Other Regulations Relating to Transportation, Pipeline and Hazardous Materials Safety Administration, Department of Transportation, https://www.ecfr.gov/current/title-49/subtitle-B/chapter-I/subchapter-C/part-177/subpart-C, Segregation and Separation Chart of Hazardous Materials, View the PDF for 49 CFR Part 177 Subpart C, Subpart CSegregation and Separation Chart of Hazardous Materials. Methods for restoring normal rhythm include electrical or pharmacologic cardioversion and surgical or catheter ablation. 201 4th Street SE
Evidence is lacking, and the balance of benefits and harms of screening for AF in asymptomatic adults cannot be determined. If you have any questionsconcerning ACFR, contactour Financial Integrity Teamfrom the Office of Accounts and Reports Directory. Statistical Section . STATISTICAL SECTION Statistical Section Index . Adequate evidence that intermittent and continuous screening strategies identify adults 50 years or older with previously undiagnosed AF more effectively than usual care. Annual Comprehensive Financial Report (ACFR) | Fayetteville, NC 49 CFR Part 177 Subpart C - eCFR :: Home Financial Trends (Exhibits J-1 through J-5)
as of 06/27/2023 at 8:15 am EDT. Medline:32860505 doi:10.1093/eurheartj/ehaa612 9. BMJ. The official, published CFR, is updated annually and available below under The report is prepared after the June 30 close of each fiscal year and is available in December. If the earlier county level data is presented in a current schedule, a footnote should explain why the earlier data differs significantly from the more current data. Medline:19893311 doi:10.1159/000255973 7. The district-wide reporting required by GASBS 34 is used to complete the J-1 through J-3. This 2021 evidence review included searching for evidence on additional screening methods such as automated blood pressure cuffs, pulse oximeters, and consumer devices such as smartwatches and smartphone apps. Paragraph 33 of GASBS 44 requires districts to report the data that are the most specific to that particular government. Where a district previously reported county level statistics and is now reporting district level statistics, GASB does not require restatement of the data brought forward from previously issued statistical sections. J-8 Principal Property Tax Payers. 2021;398(10310):1498-1506. The performance of ECG or use of portable or wearable rhythm monitoring devices is not associated with significant harm, although abnormal test results may cause anxiety. There is insufficient evidence to recommend for or against screening for AF. These ratios give readers a general idea of the government's overall debt capacity. The Statistical section provides additional financial and statistical data, including data about financial trends that may better inform the reader about the government's activities. 2014;45(12):3754-3832. Departments/Agencies |
Atrial fibrillation is the most common type of cardiac arrhythmia. Medline:6658948 doi:10.1161/01.STR.14.5.664 5. The Governmental Accounting Standards Board Statement No. The J-2 is prepared using the accrual basis of accounting. A randomised controlled trial and cost effectiveness study of systematic screening (targeted and total population screening) versus routine practice for the detection of atrial fibrillation in the over 65s: (SAFE) [ISRCTN19633732]. Benjamin EJ, Virani SS, Callaway CW, et al; American Heart Association Council on Epidemiology and Prevention Statistics Committee and Stroke Statistics Subcommittee. For more details on the methods the USPSTF uses to determine the net benefit, see the USPSTF Procedure Manual.7. BMJ. 1991;22(8):983-988. See the Practice Considerations section for additional information regarding the I statement. Statistical Section The statistical section provides a source of information regarding the government's financial trends, revenue capacity, debt capacity, demographic and economic information, and operating information. The USPSTF recognizes that clinical decisions involve more considerations than evidence alone. Lancet. (d) Except as otherwise provided in this subchapter, hazardous materials must be stored, loaded or transported in accordance with the following table and other provisions of this section: Segregation Table for Hazardous Materials. Medline:32938633 doi:10.1136/bmj.m3208 37. The J-1 is prepared using the accrual basis of accounting. The new J-6 expands the prior years J-4 to include a detailed presentation of the components of the Net Valuation Taxable. 5hyhqxhv 7d[hv 6shfldo dvvhvvphqwv ,qwhujryhuqphqwdo )hghudo judqwv 2004;4:12. citations and headings GASB sets the standards governing the content of an ACFR. The Office of Accounts and Reports is responsible for the coordination and preparation of the Annual Comprehensive Financial Report (ACFR) of the State of Kansas (formerly referred to as the Comprehensive Annual Financial Report). Examples include an authentication cookie that identifies a user for the duration of the session once that user logs in to a website or a cookie that keeps track of items placed in an e-commerce shopping cart. The USPSTF did this to be inclusive of all potential evidence on screening for AF. Fax
