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Sample records for birth certificates

  1. THE LAWFUL CONSEQUENCES OF BIRTH CERTIFICATE ON CHILDREN ABROGATION

    Directory of Open Access Journals (Sweden)

    Natasya Immanuela Sandjojo

    2017-12-01

    Full Text Available Research due to the law on the abrogation of birth certificates against children aims to know the effect of law affecting the child, as well as review of the determination and judgment in court that play a role in the birth certificate abrogation. This research describes the importance of birth certificate because of the low public awareness to perform birth registration. The study uses normative juridical research, which faces legal issues with the process of discovering legal rules, principles, and legal doctrines, with deductive methods, starting from the general thing and then generating specific and legitimate answers. Based on the results of the study, that the abrogation of birth certificate brings great lawful consequences for the child, especially the status and position of the child, as well as the right of alimentation,  which in this study included some examples of determination and court decision about the birth certificate abrogation.

  2. Validity of parental work information on the birth certificate.

    Science.gov (United States)

    Brender, Jean D; Suarez, Lucina; Langlois, Peter H

    2008-03-25

    In the most recent revision (2003) of the U.S. standard certificate of live births, the National Center for Health Statistics recommended that all states collect maternal and paternal usual occupation. Because such information might be useful in the surveillance of job-related risk areas, we assessed the quality of parental work information on the U.S. birth certificate. Occupational histories obtained from maternal interviews with Texas (USA) participants in the National Birth Defects Prevention Study were linked to and compared with parental work information on birth certificates. With occupational information from interviews serving as the gold standard, we assessed the quality of occupational information on the birth certificate with measures of sensitivity, specificity, and the kappa statistic. Of the 649 births available for study, parental occupation agreed between the birth certificate and interview for 77% of mothers and 63% of fathers with similar agreement by case-control status. Among occupations and industries with 10 or more workers by interview, sensitivity of the birth certificate information ranged from 35% to 100% for occupational groups and 55% to 100% for industrial sectors. Specificities of occupations/industries studied ranged from 93 to 100%. Kappa statistics for maternal occupations (0.76 to 0.90) and industries (0.59 to 0.94) were higher than those for paternal occupations (0.48 to 0.92) and industries (0.47 to 0.89). Mothers were frequently misclassified as homemakers or otherwise unemployed while the paternal information was often missing altogether on the birth certificate. Women who worked as health diagnosing and treating practitioners were the least likely (0%) and women in food preparation or serving occupations were the most likely (65%) to be misclassified as not employed on the birth certificate. Among fathers, the proportion of missing occupations was the lowest for occupations in business or financial operations (0%) and highest

  3. Births resulting from assisted reproductive technology: comparing birth certificate and National ART Surveillance System Data, 2011.

    Science.gov (United States)

    Thoma, Marie E; Boulet, Sheree; Martin, Joyce A; Kissin, Dmitry

    2014-12-10

    This report compares data on births resulting from assisted reproductive technology (ART) procedures from 2011 birth certificates with data from the 2011 National ART Surveillance System (NASS) among the subset of jurisdictions that adopted the 2003 revised birth certificate as of January 1, 2011, with information on ART. Birth certificate data are based on 100% of births registered in 27 states and the District of Columbia. NASS data included all ART cycles initiated in 2010 or 2011 for which a live birth in 2011 was reported. The same reporting area was used for both data sources and represents 67% of all births in the United States in 2011. A ratio was computed by dividing the percentage of births resulting from ART procedures for NASS data by the percentage for birth certificate data. A ratio of 1.0 represents equivalent levels of reporting. Because this reporting area is not a random sample of births, the results are not generalizable to the United States as a whole. Overall, the percentage of births resulting from ART procedures was 2.06 times higher for NASS data (1.44%) compared with birth certificate data (0.70%). The ratio for each jurisdiction varied from 1.04 for Utah and Wisconsin to 7.50 for Florida. Higher-risk groups had more consistent reporting. between data sources [e.g., triplet or higher-order multiples (1.36) compared with singletons (2.11)]. Births resulting from ART procedures appear to be underreported on the birth certificate; however, the magnitude of underreporting varied by jurisdiction and maternal-infant health characteristics.

  4. Birth of Identity: Understanding the Value and Policy Considerations of Using Birth Certificates for Identity Resolution

    Science.gov (United States)

    Duncan, Jeffrey Dean

    2015-01-01

    Exchanging patient-specific information across heterogeneous information systems is a critical but increasingly complex and expensive challenge. Lacking a universal unique identifier for healthcare, patient records must be linked using combinations of identity attributes such as name, date of birth, and sex. A state's birth certificate registry…

  5. Quality of reporting on birth defects in birth certificates: case study from a Brazilian reference hospital.

    Science.gov (United States)

    Luquetti, Daniela Varela; Koifman, Rosalina Jorge

    2009-08-01

    The aim of this study was to evaluate the coverage, validity and reliability of Brazil's Information System on Live Births (SINASC) for birth defects in a hospital in the city of Campinas (São Paulo State). The study population consisted of 2,823 newborn infants delivered in 2004 at the Women's Integrated Health Care Center (CAISM). A birth defect registry (ECLAMC) was used as the gold-standard. All birth defect cases reported at CAISM in 2004 (92 cases) were selected from SINASC data files. All 168 birth defect cases from the same city and year registered at ECLAMC were also retrieved. An underreporting of 46.8% was observed for all birth defects, and 36.4% when considering only the major birth defects. The ascertained sensitivity and specificity were, respectively, 54.2% and 99.8%. The reliability of three and four-digit ICD-10 coding for birth defects was 0.77 and 0.55 respectively (kappa statistic). These results suggest that information provided by birth certificates in Campinas still presents limitations when seeking to ascertain accurate estimates of the prevalence of birth defects, hence indicating the need for improvements in the SINASC database to enable it to portray birth defect prevalence at birth in this city.

  6. Accuracy of assisted reproductive technology information on birth certificates: Florida and Massachusetts, 2004-06.

    Science.gov (United States)

    Cohen, Bruce; Bernson, Dana; Sappenfield, William; Kirby, Russell S; Kissin, Dmitry; Zhang, Yujia; Copeland, Glenn; Zhang, Zi; Macaluso, Maurizio

    2014-05-01

    Assisted Reproductive Technology (ART) includes fertility procedures where both egg and sperm are handled in the lab. ART use has increased considerably in recent years, accounting for 47,090 livebirths in the U.S. in 2010. ART increases the probability of multiple gestation births, which are at higher risks than singletons for adverse outcomes. Additionally, ART is associated with a greater risk of complications during pregnancy, labour, and delivery, and increased risk of adverse perinatal outcomes in singleton births. We merged Florida and Massachusetts birth records from 2004-06 with the National ART Surveillance System (NASS) and using NASS as the gold standard, calculated sensitivity, specificity, and positive predictive value (PPV) of ART reporting on the birth certificates by maternal, infant, and hospital characteristics. We fit random-effects logistic regression models to evaluate simultaneously the association of ART reporting with these predictors while accounting for correlation among births occurring in the same hospital. Sensitivity of ART reporting on the birth certificate was 28.9% in Florida and 41.4% in Massachusetts. Specificity was >99% in both states. PPV was 45.5% in Florida and 54.6% in Massachusetts. The odds of ART reporting varied by state and by several maternal and delivery characteristics including age, parity, history of fetal loss, plurality, race/Hispanic ethnicity, delivery payment source, pre-existing conditions, and complications during pregnancy or labour and delivery. There was significant under-reporting of ART procedures on the birth certificates. Using data on ART births identified only from birth certificates yields a biased sample of the population of ART births. © 2014 John Wiley & Sons Ltd.

  7. Association of missing paternal demographics on infant birth certificates with perinatal risk factors for childhood obesity

    Directory of Open Access Journals (Sweden)

    Erika R. Cheng

    2016-07-01

    Full Text Available Abstract Background The role of fathers in the development of obesity in their offspring remains poorly understood. We evaluated associations of missing paternal demographic information on birth certificates with perinatal risk factors for childhood obesity. Methods Data were from the Linked CENTURY Study, a database linking birth certificate and well-child visit data for 200,258 Massachusetts children from 1980–2008. We categorized participants based on the availability of paternal age, education, or race/ethnicity and maternal marital status on the birth certificate: (1 pregnancies missing paternal data; (2 pregnancies involving unmarried women with paternal data; and (3 pregnancies involving married women with paternal data. Using linear and logistic regression, we compared differences in smoking during pregnancy, gestational diabetes, birthweight, breastfeeding initiation, and ever recording a weight for length (WFL ≥ the 95th percentile or crossing upwards ≥2 WFL percentiles between 0–24 months among the study groups. Results 11,989 (6.0 % birth certificates were missing paternal data; 31,323 (15.6 % mothers were unmarried. In adjusted analyses, missing paternal data was associated with lower birthweight (β -0.07 kg; 95 % CI: −0.08, −0.05, smoking during pregnancy (AOR 4.40; 95 % CI: 3.97, 4.87, non-initiation of breastfeeding (AOR 0.39; 95 % CI: 0.36, 0.42, and with ever having a WFL ≥ 95th percentile (AOR 1.10; 95 % CI: 1.01, 1.20. Similar associations were noted for pregnancies involving unmarried women with paternal data, but differences were less pronounced. Conclusions Missing paternal data on the birth certificate is associated with perinatal risk factors for childhood obesity. Efforts to understand and reduce obesity risk factors in early life may need to consider paternal factors.

  8. 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.

    Science.gov (United States)

    Bhatia, Amiya; Ferreira, Leonardo Zanini; Barros, Aluísio J D; Victora, Cesar Gomes

    2017-08-18

    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 of inequality were used to measure inequalities in birth certificate coverage by wealth quintile, urban/rural residence and sex of the child. Over four million children were included in the analysis. Birth certificate coverage was over 90% in 29 countries and below 50% in 36 countries, indicating that more than half the children under five surveyed in these countries did not have a birth certificate. Eastern & Southern Africa had the lowest average birth certificate coverage (26.9%) with important variability among countries. Significant wealth inequalities in birth certificate coverage were observed in 74 countries and in most UNICEF regions, and urban/rural inequalities were present in 60 countries. Differences in birth certificate coverage between girls and boys tended to be small. We show that wealth and urban/rural inequalities in birth certificate coverage persist in most low and middle income countries, including countries where national birth certificate coverage is between 60 and 80%. Weak CRVS systems, particularly in South Asia and Africa lead rural and poor children to be systematically excluded from the benefits tied to a birth certificate, and prevent these

  9. Validity of Infant Race/Ethnicity from Birth Certificates in the Context of U.S. Demographic Change

    Science.gov (United States)

    Mason, Lisa Reyes; Nam, Yunju; Kim, Youngmi

    2014-01-01

    ObjectiveTo compare infant race/ethnicity based on birth certificates with parent report of infant race/ethnicity in a survey. Data SourcesThe 2007 Oklahoma birth certificates and SEED for Oklahoma Kids baseline survey. Study DesignUsing sensitivity scores and positive predictive values, we examined consistency of infant race/ethnicity across two data sources (N = 2,663). Data Collection/Extraction MethodsWe compared conventional measures of infant race/ethnicity from birth certificate and survey data. We also tested alternative measures that allow biracial classification, determined from parental information on the infant’s birth certificate or parental survey report. Principal FindingsSensitivity of conventional measures is highest for whites and African Americans and lowest for Hispanics; positive predictive value is highest for Hispanics and African Americans and lowest for American Indians. Alternative measures improve values among whites but yield mostly low values among minority and biracial groups. ConclusionsHealth disparities research should consider the source and validity of infant race/ethnicity data when creating sampling frames or designing studies that target infants by race/ethnicity. The common practice of assigning the maternal race/ethnicity as infant race/ethnicity should continue to be challenged. PMID:23829226

  10. Efficient linking of birth certificate and newborn screening databases for laboratory investigation of congenital cytomegalovirus infection and preterm birth: Florida, 2008.

    Science.gov (United States)

    DePasquale, John M; Freeman, Karen; Amin, Minal M; Park, Sohyun; Rivers, Samantha; Hopkins, Richard; Cannon, Michael J; Dy, Bonifacio; Dollard, Sheila C

    2012-02-01

    The objectives of this study are (1) to design an accurate method for linking newborn screening (NBS) and state birth certificate databases to create a de-identified study database; (2) To assess maternal cytomegalovirus (CMV) seroprevalence by measuring CMV IgG in newborn dried blood spots; (3) To assess congenital CMV infection among newborns and possible association with preterm birth. NBS and birth databases were linked and patient records were de-identified. A stratified random sample of records based on gestational age was selected and used to retrieve blood spots from the state NBS laboratory. Serum containing maternal antibodies was eluted from blood spots and tested for the presence of CMV IgG. DNA was extracted from blood spots and tested for the presence of CMV DNA. Analyses were performed with bivariable and multivariable logistic regression models. Linkage rates and specimen collection exceeded 98% of the total possible yielding a final database with 3,101 newborn blood spots. CMV seroprevalence was 91% among Black mothers, 83% among Hispanic mothers, 59% among White mothers, and decreased with increasing amounts of education. The prevalence of CMV infection in newborns was 0.45% and did not vary significantly by gestational age. Successful methods for database linkage, newborn blood spots collection, and de-identification of records can serve as a model for future congenital exposure surveillance projects. Maternal CMV seroprevalence was strongly associated with race/ethnicity and educational level. Congenital CMV infection rates were lower than those reported by other studies and lacked statistical power to examine associations with preterm birth.

  11. No certificate, no chocolate

    CERN Multimedia

    Computer Security Team

    2013-01-01

    Are you already ready to use “certificates” to log into CERN or to connect to the global “eduroam” wireless network? No, I am not talking about your birth certificate, medical certificates or academic certificates. I am referring to “certificates” used for authentication where you would usually use a password.   These digital certificates are a valid alternative to cumbersome passwords. Like the aforementioned personal certificates, a digital certificate is an official document that proves who you are or your qualifications. Your personal digital CERN certificate is tied to your digital identity at CERN. In that respect, a digital certificate is like a password. It is a credential that you must not share with anybody else! With your digital certificate, I can impersonate you and take over your mailbox, your web sessions and more… Digital certificates bind your digital identity to a public/private-key infrastructu...

  12. Confiabilidade das informações das declarações de nascido vivo com registro de defeitos congênitos no Município do Rio de Janeiro, Brasil, 2004 Reliability of birth defect data on birth certificates of Rio de Janeiro, Brazil, 2004

    Directory of Open Access Journals (Sweden)

    Fernando Antônio Ramos Guerra

    2008-02-01

    Full Text Available Avaliou-se a confiabilidade das informações sobre defeitos congênitos contidas nas declarações de nascido vivo do Sistema de Informações sobre Nascidos Vivos (SINASC no Município do Rio de Janeiro, Brasil, no ano de 2004 comparando-as com os prontuários hospitalares destas crianças e de suas mães na internação para o parto. Após a seleção de 24 maternidades do SUS, os tipos de defeitos congênitos constantes nos prontuários foram transcritos em formulários de coleta próprios, codificados com base na CID-10 e comparados com os arquivos do SINASC. Verificou-se uma maior freqüência de defeitos congênitos dos sistemas osteomuscular e nervoso central e percentual de concordância acima de 50% nos aparelhos digestivo, urinário e osteomuscular, órgãos genitais e de anomalias cromossômicas. O kappa ajustado pela prevalência variou conforme as análises para 2 ou 3 dígitos da CID-10, com melhores resultados nos aparelhos osteomuscular, genito-urinário, digestivo e as anomalias cromossômicas e os piores nos sistemas nervoso central e cárdio-circulatório, malformações congênitas da face, olhos pescoço e orelhas e fendas lábio-palatinas. Os resultados encontrados são insatisfatórios e apontam para a necessidade de qualificação do pessoal envolvido no preenchimento das declarações assim como a padronização da codificação dos defeitos congênitos.This study assessed the reliability of birth certificate data related to birth defects in Brazil's Live Birth Information System (SINASC. We selected 24 maternity hospitals in the Unified National Health System (SUS and compared the reports of birth defects from birth certificates with medical records of mothers and live born infants in the city of Rio de Janeiro for the year 2004. After transposing the data to a specific form, the birth defects were coded by types and organ systems and compared to the SINASC data. The most commonly affected organs involved the central

  13. Quality of reporting on birth defects in birth certificates: case study from a Brazilian reference hospital Qualidade da notificação de defeitos congênitos nas declarações de nascido vivo: estudo de caso em hospital de referência no Brasil

    Directory of Open Access Journals (Sweden)

    Daniela Varela Luquetti

    2009-08-01

    Full Text Available The aim of this study was to evaluate the coverage, validity and reliability of Brazil's Information System on Live Births (SINASC for birth defects in a hospital in the city of Campinas (São Paulo State. The study population consisted of 2,823 newborn infants delivered in 2004 at the Women's Integrated Health Care Center (CAISM. A birth defect registry (ECLAMC was used as the gold-standard. All birth defect cases reported at CAISM in 2004 (92 cases were selected from SINASC data files. All 168 birth defect cases from the same city and year registered at ECLAMC were also retrieved. An underreporting of 46.8% was observed for all birth defects, and 36.4% when considering only the major birth defects. The ascertained sensitivity and specificity were, respectively, 54.2% and 99.8%. The reliability of three and four-digit ICD-10 coding for birth defects was 0.77 and 0.55 respectively (kappa statistic. These results suggest that information provided by birth certificates in Campinas still presents limitations when seeking to ascertain accurate estimates of the prevalence of birth defects, hence indicating the need for improvements in the SINASC database to enable it to portray birth defect prevalence at birth in this city.O presente estudo objetivou avaliar a cobertura, validade e confiabilidade do Sistema de Informações sobre Nascidos Vivos (SINASC para anomalias congênitas, em hospital de Campinas, São Paulo, Brasil. A população de estudo consistiu nos 2.843 nascidos vivos do Centro de Atenção Integrada à Saúde da Mulher (CAISM, em 2004. Na base de dados SINASC, foram selecionados os 92 casos com diagnóstico de anomalia congênita no CAISM. Para o mesmo período, na base de dados ECLAMC, foram selecionados os 168 registros de nascidos vivos com anomalia congênita considerados como padrão-ouro, também no CAISM. Observou-se subnotificação de 46,8% para o conjunto dos casos de anomalias congênitas e de 36,4% quando a análise foi

  14. Avaliação das declarações de nascido vivo como fonte de informação sobre defeitos congênitos Evaluation of the birth certificates as source of information on birth defects

    Directory of Open Access Journals (Sweden)

    Ana Lívia Geremias

    2009-03-01

    Full Text Available OBJETIVO: Estimar a prevalência de defeitos congênitos (DC em uma coorte de nascidos vivos (NV vinculando-se os bancos de dados do Sistema de Informação de Mortalidade (SIM e do Sistema de Informação sobre Nascidos Vivos (SINASC. MÉTODOS: Estudo descritivo para avaliar as declarações de nascido vivo como fonte de informação sobre DC. A população de estudo é uma coorte de NV hospitalares do 1º semestre de 2006 de mães residentes e ocorridos no Município de São Paulo no período de 01/01/2006 a 30/06/2006, obtida por meio da vinculação dos bancos de dados das declarações de nascido vivo e óbitos neonatais provenientes da coorte. RESULTADOS: Os DC mais prevalentes segundo o SINASC foram: malformações congênitas (MC e deformidades do aparelho osteomuscular (44,7%, MC do sistema nervoso (10,0% e anomalias cromossômicas (8,6%. Após a vinculação, houve uma recuperação de 80,0% de indivíduos portadores de DC do aparelho circulatório, 73,3% de DC do aparelho respiratório e 62,5% de DC do aparelho digestivo. O SINASC fez 55,2% das notificações de DC e o SIM notificou 44,8%, mostrando-se importante para a recuperação de informações de DC. Segundo o SINASC, a taxa de prevalência de DC na coorte foi de 75,4%00 NV; com os dados vinculados com o SIM, essa taxa passou para 86,2%00 NV. CONCLUSÕES: A complementação de dados obtida pela vinculação SIM/SINASC fornece um perfil mais real da prevalência de DC do que aquele registrado pelo SINASC, que identifica os DC mais visíveis, enquanto o SIM identifica os mais letais, mostrando a importância do uso conjunto das duas fontes de dados.OBJECTIVE: To obtain the prevalence of birth defects in a live birth cohort, linking the live birth information system (SINASC and the mortality information system (SIM databases. METHODS: Descriptive study to assess linked databases of hospital live births (LB and neonatal deaths of resident mothers that occurred in the city of S

  15. Preterm Birth

    Science.gov (United States)

    ... After hours (404) 639-2888 Contact Media Preterm Birth Recommend on Facebook Tweet Share Compartir Preterm birth ... Can anything be done to prevent a preterm birth? Preventing preterm birth remains a challenge because there ...

  16. Cesarean Birth

    Science.gov (United States)

    ... QUESTIONS LABOR, DELIVERY, AND POSTPARTUM CARE FAQ006 Cesarean Birth (C-section) • What is cesarean birth? • What are the reasons for cesarean birth? • Is a cesarean birth necessary if I have ...

  17. Climate certificates

    International Nuclear Information System (INIS)

    1998-10-01

    Reduced emissions of climate gases at the lowest cost require international cooperation in order to ensure that the most cost-efficient measures are taken. A market for emission rights is one way of achieving this. However, creating the right conditions for such a market to operate requires an unambiguous definition of the product to be traded. In this PM, the Swedish Power Association sketches out how such a product could be defined, and how a market for the resulting unambiguously defined product could be operated internationally, in parallel with other markets for energy products. Trade in climate certificates could become a joint EU approach to achieving common results within the field of climate policy. The main features of the proposal are as follows: Electricity producers would be allowed to issue climate certificates for electricity produced without climate-affecting emissions, e.g. in wind power plants. 1 kWh of electricity produced without emissions would entitle the utility to issue a climate certificate for 1 kWh. Electricity from power stations having low emissions, e.g. modern natural gas-fired plants, would entitle the utility to issue certificates in proportion to how much lower their emissions were in comparison with those from conventional coal-fired power stations. The number of certificates would be reduced by an individual coefficient, related directly to the quantity of climate-affecting emissions from the plant concerned. They would be traded and noted on markets in the various member countries. The certificates would not be nationally restricted, but could be traded across borders. Exchanges would be authorised by national authorities, in accordance with overall EU directives. These authorised exchanges would act as certification bodies, checking that certificates had been properly issued in accordance with a corresponding volume of electricity production. Electricity and certificates could be purchased from different suppliers. The

  18. Birth Defects

    Science.gov (United States)

    A birth defect is a problem that happens while a baby is developing in the mother's body. Most birth defects happen during the first 3 months of ... in the United States is born with a birth defect. A birth defect may affect how the ...

  19. Planned Out-of-Hospital Birth and Birth Outcomes

    Science.gov (United States)

    Snowden, Jonathan M.; Tilden, Ellen L.; Snyder, Janice; Quigley, Brian; Caughey, Aaron B.; Cheng, Yvonne W.

    2016-01-01

    Background The frequency of planned out-of-hospital birth in the United States has increased in recent years. The value of studies assessing the perinatal risks of planned out-of-hospital birth versus hospital birth has been limited by cases in which transfer to a hospital is required and a birth that was initially planned as an out-of-hospital birth is misclassified as a hospital birth. Methods We performed a population-based, retrospective cohort study of all births that occurred in Oregon during 2012 and 2013 using data from newly revised Oregon birth certificates that allowed for the disaggregation of hospital births into the categories of planned in-hospital births and planned out-of-hospital births that took place in the hospital after a woman’s intrapartum transfer to the hospital. We assessed perinatal morbidity and mortality, maternal morbidity, and obstetrical procedures according to the planned birth setting (out of hospital vs. hospital). Results Planned out-of-hospital birth was associated with a higher rate of perinatal death than was planned in-hospital birth (3.9 vs. 1.8 deaths per 1000 deliveries, P = 0.003; odds ratio after adjustment for maternal characteristics and medical conditions, 2.43; 95% confidence interval [CI], 1.37 to 4.30; adjusted risk difference, 1.52 deaths per 1000 births; 95% CI, 0.51 to 2.54). The odds for neonatal seizure were higher and the odds for admission to a neonatal intensive care unit lower with planned out-of-hospital births than with planned in-hospital birth. Planned out-of-hospital birth was also strongly associated with unassisted vaginal delivery (93.8%, vs. 71.9% with planned in-hospital births; P<0.001) and with decreased odds for obstetrical procedures. Conclusions Perinatal mortality was higher with planned out-of-hospital birth than with planned in-hospital birth, but the absolute risk of death was low in both settings. (Funded by the Eunice Kennedy Shriver National Institute of Child Health and Human

  20. Breech birth

    Science.gov (United States)

    ... page: //medlineplus.gov/ency/patientinstructions/000623.htm Breech birth To use the sharing features on this page, ... safer for your baby to pass through the birth canal. In the last weeks of pregnancy, your ...

  1. 75 FR 70871 - Photo Requirements for Pilot Certificates

    Science.gov (United States)

    2010-11-19

    ... individual to whom the certificate is issued; and (3) are capable of accommodating a digital photograph, a... levels, changing name or citizenship information, and replacing lost or destroyed certificates. As shown... interaction with the FAA (for example, change of name, citizenship, date of birth, or gender) would be a...

  2. Is the accuracy of prior preterm birth history biased by delivery characteristics?

    Science.gov (United States)

    Hackney, David N; Durie, Danielle E; Dozier, Ann M; Suter, Barbara J; Glantz, J Christopher

    2012-08-01

    To assess the sensitivity of birth certificates to preterm birth history and determine whether omissions are randomly or systemically biased. Subjects who experienced a preterm birth followed by a subsequent pregnancy were identified in a regional database. The variable "previous preterm birth" was abstracted from birth certificates of the subsequent pregnancy. Clinical characteristics were compared between subjects who were correctly versus incorrectly coded. 713 subjects were identified, of whom 65.5% were correctly coded in their subsequent pregnancy. Compared to correctly coded patients, patients who were not correctly identified tended to have late and non-recurrent preterm births or deliveries that were secondary to maternal or fetal indications. A recurrence of preterm birth in the subsequent pregnancy was also associated with correct coding. The overall sensitivity of birth certificates to preterm birth history is suboptimal. Omissions are not random, and are associated with obstetrical characteristics from both the current and prior deliveries. As a consequence, resulting associations may be flawed.

  3. Birthing Classes

    Science.gov (United States)

    ... management options. Breastfeeding basics. Caring for baby at home. Birthing classes are not just for new parents, though. ... midwife. Postpartum care. Caring for your baby at home, including baby first aid. Lamaze One of the most popular birthing techniques in the U.S., Lamaze has been around ...

  4. Birth Weight

    Science.gov (United States)

    ... may become sick in the first days of life or develop infections. Others may suffer from longer-term problems such as delayed motor and social development or learning disabilities. High birth weight babies are often big because ...

  5. Birth Plans

    Science.gov (United States)

    ... licensed to handle low-risk births and whose philosophy emphasizes educating expectant parents about the natural aspects ... Partner Message About Us Contact Us Partners Editorial Policy Permissions Guidelines Privacy Policy & Terms of Use Notice ...

  6. [Birth hypoxia].

    Science.gov (United States)

    Větr, M

    2015-03-01

    Evaluation of the commonly used laboratory and clinical parameters of the newborn shortly after birth. Check thresholds acidemia, and in relation to the method of termination of pregnancy. Retrospective epidemiological study. Department of Obstetrics and Gynecology, University Hospital, Olomouc. Of the 26,869 children born in the years 2000 to 2013 Inclusion criteria (complete clinical and laboratory findings after birth) fulfill 23,471 (87.4%) neonates. Methods for evaluation of newborns included Apgar score calculation and arterial umbilical cord blood pH and lactate analysis. A total of 0.7% (157) of the neonates had severe acidosis pH below 7.00 arterial umbilical cord blood, its prevalence varies annually between 0.1 to 1.1%. Cutoff lactate in relation to pH reserves. Operating cesarean births in particular accounts for more than half of those with worse clinical findings Apgar and pH <7.00, but only 30% supratreshold lactate values. Also worse clinical evaluation after caesarean section is not in accordance with the laboratory findings. Vaginal surgery, especially forceps have a significant share of severe acidosis than cesarean, regardless of their frequency. Risk factor of forceps to pH less 7.00,OR = 9.28 (5.39 -15.77), P = 0.0000000, while caesarean to pH less 7,00 had OR = 1.52 (1.08 to 2.14), P = 0.01408156. The results obtained confirm that acidosis after birth is quite common, although they may not have response on the clinical condition of the newborn after birth. Evaluation of Apgar is little objective for the detection of hypoxia during birth and is influenced by the immaturity of newborn and method of delivery. Lactate levels may contribute to an objective assessment of hypoxia during birth. Values above 6.3 mmol/l can be considered an important indicator of newborn acidosis and birth hypoxia.

  7. Trends in characteristics of women choosing contraindicated home births.

    Science.gov (United States)

    Zafman, Kelly B; Stone, Joanne L; Factor, Stephanie H

    2018-04-12

    To characterize the American College of Obstetricians and Gynecologists (ACOG) contraindicated home births and the women who are receiving these births in hopes of identifying venues for intervention. The National Center for Health Statistics (NCHS) birth certificate records from 1990 to 2015 were used. "Planned home births" were defined as those births in which birthplace was coded as "residence" and birth attendant was coded as "certified nurse midwife (CNM)" or "other midwife". Contraindicated home births were defined as "planned home births" from 1990 to 2015 that had one or more of the ACOG risk factors for home births, which include vaginal birth after prior cesarean delivery (VBAC), breech presentation and multiple gestations. A review of trends in contraindicated home births from 1990 to 2015 suggests that they are increasing in number (481-1396) and as a percentage of total births (0.01%-0.04%, P95%), which is most frequently initiated in the first trimester. The majority of home births were paid out-of-pocket (65%-69%). The increasing number of contraindicated home births in the United States requires public health action. Home births are likely a matter of choice rather than a lack of resources. It is unclear if women choose home births while knowing the risk or due to a lack of information. Prenatal education about contraindicated home births is possible, as almost all women receive prenatal care.

  8. Defeitos congênitos no Município do Rio de Janeiro, Brasil: uma avaliação através do SINASC (2000-2004 Birth defects in Rio de Janeiro, Brazil: an evaluation through birth certificates (2000-2004

    Directory of Open Access Journals (Sweden)

    Fernando Antônio Ramos Guerra

    2008-01-01

    Full Text Available Avaliou-se a ocorrência de defeitos congênitos em nascidos vivos no Município do Rio de Janeiro, Brasil, com base no Sistema de Informações sobre Nascidos Vivos (SINASC, no período de 1º de janeiro de 2000 a 31 de dezembro de 2004. Através de um estudo seccional e descritivo, estudaram-se as variáveis relativas aos defeitos congênitos (presença e aparelho ou sistema acometido, aos serviços de saúde, às mães, às gestações, aos recém-natos e aos partos. Constatou-se uma prevalência de defeitos congênitos de 83/10 mil nascidos vivos. Os sistemas orgânicos mais afetados foram o osteomuscular, nervoso central, genital, as fendas lábio-palatinas e as anomalias cromossômicas. A maioria dos casos nasceu nas maternidades municipais e na rede privada, e maior prevalência de defeitos congênitos ocorreu no Instituto Fernandes Figueira da Fundação Oswaldo Cruz. Os defeitos congênitos foram mais prevalentes entre os filhos de mulheres mais velhas e menos instruídas. O percentual de casos ignorados foi alto, chegando a 21% em algumas maternidades. Uma maior divulgação das informações do SINASC sobre defeitos congênitos deveria ser estimulada. Estudos de confiabilidade são recomendados para melhor aproveitamento das informações.To evaluate the occurrence of birth defects in the city of Rio de Janeiro, Brazil, using the Live Birth Information System (SINASC, we performed a cross-sectional study on all live newborns with birth defects from January 1, 2000, to December 31, 2004. The variables referred to birth defects (presence and system affected, type of health service, mothers, gestations, live births, and deliveries. Prevalence of birth defects was 83/10,000 live births. The most frequent birth defects involved the musculoskeletal system, central nervous system, cleft lip and palate, and chromosomal anomalies. The majority of cases were born in public (municipal and private maternity hospitals, with the highest prevalence

  9. Birth cohorts

    DEFF Research Database (Denmark)

    Andersen, Anne-Marie Nybo; Madsen, Mia

    2009-01-01

    ; provides practical guidance on how to set-up and maintain birth cohorts for completing family-based studies in life course epidemiology; describes how to undertake appropriate statistical analyses of family-based studies and correctly interpret results from these analyses; and provides examples...

  10. Transit management certificate program.

    Science.gov (United States)

    2012-07-01

    TTI worked closely with the Landscape Architecture and Urban Planning Department : (LAUP) of Texas A&M University (TAMU) to develop a transit management certificate : focus for the current Graduate Certificate in Transportation Planning (CTP) housed ...

  11. Organic Certification Evolution

    OpenAIRE

    Yang, Raymond H.

    2014-01-01

    The present certification process is more and more becoming focused on chain of custody and documentation. There is a necessity to go away from a bureaucratic-type of certification process to one that is takes only as much time and documentation as necessary. Two possible solutions is expanding equivalency between certification programs and developing participatory guarantee systems. This requires the collaboration between producers, certification bodies, accreditation bodies, and certificati...

  12. Secret-key certificates

    NARCIS (Netherlands)

    S.A. Brands (Stefan)

    1995-01-01

    textabstractThe notion of secret-key certificate schemes is introduced and formalized. As with public-key certificates, triples consisting of a secret key, a corresponding public key, and a secret-key certificate on the public key can only be retrieved by engaging in an issuing protocol with the

  13. Birth rights.

    Science.gov (United States)

    Hawkin, R

    1980-06-01

    Despite the marked decline in Singapore's crude birth rate from 42.7/1000 population to 22.1/1000 population from 1957 to 1970, the government adopted a policy of sterilization by coercion with the passage in 1970 of the Voluntary Sterilisation Act. Although sterilization is supposedly voluntary, various regulations make it extremely difficult for couples who wish to retain their fertility. Couples under 40 years of age with more than 2 children must agree to accept sterilization or their children are assigned to a low priority category in regard to primary school admittance. An individual who wishes to marry a non-Singaporean cannot obtain a marriage application unless one of the parties to the marriage agrees to have a sterilization after the birth of their 2nd child. Singapore, with a population density of almost 4000/square kilometer, needs to be concerned about population growth; however, since the population had for the most part already adopted a 2 child family norm, these coercive policies appear to be blatantly excessive.

  14. Certificate Transparency with Privacy

    Directory of Open Access Journals (Sweden)

    Eskandarian Saba

    2017-10-01

    Full Text Available Certificate transparency (CT is an elegant mechanism designed to detect when a certificate authority (CA has issued a certificate incorrectly. Many CAs now support CT and it is being actively deployed in browsers. However, a number of privacy-related challenges remain. In this paper we propose practical solutions to two issues. First, we develop a mechanism that enables web browsers to audit a CT log without violating user privacy. Second, we extend CT to support non-public subdomains.

  15. Energy saving certificates

    International Nuclear Information System (INIS)

    2005-11-01

    The French ministry of economy, finances and industry and the French agency of environment and energy mastery (Ademe) have organized on November 8, 2005, a colloquium for the presentation of the energy saving certificates, a new tool to oblige the energy suppliers to encourage their clients to make energy savings. This document gathers the transparencies presented at this colloquium about the following topics: state-of-the-art and presentation of the energy saving certificates system: presentation of the EEC system, presentation of the EEC standard operations; the energy saving certificates in Europe today: energy efficiency commitment in UK, Italian white certificate scheme, perspectives of the different European systems. (J.S.)

  16. Birth outcomes in Colorado's undocumented immigrant population

    Directory of Open Access Journals (Sweden)

    Battaglia Catherine

    2005-10-01

    Full Text Available Abstract Background The birth outcomes of undocumented women have not been systematically studied on a large scale. The growing number of undocumented women giving birth in the United States has important implications for clinical care and public health policy. The objective of this study was to describe birth outcomes of undocumented immigrants in Colorado. Methods Retrospective descriptive study of singleton births to 5961 undocumented women using birth certificate data for 1998–1999. Results Undocumented mothers were younger, less educated, and more likely to be single. They had higher rates of anemia, were less likely to gain enough weight, and less likely to receive early prenatal care. They were much less likely to use alcohol or tobacco. Undocumented women had a lower rate of low birth weight (5.3% v 6.5%, P Conclusion Undocumented women have lower rates of preterm delivery and low birth weight infants, but higher rates of pregnancy related risk factors. Higher prevalence of some risk factors which are amenable to medical intervention reveals the need for improved prenatal care in this group.

  17. EAS Telecommunications Certification Bodies (TCB)

    Data.gov (United States)

    Federal Communications Commission — EAS (Equipment Authorization System). A Telecommunication Certification Body (TCB) is an accredited product certification body with the authority to issue Grants of...

  18. Birth control pills - combination

    Science.gov (United States)

    ... this page: //medlineplus.gov/ency/patientinstructions/000655.htm Birth control pills - combination To use the sharing features ... contain both progestin and estrogen. What Are Combination Birth Control Pills? Birth control pills help keep you ...

  19. Birth Control Explorer

    Science.gov (United States)

    ... Relationships STIs Media Facebook Twitter Tumblr Shares · 582 Birth Control Explorer Sort by all methods most effective ... MORE You are here Home » Birth Control Explorer Birth Control Explorer If you’re having sex —or ...

  20. Accredited Birth Centers

    Science.gov (United States)

    ... Administrative Staff Donate Contact MENU CLOSE back Accredited Birth Centers You are here: Home Accredited Birth Centers ... not CABC-accredited. How do you find a birth center here? Skip Instructions! Get to the Map… ...

  1. Essure Permanent Birth Control

    Science.gov (United States)

    ... and Prosthetics Essure Permanent Birth Control Essure Permanent Birth Control Share Tweet Linkedin Pin it More sharing ... Email Print Essure is a a permanently implanted birth control device for women (female sterilization). Implantation of ...

  2. Warning Signs After Birth

    Science.gov (United States)

    ... care > Warning signs after birth Warning signs after birth E-mail to a friend Please fill in ... health problems new moms may have after giving birth? Chances are that you’ll be healthy after ...

  3. CDC WONDER: Births

    Data.gov (United States)

    U.S. Department of Health & Human Services — The Births (Natality) online databases in CDC WONDER report birth rates, fertility rates and counts of live births occurring within the United States to U.S....

  4. Soy production and certification

    DEFF Research Database (Denmark)

    Tomei, Julia; Semino, Stella Maris; Paul, Helena

    2010-01-01

    With the rising emphasis on biofuels as a potential solution to climate change, this paper asks whether certification schemes, developed to promote sustainable feedstock production, are able to deliver genuine sustainability benefits. The Round Table on Responsible Soy (RTRS) is a certification...

  5. Board certification in optometry.

    Science.gov (United States)

    Kirby, B S; Weaver, J L; Amos, J F; Hendrix, W G; Lewis, T L; Locke, J C; McCall, J A; Walls, L L

    2000-04-01

    In keeping with current expectations in the health care community, the purpose of the American Board of Optometric Practice (ABOP) is to enhance the quality of optometric care available to the public by fostering continued competence for practitioners through administering education and examinations for certification and re-certification. The formation of ABOP makes possible for the first time a board certification process for optometrists. The optometry model for board certification and recertification emphasizes the breadth of the profession. ABOP certification will be accomplished through a combination of examinations and high-quality, tested Board Certified Continuing Education (BCCE). Specific requirements for practitioners at various stages of their careers are presented. Board certification provides one important mechanism for an optometrist to demonstrate commitment to quality, professionalism, and ongoing clinical competence. The optometrist benefits from high-quality continuing education designed for timeliness, importance, and breadth. The public benefits by the enhancement of continued competence within the optometric profession. Health care agencies benefit by being able to recognize providers who have elected to demonstrate their qualifications through certification. Through board certification, optometrists will be able to demonstrate their commitment to maintaining clinical competence through a nationally uniform program, and they will be able to comply with standards that are generally recognized and required throughout the health care community.

  6. [Medical certificates in occupational accidents, in common law and social affairs].

    Science.gov (United States)

    El Banna, S; Van de Vyvere, A; Beauthier, J-P

    2013-09-01

    Physicians are asked to complete certificates within their profession. These certificates relate to various aspects of an individual's life, from birth to the end of life. The nature of requests is striking by its diversity. As a first step, the authors recall the outline of a certificate and its structure, as well as traps, hazards and risks to avoid. In a second step they describe three specific situations for the certificate: in the context of work accidents, common law accidents and social matters. All materials can not be treated in this space, so they refer the reader to the main bibliographic sources useful in this matter.

