The relationship between bicycle helmet use and demographic measures has been studied extensively... more The relationship between bicycle helmet use and demographic measures has been studied extensively. To date, however, there have been very few studies of helmet use by amateur cyclists in organized, noncompetitive, long distance events. Seven hundred eleven riders were observed during three organized events offering route distances ranging from 16 to 161 kilometres. Helmet use ranged from 59% in the shorter distance groups to one hundred percent in the longest distance group. This information can assist organizers of bicycling events by permitting estimation of helmet use rates for planned routes of varying distance.
SHOW is designed to vertically resolve water profiles from limb scattered sunlight in the atmosph... more SHOW is designed to vertically resolve water profiles from limb scattered sunlight in the atmosphere. We present the technical design of the prototype that is accommodated for test flight on the NASA Lockheed ER-2 aircraft.
Background: In-line roller skating is a growing recreational fitness activity, but little is know... more Background: In-line roller skating is a growing recreational fitness activity, but little is known about the use of personal protective equipment, such as helmets, wrist guards, elbow and knee pads, by participants. Methods: An unobtrusive observational study was performed on a stratified random sample of adult and child in-line skaters in Oakland County, Michigan. A follow-up observational study was performed on locations identified as having high rates of in-line skating activity. Results: The prevalence of personal protective equipment use varied greatly with the type of equipment. Helmet use was less than 10% in both phases of the study; wrist guard use ranged from 46% to 65%; and intermediate values were noted for the use of elbow and knee pads. Conclusions: Recreational in-line skating is concentrated in paved public areas and is largely a young adult activity. The use of some items of personal protective equipment is common, although few skaters wear all recommended items. Efforts to prevent or reduce accidental injury should include consideration of all these factors.
Instability of specialty choice and career after initial residency entry will affect health perso... more Instability of specialty choice and career after initial residency entry will affect health personnel projections. Military physicians may differ from civilian physicians in their specialty choice behaviors during their careers. A cohort of 336 graduates who chose family medicine residency training was identified from the graduating classes of 1969 through 1993 at a large private medical school. Current specialty identification was determined, and attrition from family medicine was computed. As of 1997, 275 graduates (82%) were still in family medicine careers, defined by American Academy of Family Physicians membership or current American Board of Family Practice certification. Of graduates who entered military programs, 22 of 77 (28%) had left family medicine careers; 39 of 259 (15%) of the graduates who entered civilian programs had left. This difference was statistically significant (p = 0.007). Family medicine career retention is lower for males in military programs compared with males in civilian programs or females in military programs.
Background: The objective of the study is to estimate the exposure to pyrene, an indicator of pol... more Background: The objective of the study is to estimate the exposure to pyrene, an indicator of polycyclic aromatic hydrocarbons (PAHs) in the general environment, by using the internal dose of 1-hydroxypyrene (1-OHP) among people living nearby an aluminium smelter in the Montérégie area, Province of Québec, Canada. Methods: This cross-sectional study was done in November and December 1998. Participants were randomly selected according to their environmental exposure to PAHs and were distributed according to three exposure levels (high, low, none). Altogether, 121 non smokers aged between 18 to 70 years were recruited for the study. Persons occupationally exposed to PAHs or using tar-based medications were excluded. Those with personal medical conditions that affect the metabolism of pyrene were also excluded. Urine samples were taken in the morning and analysed by gas chromatography and mass spectrometry (GC-MS) to determine the concentration of the metabolite, 1-OHP. Results: Among the exposed group (n=78), the geometric mean of urinary concentration of 1-OHP was 0.073 micromol/mol creatinine compared to 0.060 micromol/mol creatinine for the control group (n=40). The difference did not reach statistical significance (p=0.09). Geometric means among the three groups of exposure (high, low, none) were respectively 0.079, 0.067 and 0.060 micromol/mol creatinine (p=0.13). Accounting for personal risk factors, such as diet, passive smoke, use of wood heating and time spent at home during the three days prior to urine sampling, did not change previous results. Conclusion: This study indicates that the environmental levels of PAH produced by this factory are low and do not contribute significantly to the body burden of PAH as measured by 1-OHP.
Tous droits réservés pour tous pays. Toute traduction ou toute reproduction sous quelque forme qu... more Tous droits réservés pour tous pays. Toute traduction ou toute reproduction sous quelque forme que ce soit est interdite.
