Death Certificates: Official records of individual deaths including the cause of death certified by a physician, and any other required identifying information.Birth Certificates: Official certifications by a physician recording the individual's birth date, place of birth, parentage and other required identifying data which are filed with the local registrar of vital statistics.Certificate of Need: A certificate issued by a governmental body to an individual or organization proposing to construct or modify a health facility, or to offer a new or different service. The process of issuing the certificate is also included.Cause of Death: Factors which produce cessation of all vital bodily functions. They can be analyzed from an epidemiologic viewpoint.Certification: Compliance with a set of standards defined by non-governmental organizations. Certification is applied for by individuals on a voluntary basis and represents a professional status when achieved, e.g., certification for a medical specialty.Coroners and Medical Examiners: Physicians appointed to investigate all cases of sudden or violent death.Vital Statistics: Used for general articles concerning statistics of births, deaths, marriages, etc.Forms and Records Control: A management function in which standards and guidelines are developed for the development, maintenance, and handling of forms and records.Medical Record Linkage: The creation and maintenance of medical and vital records in multiple institutions in a manner that will facilitate the combined use of the records of identified individuals.Hospital Records: Compilations of data on hospital activities and programs; excludes patient medical records.Infant, Newborn: An infant during the first month after birth.United StatesMedical Records: Recording of pertinent information concerning patient's illness or illnesses.Mortality: All deaths reported in a given population.Data Collection: Systematic gathering of data for a particular purpose from various sources, including questionnaires, interviews, observation, existing records, and electronic devices. The process is usually preliminary to statistical analysis of the data.International Classification of Diseases: A system of categories to which morbid entries are assigned according to established criteria. Included is the entire range of conditions in a manageable number of categories, grouped to facilitate mortality reporting. It is produced by the World Health Organization (From ICD-10, p1). The Clinical Modifications, produced by the UNITED STATES DEPT. OF HEALTH AND HUMAN SERVICES, are larger extensions used for morbidity and general epidemiological purposes, primarily in the U.S.Registries: The systems and processes involved in the establishment, support, management, and operation of registers, e.g., disease registers.Population Surveillance: Ongoing scrutiny of a population (general population, study population, target population, etc.), generally using methods distinguished by their practicability, uniformity, and frequently their rapidity, rather than by complete accuracy.Pregnancy: The status during which female mammals carry their developing young (EMBRYOS or FETUSES) in utero before birth, beginning from FERTILIZATION to BIRTH.Infant Mortality: Postnatal deaths from BIRTH to 365 days after birth in a given population. Postneonatal mortality represents deaths between 28 days and 365 days after birth (as defined by National Center for Health Statistics). Neonatal mortality represents deaths from birth to 27 days after birth.National Center for Health Statistics (U.S.): A center in the PUBLIC HEALTH SERVICE which is primarily concerned with the collection, analysis, and dissemination of health statistics on vital events and health activities to reflect the health status of people, health needs, and health resources.Autopsy: Postmortem examination of the body.CaliforniaOccupations: Crafts, trades, professions, or other means of earning a living.Needs Assessment: Systematic identification of a population's needs or the assessment of individuals to determine the proper level of services needed.Congenital Abnormalities: Malformations of organs or body parts during development in utero.Homicide: The killing of one person by another.Public Health Informatics: The systematic application of information and computer sciences to public health practice, research, and learning.Risk Factors: An aspect of personal behavior or lifestyle, environmental exposure, or inborn or inherited characteristic, which, on the basis of epidemiologic evidence, is known to be associated with a health-related condition considered important to prevent.Maternal Age: The age of the mother in PREGNANCY.Documentation: Systematic organization, storage, retrieval, and dissemination of specialized information, especially of a scientific or technical nature (From ALA Glossary of Library and Information Science, 1983). It often involves authenticating or validating information.Prenatal Care: Care provided the pregnant woman in order to prevent complications, and decrease the incidence of maternal and prenatal mortality.EnglandFetal Death: Death of the developing young in utero. BIRTH of a dead FETUS is STILLBIRTH.Infant, Low Birth Weight: An infant having a birth weight of 2500 gm. (5.5 lb.) or less but INFANT, VERY LOW BIRTH WEIGHT is available for infants having a birth weight of 1500 grams (3.3 lb.) or less.Health Services Needs and Demand: Health services required by a population or community as well as the health services that the population or community is able and willing to pay for.Age Distribution: The frequency of different ages or age groups in a given population. The distribution may refer to either how many or what proportion of the group. The population is usually patients with a specific disease but the concept is not restricted to humans and is not restricted to medicine.Work Capacity Evaluation: Assessment of physiological capacities in relation to job requirements. It is usually done by measuring certain physiological (e.g., circulatory and respiratory) variables during a gradually increasing workload until specific limitations occur with respect to those variables.Continental Population Groups: Groups of individuals whose putative ancestry is from native continental populations based on similarities in physical appearance.Sex Distribution: The number of males and females in a given population. The distribution may refer to how many men or women or what proportion of either in the group. The population is usually patients with a specific disease but the concept is not restricted to humans and is not restricted to medicine.Sick Leave: An absence from work permitted because of illness or the number of days per year for which an employer agrees to pay employees who are sick. (Webster's New Collegiate Dictionary, 1981)Records as Topic: The commitment in writing, as authentic evidence, of something having legal importance. The concept includes certificates of birth, death, etc., as well as hospital, medical, and other institutional records.WashingtonDrowning: Death that occurs as a result of anoxia or heart arrest, associated with immersion in liquid.Fetal Mortality: Number of fetal deaths with stated or presumed gestation of 20 weeks or more in a given population. Late fetal mortality is death after of 28 weeks or more.Lawyers: Persons whose profession is to give legal advice and assistance to clients and represent them in legal matters. (American Heritage Dictionary, 3d ed)Age Factors: Age as a constituent element or influence contributing to the production of a result. It may be applicable to the cause or the effect of a circumstance. It is used with human or animal concepts but should be differentiated from AGING, a physiological process, and TIME FACTORS which refers only to the passage of time.OhioBirth Weight: The mass or quantity of heaviness of an individual at BIRTH. It is expressed by units of pounds or kilograms.WalesPrivacy: The state of being free from intrusion or disturbance in one's private life or affairs. (Random House Unabridged Dictionary, 2d ed, 1993)Infant Welfare: Organized efforts by communities or organizations to improve the health and well-being of infants.Pregnancy Complications: Conditions or pathological processes associated with pregnancy. They can occur during or after pregnancy, and range from minor discomforts to serious diseases that require medical interventions. They include diseases in pregnant females, and pregnancies in females with diseases.Computer Security: Protective measures against unauthorized access to or interference with computer operating systems, telecommunications, or data structures, especially the modification, deletion, destruction, or release of data in computers. It includes methods of forestalling interference by computer viruses or so-called computer hackers aiming to compromise stored data.Ethnic Groups: A group of people with a common cultural heritage that sets them apart from others in a variety of social relationships.Retrospective Studies: Studies used to test etiologic hypotheses in which inferences about an exposure to putative causal factors are derived from data relating to characteristics of persons under study or to events or experiences in their past. The essential feature is that some of the persons under study have the disease or outcome of interest and their characteristics are compared with those of unaffected persons.Epidemiologic Methods: Research techniques that focus on study designs and data gathering methods in human and animal populations.Pregnancy Outcome: Results of conception and ensuing pregnancy, including LIVE BIRTH; STILLBIRTH; SPONTANEOUS ABORTION; INDUCED ABORTION. The outcome may follow natural or artificial insemination or any of the various ASSISTED REPRODUCTIVE TECHNIQUES, such as EMBRYO TRANSFER or FERTILIZATION IN VITRO.Occupational Diseases: Diseases caused by factors involved in one's employment.Birth Rate: The number of births in a given population per year or other unit of time.Incidence: The number of new cases of a given disease during a given period in a specified population. It also is used for the rate at which new events occur in a defined population. It is differentiated from PREVALENCE, which refers to all cases, new or old, in the population at a given time.Neoplasms: New abnormal growth of tissue. Malignant neoplasms show a greater degree of anaplasia and have the properties of invasion and metastasis, compared to benign neoplasms.Cohort Studies: Studies in which subsets of a defined population are identified. These groups may or may not be exposed to factors hypothesized to influence the probability of the occurrence of a particular disease or other outcome. Cohorts are defined populations which, as a whole, are followed in an attempt to determine distinguishing subgroup characteristics.Quality Control: A system for verifying and maintaining a desired level of quality in a product or process by careful planning, use of proper equipment, continued inspection, and corrective action as required. (Random House Unabridged Dictionary, 2d ed)Bias (Epidemiology): Any deviation of results or inferences from the truth, or processes leading to such deviation. Bias can result from several sources: one-sided or systematic variations in measurement from the true value (systematic error); flaws in study design; deviation of inferences, interpretations, or analyses based on flawed data or data collection; etc. There is no sense of prejudice or subjectivity implied in the assessment of bias under these conditions.Sex Factors: Maleness or femaleness as a constituent element or influence contributing to the production of a result. It may be applicable to the cause or effect of a circumstance. It is used with human or animal concepts but should be differentiated from SEX CHARACTERISTICS, anatomical or physiological manifestations of sex, and from SEX DISTRIBUTION, the number of males and females in given circumstances.Education, Pharmacy, Graduate: Educational programs for pharmacists who have a bachelor's degree or a Doctor of Pharmacy degree entering a specific field of pharmacy. They may lead to an advanced degree.Life Expectancy: Based on known statistical data, the number of years which any person of a given age may reasonably expected to live.UtahConfidentiality: The privacy of information and its protection against unauthorized disclosure.Industry: Any enterprise centered on the processing, assembly, production, or marketing of a line of products, services, commodities, or merchandise, in a particular field often named after its principal product. Examples include the automobile, fishing, music, publishing, insurance, and textile industries.Internship, Nonmedical: Advanced programs of training to meet certain professional requirements in fields other than medicine or dentistry, e.g., pharmacology, nutrition, nursing, etc.MarylandTexasSuicide: The act of killing oneself.European Continental Ancestry Group: Individuals whose ancestral origins are in the continent of Europe.North CarolinaDatabases, Factual: Extensive collections, reputedly complete, of facts and data garnered from material of a specialized subject area and made available for analysis and application. The collection can be automated by various contemporary methods for retrieval. The concept should be differentiated from DATABASES, BIBLIOGRAPHIC which is restricted to collections of bibliographic references.Great BritainOklahomaEuthanasia: The act or practice of killing or allowing death from natural causes, for reasons of mercy, i.e., in order to release a person from incurable disease, intolerable suffering, or undignified death. (from Beauchamp and Walters, Contemporary Issues in Bioethics, 5th ed)New JerseyAccidentsRespiratory Tract NeoplasmsHispanic Americans: Persons living in the United States of Mexican (MEXICAN AMERICANS), Puerto Rican, Cuban, Central or South American, or other Spanish culture or origin. The concept does not include Brazilian Americans or Portuguese Americans.Gravidity: The number of pregnancies, complete or incomplete, experienced by a female. It is different from PARITY, which is the number of offspring borne. (From Stedman, 26th ed)SwedenUnited States Occupational Safety and Health Administration: An office in the Department of Labor responsible for developing and establishing occupational safety and health standards.Questionnaires: Predetermined sets of questions used to collect data - clinical data, social status, occupational group, etc. The term is often applied to a self-completed survey instrument.Return to Work: Resumption of normal work routine following a hiatus or period of absence due to injury, disability, or other reasons.Paternal Age: Age of the biological father.AlaskaDelivery, Obstetric: Delivery of the FETUS and PLACENTA under the care of an obstetrician or a health worker. Obstetric deliveries may involve physical, psychological, medical, or surgical interventions.Maternal Mortality: Maternal deaths resulting from complications of pregnancy and childbirth in a given population.Time Factors: Elements of limited