Jeremy Chapman - Australia - Tuesday 29 - Who Guiding Principles and quest fo...incucai_isodp
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The document discusses Australia seeking national self-sufficiency in organ transplantation through various achievements and responsibilities. It outlines capacities needed including legislation, healthcare facilities, human resources, and regional cooperation. It also discusses opportunities for care like education, screening, and prevention for conditions requiring organ transplantation. Charts show the numbers of patients with kidney disease on dialysis, listed for transplant, receiving deceased donor organs, and being transplanted.
Jeremy Chapman - Australia - Tuesday 29 - Hematopoietic Stem Cellsincucai_isodp
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This document summarizes research on hematopoietic stem cell transplantation. It finds that only a small percentage of minority patients receive bone marrow transplants due to a lack of compatible donors. Outcomes depend on disease stage and HLA matching, with lower risk disease having better outcomes with a single HLA mismatch. Cord blood transplants show promise as an alternative to bone marrow, especially for children, though cell dose and HLA matching impact outcomes. Larger studies are needed to better understand long-term effects.
Chunhee Bok - Korea - Wednesday 30 - Oral Presentations Misc. Dincucai_isodp
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The document contains several charts and graphs showing trends in acceptance of brain death and organ donation in Korea over time. The charts show acceptance has increased from the 1990s to 2010 according to several studies. Additional charts and graphs show regional differences in organ procurement coordinator staffing and the number of education visits to hospitals over time. Final charts examine attitudes toward organ donation among medical professionals, finding neurosurgeons have more positive views while ICU nurses have more negative or unsure views.
Jongwon Ha - Korea - Wednesday 30 - Oral Presentations Misc. Cincucai_isodp
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The document discusses the establishment of the Korea Organ Donation Agency (KODA) as the national organ procurement organization in Korea. KODA was established in 2009 to help improve organ donation rates by taking over responsibilities for organ procurement from hospitals and establishing a dedicated network of organ procurement coordinators. Since its founding, KODA has increased education for donation professionals, improved donor identification and management processes, and seen a significant rise in annual organ donors in Korea. However, the document also notes there are still some conflicts around incentives and referral processes that need further improvement.
The document discusses organ donation rates in the Madeira Archipelago from 1995 to 2010. It describes an EU-funded training program implemented from 2007 to 2009 that included seminars on organ donation basics for healthcare professionals. After the training, the number of organ donors increased from 6 in 2009 to 9 by 2010, and the donation rate rose from 12 donors per million people to 36 donors per million people. The training program was effective at increasing organ donation in the region.
This document discusses how an organ procurement organization (OPO) implemented an effective donation after cardiac death (DCD) program, which increased organ donation and transplantation rates. Key aspects of the program included educating hospital staff on DCD policies and procedures, establishing clear donation pathways and communication processes, and responding rapidly to potential DCD cases. As a result of this program, DCD donors increased from 1% of total donors in 1995 to 22% in 2010, demonstrating the positive impact an effective DCD program can have.
This document summarizes the results of a survey of 40 religious officials in Istanbul on their views of organ donation and transplantation. The survey found that the officials had varying levels of knowledge on the topics, with most knowledge coming from television, radio, or publications from the Directorate of Religious Affairs. While 80% said they would not consider organ donation, the majority believed it was acceptable according to Islam. Officials proposed that religious leaders should educate the public and set an example to increase interest in donation. The conclusion calls for more cooperation between health, legal, and religious groups to address religious concerns and increase donations.
1. The document discusses a qualitative study conducted in Rotterdam, Netherlands to investigate views on living kidney donation and transplantation among ethnic minority groups.
2. Focus group discussions and interviews were held with 50 participants from various ethnic backgrounds. Religion was not seen as an obstacle to donation by participants but lack of awareness in their communities was an issue.
3. The study results informed the development of a home-based educational intervention program currently being evaluated in a randomized controlled trial to increase living kidney donation and transplantation among ethnic minorities.
The document analyzes and compares the legal frameworks governing organ and tissue transplantation in Latin American countries. Most countries have laws addressing consent to donation, determining death, living donation, and foreign patients. Consent policies range from familial consent to presumed consent. Death determination policies specify medical diagnostic criteria or rely on medical protocols. Living donation policies allow related or unrelated donors, with some establishing donor preferences. Ecuador uniquely mandates inclusion of foreign patients on waiting lists. Harmonization efforts aim to develop coherent legal frameworks and cooperation agreements across countries.
This document discusses issues with the current informed consent paradigm for organ donation. It summarizes research showing that many organ donors experience post-donation regret, lower social regard, violation of law, and an outcome inconsistent with their original values and expectations. It argues that the informed consent process needs to consider outcomes, not just inputs, to truly protect vulnerable donors from exploitation in contexts involving organ trafficking.
