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Pig organs for transplantation into humans: a Jewish view.

In view of the shortage of human organs for transplantation, intense interest has focused on the use of pig organs. Although the early rejection of pig organs by a human recipient has not yet been overcome, scientists are actively seeking to solve this problem. If and when xenotransplantation from pigs or other animals becomes scientifically feasible, Judaism will look with favor upon this procedure to prolong or save the life of a human being who is ill or dying from organ failure. Although Jewish law forbids Jews to raise or eat pigs, no such prohibition exists for the use of pigs to cure human illness or to save human lives by xenotransplantation.

Animals↗

Stem cell research: licit or complicit? Is a medical breakthrough based on embryonic and fetal tissue compatible with Catholic teaching?

In November 1998 biologists announced that they had discovered a way to isolate and preserve human stem cells. Since stem cells are capable of developing into any kind of human tissue or organ, this was a great scientific coup. Researchers envision using the cells to replace damaged organs and to restore tissue destroyed by, for example, Parkinson's disease, diabetes, or even Alzheimer's. But, since stem cells are taken from aborted embryonic and fetal tissue or "leftover" in vitro embryos, their use raises large ethical issues. The National Institutes of Health (NIH) recently decided to fund research employing, not stem cells, but "cell lines" derived from them. The NIH has essentially made an ethical determination, finding sufficient "distance" between cell lines and abortion. Can Catholic universities sponsoring biological research agree with this finding? Probably not. In Catholic teaching, the concept of "complicity" would likely preclude such research. However, Catholic teaching would probably allow research done with stem cells obtained from postpartum placental tissue and from adult bone marrow and tissue. These cells, which lack the pluripotency of embryonic and fetal stem cells, are nevertheless scientifically promising and do not involve the destruction of human life.

Adult↗

Bloodless surgery developments accommodate patients' choice of treatment.

The medical and ethical challenge of treating Jehovah's Witnesses without blood transfusions is being met by dedicated professionals around the world. Jehovah's Witnesses have assisted by setting up a research department (Hospital Information Services), with relevant information available at 100 branches world wide. They have appointed over 1,300 Hospital Liaison Committees in major medical centres throughout the world which disseminate relevant medical and legal literature to obviate misunderstandings. The members of these committees receive regular training and are internationally networked to assist medical and legal professionals and to avoid unnecessary confrontations. They already list over 90,000 doctors world wide who provide bloodless medical care. Around the world more than 190 hospitals offer bloodless medicine and surgery programmes.

Blood Loss, Surgical↗

The living will (Wasiyat Al-Hayy): a study of its legality in the light of Islamic jurisprudence.

Death is an inevitable phenomenon which strikes at any time during a person's infancy, youth or old age. But, one cannot overlook the fact that before the inevitable (i.e. death) does take place a person may become a victim of a terminal illness, or may lapse into irreversible coma, or persistent vegetative state (PVS). In various countries, an increasing number of healthy people have appended their signatures on what is called the Living Will (Advanced Medical Directive), which is in effect a document safeguarding their right to die. This paper discusses the clauses embodied in the Living Will from an Islamic ethico-legal perspective with the aim of ascertaining its validity.

Ethics, Medical↗

The Jehovah's Witness orthopaedic trauma patient: an ethical challenge.

Members of the Jehovah's Witness faith believe that they are biblically prohibited from accepting blood transfusions even in cases of severe anemia that could lead to death. The refusal to accept blood is an ethical challenge for the health care team when managing an unstable Witness patient. The Jehovah's Witness patient has a right to refuse blood, and the health care team is obligated to abstain from providing transfusions. It is important that the health care team is proactive in becoming educated on the principles of the Jehovah's Witness faith and how to manage the patient without the administration of blood and blood products. The health care team is also encouraged to network with resources to provide support for the patient and family.

Blood Transfusion↗