The Classic: On Rest and Pain: Lecture XIV

This Classic article is a reprint of the original work by John Hilton, On Rest and Pain: Lecture XIV. An accompanying biographical sketch on John Hilton, MD, is available at DOI . The Classic Article is reprinted with courtesy from Hilton J. On The Influence of Mechanical and Physiological Rest in the Treatment of Accidents and Surgical Diseases, and the Diagnostic Value of Pain. London, England: Bell and Daldy; 1863. Richard A. Brand MD ✉ Clinical Orthopaedics and Related Research, 1600 Spruce Street, Philadelphia, PA 19103, USA e-mail: dick.brand@clinorthop.org     

The Attitude of Future Journalists Toward Living Donation

Introduction

The attitude of journalism students toward living donation (LD) could influence public opinion and help to promote this treatment option. We sought to analyze the attitude of journalism students toward LD and the factors that affect this attitude.

Methods

We surveyed journalism students in the academic year 2005-2006 (N = 129). We used a validated psychosocial questionnaire (self-administered and anonymous) about organ donation and transplantation. Students were recruited in compulsory classes; the Student t-test and the χ² test were applied. The control group consisted of a sample of the native population (n = 2000).

Results

The questionnaire completion rate was 98% (n = 126). Regarding related living liver donation, 75% (n = 94) would be willing to donate a liver segment; 25% (n = 31) would refuse. Only 14% (n = 18) would donate part of their liver to an unrelated person if needed, 24% (n = 30) are against, and 62% (n = 78) are undecided. For living kidney donation, 85% (n = 107) would donate a kidney to a family member; 15% (n = 19) would refuse. Only 24% (n = 31) are in favor if donation were unrelated, 17% (n = 21) against, and 59% (n = 74) have doubts. The attitude toward LD is more favorable among those who would be willing to donate their organs upon death (P = .012 for the liver and P = .000 for the kidney); those who would accept part of a liver from a family member (P = .000); or those who would accept a kidney (P = .001); or would donate a kidney to an unrelated recipient while alive (P = .001) and liver (P = .003).

Conclusion

Journalism students have a favorable attitude, which could be useful to keep society informed about the matter.     

Attitude of Hemodialysis Patients Toward Renal Transplantation: A Moroccan Interregional Survey

Introduction

Kidney transplantation (KT) is considered the treatment of choice for many patients with severe chronic kidney disease because quality of life and survival are often better than in patients who undergo dialysis. This study assessed patients' knowledge and attitudes regarding KT.

Patients and Methods

A total of 2066 hemodialysis patients were investigated as part of the ARTEMIS (Attitude Toward Renal Transplantation and Eligibility Among Dialysis Patients in a Moroccan Interregional Survey) study.

Results

Patients' mean age was 52.9 years, and the mean duration of hemodialysis was 55.3 months. Among these patients, 73.3% would like to undergo transplantation. Among the subjects wishing to be transplanted, 75.7% would accept the graft from a living or a cadaveric donor; 17.8% would refuse transplantation from a related living donor; and 6.5% would reject organs from donors after brain death. Approximately 17% of patients have a potential related living donor. The main motivating factor for KT was fluid restriction and diet constraints (43.3%). One third of patients believe that Islam does not allow organ donation from a related living donor, and almost one half think that it is prohibited from a brain-dead donor. Independent factors affecting patients' attitude toward KT were young age, male gender, persistence of residual diuresis, availability of a related living donor, and better information on the subject of transplantation.

Conclusions

To improve hemodialysis patients' accessibility to KT, patients, their families, and other support providers need better information. Awareness campaigns are needed to promote organ donation.     

The Classic: The Cervical Syndrome

This Classic article is a reprint of the original work by Ruth Jackson, MD, FACS, The Cervical Syndrome. An accompanying biographical sketch on Ruth Jackson, MD, FACS, is available at DOI 10.1007/s11999-010-1277-9. The Classic Article is ©1949 by The Dallas County Medical Society and is reprinted with permission from Jackson R. The cervical syndrome. Dallas Med J. 1949;35:139–146. A second Classic Article, The Cervical Syndrome, is attached to this article as Electronic Supplementary Material (supplemental materials are available with the online version of CORR). This article is ©1955 by Lippincott Williams and Wilkins and is reprinted with permission from Jackson R. The cervical syndrome. Clin Orthop Relat Res. 1955;5:138–148.     

The Classic: Bone Morphogenetic Protein

This Classic Article is a reprint of the original work by Marshall R. Urist and Basil S. Strates, Bone Morphogenetic Protein. An accompanying biographical sketch of Marshall R. Urist, MD is available at DOI  10.1007/s11999-009-1067-4; a second Classic Article is available at DOI  10.1007/s11999-009-1069-2; and a third Classic Article is available at DOI  10.1007/s11999-009-1070-9. The Classic Article is © 1971 by Sage Publications Inc. Journals and is reprinted with permission from Urist MR, Strates BS. Bone morphogenetic protein. J Dent Res. 1971;50:1392–1406.     