Lenin De Janon Quevedo - Argentina -Wednesday 30 - Oral Presentations Misc. Aincucai_isodp
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The document discusses the concepts of altruism and solidarity in organ donation. It analyzes these concepts from both an Aristotelian perspective and using the principles of biomedical ethics. While solidarity is sometimes defined as involving reciprocal duties and obligations (RDO), the document argues that "altruistic solidarity" is a better conception that does not impose requirements on organ recipients. It concludes that understanding solidarity as RDO is inconsistent with international principles of organ transplantation and basic human rights.
This study examined whether so-called "free donors" in Kuwait who were willing to donate kidneys to strangers were actually receiving payment, which is illegal. The study reviewed data on 40 potential living unrelated kidney donors. It found that 9 out of 40 donors, or 22.5%, did not actually donate. Interviews with recipients revealed that the donors in 1 out of 9 cases asked for money, and payments to donors averaged between $14,000-$28,000. This indicates that the system was being abused and donors were receiving illegal payments, undermining the intent of unrelated altruistic donation.
The document discusses the impact of legal regulations on organ transplantation. It compares systems of presumed consent versus informed consent for organ donation. While presumed consent laws could facilitate more organ donations, in practice family consent is still usually obtained even in presumed consent countries. The document also reviews data on donation rates in various European countries and discusses restrictions on living donation.
Gabriel Danovitch - USA - Wednesday 30 - Transplant Tourism Self Sufficiencyincucai_isodp
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1) Less than 1% of total transplants performed in the USA each year are in non-resident aliens, with approximately half of those being transplants for "undocumented residents".
2) Current and proposed organ transplant policies aim to increase transparency around transplants involving non-US citizens/non-residents while maintaining public trust.
3) New data collection categories and audit/reporting policies are proposed to better track citizenship status and travel for transplantation.
Howard Nathan - USA - Wednesday 30 -Sanitary Systems Information, Training. S...incucai_isodp
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This document describes Gift of Life Donor Program's innovative training model called "Dual Advocacy" for coordinators to obtain consent from donor families. It summarizes key aspects of the model including emphasizing family-centered care, seeing themselves as advocates for both recipients and families, and helping families feel empowered to donate. It also outlines Gift of Life's extensive training program and the improved consent rates seen after implementing the new model.
The document summarizes the European Training Program on Organ Donation (ETPOD) which trained nearly 4,000 health professionals across 17 European countries between 2007-2009. The program included training modules on various aspects of organ donation like donor detection, brain death diagnosis, and family approach. It led to a 27.8% increase in effective deceased donors and a 19.4% rise in procured organs. The training for trainers approach helped disseminate organ donation expertise widely. The ETPOD model proved highly effective and can be easily replicated.
The document discusses the influence of media on organ and tissue donation in Colombia. It notes that negative media coverage can degrade the image of transplants and increase reluctance to donation. The media has a responsibility to positively or negatively impact donation processes. Strategies are recommended to generate positive media attitudes toward donation, including managing adverse publicity, promoting positive news, and establishing strategic media alliances. Research on donation among Colombian youth is also promoted.
Yael Cass - Australia - Wednesday 30 - Communicational strategies to encoura...incucai_isodp
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The document discusses communications strategies in Australia to increase public awareness of organ donation. It outlines the establishment of the Australian Organ and Tissue Authority to oversee donation efforts. Key strategies included increased funding for hospitals, educating healthcare professionals, and national community awareness campaigns using media, events, and social platforms to encourage discussion of donation wishes and registration rates. Monitoring found high public acceptance but low family consent rates, so the goal was to close that gap and continue improving donation rates in Australia.
The document discusses organ donation rates in the Madeira Archipelago from 1995 to 2010. It describes an EU-funded training program implemented from 2007 to 2009 that included seminars on organ donation basics for healthcare professionals. After the training, the number of organ donors increased from 6 in 2009 to 9 by 2010, and the donation rate rose from 12 donors per million people to 36 donors per million people. The training program was effective at increasing organ donation in the region.
This document discusses how an organ procurement organization (OPO) implemented an effective donation after cardiac death (DCD) program, which increased organ donation and transplantation rates. Key aspects of the program included educating hospital staff on DCD policies and procedures, establishing clear donation pathways and communication processes, and responding rapidly to potential DCD cases. As a result of this program, DCD donors increased from 1% of total donors in 1995 to 22% in 2010, demonstrating the positive impact an effective DCD program can have.
This document summarizes the results of a survey of 40 religious officials in Istanbul on their views of organ donation and transplantation. The survey found that the officials had varying levels of knowledge on the topics, with most knowledge coming from television, radio, or publications from the Directorate of Religious Affairs. While 80% said they would not consider organ donation, the majority believed it was acceptable according to Islam. Officials proposed that religious leaders should educate the public and set an example to increase interest in donation. The conclusion calls for more cooperation between health, legal, and religious groups to address religious concerns and increase donations.
1. The document discusses a qualitative study conducted in Rotterdam, Netherlands to investigate views on living kidney donation and transplantation among ethnic minority groups.
