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Organ Transplantation in Times of Donor Shortage

Organ Transplantation in Times of Donor Shortage
Author: Ralf J. Jox
Publisher: Springer
Total Pages: 352
Release: 2015-08-06
Genre: Philosophy
ISBN: 3319164414

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This book analyzes the reasons for organ shortage and ventures innovative ideas for approaching this problem. It presents 29 contributions from a highly interdisciplinary group of world experts and upcoming professionals in the field. Every year thousands of patients die while waiting for organ transplantation. Health authorities, medical professionals and bioethicists worldwide point to the urgent and yet unsolved problem of organ shortage, which will be even intensified due to the increasing life expectancy. Even though the practical problem seems to be well known, the search for suitable solutions continues and often restricts itself by being limited through disciplinary and national borders. Combining philosophical reflection with empirical results, this volume enables a unique insight in the ethics of organ transplantation and offers fresh ideas for policymakers, health care professionals, academics and the general public.


The Global Organ Shortage

The Global Organ Shortage
Author: T. Randolph Beard
Publisher: Stanford University Press
Total Pages: 261
Release: 2013-01-09
Genre: Political Science
ISBN: 0804784647

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Although organ transplants provide the best, and often the only, effective therapy for many otherwise fatal conditions, the great benefits of transplantation go largely unrealized because of failures in the organ acquisition process. In the United States, for instance, more than 10,000 people die every year either awaiting transplantation, or as a result of deteriorating health exacerbated by the shortage of organs. Issues pertaining to organ donation and transplantation represent, perhaps, the most complex and morally controversial medical dilemmas aside from abortion and euthanasia. However, these quandaries are not unsolvable. This book proposes compensating organ donors within a publicly controlled monopsony. This proposal is quite similar to current practice in Spain, where compensation for cadaveric donation now occurs "in secret," as this text reveals. To build their recommendations, the authors provide a medical history of transplantation, a history of the development of national laws and waiting lists, a careful examination of the social costs and benefits of transplantation, a discussion of the causes of organ shortages, an evaluation of "partial" reforms tried or proposed, an extensive ethical evaluation of the current system and its competitors.


Organ Procurement and Transplantation

Organ Procurement and Transplantation
Author: Institute of Medicine
Publisher: National Academies Press
Total Pages: 254
Release: 1999-12-09
Genre: Medical
ISBN: 0309172772

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Each day, nearly 60 Americans receive a transplanted kidney, liver, or other organâ€"a literal "second chance at life"â€"but 11 others die waiting for an organ transplant. The number of donors, although rising, is not growing fast enough to meet the increasing demand. Intended to improve the current system of organ procurement and allocation, the "Final Rule," a 1998 regulation issued by the U.S. Department of Health and Human Services, sparked further controversy with its attempts to eliminate the apparent geographic disparities in the time an individual must wait for an organ. This book assesses the potential impact of the Final Rule on organ transplantation. It also presents new, original analyses of data, and assesses medical practices, social and economic observations, and other information on: access to transplantation services for low-income populations and racial and ethnic minority groups; organ donation rates; waiting times for transplantation; patient survival rates and organ failure rates leading to retransplantation; and cost of organ transplantation services.


Non-Heart-Beating Organ Transplantation

Non-Heart-Beating Organ Transplantation
Author: Institute of Medicine
Publisher: National Academies Press
Total Pages: 103
Release: 1998-01-18
Genre: Medical
ISBN: 0309064244

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Non-heart-beating donors (individuals whose deaths are determined by cessation of heart and respiratory function rather than loss of whole brain function) could potentially be of major importance in reducing the gap between the demand for and available supply of organs for transplantation. Prompted by questions concerning the medical management of such donorsâ€"specifically, whether interventions undertaken to enhance the supply and quality of potentially transplantable organs (i.e. the use of anticoagulants and vasodilators) were in the best interests of the donor patientâ€"the U.S. Department of Health and Human Services asked the Institute of Medicine to examine from scientific and ethical points of view "alternative medical approaches that can be used to maximize the availability of organs from [a] donor [in an end-of-life situation] without violating prevailing ethical norms...." This book examines transplantation supply and demand, historical and modern conceptions of non-heart-beating donors, and organ procurement organizations and transplant program policies, and contains recommendations concerning the principles and ethical issues surrounding the topic.


