high school, national and community service presents an appealing option for students with disabilities. Whether the decision is to go on to college, get a job or both, a national service experience is a valuable place to develop skills, expand networks, and explore career options. This session will provide an informative overview of how an individual becomes a national service member or volunteer. This workshop will discuss how service can help young adults give back to their communities while simultaneously developing skills and experience, describe how service members can develop social networks and receive a living allowance, training and an Ed award, matched by 78 colleges and universities, to pay educational costs.
On Thursday, March 22, 2012, the Illinois Senate convened a Committee of the Whole to hear a presentation on Medicaid from Joy Johnson Wilson of the National Conference of State Legislatures.
Presentation Title: AmeriCorps: Get Involved, Give Back, Gain Skills, Earn an Ed Award and Obtain a Living Allowance!
Featured Speakers:
Paula Sotnik, Project Director, National Service Inclusion Project, Institute for Community Inclusion at UMass Boston
Robert Shogren, Director, Arizona Governor's Commission on Service and Volunteerism
Jason Wheeler, Senior Program Manager, National Service Inclusion Project, Institute for Community Inclusion at UMass Boston
Amy Rocker, AmeriCorps Alumna & Commissioner for the Arizona Governor's Commission on Service and Volunteerism
Description:
When considering life after high school, national and community service presents an appealing option for students with disabilities. Whether the decision is to go on to college, get a job or both, a national service experience is a valuable place to develop skills, expand networks, and explore career options. This session will provide an informative overview of how an individual becomes a national service member or volunteer. This workshop will discuss how service can help young adults give back to their communities while simultaneously developing skills and experience, describe how service members can develop social networks and receive a living allowance, training and an Ed award, matched by 78 colleges and universities, to pay educational costs.
TCDD Public Policy Director Scott Daigle provided highlights from the 86th Texas Legislature, as well as specific legislative activities related to TCDD’s 2019 Public Policy Priorities. Daigle shared details on several disability-related bills that lawmakers passed during the session, including new laws on employment, accessible parking, Medicaid managed care, sexual assault response, and the restraint or seclusion of students attending public schools. Daigle also highlighted that the State’s new $250.7 billion biennial budget includes $139 million to provide raises to attendants' base wages.
Grace-Marie Turner, President of the Galen Institute, discusses her organization's efforts to built a competitive marketplace for patient-centric care. Watch the full presentation here: http://video.hint.com/grace-marie-turner-promoting-patient-centered
Here is the updated list of Top Best Ayurvedic medicine for Gas and Indigestion and those are Gas-O-Go Syp for Dyspepsia | Lavizyme Syrup for Acidity | Yumzyme Hepatoprotective Capsules etc
Antimicrobial stewardship to prevent antimicrobial resistanceGovindRankawat1
India is among the nations with the highest burden of bacterial infections.
India is one of the largest consumers of antibiotics worldwide.
India carries one of the largest burdens of drug‑resistant pathogens worldwide.
Highest burden of multidrug‑resistant tuberculosis,
Alarmingly high resistance among Gram‑negative and Gram‑positive bacteria even to newer antimicrobials such as carbapenems.
NDM‑1 ( New Delhi Metallo Beta lactamase 1, an enzyme which inactivates majority of Beta lactam antibiotics including carbapenems) was reported in 2008
Integrating Ayurveda into Parkinson’s Management: A Holistic ApproachAyurveda ForAll
Explore the benefits of combining Ayurveda with conventional Parkinson's treatments. Learn how a holistic approach can manage symptoms, enhance well-being, and balance body energies. Discover the steps to safely integrate Ayurvedic practices into your Parkinson’s care plan, including expert guidance on diet, herbal remedies, and lifestyle modifications.
Local Advanced Lung Cancer: Artificial Intelligence, Synergetics, Complex Sys...Oleg Kshivets
Overall life span (LS) was 1671.7±1721.6 days and cumulative 5YS reached 62.4%, 10 years – 50.4%, 20 years – 44.6%. 94 LCP lived more than 5 years without cancer (LS=2958.6±1723.6 days), 22 – more than 10 years (LS=5571±1841.8 days). 67 LCP died because of LC (LS=471.9±344 days). AT significantly improved 5YS (68% vs. 53.7%) (P=0.028 by log-rank test). Cox modeling displayed that 5YS of LCP significantly depended on: N0-N12, T3-4, blood cell circuit, cell ratio factors (ratio between cancer cells-CC and blood cells subpopulations), LC cell dynamics, recalcification time, heparin tolerance, prothrombin index, protein, AT, procedure type (P=0.000-0.031). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and N0-12 (rank=1), thrombocytes/CC (rank=2), segmented neutrophils/CC (3), eosinophils/CC (4), erythrocytes/CC (5), healthy cells/CC (6), lymphocytes/CC (7), stick neutrophils/CC (8), leucocytes/CC (9), monocytes/CC (10). Correct prediction of 5YS was 100% by neural networks computing (error=0.000; area under ROC curve=1.0).
