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Death Certificate

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3921. Systemic lupus erythematosus on the Caribbean island of Curaçao: an epidemiological investigation. Full Text available with Trip Pro

Systemic lupus erythematosus on the Caribbean island of Curaçao: an epidemiological investigation. To determine the incidence, prevalence, and outcome of systemic lupus erythematosus (SLE) in a well delineated black population in the Caribbean basin data were collected on the disease course of all patients with definite SLE seen during a 10 year period (1980-9) using three different sources of information (hospital records, private practice records, and death certificates). Ninety four (...) mortality was 1.7/100,000 (CI -0.8 to 4.2) with a female to male ratio of 5.3. Renal disease was the most common complication, occurring in 73 (78%) patients. Thus the transatlantic movement from an area with a (presumably) low prevalence of SLE (Central Africa) has been accompanied by an increase in the prevalence of SLE in the black population of Curaçao, indicating that environmental factors may prevail over genetic factors in the expression of this disease.

1992 Annals of the Rheumatic Diseases

3922. Plasma triglyceride and high density lipoprotein cholesterol as predictors of ischaemic heart disease in British men: The Caerphilly and Speedwell Collaborative Heart Disease Studies Full Text available with Trip Pro

. In Speedwell the 2348 men were registered with local general practitioners.Fasting blood samples were taken at initial examination and plasma lipid concentrations were measured. Major ischaemic heart disease events were assessed from hospital notes, death certificates, and electrocardiograms.At first follow up, after an average of 5.1 years in Caerphilly and 3.2 years in Speedwell, 251 major ischaemic heart disease events had occurred. Men with triglyceride concentrations in the top 20% of the distribution

1992 British Heart Journal

3923. Selective abortion. Dead fetuses might have to be registered as stillbirths. Full Text available with Trip Pro

Selective abortion. Dead fetuses might have to be registered as stillbirths. 8892428 1996 12 03 2018 11 13 0959-8138 313 7063 1996 Oct 19 BMJ (Clinical research ed.) BMJ Selective abortion. Dead fetuses might have to be registered as stillbirths. 1004 Heys R F RF eng Comment Letter England BMJ 8900488 0959-8138 AIM IM BMJ. 1997 Feb 8;314(7078):442 9040406 BMJ. 1997 Feb 8;314(7078):441-2 9040405 BMJ. 1996 Aug 17;313(7054):373-4 8761205 Abortion, Legal Death Certificates Female Fetal Death Humans

1996 BMJ : British Medical Journal

3924. A statewide, population-based time-series analysis of the outcome of ruptured abdominal aortic aneurysm. Full Text available with Trip Pro

% from 203 to 258. The mortality rate for AAA was 5%, as compared with 54% in RAAA patients. The patient's age was found to be the most powerful predictor of survival. Univariate logistic regression analyses demonstrated an association of the surgeon's experience with RAAA and patient survival after RAAA. Analysis of the survival rates of board-certified and nonboard-certified surgeons demonstrated that patients with RAAAs who were treated by board-certified surgeons had significantly better survival (...) demonstrated that survival after RAAA was related most strongly to patient age at the time of the RAAA. The physician's and the hospital's experience with RAAA, the physician's background as measured by board certification, and the type of hospital at which the operation was performed (small vs. large) also may be associated with survival. These findings may have important implications for the regionalization of care and the education and credentialling of physicians. Given the lack of recent progress

1996 Annals of Surgery

3925. Trends in California homicide, 1970 to 1993. Full Text available with Trip Pro

Trends in California homicide, 1970 to 1993. In addition to the need to identify homicide trends among well-documented risk groups, this investigation was conducted to expand the limited existing knowledge about the risk of homicide according to educational attainment and among 2 growing ethnic groups, Hispanics and Asians. We examined the death certificates of the 69,621 persons who died of homicide in California from 1970 through 1993. Age, sex, race and ethnicity, and education level

1996 Western Journal of Medicine

3926. Neurodegenerative diseases: occupational occurrence and potential risk factors, 1982 through 1991. Full Text available with Trip Pro

Neurodegenerative diseases: occupational occurrence and potential risk factors, 1982 through 1991. To identify potential occupational risk factors, this study examined the occupational occurrence of various neurodegenerative diseases.Death certificates from 27 states in the National Occupational Mortality Surveillance System were evaluated for 1982 to 1991. Proportionate mortality ratios were calculated by occupation for presenile dementia, Alzheimer's disease, Parkinson's disease, and motor (...) neuron disease.Excess mortality was observed for all four categories in the following occupational categories: teachers; medical personnel; machinists and machine operators; scientists; writers/designers/entertainers; and support and clerical workers. Clusters of three neurodegenerative diseases were also found in occupations involving pesticides, solvents, and electromagnetic fields and in legal, library, social, and religious work. Early death from motor neuron disease was found for firefighters

