A medical book need not be pretty, but it must be necessary and informative. This monograph on the clinical and diagnostic pathology of graft-versus-host disease, provid ing detailed visual information on the histo morphological and immunohistological fea tures of GvHD, is intended to close a gap in the otherwise comprehensive medical literature on GvHD. B. Heymer Acknowledgements No one accumulates knowledge alone. lowe thanks to: Prof. G. R. F. Kruger, Houston, for introducing me to the histomorphological analysis of GvHD Prof. R. Arnold, Berlin, for many fruitful clinico pathological discussions Prof. K. H. Muller-Hermelink, Wurzburg, for expert advice in difficult histological differential diagnoses Prof. W. Mohr, Ulm, for continuous support and encouragement in moments of fatigue Last, but by no means least, Mrs. R. Endres-Klein, Ulm, without whom the preparation of this book would have been impossible In addition, I am grateful to the editorial staff at Springer, Heidelberg. B. Heymer Contents 1 Introduction. . . . . . . . . . . . . 1 1. 1 What Is Graft-Versus-Host Disease? 1 1. 2 Has the Pathology of GvHD Changed in the Past Decades? . . . . 1 1. 3 Why Write a Synopsis of the Clinical and Diagnostic Pathology of GvHO? 2 2 Occurrence of GvHD . . . . . . . . . 5 2. 1 GvHD After Allogeneic Bone Marrow Transplantation . . . . . . . . . . . . . 6 2. 2 GvHD After Allogeneic Peripheral Blood Stem Cell Transplantation 6 2. 3 Alternative Donors . . . . . . . . . . . . 7 2. 4 Umbilical Cord Blood . . . . . . . . . . 7 2. 5 GvHD After Materno-fetal Transfusion 8 2. 6 GvHD After Blood Transfusion . . . . . 9 2."

This timely new book, written by a transplant administrator with over sixteen years of experience, along with other expert contributors, covers the specifics of each aspect of transplant administration, providing information that will enable new administrators to quickly master essentials, help more seasoned administrators evaluate and improve their programs, and generally provide a knowledge base, focused on best-practices in light of regulatory requirements, for transplant surgeons, aspirant administrators and hospital administrators. * Comprehensively covers all aspects of transplant program administration, including management, finance, staffing, quality improvement, patient intake, communication and collaboration with clinical staff, and more. * Emphasizes practical application of best practices; uses bullet lists and other features to highlight essential information for each topic covered. * Accompanying "Toolkit", available via the book's companion website, provides forms, a procedural manual, program assessment materials and more which buyers can use "out of the box" or adapt for use in their own program. While the book and its supplemental materials have been created specifically with the US transplant community in mind, they still have considerable value for transplant administrators and related professionals outside the US, for instance, transplantation and health policy researchers, hospital management staff who are tasked with starting a transplant program from scratch and who need ready-made materials they can adapt to suit their own regulatory environment, and others.

If you die through mistakes in moral reasoning, then you are as dead as if you die through mistakes made in medicine. Organ transplantation saves lives yet thousands die every year on waiting lists through lack of organs. We are exhorted to donate; but is our individual reluctance the essence of the problem, or is it caused by deeper issues in the way public policy is discussed and formulated? Janet Radcliffe Richards casts a sharp critical eye on the moral arguments, forcing us to confront the logic and implications of our own position. A book for everyone who is up for intellectual challenge and is serious about moral reasoning in any context.

Transplanting hands -- a model of composite tissue grafting -- began in Lyons in November 1998 with the transplant of one hand and then, in January 2000, of two, both with the support of the Merieux Foundation. Advances in immunosuppression made possible some unusual transplants of tissue, such as bones, knee-joints, femurs and larynx. From these stemmed the first attempts to transplant hands. This book looks at the long-term results of reattaching hands that have been accidentally amputated. It reviews all the problems -- technical, immunological, nervous, functional and psychological -- that surgeons encountered during and after the transplants. Surgeons, transplant experts, immunologists, dermatologists, psychiatrists, neurophysiologists, physiotherapists and re-education experts will also find here answers to their ethical and legal questions about removing tissue from donors, as well as information about composite tissue grafts in plastic and reconstructive surgery.

