Awkwardness of becoming a boundary object: Mangle and materialities of reports,documentation data,and the archaeological work

Information about an archaeological investigation is documented in an archaeological report, which makes it the boundary object par excellence for archaeological information work across stakeholder communities such as field archaeologists, heritage managers, and land developers. The quality of reports has been a subject of debate, and recently it has been argued that more emphasis should be placed on making primary research data at least similarly available. This study explores the changing materialities and reciprocal formation of documents and their users with the advent of digitization, and how documents form and lose their status as boundary objects in these processes. The study posits that in order to be functional, a boundary object needs to provide a disclosure that makes it accessible to cognate communities. Further, it shows how assumptions about the functioning of the human and nonhuman (material artifacts) influence the ways in which archaeologists conceptualize the preservation and archiving of archaeological information and the role and potential of different types of digital and paper-based documents. This article is based on an interview study of Swedish archaeology professionals (N = 16) with theoretical underpinnings in the notions of boundary objects, mangle of practice, and disclosure.     

试论近代来华传教士中国报道与研究对西方世界的影响

近代来华传教士对中国进行大量的报道与深入研究,并留下众多相关的西文著述,这些活动对西方世界产生重要影响。具体表现在为殖民者起情报搜集作用、为西方政府和差会等机构提供决策参考、对西方大众起到知识信息传递的作用、对西方宗教界与信徒民众起传教的鼓噪作用及对西方尤其是美国汉学的近代转型起推动作用等方面。深刻反映了近代传教士文化传播者与沟通者的角色属性;也折射出近代东西方文化交流的时代特征。     

解析我国地震谣言报道的公共性——以2010年四个地震谣言传播过程为例

2008年汶川地震以来,地震谣言常见诸媒介.本文从地震谣言的公共属性出发,从受众和媒介两方面作了详细分析.一方面,汶川地震以来,我国社会对生存环境的感知方式和社会心理发生了改变,另一方面地震谣言报道并未基于受众的感知和心理将地震谣言视为公共事务加以报道,因而出现了一个媒介舆论和公众话语的鸿沟.出现这种情况的部分根由在于我国新闻实践在向公共新闻的转变过程中,观念的转变和从业人员的素质无法与公众的要求同步.     

Attitudes to cadaveric organ donation in Irish preclinical medical students

There is a worldwide shortage of organs for transplantation. It has been shown that the attitude of healthcare professionals can improve the rates of organ donation, and that educational programs aimed at improving both attitudes and knowledge base of professionals can have positive outcomes. Although there has been research carried out on this topic, there has been none in Ireland. Anatomy dissection can be a stressor to medical students-we investigate the attitudes of Irish students to organ donation and how they change with exposure to anatomy dissection. A questionnaire was administered to first year students in the School of Medicine in University College Dublin, Ireland, three times over a nine-week period at the commencement of classes in an academic year. The attitudes of the students were positive throughout regarding organ donation by a stranger, a family member, or themselves. There was, however, a significant decrease in support for the donation of a family member's organs in a minority of students. Irish students' attitudes to postmortem organ donation are positive and are not changed by exposure to the dissecting room. There is support for the donation of organs, and willingness among students to donate their own organs and support donation by family members.     

Learning of musculoskeletal ligament stress testing in a gross anatomy laboratory

Human anatomy in physical therapy programs is a basic science course serving as a foundation for subsequent clinical courses. Integration of anatomy with a clinical emphasis throughout a curriculum provides opportunities for reinforcement of previously learned material. Considering the human cadaver laboratory as a fixed cost to our program, we sought opportunities to add value to the resource via vertical integration into a clinical skills course taught later in the curriculum. We designed an opportunity for second-year physical therapy students to revisit the human anatomy laboratory to study select clinical musculoskeletal tests and the associated anatomy in a clinically relevant context. Students performed select orthopedic ligament test on human cadavers, then incised specific structures and repeated the tests. Students were able to feel and visualize the function of pertinent anatomy associated with the clinical tests. Ninety-five percent of respondents reported that the ligament stress testing experience enhanced their understanding of orthopedic clinical tests with 91% reporting an enhanced understanding of anatomy related to specific clinical tests. Likewise, the experience was perceived as enjoyable and valuable with 86% of respondents reporting the experience as enjoyable and 100% responding the experience should continue as part of the curriculum.     

