Patient flow through trialshaloperidol versus olanzapine (continued) Citrome et al. Patient flow through trialshaloperidol versus olanzapine (continued) Goldman et al. Patient flow through trialshaloperidol versus olanzapine (continued) Lieberman et al. Patient flow through trialshaloperidol versus olanzapine (continued) Rosenheck et al. Patient flow through trialshaloperidol versus olanzapine (continued) Smelson et al. Patient flow through trialshaloperidol versus quetiapine (continued) Emsley et al. Patient flow through trialshaloperidol versus risperidone (continued) Ceskova et al. Patient flow through trialshaloperidol versus risperidone (continued) CrespoFacorro 71 et al. Patient flow through trialshaloperidol versus risperidone (continued) Fakra et al. Patient flow through trialshaloperidol versus risperidone (continued) Intervention #1 Keefe et al. Patient flow through trialshaloperidol versus risperidone (continued) Remillard et al. Patient flow through trialshaloperidol versus risperidone (continued) Tamrakar et al. Patient flow through trialshaloperidol versus ziprasidone (continued) Hirsch et al. Haloperidol versus olanzapineSpecific adverse events (continued) Study or Subgroup 11. Subscales, Composite Outcomes, and Functional Capacity A) Schizophrenia and Related Psychoses Table 81. Evidence summary table: chlorpromazine versus clozapine Outcome Studies Participants Effect Estimate I2 Favors Positive symptoms 3. Evidence summary table: haloperidol versus clozapine (continued) Outcome Studies Participants Effect Estimate I2 Favors 55 Verbal fluency 1 75 -1. Evidence summary table: haloperidol versus olanzapine (continued) Outcome Studies Participants Effect Estimate I2 Favors 105 -0. Evidence summary table: haloperidol versus risperidone (continued) L-11 Outcome Studies Participants Effect Estimate I2 Favors Social relatedness/ functioning 0. Evidence summary table: haloperidol versus ziprasidone Outcome Studies Participants Effect Estimate I2 Favors Functional capacity Cognitive composite score75 1 185 -0. Evidence summary table: chlorpromazine versus clozapine specific adverse events (continued) Outcome Studies Participants Effect Estimate I2 Less with Genito-urinary Impotence63 1 151 2. Evidence summary table: chlorpromazine versus olanzapine general adverse events Outcome Studies Participants Effect Estimate Withdrawals due to adverse 1 84 6. Evidence summary table: chlorpromazine versus olanzapine specific adverse events Outcome Studies Participants Effect Estimate I2 Less with Cardiovascular 7. Evidence summary table: chlorpromazine versus quetiapine specific adverse events Outcome Studies Participants Effect Estimate I2 Less with Behavior and psychosis Agitation121 1 201 2. Evidence summary table: fluphenazine versus quetiapine general adverse events Outcome Studies Participants Effect Estimate Withdrawals due to adverse 1 25 0. Evidence summary table: fluphenazine versus quetiapine specific adverse events Outcome Studies Participants Effect Estimate I2 Less with Behavior and psychosis Anxiety67 1 25 0. Evidence summary table: fluphenazine versus risperidone specific adverse events Outcome Studies Participants Effect Estimate I2 Less with Behavior and psychosis Anxiety67 1 26 0. Evidence summary table: haloperidol versus aripiprazole specific adverse events Outcome Studies Participants Effect Estimate I2 Less with Behavior and psychosis Agitation31, 44, 74, 98 4 2253 1. Evidence summary table: haloperidol versus asenapine general adverse events Outcome Incidence of patients with adverse events97 Serious adverse events97 Withdrawals due to adverse events97 Studies 1 1 1 Participants 335 335 335 Effect Estimate 1. Evidence summary table: haloperidol versus asenapine specific adverse events Outcome Studies Participants Effect Estimate I2 Less with Behavior and psychosis Agitation97 1 335 1. Evidence summary table: haloperidol versus clozapine general adverse events Outcome Studies Participants Effect Estimate I2 Incidence of patients with adverse 1 423 0. Evidence summary table: haloperidol versus clozapine specific adverse events (continued) Outcome Studies Participants Effect Estimate I2 Less with Respiratory and airway Cough155 1 88 0.
