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1
Pummer-Verté, Lila. "Organ donation and transplantation /." Online version of thesis, 1995. http://hdl.handle.net/1850/12252.
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Cameron, Danielle. "Ethical and philosophical barriers to organ donation." Diss., Connect to the thesis, 2005. http://hdl.handle.net/10066/712.
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Greenwood, Gay. "The spaces within : a Foucaudian analysis of organ donation discourses /." Title page, table of contents and abstract only, 1999. http://web4.library.adelaide.edu.au/theses/09PH/09phg81652.pdf.
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Yang, Yi, and 杨溢. "A systematic review on interventions increasing organ donation." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2013. http://hdl.handle.net/10722/193807.
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Objective: To synthesize evidence from the recent interventions to improve organ donation rates and attitude towards organ donation. The effective intervention is defined as significant increases in the enrollment rate of organ donation and positive changes of attitude. And the second one is to give recommendations on feasible intervention designs based on the specific situation of Mainland China.
Methods: A systematic review was conducted through PubMed, Cochrane Library, Google Scholar and reference lists. The quality of the studies was evaluated by CONSORT guideline.
Results: Nine randomized control studies were included in this systematic review, and the quality of all these studies was average. The main targets of the studies were religious beliefs, distrust medical system, lack of knowledge and fear of premature death. Using lay health advisors, implementing lecture, presentation and discussion, and exposure to mass media with donation information frequently were all identified as effective components to change the attitude and improve the enrollment rate.
Conclusion: Based on this systematic review, discrepant interventions could change the public attitude towards organ donation and improve the enrollment donation rate in the United States. However, given the cultural differences in China, more research is needed to see whether implementation of these interventions could improve the situation of organ donation in China.published_or_final_version
Public Health
Master
Master of Public Health
5
Morton, Antoinette. "Development of a culturally relevant educational program for organ donation in the African American community." Theological Research Exchange Network (TREN), 2006. http://www.tren.com/search.cfm?p028-0241.
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Lyle, Catherine Frances. "An embodiment critique of human tissue markets." Pullman, Wash. : Washington State University, 2009. http://www.dissertations.wsu.edu/Thesis/Spring2009/C_Lyle_042209.pdf.
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Jiao, Yilin, and 焦怡琳. "Factors influencing intention and behaviour for organ donation : a systematic review." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2013. http://hdl.handle.net/10722/193830.
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Background. Organ transplantation as one of the most effective treatment options for patients with organ failure is challenged by organ shortage around the world. This systematic review aims to summary relevant factors influencing people’s intention and behavior for organ donation. Method. Three databases, namely PUB med, Medline and China knowledge resources integrated database, were applied for literature searching. Fourteen studies, which meet the inclusion criteria and exclusion criteria, are used in this review. Quality assessment was proceeding upon STROBE checklist. Results. Seven factors influencing individuals’ intentions and behavior for organ donation are summarized, including: demographic factors, cultural factors, attitudes towards death and funeral, family influence, information accessibility for organ donation, distrust medical community and legislation for organ donation. In addition, two more factors, acceptance of brain death and effectiveness in receiving donation request, are associated with family consent to organ donation. Conclusion. This review highlights factors could influence individual’s intention and behavior for organ donation. Potential implications could be implemented base on the effect of these factors. Possible interventions, upon demographic characteristics, dealing with Chinese traditional concept and enhancing knowledge and exposure of organ donation, to Chinese population are discussed. Limitations of this systematic review are also mentioned.published_or_final_version
Public Health
Master
Master of Public Health
8
Van, den Berg Leon. "Organ and tissue donation and transplantation a perspective of South African Baptists from the Baptist Northern Association and its implications for preaching /." Pretoria : [s.n.], 2006. http://upetd.up.ac.za/thesis/available/etd-10022007-164428/.
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Summers, Dominic Mark. "Maximising the potential for kidney donation in the UK : the role of donation after circulatory-death." Thesis, University of Cambridge, 2013. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.645969.
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Shubane, Nancy. "Black critical care nurses' perceptions of organ donation and organ transplantation." Pretoria : [s.n.], 2009. http://upetd.up.ac.za/thesis/available/etd-10262009-185326/.
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Wong, Suet-man Catherine. "Survey of nurses in Hong Kong about cadaveric organ donation : their attitudes, knowledge and perceived barriers /." View the Table of Contents & Abstract, 2007. http://sunzi.lib.hku.hk/hkuto/record/B38588845.
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Lee, Wai-chuen Raymond, and 李衛全. "The change of attitudes towards organ donation in Hong Kong." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2012. http://hub.hku.hk/bib/B48423993.
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Background:
Organ transplantation is getting more important and the demand increased exponentially in the past decade. However, due to the shortage of organ supply, some people died while waiting for an organ and the other may rely on all forms of organ support to live.
Hong Kong has the lowest organ donation rate among the developed world despite large-scale organ donation enhancement activities implemented for decade. Since consent from family members is mandatory, it is important to understand the reasons relatives given for consenting or refusing to donation.
Objectives:
(1) To investigate the change of attitudes towards organ donation in Hong Kong during 2004 to 2012.
(2) To understand the difficulties of transplant coordinators encountered during counseling
Methods:
This is a cross-sectional survey looking at the recent change of reasons of the families of the potential donors to make decision about donation. Transplant coordinators of all 7 clusters completed questionnaires after counseling each potential donor referred during the 7 months study period. Demographic data and reasons of refusal or consent of donation were recorded and analyzed and compared with previous results. Difficulties of transplant coordinators encountered during counseling were recorded.
Results:
Totally 52 questionnaires were completed within 7 months. The conversion rate were similar when compared to that in 2004 (44.3% in 2004 vs 40% in 2012). The proportion of older potential donor in the refusal group is higher than that of consent group (> 60 years old 51.6% vs 38%,). The demographic data was neither statistical significantly different between consent and refusal group nor correlated with refusal of donation.
From 2004 to this survey, the most common reason to refusal remained to be the traditional belief of buried intact. Both were 33%. The “expressed wish of the deceased to object donation while alive” increased from 13% in 2004 to 20% in 2012 (p=0.378), and “no consensus from family” dropped from 26% in 2004 to 11% in 2012 (p=0.083). The reason “no expression of any wish” remained static when compared to that in 2004 (15% vs 16%, p=0.982).
