Organ transplantation in times of donor shortage: challenges and solutions
Contents -- Chapter-1 -- Organ Transplantation in Times of Donor Shortage. An Introduction -- Part I -- The Ethics of Organ Donation: Foundations and Challenges -- Chapter-2 -- Brain Death, Justified Killing and the Zombification of Humans - Does the Transplantation Dilemma Require New Ways of Conce...
| Contributors: | ; ; |
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| Format: | Electronic Book |
| Language: | English |
| Subito Delivery Service: | Order now. |
| Check availability: | HBZ Gateway |
| WorldCat: | WorldCat |
| Interlibrary Loan: | Interlibrary Loan for the Fachinformationsdienste (Specialized Information Services in Germany) |
| Published: |
Cham Heidelberg New York Dordrecht London
[2016]
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| In: |
International library of ethics, law, and the new medicine (Volume 59)
Year: 2016 |
| Volumes / Articles: | Show volumes/articles. |
| Series/Journal: | International library of ethics, law, and the new medicine
Volume 59 |
| Standardized Subjects / Keyword chains: | B
Transplantation
/ Legal ethics
/ Medical ethics
|
| Further subjects: | B
Collection of essays
B Ethics B Organ donors -- Supply and demand B Transplantation of organs, tissues, etc |
| Online Access: |
Volltext (Aggregator) |
| Summary: | Contents -- Chapter-1 -- Organ Transplantation in Times of Donor Shortage. An Introduction -- Part I -- The Ethics of Organ Donation: Foundations and Challenges -- Chapter-2 -- Brain Death, Justified Killing and the Zombification of Humans - Does the Transplantation Dilemma Require New Ways of Conceptualizing Life and Death? -- 2.1 Introduction -- 2.2 Brain Death: Paradigm and Problem -- 2.3 Beyond Brain Death -- 2.4 Betwixt and Between -- 2.5 The Zombification of Humans -- References -- Chapter-3 -- Bodily Integrity as a Barrier to Organ Donation -- 3.1 Introduction -- 3.2 Bodily Integrity -- 3.3 Bodily Integrity as an Empirical Barrier to Donation -- 3.4 Bodily Integrity as a Normative Barrier to Donation -- 3.5 Conclusion -- References -- Chapter-4 -- The Role of Body Concepts for Donation Willingness. Insights from a Survey with German Medical and Economics Students -- 4.1 Introduction -- 4.2 Methods -- 4.3 Results -- 4.3.1 Willingness for Organ Donation and Transplantation -- 4.3.2 Images of the Body -- 4.3.3 Acceptance of the Brain Death Criterion -- 4.4 Discussion -- 4.5 Conclusion and Outlook -- References -- Chapter-5 -- Foundations of a Duty to Donate Organs -- 5.1 Introduction -- 5.2 Ethical Implications of the Organ Shortage -- 5.3 The Theoretical Foundation of a Duty to Donate Organs -- 5.3.1 Mutual Aid -- 5.3.2 Rights and Free-Riding -- 5.4 Conclusion -- References -- Chapter-6 -- Why Altruism is not a Convincing Argument for Promoting Post-mortem Organ Donation: Responsibility and Solidarity as Key Concepts -- 6.1 Introduction: Altruism and Organ Transplantation -- 6.2 What are Altruistic Deeds? -- 6.3 The Problem with the Intentional Nature of Altruistic Actions -- 6.4 Why Organ Donation is not an Altruistic Action -- 6.5 Asymmetrical Structures and Responsibility -- 6.6 Solidarity Instead of Altruism 6.7 Conclusion: The Success of Cooperative Actions -- References -- Chapter-7 -- Why Not Confiscate? -- 7.1 Introduction -- 7.2 Inheritance Taxes -- 7.2.1 Introduction -- 7.2.2 Taxing and Confiscating are Two Different Things -- 7.2.3 What Would the Organs be Worth? -- 7.2.4 But the Body is not a Resource! -- 7.3 Mandatory Autopsies -- 7.3.1 Introduction -- 7.3.2 Crime Prevention is more Important -- 