1996 American Journal of Public Health

3927. Evaluation of the effectiveness of a community-based enriched model prenatal intervention project in the District of Columbia. Full Text available with Trip Pro

with similar rates of poverty.The birth certificate was the source of data on maternal age, education, marital status, timing and frequency of prenatal care attendance, parity, gravidity, prior pregnancy terminations, fetal and child deaths, and birth weight.Thirty-eight percent of the women who delivered live-born infants in the study area participated in the program. There were no differences in low- and very low birthweight rates in the study and comparison groups. In a secondary analysis comparing

1996 Health Services Research

3928. Cohort study of predictive value of urinary albumin excretion for atherosclerotic vascular disease in patients with insulin dependent diabetes. Full Text available with Trip Pro

dependent diabetes of 6-34 years' duration and without atherosclerotic vascular disease or diabetic nephropathy at baseline.Baseline variables: urinary albumin excretion, blood pressure, smoking habits, and serum concentrations of total cholesterol, high density lipoprotein cholesterol, sialic acid, and von Willebrand factor.atherosclerotic vascular disease assessed by death certificates, mailed questionnaires, and hospital records.Thirty patients developed atherosclerotic vascular disease during follow

1996 BMJ : British Medical Journal

3929. The reliability of cancer registry records. Full Text available with Trip Pro

The reliability of cancer registry records. 10158590 1996 08 15 2018 11 13 0963-8172 5 2 1996 Jun Quality in health care : QHC Qual Health Care The reliability of cancer registry records. 120-1 Gulliford M M eng Letter Comment England Qual Health Care 9209948 0963-8172 H Qual Health Care. 1995 Sep;4(3):184-9 10153427 Death Certificates Humans Neoplasms epidemiology Registries standards State Medicine United Kingdom epidemiology 1996 5 7 1996 5 7 0 1 1996 5 7 0 0 ppublish 10158590 PMC1055376

1996 Quality In Health Care

3930. Age and the treatment of lung cancer. Full Text available with Trip Pro

of 325,000. Every effort was made to find new cases from all departments of the hospital, including all clinical diagnoses, histopathological and cytological reports, and necropsies. All death certificates in the district were examined, irrespective of age, for any diagnosis of lung cancer. This therefore included any patient not seen by the hospital services. The differences in initial treatment have been analysed for three age groups: under 65, 65-74 years, and over 75.The 563 cases of lung cancer

1996 Thorax

3931. Downsizing the physician workforce. Full Text available with Trip Pro

Downsizing the physician workforce. To estimate the need for downsizing the physician workforce in a changing health care environment.First assuming that 1993 physician-to-population ratios would be maintained, the authors derived downsizing estimates by determining the annual growth in the supply of specialists necessary to maintain these ratios (sum of losses from death and retirement plus increase necessary to parallel population growth) and compared them with an estimate of the number (...) of new physicians being produced (average annual number of board certificates issued between 1990 and 1994). Then, assuming that workforce needs would change in a system increasingly dominated by managed care, the authors estimated specialty-specific downsizing needs for a managed care dominated environment using data from several sources.To maintain the 1993 199.6 active physicians per 100,000 population ratio, 14,644 new physicians would be needed each year. Given that an average of 20,655

1997 Public Health Reports

3932. Preventing hepatitis B in people in close contact with hepatocellular carcinoma patients. Full Text available with Trip Pro

Preventing hepatitis B in people in close contact with hepatocellular carcinoma patients. To determine the prevalence of testing for hepatitis B virus (HBV) infection in the clinical management of primary liver cancer (hepatocellular carcinoma).The authors reviewed the records of 78 patients treated for hepatocellular carcinoma in hospitals in the Puget Sound area in 1988 and early 1989 and reviewed all 1990 U.S. death certificates on which primary liver cancer was listed.The records of 50 (64 (...) %) of 78 hepatocellular carcinoma patients contained no evidence that the patient's hepatitis B surface antigen (HBsAg) status had been determined. In addition, of 4353 people who died in 1990 for whom the diagnosis of primary liver cancer was listed on the death certificate, HBV infection was also listed for only 136 (3%), much less than expected based on case series.Many patients with hepatocellular carcinoma are not tested for HBV infection, suggesting that their close contacts are also

1997 Public Health Reports

3933. Swimming pool drownings and near-drownings among California preschoolers. Full Text available with Trip Pro

Swimming pool drownings and near-drownings among California preschoolers. To describe a significant but poorly understood public health problem, the authors compiled data on swimming pool drownings and near-drownings requiring hospitalization for California children ages 1 to 4.Data from death certificates were used to analyze swimming pool drownings, and hospital discharge data were used to analyze near-drownings.Among California preschoolers in 1993, pool immersion incidents were the leading (...) cause of injury death and the eighth leading cause of injuries leading to hospitalization. Rates per 100,000 population were 3.2 for fatalities and 11.2 for nonfatal incidents, with a fatality-to-case ratio of 1:3.5. Total charges for initial hospital stays (excluding physicians' fees) were $5.2 million for 1227 hospital days.Swimming pools remain a serious hazard for young children. Primary prevention continues to be an important public health goal. Public health officials should support

