ALLERGY, RESPIRATORY
Herbal Remedy Could Halt Peanut Allergy
Air Pollution May Raise Blood Pressure
Keep Asthma, Allergies at Bay for the Holidays
ALTERNATIVE MEDICINE
Relaxation Tapes or Mozart Lower Blood Pressure
Spot light on Dani Antman New Lionheart teacher
38% of U.S. Adults Use Alternative Treatments
ANIMAL CARE
'Comfort Dogs' Come to Emotional Rescue
Safe Toys for Dogs
Separation Anxiety, Canine-Style
BONES & JOINTS
Study Examines How Rheumatoid Arthritis Destroys Bone
Tips to Ease an Aching Back
Heart Failure Raises Risk of Fractures
CANCER
Green Tea Compound Slowed Chronic Lymphocytic Leukemia
Wristbands May Lessen Nausea After Radiation
Vitamin C Shows Promise as Cancer Treatment
CAREGIVING
New Guidelines for Treating Heart Failure
Depression, PTSD Common Among Lung Transplant Patient Caregivers
Older Caregivers Prone to Worse Sleep Patterns
CIRCULATORY SYSTEM
Years of Exposure to Traffic Pollution Raises Blood Pressure
Salt Boosts Blood Pressure in High-Risk Patients
Migraines in Pregnancy Boost Vascular Risks
COSMETIC
Contact Lenses Boost Kids' Self-Image
Science May Banish Bad Hair Days
Wrinkle Fillers Need Better Label Warnings: FDA Panel
DENTAL, ORAL
Gum Disease Might Boost Cancer Risk
Study Links Osteoporosis Drugs to Jaw Trouble
Gum Care Helps Control Type 2 Diabetes and Its Complications
DIABETES
Exercise Protects Black Women From Type 2 Diabetes
Arthritis Hits More Than Half of Diabetics
Abnormal Heart Rhythm Boosts Death Risk for Diabetics
DIET, NUTRITION
Eating Nuts May Help Cholesterol Levels
Keep Stress Off the Holiday Meal Menu, Expert Advises
Coffee or Tea Consumption May Lower Stroke Risk
DISABILITIES
Could Your Cell Phone Help Shield You From Alzheimer's?
Review Finds Marijuana May Help MS Patients
ENVIRONMENTAL HEALTH
Climate Change Could Sting Allergy, Asthma Sufferers
Dementia Underestimated in Developing Countries
Pollution Particles Impair Blood Vessel Function
EYE CARE, VISION
Blood Sugar Control Helps Diabetics Preserve Sight
Omega-3 Foods May Lower Eye Disease Risk
Hybrid Cars Pose Risk to Blind, Visually Impaired
FITNESS
Exercise As Well As Acupuncture, May Ease Polycystic Ovarian Syndrome
Occupational Therapy Plus Exercise Benefits Osteoarthritis
Exercise 30 Minutes a Day? Who Knew!
GASTROINTESTINAL PROBLEMS
Japanese Herbals May Ease Gastro Woes
Traditional Nonsurgical GERD Treatments Not Impressive
Bowel Prep Harder on Women Than Men
GENERAL HEALTH
Have Fun But Put Play It Safe on the 4th
U.S. Spends Billions On Alternative Medicine
The Yearly Flu Shot Debate
HEAD & NECK
Many Children Will Outgrow Headaches
Zen May Thicken Brain, Thwart Pain
Ski Helmets Encouraged for All
HEALTH & TECHNOLOGY
Imaging Sheds Light on How Acupuncture Works
Study Suggests Link Between Cell Phones and Brain Tumors
Airport Full Body Scanners Pose No Health Threat: Experts
HEARING
Summer Sounds Can Lead to Hearing Loss
Noise Hurts Men's Hearing More, Study Shows
HEART & CARDIOVASCULAR
Women Who Run May Benefit From Extra Folic Acid
Chinese Red Yeast Rice May Prevent Heart Attack
A Little Alcohol May Help the Heart: Studies
INFECTIOUS DISEASE
More Medicinal Uses for Pomegranate
Swine Flu Closes Three Schools in NYC
Poor Restroom Cleaning Causes Cruise-Ship Sickness
INFERTILITY
Obesity May Affect Fertility in Young Womene
KID'S HEALTH
Boosting Kids' Stroke IQ May Save Lives
Traffic, Dust Linked to Asthma in Kids
Treat Kids to a Safe Halloween
MEN'S HEALTH
Sunlight May Help Protect Men From Kidney Cancer
Noise Hurts Men's Hearing More, Study Shows
The Dark Side of Vegetarianism
MENTAL HEALTH
17 Ways to Create the Perfect Workday
Eight Spiritual Universal Principles in the Art of Practice
Keeping Mentally Active Seems To Keep The Brain Active
PAIN
Are We Exercising Pain Away? Not So Much.
Alleviating Rheumatoid Arthritis
Acupuncture, Real or Fake, Eases Back Pain
PHYSICAL THERAPY
PREGNANCY
Pregnant Women Exposed To Certain Pollutants Could Lower Childs IQ
Prenatal Stress May Boost Baby's Asthma Risk
Alternative Treatments May Boost IVF Success
SENIORS
Friends, Not Grandkids, Key to Happy Retirement
Mediterranean Diet Plus Exercise Lowers Alzheimer's Risk
Eating Well And Keeping Active As You Grow Old Will Help You Stay Sharp
SEXUAL HEALTH
SLEEP DISORDERS
Daylight Savings: Not a Bright Time for All
Exercising Throat Muscles May Relieve Sleep Apnea
Lose Weight, Sleep Apnea May Improve
WOMEN'S HEALTH
Smoking Ups Risk of Second Breast Cancer
Lifting Weights Can Ease Arm Swelling in Breast Cancer Survivors
Prenatal Stress May Boost Baby's Asthma Risk
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Organ Donation Policies Vary Among Children's Hospitals