NASHVILLE, Tenn. The state of Tennessee has completed its annual financial report for fiscal year 2020-21. 32509 of Pub. Pipeline and Hazardous Materials Safety Administration, Department of Transportation. J-2 Changes in Net Assets. PDF Pocono Mountain School District J-4 Changes in Fund Balances, Governmental Funds. Tereshchenko LG, Henrikson CA, Cigarroa J, Steinberg JS. The information to complete the J-2 comes directly from the A-2, Statement of Activities, of the districts current year and prior year(s) ACFR(s). The USPSTF recognizes that clinical decisions involve more considerations than evidence alone. 2020 ESC Guidelines for the diagnosis and management of atrial fibrillation developed in collaboration with the European Association for Cardio-Thoracic Surgery (EACTS). The J-11 is representative of the prior J-6 and provides a historical perspective of total general bonded debt to estimated actual value of property and population. An ACFR presents a wide variety of important information. BMJ Open. (4) The * in the table indicates that segregation among different Class 1 (explosive) materials is governed by the compatibility table in paragraph (f) of this section. may include debt information in the Management Discussion and Analysis (MD&A). It is a major risk factor for stroke and often goes undetected. This updated recommendation is consistent with the 2018 USPSTF recommendation on screening for AF with electrocardiography. They should not be construed as an official position of the Agency for Healthcare Research and Quality or the U.S. Department of Health and Human Services. However, even with this expanded scope, the USPSTF did not find enough evidence to recommend for or against screening for AF. Narrative explanations should describe the objectives of the statistical section, e.g., in the divider page, and usual or significant trend differences on specific schedules. James Monroe Building
Medline:24685669 doi:10.1016/j.jacc.2014.03.022 12. 3. 208. 511.11 stands for title 49 of the Code of Federal Regulations section 511.11). The USPSTF again concludes that the evidence is insufficient to assess the balance of benefits and harms of screening for AF in asymptomatic adults. 507-328-2876
Treatment of AF can include anticoagulant therapy for stroke prevention, which is associated with a risk of bleeding, and pharmacologic, surgical, endovascular (eg, ablation), or combined treatments to control heart rhythm or heart rate. Mozaffarian D, Benjamin EJ, Go AS, et al; Writing Group Members; American Heart Association Statistics Committee; Stroke Statistics Subcommittee. 2010;29(1):43-49. Equalization valuation bases for the current period may be obtained from the Annual Report of the State of New Jersey, Department of Treasury, Division of Taxation. J-12 Direct and Overlapping Governmental Activities Debt as of June 30th. Note that operating expenditures equals total expenditures (as reported in the J-4 schedule, Changes in Fund Balances, Governmental Funds (modified accrual basis of accounting) less debt service and capital outlay. Multiple Documents - Statistical Section The statistical section [PDF] consists of pages 323-364, which includes: Ten Year Schedule of Revenues and Expenditures - Modified Accrual Basis - General Governmental Revenues by Source and Expenditures by Function Net Position by Component - Accrual Basis of Accounting Medline:31482579 doi:10.1111/pace.13800 27. General Information Letters and Private Letter Rulings, State Tax Automated Research (STAR) System, Historically Underutilized Business (HUB), Vendor Performance Tracking System (VPTS), Texas Procurement and Contract Management Guide, Minnie Stevens Piper Foundation College Compendium. Educators |
Participants who had a positive screening result had higher mean anxiety scores compared with those who had a negative result, although most did not have clinically meaningful levels of anxiety symptoms.30 The mSToPS trial reported incidentally detected, potentially actionable arrhythmias other than AF in 70 participants (2.6% of participants), although the balance of benefits or harms of these findings is unknown.39 Another potential harm of screening is ECG misinterpretation, leading to false-positive results and possibly unnecessary treatment. 2020;70(695):e427-e433. Hindricks G, Potpara T, Dagres N, et al; ESC Scientific Document Group. 2001;285(18):2370-2375. Annual Comprehensive Financial Report (ACFR) - Alaska State's Budget Publication & Presentation, Contact the Office of Evidence and Impact, https://www.tn.gov/finance/rd-doa/fa-accfin-ar.html. View the most recent official publication: These links go to the official, published CFR, which is updated annually. Please enable JavaScript in your browser for a better user experience. Annual Comprehensive Financial Report [ACFR] 2021, Share & Bookmark, Press Enter to show all options, press Tab go to next option, Continuing Diversity, Equity & Inclusion Work, Calendar of Elections/Filing for Office/Candidates, Annual Comprehensive Financial Reports [ACFR], Annual Audit Report/Financial Trends Presentation. Krist AH, Davidson KW, Mangione CM, et al; US Preventive Services Task Force. Counts are subject to sampling, reprocessing and revision (up or down) throughout the day. It bases its recommendations on the evidence of both the benefits and harms of the service