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。     

我国职业篮球俱乐部运行管理中的法律问题研究

从职业篮球俱乐部的成立、我国职业篮球俱乐部的外部关系、与运动员有关的法律问题、与我国职业篮球俱乐部经营开发有关的法律法规以及关于体育纠纷的问题五个方面进行论述 ,寻求适合我国职业篮球俱乐部的发展道路     

二次曲线拟合算法的统计性能分析与改进

传统的二次曲线拟合使用标准特征值分析算法。通过统计分析技术 ,可知该技术在拟合数字二次曲线时 ,存在估计偏差大、均方误差大的缺点。其产生原因是数据噪声的有色性和自相关函数矩阵的条件数过大 ,因此白化数据噪声和正则化变换是提高曲线拟合的有效措施。这从理论上有力地支持了Hartley提出的正则化算法。通过理论分析和计算机仿真实验 ,表明了降维EVD技术固有地同时具备噪声预白化功能和数据正则化功能 ,因此它能给出均方误差相当小的无偏估计。由于它无须进行预白化变换或正则化变换 ,并把最优化过程的维数从 6降为 2 ,所以它还具有计算快速、实现简单方便的优点。     

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。     

我国弱势群体诱发的危机类型与政府治理

在我国,弱势群体主要是指国企的下岗职工、失去土地的农民、城镇的失业者和半失业者、从农村流向城市的农民工和无业者、农村的“五保户”和贫困户、城镇的贫困人口及靠政府低保生活者、农村的辍学者及在校的贫困生。按“弱势群体”诱发危机造成的结果,危机可分为贫困危机、社会秩序危机、犯罪危机和认同危机等类型。政府可以通过提供公共政策支持、整合社会力量、转变政府职能和实现自身改革、构建危机预警机制等在弱势群体诱发危机的治理中发挥主导性作用。     

从比赛成绩分析我国竞技散打的现状及发展对策

对我国散打运动员在国内、外比赛所取得的成绩进行对比分析,得知我国在国际散打领域的现状及地位,并客观分析了在国际武术迅速发展的前景下,我国竞技散打面临的挑战。通过论证发现由于我国散打在赛制及选用规则等方面与国际比赛存在差异,从而导致有关比赛失利。为加快我国竞技散打发展的步伐,巩固我国在国际散打领域的领先地位,提出我国竞技散打的发展对策。     

循证医学和医学论文中统计学问题编辑鉴定的必要性

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。