The reason for consenting to donation changed a lot. Although the most common reason remained the “wish to help others” (94% vs 41%, p<0.0001), the second and third reason changed to “feeling good by being charitable” (21% vs 0%, p=0.0071) and “not to waste useful organs” (18% vs 3%, p=0.0455) while the fourth reason was “respect deceased’s choice”(14% vs 0%, p=0.0278). The reasons of refusal and consenting donation are explained in the context of the decision-making process. The main obstacles the transplant coordinators have encountered were knowledge gap, emotion, time pressure and family or social disharmony.
Conclusion: The major reasons for consenting and refusing donation did not only change in position but also change in proportion in last decade. The importance of some reasons increased significantly and strategies to improve conversion rate should be adjusted according to the changing reasons. Education to change the traditional belief, encourage expression of donation wish, create position image of donation and the benefit of transplant are all important.published_or_final_version
Public Health
Master
Master of Public Health
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Higginbotham, Bradley Y. Beard T. Randolph. "An examination of the impact of the Organ Donation Breakthrough Collaborative on kidney transplant activity." Auburn, Ala, 2009. http://hdl.handle.net/10415/1738.
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Robertson-Malt, Suzie. "Life or death : a donor parent's dilemma /." Title page, contents and abstract only, 1998. http://web4.library.adelaide.edu.au/theses/09PH/09phr6524.pdf.
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McGregor, Lesley M. "An investigation into the functional and psychosocial impact of living organ donation." Thesis, University of Stirling, 2010. http://hdl.handle.net/1893/2338.
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General Abstract Objective: In April 2006, the Scottish Liver Transplant Unit (SLTU) became the first NHS transplant unit in the UK to offer the option of Living Donor Liver Transplantation (LDLT). This represented a unique opportunity to evaluate the functional and psychosocial impact of LDLT upon healthy donors and their recipients. Subsequent aims were to investigate the challenge of introducing LDLT in Scotland and to establish the perceived deterrents and attractions of the procedure. An additional aim was to evaluate the impact of Living Donor Kidney Transplantation (LDKT) upon donors and recipients. Design: A series of cross sectional and longitudinal studies were designed for the purpose of this thesis (3 quantitative, 2 qualitative, and 1 mixed methods). Method: Self report questionnaires were used in each of the quantitative studies, with the addition of neuropsychological computerized tests in two studies. Semi-structured interviews were employed in the qualitative studies. Main Findings: •Prior to its introduction general support for the option of LDLT was found, although it was highlighted that the risk involved was not well understood by the general public. •Since becoming available LDLT has not been a readily acceptable treatment option from the perspective of patients due to the perceived risk for the donor, but it may be considered as a “last option”. Family members were motivated to save their loved one’s life but the personal implications of donating resulted in reconsideration of LDLT. • Staff at the SLTU perceived a lack of family commitment in relation to LDLT, which is explained as a cultural factor contributing to the slow uptake of LDLT. In Scotland, a donation from a younger to an older generation is not easily accepted. This, in addition to patients’ optimism that a deceased donation will arrive, and the poor health of potential donors, is thought to have affected the uptake of LDLT. As has the unit’s conservative approach to the promotion of LDLT. This approach is the result of a perceived reduction in the need for LDLT and a preference to avoid the risk to a healthy donor and conduct transplants with deceased donations. • In over 3 years, only one couple completed LDLT. The recipient showed functional and psychosocial improvement from pre to post procedure, whilst the donor showed slight deterioration in aspects of quality of life 6 weeks post donation, which did not always completely return to a baseline level by 6 months. The donor made sacrifices to provide her husband with a fresh start to life and unmet expectations were found to effect quality of life. •Willingness to become a liver donor is not thought to be influenced by the frame of the information provided. •Like the LDLT donor, LDKT donors experience some functional and psychosocial deterioration at 6 weeks post donation, but donors largely recover by 6 months post donation. However, the anticipated benefit to recipients was not evident and may not be quantifiable until after 6 months post operation. Conclusion: This thesis has added to current knowledge on living organ donation and specifically represents the first psychological evaluation of a UK LDLT programme. The slow uptake of LDLT was unexpected and has resulted in informative, novel research.
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Wong, Suet-man Catherine, and 王雪文. "Survey of nurses in Hong Kong about cadaveric organ donation: their attitudes, knowledge and perceivedbarriers." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2007. http://hub.hku.hk/bib/B39724657.
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Nagel, Markus. "Organtransplantation und Internationales Privatrecht." Berlin ; Heidelberg : Springer, 2009. http://deposit.d-nb.de/cgi-bin/dokserv?id=3182142&prov=M&dok%5Fvar=1&dok%5Fext=htm.
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Andrade, Taciana Palmeira. "Doação de órgãos post mortem: a viabilidade de adoção pelo sistema brasileiro da escolha pelo doador do destinatário de seus órgãos." Universidade Federal da Bahia, 2009. http://www.repositorio.ufba.br/ri/handle/ri/12492.
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O presente trabalho tem como objetivo principal demonstrar a possibilidade do ordenamento jurídico brasileiro abarcar a hipótese de escolha pelo doador do destinatário dos seus órgãos na doação de órgãos post mortem. Inicialmente, busca-se enquadrar o direito ao próprio corpo como direito da personalidade, relativizando o caráter de indisponibilidade desses direitos de forma a reconhecer a incidência da autonomia privada em seu campo. Ainda, será analisado o princípio da autonomia na sua concepção bioética e sua influência na determinação da possibilidade da escolha pelo doador de órgãos post mortem. Outrossim, ficará demonstrado que o sistema atual possui falhas e que a compatibilização do modelo atual com a possibilidade de escolha pelo doador é possível,utilizando-se como parâmetro o tratamento dado à doação em vida no direito pátrio, bem como na legislação estrangeira.
Salvador
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Vázquez-Salceda, Javier. "The role of norms and electronic institutions in multi-agent systems : the HARMONIA framework /." Basel [u.a.]: Birkhäuser, 2004. http://www.loc.gov/catdir/enhancements/fy0812/2004042072-d.html.
