Tpas are associated with

So how did we get here? Why do third-party or negotiated scope? The TPA would manage contractor administrators (TPAs) exist in our industry? Why do TPAs even get a say on who does what and how? Well, it may be prudent to give a little background on the emergence of TPAs. Long before the TPA term was applied to our industry, there was this idea of a “Managed Repair Network” among several insurance carriers. The repair networks were originally developed to bring high-performing insurance restoration contractors together to service pre-qualified claims from financially stable and customer service-oriented carriers. There was a real need because our contractors were all over the map when it came to price, quality and service. There was little standardization, training, or science in our industry. Some contractors provided top service for top dollars, some provided top service for low dollars, some provided very poor service for top dollars and some were even willing to negotiate away one-third to one-half their estimate value for direct payments, quick starts, a promise of future work and so on. In 1994, PRISM became the brainchild of three gentlemen with whom who you may be familiar since they are still engaged in the restoration industry today: Eric Ordway, currently COO of BrightServ, Jay Southerland, founder and CEO of First Choice (now Vericlaim), and John North, president of MoistureMapper. Then in The repair networks were originally developed to bring high-performing in...

Hi, I'm Dr. Robert Brown, a neurologist at Mayo Clinic. And I'm here to answer some of the important question you may have about strokes. The fast acronym, F.A.S.T., is a good way of remembering stroke symptoms and what to do if you or a friend or loved one experiences those symptoms. F for facial weakness, A for arm weakness, S for speech slurring, and T for time. Time to call 911 should those symptoms occur. Sometimes stroke symptoms may be temporary, lasting only several minutes or hours, and this is called a transient ischemic attack. The symptoms should not be ignored even if they are temporary. The risk of stroke is markedly increased in the days and weeks after those symptoms occur, so seek emergency evaluation to clarify why the symptoms occurred and how best to prevent a future stroke. An aneurysm is a small saccular-shaped or berry-shaped out-pouching off of an artery in the brain. About two to three percent of the population has a brain aneurysm, and most never cause any symptoms. But on occasion, that aneurysm can rupture, leading to bleeding into and surrounding the brain, a bleeding type of stroke called a subarachnoid hemorrhage. People with that type of hemorrhage typically present with a sudden onset of a very severe headache, unlike anything they've ever experienced before, and they should seek emergency medical care. The brain cells are affected very quickly after a stroke occurs. In the most common type of stroke, called an ischemic stroke, or cerebral ...

Noting the increasing importance of software platform, this article examines the effects of third-party apps (TPAs) on platform performance (PP) and how such effects differ before versus after competitive entry. The authors validate the hypotheses using data from the web browser market. The results show that the quantity of new TPAs leads to higher PP before than after competitive entry, whereas the quantity of TPA updates contributes a higher PP after than before competitive entry. In addition, the quality is more important and diversity is less important to PP after than before competitive entry. • Previous article in issue • Next article in issue Peijian Song is an associate professor at School of Business, Nanjing University. He received his doctoral degree in management science from Fudan University. His research interests include technology innovation adoption and diffusion, and platform ecosystems. His work has been published in journals such as MIS Quarterly, Decision Support Systems, IEEE Transactions on Engineering Management, and Journal of International Marketing. View full text • About ScienceDirect • Remote access • Shopping cart • Advertise • Contact and support • Terms and conditions • Privacy policy We use cookies to help provide and enhance our service and tailor content and ads. By continuing you agree to the use of cookies. Copyright © 2023 Elsevier B.V. or its licensors or contributors. ScienceDirect® is a registered trademark of Elsevier B.V. ScienceD...

For the most part, the biggest concern with administering tPA is the bleeding complications, specifically intracranial hemorrhage. But there is another side effect that is being reported more frequently. I, myself, saw two cases in one week. This side effect is tPA-associated angioedema. Case: A 70-year-old female with a past medical history of hypertension and diabetes presents to your department 45 minutes after onset of left facial droop, slurred speech and left-sided hemiparesis. The initial head CT is negative for acute hemorrhage. You diagnose your patient with an acute ischemic stroke. There are no contraindications, so you decide to treat the patient with tPA (we will leave this debate for another time). Pathophysiology tPA gets its antifibrinolytic properties by activating plasminogen to form plasmin. There are a series of chemical reaction that make most practicing physicians’ heads spin. The byproducts of these reactions include increased bradykinin, activation of the complement cascade (C3a and C5a), and increased release of histamine. These three factors lead to an anaphylactoid reaction or angioedema in some patients. Image from [1] Epidemiology There are several case reports of angioedema follow tPA administration. Three separate studies have reported the incidence of tPA-related angioedema. In 2003, Hill et al published a series of 176 patients that received tPA. Nine of these patients ( 5.1%) developed tPA [2]. Engelter et al reported that 1.7% of 120 pati...

