Patients being seen at 18 Orchard View Drive LONDONDERRY. Baylor College of Medicine received $613 million in total funding from 2,619 sponsored project awards in fiscal year 2021.. Baylor College of Medicine ranks among the top 40 academic life science institutions in the world and the top 30 in North America in the 2022 Nature Index.. Talk with your doctor before the test if you have a history of reactions to contrast in the past. Colonoscopy Prep Instructions. malesatang. the client's spouse asks the nurse why his abdomen is swollen, making it very difficult for him to fasten his pants. We give each patient the attention needed for his or her test; however, unexpected delays may occur. IMPORTANT ANNOUNCEMENT: DERRY LOCATION CLOSED. 54 terms. Identify who and how to test for H. pylori, chose best first-line regimens, and discuss the role of antibiotic resistance testing. Please arrive 20 minutes before the test is scheduled. This cytokine has pleiotropic effects in immunoregulation and inflammation. ** If you forget & do have caffeine the day before the test, please call 303-270-2670. To schedule an appointment, please call 513-751-6667.. Motility prep instructions. 15 Human Bio. Motility disorders Rectal prolapse Anus, Tracheo-Esophageal, Renal) VACTERL (Vertebrae, Anus, Cardiac, Tracheo-Esophageal, Renal and Limbs) Syndromes Colorectal Surgery. Leave a Review Visit us Find us on Facebook Latest News Welcome to GRANITE STATE GASTROENTEROLOGY Our experienced team delivers high-quality, friendly service with an emphasis on patient choice and communication. 54 terms. esophageal, pancreatic cancer, bowel dysfunction, celiac disease, Inflammatory Bowel Disease and other GI conditions. Youll be asked not to eat or drink anything on the night before the test or the on the morning of the test. Standardized Test Scores; Stipends & Benefits . Complications of TPN: In some cases, patients with hyperemesis gravidarum who cannot consume oral nutrients may require TPN. HOSPITALS. Identify who and how to test for H. pylori, chose best first-line regimens, and discuss the role of antibiotic resistance testing. Increased motility False Correct 6. Consuming full fat cows milk and other high fat foods may relax the lower esophageal sphincter, which can cause or worsen reflux symptoms, according to a 2019 review of research. Before the test: Its important to have an empty stomach for the test. Available Procedures. Upper endoscopy (EGD), EUS, or ERCP prep instructions. Meet Our Team; Current Class; Programs and Events; Publications; A. he must have been eating too many foods with salt in them. EGD.EUS.ERCP. how should the nurse respond. ** If you forget & do have caffeine the day before the test, please call 303-270-2670. Process. esophageal, pancreatic cancer, bowel dysfunction, celiac disease, Inflammatory Bowel Disease and other GI conditions. We give each patient the attention needed for his or her test; however, unexpected delays may occur. This allows us to meet your scheduling needs as well as our goal of increasing access to this lifesaving test for the prevention of colon cancer. The test takes about 30 to 60 minutes, but plan to spend two to three hours at the unit to allow time for your preparation, your test, and your recovery. Available Providers. Esophageal sphincter dysfunction (achalasia, laryngopharyngeal reflux). AJOG's Editors have active research programs and, on occasion, publish work in the Journal. 50 terms. Identify who and how to test for H. pylori, chose best first-line regimens, and discuss the role of antibiotic resistance testing. Consuming full fat cows milk and other high fat foods may relax the lower esophageal sphincter, which can cause or worsen reflux symptoms, according to a 2019 review of research. Leave a Review Visit us Find us on Facebook Latest News Welcome to GRANITE STATE GASTROENTEROLOGY Our experienced team delivers high-quality, friendly service with an emphasis on patient choice and communication. Capsule endoscopy (CE) and deep enteroscopy (DE) can be useful for diagnosing and treating suspected small-bowel disease. Ch. the client's spouse asks the nurse why his abdomen is swollen, making it very difficult for him to fasten his pants. Hydrogen breath test: This test provides information about the digestion of certain sugars or carbohydrates, such as milk sugar (lactose) or fruit sugar (fructose). B. the swelling in his ankles must have moved Upper endoscopy (EGD), EUS, or ERCP prep instructions. Salt pulls water with it. They can perform an ambulatory acid probe test to measure the amount of acid in your esophagus over a 24-hour period. The physician begins dilation by using a bougie. We serve all communities in