The aim of this study is to evaluate the influence of meteorological factors on Ambrosia pollen c... more The aim of this study is to evaluate the influence of meteorological factors on Ambrosia pollen concentrations and its impact on medical consultations for allergic rhinitis of residents from various socio-economic levels in Montréal (Québec, Canada) between 1994 and 2002. The study was conducted to recognize the sensitivity of pollen productivity to daily climate variability in order to estimate the consequences on human health vulnerability in the context of global climate change. Information related to medical consultations for allergic rhinitis due to pollen comes from the Quebec Health Insurance Board (Régie de l'assurance-maladie du Québec). Ambrosia pollen concentration was measured by the Aerobiology Research Laboratories (Nepean, Ontario). Daily temperature (maximum, minimum, and mean) and precipitation data were obtained from the Meteorological Service of Canada.
The adverse consequences of air pollution on health have been well documented. In order to protec... more The adverse consequences of air pollution on health have been well documented. In order to protect those most vulnerable from the short-term effects of high pollution levels, clinicians and public health professionals have attached health advice to air quality information. Our study identifies the evidence supporting this advice, with a specific focus on advice directed to persons affected by or at risk for cardiovascular disease. This review is exploratory. Through a comprehensive search of the literature, our aim is to assist clinicians and public health professionals in developing health protection measures that are most likely to protect the population from the cardiovascular effects of short-term air pollution and are based on best current evidence. Based on our appraisal of recent systematic reviews and on patient information, this report provides an overview of (A) the evidence available to generate health protection measures, (B) health protection advice currently recommended to persons with or at risk of cardio-vascular diseases through public health, medical, patient information, environmental, and meteorological websites, (C) a general framework to develop health protection measures based on current evidence and knowledge. The commonly monitored air pollutants, particulate matter (PM), sulphur dioxide (S0 2 ), nitrogen oxides (NO x ), carbon monoxide (CO) and ozone are all known to be harmful to human health. Among monitored outdoor air pollutants, PM appears to be the most important and best documented cause of cardiovascular adverse effects, both short and longterm. Currently, there is no firm understanding of the specific populations or individuals most vulnerable to the cardiovascular effects of air pollution during the day of and days following exposure. However, it is generally recognized that certain groups are more at risk: the elderly, persons with pre-existing respiratory and cardiovascular diseases, and persons of low socio-economic status. There is increasing understanding of the pathophysiological mechanisms underlying the effects of air pollution on the cardiovascular system. They probably include: lung inflammation, systemic inflammation, lung oxidative stress, increased plasma viscosity, decreased cardiac vagal control, increased sympathetic activity, and increased arrhythmic susceptibility. Although we do not have a full understanding of what determines an individual's exposure to air pollution, it is suspected that exposure is influenced by diurnal concentrations of air pollutants, building characteristics, location, and individual rates of inhalation. Our review of current health protection measures against short-term air pollution demonstrates that these focus mainly on decreasing the exposure to short-term air pollution through reduction, rescheduling or relocation of outdoor activities. We do not fully understand who is most at risk of the short-term effects of air pollution. We do not fully understand how air pollution results in increased cardiovascular disease. We do not know precisely how outdoor air pollutant levels vary during a day, within a city or in indoor spaces. The relationship between outdoor and indoor air pollutant is understudied. We do not fully understand what specifically increases individuals' exposure to air pollution in real-life circumstances. We do not fully understand what people should do to counteract short-term air pollution. Guyon A., Kosatsky T, Jacques L Protection measures against short-term air pollution We do not know if health protection messages lead to safer behaviours among vulnerable populations and whether they decrease the adverse health effects of air pollution. The following figure illustrates our summary of the information that can be used to devise health protection measures. Framework of potential information to include in health protection measures against the short-term cardiovascular effects of air pollution Harmful pollutants for people with or at risk of CVD PM No x SO 2 Ozone CO Individual protection measures should target Populations vulnerable to cardiovascular effects of short-term air pollution •Elderly •Persons with preexisting CVD •Persons with preexisting respiratory diseases •Persons with low socio-economic status Possibly young children, persons with diabetes Public health practitioners should inform the population of the cardiovascular risks of air pollution. Based on the evidence reviewed in this study, health protection measures should probably target the entire population, with a special focus on the elderly, persons with preexisting cardiovascular and respiratory diseases, and those with low socio economic status. Measures should encourage them to decrease their exposure to air pollution, primarily by decreasing proximity to air pollution sources including traffic, and by decreasing strenuous activity during days or periods of the day of high pollution. Health protection measures remain an insufficient mitigation strategy given their uncertain efficacy. Aiming for long-term reduction and reduced exposure to air pollution should remain primary goals.
