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The influence of Australian eye banking practices on corneal graft survival | Medical Journal of Australia

The influence of Australian eye banking practices on corneal graft survival | Medical Journal of Australia | Organ Donation & Transplant Matters Resources | Scoop.it

Reported via the Medical Journal of Australia and open access: The influence of Australian eye banking practices on corneal graft survival http://t.co/FAI5Nj7Rpq

 

Due to geography not all regions of Australia are able to source corneal tissue locally for the purposes of transplantation. Hence at times corneal tissue has to be transported including by at times by air. Hence the interesting result of the possible adverse impact on some corneal grafts from being transported....

Deborah Verran's insight:

Important analysis with interesting results

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Older donors could help reduce organ transplant gap: Canadian Report

Older donors could help reduce organ transplant gap: Canadian Report | Organ Donation & Transplant Matters Resources | Scoop.it

Canada could reduce its persistent shortage of organs for transplant by retrieving more organs from older donors, says a study released Thursday by the Canadian Institute for Health Information. 

 

The variability seen in the rates of organ donation as well as the variation in the demographics of organ donors across the country has led to a closer examination of where the potential exists to increase the rates of organ donation.

 

The report highlights what can be viewed as the current missed opportunities to increase the rates of organ donation across Canada.

 

The link to the full report -

 

http://www.cihi.ca/cihi-ext-portal/internet/en/document/types+of+care/specialized+services/organ+replacements/release_18dec14

 

Deborah Verran's insight:

Variation between the provinces in Canada has led to this closer examination of data pertaining to organ donation. The recommendations are sound and the whole report is worth reading. This will be of interest to professionals who hold the responsibility and/or interest in the performance of health care systems pertaining to organ donation.

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Top marks for organ donation in Scotland

Top marks for organ donation in Scotland | Organ Donation & Transplant Matters Resources | Scoop.it

The latest Report card from Scotland reveals that there has been significant increase in the rates of organ donation and transplantation in recent years.

 

The full media release can be accessed via the following link-

http://news.scotland.gov.uk/News/Top-marks-for-organ-donation-in-Scotland-1255.aspx

 

 

 

Deborah Verran's insight:

Good news from Scotland

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New US kidney allocation rules give hope to people waiting for donated kidneys

New US kidney allocation rules give hope to people waiting for donated kidneys | Organ Donation & Transplant Matters Resources | Scoop.it

This last week a number of new rules around the allocation of deceased donor kidneys have come into place within the United States.

 

The new rules change the way that organ allocation now occurs for people waiting for a new kidney. It includes a formula which allows for longevity matching of the donor kidneys with potential recipients. Doctors hope that this new allocation system will now maximize the outcomes of transplanting these relatively scarce donor organs.

 

The media release from the United Network of Organ Sharing (UNOS) can be viewed via the following link-

http://www.unos.org/about/index.php?topic=newsroom&article_id=2897

 

Deborah Verran's insight:

This represents major change to the kidney allocation algorithms within the United States with the aim of achieving better patient outcomes.

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The Netherlands aims to increase organ donations by voluntary euthanasia candidates

The Netherlands aims to increase organ donations by voluntary euthanasia candidates | Organ Donation & Transplant Matters Resources | Scoop.it

There are now moves being made in The Netherlands via Dutch specialists to prepare official guidelines which will support post-euthanasia organ donation. Some specialists believe that this option should be available for the individuals who meet the current protocols around voluntary euthanasia.

 

However this is not without controversy in some quarters and has already attracted online comments, one of which can be viewed via the following link- http://www.noeuthanasia.org.au/blog/2167-euthanasia-and-organ-donation-in-the-netherlands.html

 

 

Deborah Verran's insight:

As euthanasia is permissible within the Netherlands in highly selected cases, attention is now turning to whether it is possible for organ donation to also be an option

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Two kidney transplant patients die after each receives a new organ harbouring an unusual parasite

Two kidney transplant patients die after each receives a new organ harbouring an unusual parasite | Organ Donation & Transplant Matters Resources | Scoop.it

Two adult males,Darren Hughes and Robert 'Jim' Stuart died less than three weeks after what they believed would be life-saving kidney transplant surgery.