Alaska and offer a wide range of services including: Colonoscopy, Upper Endoscopy, Endoscopic Retrograde Cholangiopancreatography (ERCP), Esophageal Manometry, pH Studies, Capsule Endoscopy, and Hemorrhoidal Banding. Capsule Endoscopy Hemorrhoid Banding Hydrogen Breath Test Esophageal Manometry/Motility. Ch. They can perform an ambulatory acid probe test to measure the amount of acid in your esophagus over a 24-hour period. Stress test Exercise test Heart Failure The protein encoded by this gene is a cytokine produced primarily by monocytes and to a lesser extent by lymphocytes. Leave a Review Visit us Find us on Facebook Latest News Welcome to GRANITE STATE GASTROENTEROLOGY Our experienced team delivers high-quality, friendly service with an emphasis on patient choice and communication. Get Forms & Prep Information. Editor/authors are masked to the peer review process and editorial decision-making of their own work and are not able to access this work in the online manuscript submission system. Before the test: Its important to have an empty stomach for the test. ** If you forget & do have caffeine the day before the test, please call 303-270-2670. Get Forms & Prep Information. Motility disorders Rectal prolapse Anus, Tracheo-Esophageal, Renal) VACTERL (Vertebrae, Anus, Cardiac, Tracheo-Esophageal, Renal and Limbs) Syndromes Colorectal Surgery. The physician begins dilation by using a bougie. EGD.EUS.ERCP. If thats not convenient, please fill out the form below and well get back with you as quickly as we can. Patients being seen at 18 Orchard View Drive LONDONDERRY. Baylor College of Medicine received $613 million in total funding from 2,619 sponsored project awards in fiscal year 2021.. Baylor College of Medicine ranks among the top 40 academic life science institutions in the world and the top 30 in North America in the 2022 Nature Index.. It involves a detailed understanding of the normal action (physiology) of the gastrointestinal organs including the movement of material through the stomach and intestine (motility), the digestion and absorption of nutrients into the body, removal of waste from the system, and the function of the liver as a digestive organ. If you are experiencing severe COVID-19 symptoms intense chest pain or significant difficulty breathing, for example please visit one of the Einstein Healthcare Network emergency departments for care. Patients being seen at 18 Orchard View Drive LONDONDERRY. Esophageal sphincter dysfunction (achalasia, laryngopharyngeal reflux). Our focus on quality and satisfaction is demonstrated below. You'll find financial assistance information here as well. Hydrogen breath test: This test provides information about the digestion of certain sugars or carbohydrates, such as milk sugar (lactose) or fruit sugar (fructose). Manometry study esophageal manometry prep. Baylor College of Medicine received $613 million in total funding from 2,619 sponsored project awards in fiscal year 2021.. Baylor College of Medicine ranks among the top 40 academic life science institutions in the world and the top 30 in North America in the 2022 Nature Index.. It also enhances B cell survival, proliferation, and What CPT code(s) is/are reported? Salt pulls water with it. A. he must have been eating too many foods with salt in them. Manometry study 24hr esophageal impedance/pH. Stress test Exercise test Heart Failure Please arrive 20 minutes before the test is scheduled. carlihembree. Stress test Exercise test Heart Failure If you are NOT experiencing symptoms and just want Esophageal injuries. There is a risk of esophageal trauma and Mallory-Weiss tears in hyperemesis patients who experience severe retching. 54 terms. A patient presents for esophageal dilation. Complications of TPN: In some cases, patients with hyperemesis gravidarum who cannot consume oral nutrients may require TPN. Here's how you pay your bill online for services from Robert Wood Johnson University Hospital in New Brunswick, New Jersey. Manometry study esophageal manometry prep. The latency period is the time between infection and the ability of the disease to spread to another person, which may precede, follow, or be simultaneous with the appearance of symptoms. Human Bio Ch 9. Fees and Expenses . If your symptoms are milder, you can also contact your primary care physician or JeffConnect for virtual care. This website uses cookies to help provide you with the best possible online experience. how should the nurse respond. Colonoscopy Prep Instructions. Manometry study 24hr esophageal impedance/pH. Study with Quizlet and memorize flashcards containing terms like a client has advanced cirrhosis of the liver. Available Procedures. They can perform an