time intervals, contributing to particular results or situations.Socioeconomic Factors: Social and economic factors that characterize the individual or group within the social structure.Risk: The probability that an event will occur. It encompasses a variety of measures of the probability of a generally unfavorable outcome.New YorkCesarean Section: Extraction of the FETUS by means of abdominal HYSTEROTOMY.Accidents, Occupational: Unforeseen occurrences, especially injuries in the course of work-related activities.Wounds and Injuries: Damage inflicted on the body as the direct or indirect result of an external force, with or without disruption of structural continuity.MaineWebcasts as Topic: Transmission of live or pre-recorded audio or video content via connection or download from the INTERNET.Clinical Coding: Process of substituting a symbol or code for a term such as a diagnosis or procedure. (from Slee's Health Care Terms, 3d ed.)OregonMedical Staff, Hospital: Professional medical personnel approved to provide care to patients in a hospital.Educational Status: Educational attainment or level of education of individuals.Reproducibility of Results: The statistical reproducibility of measurements (often in a clinical context), including the testing of instrumentation or techniques to obtain reproducible results. The concept includes reproducibility of physiological measurements, which may be used to develop rules to assess probability or prognosis, or response to a stimulus; reproducibility of occurrence of a condition; and reproducibility of experimental results.Mortuary Practice: Activities associated with the disposition of the dead. It excludes cultural practices such as funeral rites.Disclosure: Revealing of information, by oral or written communication.Obstetrics and Gynecology Department, Hospital: Hospital department responsible for the administration and management of services provided for obstetric and gynecologic patients.Follow-Up Studies: Studies in which individuals or populations are followed to assess the outcome of exposures, procedures, or effects of a characteristic, e.g., occurrence of disease.Funeral Rites: Those customs and ceremonies pertaining to the dead.Prevalence: The total number of cases of a given disease in a specified population at a designated time. It is differentiated from INCIDENCE, which refers to the number of new cases in the population at a given time.Parity: The number of offspring a female has borne. It is contrasted with GRAVIDITY, which refers to the number of pregnancies, regardless of outcome.Maternal Welfare: Organized efforts by communities or organizations to improve the health and well-being of the mother.Gestational Age: The age of the conceptus, beginning from the time of FERTILIZATION. In clinical obstetrics, the gestational age is often estimated as the time from the last day of the last MENSTRUATION which is about 2 weeks before OVULATION and fertilization.African Americans: Persons living in the United States having origins in any of the black groups of Africa.Illegitimacy: The state of birth outside of wedlock. It may refer to the offspring or the parents.New York CityDeath, Sudden: The abrupt cessation of all vital bodily functions, manifested by the permanent loss of total cerebral, respiratory, and cardiovascular functions.Education, Graduate: Studies beyond the bachelor's degree at an institution having graduate programs for the purpose of preparing for entrance into a specific field, and obtaining a higher degree.MissouriSuicide, Assisted: Provision (by a physician or other health professional, or by a family member or friend) of support and/or means that gives a patient the power to terminate his or her own life. (from APA, Thesaurus of Psychological Index Terms, 8th ed).Indians, North American: Individual members of North American ethnic groups with ancient historic ancestral origins in Asia.Aviation: Design, development, manufacture, and operation of heavier-than-air AIRCRAFT.Diagnostic Errors: Incorrect diagnoses after clinical examination or technical diagnostic procedures.Prospective Studies: Observation of a population for a sufficient number of persons over a sufficient number of years to generate incidence or mortality rates subsequent to the selection of the study group.Odds Ratio: The ratio of two odds. The exposure-odds ratio for case control data is the ratio of the odds in favor of exposure among cases to the odds in favor of exposure among noncases. The disease-odds ratio for a cohort or cross section is the ratio of the odds in favor of disease among the exposed to the odds in favor of disease among the unexposed. The prevalence-odds ratio refers to an odds ratio derived cross-sectionally from studies of prevalent cases.Logistic Models: Statistical models which describe the relationship between a qualitative dependent variable (that is, one which can take only certain discrete values, such as the presence or absence of a disease) and an independent variable. A common application is in epidemiology for estimating an individual's risk (probability of a disease) as a function of a given risk factor.Residence Characteristics: Elements of residence that characterize a population. They are applicable in determining need for and utilization of health services.Health Information Management: Management of the acquisition, organization, retrieval, and dissemination of health information.Medical Audit: A detailed review and evaluation of selected clinical records by qualified professional personnel for evaluating quality of medical care.Pregnancy in Adolescence: Pregnancy in human adolescent females under the age of 19.Demography: Statistical interpretation and description of a population with reference to distribution, composition, or structure.Premature Birth: CHILDBIRTH before 37 weeks of PREGNANCY (259 days from the first day of the mother's last menstrual period, or 245 days after FERTILIZATION).Risk Assessment: The qualitative or quantitative estimation of the likelihood of adverse effects that may result from exposure to specified health hazards or from the absence of beneficial influences. (Last, Dictionary of Epidemiology, 1988)BrazilMultiple Birth Offspring: The offspring in multiple pregnancies (PREGNANCY, MULTIPLE): TWINS; TRIPLETS; QUADRUPLETS; QUINTUPLETS; etc.Sudden Infant Death: The abrupt and unexplained death of an apparently healthy infant under one year of age, remaining unexplained after a thorough case investigation, including performance of a complete autopsy, examination of the death scene, and review of the clinical history. (Pediatr Pathol 1991 Sep-Oct;11(5):677-84)ArkansasFraud: Exploitation through misrepresentation of the facts or concealment of the purposes of the exploiter.Case-Control Studies: Studies which start with the identification of persons with a disease of interest and a control (comparison, referent) group without the disease. The relationship of an attribute to the disease is examined by comparing diseased and non-diseased persons with regard to the frequency or levels of the attribute in each group.Marital Status: A demographic parameter indicating a person's status with respect to marriage, divorce, widowhood, singleness, etc.Smoking: Inhaling and exhaling the smoke of burning TOBACCO.Social Security: Government sponsored social insurance programs.Ethics, Research: The moral obligations governing the conduct of research. Used for discussions of research ethics as a general topic.Sensitivity and Specificity: Binary classification measures to assess test results. Sensitivity or recall rate is the proportion of true positives. Specificity is the probability of correctly determining the absence of a condition. (From Last, Dictionary of Epidemiology, 2d ed)Medicaid: Federal program, created by Public Law 89-97, Title XIX, a 1965 amendment to the Social Security Act, administered by the states, that provides health care benefits to indigent and medically indigent persons.MassachusettsKentuckyCerebrovascular Disorders: A spectrum of pathological conditions of impaired blood flow in the brain. They can involve vessels (ARTERIES or VEINS) in the CEREBRUM, the CEREBELLUM, and the BRAIN STEM. Major categories include INTRACRANIAL ARTERIOVENOUS MALFORMATIONS; BRAIN ISCHEMIA; CEREBRAL HEMORRHAGE; and others.Cross-Sectional Studies: Studies in which the presence or absence of disease or other health-related variables are determined in each member of the study population or in a representative sample at one particular time. This contrasts with LONGITUDINAL STUDIES which are followed over a period of time.Occupational Exposure: The exposure to potentially harmful chemical, physical, or biological agents that occurs as a result of one's occupation.Intellectual Property: Property, such as patents, trademarks, and copyright, that results from creative effort. The Patent and Copyright Clause (Art. 1, Sec. 8, cl. 8) of the United States Constitution provides for promoting the progress of science and useful arts by securing for limited times to authors and inventors, the exclusive right to their respective writings and discoveries. (From Black's Law Dictionary, 5th ed, p1014)WisconsinTerminal Care: Medical and nursing care of patients in the terminal stage of an illness.Cardiovascular Diseases: Pathological conditions involving the CARDIOVASCULAR SYSTEM including the HEART; the BLOOD VESSELS; or the PERICARDIUM.Regression Analysis: Procedures for finding the mathematical function which best describes the relationship between a dependent variable and one or more independent variables. In linear regression (see LINEAR MODELS) the relationship is constrained to be a straight line and LEAST-SQUARES ANALYSIS is used to determine the best fit. In logistic regression (see LOGISTIC MODELS) the dependent variable is qualitative rather than continuously variable and LIKELIHOOD FUNCTIONS are used to find the best relationship. In multiple regression, the dependent variable is considered to depend on more than a single independent variable.ScotlandBelgiumWounds, Gunshot: Disruption of structural continuity of the body as a result of the discharge of firearms.Information Systems: Integrated set of files, procedures, and equipment for the storage, manipulation, and retrieval of information.State Government: The level of governmental organization and function below that of the national or country-wide government.Perinatal Care: The care of women and a fetus or newborn given before, during, and after delivery from the 28th week of gestation through the 7th day after delivery.MontanaSouth CarolinaClinical Competence: The capability to perform acceptably those duties directly related to patient care.Diabetes Mellitus: A heterogeneous group of disorders characterized by HYPERGLYCEMIA and GLUCOSE INTOLERANCE.Confidence Intervals: A range of values for a variable of interest, e.g., a rate, constructed so that this range has a specified probability of including the true value of the variable.Vaginal Birth after Cesarean: Delivery of an infant through the vagina in a female who has had a prior cesarean section.Computer Communication Networks: A system containing any combination of computers, computer terminals, printers, audio or visual display devices, or telephones interconnected by telecommunications equipment or cables: used to transmit or receive information. (Random House Unabridged Dictionary, 2d ed)Medical Informatics Applications: Automated systems applied to the patient care process including diagnosis, therapy, and systems of communicating medical data within the health care setting.TennesseeNorwayMaternal Behavior: The behavior patterns associated with or characteristic of a mother.District of Columbia: A federal area located between Maryland and Virginia on the Potomac river; it is coextensive with Washington, D.C., which is the capital of the United States.Mothers: Female parents, human or animal.Postnatal Care: The care provided to women and their NEWBORNS for the first few months following CHILDBIRTH.MinnesotaInsurance, Health: Insurance providing coverage of medical, surgical, or hospital care in general or for which there is no specific heading.GreeceOccupational Medicine: Medical specialty concerned with the promotion and maintenance of the physical and mental health of employees in occupational settings.Curriculum: A course of study offered by an educational institution.Research: Critical and exhaustive investigation or experimentation, having for its aim the discovery of new facts and their correct interpretation, the revision of accepted conclusions, theories, or laws in the light of newly discovered facts, or the practical application of such new or revised conclusions, theories, or laws. (Webster, 3d ed)Mesothelioma: A tumor derived from mesothelial tissue (peritoneum, pleura, pericardium). It appears as broad sheets of cells, with some regions containing spindle-shaped, sarcoma-like cells and other regions showing adenomatous patterns. Pleural mesotheliomas have been linked to exposure to asbestos. (Dorland, 27th ed)Rhode IslandConnecticutSocial Class: A stratum of people with similar position and prestige; includes social stratification. Social class is measured by criteria such as education, occupation, and income.IndianaMarriage: The social institution involving legal and/or religious sanction whereby individuals are joined together.Proportional Hazards Models: Statistical models used in survival analysis that assert that the effect of the study factors on the hazard rate in the study population is multiplicative and does not change over time.Genetic Privacy: The protection of genetic information about an individual, family, or population group, from unauthorized disclosure.Death: Irreversible cessation of all bodily functions, manifested by absence of spontaneous breathing and total loss of cardiovascular and cerebral functions.Chemical Industry: The aggregate enterprise of manufacturing and technically producing chemicals. (From Random House Unabridged Dictionary, 2d ed)Puerto Rico: An island in the Greater Antilles in the West Indies. Its capital is San Juan. It is a self-governing commonwealth in union with the United States. It was discovered by Columbus in 1493 but no colonization was attempted until 1508. It belonged to Spain until ceded to the United States in 1898. It became a commonwealth with autonomy in internal affairs in 1952. Columbus named the island San Juan for St. John's Day, the Monday he arrived, and the bay Puerto Rico, rich harbor. The island became Puerto Rico officially in 1932. (From Webster's New Geographical Dictionary, 1988, p987 & Room, Brewer's Dictionary of Names, 1992, p436)Term Birth: CHILDBIRTH at the end of a normal duration of PREGNANCY, between 37 to 40 weeks of gestation or about 280 days from the first day of the mother's last menstrual period.Hospital Mortality: A vital statistic measuring or recording the rate of death from any cause in hospitalized populations.Infant, Premature: A human infant born before 37 weeks of GESTATION.TaiwanEducation: Acquisition of knowledge as a result of instruction in a formal course of study.

