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organ donation and Obstacles: University Student Survey

Open Journal of organ Transplant Surgery 2023年第1期11卷 1-14页

作者： Khalid Khaleq Anas Erragh Loubna Benaddi Service de réanimation chirurgicale du CHU Ibn Rochd Casablanca Morocco

Background: organ transplantation has helped improve the quality of life of patients with lethal terminal organ failure. This success is owed to the progress made in many fields such as surgery, immunology…However, in our country Morocco, we are faced with reluctance to donate. The study’s objective is to evaluate the perception of organ donation among university students. Methods: We conducted this cross-sectional study with descriptive and analytical aims. Our target population consisted of 991 university students from eight higher education structures. An anonymous questionnaire was distributed to those students by a single interviewer. The questions of the survey answered four main themes. Thus, two types of studies were done. The first was a descriptive study of the socio-demographic characteristics of the selected population and their knowledge and attitudes about organ donation. The second was an analytical study of the correlation between the socio-demographic characteristics, type and level of education of the target population and their knowledge and attitudes towards organ donation. Results: 97.2% of the respondents have already heard about organ donation. If 836 of the students (84.4%) thought that transplantation could be an effective therapeutic alternative, 155 of the students (15.6%) were not aware of this possibility. Furthermore, 298 students, which means 30.1% of the students, did not know that organ transplantation was practiced in Morocco. The causes of refusal found in our study were numerous. 68.5% of students blamed the lack of information as the main cause of their reluctance. 64.7% were afraid of organ trafficking. 41.1% refused the idea of mutilating the body of the deceased, which could impact the funeral. 37.3% thought that donation would be a violation of the human body according to religious values. 33.9% were against donation because they hoped that the brain-dead patient could wake up. The main results of our survey showed the very favorable attitude towards organ donation and tra

关键词： organ donation Lack of Information Religion Legislation organ Trafficking

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Attitudes toward organ donation in China

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Chinese Medical Journal 2012年第1期125卷 56-62页

作者： WANG Wei TIAN Hui YIN Hang LIU Hang ZHANG Xiao-dong Department of Urology Beijing Chao-Yang HospitalCapital Medical UniversityBeijing 100020China

Background organ transplantation represents an important advance in modern medical science,and it has benefited many patients with organ failure; however,the severe deficiency of organ sources has been a bottleneck that has limited the benefits -this technology can bring.The aim of this study was to show the results of a survey on Chinese people＇s awareness and attitudes toward organ donation.Methods We designed a questionnaire regarding organ donation consisting of 20 short questions,which were distributed to 10 groups.Most of the questions were multiple-choice; the core question related to people＇s attitudes to organ donation and the development of organ donation.The survey was held in the outpatient hall of Beijing Chao-Yang Hospital,a commercial district,and four professional colleges.Participants were randomly selected,and answered questions about gender,age,educational background,profession,and study major.Results In all,2930 valid responses were received.Male：female ratio was nearly 1：1.2 （mean age 38 years）.Over 90.0% of participants knew about organ transplantation and which organs could be transplanted; more than 95.0% knew about organ donation,but the time they had been aware of it varied.Nearly 90.0% of the participants approved of deceased organ donation; 73.0% indicated they would like to donate their organs post mortem.Participants who knew more about organ failure and organ transplantation were more likely to support organ donation.College students were very positive about organ donation,though as they gain professional knowledge their attitudes may change.Altogether,65.3% of participants approved of living organ donation,which was obviously lower than the figure for deceased organ donation （P 〈0.05）.In all,85.7% of participants approved of compensation to the deceased donor＇s family.To promote organ donation in China,62.9% of participants indicated that the public＇s knowledge about organ donation should be increased via the media and various kinds of education.Only 20.0% of the participants belie

关键词： organ transplantation organ donation questionnaire deceased donor

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Does the use of double hormone replacement therapy for trauma patient organ donors improve organ recovery for transplant

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World Journal of Transplantation 2024年第2期14卷 119-125页

