为马拉维解剖学教育和研究购置尸体

IF 2 3区 医学 Q2 ANATOMY & MORPHOLOGY Annals of Anatomy-Anatomischer Anzeiger Pub Date : 2024-01-18 DOI:10.1016/j.aanat.2024.152212
Arthur Tsalani Manjatika , Joshua Gabriel Davimes , Anthony Mwakikunga
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引用次数: 0

摘要

背景在马拉维,人体解剖是健康科学专业学生解剖学教学的重要组成部分。尽管全世界都在努力为解剖学教育获取足够的人体尸体,但目前关于最佳解剖学实践的建议要求使用完全来自尸体捐赠计划的尸体。本研究旨在描述马拉维用于解剖学教育的遗体来源,并思考仅使用遗体捐献计划中的遗体的可行性。根据作者在马拉维的经验,确定并描述了在寻找遗体时遇到的挑战。结果2006年至2022年期间使用的遗体中,大多数(97.3%)是无人认领的遗体。尸体的平均年龄为 45 岁。大多数(95.6%)无人认领的尸体是男性。所有无人认领的遗体都来自医院。马拉维的遗体捐献计划只受到欧洲后裔的青睐。强烈的社会文化和宗教信仰以及经济原因被认为是通过遗体捐献计划获取马拉维本地人遗体的重大障碍。作者支持通过开展有针对性的宣传活动,将 "主要使用无人认领的遗体(较少使用遗体捐献)"转变为 "主要使用遗体捐献(较少使用无人认领的遗体)",以应对普遍存在的挑战。
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Acquisition of cadavers for anatomy education and research in Malawi

Background

The use of human cadaveric dissection forms an essential part of teaching anatomy to health sciences students in Malawi. Despite worldwide struggles in acquiring sufficient human cadavers for anatomy education, the current recommendations on the best anatomy practices require the use of cadavers exclusively from the body donation programs. The current study aims to describe the sources of cadaveric bodies used for anatomy education in the Malawian context and reflect on the feasibility of using cadavers from the body donation program only.

Methods

A retrospective audit of the cadaveric records for the 2006–2022 academic years at the Kamuzu University of Health Sciences was done. The perceived challenges when sourcing the cadavers were identified and described based on the authors experiences in Malawi.

Results

The majority (97.3%) of the cadavers used between 2006 and 2022 were unclaimed bodies. The mean age of the cadavers was 45 years. Most (95.6%) of the unclaimed bodies were males. All the unclaimed bodies were sourced from hospitals. The body donation program in Malawi was patronized by populations of European descent only. Strongly held sociocultural and religious beliefs as well as economic reasons were perceived as significant barriers to acquiring cadavers of the indigenous Malawians through the body donation program.

Conclusion

Cadavers for anatomy education in Malawi are mainly from unclaimed bodies, similar to other African countries. The authors support the transition from using “mostly unclaimed bodies (and, less often, body donation)” to using “mostly body donation (and, less often, unclaimed bodies)” through awareness campaigns that are targeted to address the prevailing challenges.

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来源期刊
Annals of Anatomy-Anatomischer Anzeiger
Annals of Anatomy-Anatomischer Anzeiger 医学-解剖学与形态学
CiteScore
4.40
自引率
22.70%
发文量
137
审稿时长
33 days
期刊介绍: Annals of Anatomy publish peer reviewed original articles as well as brief review articles. The journal is open to original papers covering a link between anatomy and areas such as •molecular biology, •cell biology •reproductive biology •immunobiology •developmental biology, neurobiology •embryology as well as •neuroanatomy •neuroimmunology •clinical anatomy •comparative anatomy •modern imaging techniques •evolution, and especially also •aging
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