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.     

A Bioethos for Bodies: Respecting a Priceless Resource

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.     

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。     

新旧《全国普通高等学校体育课程教学指导纲要》的比较分析研究

对新旧《全国普通高等学校体育课程教学指导纲要》进行比较分析研究发现,新旧《纲要》既有相同点,又有不同点,但新《纲要》更具发展创新点。它条款增多,定位更加准确,体现了科学性;容量增大,内容更加全面,反映了系统性;文字充实,叙述更加条理化,突出了指导性。     

信息时代的医学资料室与人文精神

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。     

中、美、日体育学科硕士研究生课程设置的比较研究

用文献法、比较法调查和Internet查询等方法,对中、美、日等国体育学科硕士研究生课程设置进行比较分析,旨在为改进我国研究生课程设置提供参考。结果显示:通过对三国体育学科研究生课程从基础理论、专业、相关学科、学科前沿知识及科研能力培养等方面进行分析,美国、日本注重实践能力的培养,我国注重理论知识的培养。结论:根据我国研究生教育的实际情况,提出改进课程设置的建议。     

从基础教育与高等教育课程发展与人才递进的关系问题--略谈我国基础教育中体育与健康课程改革的程序问题

就我国基础教育课程改革体育与健康课程的构建问题,提出了基础教育课程改革与高等教育课程改革的程序问题,指出了我国高等教育课程改革的滞后现象。     

关于建国以来高校体育专业<体操>教材的研究

对建国以来 5种版本的全国高校体育专业《体操》教材进行比较 ,分析了章节内容、教材特点和结构比例 ,认为各版本教材反映了体操学科知识的系统性和我国体操理论及技术发展的时代特征 ;各版本章节内容的侧重面体现了各历史阶段高校体育专业的教改要求 ,适合体育专业的培养目标 ,教材的发展已形成”体院”和”高校”版二种体系。提出了在 2 1世纪体操教材建议中应探讨的若干问题     

对《全国普通高等学校体育课程教学指导纲要》的理性认识

《全国普通高等学校体育课程教学指导纲要》是对我国高校体育课程长期以来建设经验和教学改革成果的提炼与总结，通篇贯穿了“以人为本，健康第一”这条主线，体现了“素质教育”和“终身体育”的指导思想，注重理论与实践的结合。原则性与灵活性的统一，具有很强的针对性和指导作用．但目前人们对《纲要》仍然存在许多认识上的误区和理解上的偏差，严重阻碍《纲要》的贯彻实施，本文从课程性质、课程目标及实现目标的基本途径三个方面对强纲要》进行理性认识，以期赢得广大同仁的强烈共鸣，为《纲要》在全国普通高等学校中顺利施行打下坚实的理论基础。