作者： Eden M Gallegos Tanner Reed Paige Deville Blake Platt Claudia Leonardi Lillian Bellfi Jessica Dufrene Saad Chaudhary John Hunt Lance Stuke Patrick Greiffenstein Jonathan Schoen Alan Marr Anil Paramesh Alison A Smith Department of Physiology Louisiana State University Health Sciences Center New OrleansNew OrleansLA 70124United States Department of Medicine Louisiana State University Health Sciences Center New OrleansNew OrleansLA 70112United States Department of Surgery Louisiana State University Health Sciences Center New OrleansNew OrleansLA 70112United States Department of Trauma Surgery Tacoma General HospitalTacoma 98405United States Department of Public Health Louisiana State University Health Sciences Center New OrleansNew OrleansLA 70112United States Department of donation Services Louisiana Organ Procurement AgencyCovingtonLA 70433United States Department of Surgery Tulane Transplant InstituteTulane University School of MedicineNew OrleansLA 70112United States

BACKGROUND With an ongoing demand for transplantable organs,optimization of donor management protocols,specifically in trauma populations,is important for obta-ining a high yield of viable organs per patient.Endocrine management of brain-dead potential organ donors(BPODs)is controversial,leading to heterogeneous clinical management approaches.Previous studies have shown that when levo-thyroxine was combined with other treatments,including steroids,vasopressin,and insulin,BPODs had better organ recovery and survival outcomes were increased for transplant recipients.AIM To determine if levothyroxine use in combination with steroids in BPODs increased the number of organs donated in trauma patients.METHODS A retrospective review of adult BPODs from a single level 1 trauma center over ten years was performed.Exclusion criteria included patients who were not solid organ donors,patients who were not declared brain dead(donation after circulatory death),and patients who did not receive steroids in their hospital course.Levothyroxine and steroid administration,the number of organs donated,the types of organs donated,and demographic information were recorded.Univariate analyses were performed with P0.05).In the ST/LT group,68.1%(n=47)donated a high yield(3-5)of organ types per donor compared to 42.1%(n=8)in the ST group(P=0.038).There was no difference in the total number of organ types donated between the groups(P=0.068).CONCLUSION This study suggests that combining levothyroxine and steroid administration increases high-yield organ donation per donor in BPODs in the trauma patient population.Limitations to this study include the retrospective design and the relatively smal

关键词： organ donation Trauma Brain death Levothyroxine Hormone replacement therapy Steroids organ donor Retrospective

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Pragmatic solution for organ donation in response to challenges faced by the Chinese society： summary for the National donation after Circulatory Death Pilot Program

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Chinese Medical Journal 2013年第3期126卷 569-573页

作者： HUANG Jie-fu Director of National organ Transplant Committee Ministry of Health of the People's Republic of China Beijing 100044 China

Oygan transplant is an advanced medical technology brought to China from the West in the latter half of the 20th century. Thanks to the strenuous efforts of generations, it has become a mature clinical practice, having saved the lives of a great number of patients suffering from end-stage organ failure. Different from other medical technologies, an organ transplant requires a donated transplantable organ, and the donation and allocation are embedded in social issues such as culture, tradition, ethics, and law.

关键词： organ donation China

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Attitudes,awareness,and knowledge levels of the Turkish adult population toward organ donation:Study of a nationwide survey

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World Journal of Clinical Cases 2020年第11期8卷 2235-2245页

作者： Sami Akbulut Ali Ozer Ayse Gokce Khaled Demyati Hasan Saritas Sezai Yilmaz Department of Public Health Inonu University Faculty of MedicineMalatya 44280Turkey Liver Transplant Institute Inonu UniversityMalatya 44280Turkey Department of Surgery An-Najah National University HospitalAn-Najah National UniversityNablus 11941Palestine Department of Surgical Nursing Inonu University Faculty of NursingMalatya 44280Turkey

