Showing 14 results for Donation
Kiarash Aramesh,
Volume 1, Issue 1 (7-2008)
Abstract
Confidentiality is anonymity of gamete or embryo donors to the recipients and resulted children and Vice Versa. In this article, I formulated the question about confidentiality through two main questions: 1- Ethically speaking, should the information about the characteristics and identity of donors be kept in specific organizations to be accessible for who considered having the right of access in the future? 2- Are receivers ethically obliged to inform their children about their biological origin? In this article, I assess the subject from Deontological, Utilitarianistic and Principalistic approaches and conclude that it is the right of such children to be informed about their biological origin. Of course in Iran, such ethical obligation should be suspended until the problems relating the heritage are solved.
Mona Oodi, Reza Amani Samani, Mostafa Mozaffari, Seyyed Taha Merghati, Mahnaz Karbasizadeh,
Volume 4, Issue 4 (7-2011)
Abstract
New antiviral remedies have greatly improved the prognosis of patients infected with AIDS, as well as their life expectancy and quality of life, and assisted reproductive techniques have made it possible for many HIV positive patients to have healthy children. Nevertheless, most assisted reproduction centers continue to reject these couples, and this is a factor that contributes to their isolation from the society.
The present study was performed through document and library research, and the results were investigated from the viewpoints of the infected couple, their future children, and health care staff. Social and legal issues were evaluated through consultation and collaboration of experts, and related articles, guidelines and accessible material were examined for this purpose.
Every individual has the right to reproduction. If it is possible for HIV positive couples to have children with the help of fertility lab techniques, and provided that throughout the process there is no danger of disease transmission to others and particularly the embryo, ART centers should not reject HIV positive couples. Rejection of these couples is against the principles of medical ethics and in violation of the current effective laws of the country. On the other hand, acceptance of patients infected with Hepatitis type C, advanced cancers, mental diseases, and so on is further proof that rejecting HIV positive couples is a form of discrimination and unethical. The word HIV itself is synonymous with the stigma of social deviance, and it seems children of infected parents are not in the ideal position from the public point of view. One step that needs to be taken is for the society to try to remove this stigma and provide support for all chronically ill patients.
There is no valid justification for rejecting HIV positive couples in ART centers, and it appears to be unethical and a violation of human rights to deny these couples the right to have healthy children through modern technology.
Zahra Sadat Manzari, Easa Mohammadi, Abbas Heidari, Hamidreza Aghamohammadian Sherbaf, Mohammad Jafar Modabber Azizi, Ebrahim Khaleghi,
Volume 4, Issue 6 (12-2011)
Abstract
The aim of this study was to explore experiences of family members of patients confronting brain death diagnosis and the request for organ donation.
A qualitative study was designed focusing on content analysis. Data collection process included 38 unstructured in- depth interviews with relatives of 26 brain death patients who were candidate for organ donation and field notes. Sampling method began as purposive and continued as theoretical until saturation.
Five main themes were extracted from the current dataset that indicated family experiences and perceptions of brain death concept while being informed. The themes were included internal conflict, internal barriers against external realities, imminent sense of loss and grief, surrender and acceptance.
The results showed that facing the diagnosis of brain death for relatives and family members is a condition surrounded by many challenges, ambiguities and conflicts that is become more complicated when emotional responses related to grieving and defensive psychological reactions emerge. So it is recommended before any organ request, at first medical team provide conditions for brain death acceptance. Respecting family members experiences and their perceptions about the situation will resolve their internal ambiguities and conflicts. At this situation requesting organ donation seems to be rational.
Asghar Safari Fard, Saeed Rivandi, Seyyed Mohammd Akrami,
Volume 4, Issue 6 (12-2011)
Abstract
Despite advances in science and technology, human is not yet capable to produce a material or solution to compensate blood loss or act as blood this vital material of the body. Blood loss is only recovered through transfusion of blood prepared from donors.
Blood safety widely depends on the information obtained from voluntary blood donor. It is his/her ethical responsibility to provide valid information. On the other hand, some ethical issues about the donor and the recipients right should be considered. For this reason, the International Society of Blood Transfusion (ISBT), in 1980, in Montreal, approved the code of Ethics for Blood Transfusion. This code emphasizes on access to safe blood, free blood without need to be substituted, informed consent for blood transfusion, the right not to accept the blood and the right to be informed if they have been harmed. This article attempts to highlight some of the important points in blood transfusion medicine, and ethical aspects of blood transfusion according to the Islamic principles and Iran laws.