  7. Contraception and Birth Control

    Science.gov (United States)

    ... Facebook Twitter Pinterest Email Print About Contraception and Birth Control Contraception is the prevention of pregnancy. Contraception, or birth control, also allows couples to plan the timing ...

  8. A utilização da Internet na notificação dos defeitos congênitos na Declaração de Nascido Vivo em quatro maternidades públicas do Município de São Paulo, Brasil Use of the Internet to report congenital malformations on birth certificates at four public maternity hospitals in the city of São Paulo, Brazil

    Directory of Open Access Journals (Sweden)

    Pablo Domingos Rodrigues de Nicola

    2010-07-01

    Full Text Available O objetivo foi aumentar a freqüência da notificação de anomalias congênitas no campo 34 da Declaração de Nascido Vivo em quatro maternidades do Município de São Paulo, Brasil, ao longo do ano de 2008. Utilizamos o banco de dados do Sistema de Informações sobre Nascidos Vivos da Secretária Municipal de Saúde de São Paulo para acompanhar a evolução dos registros dos defeitos congênitos. Mediante prontuário eletrônico, via Internet, os casos suspeitos eram enviados para um centro de referência em genética médica. O prontuário eletrônico contém anamnese, exame físico e fotos do recém-nascido. O estudo ocorreu em quatro maternidades com uma amostra total de 10 mil nascimentos no ano e que não apresentam médico geneticista. Houve aumento da notificação dos defeitos congênitos nas quatro maternidades onde o estudo foi realizado quando comparado com os anos anteriores e com o registro do Município de São Paulo. O método de referência e contra-referência utilizando a Internet mostrou-se eficaz.The aim of this study was to improve the completion of item 34 on birth certificates at four maternity hospitals in the city of São Paulo, Brazil, in the year 2008. The database of the Municipal Health Department's Information System on Live Births was used to monitor trends in reporting birth defects. An electronic web-based medical record was used to refer indeterminate cases to a leading medical genetics referral center. The electronic medical record contained the patient history, physical examination, and photographs of the newborn. Four maternity hospitals were assessed, with a total of 10,000 births during the year. None of the four hospitals had a staff geneticist. According to the Information System on Live Births, there was an increase in the number of birth defects reported by the four maternity hospitals when compared to previous years and to records for the city of São Paulo as a whole. Based on the findings, the

  9. Demographic implications of the New United States certificates.

    Science.gov (United States)

    Lunde, A S; Grove, R D

    1966-06-01

    To assist in developing uniform reporting of vital events among the fifty states, Puerto Rico, and the Virgin Islands, the United States government prepares standard certificates of birth, fetal death, death, marriage, and divorce. These model forms are revised, with the assistance of the states, approximately every ten years. Revisions are now being prepared by the National Center for Health Statistics which will become effective beginning January 1, 1968. Important new source material for demography will be introduced.Most changes will appear in the Standard Certificate of Live Birth and in the Standard Certificate of Fetal Death. An item on education of father and mother will provide detailed national data on education and fertility. The date of the last live birth to the mother and the date of the last fetal death will provide information on previous pregnancy outcome and on child-spacing. The recording of state file numbers for mates born alive and dead in the same delivery will make it easier to match live birth and fetal death certificates for the preparation of detailed tabulations on multiple births. Several new items related to maternal and child health have also been added. No significent changes were planned for the Standard Certificate of Death.The Standard Certificate of Marriage will include as new items the education of the bride and groom, the date on which the last marriage, if any, ended, and specification of the officiant as a religious or civil official. The Standard Certificate of Divorce or Annulment will obtain information on the education of husband and wife, the approximate date on which the couple separated, the mode of dissolution of the previous marriage, and the total number of living children. It is anticipated that most of the new items will be included in the certificates of all the states. The National Center for Health Statistics will provide detailed tabulations related to these items, beginning with data year 1968.Demographers

  10. 49 CFR 583.13 - Supplier certification and certificates.

    Science.gov (United States)

    2010-10-01

    ... 49 Transportation 7 2010-10-01 2010-10-01 false Supplier certification and certificates. 583.13... § 583.13 Supplier certification and certificates. Each supplier shall certify the information on each... supplier in any mode (e.g., paper, electronic) provided the mode contains all information in the...

  11. Employment certificates on HRT

    CERN Multimedia

    HR Department

    2008-01-01

    As part of the ongoing drive to simplify and streamline administrative procedures and processes, the IT and HR Departments have made employment certificates available on a self-service basis on the HRT application, in the main menu under "My self services". All members of the personnel can thus obtain a certificate of employment or association, in French or in English, for the present or past contractual period. The HR Department’s Records Office remains responsible for issuing any special certificates that might be required. IT-AIS (Administrative Information Services) HR-SPS (Services, Procedures & Social) Records Office – Tel. 73700

  12. Converse Barrier Certificate Theorem

    DEFF Research Database (Denmark)

    Wisniewski, Rafael; Sloth, Christoffer

    2013-01-01

    This paper presents a converse barrier certificate theorem for a generic dynamical system.We show that a barrier certificate exists for any safe dynamical system defined on a compact manifold. Other authors have developed a related result, by assuming that the dynamical system has no singular...... points in the considered subset of the state space. In this paper, we redefine the standard notion of safety to comply with generic dynamical systems with multiple singularities. Afterwards, we prove the converse barrier certificate theorem and illustrate the differences between ours and previous work...

  13. Converse Barrier Certificate Theorems

    DEFF Research Database (Denmark)

    Wisniewski, Rafael; Sloth, Christoffer

    2016-01-01

    This paper shows that a barrier certificate exists for any safe dynamical system. Specifically, we prove converse barrier certificate theorems for a class of structurally stable dynamical systems. Other authors have developed a related result by assuming that the dynamical system has neither...... singular points nor closed orbits. In this paper, we redefine the standard notion of safety to comply with dynamical systems with multiple singular elements. Hereafter, we prove the converse barrier certificate theorems and highlight the differences between our results and previous work by a number...

  14. Renewable Energy Certificates (RECs)

    Science.gov (United States)

    Renewable Energy Certificates (RECs), are tradable, non-tangible energy commodities in the United States that represent proof that 1 megawatt-hour (MWh) of electricity was generated from an eligible renewable energy resource.

  15. Green certificates causing inconvenience?

    International Nuclear Information System (INIS)

    Torgersen, Lasse

    2002-01-01

    From early 2002, producers of green energy in selected countries have been able to benefit from generous financial support in the Netherlands. Thus, there has been increased sale of green certificates from Norway and Sweden. But the condition that physical energy delivery should accompany the certificates has caused a marked rise in the price of energy in transit through Germany to the Netherlands. This article discusses the green certificate concept and the experience gained from the Netherlands. One conclusion is that if large-scale trade with green certificates is introduced in Europe without the condition of accompanying energy delivery, then producers of hydro-electric power in Norway and Sweden may be the losers

  16. Forestry certification social aspects

    CSIR Research Space (South Africa)

    Hamman, J

    2000-01-01

    Full Text Available on instruments for sustainable private sector forestry in South Africa. The reports in this series are listed below. Instruments for sustainable private sector forestry, South Africa – report series Overview and synthesis • Mayers, J., Evans, J. and Foy, T... recent initiatives in the context of a drive towards sustainable and equitable forest management. Forest certification in South Africa • Frost, B., Mayers, J. and Roberts, S. 2002. Growing credibility: impact of certification on forests and people...

  17. Birth dimensions and risk of depression in adulthood

    DEFF Research Database (Denmark)

    Osler, Merete; Nordentoft, Merete; Andersen, Anne-Marie Nybo

    2005-01-01

    BACKGROUND: Two British cohort studies have reported birth weight to be associated with self-reported depression in adulthood, even after adjustment for socio-economic factors. AIMS: To examine the relationship between birth dimensions and discharge from a psychiatric ward with a depression...... diagnosis in adulthood. METHOD: A cohort of 10 753 male singletons born in Copenhagen, Denmark in 1953 and for whom birth certificates had been traced in 1965 were followed from 1969 until 2002, with record linkage for date of first admission to a psychiatric ward that led to a discharge diagnosis...... of depression. RESULTS: A total of 190 men, corresponding to 1.8% of the cohort, had a discharge diagnosis of depression. The Cox's regression analyses failed to show any association between birth dimensions (birth weight and ponderal index) and risk of psychiatric ward diagnosis of depression in adult life...

  18. ENVIRONMENTAL MANAGEMENT SYSTEMS CERTIFICATION

    Directory of Open Access Journals (Sweden)

    Aniko Miler-Virc

    2012-12-01

    Full Text Available ISO 14001 prescribes the requirements for a system, not environmental performance itself. Similarly, certification is of the management system itself, not environmental performance. An audit is not conducted to ascertain whether your flue gas emissions are less than X part per million nitrous oxide or that your wastewater effluent contains less that Y milligrams of bacteria per litre. Consequently, the procces of auditing the system for compliance to the standard entails checking to see that all of the necessary components of a functioning system are present and working properly.           A company can have a complete and fully functional EMS as prescribed by ISO 14001 without being certified. As certification can add to the time and expense of EMS development, it is important for you to establish, in advance, whether certification is of net benefit to you. Although most companies that develop an EMS do in fact certify, there are cases where certification does not add immediate value. Certification is not always beneficial to small and medium sized companies. Certification is not always necessary for companies with one or two large clients with environmental demands who are satisfied that you have a functional EMS (second-party declaration. Whatever decision you make, it is important to remember that just as a driver′s licence does not automatically make you a good driver, ISO 14001 certification does not automatically make your company environmentally benign or ensure that you will continually improve environmental performance. The system is only as good as the people who operate it.

  19. Planned hospital birth versus planned home birth

    DEFF Research Database (Denmark)

    Olsen, O.; Clausen, J.A.

    2012-01-01

    Observational studies of increasingly better quality and in different settings suggest that planned home birth in many places can be as safe as planned hospital birth and with less intervention and fewer complications. This is an update of a Cochrane review first published in 1998....

  20. Birth control pills - overview

    Science.gov (United States)

    ... from taking birth control pills include: Blood clots Heart attack High blood pressure Stroke Birth control pills without estrogen are much less likely to cause these problems. The risk is higher for women ...

  1. Preterm Labor and Birth

    Science.gov (United States)

    ... Facebook Twitter Pinterest Email Print Preterm Labor and Birth In general, a normal human pregnancy lasts about ... is called preterm labor (or premature labor). A birth that occurs before 37 weeks is considered a ...

  2. Birth control pill - slideshow

    Science.gov (United States)

    ... this page: //medlineplus.gov/ency/presentations/100108.htm Birth control pill - series—Normal female anatomy To use ... to produce a successful pregnancy. To prevent pregnancy, birth control pills affect how these organs normally function. ...

  3. Vaginal birth - slideshow

    Science.gov (United States)

    ... page: //medlineplus.gov/ency/presentations/100198.htm Vaginal birth - series—Normal anatomy To use the sharing features ... vaginal delivery. Please keep in mind that every birth is unique, and your labor and delivery may ...

  4. Cranial birth trauma

    International Nuclear Information System (INIS)

    Papanagiotou, P.; Roth, C.; Politi, M.; Zimmer, A.; Reith, W.; Rohrer, T.

    2009-01-01

    Injuries to an infant that result during the birth process are categorized as birth trauma. Cranial injuries due to mechanical forces such as compression or traction include caput succedaneum, cephalhematoma, subgaleal hematoma and intracranial hemorrhaging. Hypoxic ischemic encephalopathy is the consequence of systemic asphyxia occurring during birth. (orig.) [de

  5. Encyclopedia of Birth Control.

    Science.gov (United States)

    Rengel, Marian

    This encyclopedia brings together in more than 200 entries, arranged in A-to-Z format, a portrait of the complex modern issue that birth control has become with advances in medicine and biochemistry during the 20th century. It is aimed at both the student and the consumer of birth control. Entries cover the following topics: birth control…

  6. Birth Control Shot

    Science.gov (United States)

    ... Staying Safe Videos for Educators Search English Español Birth Control Shot KidsHealth / For Teens / Birth Control Shot What's in this article? What Is ... español La inyección anticonceptiva What Is It? The birth control shot is a long-acting form of ...

  7. Birth Control Pill

    Science.gov (United States)

    ... Staying Safe Videos for Educators Search English Español Birth Control Pill KidsHealth / For Teens / Birth Control Pill What's in this article? What Is ... español La píldora anticonceptiva What Is It? The birth control pill (also called "the Pill") is a ...

  8. Birth Control Ring

    Science.gov (United States)

    ... Staying Safe Videos for Educators Search English Español Birth Control Ring KidsHealth / For Teens / Birth Control Ring What's in this article? What Is ... español Anillo vaginal anticonceptivo What Is It? The birth control ring is a soft, flexible, doughnut-shaped ...

  9. System certification: An alternative to package certification?

    International Nuclear Information System (INIS)

    Luna, R.E.; Jefferson, R.J.

    1992-01-01

    One precept of the current radioactive material transportation regulations is that the package is the primary protection for the public. A packaging is chosen to provide containment, shielding, and criticality control suitable to the quantity and characteristics of the radionuclide being transported. Occasionally, radioactive materials requiring transport are not of a mass or size that would allow the materials to be shipped in an appropriate packaging. This is a particular problem for materials that should be shipped in a Type B package, but because such packages are designed and certified for specific contents, the package is usually fairly expensive, available in relatively small numbers, and often requires a fairly long period to achieve certification or amended certification for new contents. Where the shipment to be made is relatively infrequent, there may be economic and time penalties that may hamper shipment or force the shipper into uneconomic or high risk options. However, there is recognition of such situations in the International Atomic Energy Agency (IAEA) regulations under the provisions for Special Arrangement

  10. Saving lives at birth

    DEFF Research Database (Denmark)

    Daysal, N. Meltem; Trandafir, Mircea; van Ewijk, Reyn

    2015-01-01

    Many developed countries have recently experienced sharp increases in home birth rates. This paper investigates the impact of home births on the health of low-risk newborns using data from the Netherlands, the only developed country where home births are widespread. To account for endogeneity...... in location of birth, we exploit the exogenous variation in distance from a mother’s residence to the closest hospital. We find that giving birth in a hospital leads to substantial reductions in newborn mortality. We provide suggestive evidence that proximity to medical technologies may be an important...

  11. Early discharge following birth

    DEFF Research Database (Denmark)

    Nilsson, Ingrid M. S.; Kronborg, Hanne; Knight, Christopher H.

    2017-01-01

    of discharge after birth. Results In total 34% mothers were discharged within 12 hours (very early) and 25% between 13 and 50 hours (early), respectively. Vaginal birth and multiparity were the most influential predictors, as Caesarean section compared to vaginal birth had an OR of 0.35 (CI 0....... Smoking, favourable social support and breastfeeding knowledge were significantly associated with discharge within 12 hours. Finally time of discharge varied significantly according to region and time of day of birth. Conclusions Parity and birth related factors were the strongest predictors of early...

  12. Board Certification in Counseling Psychology

    Science.gov (United States)

    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…

  13. Understanding Pregnancy and Birth Issues

    Science.gov (United States)

    ... Home Current Issue Past Issues Understanding Pregnancy and Birth Issues Past Issues / Winter 2008 Table of Contents ... about NICHD preeclampsia research in the sidebar.) Preterm Birth Preterm (premature) birth is birth before the baby ...

  14. Planned place of birth

    DEFF Research Database (Denmark)

    Overgaard, Charlotte; Coxon, Kirstie; Stewart, Mary

    in Denmark Coxon K et al: Planned place of birth in England: perceptions of accessing obstetric units, midwife led units and home birth amongst women and their partners. How these papers interrelate These papers draw upon recent research in maternity care, undertaken in Denmark and in England. In both......Title Planned place of birth: issues of choice, access and equity. Outline In Northern European countries, giving birth is generally safe for healthy women with uncomplicated pregnancies, and their babies. However, place of birth can affect women’s outcomes and experiences of birth. Whilst tertiary...... centres provide appropriate medical supervision to women with complex pregnancies, the likelihood of receiving interventions including surgical birth is increased for low risk women in these settings. In this symposium, we consider issues of choice, access and equitable care for women in the context...

  15. School Media Specialist Certification.

    Science.gov (United States)

    Bender, David R.

    The American Association of School Librarians (AASL) supports the development by media specialists of the competencies and skills they need, whether derived from training in general and professional education, or from media specialization. The "Certification Model for Professional School Media Personnel," developed and designed by an…

  16. Social enterprise certification

    OpenAIRE

    Bilorus, T.

    2010-01-01

    This article will discuss the need for social certification process especially in the modern business environment of enterprises. Particular attention will be focused on development of the document «Passport human resources company» and the characteristics of its parts.

  17. Status of Forest Certification

    Science.gov (United States)

    Omar Espinoza; Urs Buehlmann; Michael Dockry

    2013-01-01

    Forest certification systems are voluntary, market-based initiatives to promote the sustainable use of forests. These standards assume that consumers prefer products made from materials grown in an environmentally sustainable fashion, and this in turn creates incentives for companies to adopt responsible environmental practices. One of the major reasons for the...

  18. Certification and international competitiveness

    Directory of Open Access Journals (Sweden)

    Đorđević Bojan

    2007-01-01

    Full Text Available Paper discuss wide variety of both antecedents and consequences of merchandise certification in general but specially in the European Union. Some remarks based on preliminary research data as well experience of Serbian export companies follow up theoretical approach.

  19. Tradable Earthquake Certificates

    NARCIS (Netherlands)

    Woerdman, Edwin; Dulleman, Minne

    2018-01-01

    This article presents a market-based idea to compensate for earthquake damage caused by the extraction of natural gas and applies it to the case of Groningen in the Netherlands. Earthquake certificates give homeowners a right to yearly compensation for both property damage and degradation of living

  20. Towards FAA Certification of UAVs

    Science.gov (United States)

    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.

  1. Season of birth in suicides: excess of births during the summer among schizophrenic suicide victims.

    Science.gov (United States)

    Karhumaa, Tuomo; Hakko, Helinä; Nauha, Rauno; Räsänen, Pirkko

    2013-01-01

    Season of birth is associated with several psychiatric disorders and suicidal behavior. We explored the association between the season of birth and suicide among schizophrenic and psychotic suicide victims. The study sample consisted of all suicides in the province of Oulu in Northern Finland from 1989 to 2010. Causes of death were extracted from death certificates, and psychiatric diagnoses associated with the hospital treatments were obtained from the Finnish Hospital Discharge Register. The seasons were defined as follows: winter (from November to January), spring (from February to April), summer (from May to July), and autumn (from August to October). Suicide victims (n = 1,902) were categorized as having either schizophrenia (n = 228) or psychosis other than schizophrenia (n = 240). Suicide victims without any hospital-treated mental disorder (n = 1,434) were used as a comparison group. The distribution of births among suicide victims with schizophrenia differed statistically significantly from that observed in the general population, with a peak in summer (OR 1.2, 95% CI 1.0-1.5). Birth during summer may predispose schizophrenic persons to suicide. The putative roles of serotonin, dopamine, and vitamin D status in the season of birth of psychotic suicide victims are discussed. © 2013 S. Karger AG, Basel.

  2. Epidemiology of preterm birth.

    Science.gov (United States)

    Purisch, Stephanie E; Gyamfi-Bannerman, Cynthia

    2017-11-01

    Preterm birth is a worldwide epidemic with a global incidence of 15 million per year. Though rates of preterm birth in the United States have declined over the last decade, nearly 1 in 10 babies is still born preterm. The incidence, gestational age, and underlying etiology of preterm birth is highly variable across different racial and ethnic groups and geographic boundaries. In this article, we review the epidemiology of preterm birth in the United States and globally, with a focus on temporal trends and racial, ethnic, and geographic disparities. Copyright © 2017 Elsevier Inc. All rights reserved.

  3. Certification/enforcement analysis

    Energy Technology Data Exchange (ETDEWEB)

    None

    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.

  4. 46 CFR 107.258 - Crane certification.

    Science.gov (United States)

    2010-10-01

    ... 46 Shipping 4 2010-10-01 2010-10-01 false Crane certification. 107.258 Section 107.258 Shipping... CERTIFICATION Inspection and Certification § 107.258 Crane certification. (a) The Coast Guard may accept current certificates issued by approved organizations as evidence of condition and suitability of cranes. The following...

  5. Certification trails for data structures

    Science.gov (United States)

    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.

  6. Resettlement and Birth Rates

    African Journals Online (AJOL)

    GB

    effect on mothers' age at first birth (p < 0.001), the number of children born within the five years of the survey (p<0.001), and the total number of ... approach that compares reported numbers of births for settlers and non-settlers in ... 1Department of Geography, Sonoma State University, USA. 2. Department of Epidemiology ...

  7. Birth Control Methods

    Science.gov (United States)

    ... Women can choose from many different types of birth control methods. These include, in order of most effective to least effective at preventing pregnancy: Female and male sterilization (female tubal ligation or occlusion, male vasectomy) — Birth control that prevents pregnancy for the rest of ...

  8. Extremely Preterm Birth

    Science.gov (United States)

    ... Search FAQs Extremely Preterm Birth Page Navigation ▼ ACOG Pregnancy Book Patient Education FAQs Patient Education Pamphlets - Spanish FAQ173, June 2016 ... Labor and Birth (FAQ087) Tobacco, Alcohol, Drugs, and Pregnancy (FAQ170) Patient Education ... Committee Opinions Practice Bulletins Patient ...

  9. Elizabeth Belle's Birth Story.

    Science.gov (United States)

    Boro, Jessica; Boro, Samuel

    2014-01-01

    In this article, Jessica and Samuel Boro share the story of the birth of their daughter, Elizabeth Belle. With the physical and emotional support of her husband and her doula, this mother was able to cope with a long labor and have the natural birth she wanted. Her husband describes how important the doula was for him.

  10. birth-weight infants

    African Journals Online (AJOL)

    hours of life was more strongly associated with death than four traditional risk factors (birth weight, short gestation, male sex and the diagnosis of respiratory distress syndrome). Furthermore, mean pH in the first 12 hours was as strongly associated with death as was birth weight. Previous research in our neonatal population ...

  11. Reforming birth registration law in England and Wales?

    Directory of Open Access Journals (Sweden)

    Julie McCandless

    2017-06-01

    Full Text Available The Law Commission of England and Wales is considering what its 13th Programme of Law Reform should address. During the consultation process, a project on birth registration law has been mooted. This is a very welcome proposal given that civil birth registration in England and Wales is a compulsory procedure that not only finds its roots in the early Victorian era, but also remains very similar, at least in terms of form and the information that is recorded. I first use two recent legal challenges to illustrate why the current system is coming under increasing pressure. I further use these examples to caution against a law reform agenda that is narrowly focused on the precise information recorded, without a preliminary and wider examination of what the role and purpose of birth registration is, and should be, in society. I argue that this needs to be addressed before the state can justify the parameters of the information recorded. I then use an outline of historical reforms relating to the registration of births outside of marriage to highlight the normative two-parent family model that underpins the birth registration system. I argue that legal reform must be cognizant of the tenacity of this normative family model, particularly in relation to reform proposals surrounding donor conception and the annotation of birth certificates. Finally, I draw attention to wider developments in family law that cast birth registration as a social policy tool for the facilitation of parent–child relationships, particularly unmarried fathers.

  12. Narcissism and birth order.

    Science.gov (United States)

    Eyring, W E; Sobelman, S

    1996-04-01

    The purpose of this investigation was to clarify the relationship between birth-order position and the development of narcissism, while refining research and theory. The relationship between birth-order status and narcissism was examined with a sample of 79 undergraduate students (55 women and 24 men). These subjects were placed in one of the four following birth-order categories of firstborn, second-born, last-born, and only children. These categories were chosen given their significance in Adlerian theory. Each subject completed the Narcissistic Personality Inventory and a demographic inventory. Based on psychodynamic theory, it was hypothesized that firstborn children were expected to score highest, but statistical significance was not found for an association between narcissism and birth order. Further research is urged to investigate personality theory as it relates to parenting style and birth order.

  13. Early neonatal deaths with perinatal asphyxia in very low birth weight Brazilian infants.

    Science.gov (United States)

    de Almeida, M F B; Moreira, L M O; Vaz dos Santos, R M; Kawakami, M D; Anchieta, L M; Guinsburg, R

    2015-11-01

    The objective of this study was to assess the frequency of early deaths associated with birth asphyxia of very low birth weight infants between 2005 and 2010, in Brazil. This population study enrolled all live births with birth weight from 400 to 1499 g, gestational age ⩾ 22 weeks, without malformations that died up to 6 days after birth with perinatal asphyxia. Asphyxia was defined if intrauterine hypoxia, asphyxia at birth or meconium aspiration syndrome were written in any line of the death certificate. Active search was carried out in 27 Brazilian federative units. For every 1000 live births of very low birth weight infants without congenital malformations, 40.25 and 32.38 died with birth asphyxia in the first week after birth, respectively, in 2005 and 2010 (Pasphyxia to early neonatal death of these infants was approximately 10 to 12% all study years. Reduction of birth asphyxia in very low birth weight infants is essential to reducing neonatal mortality in Brazil.

  14. Birth control pills - progestin only

    Science.gov (United States)

    ... this page: //medlineplus.gov/ency/patientinstructions/000656.htm Birth control pills - progestin only To use the sharing ... have estrogen in them. What Are Progestin Only Birth Control Pills? Birth control pills help keep you ...

  15. Screening Tests for Birth Defects

    Science.gov (United States)

    ... Advocacy For Patients About ACOG Screening Tests for Birth Defects Home For Patients Search FAQs Screening Tests ... FAQ165, April 2014 PDF Format Screening Tests for Birth Defects Pregnancy What is a birth defect? What ...

  16. Evolution of the Birth Plan

    OpenAIRE

    Kaufman, Tamara

    2007-01-01

    Many birth professionals are discarding the birth plan as an outdated and ineffectual document. This column discusses the past limitations and present uses of the birth plan in an effort to enhance current teaching on how expectant parents can write and use this important document. Encouraging expectant parents to prepare two separate, but corresponding, birth plans—the “Discussion Birth Plan” and the “Hospital Birth Plan”—is proposed. Teaching suggestions and possible implications are explor...

  17. Control selection and participation in an ongoing, population-based, case-control study of birth defects: the National Birth Defects Prevention Study.

    Science.gov (United States)

    Cogswell, Mary E; Bitsko, Rebecca H; Anderka, Marlene; Caton, Alissa R; Feldkamp, Marcia L; Hockett Sherlock, Stacey M; Meyer, Robert E; Ramadhani, Tunu; Robbins, James M; Shaw, Gary M; Mathews, T J; Royle, Marjorie; Reefhuis, Jennita

    2009-10-15

    To evaluate the representativeness of controls in an ongoing, population-based, case-control study of birth defects in 10 centers across the United States, researchers compared 1997-2003 birth certificate data linked to selected controls (n = 6,681) and control participants (n = 4,395) with those from their base populations (n = 2,468,697). Researchers analyzed differences in population characteristics (e.g., percentage of births at > or =2,500 g) for each group. Compared with their base populations, control participants did not differ in distributions of maternal or paternal age, previous livebirths, maternal smoking, or diabetes, but they did differ in other maternal (i.e., race/ethnicity, education, entry into prenatal care) and infant (i.e., birth weight, gestational age, and plurality) characteristics. Differences in distributions of maternal, but not infant, characteristics were associated with participation by selected controls. Absolute differences in infant characteristics for the base population versus control participants were controls from hospitals compared with centers that selected controls from electronic birth certificates. These findings suggest that control participants in the National Birth Defects Prevention Study generally are representative of their base populations. Hospital-based control selection may slightly underascertain infants affected by certain adverse birth outcomes.

  18. Birthing postures and birth canal lacerations.

    Science.gov (United States)

    Suzuki, Shunji

    2017-05-01

    This study was performed to assess the differences in the birth canal lacerations following the lateral and fours posture deliveries compared with those following the supine posture deliveries. We examined the birth canal lacerations of our "low risk" pregnant women under the midwife-led delivery care at Japanese Red Cross Katsushika Maternity Hospital between April 2006 and March 2015. There were 3826, 1754 and 719 women who delivered with supine, lateral and fours postures. The rate of no laceration in the women who delivered with lateral posture was significant lower than that in the women who delivered with supine posture (OR 0.630, 95% CI 0.56-0.71, p < 0.01); however, the incidence of perineal laceration in the women who delivered with lateral posture was significant lower than that in the women who delivered with supine posture (OR 0.856, 95% CI 0.76-0.90, p < 0.01). The incidence of perineal laceration of third- or fourth-degree in the women who delivered with fours posture was significant higher than that in the women who delivered with supine posture (OR 2.28, 95% CI 1.2-4.2, p < 0.01). The current results may be to help for self-determination of birthing postures in prenatal women.

  19. Recovering from Birth

    Science.gov (United States)

    ... Know your pregnancy rights Getting ready for baby Birthing, breastfeeding, and parenting classes Breastfeeding Circumcision Health care for baby Making your home safe for baby Last-minute to-dos Childbirth ...

  20. Labor and Birth

    Science.gov (United States)

    ... Know your pregnancy rights Getting ready for baby Birthing, breastfeeding, and parenting classes Breastfeeding Circumcision Health care for baby Making your home safe for baby Last-minute to-dos Childbirth ...

  1. Contraception and Birth Control

    Science.gov (United States)

    ... NICHD Research Information Find a Study More Information Pharmacology Condition Information NICHD Research Information Find a Study ... discuss birth control methods with one’s sexual partner. General methods of contraception include: Barrier —physically interferes with ...

  2. Preterm Labor and Birth

    Science.gov (United States)

    ... NICHD Research Information Find a Study More Information Pharmacology Condition Information NICHD Research Information Find a Study ... Pinterest Email Print Preterm Labor and Birth In general, a normal human pregnancy lasts about 40 weeks, ...

  3. Birth Control Patch

    Science.gov (United States)

    ... Things That Help Feelings Expert Answers Q&A Movies & More for Teens Teens site Sitio para adolescentes ... and effective method of birth control. Most young women who use the patch have no side effects. ...

  4. Hypnotherapy for birth.

    Science.gov (United States)

    Howell, Maggie

    2014-05-01

    There are many misunderstandings about hypnotherapy for birth and how best to support a woman who has chosen to use it. This article brings together experiences of midwives who have attended women in labour using hypnotherapy, and aims to help birth professionals understand a bit more about hypnotherapy and how they can best support women who are using it. It is a personal account from a hypnotherapy trainer reflecting on her encounters with midwives as they share experiences of observing hypnotherapy in action.

  5. Influence of birth weight on differences in infant mortality by social class and legitimacy.

    Science.gov (United States)

    Leon, D A

    1991-01-01

    OBJECTIVE--To investigate the influence of birth weight on the pronounced social class differences in infant mortality in Britain. DESIGN--Analysis of routine data on births and infant deaths. SETTING--England and Wales. SUBJECTS--All live births and infant deaths, 1983-5. MAIN OUTCOME MEASURE--Mortality in infants by social class, birth weight, and legitimacy according to birth and death certificates. RESULTS--Neonatal and postneonatal mortality (deaths/1000 births) increased with social class. Neonatal and postneonatal mortality was 4.2/1000 and 2.3/1000 respectively for social class I and 6.8/1000 and 5.6/1000 respectively for social class V. Mortality was lower among births registered within marriage (postneonatal 3.5/1000; neonatal 5.2/1000) than among those jointly registered outside marriage (5.1/1000; 6.4/1000); mortality was highest in those solely registered outside marriage (7.2/1000; 7.0/1000). For neonatal mortality the effect of social class varied with birth weight. Social class had little effect on neonatal mortality in low birthweight babies and increasing effect in heavier babies. For postneonatal mortality the effect of social class was similar for all birth weights and was almost as steep as for all birth weights combined. CONCLUSION--Birth weight mediates little of the effect of social class on postneonatal mortality. PMID:1954421

  6. Arsenic in drinking water and adverse birth outcomes in Ohio.

    Science.gov (United States)

    Almberg, Kirsten S; Turyk, Mary E; Jones, Rachael M; Rankin, Kristin; Freels, Sally; Graber, Judith M; Stayner, Leslie T

    2017-08-01

    Arsenic in drinking water has been associated with adverse reproductive outcomes in areas with high levels of naturally occurring arsenic. Less is known about the reproductive effects of arsenic at lower levels. This research examined the association between low-level arsenic in drinking water and small for gestational age (SGA), term low birth weight (term LBW), very low birth weight (VLBW), preterm birth (PTB), and very preterm birth (VPTB) in the state of Ohio. Exposure was defined as the mean annual arsenic concentration in drinking water in each county in Ohio from 2006 to 2008 using Safe Drinking Water Information System data. Birth outcomes were ascertained from the birth certificate records of 428,804 births in Ohio from the same time period. Multivariable generalized estimating equation logistic regression models were used to assess the relationship between arsenic and each birth outcome separately. Sensitivity analyses were performed to examine the roles of private well use and prenatal care utilization in these associations. Arsenic in drinking water was associated with increased odds of VLBW (AOR 1.14 per µg/L increase; 95% CI 1.04, 1.24) and PTB (AOR 1.10; 95% CI 1.06, 1.15) among singleton births in counties where water was positively associated with VLBW and PTB in a population where nearly all (>99%) of the population was exposed under the current maximum contaminant level of 10µg/L. Current regulatory standards may not be protective against reproductive effects of prenatal exposure to arsenic. Copyright © 2017 Elsevier Inc. All rights reserved.

  7. Socioeconomic position in early life, birth weight, childhood cognitive function, and adult mortality

    DEFF Research Database (Denmark)

    Osler, M; Andersen, A-M N; Due, P

    2003-01-01

    OBJECTIVE: To examine the relation between socioeconomic position in early life and mortality in young adulthood, taking birth weight and childhood cognitive function into account. DESIGN: A longitudinal study with record linkage to the Civil Registration System and Cause of Death Registry....... The data were analysed using Cox regression. SETTING: The metropolitan area of Copenhagen, Denmark. SUBJECTS: 7493 male singletons born in 1953, who completed a questionnaire with various cognitive measures, in school at age 12 years, and for whom birth certificates with data on birth and parental...

  8. Renewable Energy Certificate Program

    Energy Technology Data Exchange (ETDEWEB)

    Gwendolyn S. Andersen

    2012-07-17

    This project was primarily to develop and implement a curriculum which will train undergraduate and graduate students at the University seeking a degree as well as training for enrollees in a special certification program to prepare individuals to be employed in a broad range of occupations in the field of renewable energy and energy conservation. Curriculum development was by teams of Saint Francis University Faculty in the Business Administration and Science Departments and industry experts. Students seeking undergraduate and graduate degrees are able to enroll in courses offered within these departments which will combine theory and hands-on training in the various elements of wind power development. For example, the business department curriculum areas include economic modeling, finance, contracting, etc. The science areas include meteorology, energy conversion and projection, species identification, habitat protection, field data collection and analysis, etc.

  9. 12 CFR 561.9 - Certificate account.

    Science.gov (United States)

    2010-01-01

    ... 12 Banks and Banking 5 2010-01-01 2010-01-01 false Certificate account. 561.9 Section 561.9 Banks... 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 minimum term. ...

  10. Ethics and "normal birth".

    Science.gov (United States)

    Lyerly, Anne Drapkin

    2012-12-01

    The concept of "normal birth" has been promoted as ideal by several international organizations, although debate about its meaning is ongoing. In this article, I examine the concept of normalcy to explore its ethical implications and raise a trio of concerns. First, in its emphasis on nonuse of technology as a goal, the concept of normalcy may marginalize women for whom medical intervention is necessary or beneficial. Second, in its emphasis on birth as a socially meaningful event, the mantra of normalcy may unintentionally avert attention to meaning in medically complicated births. Third, the emphasis on birth as a normal and healthy event may be a contributor to the long-standing tolerance for the dearth of evidence guiding the treatment of illness during pregnancy and the failure to responsibly and productively engage pregnant women in health research. Given these concerns, it is worth debating not just what "normal birth" means, but whether the term as an ideal earns its keep. © 2012, Copyright the Authors Journal compilation © 2012, Wiley Periodicals, Inc.

  11. Birth Order and Child Health

    OpenAIRE

    Lundberg, Evelina; Svaleryd, Helena

    2017-01-01

    Previous research has established that birth order affects outcomes such as educational achievements, IQ and earnings. The mechanisms behind these effects are, however, still largely unknown. In this paper, we examine birth-order effects on health, and whether health at young age could be a transmission channel for birth-order effects observed later in life. We find no support for the birth-order effect having a biological origin; rather firstborns have worse health at birth. This disadvantag...

  12. Prevention of preterm birth.

    LENUS (Irish Health Repository)

    Flood, Karen

    2012-02-01

    Preterm birth (delivery before 37 completed weeks of gestation) is common and rates are increasing. In the past, medical efforts focused on ameliorating the consequences of prematurity rather than preventing its occurrence. This approach resulted in improved neonatal outcomes, but it remains costly in terms of both the suffering of infants and their families and the economic burden on society. Increased understanding of the pathophysiology of preterm labor has altered the approach to this problem, with increased focus on preventive strategies. Primary prevention is a limited strategy which involves public education, smoking cessation, improved nutritional status and avoidance of late preterm births. Secondary prevention focuses on recurrent preterm birth which is the most recognisable risk factor. Widely accepted strategies include cervical cerclage, progesterone and dedicated clinics. However, more research is needed to explore the role of antibiotics and anti-inflammatory treatments in the prevention of this complex problem.

  13. Birth room images

    DEFF Research Database (Denmark)

    Bowden, Calida; Sheehan, Athena; Foureur, Maralyn Jean

    2016-01-01

    and implications for practice: as images on the Internet inform and persuade society about stereotypical behaviours, the trends of our time and sociocultural norms, it is important to recognise images of the technological birth room on the Internet may be influential in dictating women's attitudes, choices......Objective: this study examined images of birth rooms in developed countries to analyse the messages and visual discourse being communicated through images. Design: a small qualitative study using Kress and van Leeuwen's (2006) social semiotic theoretical framework for image analysis, a form...... of discourse analysis. Setting/participants: forty images of birth rooms were collected in 2013 from Google Images, Flickr, Wikimedia Commons and midwifery colleagues. The images were from obstetric units, alongside and freestanding midwifery units located in developed countries (Australia, Canada, Europe, New...

  14. Genomics of Preterm Birth

    Science.gov (United States)

    Swaggart, Kayleigh A.; Pavlicev, Mihaela; Muglia, Louis J.

    2015-01-01

    The molecular mechanisms controlling human birth timing at term, or resulting in preterm birth, have been the focus of considerable investigation, but limited insights have been gained over the past 50 years. In part, these processes have remained elusive because of divergence in reproductive strategies and physiology shown by model organisms, making extrapolation to humans uncertain. Here, we summarize the evolution of progesterone signaling and variation in pregnancy maintenance and termination. We use this comparative physiology to support the hypothesis that selective pressure on genomic loci involved in the timing of parturition have shaped human birth timing, and that these loci can be identified with comparative genomic strategies. Previous limitations imposed by divergence of mechanisms provide an important new opportunity to elucidate fundamental pathways of parturition control through increasing availability of sequenced genomes and associated reproductive physiology characteristics across diverse organisms. PMID:25646385

  15. What factors are related to recurrent preterm birth among underweight women?

    Science.gov (United States)

    Girsen, Anna I; Mayo, Jonathan A; Wallenstein, Matthew B; Gould, Jeffrey B; Carmichael, Suzan L; Stevenson, David K; Lyell, Deirdre J; Shaw, Gary M

    2018-03-01

    Our objective was to identify factors associated with recurrent preterm birth among underweight women. Maternally linked hospital and birth certificate records of deliveries in California between 2007 and 2010 were used. Consecutive singleton pregnancies of women with underweight body mass index (BMI preterm; preterm-term and preterm-preterm. We analyzed 4971 women with underweight BMI in the first pregnancy. Of these, 670 had at least one preterm birth. Among these 670, 86 (21.8%) women experienced a recurrent preterm birth. Odds for first term - second preterm birth were decreased for increases in maternal age (aOR: 0.90, 95%CI: 0.95-0.99) whereas inter-pregnancy interval preterm birth (aOR:1.66, 95%CI: 1.21-2.28) and first preterm birth - second term birth (aOR: 1.43, 95%CI: 1.04-1.96). Factors associated with recurrent preterm birth were: negative or no change in pre-pregnancy weight between pregnancies (aOR: 1.67, 95%CI: 1.07-2.60), inter-pregnancy interval preterm birth among underweight women was associated with younger age, short inter-pregnancy interval, and negative or no weight change between pregnancies.

