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.     

数字内容产品版权保护的演化博弈分析

[目的/意义]基于版权保护的演化博弈分析，有助于探究数字内容产品的原创主体对仿冒行为是否具有容忍度，以及不同仿冒水平下实施版权保护的策略选择，对规范数字内容产品市场主体行为具有一定指导意义。[方法/过程]首先借助演化博弈模型，分析原创主体与仿冒主体的利益演化过程，探究版权保护下原创主体对仿冒水平的容忍行为；然后通过细化博弈双方的利润函数模型，探究原创主体容忍度水平的决定因素。[结果/结论]原创主体对较小的仿冒水平存在一定的容忍度，对较高的仿冒水平零容忍。最大仿冒水平容忍度由仿冒交叉收益系数、收益模型常系数、产品研发成本系数和原创主体的产品研发努力水平倍数4个因素共同决定。     

Meeting Information Needs through Global Partnerships: A Roadmap to Becoming a Global Health Sciences Library

Abstract

Supporting global health priorities through the development of robust health science librarianship partnerships is of significant importance. Increased demand for synthesizing evidence-based information, collating quality resources, and increasing research productivity to improve human health requires integration of library and information science skills and expertise. The Health Sciences Library (HSL) at the University of North Carolina at Chapel Hill (UNC), exists to be an indispensable partner in health information and knowledge, teaching and learning, and research. As global efforts at UNC expanded, the HSL sought to ensure that our global engagement strategy and integration were aligned with campus priorities and partner needs. The HSL created a global research partnership plan: identify resources that improve efficiency, increase access to information, build in-country capacity and expertise—all while strengthening collaborations across multiple countries. Creating a meaningful and sustainable engagement strategy was central to envisioning our path forward and can be used as a framework for consideration by librarians in similar settings.     

动态助词“来”的历时发展及其衰落动因考察

古代汉语中,"来"的用法异常复杂,仅其助词属性下就又可以细分出六七种不同的用法,但这些用法大多并未能沿用到现代汉语共同语中,这也包括用作动态助词的"来"。从历时发展来看,动态助词"来"产生之后,在唐五代、宋元、明清三个阶段的使用并未呈现出持续上升的态势,而是在共同语中逐渐衰落了,今天仅在偏南方的一些方言中还有所使用。作为动态助词,"来"的衰落动因是多方面的,既有"来"自身功能负担过重,以及在使用中受限制过多的内因作用,也有系统内部成员竞争的外因作用。     

Audience management,online turbulence and lurking in social networking services: A transactional process of stress perspective

In social networking services (SNSs), users’ unclear understanding of the large and invisible audience increases the chances of online turbulence, which is a key source of SNS-induced stress. This growing phenomenon has gained increasing attention in academia and industry due to the undesirable consequences for users and SNS platforms. In this study, we draw from the transactional model of stress to examine how audience management strategies impact online turbulence and lead to neglected unintended audience concern and lurking. We also investigate the role of self-monitoring as a stress inhibitor. We test our model with data collected from 301 SNS users. The results show that the four types of audience management strategies have different effects on online turbulence, which significantly impacts neglected unintended audience concern especially when users have high self-monitoring skills. We believe that this work contributes, both from scientific and practical standpoints, to the understanding of the interventions and stressful responses of online turbulence in SNSs.     

美国体育小镇的运行机制及其对中国的启示

体育是美国人生活中不可或缺的一部分，发达的体育文化为美国小镇体育的繁荣奠定了基础。研究以美国体育小镇为对象，运用文献资料、实地考察、逻辑分析及ArcGIS地理信息绘图等方法和技术对美国体育小镇进行了研究。结果表明：美国体育小镇的布局属非均匀化发展，存在东强西弱，南强北弱的特点且表现出"马太效应"。进而从社会学的角度分析了美国体育小镇运行的外部环境和内在动力机制，并以典型案例对体育小镇运行特点进行了剖析。建议我国体育小镇的建设应从目标引领、政策驱动、环境支持、形成正反馈循环和塑造灵魂等方面思考以推动体育小镇的建设。     

不同负荷运动训练对大鼠骨骼肌线粒体三羧酸循环的影响及其机制研究

目的：探讨不同负荷运动训练对大鼠骨骼肌线粒体三羧酸循环的影响及其机制。方法：将雄性Wistar大鼠50只随机均分为5组：安静对照组（C）、低负荷运动训练组（LT）、中等负荷运动训练组（MT）、高负荷运动训练组（HT）和极高负荷运动训练组（ST），每组10只。各运动组分别进行6周的跑台运动训练。训练方案结束后，取腓肠肌样本，提取线粒体，测定线粒体柠檬酸合成酶（CS）、异柠檬酸脱氢酶（ICD）和α-酮戊二酸脱氢酶（α-KGDHC）活性；线粒体Ga²⁺含量、胞浆NADH、NAD⁺、ATP和ADP含量，以及ICD mRNA转录水平。结果：（1）不同负荷运动训练组线粒体CS、ICD和α-KGDHC的活性均显著高于安静对照组（P < 0.01），且CS和ICD活性由高到低顺序均为：MT组 > HT组 > ST组 > LT组 > C组，α-KGDHC活性由高到低顺序为：HT组 > MT组 > ST组 > LT组 > C组。（2）不同负荷运动训练组线粒体Ca²⁺ 含量均显著高于安静对照组（P < 0.01），其含量由高到低顺序为：MT组 > HT组 > ST组 > LT组 > C组；胞浆NADH/NAD⁺和ATP/ADP的比值均显著低于安静对照组（P < 0.01），其比值由低到高顺序为：MT组 < ST组 < HT组 < LT组 < C组。（3）不同负荷运动训练组ICD mRNA转录水平均高于安静对照组（P < 0.01），其水平由高到低顺序为： MT组 > HT组 > ST组 > LT组 > C组。结论：低负荷、中等负荷、高负荷及极高负荷运动训练均可提高大鼠骨骼肌线粒体三羧酸循环功能，且中等负荷运动训练效果最佳。其机制与胞浆NADH/NAD⁺和ATP/ADP比值、线粒体摄钙能力及限速酶基因的表达有关。     

高职院校顶岗实习管理机制构建探析

顶岗实习是实现高职人才培养目标的重要途径。鉴于当前高职顶岗实习中学校、学生及教师各层面都存在的问题,重新设计了顶岗实习的流程体系,通过校、企、师、生、家五方联动,构建了五途径保障实习岗位、两维度驱动实习成效、四层次规范实习管理、三主体强化实习评价的“五二四三”顶岗实习模式,实现学生、企业、教师、家长、导师和学校的六方共赢。     

欧洲阅读联盟(EURead)推广阅读活动与启示

[目的/意义]欧洲阅读联盟是欧洲社会力量开展阅读活动的母平台，联盟成员所开展的阅读活动既有差异，也有共性，社会影响力大。通过对欧洲阅读联盟成员所办阅读活动及其规律的分析，可为我国公共图书馆主导与开展阅读活动提供借鉴。[方法/过程]概述欧洲阅读联盟，对其成员类型进行解析，并对每一成员的阅读项目进行共性分析，凝练出阅读活动的经验及规律。[结果/结论]我国应建立多级阅读推广力量，建立政府购买阅读服务长效机制，开放图书馆的阅读活动空间，提升阅读活动频率，开发多样化、差异化的阅读活动。