Science.gov

Sample records for death certificate based

  1. Death Investigation Certificate

    E-print Network

    Saldin, Dilano

    Death Investigation Certificate What is Death Investigation? Medico-legal death investigation in death investigation in different ways. The study of death investigation trains students to identify and assemble a set of investigative tasks that are performed at every death scene. Modern medico- legal death

  2. DEATH CERTIFICATE Yuvachev Daniil Ivanovich

    E-print Network

    Comech, Andrew

    DEATH CERTIFICATE Yuvachev Daniil Ivanovich last name, first name, patronymic Citizenship: Citizen whereof on February 2, 1942 the death record was made under No. 1234 Place of death: Leningrad Prison No

  3. Improving the accuracy of death certification

    PubMed Central

    Myers, K A; Farquhar, D R

    1998-01-01

    BACKGROUND: Population-based mortality statistics are derived from the information recorded on death certificates. This information is used for many important purposes, such as the development of public health programs and the allocation of health care resources. Although most physicians are confronted with the task of completing death certificates, many do not receive adequate training in this skill. Resulting inaccuracies in information undermine the quality of the data derived from death certificates. METHODS: An educational intervention was designed and implemented to improve internal medicine residents' accuracy in death certificate completion. A total of 229 death certificates (146 completed before and 83 completed after the intervention) were audited for major and minor errors, and the rates of errors before and after the intervention were compared. RESULTS: Major errors were identified on 32.9% of the death certificates completed before the intervention, a rate comparable to previously reported rates for internal medicine services in teaching hospitals. Following the intervention the major error rate decreased to 15.7% (p = 0.01). The reduction in the major error rate was accounted for by significant reductions in the rate of listing of mechanism of death without a legitimate underlying cause of death (15.8% v. 4.8%) (p = 0.01) and the rate of improper sequencing of death certificate information (15.8% v. 6.0%) (p = 0.03). INTERPRETATION: Errors are common in the completion of death certificates in the inpatient teaching hospital setting. The accuracy of death certification can be improved with the implementation of a simple educational intervention. PMID:9614825

  4. A death certificate-based study of occupation and mortality from reproductive cancers among women in 24 US states.

    PubMed

    Sala, M; Dosemeci, M; Zahm, S H

    1998-07-01

    We conducted a study of occupation and mortality from reproductive cancers among women, based on death certificates from 24 US states for the period 1984-1993. There were 9,523 cervical cancer deaths, 12,335 endometrial cancer deaths, and 25,212 ovarian cancer deaths. Usual occupation and industry, which were obtained from death certificates, were coded using the 1980 Bureau of Census classification system. Mortality odds ratios (MORs) and 95% confidence intervals (CIs) were calculated, using all non-cancer deaths as the referent disease category. In general, jobs involving professional or administrative occupations were related to increased risk of mortality from endometrial and ovarian cancer, while cervical cancer mortality was increased among women employed in manufacturing, service, farm work, and health care technician and aide occupations. Associations with some occupations involving exposure to chemicals and metals, such as the associations between cervical cancer and employment in printing, typesetting, and machine operating occupations, deserve further attention. Similarly, further investigations should be made into the excess of ovarian cancer observed in several occupations in health care, an industry that has numerous hazardous exposures, including radiation, chemotherapeutic drugs, and viruses. The study results reflect, in part, socioeconomic factors and reproductive patterns but may also indicate a possible etiologic role for occupational chemical exposures. PMID:9675722

  5. Principles and Pitfalls: a Guide to Death Certification

    PubMed Central

    Brooks, Erin G.; Reed, Kurt D.

    2015-01-01

    Death certificates serve the critical functions of providing documentation for legal/administrative purposes and vital statistics for epidemiologic/health policy purposes. In order to satisfy these functions, it is important that death certificates be filled out completely, accurately, and promptly. The high error rate in death certification has been documented in multiple prior studies, as has the effectiveness of educational training interventions at mitigating errors. The following guide to death certification is intended to illustrate some basic principles and common pitfalls in electronic death registration with the goal of improving death certification accuracy. PMID:26185270

  6. Utility of Death Certificate Data in Predicting Cancer Incidence

    PubMed Central

    Bedford, Ronald L.; Lourens, Spencer G.; Lynch, Charles F.; Smith, Brian J.; Field, R. William

    2014-01-01

    BACKGROUND Studies often rely on death certificates to identify cancer occurrence. This research assessed the death certificate's ability to reflect cancer incidence and factors that influence agreement with cancer registry data. METHODS This study compared death certificates to cancer incidence data for an occupational cohort of 1,795 deceased workers who were registered by the Iowa Cancer Registry (ICR) between 1973 and 2005. Logistic regression models examined the effects of factors such as survival time, age at diagnosis, and gender on the odds of agreement between death certificate and incidence data. RESULTS Death certificates under-reported cancer incidence by 10-100%, depending on site. A one-year increase in survival decreased the odds of agreement between death certificate and ICR data by 18%. Younger and female workers had increased odds of agreement. CONCLUSIONS Death certificates can be useful predictors of cancer incidence, particularly for diseases with shorter survival and among subjects diagnosed earlier in life. PMID:24037961

  7. An application of the Sentinel Health Event (Occupational) concept to death certificates.

    PubMed Central

    Lalich, N R; Schuster, L L

    1987-01-01

    This article describes a computer-based application of the Sentinel Health Event (Occupational) [SHE(O)] concept, developed in conjunction with five states, to monitor deaths which are occupationally related. The states have coded their state death certificate files for industry and occupation, using the decedent's usual occupation and industry as reported on the death certificate. From these files, the SHE(O) computer program selects deaths which are likely to be work-related, based on a previously published SHE(O) list of 50 disease rubrics and associated industries and occupations. The computer program matches the SHE(O) list with the recorded industry, occupation, and underlying cause of death. The program has been tested using 1984 death certificate data from Maine, upstate New York (excluding New York City), North Carolina, Pennsylvania, and Rhode Island. Approximately 1 to 2 per cent of all deaths were selected by the program, with lung cancer and coal workers' pneumoconiosis being the most frequent cause of death. The SHE(O) program may be useful for identifying deaths which are potentially occupationally related, but its utility and its application to death certificates needs further evaluation before recommending widespread use. Limitations are discussed, as well as plans for improving the application of the SHE(O) concept to death certificates. PMID:3631365

  8. Inadequacies of death certification in Beirut: who is responsible?

    PubMed Central

    Sibai, Abla M.; Nuwayhid, Iman; Beydoun, May; Chaaya, Monique

    2002-01-01

    OBJECTIVE: To assess the completeness of data on death certificates over the past 25 years in Beirut, Lebanon, and to examine factors associated with the absence of certifiers' signatures and the non-reporting of the underlying cause of death. METHODS: A systematic 20% sample comprising 2607 death certificates covering the 1974, 1984, 1994, 1997 and 1998 registration periods was retrospectively reviewed for certification practices and missing data. FINDINGS: The information on the death certificates was almost complete in respect of all demographic characteristics of the deceased persons except for occupation and month of birth. Data relating to these variables were missing on approximately 95% and 78% of the certificates, respectively. Around half of the certificates did not carry a certifier's signature. Of those bearing such a signature, 21.6% lacked documentation of the underlying cause of death. The certifier's signature was more likely to be absent on: certificates corresponding to the younger and older age groups than on those of persons aged 15-44 years; those of females than on those of males; those of persons who had been living remotely from the registration governorate than on those of other deceased persons; and those for which there had been delays in registration exceeding six months than on certificates for which registration had been quicker. For certificates that carried the certifier's signature there was no evidence that any of the demographic characteristics of the deceased person was associated with decreased likelihood of reporting an underlying cause of death. CONCLUSION: The responsibility for failure to report causes of death in Beirut lies with families who lack an incentive to call for a physician and with certifying physicians who do not carry out this duty. The deficiencies in death certification are rectifiable. However, any changes should be sensitive to the constraints of the organizational and legal infrastructure governing death registration practices and the medical educational systems in the country. PMID:12163919

  9. [False positive death certification. Does the Lazarus phenomenon partly explain false positive death certification by rescue services in Germany, Austria and Switzerland?].

    PubMed

    Herff, H; Loosen, S-J; Paal, P; Mitterlechner, T; Rabl, W; Wenzel, V

    2010-04-01

    Apart from misdiagnosis, the Lazarus phenomenon, a spontaneous return of circulation after cardiac arrest, is a potential cause for false positive death certification. Because of medicolegal consequences and thus a negative publication bias, the incidence of false positive death certification is unknown. As a false positive death certification results in criminal prosecution and thus media interest, numerous media archives in Germany, Austria and Switzerland were searched for such reports. A total of nine cases of false positive death certification in these three countries were identified since the early 1990s of which eight occurred in an emergency medical service system setting. Apart from a lack of diligence of emergency physicians, a Lazarus phenomenon could be the reason for such incidents. As definite signs of death will not have developed only a few minutes after stopping CPR it might be difficult for an emergency physician to definitely certify a patient's death in an out-of-hospital setting with 100% safety. Thus, prehospital death certification poses a risk of error and subsequent legal prosecution of the emergency physician, as a Lazarus phenomenon may still occur in this phase. Delegation of death certification from emergency physicians to qualified physicians in a follow-up examination might increase both legal safety for emergency physicians in the field and patient safety. PMID:20224947

  10. Assessing quality of medical death certification: Concordance between gold standard diagnosis and underlying cause of death in selected Mexican hospitals

    PubMed Central

    2011-01-01

    Background In Mexico, the vital registration system relies on information collected from death certificates to generate official mortality figures. Although the death certificate has high coverage across the country, there is little information regarding its validity. The objective of this study was to assess the concordance between the underlying cause of death in official statistics obtained from death certificates and a gold standard diagnosis of the same deaths derived from medical records of hospitals. Methods The study sample consisted of 1,589 deaths that occurred in 34 public hospitals in the Federal District and the state of Morelos, Mexico in 2009. Neonatal, child, and adult cases were selected for causes of death that included infectious diseases, noncommunicable diseases, and injuries. We compared the underlying cause of death, obtained from medical death certificates, against a gold standard diagnosis derived from a review of medical records developed by the Population Health Metrics Research Consortium. We used chance-corrected concordance and accuracy as metrics to evaluate the quality of performance of the death certificate. Results Analysis considering only the underlying cause of death resulted in a median chance-corrected concordance between the cause of death in medical death certificates versus the gold standard of 54.3% (95% uncertainty interval [UI]: 52.2, 55.6) for neonates, 38.5% (37.0, 40.0) for children, and 66.5% (65.9, 66.9) for adults. The accuracy resulting from the same analysis was 0.756 (0.747, 0.769) for neonates, 0.683 (0.663, 0.701) for children, and 0.780 (0.774, 0.785) for adults. Median chance-corrected concordance and accuracy increased when considering the mention of any cause of death in the death certificate, not just the underlying cause. Concordance varied substantially depending on cause of death, and accuracy varied depending on the true cause-specific mortality fraction composition. Conclusions Although we cannot generalize our conclusions to Mexico as a whole, the results demonstrate important problems with the quality of the main source of information for causes of death used by decision-makers in settings with highly technological vital registration systems. It is necessary to improve death certification procedures, especially in the case of child and neonatal deaths. This requires an important commitment from the health system and health institutions. PMID:21816103

  11. Occupation and bladder cancer: a death-certificate study.

    PubMed Central

    Dolin, P. J.; Cook-Mozaffari, P.

    1992-01-01

    Occupational statements on death certificates of 2,457 males aged 25-64 who died from bladder cancer in selected coastal and estaurine regions of England and Wales during 1965-1980 were studied. Excess mortality was found for deck and engine room crew of ships, railway workers, electrical and electronic workers, shoemakers and repairers, and tobacco workers. An excess of cases also occurred among food workers, particularly those employed in the bread and flour confectionary industry or involved in the extraction of animal and vegetable oils and fats. Use of a job-exposure matrix revealed elevated risk for occupations in which most workers were exposed to paints and pigments, benzene and cutting oils. PMID:1520596

  12. Organic solvents and presenile dementia: a case referent study using death certificates.

    PubMed Central

    O'Flynn, R R; Monkman, S M; Waldron, H A

    1987-01-01

    Occupational exposure to organic solvents has been implicated in the development of "presenile dementia" in several studies. The death certificates of all men aged under 65 dying in England and Wales bearing presenile dementia as cause of death were collected for the years 1970-9 (n = 557): control death certificates were obtained, matched for age and sex. No significant differences were found between the groups as regards estimated occupational exposure to either organic solvents or lead. PMID:3567100

  13. Certification-Based Process Analysis

    NASA Technical Reports Server (NTRS)

    Knight, Russell L.

    2013-01-01

    Space mission architects are often challenged with knowing which investment in technology infusion will have the highest return. Certification-based analysis (CBA) gives architects and technologists a means to communicate the risks and advantages of infusing technologies at various points in a process. Various alternatives can be compared, and requirements based on supporting streamlining or automation can be derived and levied on candidate technologies. CBA is a technique for analyzing a process and identifying potential areas of improvement. The process and analysis products are used to communicate between technologists and architects. Process means any of the standard representations of a production flow; in this case, any individual steps leading to products, which feed into other steps, until the final product is produced at the end. This sort of process is common for space mission operations, where a set of goals is reduced eventually to a fully vetted command sequence to be sent to the spacecraft. Fully vetting a product is synonymous with certification. For some types of products, this is referred to as verification and validation, and for others it is referred to as checking. Fundamentally, certification is the step in the process where one insures that a product works as intended, and contains no flaws.

  14. 38 CFR 3.806 - Death gratuity; certification.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 38 Pensions, Bonuses, and Veterans' Relief 1 2010-07-01 2010-07-01 false Death gratuity... ADJUDICATION Pension, Compensation, and Dependency and Indemnity Compensation Special Benefits § 3.806 Death... claim filed with it that: (1) Death resulted from: (i) Disease or injury incurred or aggravated while...

  15. 38 CFR 3.806 - Death gratuity; certification.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 38 Pensions, Bonuses, and Veterans' Relief 1 2014-07-01 2014-07-01 false Death gratuity... ADJUDICATION Pension, Compensation, and Dependency and Indemnity Compensation Special Benefits § 3.806 Death... claim filed with it that: (1) Death resulted from: (i) Disease or injury incurred or aggravated while...

  16. 38 CFR 3.806 - Death gratuity; certification.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 38 Pensions, Bonuses, and Veterans' Relief 1 2011-07-01 2011-07-01 false Death gratuity... ADJUDICATION Pension, Compensation, and Dependency and Indemnity Compensation Special Benefits § 3.806 Death... claim filed with it that: (1) Death resulted from: (i) Disease or injury incurred or aggravated while...

  17. 38 CFR 3.806 - Death gratuity; certification.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 38 Pensions, Bonuses, and Veterans' Relief 1 2012-07-01 2012-07-01 false Death gratuity... ADJUDICATION Pension, Compensation, and Dependency and Indemnity Compensation Special Benefits § 3.806 Death... claim filed with it that: (1) Death resulted from: (i) Disease or injury incurred or aggravated while...

  18. 38 CFR 3.806 - Death gratuity; certification.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 38 Pensions, Bonuses, and Veterans' Relief 1 2013-07-01 2013-07-01 false Death gratuity... ADJUDICATION Pension, Compensation, and Dependency and Indemnity Compensation Special Benefits § 3.806 Death... claim filed with it that: (1) Death resulted from: (i) Disease or injury incurred or aggravated while...

  19. Coroners and death certification law reform: the Coroners and Justice Act 2009 and its aftermath.

    PubMed

    Luce, Tom

    2010-10-01

    After considering various different options for half a decade, the last Government legislated in 2009 to reform the England and Wales coroner and death certification systems. The Coroners and Justice Act 2009 provides for the creation of a new Chief Coroner post to lead the jurisdiction and for local medical examiners to oversee a new death certification scheme applicable equally to burial and cremation cases. In October 2010 the new Government announced that it judges the main coroner reform to be unaffordable, will not proceed with it and plans to repeal the provisions. It intends to implement the new death certification arrangements, which is welcome. The decision to abort the main coroner reform in spite of longstanding and widespread recognition of the need for major change is deplorable though in line with other failures over the last century to properly modernise this neglected service. PMID:21539281

  20. Mortality incidence estimation using federal death certificate and natality data with an application to Tay-Sachs disease.

    PubMed

    Jalal, Kabir; Carter, Randy L

    2015-09-01

    For confidentiality reasons, US federal death certificate data are incomplete with regards to the dates of birth and death for the decedents, making calculation of total lifetime of a decedent impossible and thus estimation of mortality incidence difficult. This paper proposes the use of natality data and an imputation-based method to estimate age-specific mortality incidence rates in the face of this missing information. By utilizing previously determined probabilities of birth, a birth date and death date are imputed for every decedent in the dataset. Thus, the birth cohort of each individual is imputed, and the total on-study time can be calculated. This idea is implemented in two approaches for estimation of mortality incidence rates. The first is an extension of a person-time approach, while the second is an extension of a life table approach. Monte Carlo simulations showed that both approaches perform well in comparison to the ideal complete data methods, but that the person-time method is preferred. An application to Tay-Sachs disease is demonstrated. It is concluded that the imputation methods proposed provide valid estimates of the incidence of death from death certificate data without the need for additional assumptions under which usual mortality rates provide valid estimates. PMID:26080753

  1. Hyaline membrane disease is underreported in a linked birth-infant death certificate database.

    PubMed Central

    Hamvas, A; Kwong, P; DeBaun, M; Schramm, W; Cole, F S

    1998-01-01

    OBJECTIVE: This study compared the Missouri State Department of Health linked birth-infant death certificate database and medical records with respect to recording hyaline membrane disease in very low-birth-weight infants. METHODS: We reviewed the records for all 976 infants weighing 500 to 1500 g who were born to St. Louis, Mo, residents in 1989, 1991, and 1992. RESULTS: Eighteen percent of the birth certificates and 54% of the medical records documented hyaline membrane disease, resulting in 34% sensitivity and 99% specificity. CONCLUSIONS: The Missouri State Department of Health birth-infant death certificate database underestimates the incidence of hyaline membrane disease, which suggest that national statistics for the disease are also underestimated. PMID:9736884

  2. Certificate-Based Encryption and the Certificate Revocation Problem

    E-print Network

    International Association for Cryptologic Research (IACR)

    by a trusted certificate authority (CA) that securely binds together several quantities. Typically compromises it, the user itself may request revocation of its certificate. Alternatively, the user's company the CA distributes certificate status information indicating whether the certificate is currently valid

  3. Using death certificates and medical examiner records for adolescent occupational fatality surveillance and research: a case study.

    PubMed

    Rauscher, Kimberly J; Runyan, Carol W; Radisch, Deborah

    2012-01-01

    Death certificates and medical examiner records have been useful yet imperfect data sources for work-related fatality research and surveillance among adult workers. It is unclear whether this holds for work-related fatalities among adolescent workers who suffer unique detection challenges in part because they are not often thought of as workers. This study investigated the utility of using these data sources for surveillance and research pertaining to adolescent work-related fatalities. Using the state of North Carolina as a case study, we analyzed data from the death certificates and medical examiner records of all work-related fatalities data among 11- to 17-year-olds between 1990-2008 (N = 31). We compared data sources on case identification, of completeness, and consistency information. Variables examined included those on the injury (e.g., means), occurrence (e.g., place), demographics, and employment (e.g., occupation). Medical examiner records (90%) were more likely than death certificates (71%) to identify adolescent work-related fatalities. Data completeness was generally high yet varied between sources. The most marked difference being that in medical examiner records, type of business/industry and occupation were complete in 72 and 67% of cases, respectively, while on the death certificates these fields were complete in 90 and 97% of cases, respectively. Taking the two sources together, each field was complete in upward of 94% of cases. Although completeness was high, data were not always of good quality and sometimes conflicted across sources. In many cases, the decedent's occupation was misclassified as "student" and their employer as "school" on the death certificate. Even though each source has its weaknesses, medical examiner records and death certificates, especially when used together, can be useful for conducting surveillance and research on adolescent work-related fatalities. However, extra care is needed by data recorders to ensure that occupation and employer are properly coded when dealing with adolescent worker deaths. PMID:22937912

  4. ACACIA: A Certificate-based Access-Controlled Internet Architecture

    E-print Network

    Li, Li Erran

    ACACIA: A Certificate-based Access-Controlled Internet Architecture Tian Bu Li (Erran) Li. In this paper, we propose ACACIA--A Certificate-based Access-Controlled Internet Architecture. In ACACIA packets with no certificates are forwarded in a low priority queue. ACACIA is designed to be mobility

  5. Occupation and industry on death certificates of long-term chemical workers: concordance with work history records.

    PubMed

    Olsen, G W; Brondum, J; Bodner, K M; Kravat, B A; Mandel, J S; Mandel, J H; Bond, G G

    1990-01-01

    This study evaluated the concordance between occupation and industry listed on death certificates with actual work history information for a group (n = 5,882) of long-term (10 years or more) workers at a chemical company. Match rates were calculated as the percent of death certificate occupation and company entries that were confirmed by work history data using 3-digit 1980 U.S. Census Bureau group codes. The concordance rate for industry differed by employment status at death: employed, 94.9%; inactive, 30.8%; and retired, 91.1%. Concordance on occupation was analyzed for employed (n = 467) and retired (n = 932) subjects who had computerized work histories (randomly done prior to the study) and who had matched on the company on the death certificate. Concordance ranged from 0 to 50% for the first job, to 50 to 70% for the last job, longest job, and longest job in the last 10 years of company employment. The most consistent predictor of concordance was job duration. Misclassification was reviewed by occupational category. Results from this and other investigations lead to the inevitable conclusion that usual occupation data from death certificates are grossly inadequate for studies of occupational risks. PMID:2327414

  6. Risk for prostate cancer by occupation and industry: a 24-state death certificate study.

    PubMed

    Krstev, S; Baris, D; Stewart, P A; Hayes, R B; Blair, A; Dosemeci, M

    1998-11-01

    Current knowledge of the etiology of prostate cancer is limited. Numerous studies have suggested that certain occupations and industries may be associated with the occurrence of prostate cancer. Information on occupation and industry on death certificates from 24 states gathered from 1984 to 1993 was used in case control study on prostate cancer. A total of 60,878 men with prostate cancer as underlying cause of death was selected and matched with controls who died of all other causes except cancer. Similar to the findings of our parallel large case control study of prostate cancer, we observed excess risks in some white-collar occupations, such as administrators, managers, teachers, engineers, and sales occupations. However, some blue-collar occupations, such as power plant operators and stationary engineers, brickmasons, machinery maintenance workers, airplane pilots, longshoreman, railroad industry workers, and other occupations with potential exposure to PAH also showed risk of excess prostate cancer. Risk was significantly decreased for blue-collar occupations, including farm workers, commercial fishermen, mechanics and repairers, structural metal workers, mining, printing, winding, dry cleaning, textile machine operators, cooks, bakers, and bartenders. Although we observed excess risks of prostate cancer among some low socioeconomic status (SES) occupations, the overall results suggest that the effects of higher SES cannot be ruled out in associations between occupational factors and the risk of prostate cancer. PMID:9787844

  7. Mandated Competency-Based Teacher Certification and the Public Interest.

    ERIC Educational Resources Information Center

    Spaulding, Robert L.

    Responding to the current lack of an empirical basis for competency-based teacher certification, Georgia has mandated studies leading to the establishment of empirical criteria. In the Carroll County Competency-Based Teacher Certification Project, the instructional behaviors of some 60 certified teachers and the classroom behaviors of the…

  8. Cause-Specific Mortality and Death Certificate Reporting in Adults with Moderate to Profound Intellectual Disability

    ERIC Educational Resources Information Center

    Tyrer, F.; McGrother, C.

    2009-01-01

    Background: The study of premature deaths in people with intellectual disability (ID) has become the focus of recent policy initiatives in England. This is the first UK population-based study to explore cause-specific mortality in adults with ID compared with the general population. Methods: Cause-specific standardised mortality ratios (SMRs) and…

  9. 75 FR 27182 - Energy Conservation Program: Web-Based Compliance and Certification Management System

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-05-14

    ...1904-AC10 Energy Conservation Program: Web-Based Compliance and Certification Management...of Energy (DOE) through an electronic Web-based tool, the Compliance and Certification...Certification Management System (CCMS)--via the Web portal:...

  10. Product-based Safety Certification for Medical Devices Embedded Software.

    PubMed

    Neto, José Augusto; Figueiredo Damásio, Jemerson; Monthaler, Paul; Morais, Misael

    2015-01-01

    Worldwide medical device embedded software certification practices are currently focused on manufacturing best practices. In Brazil, the national regulatory agency does not hold a local certification process for software-intensive medical devices and admits international certification (e.g. FDA and CE) from local and international industry to operate in the Brazilian health care market. We present here a product-based certification process as a candidate process to support the Brazilian regulatory agency ANVISA in medical device software regulation. Center of Strategic Technology for Healthcare (NUTES) medical device embedded software certification is based on a solid safety quality model and has been tested with reasonable success against the Class I risk device Generic Infusion Pump (GIP). PMID:26262044

  11. [An attempt at estimating the time of death based on limited data from death scene].

    PubMed

    Kaliszan, Micha?

    2012-01-01

    The paper presents a case of murder, in which an important fact for the investigation was determination of the time of death. The problem was lack of relevant data from the death scene resulting from delayed and mismanaged external body examination, and particularly lack of body temperature measurement. Due to the gravity of the case, despite the lack of body temperature record, an attempt at estimating the time interval in which death occurred was undertaken. The time interval of 10 hours during which death most probably occurred was determined based on the stage of development of postmortem lividity, rigor mortis and also depositions of witnesses. If, however, body temperature at the death scene had been recorded, which should have been a routine action, the accuracy of the time of death estimation would most probably have been much higher. PMID:23650846

  12. A Program Certification Assistant Based on Fully Automated Theorem Provers

    NASA Technical Reports Server (NTRS)

    Denney, Ewen; Fischer, Bernd

    2005-01-01

    We describe a certification assistant to support formal safety proofs for programs. It is based on a graphical user interface that hides the low-level details of first-order automated theorem provers while supporting limited interactivity: it allows users to customize and control the proof process on a high level, manages the auxiliary artifacts produced during this process, and provides traceability between the proof obligations and the relevant parts of the program. The certification assistant is part of a larger program synthesis system and is intended to support the deployment of automatically generated code in safety-critical applications.

  13. [The attending physician and the certificate of natural death in children].

    PubMed

    Plötz, F B; Smit, L M E

    2004-08-01

    Three children died in the paediatric intensive-care unit or emergency department. The case of a 3.5-year-old girl who died after a pneumococcal infection was considered a natural death. An 8-year-old boy suddenly collapsed and died despite resuscitation. The attending physician considered this an unnatural death. The district medical examiner, after consulting the district attorney, required an autopsy, but the cause of death could not be ascertained and the next of kin were to be examined for cardiac rhythm disorders. A 2-year-old boy died after a fall out of a window. The district medical examiner and the district attorney concluded that there was sufficient explanation for this unnatural death and that autopsy was not necessary. The attending physician has several important tasks around the time of and after death in which he or she is subject to a number of legal regulations. Knowledge of these regulations is mandatory for good medical practice. PMID:15382554

  14. 20 CFR 655.204 - Determinations based on temporary labor certification applications.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ...ADMINISTRATION, DEPARTMENT OF LABOR TEMPORARY EMPLOYMENT OF FOREIGN WORKERS IN THE UNITED STATES Labor Certification Process for Logging Employment and Non-H-2A Agricultural Employment § 655.204 Determinations based on temporary labor certification...

  15. 20 CFR 655.204 - Determinations based on temporary labor certification applications.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ...ADMINISTRATION, DEPARTMENT OF LABOR TEMPORARY EMPLOYMENT OF FOREIGN WORKERS IN THE UNITED STATES Labor Certification Process for Logging Employment and Non-H-2A Agricultural Employment § 655.204 Determinations based on temporary labor certification...

  16. 20 CFR 655.204 - Determinations based on temporary labor certification applications.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ...ADMINISTRATION, DEPARTMENT OF LABOR TEMPORARY EMPLOYMENT OF FOREIGN WORKERS IN THE UNITED STATES Labor Certification Process for Logging Employment and Non-H-2A Agricultural Employment § 655.204 Determinations based on temporary labor certification...

  17. 20 CFR 655.204 - Determinations based on temporary labor certification applications.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ...ADMINISTRATION, DEPARTMENT OF LABOR TEMPORARY EMPLOYMENT OF FOREIGN WORKERS IN THE UNITED STATES Labor Certification Process for Logging Employment and Non-H-2A Agricultural Employment § 655.204 Determinations based on temporary labor certification...

  18. Efficient certificate-based signcryption secure against public key replacement attacks and insider attacks.

    PubMed

    Lu, Yang; Li, Jiguo

    2014-01-01

    Signcryption is a useful cryptographic primitive that achieves confidentiality and authentication in an efficient manner. As an extension of signcryption in certificate-based cryptography, certificate-based signcryption preserves the merits of certificate-based cryptography and signcryption simultaneously. In this paper, we present an improved security model of certificate-based signcryption that covers both public key replacement attack and insider security. We show that an existing certificate-based signcryption scheme is insecure in our model. We also propose a new certificate-based signcryption scheme that achieves security against both public key replacement attacks and insider attacks. We prove in the random oracle model that the proposed scheme is chosen-ciphertext secure and existentially unforgeable. Performance analysis shows that the proposed scheme outperforms all the previous certificate-based signcryption schemes in the literature. PMID:24959606

  19. 5 CFR 843.311 - Annuity based on death of a separated employee.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ...2013-01-01 false Annuity based on death of a separated employee. 843.311... FEDERAL EMPLOYEES RETIREMENT SYSTEM-DEATH BENEFITS AND EMPLOYEE REFUNDS Current...Benefits § 843.311 Annuity based on death of a separated employee....

  20. 5 CFR 843.311 - Annuity based on death of a separated employee.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ...2014-01-01 false Annuity based on death of a separated employee. 843.311... FEDERAL EMPLOYEES RETIREMENT SYSTEM-DEATH BENEFITS AND EMPLOYEE REFUNDS Current...Benefits § 843.311 Annuity based on death of a separated employee....

  1. 5 CFR 843.311 - Annuity based on death of a separated employee.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ...2011-01-01 false Annuity based on death of a separated employee. 843.311... FEDERAL EMPLOYEES RETIREMENT SYSTEM-DEATH BENEFITS AND EMPLOYEE REFUNDS Current...Benefits § 843.311 Annuity based on death of a separated employee....

  2. 5 CFR 843.311 - Annuity based on death of a separated employee.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ...2012-01-01 false Annuity based on death of a separated employee. 843.311... FEDERAL EMPLOYEES RETIREMENT SYSTEM-DEATH BENEFITS AND EMPLOYEE REFUNDS Current...Benefits § 843.311 Annuity based on death of a separated employee....

  3. 5 CFR 843.311 - Annuity based on death of a separated employee.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ...2010-01-01 false Annuity based on death of a separated employee. 843.311... FEDERAL EMPLOYEES RETIREMENT SYSTEM-DEATH BENEFITS AND EMPLOYEE REFUNDS Current...Benefits § 843.311 Annuity based on death of a separated employee....

  4. Space Based Range Demonstration and Certification (SBRDC)

    NASA Technical Reports Server (NTRS)

    Sakahara, Robert

    2005-01-01

    This viewgraph presentation describes the development, utilization and testing of technologies for range safety and range user systems. The contents include: 1) Space Based Range (SBR) Goals and Objectives; 2) Today s United States Range; 3) Future Range; 4) Another Vision for the Future Range; 5) STARS Project Goals; 6) STARS Content; 7) STARS Configuration Flight Demonstrations 1 & 2; 8) Spaceport And Range Technologies STARS Objectives and Results; 9) Spaceport And Range Technologies STARS FD2 Objectives; 10) Range Safety Hardware; 11) Range User Hardware; and 12) Past/Future Flight Demo Plans

  5. GPS-based certification for the microwave landing system

    NASA Technical Reports Server (NTRS)

    Thornton, C. L.; Young, L. E.; Wu, S. C.; Thomas, J. B.

    1984-01-01

    An MLS (microwave landing system) certification system based on the Global Positioning System (GPS) is described. To determine the position history of the flight inspection aircraft during runway approach, signals from the GPS satellites, together with on-board radar altimetry, are used. It is shown that the aircraft position relative to a fixed point on the runway at threshold can be determined to about 30 cm vertically and 1 m horizontally. A requirement of the system is that the GPS receivers be placed on each flight inspection aircraft and at selected ground sites. The effects of different error sources on the determination of aircraft instantaneous position and its dynamics are analyzed.

  6. 34 CFR 682.402 - Death, disability, closed school, false certification, unpaid refunds, and bankruptcy payments.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... (CONTINUED) FEDERAL FAMILY EDUCATION LOAN (FFEL) PROGRAM Administration of the Federal Family Education Loan... refunds, and bankruptcy payments. (a) General. (1) Rules governing the payment of claims based on filing... under paragraph (a)(5) (i) or (ii) of this section, the Secretary may authorize the payment of a...

  7. 34 CFR 682.402 - Death, disability, closed school, false certification, unpaid refunds, and bankruptcy payments.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... (CONTINUED) FEDERAL FAMILY EDUCATION LOAN (FFEL) PROGRAM Administration of the Federal Family Education Loan... refunds, and bankruptcy payments. (a) General. (1) Rules governing the payment of claims based on filing... claim under this section under conditions the Secretary considers appropriate. If the...

  8. 34 CFR 682.402 - Death, disability, closed school, false certification, unpaid refunds, and bankruptcy payments.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... (CONTINUED) FEDERAL FAMILY EDUCATION LOAN (FFEL) PROGRAM Administration of the Federal Family Education Loan... refunds, and bankruptcy payments. (a) General. (1) Rules governing the payment of claims based on filing... under paragraph (a)(5) (i) or (ii) of this section, the Secretary may authorize the payment of a...

  9. A Study in Causal Discovery from Population-Based Infant Birth and Death Records

    E-print Network

    Valtorta, Marco

    and death dataset. METHODS Infant Birth and Death Dataset We used the U.S. Linked Birth Infant Death datasetA Study in Causal Discovery from Population-Based Infant Birth and Death Records Subramani Mani management, prevention and control strategies for the improvement of health care. With the goal of exploring

  10. 40 CFR 745.238 - Fees for accreditation and certification of lead-based paint activities.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ...for accreditation and certification of lead-based paint activities. 745.238...CONTINUED) TOXIC SUBSTANCES CONTROL ACT LEAD-BASED PAINT POISONING PREVENTION IN CERTAIN RESIDENTIAL STRUCTURES Lead-Based Paint Activities §...

  11. 40 CFR 745.238 - Fees for accreditation and certification of lead-based paint activities.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ...for accreditation and certification of lead-based paint activities. 745.238...CONTINUED) TOXIC SUBSTANCES CONTROL ACT LEAD-BASED PAINT POISONING PREVENTION IN CERTAIN RESIDENTIAL STRUCTURES Lead-Based Paint Activities §...

  12. 40 CFR 745.238 - Fees for accreditation and certification of lead-based paint activities.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ...for accreditation and certification of lead-based paint activities. 745.238...CONTINUED) TOXIC SUBSTANCES CONTROL ACT LEAD-BASED PAINT POISONING PREVENTION IN CERTAIN RESIDENTIAL STRUCTURES Lead-Based Paint Activities §...

  13. 40 CFR 745.238 - Fees for accreditation and certification of lead-based paint activities.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ...for accreditation and certification of lead-based paint activities. 745.238...CONTINUED) TOXIC SUBSTANCES CONTROL ACT LEAD-BASED PAINT POISONING PREVENTION IN CERTAIN RESIDENTIAL STRUCTURES Lead-Based Paint Activities §...

  14. 40 CFR 745.238 - Fees for accreditation and certification of lead-based paint activities.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ...for accreditation and certification of lead-based paint activities. 745.238...CONTINUED) TOXIC SUBSTANCES CONTROL ACT LEAD-BASED PAINT POISONING PREVENTION IN CERTAIN RESIDENTIAL STRUCTURES Lead-Based Paint Activities §...

  15. Coherent state quantum key distribution based on entanglement sudden death

    NASA Astrophysics Data System (ADS)

    Jaeger, Gregg; Simon, David; Sergienko, Alexander V.

    2015-07-01

    A method for quantum key distribution (QKD) using entangled coherent states is discussed which is designed to provide key distribution rates and transmission distances surpassing those of traditional entangled photon pair QKD by exploiting entanglement sudden death. The method uses entangled electromagnetic signal states of `macroscopic' average photon numbers rather than single photon or entangled photon pairs, which have inherently limited rate and distance performance as bearers of quantum key data. Accordingly, rather than relying specifically on Bell inequalities as do entangled photon pair-based methods, the security of this method is based on entanglement witnesses and related functions.

  16. 38 CFR 51.20 - Application for recognition based on certification.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... VETERANS AFFAIRS (CONTINUED) PER DIEM FOR NURSING HOME CARE OF VETERANS IN STATE HOMES Obtaining Per Diem for Nursing Home Care in State Homes § 51.20 Application for recognition based on certification. To apply for recognition and certification of a State home for nursing home care, a State must: (a) Send...

  17. 38 CFR 51.20 - Application for recognition based on certification.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... VETERANS AFFAIRS (CONTINUED) PER DIEM FOR NURSING HOME CARE OF VETERANS IN STATE HOMES Obtaining Per Diem for Nursing Home Care in State Homes § 51.20 Application for recognition based on certification. To apply for recognition and certification of a State home for nursing home care, a State must: (a) Send...

  18. 38 CFR 51.20 - Application for recognition based on certification.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... VETERANS AFFAIRS (CONTINUED) PER DIEM FOR NURSING HOME CARE OF VETERANS IN STATE HOMES Obtaining Per Diem for Nursing Home Care in State Homes § 51.20 Application for recognition based on certification. To apply for recognition and certification of a State home for nursing home care, a State must: (a) Send...

  19. 38 CFR 51.20 - Application for recognition based on certification.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... VETERANS AFFAIRS (CONTINUED) PER DIEM FOR NURSING HOME CARE OF VETERANS IN STATE HOMES Obtaining Per Diem for Nursing Home Care in State Homes § 51.20 Application for recognition based on certification. To apply for recognition and certification of a State home for nursing home care, a State must: (a) Send...

  20. 38 CFR 51.20 - Application for recognition based on certification.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... VETERANS AFFAIRS (CONTINUED) PER DIEM FOR NURSING HOME CARE OF VETERANS IN STATE HOMES Obtaining Per Diem for Nursing Home Care in State Homes § 51.20 Application for recognition based on certification. To apply for recognition and certification of a State home for nursing home care, a State must: (a) Send...

  1. 5 CFR 843.310 - Annuity based on death of an employee.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 5 Administrative Personnel 2 2010-01-01 2010-01-01 false Annuity based on death of an employee... SERVICE REGULATIONS (CONTINUED) FEDERAL EMPLOYEES RETIREMENT SYSTEM-DEATH BENEFITS AND EMPLOYEE REFUNDS Current and Former Spouse Benefits § 843.310 Annuity based on death of an employee. Except as provided...

  2. 5 CFR 843.310 - Annuity based on death of an employee.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 5 Administrative Personnel 2 2014-01-01 2014-01-01 false Annuity based on death of an employee... SERVICE REGULATIONS (CONTINUED) FEDERAL EMPLOYEES RETIREMENT SYSTEM-DEATH BENEFITS AND EMPLOYEE REFUNDS Current and Former Spouse Benefits § 843.310 Annuity based on death of an employee. Except as provided...

  3. 5 CFR 843.310 - Annuity based on death of an employee.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 5 Administrative Personnel 2 2013-01-01 2013-01-01 false Annuity based on death of an employee... SERVICE REGULATIONS (CONTINUED) FEDERAL EMPLOYEES RETIREMENT SYSTEM-DEATH BENEFITS AND EMPLOYEE REFUNDS Current and Former Spouse Benefits § 843.310 Annuity based on death of an employee. Except as provided...

  4. 5 CFR 843.310 - Annuity based on death of an employee.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ...2014-01-01 false Annuity based on death of an employee. 843.310 Section... FEDERAL EMPLOYEES RETIREMENT SYSTEM-DEATH BENEFITS AND EMPLOYEE REFUNDS Current...Benefits § 843.310 Annuity based on death of an employee. Except as...

  5. 5 CFR 843.310 - Annuity based on death of an employee.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ...2013-01-01 false Annuity based on death of an employee. 843.310 Section... FEDERAL EMPLOYEES RETIREMENT SYSTEM-DEATH BENEFITS AND EMPLOYEE REFUNDS Current...Benefits § 843.310 Annuity based on death of an employee. Except as...

  6. 5 CFR 843.310 - Annuity based on death of an employee.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ...2012-01-01 false Annuity based on death of an employee. 843.310 Section... FEDERAL EMPLOYEES RETIREMENT SYSTEM-DEATH BENEFITS AND EMPLOYEE REFUNDS Current...Benefits § 843.310 Annuity based on death of an employee. Except as...

  7. 5 CFR 843.310 - Annuity based on death of an employee.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ...2011-01-01 false Annuity based on death of an employee. 843.310 Section... FEDERAL EMPLOYEES RETIREMENT SYSTEM-DEATH BENEFITS AND EMPLOYEE REFUNDS Current...Benefits § 843.310 Annuity based on death of an employee. Except as...

  8. 5 CFR 843.310 - Annuity based on death of an employee.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ...2010-01-01 false Annuity based on death of an employee. 843.310 Section... FEDERAL EMPLOYEES RETIREMENT SYSTEM-DEATH BENEFITS AND EMPLOYEE REFUNDS Current...Benefits § 843.310 Annuity based on death of an employee. Except as...

  9. Multiple cause of death mortality patterns among Californians

    SciTech Connect

    White, M.C.

    1989-11-28

    The purpose of this study was to describe mortality patterns among the elderly using single versus multiple cause of death data and examine ways that multiple cause of death data can best be processed, analyzed and presented. Deaths among white California aged 65 and older for the years 1970, 1975 and 1980 were analyzed. Overall, mortality rates decreased over time, at all ages and for both sexes but more so for females, although the number of causes of death increased with age. Underlying cause mortality rates were compared to rates based on any mention of a cause on the death certificate; diabetes and atherosclerosis were more frequent causes of both than would be indicated by single cause statistics, and heart diseases other than ischemic heart disease increased in mentions on the death certificated while ischemic heart disease underlying mortality rates decreased. Pairs of causes of death showed increased likelihood of occurrence of a number of combinations of chronic diseases. In all pair combinations studied, the addition of another serious chronic disease lowered the mean age of death resulted in an older mean age of death. This result combined with higher number of causes per death but lower mortality rates among females raised interesting questions about interpreting more causes on death certificates as an indication of a sicker person at time of death. This study confirmed morbidity and mortality work on other that mortality of older adults in decreasing but that the number of causes of death per person is increasing. 82 refs., 30 figs., 59 tabs.

