Following the recent 18th Congress of WMO (Cg-18) and its approval of Resolution 6.1(2)/1, Establishment of the Collaboration Between the International Air Transport Association and WMO on the Development and Operation of the Aircraft Meteorological Data Relay (AMDAR) Programme, and also Resolution 13 (RA III-17), Development of the Region III AMDAR Programme under the IATA-WMO collaboration on AMDAR, it has now been established that the WMO Regional Association III will proceed with the development and establishment of the Region III AMDAR Programme under the WMO-IATA Collaborative AMDAR Programme (WICAP), over 2020 to 2021. This workshop and meeting will be a critical first step in this process from which recommendations to the RA and a plan for development of the RA III AMDAR Programme will be outputs.
Affected by the COVID-19 pandemic, the IROS 2020 and 2021 were successfully held online, so we have not gathered in person for two years. We recognize the importance and value of the onsite meetings, which bring us together to meet physically, especially for newcomers to the IROS community. The IROS 2022 organizing committee then decided to hold the IROS as a traditional in-person conference. Virtual attendance will also be an option for those who have travel restrictions by their organization or do not feel comfortable participating in large gatherings, with the recognition that the conference cannot be experienced fully while remote. We will strive to make the in-person event fruitful and memorable while following safety precautions as warranted.
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How many events can I attended? There are no restrictions on the number of events you can attend. What should I do if I do not receive a confirmation email after registering? Please reach out to csc-immersion-day@amazon.com and make sure you include the event title and date in your email. What happens if I show up late? We ask that you show up on time. Please plan to join the event at the beginning so we can make sure you are set up with this temporary AWS account. If you join the event late, you may not be able to actively participate in the labs. You will still be able to watch the labs as a demo and work on them in your own AWS account at a later date. Do I need to download anything before the event? For most events, nothing is required. If your event requires any special downloads, it will be referenced in the email confirmation you receive. Depending on the platform for the event, you may need to download the client to participate.
SBP-DIC OFFSET ELIMINATION - Phase Three Begins with the February 1, 2023 Payment - Check Out Our New Quick Reference Guide!Beginning on February 1, 2023, surviving spouses receive their full Survivor Benefit Plan (SBP) payment from DFAS and their full Dependency and Indemnity Compensation (DIC) payment from the VA. This is because February 1, 2023 is the first SBP annuity payday after the SBP-DIC Offset is fully eliminated. The Special Survivors Indemnity Allowance (SSIA) will no longer be paid. See our full range of FAQs on the SBP-DIC News webpage. *Note: the change in the law does NOT affect the amount of DIC you receive from the VA. You should continue to receive your normal DIC amount from the VA.
Because of the clinical, psychological, and social consequences associated with pain, including limitations in activities, lost work productivity, reduced quality of life, and pervasive stigma, it is essential that clinicians have the training, education, guidance, and resources to provide appropriate, holistic, and compassionate care for patients with pain (2,6). An important aim of pain management is the provision of person-centered care built on trust between patients and clinicians. Such care includes appropriate evaluation to identify potentially reversible causes of pain and establish a diagnosis and measurable treatment outcomes that focus on optimizing function and quality of life (6). To achieve this aim, it is important that clinicians consider the full range of pharmacologic and nonpharmacologic treatments for pain care, and that health systems, payers, and governmental programs and entities make the full spectrum of evidence-based treatments accessible to patients with pain and their treating clinicians.
CDC and OPM also held two human-centered codesign workshops with staff from CDC and the Centers for Medicare & Medicaid Services. Workshop topics included framing priority needs for public input; objectives for individual conversations; and synthesizing engagement strategies on the basis of insights from public comments and conversations with patients, caregivers, and clinicians. Workshop participants included HHS staff who were themselves patients, caregivers, clinicians, clinical practice guideline authors, and other subject matter experts.
Despite evidence supporting their use, noninvasive nonpharmacologic therapies are not always or fully covered by insurance (43), and access and cost can be barriers, particularly for persons who are uninsured, have limited income, have transportation challenges, or live in rural areas where treatments are not available (121). Experts from OWG expressed concern about limited access to nonopioid pain management modalities, in part because of lack of availability or lack of coverage by payers, and emphasized improving access to nonopioid pain management modalities as a priority. Health insurers and health systems can contribute to improved pain management and reduced medication use by increasing access to noninvasive nonpharmacologic therapies with evidence of effectiveness (9,43). Noninvasive nonpharmacologic approaches should be used as appropriate to alleviate acute pain, including ice and elevation to reduce swelling and discomfort from musculoskeletal injuries, heat to alleviate low back pain, and other modalities depending on the cause of the acute pain.
Despite their favorable benefit-to-risk profile, noninvasive nonpharmacologic therapies are not always covered or fully covered by insurance (43). Access and cost can be barriers for patients, particularly persons who have low incomes, do not have health insurance or have inadequate insurance, have transportation challenges, or live in rural areas where services might not be available (121). Health insurers and health systems can improve pain management and reduce medication use and associated risks by increasing reimbursement for and access to noninvasive nonpharmacologic therapies with evidence for effectiveness (9,43). In addition, for many patients, aspects of these approaches can be used even when access to specialty care is limited. For example, previous guidelines have strongly recommended aerobic, aquatic, or resistance exercises for patients with osteoarthritis of the knee or hip (166) and maintenance of physical activity, including normal daily activities, for patients with low back pain (158). A randomized trial found no difference in reduced chronic low back pain intensity, frequency, or disability between patients assigned to relatively low-cost group aerobics and those assigned to individual physiotherapy or muscle reconditioning sessions (175). Low-cost options to integrate exercise include walking in public spaces or use of public recreation facilities for group exercise. Physical therapy can be helpful, particularly for patients who have limited access to safe public spaces or public recreation facilities for exercise or whose pain has not improved with low-intensity physical exercise. A randomized trial found a stepped exercise program, in which patients were initially offered an Internet-based exercise program and progressively advanced to biweekly coaching calls and then to in-person physical therapy if not improved at previous steps, successfully improved symptomatic knee osteoarthritis, with 35% of patients ultimately requiring in-person physical therapy (176). In addition, primary care clinicians can integrate elements of psychosocial therapies such as cognitive behavioral therapy, which addresses psychosocial contributors to pain and improves function (177), by encouraging patients to take an active role in the care plan, supporting patients in engaging in activities such as exercise that are typically beneficial but that might initially be associated with fear of exacerbating pain (159), or providing education in relaxation techniques and coping strategies. In many locations, free or low-cost patient support, self-help, and educational community-based or employer-sponsored programs are available that can provide stress reduction and other mental health benefits. Clinicians should become familiar with such options within their communities so they can refer patients to low-cost services. Patients with higher levels of anxiety or fear related to pain or other clinically significant psychological distress can be referred for treatment with a mental health specialist (e.g., psychologist, psychiatrist, or clinical social worker).
When opioids are initiated for opioid-naïve patients with acute, subacute, or chronic pain, clinicians should prescribe the lowest effective dosage. If opioids are continued for subacute or chronic pain, clinicians should use caution when prescribing opioids at any dosage, should carefully evaluate individual benefits and risks when considering increasing dosage, and should avoid increasing dosage above levels likely to yield diminishing returns in benefits relative to risks to patients (recommendation category: A; evidence type: 3). 2ff7e9595c
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