ambulatory acid probe test to measure the amount of acid in your esophagus over a 24-hour period. Available Procedures. Matching game, word search puzzle, and hangman also available. Einstein Healthcare Network is a healthcare system with approximately 1,000 beds and more than 8,700 employees serving the communities of Philadelphia and Montgomery County, Pa. The on-line application asks for contact, demographic information, a personal statement, academic history, transcripts, standardized test scores, research and work experience, a research statement, honors and publications, and the contact information of three-four individuals who can provide a letter of recommendation. It also enhances B cell survival, proliferation, and The latency period is the time between infection and the ability of the disease to spread to another person, which may precede, follow, or be simultaneous with the appearance of symptoms. BRAVO 48-hour esophageal pH test Exposed dentin of teeth True Correct. The test is performed at the time of gastroscopy.A biopsy of mucosa is taken from the antrum of the stomach, and is placed into a medium containing urea and an indicator such as phenol red.The urease produced by H. pylori hydrolyzes urea to ammonia, which raises the pH of the medium, and changes the color of the specimen from yellow (NEGATIVE) to red (POSITIVE). Some viruses also exhibit a dormant phase, called viral latency, in which the virus EPGI Locations Allentown Office1501 N. Cedar Crest Blvd.Suite 110Allentown, PA 18104(610) 821-2828(610) 821-7915 (fax) Palmer OfficeThe Health Center at Palmer Township3701 Corriere Rd., Suite 17Easton, PA 18045(610) 821-2828 (phone)(610) 821-7915 (fax) LVPG Gastro Office/East Stroudsburg175 East Brown Street, Suite 115East Stroudsburg, Isabella_Capalbo. Human Bio Ch 9. 2021-22 Fees and Expenses; 2020-21 Fees and Expenses; 2019-20 Fees and Expenses; 2018-19 Fees and Expenses; Meet the PREP Team; Alumni Outcomes; Initiative for Maximizing Student Development . 2021-22 Fees and Expenses; 2020-21 Fees and Expenses; 2019-20 Fees and Expenses; 2018-19 Fees and Expenses; Meet the PREP Team; Alumni Outcomes; Initiative for Maximizing Student Development . Guidelines and detailed recommendations exist for the use of CE/DE, but comprehensive quality indicators are lacking. how should the nurse respond. A) 43220 B) 43450-53, 43220 C) 43450, 43220 D) 43220, 43450-52 Process. carlihembree. To schedule an appointment, please call 513-751-6667.. At the terminal end of the esophagus is the lower esophageal sphincter, which controls the entrance of food into the stomach. Ch. Password requirements: 6 to 30 characters long; ASCII characters only (characters found on a standard US keyboard); must contain at least 4 different symbols; It down-regulates the expression of Th1 cytokines, MHC class II Ags, and costimulatory molecules on macrophages. BRAVO 48-hour esophageal pH test Capsule Endoscopy Hemorrhoid Banding Hydrogen Breath Test Esophageal Manometry/Motility. This website uses cookies to help provide you with the best possible online experience. Capsule endoscopy (CE) and deep enteroscopy (DE) can be useful for diagnosing and treating suspected small-bowel disease. M - F | 7:30AM - 5:00PM (253) 272-5127. This attempt was unsuccessful. If you have any questions about what prep you are taking, please call 202-444-8541 and select the option to speak to a nurse. Esophageal sphincter dysfunction (achalasia, laryngopharyngeal reflux). The protein encoded by this gene is a cytokine produced primarily by monocytes and to a lesser extent by lymphocytes. The test takes about 30 to 60 minutes, but plan to spend two to three hours at the unit to allow time for your preparation, your test, and your recovery. In the Reuters listing of the Worlds Most Innovative Universities, BCM ranks in the top 50. Exposed dentin of teeth True Correct. If you have not had recent blood test for creatinine, a finger stick blood test may be done just prior to your scan. Fees and Expenses . The on-line application asks for contact, demographic information, a personal statement, academic history, transcripts, standardized test scores, research and work experience, a research statement, honors and publications, and the contact information of three-four individuals who can provide a letter of recommendation. If you are NOT experiencing symptoms and just want How do I prep for the upper GI series? Esophageal injuries. If thats not convenient, please fill out the form below and well get back with you as quickly as we can. This attempt was unsuccessful. Motility prep instructions. The goal of this task force was to develop quality indicators for appropriate use of CE/DE by using a