" ‘Back-door’ Realities of Renal Transplant Donor-Recipient Relationships Disrupting the Ethics of Public Health " global health rounds presentation by Dr. Ram Dulal June 24, 2013 at the University of Alberta.
students wonder exactly what health economics is. is it about money in health, more health for the same money ? about health in hospitals or health of the country.
HOW FAR ARE WE AHEAD IN DONATION OF ORGANS IN INDIA? – A REVIEWDr Naveen Gokul R
COMDENT 2022
Guided by- DR. R GANESH MDS, PGCOI; DR. B SELVAMANI MDS
Secured 1st place in TAMILNADU state level conference
- NAVEEN GOKUL R
BDS IV – PRIYADARSHINI DENTAL COLLEGE & HOSPITALS, PANDUR, TAMILNADU
HOW FAR ARE WE IN THE DONATION OF ORGANS IN INDIA? – A REVIEW
ABSTRACT
Organ Donation Day is observed every year on 13th day of August. Due to lack of awareness and widespread idea about the organ donation, there are myths and fears in peoples’ mind about donating the organs. The aim of this day is to motivate fellow human beings to pledge and donate the organs after death and to create awareness about the importance of organ donation. Indian Transplantation of Human Organs Act (THOA) 1994 & 2011 - was enacted to provide a system of removal, storage and transplantation of human organs for therapeutic purposes and for the prevention of commercial dealings in human organs. THOA is now adopted by all States except Andhra and J&K, who have their own similar laws.
Organ Donation is the process of surgically donating a donor's organs like heart, liver, kidneys, intestines, lungs, and pancreas, after the donor dies for the purpose of transplanting them into another person who is in need of an organ. According to a survey in India every year about 500,000 people die because of non-availability of organs, 200,000 people die due to liver disease and 50,000 people die because of heart disease.
Brain Stem death is recognized as a legal death in India under the THOA like many other countries, which has revolutionized the concept of organ donation after death. After natural cardiac death only a few organs/tissues can be donated (like cornea, bone, skin and blood vessels) whereas after brain stem death almost 37 different organs can be donated including vital organs such as kidneys, heart, liver and lungs. Despite a facilitatory law, organ donation from deceased persons continues to be very poor. The organ donor can play a big role in saving other’s life.
To increase the awareness about organ donation to general public and health care professionals, the Central Government of India made - NOTTO: National
Organ and Tissue Transplant Organization, ROTTO: Regional Organ and Tissue Transplant Organization and National Organ Transplant Programmes along with various public health programmes incorporating the role of public health professionals all across the country.
Keywords: Attitude; Directed tissue donation; Health personnel; India; Knowledge; Organ transplantation; Students; Tissue and organ procurement; dental.
students wonder exactly what health economics is. is it about money in health, more health for the same money ? about health in hospitals or health of the country.
HOW FAR ARE WE AHEAD IN DONATION OF ORGANS IN INDIA? – A REVIEWDr Naveen Gokul R
COMDENT 2022
Guided by- DR. R GANESH MDS, PGCOI; DR. B SELVAMANI MDS
Secured 1st place in TAMILNADU state level conference
- NAVEEN GOKUL R
BDS IV – PRIYADARSHINI DENTAL COLLEGE & HOSPITALS, PANDUR, TAMILNADU
HOW FAR ARE WE IN THE DONATION OF ORGANS IN INDIA? – A REVIEW
ABSTRACT
Organ Donation Day is observed every year on 13th day of August. Due to lack of awareness and widespread idea about the organ donation, there are myths and fears in peoples’ mind about donating the organs. The aim of this day is to motivate fellow human beings to pledge and donate the organs after death and to create awareness about the importance of organ donation. Indian Transplantation of Human Organs Act (THOA) 1994 & 2011 - was enacted to provide a system of removal, storage and transplantation of human organs for therapeutic purposes and for the prevention of commercial dealings in human organs. THOA is now adopted by all States except Andhra and J&K, who have their own similar laws.
Organ Donation is the process of surgically donating a donor's organs like heart, liver, kidneys, intestines, lungs, and pancreas, after the donor dies for the purpose of transplanting them into another person who is in need of an organ. According to a survey in India every year about 500,000 people die because of non-availability of organs, 200,000 people die due to liver disease and 50,000 people die because of heart disease.
