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Laser Personnel Medical Surveillance
Published in D. C. Winburn, Practical Laser Safety, 2017
Ocular history (E2.2.1). If the ocular history shows no problems and visual acuity (E2.2.2) is found to be 20/20 (6/6 in each eye for far, and Jaeger 1+ for near) with corrections (whether worn or not), central visual fields (E2.2.3) and contrast sensitivity (E2.2.4) are normal, no further examination is required. Laser workers with medical conditions noted in E2.2.1 should be evaluated carefully with respect to the potential for chronic exposure to laser radiation. Any deviations from acceptable performance will require an identification of the underlying pathology eitherby a funduscopic examination (E2.2.5), or other tests as determined appropriate by the responsible medical examiner.
Criminal Law
Published in Thomas D. Schneid, Safety Law, 2018
The Cook County medical examiner performed an autopsy on Golab the following day. Although the medical examiner initially indicated Golab could have died from cardiac arrest, he reserved final determination of death pending examination of results of toxicological laboratory tests on Golab’s blood and other body specimens. After receiving the toxicological report, the medical examiner determined Golab died from acute cyanide poisoning through the inhalation of cyanide fumes in the plant air.
Epidemiology
Published in Samuel C. Morris, Cancer Risk Assessment, 2020
Mortality rates by cause are generally expressed in terms of the underlying cause of death. The attending physician or medical examiner may write the underlying cause on the death certificate, but for statistical and research purposes underlying cause should be determined by a trained nosologist and classified according to the International Classification of Diseases (WHO, 1975).
The need to improve information on road user type in National Vital Statistics System mortality data
Published in Traffic Injury Prevention, 2019
Karin A. Mack, Holly Hedegaard, Michael F. Ballesteros, Margaret Warner, James Eames, Erin Sauber-Schatz
We compared the number of NVSS MVC deaths by road user type (MV occupant, motorcyclist, pedal cyclist, pedestrian, unspecified) with FARS counts and calculated the ratio of NVSS/FARS reported deaths. Frequency distributions by sex and age group are presented for NVSS occupants, NVSS unspecified road users, and FARS occupants. Within the NVSS data, to identify possible factors that might contribute to the assignment of an NVSS MVC death to the unspecified road user category, we compared the ratio of NVSS unspecified to NVSS occupant deaths by autopsy status (whether or not one was performed; available only from 2003 to 2015), place of death (at home; at a medical facility [medical facility–inpatient, medical facility–outpatient or emergency room, medical facility–dead on arrival, medical facility–status unknown, hospice facility, nursing home or long-term care facility]; or unknown/other place of death), and the type of death investigation system in the decedent’s state of residence (CDC 2015). State death investigation systems typically consist of either a coroner system, a medical examiner system, or a combination of the two. Coroners are usually elected and are not required to be physicians. Medical examiners are usually appointed and must be physicians. The systems can be centralized (a state medical examiner office that consolidates cases from the state); a county-based system with a mixture of medical examiner and coroner offices (counties in the state have either medical examiners or coroners); county- or district-based medical examiner offices (state uses medical examiners who are based in counties or districts); or county/district-based coroner offices (state uses coroners who are based in counties or districts). Different systems and staff investigating and certifying specific types of death may contribute to inconsistent reporting in the cause of death. To provide information about changes to the death certificate during the time period evaluated during this study, we indicated whether the death certificate process was revised during the study period for each state (Appendix, see online supplement). We also examined the frequency of the ICD-10 underlying cause-of-death codes for NVSS unspecified road users. MV occupant deaths were identified in WISQARS using ICD-10 codes V30–V39 (.4–.9), V40–V49 (.4–.9), V50–V59 (.4–.9), V60–V69 (.4–.9), V70–V79 (.4–.9), V83–V86 (.0–.3); MV unspecified road user deaths were identified using ICD-10 codes: V87 (.0–.8), V89.2.