BRCA1 and BRCA2 Mutations

Save this PDF as:
 WORD  PNG  TXT  JPG

Size: px
Start display at page:

Download "BRCA1 and BRCA2 Mutations"

Transcription

1 BRCA1 and BRCA2 Mutatins ROBERT LEVITT, MD JESSICA BERGER-WEISS, MD ADRIENNE POTTS, MD HARTAJ POWELL, MD, MPH COURTNEY LEVENSON, MD LAUREN BURNS, MSN, RN, WHNP OBGYNCWC.COM v Cancer is a cmplex disease thught t be caused by several different factrs. A few types f cancer run in families. These types, called hereditary r familial cancer, have been linked t changes in genes that can be passed frm parents t children. v Changes in genes are called mutatins. v Hereditary breast and varian cancer syndrme is a type f familial cancer. It mst cmmnly is linked t mutatins in tw genes called BRCA1 and BRCA2. Inheriting ne f these mutatins increases the risk f getting breast cancer, varian cancer, and ther types f cancer. Abut 10% f cases f varian cancer and 3 5% f cases f breast cancer are due t mutatins in BRCA1 and BRCA2. BRCA Mutatins and Cancer Cancer is a disease that affects the nrmal grwth f cells in the bdy. v Nrmal, healthy cells grw, divide, and are replaced n a regular basis. v Cancer ccurs when cells begin t grw ut f cntrl. v Cancer cells can quickly multiply and frm grwths r tumrs. v In sme types f cancer, cells spread t ther parts f the bdy, where they can grw t frm new cancerus areas. BRCA1 and BRCA2 are knwn as tumr suppressr genes. v They keep cells frm grwing t rapidly r in an uncntrlled way. v Thusands f mutatins in BRCA1 and BRCA2 have been fund. v Sme have been linked t an increased risk f cancer. Hw Cancer Genes Wrk All genes cme in pairs LOCKWOOD DR, # 310 / 320 SILVER SPRING, MD P F

2 v One cpy f each gene in a pair is inherited frm the mther, and the ther cpy is inherited frm the father. v Cells need bth cpies t wrk nrmally. v Inheriting ne cpy f a BRCA1 r BRCA2 mutatin increases the risk f getting cancer, but it des nt necessarily mean that yu will get cancer. v The ther cpy f the gene withut a mutatin keeps cells frm grwing ut f cntrl. But if the nrmal cpy f the gene becmes damaged, it can increase the risk that cancer will ccur. v Genes can be damaged by many factrs, including chemicals, radiatin, smking, and sun expsure. Many f the factrs that damage genes are unknwn. Wh Is Affected? Abut 1 in 300 peple carry a BRCA1 mutatin, and 1 in 800 carry a BRCA2 mutatin. These mutatins are fund mre frequently in certain ethnic grups, including peple f Ashkenazi (Eastern Eurpean) Jewish, French Canadian, and Icelandic backgrunds, but they can ccur in anyne. Effect f BRCA Mutatins n Cancer Risk All wmen have a certain risk f getting breast cancer r varian cancer at sme pint in their lives. Having a BRCA mutatin increases this risk (Table 1). v Wmen wh have a BRCA1 r BRCA2 mutatin als have an increased risk f cancer f the vary, fallpian tube, peritneum, and pancreas. v Men wh have a BRCA1 r BRCA2 mutatin have an increased risk f breast cancer and an increased risk f prstate and pancreatic cancer. Table 1. Breast Cancer and Ovarian Cancer Risk fr Wmen With BRCA Mutatins Risk With Risk With Type f Cancer Risk fr the General Ppulatin BRCA1 Mutatin BRCA2 Mutatin Breast Ovary 12% 1.4% 55 65% 39% 45% 11 17% Tests fr BRCA1 and BRCA2 Mutatins All wmen shuld be asked specific questins abut their persnal and family histry f breast cancer and varian cancer (see bx). If answers t these questins suggest that yu may have inherited ne f these mutatins, genetic testing may be ffered. Genetic testing requires a DNA sample frm bld r saliva. There are several appraches t testing that can be fllwed. DNA Sequencing

3 v If a relative with breast cancer r varian cancer is available, the relative s BRCA genes can be analyzed t find ut if a specific BRCA mutatin is present. This is called DNA sequencing. v Yur DNA then can be tested t see if yu have the same mutatin. v This ptin is the best way t knw if yu are at risk. v If n relative is available, and yu and yur family belng t an ethnic grup with high numbers f peple with a specific BRCA mutatin, yu can be tested fr this mutatin. v If yu are nt part f a high-risk ethnic grup, anther ptin is t have DNA sequencing f yur BRCA genes. v This ptin usually is nt the first chice because f the time and expense invlved. Befre yu have genetic testing, a health care prvider with expertise in cancer genetics can help yu understand hw the test is dne, what the results may mean, and what yu may d depending n the test results. Yu als shuld discuss current laws abut genetic discriminatin and privacy f genetic infrmatin. The Federal Genetic Infrmatin Nndiscriminatin Act f 2008 prtects peple against health and emplyment discriminatin based n genetic infrmatin. Many states have similar laws. Understanding Test Results v A psitive test result means that yu have the BRCA mutatin fr which yu have been tested. v A negative test result can mean several things, depending n the testing that yu have had perfrmed: Scenari 1 If yu were tested fr a specific BRCA mutatin linked t cancer in yur family (eg, a family member with cancer has given a DNA sample and a knwn BRCA mutatin is fund), and yu have a negative test result fr that BRCA mutatin, yu have nt inherited the gene. Yu have the same risk f breast and varian cancer as the general ppulatin. Scenari 2 If yu have a family histry f cancer but n family member with cancer has given a DNA sample, and yu have a negative test result fr a BRCA mutatin, it can mean that yur family has a gene that increases cancer risk that is nt a BRCA mutatin.

