Editor's Note Kuebler, Carolyn
New England review (1990),
01/2020, Volume:
41, Issue:
1
Journal Article
First the tears and the talking, then the rage. Screaming into a pillow, then screaming into the sky, barefoot and throwing dirty snow at the house, the fence, the shed. Mary Clark· Rebecca Cook ...Marie K. & Lee Dixson· Susan Ferraro Fidelity Charitable Gift Fund· Stephen & Emmie Donadio· Castle Freeman Jr.· Ann Gateley David Griffith Gwendolyn S. Haley· Lindsay Hill· Mary Golding Hogya Lindsey & David Huddle Thomas R. Hummel Lucy & Simeon Hutner· Ann Jones-Weinstock & David Weinstock· Fajer Alexander Khansa Joann Kobin· Michael B. Ledbetter Roxanne M. Leighton· Charles Logan & Abigail G. Mitchell· Emily Mitchell David & Elizabeth Muhlbaum· Charles S. Nelson Paul Northrup· Oaktree Capital Management Anne K. O'Brien· Nancy M. O'Connor Larry I. Palmer· Jared S. Pomerance· Marcia Pomerance Christopher Ross· Jay R. Silverman J. Lea H. Simonds Wanda Smith· Robert B. Stepto Michele M. Surat Sarah D. Thomas Janet Towle Joshua M. Tyree· Nancy Zafris Elizabeth A. Zogby· For more about giving, visit www.nereview.com/support-NER. * True Blue donors who have given for a minimum of three consecutive years.
With 40 donors and more than 100 transplant procedures per million population in 2015, Spain holds a privileged position worldwide in providing transplant services to its patient population. The ...Spanish success derives from a specific organizational approach to ensure the systematic identification of opportunities for organ donation and their transition to actual donation and to promote public support for the donation of organs after death. The Spanish results are to be highlighted in the context of the dramatic decline in the incidence of brain death and the changes in end‐of‐life care practices in the country since the beginning of the century. This prompted the system to conceive the 40 donors per million population plan, with three specific objectives: (i) promoting the identification and early referral of possible organ donors from outside of the intensive care unit to consider elective non‐therapeutic intensive care and incorporate the option of organ donation into end‐of‐life care; (ii) facilitating the use of organs from expanded criteria and non–standard risk donors; and (iii) developing the framework for the practice of donation after circulatory death. This article describes the actions undertaken and their impact on donation and transplantation activities.
The authors summarize the challenges that the Spanish donation and transplantation system has faced in further developing deceased organ donation, and describe the three strategies that allowed Spain to rise to the highest solid organ transplant activity in the world in 2015. For further discussion, see the letters from Sharif (page 1694) and Matesanz (page 1695).
With the generous donors and the commitment of the Board of Trustees, the TMS Foundation successfully navigated a volatile economy in 2022, with its year-end appeal efforts posting $186.155-the third ...best year on record and a marked increase from 2021. While every donation in 2022 made a difference, the Foundation also greatly benefited from acts of extraordinary generosity. In particular, Cady would like to recognize the support of Robyn and Rob Wagoner, TMS Foundation Diamond members, who donated $50,000 in 2022. This is the latest testament to their long-standing, exceptional commitment to the foundation and its important work. It is the belief in the TMS Foundation's mission, as exemplified by Robyn and Rob, that has enabled them to make progress on their strategic goals, which the TMS Foundation Board of Trustees adopted in Feb 2020, just weeks before the global pandemic shutdown. In Nov 2022, the Board of Trustees announced significant progress on two of those goals.
Companion to the exhibition “Japan’s Book Donation to the University of Louvain”, KU Leuven University Library, 28 October 2022 - 15 January 2023 With more than 3,000 titles in almost 14,000 volumes, ...the 1920s Japanese book donation to the University of Leuven/Louvain constitutes an invaluable time capsule of Japan’s pre-modern culture in all its diversity and richness. A century on, the time is right to take a new look at its contents, as well as its history and the political, social and cultural context surrounding the donation. To commemorate its centenary, the Katholieke Universiteit Leuven (KU Leuven) and the Université catholique de Louvain (UCLouvain) have joined forces to set up a special exhibition under the title “Japan’s Book Donation to the University of Louvain. Japanese Cultural Identity and Modernity in the 1920s” (October 2022–January 2023), at the University Library of KU Leuven. The present book has been compiled for the occasion of the exhibition, to serve as a durable guide to the magnificent book donation and its historical background, and as a reference for further research in the future. In five essays by historians of politics, media, culture, and arts of Japan, it offers a richly illustrated overview of the history of the donation and its wider historical context, providing illuminating insights into the vibrant 1920s in Japan, its politics, society, and popular culture. The reader is further invited to explore a sample of 65 remarkable and rare items from the donation, which were carefully selected for inclusion in the exhibition and are provided here with a detailed description. Moreover, the reader is introduced to 41 representative items, including visually captivating commercial and political posters related to Japan’s modernity in the 1920s, which represent mass culture, progress, and tensions, and highlight both imperial ambitions and a willingness to contribute to international cooperation.
Background
With growing discussion about blood donor remuneration, the present study examined the level of payment that may be required to convince individuals to engage in whole blood, plasma, and ...platelet donations.
Study Design and Methods
Anonymous online surveys were completed by a college sample n = 490; 76.9% female; Mean Age = 20.3 (SD = 4.9) years; 32.9% whole blood donors and a ResearchMatch sample n = 323; 70.6% female; Mean Age = 50.7 (SD = 16.6) years; 82.7% whole blood donors. Level of payment needed to motivate whole blood, plasma, and platelet donation was examined as a function of donation history, sample, and gender. In addition, path analyses examined associations between donation motivators, barriers, and payment level.
Results
Across all types of donation, history of whole blood donation was related to a greater willingness to donate without payment. At the same time, however, sizeable portions of prior donors indicated that monetary payment would convince them to donate whole blood (24%), plasma (51%), or platelets (57%). Across all types of donation, donation‐related barriers (i.e., anxiety, fear) were indirectly related to higher payment levels via lower self‐efficacy and more negative donation attitudes. Donation‐related motivators (i.e., warm glow, regret, and altruism) were indirectly related to lower payment levels via higher self‐efficacy and more positive donation attitudes.
Conclusion
Despite reporting a strong commitment to nonremunerated blood donation, many respondents with and without a history of blood donation indicated that money would convince them to engage in whole blood, plasma, and platelet donation.
The novel approach of thoracic normothermic regional perfusion (TA‐NRP) for in‐situ preservation of organs prior to removal presents a new series of ethical questions about donation after circulatory ...determination of death (DCD) procedures. This manuscript describes the framework used for the analysis of ethical acceptability of DCD donation and analyzes the specific practice of TA‐NRP DCD within that framework to demonstrate that TA‐NRP DCD can be performed within the ethical boundaries of DCD donation. We argue that TA‐NRP DCD organ procurements meet the ethical standards of informed consent, non‐maleficence, adherence to the dead donor rule, and irreversibility, and as such, are ethically acceptable. We also describe the potential benefits of TA‐NRP DCD procedures that result from higher organ yields and better recipient outcomes. Finally, we call for open and transparent support of TA‐NRP DCD by professional organizations as a necessary cornerstone for the advancement of TA‐NRP DCD procedures.
The authors describe the ethical framework for analysis of donation after circulatory death, apply it to the normothermic regional perfusion technique for donation after circulatory death, and address ethical concerns with the normothermic regional perfusion technique. See related article by Parent et al on page 1307 and editorial by Glazier and Capron on page 1289
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