scholarly journals Identifying Unreported Opioid Deaths Through Toxicology Data and Vital Records Linkage: Case Study in Marion County, Indiana, 2011–2016

2018 ◽  
Vol 108 (12) ◽  
pp. 1682-1687 ◽  
Author(s):  
Evan M. Lowder ◽  
Bradley R. Ray ◽  
Philip Huynh ◽  
Alfarena Ballew ◽  
Dennis P. Watson
2019 ◽  
Vol 135 (1) ◽  
pp. 124-131 ◽  
Author(s):  
Sumedha Gupta ◽  
Alex Cohen ◽  
Evan M. Lowder ◽  
Bradley R. Ray

Objectives: Understanding the scope of the current opioid epidemic requires accurate counts of the number of opioid-involved drug overdose deaths. Given known errors and limitations in the reporting of these deaths, several studies have used statistical methods to develop estimates of the true number of opioid-involved overdose deaths. This study validates these procedures using a detailed county-level database of linked toxicology and vital records data. Methods: We extracted and linked toxicology and vital records data from Marion County, Indiana (Indianapolis), during a 6-year period (2011-2016). Using toxicology data as a criterion measure, we tested the validity of multiple imputation procedures, including the Ruhm regression-based imputation approach for correcting the number of opioid-involved overdose deaths. Results: Estimates deviated from true opioid-involved overdose deaths by 3% and increased in accuracy during the study period (2011-2016). For example, in 2016, 231 opioid-involved overdose deaths were noted in the toxicology data, whereas the corresponding imputed estimate was 233 opioid-involved overdose deaths. A simple imputation approach, based on the share of opioid-involved overdose deaths among all drug overdose deaths for which the death certificate specified ≥1 drug, deviated from true opioid-involved overdose deaths by ±5%. Conclusions: Commonly used imputation procedures produced estimates of the number of opioid-involved overdose deaths that are similar to the true number of opioid-involved overdose deaths obtained from toxicology data. Although future studies should examine whether these results extend beyond the geographic area covered in our data set, our findings support the continued use of these imputation procedures to quantify the extent of the opioid epidemic.


2018 ◽  
Vol 1 (2) ◽  
pp. 82
Author(s):  
Lastria Nurtanzila

AbstractProtection of vital records in an organization is a must. The position of the vital records in the organization's performance enables the organization to do some protection to its vital records. This study aims to analyze the application of disaster recovery and contingency plan in the protection of vital records in the Yogyakarta Land Regency. This research uses qualitative approach with case study research method. Data analysis is used to identify any vital rechords managed by BPN DIY, as well as possible disasters. Disaster Recovery and Contingency Plan concept is used to perform strategy mapping in disaster management for protection of vital records at  BPN DIY. The results of this study are expected to gives recommendations to government for the implementation of disaster management strategies (pre disaster, during disasters and post disaster) to vital records in government agencies.IntisariPerlindungan arsip vital dalam suatu organisasi merupakan keharusan. Posisi arsip vital dalam kinerja organisasi memungkinkan organisasi untuk melakukan perlindungan terhadap arsip vitalnya. Penelitian ini bertujuan untuk menganalisis penerapan Disaster Recovery and Contingency Plan dalam perlindungan arsip vital di Daerah Istimewa Yogyakarta. Penelitian ini menggunakan pendekatan kualitatif dengan metode penelitian studi kasus. Analisis data digunakan untuk mengidentifikasi setiap arsip vital yang dikelola oleh BPN DIY, serta kemungkinan terjadinya bencana. Konsep Disaster Recovery and Contingency Plan digunakan untuk melakukan pemetaan strategi dalam penanggulangan bencana untuk perlindungan arsip vital di BPN DIY. Hasil penelitian ini diharapkan dapat memberikan rekomendasi kepada pemerintah untuk pelaksanaan strategi penanggulangan bencana terhadap arsip vital di lembaga pemerintah (pra bencana, selama bencana dan pasca bencana).  


Author(s):  
Kacie Seil ◽  
Erin Takemoto ◽  
Mark R. Farfel ◽  
Mary Huynh ◽  
Jiehui Li

