Organ Replacement Therapy: Ethics, Justice Commerce: First Joint Meeting of ESOT and EDTA/ERA Munich December 1990

Front Matter....Pages I-XXIII
Front Matter....Pages 1-1
Theories of Medical Ethics: The Professional Model Compared with the Societal Model....Pages 3-9
Front Matter....Pages 11-11
Legal Implications of the Principle Primum Nihil Nocere As It Applies to Live Donors....Pages 13-17
Voluntarism of Consent in Both Related and Unrelated Living Organ Donors....Pages 18-24
Medical Risk and Benefit in Renal Donors: The Use of Living Donors Is Justified....Pages 25-31
Medical Risk and Benefit in Renal Donors: The Use of Living Donation Reconsidered....Pages 32-39
Attitudes to Using Living Related Kidney Donors in The Netherlands....Pages 40-43
Living Organ Donation in The Netherlands and in Some Other Countries....Pages 44-47
Allowing Relatives to Bridge the Gap: The Norwegian Experience....Pages 48-49
The Living Donor in Kidney Transplantation: The Gothenburg Experience (1965–1990) From 490 Consecutive Donor Nephrectomies....Pages 50-53
Living Donor Kidney Transplantation in the United Kingdom and Ireland: Does Donor-Recipient Age Difference Matter?....Pages 54-56
Retrospective Evaluation of Psychosocial Factors in Former Living Related Kidney Donors....Pages 57-59
Results of an Audit of Living Related Renal Allograft Donation From a Single Centre....Pages 60-63
Renal Transplantation From a Living Related Donor....Pages 64-73
Organ Donation with Living Related Donors with Cancer....Pages 74-76
Social Aspects of Kidney Donations in 300 Living Related and Unrelated Renal Transplantations....Pages 77-82
Living Related Liver Transplantation in an Adult and a Child....Pages 83-92
Medical Risks and Benefit of Pancreas Transplants from Living Related Donors....Pages 93-101
Medical Risk and Benefit in Living Pancreas Segment Donors....Pages 102-105
Medical Risk and Benefit in Living Pancreas Segment Donors....Pages 106-109
Medical Risk and Benefit in Living Small-Bowel Segment Donors....Pages 110-116
Front Matter....Pages 11-11
Living Donor Nonrenal Organ Transplantation: A Focus on Living Related Orthotopic Liver Transplantation....Pages 117-129
Living Related Liver Transplantation: A Note of Caution....Pages 130-135
Front Matter....Pages 145-145
Is There a Universal System of Ethics or are Ethics Culture-Specific?....Pages 147-153
Preventing Commercial Transactions in Human Organs and Tissues: An International Overview of Regulatory and Administrative Measures....Pages 154-163
The Negative Impact of Paid Organ Donation....Pages 164-172
Organ Donation for Consideration: An Indian View Point....Pages 173-180
Rewarded Gifting and Rampant Commercialism in Perspective: Is There a Difference?....Pages 181-189
From Him that Hath Not....Pages 190-196
Aspects of Living Organ Donation with Emphasis on the Fight Against Commercialism....Pages 197-199
The Ugly Head of Commercialism in Organ Transplantation in Greece....Pages 200-202
Fallouts of Commercialism in Organ Donation as Seen in Pakistan....Pages 203-205
Organ Grafting and Human Society....Pages 206-213
European Community Law and its Effects on Import and Export of Human Cells and Tissue....Pages 214-218
Legal and Practical Consequences of the Commercial Use of Human Cells and Tissues....Pages 219-224
Front Matter....Pages 239-239
Brain Death as Death of a Human Being: A Matter of Image of Man....Pages 241-244
Theological Aspects of Brain Death with Regard to the Death of a Person....Pages 245-248
Philosophical Arguments in Accepting Brain Death Criteria....Pages 249-258
What Were the Problems of Getting Brain Death Accepted in Denmark: The Beginning and End of a Controversy....Pages 259-263
When is a Person Dead?: the Answer of the European Philosophers and Poets....Pages 264-265
Brain Death as Identity Loss....Pages 266-267
Front Matter....Pages 239-239
