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Full-Text Articles in Medicine and Health Sciences

Stranger Donors: A Key Link In Transplant Chains, Christopher Veys, Katrina Bramstedt Nov 2010

Stranger Donors: A Key Link In Transplant Chains, Christopher Veys, Katrina Bramstedt

Katrina A. Bramstedt

Living donation to strangers is a complex issue that has caused some transplant centers to ban the practice altogether. Most prominent of the troublesome issues is the common source of these donors; namely, the Internet. These "stranger donors," however, are critical to both paired kidney transplants and chain kidney transplants. This article presents the ethical complexities of donors in these transplant arrangements and offers 2 case examples from our facility. Rigorous donor screening and informed consent processes are crucial, and together they help make transplant pairs and chains ethically feasible.


Probing Transplant And Living Donor Candidates About Their Participation In Organ Vending, Katrina Bramstedt Aug 2010

Probing Transplant And Living Donor Candidates About Their Participation In Organ Vending, Katrina Bramstedt

Katrina A. Bramstedt

The selling of human organs for transplant is illegal in the United States and in most countries; however, such transactions still occur. Transplant hospitals and their personnel have multiple ethical duties, including (1) protecting the safety of their living donors and transplant recipients and (2) protecting the integrity of living donation and transplantation as clinical practices. To date, few psychosocial screening tools exist that pertain specifically to a person's risk or intent of pursuing organ vending (buying or selling). This article presents a series of transplant ethics case consultations that spawned the creation of a set of behavioral prompts for …


Science And Morals In The Affective Psychopathology Of Philippe Pinel, Louis Charland Dec 2009

Science And Morals In The Affective Psychopathology Of Philippe Pinel, Louis Charland

Louis C. Charland

No abstract provided.


Reinstating The Passions: Lessons From The History Of Psychopathology, Louis Charland Dec 2009

Reinstating The Passions: Lessons From The History Of Psychopathology, Louis Charland

Louis C. Charland

No abstract provided.


Too Poor For Transplant: Finance And Insurance Issues In Transplant Ethics, Kyle Laurentine, Katrina Bramstedt Dec 2009

Too Poor For Transplant: Finance And Insurance Issues In Transplant Ethics, Kyle Laurentine, Katrina Bramstedt

Katrina A. Bramstedt

Context: Donor organs are a scarce gift. Additionally, transplantation is very expensive and the United States lacks universal health insurance for all citizens. These facts combine to make personal finance and insurance some of the criteria for wait listing at US transplant centers. Previous research has shown that the poor and the uninsured (as well as women and nonwhites) are less likely to receive a transplant. Living donor candidates are also limited by the US insurance system. Objective: To determine the effect of finance and insurance variables on access to transplant and living donation. Design: A qualitative descriptive study of …