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Progress in Transplantation

Jesus M Casida, Pamela Combs, Sarah E Schroeder, Caty Johnson
BACKGROUND: A mixed-method study of role stress and work intensity among nurse practitioners (NPs) in mechanical circulatory support (MCS) programs in the United States reported a qualitative data related to burnout. We empirically investigated this phenomenon by pursuing the following specific aims: (1) describe levels of personal burnout (PB), work-related (WB) burnout, and client-related burnout (CB) and quality of work life (QOWL) among MCS-NPs; (2) determine the relationship between burnout and QOWL variables; and (3) identify which type of burnout is a predictor of QOWL...
December 5, 2018: Progress in Transplantation
Ivo Abraham, Razan Alsheikh, Karen MacDonald
No abstract text is available yet for this article.
December 5, 2018: Progress in Transplantation
Michelle Gruttadauria, Colin Dunn, Juan Lin, Joshua R Kaminetsky, Kayla Applebaum, Daniella Portal, Omar Mohammed, Juan Rocca, Stuart Greenstein
INTRODUCTION: Prior to transplantation, the transplant team is responsible for transplant education and posttransplant expectations. The majority of outcomes research focuses on 1- and 3-year graft survival, with a lack of literature focused upon whether patients have a realistic understanding of how many years deceased donor kidneys can be expected to function after transplant. OBJECTIVE: To determine whether potential kidney transplant patients' expectations for how long a deceased donor kidney will function after transplantation differs from transplant surgeons, using quantitative analysis...
December 4, 2018: Progress in Transplantation
Anjuman Howlader, Bijin Thajudeen, Lavanya Kodali, Diego Martin, Robert Harland, Prabir Roy-Chaudhury
No abstract text is available yet for this article.
December 4, 2018: Progress in Transplantation
Yanmen Yang, Christina M Guerra, Nabil Sumrani
INTRODUCTION: Leukopenia in renal transplant recipients occurs commonly within the first year following transplantation; however, literature on the effects of age on leukopenia is scarce. DESIGN: A single-center, retrospective review was conducted on 141 recipients transplanted from January 2011 to December 2015. Transplant recipients were characterized by age <60 years (n = 94) or age 60 years and older (n = 47) for analysis. RESULTS: A greater incidence of leukopenia was seen in the older cohort compared to the younger cohort (64% vs 55%)...
December 4, 2018: Progress in Transplantation
Laith Mukdad, William Toppen, Son Nguyen, Kwang Kim, Abie H Mendelsohn, Ali Zarrinpar, Peyman Benharash
INTRODUCTION: Postoperative dysphagia leads to aspiration pneumonia, prolonged hospital stay, and is associated with increased mortality. We have demonstrated the validity of a bedside targeted swallow evaluation following cardiac surgery. Since dysphagia following liver transplantation is not well examined, we evaluated the efficacy of this swallow screen method in postoperative liver transplant patients. METHODS: This was a prospective trial involving adult patients who underwent liver transplant surgery at our institution over a 5-month period...
December 4, 2018: Progress in Transplantation
Michel Rayar, Betty Maillot, Damien Bergeat, Christophe Camus, Pauline Houssel-Debry, Laurent Sulpice, Bernard Meunier, Karim Boudjema
No abstract text is available yet for this article.
November 29, 2018: Progress in Transplantation
Maria Teresa Tomás, Xavier Melo, Élia Mateus, Mafalda Gonçalves, Eduardo Barroso, Helena Santa-Clara
BACKGROUND: Supervised (SE) and home-based exercise (HBE) training regimes are effective on reconditioning patients with familial amyloidotic polyneuropathy (FAP) after liver transplantation, but research of the long-term retention of the benefits attained in patients with FAP has not yet been conducted. PURPOSE: In this 5-year follow-up study, we aimed to determine whether the exercise training gains in body composition, physical activity, and function promoted by a 24-week SE or HBE training regimes are retained in patients with FAP who resume normal activity...
September 27, 2018: Progress in Transplantation
G Alden Holmes, Joseph Soo, Sharon E Jacob
The improved survival of liver transplant recipients (LTRs) has been accompanied by a concomitant rise in long-term liver transplantation complications, including skin cancer. A recent study found that the prevalence of skin cancer among LTRs is 13.5%, a rate equivalent to that observed among kidney transplant recipients. Given the morbidity associated with skin cancer in LTRs, an individualized, multidisciplinary approach to skin cancer prevention that incorporates patient education, encourages consistent use of primary prevention methods, and ensures routine dermatologic screening should be universally adopted in this population...
September 24, 2018: Progress in Transplantation
Tara O'Brien, Cynthia L Russell, Alai Tan, Mallory Washington, Donna Hathaway
INTRODUCTION: Rapidly growing use of mobile technology provides a platform for self-management of care support for those with chronic conditions. Few studies have explored the characteristics or access patterns of kidney transplant recipients who use mHealth applications (apps) for self-management of care. RESEARCH QUESTIONS: The primary aim of this study was to describe demographics, use, barriers, and perceptions of mobile apps for self-management of care among adult kidney transplants recipients...