Resident perceptions of anatomy education: a survey of medical school alumni from two different anatomy curricula and multiple medical specialties

In 2004, the University of Michigan Medical School reduced its gross anatomy curriculum. To determine the effect of this reduction on resident perceptions of their clinical preparedness, we surveyed alumni that included residents from the original and new shortened curricula. A Likert-scale survey was sent to four classes of alumni. Respondents were compared in old curriculum (OC) and new curriculum (NC) groups, surgical specialty (SS) and nonsurgical specialty (NS) groups, and subgroups of SS and NS were compared for differences between OC and NC. Mean response scores were compared using independent samples T-tests. As a single population (n = 110), respondents felt their anatomy education prepared them well for residency, that a more robust anatomy curriculum would be helpful, that dissection was important to their residency preparation, and that a 4th year anatomy elective was effective in expanding their anatomy education and preparing them for residency. No significant difference existed between OC and NC groups, neither as a whole nor as SS and NS subgroups. The SS group felt dissection was more important to their residency preparation than the NS group (P = 0.001) and that a more robust anatomy curriculum would have better prepared them for residency (P = 0.001). Thirty percent of SS respondents who did not take a 4th year elective commented that they wish they had. Fourth year anatomy electives were highly valued by residents, and respondents felt that they should be offered to students as a way of revisiting anatomy following the 1st year of clinical training.     

试论体育新闻报道的二律背反现象

立足当前体育新闻报道发展的实践,详细分析了体育新闻报道中的二律背反(即专业化和去专业化并存)现象及其产生的原因。此基础之上,还针对当前体育新闻报道存在的误区进行了探讨,以期为当前中国体育新闻报道实践提供一定的指导。     

中国的人体组成学研究:回顾与展望

人体组成学是人体生物学的分支学科之一,主要研究人体内诸多组分的含量与分布、组分之间的数量关系、在活体中测定人体组分的方法、以及体内外各种因素对组分含量的影响。研究人体组成不仅具有生物学意义,也与提高国民体质、增进健康、治疗疾病密切相关。进入21世纪以来,海峡两岸对人体组成的研究呈快速发展的态势,每年平均发表58篇论文,约占全世界此领域论文总数的3.9%。这表明两岸的人体组成学研究,已在世界上占有一席之地。中国对人体组成的研究主要集中在3个方面：对中国人群身体组成特点的研究、对运动与身体组成关系的研究、以及对疾病与身体组成关系的研究。未来,两岸的人体组成研究应该在多方位发展,特别是研究更多的身体组分（如骨骼肌与内脏脂肪组织）、应用先进的测定方法、以及探讨黄种人的身体组成特点。第9届国际人体组成学研讨会于2011年在杭州举行,这必将进一步促进海峡两岸人体组成学研究的发展。     

Using clinical guidelines to assess the potential value of laboratory medicine in clinical decision-making

IntroductionIt is often quoted that 70% of clinical decisions are based on laboratory results, but the evidence to substantiate this claim is lacking. Since clinical guidelines aim to document best-practice decision making for specific disease conditions, inclusion of any laboratory test means that the best available evidence is recommending clinicians use it. Cardiovascular disease (CVD) is the world’s most common cause of mortality, so this study reviewed all CVD guidelines published by five national/international authorities to determine what proportion of them recommended laboratory testing.Materials and methodsFive leading CVD guidelines were examined, namely the European Society of Cardiology (ESC), the UK National Institute for Health and Clinical Excellence (NICE), the American College of Cardiology (ACC), the Australian Heart Foundation (AHF) and the Cardiac Society of Australia and New Zealand (CSANZ).ResultsA total of 101 guidelines were reviewed. Of the 33 individual ESC guidelines relating to CVD, 24/33 made a direct reference to the use of clinical laboratory tests in either diagnosis or follow-up treatment. The same applied to 15/20 of NICE guidelines, 24/32 from the ACC and 15/16 from the AHF/CSANZ. Renal function and blood count testing were the most recommended (39 and 26 times), with lipid, troponin and natriuretic peptide measurement advocated 25, 19 and 19 times respectively.ConclusionsThis study has shown that laboratory testing is advocated by between 73% and 94% of individual CVD guideline recommendations from five national/international authorities. This provides an index to assess the potential value of laboratory medicine to healthcare.     

高职临床医学专业实习教学与管理问题及对策分析

临床实习的效果直接影响毕业生的专业素养和医疗服务水平。该文通过对高职临床医学专业实习存在的管理体制不健全、理论与实际脱节、实习教学模式与学生需求不符等问题的分析,提出推动医教深度融合、强化实习生在校期间的岗位适应能力培养、结合高职临床专业学生的职业定位、制定合理的实习培养模式等策略,以促进临床实习效果的提升。