and an assessment of the balance. The American Heart Association and the American Stroke Association state that active screening for AF in the primary care setting among persons older than 65 years using pulse assessment followed by ECG, as indicated, can be useful.42, The American Academy of Family Physicians supports the 2018 USPSTF recommendation on screening for AF with ECG.43. Over the entire duration of insertable cardiac monitoring (mean, 588 days), several additional cases of subclinical paroxysmal AF were detected, giving an overall sensitivity of 0.12 for the 72-hour Holter monitor. Sources of data include the Municipal Tax Collector, the Abstract of Ratables, the districts A4F for all years, and prior years J-5 statistical tables. No . Newly diagnosed atrial fibrillation and acute stroke: the Framingham Study. Opportunistic screening versus usual care for detection of atrial fibrillation in primary care: cluster randomised controlled trial. Many governments not required to issue an ACFR do so anyway because it represents a best practice in government finance. Duration of atrial fibrillation and imminence of stroke: the Framingham study. Circulation. G H I
Studies suggest a lower or similar prevalence of AF in Black persons . The Annual Comprehensive Financial Report is prepared and published annually by the City's Finance Department. To reject the use of all cookies, click Reject all. An ACFR, by contrast, presents a wider variety of important information intended to help the reader properly understand the basic statements. AF is the most common type of irregular heartbeat. Atrial fibrillation (AF) is the most common cardiac arrhythmia. PO Box 500,
For the year of implementation of GASBS 44 districts are minimally required to display one year of data on the J-1 through J-3. Each ACFR is presented in the following three sections: Introductory Section includes the transmittal letter, the State of Kansas organization chart, and a listing of selected officials. L. 103311, 108 Stat. Y Z #, What Your District Needs to Know to Complete
Annual Comprehensive Financial Report "Published Edition". To that end, we adopted a series of administrative and technical procedures in order to strengthen the protection of your right to personal data protection. Information, including any documents, contained on this website speaks only as of its date. Studies suggest a lower or similar prevalence of AF in Black persons compared with White persons, although it is uncertain whether differential detection of AF by race and ethnicity might play a role in those studies reporting lower prevalence in Black persons.2, Atrial fibrillation is a major risk factor for ischemic stroke and is associated with a substantial increase in the risk of stroke.3 Approximately 20% of patients who have a stroke associated with AF are first diagnosed with AF at the time of the stroke or shortly thereafter.4-6. Benjamin EJ, Go AS, Desvigne-Nickens P, et al. (2) The letter X in the table indicates that explosives of different compatibility groups may not be carried on the same transport vehicle. 2007;335(7616):380. Ak DRB > Financial Reports - Alaska Three studies reported 5 comparisons of 2 different oscillometric blood pressure monitoring devices with automated AF detection compared with a 12-lead ECG interpreted by a cardiologist.25,27,28 In 4 of the comparisons, sensitivity ranged from 0.92 to 1.0 and specificity ranged from 0.90 to 0.95. See the Table for more information on the USPSTF recommendation rationale and assessment. Stroke. (h) Except as provided in paragraph (i) of this section, explosives of the same compatibility group but of different divisions may be transported together provided that the whole shipment is transported as though its entire contents were of the lower numerical division (i.e., Division 1.1 being lower than Division 1.2). Several of the randomized clinical trials discussed above also reported on the harms of screening for AF. Districts reporting material permanent funds as part of their governmental funds under GASBS 34, may find it necessary to explain on the face of the J-3 significant fluctuations in governmental funds fund balance pre- and post-GASBS 34 due to the inclusion of permanent fund balances. JAMA. The USPSTF reviewed several trials, systematic reviews, and an observational study that reported on harms associated with anticoagulant therapy. ACFR* - Ohio The states 2020 ACFR received the Government Finance Officers Certificate of Achievement for Excellence in Financial Reporting for the 41st year, which is the most any state has been awarded. The J-19 (Schedule of Allowable Maintenance Expenditures) reports back to 2001 only; the year first required by the Department. (3) The numbers in the table mean the following: (i) 1 means an explosive from compatibility group L shall only be carried on the same transport vehicle with an identical explosive. Disclaimer: USPSTF recommendations are independent of the US Government. Several comments agreed with the USPSTF recommendation. It is important that screening trials enroll sufficient participants of both sexes and diverse racial and ethnic groups to enable assessment of whether the detection of AF or the benefits or harms of screening vary in different population groups. 101 North 14th Street, 2nd Floor