4 Or, it can mean that yur family has a BRCA mutatin that cannt be fund with current tests. With these tw pssibilities, it remains unclear whether yu have an inherited predispsitin fr cancer. A third pssibility is that yur family des nt have a gene that increases the risk f cancer. v Yu als can have an unclear test result. This means there is a change in a BRCA gene, but it is nt knwn whether the change increases the risk f cancer. v Researchers are cntinuing t study many mre BRCA mutatins t determine hw they may r may nt influence cancer risk. v If yu have a negative result r an unclear result, a genetic cunselr may be able t determine which scenari is mst likely fr yu and what risk- reductin strategies may be apprpriate. What a Psitive Test Result Means fr Yu and Yur Family A psitive test result fr a BRCA mutatin assciated with cancer means that yu have an increased risk f getting cancer. It des nt mean that yu will get cancer. v There is n test currently available that can tell which wmen with a BRCA mutatin will develp cancer r at what age. It is imprtant t discuss yur results with yur health care prvider and learn abut preventive strategies that may be available t yu t decrease yur risk f cancer v Having a BRCA mutatin means that yu can pass the gene t yur children. Each child has a 50% chance f getting the gene. v Yur siblings als may be at risk f having the gene. Each f yur siblings has a 50% chance f having inherited the gene. v Whether t tell family members that yu have a BRCA1 r BRCA2 mutatin is yur chice. Yur health care prvider cannt disclse this infrmatin t them. Yu are nt bligated t tell yur family members, but it ften is a gd idea t d s. Sharing this infrmatin allws yur family members t decide whether they want t be tested and t get apprpriate preventive care if they als have a mutatin. Shuld Yu Be Tested? If yu answer yes t any f the fllwing questins, genetic risk assessment IS recmmended: v D yu have a persnal histry f breast cancer and varian cancer?*

5 v D yu have a persnal histry f varian cancer* and a clse relative with varian cancer r premenpausal breast cancer r bth? v D yu have a persnal histry f varian cancer* and are yu f Ashkenazi Jewish ancestry? v Have yu had a breast cancer diagnsis at age 50 years r yunger and d yu have a clse relative with varian cancer * r male breast cancer at any age? v Are yu f Ashkenazi Jewish ancestry and have yu had a breast cancer diagnsis at age 40 years r yunger? v D yu have a clse relative with a knwn BRCA1 r BRCA2 mutatin? If yu answer yes t any f the fllwing questins, genetic risk assessment MAY BE helpful: v Have yu had a breast cancer diagnsis at age 40 years r yunger? v D yu have a persnal histry f varian cancer, primary peritneal cancer, r fallpian tube cancer f high-grade, serus histlgy that was diagnsed at any age? v D yu have a persnal histry f bilateral breast cancer (particularly if the first case f breast cancer was diagnsed at age 50 years r yunger)? v Have yu had a breast cancer diagnsis at age 50 years r yunger and d yu als have a clse relative with breast cancer diagnsed at age 50 years r yunger? v Are yu f Ashkenazi Jewish ancestry and have yu had a breast cancer diagnsis at age 50 years r yunger? v D yu have a persnal histry f breast cancer diagnsed at any age and tw r mre clse relatives with breast cancer at any age (particularly if at least ne case f breast cancer was diagnsed at age 50 years r yunger)? v Have yu never had breast r varian cancer but have a clse relative that meets ne f the previus criteria? *Cancer f the peritneum and fallpian tubes shuld be cnsidered a part f the spectrum f the hereditary breast and varian cancer syndrme. Clse relative is defined as a first-degree relative (parent r sibling) r secnd-degree relative (grandparent, grandchild, aunt, uncle, niece, nephew). Cancer Preventin if Yu Have a BRCA Mutatin If yu test psitive fr a BRCA mutatin, yu may want t discuss preventive strategies with yur health care prvider. Preventin includes screening tests, medicatins, and surgery.

6 Screening Tests Enhanced breast cancer screening fr wmen with BRCA mutatins is recmmended. Enhanced breast cancer screening may include the fllwing tests: v Clinical breast exam by a health care prvider twice a year v Annual mammgraphy and annual breast magnetic resnance imaging (MRI) starting at age 25 years r yunger based n the earliest age at which breast cancer was diagnsed in the family v breast self-awareness: It is als helpful t be aware f hw yur breasts nrmally lk and feel and reprt any changes t yur health care prvider. This is called breast self-awareness. Screening fr varian cancer in wmen with BRCA mutatins als may be recmmended. Current screening tests include v peridic bld tests fr CA 125 (a substance that is made by varian cancer cells) and an ultrasund exam f the varies. v Testing can begin between the ages f 30 years and 35 years r 5 10 years earlier than the age at which varian cancer was diagnsed in the yungest affected relative. v These screening tests have a limited ability t find varian cancer at an earlier, mre treatable stage. v Test results may be nrmal even when cancer is present. v There als is a high rate f false- psitive results (a psitive test result in smene wh des nt have varian cancer). Medicatins The use f drugs t help reduce the risk f r delay the ccurrence f cancer is called chempreventin. v Taking a medicatin called tamxifen has been shwn t reduce the risk f breast cancer in wmen with BRCA2 mutatins. v Tamxifen is a drug that is used t treat and prevent estrgen-psitive breast cancer. Estrgen-psitive means that the cancer cells respnd t the hrmne estrgen. Estrgen in the bldstream can cause the cancer cells t grw. Tamxifen blcks the effects f estrgen n these cancer cells. Tamxifen wrks well in wmen with BRCA2 mutatins because abut 70% f breast cancer tumrs in this grup are estrgen-psitive. Less than 25% f tumrs in wmen with BRCA1 mutatins are estrgen-psitive. Tamxifen des nt appear t reduce breast cancer risk in wmen with BRCA1 mutatins.

7 v Cmbined hrmnal birth cntrl pills (thse that cntain estrgen and anther hrmne called prgestin) may reduce the risk f varian cancer and fallpian tube cancer in wmen with BRCA mutatins. If yu are thinking abut using cmbined hrmnal birth cntrl pills, yu shuld carefully weigh the risks and benefits fr chempreventin and birth cntrl. Surgery Surgery is anther preventive ptin fr wmen with BRCA1 and BRCA2 mutatins. This type f surgery is called risk-reducing surgery. v Risk-reducing bilateral salping- phrectmy is the remval f bth varies and bth fallpian tubes. It can significantly reduce the risk f varian cancer, fallpian tube cancer, and peritneal cancer in wmen with a BRCA mutatin. If it is dne befre menpause, having this surgery als can reduce the risk f breast cancer. Wmen with these mutatins shuld cnsider having this surgery befre age 40 years r after they have cmpleted their families. An imprtant cnsideratin t think abut is that salping-phrectmy perfrmed befre menpause will cause yu t experience menpause immediately, rather than ver several years. Signs and symptms f menpause ften can be managed with hrmne therapy and ther treatments. Yu can discuss these treatment ptins with yur health care prvider befre yur surgery. v Bilateral mastectmy (surgical remval f bth breasts) reduces the risk f breast cancer by mre than 90 95%. The type f mastectmy is imprtant in reducing risk. v Ttal mastectmy, in which the entire breast tissue is remved, including the nipple and arela, is the mst effective risk-reducing surgery fr breast cancer. Mastectmy that remves the breast tissue and leaves the nipple and arela als can be cnsidered. If yu are thinking abut having preventive surgery, yu and yur health care prvider will cnsider the risks and benefits. Yu shuld discuss the psychlgical effects as well as shrt- and lng-term cmplicatins.

