Successful Organ Donation From Brain Dead Donors in a Chinese Organ Transplantation Center

2011 ◽  
Vol 11 (10) ◽  
pp. 2247-2249 ◽  
Author(s):  
W. G. Sui ◽  
Q. Yan ◽  
S. P. Xie ◽  
H. Z. Chen ◽  
D. Li ◽  
...  
2013 ◽  
Vol 25 (2) ◽  
pp. 209-213 ◽  
Author(s):  
Ho No Joo

The Organ Transplantation Act, including transplantation of organs from brain-dead donors, entered into force in Korea on February 9, 2000. This article introduces the Organ Transplantation Act, focusing on scope of the Act, determination of brain death, removal of organs from brain-dead or deceased donors, removal from living donors, organ allocation, and prohibition of trade in human organs. Especially, some primary ethical dilemmas surrounding organ allocation arise from the shortage of available organs. The primary ethical problems surrounding organ allocation are as follows. A key purpose of the organ donation incentive system is to increase the number of organ transplants from brain-dead donors. In particular, the priority for kidney patient was allowed in consideration of doctor’s strong desire to increase the brain-dead donors. Also, the organ allocation criteria based on the organ donation incentive system appear unfair, especially for the kidney patient, because the criteria do not fit the principles of distributive justice. In the future, the organ donation incentive system itself may need to be reexamined.


Author(s):  
Jyoti Chandrashekhar Mane

ABSTRACT: -  We all have been hearing, reading and seeing many issues regarding organ transplantation, but many people are not aware and serious regarding Human organ transplant. Many patients struggle for life after failure of functioning of some major organs. A patient with a case of renal failure can survive for some period with the help of advance technique Viz. Dialysis, but patients with failure of function of liver or Heart etc. have no substitute for Human Organ Transplant. It is a small effort to encourage and create awareness in people to promote organ transplant. In last 10 years people are much aware regarding organ donation and organ transplant. The person certified as brain dead can only donate his healthy organs to a needy and increase his life span [2]. In India we can see advancement in the field of transplantation. The law regarding Human Organ Transplant was passed in the year 1994 it came into force in 1995[1]This law includes Regulations regarding removal, preservation and transplantation of organ for treatment purpose and prevention of commercialization of human organs[1


2020 ◽  
Vol 87 (2) ◽  
pp. 161-170
Author(s):  
Douwe J. Steensma

According to many legal systems that regulate organ donation, such as Dutch law, a brain-dead patient is regarded as a mortal remains. In general, these systems do not take into account the fact that this definition is being heavily criticized and the far-reaching consequences thereof. In the case of organ transplantation, vital organs are procured from persons who, from a biological perspective, may not yet be dead. A government that values scientific data and wants to provide honest and reliable information to its citizens has to account for this critique of its policy as citizens have the right to be well-informed. Whoever makes the decision to donate organs performs a special act of human solidarity, but the readiness to donate organs in the case of brain death is not inherent to the demand to love one’s neighbor as one loves oneself. Summary: According to legislation on organ donation in many countries, a brain-dead patient is regarded as a mortal remains. The law disregards the fact, however, that this definition is being heavily criticized and that it has far-reaching consequences. In the case of organ transplantation, vital organs are procured from persons who, from a biological perspective, may not yet been dead. A government that values scientific data and wants to provide honest and reliable information to its citizens has to account for this critique in its policy. Citizens have the right to be well-informed.


2020 ◽  
pp. 23-33
Author(s):  
Sergey Romanov ◽  
Sergey Zhukov ◽  
Svetlana Dzyubak

The article is devoted to the problems of providing medical care in outpatient settings to patients who have undergone organ transplantation. The authors analyzed the economic efficiency of the outpatient transplantation center and concluded that a new payment mechanism for this type of medical services is needed. In addition, the article describes the system of social measures necessary for recipients of organs that are performed in a medical organization due to the lack of a rehabilitation program for such patients.