Organ transplantation is an essential element of treatment for a wide range of diseases, but despite increasing surgical success rates there remain many other issues affecting selection of patients and clinical outcome with which clinicians and patients themselves must be familiar. Originally published in 2000, this book reviews psychosocial, psychiatric and ethical aspects of organ transplantation in a uniquely authoritative way. Drawing heavily on the pioneering work of the Pittsburgh transplant team, it surveys the essentials of transplantation biology before engaging with a range of topics fundamental to the success of the procedure and the quality of life of recipients and donors alike. The interdisciplinary approach and the authority of the contributors will make this book of value to anyone with an interest in organ transplantation procedures.

This book provides a detailed account of the principles and practice of contemporary lung transplantation. An accomplished, international team of contributing authors have combined their expertise to provide scientific developments and clinical knowledge based on their extensive experience. The book covers pulmonary vascular and parenchymal lung disease, which necessitate transplantation, together with all aspects of the multidisciplinary management of lung transplant patients. It concludes by looking at future developments in the treatment of advanced respiratory failure. This multidisciplinary approach makes the publication suitable for several subspecialities in addition to pulmonary medicine and lung transplantation, including haematology, radiology and clinical psychology. It will serve as a valuable source of reference and practical information for medical specialists in transplantation and all those working in thoracic organ transplant units.

More than any other altruistic gesture, blood and organ donation exemplifies the true spirit of self-sacrifice. Donors literally give of themselves for no reward so that the life of an individual--often anonymous--may be spared. But as the demand for blood and organs has grown, the value of a system that depends solely on gifts has been called into question, and the possibility has surfaced that donors might be supplemented or replaced by paid suppliers.
"Last Best Gifts" offers a fresh perspective on this ethical dilemma by examining the social organization of blood and organ donation in Europe and the United States. Gifts of blood and organs are not given everywhere in the same way or to the same extent--contrasts that allow Kieran Healy to uncover the pivotal role that institutions play in fashioning the contexts for donations. Procurement organizations, he shows, sustain altruism by providing opportunities to give and by producing public accounts of what giving means. In the end, Healy suggests, successful systems rest on the fairness of the exchange, rather than the purity of a donor's altruism or the size of a financial incentive.

The majority of patients in need of organ transplants do not survive long enough for a suitable human organ to become available. Xenotransplantation, the transplant of animal organs into humans, has attracted substantial media attention. If, as appears likely, it proves possible to "humanize" animal organs and evade the problems of rejection, in the coming few years there will be a tremendous increase in this procedure, mostly using organs from animals specifically for their harvestable organs. This book will lay out the potential and promise of the technique, the history of organ transplantation, the technical problems and breakthroughs in overcoming immune rejection, and typing and humanizing donor organs for transplantation. The ethical question of growing animals specifically for organ harvest, and the substantial public health concern from the certainty that animal viruses will pass into humans with the donated organs, will be fully discussed. The authors are among the leaders in the field of Xenotransplantation.

Intracerebral interventions raise particular ethical issues. For instance, attempts at replacing lost or altered brain cells with the help of stem cells or the therapeutic application of Deep Brain Stimulation would have morally relevant implications. Many medically relevant questions and ethical concerns need to be clarified before these intracerebral interventions can become routine procedure: If the brain is conceived as the carrier of an individual's personality or of the self then operations on the brain can be seen as intrusions upon one's personality. The book addresses historical, philosophical, social and legal implications of these new developments in the neurosciences and aims at resolving some of the dilemmas that go hand in hand with "implanted minds".

