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No simple answers: ethical conflicts in pediatric heart transplantation. 没有简单的答案:儿童心脏移植的伦理冲突。
Journal of transplant coordination : official publication of the North American Transplant Coordinators Organization (NATCO)
Pub Date : 1999-12-01 DOI: 10.7182/prtr.1.9.4.j4qt10u6r51431p1
E C Suddaby

Ethical issues in pediatric heart transplantation are encountered daily in the work of the transplant coordinator. Issues such as use of resources in a just world, less-than-ideal candidates, and informed consent are challenges to the transplant professional. This article explores those issues using the language of ethics to analyze the conflicts they present. Resolutions will not necessarily be offered, as there are no simple answers.

儿童心脏移植的伦理问题在移植协调员的工作中每天都会遇到。诸如在一个公正的世界中使用资源、不理想的候选者和知情同意等问题是移植专业人员面临的挑战。本文用伦理学的语言来探讨这些问题，分析它们所呈现的冲突。决议不一定会提供，因为没有简单的答案。
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引用次数: 2
Ethics resources of US organ procurement organizations and transplant centers. 美国器官采购组织和移植中心的伦理资源。
Journal of transplant coordination : official publication of the North American Transplant Coordinators Organization (NATCO)
Pub Date : 1999-12-01 DOI: 10.7182/prtr.1.9.4.j33262k668530578
G Taylor

The medical disciplines of organ and tissue donation and transplantation present many life-enriching benefits but are often fraught with ethical ramifications. This article examines the current and potential ethics resources of US organ procurement organizations (OPOs) and transplant centers (TCs). The organizations were surveyed regarding established ethical guidelines and the frequency with which ethical issues in need of resolution were encountered. All OPOs and 76% of TCs reported confronting ethical issues in the workplace. A majority of those surveyed in TCs and OPOs felt adequately prepared to face the ethical challenges of their jobs. More than half the surveyed personnel had some type of ethics training, but only 25% of the TC staffs and 16% of the OPO staffs' training was during the survey year. The potential for ethics-related interactions for TC and OPO staff must be recognized and adequate preparatory measures provided.

器官和组织捐赠和移植的医学学科提供了许多丰富生命的好处，但往往充满了伦理后果。本文考察了美国器官采购组织(OPOs)和移植中心(tc)目前和潜在的伦理资源。对这些组织进行了关于已建立的道德准则和遇到需要解决的道德问题的频率的调查。所有opo和76%的tc报告在工作场所遇到道德问题。接受调查的技术中心和业务主任中，大多数人认为自己已做好充分准备，能够面对工作中的道德挑战。超过一半的被调查人员接受过某种类型的道德培训，但在调查年度，只有25%的技术支持人员和16%的OPO人员接受过培训。必须认识到技术委员会和业务事务处工作人员在伦理方面相互作用的潜力，并提供适当的准备措施。
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引用次数: 1
Ethics Resources of US Organ Procurement Organizations and Transplant Centers 美国器官采购组织和移植中心的伦理资源
Journal of transplant coordination : official publication of the North American Transplant Coordinators Organization (NATCO)
Pub Date : 1999-12-01 DOI: 10.1177/090591999900900412
G. Taylor
Purpose of the Study This pilot project was developed to assess both present and potential ethics resources of US OPOs and TCs. Specific aims of the study included • identifying organizational ethical guidelines and/or policies • tracking the frequency of the resolution of ethical issues • identifying organizational ethics resource personnel, committees, and programs • determining potentially beneficial ethics education and preferred teaching methodologies.
本试点项目旨在评估美国opo和tc的现有和潜在伦理资源。该研究的具体目的包括:确定组织的道德准则和/或政策;跟踪道德问题解决的频率;确定组织的道德资源人员、委员会和项目;确定潜在有益的道德教育和首选的教学方法。
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引用次数: 2
Ethics in transplantation: perspectives for the next millennium. 移植伦理学:展望下一个千年。
Journal of transplant coordination : official publication of the North American Transplant Coordinators Organization (NATCO)
Pub Date : 1999-12-01 DOI: 10.7182/prtr.1.9.4.5373788056350113
L Ohler
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引用次数: 1
Ethics in Transplantation: Perspectives for the Next Millennium 移植伦理学:展望下一个千年
Journal of transplant coordination : official publication of the North American Transplant Coordinators Organization (NATCO)
Pub Date : 1999-12-01 DOI: 10.1177/090591999900900401
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引用次数: 0
Xenotransplantation. 异种移植。
Journal of transplant coordination : official publication of the North American Transplant Coordinators Organization (NATCO)
Pub Date : 1999-12-01 DOI: 10.7182/prtr.1.9.4.9265g05412773tq4
L H McBride, R M Taylor, R H Hogarth, K M Kinter

Xenotransplantation is a potentially promising but exceedingly complex issue. It is critical that this subject be discussed within and outside the transplant community. The need for an expanded organ supply is urgent, but the scientific and ethical positions are complex. This article reviews the current status of xenotransplantation, including the potential benefits and risks; discusses multiple ethical issues; and makes recommendations for the transplant coordinator.

