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1.
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. 相似文献
2.
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
3.
体医融合和非医疗健康干预可以有效促进疾病管理与健康服务模式的形成,但体医融合项目治理初期仍然受到理念融合、体医融资、部门协同等因素的影响。该文以病毒、人体免疫与体育运动的体医融合关系视角,依据共生理论对体医融合项目的风险治理逻辑进行了阐述。采用文献资料法、数理统计法等对体医融合项目风险治理的相关个案进行了整理,并基于NVIVO11.0质性分析软件对体医融合个案进行识别分析,构建了体医融合项目风险治理的影响因素评价指标体系,包括13个一级指标30个二级指标。最后提出了体医融合项目风险治理的路径选择(1)将体医融合理念提升至构建公共卫生保障体系战略的高度;(2)落地变现体医融合项目购买方案;(3)打造政府精准购买体医融合项目区块链。 相似文献
4.
Child maltreatment is a complex and multifaceted construct in need of advanced statistical techniques to improve its measurement. The current study compared the predictive utility of a cumulative index to a factor analytic approach for constructing a measure of maltreatment. Data were from Waves III and IV of the National Longitudinal Study of Adolescent to Adult Health (Wave III: n = 14,800; Wave IV: n = 12,288). As adults, participants retrospectively reported on their childhood experiences of physical abuse, sexual abuse, emotional abuse, physical neglect, supervisory neglect, and social services investigations. Both the cumulative index and a two-factor solution showed evidence of convergent validity, predicting lifetime incidence of homelessness, being paid for sex, and various measures of running away or living apart from biological parents, and prospectively predicting depression, substance use, and criminal behavior. The latent variables, derived from a factor analytic approach, had greater explanatory power for many outcomes compared to the cumulative index, even when controlling for sociodemographic variables. Results suggest that factor analysis is a better methodology than a cumulative index for measuring maltreatment in large datasets when explanatory power for external outcomes is of greatest concern. 相似文献
5.
Thomas H. Champney 《Anatomical sciences education》2019,12(4):432-434
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. 相似文献
6.
7.
信息时代的医学资料室与人文精神 总被引:3,自引:0,他引:3
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。 相似文献
8.
苏华 《济宁师范专科学校学报》2004,25(6):77-78,80
入世后,我国的市场适步向国际开放,我国企业也在不断走向国际市场。国际交易的频繁发生,不可避免地会对跨国企业集团产生一些影响。其中,汇率风险对任何跨国企业来说,都是一个不可避免的问题。那么,就目前而言,跨国企业面临的风险有哪些,如何去规避或降低这些风险,笔者就此作一些简单的分析,供大家参考。 相似文献
9.
循证医学和医学论文中统计学问题编辑鉴定的必要性 总被引:11,自引:4,他引:7
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。 相似文献
10.