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Barriers to Organ Donation in Israel

Barriers to Organ Donation in Israel | Organ Donation & Transplant Matters | Scoop.it

This is one of two articles which focus on problems with organ donation in Israel and reported online via the New York Times.

 

This article focuses on the barriers to organ donation in Israel which can be placed into two categories: a) religion and b) ethics. For example the differing definitions of mortality, which can conflict with modern acceptance of brain death, are felt to have contributed to leaving the country with a low rate of deceased organ donation.

 

The problems that ensue from the low organ donation rate then lead to patients becoming desperate for a organ transplant and this desperation has helped contribute to organ trafficking. This is

sue is the subject of a second article which can be viewed via- 

 

http://sco.lt/5P2wrp

 

Deborah Verran's insight:

Taut reporting from the New York Times outlining how failure to address medico-legal and bioethical issues pertaining to organ donation at all levels of society can prove to be very costly.

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Organ Donation & Transplant Matters
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Laboratory Scientists' create a thymus gland which is able to function

Laboratory Scientists' create a thymus gland which is able to function | Organ Donation & Transplant Matters | Scoop.it

This report focuses on the creation of a thymus gland initially developed in the laboratory and then transplanted into an animal host where it continued to grow and function.


The thymus gland, a vital immune-system “nerve centre” type organ which resides in humans in the chest near the heart, was initially grown in a laboratory from connective-tissue type stem cells. It was then transplanted into a mouse where it continued to grow and appeared to function.

 

This development is just one out of the many steps that need to be accomplished  in the ongoing research into bioengineered organs

Deborah Verran's insight:

As outlined in the report, this is just one of many steps which will need to be successfully completed in the quest towards developing fully functional organs in the laboratory setting. Hence organ donation will continue to be an essential source of human organs for the purposes of transplantation for now.

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Hospital says ‘Thank You’ to organ donors via a floral tribute| Cambridge University Hospitals

Hospital says ‘Thank You’ to organ donors via a floral tribute| Cambridge University Hospitals | Organ Donation & Transplant Matters | Scoop.it

An example of an innovative way of thanking organ donors has recently been unveiled in a corridor of a major hospital in the United Kingdom.

 

The corridor - which links the main hospital of the Cambridge University Hospitals network with the Addenbrooke's Treatment Centre has been filled with a rainbow of flowers by artist Kate Munro.

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Brooklyn Hospital Instructed to Keep Girl, 2, on Respiratory Support Amid Family Conflict Over Organ Donation

Brooklyn Hospital Instructed to Keep Girl, 2, on Respiratory Support Amid Family Conflict Over Organ Donation | Organ Donation & Transplant Matters | Scoop.it

 

In the United States a Family Court judge has ordered a one-day stay in the custody battle between the parents of Thaiya Spruill-Smith, who was declared brain-dead last week.

 

There is conflict between the parents over whether Thaiya can proceed to becoming an organ donor. The case is complicated by the fact that Thaiya has died as the result of sustaining blunt trauma probably as the result of an assault by another family member. More on this story can be accessed via clicking on the banner headline.

 

Postscript. Organ donation was not able to proceed in light of the ongoing disagreement between Thaiyas parents-

 

http://www.nytimes.com/2014/11/20/nyregion/brooklyn-girl-at-center-of-organ-donation-dispute-is-taken-off-life-support.html?_r=0

 

 

 

Deborah Verran's insight:

When family conflict over whether a child can become an organ donor results in court proceedings. The end result being that organ donation is not able to proceed in this case.

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Hand transplant recipient now plans to drive a manual car

Hand transplant recipient now plans to drive a manual car | Organ Donation & Transplant Matters | Scoop.it

Mark Cahill, 53, from Greetland, West Yorkshire, made history when he underwent a hand transplant on back in December 2012 at the Leeds General Infirmary in the United Kingdom.