The Classic: The Operative Treatment of Fractures

This Classic article is a reprint of the original work by William Arbuthnot Lane, The Operative Treatment of Fractures. An accompanying biographical sketch on William Arbuthnot Lane, M.S., F.R.C.S., is available at DOI  10.1007/s11999-009-0861-3. The Classic Article is ©1909 by Wolters Kluwer Health-Lippincott Williams &; Wilkins and is reprinted with permission from Lane WA. The operative treatment of fractures. Ann Surg. 1909;50:1106.     

Attitude of the Citizens of Havana,Cuba, Toward Organ Donation: A Multivariate Analysis of the Psychosocial Factors Affecting Attitude

Introduction

Because personal decisions affect the availability of organs for transplants, awareness about organ donations among the general population is fundamental.

The Classic: Review Article: Traffic Accidents

This Classic Article is a translation of the original work by Prof. Harald Tscherne, Der Straßenunfall [Traffic Accidents]. An accompanying biographical sketch of Prof. Tscherne is available at DOI 10.1007/s11999-013-3011-x. An online version of the original German article is available as supplemental material. The Classic Article is reproduced with permission from Brüder Hollinek & Co. GesmbH, Purkersdorf, Austria. The original article was published in Wien Med Wochenschr. 1966;116:105–108. (Translated by Dr. Roman Pfeifer.)     

The Classic: On Juvenile Arthritis Deformans

This Classic Article is a reprint of the original work by G. Perthes, On juvenile arthritis deformans. An accompanying biographical sketch of G. Perthes is available at DOI  10.1007/s11999-012-2432-2. The Classic Article is © 1910 and is reprinted from Über Arthritis deformans juvenilis. Deutsch Zeitschr Chir. 1910;107:111–159.     

The Classic: Studies on Spina Bifida

The Classic Article is ©1886 and is reprinted from von Recklinghausen F. Studies on Spina bifida [in German]. Arch Pathol Anat. 1886:105–243. Translated by Sophie Scharf. An accompanying biographical sketch of F. von Recklinghausen is available at DOI  10.1007/s11999-010-1730-9.     

The Impact of Educational Intervention on Attitude Toward Organ Donation Among Health Care Workers in Malaysia

BackgroundThe attitudes of the health care workers (HCWs) are essential in influencing organ donation rate. The aim of this study was to assess the effects of an educational intervention on attitudes toward organ donation among HCWs.MethodsA questionnaire-based interventional study was conducted with 458 HCW from 5 hospitals in Malaysia. A 26-item self-administered questionnaire was distributed online as a preintervention test. Respondents then went through website-based educational materials followed by a post-intervention questionnaire.ResultsA total of 345 (75.3%) respondents completed the tests. Their attitude toward organ donation was positive preintervention. After the intervention, respondents expressed an increase willingness to donate their own organs (P = .008) and their relatives’ organs (P < .001) after death; were more willing to adopt organ donation as part of end-of-life care (P =.002); were more comfortable talking to relatives about organ donation (P =.001); and expressed an increase consideration to execute the action at any time (P =.001). There was increased willingness to admit to the intensive care unit for facilitating organ donation (P =.007); to employ the same resources to maintain a potential brain-dead donor (P < .001); and to support organ donation in case they or their relatives were diagnosed with end-stage organ failure (P =.008). However, there was an increase in negative attitudes regarding the association between organ donation with health care failure (P =.004) and with pain (P =.003). Positive attitude scores were higher after the intervention (P < .001).ConclusionAn educational website-based intervention was able to improve the attitudes of HCWs toward organ donation.     

The Classic: The Chemical Constitution of Respiration Ferment

This Classic Article is a reprint of the original work by Otto Heinrich Warburg, The Chemical Constitution of Respiration Ferment. An accompanying biographical sketch of Otto Heinrich Warburg, PhD, MD, is available at DOI . The Classic Article is from Warburg O. The chemical constitution of respiration ferment. Science. 1928;68:437–443. Reprinted with permission from AAAS.     

The Classic: Congenital Club Foot: The Results of Treatment

This Classic article is a reprint of the original work by Ignacio V. Ponseti and Eugene N. Smoley, Congenital Club Foot: The Results of Treatment. An accompanying biographical sketch on Ignacio V. Ponseti, MD, is available at DOI  10.1007/s11999-009-0719-8 and a second Classic article is available at  10.1007/s11999-009-0721-1. This article is ©1963 by the Journal of Bone and Joint Surgery, Inc., and is reprinted with permission from Ponseti IV, Smoley EN. Congenital Club Foot: The Results of Treatment. J Bone Joint Surg Am. 1963;45:261–344.