PURPOSE: Every year increasing numbers of candidates request special accommodations for high-stakes medical licensing examinations, due to ADHD, on the basis of the Americans with Disabilities Act (ADA). This poses significant challenges for both the applicant and the medical boards and has significant financial, legal, and ethical implications. The purpose ...

Can photographs of scars serve as evidence of torture? Amnesty International's Medical Examination Group in the Netherlands (AI-MEG) has, for more than a decade, been photographing torture scars to supplement the testimonies of asylum seekers who have been denied refuge. AI-MEG only intervenes at this point, when asylum seekers face ...

OBJECTIVE: To describe the implementation of medical examination and forensic analysis in the police investigation of sexual assaults, and compare police-reported cases with and without medico-legal examination of the victim. METHODS: A retrospective study of all police-reported sexual assaults against women in the county of S?r-Tr?ndelag, Norway, January 1997-June 2003. ...

The oral or viva voce (viva) examination has been a mainstay of assessment throughout the history of medical education and widely used as a component of both undergraduate and postgraduate university examinations and professional examinations conducted by the medical and surgical Royal Colleges in the United Kingdom. This form of ...

Medical-forensic examination of sexual assault victims and alleged offenders is a common task of many forensic institutes. In the current study, the results from samples taken at the Institute of Legal Medicine, Hanover Medical School, during a period from 2005 to 2007 were retrospectively evaluated. In total, 292 victims (283 ...

The commercial motor vehicle driver medical examination aims to ensure that commercial drivers can safely perform all driving and nondriving work-related tasks. In conducting the examination and completing the related certification, the medical examiner must follow mandated medical standards and consider medical advisory criteria. Examiners should consider the substantial expert ...

According to European and national legislation, as well as international recommendations, X-ray examinations shall be optimised. However, with limited resources and hundreds of different types of X-ray examinations, it may be difficult to prioritise among the optimisation tasks at a radiology department. This work is focused on describing a method ...

The practice of medicine is a shared social contract between the medical profession and the public. Assessments for licensure should reflect competencies that patients expect of their physicians and should be patient-centered and mirror the progressive nature of medical education. The National Board of Medical Examiners recently accepted the recommendations ...

This study examined the role of medical clowns during medical examinations of children who were sexually abused. Three case studies are described, illustrating diverse interactions among the victimized child, the medical clown, and the medical forensical examiner during medical forensic examinations held at the Tene Center for Sexually Abused Children, ...

BACKGROUND: The Residency Review Committee requires that 65% of general surgery residents pass the American Board of Surgery qualifying and certifying examinations on the first attempt. The aim of this study was to identify predictors of successful first-attempt completion of the examinations. METHODS: Age, sex, Alpha Omega Alpha Honor Medical ...

This article investigates the relationship between the characteristics of medical licensing boards and the frequency with which boards discipline physicians. Specifically, we take advantage of variation in the structure of medical licensing boards between 1993 and 2003 to determine the effect of organizational and budgetary independence, public oversight, and resource ...

The question of whether a Tarasoff duty may emerge from a credible threat by an examinee during an independent medical examination has not been extensively addressed in the professional literature. This article analyzes that question and provides suggestions for how to respond to a perceived duty.

The United States Congress mandated the establishment of the National Practitioner Data Bank in large part to decrease the likelihood that errant individuals might be able to avoid detection by licensing boards and practice medicine. We use a decade of longitudinal data (1985-94), for each of the 50 states, to ...

When death at sea occurs many people are implicated. The assignees of victims often look for detailed circumstances of deaths at sea, and the doctor, besides his preventative role, has to certify the death on board and try to determine the circumstances with a view to a legal investigation if ...

In the past few years, a number of publications and other resources have appeared concerning the management of mass fatality incidents. Some are geared toward the general management of incidents while others cover more specific topics such as decontamination procedures. Still others cover selected agents, including chemical, biologic, or radiologic ...

The utility of regular medical fitness-for-diving examinations of occupational divers is unknown. The aim of this audit was to investigate the impact on the employment of occupational divers of a 5-yearly medical examination and an annual health surveillance questionnaire administered in intervening years. The medical records of all New Zealand ...

BACKGROUND: The 2000 Institute of Medicine report on patient safety brought renewed attention to the issue of preventable medical errors, and subsequently specialty boards and the National Board of Medical Examiners were encouraged to play a role in setting expectations around safety education. This paper examines potentially dangerous actions taken ...

The introduction of a European licensing examination or national examinations, where these do not already exist, offers significant advantages. These are more than offset, however, by the disadvantages and the collateral damage incurred. Five myths about centralizing examinations are explored. Myth 1: The claim that a central examination will ensure ...

