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“No doctor can conduct a needle stick procedure where you can’t go in with a full face shield,” says Dr. David Henderson, president of the Ontario Chiropractors Association, and a chiropractor with more than 30 years’ experience. “If you’re a chiropractor, you’re not going to need to be doing that.”

The first is the ability of a state to directly access the data stored on ARCOS and ND File systems. Currently, only certain users are permitted access, and the number of users is limited. For example, only law enforcement, health officials, and others are allowed access to ARCOS and ND File data. The second is the ability for a state to use the federal PDMP mandate to create its own prescription drug monitoring program, such as by setting up a state PDMP. Although some states have done this, it is unclear whether all states have been able to take full advantage of the federal law. More information about the current status of state PDMPs is provided in State PDMPs.

As noted earlier, some states have already implemented PDMP programs and made use of the data within these programs, such as the Michigan PDMP and Colorado's CDPHE PDMP. Each of these programs has been found to be associated with a reduction in prescription opioid prescribing and a corresponding increase in prescriptions for alternatives. The full potential of these programs will be realized only when prescribers and dispensers are provided access to the data, and when clinicians and patients are encouraged to use it. PDMP data also can help identify and prevent diversion and overdose.

Some applications, such as Java, require that the application directories and libraries are updated to a newer version before the user can update. However, there are some applications that are not explicitly API-specific, such as the X Window System, the X server source code, are automatically updated as required.

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