异种器官移植是一个有潜力但极其复杂的问题。在移植社区内外讨论这个问题是至关重要的。扩大器官供应的需求是迫切的，但科学和伦理立场是复杂的。本文综述了异种器官移植的现状，包括潜在的益处和风险;讨论多个伦理问题;并向移植协调员提出建议。
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引用次数: 0
No Simple Answers: Ethical Conflicts in Pediatric Heart Transplantation 没有简单的答案:儿童心脏移植的伦理冲突
Journal of transplant coordination : official publication of the North American Transplant Coordinators Organization (NATCO)
Pub Date : 1999-12-01 DOI: 10.1177/090591999900900411
E. Suddaby
Ethical issues in pediatric heart transplantation are encountered daily in the work of the transplant coordinator. Issues such as use of resources in a just world, less-than-ideal candidates, and informed consent are challenges to the transplant professional. This article explores those issues using the language of ethics to analyze the conflicts they present. Resolutions will not necessarily be offered, as there are no simple answers.
儿童心脏移植的伦理问题在移植协调员的工作中每天都会遇到。诸如在一个公正的世界中使用资源、不理想的候选者和知情同意等问题是移植专业人员面临的挑战。本文用伦理学的语言来探讨这些问题，分析它们所呈现的冲突。决议不一定会提供，因为没有简单的答案。
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引用次数: 0
Ethical Challenges in Infant Heart Transplantation: A Clinical Case Presentation 婴儿心脏移植的伦理挑战:一个临床病例报告
Journal of transplant coordination : official publication of the North American Transplant Coordinators Organization (NATCO)
Pub Date : 1999-12-01 DOI: 10.1177/090591999900900410
J. Johnston, R. Orr
At the time of diagnosis of the chromosomal deletion, there had been only 12 previously reported cases with the common findings of congenital heart disease, microcephaly, intrauterine growth retardation, mental retardation, and minor facial dysmorphism.1,2 None of the previously reported patients had cardiomyopathy. Because of the uncertain long-term outcome, the family was encouraged to pursue conservative management of K.R.’s heart failure rather than heart transplantation. Soon after birth, the infant was discharged from the hospital with outpatient follow-up. She began to experience episodes of limpness, pallor, and diaphoresis in which she became unresponsive; these incidents necessitated hospital readmission. K.R. failed to thrive on medical therapy. The parents read an article in a popular magazine about a successful heart transplantation in an infant at Loma Linda University Medical Center (LLUMC). They called LLUMC to inquire about heart transplantation for their daughter, who at this time was 2 months of age.
在诊断染色体缺失时，只有12例先前报道的病例，其常见表现为先天性心脏病、小头畸形、宫内生长迟缓、智力迟钝和轻微的面部畸形。1,2先前报道的患者均无心肌病。由于长期预后不确定，家人被鼓励对k.r.的心力衰竭采取保守治疗，而不是心脏移植。婴儿出生后不久即出院，接受门诊随访。她开始出现虚弱、苍白和出汗的症状，并变得没有反应;这些事件需要再次住院。k。r。不靠药物治疗。这对父母在一本流行杂志上读到一篇关于洛马林达大学医学中心(LLUMC)一名婴儿心脏移植成功的文章。他们打电话给LLUMC咨询他们的女儿的心脏移植手术，当时他们的女儿只有2个月大。
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引用次数: 0
Ethical Dilemmas in Living Donor Organ Transplantation 活体器官移植的伦理困境
Journal of transplant coordination : official publication of the North American Transplant Coordinators Organization (NATCO)
Pub Date : 1999-12-01 DOI: 10.1177/090591999900900406
M. Nolan
Types of Living Donors Living Related Donation Living related donation, or organ donation from a blood relative, was first performed in 1954 when a kidney from a healthy male was transplanted into his twin brother at the Peter Bent Brigham Hospital in Boston.1 With the development of immunosuppressive therapy, this type of transplantation was extended beyond identical twins to include other family members and now accounts for a significant number of bone marrow, renal, liver, and lung transplants.2
活体捐赠者的类型活体亲属捐赠活体亲属捐赠，或称血亲器官捐赠，最早于1954年在波士顿的彼得本特布里格姆医院进行，当时一名健康男性的肾脏被移植到他的双胞胎兄弟身上。随着免疫抑制疗法的发展，这种类型的移植已经从同卵双胞胎扩展到其他家庭成员，现在骨髓、肾脏、肝脏、肾脏和其他器官的移植数量相当大。还有肺移植
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引用次数: 0
Book Review: The Nicholas Effect: A Boy's Gift to the World 书评:尼古拉斯效应:一个男孩给世界的礼物
Journal of transplant coordination : official publication of the North American Transplant Coordinators Organization (NATCO)
Pub Date : 1999-12-01 DOI: 10.1177/090591999900900414
Tham Hoffman
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引用次数: 3
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