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1.
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. 相似文献
2.
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. 相似文献
3.
心血管疾病(cardiovascular disease,CVD)是包括动脉粥样硬化、心力衰竭、心脏缺血后再灌注损伤和心肌梗死等血管和心脏的复杂病症。血管内皮细胞、平滑肌细胞和心肌细胞生理功能障碍是诱发CVD的关键因素。研究表明,运动能够对心脏和动脉的形态、功能起到积极的调控作用,可作为CVD非药物疗法的重要手段之一。运动可通过调控多种运动因子的表达水平,如肌肉分泌的Fstl1、Irisin和MSTN,脂肪分泌的Omentin、Apelin、CTRP3和CTRP9,肝脏分泌的FGF21、ANGPTL3和ANGPTL4等,进而调控血管内皮细胞、平滑肌细胞和心肌细胞的分化、增殖和凋亡,从而发挥其防治CVD作用。本文试图梳理肌肉、脂肪和肝脏分泌的运动因子与调控心脏和动脉功能之间的相关信号通路及其机制,为运动干预防治CVD提供新的思路。 相似文献
4.
为了探究大学生孤独感、手机成瘾倾向和生命意义感之间的关系,采用UCLA孤独量表、大学生手机成瘾倾向量表、人生意义感问卷,选取408名大学生作为被试进行问卷调查。结果发现:(1)孤独感与手机成瘾倾向呈显著性正相关,生命意义感与手机成瘾倾向呈显著性负相关,孤独感和生命意义感相关性不显著;(2)孤独感和生命意义感都显著预测手机成瘾倾向,生命意义感在孤独感和手机成瘾倾向之间的调节效应显著,低生命意义感大学生的孤独感对手机成瘾倾向的预测力更强。因此,大学生的孤独感能正向预测手机成瘾倾向,生命意义感能调节二者之间的关系,低水平的生命意义感会加剧孤独感对手机成瘾倾向的预测作用,而高水平的生命意义感会使孤独感对手机成瘾倾向的影响较小。 相似文献
5.
Thomas H. Champney 《Anatomical sciences education》2019,12(4):432-434
The value that willed body donors provide to medical education is priceless. Their precious gift helps to teach anatomy, spatial relationships between morphological structures, anatomical variation, and professionalism to medical students in a way that plastic models, podcasts, and lectures cannot. They are also an important resource for medical research and a wide variety of postgraduate training opportunities. While many body donation programs throughout the world are nonprofit organizations, there are body donation companies in the United States that sell donors for-profit. These “body brokers” have accumulated large profits from this business. It is incongruous that others would profit from such a priceless, freely donated gift. To prevent this incongruity, it is proposed that the international anatomical community develop a normative culture (a bioethos) for body donation programs. This would involve the conscious and systematic development of ethical principles for the day-to-day policies and practices of institutions that collect and use human bodies. With the development of this bioethos, a cultural shift in how donors are treated would occur and, over time, this would become the normal practice. These principles would become fundamental and foundational for the procurement and use of priceless human tissues. 相似文献
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7.
信息时代的医学资料室与人文精神 总被引:3,自引:0,他引:3
针对信息时代技术主义的上亢和医疗行业中一些有违人愿的现象,认为医学资料室在高扬人文精神的同时应倡导医学人道精神、善美人格精神、敬业奉献精神和开拓、进取、创新精神。 相似文献
8.
循证医学和医学论文中统计学问题编辑鉴定的必要性 总被引:11,自引:4,他引:7
介绍循证医学这一新兴学说及其对21世纪临床医学的影响,指出为适应这一转变,开展医学论言语中统计学问题的编辑鉴定研究的必要性,开展此项研究可以:1)普及医学统计知识,2)提高临床与科研水平,3)提高作者撰写与阅读能力,4)提高医学期刊质量,5)丰富编辑学研究的内涵,并指出了编辑鉴审研究的初步思路。 相似文献
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10.
国外部分医学期刊发表专家或用户对论文的评论,受到读者的欢迎。国内这方面的尝试不多。发表评论可间接培训作者群、吸引和挖掘优秀稿件、增强期刊的可读性,从而提高期刊质量。建议医学期刊积极探索这一方式。 相似文献