  10. 38 CFR 3.1704 - Burial allowance based on service-connected death.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... service-connected death. 3.1704 Section 3.1704 Pensions, Bonuses, and Veterans' Relief DEPARTMENT OF....1704 Burial allowance based on service-connected death. Pt. 3, Subpt. B, Nt. (a) General rule. VA will... of the veteran's death that the expenses incurred were less than that amount. Payment of the...

  11. A Certificate-Based Approach to Marketing Green Power and

    E-print Network

    .576.8401 fax: 865.576.5728 email: reports@adonis.osti.gov Available for sale to the public, in paper, from: U://www.ntis.gov/ordering.htm Printed on paper containing at least 50% wastepaper, including 20% postconsumer waste #12;A Certificate from either coal-fired or nuclear generation, with attendant environmental problems. Only 2% of the U

  12. Mortality from heart failure, acute myocardial infarction and other ischaemic heart disease in England and Oxford: a trend study of multiple-cause-coded death certification

    PubMed Central

    Rahimi, Kazem; Duncan, Marie; Pitcher, Alex; Emdin, Connor A; Goldacre, Michael J

    2015-01-01

    Background Age-standardised death rates from acute myocardial infarction (AMI) and ischaemic heart disease (IHD) have been declining in most developed countries. However, the magnitude of such reductions and how they impact on death from heart failure are less certain. We sought to assess and compare temporal trends in mortality from heart failure, AMI and non-AMI IHD over a 30-year period in England. Methods We analysed death registration data for multiple-cause-coded mortality for all deaths in people aged 35?years and over in England from 1995 to 2010, population 52 million, and in a regional population (Oxford region) from 1981 to 2010, population 2.5 million, for which data on all causes of death were available. Results Considering all ages and both sexes combined, during the 30-year observation period, age-standardised and sex-standardised mortality rates based on all certified causes of death declined by 60% for heart failure, 80% for AMI and 46% for non-AMI IHD. These longer term trends observed in the Oxford region were consistent with those for the whole of England from 1995 to 2010, with no evidence of a plateau in recent years. Although proportional reductions in rates differed by age and sex, even in those aged 85?years or more, there were substantial reductions in mortality rates in the all-England data set (50%, 66% and 20% for heart failure, AMI and non-AMI IHD, respectively). Conclusions This study shows large and sustained reductions in age-specific and sex-specific and standardised death rates from heart failure, as well as from AMI and non-AMI IHD, over a 30-year period in England. PMID:26136081

  13. 5 CFR 880.205 - Determinations of death.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 5 Administrative Personnel 2 2013-01-01 2013-01-01 false Determinations of death. 880.205 Section... Determinations of death. OPM does not make findings of presumed death. A claimant for CSRS, FERS, or FEGLI death... § 880.207 must submit a death certificate or other legal certification of death issued by an...

  14. 5 CFR 880.205 - Determinations of death.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 5 Administrative Personnel 2 2012-01-01 2012-01-01 false Determinations of death. 880.205 Section... Determinations of death. OPM does not make findings of presumed death. A claimant for CSRS, FERS, or FEGLI death... § 880.207 must submit a death certificate or other legal certification of death issued by an...

  15. 5 CFR 880.205 - Determinations of death.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 5 Administrative Personnel 2 2014-01-01 2014-01-01 false Determinations of death. 880.205 Section... Determinations of death. OPM does not make findings of presumed death. A claimant for CSRS, FERS, or FEGLI death... § 880.207 must submit a death certificate or other legal certification of death issued by an...

  16. 5 CFR 880.205 - Determinations of death.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 5 Administrative Personnel 2 2011-01-01 2011-01-01 false Determinations of death. 880.205 Section... Determinations of death. OPM does not make findings of presumed death. A claimant for CSRS, FERS, or FEGLI death... § 880.207 must submit a death certificate or other legal certification of death issued by an...

  17. 5 CFR 880.205 - Determinations of death.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 5 Administrative Personnel 2 2010-01-01 2010-01-01 false Determinations of death. 880.205 Section... Determinations of death. OPM does not make findings of presumed death. A claimant for CSRS, FERS, or FEGLI death... § 880.207 must submit a death certificate or other legal certification of death issued by an...

  18. Certification Framework Based on Effective Trapping for Geologic Carbon Sequestration

    SciTech Connect

    Oldenburg, Curtis M.; Bryant, Steven L.; Nicot, Jean-Philippe

    2009-01-15

    We have developed a certification framework (CF) for certifying the safety and effectiveness of geologic carbon sequestration (GCS) sites. Safety and effectiveness are achieved if CO{sub 2} and displaced brine have no significant impact on humans, other living things, resources, or the environment. In the CF, we relate effective trapping to CO{sub 2} leakage risk which takes into account both the impact and probability of leakage. We achieve simplicity in the CF by using (1) wells and faults as the potential leakage pathways, (2) compartments to represent environmental resources that may be impacted by leakage, (3) CO{sub 2} fluxes and concentrations in the compartments as proxies for impact to vulnerable entities, (4) broad ranges of storage formation properties to generate a catalog of simulated plume movements, and (5) probabilities of intersection of the CO{sub 2} plume with the conduits and compartments. We demonstrate the approach on a hypothetical GCS site in a Texas Gulf Coast saline formation. Through its generality and flexibility, the CF can contribute to the assessment of risk of CO{sub 2} and brine leakage as part of the certification process for licensing and permitting of GCS sites around the world regardless of the specific regulations in place in any given country.

  19. 40 CFR 745.229 - Certification of individuals and firms engaged in lead-based paint activities: public and...

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ...Certification of individuals and firms engaged in lead-based paint activities: public and...CONTINUED) TOXIC SUBSTANCES CONTROL ACT LEAD-BASED PAINT POISONING PREVENTION IN CERTAIN RESIDENTIAL STRUCTURES Lead-Based Paint Activities §...

  20. 40 CFR 745.229 - Certification of individuals and firms engaged in lead-based paint activities: public and...

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ...Certification of individuals and firms engaged in lead-based paint activities: public and...CONTINUED) TOXIC SUBSTANCES CONTROL ACT LEAD-BASED PAINT POISONING PREVENTION IN CERTAIN RESIDENTIAL STRUCTURES Lead-Based Paint Activities §...

  1. 40 CFR 745.229 - Certification of individuals and firms engaged in lead-based paint activities: public and...

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ...Certification of individuals and firms engaged in lead-based paint activities: public and...CONTINUED) TOXIC SUBSTANCES CONTROL ACT LEAD-BASED PAINT POISONING PREVENTION IN CERTAIN RESIDENTIAL STRUCTURES Lead-Based Paint Activities §...

  2. 40 CFR 745.226 - Certification of individuals and firms engaged in lead-based paint activities: target housing and...

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ...Certification of individuals and firms engaged in lead-based paint activities: target housing...CONTINUED) TOXIC SUBSTANCES CONTROL ACT LEAD-BASED PAINT POISONING PREVENTION IN CERTAIN RESIDENTIAL STRUCTURES Lead-Based Paint Activities §...

  3. 40 CFR 745.226 - Certification of individuals and firms engaged in lead-based paint activities: target housing and...

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ...Certification of individuals and firms engaged in lead-based paint activities: target housing...CONTINUED) TOXIC SUBSTANCES CONTROL ACT LEAD-BASED PAINT POISONING PREVENTION IN CERTAIN RESIDENTIAL STRUCTURES Lead-Based Paint Activities §...

  4. 40 CFR 745.229 - Certification of individuals and firms engaged in lead-based paint activities: public and...

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ...Certification of individuals and firms engaged in lead-based paint activities: public and...CONTINUED) TOXIC SUBSTANCES CONTROL ACT LEAD-BASED PAINT POISONING PREVENTION IN CERTAIN RESIDENTIAL STRUCTURES Lead-Based Paint Activities §...

  5. 40 CFR 745.226 - Certification of individuals and firms engaged in lead-based paint activities: target housing and...

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ...Certification of individuals and firms engaged in lead-based paint activities: target housing...CONTINUED) TOXIC SUBSTANCES CONTROL ACT LEAD-BASED PAINT POISONING PREVENTION IN CERTAIN RESIDENTIAL STRUCTURES Lead-Based Paint Activities §...

  6. 40 CFR 745.229 - Certification of individuals and firms engaged in lead-based paint activities: public and...

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ...Certification of individuals and firms engaged in lead-based paint activities: public and...CONTINUED) TOXIC SUBSTANCES CONTROL ACT LEAD-BASED PAINT POISONING PREVENTION IN CERTAIN RESIDENTIAL STRUCTURES Lead-Based Paint Activities §...

  7. [Determination of death in mobile intensive care units operating without a physician].

    PubMed

    Yafe, Eli; Feingenberg, Zvi; Miller, Rami; Strugo, Rafi

    2011-12-01

    Determination of the death of a person is one of the most complex issues in modern medicine. Therefore, in Israel (like many other countries), the authority to determine death belongs solely to medical doctors. Determination of death is a process built from 3 components: the declaration of death, certification of death and registration of death. Declaration of death is based on well established protocols, and is used as the normative basis for ending or avoiding resuscitation efforts in the pre-hospital setting. Certification and registration of death are essential for completion of the process, in order to enable care for the deceased--according to local custom. The division mentioned above does not exist in Israel. Therefore, declaration and certification of death are carried out solely by medical doctors. This situation necessarily demands the immediate presence of a medical doctor, whenever a process of death determination is being held. When death occurs in a hospital or a medical institute continuously occupied by medical doctors, there is no problem to fulfill this term. However, on the other hand, when death occurs outside the hospital or medical institute, the burden of death determination usually falls on the doctors occupying Magen David Adom ambulances. This leads to irrational use of a limited resource, aimed for emergency pre-hospital care. This review examines the problem and all the aspects involved, and offers possible solutions--based on acceptable guidelines. PMID:22352286

  8. Characteristics of Belgian “life-ending acts without explicit patient request”: a large-scale death certificate survey revisited

    PubMed Central

    Chambaere, Kenneth; Bernheim, Jan L.; Downar, James; Deliens, Luc

    2014-01-01

    Background “Life-ending acts without explicit patient request,” as identified in robust international studies, are central in current debates on physician-assisted dying. Despite their contentiousness, little attention has been paid to their actual characteristics and to what extent they truly represent nonvoluntary termination of life. Methods We analyzed the 66 cases of life-ending acts without explicit patient request identified in a large-scale survey of physicians certifying a representative sample of deaths (n = 6927) in Flanders, Belgium, in 2007. The characteristics we studied included physicians’ labelling of the act, treatment course and doses used, and patient involvement in the decision. Results In most cases (87.9%), physicians labelled their acts in terms of symptom treatment rather than in terms of ending life. By comparing drug combinations and doses of opioids used, we found that the life-ending acts were similar to intensified pain and symptom treatment and were distinct from euthanasia. In 45 cases, there was at least 1 characteristic inconsistent with the common understanding of the practice: either patients had previously expressed a wish for ending life (16/66, 24.4%), physicians reported that the administered doses had not been higher than necessary to relieve suffering (22/66, 33.3%), or both (7/66, 10.6%). Interpretation Most of the cases we studied did not fit the label of “nonvoluntary life-ending” for at least 1 of the following reasons: the drugs were administered with a focus on symptom control; a hastened death was highly unlikely; or the act was taken in accordance with the patient’s previously expressed wishes. Thus, we recommend a more nuanced view of life-ending acts without explicit patient request in the debate on physician-assisted dying. PMID:25485252

  9. 38 CFR 51.10 - Per diem based on recognition and certification.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... VETERANS AFFAIRS (CONTINUED) PER DIEM FOR NURSING HOME CARE OF VETERANS IN STATE HOMES Obtaining Per Diem for Nursing Home Care in State Homes § 51.10 Per diem based on recognition and certification. VA will pay per diem to a State for providing nursing home care to eligible veterans in a facility if...

  10. 38 CFR 51.10 - Per diem based on recognition and certification.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... VETERANS AFFAIRS (CONTINUED) PER DIEM FOR NURSING HOME CARE OF VETERANS IN STATE HOMES Obtaining Per Diem for Nursing Home Care in State Homes § 51.10 Per diem based on recognition and certification. VA will pay per diem to a State for providing nursing home care to eligible veterans in a facility if...

  11. 38 CFR 51.10 - Per diem based on recognition and certification.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... VETERANS AFFAIRS (CONTINUED) PER DIEM FOR NURSING HOME CARE OF VETERANS IN STATE HOMES Obtaining Per Diem for Nursing Home Care in State Homes § 51.10 Per diem based on recognition and certification. VA will pay per diem to a State for providing nursing home care to eligible veterans in a facility if...

  12. 38 CFR 51.10 - Per diem based on recognition and certification.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... VETERANS AFFAIRS (CONTINUED) PER DIEM FOR NURSING HOME CARE OF VETERANS IN STATE HOMES Obtaining Per Diem for Nursing Home Care in State Homes § 51.10 Per diem based on recognition and certification. VA will pay per diem to a State for providing nursing home care to eligible veterans in a facility if...

  13. 78 FR 54758 - Listing of Color Additives Exempt From Certification; Mica-Based Pearlescent Pigments...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-09-06

    ... the Federal Register of June 12, 2013 (78 FR 35115). The final rule amended the color additive... the Federal Register of June 12, 2013 (78 FR 35115), we amended the color additive regulations in Sec... Certification; Mica-Based Pearlescent Pigments; Confirmation of Effective Date AGENCY: Food and...

  14. 38 CFR 51.10 - Per diem based on recognition and certification.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... VETERANS AFFAIRS (CONTINUED) PER DIEM FOR NURSING HOME CARE OF VETERANS IN STATE HOMES Obtaining Per Diem for Nursing Home Care in State Homes § 51.10 Per diem based on recognition and certification. VA will pay per diem to a State for providing nursing home care to eligible veterans in a facility if...

  15. Market-based Certification and Management of Non-Timber Forest Products in Bhutan

    E-print Network

    Farming and Organics. Suggested citation: Yangzom, Karma, Irmela Krug, Kesang Tshomo, and SununtarMarket-based Certification and Management of Non-Timber Forest Products in Bhutan: Organic of an ADBI research project on contract farming and market facilitation for the rural poor. The project

  16. Improving maternity care in Ethiopia through facility based review of maternal deaths and near misses.

    PubMed

    Gebrehiwot, Yirgu; Tewolde, Birukkidus T

    2014-10-01

    The present study aimed to initiate facility based review of maternal deaths and near misses as part of the Ethiopian effort to reduce maternal mortality and achieve United Nations Millennium Development Goals 4 and 5. An in-depth review of all maternal deaths and near misses among women who visited 10 hospitals in four regions of Ethiopia was conducted between May 2011 and October 2012 as part of the FIGO LOGIC initiative. During the study period, a total of 2774 cases (206 deaths and 2568 near misses) were reviewed. The ratio of maternal deaths to near misses was 1:12 and the overall maternal death rate was 728 per 100 000 live births. Socioeconomic factors associated with maternal mortality included illiteracy 1672 (60.3%) and lack of employment outside the home 2098 (75.6%). In all, 1946 (70.2%) women arrived at hospital after they had developed serious complications owing to issues such as lack of transportation. Only 1223 (44.1%) women received prenatal follow-up and 157 (76.2%) deaths were attributed to direct obstetric causes. Based on the findings, facilities adopted a number of quality improvement measures such as providing 24-hour services, and making ambulances available. Integrating review of maternal deaths and near misses into regular practice provides accurate information on causes of maternal deaths and near misses and also improves quality of care in facilities. PMID:25261109

  17. Increased rate of death related to presence of viremia among hepatitis C virus antibody-positive subjects in a community-based cohort study

    PubMed Central

    Stuver, Sherri O.; Hayashi, Katsuhiro; Kumagai, Kotaro; Sasaki, Fumisato; Kanmura, Shuji; Numata, Masatsugu; Moriuchi, Akihiro; Hasegawa, Susumu; Oketani, Makoto; Ido, Akio; Kusumoto, Kazunori; Hasuike, Satoru; Nagata, Kenji; Kohara, Michinori; Tsubouchi, Hirohito

    2013-01-01

    The overall mortality of hepatitis C virus (HCV)-infected patients has not been fully elucidated. The aim of this study was to analyze mortality in subjects positive for antibody to HCV (anti-HCV) in a community-based, prospective cohort study conducted in an HCV hyperendemic area of Japan. During a 10-year period beginning in 1995, 1,125 anti-HCV seropositive residents of Town C were enrolled into the study and followed for mortality through 2005. Cause of death was assessed by death certificates. Subjects with detectable HCV core antigen (HCVcAg) or HCV RNA were considered as having hepatitis C viremia and were classified as HCV carriers; subjects who were negative for both HCVcAg and HCV RNA (i.e., viremia-negative) were considered as having had a prior HCV infection and were classified as HCV noncarriers. Among the anti-HCV-positive subjects included in the analysis, 758 (67.4%) were HCV carriers, and 367 were noncarriers. A total of 231 deaths occurred in these subjects over a mean follow-up of 8.2 years: 176 deaths in the HCV carrier group and 55 in the noncarrier group. The overall mortality rate was higher in HCV carriers than in noncarriers, adjusted for age and gender (hazard ratio [HR], 1.53; 95% confidence interval [CI], 1.13–2.07). Although liver-related deaths occurred more frequently among the HCV carriers (HR, 5.94; 95% CI, 2.58–13.7), the rates of other causes of death did not differ between HCV carriers and noncarriers. Among HCV carriers, a higher level of HCVcAg (?100 pg/ml) and persistently elevated alanine aminotransferase levels were important predictors of liver-related mortality. Conclusions The presence of viremia increases the rate of mortality, primarily due to liver-related death, among anti-HCV seropositive persons in Japan. PMID:19585614

  18. 2015 Edition Health Information Technology (Health IT) Certification Criteria, 2015 Edition Base Electronic Health Record (EHR) Definition, and ONC Health IT Certification Program Modifications. Final rule.

    PubMed

    2015-10-16

    This final rule finalizes a new edition of certification criteria (the 2015 Edition health IT certification criteria or "2015 Edition'') and a new 2015 Edition Base Electronic Health Record (EHR) definition, while also modifying the ONC Health IT Certification Program to make it open and accessible to more types of health IT and health IT that supports various care and practice settings. The 2015 Edition establishes the capabilities and specifies the related standards and implementation specifications that Certified Electronic Health Record Technology (CEHRT) would need to include to, at a minimum, support the achievement of meaningful use by eligible professionals (EPs), eligible hospitals, and critical access hospitals (CAHs) under the Medicare and Medicaid EHR Incentive Programs (EHR Incentive Programs) when such edition is required for use under these programs. PMID:26477063

  19. [A study on death: an analysis based on Vigotski's dialectical method].

    PubMed

    Combinato, Denise Stefanoni; Queiroz, Marcos de Souza

    2011-09-01

    This article focuses on the concept of death and, in particular, the social construction of its meaning for a professional healthcare team working in an intensive hospital care unit. Thirteen professionals (six physicians and seven nurses) participated in the research, through semi-structured interviews. Despite the fact that death is part of the human cycle and is present in the daily working life of these health professionals, the denial of its existence imposed by the culture of the modern western world prevents the development of specific strategies to address this problem. Based on the Vigotski's dialectical method, three main conceptions of death were extracted from the interviews: death as a natural consequence of life; death as a biological process and death as a divine blessing. In the absence of a proper space for a more systematical approach, the social representations from the professionals on this theme are restricted to subjective opinions. In the conclusion, the need for change in the institutional context and in health education is emphasized, with a specific focus directed on death and on the process of dying. PMID:21987332

  20. Combined Prediction Model of Death Toll for Road Traffic Accidents Based on Independent and Dependent Variables

    PubMed Central

    Zhong-xiang, Feng; Shi-sheng, Lu; Wei-hua, Zhang; Nan-nan, Zhang

    2014-01-01

    In order to build a combined model which can meet the variation rule of death toll data for road traffic accidents and can reflect the influence of multiple factors on traffic accidents and improve prediction accuracy for accidents, the Verhulst model was built based on the number of death tolls for road traffic accidents in China from 2002 to 2011; and car ownership, population, GDP, highway freight volume, highway passenger transportation volume, and highway mileage were chosen as the factors to build the death toll multivariate linear regression model. Then the two models were combined to be a combined prediction model which has weight coefficient. Shapley value method was applied to calculate the weight coefficient by assessing contributions. Finally, the combined model was used to recalculate the number of death tolls from 2002 to 2011, and the combined model was compared with the Verhulst and multivariate linear regression models. The results showed that the new model could not only characterize the death toll data characteristics but also quantify the degree of influence to the death toll by each influencing factor and had high accuracy as well as strong practicability. PMID:25610454

  1. Competing Risks of Death in Patients with Localized Renal Cell Carcinoma: A Comorbidity Based Model

    PubMed Central

    Kutikov, Alexander; Egleston, Brian L.; Canter, Daniel; Smaldone, Marc C.; Wong, Yu-Ning; Uzzo, Robert G.

    2015-01-01

    Purpose Multiple risks compete with cancer as the primary cause of death. These factors must be considered against the benefits of treatment. We constructed a competing causes of death model to help contextualize treatment tradeoff analyses in patients with localized RCC. Patients and Methods 6,655 individuals ?66 years old with localized RCC were identified in the linked SEER Medicare dataset (1995–2005). We used Fine and Gray’s competing risks proportional hazards regressions to predict probabilities of competing mortality outcomes. Prognostic markers included race, gender, tumor size, age, and the CCI Score. Results After a median follow-up of 43 months, age and comorbidity score strongly correlated to patient mortality and were most predictive of non-kidney cancer deaths as measured by concordance statistics. We demonstrate that patients with localized node negative kidney cancer have low 3 (4.7%), 5 (7.5%) and 10 (11.9%) year probabilities of cancer specific death, but significantly higher overall risk of death from competing causes within 3 (10.9%), 5 (20.1%) and 10 (44.4%) years of diagnosis of RCC, depending on their comorbidity scores. Conclusions Informed treatment decisions regarding patients with solid tumors must integrate not only cancer-related variables, but also factors that predict for non-cancer death. Here we establish a comorbidity based predictive model, which may assist in patient counseling by allowing quantification and comparison of competing risks of death in patients 66 and older with localized RCC who choose to proceed with surgery. PMID:23083850

  2. Inference of Epidemiological Dynamics Based on Simulated Phylogenies Using Birth-Death and Coalescent Models

    PubMed Central

    Boskova, Veronika; Bonhoeffer, Sebastian; Stadler, Tanja

    2014-01-01

    Quantifying epidemiological dynamics is crucial for understanding and forecasting the spread of an epidemic. The coalescent and the birth-death model are used interchangeably to infer epidemiological parameters from the genealogical relationships of the pathogen population under study, which in turn are inferred from the pathogen genetic sequencing data. To compare the performance of these widely applied models, we performed a simulation study. We simulated phylogenetic trees under the constant rate birth-death model and the coalescent model with a deterministic exponentially growing infected population. For each tree, we re-estimated the epidemiological parameters using both a birth-death and a coalescent based method, implemented as an MCMC procedure in BEAST v2.0. In our analyses that estimate the growth rate of an epidemic based on simulated birth-death trees, the point estimates such as the maximum a posteriori/maximum likelihood estimates are not very different. However, the estimates of uncertainty are very different. The birth-death model had a higher coverage than the coalescent model, i.e. contained the true value in the highest posterior density (HPD) interval more often (2–13% vs. 31–75% error). The coverage of the coalescent decreases with decreasing basic reproductive ratio and increasing sampling probability of infecteds. We hypothesize that the biases in the coalescent are due to the assumption of deterministic rather than stochastic population size changes. Both methods performed reasonably well when analyzing trees simulated under the coalescent. The methods can also identify other key epidemiological parameters as long as one of the parameters is fixed to its true value. In summary, when using genetic data to estimate epidemic dynamics, our results suggest that the birth-death method will be less sensitive to population fluctuations of early outbreaks than the coalescent method that assumes a deterministic exponentially growing infected population. PMID:25375100

  3. The Determinants of Place of Death: An Evidence-Based Analysis

    PubMed Central

    Costa, V

    2014-01-01

    Background According to a conceptual model described in this analysis, place of death is determined by an interplay of factors associated with the illness, the individual, and the environment. Objectives Our objective was to evaluate the determinants of place of death for adult patients who have been diagnosed with an advanced, life-limiting condition and are not expected to stabilize or improve. Data Sources A literature search was performed using Ovid MEDLINE, Ovid MEDLINE In-Process and Other Non-Indexed Citations, Ovid Embase, EBSCO Cumulative Index to Nursing & Allied Health Literature (CINAHL), and EBM Reviews, for studies published from January 1, 2004, to September 24, 2013. Review Methods Different places of death are considered in this analysis—home, nursing home, inpatient hospice, and inpatient palliative care unit, compared with hospital. We selected factors to evaluate from a list of possible predictors—i.e., determinants—of death. We extracted the adjusted odds ratios and 95% confidence intervals of each determinant, performed a meta-analysis if appropriate, and conducted a stratified analysis if substantial heterogeneity was observed. Results From a literature search yielding 5,899 citations, we included 2 systematic reviews and 29 observational studies. Factors that increased the likelihood of home death included multidisciplinary home palliative care, patient preference, having an informal caregiver, and the caregiver's ability to cope. Factors increasing the likelihood of a nursing home death included the availability of palliative care in the nursing home and the existence of advance directives. A cancer diagnosis and the involvement of home care services increased the likelihood of dying in an inpatient palliative care unit. A cancer diagnosis and a longer time between referral to palliative care and death increased the likelihood of inpatient hospice death. The quality of the evidence was considered low. Limitations Our results are based on those of retrospective observational studies. Conclusions The results obtained were consistent with previously published systematic reviews. The analysis identified several factors that are associated with place of death. PMID:26351550

  4. 29 CFR 1919.50 - Eligibility for accreditation to certificate shore-based material handling devices covered by...

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ...to certificate shore-based material handling devices...of vessels or shore-based equipment or gear of...The owner of shore-based equipment affected...equipment, on the following conditions: (1) The designee...in the inspection and maintenance or design of the...

  5. 29 CFR 1919.50 - Eligibility for accreditation to certificate shore-based material handling devices covered by...

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ...to certificate shore-based material handling devices...of vessels or shore-based equipment or gear of...The owner of shore-based equipment affected...equipment, on the following conditions: (1) The designee...in the inspection and maintenance or design of the...

  6. 29 CFR 1919.50 - Eligibility for accreditation to certificate shore-based material handling devices covered by...

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ...to certificate shore-based material handling devices...of vessels or shore-based equipment or gear of...The owner of shore-based equipment affected...equipment, on the following conditions: (1) The designee...in the inspection and maintenance or design of the...

  7. 29 CFR 1919.50 - Eligibility for accreditation to certificate shore-based material handling devices covered by...

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ...to certificate shore-based material handling devices...of vessels or shore-based equipment or gear of...The owner of shore-based equipment affected...equipment, on the following conditions: (1) The designee...in the inspection and maintenance or design of the...

  8. 32 CFR 716.7 - Payment of the death gratuity.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ...Defense (Continued) DEPARTMENT OF THE NAVY PERSONNEL DEATH GRATUITY Provisions Applicable to the Navy and the Marine Corps § 716.7 Payment of the death gratuity. (a) Claim certification and voucher for the death gratuity...

  9. 32 CFR 716.7 - Payment of the death gratuity.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ...Defense (Continued) DEPARTMENT OF THE NAVY PERSONNEL DEATH GRATUITY Provisions Applicable to the Navy and the Marine Corps § 716.7 Payment of the death gratuity. (a) Claim certification and voucher for the death gratuity...

  10. 40 CFR 745.238 - Fees for accreditation and certification of lead-based paint activities.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ...-certification (every 3 years, see 40 CFR 745.226(f)(7) for details) Firm $550 $550 Combined Renovation and Lead..., see 40 CFR 745.225(f)(1) for details) Initial CourseInspector Risk assessor Supervisor Worker Project... Activities—Individual Certification Re-certification (every 3 years, see 40 CFR 745.226(e)(1) for...

  11. Prison tobacco control policies and deaths from smoking in United States prisons: population based retrospective analysis

    PubMed Central

    Carson, E Ann; Krueger, Patrick M; Mueller, Shane R; Steiner, John F; Sabol, William J

    2014-01-01

    Objective To determine the mortality attributable to smoking and years of potential life lost from smoking among people in prison and whether bans on smoking in prison are associated with reductions in smoking related deaths. Design Analysis of cross sectional survey data with the smoking attributable mortality, morbidity, and economic costs system; population based time series analysis. Setting All state prisons in the United States. Main outcome measures Prevalence of smoking from cross sectional survey of inmates in state correctional facilities. Data on state prison tobacco policies from web based searches of state policies and legislation. Deaths and causes of death in US state prisons from the deaths in custody reporting program of the Bureau of Justice Statistics for 2001-11. Smoking attributable mortality and years of potential life lost was assessed from the smoking attributable mortality, morbidity, and economic costs system of the Centers for Disease Control and Prevention. Multivariate Poisson models quantified the association between bans and smoking related cancer, cardiovascular and pulmonary deaths. Results The most common causes of deaths related to smoking among people in prison were lung cancer, ischemic heart disease, other heart disease, cerebrovascular disease, and chronic airways obstruction. The age adjusted smoking attributable mortality and years of potential life lost rates were 360 and 5149 per 100?000, respectively; these figures are higher than rates in the general US population (248 and 3501, respectively). The number of states with any smoking ban increased from 25 in 2001 to 48 by 2011. In prisons the mortality rate from smoking related causes was lower during years with a ban than during years without a ban (110.4/100?000 v 128.9/100?000). Prisons that implemented smoking bans had a 9% reduction (adjusted incidence rate ratio 0.91, 95% confidence interval 0.88 to 0.95) in smoking related deaths. Bans in place for longer than nine years were associated with reductions in cancer mortality (adjusted incidence rate ratio 0.81, 95% confidence interval 0.74 to 0.90). Conclusions Smoking contributes to substantial mortality in prison, and prison tobacco control policies are associated with reduced mortality. These findings suggest that smoking bans have health benefits for people in prison, despite the limits they impose on individual autonomy and the risks of relapse after release. PMID:25097186

  12. Burden of Severe Pneumonia, Pneumococcal Pneumonia and Pneumonia Deaths in Indian States: Modelling Based Estimates

    PubMed Central

    Farooqui, Habib; Jit, Mark; Heymann, David L.; Zodpey, Sanjay

    2015-01-01

    The burden of severe pneumonia in terms of morbidity and mortality is unknown in India especially at sub-national level. In this context, we aimed to estimate the number of severe pneumonia episodes, pneumococcal pneumonia episodes and pneumonia deaths in children younger than 5 years in 2010. We adapted and parameterized a mathematical model based on the epidemiological concept of potential impact fraction developed CHERG for this analysis. The key parameters that determine the distribution of severe pneumonia episode across Indian states were state-specific under-5 population, state-specific prevalence of selected definite pneumonia risk factors and meta-estimates of relative risks for each of these risk factors. We applied the incidence estimates and attributable fraction of risk factors to population estimates for 2010 of each Indian state. We then estimated the number of pneumococcal pneumonia cases by applying the vaccine probe methodology to an existing trial. We estimated mortality due to severe pneumonia and pneumococcal pneumonia by combining incidence estimates with case fatality ratios from multi-centric hospital-based studies. Our results suggest that in 2010, 3.6 million (3.3–3.9 million) episodes of severe pneumonia and 0.35 million (0.31–0.40 million) all cause pneumonia deaths occurred in children younger than 5 years in India. The states that merit special mention include Uttar Pradesh where 18.1% children reside but contribute 24% of pneumonia cases and 26% pneumonia deaths, Bihar (11.3% children, 16% cases, 22% deaths) Madhya Pradesh (6.6% children, 9% cases, 12% deaths), and Rajasthan (6.6% children, 8% cases, 11% deaths). Further, we estimated that 0.56 million (0.49–0.64 million) severe episodes of pneumococcal pneumonia and 105 thousand (92–119 thousand) pneumococcal deaths occurred in India. The top contributors to India’s pneumococcal pneumonia burden were Uttar Pradesh, Bihar, Madhya Pradesh and Rajasthan in that order. Our results highlight the need to improve access to care and increase coverage and equity of pneumonia preventing vaccines in states with high pneumonia burden. PMID:26086700

  13. NATIONAL VITAL STATISTICS SYSTEM - LINKED BIRTH AND INFANT DEATH DATA

    EPA Science Inventory

    In 1983, NCHS established a research data set comprised of linked birth and death certificates for infants born in the United States who died before reaching one year of age. In this data set, information from the death certificate is linked with information from the birth certif...

  14. Two New Reference Materials Based on Tobacco Leaves: Certification for over a Dozen of Toxic and Essential Elements

    PubMed Central

    Samczy?ski, Zbigniew; Dybczy?ski, Rajmund S.; Polkowska-Motrenko, Halina; Chajduk, Ewelina; Pyszynska, Marta; Danko, Bo?ena; Czerska, El?bieta; Kulisa, Krzysztof; Doner, Katarzyna; Kalbarczyk, Pawe?

    2012-01-01

    The preparation, certification, and characterization of two new biological certified reference materials for inorganic trace analysis have been presented. They are based on two different varieties of tobacco leaves, namely, Oriental Basma Tobacco Leaves (INCT-OBTL-5), grown in Greece, and Polish Virginia Tobacco Leaves (INCT-PVTL-6), grown in Poland. Certification of the materials was based on the statistical evaluation of results obtained in a worldwide interlaboratory comparison, in which 87 laboratories from 18 countries participated, providing 2568 laboratory averages on nearly 80 elements. It was possible to establish the certified values of concentration for many elements in the new materials, that is, 37 in INCT-OBTL-5 and 36 in INCT-PVTL-6, including several toxic ones like As, Cd, Hg, Pb, and so forth. The share and the role of instrumental analytical techniques used in the process of certification of the new CRMs are discussed. PMID:22536124

  15. Unintentional carbon monoxide-related deaths in the United States, 1979 through 1988

    SciTech Connect

    Cobb, N.; Etzel, R.A. )

    1991-08-07

    OBJECTIVE. To describe the epidemiology of recent unintentional carbon monoxide poisoning deaths in the United States. DESIGN. Descriptive analysis of carbon monoxide-related deaths in the United States from 1979 through 1988, based on death certificate reports compiled by the National Center for Health Statistics. POPULATION STUDIED. All US deaths, 1979 through 1988. RESULTS. We reviewed data from 56,133 death certificates that contained codes implicating carbon monoxide as a contributing cause of death. Of these, 25,889 were suicides, 210 were homicides, 15,523 were associated with severe burns or house fires, and 11,547 were classified as unintentional. The number of unintentional deaths decreased steadily by about 63 deaths per year, from 1513 in 1979 to 878 in 1988. The highest death rates occurred in winter and among males, blacks, the elderly, and residents of northern states. Motor vehicle exhaust gas caused 6552 (57%) of the unintentional deaths; 5432 (83%) of these were associated with stationary automobiles. CONCLUSIONS. The rate of unintentional death from carbon monoxide poisoning is decreasing. This may be attributable to improvements in automobile pollution control systems and improved safety of cooking and heating appliances. Prevention programs should target young drivers, males, and the elderly.

  16. PRESENT CONDITION OF FOOD WASTE RECYCLING LOOP BASED ON RECYCLING PROJECT CERTIFICATION OF THE FOOD WASTE RECYCLING LAW

    NASA Astrophysics Data System (ADS)

    Kita, Tomoko; Kanaya, Ken

    Purpose of this research is to clear present condition of food waste recycling loops based on recycling project certification of the Food Waste Recycling Law. Method of this research is questionnaire survey to companies constituting the loops. Findings of this research are as follows: 1. Proponents of the loop is most often the recycling companies. 2. Food waste recycling rate is 61% for the food retailing industry and 81% for the food service industry. These values are higher than the national average in 2006. The effect of the revision of recycling project certification is suggested.

  17. Forensic Science Certificate

    E-print Network

    Saldin, Dilano

    Forensic Science Certificate What do Forensic Scientists Do? Forensic scientists apply scientific. Is Forensic Science Right for Me? Students in forensic science have a strong interest in chemistry, biology and death investigators. The median annual wage of forensic science technicians (a common entry level job

  18. A Perspective Evaluation of Problem-Based Learning in ESL Classroom in the Malaysian Higher School Certificate Program

    ERIC Educational Resources Information Center

    Rashid, Radzuwan Ab.

    2011-01-01

    This study was initiated to explore how pre-university students who enrolled in the Malaysian Higher School Certificate program perceived their experiences in learning ESL through Problem-Based Learning (PBL). This small scale study involved 35 pre-university students in an upper sixth form in a secondary school in Kelantan, Malaysia. Participants…

  19. 40 CFR 745.229 - Certification of individuals and firms engaged in lead-based paint activities: public and...

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 40 Protection of Environment 32 2013-07-01 2013-07-01 false Certification of individuals and firms engaged in lead-based paint activities: public and commercial buildings, bridges and superstructures. 745.229 Section 745.229 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED)...

  20. 40 CFR 745.229 - Certification of individuals and firms engaged in lead-based paint activities: public and...

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 40 Protection of Environment 32 2012-07-01 2012-07-01 false Certification of individuals and firms engaged in lead-based paint activities: public and commercial buildings, bridges and superstructures. 745.229 Section 745.229 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED)...

  1. 40 CFR 745.229 - Certification of individuals and firms engaged in lead-based paint activities: public and...

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 40 Protection of Environment 31 2014-07-01 2014-07-01 false Certification of individuals and firms engaged in lead-based paint activities: public and commercial buildings, bridges and superstructures. 745.229 Section 745.229 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED)...

  2. 40 CFR 745.229 - Certification of individuals and firms engaged in lead-based paint activities: public and...

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 40 Protection of Environment 30 2010-07-01 2010-07-01 false Certification of individuals and firms engaged in lead-based paint activities: public and commercial buildings, bridges and superstructures. 745...: public and commercial buildings, bridges and superstructures....

  3. 40 CFR 745.229 - Certification of individuals and firms engaged in lead-based paint activities: public and...

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 40 Protection of Environment 31 2011-07-01 2011-07-01 false Certification of individuals and firms engaged in lead-based paint activities: public and commercial buildings, bridges and superstructures. 745...: public and commercial buildings, bridges and superstructures....

  4. 29 CFR 1919.50 - Eligibility for accreditation to certificate shore-based material handling devices covered by...

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... examinations and/or testing, as applicable, of vessels or shore-based equipment or gear of the type for which... the adequacy of the certification activity performed. (c) Accreditation to conduct such nondestructive... wire rope tests, nondestructive examinations, and heat treatments may be carried out by...

  5. 29 CFR 1919.50 - Eligibility for accreditation to certificate shore-based material handling devices covered by...

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... examinations and/or testing, as applicable, of vessels or shore-based equipment or gear of the type for which... the adequacy of the certification activity performed. (c) Accreditation to conduct such nondestructive... wire rope tests, nondestructive examinations, and heat treatments may be carried out by...

  6. 29 CFR 1919.50 - Eligibility for accreditation to certificate shore-based material handling devices covered by...

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... examinations and/or testing, as applicable, of vessels or shore-based equipment or gear of the type for which... the adequacy of the certification activity performed. (c) Accreditation to conduct such nondestructive... wire rope tests, nondestructive examinations, and heat treatments may be carried out by...

  7. 29 CFR 1919.50 - Eligibility for accreditation to certificate shore-based material handling devices covered by...

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... examinations and/or testing, as applicable, of vessels or shore-based equipment or gear of the type for which... the adequacy of the certification activity performed. (c) Accreditation to conduct such nondestructive... wire rope tests, nondestructive examinations, and heat treatments may be carried out by...

  8. 29 CFR 1919.50 - Eligibility for accreditation to certificate shore-based material handling devices covered by...

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... examinations and/or testing, as applicable, of vessels or shore-based equipment or gear of the type for which... the adequacy of the certification activity performed. (c) Accreditation to conduct such nondestructive... wire rope tests, nondestructive examinations, and heat treatments may be carried out by...

  9. Certificate-Based Approach to Marketing Green Power and Constructing New Wind Energy Facilities: Preprint

    SciTech Connect

    Blank, E.; Bird, L.; Swezey, B.

    2002-05-01

    The availability of wind energy certificates in Pennsylvania's retail electricity market has made a critical difference in the economic feasibility of developing 140 MW of new wind energy projects in the region. Certificates offer important benefits to both green power suppliers and buyers by reducing transaction barriers and thus lowering the cost of renewable energy. Buyers also benefit through the increased flexibility offered by certificate products. The experience described in this paper offers important insights for selling green power certificates and achieving new wind energy development in other areas of the country.

  10. Deaths due to Unknown Foodborne Agents

    PubMed Central

    2004-01-01

    This study reviews the available evidence on unknown pathogenic agents transmitted in food and examines the methods that have been used to estimate that such agents cause 3,400 deaths per year in the United States. The estimate of deaths was derived from hospital discharge and death certificate data on deaths attributed to gastroenteritis of unknown cause. Fatal illnesses due to unknown foodborne agents do not always involve gastroenteritis, and gastroenteritis may not be accurately diagnosed or reported on hospital charts or death certificates. The death estimate consequently omitted deaths from unknown foodborne agents that do not cause gastroenteritis and likely overstated the number of deaths from agents that cause gastroenteritis. Although the number of deaths from unknown foodborne agents is uncertain, the possible economic cost of these deaths is so large that increased efforts to identify the causal agents are warranted. PMID:15498153

  11. Deaths due to unknown foodborne agents.

    PubMed

    Frenzen, Paul D

    2004-09-01

    This study reviews the available evidence on unknown pathogenic agents transmitted in food and examines the methods that have been used to estimate that such agents cause 3,400 deaths per year in the United States. The estimate of deaths was derived from hospital discharge and death certificate data on deaths attributed to gastroenteritis of unknown cause. Fatal illnesses due to unknown foodborne agents do not always involve gastroenteritis, and gastroenteritis may not be accurately diagnosed or reported on hospital charts or death certificates. The death estimate consequently omitted deaths from unknown foodborne agents that do not cause gastroenteritis and likely overstated the number of deaths from agents that cause gastroenteritis. Although the number of deaths from unknown foodborne agents is uncertain, the possible economic cost of these deaths is so large that increased efforts to identify the causal agents are warranted. PMID:15498153

  12. School-Based Initial Vocational Education in the Republic of Ireland: The Parity of Esteem and Fitness for Purpose of the Leaving Certificate Applied

    ERIC Educational Resources Information Center

    Gleeson, Jim; O'Flaherty, Joanne

    2013-01-01

    The Irish Leaving Certificate Applied (LCA) is a school-based, pre-vocational alternative to the "high stakes" established Leaving Certificate. Its origins lie in European Union funded "school to work" initiatives and it is currently taken to completion by some 5% of Irish senior cycle students. Since it was designed 20 years…

  13. Information Technology Student-Based Certification in Formal Education Settings: Who Benefits and What Is Needed

    ERIC Educational Resources Information Center

    Randall, Michael H.; Zirkle, Christopher J.