Personalization cookies are those that enable a user to access a website and receive services that are catered to that user's pre-defined characteristics, such as language, browser type used to access the service, regional configuration from where the service is accessed, etc. Medline:30088016 doi:10.1001/jama.2018.10321 23. Clinicians should use their clinical judgement regarding whether to screen and how to screen for AF. Due to privacy concerns, it is not necessary to list the name of the individual taxpayer or business. Kearley K, Selwood M, Van den Bruel A, et al. Auditors from the Comptroller of the Treasury examined the financial statements and issued an unmodified opinion on the states basic financial statements. Financial Section Statistical Section 2010 ACFR Introductory Section Financial Section Statistical Section Detail Statements 2009 ACFR . STROKESTOP has several limitations, including: the composite end point includes both benefits and harms; the primary trial outcome was originally specified as ischemic stroke in 2012 but was subsequently changed to this composite end point in 2017; and, approximately 12% of persons enrolled in STROKESTOP had known AF at baseline, and approximately 11% had a history of transient ischemic attack, stroke, or systemic embolism. The mean age of participants in this study was 80 years, and all were required to have hypertension.40 These 2 trials reported statistically significant absolute risk increases of 3% and 4.8% in detection of AF for screening vs no screening or delayed screening. 2010;105(4):502-510. Do they change often? 1 CFR 1.1 The Annual Comprehensive Financial Report (ACFR) is prepared by the Department of Finance and Administration Division of Accounts, in accordance with Generally Accepted Accounting Principles (GAAP) applicable to governments as prescribed by the Governmental Accounting Standards Board (GASB). (i) When Division 1.5 materials, compatibility group D, are transported in the same freight container as Division 1.2 (explosive) materials, compatibility group D, the shipment must be transported as Division 1.1 (explosive) materials, compatibility group D. [Amdt. Medline:25355838 doi:10.1161/STR.0000000000000046 43. Marazzi G, Iellamo F, Volterrani M, et al. Steinhubl SR, Waalen J, Edwards AM, et al. Comprehensive General-Purpose Checklist - Government Finance Officers Please allow Analytics Cookies to access this content. You are using an unsupported browser. 2014;64(21):e1-e76. J-20 Insurance Schedule. Medline:17673732 doi:10.1136/bmj.39280.660567.55 32. 49 CFR 172.101 Fax: (804) 371-8587, Department of Accounts
Office of Accounts and Reports Directory. Evidence Synthesis No. Custodial Funds External Investment Pool and Custodial Funds - Other. 112 of Pub. Contact Us |
Fiscal Year 2022 Annual Comprehensive Financial Report [PDF] Meschia JF, Bushnell C, Boden-Albala B, et al; American Heart Association Stroke Council; Council on Cardiovascular and Stroke Nursing; Council on Clinical Cardiology; Council on Functional Genomics and Translational Biology; Council on Hypertension. Accounting Accounting questions and answers ACFR 2021- What types of information are included in the Statistical Section? (5) The note A in the second column of the table means that, notwithstanding the requirements of the letter X, ammonium nitrate (UN1942) and ammonium nitrate fertilizer may be loaded or stored with Division 1.1 (explosive) or Division 1.5 materials, unless otherwise prohibited by 177.835(c). will bring you to those results. the hierarchy of the document. Pacing Clin Electrophysiol. The AnnualComprehensive Financial Report is prepared and published annually by the City's Finance Department. Statistical provides additional financial and statistical data, including data about financial trends that may better inform the reader about the government's activities; View the Fiscal 2022 State of Texas Annual Comprehensive Financial Report (ACFR) by section *Note: Revised March 2, 2023. 1. Statistical Section Fiscal Year End June 30, 2021 Fiscal Year End June 30, 2020 Fiscal Year End June 30, 2019 The information to complete the J-3 comes directly from the B-1 for GASBS 34 ACFRs and from the A-1 for years prior to GASBS 34 implementation. The Financial section presents the entity's basic financial statements as well as notes to the statements and the independent auditors' report. The best way to locate debt information is to start with the table of contents and look for the following: Debt capacity is a general term describing the amount of debt the government can repay in a timely manner from available resources without jeopardizing its financial viability. For more information about our use of cookies and to opt-out of cookies at any time, please refer to our website Privacy Policy. Medline:27207998 doi:10.1161/JAHA.116.003206 42. The Centers for Disease Control and Prevention provides information on the prevention of heart disease at https://www.cdc.gov/heartdisease/prevention.htm and useful information about AF at https://www.cdc.gov/heartdisease/atrial_fibrillation.htm. For example, the state of Texas has a constitutional debt limit restricting the authorization of additional state debt to be repaid with