Selected as a Doody's Core Title for 2022! Concise, readable, practical and well-illustrated, the sixth edition of the Handbook of Kidney Transplantation has been thoroughly updated and revised to reflect the most current knowledge and practice in the field. Ideal for physicians, surgeons, fellows, and nurses who manage kidney transplant patients, it covers everything from treatment options for end-stage renal disease to transplantation, post-operative management and transplant immunology, focusing on every key aspect of the clinical practice of kidney transplantation. Includes new chapters on the Allocation of Deceased Donor Organs and Kidney Transplantation in the Developing World, as well as expanded chapters on living donation and immunosuppressive drugs and protocols. Outlines the major concerns surrounding renal transplantation and the most successful approaches to problems arising in short-term and long-term patient care. Covers immunobiology and immunosuppression, as well as surgery, histocompatibility, and short and long-term follow-up. Your book purchase includes a complimentary download of the enhanced eBook for iOS, Android, PC & Mac. Take advantage of these practical features that will improve your eBook experience: The ability to download the eBook on multiple devices at one time — providing a seamless reading experience online or offline Powerful search tools and smart navigation cross-links that allow you to search within this book, or across your entire library of VitalSource eBooks Multiple viewing options that enable you to scale images and text to any size without losing page clarity as well as responsive design The ability to highlight text and add notes with one click

Drs. Busuttil and Klintmalm present Transplantation of the Liver, 3rd Edition, which has been thoroughly revised to offer you the latest protocols, surgical approaches, and techniques used in this challenging procedure. Encompassing today's expert knowledge in the field, this medical reference book is an ideal single source for authoritative, up-to-date guidance on every imaginable aspect of liver transplantation. "They have, in fact, succeeded in raising the bar yet again and making their work product even better in the third edition of Transplantation of the Liver." Forewords by, Thomas E. Starzl, June 2015 Access valuable pearls, pitfalls, and insights from Dr. Ronald Busuttil and Dr. Goran Klintmalm, two of the world's preeminent experts in liver surgery. Understand today's full range of transplantation techniques with complete step-by-step descriptions of each, and access the background information and management options for each hepatic disease entity. Take advantage of detailed discussions of everything from pathophysiology and patient and donor selection, to transplantation anesthesia and operative procedures; immunosuppression; postoperative care; and ethical issues. Overcome your toughest challenges in liver transplantation. Many new and thoroughly revised chapters include: Deceased Organ Donation after Cardiac and Brain Death; Liver Transplantation for Non-Alcoholic Steatohepatitis; Extended Criteria Donors; Best Techniques for Biliary and Vascular Reconstruction in Living Donor Transplantation; Small for Size Syndrome; Dual Grafts for Transplantation; Arterial Reconstructions-Pitfalls; Transition of Pediatric Patients to Adulthood; Immunosuppressive Biologic Agents; Long Term Toxicity of Immunosuppressive Therapy; Stem Cell and Liver Regeneration; and Extracorporeal Perfusion for Resuscitation of Marginal Grafts. Stay current in your field and optimize patient outcomes with coverage of the most recent advances in living donor transplantation, pediatric transplantation, and gene and stem cell therapy. Access the latest information on anti-rejection/immunosuppressive drugs, as well as comprehensive discussions of each drug or combination of drugs used to suppress immune system. Effortlessly search the entire text online at Expert Consult. With 104 additional contributing experts

Kompakt und ubersichtlich fasst das Buch die Wissensinhalte zusammen, die AErzte und Pflegefachpersonal als Transplantationsbeauftragte auf einer Intensivstation benoetigen. Es kann als anschauliche Einfuhrung in das Aufgabenfeld ebenso verwendet werden wie als Nachschlagewerk fur den erfahrenen Transplantationsbeauftragten. Alle Inhalte des Curriculums der Bundesarztekammer sind berucksichtigt, damit eignet es sich auch als Begleitbuch fur die curricularen Kurse. Der inhaltliche Schwerpunkt liegt auf den Fragestellungen, die fur die praktische Tatigkeit als Transplantationsbeauftragter besonders wichtig sind, wie die Voraussetzungen fur eine Organspende und ihre Durchfuhrung. Doch auch organisatorische, rechtliche und ethische Fragestellungen kommen nicht zu kurz. Die Links zu wichtigen Adressen und Arbeitsmaterialien koennen uber integrierte QR-Codes direkt aufgerufen werden.