8 Timing f surgery shuld be based n yur needs, yur desire t have children, and the effect that surgery will have n yur well- being. Finding Mre Infrmatin If yu have a persnal r family histry f breast cancer r varian cancer, getting tested fr BRCA mutatins may be smething that yu want t cnsider. Talk t yur health care prvider abut screening and testing ptins. The fllwing rganizatins ffer additinal infrmatin abut BRCA and cancer risk: American Cancer Sciety Genetics and Cancer Centers fr Disease Cntrl and Preventin KNOW: BRCA Natinal Cancer Institute: BRCA1 and BRCA2: Cancer Risk and Genetic Testing

Policy Guidelines: Genetic Testing for Carrier Screening and Reproductive Planning

Policy Guidelines: Genetic Testing for Carrier Screening and Reproductive Planning Plicy Guidelines: Genetic Testing fr Carrier Screening and Reprductive Planning Cntents Overview... 1 Cverage guidelines... 2 General cverage guidelines... 2 Rutine carrier screening... 2 Carrier screening

More information

2. How are screening and diagnostic mammograms different?

2. How are screening and diagnostic mammograms different? Mammgrams cmprises public dmain material frm the Natinal Cancer Institute at the Natinal Institutes f Health, an agency f the U.S. Department f Health and Human Services. Mammgrams Key Pints A mammgram

More information

CONSENT FORM - TESTOSTERONE FOR TRANSGENDER CLIENTS

CONSENT FORM - TESTOSTERONE FOR TRANSGENDER CLIENTS CONSENT FORM - TESTOSTERONE FOR TRANSGENDER CLIENTS Yu want t take teststerne t masculinize yur bdy. Befre taking it, there are several things yu need t knw abut. They are the pssible advantages, disadvantages,

More information

Imaging tests allow the cancer care team to check for cancer and other problems inside the body.

Imaging tests allow the cancer care team to check for cancer and other problems inside the body. IMAGING TESTS This infrmatin may help answer sme f yur questins and help yu think f ther questins that yu may want t ask yur cancer care team; it is nt intended t replace advice r discussin between yu

More information

Vaccine Information Statement: PNEUMOCOCCAL CONJUGATE VACCINE

Vaccine Information Statement: PNEUMOCOCCAL CONJUGATE VACCINE Vaccine Infrmatin Statement: PNEUMOCOCCAL CONJUGATE VACCINE Many Vaccine Infrmatin Statements are available in Spanish and ther languages. See www.immunize.rg/vis. Hjas de Infrmacián Sbre Vacunas están

More information

CDC Influenza Division Key Points MMWR Updates February 20, 2014

CDC Influenza Division Key Points MMWR Updates February 20, 2014 CDC Influenza Divisin Key Pints MMWR Updates In this dcument: Summary Key Messages Seasnal Influenza Vaccine Effectiveness: Interim Adjusted Estimates Influenza Surveillance Update: September 29, 2013-February

More information

Cancer Association of South Africa (CANSA) Fact Sheet on Essential Thrombocythaemia

Cancer Association of South Africa (CANSA) Fact Sheet on Essential Thrombocythaemia Cancer Assciatin f Suth Africa (CANSA) Fact Sheet n Essential Thrmbcythaemia Intrductin Essential thrmbcythaemia (ET) is nt a type f bld cancer as there are n cancerus cells. It is cnsidered a chrnic haematlgical

More information

Triumeq (abacavir, dolutegravir and lamivudine) Product Backgrounder for US Media

Triumeq (abacavir, dolutegravir and lamivudine) Product Backgrounder for US Media Triumeq (abacavir, dlutegravir and lamivudine) Prduct Backgrunder fr US Media What is Triumeq and wh is Triumeq fr? Triumeq (abacavir 600mg, dlutegravir 50mg and lamivudine 300mg) is the first dlutegravir-based

More information

ACSQHC National Consensus Statement: Essential Elements for High Quality End-oflife Care in Acute Hospitals.

ACSQHC National Consensus Statement: Essential Elements for High Quality End-oflife Care in Acute Hospitals. 27 March 2014 Prfessr Debra Picne Chief Executive Officer Australian Cmmissin n Safety and Quality in Health Care c/ Ms Jennifer Hill, Senir Prject Officer Level 5, 255 Elizabeth Street SYDNEY NSW 2000

More information

Individual Assessments for Couples Treatment with HFCA

Individual Assessments for Couples Treatment with HFCA Individual Assessments fr Cuples Treatment with HFCA Jennifer S. Ripley, Ph.D. Many appraches t cuples therapy include an individual assessment whenever a cuple cmes fr treatment. Therapists shuld be aware

More information

CDC Influenza Technical Key Points February 15, 2018

CDC Influenza Technical Key Points February 15, 2018 CDC Influenza Technical Key Pints In this dcument: Summary Key Pints U.S. Vaccine Effectiveness U.S. Flu Activity Update Summary Key Pints On Thursday, tw influenza-related reprts appeared in the Mrbidity

More information

Career Confidence. by Kevin Gaw

Career Confidence. by Kevin Gaw Career Cnfidence by Kevin Gaw In additin t the requisite skills, experiences, and rganizatinal match being sught fr a psitin fr which a candidate is applying, mst emplyers screen fr what I call career

More information

Evaluation of a Shared Decision Making Intervention between Patients and Providers to Improve Menopause Health Outcomes: Issue Brief

Evaluation of a Shared Decision Making Intervention between Patients and Providers to Improve Menopause Health Outcomes: Issue Brief Evaluatin f a Shared Decisin Making Interventin between Patients and Prviders t Imprve Menpause Health Outcmes: Issue Brief Key Findings Tablet technlgy can be successfully incrprated int primary practices

More information

MEDICATION GUIDE QSYMIA (Kyoo sim ee uh) (phentermine and topiramate extended-release) Capsules CIV

MEDICATION GUIDE QSYMIA (Kyoo sim ee uh) (phentermine and topiramate extended-release) Capsules CIV MEDICATION GUIDE QSYMIA (Ky sim ee uh) (phentermine and tpiramate extended-release) Capsules CIV Read this Medicatin Guide befre yu start taking Qsymia and each time yu get a refill. There may be new infrmatin.

