1 Table 1. List of Read Codes Used in the Studies of Anxiety
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19-0603 ) Issued: January 28, 2020 DEPARTMENT of the TREASURY, ) INTERNAL REVENUE SERVICE, ) Holtsville, NY, Employer ) ______)
United States Department of Labor Employees’ Compensation Appeals Board __________________________________________ ) S.L., Appellant ) ) and ) Docket No. 19-0603 ) Issued: January 28, 2020 DEPARTMENT OF THE TREASURY, ) INTERNAL REVENUE SERVICE, ) Holtsville, NY, Employer ) __________________________________________ ) Appearances: Case Submitted on the Record Thomas S. Harkins, Esq., for the appellant1 Office of Solicitor, for the Director DECISION AND ORDER Before: CHRISTOPHER J. GODFREY, Chief Judge ALEC J. KOROMILAS, Alternate Judge VALERIE D. EVANS-HARRELL, Alternate Judge JURISDICTION On January 18, 2019 appellant, through counsel, filed a timely appeal from a July 26, 2018 merit decision of the Office of Workers’ Compensation Programs (OWCP). Pursuant to the Federal Employees’ Compensation Act2 (FECA) and 20 C.F.R. §§ 501.2(c) and 501.3, the Board has jurisdiction over the merits of this case.3 1 In all cases in which a representative has been authorized in a matter before the Board, no claim for a fee for legal or other service performed on appeal before the Board is valid unless approved by the Board. 20 C.F.R. § 501.9(e). No contract for a stipulated fee or on a contingent fee basis will be approved by the Board. Id. An attorney or representative’s collection of a fee without the Board’s approval may constitute a misdemeanor, subject to fine or imprisonment for up to one year or both. Id.; see also 18 U.S.C. § 292. Demands for payment of fees to a representative, prior to approval by the Board, may be reported to appropriate authorities for investigation. 2 5 U.S.C. -
Neck and Headache Pain
Neck and Headache Pain ICD-9-CM code: 723.2 cervicocranial syndrome ICF codes: Activities and Participation Domain code: d4158 Maintaining a body position, other specified - specified as: maintaining the head in a flexed position, such as when reading a book; or, maintaining the head in an extended position, such as when looking up at a computer screen or video monitor Body Structure codes: s7103 Joints of head and neck region Body Functions code: b28010 Pain in head and neck Common Historical Findings: Unilateral neck pain with referral to occipital, temporal, parietal, frontal or orbital areas Headache precipitated or aggravated by neck movements or sustained positions Noncontinuous headaches (usually < 1 episode/day; < 2 episodes/week) Common Impairment Findings - Related to the Reported Activity Limitation or Participation Restrictions: Observable postural asymmetry of the head on neck (sidebent or extended) Headache reproduced with provocation of the involved segmental myofascia and/or joints O/C1, C1/C2, or C2/C3 restricted accessory motions with associated myofascial trigger points Physical Examination Procedures: Palpation/Provocation of Suboccipital Myofascia Joe Godges DPT, MA, OCS 1 KP So Cal Ortho PT Residency O/C1, C1/C2, or C2/C3 accessory motion testing using posterior-to-anterior pressures 0/C1 accessory motion testing using C1 lateral translatoty pressures C1 – C2 Rotation ROM testing with the C2 – C7 segments in flexion Joe Godges DPT, MA, OCS 2 KP So Cal Ortho PT Residency Neck and Headache Pain: Description, Etiology, Stages, and Intervention Strategies The below description is consistent with descriptions of clinical patterns associated with the term “Cervicogenic Headache.” Description: Cervicogenic headache is a headache where the source of the ache is from a structure in the cervical spine, such as a cervical facet, muscle, ligament, or dura. -
A Thesis Submitted in Partial Fulfilment of the Requirements for the Degree of Doctor of Philosophy
