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The Importance of Managing Mission Knowledge at NASA

The Importance of Managing Mission Knowledge at NASA | Organ Donation & Transplant Matters Resources | Scoop.it

Reported online via T + D is this article titled Managing Mission Knowledge at NASA
 
This fundamental question lies at the heart of NASA's efforts in knowledge management (KM), and as explained in the article due to the nature of the work undertaken by NASA, failure can be costly.

Deborah Verran's insight:

This article will be of interest to professionals who are tasked with dealing with knowledge management within organizations

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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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Surgeons announce world's first successful penis transplant - Washington Post

Surgeons announce world's first successful penis transplant - Washington Post | Organ Donation & Transplant Matters Resources | Scoop.it

The announcement has been made of the worlds first successful penis (penile transplant). This is only the second time a penile transplant has been attempted, and this is the first time that  it has worked.

 

It took a surgical team nine hours to accomplish the surgery and there were constraints around sourcing the penis from a deceased donor.

 

The announcement was followed by a reporter who tweeted out information in a series of tweets which form the basis of this particular online report.

 

Another media report can be accessed via the following link-

http://www.medicaldaily.com/worlds-first-successful-penis-transplant-man-receives-new-sex-organ-after-9-hour-325604

 

Deborah Verran's insight:

This particular type of rare composite tissue transplant requires that a number of conditions be met. This includes the need to balance the long term risks of immune suppressing drugs versus the need to provide a young man with a fully functional penis. 

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Bionic reconstruction gives men first prosthetic hands controlled by mind

Bionic reconstruction gives men first prosthetic hands controlled by mind | Organ Donation & Transplant Matters Resources | Scoop.it

Three Austrians have had their injured limbs amputated, then nerves and muscles have been transplanted from the leg to the arm in each case so that the patients could learn to control their new prosthetic hands.

 

This is the online report summarizing the results of research that has just been published online in the medical journal The Lancet. This new approach to replacing damaged limbs with a hybrid of the patients own tissues and robotic type technology appears to be extremely promising.

 

A video of the functional results with use of the new bionic arm in practice can be viewed via the link which can be accessed by clicking on the banner headline or via the following link-

http://www.theguardian.com/science/video/2015/feb/25/world-first-bionic-hand-controlled-by-mind-video

 

 

Deborah Verran's insight:

Extraordinary development. This approach avoids the risks associated with life long anti-rejection therapy which is required for patients who may instead undergo arm transplantation.

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Why is organ & tissue donation taboo for Kenyans?

Why is organ & tissue donation taboo for Kenyans? | Organ Donation & Transplant Matters Resources | Scoop.it

It appears that deeply engrained religious and cultural beliefs prevent people in Kenya from donating both organs and tissues but some doctors are trying to change attitudes, writes Anne Soy.

 

There is an urgent need for corneas that can then be used to correct the vision of patients affected by disorders of the cornea including keratoconus. Although corneas are imported into Kenya, the cost is prohibitive for many patients as well as the health system. Hence there is a real need to improve the rates of tissue donation along with the rates of organ donation in Kenya so that more patients can benefit.

 

Attempts are being made to educate people in the community with some of the medical professionals now raising awareness of the importance of organ and tissue donation in order to assist with leading the efforts to achieve much needed change in Kenya.

Deborah Verran's insight:

Well written article outlining some of the barriers to organ and tissue donation in Kenya

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India's #1 Impediment To Organ Donation: Doctors - Huffington Post India

India's #1 Impediment To Organ Donation: Doctors - Huffington Post India | Organ Donation & Transplant Matters Resources | Scoop.it

This opinion piece comes via Dr Christopher Barry a Transplant Surgeon who has been spending time in India. Dr Barry shares his perspectives on where he feels the current barriers currently exist to improving the rates of deceased donor organ transplantation across India.

 

The article focuses on barriers within the healthcare system including in particular where medical specialists may be contributing to a lack of forward progress. All doctors and medical professionals across India also need to understand that organ donation is all about saving lives, despite a single loss of life.

Deborah Verran's insight:

A unique perspective on barriers that exist within the healthcare system across India to organ donation.

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Desperately needed organs from anonymous living donors are saving lives but raise ethical concerns

Desperately needed organs from anonymous living donors are saving lives but raise ethical concerns | Organ Donation & Transplant Matters Resources | Scoop.it

The National Post in Canada was recently invited to document one woman's altruistic living kidney donation — an act that still generates controversy and is even banned in some U.S. hospitals. In the process an exploration was undertaken to also explore some of the ethical issues around altruistic live organ donation which contribute to the reluctance of some transplant hospitals to offer this service.

 

Concerns over the safety and the long term well being of a live organ donor who is not related in any way to the transplant recipient have helped contribute to the high degree of caution around this process.

