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Donation of Body Part

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Dead Body Donation:
“Awareness to overcome shortcomings”
Saima Mushtaq,Ms Hua chuntai,
Hubei University of Chinese Medicine, China

ABSTRACT

Dead body donation is useful for medical research, education and also beneficial of needy (injured/diseased) living persons. In medical educational sector, usually medical students study anatomy, which deals with the study of composition of human body. Understanding of human anatomy requires indepth knowledge about human body organs, tissues, cells, which requires teaching based on cadaver dissection. Cadavers and donated bodies remain a principal teaching tool for anatomists and medical educators teaching gross anatomy. Hands on experience on dead body helps learn various medical concepts and nature of human body. There is ever increasing demand of cadavers for anatomy dissection. Apart from educational uses, dead body donation may also include specific organ donations which could be required for saving life of severaly injured or diseased living beings as well. Even then people are reluctant to donate their bodies after death due to various reasons. This research is made in order to know these factors which results in opposition to dead body donation. Study also suggests ways to actually increase awareness in our society about dead body donation. In this study report we present a survey (attached in Annex- A) regarding potential whole-body donors in china. 100 random people (age range 18-75 years) answered a questionnaire, giving information about themselves, their reasons for donation, attitudes towards the dead body, funeral preferences, religious issues and medical giving and receiving. In addition to altruism, motives included the wish to avoid funeral ceremonies, to avoid waste, and in a few cases, to evade the expense of a funeral. As the attitudes of donors play a very crucial role in body donation, so it is required to conduct such studies which suggests methodologies to increase awareness about its usefulness in the society. The study conducted shows the suitability of body donation, importance of body donation and various factors such as age, religion, culture, personality characteristics, donor’s attitudes etc.
KEY WORDS: Dead body donation, Organ donation, Anatomy, Autopsy, Dissection.
1. INTRODUCTION The Dead body donation is defined as the act of giving one’s body after death for medical research or educational and training purpose of medical students. Its also important in terms of donating specific organs as per requirement of different patients. Like patients with heart diseases, kidney failure, and other specific vitals organs which can be transplanted from a freshly dead person to a live patient. Although there have been advances in medical technology and donation, the demand for organ, eye and tissue donation still vastly exceeds the number of donors. More than 100,000 men, women and children currently need life-saving organ transplants [1, 2]. With the increase in awaveness about body organ donations, around 978 lives were saved in the UK through a heart, lung, liver or combined heart/lungs, liver/kidney, liver/pancreas or heart/kidney transplant [3]. Apart from that, in medical research, dead bodies are studied and analyzed for understanding and exploring deeper knowledge about body functioning, for example. In this research paper, we will first show the need for awareness among people about dead body donation as there is shortcoming in getting cadavars for medical research, secondly we will discuss the survey conducted and its results. Finally based on our survey results, in the conclusion section, we will suggest the best possible methods to overcome this problem of short comings in the dead body donation.
2. need for dead body As per [4] according to the Royal College of Surgeons, a shortage of bodies donated to medical science is threatening the teaching of anatomy, which it believes is vital for tomorrow's doctors and surgeons. The college is predicting a cadavar (dead body) shortage of nearly 30 per cent this year and estimates that UK medical schools need at least 1,000 bodies each year. The fall in donations is due in part to the Human Tissue Act 2004, which has stopped the executor of an estate saying that it was the known wish of the deceased to donate their body. Due to this, there is further decrease in finding cadavars for medical research. This pose a great problem for future research related to medical studies and training of young medical students. In order to find out reasons previous research [5] has investigated about the basic attitudes toward organ donation and transplantation in order to give models for understanding reactions to medical procedures after death.
3. factors effecting dead body donations Apart from some legal laws, there are many factors which are involved in the short coming in donations of dead bodies for the use of medical research and teaching medical students. People’s attitude play an important role in this [6]. Further more it depends on the awareness of people about the usefulness of the dead body donation for uplifting our medical research and saving more life. Importance of awareness campaigns can be clearly justified by referring to [7] which shows how in Netherland, Department of Anatomy at the University Medical Center of Groningen (UMCG) in November 2008 postal questionnaires sent to 996 people enrolled at the UMCG body donor database. The research shows increase in dead body donors due to increased the awareness about it as a service for humanity and understanding better ways of fighting diseases. Some research [8] show that financial incentives of various kinds have been suggested to alleviate the chronic shortage of transplantable organs in the United States. Another important factor is relatives not knowing the wish of their loved ones and a lack of consensus amongst family members have emerged as important reasons for refusing to donate dead body or organs after death. To cater for that, as suggested by [9] we need to consider innovative ways to encourage and allow individuals to express their wish as to whether or not they would like to be organ donors, for example, by storing such data on the computerized identity cards.
4. Survey & Result Analysis To verify our theoretical knowledge about the factors related to dead body donations, we added questions (attached as Annex-A) in a way to get clearly understand the relationship between factors related to dead body donation. Results of our survey are shown in graphical format in Annex-B as well.