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Hawker, Jennifer L. "Knowledge, attitudes, and behavior regarding organ donation among Ball State University students." Virtual Press, 2000. http://liblink.bsu.edu/uhtbin/catkey/1191709.
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The purpose of the study was to provide a descriptive data analysis for program planners on knowledge, attitudes, and behavior regarding organ donation among undergraduate students enrolled at Ball State University. An 84-item questionnaire was administered to undergraduate students. The subjects were obtained from a convenient sample.The data were analyzed using mean and Pearson's r to answer the research questions. The overall attitudes of the subjects were positive (M=20.88 out of a possible 26). The knowledge of the subjects toward organ donation was low (M=9.98 out of a possible 22). About one half of the subjects indicated that they are organ donors, by indicating on the survey that they have signed an organ donor card or a similar document. Attitude regarding organ donation (r =.232) was found to be a greater influence on willingness to become an organ donor than was knowledge about organ donation (r = .106). Recommendations are to submit results to program planners to help create more effective organ donation recruitment.Department of Physiology and Health Science
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Cohen, Elizabeth Leigh. ""My Loss is Your Gain": Examining the Role of Message Frame, Perceived Risk, and Ambivalence in the Decision to Become an Organ Donor." unrestricted, 2007. http://etd.gsu.edu/theses/available/etd-08062007-011153/.
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Thesis (M.A.)--Georgia State University, 2007.Title from file title page. Cynthia Hoffner, committee chair; Yuki Fujioka, Holley Wilkin, committee members. Electronic text ( 81 p.) : digital, PDF file. Description based on contents viewed Nov. 8, 2007. Includes bibliographical references (p. 57-65).
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Rossetto, Daniela Cristina Pavan [UNESP]. "Conhecimento e opinião da população sobre o transplante e a doação dos tecidos da face." Universidade Estadual Paulista (UNESP), 2013. http://hdl.handle.net/11449/108614.
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000758423.pdf: 387299 bytes, checksum: e1e2ab570b813a368d9fbf9b88984285 (MD5)O transplante de face é um procedimento cirúrgico no qual as estruturas da face de uma pessoa são transplantadas para outra. É uma cirurgia ousada do ponto de vista médico, moral e psicológico, pois, proporciona enorme benefício em termos de melhora da função estética e integração social. Avaliar o conhecimento e a opinião da população sobre o transplante e a doação dos tecidos da face. No período de agosto de 2011 a outubro de 2012 foi aplicado um questionário a 430 pessoas, escolhidas aleatoriamente, na faixa etária acima de vinte e um anos de idade, numa sistemática de coleta seguida em todas as regiões (norte, sul, centro, leste e oeste) da cidade de Botucatu, interior do Estado de São Paulo. O estudo das respostas dos participantes nas diferentes questões objetivas apresentadas foi realizado estabelecendo-se a distribuição frequencial dos dados apresentada por meio de tabelas ou gráficos e analisadas pelo teste do Qui quadrado ( א) para uma amostra. A análise das respostas obtidas foram discutidas ao nível de 5% de significância e consideradas significativas quando o valor de p foi < 0,05, mostrando que a distribuição não é uniforme, mas uma distribuição uniforme das classes. Nas questões dissertativas a análise foi realizada a partir da leitura das mesmas, com elaboração de um resumo das respostas e análise preferencial por região. Dos participantes, 65,8% não possuem conhecimento a respeito da doação dos tecidos da face; 90,1% têm conhecimento que o transplante de face está indicado nos casos de deformidades faciais; 51,7% doariam a face; 67,7% não saberiam como seus familiares reagiriam frente a sua manifestação em vida de doar os tecidos da face; 84% não sabem as implicações sobre as cerimônias fúnebres. Dos participantes, 359 aceitariam conviver com outra face caso fosse necessário e 375 apoiariam se algum familiar manifestasse vontade em ser um doador. A população demonstrou ...
The face transplantation is a surgical procedure in which facial structures are transplanted from one person to another. It's a complex procedure on a medical point of view, moral and psychological, therefore provides many benefits in terms of improving aesthetic function and social integration. To evaluate the knowledge and opinion of the population about the donation and transplantation of facial tissues. From August 2011 to October 2012 a questionnaire was administered to 430 people, randomly selected, with twenty-one years of age or older, systematically collected in all regions (north, south, center , east and west) of the city of Botucatu, state of São Paulo. The study of the objective responses of all participants in the different issues was accomplished by establishing a frequential distribution data presented using tables and graphs and analyzed by chi square (à) for a sample. The analysis of the responses were discussed at the 5% level of significance and considered significant when the p value was <0.05, showing that the distribution is not uniform, but uniformly distributed of the classes. The answers to the descriptive questions were analyzed by reading them and preparation of a summary with analysis by region. Of the participants, 65.8% did not have any knowledge about facial tissue donation, 90.1% knows that face transplantation is indicated in cases of facial deformities, 51.7% are able to donate tissues of the face, 67.7% are not aware how their families would react against its manifestation in life to give tissues of the face, 84% have no knowledge about the implications on the funeral ceremonies. Of all participants, 359 would accept to live with other face if necessary and 375 would support any family members in being a donor. The population showed a limited knowledge about the implications on the donation and transplantation of face tissues, but would accept to live with if necessary and support any family members ...
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Rossetto, Daniela Cristina Pavan. "Conhecimento e opinião da população sobre o transplante e a doação dos tecidos da face /." Botucatu, 2013. http://hdl.handle.net/11449/108614.