    2005-01-01

    There is a growing trend within secondary and post-secondary institutions to offer information technology (IT) certification programs as instructional vehicles to provide students with viable skills needed by the workforce, to satisfy state skill standards, and to prepare students for post-secondary IT studies. The use of IT certification programs…

  14. High-frequency death certifiers in Taiwan: a sociocultural product.

    PubMed

    Lu, Tsung-Hsueh; Janes, Craig R; Lee, Meng-Chih; Chou, Ming-Chih; Shih, Tai-Ping

    2002-11-01

    Accurate death certification is essential to high-quality mortality statistics. Physicians who certify disproportionately large numbers of deaths can significantly affect the validity of the resultant mortality data. In Taiwan in 1994, 110 death certifiers issued more than 100 death certificates each; and nine of these high-frequency certifiers issued more than 500 death certificates. We explore the cultural, political, economic, historical, and social contexts of high-frequency death certification in Taiwan. Because of the traditional belief in Taiwan that one must die at home for the soul to be incorporated into the collective ancestral tablet of the household, many families bring their loved ones home from the hospital just before death. Hospital physicians cannot legally issue a death certificate in these cases because they did not witness the dying process. Although the government introduced an administrative certification system to handle these outside-hospital deaths, the great demands of this system have attracted many 'special exam' doctors (doctors with no formal medical degree) to adopt death certification as a full-time business. In this context, it is not surprising that 'routinization' of death certification (J. Health Soc. Behav. 32 (1991) 273) has led to low-quality reporting among these certifiers. We argue that attempts to improve the quality of mortality statistics should take into account the unique sociocultural contexts of different countries. PMID:12297250

  15. Record-linkage comparison of verbal autopsy and routine civil registration death certification in rural north-east South Africa: 2006–09

    PubMed Central

    Joubert, Jané; Bradshaw, Debbie; Kabudula, Chodziwadziwa; Rao, Chalapati; Kahn, Kathleen; Mee, Paul; Tollman, Stephen; Lopez, Alan D; Vos, Theo

    2014-01-01

    Background: South African civil registration (CR) provides a key data source for local health decision making, and informs the levels and causes of mortality in data-lacking sub-Saharan African countries. We linked mortality data from CR and the Agincourt Health and Socio-demographic Surveillance System (Agincourt HDSS) to examine the quality of rural CR data. Methods: Deterministic and probabilistic techniques were used to link death data from 2006 to 2009. Causes of death were aggregated into the WHO Mortality Tabulation List 1 and a locally relevant short list of 15 causes. The matching rate was compared with informant-reported death registration. Using the VA diagnoses as reference, misclassification patterns, sensitivity, positive predictive values and cause-specific mortality fractions (CSMFs) were calculated for the short list. Results: A matching rate of 61% [95% confidence interval (CI): 59.2 to 62.3] was attained, lower than the informant-reported registration rate of 85% (CI: 83.4 to 85.8). For the 2264 matched cases, cause agreement was 15% (kappa 0.1083, CI: 0.0995 to 0.1171) for the WHO list, and 23% (kappa 0.1631, CI: 0.1511 to 0.1751) for the short list. CSMFs were significantly different for all but four (tuberculosis, cerebrovascular disease, other heart disease, and ill-defined natural) of the 15 causes evaluated. Conclusion: Despite data limitations, it is feasible to link official CR and HDSS verbal autopsy data. Data linkage proved a promising method to provide empirical evidence about the quality and utility of rural CR mortality data. Agreement of individual causes of death was low but, at the population level, careful interpretation of the CR data can assist health prioritization and planning. PMID:25146564

  16. Predictors of Death among Patients Who Completed Tuberculosis Treatment: A Population-Based Cohort Study

    PubMed Central

    Millet, Juan-Pablo; Orcau, Angels; Rius, Cristina; Casals, Marti; de Olalla, Patricia Garcia; Moreno, Antonio; Nelson, Jeanne L.; Caylà, Joan A.

    2011-01-01

    Background Mortality among patients who complete tuberculosis (TB) treatment is still high among vulnerable populations. The objective of the study was to identify the probability of death and its predictive factors in a cohort of successfully treated TB patients. Methods A population-based retrospective longitudinal study was performed in Barcelona, Spain. All patients who successfully completed TB treatment with culture-confirmation and available drug susceptibility testing between 1995–1997 were retrospectively followed-up until December 31, 2005 by the Barcelona TB Control Program. Socio-demographic, clinical, microbiological and treatment variables were examined. Mortality, TB Program and AIDS registries were reviewed. Kaplan-Meier and a Cox regression methods with time-dependent covariates were used for the survival analysis, calculating the hazard ratio (HR) with 95% confidence intervals (CI). Results Among the 762 included patients, the median age was 36 years, 520 (68.2%) were male, 178 (23.4%) HIV-infected, and 208 (27.3%) were alcohol abusers. Of the 134 (17.6%) injecting drug users (IDU), 123 (91.8%) were HIV-infected. A total of 30 (3.9%) recurrences and 173 deaths (22.7%) occurred (mortality rate: 3.4/100 person-years of follow-up). The predictors of death were: age between 41–60 years old (HR: 3.5; CI:2.1–5.7), age greater than 60 years (HR: 14.6; CI:8.9–24), alcohol abuse (HR: 1.7; CI:1.2–2.4) and HIV-infected IDU (HR: 7.9; CI:4.7–13.3). Conclusions The mortality rate among TB patients who completed treatment is associated with vulnerable populations such as the elderly, alcohol abusers, and HIV-infected IDU. We therefore need to fight against poverty, and promote and develop interventions and social policies directed towards these populations to improve their survival. PMID:21980423

  17. Modular Certification

    NASA Technical Reports Server (NTRS)

    Rushby, John; Miner, Paul S. (Technical Monitor)

    2002-01-01

    Airplanes are certified as a whole: there is no established basis for separately certifying some components, particularly software-intensive ones, independently of their specific application in a given airplane. The absence of separate certification inhibits the development of modular components that could be largely "precertified" and used in several different contexts within a single airplane, or across many different airplanes. In this report, we examine the issues in modular certification of software components and propose an approach based on assume-guarantee reasoning. We extend the method from verification to certification by considering behavior in the presence of failures. This exposes the need for partitioning, and separation of assumptions and guarantees into normal and abnormal cases. We then identify three classes of property that must be verified within this framework: safe function, true guarantees, and controlled failure. We identify a particular assume-guarantee proof rule (due to McMillan) that is appropriate to the applications considered, and formally verify its soundness in PVS.

  18. 38 CFR 52.20 - Application for recognition based on certification.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ...CONTINUED) PER DIEM FOR ADULT DAY HEALTH CARE OF VETERANS IN STATE HOMES Obtaining Per Diem for Adult Day Health Care in State Homes § 52.20 ...certification of a State home for adult day health care, a State must:...

  19. 38 CFR 52.20 - Application for recognition based on certification.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ...CONTINUED) PER DIEM FOR ADULT DAY HEALTH CARE OF VETERANS IN STATE HOMES Obtaining Per Diem for Adult Day Health Care in State Homes § 52.20 ...certification of a State home for adult day health care, a State must:...

  20. 38 CFR 52.20 - Application for recognition based on certification.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ...CONTINUED) PER DIEM FOR ADULT DAY HEALTH CARE OF VETERANS IN STATE HOMES Obtaining Per Diem for Adult Day Health Care in State Homes § 52.20 ...certification of a State home for adult day health care, a State must:...

  1. 38 CFR 52.20 - Application for recognition based on certification.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ...CONTINUED) PER DIEM FOR ADULT DAY HEALTH CARE OF VETERANS IN STATE HOMES Obtaining Per Diem for Adult Day Health Care in State Homes § 52.20 ...certification of a State home for adult day health care, a State must:...

  2. 38 CFR 52.20 - Application for recognition based on certification.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ...CONTINUED) PER DIEM FOR ADULT DAY HEALTH CARE OF VETERANS IN STATE HOMES Obtaining Per Diem for Adult Day Health Care in State Homes § 52.20 ...certification of a State home for adult day health care, a State must:...

  3. 38 CFR 51.20 - Application for recognition based on certification.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ...AFFAIRS (CONTINUED) PER DIEM FOR NURSING HOME CARE OF VETERANS IN STATE HOMES Obtaining Per Diem for Nursing Home Care in State Homes § 51.20...and certification of a State home for nursing home care, a State must:...

  4. 38 CFR 51.20 - Application for recognition based on certification.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ...AFFAIRS (CONTINUED) PER DIEM FOR NURSING HOME CARE OF VETERANS IN STATE HOMES Obtaining Per Diem for Nursing Home Care in State Homes § 51.20...and certification of a State home for nursing home care, a State must:...

  5. 38 CFR 51.20 - Application for recognition based on certification.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ...AFFAIRS (CONTINUED) PER DIEM FOR NURSING HOME CARE OF VETERANS IN STATE HOMES Obtaining Per Diem for Nursing Home Care in State Homes § 51.20...and certification of a State home for nursing home care, a State must:...

  6. 38 CFR 51.20 - Application for recognition based on certification.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ...AFFAIRS (CONTINUED) PER DIEM FOR NURSING HOME CARE OF VETERANS IN STATE HOMES Obtaining Per Diem for Nursing Home Care in State Homes § 51.20...and certification of a State home for nursing home care, a State must:...

  7. 38 CFR 51.20 - Application for recognition based on certification.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ...AFFAIRS (CONTINUED) PER DIEM FOR NURSING HOME CARE OF VETERANS IN STATE HOMES Obtaining Per Diem for Nursing Home Care in State Homes § 51.20...and certification of a State home for nursing home care, a State must:...

  8. Modeling and using a web-based and tutored portfolio to support certification of professional competence in transfusion medicine

    PubMed Central

    Staccini, Pascal; Rouger, Philippe

    2008-01-01

    In order to manage a nationwide assessment program leading to certification of professional competence in blood transfusion throughout France, the National Institute of Blood Transfusion (INTS) and the University of Nice-Sophia Antipolis designed and developed a structured and tutored web-based portfolio. The entire process of certification has been approved by the national healthcare agency (HAS). Eleven assessment programs have been written. The structure of this e-portfolio is based on a matrix of actions defined according to standards of practice. For each action, elements of proof are uploaded by the physician and peer-reviewed by an expert (a tutor) before validation. The electronic portfolio stores all the history of the actions performed by users. This tracking feature generates alerts which are e-mailed to users (physicians and tutors) according to a list of monitored events. After one year of design and development, the application is now being used routinely. PMID:18999167

  9. 23 CFR Appendix C to Part 1240 - Certification (Calendar Year 1998 Survey Based on Survey Approved Under 23 U.S.C. 153)

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 2010-04-01 false Certification (Calendar Year 1998 Survey Based on Survey Approved Under 23 U.S.C. 153) C Appendix C to Part 1240 Highways NATIONAL HIGHWAY TRAFFIC SAFETY ADMINISTRATION AND FEDERAL HIGHWAY...

  10. 23 CFR Appendix C to Part 1240 - Certification (Calendar Year 1998 Survey Based on Survey Approved Under 23 U.S.C. 153)

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 2013-04-01 false Certification (Calendar Year 1998 Survey Based on Survey Approved Under 23 U.S.C. 153) C Appendix C to Part 1240 Highways NATIONAL HIGHWAY TRAFFIC SAFETY ADMINISTRATION AND FEDERAL HIGHWAY...

  11. 23 CFR Appendix C to Part 1240 - Certification (Calendar Year 1998 Survey Based on Survey Approved Under 23 U.S.C. 153)

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 2011-04-01 false Certification (Calendar Year 1998 Survey Based on Survey Approved Under 23 U.S.C. 153) C Appendix C to Part 1240 Highways NATIONAL HIGHWAY TRAFFIC SAFETY ADMINISTRATION AND FEDERAL HIGHWAY...

  12. 23 CFR Appendix C to Part 1240 - Certification (Calendar Year 1998 Survey Based on Survey Approved Under 23 U.S.C. 153)

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 2014-04-01 false Certification (Calendar Year 1998 Survey Based on Survey Approved Under 23 U.S.C. 153) C Appendix C to Part 1240 Highways NATIONAL HIGHWAY TRAFFIC SAFETY ADMINISTRATION AND FEDERAL HIGHWAY...

  13. 23 CFR Appendix C to Part 1240 - Certification (Calendar Year 1998 Survey Based on Survey Approved Under 23 U.S.C. 153)

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 2012-04-01 false Certification (Calendar Year 1998 Survey Based on Survey Approved Under 23 U.S.C. 153) C Appendix C to Part 1240 Highways NATIONAL HIGHWAY TRAFFIC SAFETY ADMINISTRATION AND FEDERAL HIGHWAY...

  14. [Work, violence and death in Campinas, São Paulo, Brazil].

    PubMed

    Hennington, Elida Azevedo; Cordeiro, Ricardo; Moreira Filho, Djalma de Carvalho

    2004-01-01

    In this epidemiological study, deaths resulting from external causes in 1999 and 2000 among males (age 15-64 years) in Campinas, São Paulo State were analyzed through interviews with their relatives. We attempted to correlate this incidence with individual occupational history, allowing the characterization of these events as work-related injuries. The proportional death rate due to work-related injuries was estimated at 27% in this group. None of the death certificates we analyzed had "yes" specified in the appropriate work-related injury field. Based on these results, official data from the Brazilian Ministry of Labor on the number of deaths resulting from work-related injuries in this period in the State of São Paulo is underestimated by 83.4%. The vast majority of fatal work-related injuries were homicides and traffic accidents, reflecting an increase in violence in this Brazilian city. PMID:15073643

  15. Maintenance of Certification Part 4 Credit and Recruitment for Practice-Based Research

    PubMed Central

    Klein, Jonathan D.; Harris, Donna L.; Kaseeska, Kristen R.; Whitmore Shaefer, Regina M.; Bocian, Alison B.; Davis, James B.; Gotlieb, Edward M.; Wasserman, Richard C.

    2014-01-01

    BACKGROUND: Competing priorities in pediatric practice have created challenges for practice-based research. To increase recruitment success, researchers must design studies that provide added value to participants. This study evaluates recruitment of pediatricians into a study, before and after the development and addition of a quality improvement (QI) curriculum approved for American Board of Pediatrics Maintenance of Certification (MOC) Part 4 Credit as an enrollment incentive. METHODS: Researchers implemented multiple outreach methods to enroll pediatric practices over 28 months. Field note review revealed that many physicians declined enrollment, stating that they prioritized MOC Part 4 projects over research studies. A QI curriculum meeting standards for MOC Part 4 Credit was developed and added to the study protocol as an enrollment incentive. Enrollment rates and characteristics of practitioners enrolled pre- and post-MOC were compared. RESULTS: Pre-MOC enrollment contributed 48% of practices in 22 months; post-MOC enrollment contributed 49% of practices in 6 months. An average of 3.5 practices enrolled per month pre-MOC, compared with 13.1 per month post-MOC (P < .001). Clinicians in pre- and post-MOC groups were similar in age, gender, race, and time spent on patient care; practices enrolled post-MOC were more likely to be located in federally designated Medically Underserved Areas than those enrolled pre-MOC (28.6% vs 12%, P = .03). CONCLUSIONS: Addition of MOC Part 4 Credit increased recruitment success and increased enrollment of pediatricians working in underserved areas. Including QI initiatives meeting MOC Part 4 criteria in practice-based research protocols may enhance participation and aid in recruiting diverse practice and patient populations. PMID:25180282

  16. Facility-based maternal death reviews: effects on maternal mortality in a district hospital in Senegal.

    PubMed Central

    Dumont, Alexandre; Gaye, Alioune; de Bernis, Luc; Chaillet, Nils; Landry, Anne; Delage, Joanne; Bouvier-Colle, Marie-Hélène

    2006-01-01

    OBJECTIVE: The improvement of obstetric services is one of the key components of the Safe Motherhood Programme. Reviewing maternal deaths and complications is one method that may make pregnancy safer, but there is no evidence about the effectiveness of this strategy. The objective of our before and after study is to assess the effect of facility-based maternal deaths reviews (MDR) on maternal mortality rates in a district hospital in Senegal that provides primary and referral maternity services. METHODS: We included all women who were admitted to the maternity unit for childbirth, or within 24 hours of delivery. We recorded maternal mortality during a 1-year baseline period from January to December 1997, and during a 3-year period from January 1998 to December 2000 after MDR had been implemented. Effects of MDR on organization of care were qualitatively evaluated. FINDINGS: The MDR strategy led to changes in organizational structure that improved life-saving interventions with a relatively large financial contribution from the community. Overall mortality significantly decreased from 0.83 (95% CI (confidence interval) = 0.60 -1.06) in baseline period to 0.41 (95% CI = 0.25 -0.56) per 100 women 3 years later. CONCLUSION: MDR had a marked effect on resources, management and maternal outcomes in this facility. However, given the design of our study and the local specific context, further research is needed to confirm the feasibility of MDR in other settings and to confirm the benefits of this approach for maternal health in developing countries. PMID:16583081

  17. Modifiable cardiovascular disease risk factors as predictors of dementia death: pooling of ten general population-based cohort studies

    PubMed Central

    2014-01-01

    Background With drug treatment for dementia being of limited effectiveness, the role of primary prevention, in particular the predictive value of modifiable cardiovascular disease risk factors, may warrant exploration. The evidence base is, however, characterised by discordant findings and is modest in size. Accordingly, we examined the association of modifiable cardiovascular disease risk factors with dementia death. Design and methods We pooled raw data from 10 UK general population-based prospective cohort studies within the context of an individual participant meta-analysis. Results A total of 103,764 men and women were followed up for a mean of 8 years giving rise to 443 dementia-related deaths and 2612 cardiovascular disease deaths. Cardiovascular disease mortality was, as anticipated, associated with the full range of risk factors under study, including raised blood pressure, smoking, diabetes, physical inactivity. By contrast, dementia death was related to very few of the cardiovascular disease risk factors: of those classified as modifiable, only smoking was associated with a raised risk and higher levels of non-HDL with a lower risk. Conclusions In the present individual participant meta-analysis, there was limited evidence that cardiovascular disease risk factors were related to dementia death. PMID:24886432

  18. 34 CFR 674.61 - Discharge for death or disability.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 34 Education 3 2012-07-01 2012-07-01 false Discharge for death or disability. 674.61 Section 674... Discharge for death or disability. (a) Death. An institution must discharge the unpaid balance of a borrower... discharge the loan on the basis of an original or certified copy of the death certificate, or an...

  19. 34 CFR 674.61 - Discharge for death or disability.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 34 Education 3 2010-07-01 2010-07-01 false Discharge for death or disability. 674.61 Section 674... Discharge for death or disability. (a) Death. An institution must discharge the unpaid balance of a borrower... discharge the loan on the basis of an original or certified copy of the death certificate, or an...

  20. 34 CFR 674.61 - Discharge for death or disability.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 34 Education 3 2013-07-01 2013-07-01 false Discharge for death or disability. 674.61 Section 674... Discharge for death or disability. (a) Death. An institution must discharge the unpaid balance of a borrower... discharge the loan on the basis of an original or certified copy of the death certificate, or an...

  1. 34 CFR 674.61 - Discharge for death or disability.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 34 Education 3 2011-07-01 2011-07-01 false Discharge for death or disability. 674.61 Section 674... Discharge for death or disability. (a) Death. An institution must discharge the unpaid balance of a borrower... discharge the loan on the basis of an original or certified copy of the death certificate, or an...

  2. 34 CFR 674.61 - Discharge for death or disability.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 34 Education 3 2014-07-01 2014-07-01 false Discharge for death or disability. 674.61 Section 674... Discharge for death or disability. (a) Death. An institution must discharge the unpaid balance of a borrower... discharge the loan on the basis of an original or certified copy of the death certificate, or an...

  3. Towards FAA Certification of UAVs

    NASA Technical Reports Server (NTRS)

    Nelson, Stacy

    2003-01-01

    As of June 30, 2003, all Unmanned Aerial Vehicles (UAV), no matter how small, must adhere to the same FAA regulations as human-piloted aircraft. These regulations include certification for flying in controlled airspace and certification of flight software based on RTCA DO-178B. This paper provides an overview of the steps necessary to obtain certification, as well as a discussion about the challenges UAV's face when trying to meet these requirements. It is divided into two parts: 1) Certifications for Flying in Controlled Airspace; 2) Certification of Flight Software per RTCA DO-178B.

  4. Maternal deaths in Finland: focus on placental abruption.

    PubMed

    Tikkanen, Minna; Gissler, Mika; Metsäranta, Marjo; Luukkaala, Tiina; Hiilesmaa, Vilho; Andersson, Sture; Ylikorkala, Olavi; Paavonen, Jorma; Nuutila, Mika

    2009-01-01

    OBJECTIVE. To study placental abruption-associated maternal deaths out of all maternal deaths in Finland. DESIGN. Register-based study. SETTING. The Finnish Medical Birth Register (MBR), the Hospital Discharge Register (HDR), and the Cause-of-Death Register data during 1972-2005. METHODS. The maternal deaths were identified by linking data from the MBR, the HDR, and the Cause-of-Death Register. The clinical data were collected from the case records and death certificates. MAIN OUTCOME MEASURES. Cause-specific maternal death with special reference to placental abruption. RESULTS. During the study period, a total of 2,104,436 live births and 117 direct maternal deaths (caused by a disease or its management unique to the pregnancy) occurred in Finland. The direct maternal mortality ratio (MMR) was 5.6 per 100,000 live births. The two leading causes were thromboembolism (24.0%) and hemorrhage (22.3%) representing almost half of all maternal deaths. Altogether 7,735 placental abruptions were identified with three maternal deaths giving a case fatality rate of 0.4 per 1,000 cases. The MMR (38.8 per 100,000) was nearly seven times higher than the overall MMR (5.7 per 100,000) (p=0.010). CONCLUSION. The direct MMR in Finland is at the level generally seen in Western Europe. The main causes to maternal death are thromboembolism and obstetric hemorrhage. Deaths to placental abruption are rare, but still seven times higher than the overall MMR. PMID:19707898

  5. Predicting risk of hospitalisation or death: a retrospective population-based analysis

    PubMed Central

    Louis, Daniel Z; Robeson, Mary; McAna, John; Maio, Vittorio; Keith, Scott W; Liu, Mengdan; Gonnella, Joseph S; Grilli, Roberto

    2014-01-01

    Objectives Develop predictive models using an administrative healthcare database that provide information for Patient-Centred Medical Homes to proactively identify patients at risk of hospitalisation for conditions that may be impacted through improved patient care. Design Retrospective healthcare utilisation analysis with multivariate logistic regression models. Data A population-based longitudinal database of residents served by the Emilia-Romagna, Italy, health service in the years 2004–2012 including demographic information and utilisation of health services by 3?726?380 people aged ?18?years. Outcome measures Models designed to predict risk of hospitalisation or death in 2012 for problems that are potentially avoidable were developed and evaluated using the area under the receiver operating curve C-statistic, in terms of their sensitivity, specificity and positive predictive value, and for calibration to assess performance across levels of predicted risk. Results Among the 3?726?380 adult residents of Emilia-Romagna at the end of 2011, 449?163 (12.1%) were hospitalised in 2012; 4.2% were hospitalised for the selected conditions or died in 2012 (3.6% hospitalised, 1.3% died). The C-statistic for predicting 2012 outcomes was 0.856. The model was well calibrated across categories of predicted risk. For those patients in the highest predicted risk decile group, the average predicted risk was 23.9% and the actual prevalence of hospitalisation or death was 24.2%. Conclusions We have developed a population-based model using a longitudinal administrative database that identifies the risk of hospitalisation for residents of the Emilia-Romagna region with a level of performance as high as, or higher than, similar models. The results of this model, along with profiles of patients identified as high risk are being provided to the physicians and other healthcare professionals associated with the Patient Centred Medical Homes to aid in planning for care management and interventions that may reduce their patients’ likelihood of a preventable, high-cost hospitalisation. PMID:25231488

  6. Getting Started on Assessment: Developing a Voluntary System of Assessment and Certification Based on Skill Standards.

    ERIC Educational Resources Information Center

    National Skill Standards Board (DOL/ETA), Washington, DC.

    This manual provides practical advice for voluntary partnerships that, since 1994, are part of the effort to build a voluntary national system of skill standards, assessment, and certification. Intended to be used with guidance from the National Skill Standards Board, it is designed for the voluntary partnerships that have completed the standards…

  7. An Exploration of Initial Certification Candidates' TPACK and Mathematics-Based Applications Using Touch Device Technology

    ERIC Educational Resources Information Center

    McCrory, Michael Ray

    2010-01-01

    This qualitative research study employed a multiple-case study approach to describe the experiences of a group of Initial Certification Candidates (ICCs) as they participated in explorations of readings and third-party applications (apps) run on touch screen technology devices. The group of ICCs was comprised of two Undergraduate Teacher…

  8. Hospital-based study of severe malaria and associated deaths in Myanmar.

    PubMed Central

    Ejov, M. N.; Tun, T.; Aung, S.; Lwin, S.; Sein, K.

    1999-01-01

    The present study identifies factors that contribute to malaria deaths in township hospitals reporting large numbers of such deaths in Myanmar. Between July and December 1995, we identified a total of 101 patients with severe and complicated malaria by screening the cases admitted to hospital with a primary diagnosis of falciparum malaria. Unrousable coma and less marked impairment of consciousness with or without other severe malaria complications, in contrast to severe malaria anaemia, were associated with all malaria deaths. Adult patients with severe malaria were 2.8 times more likely to die than child patients, with the higher risk of death among adults probably being associated with previous exposure to malaria, delay in seeking treatment and severity of the illness before admission. In view of this, we consider that malaria mortality could be reduced by improving peripheral facilities for the management of severe malaria and providing appropriate education to communities, without stepping up vector control activities. PMID:10327709

  9. Killing by organ procurement: brain-based death and legal fictions.

    PubMed

    Veatch, Robert M

    2015-06-01

    The dead donor rule (DDR) governs procuring life-prolonging organs. They should be taken only from deceased donors. Miller and Truog have proposed abandoning the rule when patients have decided to forgo life-sustaining treatment and have consented to procurement. Organs could then be procured from living patients, thus killing them by organ procurement. This proposal warrants careful examination. They convincingly argue that current brain or circulatory death pronouncement misidentifies the biologically dead. After arguing convincingly that physicians already cause death by withdrawing treatment, they claim no bright-line differences preclude organ removal from the living. The argument fails for those who accept the double effect doctrine or other grounds for distinguishing forgoing life support from active, intentional killing. If the goal is determining irreversible loss of somatic function, they correctly label current death pronouncement a "legal fiction." Recognizing a second, public policy meaning of the term death provides grounds for maintaining the DDR without jeopardizing procurement. PMID:25889264

  10. Emergency referral transport for maternal complication: lessons from the community based maternal death audits in Unnao district, Uttar Pradesh, India

    PubMed Central

    Raj, Sunil Saksena; Manthri, Suneedh; Sahoo, Pratap Kumar

    2015-01-01

    Background: An effective emergency referral transport system is the link between the home of the pregnant woman and a health facility providing basic or comprehensive emergency obstetric care. This study attempts to explore the role of emergency transport associated with maternal deaths in Unnao district, Uttar Pradesh (UP). Methods: A descriptive study was carried out to assess the causes of and factors leading to maternal deaths in Unnao district, UP, through community based Maternal Death Review (MDR) using verbal autopsy, in a sample of 57 maternal deaths conducted between June 1, 2009, and May 31, 2010. A facility review was also conducted in 15 of the 16 block level and district health facilities to collect information on preparedness of the facilities for treating obstetric complications including referral transportation. A descriptive analysis was carried out using ratios and percentages to analyze the availability of basic facilities which may lead to maternal deaths. Results: It was found that there were only 10 ambulances available at 15 facilities against 19 required as per Indian Public Health Standards (IPHS). About 47% of the deaths took place in a facility, 30% enroute to a health facility and 23% at home. Twenty five percent of women were taken to one facility, 32% were taken to two facilities, and 25% were taken to three facilities while 19% were not taken to any facility before their death. Sixteen percent of the pregnant women could not arrange transportation to reach any facility. The mean time to make arrangements for travel from home to facility-1 and facility-2 to facility-3 was 3.1 hours; whereas from facility-1 to facility-2 was 9.9 hours. The mean travel time from home to facility-1 was 1 hour, from facility-1 to facility-2 was 1.4 hours and facility-2 to facility-3 was 1.6 hours. Conclusion: The public health facility review and MDR, clearly indicates that the inter-facility transfers appropriateness and timeliness of referral are major contributing factor for maternal deaths in Unnao district, UP. The UP Government, besides strengthening Emergency Obstetric and Newborn Care (EmONC) and Basic Emergency Obstetric and Newborn Care (BEmONC) services in the district and state as a whole, also needs to focus on developing a functional and effective referral system on a priority basis to reduce the maternal deaths in Unnao district. PMID:25674573

  11. Predictors of Place of Death for Seniors in Ontario: A Population-Based Cohort Analysis

    ERIC Educational Resources Information Center

    Motiwala, Sanober S.; Croxford, Ruth; Guerriere, Denise N.; Coyte, Peter C.

    2006-01-01

    Place of death was determined for all 58,689 seniors (age greater than or equal to 66 years) in Ontario who died during fiscal year 2001/2002. The relationship of place of death to medical and socio-demographic characteristics was examined using a multinomial logit model. Half (49.2 %) of these individuals died in hospital, 30.5 per cent died in a…

  12. Infant Maltreatment-Related Mortality in Alaska: Correcting the Count and Using Birth Certificates to Predict Mortality

    ERIC Educational Resources Information Center

    Parrish, Jared W.; Gessner, Bradford D.

    2010-01-01

    Objectives: To accurately count the number of infant maltreatment-related fatalities and to use information from the birth certificates to predict infant maltreatment-related deaths. Methods: A population-based retrospective cohort study of infants born in Alaska for the years 1992 through 2005 was conducted. Risk factor variables were ascertained…

  13. Parity, Age at First Birth, and Risk of Death from Non-Hodgkin's Lymphoma: A Population-Based Cohort Study in Taiwan.

    PubMed

    Chen, Brian K; Yang, Chun-Yuh

    2015-08-01

    We undertook this study to examine whether there exists an association between parity and age at first birth and risk of death from non-Hodgkin's lymphoma (NHL). Our sample included a total of 1,292,462 women who had a first and singleton childbirth between 1 January 1978 and 31 December 1987. We followed each subject from their first childbirth to 31 December 2009, and determined their vital status by merging natality data with Taiwan's national death certificate database. Hazard ratios (HR) of death from NHL associated with parity and age at first birth were estimated using Cox proportional hazard regression models. In all, 412 NHL deaths were recorded during 34,980,246 person-years of follow-up. NHL mortality rate was 1.18 cases per 100,000 person-years. Older age at first birth (>23 vs. ?23 years) was linked to an increased risk of death from NHL (adjusted HR = 1.41; 95% CI = 1.13-1.75). Controlling for age at first birth, the adjusted HR were 0.74 (95% CI = 0.55-0.98) for women with 2 births, and 0.71 (95% CI = 0.53-0.95) for women with 3 births or more, respectively, when compared with women with only 1 birth. A statistically significant downward trend in the adjusted HR for NHL death was detected with increasing parity (p for trend = 0.05). The HR of death from NHL was decreased by 7% (HR = 0.93; 95% CI = 0.87-0.99) for each additional parity. Our findings are consistent with reproductive factors (parity and early age at first birth) conferring a protective effect against the risk of NHL death. PMID:26251917

  14. A State-Based Approach to Building a Liquid National Market for Renewable Energy Certificates: The REC-EX Model

    SciTech Connect

    Berendt, Christopher B.

    2006-06-15

    RECs are the currency driving the growth of renewable energy markets and the sale of RECs from renewable energy generation projects could promise a predictable return. But the existing REC markets in the U.S. sorely lack the liquidity needed to make good on that promise. The author proposes a Renewable Energy Certificate Exchange program rooted in the construction of a national trading platform for RECs in tandem with the execution of a new agreement among the states with REC-based renewable portfolio standards. (author)

  15. 20 CFR 410.679 - Finality of findings with respect to other claims for benefits based on the disability or death...

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... claims for benefits based on the disability or death of a miner. 410.679 Section 410.679 Employees' Benefits SOCIAL SECURITY ADMINISTRATION FEDERAL COAL MINE HEALTH AND SAFETY ACT OF 1969, TITLE IV-BLACK... claims for benefits based on the disability or death of a miner. Findings of fact made in a...

  16. 20 CFR 410.679 - Finality of findings with respect to other claims for benefits based on the disability or death...

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... claims for benefits based on the disability or death of a miner. 410.679 Section 410.679 Employees' Benefits SOCIAL SECURITY ADMINISTRATION FEDERAL COAL MINE HEALTH AND SAFETY ACT OF 1969, TITLE IV-BLACK... claims for benefits based on the disability or death of a miner. Findings of fact made in a...

  17. Age-at-death estimation based on radiological and image analysis methods in clavicle in a current Spanish population.

    PubMed

    Benito, María; Sánchez, José Antonio; Codinha, Sónia

    2014-05-01

    Age-at-death estimation in adult individuals is one of the most challenging issues in forensic anthropology, namely, due to the large age intervals provided by the current methods, which demand the development of more reliable investigations. The clavicle has been studied as an age-at-death indicator in many researches for its accessibility, low biomechanical implication in locomotion and accuracy to predict age at death when other age indicators are not available. The present study was developed on a sample of 332 clavicles from adult individuals of known sex and age from the current Spanish population. They were x-rayed and digitalized, in a standardized way, using a Sedecal X-ray generator, model SHF 415. Three indices were calculated at the mid-diaphysis point (anterior index, posterior index, and total index) which relate the cortical thickness and the total clavicle thickness to age at death. The average grey level was also calculated in a 0.5-cm(2) area of the sternal and acromial ends (sternal grey average, acromial grey average), using Image J software. The data were subjected to a statistical analysis, using SPSS, version 15.0. The results show that average grey level has a weaker correlation with age than the variables which are based on the cortical thickness. On the other hand, the regression equations, which were calculated combining all the variables, provided smaller age-at-death intervals, demonstrating the usefulness of this method for adult age-at-death estimation in forensic anthropology. PMID:24664396

  18. 40 CFR 745.226 - Certification of individuals and firms engaged in lead-based paint activities: target housing and...

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ...or (3 ) Certification as an industrial hygienist, professional engineer...and/or certification in a related engineering/health/environmental field (e...supervisors. (2 ) Bachelor's degree in engineering, architecture, or a related...

  19. 40 CFR 745.226 - Certification of individuals and firms engaged in lead-based paint activities: target housing and...

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ...or (3 ) Certification as an industrial hygienist, professional engineer...and/or certification in a related engineering/health/environmental field (e...supervisors. (2 ) Bachelor's degree in engineering, architecture, or a related...

  20. The Global Burden of Snakebite: A Literature Analysis and Modelling Based on Regional Estimates of Envenoming and Deaths

    PubMed Central

    Kasturiratne, Anuradhani; Wickremasinghe, A. Rajitha; de Silva, Nilanthi; Gunawardena, N. Kithsiri; Pathmeswaran, Arunasalam; Premaratna, Ranjan; Savioli, Lorenzo; Lalloo, David G; de Silva, H. Janaka

    2008-01-01

    Background Envenoming resulting from snakebites is an important public health problem in many tropical and subtropical countries. Few attempts have been made to quantify the burden, and recent estimates all suffer from the lack of an objective and reproducible methodology. In an attempt to provide an accurate, up-to-date estimate of the scale of the global problem, we developed a new method to estimate the disease burden due to snakebites. Methods and Findings The global estimates were based on regional estimates that were, in turn, derived from data available for countries within a defined region. Three main strategies were used to obtain primary data: electronic searching for publications on snakebite, extraction of relevant country-specific mortality data from databases maintained by United Nations organizations, and identification of grey literature by discussion with key informants. Countries were grouped into 21 distinct geographic regions that are as epidemiologically homogenous as possible, in line with the Global Burden of Disease 2005 study (Global Burden Project of the World Bank). Incidence rates for envenoming were extracted from publications and used to estimate the number of envenomings for individual countries; if no data were available for a particular country, the lowest incidence rate within a neighbouring country was used. Where death registration data were reliable, reported deaths from snakebite were used; in other countries, deaths were estimated on the basis of observed mortality rates and the at-risk population. We estimate that, globally, at least 421,000 envenomings and 20,000 deaths occur each year due to snakebite. These figures may be as high as 1,841,000 envenomings and 94,000 deaths. Based on the fact that envenoming occurs in about one in every four snakebites, between 1.2 million and 5.5 million snakebites could occur annually. Conclusions Snakebites cause considerable morbidity and mortality worldwide. The highest burden exists in South Asia, Southeast Asia, and sub-Saharan Africa. PMID:18986210

  1. Duality-based calculations for transition probabilities in birth-death processes

    E-print Network

    Ohkubo, Jun

    2015-01-01

    Transition probabilities in birth-death processes are fomulated via the corresponding dual birth-death processes. In order to obtain the corresponding dual processes, the Doi-Peliti formalism is employed. Conventional numerical evaluation enables us to obtain the transition probabilities from a fixed initial state; on the other hand, the duality relation gives us a useful method to calculate the transition probabilities to a fixed final state. Furthermore, it is clarified that the transition probabilities for various rate constants can be evaluated from only one numerical evaluation of extended dual stochastic processes.

  2. Association of caesarean section and neonatal death: a population-based case-control study in Islamic Republic of Iran.

    PubMed

    Ghaedmohammadi, Z; Anaraki, A; Khajeian, A; Khajehian, M; Ostovar, A

    2015-04-01

    The high caesarean section rate in the Islamic Republic of Iran could be a risk for adverse neonatal outcomes. This population-based, case-control study investigated the association of caesarean section and neonatal death. A total of 146 mothers whose babies had died during 28 days after birth were compared with 549 mothers with live newborns, according to delivery route and reasons for undergoing caesarean section. The crude odds ratio (OR) for the association of caesarean section and neonatal death was 1.97 (1.35-2.87). The adjusted OR was 2.19 (1.48-3.24) controlled for mother's education, parity and age. Adjusted ORs for elective caesarean, previous caesarean and emergency caesarean were 0.65 (0.26-1.62), 2.77 (1.64-4.66) and 2.51 (1.56-4.03) respectively. The ORs for caesarean delivery and neonatal death varied by mother's education, parity and age. The association of caesarean section with neonatal death is complex and is modified by other influencing factors. PMID:26077521

  3. Infrared spectroscopic characteristics of cell cycle and cell death probed by synchrotron-based FTIR spectromicroscopy

    E-print Network

    were measured, spread through the various morphologies. RESULTS The cell division cycle consists S phase the DNA is replicated to form two complete copies of the cell's genes in preparation for divisionInfrared spectroscopic characteristics of cell cycle and cell death probed by synchrotron

  4. Risk factors for sudden unexpected death in epilepsy: a controlled prospective study based on coroners cases.

    PubMed

    Opeskin, Kenneth; Berkovic, Samuel F

    2003-10-01

    We performed a controlled prospective study of pathologically verified sudden unexpected death in epilepsy (SUDEP) in a coronial setting, to identify risk factors. We prospectively studied coronial deaths of people with epilepsy in Vic., Australia, during a 21-month period. Fifty SUDEP and 50 subjects with epilepsy who died of other causes (controls) were collected sequentially. Clinical data was obtained shortly after death from questionnaires completed by treating doctors, discussion with family members and coronial files, including police reports of death, autopsy and toxicology reports. Factors assessed were age, sex, duration of epilepsy, type of seizure(s), seizure frequency, symptomatic epilepsy, including post-traumatic epilepsy, presence of structural brain lesion, idiopathic epilepsy, mental retardation, psychiatric illness, including dementia, recent stressful life event, particular antiepileptic drugs (AEDs) and AED polytherapy, compliance with AED treatment, psychotropic drug prescription, alcohol and other substance abuse, place of death and evidence of terminal seizure. The SUDEP group was characterised by younger age and higher proportion found dead in bed and with evidence of terminal seizure compared to controls. The profile of patients at risk for SUDEP are young people with epilepsy. They are most likely to die in sleep and our data support the view that SUDEP is a seizure-related event. This, taken in conjunction with the finding that there was no increased risk associated with a particular AED in monotherapy or multiple AEDs suggests that attempts to better treat patients' epilepsy with AEDs might decrease the risk of SUDEP. Although the literature suggests that SUDEP is more frequent in patients with severe epilepsy, we did not find a correlation with seizure frequency suggesting that other clinical indices may be more important. PMID:12967573

  5. Ill-defined causes of death in Brazil: a redistribution method based on the investigation of such causes

    PubMed Central

    França, Elisabeth; Teixeira, Renato; Ishitani, Lenice; Duncan, Bruce Bartholow; Cortez-Escalante, Juan José; de Morais, Otaliba Libânio; Szwarcwald, Célia Landman

    2014-01-01

    OBJECTIVE To propose a method of redistributing ill-defined causes of death (IDCD) based on the investigation of such causes. METHODS In 2010, an evaluation of the results of investigating the causes of death classified as IDCD in accordance with chapter 18 of the International Classification of Diseases (ICD-10) by the Mortality Information System was performed. The redistribution coefficients were calculated according to the proportional distribution of ill-defined causes reclassified after investigation in any chapter of the ICD-10, except for chapter 18, and used to redistribute the ill-defined causes not investigated and remaining by sex and age. The IDCD redistribution coefficient was compared with two usual methods of redistribution: a) Total redistribution coefficient, based on the proportional distribution of all the defined causes originally notified and b) Non-external redistribution coefficient, similar to the previous, but excluding external causes. RESULTS Of the 97,314 deaths by ill-defined causes reported in 2010, 30.3% were investigated, and 65.5% of those were reclassified as defined causes after the investigation. Endocrine diseases, mental disorders, and maternal causes had a higher representation among the reclassified ill-defined causes, contrary to infectious diseases, neoplasms, and genitourinary diseases, with higher proportions among the defined causes reported. External causes represented 9.3% of the ill-defined causes reclassified. The correction of mortality rates by the total redistribution coefficient and non-external redistribution coefficient increased the magnitude of the rates by a relatively similar factor for most causes, contrary to the IDCD redistribution coefficient that corrected the different causes of death with differentiated weights. CONCLUSIONS The proportional distribution of causes among the ill-defined causes reclassified after investigation was not similar to the original distribution of defined causes. Therefore, the redistribution of the remaining ill-defined causes based on the investigation allows for more appropriate estimates of the mortality risk due to specific causes. PMID:25210826

  6. Certification trails for data structures

    NASA Technical Reports Server (NTRS)

    Sullivan, Gregory F.; Masson, Gerald M.

    1993-01-01

    Certification trails are a recently introduced and promising approach to fault detection and fault tolerance. The applicability of the certification trail technique is significantly generalized. Previously, certification trails had to be customized to each algorithm application; trails appropriate to wide classes of algorithms were developed. These certification trails are based on common data-structure operations such as those carried out using these sets of operations such as those carried out using balanced binary trees and heaps. Any algorithms using these sets of operations can therefore employ the certification trail method to achieve software fault tolerance. To exemplify the scope of the generalization of the certification trail technique provided, constructions of trails for abstract data types such as priority queues and union-find structures are given. These trails are applicable to any data-structure implementation of the abstract data type. It is also shown that these ideals lead naturally to monitors for data-structure operations.