Brain Stem death is recognized as a legal death in India under the THOA like many other countries, which has revolutionized the concept of organ donation after death. After natural cardiac death only a few organs/tissues can be donated (like cornea, bone, skin and blood vessels) whereas after brain stem death almost 37 different organs can be donated including vital organs such as kidneys, heart, liver and lungs. Despite a facilitatory law, organ donation from deceased persons continues to be very poor. The organ donor can play a big role in saving other’s life.
To increase the awareness about organ donation to general public and health care professionals, the Central Government of India made - NOTTO: National
Organ and Tissue Transplant Organization, ROTTO: Regional Organ and Tissue Transplant Organization and National Organ Transplant Programmes along with various public health programmes incorporating the role of public health professionals all across the country.
Keywords: Attitude; Directed tissue donation; Health personnel; India; Knowledge; Organ transplantation; Students; Tissue and organ procurement; dental.
NGOs facilitate organ donations and transplants to underprivileged patients. Dedicated to raising funds for a meaningful cause to avail heart, kidney, liver, cornea, and other organs for those in need.
Transplantation of human tissues and organs is an important lifesaving medical procedure. You’ll hear personal stories from both donors and recipients as well as facts from international medical authorities and learn about organ and tissue donation registries around the world. Make a commitment to become a donor, and learn how you can inspire others in your club and community to do the same.
Attendees will also enjoy a short performance from opera singer and transplant recipient Hae-Chul Lim and a small group of guest vocalists.
Slide deck for annual meeting of Transplant Regenerative medicine Community of Practice of American Society of Transplantation at noon in Room 204 in John B. Hynes Convention Center. Everyone welcome! Many exciting initiatives to discuss!
Kim Solez Xenotransplantation- The Rest of the Story April 8 2022 6.pptxKim Solez ,
Nephrology Grand Rounds Presentation at the University of Alberta discussing the big picture issues surrounding xenotransplantation and its relation to stem cell generated organs and bioengineered organs in the future
Kim Solez Hooking-Up Physical Forces Optimism and Dark Energy Presentation Se...Kim Solez ,
Kim Solez Banff New Media Institute Presentation, "Smart, Sexy, Healthy" ThinkTank, Sept 6 2001
Hooking-Up, Physical Forces, Optimism and Dark Energy: Imagery, Hope, and Health.
Kim Solez 384 years of banff spirit new june 26 2019Kim Solez ,
Kim Solez 384 years of Banff spirit new June 26 2019 The most remarkable slide is number 137. "By Spring of 2019 every erroneous statement we complained about had been reversed. We celebrated by creating a new video trailer on our YouTube channel on June 25 2019." How about that!
Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
Knee anatomy and clinical tests 2024.pdfvimalpl1234
This includes all relevant anatomy and clinical tests compiled from standard textbooks, Campbell,netter etc..It is comprehensive and best suited for orthopaedicians and orthopaedic residents.
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
Acute scrotum is a general term referring to an emergency condition affecting the contents or the wall of the scrotum.
There are a number of conditions that present acutely, predominantly with pain and/or swelling
A careful and detailed history and examination, and in some cases, investigations allow differentiation between these diagnoses. A prompt diagnosis is essential as the patient may require urgent surgical intervention
Testicular torsion refers to twisting of the spermatic cord, causing ischaemia of the testicle.
Testicular torsion results from inadequate fixation of the testis to the tunica vaginalis producing ischemia from reduced arterial inflow and venous outflow obstruction.
The prevalence of testicular torsion in adult patients hospitalized with acute scrotal pain is approximately 25 to 50 percent
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
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ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
How STIs Influence the Development of Pelvic Inflammatory Disease.pptx
Dr. Ram Dulal ‘Back-door’ Realities of Renal Transplantation global health rounds
1.
2. ObjectivesObjectives
Discuss health system of NepalDiscuss health system of Nepal
Describe the shifting trend in disease patternsDescribe the shifting trend in disease patterns
Discuss renal transplantation and issues ofDiscuss renal transplantation and issues of
public health ethics andpublic health ethics and ‘back-door’ reality‘back-door’ reality
3. Nepal is known asNepal is known as
Land of braveLand of brave “Gurkha warrier”“Gurkha warrier”
Land of Himalayas,Land of Himalayas,
8 out of 10 world highest peaks8 out of 10 world highest peaks
Birth Place of Lord Buddha,Birth Place of Lord Buddha,
World Heritage sitesWorld Heritage sites
Nepal At A GlanceNepal At A Glance
6. Kathmandu Valley -Kathmandu Valley - World Heritage SitesWorld Heritage Sites
Swayambhunath Patan Durbar Squre
7. Basic CharacteristicsBasic Characteristics
NepalNepal
Area of 147,181 sq. kmArea of 147,181 sq. km
Population:Population: 26.5 million (2011)26.5 million (2011)
Total fertility rate: 2.6 (2010)Total fertility rate: 2.6 (2010)
Infant mortality: 65.3 per 1,000Infant mortality: 65.3 per 1,000
Life expectancy: 64.6 male/Life expectancy: 64.6 male/
67.1 female (2010)67.1 female (2010)
Per Capita health expenditures: US-$64 (Int.)Per Capita health expenditures: US-$64 (Int.)