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Joe would be lucky enough to escape the deadly effect of his vices in a way that Parker did not. In the mid1970s Joe recalled hanging out and doing drugs with Parker: He was so strung out and so was I, and I had it all the time. So Bird would come down to my house, have dinner when he was working at Birdland, and would go right from my house to work. That same summer, former Parker colleague Miles Davis was making associations with Columbia records. On July 17, Miles performed at the Newport Jazz Festival and made one of the biggest splashes of his career. The performance led to a recording contract with Columbia Records that was propelled by the producer George Avakian. I wanted to have a permanent group that would have an identity, and it worked out that way thanks to Miles staying on the course, and the fact that I was able to get him a booking agent who would stick with him despite the fact that he had a terrible reputation at that time, and had been almost completely ignored by the establishment of booking agents and so forth because of his late unreliability and of course, his addiction. That recording took place on June 7, a little over a month before the Newport Performance. This recording, released as the Musings of Miles was significant as it was the first time that Red Garland would record professionally in a studio. The ensemble was a quartet and it featured Joe on drums and Oscar Pettiford on bass. Miles recalled: Sonny Rollins on tenor, Red Garland on piano, Philly Joe Jones on drums, myself on trumpet, and a young bass player that Jackie McLean had told me about who was working with the George Wallington Quintet, Paul Chambers. We opened at the Bohemia, I think in July of 1955, and the place was always packed. After my engagement at Bohemia, Oscar Pettiford brought a quartet there that had Julian "Cannonball" Adderley on alto sax. Within a year, Joe had moved from a relatively-obscure, traveling musician to the center of attention on the New York scene. In the months that followed, Joe would become part of one of the most famous quintets in jazz history. However, despite the numerous times the group has been mentioned in print, there remains a certain mystique that shrouds the history of this ensemble. Furthermore, there has been no major text dealing exclusively with this quintet and, though there are a significant number, existing transcriptions have gone largely unpublished. Nearly every aspiring student of jazz will almost certainly hear these recordings at one point in their educational experience. In spite of the absence of literature that deals solely with the quintet, there have been many books written on the life of Miles Davis. For this reason, only the key points as they relate to Philly Joe will be summarized below. The first important piece of information to understand is that Philly Joe was the key figure that led to the formation of the Miles Davis Quintet. With the exception of the way Miles met Paul Chambers, Joe was responsible for introducing and suggesting the other band members to Miles. Miles described the inclusion of Coltrane into the band this way: And then Philly Joe brought up John Coltrane. I already knew Trane from the Audubon gig we had done together several years back. But after a few rehearsals and I could hear now Trane had gotten a whole lot better than he was on that night Sonny set his ears and ass on fire he said he had to go back home, so he left. We practically had to beg him to come join the band for this gig we had in Baltimore, in late September 1955. But after we started playing together for a while, I knew that this guy was a bad motherfucker who was just the voice I needed on tenor to set off my voice. The first performance by the Miles Davis Quintet in Baltimore took place at a venue called Club Las Vegas. The weekend prior to this first session for Columbia, Joe would spend his time in the studio making records for Prestige and Bethlehem records. The first session was on Friday, October 21 in Hackensack, New Jersey where Joe guested as a sideman for Art Farmer on his release titled Evening in Casablanca. The concept was that the group would start recording tapes for the vaults until it could fulfill its obligations.