  7. The epidemiological transition in Antananarivo, Madagascar: an assessment based on death registers (1900–2012)

    PubMed Central

    Masquelier, Bruno; Waltisperger, Dominique; Ralijaona, Osée; Pison, Gilles; Ravélo, Arsène

    2014-01-01

    Background Madagascar today has one of the highest life expectancies in sub-Saharan Africa, despite being among the poorest countries in the continent. There are relatively few detailed accounts of the epidemiological transition in this country due to the lack of a comprehensive death registration system at the national level. However, in Madagascar’s capital city, death registration was established around the start of the 20th century and is now considered virtually complete. Objective We provide an overview of trends in all-cause and cause-specific mortality in Antananarivo to document the timing and pace of the mortality decline and the changes in the cause-of-death structure. Design Death registers covering the period 1976–2012 were digitized and the population at risk of dying was estimated from available censuses and surveys. Trends for the period 1900–1976 were partly reconstructed from published sources. Results The crude death rate stagnated around 30‰ until the 1940s in Antananarivo. Mortality declined rapidly after the World War II and then resurged again in the 1980s as a result of the re-emergence of malaria and the collapse of Madagascar’s economy. Over the past 30 years, impressive gains in life expectancy have been registered thanks to the unabated decline in child mortality, despite political instability, a lasting economic crisis and the persistence of high rates of chronic malnutrition. Progress in adult survival has been more modest because reductions in infectious diseases and diseases of the respiratory system have been partly offset by increases in cardiovascular diseases, neoplasms, and other diseases, particularly at age 50 years and over. Conclusions The transition in Antananarivo has been protracted and largely dependent on anti-microbial and anti-parasitic medicine. The capital city now faces a double burden of communicable and non-communicable diseases. The ongoing registration of deaths in the capital generates a unique database to evaluate the performance of the health system and measure intervention impacts. PMID:24848650

  8. Using multiple cause-of-death data to improve surveillance of drug-related mortality

    PubMed Central

    Nordstrom, David L.; Yokoi-Shelton, Mieko L.; Zosel, Amy

    2015-01-01

    Context Many state and local areas are affected by the national epidemic of drug-related mortality, which recently has shown signs of a rising licit-to-illicit drug death ratio. Appropriate local public health surveillance can help to monitor and control this epidemic. Objective Using our state as an example, we sought to illustrate how to describe the changes in drug death rates, causes, and circumstances. In contrast to most other surveillance reports, our approach includes both drug-induced and drug-related deaths and both demographic and socioeconomic decedent characteristics. Design Cross-sectional study. Setting All residents of the State of Wisconsin. Participants Decedents from 1999–2008. Main outcome measure Annual numbers and population-based rates of deaths due to drugs, including both identified and unidentified drugs. Information was obtained from death certificates with any of approximately 270 underlying, immediate, or contributing cause of death codes from the International Classification of Diseases 10th Revision. Results Drug-related death rates increased during much of the 10-year study period, and the ratio of male to female deaths rose. The median age at death from drug-related causes was 43 years. Opioid analgesic poisoning surpassed cocaine and heroin poisoning as the most frequent type of fatal drug poisoning. Of all 4828 deaths from drug-related causes--virtually all of which were certified by a county medical examiner or coroner--3,410 (71%) were unintentional, and 1,053 (22%) were suicide. The unintentional-to-suicide death rate ratio grew from 1.6 to 3.5 during the study period. Methadone-related deaths increased from 10 in 1999 to 118 in 2008 (1080%), while benzodiazepine-related deaths rose from 23 to 106 (361%). Conclusions Although premature deaths from drug use and abuse continue to rise, in some states even surpassing motor vehicle crash deaths, multiple cause of death information from death certificates is available to monitor their occurrence and nature and to inform selection of prevention strategies. PMID:23266754

  9. Single base substitution in OsCDC48 is responsible for premature senescence and death phenotype in rice.

    PubMed

    Huang, Qi-Na; Shi, Yong-Feng; Zhang, Xiao-Bo; Song, Li-Xin; Feng, Bao-Hua; Wang, Hui-Mei; Xu, Xia; Li, Xiao-Hong; Guo, Dan; Wu, Jian-Li

    2016-01-01

    A premature senescence and death 128 (psd128) mutant was isolated from an ethyl methane sulfonate-induced rice IR64 mutant bank. The premature senescence phenotype appeared at the six-leaf stage and the plant died at the early heading stage. psd128 exhibited impaired chloroplast development with significantly reduced photosynthetic ability, chlorophyll and carotenoid contents, root vigor, soluble protein content and increased malonaldehyde content. Furthermore, the expression of senescence-related genes was significantly altered in psd128. The mutant trait was controlled by a single recessive nuclear gene. Using map-based strategy, the mutation Oryza sativa cell division cycle 48 (OsCDC48) was isolated and predicted to encode a putative AAA-type ATPase with 809 amino-acid residuals. A single base substitution at position C2347T in psd128 resulted in a premature stop codon. Functional complementation could rescue the mutant phenotype. In addition, RNA interference resulted in the premature senescence and death phenotype. OsCDC48 was expressed constitutively in the root, stem, leaf and panicle. Subcellular analysis indicated that OsCDC48:YFP fusion proteins were located both in the cytoplasm and nucleus. OsCDC48 was highly conserved with more than 90% identity in the protein levels among plant species. Our results indicated that the impaired function of OsCDC48 was responsible for the premature senescence and death phenotype. PMID:26040493

  10. Effect of Cause-of-Death Training on Agreement Between Hospital Discharge Diagnoses and Cause of Death Reported, Inpatient Hospital Deaths, New York City, 2008–2010

    PubMed Central

    Ong, Paulina; Gambatese, Melissa; Begier, Elizabeth; Zimmerman, Regina; Soto, Antonio

    2015-01-01

    Introduction Accurate cause-of-death reporting is required for mortality data to validly inform public health programming and evaluation. Research demonstrates overreporting of heart disease on New York City death certificates. We describe changes in reported causes of death following a New York City health department training conducted in 2009 to improve accuracy of cause-of-death reporting at 8 hospitals. The objective of our study was to assess the degree to which death certificates citing heart disease as cause of death agreed with hospital discharge data and the degree to which training improved accuracy of reporting. Methods We analyzed 74,373 death certificates for 2008 through 2010 that were linked with hospital discharge records for New York City inpatient deaths and calculated the proportion of discordant deaths, that is, death certificates reporting an underlying cause of heart disease with no corresponding discharge record diagnosis. We also summarized top principal diagnoses among discordant reports and calculated the proportion of inpatient deaths reporting sepsis, a condition underreported in New York City, to assess whether documentation practices changed in response to clarifications made during the intervention. Results Citywide discordance between death certificates and discharge data decreased from 14.9% in 2008 to 9.6% in 2010 (P < .001), driven by a decrease in discordance at intervention hospitals (20.2% in 2008 to 8.9% in 2010; P < .001). At intervention hospitals, reporting of sepsis increased from 3.7% of inpatient deaths in 2008 to 20.6% in 2010 (P < .001). Conclusion Overreporting of heart disease as cause of death declined at intervention hospitals, driving a citywide decline, and sepsis reporting practices changed in accordance with health department training. Researchers should consider the effect of overreporting and data-quality changes when analyzing New York City heart disease mortality trends. Other vital records jurisdictions should employ similar interventions to improve cause-of-death reporting and use linked discharge data to monitor data quality. PMID:25590598

  11. Assessment of Computer-based Geologic Mapping of Rock Units in the LANDSAT-4 Scene of Northern Death Valley, California

    NASA Technical Reports Server (NTRS)

    Short, N. M.

    1984-01-01

    Results from a series of geologic classifications conducted on a thematic mapper subscene of the northern Death Valley, California are reported. Measurements of accuracy are made through comparison with the 1977 edition of the Death Valley geologic sheet. This employs a simplified map version which is registered by computer to the image data base, allowing a pixel by pixel match with the classified scene. The results show accuracy ranges from 36 to 79% depending on the type of classifier used and the statistical adjustments made to the data. Accuracy values in identifying geologic units were 2 to 3 times higher for those in the relatively flat valleys than for units in the rugged mountainous terrain. Improvements in accuracy will be sought by correcting for slope/aspect variations in mountainous terrain using topographic data recorded in Defense Mapping Agency (DMA) tapes. The above classification results will also be compared with ratio and principal component image classifications made from the same scene.

  12. From the emergency department to vital statistics: cause of death uncertain.

    PubMed

    Keirns, Carla C; Carr, Brendan G

    2008-08-01

    Vital statistics are widely used to evaluate trends in health and illness, inform policy, and allocate resources among health priorities. Literature comparing autopsies to clinical death certification has shown that the clinical "cause of death" certification is inaccurate or incomplete in many cases. Short of increasing autopsies, however, these studies have proposed few improvements. Using the case of death certification in the emergency department (ED), the authors analyzed the current approach to death certification. The authors propose the following to improve the quality of data: 1) acceptance of the declaration "manner of death, natural; cause of death, uncertain"; 2) training for physicians in the selection of appropriate underlying causes of death and "chains of causation"; and 3) participation of physicians with ongoing relationships to the patient in the certification process. PMID:18783489

  13. Deaths in Custody: A 25-Year Review of Jail Deaths in Bexar County, Texas.

    PubMed

    Lozano, Jason G; Molina, D Kimberley

    2015-12-01

    Although deaths in custody are an expected occurrence, they are often subjected to increased scrutiny and raise many questions as to circumstances surrounding the death as well as the cause and manner of death. It is usually the responsibility of the medical examiner to answer these questions. Relatively few studies have reviewed the causes and manners of death that occur while in custody and even fewer specific to jail populations. This study reviews the cause and manner of death of persons in custody in an urban county from 1985 to 2010. A retrospective review of death investigations, including death certificates and autopsy reports, was conducted on all deaths that occurred in custody during the period. The age and sex of the decedent as well as the place of death were also recorded. Most deaths were attributed to natural disease followed by suicide, and most deaths occurred either in the emergency department or in the hospital. Regarding the cause of death, cardiovascular disease followed by suicide by hanging accounted for the most number of deaths (25% and 20% of all deaths, respectively). It is recommended that all deaths in custody be reported to the medical examiner and that a thorough death investigation be conducted to properly define and document the cause and manner of death. This is particularly important given the increased scrutiny to which deaths in custody are often subjected. PMID:26196271

  14. Development of a Web-based child safety education program for Busan Safe City WHO Certification Project.

    PubMed

    Bae, Jeongyee; Panuncio, Rosel L; Sohn, Haesook

    2009-12-01

    As a nation that is tremendously affected by disaster- and injury-related deaths, Korea's second largest city, Busan, earnestly heeds World Health Organization's call for an international network of safe communities. As citizens of Busan dream of a safe city, officials are dedicating efforts in planning, developing and implementing sustainable programs aiming to reduce risk and promote safety awareness. The present article outlines the Busan Safe City Project and describes the development process of one of its programs, a Web-based safety education for children. Child safety remains a nationwide issue because in 2007, Korea ranked third in numbers of accident-related child deaths among the Organization for Economic Cooperation and Development countries. Future stages will involve program evaluation, revision and public release. This development process will guide other programs specific for other target populations. With everyone's help, the city continues to strive to be a healthy, safe, and dynamic Busan. PMID:19909442

  15. A population-based post mortem study of sudden unexpected death in epilepsy.

    PubMed

    Clark, Damian; Riney, Kate

    2016-01-01

    The aim of this study was to review population autopsy data on epilepsy-related deaths (ERD) in Queensland, Australia, to establish the incidence of autopsy-confirmed sudden unexpected death in epilepsy (SUDEP), explore factors associated with SUDEP, and determine if complete autopsy examinations of SUDEP were performed. All autopsy reports for a 5year period in Queensland were electronically searched for the terms 'epilepsy' or 'seizure'. The identified reports were reviewed, and data were extracted for all ERD. In the study period, 175 ERD were identified from autopsy records (123 SUDEP, 34 accident-related, 3 due to status epilepticus). From data available on the prevalence of epilepsy in Queensland (National Health Survey), the incidence of autopsy-confirmed SUDEP was 0.7 per 1000 person years (95% confidence interval 0.5-1.2 per 1000 person years). The factors associated with SUDEP were male sex (for those >18 years) and subtherapeutic anticonvulsant medication levels (found in 55%). Where recorded, the majority of deaths happened in the person's usual residence (90%), were overnight (70%) and unwitnessed (87%), with the person found prone (74%), in or adjacent to their bed (49%) and with signs of proximate seizure (60%). A complete autopsy was undertaken for only 59% of cases, the majority in urban locations. This study provides support for an unwitnessed overnight seizure being a key factor in autopsy-confirmed SUDEP in Queensland. PMID:26387918

  16. Cardiovascular Deaths among Alaskan Natives, 1980-86.

    ERIC Educational Resources Information Center

    Middaugh, John P.

    1990-01-01

    Analyzes death certificate data to discover the number of deaths of Alaskan natives caused by cardiovascular disease. Rates from cardiovascular diseases and atherosclerosis from 1980-86 among Alaskan natives were lower than rates among other Alaskans, while death rates from other causes were higher. Discusses the possible impact of diet. (JS)

  17. Epilepsy mortality and risk factors for death in epilepsy: a population-based study

    PubMed Central

    Ridsdale, Leone; Charlton, Judith; Ashworth, Mark; Richardson, Mark P; Gulliford, Martin C

    2011-01-01

    Background Epilepsy is an important cause of amenable mortality but risk factors for death in epilepsy are not well understood. Aim To evaluate trends in epilepsy mortality in a large population and identify risk factors for death in epilepsy. Design and setting Nested case–control study in the UK, using data from the General Practice Research Database (GPRD) from 1993 to 2007. Method Participants were included if they had ever been diagnosed with epilepsy and prescribed anticonvulsant drugs. Trends in all-cause mortality in persons with epilepsy in the GPRD were compared with death registrations with epilepsy as the underlying cause. A nested case–control study was implemented to compare participants with epilepsy who died with those who did not die. Results The prevalence of epilepsy increased from 9 per 1000 in 1993 to 12 per 1000 in 2007, and epilepsy deaths also increased in this period. In a nested case–control study, mortality was associated with: recorded alcohol problems (odds ratio [OR] 2.96, 95% confidence interval [CI] = 2.25 to 3.89, P<0.001); having collected the last anticonvulsant prescription 90–182 days previously (OR 1.83, CI = 1.66 to 2.03, P<0.001); having an injury in the previous year (OR 1.41, 95% CI = 1.30 to 1.53, P<0.001), and having been treated for depression (OR 1.39, 95% CI = 1.28 to 1.50, P<0.001). In data available from 2004 onwards, being recorded seizure free in the previous 12 months was associated with lower mortality (OR 0.78, 95% CI = 0.71 to 0.86, P<0.001). Conclusion Mortality with epilepsy appears to be increasing. Patients who have alcohol problems, do not collect repeat prescriptions for anticonvulsant drugs, have recent injuries, or have been treated for depression may be at increased risk of death; patients who remain seizure free over 12 months are at a lower risk. PMID:21619751

  18. Voodoo death.

    PubMed

    Lester, David

    2009-01-01

    Scholarly writing on voodoo death is reviewed. Criticisms that voodoo deaths in indigenous societies have never been well documented are refuted with cases medically documented in developed nations. The work of Cannon and Richter on sudden death in animals is reviewed and dismissed as irrelevant for understanding voodoo death. The role of starvation and dehydration is discussed, and it is suggested that the given-up/giving-up hypothesis best fits the phenomenon of voodoo death. Hypotheses for future research are suggested. PMID:19634503

  19. 23 CFR Appendix C to Part 1240 - Certification (Calendar Year 1998 Survey Based on Survey Approved Under 23 U.S.C. 153)

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... Certification-Calendar Year 1998 Seat Belt Use Survey State of Seat Belt Use Rate Reported for Calendar Year ____ : ____ %. In accordance with the provisions of 23 CFR 1240.12(c)(2), I hereby certify as follows: 1. The seat... GRANTS FOR USE OF SEAT BELTS-ALLOCATIONS BASED ON SEAT BELT USE RATES Pt. 1240, App. C Appendix C to...

  20. 23 CFR Appendix C to Part 1240 - Certification (Calendar Year 1998 Survey Based on Survey Approved Under 23 U.S.C. 153)

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... Certification-Calendar Year 1998 Seat Belt Use Survey State of Seat Belt Use Rate Reported for Calendar Year ____ : ____ %. In accordance with the provisions of 23 CFR 1240.12(c)(2), I hereby certify as follows: 1. The seat... GRANTS FOR USE OF SEAT BELTS-ALLOCATIONS BASED ON SEAT BELT USE RATES Pt. 1240, App. C Appendix C to...

  1. 23 CFR Appendix C to Part 1240 - Certification (Calendar Year 1998 Survey Based on Survey Approved Under 23 U.S.C. 153)

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... Certification-Calendar Year 1998 Seat Belt Use Survey State of Seat Belt Use Rate Reported for Calendar Year ____ : ____ %. In accordance with the provisions of 23 CFR 1240.12(c)(2), I hereby certify as follows: 1. The seat... GRANTS FOR USE OF SEAT BELTS-ALLOCATIONS BASED ON SEAT BELT USE RATES Pt. 1240, App. C Appendix C to...

  2. 23 CFR Appendix C to Part 1240 - Certification (Calendar Year 1998 Survey Based on Survey Approved Under 23 U.S.C. 153)

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... Certification-Calendar Year 1998 Seat Belt Use Survey State of Seat Belt Use Rate Reported for Calendar Year ____ : ____ %. In accordance with the provisions of 23 CFR 1240.12(c)(2), I hereby certify as follows: 1. The seat... GRANTS FOR USE OF SEAT BELTS-ALLOCATIONS BASED ON SEAT BELT USE RATES Pt. 1240, App. C Appendix C to...

  3. "We Brought It upon Ourselves": University-Based Teacher Education and the Emergence of Boot-Camp-Style Routes to Teacher Certification

    ERIC Educational Resources Information Center

    Friedrich, Daniel

    2014-01-01

    The proliferation of boot-camp-style routes to teacher certification in the last two decades is seen by many university-based teacher educators as the result of the advancement of conservative interests aimed at de-professionalizing teaching. This essay argues that this view only accounts for one piece of the answer, the other one being that some…

  4. Administration Certificate

    E-print Network

    Saskatchewan, University of

    Business Administration Certificate Studious IIIIIIIIIIIIInnnnnnnnnnnnnnnnggggggggggggggggggggeeeeeeeeeeeeeennnnnnnnnnnniiiiiiiiiiiiiioooooooooooooooouuuuuuuuuuuuuuuuusssssssssssss EDWARDS SCHOOL OF BUSINESS UNIVERSITY OF SASKATCHEWAN #12;Aneducationthatfits yourschedule, University of Saskatchewan 3 #12; BAC 11 Introduction to Business Focuses on integrated organizational

  5. Psychosocial Functioning and Intelligence Both Partly Explain Socioeconomic Inequalities in Premature Death. A Population-Based Male Cohort Study

    PubMed Central

    Falkstedt, Daniel; Sorjonen, Kimmo; Hemmingsson, Tomas; Deary, Ian J.; Melin, Bo

    2013-01-01

    Objective The possible contributions of psychosocial functioning and intelligence differences to socioeconomic status (SES)-related inequalities in premature death were investigated. None of the previous studies focusing on inequalities in mortality has included measures of both psychosocial functioning and intelligence. Methods The study was based on a cohort of 49 321 men born 1949–1951 from the general community in Sweden. Data on psychosocial functioning and intelligence from military conscription at ?18 years of age were linked with register data on education, occupational class, and income at 35–39 years of age. Psychosocial functioning was rated by psychologists as a summary measure of differences in level of activity, power of initiative, independence, and emotional stability. Intelligence was measured through a multidimensional test. Causes of death between 40 and 57 years of age were followed in registers. Results The estimated inequalities in all-cause mortality by education and occupational class were attenuated with 32% (95% confidence interval: 20–45%) and 41% (29–52%) after adjustments for individual psychological differences; both psychosocial functioning and intelligence contributed to account for the inequalities. The inequalities in cardiovascular and injury mortality were attenuated by as much as 51% (24–76%) and 52% (35–68%) after the same adjustments, and the inequalities in alcohol-related mortality were attenuated by up to 33% (8–59%). Less of the inequalities were accounted for when those were measured by level of income, with which intelligence had a weaker correlation. The small SES-related inequalities in cancer mortality were not attenuated by adjustment for intelligence. Conclusions Differences in psychosocial functioning and intelligence might both contribute to the explanation of observed SES-related inequalities in premature death, but the magnitude of their contributions likely varies with measure of socioeconomic status and cause of death. Both psychosocial functioning and intelligence should be considered in future studies. PMID:24349174

  6. The diagnosis of brain death

    PubMed Central

    Goila, Ajay Kumar; Pawar, Mridula

    2009-01-01

    Physicians, health care workers, members of the clergy, and laypeople throughout the world have accepted fully that a person is dead when his or her brain is dead. Although the widespread use of mechanical ventilators and other advanced critical care services have transformed the course of terminal neurologic disorders. Vital functions can now be maintained artificially for a long period of time after the brain has ceased to function. There is a need to diagnose brain death with utmost accuracy and urgency because of an increased awareness amongst the masses for an early diagnosis of brain death and the requirements of organ retrieval for transplantation. Physicians need not be, or consult with, a neurologist or neurosurgeon in order to determine brain death. The purpose of this review article is to provide health care providers in India with requirements for determining brain death, increase knowledge amongst health care practitioners about the clinical evaluation of brain death, and reduce the potential for variations in brain death determination policies and practices amongst facilities and practitioners. Process for brain death certification has been discussed under the following: 1. Identification of history or physical examination findings that provide a clear etiology of brain dysfunction. 2. Exclusion of any condition that might confound the subsequent examination of cortical or brain stem function. 3. Performance of a complete neurological examination including the standard apnea test and 10 minute apnea test. 4. Assessment of brainstem reflexes. 5. Clinical observations compatible with the diagnosis of brain death. 6. Responsibilities of physicians. 7. Notify next of kin. 8. Interval observation period. 9. Repeat clinical assessment of brain stem reflexes. 10. Confirmatory testing as indicated. 11. Certification and brain death documentation. PMID:19881172

  7. PREPARING FOR A SUCCESSFUL EVMS CERTIFICATION

    SciTech Connect

    CROWE SL; BASCHE AD

    2011-02-09

    The client, a government agency, requires its contractor to obtain an Earned Value Management System (EVMS) certification that meets the intent of ANSI/EIA-748-B, Earned Value Management Systems. The contractor has extensive experience with certification preparation, having completed two certifications within two years. Information from a previous EVMS certification and internal system surveillances are used to prepare for client-based EVMS certifications and bi-annual surveillances. The contractor also sent members of its group to assist other companies preparing for surveillances and certifications to perform 'Black Hat Reviews.' This paper is a lessons learned on preparing a team for EVMS certification. The information is also applicable for surveillances, since the contractor prepares its team for the surveillance in the same manner as the initial certification. Some of the areas covered include required documents, tracing the data through the systems, Control Account Manager (CAM) preparation, and system verification.

  8. Network-based survival-associated module biomarker and its crosstalk with cell death genes in ovarian cancer

    PubMed Central

    Jin, Nana; Wu, Hao; Miao, Zhengqiang; Huang, Yan; Hu, Yongfei; Bi, Xiaoman; Wu, Deng; Qian, Kun; Wang, Liqiang; Wang, Changliang; Wang, Hongwei; Li, Kongning; Li, Xia; Wang, Dong

    2015-01-01

    Ovarian cancer remains a dismal disease with diagnosing in the late, metastatic stages, therefore, there is a growing realization of the critical need to develop effective biomarkers for understanding underlying mechanisms. Although existing evidences demonstrate the important role of the single genetic abnormality in pathogenesis, the perturbations of interactors in the complex network are often ignored. Moreover, ovarian cancer diagnosis and treatment still exist a large gap that need to be bridged. In this work, we adopted a network-based survival-associated approach to capture a 12-gene network module based on differential co-expression PPI network in the advanced-stage, high-grade ovarian serous cystadenocarcinoma. Then, regulatory genes (protein-coding genes and non-coding genes) direct interacting with the module were found to be significantly overlapped with cell death genes. More importantly, these overlapping genes tightly clustered together pointing to the module, deciphering the crosstalk between network-based survival-associated module and cell death in ovarian cancer. PMID:26099452

  9. 40 CFR 745.226 - Certification of individuals and firms engaged in lead-based paint activities: target housing and...

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... work, or construction); or (3) Certification as an industrial hygienist, professional engineer, registered architect and/or certification in a related engineering/health/environmental field (e.g., safety...) Bachelor's degree in engineering, architecture, or a related profession, and 1 year of experience...

  10. Fetal deaths in Brazil: a systematic review

    PubMed Central

    Barbeiro, Fernanda Morena dos Santos; Fonseca, Sandra Costa; Tauffer, Mariana Girão; Ferreira, Mariana de Souza Santos; da Silva, Fagner Paulo; Ventura, Patrícia Mendonça; Quadros, Jesirée Iglesias

    2015-01-01

    OBJECTIVE To review the frequency of and factors associated with fetal death in the Brazilian scientific literature. METHODS A systematic review of Brazilian studies on fetal deaths published between 2003 and 2013 was conducted. In total, 27 studies were analyzed; of these, 4 studies addressed the quality of data, 12 were descriptive studies, and 11 studies evaluated the factors associated with fetal death. The databases searched were PubMed and Lilacs, and data extraction and synthesis were independently performed by two or more examiners. RESULTS The level of completeness of fetal death certificates was deficient, both in the completion of variables, particularly sociodemographic variables, and in defining the underlying causes of death. Fetal deaths have decreased in Brazil; however, inequalities persist. Analysis of the causes of death indicated maternal morbidities that could be prevented and treated. The main factors associated with fetal deaths were absent or inadequate prenatal care, low education level, maternal morbidity, and adverse reproductive history. CONCLUSIONS Prenatal care should prioritize women that are most vulnerable (considering their social environment or their reproductive history and morbidities) with the aim of decreasing the fetal mortality rate in Brazil. Adequate completion of death certificates and investment in the committees that investigate fetal and infant deaths are necessary. PMID:25902565

  11. Parental socioeconomic status and unintentional injury deaths in early childhood: consideration of injury mechanisms, age at death, and gender.

    PubMed

    Hong, Juhee; Lee, Boeun; Ha, Eun Hee; Park, Hyesook

    2010-01-01

    The aim of this study was to determine whether the socioeconomic status (SES) of parents influences early childhood unintentional injury deaths for different injury mechanisms and the gender and age at death of the child. Study design is a population-based retrospective study. Death certificate data from 1995 to 2004 were linked to birth certificate data from 1995 to 1996 for each child who died when aged < or = 8 years. Parental age, birth order, marital status, residence area, educational level, and occupation were used as indices for SES. Cox proportional-hazards analysis was employed. Our results indicate that nonmetropolitan residence, low parental education level, and a father working in a nonadministrative job or as a farmer were associated with a higher risk of death from injury for both boys and girls. A mother aged younger than 20 years and parents working in manual jobs were associated with a higher risk in boys only. The risks of some socioeconomic factors (low parental education and a father working in a manual job or as a farmer) were evident for children aged 1-4 years. The risks of rural residency tended to increase in older children, and the risk of injury from having a mother aged younger than 20 years increased for younger children. The risks of childhood injury deaths from traffic accidents, falls, and fire/burns were associated with the SES of the parents. Younger parents were associated with higher risks of injury deaths from traffic accidents (hazard ratio [HR]: father, 7.9; mother, 1.9) and falls (HR: father, 2.0; mother, 2.5). A father working as a farmer was associated with a higher risk of childhood injury death from fire/burns (HR = 4.0). In conclusion, the parental SES risk profiles of childhood injury deaths varied with the age and gender of the child, and with the injury mechanism. Therefore, reducing excess injury deaths during early childhood requires preventive efforts targeted at high-risk parents, and based on injury mechanism and on the gender and age of the child. PMID:19887173

  12. Using anti-muscarinic drugs in the management of death rattle: evidence-based guidelines for palliative care.

    PubMed

    Bennett, Mike; Lucas, Viv; Brennan, Mary; Hughes, Andrew; O'Donnell, Valerie; Wee, Bee

    2002-09-01

    The management of 'death rattle' was reviewed by a task group on behalf of the Association for Palliative Medicine's Science Committee. Evidence was searched for the effectiveness of various anti-muscarinic drugs in drying oropharyngeal and bronchial secretions in dying patients. Clinical guidelines were constructed based on evidence from volunteer and clinical studies. Death rattle occurs in half of all dying patients and some response occurs in around 80% of treated patients. Clinical studies demonstrate that subcutaneous hyoscine hydrobromide 400 microg is more effective at improving symptoms at 30 min than glycopyrronium 200 microg by the same route. Volunteer studies demonstrate that intramuscular glycopyrronium 400 microg is as effective in drying secretions at 30 min as a dose of 200 microg given intravenously. Duration of response is shortest for hyoscine butylbromide (1 h) and longest for glycopyrronium (more than 6 h). There is insufficient evidence to support the use of one drug over another in a continuous infusion and prescribers should base decisions on different characteristics of each anti-muscarinic drug. PMID:12380654

  13. Certification/Licensure Dictionary.

    ERIC Educational Resources Information Center

    Ohio State Dept. of Education, Columbus.

    This document helps districts implement the new teacher licensure standards and ensure that staff are assigned to classes they are qualified to teach. It identifies both the existing certification areas and the new licensure areas that are required for teaching specific courses. The areas included are: agriculture; business; career-based

  14. The changing demographics of inpatient hospice death: Population-based cross-sectional study in England, 1993–2012

    PubMed Central

    Sleeman, Katherine E; Davies, Joanna M; Verne, Julia; Gao, Wei; Higginson, Irene J

    2016-01-01

    Background: Studies in the United Kingdom and elsewhere have suggested inequality of hospice provision with respect to factors such as age, diagnosis and socio-economic position. How this has changed over time is unknown. Aim: To describe the factors associated with inpatient hospice death in England and examine how these have changed over time. Design: Population-based study. Multivariable Poisson regression compared 1998–2002, 2003–2007 and 2008–2012, with 1993–1997. Explanatory variables included individual factors (age, gender, marital status, underlying cause of death) and area-based measures of deprivation. Setting: Adults aged 25 years and over who died in inpatient hospice units in England between 1993 and 2002 (n?=?446,615). Results: The annual number of hospice deaths increased from 17,440 in 1993 to 26,032 in 2012, accounting for 3.4% of all deaths in 1993 and 6.0% in 2012. A total of 50.6% of hospice decedents were men; the mean age was 69.9 (standard deviation: 12.4)?years. The likelihood of hospice decedents being in the oldest age group (>85?years) increased over time (proportion ratio: 1.43, 95% confidence interval: 1.39 to 1.48 for 2008–2012 compared to 1993–1997). Just 5.2% of all hospice decedents had non-cancer diagnoses, though the likelihood of non-cancer conditions increased over time (proportion ratio: 1.41, 95% confidence interval: 1.37 to 1.46 for 2008–2012 compared to 1993–1997). The likelihood of hospice decedents being resident in the least deprived quintile increased over time (proportion ratio: 1.25, 95% confidence interval: 1.22 to 1.29 for 2008–2012 compared to 1993–1997). Conclusion: The increase in non-cancer conditions among hospice decedents is encouraging although absolute numbers remain very small. Deprivation trends are concerning and require further exploration. PMID:25991729

  15. A Death in the Family: Death as a Zen Concept

    ERIC Educational Resources Information Center

    Black, Helen K.; Rubinstein, Robert L.

    2013-01-01

    This study is based on original research that explored family reaction to the death of an elderly husband and father. We interviewed 34 families (a family included a widow and two adult biological children) approximately 6 to 10 months after the death. In one-on-one interviews, we discussed family members' initial reaction to the death, how the…

  16. Eighth Amendment & Death Penalty.

    ERIC Educational Resources Information Center

    Shortall, Joseph M.; Merrill, Denise W.

    1987-01-01

    Presents a lesson on capital punishment for juveniles based on three hypothetical cases. The goal of the lesson is to have students understand the complexities of decisions regarding the death penalty for juveniles. (JDH)

  17. Death Runthrough

    E-print Network

    Hacker, Randi

    2011-11-16

    Broadcast Transcript: At a certain age, we all begin to feel our mortality. Here in South Korea, they're doing something about it. Test runs for death. Well, they're not really practicing dying. They're practicing with death's accessories. That is...

  18. An ostracode based paleolimnologic and paleohydrologic history of Death Valley: 200 to 0 ka

    USGS Publications Warehouse

    Forester, R.M.; Lowenstein, T.K.; Spencer, R.J.

    2005-01-01

    Death Valley, a complex tectonic and hydrologic basin, was cored from its lowest surface elevation to a depth of 186 m. The sediments range from bedded primary halite to black muds. Continental ostracodes found in the black muds indicate that those sediments were deposited in a variety of hydrologic settings ranging from deep, relatively fresh water to shallow saline lakes to spring discharge supported wetlands. The alkaline-enriched, calcium-depleted paleolake waters indicate extrabasinal streamflow and basin-margin spring discharge. The alkaline-depleted, calcium-enriched paleowetland waters indicate intrabasinal spring discharge. During Marine Isotope Stage 6 (MIS 6, ca. 180-140 ka) the hydrologic settings were highly variable, implying that complex relations existed between climate and basin hydrology. Termination II (MIS 6 to MIS 5E) was a complex multicyclic sequence of paleoenvironments, implying that climates oscillated between high and low effective moisture. MIS 4 (ca. 73-61 ka) was a spring discharge supported wetland complex. During MIS 2 (ca. 20-12 ka) the hydrologic settings were variable, although they are not fully understood because some black muds deposited during that time were lost during coring. ?? 2005 Geological Society of America.

  19. Association between guideline recommended drugs and death in older adults with multiple chronic conditions: population based cohort study

    PubMed Central

    McAvay, Gail; Trentalange, Mark; Cohen, Andrew B; Allore, Heather G

    2015-01-01

    Objective To estimate the association between guideline recommended drugs and death in older adults with multiple chronic conditions. Design Population based cohort study. Setting Medicare Current Beneficiary Survey cohort, a nationally representative sample of Americans aged 65 years or more. Participants 8578 older adults with two or more study chronic conditions (atrial fibrillation, coronary artery disease, chronic kidney disease, depression, diabetes, heart failure, hyperlipidemia, hypertension, and thromboembolic disease), followed through 2011. Exposures Drugs included ? blockers, calcium channel blockers, clopidogrel, metformin, renin-angiotensin system (RAS) blockers; selective serotonin reuptake inhibitors (SSRIs) and serotonin norepinephrine reuptake inhibitors (SNRIs); statins; thiazides; and warfarin. Main outcome measure Adjusted hazard ratios for death among participants with a condition and taking a guideline recommended drug relative to participants with the condition not taking the drug and among participants with the most common combinations of four conditions. Results Over 50% of participants with each condition received the recommended drugs regardless of coexisting conditions; 1287/8578 (15%) participants died during the three years of follow-up. Among cardiovascular drugs, ? blockers, calcium channel blockers, RAS blockers, and statins were associated with reduced mortality for indicated conditions. For example, the adjusted hazard ratio for ? blockers was 0.59 (95% confidence interval 0.48 to 0.72) for people with atrial fibrillation and 0.68 (0.57 to 0.81) for those with heart failure. The adjusted hazard ratios for cardiovascular drugs were similar to those with common combinations of four coexisting conditions, with trends toward variable effects for ? blockers. None of clopidogrel, metformin, or SSRIs/SNRIs was associated with reduced mortality. Warfarin was associated with a reduced risk of death among those with atrial fibrillation (adjusted hazard ratio 0.69, 95% confidence interval 0.56 to 0.85) and thromboembolic disease (0.44, 0.30 to 0.62). Attenuation in the association with reduced risk of death was found with warfarin in participants with some combinations of coexisting conditions. Conclusions Average effects on survival, particularly for cardiovascular study drugs, were comparable to those reported in randomized controlled trials but varied for some drugs according to coexisting conditions. Determining treatment effects in combinations of conditions may guide prescribing in people with multiple chronic conditions. PMID:26432468

  20. Death and legal fictions.

    PubMed

    Shah, Seema K; Truog, Robert D; Miller, Franklin G

    2011-12-01

    Advances in life-saving technologies in the past few decades have challenged our traditional understandings of death. Traditionally, death was understood to occur when a person stops breathing, their heart stops beating and they are cold to the touch. Today, physicians determine death by relying on a diagnosis of 'total brain failure' or by waiting a short while after circulation stops. Evidence has emerged, however, that the conceptual bases for these approaches to determining death are fundamentally flawed and depart substantially from the established biological conception of death. We argue that the current approach to determining death consists of two different types of unacknowledged legal fictions. These legal fictions were developed for practices that are largely ethically legitimate but need to be reconciled with the law. The considerable debate over the determination of death in the medical and scientific literature has not informed the public that vital organs are being procured from still-living donors and it seems unlikely that this information can remain hidden for long. Given the instability of the status quo and the difficulty of making the substantial legal changes required by complete transparency, we argue for a second-best policy solution: acknowledging the legal fictions involved in determining death to move in the direction of greater transparency. This may someday result in more substantial legal change to directly confront the challenges raised by life-sustaining and life-preserving technologies without the need for fictions. PMID:21810923

  1. Brain Death and Islam

    PubMed Central

    Ziad-Miller, Amna; Elamin, Elamin M.

    2014-01-01

    How one defines death may vary. It is important for clinicians to recognize those aspects of a patient’s religious beliefs that may directly influence medical care and how such practices may interface with local laws governing the determination of death. Debate continues about the validity and certainty of brain death criteria within Islamic traditions. A search of PubMed, Scopus, EMBASE, Web of Science, PsycNet, Sociological Abstracts, DIALOGUE ProQuest, Lexus Nexus, Google, and applicable religious texts was conducted to address the question of whether brain death is accepted as true death among Islamic scholars and clinicians and to discuss how divergent opinions may affect clinical care. The results of the literature review inform this discussion. Brain death has been acknowledged as representing true death by many Muslim scholars and medical organizations, including the Islamic Fiqh Academies of the Organization of the Islamic Conference and the Muslim World League, the Islamic Medical Association of North America, and other faith-based medical organizations as well as legal rulings by multiple Islamic nations. However, consensus in the Muslim world is not unanimous, and a sizable minority accepts death by cardiopulmonary criteria only. PMID:25287999

  2. 78 FR 35115 - Listing of Color Additives Exempt From Certification; Mica-Based Pearlescent Pigments

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-06-12

    ...mica-based pearlescent pigments prepared from titanium dioxide and mica as color additives in...mica-based pearlescent pigments prepared from titanium dioxide and mica in distilled spirits...Mica-based pearlescent pigments prepared from titanium dioxide and mica are currently...

  3. 47 CFR 64.606 - Internet-based TRS provider and TRS program certification.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 47 Telecommunication 3 2013-10-01 2013-10-01 false Internet-based TRS provider and TRS program... Services and Related Customer Premises Equipment for Persons With Disabilities § 64.606 Internet-based TRS... including notification in the Federal Register. (2) Internet-based TRS provider. Any entity desiring...

  4. 47 CFR 64.606 - Internet-based TRS provider and TRS program certification.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 47 Telecommunication 3 2011-10-01 2011-10-01 false Internet-based TRS provider and TRS program... Services and Related Customer Premises Equipment for Persons With Disabilities § 64.606 Internet-based TRS... including notification in the Federal Register. (2) Internet-based TRS provider. Any entity desiring...

  5. 47 CFR 64.606 - Internet-based TRS provider and TRS program certification.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 47 Telecommunication 3 2014-10-01 2014-10-01 false Internet-based TRS provider and TRS program... Services and Related Customer Premises Equipment for Persons With Disabilities § 64.606 Internet-based TRS... including notification in the Federal Register. (2) Internet-based TRS provider. Any entity desiring...

  6. 47 CFR 64.606 - Internet-based TRS provider and TRS program certification.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 47 Telecommunication 3 2012-10-01 2012-10-01 false Internet-based TRS provider and TRS program... Services and Related Customer Premises Equipment for Persons With Disabilities § 64.606 Internet-based TRS... including notification in the Federal Register. (2) Internet-based TRS provider. Any entity desiring...

  7. Neonatal Death

    MedlinePLUS

    ... story First Candle Centering Corporation The Compassionate Friends Star Legacy Foundation Last reviewed: November, 2015 Neonatal death ... story First Candle Centering Corporation The Compassionate Friends Star Legacy Foundation Last reviewed: November, 2015 Complications & Loss ...

  8. Death Rates

    Cancer.gov

    Close Window State Cancer Profiles Quick Reference Guides ? Quick Reference Guides Index Death Rates Send to Printer Text description of this image. Site Home Policies Accessibility Viewing Files FOIA Contact Us U.S. Department of Health and Human Services

  9. Fast and secure handover of intra-ASN IEEE802.16 network by proposed certificate based pre-authentication

    NASA Astrophysics Data System (ADS)

    Sridevi, B.; Supriya, T. S.; Rajaram, S.

    2013-01-01

    The current generation of wireless networks has been designed predominantly to support voice and more recently data traffic. WiMAX is currently one of the hottest technologies in wireless. The main motive of the mobile technologies is to provide seamless cost effective mobility. But this is affected by Authentication cost and handover delay since on each handoff the Mobile Station (MS) has to undergo all steps of authentication. Pre-Authentication is used to reduce the handover delay and increase the speed of the Intra-ASN Handover. Proposed Pre-Authentication method is intended to reduce the authentication delay by getting pre authenticated by central authority called Pre Authentication Authority (PAA). MS requests PAA for Pre Authentication Certificate (PAC) before performing handoff. PAA verifies the identity of MS and provides PAC to MS and also to the neighboring target Base Stations (tBSs). MS having time bound PAC can skip the authentication process when recognized by target BS during handoff. It also prevents the DOS (Denial Of Service) attack and Replay attack. It has no wastage of unnecessary key exchange of the resources. The proposed work is simulated by NS2 model and by MATLAB.

  10. 78 FR 54758 - Listing of Color Additives Exempt From Certification; Mica-Based Pearlescent Pigments...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-09-06

    ...safe use of mica-based pearlescent pigments prepared from titanium dioxide and mica as color additives in distilled spirits containing...safe use of mica-based pearlescent pigments prepared from titanium dioxide and mica as color additives in distilled spirits...

  11. 40 CFR 94.912 - Optional certification to land-based standards for auxiliary marine engines.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ...to land-based standards for auxiliary marine engines. 94.912 Section 94.912...CONTINUED) CONTROL OF EMISSIONS FROM MARINE COMPRESSION-IGNITION ENGINES Exclusion...to land-based standards for auxiliary marine engines. This section applies to...