Solutions to Organ Shortages for Transplantation

Solutions to Organ Shortages for Transplantation
Author: Patrick Kimuyu
Publisher: GRIN Verlag
Total Pages: 4
Release: 2017-11-20
Genre: Medical
ISBN: 3668575231

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Scientific Essay from the year 2016 in the subject Medicine - Public Health, grade: 1, Egerton University, language: English, abstract: Organ transplantation has become one of the most reliable life-saving medical approaches in the medical field. Miller et al. (2003) report “many lives have been saved that would not have been otherwise, and yet waiting lists for organs continue to increase” (par. 3). Historically, organ transplantation dates back to 1954 when the first human kidney was transplanted successfully. Later on in 1967, Christian Barnard carried out the first heart transplant. In general, a number of organ transplants were performed in 1960s including liver, pancreas and lung transplants, and this opened up treatment options for patients with organ failures. However, it is worth noting that, the success of organ transplant was enhanced by an array of clinical research findings. For instance, the discovery of immunosuppressive drugs, which prevented the rejection of organ grafts served as a significant breakthrough in organ transplantation. Currently, organ transplantation has gained popularity owing to its reliability although organ procurement and allocation laws appear to have limited its clinical use. Abouna (2008) reports “In the United States, for example, the number of patients on the waiting list in the year 2006 had risen to over 95,000 while the number of patient deaths was over 6,300” (p. 34). However, organ transplantation has been faced with unprecedented organ shortage crises. It has been reported that about 18 patients in the waiting list die every day owing to the shortage of organ donations (Rall, 2013). Therefore, this paper will provide solutions which appear relevant in addressing the shortage of organs available for transplantation.


The Organ Shortage Crisis in America

The Organ Shortage Crisis in America
Author: Andrew Michael Flescher
Publisher: Georgetown University Press
Total Pages: 188
Release: 2018
Genre: Donation of organs, tissues, etc
ISBN: 1626165440

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Cover -- Title -- Copyright -- Contents -- Acknowledgments -- Introduction: The Organ Shortage Crisis in America -- Motivations for Giving, Especially of Precious Goods -- Civic Duty -- A Word about the Audience and Purpose of This Book -- Organization -- Notes -- 1. The Case for Legalizing the Sale of Organs -- The Market as a Solution, If Not a Virtue -- Costs and Equity -- The "Tyranny of the Gift -- Financial Incentives, Libertarianism, and the Black Market -- The Unique Case of Iran -- A Legal, Regulated Market for Organ Trade -- Notes -- 2. Ethical Concerns with Legalizing the Sale of Organs -- The Utility of Utility -- Selling Organs and the Impoverished -- Selling Organs and Public Safety -- Commodification -- Moving from Ethical to Pragmatic Considerations -- Notes -- 3. Organ Donation, Financial Motivation, and Civic Duty -- Paying It Forward -- Wolfenschiessen, Switzerland -- How Buying a Good Changes a Good -- The Difference between Lump-Sum Incentives and Compensatory Measures -- Civic Duty -- Notes -- 4. Living Donors and the Confluence of Altruism and Self-Regard -- Complex Human Motivations and the Myth of Unmotivated Altruism -- Living Donors and Living Donor Advocacy -- The Health Benefits of Living Donation -- Reflections of a Living Donor Advocate -- Notes -- 5. Making Altruism Practical -- Reducing Disincentives and Opening Doors to Virtue -- Paired Exchanges and Donor Chains -- Creating Incentives to Opt In -- Lost Wages and Travel Expenses -- Publicly Acknowledging Living Donors -- Nonmonetary Valuable, Comparable Goods -- Helping Virtue Along -- Notes -- Conclusion: Two to Four Hours of Your Life -- Notes -- Index -- A -- B -- C -- D -- E -- F -- G -- H -- I -- J -- K -- L -- M -- N -- O -- P -- Q -- R -- S -- T -- U -- V -- W -- Z -- About the Author


