Cat Scratch Disease in a Renal Transplant Recipient
We reported a case of CSD in a kidney transplant recipient who presented with fever and lymphadenopathy. Lymph node biopsy demonstrated bacterial histiocytic lymphadenitis. The patient was diagnosed with CSD. Patient had good clinical improvement after treatment. Therefore, CSD should also be borne in mind for kidney recipients though CSD had been infrequently reported in this group. (Source: Progress in Transplantation)
Source: Progress in Transplantation - September 4, 2016 Category: Transplant Surgery Authors: Yalin, S. F., Sahin, S., Yemisen, M., Tuzuner, N., Altiparmak, M. R., Seyahi, N. Tags: Original Articles Source Type: research
Pregabalin: A New Adjunct in Calcineurin Inhibitor Pain Syndrome Treatment
Tacrolimus and cyclosporin are calcineurin inhibitors (CIs) commonly used in organ transplants. These agents rarely cause a severe, debilitating pain syndrome of especially lower extremities, known as CI pain syndrome (CIPS). Although the pathogenesis is not well understood, neuropathic pain mechanisms have started to be discussed in the recent literature. Here, presenting a 48-year-old male with CIPS who recovered after pregabalin 150 mg twice daily, we aimed to emphasize the importance of this syndrome and offer a new approach for the treatment. This is the first report in the literature where pregabalin is demonstrated ...
Source: Progress in Transplantation - September 4, 2016 Category: Transplant Surgery Authors: Tasoglu, O., Gökcan, H., Demir, S. O., Yenigün, D., Akdogan, M., Kacar, S. Tags: Original Articles Source Type: research
Mastering Together the Highs and Lows: Patients and Caregivers Perceptions of Self-Management in the Course of Liver Transplantation
Conclusion:
Patients and close caregivers prioritized self-management tasks as follows: first medical, then role-related, and finally emotional management. Over the course of LTx, health-care professionals should acknowledge this ranking while providing individualized support to both patients and caregivers. (Source: Progress in Transplantation)
Source: Progress in Transplantation - September 4, 2016 Category: Transplant Surgery Authors: Beckmann, S., Künzler-Heule, P., Biotti, B., Spirig, R. Tags: Original Articles Source Type: research
Lung Ultrasound Utility in the Management of the Neurologically Deceased Organ Donor
Conclusions:
Lung ultrasound may play a significant role in donor management providing real-time clinical data, allowing for rapid identification of abnormalities, and leading to management interventions that may increase the number of transplanted lungs. (Source: Progress in Transplantation)
Source: Progress in Transplantation - September 4, 2016 Category: Transplant Surgery Authors: Lebovitz, D. J., Tabbut, M., Latifi, S. Q., Dezelon, L., Jones, R. Tags: Original Articles Source Type: research
Introducing Genetic Tests With Uncertain Implications in Living Donor Kidney Transplantation: ApoL1 as a Case Study
Genetic mutations in apolipoprotein L1 (ApoL1) are associated with kidney disease. Apolipoprotein L1 mutations are common in African Americans (~39% and 12% have 1 and 2 high-risk alleles, respectively). Carrying 2 ApoL1 risk alleles may explain much of the excess rate of kidney failure in African Americans compared to European Americans. Apolipoprotein L1 also has implications for kidney transplantation. Kidney grafts from deceased donors with 2 ApoL1 risk alleles have worse graft survival, but outcomes appear unaffected by recipient ApoL1 status. Unknown is whether donation increases the risk of kidney failure in living ...
Source: Progress in Transplantation - September 4, 2016 Category: Transplant Surgery Authors: Ross, L. F., Thistlethwaite, J. R. Tags: Original Articles Source Type: research
Is it "Dietician" or "Dietitian"? How You Spell it May Mean More Than You Think!
(Source: Progress in Transplantation)
Source: Progress in Transplantation - May 19, 2016 Category: Transplant Surgery Authors: Pieloch, D. Tags: Letter to the Editor Source Type: research
Deep Demographics: Understanding Local Variation in Donor Registration
This is the first published study to examine in detail the demographic factors associated with willingness to register as an organ donor at a state motor vehicles bureau. It uses registration counts controlling for the size of the general population as the measure of willingness. Local variation in registration levels is modeled as a function of a set of local socioeconomic, racial/ethnic, and immigration characteristics; cluster analysis of social areas is used to probe the effects of nonlinear combinations of local social environment factors. Results show that residence in high minority areas, lower-income areas, and imm...