MYOFASCIAL TRIGGER POINTS AND INNERVATION ZONE LOCATIONS IN UPPER TRAPEZIUS MUSCLES MARCO BARBERO A thesis submitted in partial fulfilment of the requirements for the degree of Doctor of Philosophy QUEEN MARGARET UNIVERSITY 2016 1 ABSTRACT Myofascial pain syndrome is characterized by sensory, motor and autonomic symptoms, and a myofascial trigger point (MTrP) is considered the principal clinical feature. Clinicians recognise myofascial pain syndrome as an important clinical entity but many basic and clinical issues need further research. Electrophysiological studies indicate that abnormal electrical activity is detectable near MTrPs. This phenomenon has been described as endplate noise and it has been purported to be associated MTrP pathophysiology. Authors also suggest that MTrPs are located in the innervation zone (IZ) of muscles. The aim of this thesis was to describe both the location of MTrP and the IZ’ locations in the upper trapezius muscle. The hypothesis was that distance between the IZ and the MTrP in upper trapezius muscle is equal to zero. This thesis includes two preliminary studies. The first one address the reliability of surface electromyography (EMG) in locating the IZ in upper trapezius muscle, and the second one address the reliability of a manual palpation protocol in locating the MTrP in upper trapezius muscle. The intra- rater reliability of surface EMG in locating the IZ was almost perfect; with Kappa = 0.90 for operator A and Kappa = 0.92 for operator B. Also the inter- rater reliability showed an almost perfect agreement, with Kappa = 0.82. Both the operators conducted 900 estimations of IZ’ location through visual analysis of the EMG signals. -
Lameness in Fattening Pigs – Mycoplasma Hyosynoviae, Osteochondropathy and Reduced Dietary Phosphorus Level As Three Infuencing Factors: a Case Report
Lameness in fattening pigs – Mycoplasma hyosynoviae, osteochondropathy and reduced dietary phosphorus level as three inuencing factors: A case report Birte Wegner Veterinary Practice Duemmerland Jörg Tenhündfeld Vetland Dr. Tenhündfeld & Kollegen Johanna Vogels Stiftung Tierarztliche Hochschule Hannover Marius Beumer Stiftung Tierarztliche Hochschule Hannover Josef Kamphues Stiftung Tierarztliche Hochschule Hannover Florian Hansmann Stiftung Tierarztliche Hochschule Hannover Hanna Rieger Stiftung Tierarztliche Hochschule Hannover Elisabeth grosse Beilage Stiftung Tierarztliche Hochschule Hannover Isabel Hennig-Pauka ( [email protected] ) University of Veterinary Medicine Hannover https://orcid.org/0000-0003-3994-5979 Case report Keywords: Locomotor disorder, mineral supply, Mycoplasma hyosynoviae, nutrition, swine Posted Date: September 25th, 2020 DOI: https://doi.org/10.21203/rs.3.rs-35962/v2 License: This work is licensed under a Creative Commons Attribution 4.0 International License. Read Full License Page 1/28 Version of Record: A version of this preprint was published on December 15th, 2020. See the published version at https://doi.org/10.1186/s40813-020-00184-w. Page 2/28 Abstract Background: Multiple diagnostic procedures, their results and interpretation in a case with severe lameness in fattening pigs are described. It is shown that selected diagnostic steps lead to identication of various risk factors for disease development in the affected herd. One focus of this case report is the prioritization of diagnostic steps to verify the impact of the different conditions, which nally led to the clinical disorder. Disease is the consequence of previously acting factors, and the involved diagnostic institute is the last stage in the timeline. Some diagnostic ndings might therefore no longer be signicant. -
Chapter 05- Mental, Behavioral and Neurodevelopmental Disorders
Chapter 5 Mental, Behavioral and Neurodevelopmental disorders (F01-F99) Includes: disorders of psychological development Excludes2: symptoms, signs and abnormal clinical laboratory findings, not elsewhere classified (R00-R99) This chapter contains the following blocks: F01-F09 Mental disorders due to known physiological conditions F10-F19 Mental and behavioral disorders due to psychoactive substance use F20-F29 Schizophrenia, schizotypal, delusional, and other non-mood psychotic disorders F30-F39 Mood [affective] disorders F40-F48 Anxiety, dissociative, stress-related, somatoform and other nonpsychotic mental disorders F50-F59 Behavioral syndromes associated with physiological disturbances and physical factors F60-F69 Disorders of adult personality and behavior F70-F79 Intellectual disabilities F80-F89 Pervasive and specific developmental disorders F90-F98 Behavioral and