GDP per Capita US$ 500GDP per Capita US$ 500
8. Ministry of Health
Department of Health Services
NHTC
NHEICC
NTC
NCASC
NPHL
Regional Health Directorate - 5
Central Hospitals - 5
CENTRAL
LEVEL
RegionalLaboratory(1)
RegionalTrainingCentre(5)
RegionalMedicalStore(5)
RegionalTBCentre(1)
REGIONAL
LEVEL (5)
ZONAL
LEVEL (14)
Zonal Hospital - 11
District Public
Health Office - 14
District Health Office
61
DISTRICT
LEVEL (75)
Primary Health Care Centre/
Health Centre - 188
ELECTORAL
CONSTITUENCY
(205)
Health Post - 698
Sub Health Post - 3,129
FCHV
48,307
TBA
15,553
PHC ORC Clinic
14,769
EPI Outreach Clinic
15,833
COMMUNITY
LEVEL
VDC LEVEL (3,995)
FHD
CHD
EDCD
MD
LMD
D I V I S I O N S C E N T R E S
RegionalHospital(1)
LCD
District Hospital
62
District health system is integrated – preventive and curative servicesDistrict health system is integrated – preventive and curative services
11. Kidney transplantationKidney transplantation
Treatment ofTreatment of
choice and preferredchoice and preferred
DialysisDialysis
Temporary inTemporary in EndEnd
Stage Renal DiseasesStage Renal Diseases
Kidney TransplantKidney Transplant
12. Treatment for Kidney Disease Remains Elusive
Treatment for Kidney Disease Remains Elusive
and Unaffordable
and Unaffordable
Dr. Sudha Khakurel, Chief of Nephrology Unit at Bir
Dr. Sudha Khakurel, Chief of Nephrology Unit at Bir
Hospital
Hospital
13. History on Kidney TransplantationHistory on Kidney Transplantation
in Nepalin Nepal
Three cases – nursing home (private hospital) inThree cases – nursing home (private hospital) in
19961996
One case – central govt hospital (Bir Hospital)One case – central govt hospital (Bir Hospital)
in November 2004in November 2004
Prior to August 2008, abroad for transplantation mostly to India
until TUTH, Nepal started..
Bir Hospital & TUTH
15. Study on Kidney Transplant RecipientStudy on Kidney Transplant Recipient
A cohort retrospectiveA cohort retrospective
Follow up registryFollow up registry
June 16, 2003 to July 15, 2008.June 16, 2003 to July 15, 2008.
Population 452 transplantPopulation 452 transplant
recipientsrecipients
16. Lawful DonorsLawful Donors
Law of the land defined: the potential kidneyLaw of the land defined: the potential kidney
donordonor’s can be:’s can be:
father, mother, sister, brother, husband, wife, son,father, mother, sister, brother, husband, wife, son,
daughter, uncle, aunt, sworn friend (Mitajyu),daughter, uncle, aunt, sworn friend (Mitajyu),
mother-in-law and father-in-lawmother-in-law and father-in-law
17. Type of Hospital and CountryType of Hospital and Country
93.75% - 45 different hospitals in India, 71.7% - private hospitals – India
Out of 45 - No. of cases 190, 58 and 25
18. Source of KidneysSource of Kidneys
Unrelated 315 (69.69%), related 134 (29.43%) and undisclosed 4 (0.88%)
20. Age Group of RecipientsAge Group of Recipients
AgeAge NumberNumber
≤≤15 years15 years 4 (0.9%)4 (0.9%)
16-3016-30 113 (25.0%)113 (25.0%) >> 90%90%
31-4531-45 156 (34.5%)156 (34.5%)
46-6046-60 144 (31.9%)144 (31.9%)
61-7561-75 35 (7.7%)35 (7.7%)
Male to female ratio of 3:1.