  16. Cerebral oxygenation after birth

    DEFF Research Database (Denmark)

    Hessel, Trine W; Hyttel-Sorensen, Simon; Greisen, Gorm

    2014-01-01

    AIM: To compare absolute values of regional cerebral tissue oxygenation (cStO2 ) during haemodynamic transition after birth and repeatability during steady state for two commercial near-infrared spectroscopy (NIRS) devices. METHODS: In a prospective observational study, the INVOS 5100C and FORE......: The INVOS and FORE-SIGHT cStO2 estimates showed oxygenation-level-dependent difference during birth transition. The better repeatability of FORE-SIGHT could be due to the lower response to change in saturation....

  17. Developing an interdisciplinary certificate program in transportation planning, phase 2 : the eCertificate.

    Science.gov (United States)

    2011-11-01

    This proposal extends the delivery of the recently developed graduate Certificate in Transportation : Planning to a wider audience through the establishment of an Executive Certificate Program by distance : (eCertificate). While the need for an inter...

  18. The Work of Inscription: Antenatal Care, Birth Documents, and Shan Migrant Women in Chiang Mai.

    Science.gov (United States)

    Seo, Bo Kyeong

    2017-12-01

    For transnational migrant populations, securing birth documents of newly born children has crucial importance in avoiding statelessness for new generations. Drawing on discussions of sovereignty and political subjectivization, I ask how the fact of birth is constituted in the context of transnational migration. Based on ethnographic data collected from an antenatal clinic in Thailand, this article describes how Shan migrant women from Myanmar (also known as Burma) utilize reproductive health services as a way of assuring a safe birth while acquiring identification documents. Paying close attention to technologies of inscription adopted for maternal care and birth registration, I argue that enacting bureaucratic documents offers a chance for migrant women to bridge the interstice between human and citizen. Birth certificates for migrant children, while embodying legal ambiguity and uncertainty, epitomize non-citizen subjects' assertion of their political relationship with the state. © 2016 by the American Anthropological Association.

  19. Birth Order Debate Resolved?

    Science.gov (United States)

    Zajonc, R. B.

    2001-01-01

    Critiques Rodgers et al.'s June 2000 research on the relation between birth order and intelligence, which suggests that it is a methodological illusion. Explains how the intellectual environment and the teaching function (whereby older children tutor younger ones) contribute to the growth of intellectual maturity, the first negatively and the…

  20. Finding Autonomy in Birth*

    Science.gov (United States)

    Kukla, Rebecca; Kuppermann, Miriam; Little, Margaret; Lyerly, Anne Drapkin; Mitchell, Lisa M; Armstrong, Elizabeth M.; Harris, Lisa

    2009-01-01

    Over the last several years, as cesarean deliveries have grown increasingly common, there has been a great deal of public and professional interest in the phenomenon of women ‘choosing’ to deliver by cesarean section in the absence of any specific medical indication. The issue has sparked intense conversation, as it raises questions about the nature of autonomy in birth. Whereas mainstream bioethical discourse is used to associating autonomy with having a large array of choices, this conception of autonomy does not seem adequate to capture concerns and intuitions that have a strong grip outside of this discourse. An empirical and conceptual exploration of how delivery decisions ought to be negotiated must be guided by a rich understanding of women’s agency and its placement within a complicated set of cultural meanings and pressures surrounding birth. It is too early to be ‘for’ or ‘against’ women’s access to cesarean delivery in the absence of traditional medical indications - and indeed, a simple pro- or con- position is never going to do justice to the subtlety of the issue. The right question is not whether women ought to be allowed to choose their delivery approach, but rather, taking the value of women’s autonomy in decision-making around birth as a given, what sorts of guidelines, practices, and social conditions will best promote and protect women’s full inclusion in a safe and positive birth process. PMID:19076937

  1. Better Births Initiative

    African Journals Online (AJOL)

    Ensuring that health professionals practise according to evidence-based standards is important since it affects the quality and cost of care patients receive. The purpose of this research was to use a focused change programme (the Better Births Initiative) to influence obstetric practice at 10 hospitals in Gauteng, South Africa.

  2. The European heir certificate

    Directory of Open Access Journals (Sweden)

    D. G. IONAŞ

    2016-11-01

    Full Text Available Opening the borders of member states and the circulation of all citizens within the European states resulted in succession procedures with foreign elements. In this context, the following question arose: which law will apply in the case of a succession procedure of a citizen who used to live in a state without having the citizenship of that state, but also when the inheritance contains goods that are located on the territory of another state? In order to unify European law and to avoid discriminatory treatment, these situations had to be regulated by a document which would apply throughout the entire European Union. That is why, starting with August 15th, 2015, The European Union enforced EU Regulation no 650 of July 4th, 20012, of the European Parliament and the Council regarding the competence, the applicable law, the acknowledgement and the execution of legal sentences and the acceptance and performance of authentic documents in regard to succession and the creation of a European heir certificate.

  3. Births: Final Data for 2012

    Science.gov (United States)

    ... characteristics. Data are presented for maternal age, live-birth order, race and Hispanic origin, marital status, attendant at ... and fertility rates are presented by age, live-birth order, race and Hispanic origin, and marital status. Selected ...

  4. Birth control - slow release methods

    Science.gov (United States)

    ... this page: //medlineplus.gov/ency/article/007555.htm Birth control - slow release methods To use the sharing features on this page, please enable JavaScript. Certain birth control methods contain man-made forms of hormones. ...

  5. Screening for spontaneous preterm birth

    NARCIS (Netherlands)

    van Os, M.A.; van Dam, A.J.E.M.

    2015-01-01

    Preterm birth is the most important cause of perinatal morbidity and mortality worldwide. In this thesis studies on spontaneous preterm birth are presented. The main objective was to investigate the predictive capacity of mid-trimester cervical length measurement for spontaneous preterm birth in a

  6. AutoCAD 2014 review for certification official certification preparation

    CERN Document Server

    ASCENT center for technical knowledge

    2014-01-01

    The AutoCAD® 2014 Review for Certification book is intended for users of AutoCAD® preparing to complete the AutoCAD 2014 Certified Professional exam. This book contains a collection of relevant instructional topics, practice exercises, and review questions from the Autodesk Official Training Guides (AOTG) from ASCENT - Center for Technical Knowledge pertaining specifically to the Certified Professional exam topics and objectives. This book is intended for experienced users of AutoCAD in preparation for certification. New users of AutoCAD should refer to the AOTG training guides from ASCENT, such as AutoCAD/AutoCAD LT 2014 Fundamentals, for more comprehensive instruction.

  7. New Delhi Birth Cohort

    Indian Academy of Sciences (India)

    First page Back Continue Last page Overview Graphics. New Delhi Birth Cohort. In childhood Less than 1% were obese (IOTF 30 kg/m2). Mean BMI SD ranged from –0.4 to –1.0 (CDC). At 26-32 years 10% were obese (BMI >30 kg/m2). ~50% overweight (BMI > 25 kg/m2);. ~65% overweight (BMI > 23 kg/m2). 10% had IGT.

  8. Birth defects surveillance in China.

    Science.gov (United States)

    Dai, Li; Zhu, Jun; Liang, Juan; Wang, Yan-Ping; Wang, He; Mao, Meng

    2011-11-01

    Birth defects are a global public health problem because of their large contribution to infant mortalities and disabilities. It is estimated that 4%-6% of Chinese newborns are affected by birth defects every year. Surveillance is a basic approach to understanding the occurrence and associated factors of birth defects. The Ministry of Health of China initiated a national hospital-based birth defects monitoring system 20 years ago. Nearly every province in this country has established its own surveillance system in the past. The authors reviewed the result of the monitoring system at different administrative levels in China. Available publications on the surveillance of birth defects and data from national and provincial birth defects surveillance systems were reviewed to evaluate the effectiveness of the surveillance systems. According to the 2009 data, the national hospital-based birth defects surveillance system monitored over 1.3 million births, which accounted for more than 8% of births in China. In addition, 30 provincial hospital-based surveillance programs covered a birth population of more than 3.6 million (22% of births in China). Great achievements have been made in terms of case ascertainment, data quality control, and online reporting. But the surveillance systems in China still have some limitations. A short ascertainment period may miss some internal anomalies, inherited metabolic diseases, and malformed fetus aborted before the 28th gestational week. Discrepancies in antenatal or postnatal diagnosis of birth defects between surveillance institutes may affect the detection rate and introduce biases. Absence of baseline data and lack of integrated database systems limit the application of surveillance data to etiological studies and affect the process of decision-making. The surveillance system for birth defects is prerequisite to propose, conduct and assess any interventions for the disease. To meet the need of study and prevention of birth defects

  9. Creating advanced health informatics certification.

    Science.gov (United States)

    Gadd, Cynthia S; Williamson, Jeffrey J; Steen, Elaine B; Fridsma, Douglas B

    2016-07-01

    In 2005, AMIA leaders and members concluded that certification of advanced health informatics professionals would offer value to individual practitioners, organizations that hire them, and society at large. AMIA's work to create advanced informatics certification began by leading a successful effort to create the clinical informatics subspecialty for American Board of Medical Specialties board-certified physicians. Since 2012, AMIA has been working to establish advanced health informatics certification (AHIC) for all health informatics practitioners regardless of their primary discipline. In November 2015, AMIA completed the first of 3 key tasks required to establish AHIC, with the AMIA Board of Directors' endorsement of proposed eligibility requirements. This AMIA Board white paper describes efforts to establish AHIC, reports on the current status of AHIC components, and provides a context for the proposed AHIC eligibility requirements. © The Author 2016. Published by Oxford University Press on behalf of the American Medical Informatics Association. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

  10. 77 FR 46677 - Vehicle Certification; Contents of Certification Labels

    Science.gov (United States)

    2012-08-06

    ... each axle, the vehicle type classification (e.g., passenger car, multipurpose passenger vehicle, truck... passenger car certification label must contain the statement: ``This vehicle conforms to all applicable..., respectively, to passenger cars, multipurpose passenger vehicles (MPVs) and trucks with a GVWR of 6,000 pounds...

  11. 40 CFR 82.161 - Technician certification.

    Science.gov (United States)

    2010-07-01

    ... shall address the subject areas listed in appendix D. (c) Program Approval. Persons may seek approval of... the closed-book certification exam, within 30 days. Programs providing Type I certification using the... percent or higher on the certification exam, no later than 30 days after the program has received the exam...

  12. Certification and the Branding of HRD

    Science.gov (United States)

    Carliner, Saul

    2012-01-01

    Although calls continue to establish certification, several certifications for human resource development (HRD) practitioners already exist, although none use the name HRD. This Forum explores what those certification programs are and what their availability means to the development of the HRD "brand" (the impressions of the service derived from…

  13. Modeling landowner behavior regarding forest certification

    Science.gov (United States)

    David C. Mercker; Donald G. Hodges

    2008-01-01

    Nonindustrial private forest owners in western Tennessee were surveyed to assess their awareness, acceptance, and perceived benefits of forest certification. More than 80 percent of the landowners indicated a willingness to consider certification for their lands. A model was created to explain landowner behavior regarding their willingness to consider certification....

  14. 40 CFR 1043.40 - EIAPP certificates.

    Science.gov (United States)

    2010-07-01

    ... 40 Protection of Environment 32 2010-07-01 2010-07-01 false EIAPP certificates. 1043.40 Section 1043.40 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR POLLUTION CONTROLS... § 1043.40 EIAPP certificates. (a) Engine manufacturers seeking EIAPP certificates for new engines to be...

  15. 49 CFR 380.401 - Certification document.

    Science.gov (United States)

    2010-10-01

    ... 49 Transportation 5 2010-10-01 2010-10-01 false Certification document. 380.401 Section 380.401 Transportation Other Regulations Relating to Transportation (Continued) FEDERAL MOTOR CARRIER SAFETY... REQUIREMENTS Driver-Training Certification § 380.401 Certification document. (a) A student who successfully...

  16. 46 CFR 109.439 - Crane certificates.

    Science.gov (United States)

    2010-10-01

    ... 46 Shipping 4 2010-10-01 2010-10-01 false Crane certificates. 109.439 Section 109.439 Shipping... Reports, Notifications, and Records Records § 109.439 Crane certificates. The master or person in charge shall insure that the following certificates and records for each crane are maintained on the unit: (a...

  17. 40 CFR 85.1406 - Certification.

    Science.gov (United States)

    2010-07-01

    ... POLLUTION FROM MOBILE SOURCES Urban Bus Rebuild Requirements § 85.1406 Certification. (a) Certification... provide some level of particulate emission reduction, and will not cause the urban bus engine to fail to... urban bus engines. (c) Test equipment selection. Certification shall be based upon tests utilizing...

  18. 7 CFR 29.27 - Certificate.

    Science.gov (United States)

    2010-01-01

    ... 7 Agriculture 2 2010-01-01 2010-01-01 false Certificate. 29.27 Section 29.27 Agriculture Regulations of the Department of Agriculture AGRICULTURAL MARKETING SERVICE (Standards, Inspections, Marketing... INSPECTION Regulations Definitions § 29.27 Certificate. A certificate issued under the Act and the...

  19. 9 CFR 98.14 - Health certificate.

    Science.gov (United States)

    2010-01-01

    ... attached to the health certificate. (d) The health certificate accompanying sheep or goat embryos intended... EMBRYOS AND ANIMAL SEMEN Ruminant and Swine Embryos From Regions Where Rinderpest or Foot-and-Mouth Disease Exists § 98.14 Health certificate. (a) Ruminant and swine embryos shall not be imported into the...

  20. Assimilation and Health: Evidence From Linked Birth Records of Second- and Third-Generation Hispanics.

    Science.gov (United States)

    Giuntella, Osea

    2016-12-01

    This study explores the effects of assimilation on the health of Hispanics in the United States, using ethnic intermarriage as a metric of acculturation. I exploit a unique data set of linked confidential use birth records in California and Florida from 1970-2009. The confidential data allow me to link mothers giving birth in 1989-2009 to their own birth certificate records in 1970-1985 and to identify second-generation siblings. Thus, I can analyze the relationship between the parental exogamy of second-generation Hispanic women and the birth outcomes of their offspring controlling for grandmother fixed effects as well as indicators for second generation's birth weight. Despite their higher socioeconomic status, third-generation children of second-generation intermarried Hispanic women are more likely to have poor health at birth, even after I account for second-generation health at birth and employ only within-family variations in the extent of assimilation. I find that a second-generation Hispanic woman married to a non-Hispanic man is 9 % more likely to have a child with low birth weight relative to a second-generation woman married to another Hispanic. These results largely reflect the higher incidence of risky behaviors (e.g., smoking during pregnancy) among intermarried Hispanic women.

  1. Birth weight and stuttering: Evidence from three birth cohorts.

    Science.gov (United States)

    McAllister, Jan; Collier, Jacqueline

    2014-03-01

    Previous studies have produced conflicting results with regard to the association between birth weight and developmental stuttering. This study sought to determine whether birth weight was associated with childhood and/or adolescent stuttering in three British birth cohort samples. Logistic regression analyses were carried out on data from the Millenium Cohort Study (MCS), British Cohort Study (BCS70) and National Child Development Study (NCDS), whose initial cohorts comprised over 56,000 individuals. The outcome variables were parent-reported stuttering in childhood or in adolescence; the predictors, based on prior research, were birth weight, sex, multiple birth status, vocabulary score and mother's level of education. Birth weight was analysed both as a categorical variable (low birth weight, stuttering during childhood (age 3, 5 and 7 and MCS, BCS70 and NCDS, respectively) or at age 16, when developmental stuttering is likely to be persistent. None of the multivariate analyses revealed an association between birth weight and parent-reported stuttering. Sex was a significant predictor of stuttering in all the analyses, with males 1.6-3.6 times more likely than females to stutter. Our results suggest that birth weight is not a clinically useful predictor of childhood or persistent stuttering. Copyright © 2013 Elsevier Inc. All rights reserved.

  2. Environmental certificate to Salmisaari plants

    International Nuclear Information System (INIS)

    Kinnunen, L.

    2001-01-01

    SFS-EN ISO 14001 certificate has been granted in October 2nd 2000 to the environmental systems of Salmisaari power plant area owned by Helsinki Energia. The certificate cowers power and district heat generation at the power plants of the Salmisaari area. The certified system will be used as the basis for the future environmental work. Salmisaari B is a combined heat and power plant, and Salmisaari A is a boiler plant generating district heat for use in winter. Both plants use coal as main fuel. Dusts and sulphur compounds are removed from the flue gases formed in combustion in desulphurisation plant. Development of the environmental system started in autumn 1997 by excursion to acquaint the environmental system of the Rauhalahti power plant. Development work started in spring 1998. External evaluations and the recording of the present situation by DNV (Det Norske Veritas) consulting services were carried out at the end of 1999. The inspection of the management was carried out in the beginning of 2000 and the auditing was made in May 2000. Auditing showed about ten faults or lacks in the system, which were repaired. DNV Certification Oy/AB carried out the certification. Certification granted in the beginning of October 2000, covers power and district heat generation of the Salmisaari plants, as well as all the operations and systems, such as power station, underground oil storages, coal storage and the Tammasaari coal and oil unloading docks and Kellosaari power plants, connected to them. Desulphurisation plant of Salmisaari has operated since 1987, and NO x emissions have been reduced since 1991 by improved coal combustion system. In Hanasaari power plant the combustion technology was renewed during reduction of NO x emissions in 1994

  3. The Birth of Matter

    CERN Multimedia

    2005-01-01

    To mark the World Year of Physics, the Physics Section of the University of Geneva is organising a series of lectures for the uninitiated. Each lecture will begin with a demonstration in the auditorium of the detection of cosmic rays and, in collaboration with Professor E. Ellberger of the Conservatoire de Musique de Genève, of how these signals from the farthest reaches of the Universe can be used to create 'cosmic music'. The fourth lecture in the series, entitled 'The Birth of Matter', will take place on Tuesday 3 May 2005 and will be given by CERN's theoretical physicist, John Ellis. Where does matter come from? Where do the structures that surround us, such as galaxies, come from? Are we living in a world of invisible matter? Why is the universe so old and so big? John Ellis will show how elementary particle physics and, in particular, the LHC under construction at CERN, can answer these questions. The Birth of Matter Professor John Ellis Tuesday 3 May, starting 8.00 p.m. Main Auditorium...

  4. The Birth of Matter

    CERN Multimedia

    2005-01-01

    To mark the World Year of Physics, the Physics Section of the University of Geneva is organising a series of lectures for the uninitiated. Each lecture will begin with a demonstration in the auditorium of the detection of cosmic rays and, in collaboration with Professor E. Ellberger of the Conservatoire de Musique de Genève, of how these signals from the farthest reaches of the Universe can be used to create "cosmic music". The fourth lecture in the series, entitled "The Birth of Matter", will take place on Tuesday 3 May 2005 and will be given by CERN's theoretical physicist, John Ellis. Where does matter come from? Where do the structures that surround us, such as galaxies, come from? Are we living in a world of invisible matter? Why is the universe so old and so big? John Ellis will show how elementary particle physics and, in particular, the LHC under construction at CERN, can answer these questions. The Birth of Matter Professor John Ellis Tuesday 3 May, starting 8.00 p.m. Main Audito...

  5. The birth of joseph gabriel.

    Science.gov (United States)

    Cantine, Anne Touhill

    2013-01-01

    In this column, a mother shares the story of the birth of her first child. With confidence in the process of birth and in her ability to give birth, and with the support, confidence, and encouragement of her mother and sisters, Anne manages to cope with strong contractions through a busy day. Finally, her husband realizes how fast labor is progressing. Baby Joseph was born less than 2 hours after arrival at the hospital.

  6. Roentgenodiagnosis of vertebrae birth injury

    International Nuclear Information System (INIS)

    Mikhajlov, M.K.

    1983-01-01

    Birth injuries of vertebrae and spinal cord is the new problem of child neutropathology. Basic roentgenological symptoms of birth injuries of vertebrae and spinal cord of different localizations have been described for the first time. These data are compared with neurological, electrophysiological, and Morphological data, that enables not only to describe each symptom, but also to evaluate its clinical significance. Roeptgenological classification of birth injuries of vertebrae and spinal cord in children is suggested

  7. Trends and Disparities Among Diabetes-Complicated Births in Minnesota, 1993–2003

    Science.gov (United States)

    Devlin, Heather M.; Desai, Jay; Holzman, Gregory S.; Gilbertson, David T.

    2008-01-01

    We used Minnesota birth certificate data from 1993–2003 to test 2 hypotheses: rates of diabetes-complicated pregnancy are increasing, and disparities between more and less socially advantaged groups are widening. Significant increases occurred in rates (per 1000 live births) of prepregnancy and gestational diabetes mellitus (from 2.6 to 4.9 and 25.6 to 34.8, respectively). Increases were significant in all demographic groups except gestational diabetes among American Indian mothers, and disparities worsened among all groups. Targeted interventions and surveillance improvements are needed. PMID:18048797

  8. Predictors and birth outcomes: An investigation of birth and ...

    African Journals Online (AJOL)

    Objective: Birth and emergency preparedness is a safe motherhood strategy which encourages early decision making and minimizes delays in health care seeking in the event of obstetric complications. The aim of this study was to determine individual level factors influencing birth and emergency preparedness. Methods: A ...

  9. Birth order and myopia.

    Science.gov (United States)

    Guggenheim, Jeremy A; McMahon, George; Northstone, Kate; Mandel, Yossi; Kaiserman, Igor; Stone, Richard A; Lin, Xiaoyu; Saw, Seang Mei; Forward, Hannah; Mackey, David A; Yazar, Seyhan; Young, Terri L; Williams, Cathy

    2013-12-01

    An association between birth order and reduced unaided vision (a surrogate for myopia) has been observed previously. We examined the association between birth order and myopia directly in four subject groups. Subject groups were participants in (1) the Avon Longitudinal Study of Parents and Children (ALSPAC; UK; age 15 years; N = 4401), (2) the Singapore Cohort Study of Risk Factors for Myopia (SCORM; Singapore; age 13 years; N = 1959), (3) the Raine Eye Health Study (REHS; Australia; age 20 years; N = 1344), and (4) Israeli Defense Force Pre-recruitment Candidates (IDFC; Israel; age 16-22 years; N = 888,277). The main outcome was odds ratios (OR) for myopia in first-born versus non-first-born individuals after adjusting for potential risk factors. The prevalence of myopia was numerically higher in first-born versus non-first-born individuals in all study groups, but the strength of evidence varied widely. Adjusted ORs (95% confidence intervals, CIs) were: ALSPAC, 1.31 (1.05-1.64); SCORM, 1.25 (0.89-1.77); REHS, 1.18 (0.90-1.55); and IDFC, 1.04 (1.03-1.06). In the large IDFC sample, the effect size was greater (a) for the first-born versus fourth- or higher-born comparison than for the first-born versus second/third-born comparison (p 4000 participants provided strong statistical support for the association. The available evidence suggested the relationship was independent of established risk factors such as time outdoors/reading, and thus may arise through a different causal mechanism.

  10. In Brief: Science teaching certificate

    Science.gov (United States)

    Showstack, Randy

    2008-11-01

    More than 200 educators will receive fellowships over the next 5 years to participate in NASA's Endeavor Science Teaching Certificate Project, the agency announced on 14 November. Through workshops, online and on-site graduate courses, and NASA educational materials, the project will expose educators to NASA science and engineering and support them in translating the information for use in classrooms. ``Through the program, educators will learn to deliver cutting-edge science into the classroom, promoting science, technology, engineering, and mathematics education,'' according to Joyce Winterton, assistant administrator for education at NASA Headquarters, in Washington, D. C. Project fellows will earn a certificate from Teachers College Innovations at Teachers College, Columbia University, New York, and graduate credit from other institutional partners. For more information, visit http://education.nasa.gov/home/index.html.

  11. Fairtrade certification, conventions and labor

    DEFF Research Database (Denmark)

    Riisgaard, Lone

    2015-01-01

    This chapter explores the potential of Fairtrade in hired labour situations in terms of improving conditions for agricultural workers. The chapter will address various aspects including the contentious issue of Fairtrade and trade union organisation as well as on issues of worker empowerment....... At a local level, analysis focuses on the implications of Fairtrade certification for large enterprises and workers, drawing on a field-based studies of certified flower farms in Ecuador and Kenya....

  12. Maternal employment and birth outcomes

    DEFF Research Database (Denmark)

    Wüst, Miriam

    I use Danish survey and administrative data to examine the impact of maternal employment during pregnancy on birth outcomes. As healthier mothers are more likely to work and health shocks to mothers may impact employment and birth outcomes, I combine two strategies: First, I control extensively f...... explanation, namely, that exclusion from employment may stress mothers in countries with high-female employment rates....

  13. NEONATES (BIRTH – 1 MONTH)

    African Journals Online (AJOL)

    Chantel

    western Johannesburg and also at the. Donald Gordon Medical Centre. Neonatal skin, like the respiratory system, bears the brunt of the extreme change in external environment that characterises birth. NEONATES. 488 CME September 2004 Vol.22 No.9. NEONATES (BIRTH – 1 MONTH). Fig. 1. Café-au-lait macule. Fig. 2.

  14. Birth defects surveillance·

    African Journals Online (AJOL)

    1989-07-01

    Jul 1, 1989 ... A pilot birth defects surveillance system was established in. 1982 as part of an epidemiological baseline study pertaining to potential changes in water quality in the Cape Peninsula. The methodology used for reporting birth defects for two information systems, one hospital-based and the other popu-.

  15. Prediction of Spontaneous Preterm Birth

    NARCIS (Netherlands)

    Dijkstra, Karolien

    2002-01-01

    Preterm birth is a leading cause of neonatal morbidity and mortality. It is a major goal in obstetrics to lower the incidence of spontaneous preterm birth (SPB) and related neonatal morbidity and mortality. One of the principal objectives is to discover early markers that would allow us to identify

  16. 28 CFR 75.9 - Certification of records.

    Science.gov (United States)

    2010-07-01

    ... performers, employed by that person, pursuant to Federal and State tax, labor, and other laws, labor... covered by the certification regime is not disqualified from using the certification regime for materials covered by the certification regime.) (b) Form of certification. The certification shall take the form of...

  17. 46 CFR 126.480 - Safety Management Certificate.

    Science.gov (United States)

    2010-10-01

    ... 46 Shipping 4 2010-10-01 2010-10-01 false Safety Management Certificate. 126.480 Section 126.480... CERTIFICATION Inspection for Certification § 126.480 Safety Management Certificate. (a) All offshore supply... valid Safety Management Certificate and a copy of their company's valid Document of Compliance...

  18. The Medical Prenuptial Certificate in Antioquia (Colombia, 1933-1936

    Directory of Open Access Journals (Sweden)

    Natalia María Gutiérrez Urquijo

    2017-01-01

    Full Text Available Through the requirement of a medical certificate between 1933 and 1936, health authorities in the Colombian Antioquia department sought to regulate the physical and moral conditions of men and women who wanted to marry. The aim of this bureaucratic procedure was to prevent the birth of individuals who may become a burden to the State, and to promote the health and general welfare. Based on reports from physician and municipal health inspectors of the time, this article discusses the way in which this measure was unveiled to the population. It also highlights some of the challenges to enforce it due the disinterest of the Catholic Church, the low presence of physician in areas away from the municipalities, and the lack of infrastructure to carry out the required tests.

  19. Peer Effects and Voluntary Green Building Certification

    Directory of Open Access Journals (Sweden)

    Yueming Qiu

    2016-07-01

    Full Text Available Empirical evidence is provided to show that peer effects have statistically significant and positive impacts on the diffusion of green building certificates. Application and approval records of green certificates by commercial buildings in NY and AZ are used. The challenge of self-selection is addressed by the usage of fixed effects and the challenge of reflection is addressed by the time lag delay between a building’s application and its approval. Empirical results show that an additional approved LEED certificate within a zip code will increase the probability of a commercial building in the same zip code to apply for a LEED certificate by 3–4 percentage points; an additional approved Energy Star certificate within a zip code will increase the probability of a commercial building in the same zip code to apply for an Energy Star certificate by 1–2 percentage points.

  20. Certification of Markets, Markets of Certificates: Tracing Sustainability in Global Agro-Food Value Chains

    NARCIS (Netherlands)

    Mol, A.P.J.; Oosterveer, P.J.M.

    2015-01-01

    There is a blossoming of voluntary certification initiatives for sustainable agro-food products and production processes. With these certification initiatives come traceability in supply chains, to guarantee the sustainability of the products consumed. No systematic analysis exists of traceability

  1. How Would Children Register Their Own Births? Insights from a Survey of Students Regarding Birth Registration Knowledge and Policy Suggestions in Kenya.

    Science.gov (United States)

    Pelowski, Matthew; Wamai, Richard G; Wangombe, Joseph; Nyakundi, Hellen; Oduwo, Geofrey O; Ngugi, Benjamin K; Ogembo, Javier G

    2016-01-01

    Birth registration and obtaining physical birth certificates impose major challenges in developing countries, with impact on child and community health, education, planning, and all levels of development. However despite initiatives, universal registration is elusive, leading to calls for new approaches to understanding the decisions of parents. In this paper, we report results of a survey of students in grades six to eight (age ~12-16) in an under-registered area of Kenya regarding their own understanding of registration issues and their suggestions for improvement. These students were selected because they themselves were also nearing the age for high school enrollment/entrance examinations, which specifically requires possession of a birth certificate. This assessment was also a companion to our previous representative survey of adults in the same Kenyan region, allowing for parent-child comparison. Results supported previous research, showing that only 43% had birth certificates. At the same time, despite these low totals, students were themselves quite aware of registration factors and purposes. The students also made quite prescient sources for understanding their households' motivations, with many of their suggestions-for focus on communication of pragmatic benefits, or automatic measures shifting responsibility from parents-mirroring our own previous suggestions, and showing a level of pragmatism not witnessed when surveying their parents. This paper therefore adds evidence to the discussion of registration policy planning. More generally, it also builds on an important trend regarding the treatment of children as stakeholders and important sources of information, and raising an intriguing new avenue for future research.

  2. How Would Children Register Their Own Births? Insights from a Survey of Students Regarding Birth Registration Knowledge and Policy Suggestions in Kenya.

    Directory of Open Access Journals (Sweden)

    Matthew Pelowski

    Full Text Available Birth registration and obtaining physical birth certificates impose major challenges in developing countries, with impact on child and community health, education, planning, and all levels of development. However despite initiatives, universal registration is elusive, leading to calls for new approaches to understanding the decisions of parents. In this paper, we report results of a survey of students in grades six to eight (age ~12-16 in an under-registered area of Kenya regarding their own understanding of registration issues and their suggestions for improvement. These students were selected because they themselves were also nearing the age for high school enrollment/entrance examinations, which specifically requires possession of a birth certificate. This assessment was also a companion to our previous representative survey of adults in the same Kenyan region, allowing for parent-child comparison. Results supported previous research, showing that only 43% had birth certificates. At the same time, despite these low totals, students were themselves quite aware of registration factors and purposes. The students also made quite prescient sources for understanding their households' motivations, with many of their suggestions-for focus on communication of pragmatic benefits, or automatic measures shifting responsibility from parents-mirroring our own previous suggestions, and showing a level of pragmatism not witnessed when surveying their parents. This paper therefore adds evidence to the discussion of registration policy planning. More generally, it also builds on an important trend regarding the treatment of children as stakeholders and important sources of information, and raising an intriguing new avenue for future research.

  3. Birth of ball lightning

    Science.gov (United States)

    Lowke, J. J.; Smith, D.; Nelson, K. E.; Crompton, R. W.; Murphy, A. B.

    2012-10-01

    Many observations of ball lightning report a ball of light, about 10 cm in diameter, moving at about walking speed, lasting up to 20 s and frequently existing inside of houses and even aeroplanes. The present paper reports detailed observations of the initiation or birth of ball lightning. In two cases, navigation crew of aircraft saw ball lightning form at the windscreen inside the cockpit of their planes. In the first case, the ball lightning occurred during a thunderstorm, with much lightning activity outside of the plane. In the second case, large "horns" of electrical corona were seen outside of the plane at the surface of the radome, just prior to the formation of the ball lightning. A third case reports ball lightning formed inside of a house, during a thunderstorm, at a closed glass window. It is proposed, based on two-dimensional calculations of electron and ion transport, that ball lightning in these cases is driven and formed by atmospheric ions impinging and collecting on the insulating surface of the glass or Perspex windows. This surface charge can produce electric fields inside of the cockpit or room sufficient to sustain an electric discharge. Charges of opposite sign to those outside of the window accumulate on the inside surface of the glass, leaving a ball of net charge moving inside of the cockpit or room to produce a pulsed discharge on a microsecond time scale.

  4. General practitioners' use of sickness certificates.

    Science.gov (United States)

    Roope, Richard; Parker, Gordon; Turner, Susan

    2009-12-01

    At present, sickness certification is largely undertaken by general practitioners (GPs). Guidance from the Department of Work and Pensions (DWP) is available to help with this task; however, there has been little formal evaluation of the DWP's guidance in relation to day-to-day general practice. To assess GPs' training, knowledge and application of the DWP's sickness certification guidelines. A structured questionnaire was sent to GPs within a (former) primary care trust (PCT). It probed demographics, training and knowledge of sickness certification guidelines. Case histories and structured questions were used to assess current practice. In this group of 113 GPs, there was a low awareness and use of the DWP's guidelines and Website relating to sickness certification. The majority of the GPs (63%) had received no training in sickness certification, and the mean length of time for those who had received training was 4.1 h. Most GPs also felt that patients and GPs have equal influence on the duration of sickness certification. This evidence of variable practice indicates that GPs should have more guidance and education in sickness certification. Closer sickness certification monitoring through existing GP computer systems may facilitate an improvement in practice that benefits patients and employers. The DWP, medical educators and PCTs may all have an additional role in further improving sickness certification practice.

  5. Laboratory Certification Manual for Drinking Water

    Science.gov (United States)

    The Manual describes the Drinking Water Laboratory Certification Program implementation procedures, laboratory procedures, and technical criteria for laboratories that analyze drinking water compliance samples.

  6. Investigating weaknesses in Android certificate security

    Science.gov (United States)

    Krych, Daniel E.; Lange-Maney, Stephen; McDaniel, Patrick; Glodek, William

    2015-05-01

    Android's application market relies on secure certificate generation to establish trust between applications and their users; yet, cryptography is often not a priority for application developers and many fail to take the necessary security precautions. Indeed, there is cause for concern: several recent high-profile studies have observed a pervasive lack of entropy on Web-systems leading to the factorization of private keys.1 Sufficient entropy, or randomness, is essential to generate secure key pairs and combat predictable key generation. In this paper, we analyze the security of Android certificates. We investigate the entropy present in 550,000 Android application certificates using the Quasilinear GCD finding algorithm.1 Our results show that while the lack of entropy does not appear to be as ubiquitous in the mobile markets as on Web-systems, there is substantial reuse of certificates only one third of the certificates in our dataset were unique. In other words, we find that organizations frequently reuse certificates for different applications. While such a practice is acceptable under Google's specifications for a single developer, we find that in some cases the same certificates are used for a myriad of developers, potentially compromising Android's intended trust relationships. Further, we observed duplicate certificates being used by both malicious and non-malicious applications. The top 3 repeated certificates present in our dataset accounted for a total of 11,438 separate APKs. Of these applications, 451, or roughly 4%, were identified as malicious by antivirus services.

  7. Radiation protection supervisors certification in Brazil

    International Nuclear Information System (INIS)

    Mendonca Costa, Eduardo; Arraes Monteiro, Iara

    2008-01-01

    In order to accomplish its legal assignments CNEN certifies the qualification of radiation protection supervisors. The current certification process is presented and discussed in this paper. This paper discusses the main points of the certification process including: knowledge tests, stake holder's communication, standards, supervisor responsibilities and profiles. The importance of safety certification of nuclear facilities and radiation protection of public individuals and workers are also discussed. Taking into account the characteristics of the Brazilian Nuclear program, the future improvements and goals in the certification process is also presented. (author)

  8. Sex selection and health at birth among Indian immigrants.

    Science.gov (United States)

    González, Libertad

    2018-02-15

    I use birth-certificate data for Spain to document extremely son-biased sex ratios at birth among Indian immigrants (122 boys per 100 girls), especially at higher parities. I also show that the children of Indian immigrants display poor health outcomes during infancy. For instance, almost 10% of boys with Indian parents are born prematurely, compared with 6% of boys with native parents. However, there is no evidence of a gender gap in infant health among the children of Indian immigrants. I provide evidence suggesting that the poor outcomes of Indian children at birth may be attributed to the low endowments of Indian mothers, while the absence of a gender gap may be driven by the fact that the parents who would invest less in girls are less likely to carry the pregnancies of girls to term (more likely to practice sex-selective abortion), combined with the lower cost of prenatal investments in Spain (compared with India). Copyright © 2018 Elsevier B.V. All rights reserved.

  9. 21 CFR 80.35 - Color additive mixtures; certification and exemption from certification.

    Science.gov (United States)

    2010-04-01

    ... 21 Food and Drugs 1 2010-04-01 2010-04-01 false Color additive mixtures; certification and... additive mixtures; certification and exemption from certification. (a) Color additive mixtures to be certified. Any color additive mixture that contains one or more straight colors listed in part 74 of this...

  10. When Your Baby Has a Birth Defect

    Science.gov (United States)

    ... Search English Español When Your Baby Has a Birth Defect KidsHealth / For Parents / When Your Baby Has ... to help you and your child. What Are Birth Defects? Birth defects (also called congenital anomalies) are ...

  11. Facial nerve palsy due to birth trauma

    Science.gov (United States)

    Seventh cranial nerve palsy due to birth trauma; Facial palsy - birth trauma; Facial palsy - neonate; Facial palsy - infant ... to this condition. Some factors that can cause birth trauma (injury) include: Large baby size (may be ...

  12. Changes in the newborn at birth

    Science.gov (United States)

    Birth - changes in the newborn ... heart and flows through the baby's body. At birth, the baby's lungs are filled with fluid. They ... gastrointestinal system doesn't fully function until after birth. In late pregnancy, the baby produces a tarry ...

  13. CDC Vital Signs: Preventing Repeat Teen Births

    Science.gov (United States)

    ... MB] Read the MMWR Science Clips Preventing Repeat Teen Births Recommend on Facebook Tweet Share Compartir On ... live birth before age 20. Problem Too many teens, ages 15–19, have repeat births. Nearly 1 ...

  14. Correlates of Low Birth Weight

    Directory of Open Access Journals (Sweden)

    Ankur Barua MD, PhD

    2014-12-01

    Full Text Available Background. Low birth weight is the single most important factor that determines the chances of child survival. A recent annual estimation indicated that nearly 8 million infants are born with low birth weight in India. The infant mortality rate is about 20 times greater for all low birth weight babies. Methods. A matched case–control study was conducted on 130 low birth weight babies and 130 controls for 12 months (from August 1, 2007, to July 31, 2008 at the Central Referral Hospital, Tadong, East District of Sikkim, India. Data were analyzed using the Statistical Package for Social Sciences, version 10.0 for Windows. Chi-square test and multiple logistic regression were applied. A P value less than .05 was considered as significant. Results. In the first phase of this study, 711 newborn babies, borne by 680 mothers, were screened at the Central Referral Hospital of Sikkim during the 1-year study period, and the proportion of low birth weight babies was determined to be 130 (18.3%. Conclusion. Multiple logistic regression analysis, conducted in the second phase, revealed that low or middle socioeconomic status, maternal underweight, twin pregnancy, previous history of delivery of low birth weight babies, smoking and consumption of alcohol during pregnancy, and congenital anomalies had independent significant association with low birth weight in this study population.