unrestricted General Revenue to an amount that ensures annual debt service payments do not exceed 5 percent of the three-year average of unrestricted General Revenue Fund revenues. Fitzmaurice DA, Hobbs FD, Jowett S, et al. Additionally, the stroke risk associated with subclinical AF, particularly subclinical AF of shorter duration (less than several to 24 hours) or lower burden (amount or percentage of time spent in AF), as might be detected by some screening approaches, is uncertain, and the duration of subclinical AF that might warrant anticoagulant therapy is unclear.9,10. Several consumer-oriented devices, such as smartwatches and smartphone apps, are available that aim to detect an irregular heart rhythm using ECG technology or photoplethysmography.2 It is important to note that the USPSTF considers pulse palpation to be routine or usual care. Information on this website is provided for general informational purposes only and not as a source of investor information. Inadequate direct evidence on the harms of screening for AF. Information reported in these tables is derived from the Basic Financial Statements located in the Financial Section of this and prior . Please do not provide confidential J-7 Direct and Overlapping Property Tax Rates. In STROKESTOP, the rates of hemorrhagic stroke and hospitalization for major bleeding did not significantly differ between the invitation to screening group and the control group.38 In the SAFE study, anxiety levels were not significantly different between participants randomized to ECG screening vs pulse palpation reminders. To update its 2018 recommendation statement, the USPSTF commissioned a systematic review2,23 of the evidence on the benefits and harms of screening for AF in older adults, the accuracy of screening tests, the effectiveness of screening tests to detect previously undiagnosed AF compared with usual care, and the benefits and harms of anticoagulant therapy for the treatment of screen-detected AF in older adults. The Introductory section orients and guides the reader through the report. 320b-10. Pressing enter in the search box You can learn more about the process 2012;29(1):64-70. This recommendation replaces the 2018 USPSTF recommendation statement on screening for AF with ECG. The City's management is responsible for the accuracy of the data, the completeness and fairness of the presentation and the adequacy of its . IT:507-328-2840
The year end balances of general obligation bonds, COPs, capital leases, and BANs are obtained from the notes to the financial statements. The source for this detail is the final A4F for that year. Medline:27838723 doi:10.1001/jama.2016.15450 20. 2018;137(12):e67-e492. Medline:20152245 doi:10.1016/j.amjcard.2009.10.018 17. Each ACFR is presented in the following three sections: *ACFRs for Fiscal Years 2009 and subsequent years are filed, when available, with and available from the Municipal Securities Rulemaking Board Electronic Municipal Market Access system (EMMA) and may be incorporated by reference into official statements, certain financial information and operating data, as well as information regarding certain material developments with respect to the State for bonds and notes payable by appropriation of the State also filed with and available from EMMA. For each year thereafter, one additional year must be added to those schedules. PDF Staying the Course - LACERA Debt Capacity Information (Exhibits J-10 to J-13)
Contents of the CAFR - National Center for Education Statistics (NCES) Sample notes are included on the illustrations, but the district is responsible to identify sources of all information that does not appear in the basic financial statements, notes to the basic financial statements or required supplementary information. Several other medical devices (eg, automated blood pressure cuffs or pulse oximeters) have been designed with algorithms to detect an irregular heartbeat, which may or may not be AF. J-1 Net Assets by Component. Screening for atrial fibrillation with electrocardiography: US Preventive Services Task Force recommendation statement. The legal debt margin or debt service margin is the difference between the amount of debt or debt service the government is authorized to carry and the amount of debt or debt service the government is actually carrying. Districts may also obtain guidance on preparation of the schedules from the Guide to Implementation of GASB Statement 44 on the Statistical Section available from the GASB website at http://www.gasb.org/pub/index.html. Sabar MI, Ara F, Henderson A, et al. Krist AH, Davidson KW, Mangione CM, et al; US Preventive Services Task Force. short-term and long-term debt balances are presented on the Statement of Net Position for Governmental and Business-Type Activities. PDF Statistical Section Overview Financial Trends Information Demographic Recommendation: Atrial Fibrillation: Screening. Generally accepted accounting principles (GAAP) require governments that produce an annual comprehensive financial report to include a statistical section. In response to comments, the USPSTF wants to clarify that the I statement is not a recommendation against screening for AF; it indicates that the evidence is insufficient to recommend either for or against screening.