A NHS Foundation Trust v MC [2020] EWCOP 33: Revisiting Best Interests and ‘Altruistic’ Incapacitous Stem Cell Donation

2021 ◽  
Author(s):  
Bonnie Venter

Abstract In A NHS Foundation Trust v MC, the Court of Protection revisits the question of whether adults should be allowed to act as bone marrow or peripheral blood stem cell donors if they lack decision-making capacity. This case note explores the positive and problematic implications of the case based on points that were raised in the judicial reasoning that specifically relate to i) practical implications concerning the key players in this environment, ii) the risk analysis within the best interest determination, iii) altruism and iv) the wider context as it relates to minor donors who lack capacity.

2017 ◽  
Vol 23 (6) ◽  
pp. 1011-1020 ◽  
Author(s):  
Alexander H. Schmidt ◽  
Thilo Mengling ◽  
Camila J. Hernández-Frederick ◽  
Gabi Rall ◽  
Julia Pingel ◽  
...  

2017 ◽  
Vol 6 (1) ◽  
pp. u211975.w4817
Author(s):  
Samer Ghazi ◽  
Ahmed Alaskar ◽  
Mohsen Alzahrani ◽  
Moussab Damlaj ◽  
Khadega A Abuelgasim ◽  
...  

2015 ◽  
Vol 11 (4) ◽  
pp. 239-252 ◽  
Author(s):  
Daniel Hedlund ◽  
Ann-Christin Cederborg

Purpose – The purpose of this paper is to explore how individual legislators perceive unaccompanied minors seeking asylum, their life situation, needs and best interests. Design/methodology/approach – The total number of participants were 15. Thematic analysis (Braun and Clarke, 2006) was used in order to identify and analyze patterns in the interview data. The authors focused on their responses to the questions about the best interest of the child in migration policy and practice, and how this principle was related to unaccompanied children seeking asylum. Findings – The main finding is that chronological age becomes a key sign for how legislators understand the life situation, needs and best interests of unaccompanied children. Also, the findings from this study suggest that the moralizing welfare ideology of the past is still present in political discourse and social planning, construing unaccompanied minors as an ambivalent category between civilization and savagery. The findings from this study indicate that legislators enact reforms of importance for unaccompanied children without considering them as agents of their own future, with their own motives and reasons to seek asylum. Practical implications – The findings from this study indicate a need to adapt the understanding of the existing Aliens Act (SFS 2005:716) to the knowledge that unaccompanied minors need to be assessed on their own terms. Originality/value – This study contributes to increasing the understanding about how the subjective values of legislators may have influenced migration reform in Sweden that can be valuable to both legal and social research, as well as policy planners.


Transfusion ◽  
2012 ◽  
Vol 53 (1) ◽  
pp. 96-103 ◽  
Author(s):  
Johanna C. Wiersum-Osselton ◽  
Suzanna M. van Walraven ◽  
Ivan Bank ◽  
A. Mariëtte Lenselink ◽  
Willem E. Fibbe ◽  
...  

2018 ◽  
Vol 3 (2) ◽  
pp. 117-125 ◽  
Author(s):  
Elena Müller ◽  
Miriam Hübner ◽  
Silja Kuderer ◽  
Marie Prechtl ◽  
Jutta Rox ◽  
...  

2001 ◽  
Vol 40 (06) ◽  
pp. 215-220 ◽  
Author(s):  
S. Bielack ◽  
S. Flege ◽  
J. Eckardt ◽  
J. Sciuk ◽  
H. Jürgens ◽  
...  

Summary Purpose: Despite highly efficacious chemotherapy, patients with osteosarcomas still have a poor prognosis if adequate surgical control cannot be obtained. These patients may benefit from therapy with radiolabeled phosphonates. Patients and Methods: Six patients (three male, three female; seven to 41 years) with unresectable primary osteosarcoma (n = 3) or unresectable recurrent sites of osteosarcomas (n = 3) were treated with high-activity of Sm-153-EDTMP (150 MBq/kg BW). In all patients autologous peripheral blood stem cells had been collected before Sm-153-EDTMP therapy. Results: No immediate adverse reactions were observed in the patients. In one patient bone pain increased during the first 48 hrs after therapy. Three patients received pain relief. Autologous peripheral blood stem cell reinfusion was performed on day +12 to +27 in all patients to overcome potentially irreversible damage to the hematopoietic stem cells. In three patient external radiotherapy of the primary tumor site was performed after Sm-153-EDTMP therapy and in two of them polychemotherapy was continued. Thirty-six months later one of these patients is still free of progression. Two further patients are still alive. However, they have developed new metastases. The three patients who had no accompanying external radiotherapy, all died of disease progression five to 20 months after therapy. Conclusion: These preliminary results show that high-dose Sm-153-EDTMP therapy is feasible and warrants further evaluation of efficacy. The combination with external radiation and polychemotherapy seems to be most promising. Although osteosarcoma is believed to be relatively radioresistant, the total focal dose achieved may delay local progression or even achieve permanent local tumor control in patients with surgically inaccessible primary or relapsing tumors.


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