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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
Informing & being informed on organ donation, transplantation and other interesting topics
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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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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.

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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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Wall of Heroes Honors Pediatric Organ Donors at Batson Children's Hospital - YouTube

This video was Produced by Jim Albritton | It features the newly dedicated "Wall of Heroes" honors children who have become organ donors at the Batson Children's Hospital in the United States

Deborah Verran's insight:

An excellent short video, worth watching

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Mother donated kidney, egg & part of liver now plans to give away a Lung

Mother donated kidney, egg & part of liver now plans to give away a Lung | Organ Donation & Transplant Matters | Scoop.it

This report is about British woman Sue Gianstefani, from south London, who first donated one of her kidneys to a stranger from the US in 2001 Since then has given away some of her eggs to a couple from Australia and more recently part of her liver to a British boy.

 

Now Sue has announced that she wishes to donate a lung, despite the risks associated with this type of surgery.

Deborah Verran's insight:

Highly unusual case of a live donor who has provided organs (including part of an organ) and tissue to recipients on three occasions to date. 

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Eye Transplantation - A Short Video

Posted online via a British television program is this short video which provides some information on eye transplantation. By watching the video you can discover the work that goes on at the Moorfields Eye Hospital and what happens to eyes when they are donated, http://www.youtube.com/embarrassingillness ;

Deborah Verran's insight:

Short interesting video on eye transplantation

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One in two Hongkongers don't know how to become organ donors, poll reveals - South China Morning Post

One in two Hongkongers don't know how to become organ donors, poll reveals - South China Morning Post | Organ Donation & Transplant Matters | Scoop.it

One in two Hongkongers do not know how to become organ donors, a poll has revealed as reported online via the South China Morning Post. 

 

The results of a poll on cornea donation has found that close to half of the people who were polled did not know how to go about registering their intent on organ or tissue donation.

 

The poll was commissioned by the Opthalmological Society and the College of Opthalmologists in Hong Kong. The  College President Dr Chow Pak-Chin (pictured) has called for more efforts to be made to educate the public on organ donation.

Deborah Verran's insight:

Confirmation that the level of community awareness about organ and tissue donation in Hong Kong could be better

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Blood Thinners: JAMA patient page

Blood Thinners: JAMA patient page | Organ Donation & Transplant Matters | Scoop.it

There are 2 types of blood thinners, anticoagulants and antiplatelet drugs. Blood clots can cause problems when they prevent blood from flowing freely, especially to the heart and brain. Sometimes a doctor may not want a patient’s blood to clot as easily and will prescribe a blood thinner.


Via Seth Bilazarian, MD
Deborah Verran's insight:

This is a good example of the type of reliable factual online information that is available to patients. Some transplant recipients will end up having to take these types of medications (for the appropriate indications). Hence the importance of this particular information.

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Seth Bilazarian, MD's curator insight, May 16, 8:56 AM

Nice graphic that helps patients understand the differences between antiplatelet & anticoagulant therapy. This is an important source of confusion for patient's who believe that aspirin is an effective therapy for stroke prevention in atrial fibrillation (it is not).  Another potential confusion is why blood thinners or anticoagulants like warfarin or the newer agents (Pradaxa, Xarelto, Eliquis) are not effective treatments after placement of a stent in the coronary artery. Antiplatelet therapies like Plavix, Effient, or Brilinta are needed.

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Britain: "Good Samaritan" organ donation | European Journal

Britain has become a pioneer in what is called altruistic kidney donation - when a healthy person donates a kidney to a stranger. 

 

This short video features two altruistic live kidney donors who both mention why they felt compelled to donate a kidney to a stranger. As well one of the kidney transplant recipients talks about how their life has been transformed following the transplant. 

Deborah Verran's insight:

An increasingly common entity: the donation of a kidney by a healthy individual to an unknown patient whose own kidneys have failed.

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Transplanted lives: Four organ recipients on what donation means to them - The Globe and Mail

Transplanted lives: Four organ recipients on what donation means to them - The Globe and Mail | Organ Donation & Transplant Matters | Scoop.it

Reported online via The Globe and Mail in Canada are the stories of four young organ transplant recipients and what organ donation means to them

One young woman had a double lung transplant just two weeks before her 18th birthday. All of them describe the transformation to their lives in the article which can be read by clicking on the banner headline.

