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   

Effect of different loading conditions on running mechanics at different velocities     

Germán Carretero-Navarro  Doménico Cherubini  Wolfgang Taube 《European Journal of Sport Science》2019,19(5):595-602

Weighted vests are widely used to improve running economy and performance. However, it is not well-studied how running mechanics are adapted to counteract the higher peak vertical ground reaction forces (Fpeak) while running with such a device. Therefore, the present study aimed to investigate the effects of different loading conditions on running mechanics at different velocities. Thirteen subjects participated in two separate sessions one week apart. In the first session, maximal aerobic speed (MAS) was determined through a maximal incremental running test while in the second session, they were instructed to run during one minute under different loading (0%, +10% and +20% of body mass [BM]) and velocity (60%, 80% and 100% of MAS) conditions in a random order. Spatiotemporal data were recorded and then running mechanics modelled using the spring-mass model. The main results indicated that vertical and leg stiffness (Kvert and Kleg, respectively) were increased (P?P?>?.05) when load was changed. At the same time, alterations of the running kinematics were observed such as longer contact times, reduced flight times, stride frequencies and step lengths, as well as an increase of the centre of mass dynamics. Based on these results it is assumed that runners maintain a certain stiffness level for each velocity despite different loading conditions. As a consequence, Fpeak increases and this probably causes spatiotemporal adjustments in the movement kinematics.  相似文献   

Recording the war effort: immigrant communities in Latin America and the memory of the Great War     

María Inés Tato 《档案与原稿》2020,48(2):200-215

ABSTRACT

This paper aims to analyse the initiatives undertaken by some immigrant communities residing in Latin America to record their mobilisation around the First World War. After the armistice, European communities in Argentina, Bolivia, Brazil, Chile, Mexico, Paraguay, Peru, Uruguay and other countries gathered detailed information about their activities during the conflict, published as profusely illustrated books of remembrance, offered to their governments as proof of their loyalty. The article intends to establish the peculiar nature of these publications as records of the war effort, and analyse the agents and processes of their elaboration, and their role as commemorative but also as archival documents.  相似文献   

Role Development in the Managed Care Era: A Case of Hospital-Based Nursing     

Julie Apker 《Journal of Applied Communication Research》2001,29(2):117-136

Managed care poses numerous opportunities and challenges for today's health care organizations and their employees. This article investigates the ways that hospital nurses develop and make sense of their professional roles and organizational environments in a changing and often uncertain managed care setting. The case study approach used in this research combined qualitative methodologies to gain a rich, detailed, and contextual understanding of nurses' work roles and organizational experiences. After an analysis of interviews with 24 nurses and observations of nurses' communicative activities on one inpatient unit, the complexity of sensemaking and role development in a managed care environment is considered. Conclusions are then drawn regarding the theoretical and pragmatic implications of nurses' communicative processes, as they attempted to develop and understand their roles in a changing organizational context.  相似文献   

Victor Mercante (1870–1934)     

Inés Dussel 《Prospects》1996,26(2):413-431

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Relating college outcomes and activities to postgraduation success     

Michael K. Smith  Julie Thomas 《Assessment Update》1992,4(4):9-9

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Early Literacy Skills in African-American Children: Research Considerations     

Julie A. Washington 《Learning disabilities research & practice》2001,16(4):213-221

The poor reading achievement of African-American children in urban schools is well established. African-American children from low-income homes may be at particular risk for reading difficulties, although middle-income children often fare poorly as well. Intervention efforts have focused on children in kindergarten through fifth grade. This article suggests that prevention efforts must begin prior to kindergarten entry. Several key variables that may influence young children's performance, including poverty, general oral language skills, dialectal variations, home literacy practices, standardized testing bias, and teacher expectations, are explored. Future directions for research addressing emergent literacy in African-American children are discussed throughout.  相似文献   

La formation a Bukavu au Zaire: une course entre l'education et la catastrophe     

Bazilashe Juvénal Balegamire 《International Review of Education/Internationale Zeitschrift für Erziehungswissenschaft/Revue internationale l'éducation》1996,42(6):563-579

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Archival theory in Italy today     

Donato Tamblé 《Archival Science》2001,1(1):83-100

Archival theory in Italy has a long tradition, going back as far as the second half of the nineteenth century, and with roots in the 17th and 18th centuries. Central theme in the theory is themetodo storico, the principle of provenance, for the first time expressed in the late 19th century by Bonaini and Bongi. In the following decades archivists like Casanova and Cencetti were among the leading authors. Elio Lodolini assigned himself the task to synthesize ideas and notions, within a clear distinctions between records (registratura) and archives. One of the overall characteristics of the rich Italian literature is the stressing of the cultural value of archives. I have twice treated before the theme of archival theory in Italy from the fifties up to the nineties. The first time on the occasion of the 25th anniversary of theScuola speciale per Archivisti e Bibliotecari dell'Università degli Studi “La Sapienza” di Roma in 1989, when there was an international round table on archival science in the State Archives of Rome. My essay,Italian archival science today, has been published in the proceedings of the meeting (cfr. Donato Tamblé,L'archivistica in Italia oggi, inStudi sull'archivistica, by Roma: Elio Lodolini, 1992). Some years later, in 1993, I published a book on contemporary Italian archival theory (Donato Tamblé,La teoria archivistica italiana contemporanea (1950–1990). Profilo storico-critico (Roma, 1993) which was the sequel to the volume of Elio Lodolini on Italian archival history — (Lineamenti di storia dell'archivistica italiana (Roma, 1991). The purpose of my book was that of locating and identifying the scientific object of archival science as it developed and was clarified in the thinking and in the lucubration of the contemporary Italian Archivists.  相似文献   

The statistician's role in society: The institutional establishment of statistics in France     

Lécuyer BP 《Minerva》1987,25(1-2):35-55

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