Shortly after President Abraham Lincoln's assassin was killed on April 26, 1865, a formal inquest was held to positively identify the body. Dr. John Frederick May, a leading surgeon in the District of Columbia, was summoned to examine the remains. Two years earlier, Dr. May had removed a fibroid tumor ...

The slippery slope argument has been the mainstay of many of those opposed to the legalisation of physician-assisted suicide and euthanasia. In this paper I re-examine the slippery slope in the light of two recent studies that examined the prevalence of medical decisions concerning the end of life in the ...

This study was conducted to assess the presence of schistosomiasis mansoni in the "Noroeste de Minas" mesoregion, an area considered non-endemic. A malacologic survey and parasitologic stool examinations were undertaken in 13 municipalities of the mesoregion. A sample of 3,283 primary school students was submitted to fecal examination by the ...

An experiment was conducted to examine the effects of complete stimulus omission and interstimulus interval (ISI) variability on habituation of the skin conductance response. A new scoring technique allowed shorter ISIs to be used (0.5-1.5 s) than in previous studies. It was found that both stimulus omission and variation of ...

Most certification examinations of commercial drivers are simple, and relatively few drivers are disqualified. If these examinations are not done properly, however, the public can be exposed to potentially unqualified drivers. Should an accident occur, the physician who examined the driver may be found liable. In performing driver certification examinations, ...

An 18-month prospective survey was performed to examine the effect of adding a fifth bed to four-bedded bays in three acute medical wards on colonization by methicillin-resistant Staphylococcus aureus (MRSA). Screening procedures were in accordance with the UK national guidelines. All patients newly colonized with MRSA were visited, and their ...

Many multiple-choice questions (MCQs) used in medical education in the UK contain undefined, imprecise terms. They are particularly common in true/false items and can be found in classroom tests, published examples of MCQs and, more importantly, in high-stakes examinations which determine a candidate's graduation or membership of a professional body. ...

Medical examiners have responsibilities that often result in news media coverage that can bring unwanted attention. Dealing with the news media is always a learning process, but various resources exist to help in maintaining credibility. Local offices should consider establishing proactive community relations and media relations programs. Appropriate steps should ...

OBJECTIVE: To examine the correlation among the National Board of Medical Examiners subject examination, the US Medical Licensure Examination step 1 scores, and grade point average and to determine if poor performance could be predicted by the US Medical Licensure Examination step 1 score and grade point average. METHODS: The ...

Bacillus subtilis has been thought to have a high readthrough rate at the UGA stop codon because no opal suppressor tRNA has been isolated so far [Lovett et al. (1991) J. Bacteriol. 173, 1810-1812]. To examine whether a tRNATrp which we have characterized [Matsugi et al. (1992) Nucleic Acids Res. ...

BACKGROUND: Children requiring comprehensive eye examination for signs of familial eye disease or suspected systemic condition are referred to pediatric ophthalmologists. Such examinations may be critical to diagnosis and patient management, yet medically necessary screening examinations are not reimbursed by insurers when the patient is "normal." Faced with this dilemma ...

To clarify the trends in the number and the severity of vibration syndrome in Wakayama for these 23 years, the records of the medical examinations for vibration syndrome were analyzed with 4,652 (a total of 9,920) private forestry workers exposed to hand-arm vibration. The number of the subjects who took ...

The use of tactical medics by members of hostage and crisis negotiations teams has not been examined in the literature or in the field. Usually, negotiations teams are deployed within the confines of the established inner perimeter along with the tactical team and tactical medics. While the likelihood of injuries ...

A survey of death investigation systems in Canada was conducted by questionnaire and included questions on the type of system used (coroner or medical examiner), budget, method of appointment and qualifications of coroners and medical examiners, responsible department of government, training requirements, laboratory facilities, and the utilization of investigators and ...

The doctrine of sovereign or official immunity has protected medical examiners in cases alleging negligent performance of the autopsy and in cases involving negligent harvesting of organs. It has not protected examiners in cases alleging performance of autopsy without authorization. The medical examiner, therefore, is well advised to determine whether ...

Death in custody is the most demanding investigation that a medical examiner or coroner can perform. The investigation requires attention to detail at the time of scene investigation and autopsy examination, as well as a careful assessment of the toxicologic results and circumstances of the death. Synthesis of the many ...

In Germany, occupational contact with carcinogenic substances is regulated by very strict legislation. Thus, alongside strict implementation of agreement 139 of the International Labour Organization (ILO), legislation governing the medical monitoring and care of employees in the form of specialist preventive medical examinations is also in force. It is extremely ...

The increasing life expectancy in humans--at least in the developed countries--including all medical, social, and political consequences is a generally accepted phenomenon at the end of this century. In earlier examinations it could be noticed that also in dogs and cats a remarkable increase of the life span seems to ...

