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Zhang S, Wang J, Zhang J, Xu G, Zhang Z, Wang Y, Chang C, Chen X, Li M, Cao J, Zang W. The impact of enhancing publicity and commemoration of body donors at Zhengzhou University, China. ANATOMICAL SCIENCES EDUCATION 2023; 16:405-414. [PMID: 36744983 DOI: 10.1002/ase.2259] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/15/2021] [Revised: 01/24/2023] [Accepted: 02/01/2023] [Indexed: 05/11/2023]
Abstract
As a fundamental subject of medical education, human anatomy plays a critical role in the development of medical science. However, because of multiple factors including cultural conservativism and limited social understanding, China is facing a particularly severe shortage of bodies donated for anatomy education. Zhengzhou University (ZZU) has continued to uphold whole-body dissection as the preferred method for medical students to learn anatomy. For this study, records of registered individuals (who have signed a body donation agreement) and donors (whose bodies have been received) from 2001 to 2020 were collected and analyzed. The aim of this study was to explore the factors influencing the body donation program (BDP) at ZZU, and then reinforce the social understanding for the BDP. The results showed a significant increase in the numbers of both registered individuals and donors since 2015, which is the year the publicity and commemoration in honor of donors were increased. There were no significant differences between the biological male and female sexes in the registered individuals, but the number of male donors (12.85 ± 10.86, per year) was significantly higher than that of female donors (4.75 ± 4.53, per year). The current donor profile at ZZU is male in his 60/70s, while the profile of registered individuals is male or female in their 60s. Strengthening the publicity and commemoration in honor of donors may contribute to the implementation of BDPs.
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Affiliation(s)
- Shiqiang Zhang
- Department of Human Anatomy, School of Basic Medical Sciences, Zhengzhou University, Zhengzhou, People's Republic of China
| | - Jiannan Wang
- Department of Human Anatomy, School of Basic Medical Sciences, Zhengzhou University, Zhengzhou, People's Republic of China
- Red Cross Society of Zhengzhou University, Zhengzhou, People's Republic of China
| | - Jingjing Zhang
- Department of Human Anatomy, School of Basic Medical Sciences, Zhengzhou University, Zhengzhou, People's Republic of China
| | - Gaolei Xu
- Department of Human Anatomy, School of Basic Medical Sciences, Zhengzhou University, Zhengzhou, People's Republic of China
| | - Zhenhua Zhang
- Department of Human Anatomy, School of Basic Medical Sciences, Zhengzhou University, Zhengzhou, People's Republic of China
| | - Yongkui Wang
- Department of Human Anatomy, School of Basic Medical Sciences, Zhengzhou University, Zhengzhou, People's Republic of China
| | - Cheng Chang
- Department of Human Anatomy, School of Basic Medical Sciences, Zhengzhou University, Zhengzhou, People's Republic of China
| | - Xuemei Chen
- Department of Human Anatomy, School of Basic Medical Sciences, Zhengzhou University, Zhengzhou, People's Republic of China
| | - Ming Li
- Department of Human Anatomy, School of Basic Medical Sciences, Zhengzhou University, Zhengzhou, People's Republic of China
| | - Jing Cao
- Department of Human Anatomy, School of Basic Medical Sciences, Zhengzhou University, Zhengzhou, People's Republic of China
| | - Weidong Zang
- Department of Human Anatomy, School of Basic Medical Sciences, Zhengzhou University, Zhengzhou, People's Republic of China
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El-Haddad J, Prvan T, Štrkalj G. Attitudes of Anatomy Students toward Commemorations for Body Donors: A Multicultural Perspective. ANATOMICAL SCIENCES EDUCATION 2021; 14:89-98. [PMID: 32539194 DOI: 10.1002/ase.1994] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/10/2019] [Revised: 06/02/2020] [Accepted: 06/07/2020] [Indexed: 06/11/2023]
Abstract
Many medical schools practice commemorative ceremonies to honor body donors. Attitudes of medical education stakeholders toward these ceremonies have not yet been fully investigated. The aim of this study was to explore anatomy students' attitudes toward commemorations at a multicultural institution which has not introduced these ceremonies yet. A survey was carried out on different groups of anatomy students that were exposed and not yet exposed to human remains. The survey was used to record basic demographic data from the respondents, ask if they would support the establishment of an anatomy commemoration and in which format. A total of 756 anatomy students participated in the survey (response rate 69.8%). The majority (76.3%) were in favor of introducing a commemoration for donors. The associations of students' gender, attitude toward body donation, and level of exposure to human remains with attitudes toward commemoration for donors were identified (P < 0.05), whereas ethnicity and religion seemed to have no influence on attitudes (P > 0.05). Most students believed that anatomy staff and students should organize the commemoration. There was a preference for the commemoration to be secular with revealed identities of donors, and not recorded for social media. The support for the establishment of commemorations transcended cultural and religious differences and confirmed students' respectful attitude toward donors. Anatomy commemorations seem to have potential not only to engage students with one another, and donor families, but also to pave the way for students to become life-long ethical and empathetic learners and practitioners.