emotional disorders with onset usually occurring in childhood and adolescence F99 Unspecified mental disorder Mental disorders due to known physiological conditions (F01-F09) Note: This block comprises a range of mental disorders grouped together on the basis of their having in common a demonstrable etiology in cerebral disease, brain injury, or other insult leading to cerebral dysfunction. The dysfunction may be primary, as in diseases, injuries, and insults that affect the brain directly and selectively; or secondary, as in systemic diseases and disorders that attack the brain only as one of the multiple organs or systems of the body that are involved. F01 Vascular dementia -
Frequency and Criticality of Diagnoses in Family Medicine Practices: from the National Ambulatory Medical Care Survey (NAMCS)
J Am Board Fam Med: first published as 10.3122/jabfm.2018.01.170209 on 12 January 2018. Downloaded from ORIGINAL RESEARCH Frequency and Criticality of Diagnoses in Family Medicine Practices: From the National Ambulatory Medical Care Survey (NAMCS) Michael R. Peabody, PhD, Thomas R. O’Neill, PhD, Keith L. Stelter, MD, MMM, and James C. Puffer, MD Background: Family medicine is a specialty of breadth, providing comprehensive health care for the individual and the family that integrates the broad scope of clinical, social, and behavioral sciences. As such, the scope of practice (SOP) for family medicine is extensive; however, over time many family phy- sicians narrow their SOP. We sought to provide a nationally representative description of the most com- mon and the most critical diagnoses that family physicians see in their practice. Methods: Data were extracted from the 2012 National Ambulatory Medical Care Survey (NAMCS) to select all ICD-9 codes reported by family physicians. A panel of family physicians then reviewed 1893 ICD-9 codes to place each code into an American Board of Family Medicine Family Medicine Certifica- tion Examination test plan specifications (TPS) category and provide a rating for an Index of Harm (IoH). Results: An analysis of all 1893 ICD-9 codes seen by family physicians in the 2012 NAMCS found that 198 ICD-9 codes could not be assigned a TPS category, leaving 1695 ICD-9 codes in the dataset. Top 10 lists of ICD-9 codes by TPS category were created for both frequency and IoH. Conclusions: This study provides a nationally representative description of the most common diag- copyright. -
Code Description
Code Description 0061 Chronic intestinal amebiasis without mention of abscess 0062 Amebic nondysenteric colitis 0063 Amebic liver abscess 0064 Amebic lung abscess 00642 West Nile fever with other neurologic manifestation 00649 West Nile fever with other complications 0065 Amebic brain abscess 0066 Amebic skin ulceration 0068 Amebic infection of other sites 0069 Amebiasis, unspecified 0070 Other protozoal intestinal diseases, balantidiasis (Infection by Balantidium coli) 0071 Other protozoal intestinal diseases, giardiasis 0072 Other protozoal intestinal diseases, coccidiosis 0073 Other protozoal intestinal diseases, trichomoniasis 0074 Other protozoal intestinal diseases, cryptosporidiosis 0075 Other protozoal intestional disease cyclosporiasis 0078 Other specified protozoal intestinal diseases 0079 Unspecified protozoal intestinal disease 01000 Primary tuberculous infection, unspecified 01001 Primary tuberculous infection bacteriological or histological examination not done 01002 Primary tuberculous infection, bacteriological or histological examination results unknown 01003 Primary tuberculous infection, tubercle bacilli found by microscopy 01004 Primary tuberculous infection, tubercle bacilli found by bacterial culture 01005 Primary tuberculous infection, tubercle bacilli confirmed histolgically 01006 Primary tuberculous infection, tubercle bacilli found by other methods 01010 Tuberculous pleurisy in primary progressive tuberculosis unspecified 01011 Tuberculous pleurisy bacteriological or histological examination not done 01012 Tuberculous -
The ICD-10 Classification of Mental and Behavioural Disorders : Clinical Descriptions and Diagnostic Guidelines