 

Despite a couple of problems along the way, Mark is now at the stage where he has regained enough function in the transplanted hand such that he can perform some activities which were previously impossible.

 

For more on this story click on the banner headline.

Deborah Verran's insight:

How a hand transplant recipient has gone from requiring help with every day activities to now being able to perform these activities himself.

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World-first DCD heart transplants at Sydney’s St Vincent’s Hospital a game changer

World-first DCD heart transplants at Sydney’s St Vincent’s Hospital a game changer | Organ Donation & Transplant Matters | Scoop.it

IN a world first, surgeons at St Vincent’s Hospital in Sydney Australia have been able to make  a heart beat again from organ donors whose own hearts have ceased beating and then successfully used it in a transplant.

 

The result is that two adult patients (pictured) have undergone heart transplantation using a heart that was obtained from a DCD organ donor. DCD stands for donation after circulatory death, which means that the organ donor is declared dead following cessation of circulation (and cessation of heart function), prior to organ recovery proceeding.

 

The donor heart is then resuscitated by utilising an ex-vivo organ preservation machine (as described in the online article).

 

 

Deborah Verran's insight:

The first successful heart transplants from DCD donors in the modern era.

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New York City Is Dying in Y&R's New Add to Promote Organ Donor Awareness

New York City Is Dying in Y&R's New Add to Promote Organ Donor Awareness | Organ Donation & Transplant Matters | Scoop.it

The iconic clock from Grand Central Terminal symbolizes the heart of New York City in this impressive 90-second animated film from Y&R, part of its campaign in backing the New York Organ Donor Network.

 

With the rates of organ donation lower in New York compared to other parts of the United States, a short video has been made with the help of an Oscar winning director to help raise awareness on organ donation.

 

Tor read more on the story click on the banner headline. To view the video click on the following link-

http://youtu.be/uX4MXwNjQQw

 

Deborah Verran's insight:

An unusual edgy Gotham like video for the #LongLiveNY campaign

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Pope Francis meets with a group of transplant surgeons; including the mayor of Rome

Pope Francis meets with a group of transplant surgeons; including the mayor of Rome | Organ Donation & Transplant Matters | Scoop.it

Recently Pope Francis met with a group of transplant surgeons; including the mayor of Rome in order to discuss issues around organ donation and transplantation.

 

Pope Francis met on Friday morning with the mayor of Rome, Ignazio Marino, who was accompanied by a group of specialists who were helping appraise the pope of current international organ donation practices. Of note Pope Francis is opposed to organ trafficking.

Deborah Verran's insight:

This is an important message from the Vatican in Rome

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Foreigners, desperate and able to pay for organ transplants, find hope in U.S.

Foreigners, desperate and able to pay for organ transplants, find hope in U.S. | Organ Donation & Transplant Matters | Scoop.it

This story highlights the small number of organ transplants that are performed on foreigners each year in the United States.

 

Pictured is a young Japanese girl who was the recipient of a life saving heart transplant, which was not able to be carried out in Japan due to the shortage of organ donors in that country.

 

The pros and cons of transplanting foreigners in the United States are outlined in the article. The practice is possible due to the United Network of Organ Sharing having deemed that it is acceptable in a limited number of cases.

Deborah Verran's insight:

This article highlights the ongoing debate in the United States as to whether foreigners should be able to undergo transplant procedures or not, noting the long waiting list.

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SUISSE. Une carte de donneur d'organes sur smartphone

SUISSE. Une carte de donneur d'organes sur smartphone | Organ Donation & Transplant Matters | Scoop.it
Switzerland is the first country to benefit from electronic donor card.

 

For an article written in English click on the following link-

 

http://www.swissinfo.ch/eng/swisstransplant-backs-e-organ-donor-card/40583510

 

Of note the electronic donor card can be accessed via an app.


Via nathalie Bissot-Campos de l'amfe
Deborah Verran's insight:

Switzerland has developed an electronic organ donor card which can be displayed via a smartphone.