  15. Cranial birth trauma; Kraniales Geburtstrauma

    Energy Technology Data Exchange (ETDEWEB)

    Papanagiotou, P.; Roth, C.; Politi, M.; Zimmer, A.; Reith, W. [Universitaetsklinikum des Saarlandes, Klinik fuer Diagnostische und Interventionelle Neuroradiologie, Homburg/Saar (Germany); Rohrer, T. [Universitaetsklinikum des Saarlandes, Klinik fuer Allgemeine Paediatrie und Neonatologie, Homburg/Saar (Germany)

    2009-10-15

    Injuries to an infant that result during the birth process are categorized as birth trauma. Cranial injuries due to mechanical forces such as compression or traction include caput succedaneum, cephalhematoma, subgaleal hematoma and intracranial hemorrhaging. Hypoxic ischemic encephalopathy is the consequence of systemic asphyxia occurring during birth. (orig.) [German] Als Geburtstrauma werden die Verletzungen des Saeuglings bezeichnet, die waehrend der Geburt stattfinden. Zu den Verletzungen, die am Schaedel auftreten koennen und hauptsaechlich durch mechanische Kraefte wie Kompression oder Traktion verursacht werden, gehoeren das Caput succedaneum, das Zephalhaematom, das subgaleale Haematom und die intrakranielle Blutung. Die hypoxisch-ischaemische Enzephalopathie ist die Folge einer systemischen Asphyxie waehrend der Geburt. (orig.)

  16. 14 CFR 65.89 - Display of certificate.

    Science.gov (United States)

    2010-01-01

    ... CERTIFICATION: AIRMEN OTHER THAN FLIGHT CREWMEMBERS Mechanics § 65.89 Display of certificate. Each person who holds a mechanic certificate shall keep it within the immediate area where he normally exercises the...

  17. Birth Defects Data and Statistics

    Science.gov (United States)

    ... Submit" /> Information For… Media Policy Makers Data & Statistics Recommend on Facebook Tweet Share Compartir On This ... and critical. Read below for the latest national statistics on the occurrence of birth defects in the ...

  18. Birth Defects Research and Tracking

    Science.gov (United States)

    ... Environmental public health tracking is the ongoing collection, integration, analysis, interpretation, and dissemination of data on environmental ... 2016) Key Findings: Gastroschisis – a Serious Birth Defect – Continues to Increase New CDC research shows that the ...

  19. Harmonisation of wind turbine certification in Europe JOULE project EWTC

    Energy Technology Data Exchange (ETDEWEB)

    Nath, C. [Germanischer Lloyd, Hamburg (Germany); Eriksson, C. [Det Norske Veritas, Hellerup (Denmark); Hulle, F. van [Frans van Hulle, Petten (Netherlands); Skamris, C. [Risoe National Lab., Roskilde (Denmark); Stam, W. [CIWI Holland, Arnheim (Netherlands); Vionis, P. [CRES, Attki (Greece)

    1999-03-01

    Wind turbine certification requirements are currently fairly divers within Europe. Therefore the leading European certification bodies initiated a JOULE project to harmonise the certification procedure on the basis of the current set of IEC/EN 61400 series standards. The paper presents a review of the state of the art of wind turbine certification in European countries and an outline of the sturcture of the project. The main steps of the project are (a) the collection of differences in certification practices by round robin certification of three wind turbine types; (b) assessment of the different certification results and (c) the development of a harmonised certification procedure. (au) EU-JOULE-3. 19 refs.

  20. Congenital Anomalies among Live Births

    OpenAIRE

    Vivian Rosa Vázquez Martínez; Cristobal Jorge Torres González; Alina Luisa Díaz Dueñas; Grisel Torres Vázquez; Dariel Diaz Díaz; Rafael de la Rosa López

    2014-01-01

    Background: congenital anomalies contribute significantly to mortality during early stages of life; they are the leading cause of infant death in developed countries.Objective: to determine the characteristics of congenital anomalies among live births. Methods: a descriptive study was conducted in the province of Cienfuegos in 2012. Thirty-seven women who had live-born neonates with congenital anomalies were studied. The variables analyzed were: parental age, skin color, order of birth, famil...

  1. Motivation and benefits of implementation and certification ...

    African Journals Online (AJOL)

    Our results suggest that the main motivation for certification were “improvement of quality”, “improvement of company image”, “marketing advantage”, “give empowerment to workers / capturing workers knowledge” and “cost reduction”. The main benefits that Portuguese companies have gained from the referred certification ...

  2. 49 CFR 179.11 - Welding certification.

    Science.gov (United States)

    2010-10-01

    ... 49 Transportation 2 2010-10-01 2010-10-01 false Welding certification. 179.11 Section 179.11 Transportation Other Regulations Relating to Transportation PIPELINE AND HAZARDOUS MATERIALS SAFETY... Design Requirements § 179.11 Welding certification. (a) Welding procedures, welders and fabricators shall...

  3. Guidelines for Certification of Media Specialists.

    Science.gov (United States)

    Galey, Minaruth; Grady, William F.

    This certification model, which is a refined version of the 1974 AECT Certification Model, is directed to the needs of educational media specialists, their employers and educators, and to certifying and accrediting agencies that approve programs preparing educational media specialists. Included in the document are reports on accreditation and…

  4. 10 CFR 431.36 - Compliance Certification.

    Science.gov (United States)

    2010-01-01

    ... number”) for any brand name, trademark or other label name under which the manufacturer or private... Certification, the Department will determine whether the document contains all of the elements required by this... Certification is acceptable, it will provide a unique CC number for any brand name, trademark or other name when...

  5. 7 CFR 1401.4 - Commodity certificates.

    Science.gov (United States)

    2010-01-01

    ... 7 Agriculture 10 2010-01-01 2010-01-01 false Commodity certificates. 1401.4 Section 1401.4 Agriculture Regulations of the Department of Agriculture (Continued) COMMODITY CREDIT CORPORATION, DEPARTMENT OF AGRICULTURE GENERAL REGULATIONS AND POLICIES COMMODITY CERTIFICATES, IN KIND PAYMENTS, AND OTHER...

  6. 20 CFR 655.163 - Certification fee.

    Science.gov (United States)

    2010-04-01

    ... determination by the CO to grant an Application for Temporary Employment Certification in whole or in part will...) Timeliness. Fees must be received by the CO no more than 30 days after the date of the certification. Non-payment or untimely payment may be considered a substantial violation subject to the procedures in § 655...

  7. 9 CFR 151.4 - Pedigree certificate.

    Science.gov (United States)

    2010-01-01

    ... record of transfers of ownership from the breeder to and including the United States importer, or a complete record of transfers of ownership from the breeder to and including the person who owns the animal... English in the pedigree certificate for the animal or in a separate certificate appended to the pedigree...

  8. EMS certification requirements for flight nurses.

    Science.gov (United States)

    Frakes, Michael A; Lord, Wendy R

    2004-01-01

    Emergency medical technician (EMT) or paramedic (EMTP) certification requirements for flight nurses (FNs) providing on-scene patient care vary. We surveyed those requirements and evaluated the relationships between flight team composition or program location and FN EMS certification. Telephone survey of all 184 rotor-wing programs responding with a nurse to scenes The overall EMS training requirement for FNs was: none-57.6%, EMT-21.7%, EMTP-14.7%, local credential (not EMT or EMTP)-6.0%. Second team members were EMTP, RN, physician, or respiratory therapist (RRT). Overall, team configuration related significantly to FN EMS certification (P =.01). FN/EMTP and FN/RRT teams were individually significant (P EMTP teams tending not to require certification and all FN/RRT teams tending toward a certification requirement. Neither FN/FN nor FN/physician pairings related significantly with FN EMS certification requirements. Regional patterns emerged to both crew configuration and FN EMS certification requirements. Most flight programs do not require FN EMT/EMTP certification. Team configuration and geography are related to those requirements.

  9. 38 CFR 21.4204 - Periodic certifications.

    Science.gov (United States)

    2010-07-01

    ... certification will not cover the intervals between terms, quarters, or semesters. (d) Year-round courses. The... (CONTINUED) VOCATIONAL REHABILITATION AND EDUCATION Administration of Educational Assistance Programs Schools... enrollment: (1) For the ordinary school year or the complete course, the periodic certification will show the...

  10. General certification procedure of formation organizations

    CERN Document Server

    Int. At. Energy Agency, Wien

    2002-01-01

    This document presents the procedure dealing with the certification of formation organizations dispensing the formation and the risks prevention to the personnel of A or B category in nuclear facilities. This certification proves the organization ability to satisfy the ''F'' specification of the CEFRI. (A.L.B.)

  11. 47 CFR 76.1502 - Certification.

    Science.gov (United States)

    2010-10-01

    ... sheet to the filing indicating that the submission is an open video system certification application. The only wording on this cover sheet shall be “Open Video System Certification Application” and “Attention: Media Bureau.” This wording shall be located in the center of the page and should be in letters...

  12. Is Halal Certification Process “Green”?

    Directory of Open Access Journals (Sweden)

    Mohd Rizal Razalli

    2012-09-01

    Full Text Available These days, the environmental perspective on operations is becoming more common. In fact, any effort in improving efficiency in the organization is closely related to sustainability of our environment. The Environmental Management System (EMS certification such as ISO 14001 has been accepted as the world standard. In addition to these ISO standards, there are other certifications such as Halal certification. There is no research that investigates the relationship between Halal Certification process and its effect on our environment. Hence, our main research question is that is Halal Certification process can be considered as environmental friendly? In this paper, we argue that Halal Certification also contributes towards green initiatives. We used EDC-UUM as our case study. EDC-UUM is actively seeking the Halal certification from Malaysian authority agency or JAKIM. In this study, we assessed the perception of the EDC-UUM staff on the issue of going green. The findings and implications are discussed in the paper. Keywords: halal certification, hotel operations, sustainability, green

  13. 19 CFR 191.76 - Landing certificate.

    Science.gov (United States)

    2010-04-01

    ... landing certificate shall be waived by the requiring Customs authority if the claimant demonstrates... 19 Customs Duties 2 2010-04-01 2010-04-01 false Landing certificate. 191.76 Section 191.76 Customs Duties U.S. CUSTOMS AND BORDER PROTECTION, DEPARTMENT OF HOMELAND SECURITY; DEPARTMENT OF THE TREASURY...

  14. 78 FR 28079 - Certificates of Compliance

    Science.gov (United States)

    2013-05-13

    ... the Customs authorities as soon as the product or shipment itself is available for inspection... certificate electronically with U.S. Customs and Border Protection (CBP) at the time of filing the CBP entry..., in consultation with the Commissioner of Customs, to require that certificates for imported products...

  15. White certificates: 14 concerned countries in Europe

    International Nuclear Information System (INIS)

    Signoret, Stephane

    2017-01-01

    Under the constraint of the European directive on energy efficiency, several countries have created or strengthened their white-certificate-type (or certificate of energy saving) obligation system. This article proposes brief overviews of the situation and implemented systems in Austria, Bulgaria, Croatia, Denmark, Greece, Ireland, Italy, Luxembourg, Poland, Slovenia, Spain, and United Kingdom

  16. 9 CFR 98.5 - Health certificate.

    Science.gov (United States)

    2010-01-01

    ... contamination of the embryo with infectious animal disease organisms. (b) The certificate accompanying sheep or... EMBRYOS AND ANIMAL SEMEN Ruminant and Swine Embryos from Regions Free of Rinderpest and Foot-and-Mouth Disease; and Embryos of Horses and Asses § 98.5 Health certificate. (a) Except as provided in subpart B of...

  17. Gender inequality, economic growth, and the intergenerational transmission of adverse health consequences at birth.

    Science.gov (United States)

    Qian, Mengcen; Chou, Shin-Yi; Deily, Mary E; Liu, Jin-Tan

    2018-01-31

    We estimate a gender differential in the intergenerational transmission of adverse birth outcomes. We link Taiwan birth certificates from 1978 to 2006 to create a sample of children born in the period 1999-2006 that includes information about their parents and their maternal grandmothers. We use maternal-sibling fixed effects to control for unobserved family-linked factors that may be correlated with birth outcomes across generations, and define adverse birth outcomes as small for gestational age. We find that when a mother is in the 5th percentile of birth weight for her gestational age, then her female children are 49-53% more likely to experience the same adverse birth outcome compared to other female children, while her male children are 27-32% more likely to experience this relative to other male children. We then investigate whether long-run improvements in local socio-economic conditions experienced by the child's family, as measured by intergenerational changes in town-level maternal education, affect the gender differential. We find no evidence that intergenerational improvements in socioeconomic conditions reduce the gender differential. Copyright © 2018 Elsevier Ltd. All rights reserved.

  18. Spontaneous preterm birth : prevention, management and outcome

    NARCIS (Netherlands)

    Vermeulen, Gustaaf Michiel

    1999-01-01

    Preterm birth (birth before 37 completed weeks of pregnancy) is a major cause of perinatal morbidity and mortality. Strategies to prevent and adequately treat preterm labour, in order to postpone birth and to identify risk factors for neonatal damage due to preterm birth, have to be developed by

  19. Cost-effectiveness of planned birth in a birth centre compared with alternative planned places of birth : Results of the Dutch Birth Centre study

    NARCIS (Netherlands)

    Hitzert, Marit F.; Hermus, Marieke A. A.; Boesveld, Inge I.C.; Franx, Arie; van der Pal-de Bruin, Karin M.; Steegers, Eric A. P.; Van Den Akker-Van Marle, Eiske M.E.

    2017-01-01

    Objectives To estimate the cost-effectiveness of a planned birth in a birth centre compared with alternative planned places of birth for low-risk women. In addition, a distinction has been made between different types of locations and integration profiles of birth centres. Design Economic evaluation

  20. Cost-effectiveness of planned birth in a birth centre compared with alternative planned places of birth: results of the Dutch Birth Centre study

    NARCIS (Netherlands)

    Hitzert, M.; Hermus, M.M.; Boesveld, I.I.; Franx, A.; Pal-de Bruin, K.K. van der; Steegers, E.E.; Akker-van Marle, E.M. van den

    2017-01-01

    Objectives To estimate the cost-effectiveness of a planned birth in a birth centre compared with alternative planned places of birth for low-risk women. In addition, a distinction has been made between different types of locations and integration profiles of birth centres. Design Economic evaluation

  1. Cost-effectiveness of planned birth in a birth centre compared with alternative planned places of birth: Results of the Dutch Birth Centre study

    NARCIS (Netherlands)

    M.F. Hitzert (Marit); M.A.A. Hermus (Marieke A.A.); Boesveld, I.I.C. (Inge I.C.); A. Franx (Arie); K.M. van der Pal-De Bruin (Karin); E.A.P. Steegers (Eric); Van Den Akker-Van Marle, E.M.E. (Eiske M.E.)

    2017-01-01

    textabstractObjectives To estimate the cost-effectiveness of a planned birth in a birth centre compared with alternative planned places of birth for low-risk women. In addition, a distinction has been made between different types of locations and integration profiles of birth centres. Design

  2. 38 CFR 3.209 - Birth.

    Science.gov (United States)

    2010-07-01

    ... 38 Pensions, Bonuses, and Veterans' Relief 1 2010-07-01 2010-07-01 false Birth. 3.209 Section 3..., Compensation, and Dependency and Indemnity Compensation Evidence Requirements § 3.209 Birth. Age or... abstract of the public record of birth. Such a record established more than 4 years after the birth will be...

  3. Progestin-Only Birth Control Pills

    Science.gov (United States)

    ... Rehabilitation Emotional Well-Being Mental Health Sex and Birth Control Sex and Sexuality Birth Control Family Health Infants and Toddlers Kids and ... ExpectDepo-Provera: An Injectable ContraceptiveTubal Sterilization (Tubal Ligation)Birth Control OptionsNatural Family PlanningBirth Control: How to Use ...

  4. Economic influences on birth rates.

    Science.gov (United States)

    Ermisch, J

    1988-11-01

    A researcher uses an econometric analysis to test his theory that economic developments influence birth rates in post World War II in Great Britain. The base of the analysis consists of a group of equilibrium relationships examining the levels of conditional birth rates (at each birth order and each mother's age) and the levels of economic variables, e.g., ratio of women's hourly wage after taxes. The leading cause of a decrease in births, especially after 1974, was an increase in women's net wages in comparison to men's net wages. Additional evidence suggested that higher women's wages increase the cost of an additional child by raising missed earnings, and this higher opportunity cost reduces the chance of another birth. On the other hand, if men's earnings are higher, couples have more children and at a young age. Further, the higher the real house prices the more likely women are to postpone starting a family and, in the case of 20-24 year old women, these high prices also deter them from having a 2nd child. Higher house prices do not affect higher order births, however. When all other things are equal, women from larger families have a tendency to begin having children in their 30s and produce smaller families than those women from smaller families. Large child allowances encourage 3rd-4th births and early motherhood. To increase fertility to replacement level over the long term, the current level of child allowances would have to double costing about 5 billion British pounds or 1.5% of the gross domestic product.

  5. Socioeconomic position in early life, birth weight, childhood cognitive function, and adult mortality. A longitudinal study of Danish men born in 1953

    DEFF Research Database (Denmark)

    Osler, M; Andersen, Anne-Marie Nybo; Due, P

    2003-01-01

    OBJECTIVE: To examine the relation between socioeconomic position in early life and mortality in young adulthood, taking birth weight and childhood cognitive function into account. DESIGN: A longitudinal study with record linkage to the Civil Registration System and Cause of Death Registry....... The data were analysed using Cox regression. SETTING: The metropolitan area of Copenhagen, Denmark. SUBJECTS: 7493 male singletons born in 1953, who completed a questionnaire with various cognitive measures, in school at age 12 years, and for whom birth certificates with data on birth and parental...

  6. Liberalization of Birth Control and the Unmarried Share of Births

    DEFF Research Database (Denmark)

    Kennes, John; Knowles, John

    Half of unmarried births are to women who are already mothers, and a quarter to women who were previously married. We develop a model of equilibrium matching and fertility to replicate these facts. We use the model to revisit the hypothesis that liberalization of the Pill and abortion caused...... the massive increase since 1960 in the share of US births to unmarried women. Our results suggest that liberalization alone is ineffective; what matters are interactions between liberalization and the decline in the stability of marriage, and, secondarily, the rising status of single mothers....

  7. Birth in Brazil: national survey into labour and birth

    Directory of Open Access Journals (Sweden)

    do Carmo Leal Maria

    2012-08-01

    Full Text Available Abstract Background Caesarean section rates in Brazil have been steadily increasing. In 2009, for the first time, the number of children born by this type of procedure was greater than the number of vaginal births. Caesarean section is associated with a series of adverse effects on the women and newborn, and recent evidence suggests that the increasing rates of prematurity and low birth weight in Brazil are associated to the increasing rates of Caesarean section and labour induction. Methods Nationwide hospital-based cohort study of postnatal women and their offspring with follow-up at 45 to 60 days after birth. The sample was stratified by geographic macro-region, type of the municipality and by type of hospital governance. The number of postnatal women sampled was 23,940, distributed in 191 municipalities throughout Brazil. Two electronic questionnaires were applied to the postnatal women, one baseline face-to-face and one follow-up telephone interview. Two other questionnaires were filled with information on patients’ medical records and to assess hospital facilities. The primary outcome was the percentage of Caesarean sections (total, elective and according to Robson’s groups. Secondary outcomes were: post-partum pain; breastfeeding initiation; severe/near miss maternal morbidity; reasons for maternal mortality; prematurity; low birth weight; use of oxygen use after birth and mechanical ventilation; admission to neonatal ICU; stillbirths; neonatal mortality; readmission in hospital; use of surfactant; asphyxia; severe/near miss neonatal morbidity. The association between variables were investigated using bivariate, stratified and multivariate model analyses. Statistical tests were applied according to data distribution and homogeneity of variances of groups to be compared. All analyses were taken into consideration for the complex sample design. Discussion This study, for the first time, depicts a national panorama of labour and birth

  8. Forced Marriage and Birth Outcomes.

    Science.gov (United States)

    Becker, Charles M; Mirkasimov, Bakhrom; Steiner, Susan

    2017-08-01

    We study the impact of marriages resulting from bride kidnapping on infant birth weight. Bride kidnapping-a form of forced marriage-implies that women are abducted by men and have little choice other than to marry their kidnappers. Given this lack of choice over the spouse, we expect adverse consequences for women in such marriages. Remarkable survey data from the Central Asian nation of Kyrgyzstan enable exploration of differential birth outcomes for women in kidnap-based and other types of marriage using both OLS and IV estimation. We find that children born to mothers in kidnap-based marriages have lower birth weight compared with children born to other mothers. The largest difference is between kidnap-based and arranged marriages: the magnitude of the birth weight loss is in the range of 2 % to 6 % of average birth weight. Our finding is one of the first statistically sound estimates of the impact of forced marriage and implies not only adverse consequences for the women involved but potentially also for their children.

  9. Modeling of a green certificate market

    International Nuclear Information System (INIS)

    Marchenko, O.V.

    2008-01-01

    The paper considers one of the economic mechanisms, stimulating the introduction of renewable energy sources (RES) - a green certificate market. A mathematical model was developed to describe a supply and demand balance in the electricity and green certificate markets simultaneously. The sellers of certificates are RES owners, who obtain certificates for each unit of electricity produced, and the buyers are consumers, who are obliged by law to buy a certain share of this electricity. Equilibrium structures of the power system including RES with stochastic operation conditions are calculated. The prices of electricity and certificates, as well as the total economic effect of the system are determined taking into account external costs (environmental damages). The paper shows that a mechanism of green certificates is not an ideal means for minimizing the impact of energy on the environment: the economic effect turns out to be smaller than the maximum possible one. However, this deviation is relatively small, therefore the green certificate market allows the external effects to be partially taken into account. Such a market creates incentives for investors, electricity producers and consumers to make power sources mix, modes of electricity production and consumption closer to the optimum ones in terms of the economy as a whole. (author)

  10. Maintenance of Certification for Radiation Oncology

    International Nuclear Information System (INIS)

    Kun, Larry E.; Ang, Kian; Erickson, Beth; Harris, Jay; Hoppe, Richard; Leibel, Steve; Davis, Larry; Hattery, Robert

    2005-01-01

    Maintenance of Certification (MOC) recognizes that in addition to medical knowledge, several essential elements involved in delivering quality care must be developed and maintained throughout one's career. The MOC process is designed to facilitate and document professional development of American Board of Radiology (ABR) diplomates in the essential elements of quality care in Radiation Oncology and Radiologic Physics. ABR MOC has been developed in accord with guidelines of the American Board of Medical Specialties. All Radiation Oncology certificates issued since 1995 are 10-year, time-limited certificates; diplomates with time-limited certificates who wish to maintain specialty certification must complete specific requirements of the American Board of Radiology MOC program. Diplomates with lifelong certificates are not required to participate but are strongly encouraged to do so. Maintenance of Certification is based on documentation of participation in the four components of MOC: (1) professional standing, (2) lifelong learning and self-assessment, (3) cognitive expertise, and (4) performance in practice. Through these components, MOC addresses six competencies-medical knowledge, patient care, interpersonal and communication skills, professionalism, practice-based learning and improvement, and systems-based practice. Details of requirements for components 1, 2, and 3 of MOC are outlined along with aspects of the fourth component currently under development

  11. Qualification and certification in NDT

    International Nuclear Information System (INIS)

    Hassan Kavarodi Maracair

    2003-01-01

    Ruane-TATI Sdn Bhd was the first accredited training centre in Asia approved by The British Institute of Non Destructive Testing (BINDT) as per EN 473, ISO 9712 and EN 45013 requirements. Meanwhile, Ruane-TATI is also accredited by National Vocational Training Center ( MLVK ).This mean that Ruane-TATI is the first training and examination center that accredited by both international and national bodies in providing quality , qualification and certification for comprehensive training and examination in Inspection and Non Destructive Testing (NDT). There are several NDT examinations scheme available in Malaysia due to differences requirement from the industrials. This has put the difficulties to services company in upgrading their NDT technician qualifications. The intention of this paper is to discuss the basic different among the NDT examinations scheme used in Malaysia ( mostly offered by Ruane-TATI ) and the development of certain schemes in covering their schemes to more sectors and NDT methods. (Author)

  12. Life after oral English certification

    DEFF Research Database (Denmark)

    Dimova, Slobodanka

    2017-01-01

    Internationalization of higher education has resulted in rapid developments of English-medium instruction (EMI) courses in non-Anglophone countries in Europe and Asia. Due to the growing concerns about lecturers' ability to teach in English, several European universities have implemented policies...... for internal assessment of lecturers' English proficiency to ensure the quality of teaching in EMI programs. However, research on the measured construct and the reliability and the validity of these assessments remains scarce. Based on interviews with tested university lecturers and formative feedback analysis......, this study discusses the consequences resulting from score and feedback interpretations and uses as part of the validation process of TOEPAS (Test of Oral English Proficiency for Academic Staff), which is a performance-based test used for oral English certification of lecturers at the University...

  13. Certification Programs for Criminalists - Historical Development.

    Science.gov (United States)

    Bernett, P D

    2008-01-01

    Certification is the process by which individual practitioners of a profession are deemed competent, by a peer review process, to practice that profession. Criminalistics is a rather young profession, and until the recent publicity occasioned by a myriad of television dramas and documentaries, a rather obscure one. There has been little oversight of the profession and little call for such oversight until the 1970s. The calls for oversight primarily came from those outside the profession and with only a peripheral interest in the profession. In response, the profession itself began to consider the development of a process of self-review and to establish certification criteria (a) by which the competence of practitioners could be assessed in a way that would be acceptable to practitioners; (b) equitable to the diverse jobs requirements of various practitioners; useful for external evaluation by users of professional services; and, above all, (c) be a realistic method to evaluate the ability of the practitioner to engage in the professional practice of forensic science. Professional certification of criminalists was first suggested at a meeting of the California Association of Criminalists (CAC) in 1975. This initial proposal was taken to the broader national criminalistics community through the efforts of the Criminalistics Certification Study Committee (CCSC) beginning in 1976. Subjected in 1978 to a national referendum of practitioners, CCSC's proposal was rejected. Undaunted by national rejection, in 1986 the CAC renewed efforts to develop a certification process for its members, which resulted in the offering of the first certification examination in 1989. Since the initial certification examination by the CAC, certification of criminalists has evolved through the activities of the American Board of Criminalistics (ABC). Efforts have been continuously made to refine the process to more closely reflect the demands of the profession. The evolution has been slow

  14. Implementation procedures for design certification

    International Nuclear Information System (INIS)

    Ritterbusch, S. E.; Brinkman, C. B.; Crump, M. W.

    1995-01-01

    The desire for safer plants arose primarily as the result of the Three Mile Island accident and the realization that plant safety could be impacted by complex plant systems interactions that are not easily identified through the traditional 'system-by-system' design process. Hence, it became apparent that the ALWR designs would have to be addressed through plant-wide Probabilistic Safety Assessments (PSAs) that addressed both accident-prevention and accident-mitigation design features. Prior to Design Certification the 'two-step' licensing process in the United States was not efficient. Utilities had to commit large amounts of capital to plant construction without confidence that an operating license would be issued when construction permit was issued often required design changes that resulted in significant construction delays. The 55 utilities operating nuclear plants in the U. S. each had their own design and operating preferences, resulting in many customized plants with a minimum of economic benefit from standardization. This was addressed by the U. S. Nuclear Regulatory Commission (NRC) in a new regulation (Title 10 of the Code of Federal Regulations, Part 52 or '10 CFR 52') which provides certification of a design that can later be referenced by an applicant for a Combined Operating License (COL). Identifying an ALWR solution for previously unanalyzed severe accident scenarios appeared difficult, at best, since severe accident research had to be performed and since there was no regulatory precedent. This meant that complex technical issues and licensing review policies had to be developed without the benefit of licensing standards or experience. As a result, a system of iterative interactions between the regulator and the industry was established, wherein a design or safety requirement would be proposed, then discussed along with development of the corresponding design feature, and finally revised and documented via NRC 'guidance'

  15. 7 CFR 868.74 - Divided-lot certificates.

    Science.gov (United States)

    2010-01-01

    ... 7 Agriculture 7 2010-01-01 2010-01-01 false Divided-lot certificates. 868.74 Section 868.74... FOR CERTAIN AGRICULTURAL COMMODITIES Regulations Official Certificates § 868.74 Divided-lot certificates. (a) General. When commodities are offered for inspection and are certificated as a single lot...

  16. 7 CFR 800.163 - Divided-lot certificates.

    Science.gov (United States)

    2010-01-01

    ... 7 Agriculture 7 2010-01-01 2010-01-01 false Divided-lot certificates. 800.163 Section 800.163... Certificates § 800.163 Divided-lot certificates. (a) General. When shiplot grain is offered for inspection or Class X weighing as a single lot and is certificated as a single lot, the applicant may exchange the...

  17. Certification of a weld produced by friction stir welding

    Science.gov (United States)

    Obaditch, Chris; Grant, Glenn J

    2013-10-01

    Methods, devices, and systems for providing certification of friction stir welds are disclosed. A sensor is used to collect information related to a friction stir weld. Data from the sensor is compared to threshold values provided by an extrinsic standard setting organizations using a certification engine. The certification engine subsequently produces a report on the certification status of the weld.

  18. 29 CFR 570.12 - Revoked certificates of age.

    Science.gov (United States)

    2010-07-01

    ... 29 Labor 3 2010-07-01 2010-07-01 false Revoked certificates of age. 570.12 Section 570.12 Labor... REGULATIONS, ORDERS AND STATEMENTS OF INTERPRETATION Certificates of Age § 570.12 Revoked certificates of age. A certificate which has been revoked as proof of age under the Act shall be of no force and effect...

  19. 25 CFR 307.11 - Certificates fastened to fabrics.

    Science.gov (United States)

    2010-04-01

    ... 25 Indians 2 2010-04-01 2010-04-01 false Certificates fastened to fabrics. 307.11 Section 307.11 Indians INDIAN ARTS AND CRAFTS BOARD, DEPARTMENT OF THE INTERIOR NAVAJO ALL-WOOL WOVEN FABRICS; USE OF GOVERNMENT CERTIFICATE OF GENUINENESS § 307.11 Certificates fastened to fabrics. Certificates shall be...

  20. 40 CFR 90.106 - Certificate of conformity.

    Science.gov (United States)

    2010-07-01

    ... 40 Protection of Environment 20 2010-07-01 2010-07-01 false Certificate of conformity. 90.106... Standards and Certification Provisions § 90.106 Certificate of conformity. (a)(1) Except as provided in § 90... certificate of conformity covering such engines; however, engines manufactured during an annual production...

  1. 40 CFR 91.106 - Certificate of conformity.

    Science.gov (United States)

    2010-07-01

    ... 40 Protection of Environment 20 2010-07-01 2010-07-01 false Certificate of conformity. 91.106... Provisions § 91.106 Certificate of conformity. (a) Every manufacturer of a new marine SI engine produced... obtain a certificate of conformity covering each engine family. The certificate of conformity must be...

  2. 40 CFR 89.105 - Certificate of conformity.

    Science.gov (United States)

    2010-07-01

    ... 40 Protection of Environment 20 2010-07-01 2010-07-01 false Certificate of conformity. 89.105... and Certification Provisions § 89.105 Certificate of conformity. Every manufacturer of a new nonroad compression-ignition engine must obtain a certificate of conformity covering the engine family, as described...

  3. 78 FR 62585 - Export Trade Certificate of Review

    Science.gov (United States)

    2013-10-22

    ... DEPARTMENT OF COMMERCE International Trade Administration [Application No. 89-5A018] Export Trade Certificate of Review ACTION: Notice of Application to amend the Export Trade Certificate of Review Issued to... received an application to amend an Export Trade Certificate of Review (``Certificate''). This notice...

  4. 77 FR 12562 - Export Trade Certificate of Review

    Science.gov (United States)

    2012-03-01

    ... DEPARTMENT OF COMMERCE International Trade Administration [Application No. 10-2A001] Export Trade Certificate of Review ACTION: Notice of Application (10-2A001) to Amend the Export Trade Certificate of Review..., has received an application to amend an Export Trade Certificate of Review (``Certificate''). This...

  5. 77 FR 25681 - Export Trade Certificate of Review

    Science.gov (United States)

    2012-05-01

    ... DEPARTMENT OF COMMERCE International Trade Administration [Application 12-00002] Export Trade Certificate of Review ACTION: Notice of Application for an Export Trade Certificate of Review SunWest Foods..., Department of Commerce, has received an application for an Export Trade Certificate of Review (``Certificate...

  6. 78 FR 72865 - Export Trade Certificate of Review

    Science.gov (United States)

    2013-12-04

    ... DEPARTMENT OF COMMERCE International Trade Administration [Application No. 92-12A001] Export Trade Certificate of Review ACTION: Notice of application to amend the Export Trade Certificate of Review issued to..., has received an application to amend an Export Trade Certificate of Review (``Certificate''). This...

  7. 78 FR 36747 - Export Trade Certificate of Review

    Science.gov (United States)

    2013-06-19

    ... DEPARTMENT OF COMMERCE International Trade Administration [Application No. 89-4A018] Export Trade Certificate of Review ACTION: Notice of Application to amend the Export Trade Certificate of Review Issued to... received an application to amend an Export Trade Certificate of Review (``Certificate''). This notice...

  8. 78 FR 36745 - Export Trade Certificate of Review

    Science.gov (United States)

    2013-06-19

    ... DEPARTMENT OF COMMERCE International Trade Administration [Application No. 87-9A001] Export Trade Certificate of Review ACTION: Notice of Application to amend the Export Trade Certificate of Review Issued to..., has received an application to amend an Export Trade Certificate of Review (``Certificate''). This...

  9. 78 FR 30273 - Export Trade Certificate of Review

    Science.gov (United States)

    2013-05-22

    ... DEPARTMENT OF COMMERCE International Trade Administration [Application No. 84-24A12] Export Trade Certificate of Review ACTION: Notice of Application to Amend the Export Trade Certificate of Review Issued to... application to amend an Export Trade Certificate of Review (``Certificate''). This notice summarizes the...

  10. 7 CFR 27.43 - Validity of cotton class certificates.

    Science.gov (United States)

    2010-01-01

    ... 7 Agriculture 2 2010-01-01 2010-01-01 false Validity of cotton class certificates. 27.43 Section 27.43 Agriculture Regulations of the Department of Agriculture AGRICULTURAL MARKETING SERVICE... Certificates § 27.43 Validity of cotton class certificates. Each cotton class certificate for cotton classified...

  11. 9 CFR 96.3 - Certificate for animal casings.

    Science.gov (United States)

    2010-01-01

    ... they are accompanied by a certificate signed by either (1) a veterinarian salaried by the national... described in the Foreign Official Certificate for Animal Casings; or (2) a non-government veterinarian... Casings. A certificate issued by a non-government veterinarian is valid only if the certificate is...

  12. 46 CFR 71.75-13 - Safety Management Certificate.

    Science.gov (United States)

    2010-10-01

    ... 46 Shipping 3 2010-10-01 2010-10-01 false Safety Management Certificate. 71.75-13 Section 71.75-13... valid Safety Management Certificate and a copy of their company's valid Document of Compliance... CERTIFICATION Certificates Under the International Convention for Safety of Life at Sea, 1960 § 71.75-13 Safety...

  13. 76 FR 63608 - Export Trade Certificate of Review

    Science.gov (United States)

    2011-10-13

    ... DEPARTMENT OF COMMERCE International Trade Administration [Application No. 92-10A01] Export Trade Certificate of Review ACTION: Notice of Application (92-10A01) to amend the Export Trade Certificate of Review... received an application to amend an Export Trade Certificate of Review (``Certificate''). This notice...

  14. ECOTOURISM CERTIFICATION PROGRAMS: STANDARDS AND BENEFITS

    Directory of Open Access Journals (Sweden)

    Mariia Holub

    2015-11-01

    Full Text Available The problem of researching the ecotourism certification processes in the world is very up-to-date nowadays. The relevance of the research is stipulated by current state of environ-mental pollutants, the development of sustainable politics implementation and the fact that now people aware of real danger of environmental catastrophe that threatens the survival of civilization. That’s why the purpose of the article is conducting a complex analysis of foreign ecotourism certi-fication programs. Moreover, it is necessary to study the evolution of ecotourism development to understand the key issues of this problem. The object of this article is the analysis of ecotourism certification worldwide. The subject of the article is the detection of theoretical, methodological and practical aspects of implementation of effective ecotourism certification programs in Ukraine. To clarify all aspects of studying this issue it is necessary to use such theoretical and methodological basis as: modern theories of the genesis and evolution of ecological tourism, logical and analogy analysis, historical method, hypothetical method, classification and graphical method. Using such methods it was found that the development of ecotourism formation has taking three evolutionary steps, which affected the creation of its definition. This fact reveals the classification of different types of sustainable tourism and provides an impetus of ecotourism certification studies. Moreover, it was identified that there is a logical regularity in ecotourism certification programs all over the world. As the result, it was found that practically all the ecotourism certification processes are functioning successfully nowadays. By the way, it can be observed the rapid increase in the amount of ecocertified companies. Moreover, the programs which were analyzed in this article were divided into several steps (depends on the ecotourism certification program following which a company can

  15. White certificate: how to launch the system?

    International Nuclear Information System (INIS)

    2005-01-01

    White certificates are a supple and suitable economical system for the quest of diffuse energy saving. It relies on the energy distribution networks and is complementary to other existing system (fiscality, regulation, etc). It is an open system, based on a market logics in order to make energy savings where they are the less costly. This document gathers the synthesis of the conference about white certificates, held in Paris in October 2005, the presentations (transparencies) given by J. Percebois (Creden) about the French system of energy savings and by P. Guyonnet (ATEE) about the way to launch the system of white certificates. The debate with the audience is also reported. (J.S.)

  16. Strategies to Prevent Preterm Birth

    Science.gov (United States)

    Newnham, John P.; Dickinson, Jan E.; Hart, Roger J.; Pennell, Craig E.; Arrese, Catherine A.; Keelan, Jeffrey A.

    2014-01-01

    After several decades of research, we now have evidence that at least six interventions are suitable for immediate use in contemporary clinical practice within high-resource settings and can be expected to safely reduce the rate of preterm birth. These interventions involve strategies to prevent non-medically indicated late preterm birth; use of maternal progesterone supplementation; surgical closure of the cervix with cerclage; prevention of exposure of pregnant women to cigarette smoke; judicious use of fertility treatments; and dedicated preterm birth prevention clinics. Quantification of the extent of success is difficult to predict and will be dependent on other clinical, cultural, societal, and economic factors operating in each environment. Further success can be anticipated in the coming years as other research discoveries are translated into clinical practice, including new approaches to treating intra-uterine infection, improvements in maternal nutrition, and lifestyle modifications to ameliorate maternal stress. The widespread use of human papillomavirus vaccination in girls and young women will decrease the need for surgical interventions on the cervix and can be expected to further reduce the risk of early birth. Together, this array of clinical interventions, each based on a substantial body of evidence, is likely to reduce rates of preterm birth and prevent death and disability in large numbers of children. The process begins with an acceptance that early birth is not an inevitable and natural feature of human reproduction. Preventative strategies are now available and need to be applied. The best outcomes may come from developing integrated strategies designed specifically for each health-care environment. PMID:25477878

  17. Risk attitudes and birth order.

    Science.gov (United States)

    Krause, Philipp; Heindl, Johannes; Jung, Andreas; Langguth, Berthold; Hajak, Göran; Sand, Philipp G

    2014-07-01

    Risk attitudes play important roles in health behavior and everyday decision making. It is unclear, however, whether these attitudes can be predicted from birth order. We investigated 200 mostly male volunteers from two distinct settings. After correcting for multiple comparisons, for the number of siblings and for confounding by gender, ordinal position predicted perception of health-related risks among participants in extreme sports (p Adlerian theory. Except for alcohol consumption, these findings extended to self-reported risk behavior. Together, the data call for a cautious stand on the impact of birth order on risk attitudes. © The Author(s) 2013.

  18. The Danish Medical Birth Register

    DEFF Research Database (Denmark)

    Bliddal, Mette; Broe, Anne; Pottegård, Anton

    2018-01-01

    on all births in Denmark and comprises primarily of data from the Danish National Patient Registry supplemented with forms on home deliveries and stillbirths. It contains information on maternal age provided by the Civil Registration System. Information on pre-pregnancy body mass index and smoking......The Danish Medical Birth Register was established in 1973. It is a key component of the Danish health information system. The register enables monitoring of the health of pregnant women and their offspring, it provides data for quality assessment of the perinatal care in Denmark, and it is used...

  19. Hypnotherapy for labor and birth.

    Science.gov (United States)

    Beebe, Kathleen R

    2014-01-01

    Hypnotherapy is an integrative mind-body technique with therapeutic potential in various health care applications, including labor and birth. Evaluating the efficacy of this modality in controlled studies can be difficult, because of methodologic challenges, such as obtaining adequate sample sizes and standardizing experimental conditions. Women using hypnosis techniques for childbirth in hospital settings may face barriers related to caregiver resistance or institutional policies. The potential anxiolytic and analgesic effects of clinical hypnosis for childbirth merit further study. Nurses caring for women during labor and birth can increase their knowledge and skills with strategies for supporting hypnotherapeutic techniques. © 2014 AWHONN.