Source: Progress in Transplantation - May 19, 2016 Category: Transplant Surgery Authors: Reibel, M., Olmo, C., Andrada, S., Koertzen, J. Tags: Original Articles Source Type: research
Absence of the Effect of Pretransplant Body Mass Index on Post Kidney Transplant Outcomes
Conclusion:
Our results do not show an effect of BMI on posttransplant outcomes, suggesting that relaxation of BMI criteria may be warranted for recipient selection. (Source: Progress in Transplantation)
Source: Progress in Transplantation - May 19, 2016 Category: Transplant Surgery Authors: Tremblay, S., Kaiser, T. E., Alloway, R. R., Woodle, E. S., Diwan, T. S. Tags: Original Articles Source Type: research
Childhood Abuse Is Associated With Worse Survival Following Lung Transplantation
Conclusion:
Abuse survivorship is common in lung transplant patients and associated with increased posttransplant mortality and increased maladaptive personality traits. This preliminary evidence suggests that lung transplant patients should be screened for abuse history and provided with appropriate treatment of survivorship issues to potentially improve their health outcomes from transplantation. (Source: Progress in Transplantation)
Source: Progress in Transplantation - May 19, 2016 Category: Transplant Surgery Authors: Kennedy, C. C., Zubair, A., Clark, M. M., Jowsey-Gregoire, S. Tags: Original Articles Source Type: research
Delayed Graft Function in Kidney Transplantation: Risk Factors and Impact on Early Graft Function
This study showed that DGF was a common and serious problem associated with poor graft functions at 3, 6, and 12 months after transplantation. Extra effort to shorten CIT as an independent risk factor for DGF could have protective effect on graft functions. (Source: Progress in Transplantation)
Source: Progress in Transplantation - May 19, 2016 Category: Transplant Surgery Authors: Tugmen, C., SERT, I., Kebabcı, E., Murat Dogan, S., Tanrısev, M., Alparslan, C., Kılıcaslan Ayna, T., Olmez, M., Karaca, C. Tags: Original Articles Source Type: research
Attainment of the Elusive: Attributions for Long-term Success in Kidney Transplantation
Survival of a kidney transplant recipient beyond 2 decades is a relatively rare event. No studies have been conducted to describe individuals’ longevity attributions, who have had their kidney transplant for many years. The purpose of this qualitative analysis was to examine longevity attributions of kidney transplant recipients who have had a kidney transplant for 25 years or longer. The initial sample was obtained from an informal support group that includes only those who have had their kidney transplant >25 years. A semistructured 1-hour interview was conducted over the phone, audio-taped, and transcribed. Dat...
Source: Progress in Transplantation - May 19, 2016 Category: Transplant Surgery Authors: Matteson-Kome, M. L., Ruppar, T., Russell, C. Tags: Original Articles Source Type: research
Perioperative Desensitization Improves Outcomes Among Crossmatch Positive Recipients of Deceased Donor Renal Transplants
Conclusion:
Preemptive perioperative desensitization improved overall graft survival of sensitized patients compared to historic untreated patients. Plasmapheresis/IVIG had greater impact on DSA eradication and graft survival than IVIG alone. (Source: Progress in Transplantation)
Source: Progress in Transplantation - May 19, 2016 Category: Transplant Surgery Authors: Sharma, A., King, A., Kumar, D., Behnke, M., McDougan, F., Kimball, P. M. Tags: Original Articles Source Type: research
Restless Legs Syndrome Following Lung Transplantation: Prevalence and Relationship With Tacrolimus Exposure
Conclusions:
Our data confirms increased prevalence of RLS following lung transplantation reported by previous studies. RLS symptoms were not related to estimated tacrolimus exposure. Predictors of RLS following lung transplantation need to be further investigated to better identify and control RLS symptoms and reduce associated insomnia and disability. (Source: Progress in Transplantation)
Source: Progress in Transplantation - May 19, 2016 Category: Transplant Surgery Authors: Menninga, N. J., Rohde, K. A., Schlei, Z. W., Katers, K. M., Weber, A. K., Brokhof, M. M., Hawes, D. S., Radford, K. L., Francois, M. L., Cornwell, R. D., Benca, R., Hayney, M. S., Dopp, J. M. Tags: Original Articles Source Type: research
The Experience of Family Caregivers of Patients With a Left Ventricular Assist Device: An Integrative Review
Conclusion:
Health care providers should understand the pivotal role of caregivers in promoting and maintaining patients’ well-being and be able to help the caregiver to moderate the impact being overloaded. Research should be addressed to create interventions that motivate the caregivers to engage in activities that promote their health. (Source: Progress in Transplantation)
Source: Progress in Transplantation - May 19, 2016 Category: Transplant Surgery Authors: Cicolini, G., Cerratti, F., Pelle, C. D., Simonetti, V. Tags: Original Articles Source Type: research
Identifying Potential Ventilator Auto-Triggering Among Organ Procurement Organization Referrals
Context:
Ventilator auto-trigger is the delivery of an assisted mechanical ventilated breath over the set ventilator frequency in the absence of a spontaneous inspiratory effort and can be caused by inappropriate ventilator trigger sensitivity. Ventilator auto-trigger can be misinterpreted as a spontaneous breath and has the potential to delay or prevent brain death testing and confuse health-care professionals and/or patient families.
Objective:
To determine the frequency of organ donor referrals from 1 Organ Procurement Organization (OPO) that could benefit from an algorithm designed to assist organ recovery coordinator...
Source: Progress in Transplantation - May 19, 2016 Category: Transplant Surgery Authors: Henry, N. R., Russian, C. J., Nespral, J. Tags: Original Articles Source Type: research
