Living donor kidney (LDK) transplantation has become the definitive approach to the treatment of end-stage renal failure, providing a better quality of life and the best opportunity for survival when compared with dialysis or transplantation from a deceased donor. A timely compendium of the modern day practice of LDK transplantation from a group of outstanding international experts, this text explores a number of controversial aspects of this innovative new technique. Discussing in detail the current situation, the authors also focus on the responsibility of the medical community to the live kidney donor as a patient, and the potential for complacency regarding donor risk. Emphasizing the ethical principles that must dictate medical practice in LDK transplantation for the foreseeable future - voluntarism, informed consent and medical follow-up - this book comprehensively records the best practices currently available.
2013 Gold Medal Winner IPBA Benjamin Franklin Award, LGBT Category Each year, over 7.3 million Americans face infertility. In their search for answers and alternative means for building a family, they turn to the nearly 500 reproductive specialty clinics across the US. Same-sex and single-by-choice parents are more prevalent than ever in the fertility industry and there is no definitive, up-to-date guide to help families of all types approach egg donation. Resources are fragmented, and thatÌs true regardless of your family "type." Insider's Guide to Egg Donation, is the first how-to-handbook that helps families of all types navigate the less talked about but widely practiced egg donor landscape with a warm and friendly tone, giving those in need of a different kind of stork the answers and information they need as they begin to research family-building options. The Insider's Guide to Egg Donation Answers: What do I need to know about the medical process of using an egg donor? What are the latest reproductive medicine technologies that we should know about? What should I consider when choosing a fertility clinic? How should I evaluate potential egg donor agencies?
Dr. Mike Andrews, ein junger, aufstrebender Wissenschaftler befindet sich in einer tiefen Krise: versehentlich hat er eine E-Mail an seinen Chef erhalten, die eindeutig belegt, dass sein Arbeitgeber, ein Gobal Player fur genetische Forschung und Entwicklung, im grossen Stil Handel mit Organen von Kriegsopfern aus Spannungsgebieten betreibt - obwohl die Firma nach aussen hin vorgibt, diese Organe aus Zellen zu zuchten. Naiv, aber mutig stellt er seinen Chef, Dr. Arthur Paulus, zur Rede - eine Tat, die katastrophale Folgen nach sich zieht. Dr. Paulus muss Mike beseitigen, und dazu ist ihm jedes Mittel recht. Ohne die morderischen Plane seines Chefs zu erahnen, wird Mike in die Kampfgebiete des Sudan geschickt und entkommt dort nur knapp Gefangenschaft und Tod. Als er nach einer wilden Odyssee endlich wieder nach Hause kommt, hat ihn seine Verlobte verlassen und ihm wird ein Mord untergeschoben. Von der Polizei gesucht, verliert er seine Kreditwurdigkeit und seine Wohnung. Auf seiner rasanten Flucht taucht er schliesslich als mittelloser Obdachloser unter. Da begegnet ihm zufalligerweise eine attraktive junge Krankenschwester, die er bereits im Sudan kennen gelernt hat. Aus anfanglicher heftiger Ablehnung und Antipathie der jungen Frau entwickelt sich jedoch im Lauf der Zeit eine intensive Liebesbeziehung. Von jetzt an lasst Paulus beide jagen. Auf der Flucht vor ihren erbarmungslosen Verfolgern gelangen die beiden schliesslich in eine geheimnisvolle Anlage des Grosskonzerns - und machen dort eine grauenhafte Entdeckung von unglaublicher Tragweite fur die gesamte Menschheit. Am Ende geraten sie in ein Inferno aus todlichen Gefahren, Verfolgung und Verrat, aus dem es kein Entrinnen zu geben schei
The progress in HLA research achieved in the last decade has been extremely beneficial for understanding of the human genome structure, evolution of human beings and the association between HLA and complex related factors like immune responsiveness and patomechanism of some diseases. It was also found that some HLA specificities may bear a witness not only to a susceptibility to some diseases but also may reflect the ability of the host to mount immune responsiveness. All these achievements enabled successful clinical application of haematopoietic stem cells transplantation. Nowadays, it is apparent that the perfect matching at allele level of HLA specificities constitute the most important factor affecting surviving of patients transplanted from unrelated donors. This is also shown in this volume. To secure reliability of HLA typing , DNA techniques should be implemented and laboratories should comply with requirements expressed by European Federation for Immunogenetics (EFI) and American Society for Histocompatibility and Immunogenetics (ASHI). HLA typing is a complex procedure which should involve internal and external quality controls. Haematopoietic stem cell transplantation may be the best example of introducing modern technologies and very active translation of basic research in the fields of genetics and cell biology into the clinic. Even more impressive is international collaboration in searching for the best possible donor wherever in the world it might be. More than 8 million donors are registered world-wide. There is an ongoing interest in improving the international co-operation in order to secure the best donors for recipients. These chapters are of special interest as the co-operation for donors selection for HSCT is an activity across the oceans.