OBJECTIVE: The purpose of this research was to explore state physician licensing board policies and regulation of active, inactive, and retired licenses. METHODS: We conducted structured telephone interviews from January to March 2007 with representatives of all 64 state allopathic and osteopathic medical licensing boards in the United States. All ...

Examinations of various features of gunshot residue (GSR) collected from targets in a function of the shooting distance as well as from hands and the forearm, front and back parts of the upper clothing of the shooting person were performed with SEM-EDX. GSR samples were obtained using Walther P-99 pistol ...

This article examines gendered discourses of shell shock in Britain during the First World War. Located within the context of the ideas about shell shock as a form of male hysteria put forward by Elaine Showalter, it examines the ways in which the contemporary discourses of soldiers, medical professionals and ...

We examine a dataset consisting of 11 International Medical Graduates (IMGs) performing an Objective Structured Clinical Examination (OSCE). Our aim is to address questions about the linguistic realization of empathy in the clinical discourse of IMGs and the extent to which OSCE examiners are sensitive to relevant features of the ...

Recent theory and data suggest that adaptive use of learning in the context of sexual behaviour could contribute to assortative mating. Experiments examining this issue indicated that male Drosophila persimilis that experienced courtship and rejection by heterospecific females exhibited significantly lower levels of heterospecific courtship and mating compared with those ...

The purpose of this study was to analyze the in vivo dimensions of each tibial plateau for planning of unicompartmental knee arthroplasty (UKA), and to compare the morphometric data to the dimensions of nine current designs of UKA tibial components. Thirty-seven knees (31 females and 6 males) operated on with ...

OBJECTIVE: In many developing countries, access to medical imaging is limited by availability of resources. Portable ultrasound shows great promise to meet the needs in these countries because it is transportable and relatively inexpensive, and it has a wide range of applications. As part of the Ghana Health Mission, Sekondi-Takoradi, ...

We report the case of a female patient with familial amyloid polyneuropathy (FAP) who demonstrated TTR amyloid deposition in the inferior nasal conchal vessels. To our knowledge this location has not been described previously in FAP; in addition, it was detected in a patient who had undergone successful liver transplantation ...

BACKGROUND: Bax-interacting factor-1 (Bif-1) protein is a member of the endophilin B family that plays a critical role in apoptosis, autophagy, and mitochondrial morphology. Loss of Bif-1 suppresses programmed cell death and promotes tumorigenesis. The connection of Bif-1 to colorectal cancer remains to be evaluated. METHODS: To determine Bif-1 expression ...

Australia is an attractive workplace for overseas-trained specialist (OTS) anaesthetists. The path to recognition of the qualifications and experience of OTS anaesthetists is, in my opinion, bogged down in an overzealous assessment procedure. The Australian and New Zealand College of Anaesthetists (ANZCA) is a self-proclaimed professional body that is not ...

CONTEXT: The investigation of high-profile fatalities poses special challenges to medical examiners and coroners. Most high-profile cases can be readily recognized early in the course of the investigation. Commonly encountered examples include police-related fatalities or deaths in custody, deaths of celebrities, and mass fatalities or clustered deaths (eg, serial killers). ...

INTRODUCTION: Preventive medical checkups may help to lower the health risks incurred by participation in sporting activity. However, there are no epidemiologically relevant data on either utilization or implementation of such checkups. METHODS: An internet questionnaire (www.dshs-koeln.de/pace) and personal interviews of long-distance runners were used to obtain information on the ...

The quantum adiabatic theorem plays an important role in quantum mechanics. However, counter-examples were produced recently, indicating that their transition probabilities do not converge as predicted by the adiabatic theorem [K. P. Marzlin et al., Phys. Rev. Lett. 93, 160408 (2004); D. M. Tong et al., Phys. Rev. Lett. 95, ...

OBJECTIVE: European countries practice a wide range of car driving license renewal procedures. These range from issuing lifelong licenses without subsequent medical checks, to issuing a license to age 70 and for 3- or 5-year periods thereafter based on self-declarations of medical fitness, to requiring medical examinations for renewal, to ...

BACKGROUND: Over the next several decades, both the number and percentage of older drivers will increase dramatically. Older age is inherently associated with medical conditions, particularly those involving cognition and vision, that can affect medical fitness to drive. Over a 60-year period, the Maryland Motor Vehicle Administration (MVA) in conjunction ...

PURPOSE: To examine whether a relationship exists between a neonate's weight and the neonate's receipt of comfort medication between four hours prior to elective ventilator withdrawal and death. It was hypothesized that the greater the neonate's weight, the more likely the neonate was to receive comfort medication at end of ...