7.3.3 Crime Prevention is Indeed more Important, but in a Different Sense -- 7.4 The Brain Death Criterion -- 7.5 Conclusion -- References -- Chapter-8 -- The Theological-Ethical Dimension of Organ Transplantation in the Context of Contemporary Discussions -- 8.1 Introduction: The Ethical Dimension -- 8.2 Current Issues -- 8.3 Theological Dimension -- 8.4 Conclusion -- References -- Chapter-9 -- How to be a Virtuous Recipient of a Transplant Organ -- 9.1 Introduction -- 9.2 Virtue Ethics -- 9.3 Why We Should Accept Medium Level Infringements -- 9.4 Four Objections -- 9.5 Some Practical Implications -- References -- Part II -- The Law and Politics of Organ Donation: Problems and Solutions -- Chapter-10 -- Challenges to the Dead Donor Rule: Configuring a Biopolitical Response -- 10.1 Introduction -- 10.2 Death: Epistemic and Metaphysical -- 10.3 Death and the Practices of Organ Donation -- 10.4 A Biopolitical Response -- References -- Chapter-11 -- Organ Donation and Transplantationin Germany -- 11.1 Introduction -- 11.2 Division of Tasks According to the German Transplant Law (Fig. 11.2) -- 11.2.1 Hospitals -- 11.2.2 German Organ Transplantation Foundation (DSO) -- 11.2.3 Eurotransplant International Foundation (ET) -- 11.2.4 Transplant Centres: Admittance of Patients to the Waiting Lists, Organ Transplantation, Aftercare -- 11.3 Process of Organ Donation and Transplantation (Fig. 11.3) -- 11.3.1 Identification of a Potential Organ Donor 11.3.2 Brain Death -- 11.3.3 Consent for Organ Donation -- 11.3.4 Donor Eligibility/Maintaining the Donor -- 11.3.5 Allocation -- 11.3.6 Organ Procurement/Transport -- 11.3.7 Transplantation -- 11.3.8 Aftercare/Family Care -- 11.4 Perspective -- References -- Chapter-12 -- Organ Shortage as a Structural Problem in Transplantation Medicine -- 12.1 Introduction -- 12.2 Reasons Why Not Everybody Can Donate Organs After Death -- 12.3 Dead or Dying? The Ambivalence of the Brain Death Concept -- 12.4 New Medical Studies Prove the Problematic Nature of the Brain Death Concept -- 12.5 Why the Demand for Organs is Continuously Increasing -- 12.6 Beyond Brain Dead: Disturbing Practices of Acquiring Organs -- 12.7 Conclusion: The Demand for Organs Must Be Reduced and Alternatives to Transplantation Medicine Must Be Promoted -- References -- Chapter-13 -- Donation and Devolution: The Human Transplantation (Wales) Act 2013 -- 13.1 Introduction -- 13.2 Consent as a Barrier to Organ Donation? -- 13.3 The New Legislation in Wales -- 13.3.1 Objections from Those in a Qualifying Relationship -- 13.3.2 Cases in Which Deemed Consent does not Apply -- 13.4 Effect on Other Parts of the UK -- 13.5 Conclusion -- References -- Chapter-14 -- Advance Commitment: Rethinking The Family Veto Problem in Organ Procurement -- 14.1 Introduction -- 14.2 Family Veto Matters -- 14.3 Advance Commitment As an Organ Procurement Policy -- 14.4 The Advantages of Advance Commitment -- References -- Chapter-15 -- Power of Legal Concepts to Increase Organ Quantity -- 15.1 Introduction -- 15.2 Diverging Willingness of the Population to Agree to Post-mortem Removal… -- 15.3 … Due to Different Legal Models -- 15.4 Opt-In Solution in Germany -- 15.4.1 Legal Provisions -- 15.4.2 Hardly any Declarations on Organ Transplantation-Low Organ Quantity -- 15.5 Opt-Out Solution in Austria 15.5.1 Legal Provisions -- 15.5.2 Hardly any Opposition to Organ Removal-High Organ Quantity -- 15.6 Opt-Out Solution Increases Organ Quantity -- 15.7 Legal Framework Conditions Influence Decisions and Organ Quantity -- 15.8 Implementation of the Law and Organ Quantity -- 15.8.1 Organising the Practice