BACKGROUND The most important factors affecting attitudes on organ donation are socioeconomic, educational, cultural, and religious factors in many countries.AIM To evaluate the attitudes, awareness, and knowledge levels of the Turkish adult population toward organ donation.METHODS This nationwide study surveyed 3000 adults(≥ 18 years) in Turkey. To ensure a representative sample, the Nomenclature of Territorial Units for Statistics-Ⅱ(modified for Turkey) was used. Turkey was divided into 26 regions based on social, economic, and geographic criteria as identified by the Turkish Statistical Institute. A stratified sampling method was used with an even distribution of adults across cities and towns based on population data. Data were collected by the PRP Research and Consultancy Company using computer-assisted personal interviews.RESULTS Out of 3000 individuals represented in the study population, 1465(48.8%) were male and 1535(51.2%) female. The results showed that most participants were under 45 years(59.0%) and married(72.1%), some had a bachelor’s degree or higher(21.9%), and very few(1.5%) had any direct experience with organ transplantation-whether in the family, or a family member on a transplantation waiting list. Most of the study population(88.3%) had not considered donating an organ, however, most(87.9%) said that they would accept an organ from a donor if they needed one. Among the individuals surveyed, 67% were willing to donate an organ to a close relative, while 26.8% would donate an organ to an unrelated person. Only 47.2% said they had adequate information about brain death, and 85.2% refused to consent to donating organs of family members declared brain dead. Only 33.9% thought they had adequate information about organ donation. The main source of information was the television. The two main reasons for refusing organ donation were that it was too soon to think about organ donation and the importance of retaining the integrity of the dead person’s body.CONCLUSION This study showed that Turkey’s ad

关键词： organ donation Adult population Attitudes Knowledge levels Awareness Barriers to the organ donation

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The New Era of organ Transplantation in China

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Chinese Medical Journal 2016年第16期129卷 1891-1893页

作者： Jie-Fu Huang Hai-Bo Wang Shu-Sen Zheng Yong-Feng Liu Bing-Yi Shi Zhong-Yang Shen Sheng-Shou Hu Qi-Fa Ye Wu-Jun Erie Xiao-Shun He Jing-Yu Chen Feng Huo Sing Du Jing Fan Yan-Hong Guo Zong-Jiu Zhang National organ donation and Transplantation Committee Beijing 100010 China China organ Transplant Development Foundation Beijing 100010 China Department of Surgery Peking Union Medical College Hospital Beijing 100730 China China organ Transplant Response System Beijing 100010 China Clinical Trial Unit The First Affiliated Hospital Sun Yat-sen University Guangzhou Guangdong 510080 China Department of Surgery The First Affiliated Hospital of Zhejiang University Hangzhou Zhejiang 310058 China Department of Surgery The First Hospital of China Medical University Shenyang Liaoning 110001 China Department of Surgery 309 Hospital of People's Liberation Army Beijing 100094 China Department of Surgery The First Central Hospital of Tianjin Tianjin 300192 China Department of Surgery Chinese Academy of Medical Sciences and Peking Union Medical College Fuwai Hospital Beijing 100037 China Department of Surgery The Third Xiangya Hospital of Central South University Changsha Hunan 410083 China Department of Surgery The First Affiliated Hospital of Xi'an Jiaotong University Xi'an Shaanxi 710049 China Department of Surgery The First Affiliated Hospital Sun Yat-sen University Guangzhou Guangdong 510275 China Department of Surgery Wuxi People's Hospital Wuxi Jiangsu 214194 China Department of Surgery General Hospital of Guangzhou Military Command of People's Liberation Army Guangzhou Guangdong 510010 China Bureau of Medical Administration and Medical Service Supervision National Health and Family Planning Commission Beijing 100044 China

On June 13, 2016, the US congress passed the bill H. Res. 343 based on the false statements regarding organ transplantation in China, which indicated serious miscommunication and misjudgment between China and the US on the issue. The bill is preceded and followed by a series distorted media reports by the Cable News Network and the New York Times.II,21 It is a typical act ofdemonizing China with colored glasses that boldly ignored the facts and fabricated the evidence for political purposes.