The standing column well (SCW) is known for being a highly efficient ground heat exchanger as it ... more The standing column well (SCW) is known for being a highly efficient ground heat exchanger as it relies on both conduction and advection heat transfer processes. Therefore, the interpretation of a thermal response test (TRT) is strongly influenced both by the hydraulic and thermal properties surrounding the SCW. In this study, it is shown that a TRT can allow identifying the thermal and hydraulic properties around a SCW. The analysis is conducted in a Bayesian framework allowing an accurate and robust identification of the hydraulic properties and their uncertainties. A closed-form expression of the likelihood is used to consider the autocorrelation of the residuals between observed and simulated temperatures. A coupled numerical model is used to generate a training database for an artificial neural network. Then, the latter serves as an emulator of the SCW's short-term g-function given various input parameters. A case study is presented based on a 100-hour TRT performed on a SCW built at a demonstration site located in the city of Mirabel, Canada. For the specific site studied, hydraulic properties were identified with an uncertainty of less than 30 % at a two-sigma level. Such important results lead to more appropriate and efficient design of SCWs.
<p>The main objective of a thermal response test is to identify the... more <p>The main objective of a thermal response test is to identify the thermal properties near ground heat exchangers. In standing column wells, the groundwater acts as the heat carrier fluid, rending hydraulic and thermal responses strongly related. Consequently, the identification of hydraulic properties through thermal response test is possible. In this study, the Bayesian framework is employed to infer joint and marginal distributions of thermal and hydraulic properties based on the experimental data gather during a 160-hour thermal response test. This test was conducted on a standing column well constructed in a layered aquifer having locally high groundwater velocities. To simulate the thermal response test, a finite element numerical model is first used to generate a training dataset. Then, a neural network is trained to emulate the ground heat exchanger response in fractions of seconds. This strategy accelerates the computation of the Markov chain Monte Carlo slice sampling algorithm.  A closed-form expression of the likelihood that takes into account the temporal correlation of the data is also used to obtain additional speedup. Main results indicate an accurate estimation of the hydraulic properties in comparison to results found by complementary experimental pumping tests completed at the same site. In accordance with the high velocities observed while drilling at this particular site, high hydraulic conductivity is obtained at the bottom of the borehole. It was possible to draw robust statistical distributions of hydraulic properties with only a thermal response test, while also assessing the thermal properties and their uncertainties.</p>
The effects of physical trauma to nerve cells are of great interest in neuroscience and neuromedi... more The effects of physical trauma to nerve cells are of great interest in neuroscience and neuromedicine. The ion channels kinetics are affected by the trauma-induced damage to neural membrane structure. The density of affected channels is at its highest in the nodes and the axon initial segment (AIS). In this study we focus on the consequences of modifying sodium channels kinetics in the AIS to model the effect of damage. It is inspired by a similar study on damaged nodes of Ranvier [1] and by experiments done in vivo on AIS [2,3]. The AIS and the nodes of Ranvier have similar mixtures of channels, but differ in their shapes. Whereas the nodal channels are clustered at high density near a large volume of channel free low capacitance membrane the AIS is long with varying density profiles for each ion channel types. The
• The beneficiary requires chronic oral anticoagulation with warfarin for a mechanical heart valv... more • The beneficiary requires chronic oral anticoagulation with warfarin for a mechanical heart valve, chronic atrial fibrillation, or venous thromboembolism; and • the beneficiary has been anticoagulated for at least three months prior to use of the home INR device; and • the beneficiary has undergone a face-to-face educational program on anticoagulation management and demonstrated the correct use of the device prior to its use in the home; and • the beneficiary continues to correctly use the device in the context of the management of the anticoagulation therapy following initiation of home monitoring; and • home-testing with the device occurs no more frequently than once a week Decision Memo for Prothrombin Time (INR) Monitor for Home Anticoagulation Management (CAG-00087R)
Corroller du Moustoir Louis Jacques. Renvoie aux comité ecclésiastique et diplomatique de la cond... more Corroller du Moustoir Louis Jacques. Renvoie aux comité ecclésiastique et diplomatique de la conduite de l'évêque de Trèves lors de la séance du 14 décembre 1790. In: Archives Parlementaires de 1787 à 1860 - Première série (1787-1799) Tome XXI - Du 26 novembre 1790 au 2 janvier 1791. Paris : Librairie Administrative P. Dupont, 1885. p. 476
The relationship between bicycle helmet use and demographic measures has been studied extensively... more The relationship between bicycle helmet use and demographic measures has been studied extensively. To date, however, there have been very few studies of helmet use by amateur cyclists in organized, noncompetitive, long distance events. Seven hundred eleven riders were observed during three organized events offering route distances ranging from 16 to 161 kilometres. Helmet use ranged from 59% in the shorter distance groups to one hundred percent in the longest distance group. This information can assist organizers of bicycling events by permitting estimation of helmet use rates for planned routes of varying distance.