The relationship of Medicaid payment rates, bed constraint policies, and risk-adjusted pressure ulcers. (1/17)

OBJECTIVE: To examine the effect of Medicaid reimbursement rates on nursing home quality in the presence of certificate-of-need (CON) and construction moratorium laws. DATA SOURCES/STUDY SETTING: A single cross-section of Medicaid certified nursing homes in 1999 (N = 13,736). STUDY DESIGN: A multivariate regression model was used to examine the effect of Medicaid payment rates and other explanatory variables on risk-adjusted pressure ulcer incidence. The model is alternatively considered for all U.S. nursing home markets, those most restrictive markets, and those high-Medicaid homes to isolate potentially resource-poor environments. DATA EXTRACTION METHODS: A merged data file was constructed with resident-level information from the Minimum Data Set, facility-level information from the On-Line, Survey, Certification, and Reporting (OSCAR) system and market- and state-level information from various published sources. PRINCIPAL FINDINGS: In the analysis of all U.S. markets, there was a positive relationship between the Medicaid payment rate and nursing home quality. The results from this analysis imply that a 10 percent increase in Medicaid payment was associated with a 1.5 percent decrease in the incidence of risk-adjusted pressure ulcers. However, there was a limited association between Medicaid payment rates and quality in the most restrictive markets. Finally, there was a strong relationship between Medicaid payment and quality in high-Medicaid homes providing strong evidence that the level of Medicaid payment is especially important within resource poor facilities. CONCLUSIONS: These findings provide support for the idea that increased Medicaid reimbursement may be an effective means toward improving nursing home quality, although CON and moratorium laws may mitigate this relationship.  (+info)

Monopoly is not the answer. (2/17)

Certificate-of-need (CON) regulation was originally intended to correct market failures that no longer afflict health care markets. It is ironic that Sujit Choudhry and colleagues now invoke it to deal with situations where, in their view, competition is working altogether too well. Protectionist regulation, long discredited in other areas, is particularly misguided in health care, where health insurance greatly increases the profitability of monopoly and imposes the resulting higher costs on unwilling premium payers. To use cross-subsidies to finance even worthy (let alone unworthy) health care projects is to put public burdens unfairly (regressively) on the backs of working Americans.  (+info)

Medicare program; conditions for payment of power mobility devices, including power wheelchairs and power-operated vehicles. Interim final rule with comment period. (3/17)

This interim final rule conforms our regulations to section 302(a)(2)(E)(iv) of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (Pub. L. 108-173). This rule defines the term power mobility devices (PMDs) as power wheelchairs and power operated vehicles (POVs or scooters). It sets forth revised conditions for Medicare payment of PMDs and defines who may prescribe PMDs. This rule also requires a face-to-face examination of the beneficiary by the physician or treating practitioner and a PMD prescription and pertinent parts of the medical record that the durable medical equipment supplier maintains in records and makes available to CMS or its agents upon request. Finally, this rule discusses CMS' policy on documentation that may be requested by CMS or its agents to support a Medicare claim for payment, as well as the elimination for the Certificate of Medical Necessity for PMDs.  (+info)

Contemporary impact of state certificate-of-need regulations for cardiac surgery: an analysis using the Society of Thoracic Surgeons' National Cardiac Surgery Database. (4/17)

BACKGROUND: Prior research using administrative data associated certificate-of-need (CON) regulation for open heart surgery with higher hospital coronary artery bypass grafting (CABG) volume and lower CABG operative mortality rates in elderly patients. It is unclear whether these findings apply in a general population and after controlling for detailed clinical characteristics and region. METHODS AND RESULTS: Using the Society of Thoracic Surgeons' (STS) National Cardiac Surgery Database, we examined isolated CABG surgery volume, operative mortality, and the composite end point of operative mortality or major morbidity for the years 2000 to 2003. The presence of CON regulations for open heart surgery was ascertained from the National Directory of the American Health Policy Association and by contacting CON administrators. Results were analyzed nationally, by state, and by region (West, Northeast, Midwest, South) and were adjusted for clinical factors and both population density and region with mixed-effects hierarchical logistic regression models. During 2000 to 2003, there were 314,710 isolated CABG surgeries performed at 294 STS hospitals in CON states (n=27, including Washington, DC) and 280 512 procedures at 343 STS hospitals in non-CON states (n=24). Patient clinical characteristics were similar among CON and non-CON hospitals. States with CON regulations tended to have higher population densities and had significantly higher median hospital annual CABG volumes in each of the years 2000 to 2003 (P<0.005). This difference remained significant after adjustment for region and population density. Operative mortality was 2.52% for CON versus 2.62% for non-CON states (P=0.32). There was a significant association between CON law and operative mortality in the South. After adjustment for patient risk factors and region, there was a marginally significant reduction of mortality risk in states with CON regulation (adjusted OR 0.92, 95% CI 0.86 to 1.00). However, this difference was not statistically significant when a revised model accounted for random state effects. Similar volume and outcomes results were seen when the analysis was repeated with data from the national Medicare database. CONCLUSIONS: CON states have significantly higher hospital CABG surgery volumes but similar mortality compared with non-CON states. CON regulation alone is not a sufficient mechanism to ensure quality of care for CABG surgery.  (+info)

Certificate of need regulation and cardiac catheterization appropriateness after acute myocardial infarction. (5/17)

BACKGROUND: Certificate of need (CON) regulation was introduced to control healthcare costs and improve quality of care in part by limiting the number of facilities providing complex medical care. Our objective was to examine whether rates of appropriate cardiac catheterization after admission for acute myocardial infarction varied between states with and without CON regulation of cardiac catheterization. METHODS AND RESULTS: We performed a retrospective analysis of chart-abstracted data for 137,279 Medicare patients admitted for acute myocardial infarction between 1994 and 1996 at 4179 US acute-care hospitals. Using 3-level hierarchical generalized linear modeling adjusted for patient sociodemographic and clinical characteristics and physician and hospital characteristics, we compared catheterization rates within 60 days of admission for states (and the District of Columbia) with (n=32) and without (n=19) CON regulation in the full cohort and stratified by catheterization appropriateness. Appropriateness was categorized as strongly, equivocally, or weakly indicated. We found CON regulation was associated with a borderline-significant lower rate of catheterization overall (45.8% versus 46.5%; adjusted risk ratio [RR] 0.91, 95% confidence interval 0.82 to 1.00, P=0.06). After stratification by appropriateness, CON regulation was not associated with a significantly lower rate of catheterization among 63,823 patients with strong indications (49.9% versus 50.3%; adjusted RR 0.94, 95% confidence interval 0.86 to 1.02, P=0.17). However, CON regulation was associated with significantly lower rates of catheterization among 65,077 patients with equivocal indication (45.0% versus 46.0%; adjusted RR 0.88, 95% confidence interval 0.78 to 1.00, P=0.05) and among 8379 patients with weak indications (19.8% versus 21.8%; adjusted RR 0.84, 95% confidence interval 0.71 to 0.98, P=0.04). Associations were weakened substantially after adjustment for hospital coronary artery bypass graft surgery or cardiac catheterization capability. CONCLUSIONS: CON regulation was associated with modestly lower rates of equivocally and weakly indicated cardiac catheterization after admission for acute myocardial infarction, but no significant differences existed in rates of strongly indicated catheterization.  (+info)

Home oxygen therapy under Medicare. A primer. (6/17)

Medicare recently implemented a new, strict, and complex home oxygen policy and a new oxygen prescription form. Unfortunately, the lack of instructions for the form has led to confusion, frustration, and suboptimal treatment. Long-term oxygen therapy prolongs survival, ameliorates hypoxic organ dysfunction, and improves exercise endurance. Indications for therapy include hypoxemia caused by cardiopulmonary diseases, hypoxemia that occurs with sleep or exercise, and hypoxemic organ dysfunction. Patients should be stable and have an arterial blood oxygen tension (PaO2) of 55 mm of mercury (7.3 kPa) or less or arterial blood oxygen saturation (SaO2) of 88% or less. There should be evidence of hypoxic organ dysfunction when the (PaO2) is 56 to 59 mm of mercury (7.4 to 7.8 kPa) or the SaO2 is 89%. A medical review by the insurance carrier is required if oxygen is to be prescribed when hypoxemia is less severe--if the PaO2 is 60 mm of mercury (8.0 kPa) or more or if the SaO2 is 90% or more. The instructions for oxygen flow, duration, and equipment must be explicit to ensure adequate therapy. An oxygen concentrator with a small oxygen cylinder portable system fulfills most needs. Oxygen cylinders may be used at low flows for patients who require therapy only during sleep or where electrical power is unreliable. A liquid oxygen system may be prescribed for active patients. Portable equipment should be provided in addition to stationary equipment when patients have resting hypoxemia. Portable equipment alone is sufficient when there is exercise-related hypoxemia with normal oxygenation at rest. Newly developed oxygen-conserving devices may offer longer ambulatory times and possibly lower operating costs. When home oxygen therapy is started in the hospital, the Certificate of Medical Necessity should be completed and patients should be trained to use the equipment before discharge.  (+info)

Cardiac Certificate of Need regulations and the availability and use of revascularization services. (7/17)

BACKGROUND: Many states enforce Certificate of Need (CON) regulations for cardiac procedures, but little is known about how CON affects utilization. We assessed the association between cardiac CON regulations, availability of revascularization facilities, and revascularization rates. METHODS: We determined when state cardiac CON regulations were active and obtained data for Medicare beneficiaries > or = 65 years old who received coronary artery bypass graft surgery (CABG) or a percutaneous coronary intervention (PCI) between 1989 and 2002. We compared the number of hospitals performing revascularization and patient utilization in states with and without CON regulations, and in states which discontinued CON regulations during 1989 to 2002. RESULTS: Each year, the per capita number of hospitals performing CABG and PCI was higher in states without CON (3.7 per 100,000 elderly for CABG, 4.5 for PCI in 2002), compared with CON states (2.5 for CABG, 3.0 for PCI in 2002). Multivariate regressions that adjusted for market and population characteristics found no difference in CABG utilization rates between states with and without CON (P = .7). However, CON was associated with 19.2% fewer PCIs per 1000 elderly (P = .01), equivalent to 322,526 fewer PCIs for 1989 to 2002. Among most states that discontinued CON, the number of hospitals performing PCI rose in the mid 1990s, but there were no consistent trends in the number of hospitals performing CABG or in PCIs or CABGs per capita. CONCLUSIONS: Certificate of Need restricts the number of cardiac facilities, but its effect on utilization rates may vary by procedure.  (+info)

Certificate of Need (CON) for cardiac care: controversy over the contributions of CON. (8/17)

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*Certificate

... may refer to: Birth certificate Death certificate Gift certificate Certificate of authenticity, a document or seal ... thrift institutions and credit unions Authorization certificate or attribute certificate Certificate (complexity), a string ... a newer higher education qualification Hong Kong Hong Kong Certificate of Education Examination United Kingdom Certificate of ... an electronic document used in cryptography Academic certificate Medical certificate Professional certification, a vocational ...