  12. 40 CFR 94.912 - Optional certification to land-based standards for auxiliary marine engines.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ...to land-based standards for auxiliary marine engines. 94.912 Section 94.912...CONTINUED) CONTROL OF EMISSIONS FROM MARINE COMPRESSION-IGNITION ENGINES Exclusion...to land-based standards for auxiliary marine engines. This section applies to...

  13. 40 CFR 94.912 - Optional certification to land-based standards for auxiliary marine engines.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ...to land-based standards for auxiliary marine engines. 94.912 Section 94.912...CONTINUED) CONTROL OF EMISSIONS FROM MARINE COMPRESSION-IGNITION ENGINES Exclusion...to land-based standards for auxiliary marine engines. This section applies to...

  14. 40 CFR 94.912 - Optional certification to land-based standards for auxiliary marine engines.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ...to land-based standards for auxiliary marine engines. 94.912 Section 94.912...CONTINUED) CONTROL OF EMISSIONS FROM MARINE COMPRESSION-IGNITION ENGINES Exclusion...to land-based standards for auxiliary marine engines. This section applies to...

  15. 40 CFR 94.912 - Optional certification to land-based standards for auxiliary marine engines.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    This section applies to auxiliary marine engines that are identical to certified land-based engines. See § 94.907 for provisions that apply to propulsion marine engines or auxiliary marine engines that are modified for marine applications. (a) General...

  16. Accuracy of cause of death data routinely recorded in a population-based cancer registry: impact on cause-specific survival and validation using the Geneva cancer registry

    PubMed Central

    2013-01-01

    Background Information on the underlying cause of death of cancer patients is of interest because it can be used to estimate net survival. The population-based Geneva Cancer Registry is unique because registrars are able to review the official cause of death. This study aims to describe the difference between the official and revised cause-of-death variables and the impact on cancer survival estimates. Methods The recording process for each cause of death variable is summarised. We describe the differences between the two cause-of-death variables for the 5,065 deceased patients out of the 10,534 women diagnosed with breast cancer between 1970 and 2009. The Kappa statistic and logistic regression are applied to evaluate the degree of concordance. The impact of discordance on cause-specific survival is examined using the Kaplan Meier method. Results The overall agreement between the two variables was high. However, several subgroups presented a lower concordance, suggesting differences in calendar time and less attention given to older patients and more advanced diseases. Similarly, the impact of discordance on cause-specific survival was small on overall survival but larger for several subgroups. Conclusion Estimation of cancer-specific survival could therefore be prone to bias when using the official cause of death. Breast cancer is not the more lethal cancer and our results can certainly not be generalised to more lethal tumours. PMID:24373194

  17. Diagnosed diabetes and premature death among middle-aged Japanese: results from a large-scale population-based cohort study in Japan (JPHC study)

    PubMed Central

    Kato, Masayuki; Noda, Mitsuhiko; Mizoue, Tetsuya; Goto, Atsushi; Takahashi, Yoshihiko; Matsushita, Yumi; Nanri, Akiko; Iso, Hiroyasu; Inoue, Manami; Sawada, Norie; Tsugane, Shoichiro

    2015-01-01

    Objective To examine the association between diabetes and premature death for Japanese general people. Design Prospective cohort study. Setting The Japan Public Health Center-based prospective study (JPHC study), data collected between 1990 and 2010. Population A total of 46?017 men and 53?567 women, aged 40–69?years at the beginning of baseline survey. Main outcome measures Overall and cause specific mortality. Cox proportional hazards models were used to calculate the HRs of all cause and cause specific mortality associated with diabetes. Results The median follow-up period was 17.8?years. During the follow-up period, 8223 men and 4640 women have died. Diabetes was associated with increased risk of death (856 men and 345 women; HR 1.60, (95% CI 1.49 to 1.71) for men and 1.98 (95% CI 1.77 to 2.21) for women). As for the cause of death, diabetes was associated with increased risk of death by circulatory diseases (HR 1.76 (95% CI 1.53 to 2.02) for men and 2.49 (95% CI 2.06 to 3.01) for women) while its association with the risk of cancer death was moderate (HR 1.25 (95% CI 1.11 to 1.42) for men and 1.04 (95% CI 0.82 to 1.32) for women). Diabetes was also associated with increased risk of death for ‘non-cancer, non-circulatory system disease’ (HR 1.91 (95% CI 1.71 to 2.14) for men and 2.67 (95% CI 2.25 to 3.17) for women). Conclusions Diabetes was associated with increased risk of death, especially the risk of death by circulatory diseases. PMID:25941187

  18. Professional Certifications Facilities Management

    E-print Network

    Faraon, Andrei

    Engineer · Advances in Continuous Emissions Monitoring Techniques Certificate · Certified Cogeneration Competent Conveyance Mechanic, State of CA · Solar Standard Controls Certification · Certified Energy · Pace Program Certification · Certified Energy Procurement Professional · BoilerWater Treatment

  19. Web-Based Certification Courses: The Future of Teacher Preparation in Special Education?

    ERIC Educational Resources Information Center

    Sun, Ling; Bender, William N.; Fore, Cecil, III

    2003-01-01

    This article describes development and implementation of the Western Carolina University Teacher Support Program, a multi-component Web-based special education teacher development course. The program is intended to reduce stress and burnout, improve retention, develop problem solving strategies, and improve the effectiveness of teachers.…

  20. 78 FR 35115 - Listing of Color Additives Exempt From Certification; Mica-Based Pearlescent Pigments

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-06-12

    ... of mica-based pearlescent pigments in food (Sec. 73.350) and ingested drugs (Sec. 73.1350) (71 FR... pearlescent pigments in ingested drugs, we relied on the estimates used in the issuance of Sec. 73.350 (71 FR... FR 16784), FDA announced that a color additive petition (CAP 2C0294) had been filed by E. & J....

  1. 40 CFR 745.90 - Renovator certification and dust sampling technician certification.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... Renovator certification and dust sampling technician certification. 745... Renovator certification and dust sampling technician certification. (a) Renovator certification and dust sampling technician certification....

  2. 40 CFR 745.90 - Renovator certification and dust sampling technician certification.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... Renovator certification and dust sampling technician certification. 745... Renovator certification and dust sampling technician certification. (a) Renovator certification and dust sampling technician certification ....

  3. 40 CFR 745.90 - Renovator certification and dust sampling technician certification.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... Renovator certification and dust sampling technician certification. 745... Renovator certification and dust sampling technician certification. (a) Renovator certification and dust sampling technician certification ....

  4. 40 CFR 745.90 - Renovator certification and dust sampling technician certification.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... Renovator certification and dust sampling technician certification. 745... Renovator certification and dust sampling technician certification. (a) Renovator certification and dust sampling technician certification ....

  5. Certification/enforcement analysis

    SciTech Connect

    1980-06-01

    Industry compliance with minimum energy efficiency standards will be assured through a two-part program approach of certification and enforcement activities. The technical support document (TSD) presents the analyses upon which the proposed rule for assuring that consumer product comply with applicable energy efficiency standards is based. Much of the TSD is based upon support provided DOE by Vitro Laboratories. The OAO Corporation provided additional support in the development of the sampling plan incorporated in the proposed rule. Vitro's recommended approach to appliance certification and enforcement, developed after consideration of various program options, benefits, and impacts, establishes the C/E program framework, general criteria, and procedures for assuring a specified level of energy efficiency performance of covered consumer products. The results of the OAO analysis are given in Volume II of the TSD.

  6. Hydrochemical data base for the Death Valley Region, California and Nevada

    SciTech Connect

    Perfect, D.L.; Faunt, C.C.; Steinkampf, W.C.; Turner, A.K.

    1995-02-01

    Ground-water chemistry data derived from samples collected within an approximately 100,000-square-kilometer area in the Southern Great Basin have been compiled into a digital data base. The data were compiled from published reports, the U.S. Geological Survey (USGS) National Water Information System (NWIS), and previously unpublished USGS files. The data are contained in two compressed files which self-expand into Lotus (.WK1) files. The first file contains 4,738 records (4.84 megabytes) and represents the basic compilation of all identified analyses. The second file is an edited version of the first and contains 3,733 records (3.84 megabytes). Editing included the removal of duplicate records and the combining of records, when appropriate. The analyses presented are of variable quality and comprehensiveness and include no isotopic data. Of the 3,733 analyses in the edited data base, 58 percent of the major ion concentrations balance to within {+-}10 percent. Most of the remaining records are not sufficiently complete for a balance to be calculated.

  7. Building secure wireless access point based on certificate authentication and firewall captive portal

    NASA Astrophysics Data System (ADS)

    Soewito, B.; Hirzi

    2014-03-01

    Wireless local area network or WLAN more vulnerability than wired network even though WLAN has many advantages over wired. Wireless networks use radio transmissions to carry data between end users and access point. Therefore, it is possible for someone to sit in your office building's lobby or parking lot or parking lot to eavesdrop on the wireless network communication. This paper discussed securing wires local area network used WPA2 Enterprise based PEAP MS-CHAP and Captive portal firewall. We also divided the network for employer and visitor to increase the level of security. Our experiment showed that the WLAN could be broken using the attacker tool such as airodump, aireply, and aircrack.

  8. Dig1 protects against cell death provoked by glyphosate-based herbicides in human liver cell lines

    PubMed Central

    2010-01-01

    Background Worldwide used pesticides containing different adjuvants like Roundup formulations, which are glyphosate-based herbicides, can provoke some in vivo toxicity and in human cells. These pesticides are commonly found in the environment, surface waters and as food residues of Roundup tolerant genetically modified plants. In order to know their effects on cells from liver, a major detoxification organ, we have studied their mechanism of action and possible protection by precise medicinal plant extracts called Dig1. Methods The cytotoxicity pathways of four formulations of glyphosate-based herbicides were studied using human hepatic cell lines HepG2 and Hep3B, known models to study xenobiotic effects. We monitored mitochondrial succinate dehydrogenase activity and caspases 3/7 for cell mortality and protection by Dig1, as well as cytochromes P450 1A1, 1A2, 3A4 and 2C9 and glutathione-S-transferase to approach the mechanism of actions. Results All the four Roundup formulations provoke liver cell death, with adjuvants having stronger effects than glyphosate alone. Hep3B are 3-5 times more sensitive over 48 h. Caspases 3/7 are greatly activated in HepG2 by Roundup at non-cytotoxic levels, and some apoptosis induction by Roundup is possible together with necrosis. CYP3A4 is specifically enhanced by Roundup at doses 400 times less than used in agriculture (2%). CYP1A2 is increased to a lesser extent together with glutathione-S-transferase (GST) down-regulation. Dig 1, non cytotoxic and not inducing caspases by itself, is able to prevent Roundup-induced cell death in a time-dependant manner with an important efficiency of up to 89%, within 48 h. In addition, we evidenced that it prevents Caspases 3/7 activation and CYP3A4 enhancement, and not GST reduction, but in turn it slightly inhibited CYP2C9 when added before Roundup. Conclusion Roundup is able to provoke intracellular disruption in hepatic cell lines at different levels, but a mixture of medicinal plant extracts Dig1 can protect to some extent human cell lines against this pollutants. All this system constitutes a tool for studying liver intoxication and detoxification. PMID:20979644

  9. Death Circles

    E-print Network

    Gomez, Randolph

    2013-05-31

    Death Circles is comprised of five panels of cotton fabric, stretched by heavy rods on the top and the bottom of the piece, these fabrics are imprinted with circles of ants, there is also a circle of metal ants that are suspended in the last fabric...

  10. Certificates: Gateway to Gainful Employment and College Degrees

    ERIC Educational Resources Information Center

    Carnevale, Anthony P.; Rose, Stephen J.; Hanson, Andrew R.

    2012-01-01

    Certificates are recognition of completion of a course of study based on a specific field, usually associated with a limited set of occupations. Certificates differ from other kinds of labor market credentials such as industry-based certifications and licenses, which typically involve passing an examination to prove a specific competency,…

  11. Preventing Fire Death and Injury, Conducting a Fire Drill in a Group Home [and] When You Need a Fire Safety Expert. National Fire Safety Certification System. Continuing Education Program. Volume 1, Numbers 1-3.

    ERIC Educational Resources Information Center

    Walker, Bonnie

    Three booklets provide fire safety information for staff of residential facilities serving people with developmental disabilities. Booklets focus on: (1) preventing fire death and injury, (2) conducting a fire drill in a group home, and (3) the role of fire safety experts. The first booklet stresses the elimination of the following dangers:…

  12. Spatial analysis of deaths from pulmonary tuberculosis in the city of São Luís, Brazil*

    PubMed Central

    Santos-Neto, Marcelino; Yamamura, Mellina; Garcia, Maria Concebida da Cunha; Popolin, Marcela Paschoal; Silveira, Tatiane Ramos dos Santos; Arcêncio, Ricardo Alexandre

    2014-01-01

    OBJECTIVE: To characterize deaths from pulmonary tuberculosis, according to sociodemographic and operational variables, in the city of São Luís, Brazil, and to describe their spatial distribution. METHODS: This was an exploratory ecological study based on secondary data from death certificates, obtained from the Brazilian Mortality Database, related to deaths from pulmonary tuberculosis. We included all deaths attributed to pulmonary tuberculosis that occurred in the urban area of São Luís between 2008 and 2012. We performed univariate and bivariate analyses of the sociodemographic and operational variables of the deaths investigated, as well as evaluating the spatial distribution of the events by kernel density estimation. RESULTS: During the study period, there were 193 deaths from pulmonary tuberculosis in São Luís. The median age of the affected individuals was 52 years. Of the 193 individuals who died, 142 (73.60%) were male, 133 (68.91%) were Mulatto, 102 (53.13%) were single, and 64 (33.16%) had completed middle school. There was a significant positive association between not having received medical care prior to death and an autopsy having been performed (p = 0.001). A thematic map by density of points showed that the spatial distribution of those deaths was heterogeneous and that the density was as high as 8.12 deaths/km2. CONCLUSIONS: The sociodemographic and operational characteristics of the deaths from pulmonary tuberculosis evaluated in this study, as well as the identification of priority areas for control and surveillance of the disease, could promote public health policies aimed at reducing health inequities, allowing the optimization of resources, as well as informing decisions regarding the selection of strategies and specific interventions targeting the most vulnerable populations. PMID:25410843

  13. IR spectroscopic characteristics of cell cycle and cell death probed by synchrotron radiation based Fourier transform IR spectromicroscopy

    NASA Technical Reports Server (NTRS)

    Holman, H. Y.; Martin, M. C.; Blakely, E. A.; Bjornstad, K.; McKinney, W. R.

    2000-01-01

    Synchrotron radiation based Fourier transform IR (SR-FTIR) spectromicroscopy allows the study of individual living cells with a high signal to noise ratio. Here we report the use of the SR-FTIR technique to investigate changes in IR spectral features from individual human lung fibroblast (IMR-90) cells in vitro at different points in their cell cycle. Clear changes are observed in the spectral regions corresponding to proteins, DNA, and RNA as a cell changes from the G(1)-phase to the S-phase and finally into mitosis. These spectral changes include markers for the changing secondary structure of proteins in the cell, as well as variations in DNA/RNA content and packing as the cell cycle progresses. We also observe spectral features that indicate that occasional cells are undergoing various steps in the process of cell death. The dying or dead cell has a shift in the protein amide I and II bands corresponding to changing protein morphologies, and a significant increase in the intensity of an ester carbonyl C===O peak at 1743 cm(-1) is observed. Copyright John Wiley & Sons, Inc. Biopolymers (Biospectroscopy) 57: 329-335, 2000.

  14. Demonstration of the in vivo interaction of key cell death regulators by structure-based design of

    E-print Network

    Xue, Ding

    , Boulder, CO 80309 Communicated by William B. Wood, University of Colorado, Boulder, CO, August 16, 2000 in potent inhibition of most nematode cell deaths impairs the binding of EGL-1 to CED-9 and EGL-1-induced

  15. Certificate and Diploma

    E-print Network

    Dawson, Jeff W.

    , to obtain the Certificate from Carleton University. Students who have completed an undergraduate degreeCertificate and Diploma Programs #12;Carleton offers a selection of Certificate or Diploma programs of Carleton's Certificate or Diploma programs, you will be entitled to all of the benefits that our regular

  16. Ancient Mediterranean Certificate

    E-print Network

    Saldin, Dilano

    for individuals who already hold a bachelor's degree from any accredited college or university. Many certificatesAncient Mediterranean Studies Certificate About Us The Ancient Mediterranean Studies Certificate Program encompasses the study of the cultures and societies of ancient Greece and Rome. The certificate

  17. Francophone Studies Certificate

    E-print Network

    Saldin, Dilano

    for individuals who already hold a bachelor's degree from any accredited college or university. Many certificatesFrench and Francophone Studies Certificate About Us The Certificate Program in French. Students also will learn about France's evolution from its colonies in the 18th century. This certificate

  18. Asian Studies Certificate

    E-print Network

    Saldin, Dilano

    Certificate have gone on to jobs in business, government, sales, media, and teaching positions both who already hold a bachelor's degree from any accredited college or university. Many certificates alsoAsian Studies Certificate Asian Studies at UWM The Asian Studies Certificate allows students

  19. The social patterning of deaths due to assault in Scotland, 1980–2005: population-based study

    PubMed Central

    Dundas, R

    2010-01-01

    Objectives The objectives of this study were to explore the extent of the social gradient for deaths due to assault and its impact on overall inequalities in mortality and to investigate the contribution to assault mortality of knives and other sharp weapons. Design An analysis of death records and contemporaneous population estimates was conducted. Setting The authors investigated the social patterning of homicide in Scotland. Participants This study included deaths between 1980 and 2005 due to assault. Main measurements Death rates were standardised to the European standard population. Time trends were analysed and inequalities were assessed, using rate ratios and the slope index of inequality, along axes defined by individual occupational socioeconomic status and area deprivation. Results An increase in mortality due to assault was most pronounced at ages 15–44 and was steeper among assaults involving knives. The death rate among men in routine occupations aged 20–59 was nearly 12 times that of those in higher managerial and professional occupations. Men under 65 living in the most deprived quintile of areas had a death rate due to assault 31.9 times (95% CI 13.1 to 77.9) that of those living in the least deprived quintile; for women, this ratio was 35.0 (4.8 to 256.2). Despite comprising just 3.2% of all male deaths between 15 and 44?years, assault accounted for 6.4% of the inequalities in mortality. Conclusions Inequalities in mortality due to assault in Scotland exceed those in other countries and are greater than for other causes of death in Scotland. Reducing mortality and inequalities depends on addressing the problems of deprivation as well as targeting known contributors, such as alcohol use, the carrying of knives and gang culture. PMID:20445212

  20. 40 CFR 745.89 - Firm certification.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 40 Protection of Environment 32 2012-07-01 2012-07-01 false Firm certification. 745.89 Section 745.89 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) TOXIC SUBSTANCES CONTROL ACT LEAD-BASED PAINT POISONING PREVENTION IN CERTAIN RESIDENTIAL STRUCTURES Residential Property Renovation § 745.89 Firm certification. (a)...

  1. 1 | P a g e Leadership Certificate Info Packet

    E-print Network

    Scharer, John E.

    Certificate The University of Wisconsin-Madison recognizes the need for increasing the capacity of individuals. The leadership certificate is based on four assumptions: The University of Wisconsin-Madison is committed1 | P a g e Leadership Certificate Info Packet Table of Contents Introduction to the Leadership

  2. [Near death experiences].

    PubMed

    Rubia Vila, Francisco José

    2012-01-01

    Near Death Experiences are those accounted by people who after being clinically dead return to life spontaneously or after reanimation. These experiences have been used traditionally to support the belief in the existence of the soul and of life after death. However, today neuroscience tries to explain these experiences from the scientific point of view, i.e. explaining them based on their brain substrates. Their resemblance to mystic experiences and to altered states of consciousness seems to indicate that they may be produced by hyperactivity of limbic structures caused by anoxia or hypercapnia. PMID:24294729

  3. APPLYING FOR YOUR STANDARD CERTIFICATE Certificate recommendations require the following

    E-print Network

    Hung, I-Kuai

    APPLYING FOR YOUR STANDARD CERTIFICATE Certificate recommendations require the following: All after graduation) Clinical teaching completed (student teaching/internship) Certification tests completed for specific certificate (PPR and Content) An online application submitted to TEA (www

  4. Death in the Classroom.

    ERIC Educational Resources Information Center

    Hoffman, Marvin

    1994-01-01

    Discusses adolescents and their experiences with death. Considers a variety of novels dealing with the issue of death that can help students cope with death in their own lives. Suggests using books about death in the classroom. (HB)

  5. [Maternal death: an avoidable tragedy].

    PubMed

    Ferreira, C E

    1992-01-01

    Although statistics show that maternal mortality has declined during this century, high levels persist in the developing world. There are 100 to 1000 maternal deaths per 100,000 live births in developing countries, compared to 7 to 15 deaths per 100,000 live births in developed countries. Most of these deaths in developing countries are avoidable by effective maternal care interventions. A book edited by Unicamp on maternal mortality has made an important contribution to the debate that has been going on in scientific circles and among planners and health professionals. The quality of data for analysis of maternal mortality is implicated also because of erroneous classification of maternal deaths as nonmaternal, imprecision in the death certification, and omission of the status of pregnancy associated with illegal abortion. The identification of these errors means that medical files, hospital registers, family interviews, and autopsies have to be consulted. Research carried out in Sao Paulo demonstrated that at the end of the 1980s the maternal mortality rate was in fact 99.5/100,000 live births, whereas original records showed only 44.5/100,000 live births. Even in the United States during 1980-85, 33% of maternal deaths were underreported. In England the level of underreporting amounted to 41% during 1970-72. The World Health Organization has encouraged the formation of committees to study the prevention of maternal mortality. Two such committees were started in the state of Sao Paulo with the objectives of making professionals aware of the importance of accurate death records; immediate notification of maternal deaths to the regional committee; means from the proper authorities for the correction of deficiencies detected; and continuous evaluation of maternal mortality rates. The committee of Marilia, in the interior of the state of Sao Paulo, demonstrated that 72% of maternal deaths during 1986-88 were avoidable by medical-obstetrical means, prenatal care, or social assistance. 61% of deaths were attributed to cesarean section, which indicates the major risk of surgical complications. PMID:12286240

  6. The National Lung Screening Trial’s Endpoint Verification Process: Determining the Cause of Death

    PubMed Central

    Marcus, Pamela M.; Gareen, Ilana F.; Miller, Anthony B.; Rosenbaum, Jennifer; Keating, Kristen; Aberle, Denise R.; Berg, Christine D.

    2011-01-01

    Background Randomized controlled trials (RCTs) evaluating cancer screening modalities usually employ cause-specific mortality as their primary endpoint. Because death certificate cause of death can be inaccurate, RCTs frequently use review committees to assign an underlying cause of death. We describe the National Lung Screening Trial’s (NLST’s) death review approach, the Endpoint Verification Process (EVP), which strives to minimize errors in assignment of cause of death due to lung cancer. Methods Deaths selected for review include those with a notation of lung cancer on the death certificate and those occurring among participants ever diagnosed with lung cancer. Other criteria that trigger death review include, but are not limited to, death within six months of a screen suspicious for lung cancer and death within 60 days of certain diagnostic evaluation procedures associated with a screen suspicious for lung cancer or a lung cancer diagnosis. EVP requires concordance on whether death was due to lung cancer. Deaths are first reviewed by the EVP chair. If concordance is not achieved, the death is next reviewed by an Endpoint Verification Team (EVT) member. If concordance between the chair- and member-assigned cause of death is not achieved, the death is next reviewed by a group of at least three EVT members. Cause of death is assigned at the step in which concordance was achieved, or if necessary, at the team review. Conclusions NLST’s EVP is designed to produce a highly accurate count of lung cancer deaths. PMID:21782037

  7. [Accompany death].

    PubMed

    Salvador Borrell, Montserrat

    2010-11-01

    One of the roles of nursing is to take care of the patients in terminal situation. The time, the experience, the formation, and the personal and professional attitudes that the nurse has will propitiate that taking care of moribund patients might turn into one of the more rewarding human experiences in life. There for, it is indispensable that nurses assume death as a natural and inevitable reality to achieve. The principal aim of the study is to evaluate the competence of confrontation and the autoefficiency of the welfare among nurses who work with adult patients at the end of the life. Descriptive study realized in the units of Oncology, Hametology and Palliative Care of the following centers: La Fe, Clínico, Dr. Peset, H. General, Arnau de Vilanova and Dr. Moliner de Portacoelli in Valencia (Spain). The following instruments were used: the Bugen Scale of confrontation of the Death (1980-1981) and the Robbins Scale of Autoefficiency (1992). Data suggests that major coping gives major autoeffciency and vice versa. The realized study opens numerous questions, specially related with training and the burden of preparation along the whole professional career, in order to achieve competence for coping and autoefficiency. PMID:21188869

  8. Software Certification and Software Certificate Management Systems

    NASA Technical Reports Server (NTRS)

    Denney, Ewen; Fischer, Bernd

    2005-01-01

    Incremental certification and re-certification of code as it is developed and modified is a prerequisite for applying modem, evolutionary development processes, which are especially relevant for NASA. For example, the Columbia Accident Investigation Board (CAIB) report 121 concluded there is "the need for improved and uniform statistical sampling, audit, and certification processes". Also, re-certification time has been a limiting factor in making changes to Space Shuttle code close to launch time. This is likely to be an even bigger problem with the rapid turnaround required in developing NASA s replacement for the Space Shuttle, the Crew Exploration Vehicle (CEV). Hence, intelligent development processes are needed which place certification at the center of development. If certification tools provide useful information, such as estimated time and effort, they are more likely to be adopted. The ultimate impact of such a tool will be reduced effort and increased reliability.

  9. Determining 'age at death' for forensic purposes using human bone by a laboratory-based biomechanical analytical method.

    PubMed

    Zioupos, P; Williams, A; Christodoulou, G; Giles, R

    2014-05-01

    Determination of age-at-death (AAD) is an important and frequent requirement in contemporary forensic science and in the reconstruction of past populations and societies from their remains. Its estimation is relatively straightforward and accurate (±3yr) for immature skeletons by using morphological features and reference tables within the context of forensic anthropology. However, after skeletal maturity (>35yr) estimates become inaccurate, particularly in the legal context. In line with the general migration of all the forensic sciences from reliance upon empirical criteria to those which are more evidence-based, AAD determination should rely more-and-more upon more quantitative methods. We explore here whether well-known changes in the biomechanical properties of bone and the properties of bone matrix, which have been seen to change with age even after skeletal maturity in a traceable manner, can be used to provide a reliable estimate of AAD. This method charts a combination of physical characteristics some of which are measured at a macroscopic level (wet & dry apparent density, porosity, organic/mineral/water fractions, collagen thermal degradation properties, ash content) and others at the microscopic level (Ca/P ratios, osteonal and matrix microhardness, image analysis of sections). This method produced successful age estimates on a cohort of 12 donors of age 53-85yr (7 male, 5 female), where the age of the individual could be approximated within less than ±1yr. This represents a vastly improved level of accuracy than currently extant age estimation techniques. It also presents: (1) a greater level of reliability and objectivity as the results are not dependent on the experience and expertise of the observer, as is so often the case in forensic skeletal age estimation methods; (2) it is purely laboratory-based analytical technique which can be carried out by someone with technical skills and not the specialised forensic anthropology experience; (3) it can be applied worldwide following stringent laboratory protocols. As such, this technique contributes significantly to improving age estimation and therefore identification methods for forensic and other purposes. PMID:24286969

  10. Young People's Risk of Suicide Attempts in Relation to Parental Death: A Population-Based Register Study

    ERIC Educational Resources Information Center

    Jakobsen, Ida Skytte; Christiansen, Erik

    2011-01-01

    Background: The objective of this study was to examine the association between the death of a biological parent and subsequent suicide attempts by young people (aged 10-22 years), and to explore sociodemographic factors as modifying factors in the process. Methods: The study used a nested case-control design. The full study population was obtained…

  11. EDR2 NEGATIVELY REGULATES SALICYLIC ACID-BASED DEFENSES AND CELL DEATH DURING POWDERY MILDEW INFECTIONS OF ARABIDOPSIS THALIANA

    Technology Transfer Automated Retrieval System (TEKTRAN)

    The hypersensitive necrosis response (HR) of resistant plants to avirulent pathogens is a form of programmed cell death in which the plant sacrifices a few cells under attack, restricting pathogen growth into adjacent healthy tissues. In spite of the importance of this defense response, relatively l...

  12. The Great Certification Caper

    ERIC Educational Resources Information Center

    Tracy, Margaret H.

    1972-01-01

    A brief account is given of the author's two-year struggle to obtain school librarian certification in Pennsylvania. Current trends in several states for certification are also included. (6 references) (NH)

  13. The incidence of death among low-risk populations: a multi-level analysis 

    E-print Network

    Lewinski, Christi Nicole

    2007-09-17

    This study utilized a multi-level model to examine the impact of religion as an occupation on mortality. Death certificate data were used to examine clergy mortality and compares them to census categorized professionals, counseling professionals...

  14. FOREST CERTIFICATION January 2008

    E-print Network

    FOREST CERTIFICATION January 2008 Forest Certification Forest certification is a voluntary process through which forest landowners allow their lands and management practices to be evaluated by a neutral products and improving forest management are its two primary objectives. Many of the nation's large lumber

  15. Hmong Diaspora Studies Certificate

    E-print Network

    Saldin, Dilano

    's degree from any accredited college or university. Many certificates also will enroll individuals or any other accredited college or university. The certificate also is open to students who do not plan, international affairs, travel and hospitality, and global business. Certificate Requirements Opportunities UWM

  16. Causes of death among undocumented migrants in Sweden, 1997–2010

    PubMed Central

    Wahlberg, Anna; Källestål, Carina; Lundgren, AnnaCarin; Essén, Birgitta

    2014-01-01

    Background Undocumented migrants are one of the most vulnerable groups in Swedish society, where they generally suffer from poor health and limited health care access. Due to their irregular status, such migrants are an under-researched group and are not included in the country’s Cause of Death Register (CDR). Objective To determine the causes of death among undocumented migrants in Sweden and to ascertain whether there are patterns in causes of death that differ between residents and undocumented migrants. Design This is a cross-sectional study of death certificates issued from 1997 to 2010 but never included in the CDR from which we established our study sample of undocumented migrants. As age adjustments could not be performed due to lack of data, comparisons between residents and undocumented migrants were made at specific age intervals, based on the study sample’s mean age at death±a half standard deviation. Results Out of 7,925 individuals surveyed, 860 were classified as likely to have been undocumented migrants. External causes (49.8%) were the most frequent cause of death, followed by circulatory system diseases, and then neoplasms. Undocumented migrants had a statistically significant increased risk of dying from external causes (odds ratio [OR] 3.57, 95% confidence interval [CI]: 2.83–4.52) and circulatory system diseases (OR 2.20, 95% CI: 1.73–2.82) compared to residents, and a lower risk of dying from neoplasms (OR 0.07, 95% CI: 0.04–0.14). Conclusions We believe our study is the first to determine national figures on causes of death of undocumented migrants. We found inequity in health as substantial differences in causes of death between undocumented migrants and residents were seen. Legal ambiguities regarding health care provision must be addressed if equity in health is to be achieved in a country otherwise known for its universal health coverage. PMID:24909409

  17. Studies on time of death estimation in the early post mortem period -- application of a method based on eyeball temperature measurement to human bodies.

    PubMed

    Kaliszan, Micha?

    2013-09-01

    This paper presents a verification of the thermodynamic model allowing an estimation of the time of death (TOD) by calculating the post mortem interval (PMI) based on a single eyeball temperature measurement at the death scene. The study was performed on 30 cases with known PMI, ranging from 1h 35min to 5h 15min, using pin probes connected to a high precision electronic thermometer (Dostmann-electronic). The measured eye temperatures ranged from 20.2 to 33.1°C. Rectal temperature was measured at the same time and ranged from 32.8 to 37.4°C. Ambient temperatures which ranged from -1 to 24°C, environmental conditions (still air to light wind) and the amount of hair on the head were also recorded every time. PMI was calculated using a formula based on Newton's law of cooling, previously derived and successfully tested in comprehensive studies on pigs and a few human cases. Thanks to both the significantly faster post mortem decrease of eye temperature and a residual or nonexistent plateau effect in the eye, as well as practically no influence of body mass, TOD in the human death cases could be estimated with good accuracy. The highest TOD estimation error during the post mortem intervals up to around 5h was 1h 16min, 1h 14min and 1h 03min, respectively in three cases among 30, while for the remaining 27 cases it was not more than 47min. The mean error for all 30 cases was ±31min. All that indicates that the proposed method is of quite good precision in the early post mortem period, with an accuracy of ±1h for a 95% confidence interval. On the basis of the presented method, TOD can be also calculated at the death scene with the use of a proposed portable electronic device (TOD-meter). PMID:23879937

  18. Neonatal Death Dwarfism in a Girl with Distinctive Bone Dysplasia Compatible with Grebe Chondrodysplasia: Analysis by CT Scan-based Phenotype

    PubMed Central

    Al Kaissi, Ali; Chehida, Farid Ben; Ganger, Rudolf; Grill, Franz

    2014-01-01

    We report on a female fetus noted to have severe malformative type of skeletal dysplasia on ultrasonography done at 35 weeks gestation. The girl died shortly after birth. Clinical examination showed a fetus with severe dwarfism, extensive long and short bones, and bone deficiencies associated with multiple dislocations. Computed tomography (CT) scan-based phenotype showed a complex constellation of malformations consistent with the diagnosis of Grebe syndrome. Parents being first cousins (consanguineous marriage) strongly suggests autosomal recessive pattern of inheritance. To our knowledge, this is the first report of neonatal death dwarfism of Grebe syndrome analyzed by CT scan-based phenotype. PMID:25337439

  19. 40 CFR 745.89 - Firm certification.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ...Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) TOXIC SUBSTANCES CONTROL ACT LEAD-BASED PAINT POISONING PREVENTION IN CERTAIN RESIDENTIAL STRUCTURES Residential Property Renovation § 745.89 Firm certification....

  20. Dealing with Human Death: The Floating Perspective.

    ERIC Educational Resources Information Center

    Kenyon, Gary M.

    1991-01-01

    Explores approach to dealing with human death. Describes floating perspective, based on insights from Choron and Jaspers, as suggesting it is possible to deal with human death by refraining from taking ultimate position on the problem. Position encourages openness to death. Examines role of anxiety and describes possible meaningful outcomes of…

  1. Certification report for the CALMAC solar powered pump

    NASA Technical Reports Server (NTRS)

    1978-01-01

    The certification of the CALMAC solar powered thermopump is presented. Each element of the specification is delineated, together with the verification, based on analysis, similarity, inspection, or testing.

  2. Sex Differences in Dose Escalation and Overdose Death during Chronic Opioid Therapy: A Population-Based Cohort Study

    PubMed Central

    Kaplovitch, Eric; Gomes, Tara; Camacho, Ximena; Dhalla, Irfan A.; Mamdani, Muhammad M.; Juurlink, David N.

    2015-01-01

    Background The use of opioids for noncancer pain is widespread, and more than 16,000 die of opioid-related causes in the United States annually. The patients at greatest risk of death are those receiving high doses of opioids. Whether sex influences the risk of dose escalation or opioid-related mortality is unknown. Methods and Findings We conducted a cohort study using healthcare records of 32,499 individuals aged 15 to 64 who commenced chronic opioid therapy for noncancer pain between April 1, 1997 and December 31, 2010 in Ontario, Canada. Patients were followed from their first opioid prescription until discontinuation of therapy, death from any cause or the end of the study period. Among patients receiving chronic opioid therapy, 589 (1.8%) escalated to high dose therapy and n = 59 (0.2%) died of opioid-related causes while on treatment. After multivariable adjustment, men were more likely than women to escalate to high-dose opioid therapy (adjusted hazard ratio 1.44; 95% confidence interval 1.21 to 1.70) and twice as likely to die of opioid-related causes (adjusted hazard ratio 2.04; 95% confidence interval 1.18 to 3.53). These associations were maintained in a secondary analysis of 285,520 individuals receiving any opioid regardless of the duration of therapy. Conclusions Men are at higher risk than women for escalation to high-dose opioid therapy and death from opioid-related causes. Both outcomes were more common than anticipated. PMID:26291716

  3. Sudden infant death syndrome

    MedlinePLUS

    Crib death; SIDS ... However, SIDS is still a major cause of death in infants under one year old. Thousands of ... affects boys more often than girls. Most SIDS deaths occur in the winter. The following may increase ...

  4. Death: 'nothing' gives insight.

    PubMed

    Ettema, Eric J

    2013-08-01

    According to a widely accepted belief, we cannot know our own death--death means 'nothing' to us. At first sight, the meaning of 'nothing' just implies the negation or absence of 'something'. Death then simply refers to the negation or absence of life. As a consequence, however, death has no meaning of itself. This leads to an ontological paradox in which death is both acknowledged and denied: death is … nothing. In this article, I investigate whether insight into the ontological paradox of the nothingness of death can contribute to a good end-of-life. By analysing Aquinas', Heidegger's and Derrida's understanding of death as nothingness, I explore how giving meaning to death on different ontological levels connects to, and at the same time provides resistance against, the harsh reality of death. By doing so, I intend to demonstrate that insight into the nothingness of death can count as a framework for a meaningful dealing with death. PMID:23054426

  5. Sudden Infant Death Syndrome

    MedlinePLUS

    Sudden infant death syndrome (SIDS) is the sudden, unexplained death of an infant younger than one year old. Some people call SIDS "crib death" because many babies who die of SIDS are found in their ...

  6. Child deaths of unknown cause: review of 7 years' experience.

    PubMed

    Bowen, Kathryn A; Marshall, William N

    2004-01-01

    Using data from the Pima County (Arizona) Child Fatality Review Team, we sought to describe the nature of unknown cause pediatric deaths. Of 1,150 total deaths (1995-2001), 22 were unknown cause and 3 had only a mode of death on the death certificate. There were 15 infants <6 months, 4 children 1-4 years, 2 children 5-9 years, 1 preteen (10-14 years), and 3 aged 15-17 years. Four patterns were seen: those resembling SIDS but with confounding history, autopsy, or scene investigation; sleeping toddlers with respiratory symptoms; children with underlying conditions not expected to cause death; and deaths without complete investigation. PMID:15583775

  7. 77 FR 46677 - Vehicle Certification; Contents of Certification Labels

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-08-06

    ...NHTSA-2012-0093, Notice 1] RIN 2127-AL18 Vehicle Certification; Contents of Certification Labels AGENCY: National Highway Traffic Safety...Administration (NHTSA) regulations that prescribe the format and contents of certification labels that manufacturers are...

  8. Comprehensive review of sleep-related sudden unexpected infant deaths and their investigations: Florida 2008.

    PubMed

    Sauber-Schatz, Erin K; Sappenfield, William M; Shapiro-Mendoza, Carrie K

    2015-02-01

    To describe 2008 Florida sleep-related sudden unexpected infant deaths (SUIDs) by describing (a) percentage distribution of medical examiner (ME) cause-of-death determinations; (b) mortality rates by maternal and infant characteristics; (c) prevalence of selected suffocation or sudden infant death syndrome (SIDS) risk and protective factors; (d) frequency of selected scene investigation and autopsy components (including extent of missing data); and (e) percentage with public health program contact. In this population-based study, we identified sleep-related SUIDs occurring among Florida residents from the 2008-linked Florida infant death and birth certificates. Information about the circumstances of death was abstracted from ME, law enforcement, and hospital records. We used frequencies and percentages to describe characteristics of sleep-related SUID cases. Of 215 sleep-related SUID cases, MEs identified 47.9% as accidental suffocation and strangulation in bed, 35.4% as unknown or undetermined cause, and 16.7% as SIDS. Sleep-related SUID most frequently occurred in an adult bed (n = 108; 50.2%). At death, 82.4% of sleep-related SUIDs had ?1 suffocation or SIDS risk factor with 54.4% infants sharing a sleep surface, 38.1% placed nonsupine, 24.2% placed on a pillow, and 10.2% having head covering. Missing data frequently resulted from incomplete scene investigation and autopsy components. SUID contributed to ?1 in seven Florida infant deaths in 2008. Approximately 80% of sleep-related SUIDs were reported among infants placed in unsafe sleeping environments. Effective interventions are needed to promote safe sleep among caregivers of Florida infants. These interventions must reach infant caregivers at highest risk and change unsafe sleep practices. The substantial percentage of missing investigation data reinforces the need for standardized reporting. PMID:24898690

  9. Facility Death Review of Maternal and Neonatal Deaths in Bangladesh

    PubMed Central

    Biswas, Animesh; Rahman, Fazlur; Eriksson, Charli; Halim, Abdul; Dalal, Koustuv

    2015-01-01

    Objectives To explore the experiences, acceptance, and effects of conducting facility death review (FDR) of maternal and neonatal deaths and stillbirths at or below the district level in Bangladesh. Methods This was a qualitative study with healthcare providers involved in FDRs. Two districts were studied: Thakurgaon district (a pilot district) and Jamalpur district (randomly selected from three follow-on study districts). Data were collected between January and November 2011. Data were collected from focus group discussions, in-depth interviews, and document review. Hospital administrators, obstetrics and gynecology consultants, and pediatric consultants and nurses employed in the same departments of the respective facilities participated in the study. Content and thematic analyses were performed. Results FDR for maternal and neonatal deaths and stillbirths can be performed in upazila health complexes at sub-district and district hospital levels. Senior staff nurses took responsibility for notifying each death and conducting death reviews with the support of doctors. Doctors reviewed the FDRs to assign causes of death. Review meetings with doctors, nurses, and health managers at the upazila and district levels supported the preparation of remedial action plans based on FDR findings, and interventions were planned accordingly. There were excellent examples of improved quality of care at facilities as a result of FDR. FDR also identified gaps and challenges to overcome in the near future to improve maternal and newborn health. Discussion FDR of maternal and neonatal deaths is feasible in district and upazila health facilities. FDR not only identifies the medical causes of a maternal or neonatal death but also explores remediable gaps and challenges in the facility. FDR creates an enabled environment in the facility to explore medical causes of deaths, including the gaps and challenges that influence mortality. FDRs mobilize health managers at upazila and district levels to forward plan and improve healthcare delivery. PMID:26540233

  10. In vitro study of cell death with 5-aminolevulinic acid based photodynamic therapy to improve the efficiency of cancer treatment

    NASA Astrophysics Data System (ADS)

    Firdous, S.; Nawaz, M.; Ikram, M.; Ahmed, M.