Background: Previous research has found higher than expected suicide mortality among rescue/recovery workers (RRWs) enrolled in the World Trade Center Health Registry (WTCHR). Whether any enrollee suicides are related to the decedents’ experiences on 9/11 is unknown. We abstracted medical examiner file data to learn more about 9/11-related circumstances of suicides among WTCHR enrollees. Methods: We identified 35 enrollee suicide cases that occurred in New York City using linked vital records data. We reviewed medical examiner files on each case, abstracting demographic and circumstantial data. We also reviewed survey data collected from each case at WTCHR enrollment (2003–2004) and available subsequent surveys to calculate descriptive statistics. Results: Cases were mostly non-Hispanic White (66%), male (83%), and middle-aged (median 58 years). Nineteen decedents (54%) were RRWs, and 32% of them worked at the WTC site for >90 days compared to 18% of the RRW group overall. In the medical examiner files of two cases, accounts from family mentioned 9/11-related circumstances, unprompted. All deaths occurred during 2004–2018, ranging from one to four cases per year. Leading mechanisms were hanging/suffocation (26%), firearm (23%), and jump from height (23%). Sixty percent of the cases had depression mentioned in the files, but none mentioned posttraumatic stress disorder. Conclusions: RRWs may be at particular risk for suicide, as those who worked at the WTC site for long periods appeared to be more likely to die by suicide than other RRWs. Mental health screening and treatment must continue to be prioritized for the 9/11-exposed population. More in-depth investigations of suicides can elucidate the ongoing impacts of 9/11.


2020 ◽  
pp. 135918352095939
Author(s):  
Gabriella Soto

As the deaths of undocumented migrants expose the violence of border security policies around the globe, a complicated politics emerges between bodily death and the ways in which the migrant association of decedents (dis)appears in vital records – even as many migrants physically disappear during their border crossings. What happens between death and bureaucratic disappearance after a migrant body is discovered? How does the overwhelming material presence of migrant death, someone who dies through an unnecessary and excruciating process like drowning or dehydration during a border crossing, become not-a-migrant? This article considers these questions by exploring the materiality of body counts at the nexus of biopolitics, forensic anthropology, and material culture studies. To probe the process behind migrants’ seemingly systematized bureaucratic postmortem disappearance, this ethnographic case study of local postmortem investigations of migrant deaths at the US–Mexico border examines practices around burial or cremation and body discovery.


2020 ◽  
Vol 15 (2) ◽  
pp. 41-60
Author(s):  
Lufi Herawan

The vital records program is a mandate of the Republic of Indonesia Act, that must be implemented by state institutions and government agencies both central and regional including ANRI. The purpose of organizing this vital records program is to protect, secure and save the very important records. The vital records program must be supported by the determination of vital records in the form of a list as a reference for managing vital records. ANRI as a non-ministerial government institution does not have the determination of vital records yet, so there are still many obstacles in implementing the vital records program. This study will determine the vital records of ANRI using descriptive research methods with case study types. Records criteria are determined based on ANRI's Regulation and according to criteria from NARA, while the stages used are in accordance with the stages listed in ANRI's Regulation. The implementation of this study concluded that 18 work units obtained 11 work units that had vital records, with a total of 20 types of vital records.


2014 ◽  
Vol 38 (01) ◽  
pp. 102-129
Author(s):  
ALBERTO MARTÍN ÁLVAREZ ◽  
EUDALD CORTINA ORERO

AbstractUsing interviews with former militants and previously unpublished documents, this article traces the genesis and internal dynamics of the Ejército Revolucionario del Pueblo (People's Revolutionary Army, ERP) in El Salvador during the early years of its existence (1970–6). This period was marked by the inability of the ERP to maintain internal coherence or any consensus on revolutionary strategy, which led to a series of splits and internal fights over control of the organisation. The evidence marshalled in this case study sheds new light on the origins of the armed Salvadorean Left and thus contributes to a wider understanding of the processes of formation and internal dynamics of armed left-wing groups that emerged from the 1960s onwards in Latin America.


2020 ◽  
Vol 43 ◽  
Author(s):  
Michael Lifshitz ◽  
T. M. Luhrmann

Abstract Culture shapes our basic sensory experience of the world. This is particularly striking in the study of religion and psychosis, where we and others have shown that cultural context determines both the structure and content of hallucination-like events. The cultural shaping of hallucinations may provide a rich case-study for linking cultural learning with emerging prediction-based models of perception.


2019 ◽  
Vol 42 ◽  
Author(s):  
Daniel J. Povinelli ◽  
Gabrielle C. Glorioso ◽  
Shannon L. Kuznar ◽  
Mateja Pavlic

Abstract Hoerl and McCormack demonstrate that although animals possess a sophisticated temporal updating system, there is no evidence that they also possess a temporal reasoning system. This important case study is directly related to the broader claim that although animals are manifestly capable of first-order (perceptually-based) relational reasoning, they lack the capacity for higher-order, role-based relational reasoning. We argue this distinction applies to all domains of cognition.


2019 ◽  
Vol 42 ◽  
Author(s):  
Penny Van Bergen ◽  
John Sutton

Abstract Sociocultural developmental psychology can drive new directions in gadgetry science. We use autobiographical memory, a compound capacity incorporating episodic memory, as a case study. Autobiographical memory emerges late in development, supported by interactions with parents. Intervention research highlights the causal influence of these interactions, whereas cross-cultural research demonstrates culturally determined diversity. Different patterns of inheritance are discussed.


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