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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   
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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   
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In this work, we present the first quality flaw prediction study for articles containing the two most frequent verifiability flaws in Spanish Wikipedia: articles which do not cite any references or sources at all (denominated Unreferenced) and articles that need additional citations for verification (so-called Refimprove). Based on the underlying characteristics of each flaw, different state-of-the-art approaches were evaluated. For articles not citing any references, a well-established rule-based approach was evaluated and interesting findings show that some of them suffer from Refimprove flaw instead. Likewise, for articles that need additional citations for verification, the well-known PU learning and one-class classification approaches were evaluated. Besides, new methods were compared and a new feature was also proposed to model this latter flaw. The results showed that new methods such as under-bagged decision trees with sum or majority voting rules, biased-SVM, and centroid-based balanced SVM, perform best in comparison with the ones previously published.  相似文献   
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In South Africa the education system for black children is fraught with problems. These problems are the direct result of apartheid and have been compounded by poverty and illiteracy. In this article the problem of poorly qualified or unqualified teachers is discussed especially with regard to the teaching of map skills to children in their fifth school year. The project team needed to develop affordable materials which could be used in large classes by teachers after a very short period of training. Books and other materials which are available commercially were examined, but for various reasons were found to be unsuitable for local conditions. After determining the extent of the problem, the project team followed a grassroots process of developing a flip chart which teachers learnt to use with confidence and which enabled pupils to master the concepts and skills necessary for understanding a map.  相似文献   
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Technical term translations are important for cross-lingual information retrieval. In many languages, new technical terms have a common origin rendered with different spelling of the underlying sounds, also known as cross-lingual spelling variants (CLSV). To find the best CLSV in a text database index, we contribute a formulation of the problem in a probabilistic framework, and implement this with an instance of the general edit distance using weighted finite-state transducers. Some training data is required when estimating the costs for the general edit distance. We demonstrate that after some basic training our new multilingual model is robust and requires little or no adaptation for covering additional languages, as the model takes advantage of language independent transliteration patterns. We train the model with medical terms in seven languages and test it with terms from varied domains in six languages. Two test languages are not in the training data. Against a large text database index, we achieve 64–78 % precision at the point of 100% recall. This is a relative improvement of 22% on the simple edit distance.  相似文献   
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OBJECTIVES: The purpose of this study is to determine how personal digital assistants (PDAs) are used on an academic health sciences campus to define the level of training and support the library can provide to the students and faculty. METHOD: A Web-based questionnaire was developed. A total of 1,538 health sciences faculty and residents were sent an email message requesting participation. Data from the returned surveys were analyzed with SPSS. RESULTS: Sixty-one percent of survey respondents used PDAs. The address book, date book, and calculator were the most common uses reported for PDAs. Residents also reported a high use of drug databases on their PDAs. Most survey respondents indicated they would like to learn more about clinical resources for PDAs. CONCLUSIONS: Many opportunities exist for librarians to provide training and support for PDAs, in addition to evaluation and promotion of clinical software for PDAs.  相似文献   
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PURPOSE: The purpose was to determine the impact of online journals on the citation patterns of medical faculty. This study looked at whether researchers were more likely to limit the resources they consulted and cited to those journals available online rather than those only in print. SETTING: Faculty publications from the college of medicine at a large urban university were examined for this study. The faculty publications from a regional medical college of the same university were also examined in the study. The number of online journals available for faculty, staff, and students at this institution has increased from an initial core of 15 online journals in 1998 to over 11,000 online journals in 2004. METHODOLOGY: Searches by author affiliation were performed in the Web of Science to find all articles written by faculty members in the college of medicine at the selected institution. Searches were conducted for the following years: 1993, 1996, 1999, and 2002. Cited references from each faculty-authored article were recorded, and the corresponding cited journals were coded into four categories based on their availability at the institution in this study: print only, print and online, online only, and not owned. Results were analyzed using SPSS. RESULTS: The number of journals cited per year continued to increase from 1993 to 2002. The results did not indicate that researchers were more likely to cite online journals or were less likely to cite journals only in print. At the regional location where the number of print-only journals was minimal, use of the print-only journals did decrease in 2002, although not significantly. CONCLUSION/DISCUSSION: It is possible that electronic access to information (i.e., online databases) has had a positive impact on the number of articles faculty will cite. Results of this study suggest, at this point, that faculty are still accessing the print-only collection, at least for research purposes, and are therefore not sacrificing quality for convenience.  相似文献   
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