 

This initiative has occurred as the result of ongoing efforts by Swiss Transplant to advocate for improvement in the organ donation donation rates.

 

Google translate can be used to read the full article which in addition contains some interesting info on how organ donation has evolved in France in recent times.

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The 2014 European Day for Organ Donation and Transplantation (EODD)

This years European Day for Organ Donation and Transplantation (EODD) is on the 11th October 2014. This video is one of the online campaign materials that have been generated to support this particular event.

 

The web site via which more information can be accessed can be viewed via the following link www.eodd2014.it

 

The campaign Organ Donation – Let's Talk About It – Become A Donor is supported by The Council of Europe (CoE) who is responsible for creating EODD.

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Will financial pressures on Eurozone countries impact on organ donation rates?

Will financial pressures on Eurozone countries impact on organ donation rates? | Organ Donation & Transplant Matters | Scoop.it

The Eurozone financial crisis has led to restrictions in financial budgets in parts of the health care sector within a number of countries. Up to now it was not clear whether this may be associated with an impact on organ donor rates.

 

Now comes the news that organ donor rates have dropped in several countries including Ireland and Portugal. In contrast the organ donor rate in Spain appears to be unaffected by the results of cuts that have occurred within the healthcare system of that country.

 

The head of the national organ donor organization in Spain Rafael Matesanz provides his insights into how the Spanish organ donation system is operating in the current environment. 

Deborah Verran's insight:

This article will be of interest to professionals who are involved with organ donation systems. It provides a snap shot of some of the challenges currently being faced within some of the Eurozone countries

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US Surgeon general issues advice: Stop tanning and save your skin

US Surgeon general issues advice: Stop tanning and save your skin | Organ Donation & Transplant Matters | Scoop.it

The US Surgeon general has issued a warning which is: Stop tanning and save your skin. The call to action from acting Surgeon General Boris Lushniak, released this last week, also outlines why skin cancer is now a "major public health problem".

 

Of not too much exposure to indoor tanning as well as excessive environmental sun exposure are major contributing factors to the later development of skin cancer.

Deborah Verran's insight:

Organ transplant recipients have an additional risk for skin cancer which is the requirement to take immune suppressing medications. Hence it is important that these patients limit the possibilty of there being additional risks for the development of skin cancer

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Latest news on the Fight Against International Organ Trafficking from Europe

Latest news on the Fight Against International Organ Trafficking from Europe | Organ Donation & Transplant Matters | Scoop.it

News from Italy that a meeting involving ethicists, lawyers and doctors has recently been held at the Italian Parliament in response to the recent adoption by the Council of Europe of the first convention to combat human organs trafficking.

 

Specific mention is made about the ongoing issues within China. The full online article can be viewed by clicking on the banner headline.

Deborah Verran's insight:

This article will of interest to individuals with an interest in the ethics, as well as the principles and procedures underpinning policy underpinning organ donation internationally

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Coroner rules: No criticism of surgeon over transplant recipient deaths

Coroner rules: No criticism of surgeon over transplant recipient deaths | Organ Donation & Transplant Matters | Scoop.it

The surgeon who undertook the surgery on two transplant patients in whom the donor kidneys were later found to be infected with parasitic worms, cannot be criticised for accepting the organs, according to a corner.

 

The rarity of the underlying infection, along with the fact that normal screening processes were followed were mitigating factors in this case.

 

For more on this story, including commentary from NHS Blood and Transplant click on the banner headline.

 

Another online report on this story ruling can be viewed via the following link-

http://www.southwales-eveningpost.co.uk/Surgeon-cleared-neglect-fathers-died-infected/story-25154014-detail/story.html

 

 

Deborah Verran's insight:

One of the risk's with solid organ donation (albeit very small) is that the organ donor is harboring an infection that is not able to be detected by routine testing.

