Articolo di AggiornAmento Trattamento farmacologico e non farmacologico della demenza di Alzheimer: evidenze Parte I. Trattamento farmacologico Pharmacological and non pharmacological treatment for Alzheimer’s disease: an update Part I. Pharmacological treatment C. FAGHERAZZI, P. STEFINLONGO, R. BRUGIOLOUnità Operativa Geriatria, Unità Valutativa Alzheimer, Azienda ULSS 12 ter
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Clot.md3023 Summit Street, Oakland, CA 94609Phone: (510) 839-5600 Fax: (510) 839-6153 PATIENT HISTORY
Pre-Printed forms available upon request.
Platelet Count__________ (K/µL), aPTT__________ (sec.), PT__________ (sec.), INR__________ Hematocrit__________ (%), Bleeding History__________ (Y/N), Clotting History__________ (Y/N) Is this patient receiving Heparin? ( Y / N ) - please circle (LMWH or UFH or ARIXTRA) Is this patient taking Plavix? ( Y / N ) - please provide dosage__________ (mg/day)Is this patient taking Coumadin? ( Y / N ) Is this patient taking Aspirin? ( Y / N ) PANEL TESTING
Antiphospholipid Subgroup Panel (ACL, Phosphoserine, Phosphocholine, Phosphoglycerol, Phosphatidic Acid, Phosphoethanolamine, Phosphoinositol - IgG, IgM, IgA) Hereditary Thrombotic Risk Screen (Protein C Act, Protein S Act, AT III Act, FV Leiden) Coumadin stabilized (AT III Act, PS Antigen [Total and Free], PC Antigen, F10 Antigen, Ratio Calc.) Warfarin Sensitivity (CYP2C9*2, CYP2C9*3, VKORC1 Genotypes) Plavix Sensitivity - Genotype (CYP2C19 Genotyping) (Immunologic [ELISA] and Functional [washed-platelet Heparin-induced Platelet Activation]) Lupus Anticoagulant Screen (ACL, dRVVT, aPTT-LA) Do not reflex to LA Panel WORK-UPS (reflexive testing)
Panel (ACL, aPTT Mixing Study, Lupus Anticoagulant Index, dRVVT, Thrombin Time and PT/INR) Hypercoagulability Panel (LA Screen, Protein C Act, Protein S Act, AT III Act, FV Leiden Mutation, Prothrombin Mutation, Factor VIII Activity, Homocysteine) (Plavix Sensitivity Tests - ADP-induced Platelet Inhibition with CYP2C19 Genotype Confirmation) Prolonged aPTT and/or Prolonged PT Evaluations Von Willebrand Factor Profile Do not reflex to vWF:Multimer (May include LA Screen, aPTT Factors [8,9,11,12], PT Factors [2,5,7,10], (Factor VIII Activity, vWF:Antigen, vWF:RCo, aPTT and if indicated, vWF:Multimer) Mixing Studies, Thrombin Time, Fibrinogen Activity and/or Reptilase Time) Warfarin Sensitivity Genotype with Dose Recommendation Mild Bleeding Work-up (most common tests) (CYP2C9*2, CYP2C9*3 and VKORC1 Genotypes with Warfarin Dose Recommendation) (Plt Agg, vWF Profile, PT/INR, Fibrinogen Activity and Thrombin Time) INDIVIDUAL TEST LIST
Select Type: LMWH (__) UFH (__) ARIXTRA (__) ADAMTS-13 Activity ELISA (reflex to Inhibitor) Factor Activity (aPTT-based) test all factors Factor Activity (PT-based) test all factors PAI-1 Activity (Plasminogen Activator Inhibitor-1) Platelet Antibody ID: Direct (__) and/or Indirect (__) Platelet Aggregation Study (comprehensive) Platelet Aggregation - ASA (Aspirin sensitivity test) Factor XIII (13) Activity (screen__ or quant.__) Platelet Aggregation - RIPA (Ristocetin-induced) Warfarin Sensitivity (CYP2C9*2, *3, VKORC1) Plavix Sensitivity - LTA (ADP-induced Platelet Inhibition) ADDITIONAL INFORMATION
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Machaon Diagnostics is a PARTICIPATING PROVIDER of Medicare.
Specimen type received_________________________ Aliquots__________ Patients with insurance coverage other than Medicare are considered out-of-network and will be billedfor services not covered by their insurance provider. Medicare patients must sign an ABN, either Specimen type received_________________________ Aliquots__________ located on the reverse side of this form or downloaded from the Machaon Diagnostics website. Patient Assigned order form number______________________________________ insurance billing services are provided in accordance with the Machaon Insurance Billing Policy. HMO or medical group covered patients may need a prior authorization if they seek reimbursement.
Comments_____________________________________________________ Machaon Diagnostics is a CA-licensed, CLIA-accredited, CAP-accredited, clinical
_____________________________________________________________ laboratory approved to provide high-complexity testing services.
ONE COPY TO MACHAON DIAGNOSTICS AND ONE COPY FOR YOUR RECORDS
Report from the IES working group on Ergonomics in Schools The XVth Triennial Congress of the International Ergonomics Association “Ergonomics in the Digital Age” August 24 – 29, 2003 Seoul, Korea. Welcome Ceremony A welcome reception for delegates was held on Sunday 24th August at which we were treated to delicious food including traditional kimchi and a wide vari