Causality in the Intentionality Model is in the agency of the child. It is the child who perceives, who apprehends, who constructs the intentional state, who acts to express it, and who interprets what others do (including what they say) to construct a new intentional state.
Nortriptyline, sold under the brand names Allegron, Aventyl, Noritren, Nortrilen, and Pamelor among others, is a tricyclic antidepressant (TCA) used to treat clinical depression. Another licensed use for it is in the treatment of childhood bedwetting. Off-label uses include chronic pain and migraine and labile affect in some neurological disorders.
Prior to adjourning for the holidays, Congress passed the Patient Access and Medicare Protection Act. (PAMPA), which directed the Centers for Medicare and Medicaid Services (CMS) to make AMA-supported. changes to the Medicare EHR Incentive Program hardship exception process that allows physicians to. avoid a Meaningful Use (MU) penalty in 2017. The AMA is encouraging ALL physicians subject to the 2015 Medicare MU program to apply for the. hardship.