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By the Editors NEJM Group offers so many resources for practicing clinicians. Here's what we chose for you today:NEJM Audio Interview: Scarce Organs and the Cognitively Impaired: Dr. …
Source: Physician's First Watch current issue - Category: Primary Care Source Type: news

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Donation after circulatory death organs (DCD) are increasingly used for liver transplantation (LT), due to the persisting organ shortage and waiting list mortality[1]. Several reports, however, suggest inferior graft survival, increased risk for primary non-function (PNF), and biliary complications in DCD livers, with most concerns for an irreversible ischemic cholangiopathy (IC)[2]. Severe forms, requiring retransplantation, typically develop within the first 3 to 6 months after LT[3]. While the majority of transplant physicians agree, that prolonged periods of donor warm ischemia contribute significantly to this aggressi...
Source: Journal of Hepatology - Category: Gastroenterology Authors: Source Type: research
Conclusion: This case potentially opens up a new living liver donor pool which might have clinical relevance in countries where there is a high burden of HIV and a limited number of deceased donor organs or limited access to transplantation. However, our recipient's HIV status is equivocal at present and additional investigation regarding seroconversion events in this unique profile is ongoing.
Source: AIDS - Category: Infectious Diseases Tags: Fast Track Source Type: research
AbstractThe low rate of consent by relatives of potential donors especially in Muslim majority countries is one of the basic limiting factors of the success of organ transplantation. Therefore, this study aimed to explore opinions and expectations of relatives after donating their beloved ones ’ organs on a Muslim sample in Istanbul Region. Descriptive method was used. Data were collected from 82 of 95 Muslim donor relatives who agreed to participate in the study between the March and July 2014 via telephone calls. It was found that most of the relatives had donated the organs of their relatives for “keeping al...
Source: Journal of Religion and Health - Category: Medical Ethics Source Type: research
ínez Daniel Fernández-García The number of donors and organs available has not increased at the same rate as the inclusion of new patients in the waiting lists. The aim of the present study was to analyze the quality of the detection process of potential brain-dead organ donors at the Hospital of León. For this, a cross-sectional prospective study was developed on a retrospective cohort of patients who were admitted or died by catastrophic brain damage with the potential for organs donation. Data were collected for six months using hospital records of admissions and exitus. For the sta...
Source: International Journal of Environmental Research and Public Health - Category: Environmental Health Authors: Tags: Article Source Type: research
ConclusionThe Hamilton-DONATE pilot study supports the feasibility of a larger cohort study to describe the epidemiology and clinical practices related to deceased donor care in Canada.Trial (NCT02902783). Registered 16 September 2016.
Source: Canadian Journal of Anesthesia - Category: Anesthesiology Source Type: research
This study aims to check the feasibility of the KDPI for a Spanish population and its predictive ability of graft and patient survival. MATERIALS AND METHODS: Data from 2,734 kidney transplants carried out in Andalusia between January 2006 and December 2015 were studied. Cases were grouped by recipient age, categorised by KDPI quartile and both graft and patient survival were compared among groups. RESULTS: The KDPI accurately discriminated optimal organs from suboptimal or marginal ones. For adult recipients (aged: 18-59years) it presents a hazard ratio of 1.013 (P
Source: Nefrologia : publicacion oficial de la Sociedad Espanola Nefrologia - Category: Urology & Nephrology Tags: Nefrologia Source Type: research
By Mark McQuain A recent September 6th Perspective in the NEJM entitled “Voluntary Euthanasia – Implications for Organ Donation” teases with the following lead-in:“Canada now permits physicians to hasten the death of a patient by means of physician-assisted suicide or voluntary euthanasia. This development creates a new pathway for organ donation – and with it, … Continue reading "Getting the Best Possible Organs for the Rest of Us"
Source: - Category: Medical Ethics Authors: Tags: Health Care bioethics end of life Euthanasia; Slippery Slope Arguments; Health Care Practice Medical Decision Making syndicated Source Type: blogs
Here are just some of the highlights of our upcoming second 2018 update to The Right to Die: The Law of End-of-Life Decisionmaking.  This supplement covers the most recent legal developments—judicial cases, legislation, and news accounts of important legal proceedings that are not officially reported—concerning end-of-life decisionmaking.  Enactment of the “Our Care, Our Choice Act,” making Hawaii the seventh U.S. jurisdiction to legalize medical aid in dying with a statute modeled on the Oregon Death with Dignity Act. An amendment to the California penal code, clarifying that individuals ...
Source: - Category: Medical Ethics Authors: Tags: Health Care syndicated Source Type: blogs
This article investigates the emergence of a growing demand in the Netherlands: the wish of organ donor families and organ recipients to establish contact. Such direct contact transgresses both the anonymity and privacy long considered by many to be fundamental to organ donation. Legislation prescribes that privacy should be safeguarded, but the parties involved increasingly manage to find each other. Research is needed to provide insight into the ramifications of direct contact, which may inform mourning counseling and psychosocial support. Drawing on qualitative interviews with donor's relatives, we analyze the reasons f...
Source: Omega - Category: Palliative Care Authors: Tags: Omega (Westport) Source Type: research
People who receive a kidney ​ or part of a liver transplant from a living donor cut years off their time on the wait list and those organs tend to survive longer
Source: Health News: - Category: Consumer Health News Source Type: news
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