TUESDAY, May 12 (HealthDay News) -- Children's hospitals have widely varying policies on organ donation after cardiac death (DCD), according to researchers, who asked 124 hospitals in the United States, Puerto Rico and Canada about their policies in 2007 and 2008.

The study authors received responses from 105 hospitals, and found that 72 percent of them had DCD policies, while policies were being developed in 19 percent, and 7 percent did not have and were not developing policies.

Of the 73 hospitals with DCD policies that were analyzed, 61 (84 percent) specified criteria or tests for declaring death, including electrocardiogram (ECG) findings, no pulse, no breathing, and unresponsiveness. Four policies required total waiting periods prior to organ removal that conflict with professional guidelines: One policy had a waiting period of less than 2 minutes, and three policies had waiting periods of longer than 5 minutes.

The researchers also found that 64 policies (88 percent) didn't allow transplant personnel to declare death, and 51 percent prohibited them from being involved in premortem (taking place immediately before death) management.

The importance of palliative care was noted in 65 policies (89 percent), but only 7 percent recommended or required palliative care consultation. The use of medications with the intention to hasten death was prohibited in 32 policies (44 percent), the researchers found.

The location of withdrawal of life-sustaining treatment was specified in 68 policies (93 percent), with the majority (54 percent) requiring withdrawal to occur in the operating room. Other locations specified in policies included areas adjacent to the operating room (19 percent), the emergency department (4 percent), or the intensive care unit (4 percent).

"This study demonstrates that, consistent with a national emphasis on increasing the supply of transplantable organs, a large number of children's hospitals have developed or are developing DCD policies," wrote Dr. Armand H. Matheny Antommaria, of the University of Utah School of Medicine, in Salt Lake City, and colleagues.

"The policies exhibit notable variation both within those we studied and compared with authoritative reports and statements. Further research will be required to determine the importance of variation in the tests for declaring death or the processes for withdrawing life-sustaining treatment. In the long run, public policy may need to address strategies to promote adherence to recommendations for DCD processes based on sufficient clinical evidence and/or ethical justification," they concluded.

The study appears in the May 13 issue of the Journal of the American Medical Association.

More information

The United Network for Organ Sharing has more about pediatric transplants.



-- Robert Preidt



SOURCE: Journal of the American Medical Association, news release, May 12, 2009

Last Updated: May 12, 2009

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