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              Featured Cases: Allergic Bronchopulmonary Aspergillosis (ABPA)
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                  At the conclusion of this activity, participants will demonstrate the ability to: 
                       
                  
                    
                      
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                        Evaluate the possibility of ABPA as a cause of cystic fibrosis pulmonary exacerbations and describe how to initiate treatment 
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                        Discuss the circumstances meriting initiation of antifungal therapy | 
                       
                      
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                        Describe how to optimize the use of antifungals and explain how Aspergillosis respiratory infection without ABPA may lead to decline in lung function. | 
                       
                     
                     
This audio activity has been developed for clinicians  
caring for patients with issues related to cystic fibrosis.  
You can also read the companion newsletter. In this edition Dr. Moss will help expand our understanding of ABPA with the discussion some typical case scenarios. 
 
 
Unlabeled/Unapproved Uses 
The  author has indicated that none of the agents discussed are approved for ABPA. 
 
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                          Richard B. Moss, M.D. 
                            Professor of Pediatrics (Pulmonary Medicine and  
                                    Allergy-Immunology) 
                                    Co-Director, Cystic Fibrosis Center 
                                    Lucile Packard Children’s Hospital 
                                    Stanford Hospital and Clinics 
                                    Stanford University Medical Center 
                                    Center of Excellence in Pulmonary Biology 
                                    Department of Pediatrics 
                                    Stanford University 
                                    Palo Alto, California
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                    Guest Faculty Disclosure 
                     
Richard Moss, MD has disclosed: 
 
Principal Investigator: Gilead, GlaxoSmithKline, Inspire Pharmaceuticals, PTC Therapeutics, Inc., Vertex Pharmaceuticals 
Consultant: Aridis Pharmaceuticals, Arriva Pharmaceuticals, Inc., Genentech, Inc., Inspire Pharmaceuticals, Johnson & Johnson, Lantibio, Inc./AOP Orphan Pharmaceuticals AG, MPEX Pharmaceuticals, Novartis Pharmaceuticals, PTC Therapeutics, Inc., Vertex Pharmaceuticals 
Stock Shareholder: Genentech, Inc., Gilead 
Speaker Bureau: Novartis Pharmaceuticals, Genentech, Inc.
 
                      
                    
                      
                        Release
                          Date 
March 9, 2010 | 
                        Expiration
                          Date 
March 8, 2012 | 
                        Next
                          Issue 
April 13, 2010 | 
                       
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                  Michael P. Boyle, MD, FCCP 
                    Associate Professor of Medicine 
                    Director, Adult Cystic Fibrosis Program 
                    
The Johns Hopkins University 
                    Baltimore, MD | 
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                  Peter J. Mogayzel, Jr., MD, PhD 
                    Associate Professor of Pediatrics 
                    
Director, Cystic Fibrosis Center 
                    The Johns Hopkins University 
                    Baltimore, MD | 
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                  Donna W. Peeler, RN, BSN  
                    Pediatric Clinical Coordinator 
                    Cystic Fibrosis Center 
                    
The Johns Hopkins University 
                    
Baltimore, MD | 
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                  Meghan Ramsay, MS, CRNP 
                    Pediatric Clinical Coordinator 
                    Adult Clinical Coordinator 
                    
Cystic Fibrosis Center 
                    The Johns Hopkins University 
                    
Baltimore, MD | 
                 
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                      accreditation statements 
                        This activity has been planned and implemented in accordance with the Essential Areas and Policies of the Accreditation Council for Continuing Medical Education through the joint sponsorship of The Johns Hopkins University School of Medicine and the Institute for Johns Hopkins Nursing . The Johns Hopkins University School of Medicine is accredited by the ACCME to provide continuing medical education for physicians. 
                         
The Institute for Johns Hopkins Nursing is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation. 
                           
                          credit designations 
                        Physicians  
                          Podcast: The Johns Hopkins University School of Medicine designates  
                          this educational activity for a maximum of 0.75 AMA PRA Category 1 Credit(s)™. Physicians should only claim credit commensurate with the  
                          extent of their participation in the activity. 
                           
                          Nurses 
                          Podcast: 0.50 contact hour Educational Activity is provided by The Institute for Johns Hopkins Nursing. Each podcast carries a maximum of 0.50 contact hours or a total of 3.0 contact hours for the six podcasts in this program. 
                           
                          To obtain contact hours, you must complete this Education Activity and post-test before March 8, 2012. 
                           
                          Allied Health  
                          Podcast: The Johns Hopkins University has approved this activity for  
                          0.75 contact hours for non-physicians. 
                           
                          Respiratory Therapists 
                          
                        For United States: Visit this page to confirm that your state will accept the  
                          CE Credits gained through this program. 
                           
For Canada: Visit this page to confirm that your province will accept the CE Credits gained through this program. 
 