 

This case is an example of such a rare event

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Developing a Mobile Health App to Focus on Post-Op Care

Developing a Mobile Health App to Focus on Post-Op Care | Organ Donation & Transplant Matters | Scoop.it

Using a $500,000 federal grant, UW-Madison School of Medicine and Public Health researchers in the United States are now developing a smartphone app which allows patients to securely photograph and send images of their post-operative wounds to their doctor.

 

With wound complications being not uncommon one way of doctors being able to keep track of their patients is via the secure transmission of serial images of their post-operative wounds.

Deborah Verran's insight:

This technology will need to meet regulatory requirements, in particular the security and privacy elements. However if it is successfully introduced it may avoid costly trips by patients to healthcare providers for 'wound checks'

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3D Bioprinted Thyroid Gland by 2015, Kidney by 2018, According to Russian Scientists

3D Bioprinted Thyroid Gland by 2015, Kidney by 2018, According to Russian Scientists | Organ Donation & Transplant Matters | Scoop.it

Predictions as to when the first manufactured (bioengineered), transplantable organs will become available continue to be the subject of much debate.

 

However, according to a group of Russian scientists they believe that through the use of 3-D printing the first organ that will be able to be transplanted will be the thyroid gland followed by the kidney.

 

For more on this story as well as information on the 3-D printing process click on the banner headline.

Deborah Verran's insight:

Despite the predictions in some quarters about 3-D printed organs being available within several years, the reality is that proof of adequate organ function will be required prior to clinical trials in humans.

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HMC Organ Donation Center (Hiba) in Qatar Honors 56 Donors and Families in Ceremony

HMC Organ Donation Center (Hiba) in Qatar Honors 56 Donors and Families in Ceremony | Organ Donation & Transplant Matters | Scoop.it

The Hamad Medical Corporation (HMC) Organ Donation Center (Hiba) held an event this week to honor those who have contributed to the organ donation program in Qatar. 

 

This included honoring the organ donors and their families who have helped contribute to the number of successful organ transplants in Qatar this last year.

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Research Reveals That Obesity Accelerates Liver Aging

Research Reveals That Obesity Accelerates Liver Aging | Organ Donation & Transplant Matters | Scoop.it

Using a recently developed biomarker of aging known as an epigenetic clock, researchers have found for the first time that obesity greatly accelerates aging of the liver.

 

This may explain why fatty liver disease can lead on to other more severe forms of liver disease including cirrhosis and liver cancer (hepatocellular carcinoma).

 

The management of patients with end stage liver disease from cirrhosis due to non alcoholic steato-hepatitis (NASH) may include liver transplantation in selected cases. This is also the case for patients with hepatocellular carcinoma occurring in the setting of NASH cirrhosis. 

Deborah Verran's insight:

An important research finding which adds to the knowledge of how obesity contributes to liver disease.

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Scotland’s memorial to organ and tissue donors unveiled

A new national memorial dedicated to Scotland’s organ and tissue donors has been officially opened to the public today by Public Health Minister Michael Matheson.

 

The memorial is set in the Royal Botanic garden in Edinburgh and can be viewed via the video footage which can also be accessed by clicking on the banner headline.

 

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Wearable artificial kidney receives go-ahead for safety testing

Wearable artificial kidney receives go-ahead for safety testing | Organ Donation & Transplant Matters | Scoop.it

Medical researchers have received approval to begin safety and performance testing of the Wearable Artificial Kidney. The federal Food and Drug Administration and the University of Washington Institutional Review Board accepted the protocol for the clinical trial. 

 

The device (pictured) weighs around 10 kilograms and is fitted to the patient via a special harness. By clicking on the banner headline more information can be accessed.

Deborah Verran's insight:

Interesting development in portable dialysis technology

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Woman describes how she underwent a kidney transplant and then also required a life saving liver transplant.

Woman describes how she underwent a kidney transplant and then also required a life saving liver transplant. | Organ Donation & Transplant Matters | Scoop.it

This online report is the story of a Florida woman -Helen Schwarz - (pictured) who has recovered from both a kidney and then subsequently a liver transplant.