  20. Birth weight recovery among very low birth weight infants surviving ...

    African Journals Online (AJOL)

    A multiple linear regression showed a negative association between ZSW at discharge and number of days nil per os without parenteral nutrition (PN). Antenatal steroids were associated with poor GV. There were no factors associated with regaining birth weight after 21 days on multiple logistic regression. Conclusion.

  1. Birth weight recovery among very low birth weight infants surviving ...

    African Journals Online (AJOL)

    of enteral feeds in the first days of their life in order to prevent NEC. Uhing reported that preterm infants ... where: SS = required sample size; Z = 95% confidence interval. (standard value of 1.96); P ... The recommended growth velocity (GV) of very low birth weight (VLBW) infants is 15 g/kg/day. Several factors have been.

  2. Traditional Birth Attendant Training and Local Birthing Practices in India

    Science.gov (United States)

    Saravanan, Sheela; Turrell, Gavin; Johnson, Helen; Fraser, Jenny; Patterson, Carla

    2011-01-01

    Training birth attendants (TBAs) to provide essential maternal and infant health care services during delivery and ongoing community care in developing countries. Despite inadequate evidence of relevance and effectiveness of TBA training programmes, there has been a policy shift since the 1990s in that many donor agencies funding TBA training…

  3. Guidelines for developing certification programs for newly generated TRU waste

    International Nuclear Information System (INIS)

    Whitty, W.J.; Ostenak, C.A.; Pillay, K.K.S.; Geoffrion, R.R.

    1983-05-01

    These guidelines were prepared with direction from the US Department of Energy (DOE) Transuranic (TRU) Waste Management Program in support of the DOE effort to certify that newly generated TRU wastes meet the Waste Isolation Pilot Plant (WIPP) Waste Acceptance Criteria. The guidelines provide instructions for generic Certification Program preparation for TRU-waste generators preparing site-specific Certification Programs in response to WIPP requirements. The guidelines address all major aspects of a Certification Program that are necessary to satisfy the WIPP Waste Acceptance Criteria and their associated Compliance Requirements and Certification Quality Assurance Requirements. The details of the major element of a Certification Program, namely, the Certification Plan, are described. The Certification Plan relies on supporting data and control documentation to provide a traceable, auditable account of certification activities. Examples of specific parts of the Certification Plan illustrate the recommended degree of detail. Also, a brief description of generic waste processes related to certification activities is included

  4. Birth statistics of high birth weight infants (macrosomia in Korea

    Directory of Open Access Journals (Sweden)

    Byung-Ho Kang

    2012-08-01

    Full Text Available &lt;B&gt;Purpose:&lt;/B&gt; The authors analyzed the trend from the birth-related statistics of high birth weight infants (HBWIs over 50 years in Korea from 1960 to 2010. &lt;B&gt;Methods:&lt;/B&gt; We used 2 data sources, namely, the hospital units (1960’s to 1990’s and Statistics Korea (1993 to 2010. The analyses include the incidence of HBWIs, birth weight distribution, sex ratio, and the relationship of HBWI to maternal age. &lt;B&gt;Results:&lt;/B&gt; The hospital unit data indicated the incidence of HBWI as 3 to 7% in the 1960’s and 1970’s and 4 to 7% in the 1980’s and 1990’s. Data from Statistics Korea indicated the percentages of HBWIs among total live births decreased over the years: 6.7% (1993, 6.3% (1995, 5.1 % (2000, 4.5% (2000, and 3.5% (2010. In HBWIs, the birth weight rages and percentage of incidence in infants’ were 4.0 to 4.4 kg (90.3%, 4.5 to 4.9 kg (8.8%, 5.0 to 5.4 kg (0.8%, 5.5 to 5.9 kg (0.1%, and &gt;6.0 kg (0.0% in 2000 but were 92.2%, 7.2%, 0.6%, 0.0%, and 0.0% in 2009. The male to female ratio of HBWIs was 1.89 in 1993 and 1.84 in 2010. In 2010, the mother's age distribution correlated with low (4.9%, normal (91.0%, and high birth weights (3.6%: an increase in mother's age resulted in an increase in the frequency of low birth weight infants (LBWIs and HBWIs. &lt;B&gt;Conclusion:&lt;/B&gt; The incidence of HBWIs for the past 50 years has been dropping in Korea. The older the mother, the higher was the risk of a HBWI and LBWI. We hope that these findings would be utilized as basic data that will aid those managing HBWIs.

  5. Quality assessment of home births in Denmark

    DEFF Research Database (Denmark)

    Jensen, Sabrina; Colmorn, Lotte B.; Schroll, Anne-Mette

    2017-01-01

    INTRODUCTION: The safety of home births has been widely debated. Observational studies examining maternal and neonatal outcomes of home births have become more frequent, and the quality of these studies has improved. The aim of the present study was to describe neonatal outcomes of home births...... compared with hospital births and to discuss which data are needed to evaluate the safety of home births. METHODS: This was a register-based cohort study. Data on all births in Denmark (2003-2013) were collected from the Danish Medical Birth Registry (DMBR). The cohort included healthy women...... with uncomplicated pregnancies and no medical interventions during delivery. A total of 6,395 home births and 266,604 hospital births were eligible for analysis. Comparative analyses were performed separately in nulliparous and multiparous women. The outcome measures were neonatal mortality and morbidity. RESULTS...

  6. Suicide Method Runs in Families: A Birth Certificate Cohort Study of Adolescent Suicide in Taiwan

    Science.gov (United States)

    Lu, Tsung-Hsueh; Chang, Wan-Ting; Lin, Jin-Jia; Li, Chung-Yi

    2011-01-01

    Suicide method used by adolescents was examined to determine if it was the same as that employed by their suicidal parents. Six hundred eighty adolescents completed suicide between 1997 and 2007, of whom 12 had parents who had previously died by suicide. The suicide method used by these adolescents was compared with that employed by their suicidal…

  7. Suicide method runs in families: a birth certificate cohort study of adolescent suicide in Taiwan.

    Science.gov (United States)

    Lu, Tsung-Hsueh; Chang, Wan-Ting; Lin, Jin-Jia; Li, Chung-Yi

    2011-12-01

    Suicide method used by adolescents was examined to determine if it was the same as that employed by their suicidal parents. Six hundred eighty adolescents completed suicide between 1997 and 2007, of whom 12 had parents who had previously died by suicide. The suicide method used by these adolescents was compared with that employed by their suicidal parent and that of a matched peer control adolescent with no exposure to parental suicide and living in the same area. In 10 of the 12 suicidal parent-adolescent dyads, the same suicide method was employed by parent and adolescent. Of seven adolescents whose age at parental suicide was 15 years or above, six used the same suicide method as their suicidal parent had. On the contrary, of 12 exposure-nonexposure suicidal adolescent dyads, the same method was used in only four. Adolescents exposed to parental suicide are more likely to use the suicide method employed by their suicidal parents than the method used by adolescent peers with no exposure to parental suicide. © 2011 The American Association of Suicidology.

  8. Energy management system certification in industry

    Directory of Open Access Journals (Sweden)

    Jovanović Bojana V.

    2014-01-01

    Full Text Available Energy management system is a set of interrelated or interacting elements aiming to establish an energy policy and energy objectives, including processes and procedures to achieve those objectives. Certification of energy management systems according to standards EN 16001 and new standard ISO 50001 is a way to sustain energy use in an organization. There has been a lot of research about different aspects of energy efficiency and energy management in global industries, but none about the state of certification of energy management systems in global industries. This paper aims to give a comprehensive review of certification of energy management systems in different industries and its subsectors globally. Statistical analysis of available ISO 50001 certification data was used in this research.

  9. Hanford Site Transuranic (TRU) Waste Certification Plan

    Energy Technology Data Exchange (ETDEWEB)

    GREAGER, T.M.

    1999-12-14

    The Hanford Site Transuranic Waste Certification Plan establishes the programmatic framework and criteria with in which the Hanford Site ensures that contract-handled TRU wastes can be certified as compliant with the WIPP WAC and TRUPACT-II SARP.

  10. Hanford Site Transuranic (TRU) Waste Certification Plan

    International Nuclear Information System (INIS)

    GREAGER, T.M.

    1999-01-01

    The Hanford Site Transuranic Waste Certification Plan establishes the programmatic framework and criteria within which the Hanford Site ensures that contract-handled TRU wastes can be certified as compliant with the WIPP WAC and TRUPACT-II SARP

  11. Hanford Site Transuranic (TRU) Waste Certification Plan

    Energy Technology Data Exchange (ETDEWEB)

    GREAGER, T.M.

    1999-09-09

    The Hanford Site Transuranic Waste Certification Plan establishes the programmatic framework and criteria within which the Hanford Site ensures that contract-handled TRU wastes can be certified as compliant with the WIPP WAC and TRUPACT-II SARP.

  12. Graduate certificate in transportation planning : final report

    Science.gov (United States)

    2008-12-12

    The purpose of this project was to develop and implement a graduate Certificate in Transportation Planning at Texas : A&M University. Texas A&M currently offers instruction in transportation through its Masters of Urban Planning and : Civil Engineeri...

  13. Learn About Laboratory Certification for Drinking Water

    Science.gov (United States)

    EPA’s Office of Water Technical Support Center implements the Drinking Water Laboratory Certification Program in partnership with EPA Regions, EPA’s Office of Research and Development, and States.

  14. Hanford Site Transuranic (TRU) Waste Certification Plan

    International Nuclear Information System (INIS)

    GREAGER, T.M.

    1999-01-01

    The Hanford Site Transuranic Waste Certification Plan establishes the programmatic framework and criteria with in which the Hanford Site ensures that contract-handled TRU wastes can be certified as compliant with the WIPP WAC and TRUPACT-II SARP

  15. Anthropomorphic Test Drive (ATD) Certification Laboratory

    Data.gov (United States)

    Federal Laboratory Consortium — The ATD Certification Laboratory consists of several test fixtures to ensure ATDs are functioning correctly and within specifications prior to use in any OP testing....

  16. Environmental certification for more sustainable imports

    International Nuclear Information System (INIS)

    Henry, Lucile; Monnoyer-Smith, Laurence; Demeulenaere, Laurence

    2017-12-01

    As France imports high quantities of products which have environmental impacts abroad due to extraction, transformations, and transports of used materials, and which are not visible for consumers, environmental certification could be a mean to reduce these impacts as it would allow consumers to identify the less polluting products, and incite producers to put such products on the market. After having discussed these issues, the author outlines key factors of success for such a certification, briefly identifies required adjustments at the technical level (requirement level, cost anticipation), and at the social and political level. She also evokes accompanying measures, and outlines that environmental certification is only a tool among others such as partnership agreements currently being negotiated between the European Union and other countries, or a combination of certification and cooperation with extracting countries (as practiced by Germany)

  17. Revised Certification Standards for Pesticide Applicators

    Science.gov (United States)

    EPA has finalized stronger standards for people who apply restricted use pesticides (RUPs). These revisions to the Certification of Pesticide Applicators rule will reduce the likelihood of harm from the misapplication of toxic pesticides.

  18. Pesticide Applicator Certification in Indian Country

    Science.gov (United States)

    This website provides information about the EPA Plan for the Federal Certification of Applicators of Restricted Use Pesticides within Indian Country, including plan requirements, how to become certified, how to register for training, and who is certified.

  19. 2011 aerospace medical certification statistical handbook.

    Science.gov (United States)

    2013-01-01

    The annual Aerospace Medical Certification Statistical Handbook reports descriptive characteristics of all active U.S. civil aviation airmen and the aviation medical examiners (AMEs) that perform the required medical examinations. The 2011 annual han...

  20. 2012 aerospace medical certification statistical handbook.

    Science.gov (United States)

    2013-12-01

    The annual Aerospace Medical Certification Statistical Handbook reports descriptive : characteristics of all active U.S. civil aviation airmen and the aviation medical examiners (AMEs) that : perform the required medical examinations. The 2012 annual...

  1. Recommendations on European data protection certification

    NARCIS (Netherlands)

    Kamara, Irene; Burnik, Jelena

    2017-01-01

    The objective of this report is to identify and analyse challenges and opportunities of data protection certification mechanisms, including seals and marks, as introduced by the GDPR, focusing also on existing initiatives and voluntary schemes.

  2. [Midwife-led birth centres: an alternative to hospital childbirth?].

    Science.gov (United States)

    Bauer, S; Kötter, C

    2013-02-01

    After midwife-led birth centres had been included into the Social Security Statute Book (§134a SGB V) and thus become covered by German Public Health Insurance since April 1st, 2007 contract negotiations on flat rate costs have followed. Meanwhile the 2nd edition of this -agreement has come into effect. The present contribution describes how this non-hospital obstetric care has developed in the last 3 years. The medical care situation is explained based on legal conditions. Special attention is paid to regulations concerning quality management as well as the certification or auditing required to remain listed in the national register of midwife-led units at the Social Health Insurance. Results are shown from data collected by the Associa-tion for Quality Assurance on Out-of-hospital births (QUAG) and from a pilot project which also contains comparisons with clinical findings. The discussion refers to data taken from German as well as international publications. The conclusion points out some aspects in need of further development. © Georg Thieme Verlag KG Stuttgart · New York.

  3. Births in Italy: a neonatologist’s view

    Directory of Open Access Journals (Sweden)

    Rino Agostiniani

    2015-10-01

    Full Text Available The complexity of care needs that characterize economically advanced societies requires a systemic approach to the organization of health services so as to enable them to meet the diverse health needs of the population, in line with their economic sustainability.The proper functioning of the service network is related to the ability to change our way of thinking and to the development of health services by adapting them to the rapid and profound changes characterizing the social fabric.The current organization of the maternity facilities network in Italy shows strong regional differences and raises many concerns when we analyze the data in the tenth Report on Births in Italy, prepared by the Statistics Office with 2011 data from the information flow of the Certificate of Attendance at Childbirth (CeDAP.This survey is the richest national source of health, epidemiological, and socio-demographic information on births, and therefore represents a very important tool for health planning, at both a national and, especially, a regional level Proceedings of the 11th International Workshop on Neonatology and Satellite Meetings · Cagliari (Italy · October 26th-31st, 2015 · From the womb to the adultGuest Editors: Vassilios Fanos (Cagliari, Italy, Michele Mussap (Genoa, Italy, Antonio Del Vecchio (Bari, Italy, Bo Sun (Shanghai, China, Dorret I. Boomsma (Amsterdam, the Netherlands, Gavino Faa (Cagliari, Italy, Antonio Giordano (Philadelphia, USA .

  4. WASTE CERTIFICATION PROGRAM PLAN - REVISION 7

    International Nuclear Information System (INIS)

    MORGAN, LK

    2002-01-01

    The primary changes that have been made to this revision reflect the relocation of the Waste Certification Official (WCO) organizationally from the Quality Services Division (QSD) into the Laboratory Waste Services (LWS) Organization. Additionally, the responsibilities for program oversight have been differentiated between the QSD and LWS. The intent of this effort is to ensure that those oversight functions, which properly belonged to the WCO, moved with that function; but retain an independent oversight function outside of the LWS Organization ensuring the potential for introduction of organizational bias, regarding programmatic and technical issues, is minimized. The Waste Certification Program (WCP) itself has been modified to allow the waste certification function to be performed by any of the personnel within the LWS Waste Acceptance/Certification functional area. However, a single individual may not perform both the technical waste acceptance review and the final certification review on the same 2109 data package. Those reviews must be performed by separate individuals in a peer review process. There will continue to be a designated WCO who will have lead programmatic responsibility for the WCP and will exercise overall program operational oversite as well as determine the overall requirements of the certification program. The quality assurance organization will perform independent, outside oversight to ensure that any organizational bias does not degrade the integrity of the waste certification process. The core elements of the previous WCP have been retained, however, the terms and process structure have been modified.. There are now two ''control points,'' (1) the data package enters the waste certification process with the signature of the Generator Interface/Generator Interface Equivalent (GI/GIE), (2) the package is ''certified'', thus exiting the process. The WCP contains three steps, (1) the technical review for waste acceptance, (2) a review of the

  5. Prediction of low birth weight

    DEFF Research Database (Denmark)

    Sinding, Marianne; Peters, David A; Frøkjær, Jens B

    2017-01-01

    operating characteristic curves demonstrated a significantly higher performance of T2* (AUC of 0.92; 95% CI, 0.85-0.98) than UtA PI (AUC of 0.74; 95% CI, 0.60-0.89) in the prediction of low birth weight (p = 0.010). Placental pathological findings were closely related to the T2* values. CONCLUSIONS...... placental function. Therefore, we aimed to evaluate the performance of placental T2* in the prediction of low birth weight using the uterine artery (UtA) pulsatility index (PI) as gold standard. METHODS: This was a prospective observational study of 100 singleton pregnancies included at 20-40 weeks......' gestation. Placental T2* was obtained using a gradient recalled multi-echo MRI sequence and UtA PI was measured using Doppler ultrasound. Placental pathological examination was performed in 57 of the pregnancies. Low birth weight was defined by a Z-score ≤ -2.0. RESULTS: The incidence of low birth weight...

  6. Spinal cord injury at birth

    DEFF Research Database (Denmark)

    Fenger-Gron, Jesper; Kock, Kirsten; Nielsen, Rasmus G

    2008-01-01

    UNLABELLED: A case of perinatally acquired spinal cord injury (SCI) is presented. The foetus was vigorous until birth, the breech presented and delivery was performed by a non-traumatic Caesarean section. The infant displayed symptoms of severe SCI but diagnosis was delayed due to severe co...

  7. The Zulu traditional birth attendant

    African Journals Online (AJOL)

    birth attendants in their care of pregnant women are .... Postnatal care. The TBA normally visits any woman she has delivered during the traditional lying-in period of 8 days. She bathes the baby, gives him an enema when she considers this necessary, and offers ... instructed to kneel so that her heels press the wound edges ...

  8. The birth of nuclear physics

    International Nuclear Information System (INIS)

    Robertson, P.

    1982-01-01

    Although the exact date of birth of nuclear physics is difficult to set the author claims that 1932 was a year of great importance since it saw the discoveries of the neutron, the positron and the deuteron, together with the completion of the first particle accelerators. These breakthroughs and their crucial importance to the early development of nuclear physics are traced. (U.K.)

  9. Season of Birth and Intelligence

    Science.gov (United States)

    Martindale, Colin; Black, F. William

    1970-01-01

    120 children, most with a diagnosisof chronic encephalopathy, were selected from the psychology department of a Boston hospital in this attempt to replicate Orme's findings. Results indicate a clear curvilinear relationship with modest temperatures in the birth month being associated with high IQ, while both higher and lower temperatures are…

  10. Adolescent perceptions of teen births.

    Science.gov (United States)

    Herrman, Judith W

    2008-01-01

    To investigate teens' perceptions of the costs and rewards of teen births, potential interventions to prevent teen pregnancy, and the presence of someone with whom teens could discuss sexuality. Seventeen focus groups were conducted to solicit individual views, group interactions, and shared meanings. Purposive methods accessed a sample of teens considered at risk of teen pregnancy based on their membership in selected community service and teen groups. Teen parents and nonparents (n = 120), from 12 to 19 years of age, were asked about their lives and stresses and the costs and rewards related to teen births. This study yielded rich data about the consequences of teen births. Data were organized in the domains of Impact on relationships, Impact on vocation, and Impact on self. The data reflected the cost and reward themes in each domain. Though teens believed that there were positives of teen births, early childbearing was considered "hard" in many aspects. These perceptions may be used to guide programs, policies, messages, and curricula with the intent to prevent teen pregnancy. These initiatives may be more effective if informed by teens and guided by their perceptions.

  11. CONCLUSIONS New Delhi Birth Cohort

    Indian Academy of Sciences (India)

    CONCLUSIONS New Delhi Birth Cohort. Crossing BMI centiles and early adiposity rebound associated with adult metabolic syndrome. BMI gain in infancy and early childhood – associated more with adult lean mass. BMI gain in later childhood / adolescence – associated more with adult fat mass and constituents of ...

  12. Eczema, birth order, and infection.

    Science.gov (United States)

    Hughes, Ann Maree; Crouch, Simon; Lightfoot, Tracy; Ansell, Pat; Simpson, Jill; Roman, Eve

    2008-05-15

    The association between infections occurring in the first 2 years of life and development of eczema was investigated in 1,782 control children from a national population-based case-control study in the United Kingdom conducted over the period 1991-1996. Dates of eczema and infectious diagnoses were ascertained from contemporaneously collected primary care records. Children diagnosed with eczema before the age of 2 years had more prior clinically diagnosed infections recorded than did children without eczema (rate ratio = 1.26, 95% confidence interval (CI): 1.18, 1.36). The difference in infection rates between children with and without eczema was apparent from birth and throughout the first 2 years of life. As expected, compared with children of second or higher birth order, those firstborn were at increased risk of eczema (p = 0.020); however, the relation between eczema and prior infection was evident only among children of second or higher birth order and not among firstborn children (rate ratio = 1.45, 95% CI: 1.32, 1.59, and rate ratio = 1.08, 95% CI: 0.98, 1.20, respectively). The authors' results are consistent with the notion that the association between birth order and eczema is unlikely to be attributable to variations in early infectious exposure.

  13. Particulate matter and preterm birth

    Science.gov (United States)

    Particulate matter (PM) has been variably associated with preterm birth (PTB) (gestation <37 weeks), but the role played by specific chemical components of PM has been little studied. We examined the association between ambient PM <2.5 micrometers in aerodynamic diameter (PM2.S) ...

  14. Preterm Birth: Transition to Adulthood

    Science.gov (United States)

    Allen, Marilee C.; Cristofalo, Elizabeth; Kim, Christina

    2010-01-01

    Preterm birth is associated with greater difficulty with transitions from childhood to adolescence to adulthood. Adolescents and young adults born preterm have higher rates of cerebral palsy, intellectual disability, cognitive impairment, learning disability, executive dysfunction, attention deficit disorder, and social-emotional difficulties than…

  15. Birth Order and the Aviator.

    Science.gov (United States)

    1987-02-17

    research on birth order. His book, Family Constellation , has been the basis for many subsequent studies. Toman states, ’We proceed from the assumption...patterns would do well to familiarize themselves with chapter 16 of Walter Toman’s Family Constellation . Procedures for conducting this type of

  16. Fissionable material handlers certification training program

    International Nuclear Information System (INIS)

    Strangeland, J.V.

    1979-07-01

    A formal program for certification of fissionable material handlers is presented that cultivates safe working practices. This certification complies with the training requirements of the Department of Energy Directive 0530 (ERDA Manual Chapter 0530), Nuclear Criticality Safety. The program consists of a series of classroom lectures, on-the-job training, and examinations in criticality safety, radiation protection, industrial safety, emergency procedures, and the employee's specific work operations. The program for recertification is also discussed

  17. Tradable green certificates in Flanders (Belgium)

    International Nuclear Information System (INIS)

    Verbruggen, Aviel

    2004-01-01

    The paper provides details on green certificate systems in Belgium. The Flemish region has established a system and the Walloon region is preparing a slightly different one. The lack of uniformity and consequently of transparency in one country emphasises the need for more EU leadership in the field. The main part of the article analyses the established Flemish system. Green certificates are complementary to other instruments that promote renewable electricity, e.g. direct subventions on the feed-in price of green electricity or direct subventions on capital investments. Certificates execute a forcing effect on the actual development of green power if the imposed shares of green power in total sales are significant and if the fine level is at the height to enforce the quota. If the fine is too low the incentive effect turns into a financing tax effect. When the green certificate system does the job it is designed for, i.e. operating at the edge of the RES-E development and organise the transition from a non-sustainable to a sustainable power system, certificate prices will be high and reduce end-use consumption of electricity. A segmentation of the RES-E sector along the various RES-E technologies is a necessity to keep any certificate system affordable, effective and efficient. One can segment the tradable certificate market or one can assign a different number of certificates to a different RES-E technology project. Both solutions require an intensive follow-up of cost structures and of other policy measures (subventions), but given the infant state of understanding and experience segmenting markets may be best in the nearby years. (Author)

  18. Software Quality Certification: identifying the real obstacles

    Directory of Open Access Journals (Sweden)

    Megan Baker

    1996-05-01

    Full Text Available A case study of software certification reveals the real difficulty of certifying quality beyond superficial assessment - readers are invited to form their own conclusions. AS 3563 Software Quality Management System is the Australian version of ISO 9001, developed specifically for the software industry. For many Australian software houses, gaining certification with AS 3563 is a priority since certification has become a prerequisite to doing business with government departments and major corporations. However, the process of achieving registration with this standard is a lengthy and resource intensive process, and may have little impact on actual software quality. This case study recounts the experience of the consulting arm of one of Australia's accounting firms in its quest for certification. By using a number of specific management strategies this company was able to successfully implement AS 3563 in less than half the time usually taken to achieve certification - a feat for which its management should be congratulated. However, because the focus of the project was on gaining certification, few internal benefits have been realised despite the successful implementation of the standard.

  19. Architect’s Certification: A Problem?

    Directory of Open Access Journals (Sweden)

    Yong Kum Weng

    2015-01-01

    Full Text Available Currently the problems of some architects issuing fraudulent progress certificates for Malaysia’s housing projects result in many house buyers losing their life savings. Unfortunately, these house buyers still remain contractually responsible for all the associated, present and future financial obligations such as their bank loans. Fraudulent certification is the most frequent incident of complaints amongst the range of problems complained about to the Board of Architects, Malaysia or Lembaga Arkitek Malaysia (LAM. This paper highlights the underlying pertinent issues such as when an architect does not fully understand the ramifications, or exercise due care when performing the certifier’s role with its inherent responsibilities under the Housing Development Act (HDA and Housing Development Regulations (HDR. Also at what stage the architect is legally required to issue progressive work completion certificates, particularly the scope ranging from the inception stage through to the completion stage. This includes the relevant housing laws and regulations that enshrine the architects’ professional status and confers legal certification duties. This is designed to protect the public interest, yet many architects fail to perform this duty inde-pendently, or impartially and fairly to the new house buyers and the public at-large. Recognizing the systemic weakness, the elements that contribute to the fraudulent certification and illustrates how the fraudulent certification exploits the trust of house buyers. In the analysis, a quantitative framework was used to measure, quantify and discuss the best all round outcomes.

  20. NASA's EOSDIS, Trust and Certification

    Science.gov (United States)

    Ramapriyan, H. K.

    2017-01-01

    NASA's Earth Observing System Data and Information System (EOSDIS) has been in operation since August 1994, managing most of NASA's Earth science data from satellites, airborne sensors, filed campaigns and other activities. Having been designated by the Federal Government as a project responsible for production, archiving and distribution of these data through its Distributed Active Archive Centers (DAACs), the Earth Science Data and Information System Project (ESDIS) is responsible for EOSDIS, and is legally bound by the Office of Management and Budgets circular A-130, the Federal Records Act. It must follow the regulations of the National Institute of Standards and Technologies (NIST) and National Archive and Records Administration (NARA). It must also follow the NASA Procedural Requirement 7120.5 (NASA Space Flight Program and Project Management). All these ensure that the data centers managed by ESDIS are trustworthy from the point of view of efficient and effective operations as well as preservation of valuable data from NASA's missions. Additional factors contributing to this trust are an extensive set of internal and external reviews throughout the history of EOSDIS starting in the early 1990s. Many of these reviews have involved external groups of scientific and technological experts. Also, independent annual surveys of user satisfaction that measure and publish the American Customer Satisfaction Index (ACSI), where EOSDIS has scored consistently high marks since 2004, provide an additional measure of trustworthiness. In addition, through an effort initiated in 2012 at the request of NASA HQ, the ESDIS Project and 10 of 12 DAACs have been certified by the International Council for Science (ICSU) World Data System (WDS) and are members of the ICSUWDS. This presentation addresses questions such as pros and cons of the certification process, key outcomes and next steps regarding certification. Recently, the ICSUWDS and Data Seal of Approval (DSA) organizations

  1. Factors influencing the enrollment of eligible extremely-low-birth-weight children in the part C early intervention program.

    Science.gov (United States)

    Wang, C Jason; Elliott, Marc N; Rogowski, Jeannette; Lim, Nelson; Ratner, Jessica A; Schuster, Mark A

    2009-01-01

    To determine whether eligible extremely-low-birth-weight children ( or =24 weeks, and survival for the first 120 days of life. We created a linked data set with data from Early Intervention (1996-2001), Vital Records (1996-1998), death certificates, and Medicaid. Each child was followed from birth to 3 years old, the program eligibility period. A total of 54% of ELBW children were enrolled in EI at any time from birth to 36 months. Even among children ever enrolled in Medicaid (83% of all ELBW children), only 63% were enrolled in EI. Being born in a multiple gestational birth, having heavier birth weight (750 to 999 g), and having ever enrolled in Medicaid were positively associated with EI enrollment. Among Medicaid patients for whom perinatal data were available, additional risk adjustment showed that EI enrollment was more likely with birth in level 3 hospitals, birth weight 750 to 999 g, Neonatal Medical Index severity level V (most severe), and longer initial length of hospital stay. Only about half of eligible ELBW children in South Carolina were enrolled-much lower than reported elsewhere. Efforts are needed to understand why eligible infants are not being enrolled and to develop strategies to remedy the situation.

  2. The relative proportion of preterm births complicated by premature rupture of membranes in multifetal gestations: a population-based study.

    Science.gov (United States)

    Pakrashi, Tarita; Defranco, Emily A

    2013-01-01

    To compare the relative contribution of premature rupture of membranes (PROM) to preterm births in singleton compared with multifetal gestations. A population-based retrospective cohort study of 291,782 nonanomalous live births in the state of Ohio from January 1, 2006, to December 31, 2007, identified through birth certificate data. Frequency of PROM was compared between singleton and multifetal gestations and then stratified by gestational age at birth. Multivariate regression analysis estimated the risk of PROM by plurality in each gestational age group, accounting for influential risk factors. The frequency of PROM increased with increasing plurality of gestation. The relative proportion of preterm birth < 37 weeks complicated by PROM increased with gestational plurality 13.2% singletons, 16.8% twins, 20.0% triplets, 19.6% quadruplets, and 100% for higher-order multiples (p < 0.001). The frequency of PROM increased with earlier gestational age at birth, regardless of plurality. The increased risk of PROM in multifetal gestation persisted even after adjustment for influential concomitant risk factors. The proportion of preterm birth attributable to PROM increases by plurality of gestation, with its most significant contribution in higher-order multiples and at earliest gestational ages when outcomes are the poorest. Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

  3. No. 155-Guidelines for Vaginal Birth After Previous Caesarean Birth.

    Science.gov (United States)

    Martel, Marie-Jocelyne; MacKinnon, Catherine Jane

    2018-03-01

    To provide evidence-based guidelines for the provision of a trial of labour (TOL) after Caesarean section. Fetal and maternal morbidity and mortality associated with vaginal birth after Caesarean (VBAC) and repeat Caesarean section. MEDLINE database was searched for articles published from January 1, 1995, to February 28, 2004, using the key words "vaginal birth after Caesarean (Cesarean) section." The quality of evidence is described using the Evaluation of Evidence criteria outlined in the Report of the Canadian Task Force on the Periodic Health Exam. VALIDATION: These guidelines were approved by the Clinical Practice Obstetrics and Executive Committees of the Society of Obstetricians and Gynaecologists of Canada. Copyright © 2018. Published by Elsevier Inc.

  4. Birth-Order Complementarity and Marital Adjustment.

    Science.gov (United States)

    Vos, Cornelia J. Vanderkooy; Hayden, Delbert J.

    1985-01-01

    Tested the influence of birth-order complementarity on marital adjustment among 327 married women using the Spanier Dyadic Adjustment Scale (1976). Birth-order complementarity was found to be unassociated with marital adjustment. (Author/BL)

  5. Multiple Pregnancy and Birth: Considering Fertility Treatments

    Science.gov (United States)

    ... be possible, the delivery of triplets or higher order births usually requires cesarean section, with some risk to ... Reproductive Medicine, Patient Information Series. Multiple Pregnancy and Birth: Twins, Triplets, & Higher Order Multiples. 2004. Current Practices and Controversies in Assisted ...

  6. Thinking about Pregnancy After Premature Birth

    Science.gov (United States)

    ... premature birth The newborn intensive care unit (NICU) Birth defects & other health conditions Loss & grief Tools & Resources Frequently asked health questions Calculating your due date Ovulation calendar Order bereavement materials News Moms Need Blog Stories & Media ...

  7. A note on birth interval distributions

    International Nuclear Information System (INIS)

    Shrestha, G.

    1989-08-01

    A considerable amount of work has been done regarding the birth interval analysis in mathematical demography. This paper is prepared with the intention of reviewing some probability models related to interlive birth intervals proposed by different researchers. (author). 14 refs

  8. INCOME INCONGRUITY, RACE AND PRETERM BIRTH

    Science.gov (United States)

    Previous research with vital records finds income incongruity associated with adverse birth outcomes. We examined the effects of negative income incongruity (reporting lower household income than the census tract median household income) on preterm birth (PTB <37 weeks completed ...

  9. Births and deaths including fetal deaths

    Data.gov (United States)

    U.S. Department of Health & Human Services — Access to a variety of United States birth and death files including fetal deaths: Birth Files, 1968-2009; 1995-2005; Fetal death file, 1982-2005; Mortality files,...

  10. Vaginal birth after C-section

    Science.gov (United States)

    ... page: //medlineplus.gov/ency/patientinstructions/000589.htm Vaginal birth after C-section To use the sharing features ... please enable JavaScript. If you had a cesarean birth (C-section) before, it does not mean that ...

  11. Disease Human - MDC_LowBirthWeight

    Data.gov (United States)

    NSGIC Local Govt | GIS Inventory — Polygon feature class based on Zip Code boundaries showing the percentage of babies born in Miami-Dade County in 2006 with low birth weights. Low birth weight is...

  12. General certification procedure of formation organizations; Procedure generale de certification des organismes de formation

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2002-07-01

    This document presents the procedure dealing with the certification of formation organizations dispensing the formation and the risks prevention to the personnel of A or B category in nuclear facilities. This certification proves the organization ability to satisfy the ''F'' specification of the CEFRI. (A.L.B.)

  13. Enacting Third-Party Certification: A Case Study of Science and Politics in Organic Shrimp Certification

    Science.gov (United States)

    Konefal, Jason; Hatanaka, Maki

    2011-01-01

    As third-party certification has become a prominent governance mechanism, conflicting understandings of it have emerged. Proponents advance third-party certification as a technical and objective governance mechanism, while critics argue that politics and relations of power characterize it. We reject this dichotomization both in terms of how TPC is…

  14. Tradable white certificate schemes : what can we learn from tradable green certificate schemes?

    NARCIS (Netherlands)

    Oikonomou, Vlasis; Mundaca, Luis

    In this paper, we analyze the experiences gained from tradable green certificate (TGC) schemes and extract some policy lessons that can lead to a successful design of a market-based approach for energy efficiency improvement, alias tradable white certificate schemes. We use tradable green

  15. Certification of thermal solar systems in the Netherlands and monitoring the results of certification

    NARCIS (Netherlands)

    Ree, B.G.C. van der

    1996-01-01

    Due to the rapid growth of the solar energy market in the Netherlands, quality control of solar systems is well under way. An important tool to improve the infrastructure of the solar market is certification of solar energy systems. Certification in the Netherlands is being developed in two projects

  16. "Risk factors of birth asphyxia".

    Science.gov (United States)

    Aslam, Hafiz Muhammad; Saleem, Shafaq; Afzal, Rafia; Iqbal, Umair; Saleem, Sehrish Muhammad; Shaikh, Muhammad Waqas Abid; Shahid, Nazish

    2014-12-20

    Birth asphyxia is an insult to the fetus or newborn due to failure to breath or breathing poorly, leads to decrease oxygen perfusion to various organs. According to WHO, 4 million neonatal deaths occurred each year due to birth asphyxia. Our goal was to evaluate antepartum, intrapartum, and fetal risk factors of birth asphyxia. It was a Retrospective Case control study, conducted at Neonatal Intensive Care Unit of pediatric ward (I, II, III) and in Gynecology wards (I, II, III) of Civil Hospital Karachi, Dow University of Health Sciences. Study was conducted from January 2011-November 2012. Neonates diagnosed with birth asphyxia were considered as "cases" while neonates born either with normal vaginal delivery or by cesarean section having no abnormality were considered as "control". Demographics of both the mother and neonate were noted and Questions regarding possible risk factors were asked from mother. Ethical issues were confirmed from Institutional review board of Civil Hospital Karachi, Dow University of Health Sciences. All data was entered and analyzed through SPSS 19. Out of total 240 neonates, 123 were "cases" and 117 were "control". Mean maternal age in "case" group was 24.22 ± 3.38 while maternal age of control group was 24.30 ± 4.04. Significant antepartum risk factors were maternal age of 20-25 (OR 0.30 CI 95% 0.07-1.21), booking status (OR 0.20 CI 95% 0.11-0.37), pre-eclampsia (OR 0.94 CI 95% 0.90-0.98) and primigravidity (OR 2.64 CI 95% 1.56-4.46). Significant Intrapartum risk factors were breech presentation (OR 2.96 CI 95% 1.25-7.02), home delivery (OR 16.16 CI 95% 3.74-69.75) and maternal fever (OR 10.01 CI95% 3.78-26.52). Significant Fetal risk factors were resuscitation of child (OR 23 CI 95% 31.27-1720.74), pre-term babies(OR 0.34 CI 95% 0.19-0.58), fetal distress (OR 0.01 CI 95% 0.00-0.11) and baby weight (OR 0.13 CI 95% 0.05-0.32). Measures should be taken to prevent neonatal mortality with great emphasis on skilled attendance at birth

  17. BIRTH WEIGHT : A COMMUNITY PERSPECTIVE

    Directory of Open Access Journals (Sweden)

    J P SRIVASTAVA

    2003-06-01

    Full Text Available India has a dubious distinction of belonging to the top bracket of countries with a very high under-5 Mortality Rate (U5MR of above 96/1000 live births. The U5MR considered the single most significant basic indicator of health status of a community, is proportional to the Infant Mortality Rate (IMR which in turn is contributed to directly and indirectly by the incidence of low Birth Weight (LB W.About 25 million LB W are born each year consisting 17% of all live births,nearly 95% of them in developing countries. About 26% of newborns are LBW in India, and indeed over 16% in those countries with very high U5MR.Both preterm and small-for-dates almost equally make up this category of vulnerable infants predisposed to asphyxia, feeding problems, anemia and growth failure.Considering the close relationship of birth weight with perinatal and infant morbidity as well as mortality, it is crucial to identify the liigh risk groups of low birth weight babies as early as possible.Unfortunately, in a community where 80% of newborns never get to have their weight measured, this itself is a tall order. In our society, the cry of the newborn is greeted with anxious queries about the sex of the baby and not his well­being and potential for healthy survival. The basic concept of the importance of birth weight is missing even among educated families. Indeed, it is as if the weighing machine has no place in the requirements at childbirth. In the absence of this basic facility, field workers and TBAs must report to other means to identify babies at risk. Mid-arm circumference, thigh circumference, foot length, and skin-fold thickness etc. are measurements that have been correlated satisfactorily with the baby’s weight. Simple tools like coloured strips have been developed and these show promise of applicability in field situation for identification of LB W by TBAs for early referral.

  18. Birth Satisfaction Scale/Birth Satisfaction Scale-Revised (BSS/BSS-R): A large scale United States planned home birth and birth centre survey.

    Science.gov (United States)

    Fleming, Susan E; Donovan-Batson, Colleen; Burduli, Ekaterina; Barbosa-Leiker, Celestina; Hollins Martin, Caroline J; Martin, Colin R

    2016-10-01

    to explore the prevalence of birth satisfaction for childbearing women planning to birth in their home or birth centers in the United States. Examining differences in birth satisfaction of the home and birth centers; and those who birthed in a hospital using the 30-item Birth Satisfaction Scale (BSS) and the 10-item Birth Satisfaction Scale-Revised (BSS-R). a quantitative survey using the BSS and BSS-R were employed. Additional demographic data were collected using electronic linkages (Qualtrics ™ ). a convenience sample of childbearing women (n=2229) who had planned to birth in their home or birth center from the US (United States) participated. Participants were recruited via professional and personal contacts, primarily their midwives. the total 30-item BSS score mean was 128.98 (SD 16.92) and the 10-item BSS-R mean score was 31.94 (SD 6.75). Sub-scale mean scores quantified the quality of care provision, women's personal attributes, and stress experienced during labour. Satisfaction was higher for women with vaginal births compared with caesareans deliveries. In addition, satisfaction was higher for women who had both planned to deliver in a home or a birth centre, and who had actually delivered in a home or a birth center. total and subscale birth satisfaction scores were positive and high for the overall sample IMPLICATIONS FOR PRACTICE: the BSS and the BSS-R provide a robust tool to quantify women's experiences of childbirth between variables such as birth types, birth settings and providers. Copyright © 2016 Elsevier Ltd. All rights reserved.

