99 research outputs found
Replication Data for: Execution by organ procurement: Breaching the dead donor rule in China
Replication materials for above publication
Hypotensive reactions associated with transfusion of bedside leukocyte-reduction filtered blood products in heart transplanted patients
Reciprocal Altruism—the Impact of Resurrecting an Old Moral Imperative on the National Organ Donation Rate in Israel
Chorzy trudni nietypowiTętniak rzekomy zatoki Valsalvy – opis przypadku
Pseudoaneurysm of the native sinus of Valsalva is exceedingly rare. We present a case of a 32-year-old male who was referred to the hospital after he had been symptomatic for 1.5 years. Transoesophageal echocardiography and computed tomography illustrated a pseudoaneurysm arising from the non-coronary sinus of Valsalva. A prompt operation was performed upon admission, and the patient recovered
The bicuspid aortic valve and its relation to aortic dilation
BACKGROUND: A bicuspid aortic valve (BAV) is a common congenital heart disease, which affects 1-2% of the population. However, the relationship between BAVs and aortic dilation has not been sufficiently elucidated. METHODS: A total of 241 BAV patients who were referred to this hospital for cardiac surgey over a 4.75-year period were included in this study. In addition to the clinical characteristics of the included patients, the morphological features of the aortic valve and aorta, the length of the left main coronary artery, and the laboratory findings (the coagulation and hematological parameters as well as the total cholesterol concentration) were determined and compared with those of the tricuspid aortic valve (TAV) patients. RESULTS: The BAV patients were younger than the TAV patients for a valve surgery in the last 3 months of the study period. The BAV patients were predominantly male. Most of the BAVs that were surgically treated were stenotic, regurgitant, or combined, and only 19 (7.88%) were normally functioning valves. According to echocardiography or operative records, 148 (78.31%) were type A, 31 (16.40%) were type B, and 10 (5.29%) were type C. The left main coronary artery was much shorter in the BAV patients than it was in the TAV patients. There was no significant difference between BAV and TAV patients in the total cholesterol concentrations; whereas differences were noted between patients receiving lipid-lowering therapy and those not receiving lipid-lowering therapy. The dimensions of the aortic root, sinotubular junction, and ascending aorta were beyond normal limits, while they were significantly smaller in the BAV patients than in the TAV patients. They were also much smaller in patients receiving statin therapy than those not receiving statin therapy in both groups. Moreover, the aortic dilation in the BAV group was found to be significantly associated with patient age. CONCLUSIONS: The BAV patients developed aortic wall and aortic valve disorders at a younger age than the TAV patients and were predominantly male. Aortic dilation was observed in the aortic root, sinotubular junction, and ascending aortic segments in both the BAV and TAV patients undergoing surgical aortic valve replacement, although the BAV patients had a smaller degree of dilation than the TAV patients, and dilation was also significantly age-related in this group. The shorter left main coronary artery that the BAV patients possess may contribute to the progressive course of aortic dilation that these patients experience. Statin therapy did not affect the aortic annulus in either group, but did decrease the dimensions of the aortic root, sinotubular junction and ascending aorta. In general, statin therapy had a better effect on the aortas of the TAV patients than it did on those of the BAV patients
The implications of serum enzymes and coagulation activities in postinfarction myocardial
Transplant ethics under scrutiny – responsibilities of all medical professionals
Abstract In this text, we present and elaborate ethical
challenges in transplant medicine related to organ procurement
and organ distribution, together with measures
to solve such challenges. Based on internationally acknowledged
ethical standards, we looked at cases of organ
procurement and distribution practices that deviated from
such ethical standards. One form of organ procurement is
known as commercial organ trafficking, while in China the
organ procurement is mostly based on executing prisoners,
including killing of detained Falun Gong practitioners
for their organs. Efforts from within the medical community
as well as from governments have contributed to provide
solutions to uphold ethical standards in medicine. The
medical profession has the responsibility to actively promote
ethical guidelines in medicine to prevent a decay of
ethical standards and to ensure best medical practices
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