Dieses Buch bietet einen UEberblick uber die Kryobiologie, einen Teilbereich der biomedizinischen Forschung, der sich seit vielen Jahren mit der Lebenserhaltung durch Kalte beschaftigt. Zum Beispiel werden Zellkulturen und winzige Gewebeproben bei kryogenen Temperaturen (unter etwa -90 DegreesC) aufbewahrt. Eine Wiederbelebung von Organen ist bisher fast ausschliesslich nach einer Kuhlung auf Temperaturen von 0 bis -80 DegreesC gelungen und heute noch Gegenstand der Forschung. Der aktuelle Forschungsstand wird hier zusammengefasst und fur verschiedene Tierarten und konkrete Anwendungsbereiche dargelegt. Vor allem wird auf grosse biologische Einheiten, wie z. B. menschliche Organe und, als Fernziel, den ganzen menschlichen Organismus, eingegangen. Es werden die Notwendigkeit sowie die Moeglichkeiten fur die Vermeidung von Eiskristallen und Stressfrakturen wahrend der Kuhlung auf kryogene Temperaturen erklart, um eine sichere Lagerung zu ermoeglichen.Neuere Methoden werden vorgestellt, die versuchen mit geringstmoeglichen Konzentrationen von Frostschutzmitteln auszukommen, da diese Nebenwirkungen verursachen aber benoetigt werden, um die Kristallisierung, wie auch die Stressfrakturen geringzuhalten.Dieses Buch richtet sich an Personen, die sich uber das Feld der Kryobiologie informieren moechten und dessen Fortschritte, Einsatzmoeglichkeiten, aber auch die momentanen Limitierungen kennen lernen moechten.

Are our identities attached to our faces? If so, what happens when the face connected to the self is gone forever or replaced? In Face/On, Sharrona Pearl investigates the stakes for changing the face and the changing stakes for the face in both contemporary society and the sciences. The first comprehensive cultural study of face transplant surgery, Face/On reveals our true relationships to faces and facelessness, explains the significance we place on facial manipulation, and decodes how we understand loss, reconstruction, and transplantation of the face. To achieve this, Pearl draws on a vast array of sources: bioethical and medical reports, newspaper and television coverage, performances by pop culture icons, hospital records, personal interviews, films, and military files. She argues that we are on the cusp of a new ethics, in an opportune moment for reframing essentialist ideas about appearance in favor of a more expansive form of interpersonal interaction. Accessibly written and respectfully illustrated, Face/On offers a new perspective on face transplant surgery as a way to consider the self and its representation as constantly present and evolving. Highly interdisciplinary, this study will appeal to anyone wishing to know more about critical interventions into recent medicine, makeover culture, and the beauty industry.

'Compelling' Christopher Hart, The Sunday Times 'A fascinating book' Daily Mail _______________________________________________________________ We think of transplant surgery as one of the medical wonders of the modern world -- but it's a lot older than you think. As ancient as the pyramids, its history is even more surprising. In Spare Parts, cultural historian Paul Craddock takes us on a fascinating journey and unearths incredible untold stories, from Indian surgeons regrafting lost noses in the sixth century BC, to the seventeenth century architect who helped pioneer blood transfusions, to the French seamstress whose needlework paved the way for kidney transplants in the early 1900s. Expertly weaving together philosophy, science and cultural history, Spare Parts explores how transplant surgery has constantly tested the boundaries between human, animal and machine. It shows us that the history -- and future -- of transplant surgery is tied up with questions not only about who we are, but also what we are, and what we might become. _______________________________________________________________ 'By turns delightful and disturbing . . . A thoroughly engrossing read that I couldn't put down' LINDSEY FITZHARRIS, author of The Facemaker and The Butchering Art 'Spare Parts is a fascinating read filled with adventure, delight and surprise' RAHUL JANDIAL, surgeon and author of Life on a Knife's Edge 'This is a joyful romp through a fascinating slice of medical history' WENDY MOORE, author of The Knife Man

