The Unintentional Effects on Body Donation Programs of a Competency-Based Curriculum in Postgraduate Medical Education     

Geoffroy P.J.C. Noël  Joseph Dubé  Gabriel Venne 《Anatomical sciences education》2021,14(5):675-681

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.  相似文献   

A Symbiosis of Access: Proliferating STEM PhD Training in the U.S. from 1920–2010     

Fernandez  Frank  Baker  David P.  Fu  Yuan-Chih  Muñoz  Ismael G.  Ford  Karly Sarita 《Minerva》2021,59(1):79-98

Minerva - Over the course of the 20th century, unprecedented growth in scientific discovery was fueled by broad growth in the number of university-based scientists. During this period the American...  相似文献   

Teaching a blind student anatomy during the Covid-19 pandemic     

Georga J. Longhurst B.Sc. .  M.Sc.  P.G.Cert.H.B.E.  S.P.Cert.  F.H.E.A. 《Anatomical sciences education》2021,14(5):586-589

  相似文献   

Power training in elite young soccer players: Effects of using loads above or below the optimum power zone     

Irineu Loturco  Lucas A. Pereira  Valter P. Reis  Chris Bishop  Vinicius Zanetti  Pedro E. Alcaraz 《Journal of sports sciences》2020,38(11-12):1416-1422

ABSTRACT

This study aimed to examine the effects of two jump squat (JS) training programs involving different loading ranges in under-20 soccer players during a preseason period. Twenty-three elite young soccer players performed sprint speed (at 5-, 10-, and 20-m), change-of-direction (COD) speed, JS peak-power (PP), and countermovement jump (CMJ) tests pre and post four weeks of training. Athletes were pair-matched in two groups according to their optimum power loads (OPL) as follows: lower than OPL (LOPL; athletes who trained at a load 20% lower than the OPL) and higher than OPL (HOPL; athletes who trained at a load 20% higher than the OPL). Magnitude-based inferences were used to compare pre- and post-training measures. Meaningful increases in the PP JS were observed for both groups. Likely and possible improvements were observed in the 5- and 10-m sprint velocity in the LOPL group. Meanwhile, possible and likely improvements were observed in the CMJ, 5- and 10-m sprint velocity, and COD speed in the HOPL group. Overall, both training schemes induced positive changes in athletic performance. Soccer coaches and sport scientists can implement the JS OPL-based training schemes presented here, either separately or combined, to improve the physical performance of youth soccer players.  相似文献   

Trajectories of Adjustment in a Brazilian Sample of Street-Involved Youth     

Rebeca Fernandes Ferreira Lima  Marcela Raffaelli  Normanda Araujo de Morais  Juliana P. Santana  Carlos J. Nieto  Silvia H. Koller 《Child development》2020,91(4):1237-1253

Trajectories of adjustment were examined in a sample of street-involved youth across a 1-year period. Participants (N = 113; M_age = 14.18 years; 80.5% male, 91% non-White) were recruited in three Brazilian cities. Interviews conducted at three time points included six measures of physical and psychological adjustment. Unconditional growth models revealed linear declines over time (i.e., improved adjustment) on three indicators: health symptoms, sexual risk behaviors, and negative affect. There were no linear changes in drug use, positive affect, or life satisfaction. Conditional growth models revealed few significant effects for age or gender, but ratings of stressful life events moderated longitudinal changes in health symptoms, drug use, and negative affect. Implications for practice, policy, and theory are discussed.  相似文献   

Hypocalcemia in an 11 Year Old Child: <Emphasis Type="Italic">A Difficult Case to Treat</Emphasis>     

P. Purohit  D. Khera  K. Singh 《Indian journal of clinical biochemistry : IJCB》2018,33(4):489-490

Hypocalcemia is a laboratory and clinical abnormality that is observed especially in neonates and paediatric patients. Laboratory hypocalcaemia is often asymptomatic but it can manifest as central nervous system irritability, paraesthesia, tetany (i.e. contraction of hands, arms, feet, larynx, bronchioles), seizures, and even psychiatric changes in children. Cardiac function may also be impaired because of poor muscle contractility. We report a unique case of an eleven year old male child who presented with chronic kidney disease associated with severe hypocalcemia, tonic-clonic seizures, hypovitaminosis D but normal electroencephalogram and electrocardiography. The child required prolonged intravenous calcium gluconate therapy to correct his ionised calcium levels.  相似文献   