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Affiliation(s)
- Joyce El-Haddad
- Department of Chiropractic, Faculty of Science and Engineering, Macquarie University, Sydney, New South Wales, Australia
- Department of Anatomy, School of Medicine, University of New South Wales, Sydney, New South Wales, Australia
| | - Tania Prvan
- Department of Statistics and Mathematics, Faculty of Science and Engineering, Macquarie University, Sydney, New South Wales, Australia
| | - Goran Štrkalj
- Department of Anatomy, School of Medicine, University of New South Wales, Sydney, New South Wales, Australia
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Cornwall J, Poppelwell Z, McManus R. "Why did you really do it?" A mixed-method analysis of the factors underpinning motivations to register as a body donor. ANATOMICAL SCIENCES EDUCATION 2018; 11:623-631. [PMID: 29762910 DOI: 10.1002/ase.1796] [Citation(s) in RCA: 24] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/24/2017] [Revised: 03/02/2018] [Accepted: 04/08/2018] [Indexed: 06/08/2023]
Abstract
Individuals who register as body donors do so for various reasons, with aiding medical science a common motivation. Despite awareness of several key reasons for donation, there are few in-depth explorations of these motivations to contextualize persons' reasons for donating. This study undertakes a mixed-method exploration of motivations for body donation to facilitate deeper understanding of the reasons underpinning donor registration. A survey of all newly registered body donors at a New Zealand university was performed over a single year. The survey included basic demographic information, a categorical question on reason for donation, a free-text question on donation motivation, and a free-text question allowing "other" comments on body donation. Basic statistical analysis was performed on demographic and categorical data, and thematic analysis used on free-text responses. From 169 registrants, 126 people (average age 70.5 years; 72 female) returned completed surveys (response rate 75%). Categorical data indicate a primary motivation of aiding medical science (86%). Fifty-one respondents (40%) provided free-text data on motivation, with other comments related to motivation provided by forty-one (33%). Common themes included reference to usefulness, uniqueness (pathophysiology and anatomy), gift-giving, kinship, and impermanence of the physical body. Consistent with previous studies, the primary reason for body donation was aiding medical science, however underpinning this was a complex layer of themes and sub-themes shaping motivations for choices. Findings provide important information that can guide development of robust informed consent processes, aid appropriate thanksgiving service delivery, and further contextualize the importance of medical professionals in body donation culture.
