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.     

在线健康社区用户个人健康信息管理行为特征研究

[目的/意义] 旨在对在线健康社区用户的个人健康信息管理行为特征进行分析，并在此基础上，对"平台-PHIM-健康目标"这一模式中的元素之间的关系进行探讨。[方法/过程] 选择患有红斑狼疮的在线健康社区用户作为调查对象。采用聚类方法对个人健康信息管理行为的总体测度水平不同的群体进行识别；利用单因素方差分析（One-way ANOVA）对不同群组进行比较研究。[结果/结论] 将依托在线健康社区进行的个人健康信息管理行为界定为健康信息发现、健康信息互动和健康信息分享。从数据分析结果来看，首先，在线健康社区的红斑狼疮患者在个人健康信息管理行为水平上存在显著的高低差异。第二，用户所感知到的社会支持与其个人健康信息管理水平存在正相关关系。第三，个人健康信息管理与用户健康目标之间存在正相关关系。本研究为在线健康社区完善其服务方式，促进慢性病人个人健康信息管理水平提高提供合理建议。     

新时代我国少数民族地区体育公共服务分层治理研究

采用文献资料法等研究方法对新时代我国少数民族地区体育公共服务分层治理进行研究，旨在为提高我国少数民族地区体育公共服务质量和建设体育强国提供建议。研究认为，少数民族地区体育公共服务分层治理是基于我国社会分层的现状以及各阶层体育需求和参与特征存在的差异而采取的差异性治理方式，分层治理有"因层制宜"的意蕴，有利于促进我国少数民族地区体育公共服务均等化和改变少数民族地区体育公共服务"供给不足"和"供非所需"的困境。现阶段我国少数民族地区体育公共服务分层治理的思路包括明确少数民族地区体育公共服务分层治理主体责任、完善少数民族地区体育公共服务分层治理资金保障机制、积极探索少数民族地区体育公共服务分层供给方式、构建少数民族地区体育公共服务分层治理协商机制、建立少数民族地区体育公共服务分层供给绩效评价体系。     

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。     

奥运会对提升国民凝聚力心理因素的分析

以哲学和社会学为视角 ,以社会心理学、心理学理论和体育学为基础 ,运用文献法、访谈法和比较法等方法 ,对奥运会提升国民心理凝聚力、凝聚力构成因素及条件、产生社会效益等问题进行分析 ,认为奥运会对振奋民族精神、唤醒民族意识、维系民族情感具有显著作用 ,同时也丰富凝聚力理论外延与内涵。     

加强和改进体育院校青年教师党员发展工作管见

按照“三个代表”的要求和与时俱进的观点，认为搞好体育院校青年教师党员发展工作，首先要统一思想，深刻认识其重要性和紧迫感；第二，正视现实，增强其主动性和责任感；第三，明确思路，抓住重点，扎扎实实把工作做细做好。围绕这三个方面，理论结合实践进行了分析与探讨。     

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。