Figure 1 Survey Result shows people response Figure 1 shows the survey result, we asked total 20 questions (shown in x-axis) from 100 (shown in y-axis) random people (age 18~75 years old) in (Wuhan) China. Our survey shows that 76% understood that their bodies would be useful after death, 95% believed that it would be useful for teaching medical students. Only 7% agreed to donate their body after death to be used by medical researchers and students. Whilst 14% believed in one or more supernatural phenomena, only 6% said they were religious. 62% believes that cremation after dissection is not misleading in terms of increase in crime rates; 44% wanted to be buried. The notion of money incentives to promote donation was overwhelmingly rejected. 67% people think that educated people are more aware of dead body donations and 92% believe that if proper information and knowledge about dead body donations is spread among people than it would increase the dead body donation rate in china, for which 88% people suggested Government to arrange such surveys to educate people about this and 12% opposed any sort of monetary award to donors from government.
5. CONCLUSION As per our survey conducted on dead body donation only 7% people agreed on donating their body to be used as teaching or experimental material. Furthermore on the basis of result majority thinks that such surveys are useful and should be conducted so that people get more awareness about the positive benefits regarding dead body donation. The majority of motives for body donation stem from the wish to be useful after death. However, the present survey suggests that body donation is more than an altruistic act; people are also motivated by personal benefit. Results of our survey contradict the notion that body donation stems from loneliness. Many donors have a supportive social network and meaningful social relationships. People moreover propagate body donation within their social networks.

ACKNOWLEDGEMENT I want to acknowledge my teacher Ms Hua chuntai who helped me a lot in conducting survey and advised me how to develop and enhance my research skills and medical knowledge during the course of my medical studies.
REFERENCES
[1]http://donatelife.net/understanding-donation/statistics/.
[2] Glen E. Rosenbaum, MD; Jeffrey Burns, MD; “Autopsy Consent Practice at US Teaching Hospitals”, Archives of Internal Medicine, Vol. 160 No. 3, February 14, 2000
[3]http://www.organdonation.nhs.uk/ukt/statistics/statistics.jsp
[4] http://www.ifishoulddie.co.uk/donating-a-body-for-medical-research-c56.html
[5] Margareta Sanner, “Attitudes toward organ donation and transplantation : A model for understanding reactions to medical procedures after death”, Social Science & Medicine, Volume 38, Issue 8, April 1994, Pages 1141-1152 [6] R Richardson, DPhil, B Hurwitz, MD, “Donors' attitudes towards body donation for dissection” The Lancet, Volume 346, Issue 8970, Pages 277 - 279, 29 July 1995
[7] Sophie Bolt, Eric Venbrux, Rob Eisinga, Jan B.M. Kuks, Jan G. Veening, Peter O. Gerrits “Motivation for body donation to science: More than an altruistic act”
Annals of Anatomy - Anatomischer Anzeiger, Volume 192, Issue 2, 20 April 2010, Pages 70-74
[8] Margaret M. Byrne, Peter Thompson , “Positive analysis of financial incentives for cadaveric organ donation” Journal of Health Economics, Volume 20, Issue 1, January 2001, Pages 69-83
[9] Beatrice Cheng, Chung-Ping Ho, Shelley Ho, Angela Wong “An Overview on Attitudes Towards Organ Donation in Hong Kong” Hong Kong Journal of Nephrology, Volume 7, Issue 2, October 2005, Pages 77-81

Annex-A: Survey Form “Dead Body donation” Sr No | Questions | +ive Response | -ive response | No response | Total | 1 | I would like to be useful after death. | 76% | 15% | 9% | 100 | 2 | I think cadaveric dissection aids the medical students/to upgrade the medical science. | 95% | 1% | 4% | 100 | 3 | I will support family to donate dead body. | 41% | 40% | 19% | 100 | 4 | I think medical student will disrespect dead body while doing dissection and will not handle properly. | 22% | 54% | 24% | 100 | 5 | I think unidentified dead bodies should be used for teaching and experimental materials. | 46% | 40% | 14% | 100 | 6 | i think educated people are more aware about dead body donation. | 67% | 19% | 14% | 100 | 7 | I think Dead body donation can be usefull to help mankind , to evade the expense of funeral and to minimize disposal waste. | 59% | 30% | 11% | 100 | 8 | I think paying money against dead body will mislead people and will increase crime rate. | 18% | 62% | 20% | 100 | 9 | My Body should be used as teaching or experimental material. | 7% | | 93% | 100 | 10 | I Would like to donate organ | 29% | | 71% | 100 | 11 | Supernatural issues. | 14% | | 86% | 100 | 12 | Wanted to be buried. | 44% | | 56% | 100 | 13 | Religious issues. | 6% | | 94% | 100 | 14 | i think positive awareness about dead body donation and educating people about its benefits can give positive result among dead body donation | 92% | 2% | 6% | 100 | 15 | I think doctors give donors the same level of care. | 34% | 66% | 0% | 100 | 16 | I think Government should arrange certain survey to educate people about benefits of dead body donation. | 88% | | 12% | 100 | 17 | I think Government should pay money to donors. | 12% | | 88% | 100 | 18 | I think survey questions and topic are good. | 33% | | 67% | 100 | 19 | I think survey questions and topic are usefull. | 47% | | 53% | 100 | 20 | I think survey questions and topic are useless. | 3% | | 97% | 100 |

Annex-B: Survey Results “Dead Body donation”

Figure 1 Survey results showing people response

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