More information

EXPLORING THE PROCESS OF ASSESSMENT AND OTHER RELATED CONCEPTS

EXPLORING THE PROCESS OF ASSESSMENT AND OTHER RELATED CONCEPTS 1 SECTION 1 INTRODUCTION: EXPLORING THE PROCESS OF ASSESSMENT AND OTHER RELATED CONCEPTS The Nature Of Assessment The Definitin Of Assessment The Difference Between Testing, Measurement And Evaluatin Characteristics

More information

Pain relief after surgery

Pain relief after surgery Pain relief after surgery Imprtant infrmatin fr patients www.mchft.nhs.uk We care because yu matter This leaflet is designed t help yu cntrl any pain yu may have at hme fllwing yur peratin. Please read

More information

patient education Fact Sheet

patient education Fact Sheet patient education Fact Sheet PFS007: BRCA1 and BRCA2 Mutations OCTOBER 2017 BRCA1 and BRCA2 Mutations Cancer is caused by several different factors. A few types of cancer run in families. These types are

More information

CONTACT: Amber Hamilton TYPE 2 DIABETES AND OBESITY: TWIN EPIDEMICS OVERVIEW

CONTACT: Amber Hamilton TYPE 2 DIABETES AND OBESITY: TWIN EPIDEMICS OVERVIEW FACT SHEET CONTACT: Amber Hamiltn 212-266-0062 TYPE 2 DIABETES AND OBESITY: TWIN EPIDEMICS OVERVIEW Type 2 diabetes accunts fr 90-95% f the 29.1 millin diabetes cases in the U.S. 1 Obesity is a majr independent

More information

Head and neck cancers are often treated with radiotherapy. Radiotherapy can lead to faster rates of tooth decay and poor healing in the mouth.

Head and neck cancers are often treated with radiotherapy. Radiotherapy can lead to faster rates of tooth decay and poor healing in the mouth. DENTAL EXTRACTION This infrmatin aims t help yu understand the peratin, what is invlved and sme cmmn cmplicatins that may ccur. It may help answer sme f yur questins and help yu think f ther questins that

More information

Instructions regarding referral of patients to the Persistent Pain Service

Instructions regarding referral of patients to the Persistent Pain Service Prtsmuth Persistent Pain Service Lng Term Cnditins Suite Grund Flr, Blck A St Mary s Cmmunity Health Campus Miltn Rad Prtsmuth Hampshire PO3 6AD Tel: 23 9268 485 Fax: 23 9268 21 Dear GP Instructins regarding

More information

CHEMOPREVENTION in BREAST CANCER

CHEMOPREVENTION in BREAST CANCER CHEMOPREVENTION in BREAST CANCER Ozlem Er, M.D. Assc Prf f Medical Onclgy ESMO Curse Essentials f Medical Onclgy Outline Risk Assessment Mlecular Targets ER psitive Breast Cancer Tamxifen Ralxifene Lasfxifene

More information

Background 1. Definition Fibroadenoma: Group of hyperplastic breast lobules composed of stromal and epithelial elements

Background 1. Definition Fibroadenoma: Group of hyperplastic breast lobules composed of stromal and epithelial elements Fibradenma Backgrund 1. Definitin Fibradenma: Grup f hyperplastic breast lbules cmpsed f strmal and epithelial elements Simple benign slid tumrs with glandular and fibrus tissue Cmplex Scleringadensis

More information

Record of Revisions to Patient Tracking Spreadsheet Template

Record of Revisions to Patient Tracking Spreadsheet Template Recrd f Revisins t Patient Tracking Spreadsheet Template Belw is a recrd f revisins made by the AIMS Center t the Patient Tracking Spreadsheet Template. The purpse f this dcument is t infrm spreadsheet

More information

Significance of Chronic Kidney Disease in 2015

Significance of Chronic Kidney Disease in 2015 1 Significance f Chrnic Kidney Disease in 2015 There is still a requirement within QOF t keep a register f peple with CKD stages 3-5. The ther CKD QOF targets have been retired. This is because CKD care

More information

MEDICATION GUIDE. (canagliflozin) Tablets

MEDICATION GUIDE. (canagliflozin) Tablets MEDICATION GUIDE INVOKANA (in-v-kahn-uh) (canagliflzin) Tablets What is the mst imprtant infrmatin I shuld knw abut INVOKANA? INVOKANA can cause imprtant side effects, including: Dehydratin. INVOKANA can

More information

SUBSPECIALIST TRAINING PROGRAMME in GYNAECOLOGICAL ONCOLOGY

SUBSPECIALIST TRAINING PROGRAMME in GYNAECOLOGICAL ONCOLOGY EUROPEAN SOCIETY OF GYNAECOLOGICAL ONCOLOGY SUBSPECIALIST TRAINING PROGRAMME in GYNAECOLOGICAL ONCOLOGY Sme 50% f cancers that affect wmen are lcated in the breast r in the genital rgans. Gynaeclgical

More information

Medical Student Immunization Requirements

Medical Student Immunization Requirements Medical Student Immunizatin Requirements The State f Illinis cde, Reference: (110 ILCS 20) Cllege Student Immunizatin Act, requires students t prvide prf f immunity: Measles (Rubela), Mumps, Rubella (German

More information

2017 CMS Web Interface

2017 CMS Web Interface CMS Web Interface PREV-6 (NQF 0034): Clrectal Cancer Screening Measure Steward: NCQA Web Interface V1.0 Page 1 f 18 11/15/2016 Cntents INTRODUCTION... 3 WEB INTERFACE SAMPLING INFORMATION... 4 BENEFICIARY

More information

PSYCHOSEXUAL ASSESSMENTS for Children and Adolescents with Problematic Sexual Behavior. Who is qualified to conduct a psychosexual evaluation?

PSYCHOSEXUAL ASSESSMENTS for Children and Adolescents with Problematic Sexual Behavior. Who is qualified to conduct a psychosexual evaluation? PSYCHOSEXUAL ASSESSMENTS fr Children and Adlescents with Prblematic Sexual Behavir When a child r adlescent is suspected r bserved t have engaged in what may be sexually inapprpriate r sexually aggressive

More information

MEDICATION GUIDE. (fingolimod) capsules

MEDICATION GUIDE. (fingolimod) capsules MEDICATION GUIDE GILENYA (je-len-yah) (finglimd) capsules Read this Medicatin Guide befre yu start using GILENYA and each time yu get a refill. There may be new infrmatin. This infrmatin des nt take the

More information

Medication Guide MORPHINE SULFATE (mor-pheen) Oral Solution (CII)

Medication Guide MORPHINE SULFATE (mor-pheen) Oral Solution (CII) Medicatin Guide MORPHINE SULFATE (mr-pheen) Oral Slutin (CII) IMPORTANT: Keep Mrphine Sulfate Oral Slutin in a safe place away frm children. Accidental use by a child is a medical emergency and can cause

More information

MEDICATION GUIDE REVLIMID (rev-li-mid) (lenalidomide) capsules What is the most important information I should know about REVLIMID?

