Introduced in Korea in 1994, the number of medical schools using Objective Structured Clinical Examination (OSCE) and standardized patients (SPs) has been steadily increasing. Although OSCE is accepted as an effective teaching and evaluation tool in Korea, many challenges in applying OSCE remain. These problems stem mainly from differences in ...

A 7-year-old, male neutered Rhodesian Ridgeback dog was referred to the University of California-Davis Veterinary Medical Teaching Hospital with a 4-month history of peritonitis and episodic abdominal discomfort, lethargy, and weakness. Marked abdominal distension with a prominent fluid wave was noted on physical examination. Cytologic analysis of the abdominal fluid ...

OBJECTIVE: To identify underlying medical conditions in cats with a presumptive diagnosis of psychogenic alopecia. DESIGN: Case series. ANIMALS: 21 adult cats referred with a presumptive diagnosis of psychogenic alopecia. PROCEDURES: A detailed behavior and dermatologic questionnaire was completed by the primary caregiver, and complete behavioral and dermatologic examinations were ...

Toxicologic analysis is an integral component in the investigation of suicide and requires correlation with a detailed scene inspection, with an extensive exploration into the decedent's medical and social background to uncover suicidal ideation or intent and a postmortem examination of the body. In this review, the authors analyzed 2864 ...

BACKGROUND: Migrants form 9% of Germany's population and 13% of its capital Berlin. Only limited data are available regarding general health status and prevalence of tropical diseases among migrants in Germany. This study was conducted to investigate the spectrum and frequency of tropical diseases among migrants in Berlin and to ...

Researchers examining the efficacy of medical procedures make assumptions about the nature of placebo. From these assumptions they select the sham interventions to be used in their trials. However, placebo is not well defined. A number of definitions are contradictory and sometimes misleading. This leads to problems in sham-controlled studies ...

In response to growing recognition of the importance of patient safety in the practice of medicine, the American Board of Medical Specialties (ABMS) is encouraging its individual specialty member boards to introduce material on patient safety into certification examinations. Certification and recertification candidates, medical schools, and residency programs will likely ...

This paper reviews the literature in respect to the photo-colposcopic examination of anogenital injury in the sexually assaulted child, considered to be the 'gold standard' of examination, and how this compares with gross visualisation, still the standard procedure in adult examinations. It then examines the claim that, because the presence ...

A new post-chemiluminescence (PCL) phenomenon was observed when phenothiazine medications were injected into the reaction mixture after the chemiluminescence (CL) reaction of luminol and potassium ferricyanide had finished. A possible reaction mechanism was proposed based on studies of the kinetic characteristics of the CL, CL spectra, fluorescence spectra, and on ...

CONTEXT: There has been an increase in research evaluating factors associated with disciplinary action of physicians by state medical boards. However, factors related to the severity of disciplinary action are lacking. By investigating these factors while controlling for the type of violation, the authors sought to determine whether physician characteristics ...

Post-mortem medical examiner samples may be useful for sentinel surveillance of disorders usually detected by antibody determinations on specimens from ill patients or from surveys. We found anti-dengue IgM positivity in 3% (23/780) and anti-dengue IgG positivity in 77% (597/777) of sera obtained at the Puerto Rico medical examiner (Institute ...

The implications arising from the Inquiry into the Waterfall train crash for medical examinations of safety-critical workers are discussed. Examinations need to be appropriate for the level of risk in the job and apply current medical thinking. A careful balance is required between the various legal obligations, including duty of ...

Mass graves are a complex and confusing mix of bodies, body parts, soils, artifacts, and other feature evidence. Forensic investigations of these complex crime scenes should attempt to maximize the collection of evidence, which includes the mortal remains, in their best possible condition as they were deposited within the graves. ...

In the first half of the fourteenth century, Niccolò da Reggio translated more than fifty works by Galen from Greek into Latin, and by mid-century most if not all of them had reached the papal court at Avignon, where Guy de Chauliac praised their accuracy and cited them regularly in ...

We describe scripting facilities to create medical animations for intervention planning based on medical volume data and derived segmentation information. A data independent scripting language has been developed to separate animation scripts from imaging data. The scripting facilities are adaptive and allow to reuse one script to create animations for ...

Pretonic schwa elision in fast speech (e.g. potato --> [pt]ato, demolish --> [dm]olish) has been studied by both phonologists and phoneticians to understand how extralinguistic factors affect surface forms. Yet, both types of studies have major shortcomings. Phonological analyses attributing schwa elision to across-the-board segmental deletion have been based on ...

This paper examines a set of questions concerning moralia in Peter of Abano's Expositio Problematum (1310) and shows that its author takes a naturalistic approach, heavily reliant on medical doctrine, to propose that not only the lower virtues, but also those dependent on the rational soul, are closely tied to ...