1997 Public Health Reports

3934. Can we monitor socioeconomic inequalities in health? A survey of U.S. health departments' data collection and reporting practices. Full Text available with Trip Pro

statistics offices reporting data to the National Center for Health Statistics (NCHS) to determine what kinds of socioeconomic data they collected on birth and death certificates and in cancer, AIDS, and tuberculosis (TB) registries and what kinds of socioeconomic data were routinely reported in health department publications.Health departments routinely obtained data on occupation on death certificates and in most cancer registries. They collected data on educational level for both birth and death (...) certificates. None of the databases collected information on income, and few obtained data on employment status, health insurance carrier, or receipt of public assistance. When socioeconomic data were collected, they were usually not included in published reports (except for mothers educational level in birth certificate data). Obstacles cited to collecting and reporting socioeconomic data included lack of resources and concerns about the confidentiality and accuracy of data. All databases, however

1997 Public Health Reports

3935. Alzheimer's disease: the evolution of a diagnosis. Full Text available with Trip Pro

mortality Attitude to Health Cause of Death Death Certificates Disease Progression Family psychology Humans Public Health Time Factors United States epidemiology 2000 5 24 9 0 2000 6 10 9 0 2000 5 24 9 0 ppublish 10822477 PMC1381928 Public Health Rep. 1997 Nov-Dec;112(6):497-505 10822478 JAMA. 1997 Mar 12;277(10):800-5 9052709

1997 Public Health Reports

3936. MATCH: a maternal and child health information network. Full Text available with Trip Pro

and preventive programs of maternal and child health (MCH) in an information system,then link that system to other health data arriving at the State health department (for example, birth and death certificates), and, finally, to use the system as the basis for a State level MCH primary care data system in Ohio for surveillance, planning,management, quality control, accountability,and research purposes.

1988 Public Health Reports

3937. Nationwide study of decisions concerning the end of life in general practice in The Netherlands. Full Text available with Trip Pro

Nationwide study of decisions concerning the end of life in general practice in The Netherlands. To gain insight into decisions made in general practice about the end of life.Study I: interviews with 405 physicians. Study II: analysis of death certificates with data obtained on 5197 cases in which decisions about the end of life may have been made. Study III: prospective study with doctors from study I: questionnaires used to collect information about 2257 deaths. The information (...) was representative for all deaths in the Netherlands.Over two fifths of all patients in the Netherlands die at home. General practitioners took fewer decisions about the end of life than hospital doctors and doctors in nursing homes (34%, 40%, and 56% of all dying patients, respectively). Specifically, decisions to withhold or withdraw treatment to prolong life were taken less often. Euthanasia or assisted suicide, however, was performed in 3.2% of all deaths in general practice compared with 1.4% in hospital

1994 BMJ : British Medical Journal

3938. Epidemiology of suicide pacts in England and Wales, 1988-92. Full Text available with Trip Pro

Epidemiology of suicide pacts in England and Wales, 1988-92. To describe the epidemiology of suicide pacts in England and WalesAnalysis of the death certificates and coroners' records of all people who died in pacts between 1 January 1988 and 31 December 1992.124 people who committed suicide in 62 pacts.Suicide in a pact accounted for 0.6% of all suicides (124/19721), a rate of 0.6 per million people aged 15 and over. Forty eight pacts were between married couples and five were between family (...) members. The mean age was 56 years. 99 of the 124 subjects were of occupational social classes I-III. Poisoning by car exhaust fumes and drugs accounted for 116 deaths, with both members of each pair using the same method.Suicide pacts are rare and less common than they were 35 years ago, although the epidemiological profile is similar. People who commit suicide in a pact are more likely than those who commit suicide alone to be female, older, married, and of a high social class.

1997 BMJ : British Medical Journal

3939. Measuring the burden of disease: healthy life-years. Full Text available with Trip Pro

Measuring the burden of disease: healthy life-years. This paper presents the background and rationale for a composite indicator, healthy life-year (HeaLY), that incorporates mortality and morbidity into a single number. HeaLY is compared with the disability-adjusted life-year (DALY) indicator, to demonstrate the relative simplicity and ease of use of the former.Data collected by the Ghana Health Assessment team from census records, death certificates, medical records, and special studies were (...) used to create a spreadsheet. HeaLYs lost as a result of premature mortality and disability from 56 conditions were estimated.Two thirds of HeaLYs lost in Ghana were from maternal and communicable diseases and were largely preventable. The age weighting in DALYs leads to a higher value placed on deaths at younger ages than in HeaLYs. This spreadsheet can be used as a template for assessing changes in health status attributable to interventions.HeaLY can aid in setting health priorities

1998 American Journal of Public Health

3940. Maternal cigarette smoking and invasive meningococcal disease: a cohort study among young children in metropolitan Atlanta, 1989-1996. Full Text available with Trip Pro

birth and death certificate data files. Children who had not died or acquired meningococcal disease were assumed to be alive and free of the illness. The Cox proportional hazards analysis was used to assess the independent association between maternal smoking and meningococcal disease.The crude rate of meningococcal disease was 5 times higher for children whose mothers smoked during pregnancy than for children whose mothers did not smoke (0.05% vs 0.01%). Multivariate analysis revealed that maternal

1999 American Journal of Public Health

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