MEDICATION GUIDE REVLIMID (rev-li-mid) (lenalidomide) capsules What is the most important information I should know about REVLIMID? MEDICATION GUIDE REVLIMID (rev-li-mid) (lenalidmide) capsules What is the mst imprtant infrmatin I shuld knw abut REVLIMID? Befre yu begin taking REVLIMID, yu must read and agree t all f the instructins

More information

Safety of HPV vaccination: A FIGO STATEMENT

Safety of HPV vaccination: A FIGO STATEMENT FIGO Statement n HPV Vaccinatin Safety, August 2nd, 2013 Safety f HPV vaccinatin: A FIGO STATEMENT July, 2013 Human papillmavirus vaccines are used in many cuntries; glbally, mre than 175 millin dses have

More information

MEDICATION GUIDE XARELTO (zah-rel-toe) (rivaroxaban) tablets

MEDICATION GUIDE XARELTO (zah-rel-toe) (rivaroxaban) tablets MEDICATION GUIDE XARELTO (zah-rel-te) (rivarxaban) tablets Read this Medicatin Guide befre yu start taking XARELTO and each time yu get a refill. There may be new infrmatin. This Medicatin Guide des nt

More information

3/3/2014. Parenting challenges related to diabetes management and preferences for accessing parenting support. What does management involve?

3/3/2014. Parenting challenges related to diabetes management and preferences for accessing parenting support. What does management involve? // Parenting challenges related t diabetes management and preferences fr accessing parenting supprt Diabetes is a chrnic illness in which there are high levels f sugar/ glucse in the bld. Why des this

More information

Package leaflet: Information for the user. Fragmin 10,000 IU/1 ml and 10,000 IU/4 ml Solution for injection dalteparin sodium

Package leaflet: Information for the user. Fragmin 10,000 IU/1 ml and 10,000 IU/4 ml Solution for injection dalteparin sodium Package leaflet: Infrmatin fr the user Fragmin 10,000 IU/1 ml and 10,000 IU/4 ml Slutin fr injectin dalteparin sdium Read all f this leaflet carefully befre yu start using this medicine because it cntains

More information

MEASURE #10: PLAN OF CARE FOR MIGRAINE OR CERVICOGENIC HEADACHE DEVELOPED OR REVIEWED Headache

MEASURE #10: PLAN OF CARE FOR MIGRAINE OR CERVICOGENIC HEADACHE DEVELOPED OR REVIEWED Headache MEASURE #10: PLAN OF CARE FOR MIGRAINE OR CERVICOGENIC HEADACHE DEVELOPED OR REVIEWED Headache Measure Descriptin All patients diagnsed with migraine headache r cervicgenic headache wh had a headache management

More information

S.K.J Construction Ltd Groundwork & Civil Engineering

S.K.J Construction Ltd Groundwork & Civil Engineering S.K.J Cnstructin Ltd Grundwrk & Civil Engineering SUBSTANCE MISUSE POLICY 1 2 SUBSTANCE MISUSE POLICY 1 INTRODUCTION Plicy Aims Frm the viewpint f health and safety at wrk, SKJ Cnstructin Ltd (the Cmpany)

More information

Donating a Kidney for Transplantation. Living Kidney Donation Patient Education

Donating a Kidney for Transplantation. Living Kidney Donation Patient Education Dnating a Kidney fr Transplantatin Living Kidney Dnatin Patient Educatin Dnating a Kidney fr Transplantatin Indiana University Health has a lng histry in the field f transplantatin, and cnsistently ranks

More information

Issues in Student-Athlete Mental Health: How Can Student Affairs Help? Shawn Zeplin, Psy.D. Staff/ Sport Psychologist ISU SCS Redbird Athletics

Issues in Student-Athlete Mental Health: How Can Student Affairs Help? Shawn Zeplin, Psy.D. Staff/ Sport Psychologist ISU SCS Redbird Athletics Issues in Student-Athlete Mental Health: Hw Can Student Affairs Help? Shawn Zeplin, Psy.D. Staff/ Sprt Psychlgist ISU SCS Redbird Athletics Intrductin Wh am I? Why are we here? Overview: What d I d? What

More information

Package leaflet: Information for the user. Fragmin Graduated Syringe 10,000 IU/ml Solution for Injection dalteparin sodium

Package leaflet: Information for the user. Fragmin Graduated Syringe 10,000 IU/ml Solution for Injection dalteparin sodium Package leaflet: Infrmatin fr the user Fragmin Graduated Syringe 10,000 IU/ml Slutin fr Injectin dalteparin sdium Read all f this leaflet carefully befre yu start using this medicine because it cntains

More information

Continuous Positive Airway Pressure (CPAP) and Respiratory Assist Devices (RADs) including Bi-Level PAP

Continuous Positive Airway Pressure (CPAP) and Respiratory Assist Devices (RADs) including Bi-Level PAP Cntinuus Psitive Airway Pressure (CPAP) and Respiratry Assist Devices (RADs), Including Bi-Level PAP Benefit Criteria t Change fr Texas Medicaid Effective March 1, 2017 Overview f Benefit Changes Benefit

More information

Lower Extremity Amputation (LEA) Considerations / Issues

Lower Extremity Amputation (LEA) Considerations / Issues Lwer Extremity Amputatin (LEA) Cnsideratins / Issues Prviding Te Fillers can be an advantageus resurce fr yur patient and business but it als cmes with certain cnsideratins. Please review this list belw

More information

o New or sudden changes in mood, behavior, actions, thoughts, or feelings, especially if severe.

o New or sudden changes in mood, behavior, actions, thoughts, or feelings, especially if severe. MEDICATION GUIDE FLUOXETINE CAPSULES, USP (fl xʹ e teen) 10 mg and 20 mg Read the Medicatin Guide that cmes with fluxetine capsules befre yu start taking it and each time yu get a refill. There may be

More information

EMDR EUROPE ACCREDITED PRACTITIONER COMPETENCY BASED FRAMEWORK

EMDR EUROPE ACCREDITED PRACTITIONER COMPETENCY BASED FRAMEWORK EMDR EUROPE ACCREDITED PRACTITIONER COMPETENCY BASED FRAMEWORK Guidelines fr Accreditatin as an EMDR Eurpe Accredited Practitiner Applicants must have cmpleted EMDR Basic training by a recgnised EMDR Eurpe

More information

Urinary tract infection (lower) - women - Management

Urinary tract infection (lower) - women - Management Urinary tract infectin (lwer) - wmen - Management Scenari: Cystitis in wmen wh are nt pregnant Hw shuld I manage a wman with suspected cystitis? Cnvey a psitive apprach and reassure the wman that cystitis

More information

Idaho Naturopathic Medicine 6550 W Emerald, Ste 112 Boise, Idaho Ph: Fax:

Idaho Naturopathic Medicine 6550 W Emerald, Ste 112 Boise, Idaho Ph: Fax: Idah Naturpathic Medicine 6550 W Emerald, Ste 112 Bise, Idah 83704 Ph: 208-275- 0007 Fax: 208-323-9909 www.idahnaturpathicmedicine.cm Welcme t Idah Naturpathic Medicine We lk frward t meeting yu sn. It