modified RAND/UCLA Request an Before the test, a nurse will greet you and help you change into a hospital gown. Talk with your doctor before the test if you have a history of reactions to contrast in the past. Before the test: Its important to have an empty stomach for the test. carlihembree. If you have any questions about what prep you are taking, please call 202-444-8541 and select the option to speak to a nurse. Here's how you pay your bill online for services from Robert Wood Johnson University Hospital in New Brunswick, New Jersey. **The medications used to do the stress test may not work if you have caffeine or decaffeinated products, or theophylline or dipyridamole and you may get an inaccurate test result. Thank you for trusting us with your care! HOSPITALS. It down-regulates the expression of Th1 cytokines, MHC class II Ags, and costimulatory molecules on macrophages. Manometry study esophageal manometry prep. Password requirements: 6 to 30 characters long; ASCII characters only (characters found on a standard US keyboard); must contain at least 4 different symbols; Motility prep instructions. The latency period is the time between infection and the ability of the disease to spread to another person, which may precede, follow, or be simultaneous with the appearance of symptoms. The physician begins dilation by using a bougie. A) 43220 B) 43450-53, 43220 C) 43450, 43220 D) 43220, 43450-52 Salt pulls water with it. Talk with your doctor before the test if you have a history of reactions to contrast in the past. A patient presents for esophageal dilation. The physician then dilates the esophagus transendoscopically using a balloon (25mm). Meet Our Team; Current Class; Programs and Events; Publications; Einstein Healthcare Network is a healthcare system with approximately 1,000 beds and more than 8,700 employees serving the communities of Philadelphia and Montgomery County, Pa. Complications of TPN: In some cases, patients with hyperemesis gravidarum who cannot consume oral nutrients may require TPN. Bravo esophageal pH wireless monitoring: This monitoring helps determine how well the medicine that prevents acid reflux are doing. Exam 2 Prep N and E. 128 terms. Study with Quizlet and memorize flashcards containing terms like a client has advanced cirrhosis of the liver. esophageal, pancreatic cancer, bowel dysfunction, celiac disease, Inflammatory Bowel Disease and other GI conditions. Study free Nursing flashcards about Nclex review prep created by sweetpea1113 to improve your grades. M - F | 7:30AM - 5:00PM (253) 272-5127. IMPORTANT ANNOUNCEMENT: DERRY LOCATION CLOSED. This attempt was unsuccessful. There is a risk of esophageal trauma and Mallory-Weiss tears in hyperemesis patients who experience severe retching. If you have any questions about what prep you are taking, please call 202-444-8541 and select the option to speak to a nurse. EGD.EUS.ERCP. There is a risk of esophageal trauma and Mallory-Weiss tears in hyperemesis patients who experience severe retching. Isabella_Capalbo. It down-regulates the expression of Th1 cytokines, MHC class II Ags, and costimulatory molecules on macrophages. Process. Guidelines and detailed recommendations exist for the use of CE/DE, but comprehensive quality indicators are lacking. It also enhances B cell survival, proliferation, and Einstein Healthcare Network is a healthcare system with approximately 1,000 beds and more than 8,700 employees serving the communities of Philadelphia and Montgomery County, Pa. Manometry study 24hr esophageal impedance/pH. Upper endoscopy (EGD), EUS, or ERCP prep instructions. AJOG's Editors have active research programs and, on occasion, publish work in the Journal. An EGD test is a diagnostic and/or therapeutic procedure used to help in the diagnosis or treatment of stomach/duodenal ulcers, inflammation, gastroesophageal reflux disease (GERD), cancer, or dysphagia (swallowing problems) and other problems in Exam 2 Prep N and E. 128 terms. Motility problems (gastroparesis). Available Providers. Please arrive 20 minutes before the test is scheduled. Study with Quizlet and memorize flashcards containing terms like a client has advanced cirrhosis of the liver. Increased motility False Correct 6. If you are experiencing severe COVID-19 symptoms intense chest pain or significant difficulty breathing, for example please visit one of the Einstein Healthcare Network emergency departments for care. the client's spouse asks the nurse why his abdomen is swollen, making it very difficult for him to fasten his pants. B. the swelling in his ankles must have moved If you have not had recent blood test for creatinine, a finger stick blood test may be done just prior to your scan. Consuming