22. Croatian vs PolandCroatian vs Poland
Final Euro Cup 2008Final Euro Cup 2008
played and won by 28 Yrs old Strikerplayed and won by 28 Yrs old Striker
Ivan Klasnic after 2Ivan Klasnic after 2ndnd
Renal TxRenal Tx
Benefit of Kidney Transplantation…..
…Back to Work
23. Donor Lisa George Danhw Recipient: Dan GeorgesDonor Lisa George Danhw Recipient: Dan Georges
Relationship to donor: Spouse Date of donation: May 24, 2002Relationship to donor: Spouse Date of donation: May 24, 2002
Your gift has given me a
new outlook on life, our
family, and our marriage.
I thank God every day for
you and our children,
David and Alexandra. My
life is not complete
without you. And now
that you're truly a part of
me, physically, I know I
cannot be complete
without you. I love you,
>Dan
http://www.livingdonorsonline.org/halloffame.htm
24. Who Got His Kidney?Who Got His Kidney?
Selling
kidneys
for a
few
rupees
more
25. Kidney Stealing From PoorKidney Stealing From Poor
http://www.canada.com/story.html?id=7a0f0f8a-daac-45f2-91c6-c4a3090d1e0d
27. Ex-student Leader Among 8 HeldEx-student Leader Among 8 Held
for Kidney Tradefor Kidney Trade
BANEPA, May 14: Police have arrested eight persons including a former vice-president
of Free Student Union of Patan Campus on the charge of their involvement in kidney
trade.
A special team of police dispatched from Kathmandu arrested the eight individuals from
different parts of the country within a period of one month and paraded them before the
media at Dhulikhel on Tuesday.
The arrested have been identified as Puja Dahal aka Puna Thakuri and
…………………….
Among the arrested, Sachin Maharjan was reportedly a former vice-president of the Free
Students Union at Patan Campus.
Published on 2013-05-14
http://myrepublica.com/portal/index.php/twb/?action=news_details&news_id=54697
28. ConcernConcern
In some families there are four to five membersIn some families there are four to five members
who have sold their kidneys.who have sold their kidneys.
Kidney seller do not know who got his/herKidney seller do not know who got his/her
kidney?kidney?
The Nepali Kidney BankThe Nepali Kidney Bank byby Sunil NeupaneSunil Neupane
http://www.asiacalling.org/en/news/nepal/2010-the-nepali-kidney-bankhttp://www.asiacalling.org/en/news/nepal/2010-the-nepali-kidney-bank
Saturday, 14 May 2011 18:16Saturday, 14 May 2011 18:16
The Village of Stolen KidneysThe Village of Stolen Kidneys
http://www.youtube.com/watch?v=EE6cdPTkD5khttp://www.youtube.com/watch?v=EE6cdPTkD5k
29. MessageMessage
Tribhuvan University Teaching Hospital and BirTribhuvan University Teaching Hospital and Bir
Hospital provide kidney transplantationHospital provide kidney transplantation
Rigorously selected lawful cases onlyRigorously selected lawful cases only
Results presented are based on the data on kidneyResults presented are based on the data on kidney
transplantation done abroad, mostly in Indiatransplantation done abroad, mostly in India
30. Where Are We?Where Are We?
What is individuals professionalWhat is individuals professional’s role?’s role?
Whether live donor is lawful volunteerWhether live donor is lawful volunteer
oror
poverty driven, misinformed, forcefully mediatedpoverty driven, misinformed, forcefully mediated
31. Disrupting Ethical IssuesDisrupting Ethical Issues
Renal care team members (Nurse, Nephrologist,Renal care team members (Nurse, Nephrologist,
Radiologist/Sonologists, Pathologists etc.)Radiologist/Sonologists, Pathologists etc.)
participation in the process of living donorparticipation in the process of living donor
screening and approvalscreening and approval
Policy of homelandPolicy of homeland
Initial Screening Process: Donor health and psychosocialInitial Screening Process: Donor health and psychosocial
historyhistory
Indication / contra-indicationIndication / contra-indication
32. ConclusionConclusion
Entire enterprise of transplantation is vulnerableEntire enterprise of transplantation is vulnerable
Protect ignorant and poor kidney sellerProtect ignorant and poor kidney seller
Protect health care workers (renal) byProtect health care workers (renal) by
implementing an appropriate / robust guidelinesimplementing an appropriate / robust guidelines