SHOW is designed to vertically resolve water profiles from limb scattered sunlight in the atmosph... more SHOW is designed to vertically resolve water profiles from limb scattered sunlight in the atmosphere. We present the technical design of the prototype that is accommodated for test flight on the NASA Lockheed ER-2 aircraft.
Background: In-line roller skating is a growing recreational fitness activity, but little is know... more Background: In-line roller skating is a growing recreational fitness activity, but little is known about the use of personal protective equipment, such as helmets, wrist guards, elbow and knee pads, by participants. Methods: An unobtrusive observational study was performed on a stratified random sample of adult and child in-line skaters in Oakland County, Michigan. A follow-up observational study was performed on locations identified as having high rates of in-line skating activity. Results: The prevalence of personal protective equipment use varied greatly with the type of equipment. Helmet use was less than 10% in both phases of the study; wrist guard use ranged from 46% to 65%; and intermediate values were noted for the use of elbow and knee pads. Conclusions: Recreational in-line skating is concentrated in paved public areas and is largely a young adult activity. The use of some items of personal protective equipment is common, although few skaters wear all recommended items. Efforts to prevent or reduce accidental injury should include consideration of all these factors.
Instability of specialty choice and career after initial residency entry will affect health perso... more Instability of specialty choice and career after initial residency entry will affect health personnel projections. Military physicians may differ from civilian physicians in their specialty choice behaviors during their careers. A cohort of 336 graduates who chose family medicine residency training was identified from the graduating classes of 1969 through 1993 at a large private medical school. Current specialty identification was determined, and attrition from family medicine was computed. As of 1997, 275 graduates (82%) were still in family medicine careers, defined by American Academy of Family Physicians membership or current American Board of Family Practice certification. Of graduates who entered military programs, 22 of 77 (28%) had left family medicine careers; 39 of 259 (15%) of the graduates who entered civilian programs had left. This difference was statistically significant (p = 0.007). Family medicine career retention is lower for males in military programs compared with males in civilian programs or females in military programs.
Background: The objective of the study is to estimate the exposure to pyrene, an indicator of pol... more Background: The objective of the study is to estimate the exposure to pyrene, an indicator of polycyclic aromatic hydrocarbons (PAHs) in the general environment, by using the internal dose of 1-hydroxypyrene (1-OHP) among people living nearby an aluminium smelter in the Montérégie area, Province of Québec, Canada. Methods: This cross-sectional study was done in November and December 1998. Participants were randomly selected according to their environmental exposure to PAHs and were distributed according to three exposure levels (high, low, none). Altogether, 121 non smokers aged between 18 to 70 years were recruited for the study. Persons occupationally exposed to PAHs or using tar-based medications were excluded. Those with personal medical conditions that affect the metabolism of pyrene were also excluded. Urine samples were taken in the morning and analysed by gas chromatography and mass spectrometry (GC-MS) to determine the concentration of the metabolite, 1-OHP. Results: Among the exposed group (n=78), the geometric mean of urinary concentration of 1-OHP was 0.073 micromol/mol creatinine compared to 0.060 micromol/mol creatinine for the control group (n=40). The difference did not reach statistical significance (p=0.09). Geometric means among the three groups of exposure (high, low, none) were respectively 0.079, 0.067 and 0.060 micromol/mol creatinine (p=0.13). Accounting for personal risk factors, such as diet, passive smoke, use of wood heating and time spent at home during the three days prior to urine sampling, did not change previous results. Conclusion: This study indicates that the environmental levels of PAH produced by this factory are low and do not contribute significantly to the body burden of PAH as measured by 1-OHP.
Tous droits réservés pour tous pays. Toute traduction ou toute reproduction sous quelque forme qu... more Tous droits réservés pour tous pays. Toute traduction ou toute reproduction sous quelque forme que ce soit est interdite.
