Covid-19: Emerging Considerations for Body Sourcing and Handling. A Perspective View from Nigeria

The current Coronavirus disease (Covid-19) pandemic has spread to about 220 countries of the world and has resulted in a significant number of deaths globally. Infections are still on the rise, and the impact on the global death rate could be devastating. There are fears over the likely impact of a large number of deaths on body sourcing and handling of cadavers for teaching and research. Historically, epidemics come with several challenges and have often led to some level of negligence of ethical practices and health and safety regulations associated with body sourcing and handling. The authors highlighted some emerging problems in this article, focusing on Africa and Nigeria in particular. These problems include a higher risk of coronavirus exposure for body handlers, shortage of cadavers for teaching and learning, a lack of standard regulations leading to unethical body sourcing and handling, and a lack of monitoring and collaboration needed for a well-coordinated Covid-19 pandemic response strategy. If these issues are ignored, the previous gains made in anatomical ethical practices may be destroyed. Some useful recommendations for policymaking geared toward prevention or curtailing these emerging issues have been instilled in this article.     

The Unintentional Effects on Body Donation Programs of a Competency-Based Curriculum in Postgraduate Medical Education

As medical programs place increasing importance on competency-based training and surgical simulations for residents, anatomy laboratories, and body donation programs find themselves in a position of adapting to changing demands. To better assess the demand for “life-like” cadaveric specimens and evaluate the possible impacts that competency-based medical education could have upon the body donation program of McGill University, Canada, the authors tracked, over the course of the last 10 years, the number of soft-embalmed specimens, along with the number of teaching sessions and the residents enrolled in competency-based programs that are using cadaveric material. The results reveal that the number of soft-embalmed specimens used within residency training increased from 5 in 2009 to 35 in 2019, representing an increase from 6% of bodies to 36.5% of the total number of body donors embalmed in this institution. Correspondingly, the number of annual teaching sessions for residents increased from 19 in 2012 to 116 in 2019. These increases in teaching are correlated with increasing number of residents enrolled in competency-based programs over the last 3 years (Pearson r ranging from 0.9705 to 0.9903, and R² ranging from 0.9418 to 0.9808). Those results suggest that the new skill-centered curricula which require residents to perform specific tasks within realistic settings, exhibit a growing demand for “life-like” cadaveric specimens. Institutions’ body donation programs must, therefore, adapt to those greater need for cadaveric specimens, which presents many challenges, ranging from the logistical to the ethical.     

奇效骨伤散在治疗老年运动性骨损伤中的应用

老年运动性骨损伤是近期逐渐增多的疾患 ,本门诊部近 1年半以来接诊此类病人 38例 ,应用外敷自拟奇效骨伤散为主进行治疗 ,可迅速使骨折端达到牢靠连接 ,解除制动进行功能锻炼 ,肢体功能恢复快。与常规骨损伤疗效相比 ,疗程显著缩短 ,具快捷安全、方便经济、适用范围广等特点。优良率达 10 0 % ,且无明显并发症及后遗症。     

我国近10年运动医学临床论著的评价--统计方法评价

旨在了解我国运动医学临床论著的统计方法现状。本文采用普查法对近10年《中国运动医学杂志》和《体育科学》运动医学栏所刊出的临床论著的统计学方法进行评价。结果发现79．8％(190/238)论文使用了假设检验，其中40.5％(77／190)仅列P值而未说明统计方法；已列出方法论文中存在T检验泛用、条件不满足使用的假设检验方法等错误。提示统计方法中存在较多问题，有待提高。     

现代教育技术在运动解剖教学中的应用

采用问卷法和教学实验法对现代教育技术在运动解剖教学中的应用效果进行了研究。结果表明：现代教育技术能活跃课堂气氛，激发学生学习兴趣，变枯燥学习为愉快的教育，充分发挥学生的感官效应，使学生能开拓性地理解记忆和联想，让抽象变为直观和现实，教学效果明显优于传统教学。     