Practice pressures and quality improvement require greater efficiency and effectiveness in the neurologic examination. I hypothesized that certain 'marginal' elements of the examination rarely add value and that 'core' elements, exemplified by the plantar response (Babinski), are too often poorly performed or interpreted. I analyzed 100 published, neurologic clinicopathologic conferences ...

BACKGROUND: Isolated absence of the clitoris is a rare entity with medical and sexual implications for patients. CASE: As part of an examination for alleged sexual abuse, a 13-year-old female was noted to have an apparent absence of the clitoris. Congenital absence of the clitoris was felt to be the ...

CONTEXT: Frozen section of the liver is a comparatively frequent request that most often applies to a relatively limited number of situations. The only indication for frozen tissue examination of a gallbladder with any frequency is the presence of a polypoid mucosal lesion or a suspicious thickening of the gallbladder ...

OBJECTIVE: The objective of this study was to investigate whether the essential elements of the Association of Professors of Gynecology and Obstetrics (APGO) Medical Student Educational Objectives were adequately represented on the National Board of Medical Examiners (NBME) obstetrics and gynecology subject examination, and that the topics questioned on that ...

BACKGROUND: Cabin environment in commercial airline flights may pose specific risks for the ill or incapacitated. International regulations provide a framework for the transportation of passengers for whom specific in-flight equipment or services are needed to minimize possible adverse effects and incidents on board. Little has been published on the ...

OBJECTIVE: The purpose of this study was to determine whether the Myers-Briggs type inventory extraversion is associated with clinical evaluation ratings that students earn during their (obstetrics/gynecology) junior medical student clerkship. STUDY DESIGN: The Myers-Briggs type inventory was administered to medical students during their obstetrics/gynec clerkship. Bivariate correlations between clinical ...

OBJECTIVE: Obesity, despite being a significant determinant of fitness for duty, is reaching epidemic levels in the workplace. Firefighters' fitness is important to their health and to public safety. RESEARCH METHODS AND PROCEDURES: We examined the distribution of BMI and its association with major cardiovascular disease (CVD) risk factors in ...

Cophylogenetic analysis supposes that two or more phylogenetic trees for linked groups have been constructed, and explores the relationships the trees have with each other. These types of analyses are most commonly used to assess relationships between hosts and their parasites, however the methodology can also be applied to diverse ...

The following paper serves primarily to discuss the nature and cause of the multiple, documented illnesses suffered by the 18th Century Spanish artist Francisco Goya y Lucientes. In doing so it explores the artist's defiance of contemporary social mores, religious doctrines and the rigid standards of artistic romanticism. Furthermore, it ...

The present study aimed to examine how differences in functional lateralisation of language are related to interindividual variations in interhemispheric connectivity. Utilising an fMRI silent word-generation paradigm, 89 left- and right-handed subjects were subdivided into four lateralisation subgroups. Applying morphological and diffusion-tensor MRI, midsagittal cross-sectional area as well as quantitative ...

OBJECTIVE: The aim of this study was to investigate the reliability and validity of the Spanish translation of the Delirium Rating Scale-Revised-98 (DRS-R-98). METHODS: Thirty patients diagnosed of delirium (DSM-IV) by a variety of general hospital medical wards criteria were assessed using the DRS-R-98, MiniMental State Examination (MMSE), Mini Examen ...

Models of vertebrate development frequently portray the organizer as acting on a largely unpatterned embryo to induce major components of the body plan, such as the neural plate and somites. Recent experiments examining the molecular and genetic basis of major inductive events of vertebrate embryogenesis force a re-examination of this ...

BACKGROUND: Surgeons are increasingly placed under pressure to accept publication of their results and to abide by recommendations to change practice which others derive. Considerable concern exists about misinterpretation of such data. The issue is well illustrated by this study. METHOD: Data on outcome following treatment for subarachnoid haemorrhage were ...

Part 1 of this series provided the foundation for understanding the nature of densely sintered alumina- and zirconia-based restorations, provided guidelines for case selection, and addressed framework design considerations. This article discusses guidelines for lamination of the densely sintered alumina- and zirconia-based restorations and proper try-in, and examines options for ...

A 56 years old farmer from Churkhai, Mymensingh was admitted in Cardiology unit of Mymensingh Medical College Hospital 24 October, 2004 with the complaints of progressive breathlessness on exertion with the repeated respiratory tract infection. He had 3 episodes of multiple large joints swelling involving knee, ankle, wrist, during his ...

The aim of this study was to investigate the reliability between different examiners when using the axis I of the Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD). The hypothesis was that the standardized RDC/TMD examination protocol enables calibrated examiners to evaluate all examination items reliably. After calibration training by the ...

OBJECTIVE: Does use of the pediatric shelf examination affect students' performance on the United States Medical Licensure Examination (USMLE) Step 2 pediatric subtest? METHODS: The National Board of Medical Examiners Pediatrics Subject Examination (NBMEPSE) was used as the pediatric clerkship final examination at Brown Medical School through the 1996-97 academic ...