Organ Donation and Transplantation

Organ Donation and Transplantation
Author: Georgios Tsoulfas
Publisher: BoD – Books on Demand
Total Pages: 454
Release: 2018-07-25
Genre: Medical
ISBN: 1789233402

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One of the most interesting and at the same time most challenging fields of medicine and surgery has been that of organ donation and transplantation. It is a field that has made tremendous strides during the last few decades through the combined input and efforts of scientists from various specialties. What started as a dream of pioneers has become a reality for the thousands of our patients whose lives can now be saved and improved. However, at the same time, the challenges remain significant and so do the expectations. This book will be a collection of chapters describing these same challenges involved including the ethical, legal, and medical issues in organ donation and the technical and immunological problems the experts are facing involved in the care of these patients.The authors of this book represent a team of true global experts on the topic. In addition to the knowledge shared, the authors provide their personal clinical experience on a variety of different aspects of organ donation and transplantation.


Organ Procurement and Transplantation

Organ Procurement and Transplantation
Author: Institute of Medicine
Publisher: National Academies Press
Total Pages: 255
Release: 2000-01-09
Genre: Medical
ISBN: 030906578X

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Each day, nearly 60 Americans receive a transplanted kidney, liver, or other organâ€"a literal "second chance at life"â€"but 11 others die waiting for an organ transplant. The number of donors, although rising, is not growing fast enough to meet the increasing demand. Intended to improve the current system of organ procurement and allocation, the "Final Rule," a 1998 regulation issued by the U.S. Department of Health and Human Services, sparked further controversy with its attempts to eliminate the apparent geographic disparities in the time an individual must wait for an organ. This book assesses the potential impact of the Final Rule on organ transplantation. It also presents new, original analyses of data, and assesses medical practices, social and economic observations, and other information on: access to transplantation services for low-income populations and racial and ethnic minority groups; organ donation rates; waiting times for transplantation; patient survival rates and organ failure rates leading to retransplantation; and cost of organ transplantation services.


Organ Shortage: The Solutions

Organ Shortage: The Solutions
Author: J.-L. Touraine
Publisher: Springer Science & Business Media
Total Pages: 375
Release: 2012-12-06
Genre: Medical
ISBN: 9401102015

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Organ Shortage: The Solutions is the latest subject in the Continuing Education series, organized by Fondation Marcel Mérieux and Université Claude Bernard in Lyon. The annual subject is chosen to reflect the status of the topical issues of the year, as taught by leading international experts. The contribution of transplantation and clinical immunology to advanced medicine is considerable and promising. The annual volumes in this series keep the reader abreast of these developments.


Contemporary Bioethics

Contemporary Bioethics
Author: Mohammed Ali Al-Bar
Publisher: Springer
Total Pages: 267
Release: 2015-05-27
Genre: Medical
ISBN: 3319184288

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This book discusses the common principles of morality and ethics derived from divinely endowed intuitive reason through the creation of al-fitr' a (nature) and human intellect (al-‘aql). Biomedical topics are presented and ethical issues related to topics such as genetic testing, assisted reproduction and organ transplantation are discussed. Whereas these natural sources are God’s special gifts to human beings, God’s revelation as given to the prophets is the supernatural source of divine guidance through which human communities have been guided at all times through history. The second part of the book concentrates on the objectives of Islamic religious practice – the maqa' sid – which include: Preservation of Faith, Preservation of Life, Preservation of Mind (intellect and reason), Preservation of Progeny (al-nasl) and Preservation of Property. Lastly, the third part of the book discusses selected topical issues, including abortion, assisted reproduction devices, genetics, organ transplantation, brain death and end-of-life aspects. For each topic, the current medical evidence is followed by a detailed discussion of the ethical issues involved.