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Orientador: Alexandre Bakonyi NetoBanca: Aristides Palhares
Banca: André Ibrahim
Resumo: O transplante de face é um procedimento cirúrgico no qual as estruturas da face de uma pessoa são transplantadas para outra. É uma cirurgia ousada do ponto de vista médico, moral e psicológico, pois, proporciona enorme benefício em termos de melhora da função estética e integração social. Avaliar o conhecimento e a opinião da população sobre o transplante e a doação dos tecidos da face. No período de agosto de 2011 a outubro de 2012 foi aplicado um questionário a 430 pessoas, escolhidas aleatoriamente, na faixa etária acima de vinte e um anos de idade, numa sistemática de coleta seguida em todas as regiões (norte, sul, centro, leste e oeste) da cidade de Botucatu, interior do Estado de São Paulo. O estudo das respostas dos participantes nas diferentes questões objetivas apresentadas foi realizado estabelecendo-se a distribuição frequencial dos dados apresentada por meio de tabelas ou gráficos e analisadas pelo teste do Qui quadrado ( א) para uma amostra. A análise das respostas obtidas foram discutidas ao nível de 5% de significância e consideradas significativas quando o valor de p foi < 0,05, mostrando que a distribuição não é uniforme, mas uma distribuição uniforme das classes. Nas questões dissertativas a análise foi realizada a partir da leitura das mesmas, com elaboração de um resumo das respostas e análise preferencial por região. Dos participantes, 65,8% não possuem conhecimento a respeito da doação dos tecidos da face; 90,1% têm conhecimento que o transplante de face está indicado nos casos de deformidades faciais; 51,7% doariam a face; 67,7% não saberiam como seus familiares reagiriam frente a sua manifestação em vida de doar os tecidos da face; 84% não sabem as implicações sobre as cerimônias fúnebres. Dos participantes, 359 aceitariam conviver com outra face caso fosse necessário e 375 apoiariam se algum familiar manifestasse vontade em ser um doador. A população demonstrou ...
Abstract: The face transplantation is a surgical procedure in which facial structures are transplanted from one person to another. It's a complex procedure on a medical point of view, moral and psychological, therefore provides many benefits in terms of improving aesthetic function and social integration. To evaluate the knowledge and opinion of the population about the donation and transplantation of facial tissues. From August 2011 to October 2012 a questionnaire was administered to 430 people, randomly selected, with twenty-one years of age or older, systematically collected in all regions (north, south, center , east and west) of the city of Botucatu, state of São Paulo. The study of the objective responses of all participants in the different issues was accomplished by establishing a frequential distribution data presented using tables and graphs and analyzed by chi square (à) for a sample. The analysis of the responses were discussed at the 5% level of significance and considered significant when the p value was <0.05, showing that the distribution is not uniform, but uniformly distributed of the classes. The answers to the descriptive questions were analyzed by reading them and preparation of a summary with analysis by region. Of the participants, 65.8% did not have any knowledge about facial tissue donation, 90.1% knows that face transplantation is indicated in cases of facial deformities, 51.7% are able to donate tissues of the face, 67.7% are not aware how their families would react against its manifestation in life to give tissues of the face, 84% have no knowledge about the implications on the funeral ceremonies. Of all participants, 359 would accept to live with other face if necessary and 375 would support any family members in being a donor. The population showed a limited knowledge about the implications on the donation and transplantation of face tissues, but would accept to live with if necessary and support any family members ...
Mestre
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Akhtar, Mohammed Zeeshan. "Improving the outcomes of kidney transplantation from deceased organ donors." Thesis, University of Oxford, 2016. https://ora.ox.ac.uk/objects/uuid:cd7c49f5-e5ce-415b-bdcb-7b59197bc1d0.
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This thesis sought to improve our understanding of how kidneys become injured as a consequence of organ donation, with the aim of improving the outcomes of transplantation. Every year, hundreds of patients on the waiting list die whilst awaiting a kidney transplant. With an ever-increasing demand for suitable organs, supply cannot keep up with the pressures on the transplant waiting list. As a consequence the transplant community are forced to use organs that previously would not have been considered suitable for transplant, including from older donors with additional comorbidities. This thesis aimed to develop an understanding as to how the kidney becomes injured during the donation process, identifying which key cellular homeostatic processes are disturbed as a consequence of donation. The thesis outlines the experimental development of rodent models of organ donation replicating the donation process for donation after brain death (DBD) and donation after circulatory death (DCD) donors and also the development of a kidney ischaemia reperfusion injury (IRI) model. Proteomics was subsequently used to identifying global protein alterations in the kidney as a consequence of brain death and ischemia reperfusion injury using bioinformatics tools to identify involvement of cellular pathways. The results indicated alterations in mitochondrial function and metabolic homeostasis occurring following brain death. Alterations in cellular metabolism and mitochondrial function were then confirmed using metabolomics and mitochondrial functional assays. I subsequently evaluated how alterations in cellular hypoxia and the hypoxia inducible factor system is altered in the brain dead organ donor kidney and aimed to target this system as a means of conditioning the brain dead organ donor to prevent mitochondrial and metabolic mediated injury to kidney cells following brain death. This involved exploring the role of prolyl hydroxylase inhibitors, including dimethyloxalylglycine, on mitochondrial function and whether this could be a therapeutic target in organ donation. This thesis provides important insights into the mechanism of injury of kidneys following brain death, providing evidence that even before procurement and preservation in the DBD donor alterations in mitochondrial function and metabolic homeostasis occur. I provide preliminary data on the use of prolyl hydroxylase inhibitors in altering mitochondrial function. I also outline my involvement in other ongoing projects in organ donation and machine perfusion that also aim to improve the outcomes of deceased donor kidney and liver transplantation.
25
Kruszewski, Zita. "The use of patient-derived tissue in biomedical research." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1998. http://www.collectionscanada.ca/obj/s4/f2/dsk1/tape11/PQDD_0006/MQ43899.pdf.
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O'Driscoll, Catherine T. "A study to determine the quality of life and experiences for liver and kidney transplant recipients and living kidney donors in Western Australia : the economic implications." University of Western Australia. School of Surgery, 2008. http://theses.library.uwa.edu.au/adt-WU2009.0077.