More information

Biology 30S Unit Test Review: Digestion

Biology 30S Unit Test Review: Digestion Bilgy 30S Unit Test Review: Digestin Test utline: Multiple Chice: 10 Questins, 1 mark each. Shrt Answer: 5 Questins (answer 3 f them), 5 marks each. Lng Answer: 2 Lng Answer Questins, 10 marks each. Tasks

More information

National Imaging Associates, Inc. (NIA) Frequently Asked Questions (FAQ s) For PA Health & Wellness Providers

National Imaging Associates, Inc. (NIA) Frequently Asked Questions (FAQ s) For PA Health & Wellness Providers Natinal Imaging Assciates, Inc. (NIA) Frequently Asked Questins (FAQ s) Fr PA Health & Wellness Prviders Questin GENERAL Why is PA Health & Wellness implementing a Medical Specialty Slutins Prgram? Answer

More information

Iron and Iron Deficiency

Iron and Iron Deficiency Irn and Irn Deficiency Irn and why we need it Irn is a mineral needed by ur bdies. Irn is a part f all cells and des many things in ur bdies. Fr example, irn (as part f the prtein hemglbin) carries xygen

More information

MEDICATION GUIDE. (Interferon alfa-2b)

MEDICATION GUIDE. (Interferon alfa-2b) MEDICATION GUIDE INTRON A (In-trn-aye) (Interfern alfa-2b) Read this Medicatin Guide befre yu start taking INTRON A, and each time yu get a refill. There may be new infrmatin. This infrmatin des nt take

More information

Chapter 5 Anxiety Disorders

Chapter 5 Anxiety Disorders Test Review 2 Chapter 5 Anxiety Disrders Mst cmmn and effective frm f treatment = Expsure Anxiety Disrders Mst cmmn psychiatric disrders Phbias mst cmmn f the anxiety disrders Often Cmrbid with Majr Depressin

More information

HIV REVERSE TRANSCRIPTION AND AZT

HIV REVERSE TRANSCRIPTION AND AZT OVERVIEW HIV REVERSE TRANSCRIPTION AND AZT This hands-n activity is part f a series f activities and demnstratins fcusing n varius aspects f the human immundeficiency virus (HIV) life cycle. In this activity,

More information

THE INSIDER S GUIDE TO METASTATIC BREAST CANCER

THE INSIDER S GUIDE TO METASTATIC BREAST CANCER THE INSIDER S GUIDE TO METASTATIC BREAST CANCER A Summary f the Disease and its Treatments by Anne Leser DISCLAIMER The material herein has been gleaned frm bks, Internet surces and ther metastatic breast

More information

FLORIDA ORTHOPAEDIC INSTITUTE SPINE FIRST VISIT QUESTIONNAIRE

FLORIDA ORTHOPAEDIC INSTITUTE SPINE FIRST VISIT QUESTIONNAIRE FLORIA ORTHOPAEIC INSTITUTE SPINE FIRST VISIT QUESTIONNAIRE Please circle answers t questins that pertain t yur prblem. Yu may select mre than ne answer per questin. This infrmatin will help get an accurate

More information

Benefits for Anesthesia Services for the CSHCN Services Program to Change Effective for dates of service on or after July 1, 2008, benefit criteria

Benefits for Anesthesia Services for the CSHCN Services Program to Change Effective for dates of service on or after July 1, 2008, benefit criteria Benefits fr Anesthesia Services fr the CSHCN Services Prgram t Change Effective fr dates f service n r after July 1, 2008, benefit criteria fr anesthesia will change fr the Children with Special Health

More information

Patterns of Cholesterol Distribution in the Participants of a Screening Project

Patterns of Cholesterol Distribution in the Participants of a Screening Project Patterns f Chlesterl Distributin in the Participants f a Screening Prject Abdul Hamid Shaikh, S With guidelines similar t thse recmmended by the Natinal Chlesterl Educatin Prgram (NCEP), 3,3 individuals

More information

Collaborative Support Programs of New Jersey Institute for Wellness and Recovery Initiatives

Collaborative Support Programs of New Jersey Institute for Wellness and Recovery Initiatives Develped by Peggy Swarbrick, Jen Chn, Maureen Csta, Jay Yudf, and Christina Serran Cllabrative Supprt Prgrams f New Jersey Institute fr Wellness and Recvery Initiatives February 2014 Wellness is nt the

More information

Cancer Association of South Africa (CANSA)

Cancer Association of South Africa (CANSA) Cancer Assciatin f Suth Africa (CANSA) Fact Sheet n Wilms Tumur and Other Childhd Kidney Tumurs Intrductin The bdy prduces several kinds f wastes, including sweat, carbn dixide gas, faeces (stl), and urine.

More information

Male patients with pain, swelling or erythema please refer to the Acute Painful Scrotum pathway Female patients

Male patients with pain, swelling or erythema please refer to the Acute Painful Scrotum pathway Female patients UNDESCENDED TESTICLE ALGORITHM Unilateral undescended testicle OR Bilateral palpable undescended testicle Inclusin Criteria: Male patients w/ unilateral r bilateral undescended testicle(s) Exclusin Criteria:

More information

ADULT CHILDREN OF ALCOHOLICS Characteristics. Adult Children of Alcoholics

ADULT CHILDREN OF ALCOHOLICS Characteristics. Adult Children of Alcoholics ADULT CHILDREN OF ALCOHOLICS Characteristics Adult Children f Alchlics 1. guess at what nrmal is 2. have difficulty in fllwing a prject thrugh frm beginning t end 3. lie when it wuld be just as easy t

More information

Memory Care Community Standards

Memory Care Community Standards Memry Care Cmmunity Standards SEXUAL / INTIMATE BEHAVIOR POLICY Staff shuld understand, recgnize and supprt the healthful expressin f sexuality and intimacy amng residents, and demnstrate an understanding

More information

Memory Screening Site s PROGRAM HANDBOOK

Memory Screening Site s PROGRAM HANDBOOK Memry Screening Site s PROGRAM HANDBOOK 866-232-8484 www.alzfdn.rg/memry-screening/ Table f Cntents Page 3 Page 5 Page 6 Page 7 Page 8 Page 10 Page 12 Page 13 All Abut the Natinal Memry Screening Prgram

More information

Treatment Guidelines June 2013, D0028 Rev. F

Treatment Guidelines June 2013, D0028 Rev. F Treatment Guidelines June 2013, D0028 Rev. F Cutera Inc. Wrld Headquarters 3240 Bayshre Bulevard, Brisbane, CA 94005 USA Tel: +1 415 657 5500 Fax: +1 415 330 2444 www.cutera.cm June 2010, D0028 Rev. F

