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61. Guidelines on autopsy practice: Sudden death with likely cardiac pathology

Guidelines on autopsy practice: Sudden death with likely cardiac pathology CEff 200715 1 V7 Final Guidelines on autopsy practice: Sudden death with likely cardiac pathology July 2015 Series authors: Dr Michael Osborn, Imperial College Healthcare NHS Trust Professor Jim Lowe, Nottingham University Hospitals NHS Trust Specialist authors: Professor Mary Sheppard, St George’s NHS Trust Dr Simon Kim Suvarna, Sheffield Teaching Hospital NHS Foundation Trust Unique document number G145 Document name (...) Guidelines on autopsy practice: Sudden death with likely cardiac pathology Version number 2 Produced by The specialist content of this guideline has been produced by Professor Mary N Sheppard (Departmental Head, Cardiovascular Pathology, St George’s Medical School; recognised national and international expert in cardiovascular disease; author/editor of five books on the subject and over 200 papers) and Dr S Kim Suvarna (consultant pathologist with specialist interest in cardiovascular disease, editor

2017 Royal College of Pathologists

62. Psychoactive substances in natural and unnatural deaths in Norway and Sweden - a study on victims of suicide and accidents compared with natural deaths in psychiatric patients. (PubMed)

psychoactive substances by the manner of death (suicide, accidental, undetermined and natural death with a psychiatric diagnosis) in Norway and Sweden.The Cause of Death Registers in Norway and Sweden provided data on 600 deaths in 2008 from each country, of which 200 were registered as suicides, 200 as accidents or undetermined manner of death and 200 as natural deaths in individuals with a diagnosis of mental disorder as the underlying cause of death. We examined death certificates and forensic reports (...) Psychoactive substances in natural and unnatural deaths in Norway and Sweden - a study on victims of suicide and accidents compared with natural deaths in psychiatric patients. The extent of post-mortem detection of specific psychoactive drugs may differ between countries, and may greatly influence the national death register's classification of manner and cause of death. The main objective of the present study was to analyse the magnitude and pattern of post-mortem detection of various

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2019 BMC Psychiatry

63. Validity of the National Death Index to ascertain the date and cause of death in men having undergone prostatectomy for prostate cancer. (PubMed)

Validity of the National Death Index to ascertain the date and cause of death in men having undergone prostatectomy for prostate cancer. The National Death Index (NDI) is a centralized database containing information from death certificates that are frequently referenced by health and medical investigators to ascertain vital statistics. Yet, it commonly includes misclassified causes of death. Since the NDI is frequently relied upon in studies that evaluate outcomes following radical (...) that the NDI provides accurate dates of death, but frequently misclassifies whether a death was due to prostate cancer. Studies that rely upon death certificates, as captured in the NDI, may be unreliable to report prostate cancer-specific mortality rates after prostatectomy.

2019 Prostate cancer and prostatic diseases

64. Sudden death in cardiac sarcoidosis: an analysis of nationwide clinical and cause-of-death registries. (PubMed)

that was later converted to CS, and 62 cases detected at autopsy and identified by screening >820 000 death certificates from the national cause-of-death registry. The total case series comprised 253 females and 98 males aged on average 52 years at presentation. High-grade atrioventricular block was the most common first sign of CS (n = 147, 42%) followed by heart failure (n = 58, 17%), unexpected fatal (n = 38) or aborted (n = 12) SCD (14%), and sustained ventricular tachycardia (n = 48, 14%). Severe (...) Sudden death in cardiac sarcoidosis: an analysis of nationwide clinical and cause-of-death registries. The present study was done to assess the role of sudden cardiac death (SCD) among the presenting manifestations of and fatalities from cardiac sarcoidosis (CS).We analysed altogether 351 cases of CS presenting from year 1998 through 2015 in Finland. There were 262 patients with a clinical diagnosis and treatment of CS, 27 patients with an initial lifetime diagnosis of giant cell myocarditis

2019 European Heart Journal

65. Automated versus physician assignment of cause of death for verbal autopsies: randomized trial of 9374 deaths in 117 villages in India. (PubMed)