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The use of quality-of-life as an outcome measure provides detailed information about the effectiveness of medical treatments than morbidity or mortality rates alone. The use of quality-of-life data in the clinical setting can inform patients regarding treatment options, treatment benefits and costs. In competing health care markets, outcome measurement is regarded as important as it is concerned with the impact of health care practice and affects health policy decisions. Doessel (1978) conducted the first Australian study on the cost-effectiveness analysis of renal replacement therapies. The study was based on Klarman, Francis & Rosenthal's (1968) the study, where the output was measured in terms of the number of life years gained from kidney transplantation, and a twenty-five percent weight was allocated in an attempt to capture quality-of-life from kidney transplantation. Doessel (1978) used two sources of data: Australian data (Disney 1974) and European data (Gurland et al. 1973; Shiel et al. 1974). The study measured life years gained, and agreed with the Klarman et al. (1974) findings that transplantation is the most effective way to increase life expectancy of persons with chronic renal disease (Butler & Doessel 1989). The outputs of the alternative treatments were not reported in monetary terms; the study focused on life years gained as the output measure. Hence the importance of this current study, which includes a cost-effectiveness analysis for cadaver liver, and living kidney transplantation for end-stage liver and kidney disease patients. Calls to respect patient autonomy and to produce patient-centered outcomes have recently brought the patients point of view back into the center of clinical medicine (Sullivan 2003). Survival rates indicate one measure of outcome however they do not reflect patients perceptions of health benefit or experiences. Noting that patients psychosocial effect on functioning is of more concern to them than their physical Thesis Preamble iii ability, that more accurate knowledge of patients conditions be measured prior to transplantation (Tarter et al. 1991). Recently researchers advocated investigating transplant patients' states of health to assess the social benefit of these expensive health care services from their perspective (Joralemon & Fujinaga 1997). The current study's mixed method, bridges the gaps in treatment outcome measurements, as the mixed method applied (Creswell 1994; Sim & Sharp 1998) prospectively measured quality-oflife, determined health utility, quality-adjusted life years (QALYs) and incremental cost-effectiveness ratios (ICERs). The study reported the living donors experience of the donation process, described their needs; expressed using a new psychosocial model supporting future living kidney donor's during the donation process.
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NOWENSTEIN, PIERY Graciela. "The social fate of French law on presumed consent to organ donation : the failure of an attempt to modify behaviour by law?" Doctoral thesis, 2005. http://hdl.handle.net/1814/5340.
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Defence date: 11 June 2005Examining board: Prof. Giafnranco Poggi (supervisor, European University Institute, Florence) ; Prof. Simone Bateman (University of Paris V) ; Prof. John Griffiths (University of Groningen) ; Prof. Martin Kohli (European University Institute, Florence)
PDF of thesis uploaded from the Library digitised archive of EUI PhD theses completed between 2013 and 2017
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Chen, Hsiao-Chi. "Issues of organ donation : an interactive multimedia program." Thesis, 1997. http://hdl.handle.net/1885/145755.
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Bhengu, Busisiwe Rosemary. "Organ donation and transplantation within the Zulu culture." Thesis, 2014. http://hdl.handle.net/10210/11438.
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M.Cur. (Intensive General Nursing)Knowledge and technological advancement in the field of transplantation has increased the demand for organ donation. However, the supply of organs does not meet this demand, especially, among the black communities. Literature reviewed associate this imbalance with the few sources of organs, the technique of organ retrieval, discrepancies in the allocation of organs and sociocultural factors. The aim of this study was to investigate the extent to which the Zulu cultural norms and social structural dimensions influence an individual's decision to donate an organ or to undergo a transplantation, based on the theoretical assumptions of Leininger and Chrisman. A qualitative approach using an ethno- nursing method was selected, semi-structured interviews were conducted with the transplant co-ordinator representing the professional sector, the religious leaders and traditional healers representing the folk sector and the general public representing the popular sector of the health care system. The respondents were extracted from both the urban and rural settings. The conclusions arrived at were that there is lack of knowledge among the Zulu speaking people on organ donation and transplantation, related mainly to misconceptions associated with their life patterns, beliefs about death, burial and life hereafter, values and social structural dimensions. The recommendations with regard to the promotion of organ donation and transplantation among the Zulu speaking people were made based on culture sensitive and culture congruent principles, namely: • Cultural care preservative or maintenance such as ancestor worship, extended families etc. • Cultural care accommodation or negotiation such as their knowledge of anatomy and physiology of the human body especially the transplantable organs and their fear to discuss death, etc. • Cultural care repatterning and restructuring such as culture sensitive educational campaigns to dispel the fears and correct misconceptions.
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Mokabane, Dikeledi Mashego. "Views of communities regarding organ donation in Sekhukhune District of Limpopo, South Africa." Thesis, 2020. http://hdl.handle.net/10386/3428.
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Thesis ( M.A. (Nursing)) -- University of Limpopo, 2020Introduction and background: There is an increase shortage of organs for donation to patients with end stage organ failure worldwide, including in African countries and South Africa as well. Regardless of the number of potential organ donors in South Africa organ availability remain scarce at communities are not actively involved in organ donation. Views of communities regarding organ donation among Sekhukhune communities has not being researched before, the purpose of the study is to explore views of Sekhukhune Community at Limpopo Province of South Africa regarding organ donation. Methodology: Qualitative research method was used, applying descriptive and explorative research designs. The study site was Makhuduthamaga municipality of Sekhukhune district at Limpopo Province, targeting community members as research participants. Fifteen (15) participants were interviewed using semi-structured interviews until data saturation was reached. During data collection the researcher used an interview guide and the participants were audio recorded. Ethical principles were adhered to before and during conduction of the research study. Collected data was analysed using 8 steps of Tech’s coding method. Results: The study revealed that there are different views of community towards organ donation, which contribute to uncertainty, positivity and negativity towards organ donation. Knowledge and understanding of organ donation was found to be a factor that can influence improvement of organ donation among communities at Sekhukhune district. Other factors that were found to contribute the lack of organ donation among communities were religion, culture and stigma attached to organ donation. Conclusion: Community members lack knowledge of organ donation and end up holding in to the myth regarding organ donation. Health awareness, workshop and education to the communities in schools and community facilities such as halls and meetings can improve knowledge on organ donation promoting involvement of community members.
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Whetstine, Leslie Mary. "An examination of the bio-philosophical literature on the definition and criteria of death when is dead dead and why some donation after cardiac death donors are not /." 2006. http://etd1.library.duq.edu/theses/available/etd-09072006-195727/.
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Kochen, Madeline Sara. "Beyond gift and commodity : a theory of the economy of the sacred in Jewish law /." 2004. http://wwwlib.umi.com/dissertations/fullcit/3149562.
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Jacob, Marie-Andreé. "Consent, conversation, and the regulation of postmortem organ donation in a multicultural Canada." 2000. http://wwwlib.umi.com/cr/yorku/fullcit?pMQ59546.