  19. Maternal bipolar disorder increased low birthweight and preterm births: a nationwide population-based study.

    Science.gov (United States)

    Lee, Hsin-Chien; Lin, Herng-Ching

    2010-02-01

    To investigate pregnancy outcomes, including low birthweight, preterm births, and small-for-gestational-age (SGA) among women with bipolar disorder, schizophrenia compared with women with no history of mental illness using nationwide population-based data. This study linked the Taiwan National Health Insurance Research Dataset with the national birth certificate registry. A total of 528,398 singleton births between 2001 and 2003 were included; 337 were diagnosed with bipolar disorder. Multivariate logistic regression analyses were carried out to examine the relationship between maternal bipolar disorder, schizophrenia and the odds of low birthweight, preterm births, and SGA, after adjusting for characteristics of infant, mother and father. It shows that pregnant women with bipolar disorder were more likely to have LBW infants (9.8% vs. 5.7%), preterm births (14.2% vs. 6.9%) and SGA (22.3% vs. 15.7%) than pregnant women with no history of mental illness. The adjusted odds of low birthweight for women with bipolar disorder was 1.66 times (95% CI, 1.16-2.38) that of women with no history of mental illness. In terms of preterm births and SGA, the adjusted odds ratios were 2.08 (95% CI, 1.53-2.83) and 1.47 (95% CI, 1.14-1.91) respectively, for women with bipolar disorder, compared to their counterparts with no history of mental illness. We conclude that women with bipolar disorder had increased risk of low birthweight, preterm births, and SGA than women without a history of mental illness. More active monitoring and early intervention to counter potential adverse pregnancy outcomes for pregnant women with bipolar disorder should be initiated. 2009 Elsevier B.V. All rights reserved.

  20. Birth Order, Family Size and Educational Attainment

    Science.gov (United States)

    de Haan, Monique

    2010-01-01

    This paper investigates the effect of family size and birth order on educational attainment. An instrumental variables approach is used to identify the effect of family size. Instruments for the number of children are twins at last birth and the sex mix of the first two children. The effect of birth order is identified, by examining the relation…

  1. Methodology, Birth Order, Intelligence, and Personality.

    Science.gov (United States)

    Michalski, Richard L.; Shackelford, Todd K.

    2001-01-01

    Critiques recent research on the effects of birth order on intelligence and personality, which found that the between-family design revealed that birth order negatively related to intelligence, while the within-family design revealed that birth order was unrelated to intelligence. Suggests that it may not be intelligence that co-varies with birth…

  2. Regression Equations for Birth Weight Estimation using ...

    African Journals Online (AJOL)

    In this study, Birth Weight has been estimated from anthropometric measurements of hand and foot. Linear regression equations were formed from each of the measured variables. These simple equations can be used to estimate Birth Weight of new born babies, in order to identify those with low birth weight and referred to ...

  3. Birth order, family size and educational attainment

    NARCIS (Netherlands)

    de Haan, M.

    2010-01-01

    This paper investigates the effect of family size and birth order on educational attainment. An instrumental variables approach is used to identify the effect of family size. Instruments for the number of children are twins at last birth and the sex mix of the first two children. The effect of birth

  4. 28 CFR 551.21 - Birth control.

    Science.gov (United States)

    2010-07-01

    ... 28 Judicial Administration 2 2010-07-01 2010-07-01 false Birth control. 551.21 Section 551.21 Judicial Administration BUREAU OF PRISONS, DEPARTMENT OF JUSTICE INSTITUTIONAL MANAGEMENT MISCELLANEOUS Birth Control, Pregnancy, Child Placement, and Abortion § 551.21 Birth control. Medical staff shall...

  5. Experiences of women who planned birth in a birth centre compared to alternative planned places of birth. Results of the Dutch Birth Centre Study

    NARCIS (Netherlands)

    Hitzert, M.; Hermes, M.A.; Scheerhagen, M.; Boesveld, L.C.; Wiegers, T.A.; Akker-van Marle, M.E.; Dommelen, P. van; Pal-de Bruin, K.M. de; Graaf, J.P. de

    2016-01-01

    Objective to assess the experiences with maternity care of women who planned birth in a birth centre and to compare them to alternative planned places of birth, by using the responsiveness concept of the World Health Organization. Design this study is a cross-sectional study using the ReproQ

  6. Experiences of women who planned birth in a birth centre compared to alternative planned places of birth. Results of the Dutch Birth Centre Study.

    NARCIS (Netherlands)

    Hitzert, M.; Hermus, M.; Scheerhagen, M.; Boesveld, I.C.; Wiegers, T.; Akker-van Marle, M.E. van den; Dommelen, P. van; Pal-de Bruin, K.M. van der; Graal, J. P. de

    2016-01-01

    Objective: to assess the experiences with maternity care of women who planned birth in a birth centre and to compare them to alternative planned places of birth, by using the responsiveness concept of the World Health Organization. Design: this study is a cross-sectional study using the ReproQ

  7. Community Factors Influencing Birth Spacing among Married ...

    African Journals Online (AJOL)

    AJRH Managing Editor

    order to harness the power of contextual influences on birth spacing. (Afr J Reprod Health 2015; 19[1]: 14-24). Keywords: birth ..... 25-38 months (reference), 39-59 months, and > 60 months. Figures presented are Relative Risk Ratio of birth interval category relative to 25-38 months, associated 95% Confidence Intervals,.

  8. Birth-death processes and associated polynomials

    NARCIS (Netherlands)

    van Doorn, Erik A.

    2003-01-01

    We consider birth-death processes on the nonnegative integers and the corresponding sequences of orthogonal polynomials called birth-death polynomials. The sequence of associated polynomials linked with a sequence of birth-death polynomials and its orthogonalizing measure can be used in the analysis

  9. Birth Experience through an Existential Lens

    DEFF Research Database (Denmark)

    Prinds, Christina Lange

    2017-01-01

    Background: The moment of birth is seen as a miracle, a journey and even a religious act. Research stress how giving birth might facilitate interference with previous conceptions of how to make meaning of life existentially. However, birth as an existential life transformative event, has been exp...

  10. Team training for safer birth.

    Science.gov (United States)

    Cornthwaite, Katie; Alvarez, Mary; Siassakos, Dimitrios

    2015-11-01

    Effective and coordinated teamworking is key to achieving safe birth for mothers and babies. Confidential enquiries have repeatedly identified deficiencies in teamwork as factors contributing to poor maternal and neonatal outcomes. The ingredients of a successful multi-professional team are varied, but research has identified some fundamental teamwork behaviours, with good communication, proficient leadership and situational awareness at the heart. Simple, evidence-based methods in teamwork training can be seamlessly integrated into a core, mandatory obstetric emergency training. Training should be an enjoyable, inclusive and beneficial experience for members of staff. Training in teamwork can lead to improved clinical outcomes and better birth experience for women. Copyright © 2015 Elsevier Ltd. All rights reserved.

  11. Risk Attitudes and Birth Order

    OpenAIRE

    Krause, Philipp; Heindl, Johannes; Jung, Andreas; Langguth, Berthold; Hajak, Göran; Sand, Philipp G.

    2013-01-01

    Risk attitudes play important roles in health behavior and everyday decision making. It is unclear, however, whether these attitudes can be predicted from birth order. We investigated 200 mostly male volunteers from two distinct settings. After correcting for multiple comparisons, for the number of siblings and for confounding by gender, ordinal position predicted perception of health-related risks among participants in extreme sports (p < .01). However, the direction of the effect contradict...

  12. The Danish National Birth Cohort

    DEFF Research Database (Denmark)

    Andersen, Anne-Marie Nybo; Olsen, Jørn

    2011-01-01

    and infant health) of a variety of exposures during pregnancy, as well as examples showing different methodological approaches in design and analyses of the studies, are presented. RESEARCH TOPICS: The exposures of interest include alcohol drinking, coffee intake, smoking, use of nicotine substitutes...... that this investment in epidemiologic infrastructure was well spent. The existence of the Danish National Birth Cohort together with other cohorts and national registers has given Denmark a leading position in reproductive epidemiology....

  13. Allostatic Load and Preterm Birth

    Directory of Open Access Journals (Sweden)

    David M. Olson

    2015-12-01

    Full Text Available Preterm birth is a universal health problem that is one of the largest unmet medical needs contributing to the global burden of disease. Adding to its complexity is that there are no means to predict who is at risk when pregnancy begins or when women will actually deliver. Until these problems are addressed, there will be no interventions to reduce the risk because those who should be treated will not be known. Considerable evidence now exists that chronic life, generational or accumulated stress is a risk factor for preterm delivery in animal models and in women. This wear and tear on the body and mind is called allostatic load. This review explores the evidence that chronic stress contributes to preterm birth and other adverse pregnancy outcomes in animal and human studies. It explores how allostatic load can be used to, firstly, model stress and preterm birth in animal models and, secondly, how it can be used to develop a predictive model to assess relative risk among women in early pregnancy. Once care providers know who is in the highest risk group, interventions can be developed and applied to mitigate their risk.

  14. Birth Control in Clinical Trials

    Science.gov (United States)

    Stewart, J.; Beyer, B. K.; Chadwick, K.; De Schaepdrijver, L.; Desai, M.; Enright, B.; Foster, W.; Hui, J. Y.; Moffat, G. J.; Tornesi, B.; Van Malderen, K.; Wiesner, L.; Chen, C. L.

    2015-01-01

    The Health and Environmental Sciences Institute (HESI) Developmental and Reproductive Toxicology Technical Committee sponsored a pharmaceutical industry survey on current industry practices for contraception use during clinical trials. The objectives of the survey were to improve our understanding of the current industry practices for contraception requirements in clinical trials, the governance processes set up to promote consistency and/or compliance with contraception requirements, and the effectiveness of current contraception practices in preventing pregnancies during clinical trials. Opportunities for improvements in current practices were also considered. The survey results from 12 pharmaceutical companies identified significant variability among companies with regard to contraception practices and governance during clinical trials. This variability was due primarily to differences in definitions, areas of scientific uncertainty or misunderstanding, and differences in company approaches to enrollment in clinical trials. The survey also revealed that few companies collected data in a manner that would allow a retrospective understanding of the reasons for failure of birth control during clinical trials. In this article, suggestions are made for topics where regulatory guidance or scientific publications could facilitate best practice. These include provisions for a pragmatic definition of women of childbearing potential, guidance on how animal data can influence the requirements for male and female birth control, evidence-based guidance on birth control and pregnancy testing regimes suitable for low- and high-risk situations, plus practical methods to ascertain the risk of drug-drug interactions with hormonal contraceptives. PMID:27042398

  15. Latitude, birth date, and allergy.

    Directory of Open Access Journals (Sweden)

    Matthias Wjst

    2005-10-01

    Full Text Available BACKGROUND: The space and time distribution of risk factors for allergic diseases may provide insights into disease mechanisms. Allergy is believed to vary by month of birth, but multinational studies taking into account latitude have not been conducted. METHODS AND FINDINGS: A questionnaire was distributed in 54 centres to a representative sample of 20- to 44-y-old men and women mainly in Europe but also including regions in North Africa, India, North America, Australia, and New Zealand. Data from 200,682 participants were analyzed. The median prevalence of allergic rhinitis was 22%, with a substantial variation across centres. Overall, allergic rhinitis decreased with geographical latitude, but there were many exceptions. No increase in prevalence during certain winters could be observed. Also, no altered risk by birth month was found, except borderline reduced risks in September and October. Effect estimates obtained by a multivariate analysis of total and specific IgE values in 18,085 individuals also excluded major birth month effects and confirmed the independent effect of language grouping. CONCLUSION: Neither time point of first exposure to certain allergens nor early infections during winter months seems to be a major factor for adult allergy. Although there might be effects of climate or environmental UV exposure by latitude, influences within language groups seem to be more important, reflecting so far unknown genetic or cultural risk factors.

  16. Obtaining your annual internal taxation certificate

    CERN Multimedia

    2006-01-01

    (cf. Article R IV 2.04 of the Staff Regulations) Your annual internal taxation certificate will state the taxable amount of your CERN remuneration, payments and other financial benefits and the amount of tax levied by the Organization during the previous financial year. In France, your tax return must be accompanied by this certificate. Current Members of the Personnel (including Members of the Personnel participating in a pre-retirement programme): - You will receive an e-mail containing a link to your printable annual certificate, which will be stored together with your pay and leave statements (e-Payslips). - You can also access your annual certificate via https://hrt.cern.ch (open 'My Payslips' at the bottom of the main menu.) - If you experience any technical difficulties in accessing your annual certificate (e.g. invalid AIS login or password), please contact CERN's AIS support team at ais.support@cern.ch. Former Members of the Personnel:- If you remember your AIS login and password, you can acc...

  17. Implementation of thermographers' certification in Brazil

    Science.gov (United States)

    dos Santos, Laerte; Alves, Luiz M.; da Costa Bortoni, Edson

    2011-05-01

    In recent years Brazil has experienced extraordinary growth despite the recent economic global crisis. The demand for infrared thermography products and services has accompanied this growth. Like other non-destructive testing and inspection, the results obtained by thermography are highly dependent on the skills of thermographer. Therefore, it is very important to establish a serious and recognized process of certification to assess thermographers' qualifications and help services suppliers to establish credibility with their customers and increase the confidence of these costumers on the quality of these services. The Brazilian Society of Non-Destructive Testing and Inspection, ABENDI, a non-profitable, private technical-scientific entity, recognized nationally and internationally, has observed the necessity of starting a process for certification of thermographers in Brazil. With support of a work group composed by experts from oil and energy industries, transportation, universities and manufactures, the activities started in 2005. This paper describes the economic background required for installation of the certification process, its initial steps, the main characteristics of the Brazilian certification and the expectation for initiating the certification process.

  18. Supplier certification modified for health care.

    Science.gov (United States)

    Schneider, C F

    1997-11-01

    There have been numerous articles written in detail regarding industrial-based supplier certification programs. These programs generally concentrate on suppliers of raw materials. After reviewing them, it is difficult to visualize how these programs could support the ambulatory or inpatient operations of a healthcare institution. The University of Maryland Medical Center, a 747-bed teaching hospital in Baltimore, took on the challenge to adapt the supplier certification program to support its healthcare institution. After months of struggle, a program emerged by expanding the Medical Center's current process management philosophy, to include its suppliers. Documentation from the program developed by the Medical Center indicates the level of supplier support has increased. Through this certification program, the supplier is aware of the Medical Center's expectations and needs. In turn, the Medical Center has become aware of how its internal processes can hinder the supplier's operation. The supplier certification program has provided a valuable communication conduit. This article covers a brief summation of the industrial-based supplier certification program and how the University of Maryland Medical Center has adapted the program to support all its operations.

  19. Council on Certification Professional Practice Analysis.

    Science.gov (United States)

    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.

  20. 78 FR 64141 - 30-Day Notice of Proposed Information Collection: Certificate of Housing Counseling...

    Science.gov (United States)

    2013-10-25

    ... Collection: Certificate of Housing Counseling: Homeownership and Certificate of Housing Counseling: Home... Counseling: Homeownership and Certificate of Housing Counseling: Home Retention. OMB Approval Number: 2502... Information and Proposed Use: Counseling certificates will provide proof to lenders and other interested...

  1. ISO and software quality assurance - licensing and certification of software professionals

    Energy Technology Data Exchange (ETDEWEB)

    Hare, J.; Rodin, L.

    1997-11-01

    This report contains viewgraphs on licensing and certifing of software professionals. Discussed in this report are: certification programs; licensing programs; why became certified; certification as a condition of empolyment; certification requirements; and examination structures.

  2. The multisensory approach to birth and aromatherapy.

    Science.gov (United States)

    Gutteridge, Kathryn

    2014-05-01

    The birth environment continues to be a subject of midwifery discourse within theory and practice. This article discusses the birth environment from the perspective of understanding the aromas and aromatherapy for the benefit of women and midwives The dynamic between the olfactory system and stimulation of normal birth processes proves to be fascinating. By examining other health models of care we can incorporate simple but powerful methods that can shape clinical outcomes. There is still more that midwives can do by using aromatherapy in the context of a multisensory approach to make birth environments synchronise with women's potential to birth in a positive way.

  3. Birth weight reference percentiles for Chinese.

    Directory of Open Access Journals (Sweden)

    Li Dai

    Full Text Available To develop a reference of population-based gestational age-specific birth weight percentiles for contemporary Chinese.Birth weight data was collected by the China National Population-based Birth Defects Surveillance System. A total of 1,105,214 live singleton births aged ≥28 weeks of gestation without birth defects during 2006-2010 were included. The lambda-mu-sigma method was utilized to generate percentiles and curves.Gestational age-specific birth weight percentiles for male and female infants were constructed separately. Significant differences were observed between the current reference and other references developed for Chinese or non-Chinese infants.There have been moderate increases in birth weight percentiles for Chinese infants of both sexes and most gestational ages since 1980s, suggesting the importance of utilizing an updated national reference for both clinical and research purposes.

  4. A multilevel non-hierarchical study of birth weight and socioeconomic status

    Directory of Open Access Journals (Sweden)

    Aschengrau Ann

    2010-07-01

    Full Text Available Abstract Background It is unclear whether the socioeconomic status (SES of the community of residence has a substantial association with infant birth weight. We used multilevel models to examine associations of birth weight with family- and community-level SES in the Cape Cod Family Health Study. Data were collected retrospectively on births to women between 1969 and 1983 living on Cape Cod, Massachusetts. The sample included siblings born in different residences with differing community-level SES. Methods We used cross-classified models to account for multiple levels of correlation in a non-hierarchical data structure. We accounted for clustering at family- and community-levels. Models included extensive individual- and family-level covariates. SES variables of interest were maternal education; paternal occupation; percent adults living in poverty; percent adults with a four year college degree; community mean family income; and percent adult unemployment. Results Residual correlation was detected at the family- but not the community-level. Substantial effects sizes were observed for family-level SES while smaller magnitudes were observed for community-level SES. Overall, higher SES corresponded to increased birth weight though neither family- nor community-level variables had significant associations with the outcome. In a model applied to a reduced sample that included a single child per family, enforcing a hierarchical data structure, paternal occupation was found to have a significant association with birth weight (p = 0.033. Larger effect sizes for community SES appeared in models applied to the full sample that contained limited covariates, such as those typically found on birth certificates. Conclusions Cross-classified models allowed us to include more than one child per family even when families moved between births. There was evidence of mild associations between family SES and birth weight. Stronger associations between paternal

  5. Sustainability, certification, and regulation of biochar

    Directory of Open Access Journals (Sweden)

    Frank G. A. Verheijen

    2012-05-01

    Full Text Available Biochar has a relatively long half-life in soil and can fundamentally alter soil properties, processes, and ecosystem services. The prospect of global-scale biochar application to soils highlights the importance of a sophisticated and rigorous certification procedure. The objective of this work was to discuss the concept of integrating biochar properties with environmental and socioeconomic factors, in a sustainable biochar certification procedure that optimizes complementarity and compatibility between these factors over relevant time periods. Biochar effects and behavior should also be modelled at temporal scales similar to its expected functional lifetime in soils. Finally, when existing soil data are insufficient, soil sampling and analysis procedures need to be described as part of a biochar certification procedure.

  6. Certification of power generation from sewage gas

    International Nuclear Information System (INIS)

    Ronchetti, C.

    2004-01-01

    This article discusses the certification of power generated from sewage gas in packaged co-generation units in Switzerland. Since 2003, such electricity can be sold as 'green power' to consumers, who pay an additional charge for this ecologically generated power. Since the eco-balance of this electricity generated in wastewater treatment plant is considered as being excellent, the prestigious 'Naturemade Star' label has been awarded to it. This label sets most stringent requirements. The Canius wastewater treatment plant in the 'Lenzerheide' in eastern Switzerland is taken as an example to illustrate the procedure that has to be gone through to receive certification. This certification is carried out by independent auditors and guarantees that the 'green' electricity offered by the utility meets the high ecological criteria set by the label

  7. Facility certification program for coal miners pneumoconiosis

    International Nuclear Information System (INIS)

    Trout, E.D.; Kelley, J.P.; Larson, V.L.; Herbert, G.L.

    1976-01-01

    Public Law 91-173, often referred to as the Black Lung Law, called for a chest radiograph of all active coal miners at stated intervals. The National Institute for Occupational Safety and Health was responsible for carrying out the provisions of the law. Among other requirements was a provision for certification of radiological facilities where radiological examinations would be provide. A test object to be radiographed by each such facility was designed and sent to those facilities applying for certification. To date, 284 facilities have applied for certification of which 215 have been approved. A record has been kept of the number of times any approved facility submitted radiographs before approval. A complete listing of the types of equipment used, personnel qualifications and other pertinent data will be reported

  8. An eCertificate Program in Transportation Planning

    Science.gov (United States)

    2012-08-01

    In this project, researchers developed a proposal to extend the delivery of the recently developed : Graduate Certificate in Transportation Planning at Texas A&M University (TAMU) to a wider audience via : distance education (online or eCertificate)....

  9. 24 CFR 241.615 - Certification of cost requirements.

    Science.gov (United States)

    2010-04-01

    ... certification required in connection with cost certification shall specifically state that it has been made... accordance with generally accepted auditing standards to the extent deemed necessary to verify the actual...

  10. 77 FR 72324 - Export Trade Certificate of Review

    Science.gov (United States)

    2012-12-05

    ... DEPARTMENT OF COMMERCE International Trade Administration [Application No. 85-17A18] Export Trade Certificate of Review ACTION: Notice of Application to Amend the Export Trade Certificate of Review Issued to... to amend an Export [[Page 72325

  11. Evaluating the Role of Birth Weight and Gestational Age on Acute Lymphoblastic Leukemia Risk Among Those of Hispanic Ethnicity.

    Science.gov (United States)

    Barahmani, Nadia; Dorak, M Tevfik; Forman, Michele R; Sprehe, Michael R; Scheurer, Michael E; Bondy, Melissa L; Okcu, M Fatih; Lupo, Philip J

    2015-01-01

    High birth weight is an established risk factor for childhood acute lymphoblastic leukemia (ALL), especially in children younger than 5 years of age at diagnosis. The goal of this study was to explore the association between being born large for gestational age and the risk for ALL by race/ethnicity to determine if the role of this risk factor differed by these characteristics. The authors compared birth certificate data of 575 children diagnosed with ALL who were younger than 5 years and included in the Texas Cancer Registry, Texas Department of Health, between the years 1995 and 2003 with 11,379 controls matched by birth year. Stratified odds ratios were calculated for risk of ALL by birth weight for gestational age, categorized in 3 groups, small, appropriate, and large for gestational age (SGA, AGA, and LGA, respectively), for each race/ethnicity group. The risk of developing ALL was higher among Hispanics who were LGA (odds ratio [OR] = 1.90, 95% confidence interval [CI]: 1.34-2.68) compared with LGA non-Hispanic whites (OR = 1.27, 95% CI: 0.87-1.86) after adjusting for infant gender, year of birth, maternal age, birth order, and presence of Down syndrome. However, the difference was not statistically significant. These results suggest that there may be differences in the association between higher growth in utero and risk of childhood ALL among Hispanics versus non-Hispanic whites.

  12. Assisted Reproductive Technology and Birth Defects: Effects of Subfertility and Multiple Births.

    Science.gov (United States)

    Liberman, Rebecca F; Getz, Kelly D; Heinke, Dominique; Luke, Barbara; Stern, Judy E; Declercq, Eugene R; Chen, Xiaoli; Lin, Angela E; Anderka, Marlene

    2017-08-15

    Assisted reproductive technology (ART) has been associated with birth defects, but the contributions of multiple births and underlying subfertility remain unclear. We evaluated the effects of subfertility and mediation by multiple births on associations between ART and nonchromosomal birth defects. We identified a retrospective cohort of Massachusetts live births and stillbirths from 2004 to 2010 among ART-exposed, ART-unexposed subfertile, and fertile mothers using linked information from fertility clinics, vital records, hospital discharges, and birth defects surveillance. Log-binomial regression was used to estimate prevalence ratios and 95% confidence intervals (CIs). Mediation analyses were performed to deconstruct the ART-birth defects association into the direct effect of ART, the indirect effect of multiple births, and the effect of ART-multiples interaction. Of 17,829 ART-exposed births, 355 had a birth defect, compared with 162 of 9431 births to subfertile mothers and 6183 of 445,080 births to fertile mothers. The adjusted prevalence ratio was 1.5 (95% CI, 1.3-1.6) for ART and 1.3 (95% CI, 1.1-1.5) in subfertile compared with fertile deliveries. We observed elevated rates of several birth defects with ART, including tetralogy of Fallot and hypospadias. Subfertility and multiple births affect these associations, with multiple births explaining 36% of the relative effect of ART on nonchromosomal birth defects. Although the risk of birth defects with ART is small, a substantial portion of the relative effect is mediated through multiple births, with subfertility contributing an important role. Future research is needed to determine the impact of newer techniques, such as single embryo transfer, on these risks. Birth Defects Research 109:1144-1153, 2017. © 2017 Wiley Periodicals, Inc. © 2017 Wiley Periodicals, Inc.

  13. Certification of qualification of radioprotection supervisors

    International Nuclear Information System (INIS)

    Costa, Eduardo Mendonca; Silveira, Claudia; Marechal, Maria Helena; Wieland, Patricia

    2005-01-01

    In the scope of the process adopted by CNEN to certification of radiation protection supervisors, are discussed important items, such as: definition of new areas of expertise, training programs, communication between the CNEN and stakeholders knowledge exams, standardization, desirable profile and responsibilities related to the performance of supervisors, considering its importance in safety and radiological protection of occupationally exposed individuals and the public. Taking into account the needs and particularities of each area, are presented the perspectives of the procedure for certification of qualification, and suggested improvements to be introduced

  14. Compositional Safety Analysis using Barrier Certificates

    DEFF Research Database (Denmark)

    Sloth, Christoffer; Pappas, George J.; Wisniewski, Rafael

    2012-01-01

    This paper proposes a compositional method for verifying the safety of a dynamical system, given as an interconnection of subsystems. The safety verification is conducted by the use of the barrier certificate method; hence, the contribution of this paper is to show how to obtain compositional...... conditions for safety verification. We show how to formulate the verification problem, as a composition of coupled subproblems, each given for one subsystem. Furthermore, we show how to find the compositional barrier certificates via linear and sum of squares programming problems. The proposed method makes...

  15. Prevalence, Disparities, And Determinants Of Primary Cesarean Births Among First-Time Mothers In Mexico.

    Science.gov (United States)

    Guendelman, Sylvia; Gemmill, Alison; Thornton, Dorothy; Walker, Dilys; Harvey, Michael; Walsh, Julia; Perez-Cuevas, Ricardo

    2017-04-01

    Mexico has the second-highest prevalence of cesarean deliveries in the Americas, behind Brazil. Having had a previous cesarean delivery is highly predictive of having subsequent cesarean deliveries, yet evidence on the drivers of primary (that is, first-time) cesarean deliveries is sparse. Using 2014 Mexican birth certificate data and performing population-level analyses of data on 600,124 first-time mothers giving birth after at least thirty-seven weeks of gestation, we examined the prevalence and determinants of primary cesarean deliveries. We found a very high prevalence of cesarean deliveries among these women-48.7 percent-and wide variations across insurance coverage types. Enrollees in Seguro Popular, the public health insurance program introduced in 2003 for the previously uninsured and gradually rolled out nationally, had a cesarean rate of 40 percent, while women insured through the Social Security Institute for Civil Servants had a rate of 78 percent. The lower risk of primary cesarean deliveries among Seguro Popular enrollees persisted after adjustment for covariates. Rates of primary cesarean deliveries were particularly high in private birthing facilities for all first-time mothers. Reducing the rate of cesarean deliveries in Mexico will require interventions across types of insurance and birthing facilities and will also require targeted public health messaging. Project HOPE—The People-to-People Health Foundation, Inc.

  16. Maternal Demographic and Psychosocial Factors Associated with Low Birth Weight in Eastern Taiwan

    Directory of Open Access Journals (Sweden)

    Yin-Ming Li

    2005-11-01

    Full Text Available The relationship between birth weight and maternal sociodemographic characteristics was examined in a sample from two teaching hospitals in eastern Taiwan. Using a structured questionnaire, we conducted face- to-face interviews with women at antenatal clinics between 1998 and 1999 in Hualien City. One year later, we took the outcome of pregnancy from medical records and birth certificates from the Public Health Bureau of Hualien County. Of the 1,128 single live births, 6.8% had low birth weight (LBW using the World Health Organization cut-off of 2,500 g. LBW was more common in teenage ( 30 years, first-time, and unmarried mothers; those with basic/intermediate educational attainment; and residents of aboriginal districts. Teenage pregnancies were more likely than those in adults to be unplanned, and such mothers had smoking or alcohol-drinking behavior. Prevention of teenage pregnancy is crucial to lower LBW rates in eastern Taiwan. For adult mothers, basic or intermediate educational attainment, residence in an aboriginal district, and first-term pregnancy were significant factors associated with LBW, after adjustment for other psychosocial attributes, such as psychologic distress and poor family support. Thus, we should pay more attention when caring for pregnant women with such sociodemographic characteristics, and ensure that they have adequate prenatal care and can adopt a healthy lifestyle.

  17. The Birth of Shakespeare's Birthplace

    OpenAIRE

    Schoch, Richard

    2012-01-01

    "There is, indeed, little doubt,” the formidable scholar James Orchard Halliwell-Phillipps confidently explained to the Victorian readers of his Outlines of the Life of Shakespeare, “that the Birth-place did not become one of the incentives for pilgrimage until public attention had been specially directed to it at the time of the Jubilee.” That's broadly true. The earliest reference to the three-gabled, half-timbered house (two houses, originally) on Henley Street in Stratford-upon-Avon as th...

  18. Birth of a new galaxy

    CERN Multimedia

    Rodgers, L

    2001-01-01

    Scientists using the Hubble telescope have been amazed by the number of stars being created in galaxy NGC 3310. But while some scientists are observing the birth of new stars, others are predicting the end of the universe. According to supersymmetry it is possible that the universe could spontaneously change to a state where the electric force is switched off, resulting in the disintegration of all matter. Called 'vacuum fluctuation', this event is even less likely than winning the lottery jackpot twice in the same day however (1/2 page).

  19. 33 CFR 138.90 - Individual and Fleet Certificates.

    Science.gov (United States)

    2010-07-01

    ... 33 Navigation and Navigable Waters 2 2010-07-01 2010-07-01 false Individual and Fleet Certificates... for Water Pollution (Vessels) § 138.90 Individual and Fleet Certificates. (a) The Director, NPFC... provided and appropriate fees have been paid, except where a Fleet Certificate is issued under this section...

  20. 7 CFR 353.5 - Application for certification.

    Science.gov (United States)

    2010-01-01

    ... 7 Agriculture 5 2010-01-01 2010-01-01 false Application for certification. 353.5 Section 353.5 Agriculture Regulations of the Department of Agriculture (Continued) ANIMAL AND PLANT HEALTH INSPECTION SERVICE, DEPARTMENT OF AGRICULTURE EXPORT CERTIFICATION § 353.5 Application for certification. (a) To request the services of an inspector, a writte...

  1. Administrative memo relative to the delivery of energy conservation certificates

    International Nuclear Information System (INIS)

    2006-07-01

    This memo details the principles of the energy conservation certificates, the law texts of application, the part of the Government and the ADEME services, the certificates demand procedure, and the inscription of the certificates on the national registries. (A.L.B.)

  2. 12 CFR Appendix A to Part 411 - Certification Regarding Lobbying

    Science.gov (United States)

    2010-01-01

    ... 12 Banks and Banking 4 2010-01-01 2010-01-01 false Certification Regarding Lobbying A Appendix A to Part 411 Banks and Banking EXPORT-IMPORT BANK OF THE UNITED STATES NEW RESTRICTIONS ON LOBBYING Pt. 411, App. A Appendix A to Part 411—Certification Regarding Lobbying Certification for Contracts...

  3. 22 CFR Appendix A to Part 712 - Certification Regarding Lobbying

    Science.gov (United States)

    2010-04-01

    ... 22 Foreign Relations 2 2010-04-01 2010-04-01 true Certification Regarding Lobbying A Appendix A to... RESTRICTIONS ON LOBBYING Pt. 712, App. A Appendix A to Part 712—Certification Regarding Lobbying Certification... and submit Standard Form-LLL, “Disclosure Form to Report Lobbying,” in accordance with its...

  4. 31 CFR Appendix A to Part 21 - Certification Regarding Lobbying

    Science.gov (United States)

    2010-07-01

    ... 31 Money and Finance: Treasury 1 2010-07-01 2010-07-01 false Certification Regarding Lobbying A... ON LOBBYING Pt. 21, App. A Appendix A to Part 21—Certification Regarding Lobbying Certification for... Standard Form-LLL, “Disclosure Form to Report Lobbying,” in accordance with its instructions. (3) The...

  5. 29 CFR Appendix A to Part 93 - Certification Regarding Lobbying

    Science.gov (United States)

    2010-07-01

    ... 29 Labor 1 2010-07-01 2010-07-01 true Certification Regarding Lobbying A Appendix A to Part 93 Labor Office of the Secretary of Labor NEW RESTRICTIONS ON LOBBYING Pt. 93, App. A Appendix A to Part 93—Certification Regarding Lobbying Certification for Contracts, Grants, Loans, and Cooperative Agreements The...

  6. 10 CFR Appendix A to Part 601 - Certification Regarding Lobbying

    Science.gov (United States)

    2010-01-01

    ... 10 Energy 4 2010-01-01 2010-01-01 false Certification Regarding Lobbying A Appendix A to Part 601 Energy DEPARTMENT OF ENERGY (CONTINUED) ASSISTANCE REGULATIONS NEW RESTRICTIONS ON LOBBYING Pt. 601, App. A Appendix A to Part 601—Certification Regarding Lobbying Certification for Contracts, Grants, Loans...

  7. 22 CFR Appendix A to Part 519 - Certification Regarding Lobbying

    Science.gov (United States)

    2010-04-01

    ... 22 Foreign Relations 2 2010-04-01 2010-04-01 true Certification Regarding Lobbying A Appendix A to Part 519 Foreign Relations BROADCASTING BOARD OF GOVERNORS NEW RESTRICTIONS ON LOBBYING Pt. 519, App. A Appendix A to Part 519—Certification Regarding Lobbying Certification for Contracts, Grants, Loans, and...

  8. 45 CFR Appendix A to Part 93 - Certification Regarding Lobbying

    Science.gov (United States)

    2010-10-01

    ... 45 Public Welfare 1 2010-10-01 2010-10-01 false Certification Regarding Lobbying A Appendix A to... ON LOBBYING Pt. 93, App. A Appendix A to Part 93—Certification Regarding Lobbying Certification for... Standard Form-LLL, “Disclosure Form to Report Lobbying,” in accordance with its instructions. (3) The...

  9. 43 CFR Appendix A to Part 18 - Certification Regarding Lobbying

    Science.gov (United States)

    2010-10-01

    ... 43 Public Lands: Interior 1 2010-10-01 2010-10-01 false Certification Regarding Lobbying A... LOBBYING Pt. 18, App. A Appendix A to Part 18—Certification Regarding Lobbying Certification for Contracts...-LLL, “Disclosure Form to Report Lobbying,” in accordance with its instructions. (3) The undersigned...

  10. 13 CFR Appendix A to Part 146 - Certification Regarding Lobbying

    Science.gov (United States)

    2010-01-01

    ... 13 Business Credit and Assistance 1 2010-01-01 2010-01-01 false Certification Regarding Lobbying A... LOBBYING Pt. 146, App. A Appendix A to Part 146—Certification Regarding Lobbying Certification for... Standard Form-LLL, “Disclosure Form to Report Lobbying,” in accordance with its instructions. (3) The...

  11. 45 CFR Appendix A to Part 1158 - Certification Regarding Lobbying

    Science.gov (United States)

    2010-10-01

    ... 45 Public Welfare 3 2010-10-01 2010-10-01 false Certification Regarding Lobbying A Appendix A to... ARTS AND THE HUMANITIES NATIONAL ENDOWMENT FOR THE ARTS NEW RESTRICTIONS ON LOBBYING Pt. 1158, App. A Appendix A to Part 1158—Certification Regarding Lobbying Certification for Contracts, Grants, Loans, and...

  12. 28 CFR Appendix A to Part 69 - Certification Regarding Lobbying

    Science.gov (United States)

    2010-07-01

    ... 28 Judicial Administration 2 2010-07-01 2010-07-01 false Certification Regarding Lobbying A... LOBBYING Pt. 69, App. A Appendix A to Part 69—Certification Regarding Lobbying Certification for Contracts...-LLL, “Disclosure Form to Report Lobbying,” in accordance with its instructions. (3) The undersigned...

  13. 6 CFR Appendix A to Part 9 - Certification Regarding Lobbying

    Science.gov (United States)

    2010-01-01

    ... 6 Domestic Security 1 2010-01-01 2010-01-01 false Certification Regarding Lobbying A Appendix A to... LOBBYING Pt. 9, App. A Appendix A to Part 9—Certification Regarding Lobbying Certification for Contracts... Standard Form—LLL, “Disclosure Form to Report Lobbying,” in accordance with its instructions. (3) The...

  14. 45 CFR Appendix A to Part 1168 - Certification Regarding Lobbying

    Science.gov (United States)

    2010-10-01

    ... 45 Public Welfare 3 2010-10-01 2010-10-01 false Certification Regarding Lobbying A Appendix A to... ARTS AND THE HUMANITIES NATIONAL ENDOWMENT FOR THE HUMANITIES NEW RESTRICTIONS ON LOBBYING Pt. 1168, App. A Appendix A to Part 1168—Certification Regarding Lobbying Certification for Contracts, Grants...

  15. 15 CFR Appendix A to Part 28 - Certification Regarding Lobbying

    Science.gov (United States)

    2010-01-01

    ... 15 Commerce and Foreign Trade 1 2010-01-01 2010-01-01 false Certification Regarding Lobbying A... LOBBYING Pt. 28, App. A Appendix A to Part 28—Certification Regarding Lobbying Certification for Contracts...-LLL, “Disclosure Form to Report Lobbying,” in accordance with its instructions. (3) The undersigned...

  16. 34 CFR Appendix A to Part 82 - Certification Regarding Lobbying

    Science.gov (United States)

    2010-07-01

    ... 34 Education 1 2010-07-01 2010-07-01 false Certification Regarding Lobbying A Appendix A to Part 82 Education Office of the Secretary, Department of Education NEW RESTRICTIONS ON LOBBYING Pt. 82, App. A Appendix A to Part 82—Certification Regarding Lobbying Certification for Contracts, Grants...

  17. 45 CFR Appendix A to Part 1230 - Certification Regarding Lobbying

    Science.gov (United States)

    2010-10-01

    ... 45 Public Welfare 4 2010-10-01 2010-10-01 false Certification Regarding Lobbying A Appendix A to... AND COMMUNITY SERVICE NEW RESTRICTIONS ON LOBBYING Pt. 1230, App. A Appendix A to Part 1230—Certification Regarding Lobbying Certification for Contracts, Grants, Loans, and Cooperative Agreements The...

  18. 14 CFR Appendix A to Part 1271 - Certification Regarding Lobbying

    Science.gov (United States)

    2010-01-01

    ... 14 Aeronautics and Space 5 2010-01-01 2010-01-01 false Certification Regarding Lobbying A Appendix... ON LOBBYING Pt. 1271, App. A Appendix A to Part 1271—Certification Regarding Lobbying Certification... and submit Standard Form-LLL, “Disclosure Form to Report Lobbying,” in accordance with its...

  19. 22 CFR Appendix A to Part 138 - Certification Regarding Lobbying

    Science.gov (United States)

    2010-04-01

    ... 22 Foreign Relations 1 2010-04-01 2010-04-01 false Certification Regarding Lobbying A Appendix A to Part 138 Foreign Relations DEPARTMENT OF STATE MISCELLANEOUS NEW RESTRICTIONS ON LOBBYING Pt. 138, App. A Appendix A to Part 138—Certification Regarding Lobbying Certification for Contracts, Grants...

