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Indiana University-Purdue University Indianapolis (IUPUI) / Current research on medical students' death experiences is either outdated or produces conflicting results. This research aims to address these issues by analyzing in-depth interviews in order to explore how medical students view and cope view death. The sample consists of twenty third and fourth year students attending a large Midwestern medical school. Grounded theory analyses techniques of line-by-line coding were used to analysis the interviews. The study revealed that students predominantly cope with patient death by talking and that contrary to much of the findings of previous research concerning medical socialization and physicians, students do not always view death as a failure. Beyond the students' death experiences, the study also captured students' perceptions and reactions towards various socialization stages in their medical careers, such as gross anatomy lab. Student beliefs as to what constitutes a good and bad death are also explored as well as their attitudes towards physician assisted suicide. Although these findings are not generalizable to any medical student population, they do provide important qualitative information as to how medical students experience and cope with death.

No description available.

Indiana University-Purdue University Indianapolis (IUPUI) / Background: Gross anatomy is a foundational medical school course upon which other courses and patient care is grounded; however, variability in student performance suggests potential in studying underlying non-academic factors to explain some of these inconsistencies. Thus, this study examined medical students’ implicit theories of intelligence (ITI) and grit in order to better understand student learning outcomes in gross anatomy. Methods: A mixed methods study was conducted using 2nd, 3rd, and 4th year medical students who successfully completed gross anatomy. Students (n=382) completed the ITI Scale and Short Grit Scale in order to identify individual’s ITI and grit scores. Subsequent interviews (n=25) were conducted to explore how medical students set goals, operated while reaching those goals, and monitored their progress in achieving those goals. Results: Entity and incremental theorists with high grit performed significantly better in gross anatomy when compared to those with low grit. Further, highly gritty incremental and entity theorists were hard workers and showed resilience in the face of challenges. Specifically, those with an entity ITI had the central goal of getting an honors grade, while those with an incremental ITI desired to understand and apply their anatomical knowledge. Conversely, low grit individuals became overwhelmed by challenges, were more likely to show an inconsistent work ethic, and questioned their ability to master the material. An individual’s ITI, more so than grit, drove the presence of negative emotions in a medical student, with entity theorists feeling anxious and vulnerable, and incremental theorists feeling fewer negative emotions. Finally, grit level moderated how a medical student would respond to negative emotions, with highly gritty individuals exhibiting more constructive coping mechanisms. Conclusions: These findings suggest that medical students who possess high grit and an incremental theory of intelligence have the most effective learning strategies, set achievable goals, and enlist effective coping mechanisms while learning gross anatomy. The findings and tools used in this study could be incorporated into the medical school admissions process. Finally, findings reinforce the value of examining the ITI and grit of medical students, as they can provide educators with insight regarding important non-academic factors driving learning in gross anatomy.

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Sotalia fluviatilis é o único Delphinidae que ocorre em água doce, sendo endêmico da região amazônica. É considerada pela IUCN como espécie insuficientemente conhecida (dados deficientes), estando incluída no Apêndice I da CITES como espécie ameaçada de extinção. Atualmente, vem sendo alvo de caça ilegal para utilização como isca na pesca de um bagre, conhecido como piracatinga. Sendo assim, toda medida para melhor compreensão da biologia desta espécie é de suma importância para assegurar medidas eficazes de conservação no futuro. Neste trabalho foi realizada a descrição morfológica dos órgãos genitais masculinos do tucuxi, através de analises de amostras provenientes dos acervos do Instituto de Desenvolvimento Sustentável Mamirauá e do Instituto de Pesquisas da Amazônia. Estas foram analisadas através de técnicas macroscópicas, de microscopia óptica e de microscopia eletrônica de varredura. Os órgãos genitais masculinos do tucuxi são compreendidos por grandes testículos e epidídimos típicos, presos à cavidade abdominal pelo mesórquio. Os ductos deferentes são convolutos nas regiões proximais e retos nas suas poções distais, possuindo um pequeno útero masculino entre eles. A próstata é pequena e compacta, coberta pelo músculo compressor da próstata, e envolve toda a uretra pélvica. O pênis é fibroelástico, possuindo uma flexura sigmóide em espiral e a extremidade livre afilada. Os pilares do pênis estão inseridos em pequenos ossos pélvicos, sendo que associados à raiz do pênis estão os músculos isquiocavernoso, bulboesponjoso e retrator do pênis. Em geral, a estrutura macro e microscópica, a localização e a função destes órgãos é semelhante à outras espécies da Ordem Cetacea, com exceção de alguns detalhes. / Sotalia fluviatilis is endemic in Amazon region and the only Delphinidae living in freshwater. It is considered by IUCN as an insufficiently known specie (deficient data) and is included in CITES Appendices I as a threatened specie. Additionally, this species is currently hunted and used as bait for fishing practices of a catfish called piracatinga. Thus, all efforts directed toward understanding the biology of this animal are important and may help to implement future conservation strategies. In the present study, samples of males tucuxi\'s genital organs provided by Instituto de Desenvolvimento Sustentável Mamirauá and Instituto de Pesquisas da Amazônia were analyzed by gross and microscopic techniques and by scanning electron microscopy. The male tucuxi\'s genital organs are represented by big testes and a typical epididymis that is adhered to the abdominal cavity wall by the mesorchium. The ductus deferens are convoluted in the proximal region and straight in the distal portion, and a small uterus masculinus is located between them. The prostata is small, compact, covered by the prostate compressor muscle, and totally involves the pelvic urethra. The penis is fibroelastic and characterized by a spiral sigmoid flexure that ends in a tapering cone. The crura are inserted on small pelvic bones, and the ischiocavernosus, bulbospongiosus and retractor penis muscles are associated to the base of the penis. In general, the structure, location and function of these organs are similar to other Cetacea species, except about some details.

