Legally uncertified deaths are unusual, with not more than a few hundred occurring each year. However, they are of interest because they have increased in number over the last 25 years. This article examines the circumstances under which deaths become legally uncertified and presents information on their characteristics and recent trends. The number of uncertified deaths increased from 248 in 1979 to 861 in 2002, a change from 0.04 per cent of all deaths in 1979 to 0.16 per cent of all deaths in 2002. The increase was particularly marked among infants dying in the first day of life.
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Reprod Health Matters
February 2015
Independent consultant, New Delhi, India.
There is only limited evidence on whether certified and uncertified health care providers in India support reforming the Medical Termination of Pregnancy (MTP) Act to expand the abortion provider base to allow trained nurses and AYUSH physicians (who are trained in Indian systems of medicine) to provide medical abortion. To explore their views, we conducted a survey of 1,200 physicians and other health care providers in Maharashtra and Bihar states and in-depth interviews with 34 of them who had used medical abortion in their practices. Findings indicate that obstetrician-gynaecologists and other allopathic physicians were less supportive than non-physicians of nurses and AYUSH physicians providing early medical abortion.
View Article and Find Full Text PDFBJOG
August 2013
Bixby Center for Global Reproductive Health, Department of Obstetrics, Gynecology and Reproductive Sciences, School of Medicine, University of California, San Francisco, CA, USA.
Objective: To investigate abortion practices of Nepali women requiring postabortion care.
Design: Cross-sectional study.
Setting: Four tertiary-care hospitals in urban and rural Nepal.
Health Stat Q
March 2005
Office for National Statistics.
Legally uncertified deaths are unusual, with not more than a few hundred occurring each year. However, they are of interest because they have increased in number over the last 25 years. This article examines the circumstances under which deaths become legally uncertified and presents information on their characteristics and recent trends.
View Article and Find Full Text PDFYonsei Med J
April 2002
Department of Pathology, Yonsei University College of Medicine, C.P.O. Box 8044, Seoul 120-752, Korea.
It is known that the subcutaneous injection of silicone can lead to severe pulmonary complications, followed in some patients by respiratory failure. Currently, silicone is being increasingly applied in the field of plastic surgery and, unfortunately, the illicit injection of silicone fluid by uncertified practitioners is not uncommon in Korea. We offer a critical pathologic review of 5 cases of pulmonary silicone embolism following illegal injection to the vaginal wall, four of which were fatal and came to legal autopsy.
View Article and Find Full Text PDFJ Dent Hyg
May 2001
Department of Dental Hygiene, College of Health Related Professions, University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA.
Purpose: Given the legalization of administration of local anesthesia as an expanded function for dental hygienists in Arkansas, the purpose of this study was to 1) describe the utilization of local anesthesia in dental hygiene care; 2) compare the utilization of local anesthesia by dental hygienists certified in the administration of local anesthesia and those who were not; 3) determine if there was a difference in attitude toward the use of local anesthesia for dental hygiene procedures between dental hygienists certified in the expanded function versus those not certified; 4) determine if and to what degree employers delegate this procedure to certified employees; and 5) compare employer satisfaction with this expanded function for those who employed a certified dental hygienist and those who did not.
Methods: Surveys were sent to all Arkansas dental hygienists certified, as of June 1998, to administer local anesthesia as well as an equal random sample of Arkansas dental hygienists not certified in the expanded function. The dentist employers of these dental hygienists also were asked to complete a companion survey.
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