Automated versus physician assignment of cause of death for verbal autopsies: randomized trial of 9374 deaths in 117 villages in India. Verbal autopsies with physician assignment of cause of death (COD) are commonly used in settings where medical certification of deaths is uncommon. It remains unanswered if automated algorithms can replace physician assignment.We randomized verbal autopsy interviews for deaths in 117 villages in rural India to either physician or automated COD assignment (...) . Twenty-four trained lay (non-medical) surveyors applied the allocated method using a laptop-based electronic system. Two of 25 physicians were allocated randomly to independently code the deaths in the physician assignment arm. Six algorithms (Naïve Bayes Classifier (NBC), King-Lu, InSilicoVA, InSilicoVA-NT, InterVA-4, and SmartVA) coded each death in the automated arm. The primary outcome was concordance with the COD distribution in the standard physician-assigned arm. Four thousand six hundred

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2019 BMC Medicine Controlled trial quality: uncertain

66. Automatic ICD-10 classification of cancers from free-text death certificates. (PubMed)

Automatic ICD-10 classification of cancers from free-text death certificates. Death certificates provide an invaluable source for cancer mortality statistics; however, this value can only be realised if accurate, quantitative data can be extracted from certificates--an aim hampered by both the volume and variable nature of certificates written in natural language. This paper proposes an automatic classification system for identifying cancer related causes of death from death (...) certificates.Detailed features, including terms, n-grams and SNOMED CT concepts were extracted from a collection of 447,336 death certificates. These features were used to train Support Vector Machine classifiers (one classifier for each cancer type). The classifiers were deployed in a cascaded architecture: the first level identified the presence of cancer (i.e., binary cancer/nocancer) and the second level identified the type of cancer (according to the ICD-10 classification system). A held-out test set was used

2015 International journal of medical informatics

67. Mortality in Rheumatoid Arthritis (RA): factors associated with recording RA on death certificates. (PubMed)

Mortality in Rheumatoid Arthritis (RA): factors associated with recording RA on death certificates. Death certificates can be used to assess disease prevalence and incidence; however, rheumatoid arthritis (RA) often remains unreported in death certificates. We sought to determine to what extent RA is underreported and what demographic and clinical characteristics could predict mention of RA in the death certificate.We recruited 1328 patients with RA from private, public and military (...) rheumatology practices and followed them prospectively for yearly evaluations. A rheumatologist assessed clinical characteristics of RA and comorbidities at each evaluation. Deaths were identified through family members, other physicians, obituaries and public death databases. All were confirmed with state-issued death certificates. Patients with and without RA in death certificate were compared using bivariate and multivariate analyses.By December 2013, 326 deaths had occurred. We received and reviewed

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2015 BMC Musculoskeletal Disorders

68. Automatic classification of diseases from free-text death certificates for real-time surveillance (PubMed)

Automatic classification of diseases from free-text death certificates for real-time surveillance Death certificates provide an invaluable source for mortality statistics which can be used for surveillance and early warnings of increases in disease activity and to support the development and monitoring of prevention or response strategies. However, their value can be realised only if accurate, quantitative data can be extracted from death certificates, an aim hampered by both the volume (...) and variable nature of certificates written in natural language. This study aims to develop a set of machine learning and rule-based methods to automatically classify death certificates according to four high impact diseases of interest: diabetes, influenza, pneumonia and HIV.Two classification methods are presented: i) a machine learning approach, where detailed features (terms, term n-grams and SNOMED CT concepts) are extracted from death certificates and used to train a set of supervised machine

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2015 BMC Medical Informatics and Decision Making

69. Certification of Coroners cases by pathologists would improve the completeness of death registration in Jamaica. (PubMed)

Certification of Coroners cases by pathologists would improve the completeness of death registration in Jamaica. Describe the completeness and quality of Jamaica's 2008 vital registration mortality database.Multiple sources (hospitals, police, forensic pathologists, Coroners courts) were used to validate deaths registered as occurring in 2008. A 10% random sample was examined to evaluate the quality of certification and coding. Jamaica, a middle-income country of 2.7 million, began vital (...) percent were coded to ill-defined causes of death. Recoding the sample increased mortality from prematurity, pregnancy complications, homicide, selected cardiovascular disorders, and human immunodeficiency virus/AIDS.Delays registering Coroners cases, certification and coding errors, introduced biases into the disease profile limiting the data's value in informing clinical care. Issuance of medical certificates by pathologists who investigate Coroners cases and training physicians and coders would

2015 Journal of Clinical Epidemiology

70. Restriction to period of interest improves informative value of death certificate only proportions in period analysis of cancer survival. (PubMed)

Restriction to period of interest improves informative value of death certificate only proportions in period analysis of cancer survival. The proportion of cases registered by death certificates only (DCO) is a widely used indicator for potential bias in cancer survival studies. Period analysis is increasingly used to derive up-to-date cancer survival estimates. We aimed to assess whether reported DCO proportions should be restricted to the specific recent calendar period ("restricted period