of Post-mortem Donation -- 15.8.2 Legal Interpretation and Practice of Living Organ Donation -- 15.9 Conclusion -- References -- Chapter-16 -- Legal Consequences of Organ Transplantation Malpractice -- 16.1 Introduction -- 16.2 Legal Principles of Organ Transplantation in Germany -- 16.3 Malpractice and the Possible Legal Consequences -- 16.4 Organizational and Structural Measures -- References -- Chapter-17 -- Legal Justice in Organ Allocation. A Legal Perspective on the Failure of the GermanOrgan Allocation System -- 17.1 Introduction: Redistributing Survival Chances-The Current Transplantation Scandals -- 17.2 Who Decides? Deficiencies in the Democratic Justification of Organ Allocation Rules -- 17.3 Berlin God Committee: The Guidelines of the German Medical Association -- 17.4 Substantial Justice in Organ Allocation: Constitutional Requirements and Current Practice -- 17.5 Regulated Self-Regulation Versus State Control and Legal Protection -- 17.6 Conclusion -- References -- Chapter-18 -- In Whose Best Interest? Questions Concerning the Weal and Woe of Transplant Patients -- Part III -- Alternative Answer to Organ Shortage: Xenotransplantation -- Chapter-19 -- Discordant Cellular and Organ Xenotransplantation-From Bench to Bedside -- 19.1 Introduction -- 19.1.1 The Clinical Need for Solid OrganTransplantation-the Pig as Preferred Donor -- 19.1.2 The Clinical Need for Discordant Cellular Transplantation -- 19.1.3 The Need for Biological Valve Prostheses for Younger Patients -- 19.2 Safety Issues in Pig-to-Primate Xenotransplantation 19.3 Immunological Barriers and Strategies to Overcome them -- 19.4 Humoral Responses in Vascularised Organs -- 19.4.1 Hyperacute Rejection -- 19.4.2 Acute (Delayed) Humoral Rejection, Thrombotic Microangiopathy -- 19.5 Cell-Mediated Rejection -- 19.6 The Future of Xenotransplantation-is the Shumway Paradigm Still Valid? -- 19.7 First Clinical Experiences in Porcine Islet Transplantation -- References -- Chapter-20 -- Xenotransplantation: The Last Best Hope? Ethical Aspects of a Third Way to Solve the Problem of Organ Shortage -- 20.1 Introduction -- 20.2 The Medical Ethics of Animal-to-Human Transplant -- 20.2.1 Informed Consent Versus Informed Contract -- 20.2.2 Conditions of Consent -- 20.2.3 A Third Way of Solving the Risk Ethical Challenges -- 20.3 Arguments Concerning Animal Welfare -- 20.3.1 Utilitarian Ethics-Peter Singer -- 20.3.2 Deontological Ethics-Tom Regan -- 20.3.3 Deontological Ethics Based on Teleological Considerations-Bernard E. Rollin -- 20.3.4 The Coherence Model-David DeGrazia -- 20.4 Concluding Remarks -- References -- Chapter-21 -- Xenotransplantation and Tissue Engineering Technologies: Safeguarding Their Prospects sans Sacrificing our Future -- 21.1 Introduction -- 21.2 Who Would Benefit and Who Would Suffer if Xenotransplants Became Available? -- 21.3 Third Person Risks-What do we Know? -- 21.4 Benefit Optimism and Disaster Pessimism-is There a Right Balance? -- 21.5 Putting the Risks of Xenotransplantation into Perspective -- 21.6 Discussion-Shaping our Institutions in Accordance to our Needs -- References -- Part IV -- Crossing Borders: International and Intercultural Perspectives -- Chapter-22 -- Is an Absolute Prohibition of Living Kidney Donation by Minors Appropriate? A Discussion of the Arguments in Favor and Against -- 22.1 Introduction -- 22.2 The Decision-making Capacity of Minors 22.3 The Best Interest of the Minor |
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| Physical Description: | 1 Online-Ressource (VIII, 352 Seiten), Illustrationen, Diagramme |
| ISBN: | 978-3-319-16441-0 |