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Sentences like "some technologies perform best on drive cycles that emphasize low speed, light load engine operation, while others prefer high speeds and loads" (Section 4. Lowell It would be very helpful to the reader to include a table in the executive summary which summarizes the findings which are described in the text (range of % fuel reduction for each technology/approach modeled). Detailed descriptions of performance results and the tradeoffs associated with multiple technologies are often combined into the same paragraph, making it at times challenging to extract the most important points amid many comparative statements. While not obligatory, some suggestions that might help the reader include: Occasionally breaking up some of the longer paragraphs, focusing on only one or two technologies in a single paragraph. Using bullet lists within paragraphs to visually separate key points and conclusions. Nuszkowski Overall, the report was organized, readable, and clear with only minor corrections needed (see 4-4). A table in the executive summary to summarize the results would be very beneficial to the report. Barth Overall the information provided in the report is sufficiently detailed; various comments on specifics have been provided above. The report could be enhanced by providing additional detail in Fuel penalties associated with the aftertreatment; the actual technologies and hardware used to Appendix C to account for the Cd and Crr improvements (page C-13, 14); How are the weight reductions accomplished, what components contribute to the weight reduction, what materials are being introduced (page C-15)? Incorporate and document in the report the effect of weight in the estimation of fuel efficiency. To aid the reader in fully understanding the context and implications of this study I recommend that additional information be added in the following areas: 1. Executive Summary: Add table summarizing the results discussed in the text (see response 4. Specifically map the modeled vehicle(s) and drive cycle(s) to the vehicle segments that they represent. The most critical point would be to add as much validation and justification of assumptions as possible to the baseline engine models as these drive the accuracy of the technology assessment. This lends great confidence in the modeling approach to extrapolate beyond the baseline model. Nelson More detailed back-up information to reinforce the appropriateness of the coastdown coefficients, and demonstration of vehicle simulations against experimental track data should be provided, as described in the responses to question 4. Nuszkowski the vehicle selection needs to not only be discussed in the executive summary. Barth the strongest part of the report was section 4, in terms of the analysis and comparison of the technologies, and the methodology comparison. The weakest parts of the report can be improved by addressing some of the comments made above, and including some of the figures suggested in the text above. The models are also run with new technologies previously not present on that platform and are accompanied by very informative discussions. Lowell the strongest part of this report is section 3, the discussion of the results of the engine and vehicle technology modeling. The weakest part of this report is the description of how the vehicles and drive cycles that were modeled were chosen, and specifically the linkage to real-world vehicle segmentation, to provide appropriate context for the reader to understand the relevance and implications of the work. The weakest part is really the converse of this, in that the modeling approach is quite complicated and based on many assumptions. The best way to address this is to provide as much validation points as possible, whenever possible. Nelson Given its potential impact on the definition of future technology packages and drive cycle combinations, Section 4. Are there recommendations of technologies that should move forward and others which should be abandoned? The weakest part of the reporting is vehicle model validation, which is covered in Appendix C. This could be addressed in part by other data sources, such as surveys by industry organizations.
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However, he had just finished a grueling few years and the need to be constantly recording and hustling new gigs was gone. Joe had already established himself and looked at 1959 as his opportunity to lead. Joe performed one session date as a sideman in February as a substitute for Jimmy Cobb in a group that included Cannonball Adderley, Wynton Kelly, and Paul Chambers. In the interim, Joe did an interview for Down Beat that was published on March 5, 1959. Joe mentioned in the article that he had taken on some private students and was "branching into the instruction field. I want to use the boobam drum and play the different rhythms of the countries this album will go through. The album was recorded over the course of three dates: May 4, 11, 28 (Joe also sprinkled some sideman dates in for Abbey Lincoln and Art Farmer between his own dates31). Joe also displayed his abilities as a composer/arranger by penning the Afro-Cuban composition "Blue Gwynn. Joe had just recorded with Sabu Martinez, Ray Barretto, Chonguito Vincente, Victor Gonzales, Julio Martinez, Andy Delannoy, and Fred Pagani the previous November and must have had some of that on his mind. It is also possible that he acquired some insights into playing music Latin music from them. However, his Latin and Afro-Cuban rhythms are no more authentic than they are when he plays a Latin or Afro-Cuban jazz number with any other group. He may use some world music rhythms, but they are deeply buried in the context of his "jazz" style. Putting the question of authenticity aside, the superior performance of the group on Drums Around the World cannot be questioned. Down Beat called the recording an "interesting, as well as informative, study of jazz percussion. The superficial themes outshined some great ensemble playing and rhythm section support. Obviously Joe would have wanted to continue