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.     

图书馆借助新媒体传播科学文化的实践研究——以中国科学院文献情报中心“科学人讲坛”为例

[目的/意义] 以"科学人讲坛"在"新媒体+科学文化内容"方面的有序推进为主要案例，论述新媒体技术在图书馆科学文化传播活动中的具体应用，找到专业图书馆科学文化传播工作优势及发展方向。[方法/过程] 梳理"科学人讲坛"讲座内容、推送渠道及观看数据，通过数据分析影响科学文化传播效果的主要因素。[结果/结论] 新媒体及时、灵活、强互动等特性在科学文化传播工作中起到了良好的效果。图书馆的服务意识、丰富馆藏及科学人文精神与新媒体技术优势的结合，使科学文化传播工作中公众的参与兴趣得到了极大提升，拉近了科学与公众间的距离，提高了科学文化传播效果。     

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。     

Genetic Polymorphism of Angiotensin II Type 1 Receptors and Their Effect on the Clinical Outcome of Captopril Treatment in Arab Iraqi Patients with Acute Coronary Syndrome (Mid Euphrates)

Genetic variation in the angiotensin II type 1 receptor (AT1R) has an important effect on the outcome of acute coronary syndrome (ACS) initiated treatment with captopril. This study aims to investigate the impact of genetic polymorphism of AT1R (rs5186 and rs275651) on the ACS outcome in Iraqi patients treated with captopril. A total of 250 Iraqi individuals with ACS were included in this case—control study and they were divided into two study groups; Study group 1 included 125 participants who were prescribed captopril, 25 mg twice daily and study group 2 included 125 participants who received no captopril as part of their ACS treatment (control study). The AT1R gene (rs5186) CC genotype was found to be associated with ST-elevation myocardial infarction (STEMI) (Odd’s ratio (O.R) = 1.2, P = 0.7), while AC was associated with Non-ST-elevation myocardial infarction (NSTEMI) and unstable angina (UA) (O.R = 1.2, P = 0.8). AC genotype is more prone to have Percutaneous coronary intervention (PCI) after ACS attack (O.R = 1.2, P = 0.6). CC genotype had a risk to get less improvement (O.R = 1.6, P = 0.5), so might require higher doses of captopril during acute coronary insult. The AT1R gene (rs275651) AA genotype was associated with UA (O.R = 1.3, P = 0.9). AA and AT genotypes were more prone to have PCI after ACS attack (O.R = 3.9 P = 0.2, O.R = 3.5, P = 0.3 respectively) and thus requiring higher doses of captopril. We conclude that the AT1R rs5186, rs275651 genetic polymorphisms might partially affect the clinical outcome of ACS patients treated with captopril and might have captopril resistance which requires higher doses.     

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。     

下一代图书馆系统平台的实践与思考

[目的/意义]大数据与人工智能等技术为图书馆智慧服务带来机遇与挑战，图书馆新系统平台建设刻不容缓。旨在探讨下一代图书馆系统平台发展现状及对策，为建设一流高校智慧图书馆提供实践案例与参考依据。[方法/过程]梳理图书馆系统平台发展脉络，在盘点现有的国内外下一代图书馆系统平台的研究与实践的基础上，以南京大学为例，探索图书馆新系统平台的建设方案。[结果/结论]智慧图书馆将通过建设一体化电子资源管理平台并打造NLSP，提升图书馆资源管控和知识服务水平，构建开放共享的智慧图书馆服务体系。     

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.     

习近平新时代体育强国思想的马克思唯物主义立场及价值引领

运用文献资料法、辩证分析法、逻辑推理法等研究方法，对习近平新时代体育强国思想的马克思唯物主义立场进行了演绎与阐释。研究认为：在马克思唯物主义立场层面，习近平新时代体育强国思想坚持体育强国梦与实现中华民族伟大复兴中国梦一脉相承的历史唯物主义立场和普遍联系的辩证唯物主义立场；坚持在体育强国建设进程中遵循问题导向的唯物主义本体论立场；坚持体育强国建设要利用好国际与国内两种资源的唯物主义内外因辩证关系的立场。在新的历史时期，习近平新时代体育强国思想引领着竞技体育、群众体育、体育产业等领域的发展理念和价值，创新与发展了马克思主义哲学的实践结构和理论视角，为开创新时代中国特色社会主义体育事业的新局面提供了坚实的理论基础和实践支持。