    2012-03-01

    Photodynamic therapy (PDT) is a kind of photochemo therapeutic treatment that exerts its effect mainly through the induction of cell death. Distinct types of cell death may be elicited by different PDT regimes. In this study, efforts are underway to optimize PDT protocols for improved efficacy and combination of all three PDT mechanisms involved in the different human carcinomas cell narcosis. Our in vitro cell culture experiments with 5-aminolevulanic acid (ALA) a clinically approved photiosensitizer (PS) and 635 nm laser light have yielded promising results, as follow: (1) (human cervical cancer (HeLa) cell line incubated, for 18 h, with 30 ?g/ml of 5-ALA, treated with laser light dose of 50 J/cm2 can produce 85% of cell killing (2) human larynx carcinoma (Hep2c) cell line incubated, for 7 h, with 55 ?g/ml of 5-ALA, treated with laser light dose of 85 J/cm2 can produce 75% of cell killing (3) human liver cancer (HepG2) cell line incubated, for 22-48 h, with 262 ?g/ml of 5-ALA, treated with laser light dose of 120 J/cm2 can produce 95% of cell killing (4) human muscle cancer (RD) cell line incubated, for 47 h, with 250 ?g/ml of 5-ALA, treated with laser light dose of 80 J/cm2 can produce 76% of cell killing (5) Human embryonic kidney (HEK293T) cell line incu-bated, for 18 h, with 400 ?g/ml of 5-ALA, treated with laser light dose of 40 J/cm2 can produce 82% of cell killing confirming the efficacy of photodynamic therapy.

  11. Certification Authentication

    E-print Network

    Brass, Stefan

    . Authentication . DB2 Authorities . Privileges . Label­Based Access Control Stefan Brass: DBA privileges This is mostly a short repetition from ``Databases I''. Stefan Brass: DBA­Zertifizierung Universit with Examples IBM Press/Pearson, 2005, ISBN 0­13­185916­1, 895 pages. Stefan Brass: DBA­Zertifizierung Universit

  12. Children and Death.

    ERIC Educational Resources Information Center

    Brennan, Andrew J. J.

    Health professionals and educators should develop their abilities to educate about death and to comfort the bereaved. Due to lower death rates, the lack of philosophical religious views, and distorted perceptions of death contributed by television, death has become a mystery instead of a segment of the common experience. Particularly when a child…

  13. Child Maltreatment Fatalities in Children under 5: Findings from the National Violence Death Reporting System

    ERIC Educational Resources Information Center

    Klevens, Joanne; Leeb, Rebecca T.

    2010-01-01

    Objective: To describe the distribution of child maltreatment fatalities of children under 5 by age, sex, race/ethnicity, type of maltreatment, and relationship to alleged perpetrator using data from the National Violent Death Reporting System (NVDRS). Study design: Two independent coders reviewed information from death certificates, medical…

  14. Business & Management Certificate in Business Management

    E-print Network

    Brownstone, Rob

    Business & Management Certificate in Business Management Certificate in Financial Management Certificate in Human Resource Management Certificate Programs in #12;Dalhousie university College;Learning By Distance certificate requirements You can receive one of the Certifi- cates in Business

  15. An Identity and Certificate Manager

    E-print Network

    Wu, Brian C

    2007-01-01

    We have designed and implemented a software library, called Identity and Certificate Manager (ICM), for managing, using, and exchanging application-level usernames, users' digital certificates, and cryptographic ...

  16. Attitude Toward Death, Fear of Being Declared Dead Too Soon, and Donation of Organs After Death.

    ERIC Educational Resources Information Center

    Hessing, Dick J.; Elffers, Henk

    1987-01-01

    Describes a study of willingness to donate organs for transplantation after death based on Weyant's cost-benefit model for altruistic behavior. Two death anxieties (the attitude toward death and the fear of being declared dead too soon) were introduced to help explain the discrepancy between attitudes and behavior in the matter of organ donation.…

  17. 40 CFR 60.533 - Compliance and certification.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... issue a certificate of compliance for a model line if he determines, based on all information submitted..., (ii) A finding that the certification test was not valid. The finding must be based on problems or.... Manufacturers shall record the problem identified, the extent of the problem, the remedial measures taken,...

  18. 40 CFR 60.533 - Compliance and certification.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... issue a certificate of compliance for a model line if he determines, based on all information submitted..., (ii) A finding that the certification test was not valid. The finding must be based on problems or.... Manufacturers shall record the problem identified, the extent of the problem, the remedial measures taken,...

  19. Building Intercultural Competence through Intercultural Competency Certification of Undergraduate Students

    ERIC Educational Resources Information Center

    Janeiro, Maria G. Fabregas; Fabre, Ricardo Lopez; Nuno de la Parra, Jose Pablo

    2014-01-01

    The Intercultural Competency Certificate (CCI in Spanish) designed for the Universidad Popular Autonoma del Estado de Puebla (UPAEP University) is a theory based comprehensive plan to develop undergraduate students' intercultural competence. This Certificate is based in the Developmental Model of Intercultural Sensitivity (DMIS) developed by…

  20. A hospital-based estimate of major causes of death among under-five children from a health facility in Lagos, Southwest Nigeria: possible indicators of health inequality

    PubMed Central

    2012-01-01

    Introduction Current evidence on the root-causes of deaths among children younger than 5years is critical to direct international efforts to improve child survival, focus on health promotion and achieve Millennium Development Goal 4. We report a hospital-based estimate for 2005-2007 of the major causes of death in children in this age-group in south-west Nigeria. Methods We used retrospective data from the intensive care unit of a second-tier health facility to extract the presenting complaints, clinical diagnosis, treatment courses, prognosis and outcome among children aged 6—59months. SPSS-19 was used for data analysis. Results Of the 301 children (58% males, 42% females) admitted into the ICU within the period of study, 173 (26%) presented with complaints related to the gastrointestinal system, 138 (21%) with respiratory symptoms and 196 (29%) with complaints of fever. Overall, 708 investigations were requested for among which were full blood count (215, 30%) and blood slides for malaria parasite (166, 23%). Infection ranked highest (181, 31%) in clinicians’ diagnosis, followed by haematological health problems (109, 19%) and respiratory illnesses (101, 17%). There were negative correlations between outcome of the illness and patient’s weight (r=-0.195, p=0.001) and a strong positive correlation between prognosis and outcome of admission (r=0.196, p=0.001). Of the 59 (20%) children that died, presentation of respiratory tract illnesses were significantly higher in females (75%) than in males (39%) (?²=7.06; p=0.008) and diagnoses related to gastrointestinal pathology were significantly higher in males (18%) than in females (0%) (?²=4.07; p=0.05). Majority of the deaths (21%) occurred among children aged 1.0 to 1.9years old and among weight group of 5.1-15.0kg. Conclusion The major causes of deaths among under-five years old originate from respiratory, gastrointestinal and infectious diseases – diseases that were recognized as major causes of childhood mortality about half a century earlier. Realization of MDG4 - to reduce child mortality by two-thirds – is only possible if the government and donor agencies look beyond the health sector to find hidden causative factors such as education and housing and within the health sector such as vibrant maternal, new-born, and child health interventions. PMID:22873746

  1. 2A peptide-based, lentivirus-mediated anti-death receptor 5 chimeric antibody expression prevents tumor growth in nude mice.

    PubMed

    Li, Meng; Wu, Yaomin; Qiu, Yuhe; Yao, Zhenyu; Liu, Shilian; Liu, Yanxin; Shi, Juan; Zheng, Dexian

    2012-01-01

    Tumor necrosis factor (TNF)-related apoptosis-inducing ligand (TRAIL), a member of the TNF superfamily, induces tumor cell death via death receptors on target cells, without adverse effects on most normal cells. Its receptors are therefore an attractive target for antibody-mediated tumor therapy. Here, we report the creation of a lentivirus vector constructed by linking the heavy chain and the light chain of the antibody with a 2A/furin self-processing peptide in a single open reading frame that expresses a novel chimeric antibody (named as zaptuximab) with tumoricidal activity, which is consisted of the variable region of a mouse anti-human DR5 monoclonal antibody, AD5-10, and the constant region of human immunoglobulin G1. Lentivirus-expressed zaptuximab bound specifically to its antigen, DR5, and exhibited significant apoptosis-inducing activity in various tumor cell lines. The packaged recombinant virus lenti-HF2AL showed strong apoptosis-inducing activity in vitro. Meanwhile, inoculated subcutaneous human colon HCT116 tumor formation in nude mice were inhibited significantly. Moreover, there was a synergistic effect of mitomycin C (MMC) on the observed tumoricidal efficacy, prolonging the life span of nude mice with orthotopic human lung tumor cancers. These data suggest that lentivirus-mediated, 2A peptide-based anti-DR5 chimeric antibody expression may have clinical utility as an anticancer treatment and may represent a rational adjuvant therapy in combination with chemotherapy. PMID:21934654

  2. MUC-1 gene is associated with prostate cancer death: a 20-year follow-up of a population-based study in Sweden.

    PubMed

    Andrén, O; Fall, K; Andersson, S-O; Rubin, M A; Bismar, T A; Karlsson, M; Johansson, J-E; Mucci, L A

    2007-09-17

    Anti-adhesion mucins have proven to play an important part in the biology of several types of cancer. Therefore, we test the hypothesis that altered expression of MUC-1 is associated with prostate cancer progression. We retrieved archival tumour tissue from a population-based cohort of 195 men with localised prostate cancer (T1a-b, Nx, M0) that has been followed for up to 20 years with watchful waiting. Semi-automated, quantitative immunohistochemistry was undertaken to evaluate MUC-1 expression. We modelled prostate cancer-specific death as a function of MUC-1 levels accounting for age, Gleason grade and tumour extent, and calculated age-adjusted and multivariate adjusted hazard ratios (HR). Men that had tumours with an MUC-intensity lower or higher than normal tissue had a higher risk of dying in prostate cancer, independent of tumour extent and Gleason score (HR 5.1 and 4.5, respectively). Adjustment for Gleason grade and tumour stage did not alter the results. Men with a Gleason score > or =7 and MUC-1 deviating from the normal had a 17 (RR=17.1 95% confidence interval=2.3-128) times higher risk to die in prostate cancer compared with men with Gleason score <7 and normal MUC-1 intensity. In summary, our data show that MUC-1 is an independent prognostic marker for prostate cancer death. PMID:17726465

  3. Bundled Courses Creativity Certificate

    E-print Network

    Savakis, Andreas

    Bundled Courses Section IV Creativity Certificate Team Certificate in Innovation Creativity Minor "Creativity is connecting dots in new ways or, through the act of imagining, creating dots where there were none." Member, Grassroots Creativity Group #12;from a CIWG meeting suggestion by Zerbe Sodervick, CIAS

  4. Teacher Certification in Manitoba.

    ERIC Educational Resources Information Center

    Manitoba Dept. of Education, Winnipeg.

    This booklet provides information for teachers wishing to qualify for certification in the Canadian province of Manitoba. Written in French and English, the booklet's topics include: (1) requirements for types of teaching certificates (provisional teaching; permanent teaching; special, vocational-industrial, and vocational-business education;…

  5. Value, Challenges, and Satisfaction of Certification for Multiple Sclerosis Specialists

    PubMed Central

    Halper, June

    2014-01-01

    Background: Specialist certification among interdisciplinary multiple sclerosis (MS) team members provides formal recognition of a specialized body of knowledge felt to be necessary to provide optimal care to individuals and families living with MS. Multiple sclerosis specialist certification (MS Certified Specialist, or MSCS) first became available in 2004 for MS interdisciplinary team members, but prior to the present study had not been evaluated for its perceived value, challenges, and satisfaction. Methods: A sample consisting of 67 currently certified MS specialists and 20 lapsed-certification MS specialists completed the following instruments: Perceived Value of Certification Tool (PVCT), Perceived Challenges and Barriers to Certification Scale (PCBCS), Overall Satisfaction with Certification Scale, and a demographic data form. Results: Satisfactory reliability was shown for the total scale and four factored subscales of the PVCT and for two of the three factored PCBCS subscales. Currently certified MS specialists perceived significantly greater value and satisfaction than lapsed-certification MS specialists in terms of employer and peer recognition, validation of MS knowledge, and empowering MS patients. Lapsed-certification MS specialists reported increased confidence and caring for MS patients using evidence-based practice. Both currently certified and lapsed-certification groups reported dissatisfaction with MSCS recognition and pay/salary rewards. Conclusions: The results of this study can be used in efforts to encourage initial certification and recertification of interdisciplinary MS team members. PMID:25061432

  6. Monitoring Cell Death in Regorafenib-Treated Experimental Colon Carcinomas Using Annexin-Based Optical Fluorescence Imaging Validated by Perfusion MRI

    PubMed Central

    Kazmierczak, Philipp M.; Burian, Egon; Eschbach, Ralf; Hirner-Eppeneder, Heidrun; Moser, Matthias; Havla, Lukas; Eisenblätter, Michel; Reiser, Maximilian F.; Nikolaou, Konstantin; Cyran, Clemens C.

    2015-01-01

    Objective To investigate annexin-based optical fluorescence imaging (OI) for monitoring regorafenib-induced early cell death in experimental colon carcinomas in rats, validated by perfusion MRI and multiparametric immunohistochemistry. Materials and Methods Subcutaneous human colon carcinomas (HT-29) in athymic rats (n = 16) were imaged before and after a one-week therapy with regorafenib (n = 8) or placebo (n = 8) using annexin-based OI and perfusion MRI at 3 Tesla. Optical signal-to-noise ratio (SNR) and MRI tumor perfusion parameters (plasma flow PF, mL/100mL/min; plasma volume PV, %) were assessed. On day 7, tumors underwent immunohistochemical analysis for tumor cell apoptosis (TUNEL), proliferation (Ki-67), and microvascular density (CD31). Results Apoptosis-targeted OI demonstrated a tumor-specific probe accumulation with a significant increase of tumor SNR under therapy (mean ? +7.78±2.95, control: -0.80±2.48, p = 0.021). MRI detected a significant reduction of tumor perfusion in the therapy group (mean ?PF -8.17±2.32 mL/100 mL/min, control -0.11±3.36 mL/100 mL/min, p = 0.036). Immunohistochemistry showed significantly more apoptosis (TUNEL; 11392±1486 vs. 2921±334, p = 0.001), significantly less proliferation (Ki-67; 1754±184 vs. 2883±323, p = 0.012), and significantly lower microvascular density (CD31; 107±10 vs. 182±22, p = 0.006) in the therapy group. Conclusions Annexin-based OI allowed for the non-invasive monitoring of regorafenib-induced early cell death in experimental colon carcinomas, validated by perfusion MRI and multiparametric immunohistochemistry. PMID:26393949

  7. Black-White differences in the effect of baseline depressive symptoms on deaths due to renal diseases: 25 year follow up of a nationally representative community sample

    PubMed Central

    Assari, Shervin; Burgard, Sarah

    2015-01-01

    Introduction: More studies are needed to examine whether race moderates the effect of baseline depressive symptoms on cause-specific mortality including deaths due to renal diseases in the United States. Objectives: The present longitudinal study compared Blacks and Whites for the effect of baseline depressive symptoms on deaths due to renal diseases over a 25-year period in a nationally representative community sample. Patients and Methods: Data came from the Americans’ Changing Lives (ACL) study, a nationally representative cohort that followed 3361 Black (n = 1156) or White (n = 2205) adults 25 and older for up to 25 years from 1986 to 2011. Month, year and cause of death were extracted from death certificates or national death index reports and coded based on ICD-9 or ICD-10 codes, depending on the year of death. We used Cox proportional hazards models for data analysis. Time to death due to renal diseases over a 25-year period was the outcome, baseline depressive symptoms (11-item Center for Epidemiological Studies-Depression [CES-D]) was the predictor, demographic characteristics, socio-economic status and chronic medical conditions (CMC) (hypertension, diabetes, chronic lung disease, heart disease, stroke, cancer, and arthritis) at baseline were controls, and race was the focal moderator. Results: In the pooled sample, race and baseline depressive symptoms showed a significant interaction, suggesting a stronger effect of baseline depressive symptoms on deaths due to renal diseases for Whites compared to Blacks. In race-specific models, high depressive symptoms at baseline increased risk of death due to renal diseases among Whites but not Blacks. Conclusion: The Black-White difference in the predictive role of baseline depressive symptoms on deaths due to renal diseases over a 25-year period found here provides support for the Black-White health paradox. PMID:26693500

  8. POST THIS CERTIFICATE IN THE WORK AREA BIOSAFETY CERTIFICATE

    E-print Network

    Sokolowski, Marla

    of The University of Toronto Biosafety Program, a Biosafety Certification Form must be approved by and filedPOST THIS CERTIFICATE IN THE WORK AREA BIOSAFETY CERTIFICATE To meet the requirements Committee for approval prior to implementing the changes. THE BIOSAFETY CERTIFICATE COVERAGE IS LIMITED

  9. Are Death Anxiety and Death Depression Distinct Entities?

    ERIC Educational Resources Information Center

    Alvarado, Katherine A.; And Others

    1993-01-01

    Administered Death Anxiety Scale and Death Depression Scale to 200 individuals. Two scales correlated 0.55. Factor analysis of combined 32 items revealed factors: "death anxiety" having highest factor loadings with Death Anxiety Scale, "death depression" having highest factor loadings with Death Depression Scale, "death of others,""brevity of…

  10. Graduate Certificate Program Graduate School

    E-print Network

    Rock, Chris

    Graduate Certificate Program Graduate School Texas Tech University July 26, 2005 Graduate Certificate Program The purpose for offering graduate certificates is to meet the supplemental education needs preservation courses for the primary degree, a graduate certificate in Historic Preservation would provide

  11. Certificate and Transcript Policy Introduction

    E-print Network

    Aickelin, Uwe

    Certification types The award certificate shows the following: the name of the University and if appropriate. For requests earlier than this the University is unable to produce a certificate of credit. However and / or the certificate of credit the original/s must be sent to the University and will be copied and returned

  12. Dreams of Death.

    ERIC Educational Resources Information Center

    Barrett, Deirdre

    1989-01-01

    Examined frequency and characteristics of overt dreams of dying among healthy young adults. Dreams of dying were found to be rare but distinctive content category, representing overwhelmingly pleasant dreams. Over one-half of death dreams involved lengthy afterlife sequence, remainder focused on process of death. Death dreams of these healthy…

  13. Rev. 09/19/13 Certificate ProgramsCertificate ProgramsCertificate Programs

    E-print Network

    Bermúdez, José Luis

    &M University | Human Resources Employee & Organizational Development Our job is to help you do your job betterRev. 09/19/13 Certificate ProgramsCertificate ProgramsCertificate Programs Employee & Organizational Development (EOD) offers several certificate programs to help employees enhance their current

  14. Certification of training

    NASA Technical Reports Server (NTRS)

    Gibson, Richard S.

    1994-01-01

    Training has been around as an informal process for countless years. Most higher order animals require some level of training in hunting, social skills, or other survival related skills to continue their existence beyond early infancy. Much of the training is accomplished through imitation, trial and error, and good luck. In some ways the essentials of training in aviation have not deviated from this original formula a great deal. One of the major changes in aviation and other technical areas is that more complex response chains based on a broader base of knowledge are now required. 'To certify' means many things according to the American Heritage dictionary of the English Language. These meanings range from 'to guarantee as meeting a standard' to 'to declare legally insane'. For this discussion, we will use the definition 'an action taken by some authoritative body that essentially guarantees that the instruction meets some defined standard'. In order to make this certification, the responsible body subjects the educational process, training, training device, or simulator to some type of examination to determine its adequacy or validity.

  15. Viking site selection and certification

    NASA Technical Reports Server (NTRS)

    Masursky, H.; Crabill, N. L.

    1981-01-01

    The landing site selection and certification effort for the Viking mission to Mars is reviewed from the premission phase through the acquisition of data and decisions during mission operations and the immediate postlanding evaluation. The utility and limitations of the orbital television and infrared data and ground based radar observation of candidate and actual landing sites are evaluated. Additional instruments and types of observations which would have been useful include higher resolution cameras, radar altimeters, and terrain hazard avoidance capability in the landing system. Suggestions based on this experience that might be applied to future missions are included.

  16. Mitigating Circumstances in Death Penalty Decisions: Using Evidence-Based Research to Inform Social Work Practice in Capital Trials

    ERIC Educational Resources Information Center

    Schroeder, Julie; Guin, Cecile C.; Pogue, Rene; Bordelon, Danna

    2006-01-01

    Providing an effective defense for individuals charged with capital crimes requires a diligent, thorough investigation by a mitigation specialist. However, research suggests that mitigation often plays a small role in the decision for life. Jurors often make sentencing decisions prematurely, basing those decisions on their personal reactions to…

  17. Cell-based chemical genetic screen identifies damnacanthal as an inhibitor of HIV-1 Vpr induced cell death

    E-print Network

    Huang, Jing

    Cell-based chemical genetic screen identifies damnacanthal as an inhibitor of HIV-1 Vpr induced August 2006 Abstract Viral protein R (Vpr), one of the human immunodeficiency virus type 1 (HIV-1. The mechanisms of Vpr have been intensely studied because it is believed that they underlie HIV-1 pathogenesis

  18. The Assessment of Alternative Certification Practices. Panel Presentations.

    ERIC Educational Resources Information Center

    Allegro, Annalisa

    This panel discussion focuses on alternative teacher certification. Alternative certification is a way of becoming a bilingual education or English-as-a-Second-Language (ESL) teacher without completing a preservice college program. It has three areas: formal instruction, school-based supervision, and evaluation. It serves the purpose of more…

  19. Forest Certification in Bolivia: A Status Report and Analysis

    E-print Network

    Forest Certification in Bolivia: A Status Report and Analysis of Stakeholder Perspectives Omar Espinoza Michael J. Dockry Abstract Forest certification systems are voluntary, market-based initiatives to promote the sustainable use of forests. The assumption is that consumers prefer sustainably sourced wood

  20. Postsecondary Certificates and Degrees in the State of Alaska.

    ERIC Educational Resources Information Center

    Alaska State Commission on Postsecondary Education, Juneau.

    The number of certificate and degree programs offered and awarded at public and private nonproprietary, postsecondary institutions in Alaska is listed statewide and by institution. Programs that may be underproductive based on the number of formal awards over a four-year period are also identified. A total of 252 unduplicated certificate and…

  1. 30 CFR 35.9 - Certificates of approval.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... APPROVAL OF MINING PRODUCTS FIRE-RESISTANT HYDRAULIC FLUIDS General Provisions § 35.9 Certificates of approval. (a) Upon completion of an investigation of a hydraulic fluid MSHA will issue to the applicant... hydraulic fluid upon which the certificate of approval is based. In addition to the applicant's record...

  2. 30 CFR 35.9 - Certificates of approval.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... APPROVAL OF MINING PRODUCTS FIRE-RESISTANT HYDRAULIC FLUIDS General Provisions § 35.9 Certificates of approval. (a) Upon completion of an investigation of a hydraulic fluid MSHA will issue to the applicant... hydraulic fluid upon which the certificate of approval is based. In addition to the applicant's record...

  3. 30 CFR 35.9 - Certificates of approval.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... APPROVAL OF MINING PRODUCTS FIRE-RESISTANT HYDRAULIC FLUIDS General Provisions § 35.9 Certificates of approval. (a) Upon completion of an investigation of a hydraulic fluid MSHA will issue to the applicant... hydraulic fluid upon which the certificate of approval is based. In addition to the applicant's record...

  4. 30 CFR 35.9 - Certificates of approval.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... APPROVAL OF MINING PRODUCTS FIRE-RESISTANT HYDRAULIC FLUIDS General Provisions § 35.9 Certificates of approval. (a) Upon completion of an investigation of a hydraulic fluid MSHA will issue to the applicant... hydraulic fluid upon which the certificate of approval is based. In addition to the applicant's record...

  5. Subspecialty Certification by the American Board of Psychiatry and Neurology

    ERIC Educational Resources Information Center

    Juul, Dorthea; Scheiber, Stephen C.; Kramer, Thomas A. M.

    2004-01-01

    Objective: The authors describe the approval processes for subspecialties and the mechanisms for certification and recertification and review the status of training programs and numbers of diplomates with subspecialty certification. Methods: Published information and relevant data bases were reviewed. To date, 5,327 child and adolescent…

  6. Developing an Online Certification Program for Nutrition Education Assistants

    ERIC Educational Resources Information Center

    Christofferson, Debra; Christensen, Nedra; LeBlanc, Heidi; Bunch, Megan

    2012-01-01

    Objective: To develop an online certification program for nutrition education paraprofessionals to increase knowledge and confidence and to overcome training barriers of programming time and travel expenses. Design: An online interactive certification course based on Supplemental Nutrition Assistance Program-Education and Expanded Food and…

  7. 14 CFR 67.401 - Special issuance of medical certificates.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ...and any second- or third-class medical certificate based upon it, on compliance...the person in coordination with the Director of Flight Standards or the Director's...an applicant for a third-class medical certificate, the Federal Air...

  8. 30 CFR 35.9 - Certificates of approval.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... APPROVAL OF MINING PRODUCTS FIRE-RESISTANT HYDRAULIC FLUIDS General Provisions § 35.9 Certificates of approval. (a) Upon completion of an investigation of a hydraulic fluid MSHA will issue to the applicant... hydraulic fluid upon which the certificate of approval is based. In addition to the applicant's record...

  9. Personnel Issues in School-Based Physical Therapy: A Look at Supply and Demand, Professional Preparation, Licensure, and Certification

    ERIC Educational Resources Information Center

    Rapport, Mary Jane K.; Effgen, Susan K.

    2004-01-01

    Physical therapy in school settings focuses on outcomes and is based on meeting the educational needs of the child or student. Despite the expansion in delivery models beyond direct one-to-one intervention, and the use of multiple team members, to achieve outcomes for students in educational environments, there continue to be shortages of physical…

  10. Waterfront Certification Changes.

    ERIC Educational Resources Information Center

    O'Brien, Laurie

    1995-01-01

    Overviews certification changes affecting lifeguard training, progressive swimming instructors, CPR and first aid training, canoeing and kayaking instructors, sailing instructors, water skiing instructors, and instructor trainers. Addresses how changes impact American Camping Association standards. Provides addresses of training organizations. (LP)

  11. Operator Certification Study Guide.

    ERIC Educational Resources Information Center

    American Water Works Association, Denver, CO.

    This study guide contains typical questions and answers that all levels of water treatment plant operators might expect to find on a certification examination. The manual covers the basic sciences, treatment techniques, testing procedures, and federal legislation. (Author/SB)

  12. Laminar Flow Aircraft Certification

    NASA Technical Reports Server (NTRS)

    Williams, Louis J. (compiler)

    1986-01-01

    Various topics telative to laminar flow aircraft certification are discussed. Boundary layer stability, flaps for laminar flow airfoils, computational wing design studies, manufacturing requirements, windtunnel tests, and flow visualization are among the topics covered.

  13. Certification of damage tolerant composite structure

    NASA Technical Reports Server (NTRS)

    Rapoff, Andrew J.; Dill, Harold D.; Sanger, Kenneth B.; Kautz, Edward F.

    1990-01-01

    A reliability based certification testing methodology for impact damage tolerant composite structure was developed. Cocured, adhesively bonded, and impact damaged composite static strength and fatigue life data were statistically analyzed to determine the influence of test parameters on the data scatter. The impact damage resistance and damage tolerance of various structural configurations were characterized through the analysis of an industry wide database of impact test results. Realistic impact damage certification requirements were proposed based on actual fleet aircraft data. The capabilities of available impact damage analysis methods were determined through correlation with experimental data. Probabilistic methods were developed to estimate the reliability of impact damaged composite structures.

  14. 40 CFR 86.1842-01 - Addition of a vehicle after certification; and changes to a vehicle covered by certification.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... concurrently with (or in advance of) any change or addition in production vehicles which creates a new vehicle... determination that the addition or change does not cause noncompliance shall be based on an engineering... certification; and changes to a vehicle covered by certification. 86.1842-01 Section 86.1842-01 Protection...

  15. SHIELD certification package

    SciTech Connect

    Boman, C.

    1992-02-01

    Certification as applied to existing computer codes includes the verification and validation process, placing the code in configuration control, establishing user qualification standards and training requirements. All software intended for use in critical calculations must be certified. This report is intended to fulfill the requirements for the certification of the SHIELD, SHLDED, GEDIT, GENPRT, FIPROD, FPCALC, and PROCES modules of the SHIELD system built February, 1992, by W.S. Parks. These modules are used for burnup, cooling, separate, and edit calculations.

  16. Certification of computational results

    NASA Technical Reports Server (NTRS)

    Sullivan, Gregory F.; Wilson, Dwight S.; Masson, Gerald M.

    1993-01-01

    A conceptually novel and powerful technique to achieve fault detection and fault tolerance in hardware and software systems is described. When used for software fault detection, this new technique uses time and software redundancy and can be outlined as follows. In the initial phase, a program is run to solve a problem and store the result. In addition, this program leaves behind a trail of data called a certification trail. In the second phase, another program is run which solves the original problem again. This program, however, has access to the certification trail left by the first program. Because of the availability of the certification trail, the second phase can be performed by a less complex program and can execute more quickly. In the final phase, the two results are compared and if they agree the results are accepted as correct; otherwise an error is indicated. An essential aspect of this approach is that the second program must always generate either an error indication or a correct output even when the certification trail it receives from the first program is incorrect. The certification trail approach to fault tolerance is formalized and realizations of it are illustrated by considering algorithms for the following problems: convex hull, sorting, and shortest path. Cases in which the second phase can be run concurrently with the first and act as a monitor are discussed. The certification trail approach are compared to other approaches to fault tolerance.

  17. Council on Certification Professional Practice Analysis.

    PubMed

    Zaglaniczny, K L

    1993-06-01

    The CCNA has completed a PPA and will begin implementing its recommendations with the December 1993 certification examination. The results of the PPA provide content validation for the CCNA certification examination. The certification examination is reflective of the knowledge and skill required for entry-level practice. Assessment of this knowledge is accomplished through the use of questions that are based on the areas represented in the content outline. Analysis of the PPA has resulted in changes in the examination content outline and percentages of questions in each area to reflect current entry-level nurse anesthesia practice. The new outline is based on the major domains of knowledge required for nurse anesthesia practice. These changes are justified by the consistency in the responses of the practitioners surveyed. There was overall agreement as to the knowledge and skills related to patient conditions, procedures, agents, techniques, and equipment that an entry-level CRNA must have to practice. Members of the CCNA and Examination Committee will use the revised outline to develop questions for the certification examination. The questions will be focused on the areas identified as requiring high levels of expertise and those that appeared higher in frequency. The PPA survey will be used as a basis for subsequent content validation studies. It will be revised to reflect new knowledge, technology, and techniques related to nurse anesthesia practice. The CCNA has demonstrated its commitment to the certification process through completion of the PPA and implementation of changes in the structure of the examination. PMID:8291387

  18. What is the Safest Way to Cross the Valley of Death: Wisdom gained from Making a Satellite based Flood Forecasting System Operational and Owned by Stakeholders

    NASA Astrophysics Data System (ADS)

    Hossain, F.

    2013-12-01

    More than a decade ago, the National Research Council report popularized the term 'Valley of Death' to describe the region where research on Weather Satellites had struggled to survive before reaching maturity for societal applications. For example, the space vantage of earth observing satellites can solve some of the world's otherwise fundamentally intractable operational problems on water resources. However, recent experiences show that many of the potential beneficiaries, who are not as familiar with water cycle remote sensing missions or anthropogenic climate studies, referred here as the ';non-traditional consumers,' may have a more skeptical view based on their current practices. This talk will focus on one such non-traditional consumer group: the water resources managers/staff in developing nations of South Asia. Using real-world examples on applications and hands-on-training to make a satellite based flood forecasting system operational, the talk will dissect the view that is shared by many water managers of Bangladesh on satellite remote sensing for day to day decision making. The talk will share the experience and wisdom generated in the successful capacity building of emerging satellite technology for water management. It will end with an overview of initiatives for more effective promotion of the value of planned water cycle satellite missions for water resources management community in the developing world.

  19. Atomic oxygen interaction with spacecraft materials: Relationship between orbital and ground-based testing for materials certification

    SciTech Connect

    Cross, J.B. ); Koontz, S.L. . Lyndon B. Johnson Space Center); Lan, E.H. )

    1991-01-01

    The effects of atomic oxygen on boron nitride, silicon nitride, solar cell interconnects used on the Intelsat 6 satellite, organic polymers, and MoS{sub 2} and WS{sub 2} dry lubricant have been studied in low Earth orbit (LEO) flight experiments and in our ground-based simulation facility at Los Alamos National Laboratory. Both the in-flight and ground-based experiments employed in situ electrical resistance measurements to detect penetration of atomic oxygen through materials and ESCA analysis to measure chemical composition changes. In the presence of atomic oxygen, silver oxidizes to form silver oxide, which has a much higher electrical resistance than pure silver. Permeation of atomic oxygen through BN overcoated on thin silver was observed. No permeation of atomic oxygen through Si{sub 3}N{sub 4} was observed. Test results on the Intelsat 6 satellite interconnects used on its photovoltaic array indicate that more than 60--80% of the original thickness of silver should remain after completion of the proposed Space Shuttle rescue/reboost mission. Gas phase reaction products produced by the interaction of high kinetic energy atomic oxygen (AO) with Kapton were found to be H{sub 2}, H{sub 2}O, CO, and CO{sub 2} with NO being a possible secondary product. Hydrogen abstraction at high AO kinetic energy is postulated to be the key reaction controlling the erosion rate of Kapton. An Arrhenius-like expression having an activation barrier of 0.4 eV can be fit to the data, which suggests that the rate limiting step in the AO/Kapton reaction mechanism can be overcome by translational energy. Oxidation of MoS{sub 2} and WS{sub 2} dry lubricants in both ground-based and orbital exposures indicated the formation of MoO{sub 3} and WO{sub 3} respectively. A protective oxide layer is formed {approx}30 monolayers thick which has a high initial friction coefficient until the layer is worn off.

  20. 42 CFR 493.638 - Certificate fees.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ...the laboratory certification program under section 353 of the PHS Act. (1) For registration certificates and certificates...appropriate complexity category, and implementing section 353 of the PHS Act. (2) For a certificate of waiver, the costs...

  1. The Effects of Death Education.

    ERIC Educational Resources Information Center

    Freitag, Carl B.; Hassler, Shawn David

    Although fear of death is recorded in the writings of the oldest major religions, the study of death and the fear of death have only occurred for the last few decades. Death education courses have grown in number since the early 1970's. College students participated in an investigation of the effects of death education on death anxiety by…

  2. Comparative thorax morphology of death-feigning flightless cryptorhynchine weevils (Coleoptera: Curculionidae) based on 3D reconstructions.

    PubMed

    van de Kamp, Thomas; Cecilia, Angelica; Dos Santos Rolo, Tomy; Vagovi?, Patrik; Baumbach, Tilo; Riedel, Alexander

    2015-11-01

    The thorax morphology, especially the muscles and the tracheal system of three flightless species of Cryptorhynchinae is examined by digital 3D reconstructions based on synchrotron X-ray microtomography and compared to other Curculionidae. Wings, metanepisternites, and muscles functional in flight are fully reduced in the species examined: Kyklioacalles roboris (Curtis), Trigonopterus scharfi Riedel and Trigonopterus vandekampi Riedel. All three share the same set of thoracic muscles, but differences exist in the shape and size of muscles. Both Trigonopterus species examined have a conspicuous fan-shaped branch of Musculus mesosterni primus contracting pro- and mesothorax, interpreted as an adaption to their thanatosis defense strategy. Trigonopterus vandekampi furthermore shows a marked increase in the size of two metacoxal muscles, which may be functional in this species' thanatosis blocking mechanisms. The metathoracic spiracle of all Trigonopterus species is located at the side of the metaventrite externally and not in the subelytral space as in other beetles. It is hypothesized that this translocation was triggered by the need to improve oxygen supply during thanatosis, when both the mesothoracic spiracle and the subelytral cavity are tightly sealed from the outside. PMID:26259678

  3. Down-regulation of PAR1 activity with a pHLIP-based allosteric antagonist induces cancer cell death.

    PubMed

    Burns, Kelly E; Thévenin, Damien

    2015-12-15

    Even though abnormal expression of G protein-coupled receptors (GPCRs) and of their ligands is observed in many cancer cells of various origins, only a few anti-cancer compounds directly act on their signalling. One promising approach to modulate their activity consists of targeting the receptor cytoplasmic surfaces interacting with the associated G-proteins using peptides mimicking the intracellular loops of the receptor. Thus, to be fully effective, the peptide mimics must be selectively targeted to the tumour while sparing healthy tissues, translocated across the cell membrane and stay anchored to the cytoplasmic leaflet of the plasma membrane. In the present study, we introduce a novel way to selectively target and inhibit the activity of a GPCR in cancer cells under acidic conditions, such as those found in solid tumours. We find that the conjugation of a peptide fragment derived from the third intracellular loop (i3) of the protease-activated receptor 1 (PAR1) to a peptide that can selectively target tumours solely based on their acidity [pH(Low) Insertion Peptide (pHLIP)], produces a construct capable of effectively down-regulating PAR1 activity in a concentration- and pH-dependent manner and of inducing a potent cytotoxic effect in a panel of cancer cells that is proportional to the relative level of receptor expression at the cell surface. This strategy not only allows for a more selective targeting and specific intracellular delivery than current approaches, but also offers new possibilities for developing novel anti-cancer drugs targeting GPCRs. PMID:26424552

  4. Certification in Distance Learning for Online Instructors: Exploration of the Creation of an Organic Model for a Research-Based State Institution

    ERIC Educational Resources Information Center

    Graham, Lee; Thomas, Lisa

    2011-01-01

    The traditional and most highly utilized manner of instruction in the online Certification Course focuses on training instructors to teach a pre-designed course with common features. This model limits instructional options for faculty to those which are available in the course. Faculty who are accustomed to academic freedom and autonomy may not be…

  5. Cell Death Signaling.

    PubMed

    Green, Douglas R; Llambi, Fabien

    2015-01-01

    SUMMARYIn multicellular organisms, cell death is a critical and active process that maintains tissue homeostasis and eliminates potentially harmful cells. There are three major types of morphologically distinct cell death: apoptosis (type I cell death), autophagic cell death (type II), and necrosis (type III). All three can be executed through distinct, and sometimes overlapping, signaling pathways that are engaged in response to specific stimuli. Apoptosis is triggered when cell-surface death receptors such as Fas are bound by their ligands (the extrinsic pathway) or when Bcl2-family proapoptotic proteins cause the permeabilization of the mitochondrial outer membrane (the intrinsic pathway). Both pathways converge on the activation of the caspase protease family, which is ultimately responsible for the dismantling of the cell. Autophagy defines a catabolic process in which parts of the cytosol and specific organelles are engulfed by a double-membrane structure, known as the autophagosome, and eventually degraded. Autophagy is mostly a survival mechanism; nevertheless, there are a few examples of autophagic cell death in which components of the autophagic signaling pathway actively promote cell death. Necrotic cell death is characterized by the rapid loss of plasma membrane integrity. This form of cell death can result from active signaling pathways, the best characterized of which is dependent on the activity of the protein kinase RIP3. PMID:26626938

  6. [Fetal death in utero].

    PubMed

    Rudigoz, R C; Revillard, J P; Audra, P; Luciani, F; Malvolti, B; Griot, J P; Frappart, L; Lafont, S

    1986-11-01

    152 cases of fetal death in utero are reported. The most frequent etiologies were: vasculorenal syndromes: 28.3 p. cent, idiopathic DPPNIs and RCIUs: 28 p. cent, accidental causes (trauma, funicular syndromes): 19.5 p. cent. Cause of death was unknown or imprecise in 18.4 p. cent of cases. Repeated fetal deaths in utero were rare: 5 observations. The authors consider the management of fetal death in utero, associated immunological problems and how to deal with subsequent pregnancies. PMID:3797943

  7. Multifaceted deaths orchestrated by mitochondria in neurones.

    PubMed

    Nagley, Phillip; Higgins, Gavin C; Atkin, Julie D; Beart, Philip M

    2010-01-01

    Neurones undergo diverse forms of cell death depending on the nature and severity of the stress. These death outcomes are now classified into various types of programmed cell death, including apoptosis, autophagy and necrosis. Each of these pathways can run in parallel and all have mitochondria as a central feature. Recruitment of mitochondria into cell death signalling involves either (or both) induction of specific death responses through release of apoptogenic proteins into the cytosol, or perturbation in function leading to loss of mitochondrial energization and ATP synthesis. Cross-talk between these signalling pathways, particularly downstream of mitochondria, determines the resultant pattern of cell death. The differential recruitment of specific death pathways depends on the timing of engagement of mitochondrial signalling. Other influences on programmed cell death pathways occur through stress of the endoplasmic reticulum and the associated ubiquitin-proteasome system normally handling potentially neurotoxic protein aggregates. Based upon contemporary evidence apoptosis is a relatively rare in the mature brain whereas the contribution of programmed necrosis to various neuropathologies has been underestimated. The death outcomes that neurones exhibit during acute or chronic injury or pathological conditions considered here (oxidative stress, hypoxic-ischaemic injury, amyotrophic lateral sclerosis, Parkinson's and Huntington's diseases) fall within a spectrum of the diverse death types across the apoptosis-necrosis continuum. Indeed, dying or dead neurones may simultaneously manifest characteristics of more than one type of death pathway. Understanding neuronal death pathways and their cross-talk not only informs the detailed pathobiology but also suggests novel therapeutic strategies. PMID:19751830

  8. Midcourse Space Experiment Data Certification and Technology Transfer

    NASA Technical Reports Server (NTRS)

    Pollock, David B.

    1998-01-01

    The Midcourse Space Experiment spacecraft, launched April 24, 1996, is expected to have a 5 year useful lifetime with a 12 month lifetime for the cryogenically cooled IR sensor. A pre-launch, ground based calibration of the instruments provided a basis for the pre-launch certification of the Level 2 data base these instruments produce. With the spacecraft in-orbit the certification of the instrument's Level 2 data base is being extended to the in-orbit environment.

  9. Certificate Revocation Using Fine Grained Certificate Space Partitioning

    NASA Astrophysics Data System (ADS)

    Goyal, Vipul

    A new certificate revocation system is presented. The basic idea is to divide the certificate space into several partitions, the number of partitions being dependent on the PKI environment. Each partition contains the status of a set of certificates. A partition may either expire or be renewed at the end of a time slot. This is done efficiently using hash chains.

  10. 1 SCM Certificate.docx Graduate Certificate Supply Chain Management

    E-print Network

    Savakis, Andreas

    an accredited university, with a 3.0 cumulative GPA At least two years experience in a business environment1 SCM Certificate.docx Graduate Certificate ­ Supply Chain Management Overview: 3 courses (3 is required). #12;2 SCM Certificate.docx Application process: Complete a non-matriculated registration form

  11. A Collaborative, Alternative Teacher Certification Program.

    ERIC Educational Resources Information Center

    Securro, Samuel, Jr.; And Others

    In the summer of 1986, three institutions (West Virginia State College, West Virigina College of Graduate Studies, and West Virgina Institute of Technology) consorted to design an alternative teacher certification program to attract and retain a qualified pool of mathematics and science teachers. Known as the Field-Based Training Program (FBTP),…

  12. 10 CFR 431.36 - Compliance Certification.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... DEPARTMENT OF ENERGY ENERGY CONSERVATION ENERGY EFFICIENCY PROGRAM FOR CERTAIN COMMERCIAL AND INDUSTRIAL... motor which is subject to an energy efficiency standard set forth in this subpart unless it has... the Compliance Certification must be based upon the basic model's energy efficiency as determined...