 

The live donor featured in this article is interviewed along with members of her surgical team as well as other health professionals with expertise in the assessment of live organ donors. The full text of this interesting article can be viewed by clicking on the banner headline.

Deborah Verran's insight:

A well written article that will be of interest to anyone with an interest in live organ donation

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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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Europe's first heart transplant from a donation after circulatory death organ donor

Europe's first heart transplant from a donation after circulatory death organ donor | Organ Donation & Transplant Matters Resources | Scoop.it

Surgeons at the Papworth hospital in Cambridgeshire, the United Kingdom have performed the first successful heart transplant in Europe using a heart retrieved from a donation after circulatory death (DCD) organ donor.

 

 Importantly the heart was placed on the TransMedics organ Care System device (pictured), following its removal from the deceased donor. This allowed for an assessment to be made as to the suitability of the heart to then be transplanted. A video which includes footage of the man who received the donor heart can be accessed by clicking on the banner headline.

 

This follows on from the report from Australia of two successful heart transplants from DCD organ donors in 2014 http://sco.lt/7Z57IX

 

Deborah Verran's insight:

News that a second heart transplant programme has successfully transplanted the heart from a DCD organ donor

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The BiVACOR artificial heart: developed in Queensland Australia

The BiVACOR artificial heart: developed in Queensland Australia | Organ Donation & Transplant Matters Resources | Scoop.it

This story is about a new type of artificial heart which has been developed in Australia and is now being trialed in a large animal model. This type of heart is unusual in that the flow of blood is not intermittent, hence there is no pulse which can be detected in the recipient.

 

The full article contains information about the developers, the collaborative partnerships that have been required to ensure the research could get to this stage as well as more information about the device itself. This can be accessed by clicking on the banner headline.

 

The hope is that this type of device will ultimately be trialed in humans. If it is successful then it could be an alternative to conventional heart transplantation in selected cases.

Deborah Verran's insight:

Well put together article, containing fine graphics. A must read for anyone interested in medical technology

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Overcoming the barriers to organ transplants in Bolivia

Overcoming the barriers to organ transplants in Bolivia | Organ Donation & Transplant Matters Resources | Scoop.it

This report comes via the Associated Press in LA PAZ, Bolivia (AP).

and features the case of a woman who finally received a live donor kidney transplant towards the end of 2014 as part of a new government sponsored initiative. This involves promoting organ transplantation as well as working on overcoming pre-existing cultural barriers, some of which are explored in the article.

 

Prior to the transplant Maria Ramos battled bouts of depression for seven years as she underwent thrice-weekly dialysis treatments to keep her alive.  Her ambition of becoming a schoolteacher at times was previously an unattainable dream.

 

 

Deborah Verran's insight:

News from Bolivia of some of the measures being taken to improve the rates of organ transplantation

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Pregnancy Outcomes are Similar for Adult and Child Female Kidney Transplant Recipients

Pregnancy Outcomes are Similar for Adult and Child Female Kidney Transplant Recipients | Organ Donation & Transplant Matters Resources | Scoop.it

Pregnancy outcomes are similar for women who have received a kidney transplant, whether they were a child or an adult at the time when they got their transplant, according to a new study published in the February issue of JAMA Pediatrics.

 

These are the conclusions of researchers who analysed data held in the ANZDATA Registry.

Deborah Verran's insight:

Important data which can be used to help guide clinicians in offering advice to women of child bearing age post kidney transplantation

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Pitt-UPMC exploring way to keep donated livers viable longer via machine preservation

Pitt-UPMC exploring way to keep donated livers viable longer via machine preservation | Organ Donation & Transplant Matters Resources | Scoop.it

Livers and other organs begin lacking oxygen the moment they are removed from the organ donor and hence may have sustained damage by the time a transplant occurs.

 

In cases where the circulation to the liver has ceased for a period of time prior to its removal from the organ donor, the damage to the liver can be greater.

 

This report outlines the use of a liver preservation machine that was initially developed in Europe as part of ongoing research efforts into the optimal method of preserving donor livers. To read more on this story click on the banner headline.

Deborah Verran's insight:

The preservation machine featured in this article is one of two that have initially been developed in Europe. It is now being used in preliminary trials by some liver transplant programmes around the world. Data on liver transplant outcomes utilizing this technology are expected to be available in another 1-2 years. 

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Investigation being undertaken of the organ donor retrieval process for a case in Germany

Investigation being undertaken of the organ donor retrieval process for a case in Germany | Organ Donation & Transplant Matters Resources | Scoop.it

The German Medical Association is investigating an incident where surgeons began to operate on a north German man who was not strictly brain dead.

 

The specifics of the case are not known however it has been confirmed that an investigation will now be undertaken for a case where concerns have been expressed around the sequence of events during organ retrieval surgery.

Deborah Verran's insight:

It is essential that the certification of brain death follows established protocols and standards to prevent unintended consequences.

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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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