In this paper, we propose the examination of spur mark evidence on inkjet-printed documents. Spur marks are tool marks created by the spur gears in the paper conveyance system of many inkjet printers. The relationship between printouts and printers were investigated by comparing the spur marks found on printed documents ...

It's time to give regulators the power to strip the tax-exempt status from charities that offer unreasonable executive compensation. That's the word from the Panel on the Nonprofit Sector's report to Congress. The report's 120 recommendations come amid increasing scrutiny of not-for-profits, and a spokesman for Sen. Chuck Grassley, left, ...

The United Nations Convention against torture prohibits repatriation of refugees if there is reason to believe they will be tortured on return to their country. A history of torture is therefore an important factor in making a case for asylum. In this study, the results of the medical examinations of ...

A 53-year-old woman presented with the complaints of abdominal pain on right upper quadrant, nausea, vomiting, diarrhea, and loss of appetite. Her physical exam was unremarkable except for right upper quadrant tenderness. Abdominal ultrasound revealed a tubular, mobile, non-shadowing echogenic structure within the slightly dilated common bile duct. Examination of ...

This article explores the concepts of bullying and harassment, defines the terms and their implications, and explores similarities and differences between the two. It also examines pertinent legislation and identifies strategies to raise awareness and optimise a bullying and harassment-free perioperative environment. Bullying and harassment in the workplace was the ...

A case is presented of a 54-year-old white female found dead in a secured apartment. Postmortem toxicologic analysis of the heart blood identified acetaminophen (97 mg/L), citalopram (0.4 mg/L), gabapentin (24 mg/L) and metaxalone (21 mg/L). The metaxalone concentration is within the range of previously reported fatalities involving metaxalone. The ...

OBJECTIVE: To assess whether a computer program using a variant of Angoff's method can detect anomalous behaviour indicative of cheating in multiple choice medical examinations. DESIGN: Statistical analysis of 11 examinations held by the Royal College of Paediatrics and Child Health. SETTING: UK postgraduate medical examination. PARTICIPANTS: Examination candidates. MAIN ...

The scope of this study is to diagnose vertebral arterial inefficiency by using Doppler measurements from both right and left vertebral arterials. Total of 96 patients' Doppler measurements, consisting of 42 of healthy, 30 of spondylosis, and 24 of clinically proven vertebrobasillary insufficiency (VBI), were examined. Patients' age and sex ...

Medical stress factors in the tropics include the climate itself, factors related to travel (jet lag, means of transport), insects, low standards of hygiene, infectious diseases, socio-economic problems, and psychosocial stress. This chapter from the Joint Aviation Authority Aviation Medical Regulations explores these stresses as they relate to aircrew and ...

OBJECTIVES: Taenia solium Cysticercosis is a leading cause of epilepsy and neurological disability in the developing world. It is caused by ingestion of the eggs of the tapeworm, T. solium Taeniasis. The prevalence of either T. solium Cysticercosis or T. solium Taeniasis in the United States in populations at risk ...

OBJECTIVES: The objective of this study was to define the legal status of patient-delivered partner therapy (PDPT) in the United States. STUDY: A survey of directors of state boards of pharmacy and medicine in the 50 United States and the District of Columbia was performed. RESULTS: Completed surveys were returned ...

Following a recommendation of the shipowners and seafarers representatives within the ILO's Joint Maritime Commission (JMC) in what is called the "Geneva Accord", the ILO decided to consolidate the entire body of its international maritime labour standards in a single instrument. A high level tripartite working group was established and ...

OBJECTIVE: To assess factors influencing an accurate pelvic examination under the best possible circumstances. METHODS: Before undergoing laparoscopy or laparotomy, 84 women under general anesthesia underwent pelvic examinations by an attending gynecologist, a gynecology resident, and a medical student blinded to the indication for surgery. Surgical findings were compared with ...

A monofilament suture made of poly(L-lactide-co-epsilon-caprolactone) was examined by several mechanical tests to evaluate handling characteristics for tight tying. Six types of other monofilament sutures were also examined for comparisons. Two of these were nonabsorbable, while the others were absorbable sutures. Sutures consisting of glicolide were strongest among all the ...

The purpose of this case series is to assess long-term sequelae of arsenic exposure in a cohort acutely exposed to arsenic in drinking water from a well dug into a landfill containing arsenical pesticides. Ten of the 13 individuals (or next of kin) in the initial study agreed to participate ...

The evaluation of physician competency prior to issuing an initial medical license has been a fundamental responsibility of medical boards. Growing public expectation holds that medical boards will ensure competency throughout a physician's career. The Federation of State Medical Boards (FSMB) strongly supports the right of state medical boards to ...