  13. A Competency Certificate Model for Microcomputers.

    ERIC Educational Resources Information Center

    Tinius, Jack

    Trident Technical College developed a process using microcomputers to produce certificates for competency-based curricula. At the beginning of the process, criteria were set for the program. A software program was needed that used available computers, was easy to use, and produced a competency statement that was easy to read and interpret. A…

  14. The association of cerebral palsy and death with small-for-gestational age birth weight in preterm neonates by individualized and population-based percentiles

    PubMed Central

    Grobman, William A.; Lai, Yinglei; Rouse, Dwight J.; Spong, Catherine Y.; Varner, Michael W.; Mercer, Brian M.; Leveno, Kenneth J.; Iams, Jay D.; Wapner, Ronald J.; Sorokin, Yoram; Thorp, John M.; Ramin, Susan M.; Malone, Fergal D.; O'sullivan, Mary J.; Hankins, Gary D. V.; Caritis, Steve N.

    2013-01-01

    OBJECTIVE To determine whether an individualized growth standard (IS) improves identification of preterm small-for-gestational-age (SGA) neonates at risk of developing moderate/severe cerebral palsy (CP) or death. STUDY DESIGN Secondary analysis of data from a randomized trial of MgSO4 for prevention of CP or death among anticipated preterm births. Singleton non-anomalous liveborns delivered before 34 weeks’ were classified as SGA (< 10th % for their GA) by a population standard (PS) or an IS (incorporating maternal age, height, weight, parity, race/ethnicity, and neonatal gender). The primary outcome was prediction of moderate or severe CP or death by age 2. RESULTS Of 1588 eligible newborns, 143 (9.4%) experienced CP (N=33) or death (N=110). Forty-four (2.8%) were SGA by the PS and 364 (22.9%) by the IS. All PS-SGA newborns also were identified as IS-SGA. SGA newborns by either standard had a similarly increased risk of CP or death (PS: RR 2.4, 95% CI 1.3–4.3 vs. IS: RR 1.8, 95% CI 1.3–2.5, respectively). The similarity of RRs remained after stratification by MgSO4 treatment group. The IS was more sensitive (36% vs. 6%, p <.001), but less specific (78% vs. 98%, p <.001) for CP or death. ROC curve analysis revealed a statistically lower AUC for the PS, although the ability of either method to predict which neonates would subsequently develop CP or death was poor (PS: 0.55, 95% CI 0.49–0.60 vs. IS: 0.59, 95% CI 0.54–0.64, p<.001). CONCLUSION An individualized SGA growth standard does not improve the association with, or prediction of, CP or death by age 2. PMID:23770470

  15. Certification et equivalence

    NASA Astrophysics Data System (ADS)

    Colardyn, Danielle

    1992-11-01

    The new economic and social equilibrium which is gradually coming about in Europe has significant consequences in terms of mobility, recognition of qualifications and certification. Specifically in the educational arena, questions are raised as to the social and vocational value of certificates, and the recognition of vocational skills. These skills are part of the wealth of the particular countries in the Community, and of each of the individuals who are now confronted by the enlarged economic and social space, in its varying forms. In this European context, what is examined here is more particularly the French situation, from the point of view of the evolution of the notion of certification and recognition of skills, and of policies both of qualification, and of initial and continuing training of the work force.

  16. DEATH, DYING AND NEAR DEATH EXPERIENCE

    PubMed Central

    Singh, Ajai R.; Bagadia, V.N.; Pradhan, P.V.; Acharya, V.N.

    1988-01-01

    SUMMARY Psychology of deaths due to acute medical emergencies is under-researched. Most studies till now have concentrated on extended-death situations like malignancy. This open pilot study of twenty five patients examines the psychological state of patients during a life threatening acute medical illness (Group A, ten patients) and of those who survive such an experience (Group B, fifteen patients). The study finds psychological exploration both possible and necessary if carried out in a discreet manner. Salient features of the interview technique are discussed. The study finds out whether patients are aware of the possibility of terminality. The psychological disturbances manifest and nature of care expected are also discussed. Near Death Experiences of those who acknowledge their occurence are reported. Some nuances of thanatological research are high-lighted: What are the abilities needed in an interviewer? Can such exploration increase psychological distress in a patient already prone to it because of serious medical sickness? What impact such research can have on the interviewer himself? The paper answers some of these common questions while developing the method of thanatological study in acute medical death-situations. PMID:21927325

  17. Board Certification in Counseling Psychology

    ERIC Educational Resources Information Center

    Crowley, Susan L.; Lichtenberg, James W.; Pollard, Jeffrey W.

    2012-01-01

    Although specialty board certification by the American Board of Professional Psychology (ABPP) has been a valued standard for decades, the vast majority of counseling psychologists do not pursue board certification in the specialty. The present article provides a brief history of board certification in general and some historical information about…

  18. Demography Certificate Program Enrollment Form

    E-print Network

    Capecchi, Mario R.

    the certificate you must be admitted to The University of Utah as a degree-seeking (matriculated) student or nonmatriculated student. Potential Demography Certificate students need to: 1. Be admitted to The University Demography Certificate Program Enrollment Form There is no formal admissions process

  19. Death with dignity.

    PubMed

    Mathiews, Ann Kimberlin

    2010-01-01

    The concept of death with dignity evolves over a nurse's career. A new nurse focuses on the patient as a person. As the nurse gains experience, she facilitates family grieving. As a seasoned professional, the nurse emphasizes the dignity that, through effective nursing, can be restored to dying. Preservation of dignity is found in the way we honor death. PMID:21140873

  20. Education for Death

    ERIC Educational Resources Information Center

    Puolimatka, Tapio; Solasaari, Ulla

    2006-01-01

    Death is an unavoidable fact of human life, which cannot be totally ignored in education. Children reflect on death and raise questions that deserve serious answers. If an educator completely evades the issue, children will seek other conversation partners. It is possible to find arguments both from secular and religious sources, which alleviate…

  1. Death Acceptance through Ritual

    ERIC Educational Resources Information Center

    Reeves, Nancy C.

    2011-01-01

    This article summarizes the author's original research, which sought to discover the elements necessary for using death-related ritual as a psychotherapeutic technique for grieving people who experience their grief as "stuck," "unending," "maladaptive," and so on. A "death-related ritual" is defined as a ceremony, directly involving at least 1…

  2. Conflicting Thoughts about Death

    ERIC Educational Resources Information Center

    Harris, Paul L.

    2011-01-01

    Most research on children's conception of death has probed their understanding of its biological aspects: its inevitability, irreversibility and terminal impact. Yet many adults subscribe to a religious conception implying that death marks the beginning of a new life. Two recent empirical studies confirm that in the course of development, children…

  3. Death Obsession in Palestinians

    ERIC Educational Resources Information Center

    Abdel-Khalek, Ahmed M.; Al-Arja, Nahida S.; Abdalla, Taysir

    2006-01-01

    The authors explored death obsession level and correlates among a sample (N=601) of Palestinians living in the city of Beit Jala, the village of Al-Khader, and the Aida refugee camp in the Bethlehem area. They live in war conditions; the houses of half of them have been demolished. The Death Obsession Scale (DOS) was administered. Its alpha…

  4. Programmed cell death

    SciTech Connect

    1995-12-31

    The purpose of this conference to provide a multidisciplinary forum for exchange of state-of-the-art information on the role programmed cell death plays in normal development and homeostasis of many organisms. This volume contains abstracts of papers in the following areas: invertebrate development; immunology/neurology; bcl-2 family; biochemistry; programmed cell death in viruses; oncogenesis; vertebrate development; and diseases.

  5. Physician-assisted death.

    PubMed Central

    1995-01-01

    Physician-assisted death includes both euthanasia and assistance in suicide. The CMA urges its members to adhere to the principles of palliative care. It does not support euthanasia and assisted suicide. The following policy summary includes definitions of euthanasia and assisted suicide, background information, basic ethical principles and physician concerns about legalization of physician-assisted death. PMID:7632208

  6. Children and Death.

    ERIC Educational Resources Information Center

    Christian, Linda Garris

    1997-01-01

    Examines young children's responses to and understanding of death. Discusses children's concepts of death; how their grief process differs from that of adults; stages of grief; factors affecting grief responses; acceptance of children's grief response; support for grieving children, especially funeral services and counseling; and preparing and…

  7. The Psychology of Death

    ERIC Educational Resources Information Center

    Fields, B. Celestine

    1976-01-01

    Forty-eight black men and women living and/or attending school in the St. Louis and Washington, D.C. areas responded to questionnaires concerning feelings, attitudes, emotions, etc. towards death and dying. It is concluded that blacks see death as a very significant happening; and that although in some areas blacks have become Americanized in…

  8. Death Writ Large

    ERIC Educational Resources Information Center

    Kastenbaum, Robert

    2004-01-01

    Mainstream thanatology has devoted its efforts to improving the understanding, care, and social integration of people who are confronted with life-threatening illness or bereavement. This article suggests that it might now be time to expand the scope and mission to include large-scale death and death that occurs through complex and multi-domain…

  9. Near-death experiences.

    PubMed Central

    Blackmore, S J

    1996-01-01

    Reactions to claims of near-death experiences (NDE) range from the popular view that this must be evidence for life after death, to outright rejection of the experiences as, at best, drug induced hallucinations or, at worse, pure invention. Twenty years, and much research, later, it is clear that neither extreme is correct. PMID:8683504

  10. Death in custody.

    PubMed

    Reay, D T

    1998-03-01

    Death in custody is the most demanding investigation that a medical examiner or coroner can perform. The investigation requires attention to detail at the time of scene investigation and autopsy examination, as well as a careful assessment of the toxicologic results and circumstances of the death. Synthesis of the many facts that are developed during the investigation should allow the medical examiner or coroner to establish a reasonable cause of death. There can be legitimate points of disagreement of interpretation because the conclusions so frequently are predicated on physiologic processes and not on anatomic findings. It is incumbent on the medical examiner and coroner responsible for investigating deaths of these types to utilize all the information generated during the investigation and to identify an appropriate cause of death. PMID:9523061

  11. Death in Denmark.

    PubMed Central

    Evans, M

    1990-01-01

    Does it matter that the hearts of 'brainstem dead' patients may persist in beating spontaneously? Hostile reactions, to the Danish inclusion of cardiac criteria in the determination of death, betray reductionist views of human life at the core of 'brainstem' conceptions of death. Such views (whether centred on neurological function or on abstractions concerning 'personhood') supplant the richness of human life and death with the poverty of essentialism: and mask the lethal nature of beating-heart organ retrieval. The affirmation of cardiac criteria for death is not an alternative form of essentialism as some critics suppose, but part of an understanding of human life and death which rejects essentialism altogether. The spontaneously persistent heartbeat does not constitute human life, but most certainly counts for it. PMID:2287015

  12. Post-mortem imaging as an alternative to autopsy in the diagnosis of adult deaths: a validation study

    PubMed Central

    Roberts, Ian SD; Benamore, Rachel E; Benbow, Emyr W; Lee, Stephen H; Harris, Jonathan N; Jackson, Alan; Mallett, Susan; Patankar, Tufail; Peebles, Charles; Roobottom, Carl; Traill, Zoe C

    2012-01-01

    Summary Background Public objection to autopsy has led to a search for minimally invasive alternatives. Imaging has potential, but its accuracy is unknown. We aimed to identify the accuracy of post-mortem CT and MRI compared with full autopsy in a large series of adult deaths. Methods This study was undertaken at two UK centres in Manchester and Oxford between April, 2006, and November, 2008. We used whole-body CT and MRI followed by full autopsy to investigate a series of adult deaths that were reported to the coroner. CT and MRI scans were reported independently, each by two radiologists who were masked to the autopsy findings. All four radiologists then produced a consensus report based on both techniques, recorded their confidence in cause of death, and identified whether autopsy was needed. Findings We assessed 182 unselected cases. The major discrepancy rate between cause of death identified by radiology and autopsy was 32% (95% CI 26–40) for CT, 43% (36–50) for MRI, and 30% (24–37) for the consensus radiology report; 10% (3–17) lower for CT than for MRI. Radiologists indicated that autopsy was not needed in 62 (34%; 95% CI 28–41) of 182 cases for CT reports, 76 (42%; 35–49) of 182 cases for MRI reports, and 88 (48%; 41–56) of 182 cases for consensus reports. Of these cases, the major discrepancy rate compared with autopsy was 16% (95% CI 9–27), 21% (13–32), and 16% (10–25), respectively, which is significantly lower (p<0·0001) than for cases with no definite cause of death. The most common imaging errors in identification of cause of death were ischaemic heart disease (n=27), pulmonary embolism (11), pneumonia (13), and intra-abdominal lesions (16). Interpretation We found that, compared with traditional autopsy, CT was a more accurate imaging technique than MRI for providing a cause of death. The error rate when radiologists provided a confident cause of death was similar to that for clinical death certificates, and could therefore be acceptable for medicolegal purposes. However, common causes of sudden death are frequently missed on CT and MRI, and, unless these weaknesses are addressed, systematic errors in mortality statistics would result if imaging were to replace conventional autopsy. Funding Policy Research Programme, Department of Health, UK. PMID:22112684

  13. Certification Considerations for Adaptive Systems

    NASA Technical Reports Server (NTRS)

    Bhattacharyya, Siddhartha; Cofer, Darren; Musliner, David J.; Mueller, Joseph; Engstrom, Eric

    2015-01-01

    Advanced capabilities planned for the next generation of aircraft, including those that will operate within the Next Generation Air Transportation System (NextGen), will necessarily include complex new algorithms and non-traditional software elements. These aircraft will likely incorporate adaptive control algorithms that will provide enhanced safety, autonomy, and robustness during adverse conditions. Unmanned aircraft will operate alongside manned aircraft in the National Airspace (NAS), with intelligent software performing the high-level decision-making functions normally performed by human pilots. Even human-piloted aircraft will necessarily include more autonomy. However, there are serious barriers to the deployment of new capabilities, especially for those based upon software including adaptive control (AC) and artificial intelligence (AI) algorithms. Current civil aviation certification processes are based on the idea that the correct behavior of a system must be completely specified and verified prior to operation. This report by Rockwell Collins and SIFT documents our comprehensive study of the state of the art in intelligent and adaptive algorithms for the civil aviation domain, categorizing the approaches used and identifying gaps and challenges associated with certification of each approach.

  14. Designing and Implementing an Innovative SMS-based alert system (RapidSMS-MCH) to monitor pregnancy and reduce maternal and child deaths in Rwanda

    PubMed Central

    Ngabo, Fidele; Nguimfack, Judith; Nwaigwe, Friday; Mugeni, Catherine; Muhoza, Denis; Wilson, David R; Kalach, John; Gakuba, Richard; Karema, Corrine; Binagwaho, Agnes

    2012-01-01

    Introduction With the continuous growth of mobile network coverage and unprecedented penetration of mobile devices in the developing world, several mHealth initiatives are being implemented in developing countries. This paper aims to describe requirements for designing and implementing a mobile phone-based communication system aiming at monitoring pregnancy and reducing bottlenecks in communication associated with maternal and newborn deaths; and document challenges and lessons learned. Methods An SMS-based system was developed to improve maternal and child health (MCH) using RapidSMS®, a free and open-sourced software development framework. To achieve the expected results, the RapidSMS-MCH system was customized to allow interactive communication between a community health worker (CHW)following mother-infant pairs in their community, a national centralized database, the health facility and in case of an emergency alert, the ambulance driver. The RapidSMS-MCH system was piloted in Musanze district, Nothern province of Rwanda over a 12-month period. Results A total of 432 CHW were trained and equipped with mobile phones. A total of 35,734 SMS were sent by 432 CHW from May 2010 to April 2011. A total of 11,502 pregnancies were monitored. A total of 362 SMS alerts for urgent and life threatening events were registered. We registered a 27% increase in facility based delivery from 72% twelve months before to 92% at the end of the twelve months pilot phase. Major challenges were telephone maintenance and replacement. Disctrict heath team capacity to manage and supervise the system was strengthened by the end of pilot phase. Highly committed CHWs and effective coordination by the District health team were critical enablers. Conclusion We successully designed and implemented a mobile phone SMS-based system to track pregnancy and maternal and child outcomes in limited resources setting. Implementation of mobile-phone systems at community level could contribute to improving emergency obstetric and neonatal care, yet it requires a well-organized community health structure in limited resource settings. PMID:23330022

  15. [Death as a process: an anthropological perspective].

    PubMed

    Martínez, Bárbara

    2013-09-01

    This article combines recent approximations that question the homology between death and biological demise from an anthropological perspective with the tradition of studies that review the death rituals in the Andean geographical area. In particular, it examines how in El Cajón, Catamarca, Northeast Argentina the dead are incorporated in the cosmologic scheme, and how death, being the initial step for this to occur, is not merely a biological event but also a highly dynamic social process. Based on ethnographical field work and using multiple-session open interviews and participant observation as methodological tools, it presents an analytical proposal that seeks to transcend the homology between death and biological demise, suggesting a notion that includes not only the organic dimension but also the social dimension: the process of death. PMID:23989575

  16. Reducing the Teen Death Rate. KIDS COUNT Indicator Brief

    ERIC Educational Resources Information Center

    Shore, Rima; Shore, Barbara

    2009-01-01

    Life continues to hold considerable risk for adolescents in the United States. In 2006, the teen death rate stood at 64 deaths per 100,000 teens (13,739 teens) (KIDS COUNT Data Center, 2009). Although it has declined by 4 percent since 2000, the rate of teen death in this country remains substantially higher than in many peer nations, based

  17. Children's Death Concepts and Ethnicity.

    ERIC Educational Resources Information Center

    Wass, Hannelore; Towry, Betty J.

    1980-01-01

    Relationships between death concepts of Black and White children and their racial status were examined. Lower-middle-class elementary children completed a four-item questionnaire on death. Most children defined death as the end of living and listed physical causes as the explanation of death. In general, children's death concepts were similar.…

  18. Classification of cell death

    PubMed Central

    Kroemer, G; Galluzzi, L; Vandenabeele, P; Abrams, J; Alnemri, ES; Baehrecke, EH; Blagosklonny, MV; El-Deiry, WS; Golstein, P; Green, DR; Hengartner, M; Knight, RA; Kumar, S; Lipton, SA; Malorni, W; Nuñez, G; Peter, ME; Tschopp, J; Yuan, J; Piacentini, M; Zhivotovsky, B; Melino, G

    2009-01-01

    Different types of cell death are often defined by morphological criteria, without a clear reference to precise biochemical mechanisms. The Nomenclature Committee on Cell Death (NCCD) proposes unified criteria for the definition of cell death and of its different morphologies, while formulating several caveats against the misuse of words and concepts that slow down progress in the area of cell death research. Authors, reviewers and editors of scientific periodicals are invited to abandon expressions like ‘percentage apoptosis’ and to replace them with more accurate descriptions of the biochemical and cellular parameters that are actually measured. Moreover, at the present stage, it should be accepted that caspase-independent mechanisms can cooperate with (or substitute for) caspases in the execution of lethal signaling pathways and that ‘autophagic cell death’ is a type of cell death occurring together with (but not necessarily by) autophagic vacuolization. This study details the 2009 recommendations of the NCCD on the use of cell death-related terminology including ‘entosis’, ‘mitotic catastrophe’, ‘necrosis’, ‘necroptosis’ and ‘pyroptosis’. PMID:18846107

  19. Preventing deaths from rising opioid overdose in the US – the promise of naloxone antidote in community-based naloxone take-home programs

    PubMed Central

    Straus, Michele M; Ghitza, Udi E; Tai, Betty

    2013-01-01

    The opioid overdose epidemic is an alarming and serious public health problem in the United States (US) that has been escalating for 11 years. The 2011 National Survey on Drug Use and Health (NSDUH) demonstrated that 1 in 20 persons in the US aged 12 or older reported nonmedical use of prescription painkillers in the past year. Prescription drug overdose is now the leading cause of accidental death in the United States – surpassing motor vehicle accidents. Great efforts have been initiated to curb the overdose crisis. Notable examples of these efforts are (1) the Drug Enforcement Administration’s (DEA) National Take-Back Initiative instituted in 2010; (2) the Prescription Drug Monitoring Programs (PDMPs) implemented in most US states to provide practitioners with point-of-care information regarding a patient’s controlled substance use; (3) the naloxone rescue programs initiated in the community to avert mortality resulting from overdose. The use of naloxone rescue strategies has gained traction as an effective measure to prevent fatal opioid overdose. Many US federal-government agencies are working to make these strategies more accessible to first responders and community participants. This new approach faces many challenges, such as accessibility to naloxone and the equipment and training needed to administer it, but none is more challenging than the fear of legal repercussions. US federal-government agencies, local governments, health care institutions, and community-based organizations have begun to tackle these barriers, and naloxone take-home programs have gained recognition as a feasible and sensible preventive strategy to avoid a fatal result from opioid overdose. Although many challenges still need to be overcome, it is important for federal government research agencies to initiate and support independent and rigorous evaluation of these programs to inform policymakers how effective these programs can be to save lives and curb the opioid overdose public health crisis. PMID:24273417

  20. What is organic certification?

    Technology Transfer Automated Retrieval System (TEKTRAN)

    Certified organic crop production is a holistic approach to sustainable and healthy food production to enhance the well being of the consumer, while protecting natural resources. Organic certification was implemented by the National Organic Program (NOP) in 2002 in recognition of the necessity for c...

  1. Standards and Certification. Symposium.

    ERIC Educational Resources Information Center

    2002

    This document contains three papers from a symposium on standards and certification in human resource development (HRD). "Implementing Management Standards in the UK" (Jonathan Winterton, Ruth Winterton) reports on a study that explored the implementation of management standards in 16 organizations and identified 36 key themes and strategic issues…

  2. Second Language Education Certificate

    E-print Network

    Second Language Education Certificate Language learning matters. More than 5,000 languages are spoken around the globe today, making language learning an essential ingredient to give you a real-world, competitive edge. www.uwindsor.ca/languages English as a Second Language (ESL) teachers are in high demand

  3. Forensic Toxicology Certificate

    E-print Network

    Saldin, Dilano

    of forensic science that is concerned with the study of toxic substances or poisons. Toxicology encompasses scientists and therefore will have a strong interest in the sciences and math. The work of a forensic.edu/cfs UWMilwLetSci For More Information: Center for Forensic Science 414-229-0510 cfs@uwm.edu This certificate

  4. INTERIOR DESIGN CERTIFICATE PROGRAM

    E-print Network

    Alabama in Huntsville, University of

    INTERIOR DESIGN CERTIFICATE PROGRAM Visualize beautiful and functional surroundings created by you the essentials of color, design elements, and design principles, and explore design history, fabric and interior, basic drawing and drafting, and reading blue prints. Building a Foundation in Interior Design 25 hours

  5. Boat Operator Certification

    USGS Multimedia Gallery

    On September 16, 2014 staff from the Maine Office headed to the Kennebec River in Gardiner for their boat operator re-certification. The USGS routinely uses manned boats for discharge measurements on rivers throughout the state and after our initial training, are re-certified every 5 years. In this...

  6. Are suicide deaths under-reported? Nationwide re-evaluations of 1800 deaths in Scandinavia

    PubMed Central

    Tøllefsen, Ingvild Maria; Helweg-Larsen, Karin; Thiblin, Ingemar; Hem, Erlend; Kastrup, Marianne C; Nyberg, Ullakarin; Rogde, Sidsel; Zahl, Per-Henrik; Østevold, Gunvor; Ekeberg, Øivind

    2015-01-01

    Objective Valid mortality statistics are important for healthcare planning and research. Suicides and accidents often present a challenge in the classification of the manner of death. The aim of this study was to analyse the reliability of the national suicide statistics by comparing the classification of suicide in the Scandinavian cause of death registers with a reclassification by 8 persons with different medical expertise (psychiatry, forensic pathology and public health) from each of the 3 Scandinavian countries. Methods The cause of death registers in Norway, Sweden and Denmark retrieved available information on a sample of 600 deaths in 2008 from each country. 200 were classified in the registers as suicides, 200 as accidents or undetermined and 200 as natural deaths. The reclassification comprised an assessment of the manner and cause of death as well as the level of certainty. Results In total, 81%, 88% and 90% of deaths registered as suicide in the official mortality statistics were confirmed by experts using the Swedish, Norwegian and Danish data sets, respectively. About 3% of deaths classified as accidents or natural deaths in the cause of death registers were reclassified as suicides. However, after a second reclassification based on additional information, 9% of the natural deaths and accidents were reclassified as suicides in the Norwegian data set, and 21% of the undetermined deaths were reclassified as suicides in the Swedish data set. In total, the levels of certainty of the experts were 87% of suicides in the Norwegian data set, 77% in the Swedish data set and 92% in Danish data set; the uncertainty was highest in poisoning suicides. Conclusions A high percentage of reported suicides were confirmed as being suicides. Few accidents and natural deaths were reclassified as suicides. Hence, reclassification did not increase the overall official suicide statistics of the 3 Scandinavian countries. PMID:26608638

  7. Coding ill-defined and unknown cause of death is 13 times more frequent in Denmark than in Finland.

    PubMed

    Ylijoki-Sørensen, Seija; Sajantila, Antti; Lalu, Kaisa; Bøggild, Henrik; Boldsen, Jesper Lier; Boel, Lene Warner Thorup

    2014-11-01

    Exact cause and manner of death determination improves legislative safety for the individual and for society and guides aspects of national public health. In the International Classification of Diseases, codes R00-R99 are used for "symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified" designated as "ill-defined" or "with unknown etiology". The World Health Organisation recommends avoiding the use of ill-defined and unknown causes of death in the death certificate as this terminology does not give any information concerning the possible conditions that led to the death. Thus, the aim of the study was, firstly, to analyse the frequencies of R00-R99-coded deaths in mortality statistics in Finland and in Denmark and, secondly, to compare these and the methods used to investigate the cause of death. To do so, we extracted a random 90% sample of the Finnish death certificates and 100% of the Danish certificates from the national mortality registries for 2000, 2005 and 2010. Subsequently, we analysed the frequencies of forensic and medical autopsies and external clinical examinations of the bodies in R00-R99-coded deaths. The use of R00-R99 codes was significantly higher in Denmark than in Finland; OR 18.6 (95% CI 15.3-22.4; p<0.001) for 2000, OR 9.5 (95% CI 8.0-11.3; p<0.001) for 2005 and OR 13.2 (95% CI 11.1-15.7; p<0.001) for 2010. More than 80% of Danish deaths with R00-R99 codes were over 70 years of age at the time of death. Forensic autopsy was performed in 88.3% of Finnish R00-R99-coded deaths, whereas only 3.5% of Danish R00-R99-coded deaths were investigated with forensic or medical autopsy. The codes that were most used in both countries were R96-R99, meaning "unknown cause of death". In Finland, all of these deaths were investigated with a forensic autopsy. Our study suggests that if all deaths in all age groups with unclear cause of death were systematically investigated with a forensic autopsy, only 2-3/1000 deaths per year would be coded as an ill-defined and unknown cause of death in national mortality statistics. At the same time the risk to overlook unnatural deaths is decreased to a minimum. To achieve this in Denmark requires that the existing legislation on cause of death investigation would need to be changed to ensure that all deaths with unknown cause of death are investigated with a forensic autopsy. PMID:25300069

  8. The Kansas Death Penalty Debate

    E-print Network

    Tonkovich, Emil A.

    1988-01-01

    will continue. Rather than take a position on capital punishment, this article surveys the death penalty debate. After briefly reviewing the constitutional aspects of the death penalty, it will analyze the primary arguments against the death penalty and examine...

  9. [Near-death experiences].

    PubMed

    Bonilla, Ernesto

    2011-03-01

    Near-death experiences (NDE) are lucid events that take place when a person is so physically compromised that he would die if its condition does not improve. He is unconscious, without heartbeats and breath, and with a flat-line electroencephalogram. NDE may include some of the following elements: Out of the body experiences or separation of consciousness from the physical body, increase in sensory perception and intense emotions, travel into or through a tunnel, encounter with a brilliant light and mystical beings, deceased relatives or friends, a sense of alteration in time and space, visualization of unworldly realms and a special knowledge, encounter with a barrier or boundary, and a return to the body, either voluntary or involuntary. The fact that children NDE are similar to adult NDE is an evidence that these experiences are real and not due to pre-existing beliefs, cultural influences or previous experiences in the present life. The characteristics of NDE are similar worldwide. No evidence supports the physiological, psychological, neurochemical, and neuroanatomical hypothesis proposed to explain the NDE. Multifactorial models, based on the combination of all of them (brain anoxia or hypoxia, release of serotonin, endorphins and ketamine-like compounds) have also been proposed. Although physiological, psychological, and socio-cultural factors could interact in the NDE, the hypothesis proposed consist essentially in unsupported speculations about what might be happening during the NDE. PMID:21614815

  10. 21 CFR 80.35 - Color additive mixtures; certification and exemption from certification.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ...2012-04-01 2012-04-01 false Color additive mixtures; certification and...OF HEALTH AND HUMAN SERVICES GENERAL COLOR ADDITIVE CERTIFICATION Certification Procedures § 80.35 Color additive mixtures; certification...

  11. 21 CFR 80.35 - Color additive mixtures; certification and exemption from certification.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ...2013-04-01 2013-04-01 false Color additive mixtures; certification and...OF HEALTH AND HUMAN SERVICES GENERAL COLOR ADDITIVE CERTIFICATION Certification Procedures § 80.35 Color additive mixtures; certification...

  12. 21 CFR 80.35 - Color additive mixtures; certification and exemption from certification.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ...2010-04-01 2010-04-01 false Color additive mixtures; certification and...OF HEALTH AND HUMAN SERVICES GENERAL COLOR ADDITIVE CERTIFICATION Certification Procedures § 80.35 Color additive mixtures; certification...

  13. 21 CFR 80.35 - Color additive mixtures; certification and exemption from certification.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ...2011-04-01 2011-04-01 false Color additive mixtures; certification and...OF HEALTH AND HUMAN SERVICES GENERAL COLOR ADDITIVE CERTIFICATION Certification Procedures § 80.35 Color additive mixtures; certification...

  14. 21 CFR 80.35 - Color additive mixtures; certification and exemption from certification.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ...2014-04-01 2014-04-01 false Color additive mixtures; certification and...OF HEALTH AND HUMAN SERVICES GENERAL COLOR ADDITIVE CERTIFICATION Certification Procedures § 80.35 Color additive mixtures; certification...

  15. Using verbal autopsy to measure causes of death: the comparative performance of existing methods

    PubMed Central

    2014-01-01

    Background Monitoring progress with disease and injury reduction in many populations will require widespread use of verbal autopsy (VA). Multiple methods have been developed for assigning cause of death from a VA but their application is restricted by uncertainty about their reliability. Methods We investigated the validity of five automated VA methods for assigning cause of death: InterVA-4, Random Forest (RF), Simplified Symptom Pattern (SSP), Tariff method (Tariff), and King-Lu (KL), in addition to physician review of VA forms (PCVA), based on 12,535 cases from diverse populations for which the true cause of death had been reliably established. For adults, children, neonates and stillbirths, performance was assessed separately for individuals using sensitivity, specificity, Kappa, and chance-corrected concordance (CCC) and for populations using cause specific mortality fraction (CSMF) accuracy, with and without additional diagnostic information from prior contact with health services. A total of 500 train-test splits were used to ensure that results are robust to variation in the underlying cause of death distribution. Results Three automated diagnostic methods, Tariff, SSP, and RF, but not InterVA-4, performed better than physician review in all age groups, study sites, and for the majority of causes of death studied. For adults, CSMF accuracy ranged from 0.764 to 0.770, compared with 0.680 for PCVA and 0.625 for InterVA; CCC varied from 49.2% to 54.1%, compared with 42.2% for PCVA, and 23.8% for InterVA. For children, CSMF accuracy was 0.783 for Tariff, 0.678 for PCVA, and 0.520 for InterVA; CCC was 52.5% for Tariff, 44.5% for PCVA, and 30.3% for InterVA. For neonates, CSMF accuracy was 0.817 for Tariff, 0.719 for PCVA, and 0.629 for InterVA; CCC varied from 47.3% to 50.3% for the three automated methods, 29.3% for PCVA, and 19.4% for InterVA. The method with the highest sensitivity for a specific cause varied by cause. Conclusions Physician review of verbal autopsy questionnaires is less accurate than automated methods in determining both individual and population causes of death. Overall, Tariff performs as well or better than other methods and should be widely applied in routine mortality surveillance systems with poor cause of death certification practices. PMID:24405531

  16. Dealing Delicately with Death.

    ERIC Educational Resources Information Center

    Burge, Susan J.

    1978-01-01

    A teacher of gifted and talented primary students discusses ways to approach the subject of death and dying. Five class activities are presented which are designed to encourage fluency, risk taking, curiosity, and imagination through language arts and art. (CL)

  17. Death and Grief

    MedlinePLUS

    ... for Parents for Kids for Teens Teens Home Body Mind Sexual Health Food & Fitness Diseases & Conditions Infections Q& ... a death or loss. Grief can affect our body, mind, emotions, and spirit. People might notice or show ...

  18. Hitler's Death Camps.

    ERIC Educational Resources Information Center

    Wieser, Paul

    1995-01-01

    Presents a high school lesson on Hitler's death camps and the widespread policy of brutality and oppression against European Jews. Includes student objectives, instructional procedures, and a chart listing the value of used clothing taken from the Jews. (CFR)

  19. Death acceptance through ritual.

    PubMed

    Reeves, Nancy C

    2011-01-01

    This article summarizes the author's original research, which sought to discover the elements necessary for using death-related ritual as a psychotherapeutic technique for grieving people who experience their grief as "stuck," "unending," "maladaptive," and so on. A death-related ritual is defined as a ceremony, directly involving at least 1 person and the symbols of the loss, and usually directly and indirectly involving others. Suggestions for counselors and psychotherapists are discussed. PMID:24501853

  20. Term of Certificate Completion: Telephone Number

    E-print Network

    Texas at San Antonio, University of

    Term of Certificate Completion: Telephone Number: Summer (August)Spring (May) Fall (December)Year: Graduate Certificate: The student's completion of a certificate program, with or without completion: the student's Certificate Program Advisor has prepared a Certificate Degree Plan, which will be sent

  1. Degree Information 37 Transcripted Graduate Certificate Programs

    E-print Network

    Bermúdez, José Luis

    Certificate in International Business (Mays MBA Students Only) Graduate Certificate in Business Management in Food Safety Graduate Certificate in International Business (Mays MS Students Only) Certificate the certificate program the student must 1) be admitted to the university and 2) successfully complete at least 12

  2. Transcript-based Cloning of RRP46, a Regulator of rRNA Processing and R-Gene-Independent Cell Death in Barley–Powdery Mildew Interactions

    Technology Transfer Automated Retrieval System (TEKTRAN)

    Programmed cell death (PCD) plays a pivotal role in plant development and defense. To investigate the degree of interaction between PCD and R-gene mediated defense, we used the 22K Barley1 GeneChip to compare and contrast time-course expression profiles of Blumeria graminis f. sp. hordei (Bgh) chal...

  3. Epidemiological characteristics of cases of death from tuberculosis and vulnerable territories1

    PubMed Central

    Yamamura, Mellina; Santos-Neto, Marcelino; dos Santos, Rebeca Augusto Neman; Garcia, Maria Concebida da Cunha; Nogueira, Jordana de Almeida; Arcêncio, Ricardo Alexandre

    2015-01-01

    Objective: to characterize the differences in the clinical and epidemiological profile of cases of death that had tuberculosis as an immediate or associated cause, and to analyze the spatial distribution of the cases of death from tuberculosis within the territories of Ribeirão Preto, Brazil. Method: an ecological study, in which the population consisted of 114 cases of death from tuberculosis. Bivariate analysis was carried out, as well as point density analysis, defined with the Kernel estimate. Results: of the cases of death from tuberculosis, 50 were the immediate cause and 64 an associated cause. Age (p=.008) and sector responsible for the death certificate (p=.003) were the variables that presented statistically significant associations with the cause of death. The spatial distribution, in both events, did not occur randomly, forming clusters in areas of the municipality. Conclusion: the difference in the profiles of the cases of death from tuberculosis, as a basic cause and as an associated cause, was governed by the age and the sector responsible for the completion of the death certificate. The non-randomness of the spatial distribution of the cases suggests areas that are vulnerable to these events. Knowing these areas can contribute to the choice of disease control strategies. PMID:26487142

  4. Certification plan for safety and PRA codes

    SciTech Connect

    Toffer, H.; Crowe, R.D. ); Ades, M.J. )

    1990-05-01

    A certification plan for computer codes used in Safety Analyses and Probabilistic Risk Assessment (PRA) for the operation of the Savannah River Site (SRS) reactors has been prepared. An action matrix, checklists, and a time schedule have been included in the plan. These items identify what is required to achieve certification of the codes. A list of Safety Analysis and Probabilistic Risk Assessment (SA PRA) computer codes covered by the certification plan has been assembled. A description of each of the codes was provided in Reference 4. The action matrix for the configuration control plan identifies code specific requirements that need to be met to achieve the certification plan's objectives. The checklist covers the specific procedures that are required to support the configuration control effort and supplement the software life cycle procedures based on QAP 20-1 (Reference 7). A qualification checklist for users establishes the minimum prerequisites and training for achieving levels of proficiency in using configuration controlled codes for critical parameter calculations.

  5. Certification plan for safety and PRA codes

    SciTech Connect

    Toffer, H.; Crowe, R.D.; Ades, M.J.

    1990-05-01

    A certification plan for computer codes used in Safety Analyses and Probabilistic Risk Assessment (PRA) for the operation of the Savannah River Site (SRS) reactors has been prepared. An action matrix, checklists, and a time schedule have been included in the plan. These items identify what is required to achieve certification of the codes. A list of Safety Analysis and Probabilistic Risk Assessment (SA&PRA) computer codes covered by the certification plan has been assembled. A description of each of the codes was provided in Reference 4. The action matrix for the configuration control plan identifies code specific requirements that need to be met to achieve the certification plan`s objectives. The checklist covers the specific procedures that are required to support the configuration control effort and supplement the software life cycle procedures based on QAP 20-1 (Reference 7). A qualification checklist for users establishes the minimum prerequisites and training for achieving levels of proficiency in using configuration controlled codes for critical parameter calculations.

  6. Putting the "Death" in Death Valley Paul Withers

    E-print Network

    Withers, Paul

    Putting the "Death" in Death Valley Paul Withers In 1849, gold was discovered at Sutter's Mill of human suffering in a place they named Death Valley. [From here on, historical sources have a tendency of the rough map, continued due west to discover Death Valley... They were composed of three groups: thirty

  7. Death Depression and Death Anxiety in HIV-Infected Males.

    ERIC Educational Resources Information Center

    Hintze, Julie; And Others

    1993-01-01

    Administered Death Anxiety Scale, Death Depression Scale, Beck Depression Inventory, State-Trait Anxiety Scale, and questionnaire assessing demographic and life-situation variables to 94 human immunodeficiency virus-infected gay men. Higher death anxiety and death depression were most highly correlated with state anxiety, trait anxiety,…

  8. Death Threat and Death Concerns in the College Student.

    ERIC Educational Resources Information Center

    Tobacyk, Jerome; Eckstein, Daniel

    1980-01-01

    Thanatology students reported significantly lesser death threat and significantly greater death concerns. Trait anxiety was found to be a significant predictor of change in death threat in the Thanatology Group, with lesser anxiety associated with greater decline in death threat. (Author)

  9. Perspectives on Death: An Experiential Course on Death Education.

    ERIC Educational Resources Information Center

    Stefan, Edwin S.

    1978-01-01

    Describes and evaluates a college psychology course on death education (thanatology). Course objectives were to help students become aware of the feelings involved in facing death, encourage discussion on the subject of death, motivate students to change their attitudes about death, and encourage practical planning for funeral arrangements.…

  10. Performance or marketing benefits? The case of LEED certification.

    PubMed

    Matisoff, Daniel C; Noonan, Douglas S; Mazzolini, Anna M

    2014-01-01

    Green building adoption is driven by both performance-based benefits and marketing based benefits. Performance based benefits are those that improve performance or lower operating costs of the building or of building users. Marketing benefits stem from the consumer response to green certification. This study illustrates the relative importance of the marketing based benefits that accrue to Leadership in Energy and Environmental Design (LEED) buildings due to green signaling mechanisms, specifically related to the certification itself are identified. Of course, all participants in the LEED certification scheme seek marketing benefits. But even among LEED participants, the interest in green signaling is pronounced. The green signaling mechanism that occurs at the certification thresholds shifts building patterns from just below to just above the threshold level, and motivates builders to cluster buildings just above each threshold. Results are consistent across subsamples, though nonprofit organizations appear to build greener buildings and engage in more green signaling than for-profit entities. Using nonparametric regression discontinuity, signaling across different building types is observed. Marketing benefits due to LEED certification drives organizations to build "greener" buildings by upgrading buildings at the thresholds to reach certification levels. PMID:24392820

  11. Recording acute poisoning deaths.

    PubMed

    Flanagan, R J; Rooney, C

    2002-08-14

    Recording deaths from acute poisoning/substance abuse is not straightforward. The International Classification of Diseases (ICD), used to code mortality statistics, is aimed towards recording the underlying cause of death such as suicide or drug dependence rather than gathering data on poisoning per se. Despite the inherent difficulties clear trends can be observed from the data available for England and Wales. There have been marked changes in the compounds featuring in suicidal poisoning in the last 35 years reflecting changes in the availability of poisons, notably carbon monoxide and prescription barbiturates. However, although the number of poisoning suicides has decreased in the recent years, suicides from other means have increased in males (suicides in 1999, 75% male), hence there has been little change in the annual total of suicides. There are also striking differences in drug abuse- and volatile substance abuse (VSA)-related deaths between males and females. Drug abuse-related fatal poisoning (83% male, 1979-1999, European Monitoring Centre for Drugs and Drug Addiction (EMCDDA) definition which does not include suicide), largely attributable to heroin and methadone, increased markedly during the 1990s, with a sharp rise in deaths attributed to accidental poisoning, although deaths involving methadone are now declining. VSA-related deaths (90% male, 1971-1999, almost entirely accidental deaths), nowadays predominantly from abuse of fuel gases (liquefied petroleum gas, LPG) from, for example, cigarette lighter refills, have declined from a peak in the early 1990s and are now becoming manifest in an older age group. These two latter instances especially provide examples where ICD-derived fatal poisoning data are inadequate and a 'poisons oriented' approach to data collection and analysis is necessary. PMID:12208016

  12. Brain death declaration

    PubMed Central

    Wahlster, Sarah; Wijdicks, Eelco F.M.; Patel, Pratik V.; Greer, David M.; Hemphill, J. Claude; Carone, Marco

    2015-01-01

    Objective: To assess the practices and perceptions of brain death determination worldwide and analyze the extent and nature of variations among countries. Methods: An electronic survey was distributed globally to physicians with expertise in neurocritical care, neurology, or related disciplines who would encounter patients at risk of brain death. Results: Most countries (n = 91, response rate 76%) reported a legal provision (n = 63, 70%) and an institutional protocol (n = 70, 77%) for brain death. Institutional protocols were less common in lower-income countries (2/9 of low [22%], 9/18 lower-middle [50%], 22/26 upper-middle [85%], and 37/38 high-income countries [97%], p < 0.001). Countries with an organized transplant network were more likely to have a brain death provision compared with countries without one (53/64 [83%] vs 6/25 [24%], p < 0.001). Among institutions with a formalized brain death protocol, marked variability occurred in requisite examination findings (n = 37, 53% of respondents deviated from the American Academy of Neurology criteria), apnea testing, necessity and type of ancillary testing (most commonly required test: EEG [n = 37, 53%]), time to declaration, number and qualifications of physicians present, and criteria in children (distinct pediatric criteria: n = 38, 56%). Conclusions: Substantial differences in perceptions and practices of brain death exist worldwide. The identification of discrepancies, improvement of gaps in medical education, and formalization of protocols in lower-income countries provide first pragmatic steps to reconciling these variations. Whether a harmonized, uniform standard for brain death worldwide can be achieved remains questionable. PMID:25854866

  13. 40 CFR 92.306 - Certification.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ...programs. Separate declarations are required for each...obtain a certificate of conformity. However, any such...of the certificate of conformity for such engine families. The certificate of conformity may be voided ab...