The aim of this study is to evaluate the influence of meteorological factors on Ambrosia pollen c... more The aim of this study is to evaluate the influence of meteorological factors on Ambrosia pollen concentrations and its impact on medical consultations for allergic rhinitis of residents from various socio-economic levels in Montréal (Québec, Canada) between 1994 and 2002. The study was conducted to recognize the sensitivity of pollen productivity to daily climate variability in order to estimate the consequences on human health vulnerability in the context of global climate change. Information related to medical consultations for allergic rhinitis due to pollen comes from the Quebec Health Insurance Board (Régie de l'assurance-maladie du Québec). Ambrosia pollen concentration was measured by the Aerobiology Research Laboratories (Nepean, Ontario). Daily temperature (maximum, minimum, and mean) and precipitation data were obtained from the Meteorological Service of Canada.
The adverse consequences of air pollution on health have been well documented. In order to protec... more The adverse consequences of air pollution on health have been well documented. In order to protect those most vulnerable from the short-term effects of high pollution levels, clinicians and public health professionals have attached health advice to air quality information. Our study identifies the evidence supporting this advice, with a specific focus on advice directed to persons affected by or at risk for cardiovascular disease. This review is exploratory. Through a comprehensive search of the literature, our aim is to assist clinicians and public health professionals in developing health protection measures that are most likely to protect the population from the cardiovascular effects of short-term air pollution and are based on best current evidence. Based on our appraisal of recent systematic reviews and on patient information, this report provides an overview of (A) the evidence available to generate health protection measures, (B) health protection advice currently recommended to persons with or at risk of cardio-vascular diseases through public health, medical, patient information, environmental, and meteorological websites, (C) a general framework to develop health protection measures based on current evidence and knowledge. The commonly monitored air pollutants, particulate matter (PM), sulphur dioxide (S0 2 ), nitrogen oxides (NO x ), carbon monoxide (CO) and ozone are all known to be harmful to human health. Among monitored outdoor air pollutants, PM appears to be the most important and best documented cause of cardiovascular adverse effects, both short and longterm. Currently, there is no firm understanding of the specific populations or individuals most vulnerable to the cardiovascular effects of air pollution during the day of and days following exposure. However, it is generally recognized that certain groups are more at risk: the elderly, persons with pre-existing respiratory and cardiovascular diseases, and persons of low socio-economic status. There is increasing understanding of the pathophysiological mechanisms underlying the effects of air pollution on the cardiovascular system. They probably include: lung inflammation, systemic inflammation, lung oxidative stress, increased plasma viscosity, decreased cardiac vagal control, increased sympathetic activity, and increased arrhythmic susceptibility. Although we do not have a full understanding of what determines an individual's exposure to air pollution, it is suspected that exposure is influenced by diurnal concentrations of air pollutants, building characteristics, location, and individual rates of inhalation. Our review of current health protection measures against short-term air pollution demonstrates that these focus mainly on decreasing the exposure to short-term air pollution through reduction, rescheduling or relocation of outdoor activities. We do not fully understand who is most at risk of the short-term effects of air pollution. We do not fully understand how air pollution results in increased cardiovascular disease. We do not know precisely how outdoor air pollutant levels vary during a day, within a city or in indoor spaces. The relationship between outdoor and indoor air pollutant is understudied. We do not fully understand what specifically increases individuals' exposure to air pollution in real-life circumstances. We do not fully understand what people should do to counteract short-term air pollution. Guyon A., Kosatsky T, Jacques L Protection measures against short-term air pollution We do not know if health protection messages lead to safer behaviours among vulnerable populations and whether they decrease the adverse health effects of air pollution. The following figure illustrates our summary of the information that can be used to devise health protection measures. Framework of potential information to include in health protection measures against the short-term cardiovascular effects of air pollution Harmful pollutants for people with or at risk of CVD PM No x SO 2 Ozone CO Individual protection measures should target Populations vulnerable to cardiovascular effects of short-term air pollution •Elderly •Persons with preexisting CVD •Persons with preexisting respiratory diseases •Persons with low socio-economic status Possibly young children, persons with diabetes Public health practitioners should inform the population of the cardiovascular risks of air pollution. Based on the evidence reviewed in this study, health protection measures should probably target the entire population, with a special focus on the elderly, persons with preexisting cardiovascular and respiratory diseases, and those with low socio economic status. Measures should encourage them to decrease their exposure to air pollution, primarily by decreasing proximity to air pollution sources including traffic, and by decreasing strenuous activity during days or periods of the day of high pollution. Health protection measures remain an insufficient mitigation strategy given their uncertain efficacy. Aiming for long-term reduction and reduced exposure to air pollution should remain primary goals.
