Corresponding AuthorE-mail address:Center of Innovation for Veteran‐Centered and Value‐Driven Care, VA Puget Sound Health Care System, US Department of Veterans Affairs, Seattle, WashingtonSeattle Epidemiologic Research Information Center, VA Puget Sound Health Care System, Seattle, WashingtonDepartment of Epidemiology, University of Washington, Seattle, WashingtonFor further information, contact: Alyson J. Littman, Center of Innovation for Veteran‐Centered and Value‐Driven Care, VA Puget Sound Health Care System, US Department of Veterans Affairs, Seattle, WA 98108; email. Corresponding AuthorE-mail address:Center of Innovation for Veteran‐Centered and Value‐Driven Care, VA Puget Sound Health Care System, US Department of Veterans Affairs, Seattle, WashingtonSeattle Epidemiologic Research Information Center, VA Puget Sound Health Care System, Seattle, WashingtonDepartment of Epidemiology, University of Washington, Seattle, WashingtonFor further information, contact: Alyson J. Littman, Center of Innovation for Veteran‐Centered and Value‐Driven Care, VA Puget Sound Health Care System, US Department of Veterans Affairs, Seattle, WA 98108; email.
Early CVT cars seemed to let the engines go immediately to high rpms, then hold that engine speed while the car accelerated. Folks hated that noise and lack of relationship between road speed and engine speed, so more recent control programs seem to have reduced that effect. This site provides research guides for Eastern International College, Cardiovascular Technology students.
MethodsWe conducted an observational study using Veterans Health Administration (VHA) administrative databases to analyze trends in CVT utilization, and types of care received, among 7.65 million veterans during fiscal years (FY) 2009‐2015 (October 1, 2008‐September 30, 2015). Trends were stratified by veteran rurality and analyzed using linear regression.
Among 4.95 million veterans in FY2015, we used logistic regression to identify characteristics associated with CVT utilization for any care, mental health care, and major specialties. FindingsOver 6 years, the annual CVT utilization grew from 30 to 124 encounters per 1,000 veterans (300% increase), with faster growth among rural veterans than urban veterans. Over the study period, ≥50% of all CVT‐delivered care was mental health care. In FY2015, 3.2% of urban and 7.2% of rural veterans utilized CVT for nearly 725,000 clinical encounters. Rural residence, younger age, longer driving distance to VHA facilities, one or more comorbidities, and higher rates of traditional, non‐video utilization were independently associated with higher odds of CVT use. FilenameDescription38.2 KBSupplementary Table 1.
Stop Codes Identifying Clinical Video TelemedicineSupplementary Table 2. Categorization of Specialty Health Care Services by Primary Stop CodeSupplemental Table 3. Adjusted Odds Ratios (95% CI) of Clinic‐to‐Clinic Video Telemedicine Use by Veteran Integrated Service Network (VISN) Compared to VISN 8 (Florida, Puerto Rico, and US Virgin Islands), the VISN with the Largest Population Included in AnalysisSupplemental Table 4.
Odds of Clinic‐to‐Clinic Video Telemedicine Use by Veteran Integrated Service Network (VISN) Compared to VISN 8 (Florida, Puerto Rico, and US Virgin Islands), the VISN with the Largest Population Included in AnalysisPlease note: The publisher is not responsible for the content or functionality of any supporting information supplied by the authors. Any queries (other than missing content) should be directed to the corresponding author for the article.
By watching, can you tell what component is causing this grinding noise? Someone suggested it might be the harmonic stabilizer.
Known issues. Discovered low power steering reservoir, haven't noticed level go down since filling. Power steering fluid found under car. Recharged AC after the winter, isn't as cold as it used to be. Increasing RPM will increase pitch of grinding noise.
The ticking noise is probably a timing chain tensor I have to replace.Tested good. Turning wheel, to test power steering, doesn't change the sound. Not over heating, indicating good water pump?.
Car voltage tested good, indicating good alternator and batteryPulley diagram. If you don't have a stethoscope or a screw driver or similar that you can use as one. Pull the belt off, put some tension on one pulley at a time and spin them by hand any roughness indicates bearing/bushing failure.You can probably rule out the compressor pulley as the noise doesn't change as the clutch engages. Idler pulleys are the most likely to fail first. A water pump has a deeper sound when they go bad and usually leak. It doesn't really sound like a harmonic balancer either, usually when they go bad the rubber will separate and cause a screeching sound.It will probably end up being the alternator or idler pulley.