There are no prerequisites to participate in the activity.
 
 
intended audience 
This activity has been developed for Pulmonologists, Pediatric Pulmonologists, Gastroenterologists, Pediatricians, Infectious disease specialists, Respiratory therapists, Dieticians, Nutritionists, Nurses, and Physical therapists. 
 
launch date 
This program launched on March 9, 2010, and is published monthly; activities expire two years from the date of broadcast, ending in  
March 8, 2012.
 
 
                          post test 
                          To take the post-test for eCysticFibrosis Review you will need to visit The Johns Hopkins University School of Medicine’s CME website and The Institute for Johns Hopkins Nursing. If you have already registered for other Hopkins CE programs at these sites, simply enter the requested information when prompted. Otherwise, complete the registration form to begin the testing process. A passing grade of 83% or higher on the post-test/evaluation is required to receive CE credit. 
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                      statement of responsibility 
The Johns Hopkins University School of Medicine and The Institute for Johns Hopkins Nursing take responsibility for the content, quality and scientific integrity of this CME/CE activity. 
 
internet cme/ce policy The Office of Continuing Medical Education (CME) at The Johns Hopkins University School of Medicine and The Institute for Johns Hopkins Nursing are committed to protect the privacy of its members and customers. The Johns Hopkins University maintains its Internet site as an information resource and service for physicians, other health professionals and the public. 
                        
 
Continuing Medical Education at The Johns Hopkins University School of Medicine and The Institute for Johns Hopkins Nursing will keep your personal and credit information confidential when you participate in a CE Internet-based program. Your information will never be given to anyone outside The Johns Hopkins University program. CE collects only the information necessary to provide you with the service you request. 
 
                        faculty 
                          disclosure 
                        As a provider accredited by the Accreditation Council for Continuing Medical Education (ACCME), it is the policy of Johns Hopkins University School of Medicine to require the disclosure of the existence of any relevant financial interest or any other relationship a faculty member or a provider has with the manufacturer(s) of any commercial product(s) discussed in an educational presentation. The presenting faculty reported the following:  
                           
                          
                        
                          
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                            Michael P. Boyle, MD, FCCPD discloses that he has received grant/research support Vertex Pharmaceuticals, Inc. | 
                             
                          
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                             Peter J. Mogayzel, Jr, MD, PhD  discloses that he has no financial relationship with commercial supporters. | 
                             
                          
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                            Meghan Ramsay, MS, CRNP discloses that she has no financial relationship with commercial supporters. | 
                             
                          
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                            Donna W. Peeler, RN discloses that she has no financial relationship with commercial supporters. | 
                           
                          
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                            | Guest 
                              Author's Disclosures | 
                             
                           
                         
                        disclaimer statement 
                         The opinions and recommendations expressed by faculty and other experts whose input is included in this program are their own. This enduring material is produced for educational purposes only. Use of Johns Hopkins University name implies review of educational format design and approach. Please review the complete prescribing information of specific drugs or combination of drugs, including indications, contraindications, warnings and adverse effects before administering pharmacologic therapy to patients. 
 
                        hardware & software requirements 
                          Pentium 800 processor or greater, Windows 
                          
                          98/NT/2000/XP or Mac OS 9/X, Microsoft Internet Explorer 5.5 or later, 56K Modem or better, 
                          
                          Windows Media Player 9.0 or later, 128 MB of RAM, monitor settings: high color at 800 x 600 
                          
                          pixels, sound card and speakers, Adobe Acrobat Reader. | 
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                  If you want to now listen to the eCysticFibrosis Review podcast, just click on the button above. This will open your Internet browser to play the podcast by streaming the media via the web. 
                       
Please note: This podcast file is large so please be patient while the content downloads. | 
                 
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                  | Save the podcast to your computer. Once saved you can manage and play the file like any song or music using your music software (iTunes, Windows Media, Real Player, etc.). You can also transfer the podcast file to your iPod, MP3 player and listen while on-the-go. | 
                 
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                  Like any RSS subscription,  
when you subscribe to  
this Review you will automatically receive each new edition, downloaded to your hard drive as soon as it becomes available. You may manage and play the downloaded podcast file like any song or audio file by using your music software (iTunes, Windows Media, Real Player, etc.). You can also transfer the podcast file to your iPod, MP3 player to listen while on-the-go. | 
                 
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              COMPLETE
                THE 
                POST-TEST 
                 
                Step 1. Click on the appropriate link below. This will take you to the post-test. 
 
Step 2. If you have participated in a Johns Hopkins on-line course, login. Otherwise, please register. 
 
Step 3. Complete the post-test and course evaluation. 
 
Step 4. Print out your certificate. | 
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              Respiratory Therapists 
              Visit this page to confirm that your state will accept the CE Credits gained through this program or click on the link below to go directly to the post-test. 
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                      | Help other clinicians find solutions to their biggest CF challenges. Forward a link to the eCysticFibrosis Review website to a colleague | 
                     
                    
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                  Vitamin D and Bone Health | 
                 
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          © 
              2010 JHUSOM, IJHN and eCysticFibrosis Review 
                                 
            Presented by JHUSOM in collaboration with DKBmed. | 
         
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