Mohammad Ali Bormand, Fariba Asghari,
Volume 5, Issue 1 (12-2011)
Abstract
The main challenge in organ transplantation is the organ limitation. According to the law of organ donation, it's necessary to obtain family consent for organ donation from a brain-dead patient in addition to patient consent. In this research, we explored Tehran citizens' viewpoints regarding organ donation from beloved ones in case of brain death.
In this cross-sectional study, two interviewers selected 706 study participants by phone interview through random digit dialing during February to November 2010. Calls were made between 6 and 9pm on 5 workdays. Companies and organizations were excluded from the study. Only those over 18 year of age were enrolled in the study.
Of 1379 people who met the inclusion criteria, 706 subjects agreed to have the interview (response rate=51%). Of these, 83.3% (n=688) agreed with organ donation from family member if they had a donor card and suffered brain death. Agreement with organ donation was significantly associated with considering brain death to be real death (P=0.011) and considering it to be irreversible (P=0.028).
In conclusion it is necessary to design public education programs to change their misconceptions about brain death, and provide options to opt for organ donation in case of brain death on common cards such as drivers' license so that family members can make decisions about organ donation more easily when a beloved one suffers brain death.
Mona Oudi, Reza Omani Samani, Leila Alizadeh,
Volume 5, Issue 3 (6-2012)
Abstract
For some infertile couples, egg donation is the only option. In egg sharing programs, patients share half of their eggs with another couple in exchange for a discount on assisted reproductive technology. In many countries, using this method is legally discussed. Iran is the only Islamic country in which donation programs are practiced, so, we designed this study to compare egg sharing to ordinary egg donation from ethical, legal, and religious aspects.A complete review of ethical issues and debates about egg donation and sharing was done. For religious issues, we consulted clergies, Islamic texts, and current decrees (fatwas). Social issues and legal problems were examined by consulting expert opinion and jurists. Also a complete review of literature was done. Egg donation and egg sharing are both religiously accepted in Iran by the Shiite clergies as they are considered completely similar. Egg sharing has some religious (seeing and touching the female genitalia) and social (preventing repetitive donation) advantages to egg donation as well as avoiding complications of fertility drugs and procedures, financial and trading issues, advertisement and brokers. However, there are some disadvantages with egg sharing, such as reduced likelihood of conception by donating half of the eggs, challenges related to donor health, and emotional stress of failure for the donor and success for the recipient, which can be prevented by careful case selection, psychology and genetics consultation, and practicing anonymity. As a result, egg sharing is ethically and religiously more acceptable than commercial egg donation.
Alireza Bagheri Chimeh ,
Volume 6, Issue 1 (4-2013)
Abstract
The Iranian model of compensated living unrelated (LUR) kidney donation has achieved some unique success, but there is an urgent need for a structural revision in the program. In spite of these achievements, the program lacks secure measures to prevent the risk of a direct monetary relationship between donors and recipients, and it must be revised in order to be morally justifiable. By presenting the current organ procurement program from living unrelated kidney donation, this paper calls for the revision of the current procurement system. The paper suggests a “non-directed living donation” policy for organ donation from LUR donors based on anonymous donation. Under such a policy, individuals can donate their organs to unknown recipients altruistically and receive compensation.
Zahra Sayah, Leila Rafiee, Neda Parvin, Shahla Abolhasani,
Volume 8, Issue 2 (7-2015)
Abstract
In the past decades, the need for organ donation has increased while consent rate continues to remain inadequate. One of the most important limiting factors in organ donation is families’ refusal to grant consent, and therefore it is important to determine the circumstances influencing the phenomenon. The aim of this study was to investigate the factors affecting consent to organ donation in families of brain death patients in hospitals affiliated with Shahrekord University of Medical Sciences. For this purpose, a self-made questionnaire was distributed among 54 family members of brain death patients admitted in hospitals affiliated with Shahrekord University of Medical Sciences between 2003 and 2013. The data were reported as mean, frequency and percentage using the SPSS16 software. The average age of the deceased was 31.38 ± 13.72 years, and car accidents were the most frequent cause of brain death (59.3%) in this study. In addition, 72.2% of the deceased were male and 90.7% of them lived in or around the city of Shahrekord. About 37% of the families consented to organ donation. The average age of the family members who participated in the study was 42.15 ± 8.9 years. The most frequent reasons affecting families’ consent to organ donation were religious rewards (100%), confidence in the medical team and staff (100%), and confidence in physician diagnosis (100%).The findings of the study show that religion, faith and family ties affect the willingness for organ donation, and therefore specific attention should be given to these factors in educational programs. In the present study, religious beliefs and confidence in the performance of health care workers were highlighted as the most effective factors in consent to organ donation in brain dead patients' families. Consequently, in order to increase organ donation rate, special attention to these factors and proper planning is necessary.