2015 Journal of Clinical Epidemiology

71. 111 Investigation of the validity of cardiovascular death certification amongst uk Indian asians and europeans. (PubMed)

111 Investigation of the validity of cardiovascular death certification amongst uk Indian asians and europeans.

2014 Heart

72. Trends of Keratinocyte Carcinoma Mortality Rates in the United States as Reported on Death Certificates, 1999 Through 2010. (PubMed)

Trends of Keratinocyte Carcinoma Mortality Rates in the United States as Reported on Death Certificates, 1999 Through 2010. From 1969 to 1998, keratinocyte carcinoma (KC) mortality rates declined as reported on death certificates, despite increasing incidence of KC.To estimate KC mortality trends from 1999 to 2010 in the United States.Descriptive and linear regression analysis using population-based death certificate data from the US National Center for Health Statistics.On average, 1,491 (...) and KC mortality existed for men (p = .004) but not for women (p = .379). Genital KC deaths increased with age (p < .001), in women (p < .001), and in less urbanized areas for white males (p < .001).Keratinocyte carcinoma poses a serious health burden, which may be underestimated by death certificate reporting. Mortality rates are no longer declining. Increasing awareness of genital and nongenital KC, especially the elderly, and population-based studies with controlled reporting of KC mortality

2014 Dermatologic Surgery

73. Factors associated with the goal of treatment in the last week of life in old compared to very old patients: a population-based death certificate survey. (PubMed)

Factors associated with the goal of treatment in the last week of life in old compared to very old patients: a population-based death certificate survey. Little is known about the type of care older people of different ages receive at the end of life. The goal of treatment is an important parameter of the quality of end-of-life care. This study aims to provide an evaluation of the main goal of treatment in the last week of life of people aged 86 and older compared with those between 75 and 85 (...) and to examine how treatment goals are associated with age.Population- based cross sectional survey in Flanders, Belgium. A stratified random sample of death certificates was drawn of people who died between 1 June and 30 November 2007. The effective study sample included 3,623 deaths (response rate: 58.4%). Non-sudden deaths of patients aged 75 years and older were selected (N = 1681). Main outcome was the main goal of treatment in the last week of life (palliative care or life-prolonging/curative treatment

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2014 BMC Geriatrics Controlled trial quality: uncertain

74. This family physician is deeply disappointed in maintenance of certification

This family physician is deeply disappointed in maintenance of certification This family physician is deeply disappointed in maintenance of certification This family physician is deeply disappointed in maintenance of certification | | May 11, 2017 106 Shares An open letter to the American Board of Family Medicine (ABFM): I recently chose to sit for my sixth (and I hope final) family practice maintenance of certification (MOC) examination, having now practiced as a board certified family (...) of Family Medicine is living up to its commitment to its paying physician constituents. Board Certification is no longer an “option” for us but an economic necessity for our ongoing professional employment, credentialing and privileging. First, I knew my preparation for this exam would need to be more rigorous than for previous exams as my current practice exclusively manages patients’ behavioral health issues given the current lack of psychiatric consultant availability or affordability. As family

2017 KevinMD blog

75. Who and where are the uncounted children? Inequalities in birth certificate coverage among children under five years in 94 countries using nationally representative household surveys (PubMed)

Who and where are the uncounted children? Inequalities in birth certificate coverage among children under five years in 94 countries using nationally representative household surveys Birth registration, and the possession of a birth certificate as proof of registration, has long been recognized as a fundamental human right. Data from a functioning civil registration and vital statistics (CRVS) system allows governments to benefit from accurate and universal data on birth and death rates (...) . However, access to birth certificates remains challenging and unequal in many low and middle-income countries. This paper examines wealth, urban/rural and gender inequalities in birth certificate coverage.We analyzed nationally representative household surveys from 94 countries between 2000 and 2014 using Demographic Health Surveys and Multiple Indicator Cluster Surveys. Birth certificate coverage among children under five was examined at the national and regional level. Absolute measures

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2017 International journal for equity in health

76. Range in systolic blood pressure and care-needs certification in long-term care insurance in community-dwelling older patients with chronic kidney disease (PubMed)