Medicare recently announced the adoption of minimum documentation criteria for the neurologic examination. These criteria are added to existing standards for the history and medical decision-making. These criteria will be used in compliance audits by Medicare and other payors. Given the current federal initiative to eliminate fraud in the Medicare ...

Providing medical assistance to ships at sea was probably one of the first practical applications of telemedicine. At present, about 200 different organizations worldwide give medical assistance to ships without a doctor on board. The activity of the Foundation Centro Internazionale Radio Medico (CIRM), which probably has the largest experience ...

BACKGROUND: To understand the extent of noise-induced hearing loss (NIHL) among noise-exposed workers, an ongoing public health surveillance system (Program to Reduce Exposure by Surveillance System or PRESS-NIHL) was established in Taiwan in 1995 to monitor the prevalence of NIHL. METHODS: A total of 9,535 noise-exposed (> 85 dBA) workers ...

Medical illustrators offer a unique and valuable contribution to scientific, medical, and health publications. However, they are not always properly acknowledged. This issue existed in the 16th century when Andreas Vesalius produced his revolutionary atlas the Fabrica and failed to recognize his artistic colleagues. This essay examines the atlases by ...

Estonian National Maritime Board has reported about 16,000 seafarers in Estonia. According to Estonian new national regulations concerning medical examination of employees on board ships issued on 9 April 1998 seafarers are examined only at Estonian Seamen's Hospital by experienced physicians of expertise commission. The validity of the certificates of ...

This paper describes the epidemiology of drug overdose deaths investigated by the medical examiner in one of the cities participating in the Canadian Community Epidemiology Network on Drug Use and assesses the quality of the information obtained from medical examiner charts with respect to drug overdose deaths, for surveillance purposes. ...

Postlarvae of the cestode Hepatoxylon trichiuri (Holten, 1802) were found attached to the surface of viscera of Prionace glauca (Linnaeus, 1758) taken from Atlantic coastal waters off the south coast of Massachusetts, USA. Gross anatomy of the attachment site shows a quadripartite rim surrounding a deep pit with holes corresponding ...

The dynamics of stress-related decrease of salivary Immunoglobulin A (sIgA) were examined with respect to whether an increase of upper respiratory tract (URT) symptoms can be observed concurrently with or subsequent to sIgA alterations and whether one can use students' studying behavior during academic examinations to predict changes in sIgA. ...

The purpose of this study was to describe medication management in board and care facilities throughout Minnesota. A triangulation of data collection methods was used, including mail questionnaires (N = 98 facilities), telephone interviews (N = 64 facilities), and site visits (N = 15 facilities). Major issues examined included characteristics ...

OBJECTIVES: To analyse the mortality patterns of former Dutch coal miners, focusing on coal workers' pneumoconiosis (CWP) and chronic obstructive pulmonary diseases (COPD) in relation to pre-existing impairment of lung function. METHODS: 3790 selected miners, medically examined between 1952 and 1963, were followed up to the end of 1991 with ...

St. Elizabeth's Medical Center identified a need to change its guidelines for the administration of IVCS. A task force consisting of physicians, nurses, pharmacists, and administrators was formed for this purpose. Goals for the guidelines were identified utilizing resources provided from the Board of Registration in Nursing and the Board ...

In 1897, Frederick T. Gates, a Baptist minister and adviser to John D. Rockefeller Sr., read the entire second edition of The Principles and Practice of Medicine by William Osler while on a summer vacation at Lake Liberty, New York. The book reinforced the low opinion Gates had of the ...

In Austria every death is subject to an examination by a medical doctor authorized by the local health authority. If death is suspected to be natural and/or perpetrated by another person, this doctor has to report it to the police. Depending on the investigation results, the examining magistrate in charge ...

We present a 55-year old man who, since age 21, progressively developed multiple papules and nodules on the face and upper trunk. Light microscopic examination of some of the neoplasms showed trichoblastomas, while others had histopathological features of trichoepithelioma and steatocystoma. Simultaneous occurrence of multiple trichoblastomas/trichoepitheliomas and steatocystomas, not reported ...

This paper examines the role of forensic medical examiners as expert witnesses and advances the argument for them to incorporate more defence perspectives in their work, so that they can give a better balance of responses. Three case studies are presented and these illustrate defence aspects and enable defence-orientated references ...

The authors used random effect meta-analysis to synthesize eight mean score differences of the Part III/Level 3 examinations of the national Board of Osteopathic Medical Examiners (NBOME) between osteopathic medical trainees in DO residency programs and osteopathic medical trainees in MD programs. The analysis involved 6001 trainees and all Part ...