More information

Diabetes Mellitus Lab Tests (Screening, Diagnosis & Monitoring)

Diabetes Mellitus Lab Tests (Screening, Diagnosis & Monitoring) Rule Categry: Medical ` Ref: N: 2013-MN-0012 Versin Cntrl: Versin N. 1.1 Effective Date: December 2013 Revisin Date: December 2014 Diabetes Mellitus Lab Tests (Screening, Diagnsis & Mnitring) Adjudicatin

More information

(Please text me on once you have submitted your request online and the cell number you used)

(Please text me on once you have submitted your request online and the cell number you used) Dear Thank yu fr yur email, nted. Belw steps n hw t register as a service prvider. Please nte that nce yu have requested t becme a service prvider, yu need t sms/what s up me n 0826392585, in rder t activate

More information

OTHER AND UNSPECIFIED DISORDERS

OTHER AND UNSPECIFIED DISORDERS OPTUM COVERAGE DETERMINATION GUIDELINE OTHER AND UNSPECIFIED DISORDERS Guideline Number: BH727OUD_102017 Effective Date: Octber, 2017 Table f Cntents Page INSTRUCTIONS FOR USE... 1 BENEFIT CONSIDERATIONS...

More information

Understanding Blood Counts

Understanding Blood Counts Understanding Bld Cunts PMH This pamphlet is fr patients at Princess Margaret Hspital. It will help yu t read and understand the bld cunt infrmatin yu get frm the bld lab. Patient Educatin Imprving Health

More information

INSTRUCTIONS FOR USE ZINBRYTA (zin-bry-tuh) (daclizumab) Injection, for Subcutaneous Use Single-Dose Prefilled Syringe 150 mg

INSTRUCTIONS FOR USE ZINBRYTA (zin-bry-tuh) (daclizumab) Injection, for Subcutaneous Use Single-Dose Prefilled Syringe 150 mg INSTRUCTIONS FOR USE ZINBRYTA (zin-bry-tuh) (daclizumab) Injectin, fr Subcutaneus Use Single-Dse Prefilled Syringe 150 mg Read this Instructins fr Use befre yu start using ZINBRYTA and each time yu get

More information

Child s Name: Date of Birth: TAKE THIS SHEET TO EVERY DOCTOR S APPOINTMENT

Child s Name: Date of Birth: TAKE THIS SHEET TO EVERY DOCTOR S APPOINTMENT Date f Birth: TAKE THIS SHEET TO EVERY DOCTOR S APPOINTMENT Prtable Medical Summary Name: Date Updated: / / Address: Phne: Mbile: E-mail: DOB: SSN: - - Allergies: Pertinent Persnal Characteristics: What

More information

Chapter 12: The Cell Cycle

Chapter 12: The Cell Cycle Name Perid Chapter 12: The Cell Cycle Overview 1. What are the three key rles f cell divisin? State each rle, and give an example. 2. What is meant by the cell cycle? Cncept 12.1 Mst cell divisin results

More information

Improving Surveillance and Monitoring of Self-harm in Irish Prisons

Improving Surveillance and Monitoring of Self-harm in Irish Prisons HSE Mental Health Divisin Stewart s Hspital, Palmerstwn, Dublin 20 Tel: 01 6201670 Email: inf@nsp.ie www.nsp.ie Imprving Surveillance and Mnitring f Self-harm in Irish Prisns Prject Scpe Dcument 8 th June

More information

Cancer of Unknown Primary (CUP) Pathways and Guidelines (v 2) London Cancer. April 2017

Cancer of Unknown Primary (CUP) Pathways and Guidelines (v 2) London Cancer. April 2017 Cancer f Unknwn Primary (CUP) Pathways and Guidelines (v 2) Lndn Cancer April 2017 The fllwing pathways and guidelines dcument has been cmpiled by the Lndn Cancer CUP technical subgrup and agreed by the

More information

8/12/2016. Topics to be covered. What is Diabetes Data Smog. Disclosure to Participants

8/12/2016. Topics to be covered. What is Diabetes Data Smog. Disclosure to Participants Disclsure t Participants Ntice f Requirements Fr Successful Cmpletin Please refer t learning gals and bjectives Learners must attend the full activity and cmplete the evaluatin in rder t claim cntinuing

More information

BROCKTON AREA MULTI-SERVICES, INC. MEDICAL PROCEDURE GUIDE. Date(s) Reviewed/Revised:

BROCKTON AREA MULTI-SERVICES, INC. MEDICAL PROCEDURE GUIDE. Date(s) Reviewed/Revised: Page 1 f 6 Subject: Range f Mtin Exercises Date Develped: 4/2010 PROTOCOL FOR: All trained staff PURPOSE: Range f Mtin (ROM) exercises are very imprtant if an individual has t stay in bed r in a wheelchair.

More information

Solid Organ Transplant Benefits to Change for Texas Medicaid

Solid Organ Transplant Benefits to Change for Texas Medicaid Slid Organ Transplant Benefits t Change fr Texas Medicaid Infrmatin psted February 13, 2015 Nte: All new and updated prcedure cdes and their assciated reimbursement rates are prpsed benefits pending a

More information

Instructions for Use INTRON A (In-tron-aye) (Interferon alfa-2b, recombinant) Powder for Solution

Instructions for Use INTRON A (In-tron-aye) (Interferon alfa-2b, recombinant) Powder for Solution Instructins fr Use INTRON A (In-trn-aye) (Interfern alfa-2b, recmbinant) Pwder fr Slutin Be sure that yu read, understand, and fllw these instructins befre injecting INTRON A. Yur healthcare prvider shuld

More information

TABLE OF CONTENTS Glossary of terms Code Pad Diagram 3. Understanding the Code Pad lights.4.

