Disease relevance of Coroners and Medical Examiners

• Pilot studies seeking to improve maternal death ascertainment found that selected medical examiner reports contributed an additional 10.5 percent of the total maternal deaths, vital statistics review contributed 6.3 percent, linkage of death tapes of women of reproductive age to live birth and fetal death tapes contributed 1.0 percent [1].
• In 20 of 24 medical cases selected for possible ketoacidosis, measurement of beta-hydroxybutyrate concentrations appears to be a promising diagnostic biomarker for confirming suspected ketosis in medical examiner cases by means of VH analysis [2].
• The Harris County Medical Examiner attributed 11 of the deaths to methadone toxicity [3].
• In summary, we have shown that coroners should be able to recognize unintentional carbon monoxide-related deaths immediately at the death-scene, because fresh corpses with carboxyhemoglobin levels greater than 31% show a clear cherry-pink coloring of livor mortis [4].

Psychiatry related information on Coroners and Medical Examiners

• The class mean scores on the behavioral science subtest of the Part I examination of the National Board of Medical Examiners during the last four years that the courses were taught were compared [5].
• Relationship between locus of control and performance on the National Board of Medical Examiners, Part I, among black medical students [6].

High impact information on Coroners and Medical Examiners

• Law-medicine notes; Damage suits against medical examiners for authorized autopsies [7].
• Performance on the National Board of Medical Examiners. Part I Examination by men and women of different race and ethnicity [8].
• The science Medical College Admission Test scores in science were comparable, and the performance on part I of the National Board of Medical Examiners was considerably higher [9].
• A review of medical examiners' autopsy records revealed that in 1988, 33 residents of Virginia died of acute cocaine intoxication [10].
• Propylhexedrine was implicated in 15 deaths investigated by the Dallas County Medical Examiner since 1973 [11].

Chemical compound and disease context of Coroners and Medical Examiners

• Toxicologic screening for cocaine and its metabolites was performed on 103 cases of fetal death autopsied in the Office of Chief Medical Examiner, City of New York. In 64 cases cocaine or its metabolites were found in the blood or in the brain [12].

Biological context of Coroners and Medical Examiners

• We conducted a study to determine the number of items and successful response rate to questions specific to emergency medicine on the National Board of Medical Examiners Test, Part II (NBME-II) [13].
• The study material consisted of all 500 deaths in 1997 that medical examiners, after examination(s) at the Forensic Toxicology Division (FTD) of the Department of Forensic Medicine, University of Helsinki, officially certified as resulting from drug poisoning [14].
• Multivariate analyses were used to evaluate the influences on ISC scores of seven factors: gender, internal medicine clerkship grade, number of honors in non-medicine clerkships, Alpha Omega Alpha (AOA) status, number of publications, score on the National Board of Medical Examiners (NBME) Part I examination, and medical school reputation [15].
• Grades received in medical school courses such as anatomy, biochemistry, mechanisms of disease, physiology, microbiology, pathology, and pharmacology, as well as total scores on Part I of the National Board of Medical Examiners examination were selected as performance variables [16].
• Sexual harassment complaints. Mandate from the Board of Medical Examiners [17].

Associations of Coroners and Medical Examiners with chemical compounds

• Improving the National Board of Medical Examiners internal Medicine Subject Exam for use in clerkship evaluation [18].
• A retrospective cohort study was used of 1037 cases of accidental drug-related fatalities reported by coroners in England and Wales to the National Programme of Substance Abuse Deaths [19].
• A review of 102,401 deaths investigated by North Carolina medical examiners in the period 1973-1983 characterized the temporal patterns of ethyl alcohol in unintentional injury fatalities, suicides, homicides, and persons who died of natural or unknown causes [20].
• A total of 229 serum/urine matched samples were collected sequentially from forensic autopsy cases examined at the Office of the Chief Medical Examiner, State of Maryland. Testing was performed using the Ortho, Innogenetics, and Abbott second generation HCV screening tests and the INNO-LIA HCV Ab supplemental assay [21].
• OBJECTIVE: The purpose of this review of all appropriate, available medical examiner (ME) studies is to provide information on cases with positive toxicologies for cocaine, morphine (the heroin metabolite) and methadone that have positive blood or brain alcohol concentrations (BACs) [22].

Gene context of Coroners and Medical Examiners

• OBJECTIVE: To perform a molecular autopsy of the RyR2-encoded cardiac ryanodine receptor/calcium release channel in medical examiner/coroner's cases of sudden unexplained death (SUD) [23].
• Targeted mutational analysis of the RyR2-encoded cardiac ryanodine receptor in sudden unexplained death: a molecular autopsy of 49 medical examiner/coroner's cases [23].
• In this report, the level of DNA contamination in New York City Medical Examiner facilities and its potential affects on HLA-DQA1 typing were assessed [24].
• This retrospective series was compiled from log books and files of the Medical Examiner Office, Palm Beach County, Florida. RESULTS: The incidence of sudden unexpected infant death decreased 50% over the study period (P <.01) [25].
• Both qualitative and quantitative ACP methods are employed by medical examiners [26].

Analytical, diagnostic and therapeutic context of Coroners and Medical Examiners

• Azinphos-ethyl concentrations in the blood, urine, and gastric lavage liquid from medical examiner cases are reported [27].
• An increase in deaths resulting from co-intoxication with methadone and a benzodiazepine led the authors to perform a retrospective study of cases examined at the Jefferson County Coroner/Medical Examiner Office. They found 101 deaths wherein methadone was detected in the blood [28].
• In a six-month period, the Office of the Medical Examiner of Dallas County has encountered three deaths resulting from intravenous injection of propylhexedrine [29].
• Assessing the reliability and validity of a residency selection process examination: a preliminary study between the national board of medical examiners and the University of Panama Faculty of Medicine [30].
• We performed a retrospective case-control study in a medical examiner population, comparing the mean heart mass in a group of individuals who died of SUDEP to a group of individuals with epilepsy who died suddenly due to some unrelated cause (non-SUDEP) [31].

References