to pursue having a working big band, but the financial burden of running a big band is great. Little is known about whether Joe was able to get any work for 33 "Philly Joes Jones: Drums Around the World, " Down Beat, 1 October 1959. Joe returned to the studio to record a session for Wynton Kelly that would be known as Kelly Blue on August 12. Beside one standard, compositions for this recording were penned by Kelly, Shorter, and Morgan. Unfortunately, the total running time of these recordings was only about 35 minutes and none of the tunes from this date would become standards or favorites in their own right. The sextet on this date included Joe, Mitchell on trumpet, Curtis Fuller on trombone, Jimmy Heath on saxophone, Wynton Kelly on piano, and Sam Jones on bass. Jimmy had gotten out earlier in the year and had taken some performance work with Miles Davis, but the terms of his probation would not permit him to play in clubs and placed restrictions on his ability to cross state lines. This first post-prison date for Heath also helped him build a relationship with Riverside that brought him continued work, but his relationship with Joe never fully recovered. The group known as the Philly Joe Jones Sextet recorded the album Showcase over the course of November 17 and 18 for Riverside Records. Coker and Jones had performed together in Philadelphia in 1951 and would play together again later on, but this date would represent the only recorded documentation of their work together. Down Beat gave Showcase three stars, which meant that their reception of the album was not as good as Drums Around the World, but not as bad as Blues for Dracula. By 1960, Joe was only taking the sideman work he wanted to while continuing to focus on his own group. Joe was also taking on more students and beginning to expand himself as an educator. Shaughnessy, who was known as a jazz drummer, would later earn his fame as a part of the Tonight Show Band. Joe also participated in a drum feature for the Gretsch Company that took place on April 25, at Birdland. The performance alternated between Joe and Art Blakey and was released as Gretsch Drum Night at Birdland. What your history is, as early as it was for me, was enough for someone to feel that I can fit into this environment with Philly Joe Jones, and Bill Evans, and all those guys who were on those early Riverside records.
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I encourage southern c a l if o r n i a Edi son and the c a l if o r n i a pub1ic u t i 1it i es Commi s s i on t o examine these o p t i o n s s i n c e r e l y and i n good f a i t h r a the r than proceeding w i t h the c u r r e n t proposal. Commem must be received by January 20, 2006, Comment# may also be faxed 886-1888 or emsikd to dpv2@rspeneg. Today, Phoenix is the 5thlargest city in the country and one of the fastest growing in the nation. As some of the original poles have already been constructed to accept a second circuit. California has managed without this line for 25 years and has managed 15 years since the 2"dline was initially permitted. Now that Arizona is needing this power in the near future, it makes sense not to build a line and send the power out of state. This is an underhanded way to claim that they are using clean power when actually they are not. Not to mention that this clean power has had to be transported so far across the region that it has lost its benefit of being clean. Energy Storage Systems are available for commercial projects that could reduce the peak load demand for the size of power plants needed. Arizona uses a huge block of ice to cool office buildings in the downtown area by using off peak power to create the ice. Commercial electrical storage devices are also available for shaving peak power consumption. This is supposed to be closed to off road vehicle use, but people will still get around any obstacles and go along the right of ways for the transmission lines and pipelines. This is a very harsh environment but also a very delicate ecosystem that when disturbed takes many years, if ever, to return to its original condition. More ground disturbance means more invasive plant species establishing in the area. This is very rugged land that has its own beauty, I want to see the mountains and landscape, not a string of powerlines. We have had almost a 100% response fiom home owners in the La Paz Valley (Alternate 1) against the power lines through our valley. Comments may also be faxed to the project hotline at (800) 886-1888 or emailed to dpv2@aspeneg. Devers-Palo Verde #2 Transmission Project From: Sent: Jacoba van Sitteren [keyupy@juno. I do not like the negative effect this would have on this beautiful piece of desert and its animal life, especially the tortoises and bighorn sheep. These animals need a continuous stretch of desert to move around in and the protection the vegetation gives them from predators. It is not only the detrimental destruction that will occur during the construction of the line and the upkeep of same, it will also encourage people with off road vehicles to travel along these path ways. Also, once the delicate desert vegetation has been disturbed, more invasive, non native plants will move into the area. Besides Arizona and the Phoenix area are growing in population at a high rate and are going to be using the energy themselves. The Harquahala West Subalternate Route would adversely impact the Harquahala Valley and its residents through destruction of the rural atmosphere; harm scenic and visual resources; remove cropland from production; interfere with tilling, irrigation and cropdusting practices; devalue land; and harm endangered species. Believes the best option is the Proposed Project, which exits the Harquahala Generating Station switchyard to the east and parallels I1O north of the Harquahala West Subalternate Route. The area to the east has less cropland; therefore there would be fewer impacts to agriculture. Melton, Consultant numerous possible routes, but the decision has already been made (via Five Star, Inc. Why is a route through the Harquahala Valley being considered again when there is much opposition to it.