Remote sensing measurements of CO emissions from onroad vehicles were made in California in 1991 and in Michigan in 1992. It was determined that both fleets had a small linear increase in the high emitter frequency (vehicles emitting more than 4% CO) as a function of vehicle age for 1986 ...

The cumulene carbenes are important components of hydrocarbon chemistry in low-mass star-forming cores. Here we report the first astronomical detection of the long-chain cumulene carbene H2C6 in the interstellar cloud TMC-1, from observations of two of its rotational transitions: J(K,K') = 7(1,7) --> 6(1,6) at 18.8 GHz and 8(1,8) --> ...

In 1986, the Centers for Disease and Prevention established the Medical Examiner and Coroner Information Sharing Program (MecISP) with four primary goals: 1) To improve the quality of death investigations in the United States and to promote more standardized practices concerning when and how to conduct these investigations; 2) to ...

The ability of conjugative plasmids from six different incompatibility groups to mobilize a set of mobilizable plasmids was examined. The mobilization frequencies of plasmids RSF1010, ColE1, ColE3, and CloDF13 varied over seven orders of magnitude, depending on the helper conjugative plasmid used. Mobilization of CloDF13 was unique in that it ...

The incidence of Blastocystis hominis in a healthy population was determined by fecal examination of 6,422 Japanese and 54 resident non-Japanese who visited the St. Luke's International Hospital Health Screening Center for a routine medical check-up during a one-year period. Of the enrolled subjects, 30 Japanese (0.5%) and four non-Japanese ...

Anderson Gray McKendrick's 1926 paper, 'Applications of mathematics to medical problems', was the earliest reference cited in Dempster et al.'s 1977 paper that defined and popularized the EM algorithm. McKendrick's paper was prominently featured by Joseph Oscar Irwin in his 1962 inaugural address as the President of the Royal Statistical ...

OBJECTIVE: To describe strategies for using multiple clinical examination items to estimate disease probabilities; and to evaluate the diagnostic accuracy of each strategy. DESIGN: Prospective observational study. SETTING: Medical preoperative evaluation clinic at a university-affiliated Veterans Affairs Medical Center. PATIENTS: Previously reported consecutive series of patients referred for outpatient medical ...

OBJECTIVE: To determine whether the size of an intravenous catheter influences the cannulation success rate and procedure duration among military medics. METHODS: According to a prospective, randomized, controlled crossover study design, 114 military medic cadets were paired and inserted 14-gauge (14G) and 16G intravenous catheters into veins in the antecubital ...

Tissue irritation, as evidenced by phlebitis, associated with Optiva (Johnson & Johnson Medical) and Insyte (Becton Dickinson) polyurethane cannulae was studied. The integrity of the cannulae on removal, the incidence of infection at the cannula site and the factors which influence phlebitis were also examined. One thousand and eight patients ...

A complete examination of the wrist requires both an accurate history and a thorough understanding of carpal anatomy, biomechanics, and pathology. A thorough examination may necessitate evaluation of the radial and ulnar aspects of the carpus as well as potential extra-articular causes of wrist pain. A carefully obtained history is ...

In the UK, licensing of taxi drivers is dealt with by local government authorities. In Scotland, before the recent reorganization of local government, taxi licensing was under the jurisdiction of District Councils, so a telephone survey was conducted of all 52 mainland Scottish District Councils to ascertain the procedures which ...

There are undoubtedly many factors that contribute to inter-examiner variability relevant to the use of medical practitioners in justiciable matters. One source of variability with regard to claims relating to hearing disorders could well be the training and 'calibration' of medical examiners. A tentative analysis of the examination papers and ...

BACKGROUND: To assess the appropriateness of utilization patterns for the barium enema and colonoscopy in a Medicaid population. METHODS: From 1987 to 1991, a Medicaid managed-care database in Philadelphia revealed claims for a total of 2357 outpatient barium enemas and 896 outpatient colonoscopic examinations. The database was reviewed to determine ...

This article presents data from a study on the medical and monitoring procedures surrounding all 59 deaths in Dutch police stations in the period 1983-1993. In many cases, the medical procedures and monitoring procedures were not in accordance with the Dutch ministerial guidelines. Notification of physicians, transference to hospitals, medical ...

BACKGROUND AND PURPOSE: Disorders of the facial neuromuscular system can result in marked disfigurement of the face and difficulties in activities of daily living such as eating, drinking, and communicating. No systematic means of measuring the disability associated with facial nerve disorders exists. The purpose of this investigation was to ...

Data regarding orthopaedic work-force is presented. Data is based on information obtained from the Puerto Rico Board of Medical Examiners, the Puerto Rico Department of Health and orthopaedic surgeon's practice. The purpose of this study is to compare the local orthopaedic manpower with the American Academy of Orthopaedic Surgeons most ...