*Gold certificate

A gold certificate in general is a certificate of ownership that gold owners hold instead of storing the actual gold. It has ... The Series 1934 gold certificates are also distinguished from the previous gold certificates in their gold clause, which adds ... though the Federal Reserve does not have the right to exchange the certificates for gold. As the certificates are denominated ... The gold certificate was used from 1863 to 1933 (although there is the rare 1934 issue) in the United States as a form of paper ...

*Estoppel certificate

"Definition of Estoppel Certificate". Redfin. Heller, Stu. "The Landlord Wants You to Sign an Estoppel Certificate?". ... An estoppel certificate provides confirmation by the tenant of the terms of the rental agreement, such as the amount of rent, ... Further, the estoppel certificate may give the opportunity to the tenant to explain if they may have any claims against the ... An Estoppel Certificate (or Estoppel Letter) is a document often used in due diligence in Real estate and mortgage activities. ...

*Priority certificate

A priority certificate is a document attesting that the entities named in such a certificate are the first to discover a ... A person who makes a new and useful discovery is entitled to receive such a priority certificate for that specific discovery. ... Heidrun, Lindner (2013). "The priority certificate" (PDF). www.embedded-world.de. Retrieved November 11, 2017. ... "Priority certificates: a proposal for non-intrusive forms of IP". Journal of Intellectual Property Law & Practice. 10 (6): 429- ...

*Green certificate

The certificates can be traded separately from the energy produced. Several countries use green certificates as a mean to make ... This makes purchasing of a green certificate equal to purchasing a claim, that the certificate owner consumed energy from the ... Therefore certificate purchase does not affect how much renewable energy was actually generated - only how it was distributed. ... A Green Certificate - terminology predominantly used in Europe but now becoming more widespread globally - are a tradable ...

*Birth certificate

A birth certificate is a vital record that documents the birth of a child. The term "birth certificate" can refer to either the ... A short birth certificate is issued, free of charge, at the time of registration. Both versions of certificate can be used in ... The short certificate, titled 'CERTIFICATE OF BIRTH', shows the child's full name, sex, date and place of birth. It does not ... Birth certificate is signed by the head of the registrar or other public authority issuing the certificate (e.g., the consulate ...

*Medical certificate

Birth certificate Death certificate "Employers should not question a doctor's certificate: AMA". Workplaceinfo.com.au. 2014-12- ... Medical certificates can also be used to describe a medical condition a person has, such as blindness. Medical certificates are ... A medical certificate or doctor's certificate is a written statement from a physician or other medically qualified health care ... While airman certificates are issued for life, the medical certificate expires and must be renewed periodically in order ...

*Death certificate

Prior to 1960 such certificates gave no cause of death. Stillbirth certificates can only be ordered by the mother or father of ... Beginning in 1879, a doctor's certificate was necessary for the issuance of a death certificate (prior to that, no cause of ... Most states instead issue a "certificate of birth resulting in stillbirth". Birth certificate Ghosting (identity theft) ... Before issuing a death certificate, the authorities usually require a certificate from a physician or coroner to validate the ...

*Silver certificate

A silver certificate is a certificate of ownership that silver owners hold instead of storing the actual silver. Several ... Silver certificates were issued between 1878 and 1964 in the United States as part of its circulation of paper currency. They ... The certificates were initially redeemable for their face value of silver dollar coins and later (for one year - 24 June 1967 ... Large-size silver certificates (1878 to 1923) were issued initially in denominations from $10 to $1,000 (in 1878 and 1880) and ...

*Root certificate

Such a certificate is called an intermediate certificate or subordinate CA certificate. Certificates further down the tree also ... a root certificate is a public key certificate that identifies a root certificate authority (CA). Root certificates are self- ... A root certificate is the top-most certificate of the tree, the private key which is used to "sign" other certificates. All ... The root certificate is usually made trustworthy by some mechanism other than a certificate, such as by secure physical ...

*Marriage certificate

Associated certificates such as the DFAT "Certificate of No Impediment to Marriage" (CNI) or state and territory "Single Status ... A wedding certificate issued in 1883 in Michigan. 1875 marriage certificate, United States On 1 July 1837 civil registration ... The registrar's signature and seal is printed/embossed on the certificate along with a number, and date of issue of certificate ... and marriage certificates are issued by these agencies. Under Federal law, a certificate is issued at the time of marriage by a ...

*Matriculation Certificate

... refers to a certificate awarded for matriculation. It may refer to: Matriculation Certificate (Malta ... awarded to post secondary students in Malta Secondary School Certificate (SSC) awarded in South Asian countries National Senior ...

*Implicit certificate

With implicit certificates there is no explicit validation of the certificate authority's (CA's) signature on a certificate. ... such certificates will be called explicit certificates. Elliptic Curve Qu-Vanstone (ECQV) are one kind of implicit certificates ... Conventional certificates can get very large. For example, a standard X.509 certificate is on the order of 1KB in size (~8000 ... In cryptography, implicit certificates are a variant of public key certificate, such that a public key can be reconstructed ...

*Type certificate

Federal Aviation Administration - Certificate Types - Type Certificate Data Sheets List of US Approved Type Certificates; 1927 ... A type certificate is issued to signify the airworthiness of an aircraft manufacturing design or "type". The certificate is ... The type certificate holder keeps the type certificate valid by continuously following airworthiness directives, issuing ... when the aircraft has been assigned an Airworthiness Certificate. An "Airworthiness Certificate" is issued for each aircraft ...

*Graduate certificate

Academic certificate Australian Qualifications Framework Certificate of Advanced Study, a post-masters certification credential ... Hence this certificate is not considered to be an 'end-of-cycle' qualification (it demonstrates only some of the 'first-cycle' ... The title 'certificate' normally signifies learning outcomes which would imply study equivalent to at least one-third of a full ... A graduate certificate (GradCert, GCert, GradC) is a higher education qualification at the same level as a bachelor's degree ...

*Certificate authority

An authority revocation list (ARL) is a form of certificate revocation list (CRL) containing certificates issued to certificate ... of the certificate and by the party relying upon the certificate. The format of these certificates is specified by the X.509 ... when the certificate authority VeriSign issued two certificates to a person claiming to represent Microsoft. The certificates ... A single CA certificate may be shared among multiple CAs or their resellers. A root CA certificate may be the base to issue ...

*Practising certificate

Lawyers' certificates were made to expire seven months early, and each lawyer was required to obtain a new certificate from the ... A practising certificate is a licence to practise a particular profession. In the legal profession, solicitors and barristers ... In Australia, the authority that issues the practising certificate depends on whether the lawyer is a barrister or solicitor ( ... The Fiji Law Society issued practising certificates until 2009, when the government of Frank Bainimarama banned it from doing ...

*Wildcard certificate

Compared with conventional certificates, a wildcard certificate can be cheaper and more convenient than a certificate for each ... Wildcard certificates are not allowed for EV Certificates. x509v3_config-Subject Alternative Name The subjectAltName field The ... In computer networking, a wildcard certificate is a public key certificate which can be used with multiple subdomains of a ... SSL Certificate Provider. Retrieved 17 February 2015. "Wildcard Certificate Explained in Simpler Terms". 23 May 2016. "RFC 2818 ...

*Academic certificate

"Higher Certificate". These have the titles Certificate (at an undergraduate level), Graduate Certificate (at an undergraduate ... IV and may rightly be considered equivalent to a hypothetical Certificate V. In the United Kingdom, a Certificate of Higher ... In the United States, a certificate may be offered by an institute of higher education. These certificates usually signify that ... For instance, students in the Republic of Ireland sit the Junior Certificate and follow it with the Leaving Certificate. ...

*Refunding Certificate

The Refunding Certificate was a type of interest-bearing banknote that the United States Treasury issued in 1879. They issued ... The Refunding Certificate originally promised to pay 4% annual interest in perpetuity. The obligation on these notes reads: " ... Only a few 1879 Refunding Certificates were imprinted with the inscription, Payable to Order. Only two are known to still exist ... Or multiples thereof." However, in 1907, Congress passed an act that ended the interest accrual of the certificates, and fixed ...

*Certificate "A"

The certificate award was often made at a parade of the cadet's unit and consisted of the certificate and a four-pointed star ... Certificate "A" was at the level for basic training. The certificates were recognised by the War Office in 1908. This was ... By the middle of the 1930s, Certificate "A" was the aim of every new cadet. To obtain the certificate, both military and ... Certificate "A" was a military proficiency award originally used by the university cadet corps. It was associated initially ...

*Operating certificate

These certificates are generally issued for a limited time period. Certificates can have intrinsic value and in some cases can ... Operating certificate is a category of license issued by a government agency allowing an individual or company to provide a ... known as an Air Operator's Certificate) the authority to operate an airline Airport; in the United States, the authority to ...

*National Certificate

... although a National Certificate is still a recognised qualification on its own. In Mauritius, the National Certificate is a ... the National Certificate has been replaced by the Higher Certificate in a number of similar disciplines. In the educational ... The certificate generally exempts a student from the first year of a four-year university Bachelor's degree or the first two ... The first National Certificates in Ireland were awarded in 1972 at five Regional Technical Colleges. Since June 2006 and the ...

*Postgraduate certificate

The Certificate of Postgraduate Studies (CPGS, also called Certificate in Postgraduate Studies or Certificate in Postgraduate ... as a post-nominal designation after completing the certificate course. The Postgraduate Certificate in Education (PGCertEd) is ... The title 'certificate' normally signifies learning outcomes which would imply study equivalent to at least one-third of a full ... A postgraduate certificate (abbreviated as PGCert, PgCert, PG Cert, PGC, or PgC) is a postgraduate qualification in the United ...