临床经验性论文的优化对策

比较全面地探讨医学期刊编辑对临床经验性论文的优化对策，包括消除消极的思维定势，提高编辑的知识“势能”，打好编辑的临床功底，增强编辑的选题组稿意识，编出期刊栏目的特色和转变偏颇的办刊观念等优化措施。这在实践意义上有助于医学编辑提高对临床经验性论文的认识，并采取有效措施提高论文和期刊质量，同时进一步丰富了科技写作、科技编辑方法论和编辑学研究的内容。     

结构式教学法在运动解剖学教学中的应用

依据运动解剖学学科特点以及传统教学法中存在的一些蔽病,采用实验对比法对结构式教学法在运动解剖学教学中的优越性和可行性作了论证.结果表明:采用结构式教学法的实验组的识记、理解、分析综合能力、期末考试成绩的平均分和及格率均明显优于采用传统教学法的对照组.该教学法尤其适合体育院校学生的特点,值得在我院运动解剖教学中推广应用.     

论文临床影响力评价及预测指标的实证研究——基于诺贝尔生理学或医学奖获得者成果的分析

在重大突发公共卫生事件的背景下,科技论文的临床应用价值被提到前所未有的重要位置。但如何评价这种类型的影响力以及有哪些有效指标仍需要深入挖掘与探索。引文桂冠奖是基于被引频次的诺贝尔生理学或医学奖的预测方法,而未被其预测却最终获得诺贝尔奖的原因可能是传统被引指标无法探测到论文的潜在临床影响力。本文引入美国NIH (National Institutes of Health)提出的论文临床转化潜力近似值指标（approximate potential to translate scores,APT）,选择诺贝尔生理学或医学奖得主的论文集为样本,比较被引文桂冠奖预测和未被预测两组作者论文集的总被引次数、加权RCR (relative citation ratio)、被临床论文引用次数、APT均值、Human均值、Animal均值、Mol/Cell (Molecular/Cellular)均值这7项指标,以及转化力三角形模型的差异与指标间的相关性。被预测获奖和未被预测获奖两组论文的总被引次数、加权RCR、Mol/Cell均值有显著差异,未被预测组的Human均值与Animal均值及中位数均高于被...     

Investigation of an Egyptian Mummy board by Using Clinical Multi-slice Computed Tomography

A modern approach to the diagnosis of artistic heritage makes use of non-destructive techniques which avoid damage to artworks or signs of interaction with the analytical technique used. For this reason, today, the employment of X-rays to study artistic heritage is quite widespread. Computed tomography (CT) Imaging was first used as specialized medical diagnostic tool in the early 1970s. Today, CT scanners have become more common, and non-destructive three-dimensional imaging has found an increasing number of uses in different areas such as materials research, geology, archaeology, and museum conservation. In this work, a new generation of clinical CT (based on the Dual Energy and multi-slice acquisition principle) is used to investigate an Egyptian wooden mummy board with a total acquisition time of 93.23 seconds and a voxel size of 0.078?×?0.078?×?1.5?mm. The use of two distinct techniques of image post-processing, the two-dimensional multi-planar reconstruction (MPR) and the three-dimensional volume rendering technique (VRT) allowed us to: evaluate the state of conservation of the mummy board, determine how the wooden object was implemented, recognize a nineteenth-century intervention of consolidation, and advance the hypothesis that the wooden planks were reused. In particular, we highlight the use of the cardiovascular and pulmonary filter with VRT reconstruction, which allows a virtual elimination of different parts of the mummy board to investigate those areas otherwise accessible only by removing parts of the board and thus damaging the work.     

Clinical Medical Librarian Licensure: Pros versus Cons

In hospitals and clinics, anyone who “touches” a patient has a license authorizing them to do so—from the phlebotomist to the cardiologist, from the genetic counselor to the social worker, and so on, except for the clinical medical librarian. This column discusses the intent versus the realities of occupational licensure for clinical medical librarians and provides recommendations for next steps.