Cultural Sensitivity and Challenges in Management of the Transgender Patient With ESRD in Transplantation
Transgender patients with end-stage renal disease (ESRD) present with specific challenges during the transplant evaluation, perioperative management, and postoperative phase of care. Demographic information, health-care records, chosen name, and gender identity along with documentation of specific health-care needs can become a challenge when gender assigned at birth is incongruent with the patients gender identity. Medical care involves addressing the end-organ disease as well as addressing those aspects of care specific to the transgender patient. This review article provides information on defining transgender, the impa...
Source: Progress in Transplantation - February 29, 2016 Category: Transplant Surgery Authors: Hoch, D. A., Bulman, M., McMahon, D. W. Tags: Original Articles Source Type: research
Outcomes of Kidney Transplantation Abroad: A Single-Center Canadian Cohort Study
Conclusion:
Patients going abroad for kidney transplantation may have inferior outcomes compared to domestic patients receiving kidney transplants. Patients who are contemplating an overseas transplant need to be aware of the increased risk of adverse posttransplant outcomes and should be appropriately counseled by transplant professionals during the pretransplant evaluation process. (Source: Progress in Transplantation)
Source: Progress in Transplantation - February 29, 2016 Category: Transplant Surgery Authors: Quach, K., Sultan, H., Li, Y., Famure, O., Kim, S. J. Tags: Original Articles Source Type: research
Courage and Character, Leaders and Legends: An Interview With Hans Sollinger, MD, PhD
(Source: Progress in Transplantation)
Source: Progress in Transplantation - February 29, 2016 Category: Transplant Surgery Authors: Ohler, L. Tags: Editorial Source Type: research
Impact of a Quality Improvement Project on Deceased Organ Donor Management
Conclusion—
The quality improvement project improved donor glucose homeostasis, and the data confirm that poor glucose homeostasis is associated with worsening terminal renal function. (Source: Progress in Transplantation)
Source: Progress in Transplantation - November 30, 2015 Category: Transplant Surgery Authors: Olmos, A., Feiner, J., Hirose, R., Swain, S., Blasi, A., Roberts, J. P., Niemann, C. U. Tags: Procurement Issues in Transplantation Source Type: research
Experiential Learning Not Enough for Organ Procurement Surgery: Implications for Perioperative Nursing Education
Conclusion—
The findings from this study provide a unique contribution to the existing literature by providing an in-depth understanding of the educational needs of perioperative nurses in order to assist successfully in multiorgan procurement procedures. These findings could guide further research with implications for clinical initiatives or education programs specifically targeting the perioperative nursing profession both locally and internationally. (Source: Progress in Transplantation)
Source: Progress in Transplantation - November 30, 2015 Category: Transplant Surgery Authors: Smith, Z., Leslie, G., Wynaden, D. Tags: Procurement Issues in Transplantation Source Type: research
Organ Donation Video Messaging in Motor Vehicle Offices: Results of a Randomized Trial
Conclusion—
The relatively low uptake of the video intervention by customers most likely contributed to the negative trial finding. (Source: Progress in Transplantation)
Source: Progress in Transplantation - November 30, 2015 Category: Transplant Surgery Authors: Rodrigue, J. R., Fleishman, A., Fitzpatrick, S., Boger, M. Tags: Procurement Issues in Transplantation Source Type: research
Explaining the Quality of Life of Organ Transplant Patients by Using Crisis Theory
Conclusions—
Current findings suggest important QOL benefits of organ transplant. Using a theoretical model is an effective way to investigate the QOL of people experiencing chronic illness such as end-stage organ failure. Further investigation is required to reach a conclusive understanding of the complex interaction between transplant patients' QOL, stress, and coping. (Source: Progress in Transplantation)
Source: Progress in Transplantation - November 30, 2015 Category: Transplant Surgery Authors: Denny, B., Kienhuis, M., Gavidia-Payne, S. Tags: Clinical Issues in Transplantation Source Type: research
Listeria Monocytogenes Bacteremia in a Pancreas Transplant Recipient
We report a case of Listeria monocytogenes bacteremia in a patient 12 years after his pancreas transplant, during which time he received a steroid-free immunosuppressive regimen. To our knowledge, there are no reported cases describing L monocytogenes bacteremia after pancreas transplant. In addition, although typically identified as a complication shortly after transplant or after treatment for organ rejection, this case demonstrates that it is still possible for a patient to develop a L monocytogenes infection far removed from transplant. (Source: Progress in Transplantation)
Source: Progress in Transplantation - November 30, 2015 Category: Transplant Surgery Authors: Cohen, E. A., Topal, J. E., Tichy, E. M. Tags: Clinical Issues in Transplantation Source Type: research
Preparing for a Face Transplant: Development of a Comprehensive Nursing Educational Program
To date, more than 30 face transplants have been performed worldwide. This innovative procedure has restored the functional and aesthetic aspects of the face in patients with cancer, congenital, and trauma-related deformities where the results of traditional reconstructive surgery have been deficient. The importance of nursing involvement in the care of these patients is undeniable; however, little has been published about how to properly prepare a nursing department to undertake such an important role. Although the care of patients undergoing face transplants has many similarities to the care of patients undergoing tradit...