*Certificate Transparency

... depends on verifiable Certificate Transparency logs. A log appends new certificates to an ever-growing ... "Known Logs - Certificate Transparency". certificate-transparency.org. Retrieved 2015-12-31. "DigiCert Announces Certificate ... Certificate Transparency would help by making it impossible for a certificate to be issued for a domain without the domain ... It began requiring Certificate Transparency for all certificates newly issued by Symantec from June 1, 2016, after they were ...
Proposed Medicaid Payment Rates - Proposed Medicaid Payment Rate for the Medical Policy Review of Clinical Laboratory Services (G0433 - Human Immunodeficiency Virus (HIV) Testing) Proposed Medicaid Payment Rates for the Medicaid Biennial Calendar Fee Review Proposed Medicaid Payment Rates for the Medical Policy Review of Family Planning Services (J7301 & J7307) Proposed Medicaid Payment Rates for the Medical Policy Review of Magnetoencephalography Proposed Medicaid Payment Rates for the Quarterly Healthcare Common Procedure Coding System Updates ...
Our analysis demonstrates that state CON regulations have been generally effective in concentrating bypass surgery procedural volumes, increasing mean and median annual procedure volumes, and decreasing the likelihood that there are hospitals with very low volumes of cardiac surgery. This association, however, does appear to vary by region, with greater apparent impact in the South relative to other areas of the country. Despite this relationship, however, CON alone appears to have little impact on procedural quality as assessed by differential rates of mortality and major morbidities. Hospitals in states with CON had generally similar operative mortality and morbidity as those without CON. The present data suggest that state CON laws are not a sufficient mechanism to ensure quality of care for CABG surgery. CON regulations can have an impact on the allocation and location of resources but cannot ensure the skills, judgment, and evidence-based practice applied in the delivery of care.. These ...
a separation of infrastructure and service providers. the competition that spawned the internet boom in the mid- to late-90s was due to the fact that services like AOL, Earthlink, Prodigy, and others had to keep offering more service for less money. and you could pick ANY of them or switch anytime you wanted (with the minor inconvenience of switching your email addresses) because they had no ties to the phone companies. Cable modem and DSL providers started taking over when they started offering faster service (for more than marginally higher prices) and that not only drove out the independent ISPs, but it intrinsically tied service to infrastructure. And the problem with infrastructure is that every single region in the US (at least that Im aware of) has local monopolies on cable and phone service. None of the areas Ive lived in for the past twenty years have given you a choice of cable provider. if you get cable, you only get Time Warner (or comcast or cox or cablevision or...), and if you ...
The usual health and fitness fads that populate the pitiful space of late night infomercials are familiar to the American public. Both men and women are subject to the bombardment of advertisements for pills, oils, treatments and equipment that promise to make them look and feel younger, more attractive and bring a degree of self-improvement...
Health, ...States that dropped regulations overseeing the performance of two comm...The regulations known as certificate of need or CON require hospit... Certificate of need was meant to restrict health care costs and ensur...Federal certificate-of-need regulations for cardiac care expired in 19...,Easing,regulations,does,not,mean,lower,quality,of,cardiac,care,medicine,medical news today,latest medical news,medical newsletters,current medical news,latest medicine news
We appreciate the comments of Dr Cheng, who notes that the finding of a similar outcome in women and men undergoing CABG within the Bypass Angioplasty Revascularization Investigation (BARI)R1 is not corroborated in a large registry of patients in the Society of Thoracic Surgeons National Cardiac Surgery Database.R2 As stated in the Discussion, interpretation of our results in BARI should take into account that the data are from a randomized clinical trial with specific inclusion and exclusion criteria, and hence, the BARI population is not representative of all patients undergoing coronary revascularization. However, when we examined BARI screening data, we found that women were not disproportionately excluded from the trial population. In addition, data from an ancillary BARI study that conducted a survey of all hospitals in the United States performing CABG and coronary angioplasty during the same time period indicated that the proportion of women undergoing revascularization procedures at ...
Certificate of need became optional for states in the mid-1980s. During the study, 27 states, including the District of Columbia, had CON regulations for open-heart surgery.. The authors also rated the stringency of the state CON programs, based on the scope of services covered by the CON regulations and the review process hospitals experience when requesting authorization to establish a new program. Using this rating, three states had high CON stringency, eight states had moderate CON stringency and 16 states, including Iowa, had low CON stringency.. "The findings indicate that the more stringent the CON program, the lower the use of bypass surgery and angioplasty for these patients, yet death rates remained the same as in states with less stringent CON or states without CON," explained the studys lead author Ioana Popescu, M.D., a Quality Scholar with the VA Iowa City Health Care System and UI fellow in internal medicine.. Rosenthal and Popescu noted that there still is pressure on states to ...
Eighteen hospitals in Broward and Palm Beach counties will receive a total of about $4.5 million less in government payments than anticipated for low-income patient care this coming year, due to what state official say are limits in its budget authority.
So what happens at FED? On Friday night a big rah rah ceremony celebrating the armed forces. Im all for supporting our military forces but it comes off totally phony at an Amway function. Nothing wrong with celebrating our patriotism except when its done with a company thats a pyramid scheme. Some "patriotic" dude named Rick Green - does anyone know who the hell he is anyway? - will teach about free enterprise. I guess hes getting well paid because hes doing it in both cities. Afterwards Diamond speakers will talk about building "the business". Well thatll be a first. They never talked about that at the FEDs I went to! They all jabbered about being poor and then they saw the Amway business plan and set their goals on a mission to destroy people and rip them off and now they live in mansions and walk the beaches of the world while residual income rolls in for the rest of their lives. I dont recall what time the Friday night bullshit session got under way. Eight? Thats the typical witching ...
In the U.S. it is socialism for the rich and free enterprise for the Discussions in the HubPages Politics and Social Issues Forum
The Food and Drug Administration (FDA) today published final guidance designed to reduce the occurrence of hospital bed entrapments. Entrapment can occur when part of a patient s body becomes caught b...
Senator Robert Taft was one of the founders of the conservative movement. He authored perhaps the most significant legislation of the 20th century, the Taft-Hartley Act to preserve free enterprise against suffocating unionism, and obtained its passage over President Harry Trumans veto. Nearly two decades later, Barry Goldwater built on free enterprise to obtain an unlikely nomination as the the Republican candidate for president in 1964. A United States Senator from Arizona, Goldwaters insistence upon conservative principles helped redefine the Republican Party, transforming it into the party of conservatism and conservatives in the early 1960s. In Goldwaters acceptance speech at the Republican National Convention in 1964, he famously declared, "I would remind you that extremism in the defense of liberty is no vice. And let me remind you also that moderation in the pursuit of justice is no virtue."[4] ...
** I have been a bad blogger lately. I had intended to blog often while on hospital bed rest, but writing on the iPAD without a real keyboard was frustrating. Then the boys arrived and…well…I have been a bit busy. So, almost 5 months later, I thought it is about time to share the boys…
From time to time new items and new links are added. Let the webmaster know if you need the full text of a particular item not yet linked. Latest addition is a review of the history and possible future of the Swedish system of social insurance (from 1995 in Swedish). A noteworthy addition in English has been a conclusions from a large research program on the social state sponsored by he Swedish Free Enterprise Foundation (from 1997). This paper is again relevant due to the political rhetoric about the European social model.. Another addition in Swedish is a paper from 1995 reminding Swedes, a people who then thought that society consisted of only of economy and politics (and who insist on calling the state society!) that a civil society exists and is important for democracy and welfare. About one tenth of the planned work on this archive remains to be done. Echoes of and commentaries on works by some major writers of social science. (Italics=Text in English on classics of sociology:) Daniel ...
12:00AM August 22, 2018. Like a low-budget horror film featuring C-grade actors, Australian politics has entered the realm of the absurd. Its not as if we havent seen this script before either. The Coalition is taking us through a repeat of Labors period of dysfunctional government.. Unfortunately the malaise within the Liberal Party is much more serious than that of its opposition. Without the structure to manage internal party disputes, Liberals face a continuing battle to re-establish what they actually stand for.. The Liberal Party was once the party of free enterprise, limited government, civil society, lower taxes and stronger families. Now it has become a shelter for those who dont fit into Labor but still want to pursue a political career.. John Howard coined the phrase "a broad church", but every church has a congregation of common belief. Regrettably, the Liberals have admitted too many whose only commitment is to attaining positions of personal power and influence.. Adopting Labor ...
Around 4:00 PM Mrs. Jones daughter tells me that they are ready to tell her about the situation if the doctors do not come right away. I let the doctors know and one of the fellows, not the original surgeon, comes to talk. He is obviously uncomfortable and unsure what to say. He explains that they are not really sure what has happened, but that some blood flow to her spine was disturbed. They are not sure what her final status will be. He tells her that the operation was very complicated and that she is lucky to be alive. He ends with "Just keep trying to move." My anger rises as I listen. Why can he not tell her the truth so that she can understand it? As the fellow heads out of the room a technician from bed supply comes in. "Is this the New Para?" (as in paraplegic). This is now more than I can take. Will Mrs. Jones learn that she is paralyzed from bed supply? I ask the daughter for permission to clarify and she gives it readily. I tell Mrs. Jones that the blood supply to her spine was cut ...
Since posting this info in a few forums a lot of people have been mentioning th eNICE guidelines and also this "postcode monopoly" and also a lot of reference has been made to PCTs. It so happens that I work for a PCT but never knew that they have a part in deciding who is funded etc. I am therfore going to try and find out as much information as possible from work ...
A brand of good that has enough similarities with other brands of the same good type that it is considered readily substitutable. A parity product is functionally equivalent to a product offered by a competitor. The existence of parity products means that a monopoly does not exist.
The therapeutic effectiveness of continuous infusion of 5-fluorouracil and cisplatin, and etoposide (FEP) for treatment of metastatic gastric cancer was examined. Studies were made on 17 patients with gastric cancer with distant metastases. 5-fluorouracil (300 mg/m(2)/day) and cisplatin (80 mg/m(2)/day) were administered by continuous intravenous infusion for 120 and 24 hours, respectively; etoposide (60 mg/m(2)/day) was injected intravenously over a 2 hour period on days 2, 3 and 4. These chemotherapy treatments were repeated every 28 days. Partial, but not complete, remission was seen in four patients (24%). The treatment increased the survival times of patients with differentiated or Borrmann 2 or 3 type cancer, but not significantly. In many cases the treatment caused myelosuppression, but side effects were usually mild or moderate. It is concluded that infusion of 5-fluorouracil, etoposide and cisplatin is effective and well tolerated ...
The Education (Special Educational Needs) Regulations 1994, 9780110552095, available at Book Depository with free delivery worldwide.
The Massachusetts Department of Public Health has proposed regulatory changes that would likely result in eliminating independent ambulatory surgery centers over time. The proposal would change the states determination of need regulation in which surgery centers would be mandated to apply for a DON and be affiliated with an acute care hospital to make basic center changes. As the regulation currently stands, a proposed project is defined as:
Shadow health secretary Jonathan Ashworth said: Last weeks cold snap demonstrated the crisis facing our NHS this winter and Government inaction will only make the challenge that much harder. Patients will be deeply concerned that despite the heroic efforts of our brilliant NHS staff, there was a shocking 27 per cent increase in the number of patients stuck for over an hour in the back of an ambulance in just one week.. Patients expect ministers to urgently get a grip.. Janet Davies, head of the Royal College of Nursing, said: The Government shouldnt shrug todays figures off as yet more statistics. Behind every one is a person waiting too long, often in pain and discomfort and at their lowest ebb.. Although norovirus is a huge burden for the Health Service, the latest figures are down 12 per cent on the average for the past five years.. An NHS England spokesman said: A&E four-hour performance in November is better than the same time last year, despite an extra 85,000 more patients being ...
Tribal Human Nature, Work-Arounds, and Organizational Management - These ideas amount to what economists would call "Tiebout Competition" and compromise (not a fancy economics word). In tribal human nature people select into tribes that hold attributes that a prospective member believes. When a tribe has attributes that resonate with most people there is an inertia to following the rules of the tribe. But, tribes had inter-tribal warfare. How did we adopt a free market culture based on cooperation and mutually beneficial exchange? We constructed "work-arounds" or compromises between all of the various tribes (consumers, suppliers, producers, etc.) held together by good organizational skills ...