These lecture slides, by Dr Sidra Arshad, offer a quick overview of the physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar lead (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
6. Describe the flow of current around the heart during the cardiac cycle
7. Discuss the placement and polarity of the leads of electrocardiograph
8. Describe the normal electrocardiograms recorded from the limb leads and explain the physiological basis of the different records that are obtained
9. Define mean electrical vector (axis) of the heart and give the normal range
10. Define the mean QRS vector
11. Describe the axes of leads (hexagonal reference system)
12. Comprehend the vectorial analysis of the normal ECG
13. Determine the mean electrical axis of the ventricular QRS and appreciate the mean axis deviation
14. Explain the concepts of current of injury, J point, and their significance
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. Chapter 3, Cardiology Explained, https://www.ncbi.nlm.nih.gov/books/NBK2214/
7. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
Basavarajeeyam is an important text for ayurvedic physician belonging to andhra pradehs. It is a popular compendium in various parts of our country as well as in andhra pradesh. The content of the text was presented in sanskrit and telugu language (Bilingual). One of the most famous book in ayurvedic pharmaceutics and therapeutics. This book contains 25 chapters called as prakaranas. Many rasaoushadis were explained, pioneer of dhatu druti, nadi pareeksha, mutra pareeksha etc. Belongs to the period of 15-16 century. New diseases like upadamsha, phiranga rogas are explained.
Adv. biopharm. APPLICATION OF PHARMACOKINETICS : TARGETED DRUG DELIVERY SYSTEMSAkankshaAshtankar
MIP 201T & MPH 202T
ADVANCED BIOPHARMACEUTICS & PHARMACOKINETICS : UNIT 5
APPLICATION OF PHARMACOKINETICS : TARGETED DRUG DELIVERY SYSTEMS By - AKANKSHA ASHTANKAR
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
ABDOMINAL TRAUMA in pediatrics part one.drhasanrajab
Abdominal trauma in pediatrics refers to injuries or damage to the abdominal organs in children. It can occur due to various causes such as falls, motor vehicle accidents, sports-related injuries, and physical abuse. Children are more vulnerable to abdominal trauma due to their unique anatomical and physiological characteristics. Signs and symptoms include abdominal pain, tenderness, distension, vomiting, and signs of shock. Diagnosis involves physical examination, imaging studies, and laboratory tests. Management depends on the severity and may involve conservative treatment or surgical intervention. Prevention is crucial in reducing the incidence of abdominal trauma in children.
2. Combating Autism Act
Authorizes $210 million in FY2010:
143.5 for NIH research into causes, diagnosis, early
detection, intervention, and treatment
$19.5 million for the CDC’s Disabilities Surveillance
and Research Program
$47 million to HRSA to increase awareness, reduce
barriers to screening and diagnosis, promote evidence-
based interventions for individuals with autism, and train
professionals to utilize valid and reliable screening tools
to diagnose autism and provide evidence-based
interventions
For LENDS - $28.2 or +$2 million expected
2
3. FY 2010 Appropriations
House passed 12 bills; Senate passed 3
Continuing resolution at FY 09 levels
Labor, HHS, Education Appropriations
bill passed by House but not full Senate
Likely to be included in omnibus – split
difference between H&S bills
Hope to have bill by end December!
3
4. Combating Autism Act
(PL 109-416) Signed De. 16, 2006
The law authorized expansion of
interdisciplinary training to increase number
of sites able to diagnose or rule out ASD or
other DD; and
To expand existing or develop new
maternal and child health interdisciplinary
leadership in neurodevelopmental and
related disability programs in States that do
not have such a program 4
5. Now 39 LENDs in 33 states
FY 2008 four new LENDs in Arkansas, Colorado,
Connecticut, and Illinois and awarding 18
supplemental grants to existing LENDs
FY 2009 increase of $2 million provided partial
expansion to 17 LENDs that had not received
the previous year’s expansion dollars and to
establish one more LEND in the state of
Minnesota.
FY2010 appropriations will provide $2 million to
establish up to two new LENDs and to complete
the award of supplemental grants for existing
programs. 5
6. CAA Reauthorization
CAA expires in 2011 and must be
reauthorized
Each section contains sunset provision
Discussions likely to begin next year….