 

Preliminary investigations have determined that the donor organs may have been harboring a rare form of parasite and that this parasite then led to severe illness in each of the two men.

Deborah Verran's insight:

The results of several investigations are now awaited. As outlined in the online report this is an extremely rare infection and has previously only been described in a small number of cases.

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Report that Cambodia is now a target for organ trafficking

Report that Cambodia is now a target for organ trafficking | Organ Donation & Transplant Matters Resources | Scoop.it

Reported online via the Japan times the story of a young man who was lured from Cambodia to Thailand in order to sell one of his kidneys.

 

The man is left with a seven-inch scar which runs diagonally across the left flank of his torso, a glaring reminder of an operation he hoped would save his family from debt but instead plunged him into despair.

 

For more on this story click on the banner headline.

Deborah Verran's insight:

Yet another account of organ trafficking

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Some hospitals in Bulgaria now have reasonable rates of organ donation

Some hospitals in Bulgaria now have reasonable rates of organ donation | Organ Donation & Transplant Matters Resources | Scoop.it

Dr Mariyana Simeonova, head of the Executive Agency for Transplantation in Bulgaria, recently held in an interview with the FOCUS News Agency.

 

Dr Simeonova outlined some of the current statistics for organ transplantation  in Bulgaria as well as the challenges with respect to increasing the rates of organ donation. In addition the top three hospitals for organ transplantation were also named.

Deborah Verran's insight:

Some interesting information from one of the Eastern European countries.

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Organ donation: is an opt-in or opt-out system better?

Organ donation: is an opt-in or opt-out system better? | Organ Donation & Transplant Matters Resources | Scoop.it


Around the world, organ donation policies vary greatly between countries. So is it better to have a donation system where people have to opt in or one where they opt out?

 

This question was asked recently by some researchers in the United Kingdom. They examined the rates of organ donation in a number of countries around the world according to whether opt in or opt out types of legislation were in place.

 

There appears to be higher rates of deceased donor organ donation in countries with an opt out system whilst the opposite was true for living donation. As outlined in this article there are other factors which contribute to the rates of organ donation both within and between countries.

 

The ex CEO of BC Transplant in Canada (Bill Barrable) outlines why moving to a presumed consent system was not supported back in time within Canada -

 

http://www.theglobeandmail.com/globe-debate/organ-donation-the-perils-of-presumed-consent/article20783431/?__scoop_post=2cd7f780-450d-11e4-a362-001018304b75&__scoop_topic=543333#__scoop_post=2cd7f780-450d-11e4-a362-001018304b75&__scoop_topic=543333

 

Finally, the results of some recently published research on whether there is a region of the brain which can be identified to be associated with altruism in live kidney donors can be viewed via this link-

 

http://www.medicaldaily.com/organ-donor-brains-bigger-region-linked-altruism-neural-roots-generosity-303638?__scoop_post=e685b850-4244-11e4-f327-001018304b75&__scoop_topic=543333#.VB_emdJ6-m4.twitter

 

 

 

 

Deborah Verran's insight:

The rates of organ donation within and between countries represent the end result of many factors which all need to be in place in order for optimal rates of organ donation to be sustained.

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Legal battle over organ donors' final wishes in the NW of the United States

Legal battle over organ donors' final wishes in the NW of the United States | Organ Donation & Transplant Matters Resources | Scoop.it

Recently in the United States a hospital sought resolution of a dispute between the known wishes of a potential organ donor and his family members.

 

As outlined in the article, the young man was declared brain dead as the result of fatal head injuries that he sustained in an automobile accident. It appears that during life, the man had declared his intent to be an organ donor when registering for his drivers license.

 

When family members were approached for authorization for the organ donation process to proceed they refused. At that point the hospital concerned took the matter to court.

 

The organ donation surgery then proceeded, two days following the court hearing. 

 

In this case the court has upheld the principle of 'first person authorization' which has been the subject of a previous post on this site-

 

http://sco.lt/6IC1dh

 

Deborah Verran's insight:

Their are some inaccuracies in the online report. First organ retrieval surgery is not performed prior to death. Second the term 'harvest' is no longer deemed an appropriate descriptor of the surgical organ recovery process.

 

The case does bring home the importance of family members all being aware of their loved ones wishes when it comes to organ donation.