Source: Progress in Transplantation - November 30, 2015 Category: Transplant Surgery Authors: Sweeney, N., Calame-Mars, G., Dojlidko, D., Frank-Bader, M., Keller, R., Waterman, J. Tags: Clinical Issues in Transplantation Source Type: research
Duration of Prophylaxis against Fungal Infection in Kidney Transplant Recipients
Conclusions—
Limiting the administration of nystatin to the duration of admission after transplant may be sufficient for prophylaxis of fungal infections in kidney transplant recipients. (Source: Progress in Transplantation)
Source: Progress in Transplantation - November 30, 2015 Category: Transplant Surgery Authors: Guerra, C. M., Formica, R. N., Kulkarni, S., Asch, W. S., Tichy, E. M. Tags: Clinical Issues in Transplantation Source Type: research
Outcomes of Living Kidney Donors with Rheumatoid Arthritis
Conclusion—
Healthy kidney donors with rheumatoid arthritis have good outcomes, with no increased risk of decline in renal function, end-stage renal disease, or death. (Source: Progress in Transplantation)
Source: Progress in Transplantation - November 30, 2015 Category: Transplant Surgery Authors: Cheungpasitporn, W., Thongprayoon, C., Ungprasert, P., Erickson, S. B. Tags: Clinical Issues in Transplantation Source Type: research
Effect of Elastic Bandage Wraps on Leg Edema in Patients before and after Liver Transplant
Conclusion—
In inpatients before and after liver transplant, the application of elastic bandage wraps to 1 leg for an 8-hour period led to significantly less edema formation and pain compared with the unwrapped leg. These results support the use of elastic bandage wraps in liver transplant patients to reduce leg edema and improve comfort. (Source: Progress in Transplantation)
Source: Progress in Transplantation - November 30, 2015 Category: Transplant Surgery Authors: Mathews, S., James, S., Anderson, J. D., Merchant, M., Benenati, S., Henry, S., Comrie, G., Pirani, S., Zellinger, M. Tags: Clinical Issues in Transplantation Source Type: research
Heart Transplant Recipient with History of Chagas Disease and Elevated Panel-Reactive Antibodies
Chagas disease is caused by a protozoan named Trypanosoma cruzi transmitted to humans by reduviid bugs. Severe dilated cardiomyopathy from chronic T cruzi infection is the most common finding, leading to end-stage heart failure. Heart transplant is an effective treatment for Chagas heart disease. However, T cruzi reactivation is of great concern, predisposing patients to episodes of myocarditis and rejection. A 56-year-old woman with a history of Chagas disease and elevated calculated panel reactive antibodies (CPRAs) underwent induction therapy and desensitization strategies aimed at lowering CPRAs, as elevated CPRAs have...
Source: Progress in Transplantation - November 30, 2015 Category: Transplant Surgery Authors: Davalos-Krebs, G. Tags: Clinical Issues in Transplantation Source Type: research
Patients with Psychotic Disorders in Solid-Organ Transplant
Conclusions—
Patients with a history of psychotic disorder can do well after organ transplant. Further studies are needed with factor analyses including severity of psychosis, medication adherence, and associated comorbid conditions. (Source: Progress in Transplantation)
Source: Progress in Transplantation - November 30, 2015 Category: Transplant Surgery Authors: Zimbrean, P., Emre, S. Tags: Clinical Issues in Transplantation Source Type: research
Personal Experience with 150 Isolated Procurements of Liver Allografts: Two Different Techniques
(Source: Progress in Transplantation)
Source: Progress in Transplantation - November 30, 2015 Category: Transplant Surgery Authors: Memeo, R., Roy, B. L., Pittau, G., de'Angelis, N. Tags: Letters to the Editor Source Type: research