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Thesis (L.L.M.)--York University, 2000. Graduate Programme in Law.Typescript. Includes bibliographical references. Also available on the Internet. MODE OF ACCESS via web browser by entering the following URL: http://wwwlib.umi.com/cr/yorku/fullcit?pMQ59546.
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Greenwood, Gay (Barbara Gay). "The spaces within : a Foucaudian analysis of organ donation discourses / Gay Greenwood." 1999. http://hdl.handle.net/2440/19511.
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Bibliography : leaves 273-293.iv, 293 leaves ; 30 cm.
Title page, contents and abstract only. The complete thesis in print form is available from the University Library.
A study, from a Foucauldian perspective, of the discourses that surround organ donation and transplantation.
Thesis (Ph.D.)--University of Adelaide, Dept. of Clinical Nursing, 2000?
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Greenwood, Gay (Barbara Gay). "The spaces within : a Foucaudian analysis of organ donation discourses / Gay Greenwood." Thesis, 1999. http://hdl.handle.net/2440/19511.
Full textAbstract:
Bibliography : leaves 273-293.iv, 293 leaves ; 30 cm.
A study, from a Foucauldian perspective, of the discourses that surround organ donation and transplantation.
Thesis (Ph.D.)--University of Adelaide, Dept. of Clinical Nursing, 2000?
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Henderson, David Scott. "Rethinking death and donation mediating death at the end of life in the wake of brain death's failings /." 2009. http://digital.library.duq.edu/u?/etd,111008.
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Naudé, Annette. "Bevordering van kommunikasie en samewerking tussen oorplantingskoördineerders en intensiewesorgverpleegkundiges tydens die orgaanskenkingsproses." Thesis, 2012. http://hdl.handle.net/10210/7380.
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M.Cur.Various factors influence the process of organ donation. As a result there is a shortage of organs for transplant. Poor communication and cooperation between transplant coordinators and intensive care nursing staff can lead to the non-referral of potential organ donors, which is detrimental to the process. The purpose of the research is to ascertain the attitude and knowledge of the transplant coordinators and intensive care nursing staff who work in intensive care units during organ donation and to draw up guidelines for the improvement of communication and cooperation between them. Contextual descriptive research was done by compiling literature based questionnaires, one each for the transplant coordinators and intensive care nursing staff and then analysing responses. The indications are that problem areas exist between the role players in the organ transplant process. This results in the insufficient referrals from intensive care units which are detrimental to the organ donation process. From this research, the following guidelines can be drawn up to promote organ donation: To provide a policy manual regarding organ donation for every intensive care unit. The respective roles of the transplant coordinator and intensive care nursing staff in the organ donation process must be clarified. Awareness campaigns should be held to promote organ donation. Feedback should be given by transplant coordinators and intensive care nursing staff regarding transplant occurrences. Role models in practical situations should be identified. An education programme regarding organ donation should be implemented. Emotional support programmes should be available to health personnel.
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Moropa, Monareng. "Perceptions of organ donation by elderly community members in a rural community of Sekhukhune District, Limpopo Province." Thesis, 2019. http://hdl.handle.net/10386/3079.
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Thesis (M. A. (Clinical Psychology)) -- University of Limpopo, 2019Demographical factors affect the way people perceive, conceptualise and make meaning of their daily living experiences, which in turn influence their decision-making abilities in certain situations. Therefore, perceptions and conceptualisations, together with the associated attitudes to organ donation, were defined and understood in participants’ socio-cultural context. A qualitative study was conducted among the African elderly community members of Madibaneng Village (Sekhukhune District), Limpopo Province (South Africa) to explore perceptions of organ donation. African elderly community members were selected using purposive sampling, after ethical clearance from the University and gate-keepers’ permission from the Tswako-Lekentle traditional council had been obtained. Six (6) males and six (6) females were interviewed. Data was collected using semi-structured interviews and analysed using the thematic analysis method. The following psychological themes and subthemes emerged from the study: African elderly community members’ understanding and knowledge about organ donation (inadequate knowledge and lack of awareness); community members’ feelings about organ donation; African elderly community members attitudes to organ donation (family dynamics relating to organ donation, culture and organ donation and psychological aspects of organ donation), and participants’ perceptions of those living with donated organs. The findings revealed that multiple demographical factors affect and influence people’s perceptions of organ donation. The study revealed that 80% of the elderly community members expressed some positive perceptions about the process of organ donation; however, some of the participants expressed conflicting factors that might affect their ultimate decision about becoming donors, such as associated psychological aspects. Other participants portrayed a negative perception that was more likely to have been affected by cultural factors, their family dynamics, belief systems and other social factors in their context. The findings from the current study emphasise that there is a need for effective awareness campaigns to curb the levels of illiteracy and inadequacy in knowledge concerning the subject of organ donation and to incorporate the demographical factors of particular social contexts in the healthcare system and related policies.
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Dickson, Lindy. "A survey of medical doctor's views on cadaveric organ donation and transplantation." Thesis, 2001. http://hdl.handle.net/10413/5245.
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The views of medical doctors regarding organ donation and transplantation in the Durban Metropolitan Region were examined in an exploratory and explanatory study, which included a descriptive, convenience sampled study of 43 graduate and postgraduate professionals, practicing in the private and provincial sectors. Characteristics were obtained from a 1 D6-item questionnaire that were later divided into component contributions according to Fazio's attitude to behavior process model (Fazio, 1989; Fazio & RoskosEewoldson, 1994). Variables which were analysed included personal demographics, personal views, knowledge and skills, practice-related issues, attitudes and perceptions as well as future recommendations. Analysis of the information revealed that most medical doctors approved of organ donation practices and viewed transplantation as a significant roleplayer in both the community and medical sectors. However, a knowledge and skills deficit combined with religious presumptions and general uncertainty regarding issues surrounding the practical, legal and emotional concepts of brain death may be responsible for the relatively low personal dedication and practice participation rate among the sample. Medical doctors from the provincial sector appeared to have considerable concerns which included: time constraints; a perceived lack of support from colleagues, nurses and hospital administrators; a lack of medico-Iegal awareness relating to organ donation and brain death and a scarcity of experience and insight into the transplant process. In order to address the paucity of awareness pertaining to brain death and organ donation activities, the findings indicate that formal and interactive education programs during the undergraduate, postgraduate and medical development phases are required in which issues surrounding death and dying can be explored by a multidisciplinary team. It appears that this team must comprise of doctors, lawyers, religious leaders, psychologists, administrators, nurses, donor families and transplant co-ordinators. This development may serve to emphasize the professional importance of holistic bereavement counseling, improve doctor and patient satisfaction, increase organ donation referrals and transplantation rates as well as diminish medico-Iegal concerns.Thesis (M.Cur.)-University of Natal, Durban, 2001.