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Kidneys for Sale - Israel & Organ Trafficking

Kidneys for Sale - Israel & Organ Trafficking | Organ Donation & Transplant Matters Resources | Scoop.it

When investigators from the New York Times looked into an illegal organ trading operation based in Costa Rica, what they discovered was that all paths led to Israel.


The culprits (brokers),  were among the central operators in Israel's

irrepressible underground kidney market. 

 

Details on who the culprits were, along with what some of the patients also went through can be viewed by clicking on the banner headline.

 

One of the factors which contributes to patients becoming desperate is the low rates of organ donation in Israel. This is subject to a second article outlining in detail the barriers to organ donation in Israel-

 

http://sco.lt/54wOyP

 

In addition an interview with Kevin Sack of the New York Times can be viewed via the following link-

 

https://www.youtube.com/watch?v=f8fhMe6cuHU

 

Deborah Verran's insight:

Detailed story on the kidney transplant racket involving Israeli patients travelling to Costa Rica

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India has addressed blood donation, it must now do the same with organ donation

India has addressed blood donation, it must now do the same with  organ donation | Organ Donation & Transplant Matters Resources | Scoop.it

This detailed article outlines the multiple factors which contribute to an unmet need for organ donation within India.

 

Although living kidney and living liver transplantation are both performed, these are costly procedures and hence only available to those who can afford to pay.

 

A similar perspective from Dr Avnish Seth, the Director of Fortis Organ Retrieval & Transplant can be viewed via the following link-

http://blog.organdonationday.in/?p=30

 

 

Deborah Verran's insight:

There remain challenges within India with respect to establishing a robust system for deceased donor organ donation across the country

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Big Data's Effect on Organ Transplant Wait Lists in the United States

Big Data's Effect on Organ Transplant Wait Lists in the United States | Organ Donation & Transplant Matters Resources | Scoop.it

This report is about the challenges that have been faced in recent years in the United States with increasing numbers of people on transplant waiting lists and how the concept of paired kidney exchange arose. Hint it involved a Professor of Economics (Dr Alvin Roth) who was ultimately awarded the Nobel prize.

 

However there are still challenges with finding matches with paired kidney exchange schemes and the reasons are also outlined in this report.

Deborah Verran's insight:

Interesting report containing both statistics and background information

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Heart Transplant Footage Shows How Far Medical Science Has Come

Heart Transplant Footage Shows How Far Medical Science Has Come | Organ Donation & Transplant Matters Resources | Scoop.it

This report is about how heart transplantation has progressed over the last 45 years and contains video footage of a Heart Transplant procedure. 

Since the first transplant at one programme in the United States,

Stanford University Hospital in 1968, doctors and scientists have refined the operation to an astounding degree. The video can also be viewed by clicking on the following link-

https://www.youtube.com/watch?v=QGtLYtOwtxA

 

Deborah Verran's insight:

An example of quality video footage of a transplant procedure which has been posted online. Not for the squeamish however.

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Simple steps can safeguard against Ebola transmission through organ donation in the United States

Simple steps can safeguard against Ebola transmission through organ donation in the United States | Organ Donation & Transplant Matters Resources | Scoop.it

While serious infections can be transmitted from donated organs, the risk of passing Ebola virus disease from an organ donor to a recipient is extremely small.

 

This is the conclusion reached by researchers in the United States in a recent editorial published in the American Journal of Transplantation.

 

As there is no readily available blood test available in all regions which could provide a rapid answer to whether or not a potential organ donor was harboring Ebola a safer strategy is to rely on the donors' recent history.

Deborah Verran's insight:

Steps are being taken within the United States to put safeguards in place across the organ donation system to prevent Ebola transmission occurring.

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From unknown to mainstream, Gift of Life program in Philadelphia turns 40

From unknown to mainstream, Gift of Life program in Philadelphia turns 40 | Organ Donation & Transplant Matters Resources | Scoop.it

The Gift of Life Organ Procurement Organization (OPO) has been responsible for the delivery of key services related to organ and tissue donation to the local region for 40 years.

 

The long-time CEO Howard Nathan reflects on nearly four decades in the organ donation and procurement business.

 

Howard provides insights into what it took to take a fledgling organization on a journey towards turning it into one of the leading OPO's within the United States.

