جستجوی مقالات مرتبط با کلیدواژه « Cadaver » در نشریات گروه « پزشکی »

The institutionalization of ethical and professional principles in medical education has been a longstanding concern. This study aims to explore the ethical challenges associated with teaching clinical skills to nursing students using the body of a recently deceased patient.

Case Report: 

An educational instructor utilized the body of a deceased patient to demonstrate basic cardiopulmonary resuscitation and cadaver care to students. The patient, a 75-year-old man with a metastatic brain tumor, had undergone unsuccessful resuscitation following cardiac and respiratory arrest. The instructor encountered resistance and dissatisfaction from the patient's family, leading to role conflict in balancing clinical skill instruction with professional ethics.

This study highlights the ethical challenges involved in using the body of a recently deceased patient, particularly one with a terminal illness, for educational purposes. It emphasizes the importance of obtaining written consent from patients or their families for such use, as well as the development of guidelines and restrictions for its ethical utilization. It is recommended that future research compare the benefits and drawbacks of utilizing deceased patients for clinical skill instruction.

 Anatomical sciences, especially gross anatomy, is one of the basic courses offered to medical students. However, students' first contact with a fixed corpse (cadaver) can cause high anxiety. This study aimed to compare the effect of supportive interventions on the level of anxiety caused by exposure to cadaver in medical students of Mashhad University of Medical Sciences in the first semester of 2018-2019.

 This semi-experimental study used a control group and selected the samples by the convenient method. First, students with no experience dealing with cadaver were randomly divided into five groups and completed the Spielberger State-Trait Anxiety scales. Then, they were divided into five equal groups (n=31), receiving supportive interventions, including educational, attitudinal, instructional, and religious, and one control group (group 5) with no intervention. The anxiety level measurement form was completed again by each person after exposure to the cadaver and one month after the exposure.

 A total of 155 medical students aged 18.10±2.14 years participated in this study. The level of anxiety recorded after exposure to a cadaver in the control group showed a significant increase compared to before exposure. However, receiving attitudinal and religious support could significantly reduce anxiety. However, this value did not show a significant change in the group receiving instructional support and increased dramatically in the group receiving educational support. In addition, the level of anxiety recorded before encountering a cadaver in all groups was higher for female students than male students.

Based on the results, the anxiety level of medical students could be seriously lessened by using attitude and religious approaches.

Insects associated with dead bodies are very diverse and very important in decomposition and recycling of the carcasses.  The present study was conducted in the Margoon region of Kohgiluyeh and Boyer Ahmad province (Iran) to determine the species diversity of carrion insects associated with decomposing remains of different animals.

Different cadavers of domestic goat, rat and chicken were collected and carrion insects were sampled from them in different seasons during one year.

In total, 21 species of carrion insects including 13 necrophages, 3 predators, 3 omnivores and 2 casual species were collected and identified.

Based on the data, the order Coleoptera (beetles) was the most diverse group as regards species among the orders collected, and the highest diversity was observed during spring. Two species, namely, Thanatophilus rugosus and Saprinus maculatus were reported to be new in the south west of Iran. Furthermore, our results show that the species diversity of carrion insects in the region studied was rather high.

Early surgery to remove dead tissue with early closure of burn wounds has now been identified as one of the most important factors contributing to the survival of patients with major burn injuries. This study, the efficiency and safety of temporary cover wound dressing with agicoat was compared with allograft (cadaver) in burned patients.

In this randomized clinical trial study, hospitalized patients in the age group of 18-45 years with burning of 20-30 percent and grade 2 deep and 3, were divided into two groups of control and test. Treatment was carried out in the operating room after debridement, covered with wounds or cadaver wounds, and patients were also treated for signs of infection such as warmth, discoloration, redness of the fluid, and fever. Patients were evaluated in two groups, and the surgeon checked the need for re-debridement, and recorded it in the checklist.

A total of 50 burn patients met the inclusion criteria. Debridement in cadaver group was significantly lower than that of Agicoat group (P = 0.003). Mean pain score during the first to sixth days of surgery, and also on the ninth day of surgery was significantly lower in cadaver group (P < 0.050). The mean daily morphine injected over 24 hours was significantly lower in the cadaver group as well (P < 0.050).

According to the findings of this study and other similar studies, it can be concluded that the use of cadaver reduces the need for debridement and morphine consumption in comparison with Agicoat.

Today according to the importance of patient rights and autonomy and available educational tools, newly deceased patients are less used for educational purposes. The purpose of this study case report is to present used of new deceased patientchr('39')s teaching of clinical skills to students and to express their ethical challenges.

The patient was a 70-year-old woman with cardiopulmonary arrest. She is referred to the emergency department. The patient dies due to the unsuccessful of her resuscitation operation. Instructor uses patient corpse for training in cardiac massage and intubation of nursing students. In this case, the ethical and educational challenges raised are to include: ignore of patient rights, the patientchr('39')s individual autonomy and obtain informed consent and used of cadaveric as educational tools.

The results showed that due to student guidance by the instructor and her interest in learning in the real environment, the ethical, religious, legal, educational and caring challenges in this case report were ignored.