TABLE OF CONTENTS Glossary of terms Code Pad Diagram 3. Understanding the Code Pad lights.4. TABLE OF CONTENTS... Glssary f terms 2... Cde Pad Diagram 3 Understanding the Cde Pad lights.4 Cde Pad tnes 5 Fully arming the system - ON MODE 6 Fully arming the system - Quick Arm MODE 6 Partially arming

More information

Policy for Immune Compromised Personnel working in Research Settings

Policy for Immune Compromised Personnel working in Research Settings Plicy fr Immune Cmprmised Persnnel wrking in Research Settings Plicy and Scpe It is the plicy f the University f Califrnia San Dieg (UCSD) that all persnnel wh wrk in research labratries r handle animals

More information

Applying the OSHA Bloodborne Pathogen Standard Chiropractic Setting

Applying the OSHA Bloodborne Pathogen Standard Chiropractic Setting Applying the OSHA Bldbrne Pathgen Standard Chirpractic Setting 1 Pre test 1. Wh is cvered by the OSHA Bldbrne Pathgen Standard? a) A- All emplyees wh culd be reasnably anticipated as a result f perfrming

More information

Group A Streptococcal Infections - Policy for the Prevention and Control of

Group A Streptococcal Infections - Policy for the Prevention and Control of Grup A Streptcccal Infectins - Plicy fr the Preventin and Cntrl f Pst hlder respnsible fr Prcedural Dcument Authr f Plicy Divisin/Department respnsible fr Prcedural Dcument Cntact details Lead Nurse/Directr

More information

Prescribing Safely to Prevent Misuse & Diversion

Prescribing Safely to Prevent Misuse & Diversion Patient-Prvider Agreement fr Onging Use f Cntrlled Medicatin BIRTHDATE: NAME: The use f the fllwing medicine(s) (list medicine names) Is nly ne part f my treatment fr. Primary Prescribing Dctr: What shuld

More information

THROUGH 1979, immunosuppressive

THROUGH 1979, immunosuppressive Five-Year Survival After Liver Transplantatin THROUGH 1979, immunsuppressive therapy fr liver transplantatin at ur center was with aathiprine (r cyclphsphamide) and sterids, t which antilymphcyte glublin

More information

Patient Name Date of Birth. Address. City State Zip. Cell Phone Work Phone Home Phone . SSN Employer Name Employer Number.

Patient Name Date of Birth. Address. City State Zip. Cell Phone Work Phone Home Phone  . SSN Employer Name Employer Number. Waldrf Peridntics & Implants Amal Rastgi, DMD, MSD, PhD Cary Bly, DDS, MSD Bard Certified Specialists in Peridntlgy 11855 Hlly Lane #106 Waldrf, MD 20601 301-645-3100 (F) 301-885-0600 waldrfperidntics@yah.cm

More information

Neurological outcome from conservative or surgical treatment of cervical spinal cord injured patients

Neurological outcome from conservative or surgical treatment of cervical spinal cord injured patients 1993 nternatinal Medical Sciety f Paraplegia eurlgical utcme frm cnservative r surgical treatment f cervical spinal crd injured patients J E Kiwerski Spinal Department f Metrplitan Rehabilitatin Centre,

More information

Basic Thyroid Examination

Basic Thyroid Examination Basic Thyrid Examinatin WIPE Wash hands Intrduce yurself Permissin Psitin (Patient sat in frnt f yu upright) Expsure (Neck expsed) Identify Patient (cnfirm the fllwing details befre starting) Name Age

More information

The Academy: Sheffield Psychotherapy and Counselling Education

The Academy: Sheffield Psychotherapy and Counselling Education The Academy: Sheffield Psychtherapy and Cunselling Educatin Curses Applicatin Pack 2014 NB Please send Applicatins t The Academy: SPACE The Cach Huse, 1A Filey Street, Sheffield S10 2FF S.Yrks This pack

More information

Adherence. Introduction. How Do You Treat Non-Compliant Patients with DFUs? How Do You Treat Non-Compliant Patients with DFUs?

Adherence. Introduction. How Do You Treat Non-Compliant Patients with DFUs? How Do You Treat Non-Compliant Patients with DFUs? Hw D Yu Treat Nn-Cmpliant Hw D Yu Treat Nn-Cmpliant Gary M. Rthenberg, DPM, CDE, CWS The University f Michigan Medical Schl Clinical Assistant Prfessr Department f Internal Medicine Metablism, Endcrinlgy

More information

IMMIGRATION Canada. Temporary Resident Visa. Los Angeles and New York City Visa Office Instructions. Table of Contents IMM 5876 E ( )

IMMIGRATION Canada. Temporary Resident Visa. Los Angeles and New York City Visa Office Instructions. Table of Contents IMM 5876 E ( ) IMMIGRATION Canada Table f Cntents Dcument Checklist Temprary resident visa Temprary Resident Visa Ls Angeles and New Yrk City Visa Office Instructins This applicatin is made available free by Immigratin,

More information

ENA Topic Brief. Adult Immunizations. Key Information

ENA Topic Brief. Adult Immunizations. Key Information ENA Tpic Brief Key Infrmatin Immunizatins are vital fr d isease preventin and health prmtin. The CDC prvides recmmendatins fr adult immunizatins. Infrmatin n vaccines are available at n cst frm the CDC.

More information

Action plan: serialisation of Nordic packages focus on Product Codes

Action plan: serialisation of Nordic packages focus on Product Codes 19.6.2017, versin 5 Actin plan: serialisatin f Nrdic packages fcus n Prduct Cdes The aim f this dcument is t help pharma cmpanies t prepare fr prduct cde changes and t be able t maintain prduct cdes in

More information

NHAIS SIS Communication

NHAIS SIS Communication T: All NHAIS Key Users/Screening Managers Frm: Catherine Rberts SIS Request: T/14528 HSCIC Change Number: 15846 Date: 24/03/2015 Page 1 f 5 Impacted Applicatins: SD screen, Lab Links, MM screen, AJ-CD

More information

ICD-10-CM Coding Basics Chapter Specifics

ICD-10-CM Coding Basics Chapter Specifics ICD-10-CM Cding Basics Chapter Specifics Chapter 15 Pregnancy, Childbirth and the Puerperium Vilma Smith, LVN, CPC, CCS Debra Bales, LVN, CPC Jnay Rischer, CPC 1 Rev. May 2015 ICD-10-CM Cnventins General

More information

Cigarette Packaging and the Mind+Body=Connection

Cigarette Packaging and the Mind+Body=Connection Thursday s Kick! Cigarette Packaging and Mind+Bdy=Cnnectin Cigarette Packaging and the Mind+Bdy=Cnnectin Our liberty depends n freedm f the press, and that cannt be limited withut being lst. -Thmas Jeffersn

More information

To remind workers that contact with poison oak can cause skin irritations. To educate workers about how to recognize poison oak.

To remind workers that contact with poison oak can cause skin irritations. To educate workers about how to recognize poison oak. Safety Training Tpic Purpse f Meeting T remind wrkers that cntact with pisn ak can cause skin irritatins. T educate wrkers abut hw t recgnize pisn ak. T cnsider ways t prtect yurself frm skin irritatins

More information

Creating and Linking Charge Objects

Creating and Linking Charge Objects Overview Charge bject screens are used t maintain cst accunting cdes that agencies use t break ut emplyee time based n wrk perfrmed and leave time while assigned t a specific prject(s). The charge bject

More information

Hearing Conservation Program

Hearing Conservation Program Hearing Cnservatin Prgram FOREWORD Nise-induced hearing lss (NIHL) is a permanent and irreversible ccupatinal illness due t expsure t excessive nise. The Occupatinal Safety and Health Administratin (OSHA)

More information