Deborah Verran's insight:

A must read for healthcare professionals interested in leadership and management of organizations responsible for key aspects of services delivery within the healthcare sector pertaining to organ and tissue donation.

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Family remains traumatized after organ donor ID mix-up

Family remains traumatized after organ donor ID mix-up | Organ Donation & Transplant Matters Resources | Scoop.it

Mike Hernandez, a husband and father of three, died suddenly last spring. He was just 48 years old. What happened around the time of his death when his wife was approached about whether he wished to be an organ donor is the subject of this article.

 

There seems to be a problem with the initial identification of whether Mike Hernandez recorded a yes or a no to organ donation via the motor vehicle drivers license registry. What then transpired according to his wife is outlined in more detail in the article which can be accessed via clicking on the banner headline.  

Deborah Verran's insight:

Any 'mix up' over the correct identification of the prior wishes on organ donation can lead to anguish and concern amongst family members. This case highlights the importance of cross checking information.

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A Lawyer's perspective: organ donation conflict case could have been avoided

A Lawyer's perspective: organ donation conflict case could have been avoided | Organ Donation & Transplant Matters Resources | Scoop.it

Recently the case of a 2 year old child where family conflict led to court proceedings garnered media attention within the United States.

 

Now the lawyer involved in the case has given his perpective on the case. He says that the conflict over organ donation in this case could have been avoided and outlines how it may have been avoided.

Deborah Verran's insight:

Important insights into a case where family conflict led to court action. This will be of interest to healthcare professionals actively involved in organ donation and also to healthcare managers.

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Frailty Tied to Lower Survival Rates After Kidney Transplant

Frailty Tied to Lower Survival Rates After Kidney Transplant | Organ Donation & Transplant Matters Resources | Scoop.it

Research findings have linked increased patient frailty at the time of kidney transplant surgery to an increased mortality rate. This has recently been published online in the American Journal of Transplantation which can be viewed via the following link-

http://au.wiley.com/WileyCDA/PressRelease/pressReleaseId-113402.html

 

 It is suggested by the researchers that doctors should monitor such patients closely after surgery.

Deborah Verran's insight:

At times decisions also have to be made to not proceed with kidney transplant surgery if patients are significantly physically deconditioned. Kidney transplant surgery is major surgery and is combined with the initiation of powerful immunosuppressive drug therapy. This sets this type of surgery apart from operations of a similar magnitude.

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The Values of “Insightfully Aware” Leaders

The Values of “Insightfully Aware” Leaders | Organ Donation & Transplant Matters Resources | Scoop.it

 

Values are the principles and standards that motivate us in life. They are our basic convictions; our belief that tells us what is right, good, or appropriate for a particular situation.

 

 

Values serve as guidance through which all decisions are assessed and are an important aspect of leadership. Also values are central to "authentic" leadership.

 

This well written piece expands on the importance of having values and why the values that are espoused by the leaders within an organization are extremely important. Employees will find it difficult to maintain an ongoing commitment with an organization where the values that are exhibited by the senior leadership are in conflict with their own values.

Deborah Verran's insight:

Insightful and highly relevant. What values do the leaders in your organization hold? Does what the leaders say align with what they then do? 

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Woman gives birth to a live infant after uterus transplant, in a medical first

Woman gives birth to a live infant after uterus transplant, in a medical first | Organ Donation & Transplant Matters Resources | Scoop.it

 

A healthy baby boy has been born born prematurely via caesarean section to a Swedish mother last month after the mother had undergone a successful uterus transplant. The uterus was donated from a 61-year-old friend of the mother.

 

This case now represents proof of concept that a live birth can follow a successful uterus transplant, which to date has proven difficult to achieve in other cases.