2010 ◽  
Vol 19 (5) ◽  
pp. e52-e61 ◽  
Author(s):  
Liva Jacoby ◽  
James Jaccard

BackgroundFamilies’ experiences in the hospital influence their decisions about donating organs of brain-dead relatives. Meeting families’ support needs during this traumatic time is an obligation and a challenge for critical care staff.Objectives(1) To elicit family members’ accounts of various types of support received and perceived quality of care for themselves and their loved ones when they made the donation decision, and (2) to examine the relationship between these factors and the families’ donation decision.MethodsRetrospective telephone interviews of 199 families from different regions of the country were completed. Aside from demographic data, the survey addressed perceptions of informational, emotional, and instrumental support and quality of care.ResultsOne hundred fifty-four study participants consented to donation; 45 declined. White next of kin were significantly more likely than African Americans to consent. Specific elements of reported support were significantly associated with consent to donate. Donor and nondonor families had differing perceptions of quality care for themselves and their loved ones. Receiving understandable information about organ donation was the strongest predictor of consent.ConclusionsSpecific supportive behaviors by staff as recounted by family members of potential donors were significantly associated with consent to donation. These behaviors lend themselves to creative training and educational programs for staff. Such interventions are essential not only for next of kin of brain-dead patients, but also for staff and ultimately for the public as a whole.


2018 ◽  
Author(s):  
Thomas I. Cochrane

Brain death is the state of irreversible loss of the clinical functions of the brain. A patient must meet strict criteria to be declared brain dead. They must have suffered a known and demonstrably irreversible brain injury and must not have a condition that could render neurologic testing unreliable. If the patient meets these criteria, a formal brain death examination can be performed. The three findings in brain death are coma or unresponsiveness, absence of brainstem reflexes, and apnea. Brain death is closely tied to organ donation, because brain-dead patients represent approximately 90% of deceased donors and thus a large majority of donated organs. This review details a definition and overview of brain death, determination of brain death, and controversy over brain death, as well as the types of organ donation (living donation versus deceased donation), donation after brain death, and donation after cardiac death. A figure presents a comparison of organ donation after brain death and after cardiac death, and a table lists the American Academy of Neurology Criteria for Determination of Brain Death. This review contains 1 highly rendered figure, 3 table, and 20 references.


1970 ◽  
Vol 21 (1) ◽  
pp. 97-103
Author(s):  
M Mostafa Kamal

Scientists and clinicians must become familiar with the factors that affect the emotional, physical, and spiritual health of their patients that are outside the ken of the traditionally dominant value systems. Although many researchers have addressed the cultural and ethnical factors, very few have considered the impact of religion. Islam, as the largest and fastestgrowing religion in the world, has adherents throughout the world, presents a complete moral, ethical, and medical framework, while it sometimes concurs conflicts with the conventional and secular ethical framework. This paper introduces to the Islamic principles of ethics in organ transplantation involving human subject to address issues of religion and religious ethics. Historical reflections are discussed as to why Muslim thinkers were late to consider contemporary medical issues such as organ donation. Islam respects life and values need of the living over the dead, thus allowing organ donation to be considered in certain circumstances. The sources of Islamic law are discussed in brief to see how the parameters of organ transplantation are derived. The Islamic perception, both Shiite and Sunni, is examined in relation to organ donation and its various sources. The advantages and disadvantages of brain dead and cadaveric donation are reviewed with technical and ethical considerations. The Islamic concept of brain death, informed and proxy consent are also discussed. The concept of rewarded donation as a way to alleviate the shortage of organs available for transplantation is assessed.    doi: 10.3329/taj.v21i1.3230 TAJ 2008; 21(1): 97-103


2021 ◽  
Vol 36 (Supplement_1) ◽  
Author(s):  
Imane Failal ◽  
Sanae Ezzaki ◽  
Rania Elafifi ◽  
Naoufal Mtioui ◽  
Salma Elkhayat ◽  
...  

Abstract Background and Aims Organ transplantation is a treatment option to millions of patients worldwide. In this area, Morocco lags far behind the developed countries and even compared to some countries in the Arab world. The objective of this study is to assess the knowledge; social attitudes and perceptions of donation and organ transplantation by medical students. Method This is a cross-sectional study descriptive and analytical target held in the Faculty of Medicine and Pharmacy of. Results 320 medical students were surveyed. The mean age was 21.5 ± 2.32 years, with a female representing 78%. Almost all surveyed students knew the lethal diseases requiring the use of the graft (99.8%) and 97% of them knew the transplantable organs. 92% had heard of the possibility of organ transplants in Morocco, 90% of students felt that there are many people in need of transplants 87% of students were aware of the existence of legislation governing organ donation in Morocco. Only 7% thought that acts of donation and transplantation of organs are performed in private clinics, 89% of respondents know that there is a book in which one can register to make known its agreement to give its organs after death, 81% do not know the steps to register for this registre.97% were for organ donation and causes of refusal were: religion and the attainment of bodily integrity Conclusion There has to be targeted actions in order to promote donation and transplant in Morocco in order to enhance knowledge and information on medical, religious and legal order that the attitudes and perceptions of the population live.


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