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。     

赛艇技术诊断人机智能决策支持系统的研制与开发

针对目前赛艇技术诊断专家系统(RTDS)中存在的过分强调计算机的智能和人机功能的不协调问题，指出专家的一部分智能(指与专家经验有关的能力)与认识主体是不可分的，计算机是不能够代替专家的。认为只有人机合理分工，相互协调，才能从根本上提高决策支持系统的智能。研制人机智能决策支持系统的目的，就是为我国赛艇项目的技术训练提供一种切实可行的诊断方法。     

孔令辉正手近台反冲前冲弧圈球技术的运动学分析

运用三维摄影与影片解析技术，对孔令辉正手近台反冲前冲弧圈球技术进行了定量分析与研究，第一次较完整地阐述了横拍反胶快攻结合弧圈选手正手近台反冲前冲弧圈球技术的特点与规律，结果显示，该项技术具有动作幅度较小，瞬间发力集中，回球速度快等特点。     

对我国掷标枪后备人才最后用力投掷技术的探讨

对中国优秀青少年标枪运动员的技术进行分析,分析我国的青少年标枪运动员的掷标枪技术不十分理想。主要表现在:最后用力时的右脚着地发力不积极;左膝关节弯曲过大,并在出手时没有充分伸展;投掷手臂没有明显的延迟动作。     

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。     

我国优秀蹦床运动员网上非技术性位移的初步研究

采用文献资料、现场观察、专家访谈、数理统计等研究方法 ,对我国高水平蹦床运动员网上水平位移现象进行初步研究。认为位移过大是影响成套动作稳定性及动作质量的重要因素之一 ;位移过大与起跳技术和连接技术不合理有关 ,也与运动员原有项目技能的负迁移影响有关 ;网上位移表现为一定的方向性 ,向前空翻类动作的水平位移略小于向后空翻类动作的位移。     

对我国部分优秀女排队员跑步移动拦网技术的运动学分析

拦网是排球运动技、战术的重要组成部分。目前，在拦网技术中以双人拦网最为常见，尤其是在对方4号位的扣强攻球（即一般强攻扣球）时。其中3号位队员向2号位移动拦网是组成双人拦网的关键。应用DLT法，通过对辽宁与天津队的副攻队员在3号位向2号位移动拦网的整个动作进行分析，揭示移动拦网技术的运动学特征。探讨影响动作效果的有关运动学因素，为今后的教学和训练提供参考。