  20. 20 CFR Appendix A to Part 438 - Certification Regarding Lobbying

    Science.gov (United States)

    2010-04-01

    ... 20 Employees' Benefits 2 2010-04-01 2010-04-01 false Certification Regarding Lobbying A Appendix A to Part 438 Employees' Benefits SOCIAL SECURITY ADMINISTRATION RESTRICTIONS ON LOBBYING Pt. 438, App. A Appendix A to Part 438—Certification Regarding Lobbying Certification for Contracts, Grants, Loans...

  1. 22 CFR Appendix A to Part 311 - Certification Regarding Lobbying

    Science.gov (United States)

    2010-04-01

    ... 22 Foreign Relations 2 2010-04-01 2010-04-01 true Certification Regarding Lobbying A Appendix A to Part 311 Foreign Relations PEACE CORPS NEW RESTRICTIONS ON LOBBYING Pt. 311, App. A Appendix A to Part 311—Certification Regarding Lobbying Certification for Contracts, Grants, Loans, and Cooperative...

  2. 7 CFR Appendix A to Part 3018 - Certification Regarding Lobbying

    Science.gov (United States)

    2010-01-01

    ... 7 Agriculture 15 2010-01-01 2010-01-01 false Certification Regarding Lobbying A Appendix A to Part... OFFICER, DEPARTMENT OF AGRICULTURE NEW RESTRICTIONS ON LOBBYING Pt. 3018, App. A Appendix A to Part 3018—Certification Regarding Lobbying Certification for Contracts, Grants, Loans, and Cooperative Agreements The...

  3. 22 CFR Appendix A to Part 227 - Certification Regarding Lobbying

    Science.gov (United States)

    2010-04-01

    ... 22 Foreign Relations 1 2010-04-01 2010-04-01 false Certification Regarding Lobbying A Appendix A to Part 227 Foreign Relations AGENCY FOR INTERNATIONAL DEVELOPMENT NEW RESTRICTIONS ON LOBBYING Pt. 227, App. A Appendix A to Part 227—Certification Regarding Lobbying Certification for Contracts...

  4. 49 CFR Appendix A to Part 20 - Certification Regarding Lobbying

    Science.gov (United States)

    2010-10-01

    ... 49 Transportation 1 2010-10-01 2010-10-01 false Certification Regarding Lobbying A Appendix A to Part 20 Transportation Office of the Secretary of Transportation NEW RESTRICTIONS ON LOBBYING Pt. 20, App. A Appendix A to Part 20—Certification Regarding Lobbying Certification for Contracts, Grants...

  5. 32 CFR Appendix A to Part 28 - Certification Regarding Lobbying

    Science.gov (United States)

    2010-07-01

    ... 32 National Defense 1 2010-07-01 2010-07-01 false Certification Regarding Lobbying A Appendix A to... AGREEMENT REGULATIONS NEW RESTRICTIONS ON LOBBYING Pt. 28, App. A Appendix A to Part 28—Certification Regarding Lobbying Certification for Contracts, Grants, Loans, and Cooperative Agreements The undersigned...

  6. 24 CFR Appendix A to Part 87 - Certification Regarding Lobbying

    Science.gov (United States)

    2010-04-01

    ... 24 Housing and Urban Development 1 2010-04-01 2010-04-01 false Certification Regarding Lobbying A... Urban Development NEW RESTRICTIONS ON LOBBYING Pt. 87, App. A Appendix A to Part 87—Certification Regarding Lobbying Certification for Contracts, Grants, Loans, and Cooperative Agreements The undersigned...

  7. 13 CFR 125.5 - Certificate of Competency Program.

    Science.gov (United States)

    2010-01-01

    ... Office to review all documentation contained in the case file; (iii) To submit any information which the... 13 Business Credit and Assistance 1 2010-01-01 2010-01-01 false Certificate of Competency Program... CONTRACTING PROGRAMS § 125.5 Certificate of Competency Program. (a) General. (1) The Certificate of Competency...

  8. Organic food certification in South Africa: A private sector ...

    African Journals Online (AJOL)

    In South Africa the organic sector pioneered private practices and systems in small informal groups to guide the public and private sectors on environmental and sustainability issues. A private certification system for organic products is applicable in the country, consisting of network certification and third-party certification in ...

  9. 49 CFR 240.307 - Revocation of certification.

    Science.gov (United States)

    2010-10-01

    ... ADMINISTRATION, DEPARTMENT OF TRANSPORTATION QUALIFICATION AND CERTIFICATION OF LOCOMOTIVE ENGINEERS Administration of the Certification Programs § 240.307 Revocation of certification. (a) Except as provided for in § 240.119(e), a railroad that certifies or recertifies a person as a qualified locomotive engineer and...

  10. 24 CFR 232.610 - Certification of cost requirements.

    Science.gov (United States)

    2010-04-01

    ... 24 Housing and Urban Development 2 2010-04-01 2010-04-01 false Certification of cost requirements... ASSISTED LIVING FACILITIES Eligibility Requirements-Supplemental Loans To Finance Purchase and Installation of Fire Safety Equipment Cost Certification Requirements § 232.610 Certification of cost requirements...

  11. 49 CFR 178.803 - Testing and certification of IBCs.

    Science.gov (United States)

    2010-10-01

    ... 49 Transportation 2 2010-10-01 2010-10-01 false Testing and certification of IBCs. 178.803 Section... PACKAGINGS Testing of IBCs § 178.803 Testing and certification of IBCs. Tests required for the certification...: Performance test IBC type Metal IBCs Rigid plastic IBCs Composite IBCs Fiber-board IBCs Wooden IBCs Flexible...

  12. 75 FR 51980 - Export Trade Certificate of Review

    Science.gov (United States)

    2010-08-24

    ... International Trade Administration Export Trade Certificate of Review ACTION: Notice of Issuance of an amended Export Trade Certificate of Review to Northwest Fruit Exporters (``NFE'') (Application 84- 21A12). SUMMARY: The U.S. Department of Commerce issued an amended Export Trade Certificate of Review to Northwest...

  13. 76 FR 47148 - Export Trade Certificate of Review

    Science.gov (United States)

    2011-08-04

    ... International Trade Administration Export Trade Certificate of Review ACTION: Notice of issuance of an Export...- 13A16). SUMMARY: The U.S. Department of Commerce issued an amended Export Trade Certificate of Review to... published in the Federal Register on August 20, 2010 (75 FR 51439). The original Export Trade Certificate of...

  14. 75 FR 75963 - Export Trade Certificate of Review

    Science.gov (United States)

    2010-12-07

    ... International Trade Administration Export Trade Certificate of Review ACTION: Notice of Issuance of an amended Export Trade Certificate of Review to Aerospace Industries Association of America (``AIA'') (Application 92-9A001). SUMMARY: The U.S. Department of Commerce issued an amended Export Trade Certificate of...

  15. 76 FR 10885 - Export Trade Certificate of Review

    Science.gov (United States)

    2011-02-28

    ... International Trade Administration Export Trade Certificate of Review ACTION: Notice of Application ( 11-00001) for an Export Trade Certificate of Review for the Latin American ] Multichannel Advertising Council..., U.S. Department of Commerce, received an application for an Export Trade Certificate of Review...

  16. 75 FR 55739 - Export Trade Certificate of Review

    Science.gov (United States)

    2010-09-14

    ... International Trade Administration Export Trade Certificate of Review ACTION: Notice of Application ( 92-9A001) to amend an export trade certificate of review previously issued to Aerospace Industries Association... Administration, U.S. Department of Commerce, has received an application to amend an Export Trade Certificate of...

  17. 75 FR 65449 - Export Trade Certificate of Review

    Science.gov (United States)

    2010-10-25

    ... International Trade Administration Export Trade Certificate of Review ACTION: Notice of issuance of an amended export trade certificate of review to Florida Citrus Exports L.C. (``FCE'') (Application 94-4A007). SUMMARY: The U.S. Department of Commerce issued an amended Export Trade Certificate of Review to Florida...

  18. 75 FR 50747 - Export Trade Certificate of Review

    Science.gov (United States)

    2010-08-17

    ... International Trade Administration Export Trade Certificate of Review ACTION: Notice of Issuance of an amended Export Trade Certificate of Review to U.S. Shippers Association (Application 85-16A18). SUMMARY: The U.S. Department of Commerce issued an amended Export Trade Certificate of Review to U.S. Shippers Association...

  19. 76 FR 5510 - Safety Enhancements Part 139, Certification of Airports

    Science.gov (United States)

    2011-02-01

    ... operations below 1,200 feet RVR to implement a SMGCS plan in its airport certification manual (ACM). Fourth... Certification Manual. (d) Each certificate holder must establish and implement a program for testing performance... (ramps and aprons). Some airports voluntarily implement training for personnel accessing the non-movement...

  20. 47 CFR 76.911 - Petition for reconsideration of certification.

    Science.gov (United States)

    2010-10-01

    ... reconsideration of certification. (a) A cable operator (or other interested party) may challenge a franchising... under this section. (2) The franchising authority does not meet the certification standards set forth in... be subject to forfeitures. (d) If the Commission upholds a challenge to a certification filed...

  1. 40 CFR 86.1721-01 - Application for certification.

    Science.gov (United States)

    2010-07-01

    ... to select a test fleet representative of the vehicles (or engines) for which certification is requested at the time of certification. (b) For ZEVs and hybrid electric vehicles, the certification part 1...-3750 lbs LVW, LDT 3751-5750 lbs LVW (state test weight range), and the curb weight and gross vehicle...

  2. 78 FR 13861 - Export Trade Certificate of Review

    Science.gov (United States)

    2013-03-01

    ... DEPARTMENT OF COMMERCE International Trade Administration [Application No. 85-17A18] Export Trade Certificate of Review ACTION: Notice of Issuance of an Amended Export Trade Certificate of Review to U.S..., Office of Competition and Economic Analysis (OCEA), has issued an amended Export Trade Certificate of...

  3. 77 FR 59591 - Export Trade Certificate of Review

    Science.gov (United States)

    2012-09-28

    ... DEPARTMENT OF COMMERCE International Trade Administration [Application No. 12-00002] Export Trade Certificate of Review ACTION: Notice of issuance of an Export Trade Certificate of Review to SunWest Foods... Export Trade Certificate of Review to SunWest Foods, Inc (``SunWest).'' This notice summarizes the...

  4. 77 FR 61744 - Export Trade Certificate of Review

    Science.gov (United States)

    2012-10-11

    ... DEPARTMENT OF COMMERCE International Trade Administration [Application No. 10-3A001] Export Trade Certificate of Review ACTION: Notice of Issuance of an Export Trade Certificate of Review to Alaska Longline... Commerce issued an amended Export Trade Certificate of Review to the Alaska Longline Cod Commission (``ALCC...

  5. 78 FR 78816 - Export Trade Certificate of Review

    Science.gov (United States)

    2013-12-27

    ... DEPARTMENT OF COMMERCE International Trade Administration [Application No. 87-9A001] Export Trade Certificate of Review ACTION: Notice of Issuance of an Amended Export Trade Certificate of Review to... issued an amended Export Trade Certificate of Review to Independent Film and Television Alliance (``IFTA...

  6. 78 FR 25060 - Export Trade Certificate of Review

    Science.gov (United States)

    2013-04-29

    ... DEPARTMENT OF COMMERCE International Trade Administration [Application No. 92-11A001] Export Trade Certificate of Review ACTION: Notice of Issuance of an amended Export Trade Certificate of Review to Aerospace... issued an amended Export Trade Certificate of Review to Aerospace Industries Association of America on...

  7. 77 FR 2036 - Export Trade Certificate of Review

    Science.gov (United States)

    2012-01-13

    ... DEPARTMENT OF COMMERCE International Trade Administration [Application No. 92-10A001] Export Trade Certificate of Review ACTION: Notice of issuance of an Export Trade Certificate of Review to Aerospace... an amended Export Trade Certificate of Review to Aerospace Industries of America on September 27...

  8. 77 FR 28853 - Export Trade Certificate of Review

    Science.gov (United States)

    2012-05-16

    ... DEPARTMENT OF COMMERCE International Trade Administration [Application No. 10-2A001] Export Trade Certificate of Review ACTION: Notice of issuance of an Export Trade Certificate of Review to Alaska Longline... Export Trade Certificate of Review Alaska Longline Cod Commission (``ALCC'') on May 7, 2012. This is the...

  9. 78 FR 5778 - Export Trade Certificate of Review

    Science.gov (United States)

    2013-01-28

    ... DEPARTMENT OF COMMERCE International Trade Administration [Application No. 92-11A01] Export Trade Certificate of Review ACTION: Notice of Application (92-11A01) to amend the Export Trade Certificate of Review... of Commerce, has received an application to amend an Export Trade Certificate of Review...

  10. 40 CFR 96.113 - Certificate of representation.

    Science.gov (United States)

    2010-07-01

    ... 40 Protection of Environment 20 2010-07-01 2010-07-01 false Certificate of representation. 96.113... CAIR Designated Representative for CAIR NOX Sources § 96.113 Certificate of representation. (a) A complete certificate of representation for a CAIR designated representative or an alternate CAIR designated...

  11. 40 CFR 97.113 - Certificate of representation.

    Science.gov (United States)

    2010-07-01

    ... 40 Protection of Environment 20 2010-07-01 2010-07-01 false Certificate of representation. 97.113... Representative for CAIR NOX Sources § 97.113 Certificate of representation. (a) A complete certificate of representation for a CAIR designated representative or an alternate CAIR designated representative shall include...

  12. 40 CFR 72.24 - Certificate of representation.

    Science.gov (United States)

    2010-07-01

    ... 40 Protection of Environment 16 2010-07-01 2010-07-01 false Certificate of representation. 72.24... (CONTINUED) PERMITS REGULATION Designated Representative § 72.24 Certificate of representation. (a) A complete certificate of representation for a designated representative or an alternate designated...

  13. 40 CFR 97.313 - Certificate of representation.

    Science.gov (United States)

    2010-07-01

    ... 40 Protection of Environment 20 2010-07-01 2010-07-01 false Certificate of representation. 97.313... Representative for CAIR NOX Ozone Season Sources § 97.313 Certificate of representation. (a) A complete certificate of representation for a CAIR designated representative or an alternate CAIR designated...

  14. 40 CFR 97.213 - Certificate of representation.

    Science.gov (United States)

    2010-07-01

    ... 40 Protection of Environment 20 2010-07-01 2010-07-01 false Certificate of representation. 97.213... Representative for CAIR SO2 Sources § 97.213 Certificate of representation. (a) A complete certificate of representation for a CAIR designated representative or an alternate CAIR designated representative shall include...

  15. 40 CFR 96.213 - Certificate of representation.

    Science.gov (United States)

    2010-07-01

    ... 40 Protection of Environment 20 2010-07-01 2010-07-01 false Certificate of representation. 96.213... CAIR Designated Representative for CAIR SO2 Sources § 96.213 Certificate of representation. (a) A complete certificate of representation for a CAIR designated representative or an alternate CAIR designated...

  16. 40 CFR 96.313 - Certificate of representation.

    Science.gov (United States)

    2010-07-01

    ... 40 Protection of Environment 20 2010-07-01 2010-07-01 false Certificate of representation. 96.313... CAIR Designated Representative for CAIR NOX Ozone Season Sources § 96.313 Certificate of representation. (a) A complete certificate of representation for a CAIR designated representative or an alternate...

  17. 40 CFR 96.13 - Account certificate of representation.

    Science.gov (United States)

    2010-07-01

    ... 40 Protection of Environment 20 2010-07-01 2010-07-01 false Account certificate of representation... representation. (a) A complete account certificate of representation for a NOX authorized account representative... unit at the source for which the account certificate of representation is submitted. (2) The name...

  18. 29 CFR 825.312 - Fitness-for-duty certification.

    Science.gov (United States)

    2010-07-01

    ... 29 Labor 3 2010-07-01 2010-07-01 false Fitness-for-duty certification. 825.312 Section 825.312... § 825.312 Fitness-for-duty certification. (a) As a condition of restoring an employee whose FMLA leave... provider to provide the information directly to the employer) in the fitness-for-duty certification process...

  19. 47 CFR 2.962 - Requirements for Telecommunication Certification Bodies.

    Science.gov (United States)

    2010-10-01

    ... 47 Telecommunication 1 2010-10-01 2010-10-01 false Requirements for Telecommunication Certification Bodies. 2.962 Section 2.962 Telecommunication FEDERAL COMMUNICATIONS COMMISSION GENERAL FREQUENCY... Telecommunication Certification Bodies (tcbs) § 2.962 Requirements for Telecommunication Certification Bodies. (a...

  20. 22 CFR 61.4 - Certification procedures-Exports.

    Science.gov (United States)

    2010-04-01

    ... 22 Foreign Relations 1 2010-04-01 2010-04-01 false Certification procedures-Exports. 61.4 Section... AUDIO-VISUAL MATERIALS § 61.4 Certification procedures—Exports. (a) Applicants seeking certification of... accompany each export shipment of the certified material. ...

  1. 46 CFR 176.925 - Safety Management Certificate.

    Science.gov (United States)

    2010-10-01

    ... 46 Shipping 7 2010-10-01 2010-10-01 false Safety Management Certificate. 176.925 Section 176.925... (SOLAS) § 176.925 Safety Management Certificate. (a) All vessels that carry more than 12 passengers on an international voyage must have a valid Safety Management Certificate and a copy of their company's valid...

  2. 46 CFR 107.415 - Safety Management Certificate.

    Science.gov (United States)

    2010-10-01

    ... 46 Shipping 4 2010-10-01 2010-10-01 false Safety Management Certificate. 107.415 Section 107.415... § 107.415 Safety Management Certificate. (a) All self-propelled mobile offshore drilling units of 500... Safety Management Certificate is issued for a period of not more than 60 months. [CGD 95-073, 62 FR 67515...

  3. 46 CFR 189.60-30 - Safety Management Certificate.

    Science.gov (United States)

    2010-10-01

    ... 46 Shipping 7 2010-10-01 2010-10-01 false Safety Management Certificate. 189.60-30 Section 189.60... § 189.60-30 Safety Management Certificate. All vessels to which 33 CFR part 96 applies on an international voyage must have a valid Safety Management Certificate and a copy of their company's valid...

  4. 46 CFR 91.60-30 - Safety Management Certificate.

    Science.gov (United States)

    2010-10-01

    ... 46 Shipping 4 2010-10-01 2010-10-01 false Safety Management Certificate. 91.60-30 Section 91.60-30....60-30 Safety Management Certificate. All vessels to which 33 CFR part 96 applies on an international voyage must have a valid Safety Management Certificate and a copy of their company's valid Document of...

  5. 46 CFR 115.925 - Safety Management Certificate.

    Science.gov (United States)

    2010-10-01

    ... 46 Shipping 4 2010-10-01 2010-10-01 false Safety Management Certificate. 115.925 Section 115.925... have a valid Safety Management Certificate and a copy of their company's valid Document of Compliance... Safety Management Certificate is issued for a period of not more than 60 months. [CGD 95-073, 62 FR 67515...

  6. 19 CFR 191.10 - Certificate of delivery.

    Science.gov (United States)

    2010-04-01

    ... 19 Customs Duties 2 2010-04-01 2010-04-01 false Certificate of delivery. 191.10 Section 191.10... TREASURY (CONTINUED) DRAWBACK General Provisions § 191.10 Certificate of delivery. (a) Purpose; when... other party a certificate of delivery, certified by the importer or other party through whose possession...

  7. Outcomes of independent midwifery attended births in birth centres and home births: a retrospective cohort study in Japan.

    Science.gov (United States)

    Kataoka, Yaeko; Eto, Hiromi; Iida, Mariko

    2013-08-01

    the objective of this study was to describe and compare perinatal and neonatal outcomes of women who received care from independent midwives practicing home births and at birth centres in Tokyo. a retrospective cohort study. birth centres and homes serviced by independent midwives in Tokyo. of the 43 eligible independent midwives 19 (44%) (10 assisted birth at birth centres, nine assisted home birth) participated in the study. A total of 5477 women received care during their pregnancy and gave birth assisted by these midwives between 2001 and 2006. researchers conducted a retrospective chart review of women's individual data. Collected data included demographic characteristics, process of pregnancy and perinatal and neonatal outcomes. We also collected data about independent midwives and their practice. of the 5477 women, 83.9% gave birth at birth centres and 16.1% gave birth at home. The average age was 31.7 years old and the majority (70.6%) were multiparas. All women had vaginal spontaneous deliveries, with no vacuum, forceps or caesarean section interventions. No maternal fatalities were reported, nor were breech or multiple births. The average duration of the first and second stages of labour was 14.9 hours for primiparas and 6.2 hours for multiparas. Most women (97.1%) gave birth within 24 hours of membrane rupture. Maternal position during labour varied and family attended birth was common. The average blood loss was 371.3mL, while blood loss over 500mL was 22.6% and over 1000mL was 3.6%. Nearly 60% of women had intact perinea. There were few preterm births (0.6%) and post mature births (1.3%). Infant's average birth weight was 3126g and 0.5% were low-birthweight-infants, while 3.3% had macrosomia. Among primiparas, the birth centre group had more women experiencing an excess of 500mL blood loss compared to the home birth group (27.2% versus 17.6% respectively; RR 1.54; 95%CI 1.10 to 2.16). Multiparas delivering at birth centres were more likely to have a

  8. Area-level poverty and preterm birth risk: A population-based multilevel analysis

    Directory of Open Access Journals (Sweden)

    Muglia Louis A

    2008-09-01

    Full Text Available Abstract Background Preterm birth is a complex disease with etiologic influences from a variety of social, environmental, hormonal, genetic, and other factors. The purpose of this study was to utilize a large population-based birth registry to estimate the independent effect of county-level poverty on preterm birth risk. To accomplish this, we used a multilevel logistic regression approach to account for multiple co-existent individual-level variables and county-level poverty rate. Methods Population-based study utilizing Missouri's birth certificate database (1989–1997. We conducted a multilevel logistic regression analysis to estimate the effect of county-level poverty on PTB risk. Of 634,994 births nested within 115 counties in Missouri, two levels were considered. Individual-level variables included demographics factors, prenatal care, health-related behavioral risk factors, and medical risk factors. The area-level variable included the percentage of the population within each county living below the poverty line (US census data, 1990. Counties were divided into quartiles of poverty; the first quartile (lowest rate of poverty was the reference group. Results PTB th quartile (4.9%, p adjOR 1.18 (95% CI 1.03, 1.35, with a similar effect at earlier gestational ages (adjOR 1.27 (95% CI 1.06, 1.52. Conclusion Women residing in socioeconomically deprived areas are at increased risk of preterm birth, above other underlying risk factors. Although the risk increase is modest, it affects a large number of pregnancies.

  9. Area-level poverty and preterm birth risk: a population-based multilevel analysis.

    Science.gov (United States)

    DeFranco, Emily A; Lian, Min; Muglia, Louis A; Schootman, Mario

    2008-09-15

    Preterm birth is a complex disease with etiologic influences from a variety of social, environmental, hormonal, genetic, and other factors. The purpose of this study was to utilize a large population-based birth registry to estimate the independent effect of county-level poverty on preterm birth risk. To accomplish this, we used a multilevel logistic regression approach to account for multiple co-existent individual-level variables and county-level poverty rate. Population-based study utilizing Missouri's birth certificate database (1989-1997). We conducted a multilevel logistic regression analysis to estimate the effect of county-level poverty on PTB risk. Of 634,994 births nested within 115 counties in Missouri, two levels were considered. Individual-level variables included demographics factors, prenatal care, health-related behavioral risk factors, and medical risk factors. The area-level variable included the percentage of the population within each county living below the poverty line (US census data, 1990). Counties were divided into quartiles of poverty; the first quartile (lowest rate of poverty) was the reference group. PTB poverty and increased through the 4th quartile (4.9%), p poverty was significantly associated with PTB risk. PTB risk (poverty, adjusted odds ratio (adj OR) 1.18 (95% CI 1.03, 1.35), with a similar effect at earlier gestational ages (< 32 weeks), adj OR 1.27 (95% CI 1.06, 1.52). Women residing in socioeconomically deprived areas are at increased risk of preterm birth, above other underlying risk factors. Although the risk increase is modest, it affects a large number of pregnancies.

  10. Vicarious birth experiences and childbirth fear: does it matter how young canadian women learn about birth?

    Science.gov (United States)

    Stoll, Kathrin; Hall, Wendy

    2013-01-01

    In our secondary analysis of a cross-sectional survey, we explored predictors of childbirth fear for young women (n = 2,676). Young women whose attitudes toward pregnancy and birth were shaped by the media were 1.5 times more likely to report childbirth fear. Three factors that were associated with reduced fear of birth were women's confidence in reproductive knowledge, witnessing a birth, and learning about pregnancy and birth through friends. Offering age-appropriate birth education during primary and secondary education, as an alternative to mass-mediated information about birth, can be evaluated as an approach to reduce young women's childbirth fear.

  11. [Psychological consequences of multiple births].

    Science.gov (United States)

    Garel, M; Charlemaine, E; Blondel, B

    2006-11-01

    Since the mid 1970s, the number of multiple births has dramatically increased in our country and most European countries. This paper summarizes the psychological consequences of multiple births based on a review of the literature and on our clinical experience. During pregnancy mothers experience great physical problems linked with increased medical risks for themselves and for the children. These risks cause psychological difficulties: hospitalisation and separation from the family, fear of a premature delivery and anxiety for the children. After delivery the children are often hospitalized, which makes the attachment process difficult. The mortality of multiple children is high and mourning for one child creates particular problems for parents who simultaneously face grieving and attachment processes. After hospital discharge, the overload of work mothers experience leads to physical and nervous fatigue, which does not make easier individual relationship with the children. Mothers have a high level of psychological vulnerability and an increased risk of depression. The satisfactory development of each twin or triplet child requires individualized relationship with his/her mother and his/her father. That is how he/she will be able to build his/her identity and future autonomy. It is important to be aware of the problems experienced by the families and to improve the way material help and psychological support are provided to them.

  12. Review Article: Hazards of Chaotic Importation, Certification ...

    African Journals Online (AJOL)

    Review Article: Hazards of Chaotic Importation, Certification, Distribution and Marketing of Medical Laboratory Consumables in Nigeria. BC Nlemadim. Abstract. No abstract. Journal of Medical Laboratory Science Vol.12(2) 2003: 25 - 27. Full Text: EMAIL FULL TEXT EMAIL FULL TEXT · DOWNLOAD FULL TEXT ...

  13. 47 CFR 90.203 - Certification required.

    Science.gov (United States)

    2010-10-01

    ... MOBILE RADIO SERVICES General Technical Standards § 90.203 Certification required. (a) Except as... States after March 15, 1988. Marketing of these transmitters shall not be permitted after March 15, 1989... received on or after January 1, 2005, for mobile and portable transmitters designed to transmit voice on...

  14. Overview of a pharmacist anticoagulation certificate program.

    Science.gov (United States)

    Kirk, Julienne K; Edwards, Rebecca; Brewer, Andrew; Miller, Cathey; Bray, Bryan; Groce, James B

    2017-07-01

    To describe the design of an ongoing anticoagulation certificate program and annual renewal update for pharmacists. Components of the anticoagulation certificate program include home study, pre- and posttest, live sessions, case discussions with evaluation and presentation, an implementation plan, and survey information (program evaluation and use in practice). Clinical reasoning skills were assessed through case work-up and evaluation prior to live presentation. An annual renewal program requires pharmacists to complete home study and case evaluations. A total of 361 pharmacists completed the anticoagulation certificate program between 2002 and 2015. Most (62%) practiced in ambulatory care and 38% in inpatient care settings (8% in both). In the past four years, 71% were working in or starting anticoagulation clinics in ambulatory and inpatient settings. In their evaluations of the program, an average of 90% of participants agreed or strongly agreed the lecture material was relevant and objectives were met. Pharmacists are able to apply knowledge and skills in management of anticoagulation. This structured practice-based continuing education program was intended to enhance pharmacy practice and has achieved that goal. The certificate program in anticoagulation was relevant to pharmacists who attended the program. Copyright © 2017. Published by Elsevier Inc.

  15. 7 CFR 915.110 - Exemption certificates.

    Science.gov (United States)

    2010-01-01

    ... 7 Agriculture 8 2010-01-01 2010-01-01 false Exemption certificates. 915.110 Section 915.110 Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (Marketing... the Manager of the Avocado Administrative Committee on its behalf, of one or more exemption...

  16. 48 CFR 1609.471 - Contractor certification.

    Science.gov (United States)

    2010-10-01

    ... statutes relating to the submission of offers; or commission of embezzlement, theft, forgery, bribery... responsibilities within a business entity (e.g., general manager; plant manager; head of a subsidiary, division, or business segment, and similar positions). This certification concerns a matter within the jurisdiction of...

  17. Certificates, Skills and Job Markets in Europe.

    Science.gov (United States)

    Mallet, Louis; And Others

    1997-01-01

    Research conducted in France, Germany, Italy, the Netherlands, Spain, and the United Kingdom examined distribution of certificate holders throughout the economy and the process of competition for access to employment. Supply had a significant effect on the distribution. Emphasis on initial training as opposed to continuing education may be…

  18. 7 CFR 322.30 - Export certificate.

    Science.gov (United States)

    2010-01-01

    ... 7 Agriculture 5 2010-01-01 2010-01-01 false Export certificate. 322.30 Section 322.30 Agriculture Regulations of the Department of Agriculture (Continued) ANIMAL AND PLANT HEALTH INSPECTION SERVICE, DEPARTMENT OF AGRICULTURE BEES, BEEKEEPING BYPRODUCTS, AND BEEKEEPING EQUIPMENT Importation and Transit of...

  19. 7 CFR 322.6 - Export certificate.

    Science.gov (United States)

    2010-01-01

    ... 7 Agriculture 5 2010-01-01 2010-01-01 false Export certificate. 322.6 Section 322.6 Agriculture Regulations of the Department of Agriculture (Continued) ANIMAL AND PLANT HEALTH INSPECTION SERVICE, DEPARTMENT OF AGRICULTURE BEES, BEEKEEPING BYPRODUCTS, AND BEEKEEPING EQUIPMENT Importation of Adult...

  20. 40 CFR 94.306 - Certification.

    Science.gov (United States)

    2010-07-01

    ... § 94.304(m). (3) Conduct and submit detailed calculations of projected emission credits (positive or... reserved). (4) Submit a statement that the engines for which certification is requested will not, to the... be used in this calculation for each engine family. (2) That the manufacturer will obtain sufficient...

  1. 24 CFR 91.425 - Certifications.

    Science.gov (United States)

    2010-04-01

    ... CONSOLIDATED SUBMISSIONS FOR COMMUNITY PLANNING AND DEVELOPMENT PROGRAMS Consortia; Contents of Consolidated... restrictions on lobbying required by 24 CFR part 87, together with disclosure forms, if required by that part... the following certifications: (i) If it plans to use HOME funds for tenant-based rental assistance, a...

  2. 34 CFR 34.21 - Employer certification.

    Science.gov (United States)

    2010-07-01

    ... 34 Education 1 2010-07-01 2010-07-01 false Employer certification. 34.21 Section 34.21 Education Office of the Secretary, Department of Education ADMINISTRATIVE WAGE GARNISHMENT § 34.21 Employer... within the time stated in the instructions for the form. (c) The employer must include in the...

  3. Guinness World Records: Presenting certificates to CERN

    CERN Multimedia

    Rao, Achintya

    2014-01-01

    The latest edition of the Guinness Book of World Records features CERN, crediting the CMS and ATLAS collaborations for the first observation of a Higgs boson. On 20 August, representatives of Guinness World Records visit CERN to hand over certificates for the record.

  4. Tier 3 Certification Fuel Impacts Test Program

    Science.gov (United States)

    The recent Tier 3 regulations for light duty vehicles introduced a new certification fuel designed to be more characteristic of current market fuels. A laboratory test program was conducted to measure differences in CO2 and fuel economy between the current and future certificatio...

  5. Policy Pathways: Energy Performance Certification of Buildings

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2010-07-01

    Improving energy efficiency is one of the most effective measures to address energy security, climate change and economic objectives. The Policy Pathways series can help countries capture this potential by assisting with the implementation of the 25 energy efficiency policy recommendations that were published by the International Energy Agency (IEA) in 2008. This policy pathway on energy performance certification of buildings is the second in the series. It aims to provide a 'how-to' guide to policy makers and relevant stakeholders on the essential elements in implementing energy performance certification of buildings programmes. Energy performance certification of buildings is a way to rate the energy efficiency of individual buildings -- whether they be residential, commercial or public. It is a key policy instrument that can assist governments in reducing energy consumption in buildings. This policy pathway showcases experiences from countries around the world to show examples of good practice and delivers a pathway of ten critical steps to implement energy performance certification of buildings programmes.

  6. 15 CFR 996.22 - Certification.

    Science.gov (United States)

    2010-01-01

    ... express or implied warranty as to the merchantability or fitness for a particular purpose; conveys no express or implied liability on the part of the Government of the United States for the hydrographic...) Certification shall be for a term of 3 years unless otherwise specified by the Administrator. (d) A...

  7. 42 CFR 411.373 - Certification.

    Science.gov (United States)

    2010-10-01

    ... EXCLUSIONS FROM MEDICARE AND LIMITATIONS ON MEDICARE PAYMENT Financial Relationships Between Physicians and... following signed certification: “With knowledge of the penalties for false statements provided by 18 U.S.C... one into which [the requestor], in good faith, plans to enter.” This statement may be made contingent...

  8. The effects of coffee certification in Kenya

    NARCIS (Netherlands)

    Rijsbergen, B.J. van; Elbers, W.J.; Kempen, L.A.C.M. van; Ruben, R.; Hoebink, P.R.J.

    2015-01-01

    Sustainability standards like Fair Trade (FT) or Utz certified (Utz) are widely regarded as a promising way of improving smallholder coffee farmer welfare. As yet, the impact of certification remains poorly understood. This chapter presents the findings of the study regarding the impact of FT and

  9. 24 CFR 91.225 - Certifications.

    Science.gov (United States)

    2010-04-01

    ... housing choice within the jurisdiction, take appropriate actions to overcome the effects of any... certification that it has in effect and is following a residential antidisplacement and relocation assistance... discharge from immediately resulting in homelessness for such persons. (d) HOME program. Each participating...

  10. CHDS Launches Army National Guard Certificate Program

    OpenAIRE

    Center for Homeland Defense and Security

    2007-01-01

    Center for Homeland Defense and Security, PRESS RELEASES The Naval Postgraduate School’s (NPS) Center for Homeland Defense and Security (CHDS) has launched a certificate program in Homeland Defense and Security (HD/S) specifically for the National Guard (NG). The...

  11. Green certificate in an international market

    International Nuclear Information System (INIS)

    Nese, Gjermund

    2002-01-01

    An analytical equilibrium model for a simultaneously functioning electricity market and a market for Green Certificates is formulated. The main focus is on the effects of changing the percentage requirement which is in end use consumption. We start by looking briefly at an autarky market before opening the trade of electricity and certificates. The results show that the percentage requirement is a very imprecise instrument as to increase the provision of green electricity. In none of the cases considered will an increase of the percentage requirement in a country necessarily result in an increase in the generation of green electricity in the country itself. When opening for trade, the results show that the increase of the percentage requirement in one country can have a negative effect on green electricity generation in this country, but a positive effect in the other country. Further it is shown that in the case of an open certificate market where the certificates can be traded at a given international price, a country will maximise it's generation of green electricity by setting the percentage requirement equal to zero. (Author)

  12. 47 CFR 76.912 - Joint certification.

    Science.gov (United States)

    2010-10-01

    ... CABLE TELEVISION SERVICE Cable Rate Regulation § 76.912 Joint certification. (a) Franchising authorities..., joint hearings, data collection, and ratemaking. Franchising authorities jointly certified to regulate their cable system(s) may make independent rate decisions. (b) Franchising authorities may apply for...

  13. Certification trails and software design for testability

    Science.gov (United States)

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

    1993-01-01

    Design techniques which may be applied to make program testing easier were investigated. Methods for modifying a program to generate additional data which we refer to as a certification trail are presented. This additional data is designed to allow the program output to be checked more quickly and effectively. Certification trails were described primarily from a theoretical perspective. A comprehensive attempt to assess experimentally the performance and overall value of the certification trail method is reported. The method was applied to nine fundamental, well-known algorithms for the following problems: convex hull, sorting, huffman tree, shortest path, closest pair, line segment intersection, longest increasing subsequence, skyline, and voronoi diagram. Run-time performance data for each of these problems is given, and selected problems are described in more detail. Our results indicate that there are many cases in which certification trails allow for significantly faster overall program execution time than a 2-version programming approach, and also give further evidence of the breadth of applicability of this method.

  14. 7 CFR 247.16 - Certification period.

    Science.gov (United States)

    2010-01-01

    ... Agriculture Regulations of the Department of Agriculture (Continued) FOOD AND NUTRITION SERVICE, DEPARTMENT OF AGRICULTURE CHILD NUTRITION PROGRAMS COMMODITY SUPPLEMENTAL FOOD PROGRAM § 247.16 Certification period. (a..., color, national origin, age, sex, or disability. (Approved by the Office of Management and Budget under...

  15. 9 CFR 93.913 - Health certificate.

    Science.gov (United States)

    2010-01-01

    ...-regulated regions for other than immediate slaughter or research or laboratory use must be accompanied by a... 9 Animals and Animal Products 1 2010-01-01 2010-01-01 false Health certificate. 93.913 Section 93.913 Animals and Animal Products ANIMAL AND PLANT HEALTH INSPECTION SERVICE, DEPARTMENT OF AGRICULTURE...

  16. 5 CFR 1330.404 - Certification criteria.

    Science.gov (United States)

    2010-01-01

    ... PERSONNEL MANAGEMENT HUMAN RESOURCES MANAGEMENT Performance Appraisal Certification for Pay Purposes § 1330... agency's mission, GPRA strategic goals, program and policy objectives, and/or annual performance plans... subordinate employees; (8) Performance differentiation, so that the system(s) includes at least one summary...

  17. Certification plan for safety and PRA codes

    International Nuclear Information System (INIS)

    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 ampersand 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

  18. 33 CFR 135.215 - Certification.

    Science.gov (United States)

    2010-07-01

    ...) MARINE POLLUTION FINANCIAL RESPONSIBILITY AND COMPENSATION OFFSHORE OIL POLLUTION COMPENSATION FUND... for Certificate of Financial Responsibility form, available from the Fund Administrator or any Coast... clearly designated as such to insure confidential treatment by the Fund Administrator, under 5 U.S.C. 552...

  19. 9 CFR 93.803 - Health certificate.

    Science.gov (United States)

    2010-01-01

    ... unless accompanied by a health certificate either signed by a salaried veterinarian of the national... signed by a veterinarian authorized by the national veterinary services of such region and endorsed by a salaried veterinarian of the national veterinary services of such region (the endorsement representing that...

  20. 5 CFR 630.1207 - Medical certification.

    Science.gov (United States)

    2010-01-01

    ... treatment that may be required by a health care provider; (4) For the purpose of leave taken under § 630... provided by the employee and the medical treatment requires the leave to begin, the agency shall grant... LEAVE Family and Medical Leave § 630.1207 Medical certification. (a) An agency may require that a...

  1. 16 CFR 306.6 - Certification.

    Science.gov (United States)

    2010-01-01

    ...) Include a delivery ticket or other paper with each transfer of automotive fuel. It may be an invoice, bill of lading, bill of sale, terminal ticket, delivery ticket, or any other written proof of transfer. It... new automotive fuel either with a delivery ticket or by sending a new letter of certification. (c...

  2. 21 CFR 1010.2 - Certification.

    Science.gov (United States)

    2010-04-01

    ... Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) RADIOLOGICAL HEALTH PERFORMANCE STANDARDS FOR ELECTRONIC PRODUCTS: GENERAL General Provisions § 1010.2 Certification. (a) Every manufacturer of an electronic product for which an applicable standard is in effect under...

  3. 78 FR 27343 - Medical Examiner's Certification Integration

    Science.gov (United States)

    2013-05-10

    ... DEPARTMENT OF TRANSPORTATION Federal Motor Carrier Safety Administration 49 CFR Parts 383, 384 and 391 [Docket No. FMCSA-2012-0178] RIN 2126-AB40 Medical Examiner's Certification Integration AGENCY: Federal Motor Carrier Safety Administration (FMCSA), DOT. ACTION: Notice of proposed rulemaking. SUMMARY...