full fat cows milk and other high fat foods may relax the lower esophageal sphincter, which can cause or worsen reflux symptoms, according to a 2019 review of research. Bravo esophageal pH wireless monitoring: This monitoring helps determine how well the medicine that prevents acid reflux are doing. The physician then dilates the esophagus transendoscopically using a balloon (25mm). This cytokine has pleiotropic effects in immunoregulation and inflammation. Standardized Test Scores; Stipends & Benefits . Get Forms & Prep Information. In an infectious disease, the incubation period is the time between infection and the appearance of symptoms. Before the test, a nurse will greet you and help you change into a hospital gown. 2021-22 Fees and Expenses; 2020-21 Fees and Expenses; 2019-20 Fees and Expenses; 2018-19 Fees and Expenses; Meet the PREP Team; Alumni Outcomes; Initiative for Maximizing Student Development . Ask to speak to someone regarding the use of caffeine and your stress test. Available Providers. It involves a detailed understanding of the normal action (physiology) of the gastrointestinal organs including the movement of material through the stomach and intestine (motility), the digestion and absorption of nutrients into the body, removal of waste from the system, and the function of the liver as a digestive organ. Isabella_Capalbo. The test is performed at the time of gastroscopy.A biopsy of mucosa is taken from the antrum of the stomach, and is placed into a medium containing urea and an indicator such as phenol red.The urease produced by H. pylori hydrolyzes urea to ammonia, which raises the pH of the medium, and changes the color of the specimen from yellow (NEGATIVE) to red (POSITIVE). To schedule an appointment, please call 513-751-6667.. Youll be asked not to eat or drink anything on the night before the test or the on the morning of the test. Hydrogen breath test: This test provides information about the digestion of certain sugars or carbohydrates, such as milk sugar (lactose) or fruit sugar (fructose). Thank you for trusting us with your care! In the Reuters listing of the Worlds Most Innovative Universities, BCM ranks in the top 50. At the terminal end of the esophagus is the lower esophageal sphincter, which controls the entrance of food into the stomach. B. the swelling in his ankles must have moved EPGI Locations Allentown Office1501 N. Cedar Crest Blvd.Suite 110Allentown, PA 18104(610) 821-2828(610) 821-7915 (fax) Palmer OfficeThe Health Center at Palmer Township3701 Corriere Rd., Suite 17Easton, PA 18045(610) 821-2828 (phone)(610) 821-7915 (fax) LVPG Gastro Office/East Stroudsburg175 East Brown Street, Suite 115East Stroudsburg, Colonoscopy Prep Instructions. We serve all communities in Alaska and offer a wide range of services including: Colonoscopy, Upper Endoscopy, Endoscopic Retrograde Cholangiopancreatography (ERCP), Esophageal Manometry, pH Studies, Capsule Endoscopy, and Hemorrhoidal Banding. Editor/authors are masked to the peer review process and editorial decision-making of their own work and are not able to access this work in the online manuscript submission system. Here's how you pay your bill online for services from Robert Wood Johnson University Hospital in New Brunswick, New Jersey. M - F | 7:30AM - 5:00PM (253) 272-5127. Study free Nursing flashcards about Nclex review prep created by sweetpea1113 to improve your grades. If you have not had recent blood test for creatinine, a finger stick blood test may be done just prior to your scan. EPGI Locations Allentown Office1501 N. Cedar Crest Blvd.Suite 110Allentown, PA 18104(610) 821-2828(610) 821-7915 (fax) Palmer OfficeThe Health Center at Palmer Township3701 Corriere Rd., Suite 17Easton, PA 18045(610) 821-2828 (phone)(610) 821-7915 (fax) LVPG Gastro Office/East Stroudsburg175 East Brown Street, Suite 115East Stroudsburg, **The medications used to do the stress test may not work if you have caffeine or decaffeinated products, or theophylline or dipyridamole and you may get an inaccurate test result. Our focus on quality and satisfaction is demonstrated below. The on-line application asks for contact, demographic information, a personal statement, academic history, transcripts, standardized test scores, research and work experience, a research statement, honors and publications, and the contact information of three-four individuals who can provide a letter of recommendation. If you are experiencing severe COVID-19 symptoms intense chest pain or significant difficulty breathing, for example please visit one of the Einstein Healthcare Network emergency departments for care. Guidelines and detailed recommendations exist for the use of CE/DE, but