September 24, 2018: Progress in Transplantation
Amanda J Chaney, Michael G Heckman
INTRODUCTION: Nutritional interventions improve patient outcomes and reduce mortality in patients with cirrhosis by reducing infection risk, ascites, length of stay in hospital and intensive care unit, and mortality. Follow-up phone calls have been found to be useful in improving patient adherence to therapy. PROBLEM: The purpose of this quality improvement project was to determine whether supplemental nutrition education would improve nutrition and outcomes among patients with cirrhosis who are undergoing a liver transplant evaluation...
September 24, 2018: Progress in Transplantation
Miguel Moyses Neto, Roberto Silva Costa, Gustavo Frezza, Tania M Garcia, Maria Estela Papini Nardin, Elen Almeida Romao
No abstract text is available yet for this article.
September 24, 2018: Progress in Transplantation
Baran Balcan, Umit Ozcelik, Aylin Ozsancakli Ugurlu, Mehtap Aydin, Serdar Nalcaci, Feza Yarbug Karakayali
INTRODUCTION: Renal transplantation is the most effective and preferred definite treatment option in patients with end-stage renal disease. Due to long-term immunesuppressive treatment, renal transplant recipients become vulnerable to opportunistic infections, especially to fungal infections. METHOD: This was a single-center, retrospective observational study of 438 patients who underwent renal transplantation between 2010 and 2016. RESULTS: Thirty-eight renal transplant recipients who had lower respiratory tract infection with median age of 41...
September 20, 2018: Progress in Transplantation
Helene Vilme, Clemontina A Davenport, Jane Pendergast, L Ebony Boulware
BACKGROUND: Due to marginal efforts to increase living donor kidney transplantation, it is unclear whether interventions to improve African Americans' interest and pursuit of living donation should be tailored to address patients' exposure to or familiarity with dialysis or transplant settings. DESIGN, SETTING, AND PARTICIPANTS: We conducted a cross-sectional secondary analysis of baseline data from 3 separate randomized clinical trials among African Americans with varying degrees of experience with dialysis or transplantation (predialysis, on dialysis but not on transplant list, and on transplant wait-list) settings...
September 19, 2018: Progress in Transplantation
Hamza Hassan Khan, Adarsh Vijay, Matthew Cooper, Seyed Reza Ghasemian
No abstract text is available yet for this article.
September 17, 2018: Progress in Transplantation
David Snipelisky, Justin Shipman, Nicole Olson, Patricia Pellikka, Bashar Aqel, Robert McCully, Kymberly Watt
INTRODUCTION: Dobutamine stress echocardiography (DSE) is frequently used to screen for obstructive coronary artery disease in the pre-liver transplant evaluation. Although atropine is a commonly used adjunctive medication, no study has evaluated its side effect profile in patients with end-stage liver disease (ESLD). RESEARCH QUESTION: What is the safety of atropine in candidates undergoing pre-liver transplant evaluation when atropine is used in stress testing? DESIGN: This multicenter, prospective study enrolled patients over a 6-month period undergoing pre-liver transplant evaluation...
September 16, 2018: Progress in Transplantation
Brett G Sampson, Steven R Wilson, Mark E Finnis, Alison M Hodak, Philippa N Jones, Stephanie L O'Connor, Marianne J Chapman
BACKGROUND: The Australian and New Zealand Intensive Care Society and the Australasian Transplant Coordinators Association provide recommendations on the physiological management of brain-dead donors. PROBLEM STATEMENT: How often physiological targets are prescribed for brain-dead donors in Australian intensive care units (ICUs), and how well these compare to recommended targets is unknown. It is also unknown how often recommended targets are achieved, irrespective of prescribed targets...
September 16, 2018: Progress in Transplantation
Aimee J Sarti, Stephanie Sutherland, Andrew Healey, Sonny Dhanani, Angele Landriault, Frances Fothergill-Bourbonnais, Michael Hartwick, Janice Beitel, Simon Oczkowski, Pierre Cardinal
BACKGROUND: Organ donation research has centered on improving donation rates rather than focusing on the experience and impact on substitute decision makers. The purpose of this study was to document donor and nondonor family experiences, as well as lasting impacts of donation. METHODS: We used a qualitative exploratory design. Semistructured interviews of 27 next-of-kin decision makers were conducted, transcribed verbatim, and entered into qualitative software...
September 16, 2018: Progress in Transplantation
Linda Ohler
No abstract text is available yet for this article.
September 16, 2018: Progress in Transplantation
Razan Alsheikh, Osamah M Alfayez, Majed S Al Yami
Solid organ transplant patients are at risk of developing atrial fibrillation and venous thromboembolism. Direct oral anticoagulants are considered an attractive option for anticoagulation in patients due to their convenience; however, strong evidence of their use in transplantation is lacking. We conducted a search using Pubmed, Embase, and Scopus databases, in addition to International Society of Heart and Lung transplantation and American Transplant Congress abstracts (from 2012 through December 2017). Fourteen articles were reviewed that included case reports, retrospective case series, or chart review analyses of small cohorts...
September 16, 2018: Progress in Transplantation
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