RESUMEN
The Jewish religion is characterized by a strict association between faith and practical precepts. In principle, Jewish law has two divisions, the Written and the Oral traditions. The foundation of the Written Law and the origin of authority is the Torah, the first five books of the Scripture. This paper presents the attitude of Jewish religion to assisted reproductive therapeutic procedures such as IVF-embryo transfer, spermatozoa, oocytes, embryo donation, cryopreservation of genetic material, surrogacy, posthumous reproduction, gender preselection and reproductive and therapeutic cloning.
Asunto(s)
Judaísmo , Técnicas Reproductivas Asistidas/ética , Actitud , Clonación de Organismos/ética , Criopreservación/ética , Transferencia de Embrión/ética , Femenino , Fertilización In Vitro/ética , Humanos , Recién Nacido , Infertilidad/diagnóstico , Infertilidad/terapia , Inseminación Artificial Heteróloga/ética , Inseminación Artificial Homóloga/ética , Israel , Masculino , Donación de Oocito/ética , Concepción Póstuma/ética , Embarazo , Reducción de Embarazo Multifetal/ética , Religión y Medicina , Preselección del Sexo/ética , Madres SustitutasAsunto(s)
Muerte Encefálica , Ética Médica , Unidades de Cuidados Intensivos/ética , Donantes de Tejidos/ética , Muerte Encefálica/legislación & jurisprudencia , Humanos , Consentimiento Informado/ética , Consentimiento Informado/legislación & jurisprudencia , Inseminación Artificial Homóloga/ética , Unidades de Cuidados Intensivos/legislación & jurisprudencia , Italia , Masculino , Persona de Mediana Edad , Donantes de Tejidos/legislación & jurisprudenciaAsunto(s)
Infecciones por VIH/prevención & control , Inseminación Artificial Homóloga/métodos , Carga Viral , Actitud Frente a la Salud , Protocolos Clínicos , Femenino , Infecciones por VIH/transmisión , Infecciones por VIH/virología , Seropositividad para VIH/transmisión , Seropositividad para VIH/virología , Humanos , Inseminación Artificial Homóloga/ética , Legislación Médica , Masculino , Factores de Riesgo , VictoriaRESUMEN
PURPOSE: Postmortem sperm retrieval (PMSR) raises serious medical and ethical concerns. In this study we report the effect of intra-institutional guidelines developed for the permissibility of the procedure on the number of procurement procedures performed. MATERIALS AND METHODS: The family members of 22 men who died suddenly sought PMSR. We performed an institutional review board approved chart review of the requests for PMSR from 1994 to 2002. A set of guidelines addressing PMSR was developed by a panel of experts at our institution. Key elements included 1) evidence of intended paternity for the deceased man, 2) next of kin/legal consent (i.e. only the wife can give consent for PMSR), 3) the death was sudden (permitting retrieval less than 24 hours post mortem) and 4) consent to a 1-year waiting period for bereavement and assessment of recipient. RESULTS: Of the 22 families who sought PMSR 18 were not candidates for retrieval based on the criteria established by the guidelines. Four men 29 to 36 years old underwent PMSR after death and maintained on a respiratory (2) or within the first 24 hours after death (2). Procedures performed included vasal aspiration in 3 patients and epididymal/testicular retrieval in 1. Average specimen volume (including medium) was 2.1 cc, the average number of vials cryopreserved per patient was 3, sperm count was 17.6 million per ml and motility was 8.7%. All specimens demonstrated post-thaw motility. Only 1 wife used retrieved sperm for an in vitro fertilization cycle, and no pregnancy was obtained. CONCLUSIONS: The exclusionary guidelines presented provide a framework utilized at 1 institution for consideration of requests for PMSR and dramatically decreased the number of postmortem sperm retrievals performed.
Asunto(s)
Muerte Súbita , Ética Institucional , Inseminación Artificial Homóloga/ética , Guías de Práctica Clínica como Asunto , Manejo de Especímenes/ética , Inyecciones de Esperma Intracitoplasmáticas/ética , Espermatozoides , Donantes de Tejidos/ética , Adulto , Criopreservación , Comités de Ética , Comités de Ética en Investigación , Femenino , Humanos , Consentimiento Informado/legislación & jurisprudencia , Masculino , Preservación de Semen , Manejo de Especímenes/métodos , Inyecciones de Esperma Intracitoplasmáticas/legislación & jurisprudencia , Motilidad Espermática/fisiología , Donantes de Tejidos/legislación & jurisprudencia , Estados UnidosAsunto(s)
Consentimiento Informado/ética , Consentimiento Informado/legislación & jurisprudencia , Inseminación Artificial Homóloga/ética , Concepción Póstuma/ética , Adulto , Australia , Europa (Continente) , Femenino , Humanos , Israel , Masculino , Concepción Póstuma/legislación & jurisprudencia , Manejo de Especímenes , Espermatozoides , Estados UnidosAsunto(s)
Consentimiento Informado/legislación & jurisprudencia , Inseminación Artificial Homóloga/ética , Concepción Póstuma/ética , Concepción Póstuma/legislación & jurisprudencia , Niño , Protección a la Infancia , Derechos Civiles , Femenino , Humanos , Legislación Médica , Masculino , Estado Civil , Paternidad , Embarazo , Esposos , Reino UnidoAsunto(s)
Catolicismo , Inseminación Artificial Heteróloga/ética , Inseminación Artificial Homóloga/ética , Matrimonio , Técnicas Reproductivas Asistidas/ética , Transferencia de Embrión/ética , Embrión de Mamíferos , Fertilización In Vitro/ética , Humanos , Personeidad , Conducta Reproductiva/ética , Madres Sustitutas , Teología , Valor de la VidaRESUMEN
Gene therapy, pre-natal diagnosis, genetically altered bacteria, patenting new life forms: these are all outgrowths from the development of genetics. Our focus will be on the moral issues engendered by some of the genetic techniques which are now so well integrated into clinical medicine. The section on genetic counseling is meant to show the most frequent moral problems encountered as they might really occur. Genetic screening is presented as a mix of preventive medicine and aid for genetic counseling. Genetic engineering is discussed in the context of evolution and human needs and desires.