  14. 40 CFR 94.306 - Certification.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ...programs. Separate declarations are required for each...obtain a certificate of conformity. However, any such...of the certificate of conformity for such engine families. The certificate of conformity may be voided ab...

  15. 40 CFR 94.306 - Certification.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ...programs. Separate declarations are required for each...obtain a certificate of conformity. However, any such...of the certificate of conformity for such engine families. The certificate of conformity may be voided ab...

  16. 40 CFR 92.306 - Certification.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ...programs. Separate declarations are required for each...obtain a certificate of conformity. However, any such...of the certificate of conformity for such engine families. The certificate of conformity may be voided ab...

  17. Water & Wastewater Utilities Certificate Program Description

    E-print Network

    Gosselin, Louis A.

    Water & Wastewater Utilities Certificate Program Description TRU offers a one year Certificate in Water & Wastewater Utilities. This certificate is an entry level training and education program in the operation and maintenance of Water and Wastewater Treatment, Distribution, and Collection systems

  18. 12 CFR 561.9 - Certificate account.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ...DEPARTMENT OF THE TREASURY DEFINITIONS FOR REGULATIONS AFFECTING ALL SAVINGS ASSOCIATIONS § 561.9 Certificate account. The term certificate account means a savings account evidenced by a certificate that must be held for a fixed or...

  19. Montana State University 1 Graduate Certificate in

    E-print Network

    Maxwell, Bruce D.

    Montana State University 1 Graduate Certificate in Statistics Training in statistical. The Graduate Certificate in Statistics is designed to provide additional education in statistical thinking certificate will provide a clear record of additional training in statistics for future graduate programs

  20. 5 CFR 1330.403 - System certification.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ...2012-01-01 false System certification. 1330...Appraisal Certification for Pay Purposes § 1330.403 System certification. (a) The performance appraisal system(s) covering senior...annual rate of basic pay for senior...

  1. 5 CFR 430.403 - System certification.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ...2012-01-01 false System certification. 430...Appraisal Certification for Pay Purposes § 430.403 System certification. (a) The performance appraisal system(s) covering senior...annual rate of basic pay for senior...

  2. 5 CFR 430.403 - System certification.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ...2014-01-01 false System certification. 430...Appraisal Certification for Pay Purposes § 430.403 System certification. (a) The performance appraisal system(s) covering senior...annual rate of basic pay for senior...

  3. 5 CFR 430.403 - System certification.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ...2013-01-01 false System certification. 430...Appraisal Certification for Pay Purposes § 430.403 System certification. (a) The performance appraisal system(s) covering senior...annual rate of basic pay for senior...

  4. 5 CFR 1330.403 - System certification.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ...2014-01-01 false System certification. 1330...Appraisal Certification for Pay Purposes § 1330.403 System certification. (a) The performance appraisal system(s) covering senior...annual rate of basic pay for senior...

  5. 5 CFR 1330.403 - System certification.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ...2013-01-01 false System certification. 1330...Appraisal Certification for Pay Purposes § 1330.403 System certification. (a) The performance appraisal system(s) covering senior...annual rate of basic pay for senior...

  6. Creating & Maintaining a Diversity Certificate Program

    E-print Network

    Azad, Abdul-Majeed

    Business Development Center · The Culture Building Institute · Diversity Certificate · Customized Diversity hours of employee professional development resulting in a University supported certificate. #12;TheCreating & Maintaining a Diversity Certificate Program Dr. Shanda Gore Associate Vice President

  7. 7 CFR 35.7 - Certificate.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ...COMMODITY STANDARDS AND STANDARD CONTAINER REGULATIONS EXPORT GRAPES AND PLUMS Definitions § 35.7 Certificate. Certificate...inspection certificate, bearing the statement “meets Export Grape and Plum Act,” issued by the Federal or...

  8. 7 CFR 35.7 - Certificate.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ...COMMODITY STANDARDS AND STANDARD CONTAINER REGULATIONS EXPORT GRAPES AND PLUMS Definitions § 35.7 Certificate. Certificate...inspection certificate, bearing the statement “meets Export Grape and Plum Act,” issued by the Federal or...

  9. 7 CFR 35.7 - Certificate.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ...COMMODITY STANDARDS AND STANDARD CONTAINER REGULATIONS EXPORT GRAPES AND PLUMS Definitions § 35.7 Certificate. Certificate...inspection certificate, bearing the statement “meets Export Grape and Plum Act,” issued by the Federal or...

  10. 7 CFR 35.7 - Certificate.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ...COMMODITY STANDARDS AND STANDARD CONTAINER REGULATIONS EXPORT GRAPES AND PLUMS Definitions § 35.7 Certificate. Certificate...inspection certificate, bearing the statement “meets Export Grape and Plum Act,” issued by the Federal or...

  11. 7 CFR 35.7 - Certificate.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ...COMMODITY STANDARDS AND STANDARD CONTAINER REGULATIONS EXPORT GRAPES AND PLUMS Definitions § 35.7 Certificate. Certificate...inspection certificate, bearing the statement “meets Export Grape and Plum Act,” issued by the Federal or...

  12. Placental abruption and perinatal death.

    PubMed

    Kyrklund-Blomberg, N B; Gennser, G; Cnattingius, S

    2001-07-01

    Studies of risk factors for abruptio placentae (AP) are partly conflicting and studies of risk factors for perinatal death in these pregnancies are scarce. Using the population-based Swedish Birth Registry from 1987 to 1993, we were able to study these risks in 795,459 singleton pregnancies. Logistic regression analysis was used to estimate odds ratios (OR) for risk of AP and risk of perinatal death in pregnancies with and without AP. Risk factors for AP were: age, primiparity, high parity, not cohabiting with infant's father, low education, smoking, infertility, pregestational diabetes, essential hypertension, pregnancy-induced hypertensive diseases, preterm premature rupture of membranes, preterm birth and small-for-gestational-age (SGA) births. Risk factors for perinatal death in pregnancies with placental abruption were smoking (1--9 and > or =10 cigarettes/day; OR 1.4 and 1.7 respectively), severe pre-eclampsia (OR 2.0) and SGA (OR 1.9), whereas in pregnancies without abruption, risks were also increased in maternal age > or =35 years, primiparity, infertility, essential hypertension and pregestational diabetes. These findings support the theory that, in cases of AP, a general impairment of the placenta and/or a defect placentation may be fatal. PMID:11489159

  13. [Aspects of brain death].

    PubMed

    Adebahr, G

    1986-01-01

    The different aspects of brain death are discussed. It is pointed out that the diagnosis of poisoning as the cause of brain death can be checked by toxicological examination of brain tissue and of blood in the sinus of the dura mater, since the metabolism in the brain and sinus blood is markedly reduced while drugs and toxic substances continue to be broken down in the other organs. Particular importance attaches to this difference in the case of crimes of violence creating conditions that predispose to brain death when the significance of a further violent act, e.g. stabbing with resultant haemorrhage, has to be assessed. The simple vital reaction of bleeding does not of itself constitute proof in such a situation, unless it is possible to say with a good degree of certainty that brain death did not occur at the moment when the victim was stabbed. It may, however, be possible to state that brain death that could have been caused by violence has not yet occurred if complex vital reactions, such as inflammation of a wound, are seen. PMID:3825318

  14. Software Certification for Temporal Properties With Affordable Tool Qualification

    NASA Technical Reports Server (NTRS)

    Xia, Songtao; DiVito, Benedetto L.

    2005-01-01

    It has been recognized that a framework based on proof-carrying code (also called semantic-based software certification in its community) could be used as a candidate software certification process for the avionics industry. To meet this goal, tools in the "trust base" of a proof-carrying code system must be qualified by regulatory authorities. A family of semantic-based software certification approaches is described, each different in expressive power, level of automation and trust base. Of particular interest is the so-called abstraction-carrying code, which can certify temporal properties. When a pure abstraction-carrying code method is used in the context of industrial software certification, the fact that the trust base includes a model checker would incur a high qualification cost. This position paper proposes a hybrid of abstraction-based and proof-based certification methods so that the model checker used by a client can be significantly simplified, thereby leading to lower cost in tool qualification.

  15. Helping Children Cope with Death

    MedlinePLUS

    ... Size Email Print Share Helping Children Cope with Death Article Body We have had a death in the family. How do we help our ... to the death of someone in their lives: Death of a grandparent When a grandparent dies, children ...

  16. Teaching about the Death Penalty.

    ERIC Educational Resources Information Center

    Ryan, John Paul; Eden, John Michael

    1998-01-01

    Examines the reasons for the death penalty, the reasons why the death penalty attracts so much attention, whether the death penalty is applied consistently, and the evidence that the application of the death penalty may be racially biased. Provides an accompanying article on "Teaching Ideas" by Ronald A. Banaszak. (CMK)

  17. 10 CFR 76.51 - Conditions of certification.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ...certification. 76.51 Section 76.51 Energy NUCLEAR REGULATORY COMMISSION (CONTINUED) CERTIFICATION OF GASEOUS DIFFUSION PLANTS Certification § 76.51 Conditions of certification. The Corporation shall comply with the certificate of...

  18. 10 CFR 76.65 - Inalienability of certificates.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ...certificates. 76.65 Section 76.65 Energy NUCLEAR REGULATORY COMMISSION (CONTINUED) CERTIFICATION OF GASEOUS DIFFUSION PLANTS Certification § 76.65 Inalienability of certificates. The certificate granted under the regulations in...

  19. 10 CFR 76.65 - Inalienability of certificates.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ...certificates. 76.65 Section 76.65 Energy NUCLEAR REGULATORY COMMISSION (CONTINUED) CERTIFICATION OF GASEOUS DIFFUSION PLANTS Certification § 76.65 Inalienability of certificates. The certificate granted under the regulations in...

  20. 10 CFR 76.51 - Conditions of certification.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ...certification. 76.51 Section 76.51 Energy NUCLEAR REGULATORY COMMISSION (CONTINUED) CERTIFICATION OF GASEOUS DIFFUSION PLANTS Certification § 76.51 Conditions of certification. The Corporation shall comply with the certificate of...

  1. 10 CFR 76.51 - Conditions of certification.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ...certification. 76.51 Section 76.51 Energy NUCLEAR REGULATORY COMMISSION (CONTINUED) CERTIFICATION OF GASEOUS DIFFUSION PLANTS Certification § 76.51 Conditions of certification. The Corporation shall comply with the certificate of...

  2. 10 CFR 76.51 - Conditions of certification.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ...certification. 76.51 Section 76.51 Energy NUCLEAR REGULATORY COMMISSION (CONTINUED) CERTIFICATION OF GASEOUS DIFFUSION PLANTS Certification § 76.51 Conditions of certification. The Corporation shall comply with the certificate of...

  3. 10 CFR 76.65 - Inalienability of certificates.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ...certificates. 76.65 Section 76.65 Energy NUCLEAR REGULATORY COMMISSION (CONTINUED) CERTIFICATION OF GASEOUS DIFFUSION PLANTS Certification § 76.65 Inalienability of certificates. The certificate granted under the regulations in...

  4. 10 CFR 76.65 - Inalienability of certificates.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ...certificates. 76.65 Section 76.65 Energy NUCLEAR REGULATORY COMMISSION (CONTINUED) CERTIFICATION OF GASEOUS DIFFUSION PLANTS Certification § 76.65 Inalienability of certificates. The certificate granted under the regulations in...

  5. 10 CFR 76.51 - Conditions of certification.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ...certification. 76.51 Section 76.51 Energy NUCLEAR REGULATORY COMMISSION (CONTINUED) CERTIFICATION OF GASEOUS DIFFUSION PLANTS Certification § 76.51 Conditions of certification. The Corporation shall comply with the certificate of...

  6. 10 CFR 76.65 - Inalienability of certificates.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ...certificates. 76.65 Section 76.65 Energy NUCLEAR REGULATORY COMMISSION (CONTINUED) CERTIFICATION OF GASEOUS DIFFUSION PLANTS Certification § 76.65 Inalienability of certificates. The certificate granted under the regulations in...

  7. Infant deaths in slings.

    PubMed

    Madre, Chrystèle; Rambaud, Caroline; Avran, David; Michot, Charlotte; Sachs, Philippe; Dauger, Stéphane

    2014-12-01

    Although the incidence of sudden unexpected death in infancy (SUDI) decreased markedly after campaigns to promote supine positioning during sleeping, it has remained unchanged over the last decade. Epidemiological data suggest a role for new causes such as suffocation, asphyxia, and entrapment. Health authorities in several countries have issued warnings about slings used to carry infants. However, few reports of infant deaths in slings have been published in medical journals. Our paediatric intensive care unit has admitted two infants who experienced cardiorespiratory arrest while carried in a sling. Diagnostic investigations including a post-mortem examination established asphyxia as the mechanism of death. In conclusion, baby slings may carry a risk of SUDI, either by compression of the baby into a forward-flexed position or by direct suffocation. European recommendations for the cautious use of baby slings should be disseminated to families and professionals involved in caring for infants, as done recently in Australia, Canada, and the USA. PMID:24343674

  8. Co-immunoprecipitation-based identification of putative BAX INHIBITOR-1-interacting proteins involved in cell death regulation and plant-powdery mildew interactions.

    PubMed

    Weis, Corina; Pfeilmeier, Sebastian; Glawischnig, Erich; Isono, Erika; Pachl, Fiona; Hahne, Hannes; Kuster, Bernhard; Eichmann, Ruth; Hückelhoven, Ralph

    2013-10-01

    The endoplasmic reticulum (ER)-resident BAX INHIBITOR-1 (BI-1) protein is one of a few cell death suppressors known to be conserved in animals and plants. The function of BI-1 proteins in response to various biotic and abiotic stress factors is well established. However, little is known about the underlying mechanisms. We conducted co-immunoprecipitation (co-IP) experiments to identify Arabidopsis thaliana?BI-1-interacting proteins to obtain a potentially better understanding of how BI-1 functions during plant-pathogen interactions and as a suppressor of cell death. Liquid chromatography and tandem mass spectrometry (LC-MS/MS) identified 95 proteins co-immunoprecipitated with green fluorescing protein (GFP)-tagged BI-1. Five selected candidate proteins, a RIBOPHORIN II (RPN2) family protein, VACUOLAR ATP SYNTHASE SUBUNIT A (VHA-A), cytochrome P450 83A1 (CYP83A1), H(+) -ATPASE 1 (AHA1) and PROHIBITIN 2 (PHB2), were further investigated with regard to their role in BI-1-associated processes. To this end, we analysed a set of Arabidopsis mutants in the interaction with the adapted powdery mildew fungus Erysiphe cruciferarum and on cell death-inducing treatments. Two independent rpn2 knock-down mutants tended to better support powdery mildew, and a phb2 mutant showed altered responses to cell death-inducing Alternaria alternata f.sp. lycopersici (AAL) toxin treatment. Two independent cyp83a1 mutants showed a strong powdery mildew resistance phenotype and enhanced sensitivity to AAL toxin. Moreover, co-localization studies and fluorescence resonance energy transfer (FRET) experiments suggested a direct interaction of BI-1 with CYP83A1 at the ER. PMID:23782494

  9. [Violence and death by external causes].

    PubMed

    Vieira, Graciete Oliveira; Assis, Marluce Maria; do Nascimento, Maria Angela; Vieira, Tatiana de Oliveira; Netto, Pedro Vieira-Santana

    2003-01-01

    An ecological study highlighted violence and death by external causes in Salvador and in Bahia through data furnished by the Fundação Nacional de Saúde (Health National Foundation) at the Ministério da Saúde (Ministry of Health), based on mortality records and population estimates by IBGE. The risk of death by homicide in Brazil is three times greater than in the United States, and up to forty times higher than in Japan. Homicide was the primary cause of loss of potential years of life (13.4%) in Brazil (1997), followed by traffic deaths (10.6%). External causes were the second cause of death in Salvador and Bahia (1996). Violence has cultural-social and political-ideological roots and it can be prevented by intersectional, multidisciplinary actions. PMID:14595974

  10. Synthesis and evaluation of indole-based chalcones as inducers of methuosis, a novel type of non-apoptotic cell death

    PubMed Central

    Robinson, Michael W.; Overmeyer, Jean H.; Young, Ashley M.; Erhardt, Paul W.; Maltese, William A.

    2012-01-01

    Methuosis is a novel caspase-independent form of cell death in which massive accumulation of vacuoles derived from macropinosomes ultimately causes cells to detach from the substratum and rupture. We recently described a chalcone-like compound, 3-(2-methyl-1H indol-3-yl)-1-(4-pyridinyl)-2-propen-1-one (i.e. MIPP), which can induce methuosis in glioblastoma and other types of cancer cells. Herein we describe the synthesis and structure-activity relationships of a directed library of related compounds, providing insights into the contributions of the two aryl ring systems and highlighting a potent derivative, 3-(5-methoxy, 2-methyl-1H-indol-3-yl)-1-(4-pyridinyl)-2-propen-1-one (i.e. MOMIPP) that can induce methuosis at low ?M concentrations. We have also generated biologically active azide derivatives that may be useful for future studies aimed at identifying the protein targets of MOMIPP by photoaffinity labeling techniques. The potential significance of these studies is underscored by the finding that MOMIPP effectively reduces the growth and viability of temozolomide-resistant glioblastoma and doxorubicin-resistant breast cancer cells. Thus, it may serve as a prototype for drugs that could be used to trigger death by methuosis in cancers that are resistant to conventional forms of cell death (e.g. apoptosis). PMID:22335538

  11. Association between smoking and deaths due to colorectal malignant carcinoma: a national population-based case–control study in China

    PubMed Central

    Hou, L; Jiang, J; Liu, B; Nasca, P C; Wu, Y; Zou, X; Han, W; Chen, Y; Zhang, B; Xue, F; Pang, H; Li, J

    2014-01-01

    Background: This study explored the association between smoking and colorectal malignant carcinoma (CRC) in the Chinese population at the national level for the first time. Methods: In the China Nationwide Retrospective Mortality Survey conducted during 1989–1991, 12?942 CRC cases among 1?136?336 all-cause deaths aged ?30 years were randomly assigned 25?884 control interviews from 325?255 surviving spouses of all-cause deaths across 103 urban and rural areas. Results: Compared with non-smokers, smoking significantly increased the risk of CRC-specific mortality by 9.8% (odds ratio (OR)=1.098, 95% confidence interval (CI)=1.046–1.153) adjusted for sex, age, and residence. There were significant dose–response relationships between smoking and CRC, such as smoking years, cigarettes smoked daily, and age at onset of smoking. Long-term heavy smokers aged ?50 years with ?30 smoking years and ?20 cigarettes daily had an excess risk of CRC deaths of 30.2% (OR=1.302, 95% CI=1.214–1.397). The strongest association between these smoking variables, such as long-term heavy smokers (OR=1.604, 95% CI=1.341–1.919), and CRC was observed among rural men. Conclusions: Quitting smoking at any time would likely be beneficial to CRC prevention. Long-term heavy smokers and rural men should be viewed as special targets for smoking prevention and cessation programs. PMID:24481400

  12. 40 CFR 82.164 - Reclaimer certification.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... (CONTINUED) PROTECTION OF STRATOSPHERIC OZONE Recycling and Emissions Reduction § 82.164 Reclaimer... Recycling Program Manager—Reclaimer Certification. (f) Certificates are not transferable. In the event of...

  13. 40 CFR 82.164 - Reclaimer certification.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... (CONTINUED) PROTECTION OF STRATOSPHERIC OZONE Recycling and Emissions Reduction § 82.164 Reclaimer... Recycling Program Manager—Reclaimer Certification. (f) Certificates are not transferable. In the event of...

  14. 40 CFR 82.164 - Reclaimer certification.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... (CONTINUED) PROTECTION OF STRATOSPHERIC OZONE Recycling and Emissions Reduction § 82.164 Reclaimer... Recycling Program Manager—Reclaimer Certification. (f) Certificates are not transferable. In the event of...

  15. 40 CFR 82.164 - Reclaimer certification.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... (CONTINUED) PROTECTION OF STRATOSPHERIC OZONE Recycling and Emissions Reduction § 82.164 Reclaimer... Recycling Program Manager—Reclaimer Certification. (f) Certificates are not transferable. In the event of...

  16. 40 CFR 82.164 - Reclaimer certification.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... (CONTINUED) PROTECTION OF STRATOSPHERIC OZONE Recycling and Emissions Reduction § 82.164 Reclaimer... Recycling Program Manager—Reclaimer Certification. (f) Certificates are not transferable. In the event of...

  17. CIES-TEFL Certificate Program Registration Form

    E-print Network

    CIES-TEFL Certificate Program Registration Form The Center for Intensive English Studies: Teaching English as a Foreign Language Certificate I. Personal ______________________________________________________________________________________ College/University/Other Major

  18. Children's Law Certificate Program Graduation Checklist

    E-print Network

    Almor, Amit

    Children's Law Certificate Program Graduation Checklist Name: _________________________ VIP ID: _________________ Children's Law Certificate required courses (minimum of 4): · Students must complete at least four courses from the Children's Law

  19. Neuronal death after perinatal cerebral hypoxia-ischemia: Focus on autophagy-mediated cell death.

    PubMed

    Descloux, C; Ginet, V; Clarke, P G H; Puyal, J; Truttmann, A C

    2015-10-01

    Neonatal hypoxic-ischemic encephalopathy is a critical cerebral event occurring around birth with high mortality and neurological morbidity associated with long-term invalidating sequelae. In view of the great clinical importance of this condition and the lack of very efficacious neuroprotective strategies, it is urgent to better understand the different cell death mechanisms involved with the ultimate aim of developing new therapeutic approaches. The morphological features of three different cell death types can be observed in models of perinatal cerebral hypoxia-ischemia: necrotic, apoptotic and autophagic cell death. They may be combined in the same dying neuron. In the present review, we discuss the different cell death mechanisms involved in neonatal cerebral hypoxia-ischemia with a special focus on how autophagy may be involved in neuronal death, based: (1) on experimental models of perinatal hypoxia-ischemia and stroke, and (2) on the brains of human neonates who suffered from neonatal hypoxia-ischemia. PMID:26225751

  20. Deaths from violence in North Carolina, 2004: how deaths differ in females and males

    PubMed Central

    Sanford, C; Marshall, S W; Martin, S L; Coyne?Beasley, T; Waller, A E; Cook, P J; Norwood, T; Demissie, Z

    2006-01-01

    Objective To identify gender differences in violent deaths in terms of incidence, circumstances, and methods of death. Design Analysis of surveillance data. Setting North Carolina, a state of 8.6 million residents on the eastern seaboard of the US. Subjects 1674 North Carolina residents who died from violence in the state during 2004. Methods Information on violent deaths was collected by the North Carolina Violent Death Reporting System using data from death certificates, medical examiner reports, and law enforcement agency incidence reports. Results Suicide and homicide rates were lower for females than males. For suicides, females were more likely than males to have a diagnosis of depression (55% v 36%), a current mental health problem (66% v 42%), or a history of suicide attempts (25% v 13%). Firearms were the sole method of suicide in 65% of males and 42% of females. Poisonings were more common in female than male suicides (37% v 12%). Male and female homicide victims were most likely to die from a handgun or a sharp instrument. Fifty seven percent of female homicides involved intimate partner violence, compared with 13% of male homicides. Among female homicides involving intimate partner violence, 78% occurred in the woman's home. White females had a higher rate of suicide than African?American females, but African?American females had a higher rate of homicide than white females. Conclusions The incidence, circumstances, and methods of fatal violence differ greatly between females and males. These differences should be taken into account in the development of violence prevention efforts. PMID:17170164

  1. 1 PM Certificate.docx Graduate Certificate Project Management

    E-print Network

    Savakis, Andreas

    1 PM Certificate.docx Graduate Certificate ­ Project Management Overview: 3 courses (3 credits each): 2 required courses, 1 elective. Required courses: o Systems and Project Management (ISEE-750) or Project Management (BUSI-710) o Decision and Risk-Benefit Analysis (ISEE-751) Sample electives: (see

  2. Certificate in Arts Management The Certificate in Arts Management

    E-print Network

    Management - Introduction to Business - Financial Accounting - Principles of Marketing Experiential LearningCertificate in Arts Management The Certificate in Arts Management is designed for those students interested in pursuing future careers in the management of arts organizations. It is also suitable for majors

  3. City: ___________________________________ Check the graduate certificate that you expect to receive. (This information must be precise for your certificate.)

    E-print Network

    Hong, Don

    Certificate Nursing Administration Certificate College & University Teaching Certificate Nursing EducationCity: ___________________________________ Check the graduate certificate that you expect to receive. (This information must be precise for your certificate.) Student Signature

  4. 20 CFR 404.722 - Rebuttal of a presumption of death.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 20 Employees' Benefits 2 2011-04-01 2011-04-01 false Rebuttal of a presumption of death. 404.722... DISABILITY INSURANCE (1950- ) Evidence Evidence of Age, Marriage, and Death § 404.722 Rebuttal of a presumption of death. A presumption of death made based on § 404.721(b) can be rebutted by evidence...

  5. 20 CFR 404.722 - Rebuttal of a presumption of death.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 20 Employees' Benefits 2 2014-04-01 2014-04-01 false Rebuttal of a presumption of death. 404.722... DISABILITY INSURANCE (1950- ) Evidence Evidence of Age, Marriage, and Death § 404.722 Rebuttal of a presumption of death. A presumption of death made based on § 404.721(b) can be rebutted by evidence...

  6. 20 CFR 404.722 - Rebuttal of a presumption of death.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 20 Employees' Benefits 2 2010-04-01 2010-04-01 false Rebuttal of a presumption of death. 404.722... DISABILITY INSURANCE (1950- ) Evidence Evidence of Age, Marriage, and Death § 404.722 Rebuttal of a presumption of death. A presumption of death made based on § 404.721(b) can be rebutted by evidence...

  7. The Death Penalty.

    ERIC Educational Resources Information Center

    Crockett, Mark

    1990-01-01

    Provides a lesson plan on the Eighth Amendment to the U.S. Constitution and the imposition of the death penalty. Focuses on the controversy concerning capital punishment and stimulates critical thinking in an analysis and discussion of eight hypothetical situations. Includes suggestions for readings, videotapes, and writing assignments. (NL)

  8. Lifespan Attitudes toward Death.

    ERIC Educational Resources Information Center

    Walker, Gail; Maiden, Robert

    To more fully understand how attitudes toward death and dying develop and change across the lifespan, 90 male and female subjects between the ages of 2 and 18 years and 90 male and female subjects between the ages of 18 and 97 were administered questionnaires and interviews about dying. The results revealed that children's attitudes were…

  9. Digital Language Death

    PubMed Central

    Kornai, András

    2013-01-01

    Of the approximately 7,000 languages spoken today, some 2,500 are generally considered endangered. Here we argue that this consensus figure vastly underestimates the danger of digital language death, in that less than 5% of all languages can still ascend to the digital realm. We present evidence of a massive die-off caused by the digital divide. PMID:24167559

  10. Families and brain death.

    PubMed

    Kompanje, Erwin J O

    2015-04-01

    It is necessary to support the family of a patient with a progressively worsening severe acute brain injury, and to do this with the utmost understanding of their ultimate hopelessness. Any conversation starts with an explanation of the catastrophic nature of the illness, but also with establishing the point of no return. When brainstem reflexes are lost and the patient has become apneic, family members should be appropriately informed. In contrast to circulatory death, the relatives of such a patient do not see a deceased person in the traditional sense, and even the neurologic progression may not have been obvious to family members. The conversation about brain death with the close relatives is therefore different, and is more detailed than a conversation about cardiopulmonary death. In this review, a six-phase approach of communication with the relatives is proposed. Insightful snippets of personal conversations with family members are included. Communicating with family members also necessarily involves a discussion on the potential suitability for organ donation. Some suggestions on how to approach reluctant family members to accept death of their loved one are included. PMID:25839726

  11. Sudden Infant Death Syndrome.

    ERIC Educational Resources Information Center

    Barnett, Henry L.; And Others

    There is a growing body of evidence that Sudden Infant Death Syndrome (SIDS) victims are not completely normal and healthy, as was once believed. A variety of new information from several disciplines strongly suggests that the infant who dies suddenly and unexpectedly may do so because of subtle developmental, neurologic, cardiorespiratory, and…

  12. Outdoor Education and Death

    ERIC Educational Resources Information Center

    Hause, Kenneth

    1977-01-01

    For over 20 years a teacher from the Colorado Rocky Mountain School, Carbondale, Colorado, has been leading his students through outdoor trips. Here he shares his thoughts on outdoor education and what happens when a death occurs on a school trip by asking questions and giving answers from his experience. (Author/RK)

  13. Death Penalty in America.

    ERIC Educational Resources Information Center

    Clifford, Amie L.

    1997-01-01

    Examines the legal and moral issues, controversies, and unique trial procedures involved with the death penalty. Discusses the 1972 landmark Supreme Court decision that resulted in many states abolishing this punishment, only to reintroduce it later with different provisions. Reviews the controversial case of Sam Sheppard. (MJP)

  14. Death of a Leader.

    ERIC Educational Resources Information Center

    McLaughlin, Thomas E.

    1994-01-01

    When Issaquah (Washington) superintendent, after battling a brain tumor, entered the hospital for the last time, school district had to develop a crisis plan to deal with the possible death of the superintendent. A contingency planning team developed a telephone tree for school officials to keep in close contact with teachers and administrators.…

  15. Certificate in Transit Management and

    E-print Network

    Massachusetts at Amherst, University of

    Certificate in Transit Management and Operations UMass Transit, in partnership with the UMass Transportation Center and CTTransit, are pleased to offer "A Certificate in Transit Management and Operations" to students at the University of Massachusetts. "Within the next 5-10 years more than 50 percent of transit

  16. Are you considering organic certification?

    Technology Transfer Automated Retrieval System (TEKTRAN)

    Organic certification was developed in recognition of the necessity for consistent standards across the U.S. for the benefit of producers, processors, wholesalers, retailers, and consumers. Prior to establishment of federal guidelines (National Organic Program) for organic certification in 2002, a ...

  17. GRADUATE CERTIFICATE PROGRAM IN NEUROSCIENCE

    E-print Network

    Fernandez, Eduardo

    GRADUATE CERTIFICATE PROGRAM IN NEUROSCIENCE APPLICATION First Name: Middle Initial: Last Name in Neuroscience will not release your SSN. Z#: Graduate Program currently enrolled: Example: Ph.D. Integrative Acrobat #12;GRADUATE CERTIFICATE PROGRAM IN NEUROSCIENCE at Florida Atlantic University 2 Instructions

  18. GRADUATE CERTIFICATE PROGRAM IN NEUROSCIENCE

    E-print Network

    Fernandez, Eduardo

    GRADUATE CERTIFICATE PROGRAM IN NEUROSCIENCE APPLICATION First Name: Middle Initial: Last Name in Neuroscience will not release your SSN. Z#: Graduate Program currently enrolled: Example: Ph.D. Integrative-mail address: US Citizen? Yes No ­ country of citizenship: #12;GRADUATE CERTIFICATE PROGRAM IN NEUROSCIENCE

  19. MARRIAGE CERTIFICATE Ivanov, Ivan Ivanych

    E-print Network

    Comech, Andrew

    MARRIAGE CERTIFICATE Ivanov, Ivan Ivanych last name, first name, patronymic Citizenship: Citizen and Six whereof on February 30, 2006 the marriage record was made under No. 303 After the marriage translation of the Marriage Certificate from Russian as true and correct in all respects. Karl Ivanovich

  20. Security Equipment and Systems Certification Program (SESCP)

    SciTech Connect

    Steele, B.J.; Papier, I.I.

    1996-06-20

    Sandia National Laboratories (SNL) and Underwriters Laboratories, Inc., (UL) have jointly established the Security Equipment and Systems Certification Program (SESCP). The goal of this program is to enhance industrial and national security by providing a nationally recognized method for making informed selection and use decisions when buying security equipment and systems. The SESCP will provide a coordinated structure for private and governmental security standardization review. Members will participate in meetings to identify security problems, develop ad-hoc subcommittees (as needed) to address these identified problems, and to maintain a communications network that encourages a meaningful exchange of ideas. This program will enhance national security by providing improved security equipment and security systems based on consistent, reliable standards and certification programs.

  1. Risk factors for death in patients with severe asthma*

    PubMed Central

    Fernandes, Andréia Guedes Oliva; Souza-Machado, Carolina; Coelho, Renata Conceição Pereira; Franco, Priscila Abreu; Esquivel, Renata Miranda; Souza-Machado, Adelmir; Cruz, Álvaro Augusto

    2014-01-01

    OBJECTIVE: To identify risk factors for death among patients with severe asthma. METHODS: This was a nested case-control study. Among the patients with severe asthma treated between December of 2002 and December of 2010 at the Central Referral Outpatient Clinic of the Bahia State Asthma Control Program, in the city of Salvador, Brazil, we selected all those who died, as well as selecting other patients with severe asthma to be used as controls (at a ratio of 1:4). Data were collected from the medical charts of the patients, home visit reports, and death certificates. RESULTS: We selected 58 cases of deaths and 232 control cases. Most of the deaths were attributed to respiratory causes and occurred within a health care facility. Advanced age, unemployment, rhinitis, symptoms of gastroesophageal reflux disease, long-standing asthma, and persistent airflow obstruction were common features in both groups. Multivariate analysis showed that male gender, FEV1 pre-bronchodilator < 60% of predicted, and the lack of control of asthma symptoms were significantly and independently associated with mortality in this sample of patients with severe asthma. CONCLUSIONS: In this cohort of outpatients with severe asthma, the deaths occurred predominantly due to respiratory causes and within a health care facility. Lack of asthma control and male gender were risk factors for mortality. PMID:25210958

  2. 40 CFR 745.90 - Renovator certification and dust sampling technician certification.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 40 Protection of Environment 30 2010-07-01 2010-07-01 false Renovator certification and dust... RESIDENTIAL STRUCTURES Residential Property Renovation § 745.90 Renovator certification and dust sampling technician certification. (a) Renovator certification and dust sampling technician certification. (1)...

  3. 40 CFR 745.90 - Renovator certification and dust sampling technician certification.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 40 Protection of Environment 31 2011-07-01 2011-07-01 false Renovator certification and dust... RESIDENTIAL STRUCTURES Residential Property Renovation § 745.90 Renovator certification and dust sampling technician certification. (a) Renovator certification and dust sampling technician certification. (1)...

  4. 40 CFR 745.90 - Renovator certification and dust sampling technician certification.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 40 Protection of Environment 32 2013-07-01 2013-07-01 false Renovator certification and dust... RESIDENTIAL STRUCTURES Residential Property Renovation § 745.90 Renovator certification and dust sampling technician certification. (a) Renovator certification and dust sampling technician certification. (1)...

  5. 40 CFR 745.90 - Renovator certification and dust sampling technician certification.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 40 Protection of Environment 32 2012-07-01 2012-07-01 false Renovator certification and dust... RESIDENTIAL STRUCTURES Residential Property Renovation § 745.90 Renovator certification and dust sampling technician certification. (a) Renovator certification and dust sampling technician certification. (1)...

  6. 40 CFR 745.90 - Renovator certification and dust sampling technician certification.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 40 Protection of Environment 31 2014-07-01 2014-07-01 false Renovator certification and dust... RESIDENTIAL STRUCTURES Residential Property Renovation § 745.90 Renovator certification and dust sampling technician certification. (a) Renovator certification and dust sampling technician certification. (1)...

  7. Death Sentences: A Content Analysis of Children's Death Literature

    ERIC Educational Resources Information Center

    Poling, Devereaux A.; Hupp, Julie M.

    2008-01-01

    A multidimensional concept of death must include biological, sociocultural, and emotional components. Children glean information about death in many ways, one of which is through books. In this study, the authors compared the 3 dimensions of death-related information (irreversibility, inevitability, nonfunctionality) in 24 young children's picture…

  8. 38 CFR 11.75 - Certificates.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ...BANKS ON AND PAYMENT OF ADJUSTED SERVICE CERTIFICATES Loans by Banks on Adjusted Service Certificates Under Section 502 of the World War Adjusted Compensation Act § 11.75 Certificates. Adjusted service certificates are dated as of the 1st day of...

  9. GRADUATE CERTIFICATE IN BUSINESS DATA MINING WITH SAS AND SPEARS SCHOOL OF BUSINESS CERTIFICATE GRADUATE CERTIFICATE IN MARKETING ANALYTICS WITH SAS AND SPEARS SCHOOL OF BUSINESS CERTIFICATE

    E-print Network

    GRADUATE CERTIFICATE IN BUSINESS DATA MINING WITH SAS® AND SPEARS SCHOOL OF BUSINESS CERTIFICATE the opportunity to develop in-depth skills in business data mining. In conjunction with completing the Graduate Certificate in Business Data Mining, students can complete multiple joint certificates from OSU and SAS

  10. 23 CFR 657.15 - Certification content.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 23 Highways 1 2012-04-01 2012-04-01 false Certification content. 657.15 Section 657.15 Highways FEDERAL HIGHWAY ADMINISTRATION, DEPARTMENT OF TRANSPORTATION ENGINEERING AND TRAFFIC OPERATIONS CERTIFICATION OF SIZE AND WEIGHT ENFORCEMENT § 657.15 Certification content. The certification shall consist...

  11. 23 CFR 657.15 - Certification content.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 23 Highways 1 2010-04-01 2010-04-01 false Certification content. 657.15 Section 657.15 Highways FEDERAL HIGHWAY ADMINISTRATION, DEPARTMENT OF TRANSPORTATION ENGINEERING AND TRAFFIC OPERATIONS CERTIFICATION OF SIZE AND WEIGHT ENFORCEMENT § 657.15 Certification content. The certification shall consist...

  12. 23 CFR 657.15 - Certification content.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 23 Highways 1 2014-04-01 2014-04-01 false Certification content. 657.15 Section 657.15 Highways FEDERAL HIGHWAY ADMINISTRATION, DEPARTMENT OF TRANSPORTATION ENGINEERING AND TRAFFIC OPERATIONS CERTIFICATION OF SIZE AND WEIGHT ENFORCEMENT § 657.15 Certification content. The certification shall consist...

  13. 10 CFR 501.61 - Certification contents.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 10 Energy 4 2013-01-01 2013-01-01 false Certification contents. 501.61 Section 501.61 Energy DEPARTMENT OF ENERGY (CONTINUED) ALTERNATE FUELS ADMINISTRATIVE PROCEDURES AND SANCTIONS Exemptions and Certifications § 501.61 Certification contents. (a) A self-certification filed under section 201(d) of FUA...

  14. 23 CFR 657.15 - Certification content.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 23 Highways 1 2011-04-01 2011-04-01 false Certification content. 657.15 Section 657.15 Highways FEDERAL HIGHWAY ADMINISTRATION, DEPARTMENT OF TRANSPORTATION ENGINEERING AND TRAFFIC OPERATIONS CERTIFICATION OF SIZE AND WEIGHT ENFORCEMENT § 657.15 Certification content. The certification shall consist...

  15. 10 CFR 501.61 - Certification contents.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 10 Energy 4 2010-01-01 2010-01-01 false Certification contents. 501.61 Section 501.61 Energy DEPARTMENT OF ENERGY (CONTINUED) ALTERNATE FUELS ADMINISTRATIVE PROCEDURES AND SANCTIONS Exemptions and Certifications § 501.61 Certification contents. (a) A self-certification filed under section 201(d) of FUA...

  16. 10 CFR 501.61 - Certification contents.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 10 Energy 4 2011-01-01 2011-01-01 false Certification contents. 501.61 Section 501.61 Energy DEPARTMENT OF ENERGY (CONTINUED) ALTERNATE FUELS ADMINISTRATIVE PROCEDURES AND SANCTIONS Exemptions and Certifications § 501.61 Certification contents. (a) A self-certification filed under section 201(d) of FUA...

  17. 23 CFR 657.15 - Certification content.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 23 Highways 1 2013-04-01 2013-04-01 false Certification content. 657.15 Section 657.15 Highways FEDERAL HIGHWAY ADMINISTRATION, DEPARTMENT OF TRANSPORTATION ENGINEERING AND TRAFFIC OPERATIONS CERTIFICATION OF SIZE AND WEIGHT ENFORCEMENT § 657.15 Certification content. The certification shall consist...

  18. 10 CFR 501.61 - Certification contents.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 10 Energy 4 2012-01-01 2012-01-01 false Certification contents. 501.61 Section 501.61 Energy DEPARTMENT OF ENERGY (CONTINUED) ALTERNATE FUELS ADMINISTRATIVE PROCEDURES AND SANCTIONS Exemptions and Certifications § 501.61 Certification contents. (a) A self-certification filed under section 201(d) of FUA...

  19. 10 CFR 501.61 - Certification contents.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 10 Energy 4 2014-01-01 2014-01-01 false Certification contents. 501.61 Section 501.61 Energy DEPARTMENT OF ENERGY (CONTINUED) ALTERNATE FUELS ADMINISTRATIVE PROCEDURES AND SANCTIONS Exemptions and Certifications § 501.61 Certification contents. (a) A self-certification filed under section 201(d) of FUA...

  20. 12 CFR 161.9 - Certificate account.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 12 Banks and Banking 1 2014-01-01 2014-01-01 false Certificate account. 161.9 Section 161.9 Banks... AFFECTING ALL SAVINGS ASSOCIATIONS § 161.9 Certificate account. The term certificate account means a savings account evidenced by a certificate that must be held for a fixed or minimum term....