 

Helen who works as an administrative manager for the Tallahassee Democrat newsroom in the United States, was born with the  genetic disorder known as polycystic kidney disease (PCKD).

 

Initially when Helens own kidneys were no longer functioning adequately, Helen underwent a live donor kidney transplant. Subsequently Helen's liver became markedly enlarged due to there also being multiple cysts within it. This was related to her underlying genetic condition and was contributing to a further deterioration in Helen's physical health. This led to Helen undergoing a life saving liver transplant from which she has now recovered.

Deborah Verran's insight:

Most patients with polycystic kidney disease will only require a kidney transplant when their own kidneys fail. However there are a small number of patients with this condition in whom the liver is also involved and at times liver transplantation may also be required.

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Dual Kidney Transplant (DKT) May Improve Kidney Use From Deceased Organ Donors

Dual Kidney Transplant (DKT) May Improve Kidney Use From Deceased Organ Donors | Organ Donation & Transplant Matters | Scoop.it

The increasing disparity between organ supply and demand challenges the transplant community to maximize and optimize the use of organs from all consented deceased donors.

 

For some deceased donors there may be concerns over the quality of the kidneys prior to or during the actual organ retrieval. This concern extends to whether the kidneys would last as long as expected once they were transplanted.

 

One way around this problem is to transplant both kidneys from the same deceased donor into only one recipient. This is known as DUAL transplantation. The aim is to achieve as good a long term outcome with two marginal kidneys as could have been achieved with one less marginal kidney.

Deborah Verran's insight:

The actual report focuses in detail on the results of DUAL kidney transplantation in one Renal Transplant Programme in the United States. To read the full report click on the banner headline.

 

This practice is also established in some other parts of the world including parts of Europe in particular Northern Italy. This allows for the optimal use of both kidneys from the deceased donors in whom the kidneys are felt to be not optimal.

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Barriers to Organ Donation in Israel

Barriers to Organ Donation in Israel | Organ Donation & Transplant Matters | Scoop.it

This is one of two articles which focus on problems with organ donation in Israel and reported online via the New York Times.

 

This article focuses on the barriers to organ donation in Israel which can be placed into two categories: a) religion and b) ethics. For example the differing definitions of mortality, which can conflict with modern acceptance of brain death, are felt to have contributed to leaving the country with a low rate of deceased organ donation.

 

The problems that ensue from the low organ donation rate then lead to patients becoming desperate for a organ transplant and this desperation has helped contribute to organ trafficking. This is

sue is the subject of a second article which can be viewed via- 

 

http://sco.lt/5P2wrp

 

Deborah Verran's insight:

Taut reporting from the New York Times outlining how failure to address medico-legal and bioethical issues pertaining to organ donation at all levels of society can prove to be very costly.

more...
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Pioneers of kidney transplant operations reunited

Pioneers of kidney transplant operations reunited | Organ Donation & Transplant Matters | Scoop.it

A TRANSPLANT patient who became one of the first children to receive a new kidney in the United Kingdom has had a poignant reunion with the surgeon who carried out the pioneering procedure nearly 40 years ago.

 

The woman who received the kidney is in the center of the photo along with her father who was the donor, along with members of the team who performed the transplant.

Deborah Verran's insight:

Great story and a reminder that some transplant recipients will live for many years following the initial surgery.

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Health care professionals gain new insight into organ donation in India

Health care professionals gain new insight into organ donation in India | Organ Donation & Transplant Matters | Scoop.it

For the first time a Transplant Coordinators Training Programme which is sponsored by the Mohan Foundation is being held in Vijayawada inIndia.

 

This is a unique opportunity for nurses, medical social workers and other health care professionals to receive education on the processes and procedures surrounding organ donation

Deborah Verran's insight:

This is an important development in one part of India

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