ICD-10 ThelCD-10 Classification of Mental and Behavioural Disorders Clinical descriptions and diagnostic guidelines | World Health Organization I Geneva I 1992 Reprinted 1993, 1994, 1995, 1998, 2000, 2002, 2004 WHO Library Cataloguing in Publication Data The ICD-10 classification of mental and behavioural disorders : clinical descriptions and diagnostic guidelines. 1.Mental disorders — classification 2.Mental disorders — diagnosis ISBN 92 4 154422 8 (NLM Classification: WM 15) © World Health Organization 1992 All rights reserved. Publications of the World Health Organization can be obtained from Marketing and Dissemination, World Health Organization, 20 Avenue Appia, 1211 Geneva 27, Switzerland (tel: +41 22 791 2476; fax: +41 22 791 4857; email: [email protected]). Requests for permission to reproduce or translate WHO publications — whether for sale or for noncommercial distribution — should be addressed to Publications, at the above address (fax: +41 22 791 4806; email: [email protected]). The designations employed and the presentation of the material in this publication do not imply the expression of any opinion whatsoever on the part of the World Health Organization concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. Dotted lines on maps represent approximate border lines for which there may not yet be full agreement. The mention of specific companies or of certain manufacturers' products does not imply that they are endorsed or recommended by the World Health Organization in preference to others of a similar nature that are not mentioned. Errors and omissions excepted, the names of proprietary products are distinguished by initial capital letters. -
Appendix 4: Code Groups from ICPC-2 and ICPC-2 PLUS Reasons for Encounter and Problems Managed
Appendix 4: Code groups from ICPC-2 and ICPC-2 PLUS Reasons for encounter and problems managed ............................................................................................. 2 Table A4.1: Code groups from ICPC-2 and ICPC-2 PLUS – reasons for encounter and problems managed ................................................................................................................. 2 Table A4.2: Code groups from ICPC-2 and ICPC-2 PLUS – chronic problems .................................. 7 Table A4.3: Code groups from ICPC-2 and ICPC-2 PLUS – problems managed by practice nurses ..................................................................................................................................... 11 Other treatments ................................................................................................................................................. 12 Table A4.4: Code groups from ICPC-2 and ICPC-2 PLUS – clinical treatments ............................... 12 Table A4.5: Code groups from ICPC-2 and ICPC-2 PLUS – procedures ........................................... 17 Table A4.6: Code groups from ICPC-2 and ICPC-2 PLUS – clinical measurements ........................ 19 Referrals ............................................................................................................................................................... 20 Table A4.7: Code groups from ICPC-2 and ICPC-2 PLUS – referrals ................................................ 20 Pathology test orders ........................................................................................................................................ -
Exome Sequencing Reveals a Phenotype Modifying Variant in ZNF528 in Primary Osteoporosis with a COL1A2 Deletion
ORIGINAL ARTICLE Exome Sequencing Reveals a Phenotype Modifying Variant in ZNF528 in Primary Osteoporosis With a COL1A2 Deletion Sini Skarp,1,2,3† Ji-Han Xia,2,4† Qin Zhang,2,4 Marika Löija,2,3 Alice Costantini,5 Lloyd W Ruddock,2 Outi Mäkitie,5,6,7,8,9 Gong-Hong Wei,2,4,10† and Minna Männikkö1,3† 1Infrastructure for Population Studies, Northern Finland Birth Cohorts, Faculty of Medicine, University of Oulu, Oulu, Finland 2Faculty of Biochemistry and Molecular Medicine, University of Oulu, Oulu, Finland 3Center for Life Course Health Research, Faculty of Medicine, University of Oulu, Oulu, Finland 4Biocenter Oulu, University of Oulu, Oulu, Finland 5Department of Molecular Medicine and Surgery and Center for Molecular Medicine, Karolinska Institutet/Stockholm, Stockholm, Sweden 