Nazila Taghavi, Reza Omani Samani, Mohammad Asadinejad,
Volume 9, Issue 3 (10-2016)
Abstract
Cryopreserved embryos are considered as abandoned embryos in two situations. The first situation is when the embryo`s owners have no definite domicile and no written guideline has been provided by the couple regarding the embryo`s status. The second one is when the owners of cryopreserved embryos explicitly state that they permit the freezing centers to decide about their embryos` fate. The aim of the present study was to determine the best possible decisions about cryopreserved embryos in case of their abandonment by couples.
This research was conducted through library and analytical research methods.
As the cryopreservation of embryos is expensive, cryopreservation centers must be exempted from preserving embryos after unsuccessful attempts at communication with the owners and passing of reasonable time.
Making decisions about the fate of abandoned cryopreserved embryos depends on the nature we attribute to them. If we consider abandoned cryopreserved embryos as humans, it is possible to destroy them according to the rule that necessities allow prohibitions. If we consider them as properties or quasi-properties, when there is no accessibility to their owners in order to determine their fate as properties, the governor is permitted to make decisions about their disposal or donation for researches.
Fateme Faramarzi Razini, Seyyed Mahdi Salehi, Seyyed Mahdi Ghoreishi, Amir Hamzeh Salarzaee, Nazafarin Ghasemzadeh,
Volume 9, Issue 4 (10-2016)
Abstract
Reproduction and fertility are considered a substantial need for the survival of the human race and has seen its ups and downs. Advances in Assisted Reproductive Technology (ARTs) have brought some changes as well as challenge in human reproduction. For instance, involvement of a third-party in pregnancy has become a challenging practice. Given the rapid application of ARTs in Iran, obscure aspects and consequences associated with this technology need to be elaborated. The present study aimed at investigating the identity and rights of children resulting from ARTs based on the existing laws and the opinions of the contemporary Shi’ite Grand Ayatollahs. First, by reviewing the sources of Islamic law as well as searching the legal and reliable electronic resources -using key terms such as parentage, guardianship, embryo donation and infertility- the existing laws and regulations about ARTs have been analyzed. Then, by a qualitative method, written opinions of some contemporary Shi’ite Grand Ayatollahs regarding the identity and the rights of a child born by involvement of a third party were collected. The result shows inconsistency between the opinion of the contemporary Islamic jurists and the existing law about embryo donation. Islamic Jurists believe that the child of embryo donation does not belong to the recipient couple. However, according to the Embryo Donation Act, in particular with regard to the duties placed upon infertile couples, who receive the donated embryo, implicitly accept the recipient couple as the parents of the child. This eventually leaves the child with an identity crisis besides deprivation of citizenship rights in some cases. Accordingly, as the current rules and legislations of Iran conflicts with views of the Islamic jurists, to resolve this problem, a revision to accept the recipients as legal parents of the child is necessary.
Mohammad Rasekh, Saeedreza Ghaffari, Alireza Milanifar, Farhad Yaghmaie, Faezeh Ameri, Shirin Boroomand,
Volume 11, Issue 0 (3-2018)
Abstract
Development of new methods of treatments for infertility has given rise to a serious question as to the access to such methods. Determination of the ones who can access the mentioned treatments and the limits of this access, depends to the definition of infertility. The Law of the method for Embryo Donation to Infertile Couples according to Iranian legislature considers the infertile couple who “cannot reproduce in accordance with credible medical certificate” as eligible to receive the donated embryo. However, applicants for modern infertility treatment methods have gone beyond infertile couples and include those couples who wish, based on credible medical evidence, to avoid having unhealthy children, especially by using donation methods or surrogacy. Accordingly, having supported a preventive approach to ARTs, a new concept of infertility will appear on the horizon. Expanding this concept to couples who are considered fertile from a common medical perspective but give birth to seriously unhealthy children shall inevitably lead us to revise the common legal concept of infertility. Therefore, by resorting to ethical reasoning, laws, and regulations of various legal systems and Fiqhi opinions we can develop another interpretation of Embryo Donation Law and argue for the access of the “perceived as infertile” couples to the infertility treatment with the help of third parties.