The standing column well (SCW) is known for being a highly efficient ground heat exchanger as it ... more The standing column well (SCW) is known for being a highly efficient ground heat exchanger as it relies on both conduction and advection heat transfer processes. Therefore, the interpretation of a thermal response test (TRT) is strongly influenced both by the hydraulic and thermal properties surrounding the SCW. In this study, it is shown that a TRT can allow identifying the thermal and hydraulic properties around a SCW. The analysis is conducted in a Bayesian framework allowing an accurate and robust identification of the hydraulic properties and their uncertainties. A closed-form expression of the likelihood is used to consider the autocorrelation of the residuals between observed and simulated temperatures. A coupled numerical model is used to generate a training database for an artificial neural network. Then, the latter serves as an emulator of the SCW's short-term g-function given various input parameters. A case study is presented based on a 100-hour TRT performed on a SCW built at a demonstration site located in the city of Mirabel, Canada. For the specific site studied, hydraulic properties were identified with an uncertainty of less than 30 % at a two-sigma level. Such important results lead to more appropriate and efficient design of SCWs.
<p>The main objective of a thermal response test is to identify the... more <p>The main objective of a thermal response test is to identify the thermal properties near ground heat exchangers. In standing column wells, the groundwater acts as the heat carrier fluid, rending hydraulic and thermal responses strongly related. Consequently, the identification of hydraulic properties through thermal response test is possible. In this study, the Bayesian framework is employed to infer joint and marginal distributions of thermal and hydraulic properties based on the experimental data gather during a 160-hour thermal response test. This test was conducted on a standing column well constructed in a layered aquifer having locally high groundwater velocities. To simulate the thermal response test, a finite element numerical model is first used to generate a training dataset. Then, a neural network is trained to emulate the ground heat exchanger response in fractions of seconds. This strategy accelerates the computation of the Markov chain Monte Carlo slice sampling algorithm.  A closed-form expression of the likelihood that takes into account the temporal correlation of the data is also used to obtain additional speedup. Main results indicate an accurate estimation of the hydraulic properties in comparison to results found by complementary experimental pumping tests completed at the same site. In accordance with the high velocities observed while drilling at this particular site, high hydraulic conductivity is obtained at the bottom of the borehole. It was possible to draw robust statistical distributions of hydraulic properties with only a thermal response test, while also assessing the thermal properties and their uncertainties.</p>
The effects of physical trauma to nerve cells are of great interest in neuroscience and neuromedi... more The effects of physical trauma to nerve cells are of great interest in neuroscience and neuromedicine. The ion channels kinetics are affected by the trauma-induced damage to neural membrane structure. The density of affected channels is at its highest in the nodes and the axon initial segment (AIS). In this study we focus on the consequences of modifying sodium channels kinetics in the AIS to model the effect of damage. It is inspired by a similar study on damaged nodes of Ranvier [1] and by experiments done in vivo on AIS [2,3]. The AIS and the nodes of Ranvier have similar mixtures of channels, but differ in their shapes. Whereas the nodal channels are clustered at high density near a large volume of channel free low capacitance membrane the AIS is long with varying density profiles for each ion channel types. The
• The beneficiary requires chronic oral anticoagulation with warfarin for a mechanical heart valv... more • The beneficiary requires chronic oral anticoagulation with warfarin for a mechanical heart valve, chronic atrial fibrillation, or venous thromboembolism; and • the beneficiary has been anticoagulated for at least three months prior to use of the home INR device; and • the beneficiary has undergone a face-to-face educational program on anticoagulation management and demonstrated the correct use of the device prior to its use in the home; and • the beneficiary continues to correctly use the device in the context of the management of the anticoagulation therapy following initiation of home monitoring; and • home-testing with the device occurs no more frequently than once a week Decision Memo for Prothrombin Time (INR) Monitor for Home Anticoagulation Management (CAG-00087R)
Corroller du Moustoir Louis Jacques. Renvoie aux comité ecclésiastique et diplomatique de la cond... more Corroller du Moustoir Louis Jacques. Renvoie aux comité ecclésiastique et diplomatique de la conduite de l'évêque de Trèves lors de la séance du 14 décembre 1790. In: Archives Parlementaires de 1787 à 1860 - Première série (1787-1799) Tome XXI - Du 26 novembre 1790 au 2 janvier 1791. Paris : Librairie Administrative P. Dupont, 1885. p. 476
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Papers by Louis Jacques