Autoimmune Hepatitis Sample Clauses

Autoimmune Hepatitis. Autoimmune hepatitis (AIH) is a disorder that has been recognised for over 50 years. First described by Xxxxxxxxxxx in the early 1950’s as a chronic form of hepatitis with a classical phenotype of liver disease in a younger aged women, often in conjunction with extra-hepatic manifestations including arthralgia, endocrine abnormalities and amenorrhoea. (138) Reports regarding pregnancy in patients with AIH exist from as early as the 1970’s but the reported outcomes were largely unfavourable, with a high incidence of obstetric complications noted including early foetal loss, prematurity, low birth weight and a high rate of caesarean sections. (102, 139) Moreover maternal complications included pre-eclampsia, flares in disease activity, hepatic decompensation and death. (102, 139) Subsequent to these initial reports, there have been several recent case series indicating more favourable outcomes. (14, 140-142) Combining the largest 4 series in the published literature on AIH and pregnancy gives data on 142 conceptions. (14, 140-142) The maternal outcomes reported are largely favourable; however pregnancy is not without risk to the mother with 3 reports of hepatic decompensation, 1 liver transplant and 3 maternal deaths (1 liver related) all related to pregnancy. (14, 140-142) Foetal outcomes are favourable with a heathy infant expected in the majority of patients and live birth rates reported to be between 71% and 86%. (14, 140-142) These live birth rates are comparable to patients with other autoimmune conditions, but remain lower than the reported live birth rates for the general population. (143) Despite our increase in knowledge surrounding the management of AIH during pregnancy, several concerns remain. Flares in disease activity have been reported to occur in 7- 21% of patients within the gestational period and occur at a rate varying from 11-86% in the post-partum period. (14, 140-142) In the majority of patients a flare can be controlled by augmentation of the immunosuppression however, in rare cases, a flare can lead to hepatic decompensation with the potential need for liver transplantation (LT) or death of the patient and/or foetus. (140, 142) Distinguishing between which patients are likely to have an uneventful pregnancy and those at risk of the above complications is currently challenging. In addition, the optimal therapeutic regimen to prevent disease flares remains undefined, with some centres discontinuing azathioprine due to a theoretical ris...
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Related to Autoimmune Hepatitis

  • Hepatitis B Vaccine Where the Hospital identifies high risk areas where employees are exposed to Hepatitis B, the Hospital will provide, at no cost to the employees, a Hepatitis B vaccine.

  • Rhytidectomy Scar revision, regardless of symptoms. • Sclerotherapy for spider veins. • Skin tag removal. • Subcutaneous injection of filling material. • Suction assisted Lipectomy. • Tattooing or tattoo removal except tattooing of the nipple/areola related to a mastectomy. • Treatment of vitiligo. • Standby services of an assistant surgeon or anesthesiologist. • Orthodontic services related to orthognathic surgery. • Cosmetic procedures when performed primarily: o to refine or reshape body structures or dental structures that are not functionally impaired; o to improve appearance or self-esteem; or o for other psychological, psychiatric or emotional reasons. • Drugs, biological products, hospital charges, pathology, radiology fees and charges for surgeons, assistant surgeons, attending physicians and any other incidental services, which are related to cosmetic surgery.

  • Influenza Vaccination The parties agree that influenza vaccinations may be beneficial for patients and employees. Upon a recommendation pertaining to a facility or a specifically designated area(s) thereof from the Medical Officer of Health or in compliance with applicable provincial legislation, the following rules will apply:

  • Biological Samples If so specified in the Protocol, Institution and Principal Investigator may collect and provide to Sponsor or its designee Biological Samples (“Biological Samples”). 12.2.

  • Influenza Vaccine Upon recommendation of the Medical Officer of Health, all employees shall be required, on an annual basis to be vaccinated and or to take antiviral medication for influenza. If the costs of such medication are not covered by some other sources, the Employer will pay the cost for such medication. If the employee fails to take the required medication, she may be placed on an unpaid leave of absence during any influenza outbreak in the home until such time as the employee has been cleared by the public health or the Employer to return to the work environment. The only exception to this would be employees for whom taking the medication will result in the employee being physically ill to the extent that she cannot attend work. Upon written direction from the employee’s physician of such medical condition in consultation with the Employer’s physician, (if requested), the employee will be permitted to access their sick bank, if any, during any outbreak period. If there is a dispute between the physicians, the employee will be placed on unpaid leave. If the employee gets sick as a reaction to the drug and applies for WSIB the Employer will not oppose the application. If an employee is pregnant and her physician believes the pregnancy could be in jeopardy as a result of the influenza inoculation and/or the antiviral medication she shall be eligible for sick leave in circumstances where she is not allowed to attend at work as a result of an outbreak. This clause shall be interpreted in a manner consistent with the Ontario Human Rights Code.

  • Human Leukocyte Antigen Testing This plan covers human leukocyte antigen testing for A, B, and DR antigens once per member per lifetime to establish a member’s bone marrow transplantation donor suitability in accordance with R.I. General Law §27-20-36. The testing must be performed in a facility that is: • accredited by the American Association of Blood Banks or its successors; and • licensed under the Clinical Laboratory Improvement Act as it may be amended from time to time. At the time of testing, the person being tested must complete and sign an informed consent form that also authorizes the results of the test to be used for participation in the National Marrow Donor program.

  • Infectious Diseases The Employer and the Union desire to arrest the spread of infectious diseases in the nursing home. To achieve this objective, the Joint Health and Safety Committee may review and offer input into infection control programs and protocols including surveillance, outbreak control, isolation, precautions, worker education and training, and personal protective equipment. The Employer will provide training and ongoing education in communicable disease recognition, use of personal protective equipment, decontamination of equipment, and disposal of hazardous waste.

  • Infectious Disease Where an employee produces documentary evidence that:

  • Diagnosis For a condition to be considered a covered illness or disorder, copies of laboratory tests results, X-rays, or any other report or result of clinical examinations on which the diagnosis was based, are required as part of the positive diagnosis by a physician.

  • Therapies Acupuncture and acupuncturist services, including x-ray and laboratory services. • Biofeedback, biofeedback training, and biofeedback by any other modality for any condition. • Recreational therapy services and programs, including wilderness programs. • Services provided in any covered program that are recreational therapy services, including wilderness programs, educational services, complimentary services, non- medical self-care, self-help programs, or non-clinical services. Examples include, but are not limited to, Tai Chi, yoga, personal training, meditation. • Computer/internet/social media based services and/or programs. • Recreational therapy. • Aqua therapy unless provided by a physical therapist. • Maintenance therapy services unless it is a habilitative service that helps a person keep, learn or improve skills and functioning for daily living. • Aromatherapy. • Hippotherapy. • Massage therapy rendered by a massage therapist. • Therapies, procedures, and services for the purpose of relieving stress. • Physical, occupational, speech, or respiratory therapy provided in your home, unless through a home care program. • Pelvic floor electrical and magnetic stimulation, and pelvic floor exercises. • Educational classes and services for speech impairments that are self-correcting. • Speech therapy services related to food aversion or texture disorders. • Exercise therapy. • Naturopathic, homeopathic, and Christian Science services, regardless of who orders or provides the services. Vision Care Services • Eye exercises and visual training services. • Lenses and/or frames and contact lenses for members aged nineteen (19) and older. • Vision hardware purchased from a non-network provider. • Non-collection vision hardware. • Lenses and/or frames and contact lenses unless specifically listed as a covered healthcare service.

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