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Increasing organ and tissue donation : what are the obstacles, what are our options?

Chapter by: Caplan, Arthur; Siminoff, L; Virnig, B
in: The Surgeon General's Workshop on Increasing Organ Donation by
[Washington, D.C.] : U.S. Dept. of Health & Human Services, Public Health Service, [1992]
pp. 199-232
ISBN: n/a
CID: 337622

Values and hard choices: challenges for life insurance medical directors

Caplan, A
PMID: 1306564
ISSN: n/a
CID: 336052

Biomedical ethics captures center stage [Interview]

Caplan, A
PMID: 1470089
ISSN: 0026-556x
CID: 336402

Strange brew: the politics and ethics of fetal tissue transplant research in the United States

Vawter, D E; Caplan, A
PMID: 1613324
ISSN: 0022-2143
CID: 165451

Risk of feal tissue donation to women [Editorial]

Vawter, Dorothy E; Gervais, Karen G; Caplan, Arthur L
ORIGINAL:0007497
ISSN: 0792-8483
CID: 165452

Fetal tissue guidelines depart from teh cadaver donor framework [Editorial]

Gervais, Karen G; Vawter, Dorothy E; Caplan, Arthur L
ORIGINAL:0007498
ISSN: 0792-8483
CID: 165453

Are there really alternatives to the use of fetal tissue from elective abortions in transplantation research?

Garry, D J; Caplan, A L; Vawter, D E; Kearney, W
PIP: Researchers believe fetal tissue can be easily transplanted into and cure people with incurable debilitating diseases such as Parkinson's disease. In 1988, the Reagan Administration stopped funding transplantation research of fetal tissue from induced abortions. An advisory panel later decided that it is an acceptable public policy as long as certain conditions a re met. Yet the Bush Administration continued the ban. In 1992, it erroneously claimed that transplantation research could use alternative sources of fetal tissue. 1 alternative is fetal tissue obtained from ectopic pregnancies. Yet spontaneously aborted ectopic pregnancies tend not to produce recognizable or viable in culture fetal tissue and if they do the tissue has been ischemic for days. Ectopic pregnancies requiring surgical sterilization tend to be morphologically abnormal. The only likelihood of viable fetal tissue form ectopic pregnancies is a fetus with myocardial contractility before surgery. The administration also recommended use of fetal tissue from spontaneous abortions but these fetuses often have a major chromosomal or other fatal defect. Researchers cannot use chromosomally abnormal fetal tissue since it growth, development, and function are unreliable. Expulsion of the necrotic fetus tends to occur a couple of weeks after death. The Bush Administration also proposed use of tissue from stillbirths but their tissue tends to be nonviable and the tissue, even if it were viable, is generally not at the developmental stage needed for transplantation. The placenta and yolk sac were other suggested alternatives, but the placenta is likely to be less immunogenic than embryonic tissue. It can help develop certain cell lines which produce insulin or neurotransmitters like dopamine, however. The yolk sac could replace fetal liver cells in transplantation. Nevertheless the only advantage of using the suggested alternatives is the perception of them raising less ethical concern than fetal tissue from an induced abortion.
PMID: 1435888
ISSN: 0028-4793
CID: 165257

Twenty years after. The legacy of the Tuskegee Syphilis Study. When evil intrudes

Caplan, A L
PMID: 1428845
ISSN: 0093-0334
CID: 165258

Required request: what difference has it made?

Virnig, B A; Caplan, A L
PMID: 1413016
ISSN: 0041-1345
CID: 165259

Do the right thing: Minnesota's HealthRight Program

Caplan, A L; Ogren, P A
PMID: 1428837
ISSN: 0093-0334
CID: 165260