Inferno: an anatomy of American punishment     

Daniel P. Mears 《Journal of Criminal Justice Education》2018,29(2):318-320

  相似文献   

Experimental and Numerical Analysis of a Novel Display Case Design: Case Study of the Renovated Anne Frank House     

Karin Kompatscher  Bart Ankersmit  Edgar Neuhaus  Marcel A.P. van Aarle  Jos W.M. van Schijndel  Henk L. Schellen 《文物保护研究》2020,65(5):262-284

ABSTRACT

Many museums are housed in historic buildings, sometimes the building itself is part of the museum collection. Creating a stable environment by providing a nearly constant temperature and relative humidity at correct levels decreases the risk of object degradation. Maintaining this steady indoor environment, however, increases energy consumption and risks to the historic building. Museum display cases offer a solution to the mitigation of risks to which valuable objects may be subjected by providing an extra layer of protection to indoor climate fluctuations. The Anne Frank House is a historic house museum located in Amsterdam. The museum has undergone several renovations in the last years to deal with an increase in the number of visitors to over 1.2 million a year. The original diaries and other documents of Anne Frank are permanently on display in the Anne Frank House. With the recent refurbishment the possibility arose to design a new state-of-the-art display case. This study presents the results of the experimental research related to the design, performed in-situ. The temperature and relative humidity in the new exhibition space and inside the new display cases were monitored to gain insight into the hygrothermal behavior of these controlled environments. A complementary numerical study was performed to investigate effects of dynamic climate control of the exhibition gallery and climate conditions in the display case under various circumstances. Four main conclusions are presented in this paper. The investigated display case design is able to provide a stable relative humidity environment by means of silica gel, while using an active box-in-box climate control system to create stable temperature conditions. The inner case temperature depends on the temperature supplied by the display case air handling unit. Protocols must be in place in case of malfunction or failure of the climate control system of the display case. The air handling unit of the case needs to be shut off to create a passive environment for the objects on display until necessary actions are taken. Exhibition gallery set points can be less stringent when susceptible museum objects are on display in the display case. The environments are separated and provide an opportunity for energy saving set point strategies. The last conclusion drawn is that the numerical study provides valuable insight into imposing dynamic control of set points for temperature and relative humidity in the exhibition gallery and the effect on the display case environment.  相似文献   

Food (in)security communication: a Journal of Applied Communication Research forum addressing current challenges and future possibilities     

Megan K. Schraedley  Hamilton Bean  Sarah E. Dempsey  Mohan J. Dutta  Kathleen P. Hunt  Sonia R. Ivancic 《Journal of Applied Communication Research》2020,48(2):166-185

ABSTRACT

This forum brings together food, (in)security, and communication. The authors participating in this forum center communication as both process and tool for understanding, mitigating, and making meaning of food (in)security. The nine authors together discuss the role of communication in food (in)security, the central challenges for scholars and practitioners working on food (in)security, and the creative possibilities and impacts influencing the future of food (in)security. The forum produces a call for applied scholars to re-imagine communication frameworks in order to make meaningful differences in their communities.  相似文献   

Coronavirus disease(COVID-19):The need to maintain regular physical activity while taking precautions     

Peijie Chen  Lijuan Mao  George P.Nassis  Peter Harmer  Barbara E.Ainsworth  Fuzhong Li 《运动与健康科学(英文)》2020,9(2):103-104

The on-going Coronavirus disease(COVID-19)outbreak in China has become the world's leading health headline and is causing major panic and public concerns.On January 30,2020,the World Health Organization(WHO)declared that the new coronavirus outbreak is a public health emergency of international concern.1 The virus has already had a direct impact on more than 10 million people in the city of Wuhan and has reached other parts of China as well,posing a health threat of unknown magnitude globally.As of February 8,2020,WHO reported 34,886 confirmed cases of COVID-19 globally,with 34,589 of them occurring in China(including 6101 severe cases and 723 deaths).A total of 288 other confirmed cases(with 1 death)have been reported in 24 countries,including Japan,Australia,Germany,and United States.2 However,these daily estimates are expected to rise even higher as reports from health authorities in China3 are gathered and near real-time updates of the Johns Hopkins virus dashboard are made 4 The outbreak has caused governments in various countries to take swift and protective measures.In China,these included putting cities on lockdown,5 implementing travel wamings/bans and cancellations,6 extending national holidays,and closing schools and postponing classes7.  相似文献