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土耳其尸体来源的现状与土耳其解剖学家的警钟

Current status of cadaver sources in Turkey and a wake-up call for Turkish anatomists.

机构信息

Department of Anatomy, Istanbul University, Istanbul Faculty of Medicine, Istanbul, Turkey.

出版信息

Anat Sci Educ. 2018 Mar;11(2):155-165. doi: 10.1002/ase.1713. Epub 2017 Jun 28.

DOI:10.1002/ase.1713
PMID:28657659
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 (r  = 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.

摘要

在土耳其,实体采购方面持续存在困难,导致获取了捐赠、无人认领、尸检和进口的实体,这些实体均受现行法规监管。然而,尚无研究调查当前遗体问题的严重程度。本研究旨在通过在线调查,概述解剖部门的遗体来源及其效果。此外,还调查了每个部门的官方网站,以获取有关遗体捐赠的任何信息。无人认领的遗体(84.8%)是解剖部门的主要来源,其次是捐赠的(50%)和进口的遗体(39.1%)。基于基金会的医学学院更有可能进口遗体(P=0.008)。自 2000 年以来,我们部门的遗体捐赠登记数量有适度增加(r=0.567;P=0.018)。在国内生产总值较高的城市(9900 美元与 16772 美元,P=0.041)、中学或高中毕业生比例较高(30.4%与 31.3%,P=0.041)和研究生或以上学历比例较高(13.1%与 15.8%,P=0.24)的城市中的解剖部门,已经设法使用了捐赠的遗体。解剖部门使用无人认领的遗体的主要原因是教育(45.9%)、无人认领的遗体是唯一来源(24.3%)和收到的捐赠不足(21.6%)。74 个部门中有 9 个(12.2%)在其网站上提供了有关遗体捐赠的信息。在土耳其,实体采购仍然是一个严重的问题,显然,现行法规并没有提供足够的遗体供应。同样,解剖部门在国家遗体捐赠运动中提高公众对遗体捐赠的认识和支持的效果似乎值得怀疑。解剖科学教育 11:155-165。©2017 美国解剖学家协会。

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