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An episode of service means a series of services provided during a period of admission. An episode of service terminates upon completion of the treatment objectives or cessation of services. For recipients previously served by the clinic, additional initial assessment procedures in excess of the allowable three shall not be eligible for Medicaid reimbursement if less than 365 days have transpired since the most recent Medicaid reimbursed visit to the clinic. Psychiatric Assessment Psychiatric assessments may be performed for admitted recipients where medically necessary without limitations. Psychiatric assessments may also be provided to determine whether an individual should be admitted to the clinic and will count toward the pre-admission service cap of three. Two levels of psychiatric assessment may be reimbursed by Medicaid fee-for-service: A Psychiatric Assessment of at least 30 minutes of documented face-to-face interaction between the recipient and the psychiatrist or nurse practitioner in psychiatry; and A Psychiatric Assessment of at least 45 minutes of documented face-to-face interaction between the recipient and the psychiatrist or nurse practitioner in psychiatry. Psychological Testing Medicaid may reimburse for this service solely for individuals admitted to the clinic. The regulation does not New York State Office of Mental Health Page 39 limit the number of medically necessary sessions for this service. The reimbursement includes the expected cost of testing, including the scoring and report writing. Psychotherapy Psychotherapy Services may be reimbursed as follows: (1) Brief Individual Psychotherapy Service requires documented face-to-face contact with the recipient of 30 minutes minimum duration. Note: Effective January 1, 2015, sessions of at least 20 minutes but less than 30 minutes will be reimbursed by Medicaid; however, this will require the use of the U5 modifier which will reduce the reimbursement amount by 30%. Providers are free to provide longer sessions, but Medicaid will not reimburse for more than a 45 minute psychotherapy session. For school-based services, the duration of Extended Individual Psychotherapy may be that of the school period provided the school period is at least 40 minutes. This does not require a modifier Note: Effective January 1, 2015, the extended individual psychotherapy service (45 minutes) will allow for 30 minutes to be spent with the individual (with or without the collateral) and the remaining 15 minutes to be spent with the collateral (with or without the individual). Documentation must include the split in time between the individual and collateral. This requires documented face-to-face service with a minimum of two recipients and a maximum of 12 recipients for services of a minimum duration of 60 minutes. For school-based services, the duration of such services may be that of the school period provided the school period is of duration of at least 40 minutes. This requires documented face-to-face service with a minimum of two multi-family/collateral units and a maximum of eight multifamily/collateral units in the group, with a maximum total number in any group not to exceed 16 individuals, and a minimum duration of 60 minutes of service. New York State Office of Mental Health Page 40 Psychotropic Medication Treatment Psychotropic medication treatment involves the in-depth management of psychopharmacologic agents with frequent serious side effects and represents a very skilled aspect of patient care. This service must be a minimum of 15 minutes in length in order to be reimbursed by Medicaid. This service cannot be reimbursed by Medicaid if a psychiatric assessment or psychiatric consultation was done for the same individual on the same day. In those cases, only the appropriate psychiatric assessment or psychiatric consultation code should be claimed on that day. The pharmacologic management is included as part of the E&M service by definition. Health Physicals Physical exams delivered at the clinic for people receiving mental health clinic services are considered to be ancillary to mental health services. Therefore, individuals with Medicaid Managed Care for physical health only will not need a referral from a Medicaid Managed Care primary care provider to receive this service in a mental health clinic. This service is presumed to complement a mental health service and can be paid fee-for-service. Health physicals will be claimed using a health service rate code and will be excluded from the utilization threshold count. Health Monitoring Health monitoring services for people receiving mental health clinic services are considered to be ancillary to mental health services. Therefore, individuals with Medicaid Managed Care for physical health only will not need a referral from a Medicaid Managed Care primary care provider to receive health monitoring services this service in a mental health clinic.