Former Republican presidential nominee John McCain on Sunday walked back on his 2008 attacks on current GOP hopeful Mitt Romney for his record of killing jobs as the head of Bain Capital. During a 2008 campaign stop in Florida, McCain had blasted Romney for taking over companies and laying off "thousands of workers.". "I think he managed companies and he bought and he sold and sometimes people lost their jobs," the Arizona senator explained at a January 2008 debate.. On Sunday, Fox News host Chris Wallace asked McCain, who is now campaigning for Romney, if he was engaging in the same kind of "class warfare" that he has accused President Barack Obama of for attacking Romneys Bain record.. "This is the free enterprise system," McCain insisted. "The only place in the world that I can recall where companies never failed was the old Soviet Union. This is what investors do in the free enterprise and capitalism system.". ...
Among nonelderly adults receiving hypertension treatment, 13.1% had high burdens, meaning that healthcare expenditures accounted for more than 20% of their income.
I was not sure of getting a legit loan lender online But when i could not face my Debt any more, my son was on hospital bed for surgery that involve huge money and i also needed some money to refinance and get a good home then i have to seeks for Assistance from friends and when there was no hope any more i decide to go online to seek a loan and i find VICTORIA LAWSON Loan company ([email protected]) with 2% interest Rate and applied immediately with my details as directed. Within seven Days of my application She wired my loan amount with No hidden charges and i could take care of my son medical bills, Renew my rent bill and pay off my debt. I will advice every loan seeker to contact Victoria Lawson Company with [email protected] For easy and safe transaction ...
LIZ Truss, Chief Secretary to the Treasury, was waxing lyrical in City AM on Thursday about the wonders of the Alternative Investment Market (AIM), the junior division of the London Stock Exchange.. She enthused: "Britain is now third in the global league table for start-ups, and rapidly climbing - boasting 22 billion-dollar tech companies (so-called unicorns)…AIM has outlasted its rivals, such as the German Neuer Market which had to close following the tech bubble in the 2000s.. "It is home to over three times the number of companies compared to Nasdaqs European growth exchange.". All true enough. Then came this:. "While others may attempt to copy us, they are a long way from matching the UKs entrepreneurial spirit" adding that AIM is "a beacon of British enterprise".. In fact, if AIM is a beacon of anything it is a veritable lighthouse of lavish tax reliefs. So generous are the fiscal incentives on offer to the lions of free enterprise quoted on AIM that it is practically an on-shore tax ...
Have you logged into your account? If you are an OPP customer or have free trial access and you cant view this content please click login at the top of the screen. If you are not an OPP subscriber, create a free account now and get started with 30 days free Enterprise access to read this page and use our range of policy tools. Sign up takes under 2 minutes, the 30 day free access ends automatically, and we dont ask for any credit card details.. ...
The effectiveness of economic development programs has long been hotly debated. Recent events, like the closing of Suntechs manufacturing facility in Goodyear, have given rise to a new wave of criticism by organizations like the Arizona Tax Research Association, the Arizona Free Enterprise Club and the Goldwater Institute - most of it unwarranted and unsubstantiated.. Read More » ...
This would be a glorious result. The "credit crisis," as Bush describes it, is nothing more than the kind of crisis a college kid faces when his parents cut back on the deposits to his checking account. It means less high living, a few more nights moping in the dorm rather than going out with his drinking friends. It does not mean the end of the world. The market is working now to make things right, to eliminate bad debt and get us back on a sound economic footing. The government can help by legalizing alternative monies, cutting regulations, cutting spending and taxing and wars (as Ron Paul says), but otherwise by doing absolutely nothing. Lehman failed on its own and yet life goes on. The same should happen to Goldman, Morgan, Bear, GM, and all the rest. Free enterprise is a profit and loss system. This is a time of losses, stemming from an overinflated credit sector, one that the Austrian economists have warned about for many years. Listen to the Austrians now and permit the failures to ...
The fact that the Rothschild cartel maintains central banks in every country on earth but two, means that it controls or minimally partners with all other nations including both Russian and Chinese oligarchs, dispelling the entire myth of the West versus East dichotomy. Despite the brainwash since World War II that the Russians are eternal enemies of the United States and Europe,[xiii] the ultimate truth is the New World Order encompasses Illuminati elite busily pushing Oz-like levers of control from behind both the Western and Eastern "Curtain." These artificial political divisions have always been conveniently manufactured false props promoting two "opposing" ideologies along political-military lines (i.e., Western "free enterprise" "democracies" vs. Eastern "Communist" "totalitarian dictatorships"). The reality is these two opposite systems never existed beyond the abstract and are largely homogenized into one and the same, run by the same global elite. The elitist power structure owning and ...
The coastal city of Wenzhou, long a bastion of free enterprise and private credit, was recently ranked among the richest in China. But then its factory bosses, unable to pay their debts, started disappearing. Now investors fear that the reckoning in Wenzhou could be just the start of something much, much bigger
Now we will explore multiple causes using an example familiar to us all - road accidents. The deaths of about 10 people each day on the UKs roads are less dramatic than, for example, the capsize of the Herald of Free Enterprise, but one feature that links them both is the element of risk associated with everything we do - and even with inaction.. We have just seen that many factors contribute to the risks which result from the inherent hazards associated with something we do. ...
The state made $426,000 in Medicaid payments for 10 people who were dead, and the numbers may reach into the millions of dollars for more than 300 people, according to a state legislative audit released Wednesday.
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Global MEMS in Medical Application Market, which stood at US$1.8 billion in 2012, is expected to reach US$6.5 billion by the end of 2019.
But as every economist knows, the introduction of a monopoly breaks the market model. How do you set a price for a product where there is no competition at all?. Proprietary drugs enjoy a state-sanctioned monopoly for a defined period as a "reward" to encourage investment in innovation. Fortunately, however, this monopoly is usually very narrow - the precise composition of the drug may enjoy a monopoly but there is often nothing to stop others developing products with similar composition, or with the same mechanism of action, or even a completely different approach that achieves the same outcomes in practice.. While the monopoly is narrow, a limited market can still form as the participants compete to win market share for "their" monopoly.. This is the situation for the vast majority of marketed drugs.. Just occasionally, though, a drug comes along that does something quite unique - treats or prevents a disease that was otherwise poorly treated. In these circumstances, the effective monopoly is ...
Tim Wu has a piece up at the Wall Street Journal pointing out that the free-market, open Internet — competition in its purest form — has evolved to be dominated by monopolies. Wu argues that this is nothing new, and that each wave of information technology in the US has followed a simi...
... n, monopoly, monopolistic competition, and/or oligopoly. Each statement may apply to more than one industry type; list all that apply. 1. A firm gains control over.
Since 2001 the Netherlands has shown a sharp upturn in life expectancy (LE) after a longer period of slower improvement. This study assessed whether changes in healthcare expenditure (HCE) explain this reversal in trends in LE. As an alternative explanation, the impact of changes in smoking behavior was also evaluated. To quantify the contribution of changes in HCE to changes in LE, we estimated a health-production function using a dynamic panel regression approach with data on 19 OECD countries (1980-2009), accounting for temporal and spatial correlation. Smoking-attributable mortality was estimated using the indirect Peto-Lopez method. As compared to 1990-1999, during 2000-2009 LE in the Netherlands increased by 1.8 years in females and by 1.5 years in males. Whereas changes in the impact of smoking between the two periods made almost no contribution to the acceleration of the increase in LE, changes in the trend of HCE added 0.9 years to the LE increase between 2000 and 2009. The exceptional reversal
A browser would reject an SSL/TLS certificate if the root certificate was not contained in the browsers trusted certificate store. Certificates issued by the InCommon Certificate Service are rooted in a CA certificate trusted by all known browsers. Therefore this is almost certainly not the problem.. Is your SSL/TLS certificate rejected by multiple browsers, say, three or more browsers not all on the same platform? Then most likely the SSL/TLS certificate and its private key have not been installed on the server, at least not correctly. Read your server documentation carefully, paying special attention to any recommended security practices.. Is your SSL/TLS certificate rejected by some browsers and not by others? Then its almost certainly the case that the intermediate CA certificate in the certificate chain has not been configured correctly on the server. (A certificate issued by the InCommon Certificate Service has a chain length of three, with one intermediate CA certificate.) Consult your ...
Elaine Andrews - certificate: 16030. Pam Bahra - certificate: 16025. Kirsten Barnes - certificate: 16007. Marsha Fagan - certificate: 16024. Marcia Gray - certificate: 16020. Catharine M Heddle - certificate: 16023. Chriss Hupalo - certificate: 16029. Sonia Kapasi - certificate: 16012. Kamilia Karayyim - certificate: 16017. Marwan Kassay - certificate: 16019. Dana Kawas - certificate: 16032. Katy Knox - certificate: 16021. Magda Leski - certificate: 16014. Arran Liddel - certificate: 16010. Suzana Marques - certificate: 16016. Rose Marrelli - certificate: 16002. Lindsay McDonald - certificate: 16026. Lorrie McKay - certificate: 16022. Joanna Paradiso - certificate: 16015. Annette Pepenella - certificate: 16027. Tara Pocrnic - certificate: 16008. Jenny Rains - certificate: 16033. Andre Ramos - certificate: 16001. Rumina Ratansi - certificate: 16034. Lucy Rodrigues - certificate: 16013. Brian Rubenstein - certificate: 16006. Debra Scott - certificate: 16031. Sandra Scott - certificate: ...
National Taxpayers Union (NTU) is the Voice of Americas Taxpayers. NTU mobilizes elected officials and the general public on behalf of tax relief and reform, lower and less wasteful spending, individual liberty, and free enterprise. Founded in 1969, we work at all levels for the day when every taxpaying citizens right to a limited government is among our nations highest democratic principles.. ...
A round-up of this mornings must-read stories. WHICH OBAMA WOULD AMERICA GET? (Stuart Taylor, National Journal) The first Obama has sometimes seemed eager to engineer what he called redistribution of wealth in a 2001 radio interview, along with the more conventional protectionism, job preferences, and other liberal Democratic dogmas featured in his campaign. I worry that he might go beyond judiciously regulating our free enterprise systems all-too-apparent excesses and stifle it under the dead hand of government bureaucracy and lawsuits... The pragmatic, consensus-building, inspirational Obama who has been on display during the general election campaign is a prodigious listener and learner. He can see all sides of every question. He seems suffused with good judgment. His social conscience has been tempered by recognition that well-intentioned liberal prescriptions can have perverse unintended consequences. His tax and health care proposals are much less radical than Republican critics suggest... I
From Philadelphia to San Francisco, local moves toward metrowide broadband will fuel the debate over free enterprise versus government intervention.
Microsoft Authenticode Root: Used for sending secure email and signing code.. There are also two certificates by VeriSign that are used for time stamping and code publishing, and they should not be deleted either.. One thing you may notice is that the dates on the certificates listed above have expired. This is normal, because the certificates are needed for backwards compatibility -- if something was signed with that certificate once upon a time, the same certificate needs to be present to validate the signed object. The certificate may be expired, but as long as it wasnt explicitly revoked, then its still good for validating anything that was signed when it was still in use.. Microsoft Update may routinely publish new root certificates or updates to existing ones, under the name Root Certificate Update. These new root certificates do not replace the old ones completely for the above reasons.. ...
Corporations Crowding Out the Mom and Pops ... HMOs Driving Out the Private Physician, Its the Same Old Monopoly Game The Monopoly Game Again: HMOs Drove Out Private Physicians So then also, these businessmen with their HMOs are having near monopolies; theyre the only HMO providing health care in many areas. The only alternative…
A transaction network contains a networked certificate authority, by which one or more virtual certificates may be remotely defined and stored, such as by an issuer user through a issuer web portal interface. An acquirer user, through an acquirer web portal interface, may acquire one or more virtual certificates, which contain a public key portion, as well as a corresponding private key, which is established at the time of acquisition, and is stored at the certificate authority. At a redemption location associated with an acquired certificate, the acquirer (or an alternate recipient of an acquired certificate to whom the acquirer has communicated the established private key), submits the certificate information, along with the established private key, to redeem the certificate.
BMI View: Malaysias new patient-centric service of sending medicine by post is an innovative approach by the government to provide healthcare directly to consumers at their homes. The key concerns include the potential loss of pharmaceuticals during delivery. However, if carefully planned and executed, this programme could boost public expenditure on healthcare. Malaysia has introduced a new service of sending prescribed medicines by post. This service is catered to patients who need to consume pharmaceuticals on a continuous basis. This that registered patients do not have to wait at hospitals, clinics or pharmacies. Healthcare providers will also be able to give more attention to patients who require more immediate medical care. This is important considering that there is a chronic shortage of doctors in Malaysia. According to the deputy health minister in Malaysia, the doctor-patient ratio was 1:940 in 2009, lower than the 1:600 standard set by the World Health Organization (WHO).. The idea ...