6Department of Clinical Genetics, Karolinska University Hospital, Stockholm, Sweden 7Children’s Hospital and Pediatric Research Center, University of Helsinki and Helsinki University Hospital, Helsinki, Finland 8Folkhälsan Research Center, Genetics Research Program, Helsinki, Finland 9Research Program for Clinical and Molecular Metabolism, Faculty of Medicine, University of Helsinki, Helsinki, Finland 10Department of Biochemistry and Molecular Biology, School of Basic Medical Sciences and Zhongshan Hospital, Fudan University, Shanghai, China ABSTRACT We studied a family with severe primary osteoporosis carrying a heterozygous p.Arg8Phefs*14 deletion in COL1A2, leading to hap- loinsufficiency. Three affected individuals carried the mutation and presented nearly identical spinal fractures but lacked other typical features of either osteogenesis imperfecta or Ehlers-Danlos syndrome. Although mutations leading to haploinsufficiency in COL1A2 are rare, mutations in COL1A1 that lead to less protein typically result in a milder phenotype. -
The Worried Well: Their Identification and Management
The worried well: their identification and management DAVID MILLER, DCPsych(NZ), Principal Clinical Psychologist and Honorary Lecturer in Psychiatry and Genito-Urinary Medicine TIMOTHY M. G. ACTON, DCPsych, Clinical Psychologist BARBARA HEDGE, DCPsych, Clinical Psychologist University College and Middlesex School of Medicine, London here in this unfortunate extreme, if but a pimple that they have symptoms of infection associated with appears or any slight ache is felt, they distract themselves human immunodeficiency virus (HIV), the causative with terrible apprehensions And so strongly are they agent of acquired immune deficiency syndrome (AIDS), for the most part possessed with this notion that any despite remaining infection free as verified by (often honest finds it more difficult to cure practitioner generally repeated) serological testing and clinical assessment [13- the imaginary evil than the real one. 15]. As a patient group, the worried well are distinguish- Freind, 1727 [1] able from those in the general population who experience raised anxiety as a result of media coverage of HIV/ Recent surveys of psychiatric and psychological disturb- AIDS, and who may as a consequence wish to be tested ance among patients attending sexually transmitted dis- for anti-HIV, but who experience long-term reassurance ease (STD) or genito-urinary medicine (GUM) clinics and absence of inappropriate worry as a result of negative have shown rates of 20-45 per cent morbidity [2-6]. clinical and laboratory findings. This latter group may be Examples -
Concussion and Migraine Update
Dr. Mark Saracino 1150 First Avenue, Suite 120 Board Certified King of Prussia PA 19406 1341 Chiropractic Neurologist 610 337 3335 voice 610 337 4858 fax [email protected] www.DrSaracino.com In advance of a lecture I was asked to give September 2019 to 500 Pennsylvania attorneys whom work with patients with concussions, I created this list of updated concussion and migraine codes all doctors can use. The updates have empowered us to justify our suspicions that far-reaching complaints are often caused by concussions and migraines. A few years ago, the codes doctors use to label diseases was upgraded. To we chiropractic and medical neurologist's satisfaction, many of the symptoms that accompany concussions, migraines and severe headaches, such as abdominal complaints like nausea (G43.DO), visual changes causing double-vision and eye pain (G43.B) and mental-state changes of mental fatigue while concentrating and personality changes not experienced prior (R41.9), were included in the new codes. These revised codes were more inclusive and they, in some respects, justified our long-time recognition of the complications of concussion (SO6. ...), migraines (G43. ...) and headaches. The list below shows just a few of the updated conditions that were not well understood not long ago and ones seen in my patient population. Our understanding of concussions and other head-origin complaints is growing. ICD-10 Cranial (head) Diagnostic Codes R51 Headache & Facial px: chronic or daily M53.0 Cervicocranial syndrome G43.C0 Periodic headache syndromes