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1.
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
2.
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?.001) as velocity increased but remained unaltered (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
3.
Piret Luik Reelika Suviste Marina Lepp Tauno Palts Eno Tõnisson Merilin Säde Kaspar Papli 《British journal of educational technology : journal of the Council for Educational Technology》2019,50(1):153-165
Learners who enrol in massive open online courses (MOOCs) have different backgrounds and tend to have different motivations than learners in traditional courses. Based on value-expectancy theory, an instrument was developed to measure motivation for enrolling in a programming MOOC. A study with 1229 adult participants in Estonian-language programming course “About Programming” was conducted to validate the instrument. Results of confirmatory factor analysis validated the 7-factor scale named factors influencing enrolment in MOOC (FIEM). FIEM comprises three factors of expectancies, three factors of values and one factor of social influence. The highest and lowest rated motivational factors influencing enrolment in programming MOOC are discussed in the paper. Interest in and expectations for the course, personal suitability of distance learning and suitability for family and work are the highest-rated motivational factors for those who enrol in MOOC. Usefulness related to own children, social influence and usefulness to related to certification were the lowest rated. The results of this study can be useful for designers of programming MOOCs and the developed scale might be used in future studies. 相似文献
4.
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
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The aims of this study were to investigate the energy build-up and dissipation mechanisms associated with using an arm swing in submaximal and maximal vertical jumping and to establish the energy benefit of this arm swing. Twenty adult males were asked to perform a series of submaximal and maximal vertical jumps while using an arm swing. Force, motion and electromyographic data were recorded during each performance and used to compute a range of kinematic and kinetic variables, including ankle, knee, hip, shoulder and elbow joint powers and work done. It was found that the energy benefit of using an arm swing appears to be closely related to the maximum kinetic energy of the arms during their downswing, and increases as jump height increases. As jump height increases, energy in the arms is built up by a greater range of motion at the shoulder and greater effort of the shoulder and elbow muscles but, as jump height approaches maximum, these sources are supplemented by energy supplied by the trunk due to its earlier extension in the movement. The kinetic energy developed by the arms is used to increase their potential energy at take-off but also to store and return energy from the lower limbs and to "pull" on the rest of the body. These latter two mechanisms become more important as jump height increases with the pull being the more important of the two. We conclude that an arm swing contributes to jump performance in submaximal as well as maximal jumping but the energy generation and dissipation sources change as performance approaches maximum. 相似文献
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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