Sina Valiee, Shiva Mohammadi, Shaeib Dehghani, Farzaneh Khanpour,
Volume 12, Issue 0 (3-2019)
Abstract
Nowadays, transplantation is the final treatment for the patients with end-stage organ dysfunction. Considering the importance of the organ donation and the important role of teachers in raising the knowledge and attitude of a large group of people, the present study aimed to determine the level of knowledge and the attitudes of the teachers in Sanandaj regarding organ donation. This study was a descriptive-analytic (cross-sectional). A total of 250 teachers working in the first and second level of high school in Sanandaj city were selected by cluster sampling method in the academic year 2017-2018 and completed the questionnaire on knowledge and attitude towards organ donation. Data were analyzed by SPSS software version 20, independent t-test and ANOVA. The findings of this study showed that 152 (60.8%) had moderate knowledge and 92 (36.8%) had high knowledge about organ donation. 166 teachers (66.4%) had moderate attitude and 81 teachers (32.4%) had high attitude toward it. 90.8% of teachers lacked donation cards, while 144 (57.6%) were inclined to receive a donation card. According to the results, the knowledge and attitude of the majority of teachers were moderate and most of them did not have a donation card. Considering the importance of this effective group in raising the culture and knowledge of students and their families in the community toward organ donation, education and preparing appropriate background for receiving, raising knowledge, and attitudes toward organ donation for the teachers are required.
Narjes Heshmati Far , Leila Rabie Nasab, Ahmad Mozafari Join , Mohsen Velayati ,
Volume 12, Issue 0 (3-2019)
Abstract
Infertility has been the main problem of infertile couples in history. However, infertility is solved with modern methods’ in recent decades. Embryo donation is one of the methods to infertile couples. In this method, sperm and oocyte of legal and religious couples are inoculated in the lab and the fetus is given to other legal and religious couples. However, people and doctors have doubts to agree or disagree with the views of contemporary jurisprudents. Then, the legislature passed the law of donating embryos to infertile couples in 2003. Although at the time, this law was very useful. However, there are shortcomings because of the brief writing of the law. The child's confidentiality to the fetus has not been determined. In this paper, the rights of Shia jurisprudence books and their adaptation to the opinions of the jurisprudents articles regarding the confidentiality of the embryo donation are discussed. Concluding different opinions from medical ethics and jurisprudential comments and laws, confidentiality of the mother’s womb to the child was proved. All provisions of the foster mother also runs. The confidentiality of the father will also be accepted according to several conditions.
Nehleh Zarei-Fard, Sedigheh Ebrahimi,
Volume 17, Issue 1 (3-2024)
Abstract
Medical science and ethics form an integral part of medical curricula. Cadaver dissection is the preferred educational tool in the early stages of medical education which provides a suitable opportunity to sow the seeds of medical ethics in the minds of future physicians. This review study aimed to investigate unethical events in the history of dissection and subsequent ethical evolutions in human dissection to highlight the need to uphold the ethical values related to donor bodies in the dissection hall. To find and evaluate related documents, the articles published from 2005 to 2023 were searched in Scopus, PubMed, Google Scholar, and Research Gate databases using relevant keywords. The results indicated that in the past, cadaver dissection was performed on the bodies of executed criminals or through illegal methods, and until the early 1960s, the ethical principle of respect for autonomy was overlooked. However, from the 20th century onwards, the use of donated bodies with informed consent became prominent, allowing universities in the 21st century to utilize this resource for education, thereby providing an acceptable solution to fill the ethical gaps in dissection. Clarifying the ethical standards associated with the use of donated bodies is essential for medical students. The human body represents a valuable scientific resource that warrants respectful treatment following established ethical guidelines and laws. Adhering to the highest ethical standards within educational institutions is necessary to ensure donors feel confident in their decisions.