Sotalia fluviatilis é o único Delphinidae que ocorre em água doce, sendo endêmico da região amazônica. É considerada pela IUCN como espécie insuficientemente conhecida (dados deficientes), estando incluída no Apêndice I da CITES como espécie ameaçada de extinção. Atualmente, vem sendo alvo de caça ilegal para utilização como isca na pesca de um bagre, conhecido como piracatinga. Sendo assim, toda medida para melhor compreensão da biologia desta espécie é de suma importância para assegurar medidas eficazes de conservação no futuro. Neste trabalho foi realizada a descrição morfológica dos órgãos genitais masculinos do tucuxi, através de analises de amostras provenientes dos acervos do Instituto de Desenvolvimento Sustentável Mamirauá e do Instituto de Pesquisas da Amazônia. Estas foram analisadas através de técnicas macroscópicas, de microscopia óptica e de microscopia eletrônica de varredura. Os órgãos genitais masculinos do tucuxi são compreendidos por grandes testículos e epidídimos típicos, presos à cavidade abdominal pelo mesórquio. Os ductos deferentes são convolutos nas regiões proximais e retos nas suas poções distais, possuindo um pequeno útero masculino entre eles. A próstata é pequena e compacta, coberta pelo músculo compressor da próstata, e envolve toda a uretra pélvica. O pênis é fibroelástico, possuindo uma flexura sigmóide em espiral e a extremidade livre afilada. Os pilares do pênis estão inseridos em pequenos ossos pélvicos, sendo que associados à raiz do pênis estão os músculos isquiocavernoso, bulboesponjoso e retrator do pênis. Em geral, a estrutura macro e microscópica, a localização e a função destes órgãos é semelhante à outras espécies da Ordem Cetacea, com exceção de alguns detalhes. / Sotalia fluviatilis is endemic in Amazon region and the only Delphinidae living in freshwater. It is considered by IUCN as an insufficiently known specie (deficient data) and is included in CITES Appendices I as a threatened specie. Additionally, this species is currently hunted and used as bait for fishing practices of a catfish called piracatinga. Thus, all efforts directed toward understanding the biology of this animal are important and may help to implement future conservation strategies. In the present study, samples of males tucuxi\'s genital organs provided by Instituto de Desenvolvimento Sustentável Mamirauá and Instituto de Pesquisas da Amazônia were analyzed by gross and microscopic techniques and by scanning electron microscopy. The male tucuxi\'s genital organs are represented by big testes and a typical epididymis that is adhered to the abdominal cavity wall by the mesorchium. The ductus deferens are convoluted in the proximal region and straight in the distal portion, and a small uterus masculinus is located between them. The prostata is small, compact, covered by the prostate compressor muscle, and totally involves the pelvic urethra. The penis is fibroelastic and characterized by a spiral sigmoid flexure that ends in a tapering cone. The crura are inserted on small pelvic bones, and the ischiocavernosus, bulbospongiosus and retractor penis muscles are associated to the base of the penis. In general, the structure, location and function of these organs are similar to other Cetacea species, except about some details.