Ethical and Practical Problems of Setting Up a System of Elective Ventilation....Pages 268-272
Responsible Involvement on a Large Scale: The Gift of Life in Implicit Solidarity....Pages 273-275
Presumed Consent and Cadaver Organ Donation: Is There a Place for Family Involvement?....Pages 276-279
Organ Donation by Presumed Consent: Consequences and Duties to the Society That Legalizes It....Pages 280-283
Donor Recruitment: Individual Rights on Health Care and the Feasibility of a Presumed Consent and a Required Request System....Pages 284-286
Psycholegal Aspects of Organ Procurement Systems....Pages 287-290
Current Practice and the Legal, Ethical, and Religious Status of Post Mortem Organ Donation in the Islamic World....Pages 291-299
Resistance to Cadaveric Organ Donation: Experience in a Developing Country....Pages 300-301
The Ethical Virtues of a Futures Market in Cadaveric Organs....Pages 302-310
Front Matter....Pages 329-329
Who Empowers Medical Doctors to Make Allocative Decisions For Dialysis and Organ Transplantation?....Pages 331-336
A Central Paradox in Medicine: The Ethical Tension Between Self-Interest and Altruism....Pages 337-343
The Role of Entrepreneurial Factors in Health Care Systems....Pages 344-346
What Could Be Done to Regulate Profit in Dialysis Centers? Propositions From Some French Realities....Pages 347-352
Excuses of Nephrologists Not to Transplant....Pages 353-363
Unlimited Admission of Patients to the Waiting List for Transplantation....Pages 364-367
Foreign Versus One’s Own Country Waiting List in the Case of Organ Shortage....Pages 368-372
The Ethical Problems of Triage for Renal Failure in the United Kingdom....Pages 373-376
Hypotheses, Basal Conditions, and Facts in the Provision and Allocation of Renal Replacement Therapy in Germany....Pages 377-384
Who Legally Owns and Controls Human Organs After Procurement?....Pages 385-392
Principles Used in Organ Allocation....Pages 393-398
Front Matter....Pages 329-329
Is HLA Matching a Scientific and Relevant Factor for the Allocation of Cadaver Kidneys?....Pages 399-403
HLA Matching: A Relevant and Scientific Graft Allocation Factor or Only a Crutch?....Pages 404-409
Facing Organ Allocation Issues: An Insider’s View From the New World....Pages 410-418
Immunological Criteria in Kidney Allocation....Pages 419-422
Age Matching is Fairer Than HLA Matching in Renal Transplantation?....Pages 423-425
Donor Factors Determine Cadaveric Kidney Outcome: Should We Use It to Choose Donor-Recipient Combinations?....Pages 426-428
Donor Organ Allocation from a Legal Point of View....Pages 429-432
Ability to Pay and Access to Transplantation....Pages 433-436
The Ethics of Assessment for Transplantation....Pages 437-439
Should Urgent Medical Need Be Used as an Allocation Factor for Liver Allografts?....Pages 440-444
Cardiac Retransplantation: Is It an Ethical Use of Scarce Resource?....Pages 445-449
Front Matter....Pages 465-465
Transplantation of Fetal Dopamine-Synthesizing Cells: Experiment or Therapy of Parkinson’s Disease?....Pages 467-483
Fetal Islet Cell Transplantation: State of the Art....Pages 484-490
Fetal Tissue Transplantation and the Problem of Elective Abortion....Pages 491-498
Legal Problems Associated with Abortion: Fetal Cell Transplantation....Pages 499-505
Fetal Transplantation: A Model for Medical Ethics Application....Pages 506-511
Xenografting: Its Future Role in Clinical Organ Transplantation....Pages 512-518
The Ethics of Xenografting in Man....Pages 519-527
The Baboon As Cardiac Donor in Man: A Reasonable Approach or an Immoral Desperate Search for Suitable Organs?....Pages 528-533
Bridging in Cardiac Surgery: A Reasonable Surgical Procedure or Only a Method for Getting an Emergency Transplant?....Pages 534-540
Front Matter....Pages 465-465
The Ethics of Domino Heart Transplantation....Pages 541-542
Back Matter....Pages 553-578