BACKGROUND: Echocardiography is an accurate way to identify common cardiac abnormalities that lead to sudden death. We report a screening echocardiogram protocol incorporated into the routine athletic medical assessment for all incoming college freshman athletes. METHODS: A limited 2-dimensional echocardiogram was performed on athletes as part of a routine sports ...

The focus of this commentary is twofold. First, I examine Faiciuc's attempts to counter symbolic computationalism as a major theoretical framework for the study of deductive reasoning. Second, I wish to see how far the author goes in her defense of Dynamic Systems Approaches (DSAs) as a more promising framework ...

The nonmedical use of prescription opioids (POs), and related harmful consequences, has increased in many populations in recent years in North America. Existing survey data are typically limited to descriptive prevalence statistics, and fail to examine important determinants or circumstances (including motives) of nonmedical PO use. We advocate that such ...

We examined if tocilizumab, humanized anti-interleukin-6 receptor (IL-6R) antibody, can ameliorate joint swelling after the onset of arthritis in collagen-induced arthritis (CIA). CIA was induced by the immunization of bovine type II collagen in female cynomolgus monkeys. Tocilizumab (30 mg/kg) was administered weekly for 4 weeks after the onset of ...

The Health Insurance Portability and Accountability Act of 1996 (HIPAA) set speech privacy requirements for medical related information without defining speech privacy for all situations. Areas of special concern for medical organizations are examination rooms because of the need to exchange information between patient and care giver. These rooms are ...

INTRODUCTION: The Holmes-Wright lantern type A (H-W A) is an occupational colour vision test used by the UK Civil Aviation Authority (CAA) and approved by Joint Aviation Requirements (JAR) to select aircrew. Pass, to obtain a CAA Class 1 Aviation medical certificate, can be achieved at three stages of the ...

Health Care Complaints Commission v Wingate [2007] NSWCA 326 concerns an appeal from the New South Wales Medical Tribunal regarding its findings on professional misconduct outside the practice of medicine in relation to a doctor convicted of possessing child pornography. The latest in a number of cases on this issue ...

PURPOSE: The macroscopic examination of urine constituted a lasting diagnostic method from the time of Hippocrates and Galen until the Renaissance. The Byzantines, as the carriers of ancient Greek medical knowledge, adopted uroscopy. MATERIALS AND METHODS: We reviewed the medical and historical bibliography as well as the original texts of ...

In the 1960s, two major works on coma by Fisher, Plum and Poser were published and ushered in the beginning of a comprehensive clinical examination in coma. How these ideas matured has been rarely investigated. In this article, we describe observations and experiments that led to a better understanding of ...

SUMMARY: After years of treatment with the medication levodopa, most individuals with Parkinson disease (PD) experience fluctuations in response to their medications. Although relatively consistent perceptual voice improvements have been documented to correspond with these fluctuations, consistent quantitative data to support this finding are lacking. This mismatch may have occurred ...

A survey conducted to examine the practice of periodic medical examination among health workers was conducted at University of Ilorin Teaching Hospital, Ilorin. A total of 74 hospital workers were selected by stratified random sampling from all the departments and units in the hospital and interviewed. More than half (60.9%) ...

Specialty board certification status has become the de facto standard of competency by which the profession and the public recognize physician specialists. However, the relationship between orthopedic board certification and physician performance has not been established. Rates of medical malpractice claims, hospital disciplinary actions, and state medical board disciplinary actions ...

Metatropic dysplasia is a rare genetic condition characterized by progressive dwarfism. Metatropic dysplasia is defined as a short limb skeletal dysplasia characterized by dumbell like configuration of long bones, a narrow but normal length of thorax and occasionally a coccygeal appendage similar to a tail. Children born with this condition ...

OBJECTIVE: The author identifies and seeks to remove barriers contributing to physician/medical students' decisions NOT to seek mental health care. METHODS: Following a cluster of medical student and physician suicides in one medical community, medical trainees anonymously shared their views regarding seeking mental health treatment in light of the current ...

The 1990 enactment of the Americans With Disabilities Act (ADA) and subsequent case law have established that medical board screening of physician licensure applicants for histories of mental illness or substance use may constitute discrimination. This study examines how physician licensure questionnaires have evolved since the enactment of the ADA. ...

PURPOSE: Disability is conceptualized as behaviour by psychological theory and as a result of bodily impairment by medical models. However, how people with disabilities conceptualize those disabilities is unclear. The purpose of this study was to examine disability representations in people with mobility disabilities. METHOD: Thirteen people with mobility disabilities ...