According to the EU GMP Guide Part I, certificates of analysis provide an overview of test results obtained from a product or a material. This also includes the assessment of compliance with the specification determined.. Section 11.4 of the EU GMP Guide Part II on certificates of analysis requires an authentic certificate of analysis for each batch of an intermediate or API. Among other things, this certificate should contain the following information:. ...
I dont enjoy monopolies. They are limiting. I bring this up because in our fine state, Im forced to buy beer from a distributor. One distributor carries certain beers. I am allowed only to purchase from that distributor those flavors of beer. Where is the free market in this scenario? I should be able to contact the producer and wrangle a price for the 3 cases I want. I know Im not the Walmart of beer buying, but in the spirit of free market, Walmart goes to the producer and bullies them for the best price--size matters. The point is, Walmart is allowed to conduct business freely. I am not. Forget the notion that this distributor has my back. They are in the business to make money. I like money. I dont mind them making money. I do mind that they have no competition. Lets say I could go to Costco and buy the same beer I bet I could save several dollars a case. Id pass this savings along because Im not a gluttenous money grubbing pos. But no, free market does not exist in the beer world of ...
View Notes - Excercises2Answers from ECON 103 at UCLA. EXCERCISES 1B: MONOPOLIES Here are the solutions to the second exercise. 1. Optimal outcome. The optimal is found by maximizing total surplus
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Pharmacists who are fighting to retain New Zealands last retail monopoly currently have the highest profit margin of any retail category according to the New Zealand Retailers Association.
GMO seeds and biotech Monopoly and the fight between Monsanto and DuPont ended in favor of Monsanto and DuPont agreed to pay Monsanto its licensing fees.
Industry Insights:. The global flow cytometry market size was estimated at USD 3.27 billion in 2016 and is anticipated to grow at CAGR of 10.6% in coming years. Key drivers of this market include increasing incidence of chronic disorders that requires toxicity testing for cancer tests and need for quick, accurate and sensitive prognosis techniques for the validation of disease.. Increasing awareness levels amongst healthcare experts and patients coupled with rising healthcare expenditures are major factors driving the growth. Furthermore, related benefits of cell-based assays including development in reagents and software employed for the study, ease-of-use and high sensitivity and reproductively are some other elements anticipated to boost the growth in coming years.. Technology Insights:. Cell-based technology held the leading position in 2016. Rising demand for advance diagnosis and increasing awareness related to related advantages with cell-based analysis are the elements contributing to ...
Hello everyone, I am trying to install an SSL Trial Certificate on an IIS5.0 Server but i am not able to do this properly. I am running an Windows 2000 Sever on a fat32 partition, does that prevent me from installing an SSL Certificate. ANy help would be appriciated. I also found some material on how to install a SSL Certificate on IIS4.0 they talk about a key manager from the mmc & i am not able to locate that in WIndows 2000. Thanking you in advance for your time.
n" #: src/gnutls.c:768 src/openssl.c:763 msgid "ERROR" msgstr "" #: src/gnutls.c:768 src/openssl.c:763 msgid "WARNING" msgstr "" #: src/gnutls.c:779 src/openssl.c:776 #, c-format msgid "%s: No certificate presented by %s.\n" msgstr "" #: src/gnutls.c:785 #, c-format msgid "%s: The certificate of %s is not trusted.\n" msgstr "" #: src/gnutls.c:786 #, c-format msgid "%s: The certificate of %s hasnt got a known issuer.\n" msgstr "" #: src/gnutls.c:787 #, c-format msgid "%s: The certificate of %s has been revoked.\n" msgstr "" #: src/gnutls.c:788 #, c-format msgid "%s: The certificate signer of %s was not a CA.\n" msgstr "" #: src/gnutls.c:789 #, c-format msgid "%s: The certificate of %s was signed using an insecure algorithm.\n" msgstr "" #: src/gnutls.c:790 #, c-format msgid "%s: The certificate of %s is not yet activated.\n" msgstr "" #: src/gnutls.c:791 #, c-format msgid "%s: The certificate of %s has expired.\n" msgstr "" #: src/gnutls.c:803 #, c-format msgid "Error initializing X509 ...
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Solved: I would like to change the certificate in Cisco ACE 4710 that is using for https management access to the device. We are always getting security notice when starting the GUI becuase its using self signed certificate for management access.
Earn a Certificate in one year- modernize your skills, be more attractive to employers. Advanced Manufacturing Technology Certificate prepares you for work in a manufacturing environment in one year. Be ready to connect with employers.
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SAS Certificate Applied Statistics and SAS Programming SAS Certificate Applied Statistics and Advanced SAS Programming Brigham Young University Department of Statistics offers an Applied Statistics and
Certificates should be collected by Friday, February 27, 2015. Any certificate not collected by that date will be liable to a storage charge of Kshs. 1,000/= per year. For avoidance of doubt, any part of a year after the expiry of the collection date shall attract a storage charge of Kshs. 1,000 ...
One of our Premier customers called me the other day needing assistance on running multiple web sites with a single SSL certificate using the same port. The idea was clever, especially when you have many several sites but only a handful of SSL certificates. But how do you solve this one-Cert-fits-all issue? There are two ways…. ...
When I enable verify client certificates I never get IE 5.5SP2 to provide any certificate, my guess is that I have not create the client certificate in such a way to associate it with my specific website (so that IE knows what certificate to show at what server) ? But Im not sure, any good pointers on how to create client certificates (step by step) and how to get them to work with your server ...
You may sketch the diagrams by hand or using a computer program, whichever you find most appropriate. Where explanations are needed please make sure that they contain all the necessary information and are.
The Atomic Cowboy recognizes that booze brings out your competitive side. Then again, so does every sports bar in Denver with a pool table or a dartboar...
Young Sheldon (Malý Sheldon) - Spin-off seriálu //The Big Bang Theory//, mladý Sheldon Cooper vyrůstá ve Východním Texasu se sourozenci a pod dohledem věřící matky a netečného otce.
Hi buddy I desperately needed EV ssl certificate for one of my client urgently. Do you know any SSL provider who is providing low price then regular?...
Find info concerning Visalia CA counseling certificate. Healthcare is one of the fastest-growing job areas, and for good reason. As the population ages, medical facilities will continue to expand rapidly.
Hi. I set up SSL for one of my websites and installed the certificate which works fine. Now I need to upload the personal certicate for a site...
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A Milkwood Permaculture Design Certificate gives you the skills and knowledge to design and implement fundamental and life-changing resilience into your everyday home, community and beyond.
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Read, ask and answer 193 questions in the Certificate topic on Blurtit, the community question and answer site designed to help people, to help each other: To ask, to learn, to share, to grow.
I have 2 certificates from different public CAs that where purchased using the same CSR. However I am only able to import 1 to the original server via process pending request . If I import and...
Learn about Cerritos College nursing certificate. Nursing is one of the fastest-growing job areas, and for good reason. As the population ages, medical care will continue to expand rapidly.
NOTE: Even after the Series has started, you can sign-up for the full series and make-up for missed classes by requesting a copy of the recorded webcast by contacting Ilona Taunton ([email protected]). NOTE: An additional $15 per person will be charged for anyone who desires a Certificate of Attendance (CoA) or Certificate of Completion (CoC) for a course. A passing score of 2/3 must be received on the Quiz in order to receive CEUs and a CoC. If the series is purchased, a single certificate can be purchased to cover all 5 classes for $15 ...
The decision by the Central Committee of the CPSU at its February meeting to abandon its guaranteed, constitutional monopoly on power really could prove to be as momentous as the media claimed at the time.
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Marshfield Clinic - Mosinee Center is staffed by four family physicians and one physician assistant specializing in family medicine and physical therapy. Physicians at Marshfield Clinic - Wausau Center and Marshfield Center provide outreach in behavioral health, orthopaedics, urology, general surgery and rheumatology to patients at Mosinee Center. In addition, mammography, bone densitometry, echocardiography, general radiology and lab services, and mobile retinal screenings are available. A full-service pharmacy is located on-site ...
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By Dr. Mohammed Aldahmashi. We started out the cardiac surgery in 2009 after we completed the infrastructure, equipment and supplies, with endless support of an Egyptian group that ultimately aims to support me as indigenous surgeon and my team to run the program. This review traces the development and current state of cardiothoracic surgery in University of Science and Technology Hospital (USTH).. In 2009, prof. Al-Sayed Kamel Akl and his Egyptian interdisciplinary cardiothoracic team achieved the first mission and we put our goal which is to make a self-sustaining cardiac surgery program in USTH.. "We are helping the Yemeni team to build-up the system for doing safe cardiac surgery and take care of the patients in Yemen, so the national cardiac surgery team can be self-sustaining and perform all cardiac surgeries on their own in next year (2010)" Alsayed Akl said.. After the 2009 mission, Continuous communication and information exchange between the supervisor and USTH cardiac surgery staff ...
By Dr. Mohammed Aldahmashi. We started out the cardiac surgery in 2009 after we completed the infrastructure, equipment and supplies, with endless support of an Egyptian group that ultimately aims to support me as indigenous surgeon and my team to run the program. This review traces the development and current state of cardiothoracic surgery in University of Science and Technology Hospital (USTH).. In 2009, prof. Al-Sayed Kamel Akl and his Egyptian interdisciplinary cardiothoracic team achieved the first mission and we put our goal which is to make a self-sustaining cardiac surgery program in USTH.. "We are helping the Yemeni team to build-up the system for doing safe cardiac surgery and take care of the patients in Yemen, so the national cardiac surgery team can be self-sustaining and perform all cardiac surgeries on their own in next year (2010)" Alsayed Akl said.. After the 2009 mission, Continuous communication and information exchange between the supervisor and USTH cardiac surgery staff ...
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Bioinformatics community open to all people. Strong emphasis on open access to biological information as well as Free and Open Source software.
Premature or ill babies are sometimes cared for in a Neonatal Intensive Care Unit. Marshfield Medical Center has a specially-equipped NICU.
There are many changes coming down the pike in terms of how our EHR systems can be utilized to communicate with insurance carriers. These changes are intended to streamline the process of prior authorization for treatments we provide. The current work is focused on the exchange of information to support DME, including home oxygen therapy, power mobility devices, and other aspects of care that have been subject to fraud, waste and abuse of the healthcare payment systems. more ...
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Marshfield Public Schools will conduct its annual kindergarten screening through May 31 for all children entering kindergarten in September 2007. Pupils must be 5 on or before Aug. 31 of the same year to enter kindergarten. Remaining screening dates at Daniel Webster (781-834-5045) are May 28, May 29 and June 6. The other elementary schools in town have already conducted screenings.
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Corporations put large amounts of money into advertising and sponsorships aimed at improving the corporate image and putting forward corporate views. Much of this advertising was on environmental issues. One 1974 survey of 114 large companies "found that 30 to 35 percent of corporate advertising addressed environmentalism, energy-related issues, or the capitalist system." Over $100 million dollars was being spent each year on this sort of advocacy advertising during the mid-1970s particularly by oil companies, electrical utility companies and the chemical industry.[20]. The Advertising Council became active. Using funds from the US Department of Commerce, it attempted to educate the public about the benefits of free enterprise, distributing millions of booklets to schools, workplaces and communities. It blamed inflation on government regulation. The idea for this campaign came from the chairman of the board of Procter and Gamble, the largest advertiser in the US, in a speech in which he called ...
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AccessGUDID - MONOPOLY (04047844007099)- Indications for Use: The MONOPOLY Pedicle Screw System is intended to help provide immobilization and stabilization of spinal segments as an adjunct to fusion of the thoracic, lumbar and/or sacral spine (T1-S1), specifically as follows: When used as a pedicle screw fixation system of the non-cervical posterior spine in skeletally mature patients, the MONOPOLY Pedicle Screw System is intended for one or more of the following indications: - degenerative disc disease (defined as back pain of discogenic origin with degeneration of the disc confirmed by history and radiographic studies) - degenerative spondylolisthesis with objective evidence of neurologic impairment - fracture - dislocation - spinal tumor, and/or - failed previous fusion (pseudarthrosis) When used as a non-cervical and non-pedicle screw fixation system, the MONOPOLY Pedicle Screw System is intended for the following indications: - degenerative disc disease (as defined by back pain of discogenic

