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Re: Results of State Licensing Survey Dear Ms. Rocheleau: The above agency was surveyed on January 8, 9, and 10, 2007, for the purpose of assessing compliance with state licensing regulations. State licensing deficiencies, if found, are delineated on the attached Minnesota Department of Health MDH ; correction order form. The correction order form should be signed and returned to this office when all orders are corrected. We urge you to review these orders carefully, item by item, and if you find that any of the orders are not in accordance with your understanding at the time of the exit conference following the survey, you should immediately contact me, or the RN Program Coordinator. If further clarification is necessary, I can arrange for an informal conference at which time your questions relating to the order s ; can be discussed. A final version of the Licensing Survey Form is enclosed. This document will be posted on the MDH website. Also attached is an optional Provider questionnaire, which is a self-mailer, which affords the provider with an opportunity to give feedback on the survey experience. Please note, it is your responsibility to share the information contained in this letter and the results of this visit with the President of your facility's Governing Body. Please feel free to call our office with any questions at 651 ; 201-4301. Sincerely, Jean Johnston, Program Manager Case Mix Review Program Enclosures cc: Morrison County Social Services Ron Drude, Minnesota Department of Human Services Sherilyn Moe, Office of the Ombudsman 01 07 CMR3199.
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Sharma S1, Mitchell D2, Moshyk A3, Rochon S3 1 Cost-Effective Ocular Health Policy Unit, Queen's 2 Groupe Analyse University, Kingston, Canada, 3 conomique, Montreal, Canada, Pfizer Canada Inc., Outcomes Research, Kirkland, Canada Corresponding Author: sophie.rochon pfizer Funding Source: Pfizer Canada Inc. Background: Age-related macular degeneration AMD ; is characterized by a loss of function in the part of the eye responsible for central vision. The objective of the study was to determine the difference in depression HADS scale ; and quality of life NEI-VFQ 25 score: eye visual function questionnaire ; in patients with new onset wet AMD compared to a group of patients with acute posterior vitreous detachment PVD ; . Methods: A cross-sectional case-control study was performed. PVD subjects controls, n 48 ; demonstrated similar levels of visual acuity VA ; greater than 20 40 ; . AMD subjects cases, n 50 ; maintained different levels of VA. ANOVA was used to determine the differences between AMD and PVD subjects with similar VA in depression and quality of life and to examine differences in quality of life among AMD subjects. Results: Depression was higher in the AMD population than in the PVD group HADS scores 8.24 vs. 5.04, p 0.0427 ; , with a larger proportion of patients in the AMD group having HADS score of 8 or greater 52% vs. 23% ; . Quality of life was lower in the AMD than in the PVD group NEIVFQ score 70.6 vs. 91.1; p 0.0001 ; . In the AMD population, a lower VA corresponded systematically to a decrease in quality of life. No statistical differences were seen for depression between the AMD VA sub-groups. Conclusion: In subjects with similar VA, subjects with new onset wet AMD were more likely to be depressed and had a lower quality of life than patients with PVD. Quality of life was related to VA and was sensitive to different levels of VA. Keywords: Depression, quality of life, AMD, because phenergan child.
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[ 7 ; ] "Medical use of marijuana" means the production, possession, delivery, or administration of marijuana, or paraphernalia used to administer marijuana, as necessary for the exclusive benefit of a person to mitigate the symptoms or effects of his or her debilitating medical condition. [ 8 ; ] "Production" has the same meaning given that term in ORS 475.005. [ 9 ; ] "Registry identification card" means a document issued by the department that identifies a person authorized to engage in the medical use of marijuana and the persons designated primary caregiver, if any. [ 10 ; ] "Usable marijuana" means the dried leaves and flowers of the plant Cannabis family Moraceae, and any mixture or preparation thereof, that are appropriate for medical use as allowed in ORS 475.300 to 475.346. "Usable marijuana" does not include the seeds, stalks and roots of the plant. [ 11 ; ] "Written documentation" means a statement signed by the attending physician of a person diagnosed with a debilitating medical condition or copies of the persons relevant medical records. SECTION 2. ORS 475.306 is amended to read: 475.306. 1 ; A person who possesses a registry identification card issued pursuant to ORS 475.309 may engage in, and a designated primary caregiver of such a person may assist in, the medical use of marijuana only as justified to mitigate the symptoms or effects of the persons debilitating medical condition. [Except as allowed in subsection 2 ; of this section, a registry identification cardholder and that persons designated primary caregiver may not collectively possess, deliver or produce more than the following: ] [ a ; the person is present at a location at which marijuana is not produced, including any residence associated with that location, one ounce of usable marijuana; and] [ b ; If the person is present at a location at which marijuana is produced, including any residence associated with that location, three mature marijuana plants, four immature marijuana plants and one ounce of usable marijuana per each mature plant.] [ 2 ; If the individuals described in subsection 1 ; of this section possess, deliver or produce marijuana in excess of the amounts allowed in subsection 1 ; of this section, such individuals are not excepted from the criminal laws of the state but may establish an affirmative defense to such charges, by a preponderance of the evidence, that the greater amount is medically necessary to mitigate the symptoms or effects of the persons debilitating medical condition.] 2 ; A person who is a registry identification cardholder must possess the registry identification card when using or transporting marijuana in a location other than the residence of the cardholder. 3 ; The Department of Human Services shall define by rule when a marijuana plant is mature and when it is immature [for purposes of this section]. The rule shall provide that a plant that has no flowers and that is less than 12 inches in height and less than 12 inches in diameter is a seedling or a start and is not a mature plant. SECTION 3. ORS 475.309 is amended to read: 475.309. 1 ; Except as provided in ORS 475.316 and 475.342 and section 9 of this 2005 Act, a person engaged in or assisting in the medical use of marijuana is excepted from the criminal laws of the state for possession, delivery or production of marijuana, aiding and abetting another in the possession, delivery or production of marijuana or any other criminal offense in which possession, delivery or production of marijuana is an element if the following conditions have been satisfied: a ; The person holds a registry identification card issued pursuant to this section, has applied for a registry identification card pursuant to subsection 9 ; of this section, [or] is the designated primary caregiver of [a] the cardholder or applicant, or is the person responsible for a marijuana grow site that is producing marijuana for the cardholder and is registered under section 8 of this 2005 Act; and b ; The person who has a debilitating medical condition, [and] the persons primary caregiver and the person responsible for a marijuana grow site that is producing marijuana for the cardholder and is registered under section 8 of this 2005 Act are collectively in possession of.
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