关键词： China New System organ donation Reform Transplantation

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Cold ischemia time in liver transplantation:An overview

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World Journal of Hepatology 2024年第6期16卷 883-890页

作者： Manuela Cesaretti Alessandro Izzo Roberta Anna Pellegrino Alessandro Galli Orestes Mavrothalassitis Department of HPB and Liver Transplantation Brotzu HospitalCagliari 09122Italy Department of Nanophysic Istituto Italiano di TecnologiaGenova 16163Italy Department of Critical Care Medicine and Anesthesia ASST Papa Giovanni XXIIIBergamo 24100Italy Department of Anesthesia and Perioperative Care University of California San FranciscoSan FranciscoCA 94143United States

The standard approach to organ preservation in liver transplantation is by static cold storage and the time between the cross-clamping of a graft in a donor and its reperfusion in the recipient is defined as cold ischemia time(CIT).This simple definition reveals a multifactorial time frame that depends on donor hepatectomy time,transit time,and recipient surgery time,and is one of the most important donor-related risk factors which may influence the graft and recipient’s survival.Recently,the growing demand for the use of marginal liver grafts has prompted scientific exploration to analyze ischemia time factors and develop different organ preservation strategies.This review details the CIT definition and analyzes its different factors.It also explores the most recent strategies developed to implement each timestamp of CIT and to protect the graft from ischemic injury.

关键词： Cold ischemia time Liver transplantation organ donation donation after cardiac death Warm ischemia time Machine perfusion

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Critical care specialists,the missing link in organ procurement for transplantation

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World Journal of Critical Care Medicine 2024年第2期13卷 1-6页

作者： Francisca Del Rocio Gonzalez Cohens Fernando M Gonzalez Web Intelligence Centre Faculty of Physics and Mathematical SciencesUniversidad de ChileSantiago 8370397Chile Department of Nephrology Faculty of MedicineUniversidad de ChileSantiago 7500922Chile

The procurement process for organ donation begins with the identification of potential organ donors in emergency or critical care units(CCU),followed by their clinical evaluation,diagnostic procedures,and therapeutic interventions,mostly conducted in CCUs.It concludes with the request for organ donation and,if accepted,the retrieval of organs.Despite most interventions occurring in detection units,there has been a neglect of the strategic role played by critical care specialists(CCS)in managing and caring for brain-dead or near-brain-death patients.Questions arise:Are they willing to undertake this responsibility?Do they fully comprehend the nature of organ procurement?Are they aware of the specific interventions required to maintain possible organ donors in optimal physiological condition?Our objective is to examine the role of CCS in organ procurement and propose ways to enhance it,ultimately aiming to increase and enhance organ donation rates.

关键词： organ procurement Transplantation Brain death Cardiac death organ donation

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Posthumous organ donation beliefs of college students:A qualitative study

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International Journal of Nursing Sciences 2015年第2期2卷 173-177页

作者： Hongxia Liu Xiao Peng Shuping Zhang Xue Qiao Yufang Hao School of Nursing Beijing University of Chinese MedicineChina

Objective:To explore the perspectives and beliefs of college students toward posthumous organ donation,and the factors influencing their beliefs.Methods:This was a descriptive phenomenology study conducted with semi-structured indepth interviews.Nine college students attending three universities in Beijing who agreed to participate in this study were interviewed.Data were analyzed following the guideline suggested by Colaizzi(1978).Briefly,statements identified as noteworthy were coded and organized.A description was then written to formalize their meaning and returned to the participants for validation of the description.Results:In general,the participants exhibited positive attitudes toward posthumous organ donation.However,not all subjects indicated that they would become an organ donor.Based on the provided responses,four main themes emerged:(1)knowledge about organ donation,participants reported a general lack of education or understanding of organ transplantation and donation;(2)core beliefs on organ donation,despite believing it is valuable public service,participants were unwilling to go against the cultural beliefs held by parents and elders;(3)factors influencing beliefs on organ donation,including cultural and peer opinion,posthumous care of the body,legal registration,and publicity;(4)institutional and policy context,lack of guarantee for proper use of organs after donation was a concern.Conclusion:Despite positive attitudes towards posthumous organ donation,college students are hesitant to become donors because of lack of knowledge/publicity;cultural disdain;and lack of governmental assurance.

关键词： Belief College students organ donation Transplantation

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organ donation

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英语学习 1996年第3期 9-10页

作者： Allison Adato 申雨平

Those who wonder how Maggie and Reg Green could act so self-lessly as their tragedy unfolded might ask instead,"Why aren’tmore people like them?"Every year in America thousands mustchoose whether or not to donate the organs of a loved one who hasdied."The greatest single problem we face is people saying no,"says Joel Newman of the United Network for organ Sharing.When a high-profile case-like Nicholas Green-makes the

关键词： organ donation

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