More than any other altruistic gesture, blood and organ donation exemplifies the true spirit of self-sacrifice. Donors literally give of themselves for no reward so that the life of an individual—often anonymous—may be spared. But as the demand for blood and organs has grown, the value of a system that depends solely on gifts has been called into question, and the possibility has surfaced that donors might be supplemented or replaced by paid suppliers. Last Best Gifts offers a fresh perspective on this ethical dilemma by examining the social organization of blood and organ donation in Europe and the United States. Gifts of blood and organs are not given everywhere in the same way or to the same extent—contrasts that allow Kieran Healy to uncover the pivotal role that institutions play in fashioning the contexts for donations. Procurement organizations, he shows, sustain altruism by providing opportunities to give and by producing public accounts of what giving means. In the end, Healy suggests, successful systems rest on the fairness of the exchange, rather than the purity of a donor’s altruism or the size of a financial incentive.
Sabiston Textbook of Surgery is your ultimate foundation for confident surgical decision making. Covering the very latest science and data affecting your treatment planning, this esteemed medical reference helps you make the most informed choices so you can ensure the best outcome for every patient. Consult it on the go with online access at expertconsult.com, and get regular updates on timely new findings and advances. Overcome tough challenges, manage unusual situations, and avoid complications with the most trusted advice in your field. Prepare for tests and exams with review questions and answers online. Keep up with the very latest developments concerning abdominal wall reconstruction, tumor immunology and immunotherapy, peripheral vascular disease, regenerative medicine, liver transplantation, kidney and pancreas transplantation, small bowel transplantation, the continually expanding role of minimally invasive and robotic surgery, and many other rapidly evolving areas. Weigh your options by reviewing the most recent outcomes data and references to the most current literature.
Once dialysis treatment, in 1960, permitted life prolongation for some but not all patients in kidney failure, an `ethical genie' was released. The introduction of peritoneal dialysis and kidney transplantation compounded the physician's dilemma by underscoring those left untreated. Who should be selected for uremia therapy? Should exclusion from treatment be properly delegated to administrators or physicians, or better left to a committee? Are some candidates more worthy than others? As examples: Do Presidents and Kings warrant priority in cadaver organ allocation over ordinary citizens? Are rich people more deserving than the poor? Is it ethical to choose a younger over an older patient? Can children and/or mentally incompetent persons serve as living organ donors? Is it proper to market organs under controlled circumstances? Eli A. Friedman, an experienced nephrology training program director, and Medical Advisor to the American Association of Kidney Patients, has collected 24 difficult cases that focus on these and other vexing though common stressful issues faced by those who manage kidney patients. Using a novel approach to each case, the opinions of lawyers, nephrologists, patients, and a transplant surgeon are proffered sequentially. Friedman asks and then answers searching questions arising from the debate. The quality of information presented is positively flavored by the fact that three of the respondents (one an attorney) are kidney transplant recipients. Members of the kidney team, those immersed in seeking truth in medical ethics, and all participating in exploring the legality or ethical basis of organ replacement will find this book pertinent to their effort.
Nonprofit organizations in the U.S. earn more than $100 billion annually, and number over a million different organizations. They face increasing competition for donor's dollars and many of the issues they confront are similar to those confronted by for-profit organizations. Strategic Management for Nonprofit Organizations applies powerful concepts of strategic management developed originally in the for-profit sector to the management of nonprofits. It describes the preparation of a strategic plan consistent with the resources available; it analyzes the operational tasks in executing the plan; and describes the ways in which nonprofits need to change in order to remain competitive. The book draws clear distinctions between the different challenges encountered by nonprofits operating in different industries.
Ethical rational, facts, and center techniques for choosing kidney donors all in one volume. This is the first book of its kind, devoted solely to preoperative issues for living kidney donors and those who counsel them. The eight chapters are devoted to vital areas that are comprehensively addressed by experienced professionals. The book presents a unified ethical and factual approach that is essential for all transplant centers to understand. It is a readable and understandable ethical foundation for living kidney donation that is free of jargon. It includes balanced, hard to find factual summaries that are essential for acceptable kidney donor counseling. As transplant centers increasingly turn to living kidney donors, this book is an essential step forward in the field. The book will appeal to transplant physicians and surgeons, transplant coordinators and social workers, nephrologists who have patients on dialysis or who evaluate potential living kidney donors and to potential living kidney donors and their recipients. As a practical application of medical ethics to an important field, it will be of interest to medical ethicists as well.