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Improving Core Illness Symptoms Three trials76, 92, 102 (n = 473) assessed positive symptoms using two different scales. Two of the studies76, 92 included only patients with schizoaffective disorders and no alcohol and/or drug use; the third study102 only included Asians and a mixed population in terms of disorder subtypes and comorbid drug or alcohol use. Two trials76, 92 specifically included patients with schizoaffective disorders and no comorbid drug or 31 alcohol use; two trials98, 102 included mixed populations in terms of disorder subtype and cormorbid drug or alcohol use. Two trials98, 102 included only patients with multiple episodes, whereas two trials76, 92 included mixed first and multiple episodes. One trial98 specifically excluded treatment-resistant patients, and one study102 included only Asians. One trial102 included a higher range of haloperidol dose; the doses of aripiprazole were consistent across studies. The study specifically included patients with schizoaffective disorders and no comorbid alcohol or drug use. The study excluded patients with treatment resistance and included both first and multiple episodes. The trial included only patients with schizoaffective disorders and no comorbid alcohol or drug use; the trial included a mix of first and multiple episodes, as well as treatment-resistant and nonresistant patients. All three trials specifically included patients with schizoaffective Global Ratings and Total Scores 32 disorders and no treatment resistance, and included mixed first and multiple episodes. The one trial differed in that it did not specifically exclude patients with comorbid drug or alcohol use, and it used relatively higher doses of both haloperidol (4-30 mg/d vs. The trial73 that differed had high risk of bias and was not industry-funded, while the other two trials had an unclear risk of bias and were industry-funded. All studies specifically included patients with schizoaffective disorders except one44 in which patients with schizoaffective disorders were excluded. Three studies31, 44, 74 specifically excluded treatment-resistant patients, whereas two studies76, 92 had both treatment-resistant and nonresistant patients. The range of dose for haloperidol was relatively consistent across studies; however, the dose for aripiprazole ranged from 1 mg/d31 to 1530 mg/d. Improvement in Functional Outcomes, Decreasing Health Care System Utilization, and Other Outcomes Five trials44, 73, 76, 92, 98 (n = 2, 185) assessed treatment response rates and found no significant difference between groups (Table 28; Figure 7); however, there was considerable statistical heterogeneity (Appendix M, Table 95). The trials varied on characteristics of the patient populations: schizoaffective disorder included, 73, 76, 92 schizoaffective disorder excluded, 44 mixed;98 treatment-resistant patients excluded. None of these variables explained the statistical heterogeneity in the pooled estimate of effect. One trial76 (n = 99) comparing 1015 mg/d haloperidol with 1530 mg/d aripiprazole examined medication adherence, caregiver satisfaction, and patient satisfaction. The study reported a significant difference for caregiver and patient satisfaction favoring aripiprazole. There was no significant difference between groups for compliance rates (Table 28). This study specifically included patients with schizoaffective disorder, no comorbid drug or alcohol use, and mixed first and multiple episodes. Subgroups One trial102 (n = 66) involving Korean patients with schizophrenia compared haloperidol (15. Evidence summary table: haloperidol versus aripiprazole (continued) Participants Effect Estimate I2 Favors Other Outcomes Response rates44, 73, 76, 92, 98 5 2185 1. This study did not find any significant differences between groups for core illness symptoms (positive, negative, or general psychopathology symptoms and global ratings and total scores) or for response rates (Table 31). The SoE for all the evaluated outcomes was insufficient due to the inclusion of only a single trial (Table 32). This trial included patients with treatment-refractory schizophrenia and a history of high use of inpatient services; further, the study had a longer duration of followup (12 months vs. Key characteristics of the included trials and summary of findings are presented in Table 33 and Table 34, respectively. All trials included various disorder subtypes, except for one study103 that included only patients with paranoid schizophrenia; four studies70, 95, 105, 145 specifically included patients with schizoaffective disorders. Five trials55, 62, 95, 126, 145 included patients with treatmentresistant schizophrenia, and one study105 specifically excluded treatment-resistant patients.