  4. Certification of ISO 9001: SSDL experiences

    International Nuclear Information System (INIS)

    Noriah Mod Ali

    2005-01-01

    Efforts given to maintain the quality management based on the ISO 9000 requirement able to improved the existing system, strengthen the customer confidence and to satisfied the worker needs. It gives direct impact on the harmonization of the Radiation Protection Program in the country. SSDL experiences towards obtaining the the ISO 9002/ISO 9001 certification and its maintenance are discussed in details. (Author)

  5. Software Testing An ISEB Intermediate Certificate

    CERN Document Server

    Hambling, Brian

    2009-01-01

    Covering testing fundamentals, reviews, testing and risk, test management and test analysis, this book helps newly qualified software testers to learn the skills and techniques to take them to the next level. Written by leading authors in the field, this is the only official textbook of the ISEB Intermediate Certificate in Software Testing.

  6. 40 CFR 86.094-30 - Certification.

    Science.gov (United States)

    2010-07-01

    ..., which are driven outside the United States, Canada, and Mexico will be presumed to have been operated on... White Pine State of New Mexico Bernalillo Catron Colfax Curry De Baca Grant Guadalupe Harding Hidalgo... into commerce of vehicles (or engines) previously covered by the certification which are still in the...

  7. Certification of Markets, Markets of Certificates: Tracing Sustainability in Global Agro-Food Value Chains

    OpenAIRE

    Mol, A.P.J.; Oosterveer, P.J.M.

    2015-01-01

    There is a blossoming of voluntary certification initiatives for sustainable agro-food products and production processes. With these certification initiatives come traceability in supply chains, to guarantee the sustainability of the products consumed. No systematic analysis exists of traceability systems for sustainability in agro-food supply chains. Hence, the purpose of this article is to analyze the prevalence of four different traceability systems to guarantee sustainability; to identif...

  8. Directory of certificates of compliance for radioactive materials packages. Certificates of compliance

    Energy Technology Data Exchange (ETDEWEB)

    None

    1979-10-01

    This volume contains all Certificates of Compliance for radioactive material packages effective September 14, 1979. Purpose of this directory is to make available a convenient source of information on packagings which have been approved by the US Nuclear Regulatory Commission. To assist in identifying packaging, an index by Model Number and corresponding Certificate of Compliance number is included at the back of each volume of the directory.

  9. Weight at birth and subsequent fecundability

    DEFF Research Database (Denmark)

    Wildenschild, Cathrine; Riis, Anders H; Ehrenstein, Vera

    2014-01-01

    OBJECTIVE: To examine the association between a woman's birth weight and her subsequent fecundability. METHOD: In this prospective cohort study, we included 2,773 Danish pregnancy planners enrolled in the internet-based cohort study "Snart-Gravid", conducted during 2007-2012. Participants were 18......-40 years old at study entry, attempting to conceive, and were not receiving fertility treatment. Data on weight at birth were obtained from the Danish Medical Birth Registry and categorized as birth weight...... was categorized according to z-scores for each gestational week at birth. Time-to-pregnancy measured in cycles was used to compute fecundability ratios (FR) and 95% confidence intervals (CI), using a proportional probabilities regression model. RESULTS: Relative to women with a birth weight of 3,000-3,999 grams...

  10. Birth Experience through an Existential Lens

    DEFF Research Database (Denmark)

    Prinds, Christina

    Background: The moment of birth is seen as a miracle, a journey and even a religious act. Research stress how giving birth might facilitate interference with previous conceptions of how to make meaning of life existentially. However, birth as an existential life transformative event, has been...... explored only briefly in empirical research. The aim of this study was two-fold: Firstly, to explore how first-time mothers experienced their first birth in relation to existential meaning-making. Secondly, to describe the relationship between considerations related to existential meaning-making and time...... of birth. Method: The study was based on a nationwide questionnaire, conducted among Danish first time mothers, who had given birth either preterm or full-term (n=517). The questionnaire consisted of 46 overall items. Eight core items were analysed in this study. Findings Preliminary findings show that new...

  11. On Software Certification: We Need Product-Focused Approaches

    Science.gov (United States)

    Wassyng, Alan; Maibaum, Tom; Lawford, Mark

    In this paper we begin by examining the "certification" of a consumer product, a baby walker, that is product-focused, i.e., the certification process requires the performance of precisely defined tests on the product with measurable outcomes. We then review current practices in software certification and contrast the software regime's process-oriented approach to certification with the product-oriented approach typically used in other engineering disciplines. We make the case that product-focused certification is required to produce reliable software intensive systems. These techniques will have to be domain and even product specific to succeed.

  12. 5th international conference on certification and standardization in NDT

    International Nuclear Information System (INIS)

    2007-01-01

    This CD-ROM contains 30 lectures (in form of manuscripts or abstracts) and 6 posters with the following topics: 1. Some Critical Remarks from German Chemical Industry on Certification and Accreditation in NDT. 2. Global Impact of International Standard ISO 9712. 3. Maintaining Concurrent Compliance with Multiple NDT Personnel Certification Standards. 4. The Revision of the New Approach. 5. Comparison between prEN 473 Currently Submitted to Formal Vote and ISO 9712:2005. 6. Accreditation and Certification - a Contradiction?. 7. The Way We Were. 8. EFNDT-Question-Data-Bank (QDB). 9. NDT Certification in Turkey as an European Country- How It Couldn't Work as the Only Example?. 10. Validation of Practical Examination Specimens. 11. Examination Bank Structure for Radiographic Testing (RT) - An Example. 12. About the New Classification of NDT Methods Based on Positions of Risks and Equipment Life Assessment. 13. Olympus NDT Training Academy. 14. Harmonisation of Personnel Certification Schemes for Non-destructive Testing in the Asia-Pacific Region. 15. How EFNDT Can Help in Accreditation or Recognition/Approval of NDT Certification Bodies? 16. SNT-TC-1A - 40 Years of Employer Certification for NDT Personnel. 17. The Same NDT Certification Scheme for Everybody: a Dream or a Need. 18. 19. Personnel Certification for Thermographers - Status and Trends. 20. Guided Wave Training and Certification. 21. Examination Radiographs and Master Reports for the Industrial Sectors 6 and 7. 22. New Standards ISO 24497 on the Metal Magnetic Memory Method. The Program of Personnel Training and Certification. 23. The Use of the Psychometrics in NDT Certification Programs. 24. EFNDT Guidelines ''Overall NDT Quality System''. 25. The Role of the Forum for National Aerospace NDT Boards. 26. Don't Forget, We Are Supposed to Be Representing Industry. 27. Don't Forget, We Are Supposed to Be Representing Industry. 28. The Need for Standardization in NDT Personnel Certification. 29. NDT

  13. DER Certification Laboratory Pilot, Accreditation Plan, and Interconnection Agreement Handbook

    Energy Technology Data Exchange (ETDEWEB)

    Key, T.; Sitzlar, H. E.; Ferraro, R.

    2003-11-01

    This report describes the first steps toward creating the organization, procedures, plans and tools for distributed energy resources (DER) equipment certification, test laboratory accreditation, and interconnection agreements. It covers the activities and accomplishments during the first period of a multiyear effort. It summarizes steps taken to outline a certification plan to assist in the future development of an interim plan for certification and accreditation activities. It also summarizes work toward a draft plan for certification, a beta Web site to support communications and materials, and preliminary draft certification criteria.

  14. PMP Certification All-In-One Desk Reference For Dummies

    CERN Document Server

    Stackpole, Cynthia Snyder

    2011-01-01

    Be as prepared as possible to take the PMP certification exam The PMP certification is the most popular project management certification available, but also a very difficult certification to obtain with very demanding requirements. That's where this All-in-One reference comes in. Packed with valuable information for taking the exam, the nine books in one covers everything from the certification process to gathering information for the application and signing up to take the exam, as well as studying for the most pertinent parts of the Project Management Body of Knowledge (PMBOK), and review que

  15. The return of the Traditional Birth Attendant

    Directory of Open Access Journals (Sweden)

    Karen Lane

    2016-12-01

    Full Text Available Sub–Saharan Africa and Southern Asia lag behind other regions in the provision of antenatal care and skilled attendance at birth (although typically attended by a family member or villager and over 32 million of the 40 million births not attended by skilled health personnel in 2012 occurred in rural areas. Overall, one–quarter of women in developing nations still birth alone or with a relative to assist them.

  16. Home birth matters-for all women.

    Science.gov (United States)

    Armstrong, Elizabeth Mitchell

    2010-01-01

    Although it remains rare in the United States, planned home birth has drawn increasing attention and criticism in the mainstream media and has come under attack from organized medicine. Yet, recent peer-reviewed studies contribute to the evidence base supporting home birth as a safe option for low-risk women attended by skilled midwives. The author of this editorial argues that home birth is an important cultural touchstone in the landscape of American maternity care.

  17. Does fish oil prevent preterm birth?

    DEFF Research Database (Denmark)

    Secher, Niels Jørgen

    2007-01-01

    A literature review was performed on the effect of fish oil on preterm birth in observational and randomized studies. The only weak effect on preterm birth found in meta-analyses could be caused by the low compliance, and the fact that many women stop supplementation before term together with a f......A literature review was performed on the effect of fish oil on preterm birth in observational and randomized studies. The only weak effect on preterm birth found in meta-analyses could be caused by the low compliance, and the fact that many women stop supplementation before term together...... with a fast acting effect on fish oil....

  18. [Risk factors of birth obstetric trauma].

    Science.gov (United States)

    Murguía-González, Alejandrina; Hernández-Herrera, Ricardo Jorge; Nava-Bermea, Manuel

    2013-06-01

    The proper prenatal care for pregnant women is crucial to quickly identify risk factors for birth trauma. To identify risk factors for neonatal birth trauma. Case-control study that included a patient in the case group for every two controls. The following risk factors were identified: cephalopelvic disproportion, macrosomia, use of forceps, precipitated or prolonged labor, malpresentation, and the most common types of birth trauma. We used descriptive statistics and odds ratios. Statistically significant risk factors for birth trauma were: maternal age or = 30 years (OR = 2.5), first pregnancy (OR = 4.0), cephalopelvic disproportion (OR = 8.3), forceps delivery (OR = 9.4), birth weight greater than 3,800 g (OR = 6.6), and non-cephalic presentation (OR = 8.3). Found birth trauma types were: ecchymosis (40.4%), caput succedaneum (25%), erosion (15.4%), clavicle fracture (5.9%), brachial plexus paralysis (4.7%), inter alia. The perinatal outcome of 79 infants with birth trauma were compared to 158 healthy newborns. Risk factors associated with birth injuries were: Maternal (age, pregnancy), newborn (weight), and birth care (presentation, instrumentation and pelvic sufficiency).

  19. Birth order and health of newborns

    DEFF Research Database (Denmark)

    Brenøe, Anne Ardila; Molitor, Ramona

    2017-01-01

    We examine birth order differences in health of newborns and follow the children throughout childhood using high-quality administrative data on individuals born in Denmark between 1981 and 2010. Family fixed effects models show a positive and robust effect of birth order on health at birth......; firstborn children are less healthy at birth. During earlier pregnancies, women are more likely to smoke, receive more prenatal care, and are more likely to suffer a medical pregnancy complication, suggesting worse maternal health. We further show that the health disadvantage of firstborns persists...

  20. Maternal race and intergenerational preterm birth recurrence.

    Science.gov (United States)

    Smid, Marcela C; Lee, Jong Hyung; Grant, Jacqueline H; Miles, Gandarvaka; Stoddard, Gregory J; Chapman, Derek A; Manuck, Tracy A

    2017-10-01

    Preterm birth is a complex disorder with a heritable genetic component. Studies of primarily White women born preterm show that they have an increased risk of subsequently delivering preterm. This risk of intergenerational preterm birth is poorly defined among Black women. Our objective was to evaluate and compare intergenerational preterm birth risk among non-Hispanic Black and non-Hispanic White mothers. This was a population-based retrospective cohort study, using the Virginia Intergenerational Linked Birth File. All non-Hispanic Black and non-Hispanic White mothers born in Virginia 1960 through 1996 who delivered their first live-born, nonanomalous, singleton infant ≥20 weeks from 2005 through 2009 were included. We assessed the overall gestational age distribution between non-Hispanic Black and White mothers born term and preterm (preterm (preterm birth, 34-36 weeks; and early preterm birth, preterm birth among all eligible births; and (2) suspected spontaneous preterm birth among births to women with medical complications (eg, diabetes, hypertension, preeclampsia and thus higher risk for a medically indicated preterm birth). Multivariable logistic regression was used to estimate odds of preterm birth and spontaneous preterm birth by maternal race and maternal gestational age after adjusting for confounders including maternal education, maternal age, smoking, drug/alcohol use, and infant gender. Of 173,822 deliveries captured in the intergenerational birth cohort, 71,676 (41.2%) women met inclusion criteria for this study. Of the entire cohort, 30.0% (n = 21,467) were non-Hispanic Black and 70.0% were non-Hispanic White mothers. Compared to non-Hispanic White mothers, non-Hispanic Black mothers were more likely to have been born late preterm (6.8% vs 3.7%) or early preterm (2.8 vs 1.0%), P preterm were not at an increased risk of early or late preterm delivery compared to non-Hispanic White mothers born term. The risk of early preterm birth was most

  1. Access Control based on Attribute Certificates for Medical Intranet Applications

    Science.gov (United States)

    Georgiadis, Christos; Pangalos, George; Khair, Marie

    2001-01-01

    Background Clinical information systems frequently use intranet and Internet technologies. However these technologies have emphasized sharing and not security, despite the sensitive and private nature of much health information. Digital certificates (electronic documents which recognize an entity or its attributes) can be used to control access in clinical intranet applications. Objectives To outline the need for access control in distributed clinical database systems, to describe the use of digital certificates and security policies, and to propose the architecture for a system using digital certificates, cryptography and security policy to control access to clinical intranet applications. Methods We have previously developed a security policy, DIMEDAC (Distributed Medical Database Access Control), which is compatible with emerging public key and privilege management infrastructure. In our implementation approach we propose the use of digital certificates, to be used in conjunction with DIMEDAC. Results Our proposed access control system consists of two phases: the ways users gain their security credentials; and how these credentials are used to access medical data. Three types of digital certificates are used: identity certificates for authentication; attribute certificates for authorization; and access-rule certificates for propagation of access control policy. Once a user is identified and authenticated, subsequent access decisions are based on a combination of identity and attribute certificates, with access-rule certificates providing the policy framework. Conclusions Access control in clinical intranet applications can be successfully and securely managed through the use of digital certificates and the DIMEDAC security policy. PMID:11720951

  2. Perceived value of national certification for pediatric nurses.

    Science.gov (United States)

    Messmer, Patricia R; Hill-Rodriguez, Deborah; Williams, Arthur R; Ernst, Mary E; Tahmooressi, Jill

    2011-09-01

    This study evaluated whether pediatric nurses who were certified valued national certifications to a greater degree than those who were not certified. The Gaberson, Schroeter, Killen, and Valentine (2003) Perceived Value of Certification Tool (PVCT) was used to measure nurses' perceptions of certification. The PVCT includes 18 certification-related value statements, using a five-point Likert scale response ranging from strongly agree to strongly disagree. A principal factor analysis was performed to identify clusters of related variables. Certified pediatric nurses valued national certifications to a greater degree than those who were not certified. More favorable views of certification were moderately associated with favorable views of the effects of certification on salary. The PVCT was found to have one factor, not two, as previously reported in the literature. Lower perceived relationships were reported between certification and salary, clinical competence, and consumer confidence compared with feelings of professionalism and personal satisfaction. Efforts to improve the relationship between certification and its perceived value at one institution were addressed. More attention may be needed to strengthen relationships, perceived or otherwise, between certification and competency skills, public awareness, and compensation of nurses for holding national certification. Copyright 2011, SLACK Incorporated.

  3. Size at birth and preterm birth in women with lifetime eating disorders

    DEFF Research Database (Denmark)

    Micali, N.; Larsen, P. Stemann; Strandberg-Larsen, K.

    2016-01-01

    OBJECTIVE: To investigate whether eating disorders are associated with lower size at birth, symmetric growth restriction, and preterm birth; and whether pregnancy smoking explains the association between anorexia nervosa and fetal growth. DESIGN: Longitudinal population-based cohort study. SETTING...

  4. Paternal occupation and birth defects: findings from the National Birth Defects Prevention Study.

    NARCIS (Netherlands)

    Desrosiers, T.A.; Herring, A.H.; Shapira, S.K.; Hooiveld, M.; Luben, T.J.; Herdt-Losavio, M.L.; Lin, S.; Olshan, A.F.

    2012-01-01

    Objectives: Several epidemiological studies have suggested that certain paternal occupations may be associated with an increased prevalence of birth defects in offspring. Using data from the National Birth Defects Prevention Study, the authors investigated the association between paternal occupation

  5. Biomarkers of spontaneous preterm birth

    DEFF Research Database (Denmark)

    Polettini, Jossimara; Cobo, Teresa; Kacerovsky, Marian

    2017-01-01

    predictors of pregnancy outcome. This systematic review was conducted to synthesize the knowledge on PTB biomarkers identified using multiplex analysis. Three electronic databases (PubMed, EMBASE and Web of Science) were searched for studies in any language reporting the use of multiplex assays for maternal......Despite decades of research on risk indicators of spontaneous preterm birth (PTB), reliable biomarkers are still not available to screen or diagnose high-risk pregnancies. Several biomarkers in maternal and fetal compartments have been mechanistically linked to PTB, but none of them are reliable......) followed by MIP-1β, GM-CSF, Eotaxin, and TNF-RI (two studies) were reported more than once in maternal serum. However, results could not be combined due to heterogeneity in type of sample, study population, assay, and analysis methods. By this systematic review, we conclude that multiplex assays...

  6. Alcohol Taxes and Birth Outcomes

    Directory of Open Access Journals (Sweden)

    Ning Zhang

    2010-04-01

    Full Text Available This study examines the relationships between alcohol taxation, drinking during pregnancy, and infant health. Merged data from the US Natality Detailed Files, as well as the Behavioral Risk Factor Surveillance System (1985–2002, data regarding state taxes on beer, wine, and liquor, a state- and year-fixed-effect reduced-form regression were used. Results indicate that a one-cent ($0.01 increase in beer taxes decreased the incidence of low-birth-weight by about 1–2 percentage points. The binge drinking participation tax elasticity is −2.5 for beer and wine taxes and −9 for liquor taxes. These results demonstrate the potential intergenerational impact of increasing alcohol taxes.

  7. Birth Order and Perceived Birth Order of Chemically Dependent and Academic Women.

    Science.gov (United States)

    Weeks, Kristie G.; Newlon, Betty J.

    Birth order as it relates to family constellation is one of the principle concepts of Adlerian theory, and has implications for the understanding of chemical addiction. Adler premised that it was the individual's interpretation of his/her birth circumstances that was more important than sequential birth order. This study examined whether…

  8. Risk factors and birth prevalence of birth defects and inborn errors of ...

    African Journals Online (AJOL)

    Children with any birth defect or metabolic errors of metabolism at birth or in the neonatology section were our sample for study. Control group was randomly selected from the cases with normal live births. Blood tests were performed for children suspected to suffer from genetic blood disorders. The principal BD as per the ...

  9. 'Birth to Ten' - pilot studies to test the feasibility of a birth cohort study ...

    African Journals Online (AJOL)

    Birth to Ten' is a birth cohort study currently being conducted in the Johannesburg-Soweto area. This paper describes the various pilot studies that were undertaken to investigate the feasibility of a cohort study in an urban area. These studies were designed to determine the monthly birth rate, the timing, frequency and ...

  10. Epigenetic Consequences of Low Birth-Weight and Preterm Birth in Adult Twins

    DEFF Research Database (Denmark)

    Tan, Qihua

    2018-01-01

    Adverse birth outcomes including low birth-weight and preterm birth are associated with long-term morbidity and health consequences at adult ages. Molecular mechanisms including epigenetic modification may have been involved in the adaptation to the stressful condition in peridelivery period whic...

  11. the z-transform applied to a birth-death process having varying birth

    African Journals Online (AJOL)

    DEPT OF AGRICULTURAL ENGINEERING

    The analysis of a birth-death process using the z-transform was recently reported for processes hav- ing fixed transition probabilities ... model can be used to study practical queuing and birth-death systems where the arrival, birth, ser- vice and death rates may ..... John-Wiley & Sons, New York. Krogh, A., Brown, M. Mian, ...

  12. Low birth weight infants and Calmette-Guérin bacillus vaccination at birth

    DEFF Research Database (Denmark)

    Roth, Adam Anders Edvin; Jensen, Henrik; Garly, May-Lill

    2004-01-01

    In developing countries, low birth weight (LBW) children are often not vaccinated with Calmette-Guérin bacillus (BCG) at birth. Recent studies have suggested that BCG may have a nonspecific beneficial effect on infant mortality. We evaluated the consequences of not vaccinating LBW children at birth...

  13. Randomized trial of BCG vaccination at birth to low-birth-weight children

    DEFF Research Database (Denmark)

    Aaby, Peter; Roth, Adam Anders Edvin; Ravn, Henrik

    2011-01-01

    Observational studies have suggested that BCG may have nonspecific beneficial effects on survival. Low-birth-weight (LBW) children are not given BCG at birth in Guinea-Bissau; we conducted a randomized trial of BCG at birth (early BCG) vs delayed BCG....

  14. Saving Lives at Birth : The Impact of Home Births on Infant Outcomes

    NARCIS (Netherlands)

    Meltem Daysal, N.; Trandafir, M.; van Ewijk, R.

    2012-01-01

    Abstract: Many developed countries have recently experienced sharp increases in home birth rates. This paper investigates the impact of home births on the health of low-risk newborns using data from the Netherlands, the only developed country where home births are widespread. To account for

  15. Coffee Consumption During Pregnancy and Birth Weight

    DEFF Research Database (Denmark)

    Bech, Bodil Hammer; Frydenberg, Morten; Henriksen, Tine Brink

    2015-01-01

    Background: A previous randomized trial demonstrated an association between coffee intake and birth weight in smokers only. This could be a chance finding or because smoking interferes with caffeine metabolism. This study assessed the association between coffee intake during pregnancy and birth...

  16. Elizabeth Belle’s Birth Story

    Science.gov (United States)

    Boro, Jessica; Boro, Samuel

    2014-01-01

    In this article, Jessica and Samuel Boro share the story of the birth of their daughter, Elizabeth Belle. With the physical and emotional support of her husband and her doula, this mother was able to cope with a long labor and have the natural birth she wanted. Her husband describes how important the doula was for him. PMID:25364215

  17. Birth defects in children with newborn encephalopathy

    NARCIS (Netherlands)

    Felix, JF; Badawi, N; Kurinczuk, JJ; Bower, C; Keogh, JM; Pemberton, PJ

    2000-01-01

    This study was designed to investigate birth defects found in association with newborn encephalopathy. All possible birth defects were ascertained in a population-based study of 276 term infants with moderate or severe encephalopathy and 564 unmatched term control infants. A strong association

  18. Student Volunteers as Birth Control Educators

    Science.gov (United States)

    Sanders, Raymond S.; And Others

    1978-01-01

    A one-year project on birth control education that used students as birth control educators was initiated to increase student awareness of the need for contraception. Support for this method of disseminating information was demonstrated. The project facilitated student use of the Gynecological Clinic of the Student Health Center. (Author)

  19. Barrier methods of birth control - slideshow

    Science.gov (United States)

    ... gov/ency/presentations/100107.htm Barrier methods of birth control - series—Female normal anatomy To use the sharing ... A.M. Editorial team. Related MedlinePlus Health Topics Birth Control A.D.A.M., Inc. is accredited by ...

  20. Community Context, Land Use, and First Birth

    Science.gov (United States)

    Ghimire, Dirgha J.; Axinn, William G.

    2010-01-01

    This article examines the influence of community context and land use on the monthly odds of first birth in a society in the midst of dramatic fertility transition. The theoretical framework guiding our work predicts that proximity to nonfamily services should delay first births by creating opportunities for competing nonfamily activities and…

  1. Catholics vs. Protestants - Birth and Tax

    DEFF Research Database (Denmark)

    Gøtze, Michael

    2008-01-01

    Danish Supreme Court Decision, Protestant State Church, Religious Minority, Birth Registration, Family Law, Taxation System, Discrimination, European Human Rights Law, Constitutional Law, Law and Religion Udgivelsesdato: 28. July......Danish Supreme Court Decision, Protestant State Church, Religious Minority, Birth Registration, Family Law, Taxation System, Discrimination, European Human Rights Law, Constitutional Law, Law and Religion Udgivelsesdato: 28. July...

  2. Does fish oil prevent preterm birth?

    DEFF Research Database (Denmark)

    Secher, Niels Jørgen

    2007-01-01

    A literature review was performed on the effect of fish oil on preterm birth in observational and randomized studies. The only weak effect on preterm birth found in meta-analyses could be caused by the low compliance, and the fact that many women stop supplementation before term together...

  3. Analysis of birth-death fluid queues

    NARCIS (Netherlands)

    van Doorn, Erik A.; Scheinhardt, Willem R.W.

    1996-01-01

    We present a survey of techniques for analysing the performance of a reservoir which receives and releases fluid at rates which are determined by the state of a background birth-death process. The reservoir is assumed to be infinitely large, but the state space of the modulating birth-death process

  4. Birth Control: How to Use Your Diaphragm

    Science.gov (United States)

    ... Rehabilitation Emotional Well-Being Mental Health Sex and Birth Control Sex and Sexuality Birth Control Family Health Infants and Toddlers Kids and ... TeensRead MoreBMI Calculator Vasectomy: What to ExpectProgestin-Only ... Control PillsDepo-Provera: An Injectable ContraceptiveTubal Sterilization (Tubal ...

  5. Opting for natural birth: A survey of birth intentions among young Icelandic women.

    Science.gov (United States)

    Swift, Emma Marie; Gottfredsdottir, Helga; Zoega, Helga; Gross, Mechthild M; Stoll, Kathrin

    2017-03-01

    To describe and analyse factors associated with natural birth intentions in a sample of pre-pregnant Icelandic women. An internationally validated tool was used to survey pre-pregnant women about their attitudes towards birth. The online survey was sent to all students at the University of Iceland in November 2014. Log binomial regression was used to calculate crude and adjusted relative risks (RR a ), and corresponding 95% confidence intervals (CI), for intentions of natural birth (defined as vaginal birth without epidural analgesia) by high, moderate and low childbirth fear and by high, moderate and low confidence in birth knowledge. Models were adjusted for socio-demographic and psychological factors. 410 eligible women completed the cross-sectional survey. Women with low fear of birth were more likely to have natural birth intentions when compared to women with moderate (RR a  = 2.83; 95% CI; 1.48-5.41) and high (RR a  = 4.86; 95% CI; 1.37-17.27) fear. Women with high confidence in their birth knowledge were more likely to have natural birth intentions compared to women with moderate (RR a  = 2.81; 95% CI; 1.51-5.22) and low (RR a  = 3.42; 95% CI; 1.43-8.18) confidence in their birth knowledge. Pre-pregnant women with low fear of birth and high confidence in their birth knowledge are more likely to have natural birth intentions. Addressing concerns about pain, safety, the perceived unpredictability of birth and worries about the physical impact of childbirth may strengthen natural birth intentions. Copyright © 2016 Elsevier B.V. All rights reserved.

  6. Season of birth shapes neonatal immune function

    DEFF Research Database (Denmark)

    Thysen, Anna Hammerich; Rasmussen, Morten Arendt; Kreiner-Møller, Eskil

    2016-01-01

    Birth season has been reported to be a risk factor for several immune-mediated diseases. We hypothesized that this association is mediated by differential changes in neonatal immune phenotype and function with birth season. We sought to investigate the influence of season of birth on cord blood...... immune cell subsets and inflammatory mediators in neonatal airways. Cord blood was phenotyped for 26 different immune cell subsets, and at 1 month of age, 20 cytokines and chemokines were quantified in airway mucosal lining fluid. Multivariate partial least squares discriminant analyses were applied...... to determine whether certain immune profiles dominate by birth season, and correlations between individual cord blood immune cells and early airway immune mediators were defined. We found a birth season-related fluctuation in neonatal immune cell subsets and in early-life airway mucosal immune function...

  7. Birth and Emergency Planning: A Cross Sectional Survey of ...

    African Journals Online (AJOL)

    Accompaniment by a birth companion and saving money were considered the most useful planning steps. Knowledge of danger signs was associated with birth and emergency planning, and birth and emergency planning was associated with reported birth outcome. Birth and emergency planning as a critical component of ...

  8. Accuracy of maternal recall of birth weight and selected delivery ...

    African Journals Online (AJOL)

    mr. faki

    birth weight data. This study was carried out to determine recall of birth weight and delivery complications among mothers in Unguja West District of Zanzibar. Methods: .... Considering confidence level of 95% and response rate of 90%, the ... delivery, delivery complications, child's birth date, birth's order and birth weight.

  9. Death Certification Errors and the Effect on Mortality Statistics.

    Science.gov (United States)

    McGivern, Lauri; Shulman, Leanne; Carney, Jan K; Shapiro, Steven; Bundock, Elizabeth

    Errors in cause and manner of death on death certificates are common and affect families, mortality statistics, and public health research. The primary objective of this study was to characterize errors in the cause and manner of death on death certificates completed by non-Medical Examiners. A secondary objective was to determine the effects of errors on national mortality statistics. We retrospectively compared 601 death certificates completed between July 1, 2015, and January 31, 2016, from the Vermont Electronic Death Registration System with clinical summaries from medical records. Medical Examiners, blinded to original certificates, reviewed summaries, generated mock certificates, and compared mock certificates with original certificates. They then graded errors using a scale from 1 to 4 (higher numbers indicated increased impact on interpretation of the cause) to determine the prevalence of minor and major errors. They also compared International Classification of Diseases, 10th Revision (ICD-10) codes on original certificates with those on mock certificates. Of 601 original death certificates, 319 (53%) had errors; 305 (51%) had major errors; and 59 (10%) had minor errors. We found no significant differences by certifier type (physician vs nonphysician). We did find significant differences in major errors in place of death ( P statistics. Surveillance and certifier education must expand beyond local and state efforts. Simplifying and standardizing underlying literal text for cause of death may improve accuracy, decrease coding errors, and improve national mortality statistics.

  10. Advanced Stirling Radioisotope Generator Life Certification Plan

    Science.gov (United States)

    Rusick, Jeffrey J.; Zampino, Edward J.

    2013-01-01

    An Advanced Stirling Radioisotope Generator (ASRG) power supply is being developed by the Department of Energy (DOE) in partnership with NASA for potential future deep space science missions. Unlike previous radioisotope power supplies for space exploration, such as the passive MMRTG used recently on the Mars Curiosity rover, the ASRG is an active dynamic power supply with moving Stirling engine mechanical components. Due to the long life requirement of 17 years and the dynamic nature of the Stirling engine, the ASRG project faced some unique challenges trying to establish full confidence that the power supply will function reliably over the mission life. These unique challenges resulted in the development of an overall life certification plan that emphasizes long-term Stirling engine test and inspection when analysis is not practical. The ASRG life certification plan developed is described.

  11. IS ISO 9000 CERTIFICATION LOSING ITS CREDIBILITY?

    Directory of Open Access Journals (Sweden)

    P.R. Ramesh

    2013-03-01

    Full Text Available ISO certification was a great hope for many stakeholders in India for making the country strong in terms of quality practices. It was a blessing in disguise when in early nineties; buyers were imposing conditions that you should be ISO compliant to do business with them. ISO was a great system to bring in improvements in the way an organization functions. But unfortunately some have adopted a short cut approach in getting the certification done. It is only just before the audit team comes for re-inspection that firms start removing dust from the quality manual files so that they can pretend that that they follow those systems. But a real commitment to adhering to these systems is missing. The paper describes such scenario existing in some quarters in India and warns against such practices for the overall good of the system.

  12. Certification of solar products - The Florida experience

    International Nuclear Information System (INIS)

    POST, HAROLD N.; ROLAND, JAMES D.; VENTRE, GERARD G.; HUGGINS, JAMES C.

    2000-01-01

    Florida legislation enacted in 1976 directed the Florida Solar Energy Center (FSEC) to develop standards for solar energy systems manufactured or sold in the state, establish criteria for testing the performance of solar energy systems, and provide a means to display compliance with approved performance tests for these systems. This mandate has been effectively implemented for both solar domestic water heating and solar pool heating systems. With growing interest and markets for photovoltaic systems, plans are presently being developed to expand the scope of the mandate to include photovoltaic technology. This paper discusses four complementary facets of a photovoltaic (PV) system certification program. They include PV module performance characterization and rating; PV system design review and approval; examination and authorization of photovoltaic system installers; and inspection and acceptance testing of PV system installation. The suggested photovoltaic system process builds on lessons learned from over 20 years of testing, certifying and labeling of solar thermal collectors, and the certification of solar thermal systems

  13. Kairos time at the moment of birth.

    Science.gov (United States)

    Crowther, Susan; Smythe, Elizabeth; Spence, Deb

    2015-04-01

    there is something extraordinary in the lived experience of being there at the time of birth. Yet the meaning and significance of this special time, named Kairos time in this paper, have received little attention. to describe the lived-experience of Kairos time at birth and surface its meaning. this is an interpretive hermeneutic phenomenology study informed by the writings of Heidegger and Gadamer. 14 in-depth interviews with mothers, birth partners, midwives and obstetricians were transcribed and stories from the data were hermeneutically analysed. there is a time, like no other, at the moment of birth that is widely known and valued. This paper reveals and names this phenomenon Kairos time. This is a felt-time that is lineal, process and cyclic time and more. Kairos time describes an existential temporal experience that is rich in significant sacred meaning; a time of emergent insight rarely spoken about in practice yet touches everyone present. The notion of Kairos time in relation to the moment of birth is introduced as a reminder of something significant that matters. Kairos time is revealed as a moment in and beyond time. It has a temporal enigmatic mystery involving spiritual connectedness. Kairos time is a time of knowing and remembrance of our shared natality. In this time life is disclosed as extraordinary and beyond everyday personal and professional concerns. It is all this and more. Kairos time at birth is precious and powerful yet vulnerable. It needs to be safeguarded to ensure its presence continues to emerge. This means maternity care providers and others at birth need to shelter and protect Kairos time from the sometimes harsh realities of birth and the potentially insensitive ways of being there at the moments of birth. Those who find themselves at birth need to pause and allow the profundity of its meaning to surface and inspire their actions. Copyright © 2014 Elsevier Ltd. All rights reserved.

  14. Linking Halal Food Certification and Business Performance

    DEFF Research Database (Denmark)

    Ab Talib, Mohamed Syazwan; Chin, Thoo Ai; Fischer, Johan

    2017-01-01

    manufacturing companies in Malaysia participated in the study. Data were gathered through a structured questionnaire and were analysed using partial least squares structural equation modelling technique. Findings The study proved that HFC has a positive relationship with operational performance. Additionally...... performance, consistent with other established food standards such as ISO 22000 or HACCP. Originality/value Although numerous studies have concentrated on well-established food certifications, the expanding Muslim population, rising demand for Halal food, and lucrative Halal food market have raised...

  15. Predicted airframe noise levels for certification flights

    Science.gov (United States)

    Block, P. J. W.

    1981-01-01

    A correction is presented for a previously published inconsistency in predicted airframe noise values, which were based on approach velocities lower than those required for FAA certification. New figures are given for the following aircraft: DC-9-30, 727-200, A300-B2, L-1011, DC-10-10, and 747-200B. The new levels average 2.3 dB higher than those calculated for typical approach speeds.

  16. Review of utility staff training and certification

    International Nuclear Information System (INIS)

    1999-04-01

    The Advisory Committee on Nuclear Safety (ACNS) has reviewed the nuclear utility training programs in Canada and the Atomic Energy Control Board (AECB) certification program, to determine their effectiveness in meeting current and future needs. It has also looked briefly at the practices in other countries and in the aviation industry in Canada, by way of comparison. While a quantitative measure of effectiveness was beyond the scope of this review, on a purely qualitative basis the ACNS concludes that the current training and certification regime produces qualified operators, but not necessarily in the most effective way. The report makes five recommendations. The thrust of these recommendations is towards a more effective and streamlined training and certification regime based on strict adherence to the Systematic Approach to Training (SAT) methodology combined with independent verification through a peer review and accreditation process. The Committee believes that training and qualification of nuclear power plant operating staff is the complete responsibility of the utilities and that the role of the AECB is to audit the process to ensure that the utilities discharge their responsibility appropriately. In other words, the AECB should deal with operator training and certification in the same way that it deals with other aspects of nuclear power plant operation that are important to health, safety, security and the environment - by inspections and audits. The Committee believes that the proposed regulatory requirement for recertification of certain nuclear power plant operating staff, which would come into effect when the new Regulations are promulgated, is not consistent with the government's thrust and with how the AECB regulates other aspects of nuclear power plant operations. (author)

  17. Environmental certification of Lillehammer Youth Olympic Games

    OpenAIRE

    Molnes, Torje Nedland

    2013-01-01

    This master thesis was an initiative of the Lillehammer Youth Olympic Games Organising Committee administration, represented by Tomas Holmestad and Magne Vikøren.The main research question is:Which environmental certification systems can be relevant and applicable to large sports events like the Youth Olympic Games?The Youth Olympic Games (YOG) is an initiative by the International Olympic Committee. The vision of the YOG is to inspire young people, between 15 and 18 years old, around the wor...

  18. ISO specifications and unclear energy quality certification

    International Nuclear Information System (INIS)

    Lee, Tae Hun

    2011-12-01

    This book indicates necessity of quality management and change of company environment, basic conception of quality management and thinking way, role of each class for quality management, necessity and purpose of introduction of ISO9000 family, authentication process and construct method of ISO9000 family, authentication effect of ISO9000 family, present condition of ISO9000 family, standard of quality certification and quality management and explanation of 2001 requirement of KSA9000.

  19. Birth environment facilitation by midwives assisting in non-hospital births: a qualitative interview study.

    Science.gov (United States)

    Igarashi, Toshiko; Wakita, Mariko; Miyazaki, Kikuko; Nakayama, Takeo

    2014-07-01

    midwifery homes (similar to birth centres) are rich in midwifery wisdom and skills that differ from those in hospital obstetrical departments, and a certain percentage of pregnant women prefer birth in these settings. This study aimed to understand the organisation of the perinatal environment considered important by independent midwives in non-hospital settings and to clarify the processes involved. semi-structured qualitative interview study and constant comparative analysis. 14 independent midwives assisting at births in midwifery homes in Japan, and six independent midwives assisting at home births. Osaka, Kyoto, Nara, and Shiga, Japan. midwives assisting at non-hospital births organised the birth environment based on the following four categories: 'an environment where the mother and family are autonomous'; 'a physical environment that facilitates birth'; 'an environment that facilitates the movement of the mother for birth'; and 'scrupulous safety preparation'. These, along with their sub-categories, are presented in this paper. independent midwives considered it important to create a candid relationship between the midwife and the woman/family from the period of pregnancy to facilitate birth in which the woman and her family were autonomous. They also organised a distinctive environment for non-hospital birth, with preparations to guarantee safety. Experiential knowledge and skills played a major part in creating an environment to facilitate birth, and the effectiveness of this needs to be investigated objectively in future research. Copyright © 2014 Elsevier Ltd. All rights reserved.

  20. Software Certification - Coding, Code, and Coders

    Science.gov (United States)

    Havelund, Klaus; Holzmann, Gerard J.

    2011-01-01

    We describe a certification approach for software development that has been adopted at our organization. JPL develops robotic spacecraft for the exploration of the solar system. The flight software that controls these spacecraft is considered to be mission critical. We argue that the goal of a software certification process cannot be the development of "perfect" software, i.e., software that can be formally proven to be correct under all imaginable and unimaginable circumstances. More realistically, the goal is to guarantee a software development process that is conducted by knowledgeable engineers, who follow generally accepted procedures to control known risks, while meeting agreed upon standards of workmanship. We target three specific issues that must be addressed in such a certification procedure: the coding process, the code that is developed, and the skills of the coders. The coding process is driven by standards (e.g., a coding standard) and tools. The code is mechanically checked against the standard with the help of state-of-the-art static source code analyzers. The coders, finally, are certified in on-site training courses that include formal exams.