 

The medical team from Sweden (some of whom are pictured above undertaking the transplant surgery) have also reported the case in detail in a leading medical journal The Lancet. The full Lancet paper can be downloaded via-

 

http://download.thelancet.com/flatcontentassets/pdfs/S0140673614617281.pdf

 

 

An image of the baby along with some condensed information can be viewed via clicking on the following link-

http://www.telegraph.co.uk/health/healthnews/11140527/Womb-transplant-first-picture-of-baby-born-after-pioneering-operation.html?__scoop_post=2bc97550-4bbe-11e4-9fb1-001018304b75&__scoop_topic=416336#__scoop_post=2bc97550-4bbe-11e4-9fb1-001018304b75&__scoop_topic=416336

 

 

 

Deborah Verran's insight:

This case represents the culmination of the efforts of clinical research programme into uterus transplantation in Sweden. Of note the indications for the procedure may remain limited due to the nature of the surgery required, the ability to source an appropriate donor organ and the requirement for close medical monitoring of the recipient.

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Don't Take 'No' for an Answer: An Experiment with Actual Organ Donor Registrations in the USA

Don't Take 'No' for an Answer: An Experiment with Actual Organ Donor Registrations in the USA | Organ Donation & Transplant Matters Resources | Scoop.it

Results of this research by Judd E. Kessler and Alvin B Roth outline the impact of active choice on decision making with respect to organ donation. Some of the findings may come as a surprise.

 

It appears that there are a number of findings that emanate from this research-

 

a) it is useful to encourage people to join organ donor registries

b) it is important to keep asking the question about organ donation

c) however active choice can also lead to a downside which is manifest by the rate of 'family refusals' at the time that the potential scenario then becomes a reality

Deborah Verran's insight:

Thoughtful analysis of an important issue posted online via Harvard Business. Professor Alvin Roth is a Nobel Prize laureate.

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How Much for a Kidney? Should live donors be compensated?

How Much for a Kidney? Should live donors be compensated? | Organ Donation & Transplant Matters Resources | Scoop.it

How best to encourage and support organ donation is the subject of an this online series of articles which debate this topic.


Titled How Much for a Kidney? the series is published via the New Yprk Times and focuses on kidney transplantation. 

 

According to the World Health Organization, 80,000 kidney transplants are performed worldwide each year, yet the demand now out strips the supply of donor kidneys.

 

To access the series of articles, click on the banner headline.

 

To read the article on why the testing of well thought out incentives for organ donation now needs to be considered click on the following link-

http://www.nytimes.com/roomfordebate/2014/08/21/how-much-for-a-kidney/test-incentives-for-organ-donations-theres-no-reason-not-to

 

Deborah Verran's insight:

Polished, professional series of viewpoints on how best to increase organ donation published via the New York Times

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US FDA approves XVIVO lung preservation device

US FDA approves XVIVO lung preservation device | Organ Donation & Transplant Matters Resources | Scoop.it

The U.S. Food and Drug Administration has approved the XVIVO Perfusion System (XPS) with STEEN Solution, a device for preserving donated lungs that do not initially meet the standard criteria for transplantation.

 

The XVIVO XPS lung perfusion system is one of several devices currently being trialed around the world. It is now hoped that with the judicious use of this type of technology that more donor lungs will be deemed suitable for transplantation. Once this technology becomes more widely available it is anticipated that this should lead to an increase in the numbers of lung transplants over the next 2-5 years.

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'Heart in a box': Pioneering device keeps donor organs alive OUTSIDE the body

'Heart in a box': Pioneering device keeps donor organs alive OUTSIDE the body | Organ Donation & Transplant Matters Resources | Scoop.it


Traditionally, all donor organs are placed in a cool-box and surrounded by ice to prevent them deteriorating on their journey between hospitals.

 

However new technology in the form of transportable machines is

leading to changes in how some organs are maintained following their removal from the donor.

 

This report focuses on the preliminary experience with the use of normothermic machine preservation in the Harefield heart transplant programme in the United Kingdom

Deborah Verran's insight:

Another report on the preliminary use of machine preservation in heart transplantation. Further data from the prospective clinical trials that are currently being undertaken is now awaited

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Chief Medical Officer appointed to a US OPO

Chief Medical Officer appointed to a US OPO | Organ Donation & Transplant Matters Resources | Scoop.it

This last week one of the US Organ Procurement Organization's announced that it had appointed a physician to a top medical post

Following a successful initiative to improve the viability of donated organs, Mid-America Transplant Services (MTS) named Dr Marklin as its new CMO.

Deborah Verran's insight:

Part of an evolving trend to have physicians involved in OPO operations in light of the specialized nature of many of the aspects of organ donor assessment and management

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