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Affiliation(s)
- Jon Cornwall
- Centre for Early Learning in Medicine, Otago Medical School, University of Otago, Dunedin, New Zealand
- Institute for Health Sciences, Zurich University of Applied Science, Zurich, Switzerland
| | - Zoe Poppelwell
- School of Social and Cultural Studies, Victoria University of Wellington, Wellington, New Zealand
| | - Ruth McManus
- School of Anthropology and Sociology, University of Canterbury, Christchurch, New Zealand
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Jones DG, Nie JB. Does Confucianism allow for body donation? ANATOMICAL SCIENCES EDUCATION 2018; 11:525-531. [PMID: 29338121 DOI: 10.1002/ase.1771] [Citation(s) in RCA: 26] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/03/2017] [Revised: 11/20/2017] [Accepted: 12/18/2017] [Indexed: 05/03/2023]
Abstract
Confucianism has been widely perceived as a major moral and cultural obstacle to the donation of bodies for anatomical purposes. The rationale for this is the Confucian stress on xiao (filial piety), whereby individuals' bodies are to be intact at death. In the view of many, the result is a prohibition on the donation of bodies to anatomy departments for the purpose of dissection. The role of dissection throughout the development of anatomy within a Confucian context is traced, and in contemporary China the establishment of donation programs and the appearance of memorial monuments is noted. In reassessing Confucian attitudes, the stress laid on a particular interpretation of filial piety is questioned, and an attempt is made to balance this with the Confucian emphasis on a moral duty to those outside one's immediate family. The authors argue that the fundamental Confucian norm ren (humaneness or benevolence) allows for body donation as people have a moral duty to help others. Moreover, the other central Confucian value, li (rites), offers important insights on how body donation should be performed as a communal activity, particularly the necessity of developing ethically and culturally appropriate rituals for body donation. In seeking to learn from this from a Western perspective, it is contended that in all societies the voluntary donation of bodies is a deeply human activity that is to reflect the characteristics of the community within which it takes place. This is in large part because it has educational and personal repercussions for students. Anat Sci Educ 11: 525-531. © 2018 American Association of Anatomists.
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Affiliation(s)
- D Gareth Jones
- Division of Health Sciences, Department of Anatomy, University of Otago, Dunedin, New Zealand
| | - Jing-Bao Nie
- Division of Health Sciences, Bioethics Centre, University of Otago, Dunedin, New Zealand
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Gürses İA, Coşkun O, Öztürk A. Current status of cadaver sources in Turkey and a wake-up call for Turkish anatomists. ANATOMICAL SCIENCES EDUCATION 2018; 11:155-165. [PMID: 28657659 DOI: 10.1002/ase.1713] [Citation(s) in RCA: 26] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/13/2016] [Revised: 04/21/2017] [Accepted: 06/06/2017] [Indexed: 06/07/2023]
Abstract
Persisting difficulties in body procurement in Turkey led to the acquisition of donated, unclaimed, autopsied, and imported bodies regulated under current legislature. Yet, no study had investigated the extent of the on-going cadaver problem. This study was aimed to outline cadaver sources in anatomy departments and their effectiveness by means of an online survey. Additionally, official websites of each department were investigated regarding any information on body donation. Unclaimed cadavers (84.8%) were the major source for anatomy departments, followed by donated (50%) and imported cadavers (39.1%). Foundation-based medical faculties were more likely to import cadavers (P = 0.008). There was a moderate increase (rs = 0.567; P = 0.018) in donation registrations to our department after 2000. The departments in cities with significantly higher City-Based Gross Domestic Product measures (US$9,900 vs. US$16,772, P = 0.041), frequencies for mid- or high-school graduates (30.4% vs. 31.3%, P = 0.041), and frequencies for under- or post-graduates (13.1% vs. 15.8%, P = 0.24) had managed to use donated cadavers. Anatomy departments' major reasons for using unclaimed cadavers were education (45.9%), unclaimed cadavers being the only source (24.3%), and receiving inadequate donations (21.6%). Nine out of seventy-four departments (12.2%) provided information regarding body donation on their websites. Body procurement remains as a serious problem in Turkey and it is apparent that current legislature does not provide a sufficient cadaver inflow. Similarly, anatomy departments' effectiveness in public awareness of body donation and support in the National Body Donation Campaign seems questionable. Anat Sci Educ 11: 155-165. © 2017 American Association of Anatomists.