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Manuel, April. ""Creating a sense of peace" : a phenomenological study of the experience of a family member consenting to donate a deceased relative's organs /." 2004.
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Chiu, Ching-Min. "Self-efficacy beliefs and barriers among unrelated donors to bone marrow donation." Thesis, 2004. http://hdl.handle.net/10125/11512.
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Tsang, Christabelle W. "Comparing the bone marrow donor registration drive at Oregon State University with peer institutions." Thesis, 2003. http://hdl.handle.net/1957/31709.
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More than 30,000 children and adults are diagnosed with life-threatening blood
diseases such as leukemia, anemia and lymphomas in the U.S. every year. A transplant of
stem cells, obtained from the bone marrow of a healthy donor, can be a cure for these
diseases. The National Marrow Donor Program's registry comprises almost five million
potential donors, however, many ethnic minorities are still underrepresented in
comparison to their percentage in the overall U.S. population. Since patients are more
likely to find a matching donor within their own ethnic community, recruitment efforts
have been focusing on minority donors since a number of years.
A number of other studies are currently examining the psychosocial and physical
effects of the donation experience, as well as identifying barriers against and reasons for
donating bone marrow, using questionnaires and health models. However, none has yet
looked at which recruitment settings work well for college campuses, to what extent the
target group should be educated, and how the study results should be incorporated into
the recruitment efforts to improve retention.
Potential donor education was therefore the most important focus of a Bone
Marrow Donor Registration Drive organized by the author on the OSU campus in
January. 150 potential donors registered at the OSU drive, one third of them from ethnic
minorities. This study examines if the drive's extensive education and outreach
component had any impact on the number of newly recruited volunteer donors in
comparison to OSU's peer institutions. Using the Chi square test, a proportion
comparison was performed between the percentage of newly registered volunteer donors
(both in total and broken down by ethnicity) among the eligible OSU student body, and
the total eligible student body at each peer institution.
While the hypothesis that the extensive education and promotion activities
increased the number of recruited donors could not be confirmed, targeting the minorities
on campus was successful, since a significantly higher proportion of minority students
registered at the BMDRD than the proportion of minority students registered at OSU.
Besides data on the impact of the promotional activities and the recruitment
results, which can also be used for further research, the drive also yielded a protocol that
can serve as a guideline for organizing future drives at OSU and other schools with
similar resources.Graduation date: 2003
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Robertson-Malt, S. "Life or death : a donor parent's dilemma / S.C. Robertson-Malt." 1998. http://hdl.handle.net/2440/19445.
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Bibliography: leaves 238-253.xviii, 261 leaves ; 30 cm.
Title page, contents and abstract only. The complete thesis in print form is available from the University Library.
Through a methodological blend of hermeneutics, phenomenology and social constructionism the experiences of donor parents are presented. Using a process of dialogical interpretation the themes of Unprepared, Uncertainty, Waiting, Watching, Waiting and Aloneness have been developed to expand our understanding of donor parents experiences.
Thesis (Ph.D.)--University of Adelaide, Dept. of Clinical Nursing, 1999
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"Psychosocial predictors of posthumous organ donation intention: a comparison among Chinese, Japanese and American adults." Thesis, 2005. http://library.cuhk.edu.hk/record=b6073990.
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By path analysis, it was found that only self-efficacy and subjective norm, but not general attitudes, significantly predicted individuals' BID across all samples. Moreover, in contrast to the hypothesis, results showed that after-death anxiety predicted self-efficacy but not attitudes. Low after-death anxiety, accurate knowledge regarding organ donation, and high subjective norm promoted self-efficacy. Altruism was the main determinant of attitudes but its indirect impact on BID was weak. The applicability of the model on all four samples was acceptably high, and the configural invariance of the model was generally supported across three ethnic groups.Previous studies have shown that the general public exhibits favorable attitudes toward posthumous organ donation, but a low donor card signing rate. Hence, positive attitudes may not be a good predictor of the behavioral commitment to donate organs. This dissertation was a cross-cultural study on the actual behaviors of signing or taking away the donor card (i.e. b&barbelow;ehavioral i&barbelow;ntentions to d&barbelow;onate organs after death (BID). It aimed at proposing an integrative, content-specific but culture-general model for posthumous organ donation. The model was composed of two levels of influences on BID, namely, the proximal level (including self-efficacy toward signing the donor card, general attitudes toward posthumous organ donation, and subjective norm for posthumous organ donation) as well as the distal level (including knowledge regarding posthumous organ donation, altruism, and after-death anxiety). The model was first tested and refined among 517 Chinese college students (Study 1), and was then further validated with 290 Chinese community adults (Study 2) in Hong Kong. The applicability of the model was also examined with a Western control sample of 217 Caucasian American college students (Study 3) and a non-Chinese Asian sample of 670 Japanese college students (Study 4). Psychosocial characteristics of three college samples were then compared, and ethnic differences on predictive values of psychosocial factors on BID were studied (Study 5).
The ANOVA results challenged the old assumption of underlying similarities in psychosocial characteristics across Asian ethnic groups. As expected, Americans were the most likely to show BID, followed by Chinese, while Japanese had the lowest tendency to show BID. (Abstract shortened by UMI.)
Wu Man Sze Anise.
"May 2005."
Adviser: Catherine S. K. Tang.
Source: Dissertation Abstracts International, Volume: 67-01, Section: B, page: 0604.
Thesis (Ph.D.)--Chinese University of Hong Kong, 2005.
Includes bibliographical references (p. 122-136).
