Supplemental Grant Application Instructions II-2 . Scenario C. Exempt Human Subjects Research If all of the proposed human subjects research meets the criteria for one or more of the exemptions from the requirements in the HHS regulations (46.101(b)) (see Part III Section 3 under Human Subjects Research
Adults with one of the above listed conditions who have not received any pneumococcal vaccine should get a dose of PCV13 first and should also continue to receive the recommended doses of PPSV23. Ask your health care provider for details.
The difficulty I see is the presentation of both. Patients that have active CHF and as well have acquired pneumonia. Yes, patients that have a lower immune system that now has pneumonia. In treatment, the immediate use of CPAP and use of NTG to decrease the preload is most accurate and beneficial treatment. Diuretic therapy does have its place, but more and more doubt is seen as an immediate treatment.