Background: Several countries have recently changed their model of consent for organ donation from opt-in to opt-out. We undertook a systematic review to determine public knowledge and attitudes towards these models in Europe. Methods: Six databases were explored between 1 January 2008 and 15 December 2017. We selected empirical studies addressing either knowledge or attitudes towards the systems of consent for deceased organ donation by lay people in Europe, including students. Study selection, data extraction, and quality assessment were conducted by (...) two or more reviewers independently. Findings: Awareness of the consent model was lower in opt-out countries than in opt-in countries. A majority of the public agrees with opt-in, regardless of the law in their own country. There are ambivalent attitudes regarding the opt-out system. The public tend to prefer opt-in and mandatory choice over opt-out when several options are offered. Interpretation: The assumption that people in opt-out countries are aware of the legal requirements to be excluded from the pool of potential donors is not supported by the results of this review. This is a concern, since ignorance hinders people's autonomy regarding organ donation decision-making. Higher awareness of consent model in opt-in countries may reflect greater efforts to inform the public through campaigns to motivate donation. Legal moves towards opt-out are at odds with people's expressed preferences. Main limitations of this review are the lack of data from some countries, study population heterogeneity, and methodological shortcomings. (shrink)

Goal: To assess public knowledge and attitudes towards the family’s role in deceased organ donation in Europe. -/- Methods: A systematic search was conducted in CINHAL, MEDLINE, PAIS Index, Scopus, PsycINFO, and Web of Science on December 15th, 2017. Eligibility criteria were socio-empirical studies conducted in Europe from 2008 to 2017 addressing either knowledge or attitudes by the public towards the consent system, including the involvement of the family in the decision-making process, for post-mortem organ retrieval. Screening and data collection (...) were performed by two or more independent reviewers for each record. -/- Results: Of the 1482 results, 467 studies were assessed in full-text form, and 33 were included in this synthesis. When the deceased has not expressed any preference, a majority of the public support the family's role as a surrogate decision-maker. When the deceased expressly consented, the respondents' answers depend on whether they see themselves as potential donors or as a deceased's next-of-kin. Answers also depend on the relationship between the deceased and the decision-maker(s) within the family, and on their ethnic or cultural background. -/- Conclusions: Public views on the authority of the family in organ donation decision-making require further research. A common conceptual framework and validated well-designed questionnaires are needed for future studies. The findings should be considered in the development of Government policy and guidance regarding the role of families in deceased organ donation. (shrink)

Guru Nanak was not content to remain a mystic. He undertook [9-11] four long travels, called udasis, to spread his message far and wide and to share his spiritual experiences with others. Bhai Mardana always accompanied the Guru during missionary tours. During the four travels, Guru Nanak visited different religious places. He went to Kurukshetra, Haridwar, Joshi Math, Ratha Sahib, Gorakh Matta (Nanak Matta), Audhya, Prayag, Varanasi, Gaya, Patna, Dhubri and Gauhati in Assam, Dacca, Puri, Cuttock, Rameshwaram, Ceylon, Bidar, Baroach, (...) Somnath, Dwarka, Janagarh, Ujjain, Ajmer, Mathura, Pakpattan, Talwandi, Lahore, Sultanpur, Bilaspur, Rawalsar, Jawalaji, Spiti Vally, Tibet, Ladakh, Kargil, Amarnath, Srinagar and Baramula. Guru Nanak also paid visits to Muslim holy places. He went to Mecca, Medina, Beghdad via Multan, Peshawar Sakhar, Son Miani, Hinglaj etc. Some accounts say that Guru Sahib reached Mecca by sea route. He also visited Syria, Turkey and Tehran (Iran). From Tehran he set out on the caravan route and covered Kabul, Kandhar and Jalalabad. The aim of his tours was to awaken the people, and to realize the truth about God and his creation. He established a network of preaching centres of his philosophy called “Manjis”. He appointed able and committed followers as their in-charges. The basic tenets of Guru Nanak's philosophy were wilfully conceived by people from all walks of life. Thus the seeds of Sikhism were sown all over India and abroad in a well-planned manner. In 1516, Guru Nanak laid the foundation of a city, In the central Punjab, near Pakhoke Randhawa, for wider dissemination of his message. He built a Dharamsala (a place for the religious congregation), established the Holy Fellowship of the people there, and named the city the Abode of the Creator — 'Kartarpur'. But he and Bhai Mardana soon left it for his travel to Mecca in autumn of 1518 A.D. In the year 1520, Babar attacked India. His troops slaughtered thousands of innocent civilians. Women and children were made captives, and all their property was plundered at Eminabad (now in Pakistan). Guru Nanak, who was at Eminabad at that time, challenged this act of barbarity by Babar in strong words. He was arrested and released shortly after, making Babar realize his blunder. All the prisoners were also released. Guru Nanak came back to Kartarpur in 1521 A.D. (shrink)