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MESH Headings
- Anatomists
- Anatomy/education
- Awareness
- Cadaver
- Dissection
- Education, Medical, Undergraduate/economics
- Education, Medical, Undergraduate/methods
- Education, Medical, Undergraduate/organization & administration
- Faculty, Medical
- Female
- Human Body
- Humans
- Legislation, Medical
- Schools, Medical/economics
- Schools, Medical/organization & administration
- Surveys and Questionnaires
- Time Factors
- Tissue and Organ Procurement/economics
- Tissue and Organ Procurement/legislation & jurisprudence
- Tissue and Organ Procurement/methods
- Tissue and Organ Procurement/statistics & numerical data
- Turkey
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Affiliation(s)
- İlke Ali Gürses
- Department of Anatomy, Istanbul University, Istanbul Faculty of Medicine, Istanbul, Turkey
| | - Osman Coşkun
- Department of Anatomy, Istanbul University, Istanbul Faculty of Medicine, Istanbul, Turkey
| | - Adnan Öztürk
- Department of Anatomy, Istanbul University, Istanbul Faculty of Medicine, Istanbul, Turkey
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Ceremonies of gratitude following the dissection course: A report on procedures in departments of anatomy in German speaking countries. Ann Anat 2017; 210:18-24. [DOI: 10.1016/j.aanat.2016.10.009] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/21/2016] [Revised: 10/06/2016] [Accepted: 10/06/2016] [Indexed: 11/21/2022]
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Gürses İA, Coşkun O, Gürtekin B, Kale A. The amount of information provided in articles published in clinical anatomy and surgical and radiologic anatomy regarding human cadaveric materials and trends in acknowledging donors/cadavers. Surg Radiol Anat 2016; 38:1225-1231. [PMID: 27151088 DOI: 10.1007/s00276-016-1684-z] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/02/2016] [Accepted: 04/28/2016] [Indexed: 11/25/2022]
Abstract
AIM Appreciating the contribution of donor-cadavers to medical education is a well observed practice among anatomists. However, the appreciation of their contribution in research and scientific articles remains dubious. We aimed to evaluate how much data anatomists provide about specimens they have used and how frequently anatomists acknowledge their cadavers in published articles. MATERIALS AND METHODS We evaluated all articles performed on human cadaveric specimens that were published in Clinical Anatomy and Surgical and Radiologic Anatomy between January 2011 and December 2015. We evaluated how much data on the demographics, preservation method(s), source, and ethical/legal permissions regarding cadavers were provided. We also evaluated the number of articles that acknowledged donor-cadavers. RESULTS The majority of articles provided demographic data (age and sex) and preservation method used in the article. The source of the specimens was not mentioned in 45.6 % of the articles. Only 26.2 % of the articles provided a degree of consent and only 32.4 % of the articles reported some form of ethical approval for the study. The cadavers and their families were acknowledged in 17.7 % of the articles. We observed that no standard method for reporting data has been established. CONCLUSIONS Anatomists should collaborate to create awareness among the scientific community for providing adequate information regarding donor-cadavers, including source and consent. Acknowledging donor-cadavers and/or their families should also be promoted. Scientific articles should be used to create a transparent relationship of trust between anatomists and their society.
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Affiliation(s)
- İlke Ali Gürses
- Department of Anatomy, Istanbul University, Istanbul Faculty of Medicine, Millet Caddesi, Fatih, Istanbul, 34093, Turkey.
| | - Osman Coşkun
- Department of Anatomy, Istanbul University, Istanbul Faculty of Medicine, Millet Caddesi, Fatih, Istanbul, 34093, Turkey
| | - Başak Gürtekin
- Department of Biostatistics and Medical Informatics, Istanbul University, Istanbul Faculty of Medicine, Millet Caddesi, 34093, Fatih, Istanbul, Turkey
| | - Ayşin Kale
- Department of Anatomy, Istanbul University, Istanbul Faculty of Medicine, Millet Caddesi, Fatih, Istanbul, 34093, Turkey
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Ferguson E, Lawrence C. Blood donation and altruism: the mechanisms of altruism approach. ACTA ACUST UNITED AC 2016. [DOI: 10.1111/voxs.12209] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
Affiliation(s)
- E. Ferguson
- Personality, Social Psychology and Health (PSPH) Group; School of Psychology; University of Nottingham; Nottingham UK
| | - C. Lawrence
- Personality, Social Psychology and Health (PSPH) Group; School of Psychology; University of Nottingham; Nottingham UK
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Ferguson E. Mechanism of altruism approach to blood donor recruitment and retention: a review and future directions. Transfus Med 2015; 25:211-26. [DOI: 10.1111/tme.12233] [Citation(s) in RCA: 90] [Impact Index Per Article: 10.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/17/2015] [Revised: 06/26/2015] [Accepted: 07/29/2015] [Indexed: 11/26/2022]
Affiliation(s)
- E. Ferguson
- Personality, Social Psychology and Health (PSPH) Group, School of Psychology; University of Nottingham; Nottingham UK
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