After health care reform
Start educating your members on the
Senate HELP and House Energy and
Commerce Committees
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8. What’s Happening?
House passed HR 3962 Nov. 7 on vote of
220 – 215 with one GOP
Senate in second week of debate
Major outstanding issues are public option,
abortion, and cost of the bill
Hope to have Senate bill by Christmas
Must then conference the bill and pass
final bill by both chambers
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9. Health reform critical provisions
Exchange or market place for people
without insurance to shop for plans
Expansion of Medicaid to households
earning less than 133-150% FPL
Cannot deny coverage based on pre-
existing conditions
Elimination of annual and lifetime caps
Employer mandates
Individual mandate and subsidies 9
10. Critical provisions
Rep. Doyle (PA) and Sen. Menendez (NJ)
Minimum services includes “mental health
and substance use disorder services,
including behavioral health treatment.”
10
11. Autism training grants
Authorizes grants to UCEDDs or other
interdisciplinary education, research, and
service entities
To provide training, continuing education, TA,
and information to improve services and address
unmet needs of ASD and related DD
Authorizes establishment of up to 4 new
UCEDDs to improve services to individuals with
ASD with priority to minority serving institutions
12. Long term services in health
reform
Community Living Assistance Services
and Supports (CLASS) Act
Community First Choice Option (Sec. 101
of the Community Choice Act)
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13. CLASS Act
National LTSS Insurance program
For working individuals (18 and up)
Auto-enrollment through employer with
opt-out
Self-funded and reduces deficit and
Medicaid spending
13
14. CLASS Act
Participants vested after 5 years
Estimated monthly premium $125/mo.
Eligibility for cash payments (average
$75/day) based on needing assistance to
perform at least 2 activities of daily living
ADL = eating, toileting, transferring, bathing,
dressing, continence
To purchase non-medical services and
supports to maintain independence
14
15. Community First Choice (CFC)
Core elements of the Community Choice
Act (Section 101 of S. 683/HR 1670)
Medicaid State Plan option (not mandate)
To provide community-based attendant
services and supports
Individuals eligible for nursing homes and
other institutional settings
6% enhanced FMAP for states that select
the CFC option
15
16. Autism Treatment Acceleration Act
S. 819 introduced by Sen. Durbin, Casey
(D-PA), and Menendez (D-NJ) on April 2
H.R. 2413 introduced by Mike Doyle (D-PA)
and Chris Smith (R-NJ) on May 14
Comprehensive services bill that focuses
on services across lifespan, not just
children
Combines elements of Sens. Clinton and
Obama/Durbin bills from last Congress
17. Acceleration Act
Main elements
Demonstration project to develop comprehensive,
coordinated autism services
Demonstration grants to develop adult services
Voluntary population-based registry
Provision to strengthen existing national, regional, and
local networks
National training initiatives to provide interdisciplinary
training, continuing education initiatives, and technical
assistance
Requires that health insurers cover the diagnosis and
treatment of ASD, including ABA, assistive
communication and assistive technology devices
17
18. Seclusion and Restraints
Jan. 2009 NDRN Report outlines the problem
GAO Report requested by Chairman Miller
Less than half of states have laws or regulations
concerning restraint or seclusion use in schools;
almost (90%) still allow prone restraints, and
only 45% require or recommend that schools
notify parents
Most cases identified involved kids with
disabilities and majority diagnosed with autism
Federal law (Children’s Health Act) only pertains
to public facilities, not schools 18
19. AUCD Recommendations
Federal legislation to ban use of seclusion
and prone restraints and other types of
restraints except in case of immediate
physical safety of students or staff
Mandate development comprehensive
continuum of positive behavior supports
and interventions in every school
Authorize funding for UCEDDs to provide
training and TA 19
20. Next Steps
Chairman Miller (D-CA) and Rep.
McMorris Rodgers (R-WA) of House
Education and Labor Committee will
introduce bill this Wednesday
Sen. Dodd (D-CT) working with House to
draft bipartisan, bicameral legislation
Need Republican co-sponsor in Senate
20
21. Other Legislation Coming Up
After health care reform….
WIA Reauthorization
DD Act Reauthorization
NCLB Reauthorization
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22. Resources
AUCD: http://www.aucd.org
Public policy/Autism
Legislative News In Brief
Action Center:
http://www.aucd.org/template/capwiz.cfm
Consortium for Citizens with Disabilities (CCD)
Autism Task Force: http://www.c-c-d.org
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