comprehensive quality indicators are lacking. The protein encoded by this gene is a cytokine produced primarily by monocytes and to a lesser extent by lymphocytes. Esophageal injuries. This allows us to meet your scheduling needs as well as our goal of increasing access to this lifesaving test for the prevention of colon cancer. malesatang. An EGD test is a diagnostic and/or therapeutic procedure used to help in the diagnosis or treatment of stomach/duodenal ulcers, inflammation, gastroesophageal reflux disease (GERD), cancer, or dysphagia (swallowing problems) and other problems in A) 43220 B) 43450-53, 43220 C) 43450, 43220 D) 43220, 43450-52 The test is performed at the time of gastroscopy.A biopsy of mucosa is taken from the antrum of the stomach, and is placed into a medium containing urea and an indicator such as phenol red.The urease produced by H. pylori hydrolyzes urea to ammonia, which raises the pH of the medium, and changes the color of the specimen from yellow (NEGATIVE) to red (POSITIVE). If you are NOT experiencing symptoms and just want The Network is made up of three acute care hospitals including Einstein Medical Center Philadelphia, the largest independent academic medical center in the Philadelphia region training over 3,500 Password requirements: 6 to 30 characters long; ASCII characters only (characters found on a standard US keyboard); must contain at least 4 different symbols; If thats not convenient, please fill out the form below and well get back with you as quickly as we can. If your symptoms are milder, you can also contact your primary care physician or JeffConnect for virtual care. In the Reuters listing of the Worlds Most Innovative Universities, BCM ranks in the top 50. In an infectious disease, the incubation period is the time between infection and the appearance of symptoms. IMPORTANT ANNOUNCEMENT: DERRY LOCATION CLOSED. Exam 2 Prep N and E. 128 terms. Thank you for trusting us with your care! The test takes about 30 to 60 minutes, but plan to spend two to three hours at the unit to allow time for your preparation, your test, and your recovery. A patient presents for esophageal dilation. The Network is made up of three acute care hospitals including Einstein Medical Center Philadelphia, the largest independent academic medical center in the Philadelphia region training over 3,500 Some viruses also exhibit a dormant phase, called viral latency, in which the virus You'll find financial assistance information here as well. The Network is made up of three acute care hospitals including Einstein Medical Center Philadelphia, the largest independent academic medical center in the Philadelphia region training over 3,500 HOSPITALS. Youll be asked not to eat or drink anything on the night before the test or the on the morning of the test. Motility problems (gastroparesis). Before the test, a nurse will greet you and help you change into a hospital gown. The goal of this task force was to develop quality indicators for appropriate use of CE/DE by using a modified RAND/UCLA 15 Human Bio. Motility disorders Rectal prolapse Anus, Tracheo-Esophageal, Renal) VACTERL (Vertebrae, Anus, Cardiac, Tracheo-Esophageal, Renal and Limbs) Syndromes Colorectal Surgery. Capsule Endoscopy Hemorrhoid Banding Hydrogen Breath Test Esophageal Manometry/Motility. If your symptoms are milder, you can also contact your primary care physician or JeffConnect for virtual care. Standardized Test Scores; Stipends & Benefits . You'll find financial assistance information here as well. 50 terms. Meet Our Team; Current Class; Programs and Events; Publications; An EGD test is a diagnostic and/or therapeutic procedure used to help in the diagnosis or treatment of stomach/duodenal ulcers, inflammation, gastroesophageal reflux disease (GERD), cancer, or dysphagia (swallowing problems) and other problems in At the terminal end of the esophagus is the lower esophageal sphincter, which controls the entrance of food into the stomach. What CPT code(s) is/are reported? 50 terms. Editor/authors are masked to the peer review process and editorial decision-making of their own work and are not able to access this work in the online manuscript submission system. This website uses cookies to help provide you with the best possible online experience. Bravo esophageal pH wireless monitoring: This monitoring helps determine how well the medicine that prevents acid reflux are doing. BRAVO 48-hour esophageal pH test Some viruses also exhibit a dormant phase, called viral latency, in which the virus Our focus on quality and satisfaction is demonstrated below. The goal of this task force was to develop quality indicators for appropriate use of CE/DE by using a modified RAND/UCLA