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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 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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The Injustice of Opt-Out Organ Donation - Somewhat Reasonable - Heartland Institute (blog)

The Injustice of Opt-Out Organ Donation - Somewhat Reasonable - Heartland Institute (blog) | Organ Donation & Transplant Matters | Scoop.it

Some countries have an established opt-out system of consent for organ donation which is otherwise known as 'presumed consent'  

 

The dearth of transplantable organs remains a serious problem in the United States and hence at times the possibility of moving from an opt-in system to an opt-out system has been raised by individuals, lobby groups and by the media.

 

Th author of this blog post provides a personal viewpoint as to why moving to an opt-out system of consent within the United States may not have uniform, widespread support across the community. 

Deborah Verran's insight:

An interesting perspective on opt-put

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Erik Compton, heart transplant recipient, finishes second in U.S. Open - Newsday

Erik Compton, heart transplant recipient, finishes second in U.S. Open - Newsday | Organ Donation & Transplant Matters | Scoop.it

As reported via USA TODAY
Erik Compton, a heart transplant recipient, has recently finished second in the U.S. Open

The 34-year-old Compton, who twice has undergone a heart transplant, tied for second with Rickie Fowler, a monumental boost to his career. To read more on this story click on the banner headline or click on a further more ind depth report posted online via ESPN=

 

http://espn.go.com/golf/usopen14/story/_/id/11082860/compton-fights-runner-finish-114th-us-open-golf?ex_cid=espnsoc

 

Deborah Verran's insight:

Living proof that  a successful heart transplant can restore an individual to a full and active life

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Study: Grey's Anatomy is turning people against organ donation

Study: Grey's Anatomy is turning people against organ donation | Organ Donation & Transplant Matters | Scoop.it

It is hard to nail down the effects of any one show or movie or book on a large social phenomenon. But TV shows do seem to be turning people against organ donation which is the conclusion of some recently published research.

 

A failure to portray organ donation scenarios accurately in medical drama type TV shows can have a deleterious effect on TV viewers perceptions of what happens in real life.

 

For more information on this story click on the banner headline

Deborah Verran's insight:

A good example of the power of media to influence opinion in the community 

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Need for Better Organ Donor Awareness

From the United States CCTV's Mike Walter interviews Tom Mone, CEO of OneLegacy, the largest organ recovery agency in the United States on the need for better organ donor awareness.

 

Tom Mone outlines what are the current challenges with respect to gaining a greater understanding amongst members of the greater community at large on this important matter.


Via Transplant Views
Deborah Verran's insight:

Of interest to healthcare professionals and advocacy groups with roles in organ donation

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David Y. Lee’s “The Waiting List”

David Y. Lee’s “The Waiting List” | Organ Donation & Transplant Matters | Scoop.it

Posted online via National Geographic is a collection of powerful stories of people who have waited for an organ transplant in the United States.

 

Photographer David Y. Lee set about recording these stories back in time. As David says “If you give me a camera, I’ve got a purpose. This is why I want to be a photographer.”

Deborah Verran's insight:

Each of these stories is a reminder of the importance of organ donation

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HBO's Canadian Organ Traffickers Doc Wins Edward R. Murrow Award - Hollywood Reporter

HBO's Canadian Organ Traffickers Doc Wins Edward R. Murrow Award - Hollywood Reporter | Organ Donation & Transplant Matters | Scoop.it

Reported online via the Hollywood Reporter the news that 
Home Box Office's Canadian Organ Traffickers Documentary has won the Edward R. Murrow award. To find out more on this story click on the banner headline...

 

Other recent news related to organ trafficking includes the following-

 

a) A report on how many Saudi Arabian's have sought to obtain organ transplants outside of their own country in recent years

 

http://www.arabianbusiness.com/410-saudis-said-buy-organs-on-black-market-547480.html

 

b) Possible organ trafficking in other South East Asian countries-

 

http://timesofindia.indiatimes.com/City/Hyderabad/Lax-laws-help-kidney-racket-thrive-in-south-Asia/articleshow/33924566.cms

 

c) The case of a woman in India committing suicide after coming under pressure to donate a kidney as part of her dowry-

 

http://www.vancouverdesi.com/news/indian-bride-commits-suicide-after-being-forced-to-donate-kidney-as-part-of-sick-dowry-demand/744915/

 

d) Live donors being solicited within Vietnam-

 

http://www.thanhniennews.com/society/vietnam-police-probe-paid-kidney-donors-for-hint-of-trafficking-25267.html

 

 

 

 

 

 

Deborah Verran's insight:

Organ trafficking continues to attract media attention and news headlines. At the heart of this is desperation on both the parts of the donors (often poor people hoping to lift themselves out of poverty) and the recipients (people who are ill predominantly with kidney and liver disease)

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