Everyone knows that transplantation can save and transform lives, but thousands die every year on waiting lists because there are not enough organs available. If more people could be persuaded to donate, more lives could be saved. But is individual reluctance to donate the root of the problem? Individual choices are made against the background of prevailing laws, conventions and institutions, and many of those present direct or indirect obstacles to organ procurement, from both the living and the dead. If any of those cannot be justified, the deaths they cause are similarly unjustified. In The Ethics of Transplants, Janet Radcliffe Richards, a leading moral philosopher and author of The Sceptical Feminist and Human Nature after Darwin, casts a sharp critical eye over these institutional barriers to organ procurement, and the logic of the arguments offered in their defence. Her incisive reasoning forces us to confront the implications of unexamined intuitions, leads to several unexpected conclusions, and in doing so demonstrates the crucial importance of clear thinking in public debate. Originally published in hardback as The Ethics of Transplants.

This is an essential guide to the data, basic science, outcome studies and decision-making processes involved in blood and marrow stem cell transplantation. Organized according to disease types and procedures, it contains more than 100 tables, figures and algorithms that reflect up-to-date research and give guidance on the choices between different types of chemotherapy, autologous vs. allogeneic transplantation, peripheral blood vs. bone marrow stem cells, and standard vs. experimental treatments. This new edition summarizes the research of the last four years and gives mature data for all established indications, such as acute myeloid leukemia, myelodysplastic syndrome and Hodgkin and non-Hodgkin lymphomas. New chapters discuss global trends in stem cell transplantation, cellular therapies including donor lymphocytes, and pediatric neurologic and metabolic disorders. With an expanded complications section, links to electronic databases and discussion of new drugs and alternative stem cell sources, this text belongs in every transplant unit.

This title provides a comprehensive and state-of-the-art summary of current and future immunosuppressive strategies in transplantation, with emphasis on the basic science mechanisms and clinical applicability of these strategies. The uniqueness of this book is the inclusion of up-to-date information on the basic mechanisms of actions of the immunosuppressive drugs as well as a summary of the clinical trials data and the potential use of these drugs in clinical organ transplantation. In addition to describing the various immunosuppressive strategies, the book has three special features, including immunosuppression in xenotransplantation, gene therapy approaches, and transplantation tolerance. A group of outstanding investigators have been assembled to write the chapters. The book is intended for the transplant professional and the specialist who wants to stay abreast of the current status of immunosuppression in organ transplantation. The book is also useful for basic scientists who work in the field of transplantation immunology.

Lung Transplantation: Principles and Practice covers the current practice in donor and recipient management as well as current treatment strategies and outcomes. With 39 chapters from international experts in the field, the book is divided into four broad sections: General Topics, Donor Management, Recipient Management and Outcome, and the Future of Lung Transplantation. The book discusses significant advances achieved in the past decade in areas such as donor allocation, organ preservation and management, recipient selection, management and support, surgical and critical care techniques, immune suppression, and infection prophylaxis. Specific instances of pulmonary disease that commonly necessitate lung transplantation are also covered. Generously illustrated in full color, this valuable resource is relevant to both specialists and other providers who may refer or care for patients before and after transplantation.

Eine Alternative zu den etablierten Transplantationsmethoden konnte die Xenotransplantation sein, bei der von zu diesem Zweck gezuchteten, moglicherweise auch genetisch veranderten Tieren die benotigten Gewebe gewonnen werden konnten. Die vorliegende Studie ist das Arbeitsergebnis einer interdisziplinar zusammengesetzten Projektgruppe, die den aktuellen Stand der Xenotransplantationsmethodik und -technologie untersuchte und ihre Verwendung fur medizinische Zwecke beurteilte. Ausgehend von einer Analyse der Situation in der Transplantationsmedizin und einer Diskussion der Alternativen zur Allotransplantation werden in der vorliegenden Studie unter medizinischen, immunologischen, physiologischen, genetischen, virologischen, ethischen, rechtlichen und okonomischen Aspekten Anwendungsbedingungen und -moglichkeiten der Xenotransplantation gepruft und Handlungsempfehlungen fur die weitere Entwicklung der Xenotransplantation gegeben.