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The Forbes Advisor editorial team is independent and objective. To help support our reporting work, and to continue our ability to provide this content for free to our readers, we receive payment from the companies that advertise on the Forbes Advisor site. This comes from two main sources. First, we provide paid placements to advertisers to present their offers. The payments we receive for those placements affects how and where advertisers’ offers appear on the site. This site does not include all companies or products available within the market. Second, we also include links to advertisers’ offers in some of our articles. These “affiliate links” may generate income for our site when you click on them. The payment we receive from advertisers does not influence the recommendations or guidance our editorial team provides in our articles or otherwise impact any of the editorial content on Forbes Advisor. While we work hard to provide accurate and up to date information that we think you will find relevant, Forbes Advisor does not and cannot guarantee that any information provided is complete and makes no representations or warranties in connection thereto, nor to the accuracy or applicability thereof. Editorial Note: This content has been independently collected by the Forbes Advisor team and is offered on a non-advised basis. This content is not part of the comparison service provided by RunPath Regulatory Services. Forbes Advisor may earn a commission on sales made from p...

For the most part, the biggest concern with administering tPA is the bleeding complications, specifically intracranial hemorrhage. But there is another side effect that is being reported more frequently. I, myself, saw two cases in one week. This side effect is tPA-associated angioedema. Case: A 70-year-old female with a past medical history of hypertension and diabetes presents to your department 45 minutes after onset of left facial droop, slurred speech and left-sided hemiparesis. The initial head CT is negative for acute hemorrhage. You diagnose your patient with an acute ischemic stroke. There are no contraindications, so you decide to treat the patient with tPA (we will leave this debate for another time). Pathophysiology tPA gets its antifibrinolytic properties by activating plasminogen to form plasmin. There are a series of chemical reaction that make most practicing physicians’ heads spin. The byproducts of these reactions include increased bradykinin, activation of the complement cascade (C3a and C5a), and increased release of histamine. These three factors lead to an anaphylactoid reaction or angioedema in some patients. Image from [1] Epidemiology There are several case reports of angioedema follow tPA administration. Three separate studies have reported the incidence of tPA-related angioedema. In 2003, Hill et al published a series of 176 patients that received tPA. Nine of these patients ( 5.1%) developed tPA [2]. Engelter et al reported that 1.7% of 120 pati...

Hi, I'm Dr. Robert Brown, a neurologist at Mayo Clinic. And I'm here to answer some of the important question you may have about strokes. The fast acronym, F.A.S.T., is a good way of remembering stroke symptoms and what to do if you or a friend or loved one experiences those symptoms. F for facial weakness, A for arm weakness, S for speech slurring, and T for time. Time to call 911 should those symptoms occur. Sometimes stroke symptoms may be temporary, lasting only several minutes or hours, and this is called a transient ischemic attack. The symptoms should not be ignored even if they are temporary. The risk of stroke is markedly increased in the days and weeks after those symptoms occur, so seek emergency evaluation to clarify why the symptoms occurred and how best to prevent a future stroke. An aneurysm is a small saccular-shaped or berry-shaped out-pouching off of an artery in the brain. About two to three percent of the population has a brain aneurysm, and most never cause any symptoms. But on occasion, that aneurysm can rupture, leading to bleeding into and surrounding the brain, a bleeding type of stroke called a subarachnoid hemorrhage. People with that type of hemorrhage typically present with a sudden onset of a very severe headache, unlike anything they've ever experienced before, and they should seek emergency medical care. The brain cells are affected very quickly after a stroke occurs. In the most common type of stroke, called an ischemic stroke, or cerebral ...

So how did we get here? Why do third-party or negotiated scope? The TPA would manage contractor administrators (TPAs) exist in our industry? Why do TPAs even get a say on who does what and how? Well, it may be prudent to give a little background on the emergence of TPAs. Long before the TPA term was applied to our industry, there was this idea of a “Managed Repair Network” among several insurance carriers. The repair networks were originally developed to bring high-performing insurance restoration contractors together to service pre-qualified claims from financially stable and customer service-oriented carriers. There was a real need because our contractors were all over the map when it came to price, quality and service. There was little standardization, training, or science in our industry. Some contractors provided top service for top dollars, some provided top service for low dollars, some provided very poor service for top dollars and some were even willing to negotiate away one-third to one-half their estimate value for direct payments, quick starts, a promise of future work and so on. In 1994, PRISM became the brainchild of three gentlemen with whom who you may be familiar since they are still engaged in the restoration industry today: Eric Ordway, currently COO of BrightServ, Jay Southerland, founder and CEO of First Choice (now Vericlaim), and John North, president of MoistureMapper. Then in The repair networks were originally developed to bring high-performing in...