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Alireza Parsapour, Mohammad Bagher Parsapour, Bagher Larijani,
Volume 5, Issue 0 (Vol5,Medical Ethics and History of Medicine 2005)
Abstract

Background: "Informed consent" is one of the most important issues in the medical ethics . Different points of view have proposed different opinions about it. In this Paper, we have reviewed different opinions and explained "Informed consent" based on Islamic view in Iran. In this article , we offered a review of the history, past studies and the components of the Informed consent and proposed a justifiable approach to the informed consent in treatment process .
Methods: This paper was prepared after searching related researches, papers, guidelines and books and consulting with experts.
Conclusion: A suitable interaction and transparency in treatment process between practitioner and patient has an important effect on patient's trust and increases the cooperation with the medical team and improves the results of the treatment. By evaluating the condition, using suggested criteria in three levels of knowledge, attitude and practice in health care centers, and measuring possible differences between them (KAP gap) we would be able to design a suitable program for educational and management intervention, aimed to removing the recognized problems.
Ali Jafarian, Fatemeh Shidfa, Alireza Parsapour, Hasan Emami Razavi,
Volume 5, Issue 0 (Vol5,Medical Ethics and History of Medicine 2005)
Abstract

Background: Kidney transplantation is one of the major progresses of medical science with many ethical debates. The shortage of organs and the increases in waiting list for cadaver transplantation has leaded to transplantation from living donors. In this article, we discuss the ethics of transplantation from living kidney donors.
Methods: For compiling this article, we searched in Pubmed and Ovid by the keywords of kidney transplantation, living donor, ethics.
Results: At the first, the history and statistics of kidney transplantation in Iran and other countries are reviewed. We discussed the living kidney transplantation regarding to principles of nonmaleficence, autonomy and justice. The ethical issues of different groups of living donors and the proponents and opponents opinions are expressed. Because of the importance of unrelated living donors, this group is discussed more briefly.
Conclusion: It is realistic to consider the living kidney transplantation as the last option. Arranging a legal and social organization to control the monetary relationship of the recipients and donors and to determine the preferences of kidney receipt in waiting list is reasonable. It is essential to increase the cadaver transplantation resources to decrease the need of kidney transplantation from living donors.
Ali Jafarian, Saeedeh Sadeghi, Alireza Parsapour, Hasan Emami Razavi,
Volume 5, Issue 0 (Vol5,Medical Ethics and History of Medicine 2005)
Abstract

Background: Nowadays, many progresses have been occurred in medical science and transplantation process. Transplantation is now a life- saving standard treatment for some end stage diseases. Although the organs from brain death donors, are the best resource for cadaverous transplantation, there are many controversies among physicians about it's definition. The other important issue in transplantation is disparity between the supply and demand of organs. Because of the increasing demand for cadaverous organs it is necessary to use some new methods to fascilitate the availability of these resources. What is noteworthy is that each of these methods has some essential ethical issues that should be observed. Surely regarding these issues would prevent the future harms to human being and society.
Methods: For compiling the article, we searched in pubmed and ovid databases for keywords of cadaverous transplantation, brain death, medical ethics, informed consent.
Results: In this article, after a review of transplantation statistics in Iran and other countries we presented a definition for brain death and some methods to expand donor pools. Then ethical views in brain death and informed consent process for cadaverous organs transplantation was discussed.
Conclusion: In using cadaverous organs for transplantation, informed consent and respect to autonomy are very important. All people in the society are authorized to accept or refuse organ donation after their death and , physicians can only encourage and support them.

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