Indian authorities are investigating a large-scale illegal organ transplant ring that involves removing kidneys from poor people and selling them to rich Indians and foreigners. Anjana Pasricha reports from New Delhi that a thriving illegal trade in human kidneys has existed in India for at least a decade.
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Four of five patients participating in a trial of an experimental protocol designed to induce immune tolerance to HLA-mismatched kidney transplants have been able to discontinue immunosuppressive drugs.
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Several new studies suggest how transplant surgeons can make more effective use of kidneys from deceased donors – even those that are at the outer limits of acceptance criteria – according to researchers from Wake Forest University Baptist Medical Center.
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While the field of transplantation is quite young, substantial advancements and success have led to the current imbalance between the supply of organs and the demand for them. The United Network for Organ Sharing (UNOS) coordinates the nation's transplant system through a point system based primarily on wait time, sensitization and HLA matching.
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Approximately one-third of the patients on the national waiting list for kidney transplants have only a small chance of receiving a new organ, no matter how long they are on the list. Due to prior transplants, pregnancies or blood transfusions, these patients have developed antibodies that make it very difficult to match them with donor organs.
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Stefanos A. Zenios, a professor at Stanford's Graduate School of Business, renowned for his application of Operations Research (O.R.) to tackle some of modern medicine's thorniest problems, has completed new research that could revolutionize kidney allocation for transplant waiting list candidates.
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