2. Focus group discussions and interviews were held with 50 participants from various ethnic backgrounds. Religion was not seen as an obstacle to donation by participants but lack of awareness in their communities was an issue.
3. The study results informed the development of a home-based educational intervention program currently being evaluated in a randomized controlled trial to increase living kidney donation and transplantation among ethnic minorities.
The document analyzes and compares the legal frameworks governing organ and tissue transplantation in Latin American countries. Most countries have laws addressing consent to donation, determining death, living donation, and foreign patients. Consent policies range from familial consent to presumed consent. Death determination policies specify medical diagnostic criteria or rely on medical protocols. Living donation policies allow related or unrelated donors, with some establishing donor preferences. Ecuador uniquely mandates inclusion of foreign patients on waiting lists. Harmonization efforts aim to develop coherent legal frameworks and cooperation agreements across countries.
This document discusses issues with the current informed consent paradigm for organ donation. It summarizes research showing that many organ donors experience post-donation regret, lower social regard, violation of law, and an outcome inconsistent with their original values and expectations. It argues that the informed consent process needs to consider outcomes, not just inputs, to truly protect vulnerable donors from exploitation in contexts involving organ trafficking.
Lenin De Janon Quevedo - Argentina -Wednesday 30 - Oral Presentations Misc. Aincucai_isodp
Ìý
The document discusses the concepts of altruism and solidarity in organ donation. It analyzes these concepts from both an Aristotelian perspective and using the principles of biomedical ethics. While solidarity is sometimes defined as involving reciprocal duties and obligations (RDO), the document argues that "altruistic solidarity" is a better conception that does not impose requirements on organ recipients. It concludes that understanding solidarity as RDO is inconsistent with international principles of organ transplantation and basic human rights.
This study examined whether so-called "free donors" in Kuwait who were willing to donate kidneys to strangers were actually receiving payment, which is illegal. The study reviewed data on 40 potential living unrelated kidney donors. It found that 9 out of 40 donors, or 22.5%, did not actually donate. Interviews with recipients revealed that the donors in 1 out of 9 cases asked for money, and payments to donors averaged between $14,000-$28,000. This indicates that the system was being abused and donors were receiving illegal payments, undermining the intent of unrelated altruistic donation.
The document discusses the impact of legal regulations on organ transplantation. It compares systems of presumed consent versus informed consent for organ donation. While presumed consent laws could facilitate more organ donations, in practice family consent is still usually obtained even in presumed consent countries. The document also reviews data on donation rates in various European countries and discusses restrictions on living donation.
Gabriel Danovitch - USA - Wednesday 30 - Transplant Tourism Self Sufficiencyincucai_isodp
Ìý
1) Less than 1% of total transplants performed in the USA each year are in non-resident aliens, with approximately half of those being transplants for "undocumented residents".
2) Current and proposed organ transplant policies aim to increase transparency around transplants involving non-US citizens/non-residents while maintaining public trust.
3) New data collection categories and audit/reporting policies are proposed to better track citizenship status and travel for transplantation.
Howard Nathan - USA - Wednesday 30 -Sanitary Systems Information, Training. S...incucai_isodp
Ìý
This document describes Gift of Life Donor Program's innovative training model called "Dual Advocacy" for coordinators to obtain consent from donor families. It summarizes key aspects of the model including emphasizing family-centered care, seeing themselves as advocates for both recipients and families, and helping families feel empowered to donate. It also outlines Gift of Life's extensive training program and the improved consent rates seen after implementing the new model.
The document summarizes the European Training Program on Organ Donation (ETPOD) which trained nearly 4,000 health professionals across 17 European countries between 2007-2009. The program included training modules on various aspects of organ donation like donor detection, brain death diagnosis, and family approach. It led to a 27.8% increase in effective deceased donors and a 19.4% rise in procured organs. The training for trainers approach helped disseminate organ donation expertise widely. The ETPOD model proved highly effective and can be easily replicated.
The document discusses the influence of media on organ and tissue donation in Colombia. It notes that negative media coverage can degrade the image of transplants and increase reluctance to donation. The media has a responsibility to positively or negatively impact donation processes. Strategies are recommended to generate positive media attitudes toward donation, including managing adverse publicity, promoting positive news, and establishing strategic media alliances. Research on donation among Colombian youth is also promoted.
Yael Cass - Australia - Wednesday 30 - Communicational strategies to encoura...incucai_isodp
Ìý
The document discusses communications strategies in Australia to increase public awareness of organ donation. It outlines the establishment of the Australian Organ and Tissue Authority to oversee donation efforts. Key strategies included increased funding for hospitals, educating healthcare professionals, and national community awareness campaigns using media, events, and social platforms to encourage discussion of donation wishes and registration rates. Monitoring found high public acceptance but low family consent rates, so the goal was to close that gap and continue improving donation rates in Australia.