Electronic reproduction. Hong Kong : Chinese University of Hong Kong, [2012] System requirements: Adobe Acrobat Reader. Available via World Wide Web.
Electronic reproduction. [Ann Arbor, MI] : ProQuest Information and Learning, [200-] System requirements: Adobe Acrobat Reader. Available via World Wide Web.
Abstract in English and Chinese.
School code: 1307.
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OLIVEIRA, Nuno Manuel Pinto. "O direito geral de personalidade e a "solução do dissentimento" : Ensaio sobre um caso de "constitucionalização" do direito civil." Doctoral thesis, 2000. http://hdl.handle.net/1814/25956.
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Venter, Bonnie. "A selection of constitutional perspectives on human kidney sales." Diss., 2012. http://hdl.handle.net/10500/7761.
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There are thousands of desperate people globally who need a kidney for
transplantation. The number of people who require a kidney transplant continues to
escalate faster than the number of kidneys available for a transplant. The aim of this
dissertation is to examine and analyse the judicial framework pertaining to kidney
transplants in South Africa. The examination is conducted within the framework of the
South African Constitution and the National Health Act 61 of 2003. The specific focus of
this dissertation is to determine whether the payment of kidney donors could be
regarded as constitutionally acceptable. A comparative study is undertaken, with
Singapore and Iran as a background against which recommendations for the South
African regulatory framework are made. The most important finding is that people should
at least be granted the choice whether they would prefer to receive payment for their
kidney donations or not.Jurisprudence
LL.M.
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Mamabolo, Malema Hendricca. "Knowledge, attitudes and practices amongst black employees of the University of Limpopo, Turfloop Campus, Limpopo Province, South Africa." Thesis, 2012. http://hdl.handle.net/10386/706.
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Thesis (MPH.) -- University of Limpopo, 2012The objectives of the study: To determine the knowledge, attitudes and practices of black employees of The University of Limpopo (Turfloop campus) about blood donation. To determine the degree of willingness by blacks to donate as well as suggesting some solutions to improve the performance by the South African National Blood Services. Design: A descriptive study utilizing a self-reported questionnaire was carried out. Setting: The University of Limpopo Turfloop Campus in the Limpopo Province of South Africa. Material and Methods: A total of 138 employees participated in the study. With the aid of Predictive Analytics Software (PASW), 136 male and 101 female participants were randomly selected from the 40 University departments. The mean ages by gender was 36.91, ±10, 06 years for males, and 41.93, ±9, 35 years for females. The mean ages by donor status was 40.24, ±10, 15 years for donors and 37.94, ±9, 9 years for non-donors. Outcome measures: Subjects demographic variables were determined by the use of a pre-tested self-reported questionnaire, which covered personal characteristics such as gender, age, residence, number of household members, marital status, educational background, faculty or department of vi employment, as well as the monthly income bracket. Knowledge, attitudes and practices regarding blood donation were also assessed using the pre-tested self-developed questionnaire. The following information was included: previous practices, current and lifetime practices of blood donation. Results: There was a general lack of practice of blood donation despite the presence of average knowledge relating to matters of blood donation amongst the black employees of the University of Limpopo, (Turfloop campus). There was no difference between black females and males as far as blood donation was concerned. There was a reflection of similar practices of blood donation by both genders. Blood donation generally started at a very late age due to early lack of exposure, information and awareness. Conclusion: Findings from this study showed that the prevalence of non-donors amongst the blacks is high. The attitudes and practices of non-donors towards donation were generally less favourable, but it can be argued that a high percentage of these findings may likely change with the right interventions.
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Mojapelo, Makhutsisa Rosina. "Clients knowledge of renal donation at a specific urban health care facility in the Limpopo Province." Diss., 2018. http://hdl.handle.net/10500/26479.
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The purpose of this study was to explore and describe the knowledge of clients regarding renal donation at a specific urban health care facility in the Limpopo province. A quantitative, explorative, descriptive and cross-sectional design was used. Data was collected using a structured pre-tested questionnaire. Out of 317 questionnaires, 300 were valid and considered for the study. Analysis was done using Statistical Package for Social Sciences (SPSS) computer software version 25. Data was presented using tables, graphs and charts. The study revealed that 32% (n=95) were males and 68% (n=205) were females. The results showed that there are a significant correlations between the attitudes, knowledge and actions of clients with regards to renal donation. The study revealed inadequate knowledge on the majority 74,7% (n=224) of the respondents on renal donation. A recommendation was that awareness campaigns on renal donation to be planned on world kidney days. Furthermore, the recommendations of the study will be presented to the Limpopo Department of health to take effective measures to educate people with relevant information on renal donation. A policy regarding awareness programme of renal donation should be developed.Health Studies
M.A. (Public Health)
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Henderson, Macey Leigh. "Living kidney donor follow-up in a statewide health information exchange: health services utilization, health outcomes and policy implications." Diss., 2016. http://hdl.handle.net/1805/11007.
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Indiana University-Purdue University Indianapolis (IUPUI)Living donors have contributed about 6,000 kidneys per year in the past 10 years, but more than 100,000 individuals are still waiting for a kidney transplant. Living kidney donors undergo a major surgical procedure without direct medical benefit to themselves, but comprehensive follow-up information on living donors’ health is unfortunately limited. Expert recommendations suggest capturing clinical information beyond traditional sources to improve surveillance of co-morbid conditions from living kidney donors. Currently the United Network for Organ Sharing is responsible for collecting and reporting follow-up data for all living donors from U.S. transplant centers. Under policy implemented in February of 2013, transplant centers must submit follow-up date for two years after donation, but current processes often yield to incomplete and untimely reporting. This dissertation uses a statewide Health Information Exchange as a new clinical data source to 1) retrospectively identify a cohort of living kidney donors, 2) understand their follow-up care patterns, and 3) observe selected clinical outcomes including hypertension, diabetes and post-donation renal function.
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Danaher, Judith A. "Developing and producing a patient education video entitled "All about being a bone marrow donor for your sibling" : a report submitted in partial fulfillment ... for the degree of Master of Science (Parent-Child Nursing) ... /." 1996. http://catalog.hathitrust.org/api/volumes/oclc/68798758.html.
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