UK Birth, Marriage and Death CertificatesUK Birth, Marriage and Death Certificates

Please click on the certificate type you want - UK Birth Certificate, UK Marriage Certificate, UK Death Certificate - and then ... Prices for Scottish Certificates Prices for Northern Ireland Certificates Find a registry: A B C D E F G H I J K L M N O P Q R ... Certified Certificate. All Certificates are: FULL/LONG, CERTIFIED and SUITABLE FOR ALL OFFICIAL PURPOSES (Passports, Pensions ... We are a team of expert researchers specialising in acquiring replacement birth certificates, replacement marriage certificates ...
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Baby Boomers and Birth Certificates: Early Life Socioeconomic Status and Cancer Risk in Adulthood | Cancer Epidemiology,...Baby Boomers and Birth Certificates: Early Life Socioeconomic Status and Cancer Risk in Adulthood | Cancer Epidemiology,...

Baby Boomers and Birth Certificates: Early Life Socioeconomic Status and Cancer Risk in Adulthood. Antoinette M Stroup, ... Parental occupation on the birth certificate is a novel method of ascertaining early-life SES that has not been applied in ... Baby Boomers and Birth Certificates: Early Life Socioeconomic Status and Cancer Risk in Adulthood ... Baby Boomers and Birth Certificates: Early Life Socioeconomic Status and Cancer Risk in Adulthood ...
more infohttp://cebp.aacrjournals.org/content/early/2016/09/21/1055-9965.EPI-16-0371

The Trauma Center at JRIThe Trauma Center at JRI

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Hayward California EMT certificateHayward California EMT certificate

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Senatobia Mississippi certificate coursesSenatobia Mississippi certificate courses

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Gold Certificate DefinitionGold Certificate Definition

Gold certificates were issued as U.S. currency equivalents until 1934. ... A gold certificate is a document that proves ownership of a specific amount of gold. ... If the company that issues the certificate goes under, the certificate is as worthless as a stock certificate for a bankrupt ... Understanding the Gold Certificate Gold certificates represent ownership of a quantity of gold, similar to the way that stock ...
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CT CertificateCT Certificate

About the CT Certificate. East Tennessee State University offers a Computed Tomography Certificate program through the Office ... Since this is a certificate program, there is no out-of-state tuition. Additional expenses include textbooks, uniforms, ... Upon successfully finishing the program, the graduate will receive a transcript and certificate of completion from the ETSU ...
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Certificate Scanner - Cool SolutionsCertificate Scanner - Cool Solutions

It enables the administrator to quickly scan the entire network for any expired certificate and then update it with new one. ... This tool scans the single machine or range of machines for verifying the validity of SSL certificate used by directory servers ... List of hosts along with certificate status on the respective machine will be displayed as shown above. ...
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General Certificate of Education - WikipediaGeneral Certificate of Education - Wikipedia

The General Certificate of Education (GCE) is a subject-specific family of academic qualifications that awarding bodies in ... The GCE O-Level equivalent is the Sijil Pelajaran Malaysia (SPM, formerly known in English as the Malaysian Certificate of ... The General Certificate of Education (GCE) was established in England and Wales after the Second World War, along with the ... In the late 1970s, A level certificates showed grades from A to F. At A level E was considered a pass for matriculation, and ...
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Tasmanian Certificate of Education - WikipediaTasmanian Certificate of Education - Wikipedia

The Tasmanian Certificate of Education or TCE, is the main credential awarded to secondary school students who successfully ... The Tasmanian Certificate of Education is awarded based upon a criterion based assessment. This basically means students can be ... It was introduced in 1992 to replace Tasmanias old "High School Certificate", and partially restructured for 2007. ... "Tasmanian Certificate of Education" - news · newspapers · books · scholar · JSTOR (May 2015) (Learn how and when to remove ...
more infohttps://en.wikipedia.org/wiki/Tasmanian_Certificate_of_Education

Calibration CertificateCalibration Certificate

Congratulations! Your Calibration Certificate has been generated. Please click the link below to open your certificate. If you ... Calibration Certificate. The Calibration Certificate process is for newly purchased Sphygmomanometers [aneroids] and/or ... It does not support calibration certificates for repaired devices. If you are having any issues with the process please contact ... are having any issues with the process or have any questions about your certificate please contact Customer Support. To create ...
more infohttps://www.welchallyn.com/content/welchallyn/emeai/me/service-support/calibration-certificate.html

Certificate Students | 
         					
         					CSUSM
         				Certificate Students | CSUSM

All other certificate students, please contact [email protected] or 760-750-4020 for specific details about the items below. ... Students pursuing a credit certificate such as BCBA, PHPC and SLP Prep please use the buttons below to explore the various ...
more infohttp://www.csusm.edu/el/student_resources/certificate/

Virginia Green :: CertificateVirginia Green :: Certificate

Virginia Green is the Commonwealth of Virginias campaign to promote environmentally-friendly practices in all aspects of Virginias tourism industry. Virginia Green has established "core activities" specific to each sector of tourism, and these practices are considered the required minimum for participation in the program. However, Virginia Green encourages its participants to reduce their environmental impacts in all aspects of their operations, and this profile provides a full list of all their "green" activities. These are the activities that guests / customers can expect to find when they visit this facility. ...
more infohttps://www.virginia.org/vagreen/certificate.aspx?AttractionID=69852&greentypeid=13

Certificate ProgramsCertificate Programs

... free seminars on web development and digital publishing. Noble Desktop has been teaching courses in web ... Tags: Art Design, Art Web Design, Certificate Programs, Design Web Development, Digital Desktop, Digital Publishing, Evening ... They offer comprehensive day and evening classes and certificate programs in web design, web development, digital publishing, ...
more infohttp://www.ucl.ac.uk/slade/know/tag/certificate-programs

ZMPCZM016000.13.03 Certificate of compliance - EnglishZMPCZM016000.13.03 Certificate of compliance - English

Certificate of Compliance Certificate Number: Zynex-60601-04-COC Revision: Issued to: Date Issued: October 5, 2011 Zynex ... ZMPCZM016000.13.03 Certificate of compliance * 1. Certificate of Compliance Certificate Number: Zynex-60601-04-COC Revision: ...
more infohttps://www.slideshare.net/painezeeman/zmpczm0160001303-certificate-of-compliance

CUCM Certificate Regeneration/Renewal Process - CiscoCUCM Certificate Regeneration/Renewal Process - Cisco

... step-by-step procedure to regenerate certificates used in Cisco Unified Communications Manager (CUCM) Release 8. ... Remove TVS-trust Certificates. set cert delete TVS ,name of certificate,.pem. Regenerate Certificates via the Web GUI. ... Remove Certificates via the CLI. Remove CAPF-trust Certificates. set cert delete CAPF ,name of certificate,.pem. Remove ... When to Regenerate Certificates. Most of the certificates used in CUCM after a fresh installation are self-signed certificates ...
more infohttps://www.cisco.com/c/en/us/support/docs/unified-communications/unified-communications-manager-callmanager/200199-CUCM-Certificate-Regeneration-Renewal-Pr.html

Português Brasileiro: block simple certificatePortuguês Brasileiro: block simple certificate

Simple certificate block https://moodle.org/plugins/view/block_simple_certificate, lista todos os certificados emitido de um ...
more infohttps://moodle.org/mod/forum/discuss.php?d=323802

Electrodiagnostics Certificate ProgramElectrodiagnostics Certificate Program

No, there is not a "certification," but the 150-hour transcript and a certificate of course completion may be used for proof of ...
more infohttp://www.palmer.edu/academics/post-graduate-programs/electrodiagnostics-certificate-program/

Certificates & SpecializationsCertificates & Specializations

... Students and professionals enhance their knowledge and advance their careers through several ... This certificate equips professionals with knowledge of current research and theory related to early childhood, the policy ... certificate and specialization programs. Each program can be completed on its own or as part of a masters degree. ...
more infohttp://www.bc.edu/bc-web/schools/lsoe/academics/departments/tespeci/certificates-.html

Cybersecurity Technologies Certificate | CSUSMCybersecurity Technologies Certificate | CSUSM

Earning these certificates allows you to take graduate-level courses that can be used to complete your Master of Cybersecurity ... If youre looking to go deeper into both areas, you can apply these certificate courses to CSUSMs fully online Master of ... The Cybersecurity Technologies certificate is ideal for those who dont want or need to go deeper into governance & policy. The ... This certificate program is fully online, allowing you the convenience and flexibility to fit this program into your busy ...
more infohttps://www.csusm.edu/el/programs/science-technology/certcybertech/index.html

Certificate of DepositCertificate of Deposit

Two copies of the Certificate of deposit is provided to the depositor after the material is tested and found to be viable. A ... For nonviable material, ATCC provides a Certificate of Nonviability (form BP/9). ...
more infohttps://www.atcc.org/Services/Deposit_Services/Patent_Depository/Additional_Information/Certificate_of_Deposit.aspx
  • This tool scans the single machine or range of machines for verifying the validity of SSL certificate used by directory servers. (novell.com)
  • There are also some trusted certificates (such as CAPF-trust and CallManager-trust) that are preloaded and have a longer validity period. (cisco.com)
  • Both large and small size gold certificates feature a gold treasury seal on the obverse, just as U.S. Notes feature a red seal, silver certificates (except World War II Hawaii and North Africa notes) a blue seal, and Federal Reserve Notes a green seal. (wikipedia.org)
  • A silver certificate was a form of legal tender issued by the U.S. government beginning in 1878 and continuing through the 1960s. (investopedia.com)
  • For nonviable material, ATCC provides a Certificate of Nonviability (form BP/9). (atcc.org)
  • Unallocated gold certificates are a form of fractional-reserve banking and do not guarantee an equal exchange for metal in the event of a run on the issuing bank's gold on deposit. (wikipedia.org)
  • A list of potential issues you might have when any of the specific certificates is invalid or expired is shown here. (cisco.com)
  • Allocated gold certificates should be correlated with specific numbered bars, although it is difficult to determine whether a bank is improperly allocating a single bar to more than one party. (wikipedia.org)
  • If you are having any issues with the process or have any questions about your certificate please contact Customer Support . (welchallyn.com)
  • I would recommend this Certificate Series to any trustee or administrator facing the challenges of ACA or trying to find savings while still focusing on quality of the plan and quality of health outcome. (ifebp.org)
  • This was the case with all gold certificate series from that point on, with the exception of 1888, 1900, and 1934. (wikipedia.org)
  • The Calibration Certificate process is for newly purchased Sphygmomanometers [aneroids] and/or Thermometry Products only. (welchallyn.com)
  • List of hosts along with certificate status on the respective machine will be displayed as shown above. (novell.com)
  • This document provides a recommended, step-by-step procedure to regenerate certificates used in Cisco Unified Communications Manager (CUCM) Release 8.x and later. (cisco.com)
  • Since the value of the dollar itself was tied to the value of gold, between 1879 and the time they were phased out, the certificates were essentially a parallel currency and were technically exchangeable as such, although they were not often used in routine transactions. (investopedia.com)
  • It was introduced in 1992 to replace Tasmania's old " High School Certificate ", and partially restructured for 2007. (wikipedia.org)
  • Each certificate gave its holder title to a corresponding amount of gold coin at the statutory rate of $20.67 per troy ounce established by the Coinage Act of 1834. (wikipedia.org)
  • When the certificates are about to expire you will receive warnings in RTMT (Syslog Viewer) and an email with notification will be sent if configured. (cisco.com)