Range in systolic blood pressure and care-needs certification in long-term care insurance in community-dwelling older patients with chronic kidney disease Objective Low systolic blood pressure (SBP) is associated with an increased risk for cardiovascular morbidity/mortality in older patients with chronic kidney disease (CKD). The present study evaluated the association between range in blood pressure and first care-needs certification in the Long-term Care Insurance (LTCI) system or death (...) in community-dwelling older subjects with or without CKD. Methods CKD was defined as an estimated glomerular filtration rate <60 ml/min/1.73 m2 or dipstick proteinuria of + or greater. Our study was conducted in 1078 older subjects aged 65-94 years. Associations were estimated using the Cox proportional hazards model. Results During 5 years of follow-up, 135 first certifications and 53 deaths occurred. Among patients with CKD, moderate SBP (130-159 mmHg) was associated with a significantly lower adjusted

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2017 The Journal of international medical research

77. Code of practice and performance standards for forensic pathologists dealing with suspicious deaths in Scotland

by the SIO and Procurator Fiscal, summarise for the SIO and Procurator Fiscal the salient autopsy findings, their interpretation and their significance in the context of the apparent circumstances m) complete the medical certificate of cause of death as soon as practicable. Pathologists must record full details of the autopsy and must document their own actions as well as the actions of others that may be significant to their examination. 6.2 Code of practice The Scottish Government and the College (...) Code of practice and performance standards for forensic pathologists dealing with suspicious deaths in Scotland PUBS 110116 1 V7 Final Code of practice and performance standards for forensic pathologists dealing with suspicious deaths in Scotland January 2016 Unique document number G066 Document name Code of practice and performance standards for forensic pathologists dealing with suspicious deaths in Scotland Version number 2 Produced by RCPath forensic pathologists in Scotland and staff

2016 Royal College of Pathologists

78. 2017 AHA/ACC/HRS Guideline for Management of Patients With Ventricular Arrhythmias and the Prevention of Sudden Cardiac Death: Executive Summary: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Gui

. The mid-range numbers were largely based on death certificate studies that required a code inclusive of ischemic heart disease. The 2017 update of cardiovascular statistics from the AHA estimated the total annual burden of out-of-hospital cardiac arrest at 356 500. An additional 209 000 in-hospital cardiac arrests occur annually. Among the out-of-hospital cardiac arrest group, approximately 357 000 events trigger emergency rescue response, with 97% occurring in adults >18 years of age. Figure 1A. SCD (...) 2017 AHA/ACC/HRS Guideline for Management of Patients With Ventricular Arrhythmias and the Prevention of Sudden Cardiac Death: Executive Summary: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Gui 2017 AHA/ACC/HRS Guideline for Management of Patients With Ventricular Arrhythmias and the Prevention of Sudden Cardiac Death: Executive Summary | Circulation Search Hello Guest! Login to your account Email Password Keep me logged in Search

2017 American Heart Association

79. 2017 AHA/ACC/HRS Guideline for Management of Patients With Ventricular Arrhythmias and the Prevention of Sudden Cardiac Death: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Hea

extrapolation of data from specific local programs, while the highest rates included noncardiac causes of sudden death such as pulmonary embolism or intracranial bleeding. The mid-range numbers were largely based on death certificate studies that required a code inclusive of ischemic heart disease. The 2017 update of cardiovascular statistics from the AHA estimated the total annual burden of out-of-hospital cardiac arrest at 356 500. An additional 209 000 in-hospital cardiac arrests occur annually. Among (...) 2017 AHA/ACC/HRS Guideline for Management of Patients With Ventricular Arrhythmias and the Prevention of Sudden Cardiac Death: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Hea 2017 AHA/ACC/HRS Guideline for Management of Patients With Ventricular Arrhythmias and the Prevention of Sudden Cardiac Death | Circulation Search Hello Guest! Login to your account Email Password Keep me logged in Search March 2019 March 2019

2017 American Heart Association

80. Excess winter deaths and illness and the health risks associated with cold homes

certificates). Ensure any relevant problems are addressed. [1] Although lower temperatures have a more significant effect on health, the ill effects from cold homes are seen when outdoor temperatures drop to around 6°C. Because temperatures in this range are much more common, this is when the greatest number of health problems caused by the cold occur. Excess winter deaths and illness and the health risks associated with cold homes (NG6) © NICE 2019. All rights reserved. Subject to Notice of rights (https (...) Excess winter deaths and illness and the health risks associated with cold homes Ex Excess winter deaths and illness and the cess winter deaths and illness and the health risks associated with cold homes health risks associated with cold homes NICE guideline Published: 5 March 2015 nice.org.uk/guidance/ng6 © NICE 2019. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and-conditions#notice-of- rights).Y Y our responsibility our responsibility The recommendations

2015 National Institute for Health and Clinical Excellence - Clinical Guidelines

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