Transplantation proceedings
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Comparative Study
Kidney Transplantation Using Expanded-Criteria Deceased Donors: A Comparison With Ideal Deceased Donors and Non-Expanded-Criteria Deceased Donors.
The use of expanded-criteria deceased-donor (ECD) kidneys must be evaluated within the objective perspective of critical organ shortage and graft function and survival. In this study, we aimed to compare the clinical outcomes of ECD reliance with concurrent use of ideal-criteria deceased donors (IDDs) and non-ECDs in adult renal transplantation. ⋯ Although the long-term renal function followed longitudinally was lower in ECD kidney recipients, the use of renal grafts from ECDs is an acceptable method to resolve the disparity of critical organ shortage. However, the classification of the high-risk group should be updated with consideration given to differences in regional characteristics.
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A 28-year-old woman was diagnosed as having an ectopic kidney in adolescence. She desired to donate her ectopic kidney to her mother, who was diagnosed as having renal failure. The ectopic kidney was located behind the sigmoid colon with 3 renal arteries and 3 renal veins. ⋯ An artery of the upper pole was anastomosed to the internal iliac artery, and a second artery was anastomosed directly to the inferior epigastric artery. Three veins were anastomosed to the external iliac vein: 1 anastomosed directly, 1 interposed by saphenous vein graft, and 1 interposed by harvested ovarian vein. To our knowledge, this is the first successful case of transplantation using an ectopic pelvic kidney by reduced port laparoscopic donor nephrectomy.
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To measure the awareness regarding the concepts of brain death and organ donation among secondary school students within the age range of 12-18 years in the southern region of Saudi Arabia. ⋯ The knowledge of and attitude toward brain death and organ donation are very poor among the young Saudi population, and have not evolved over a period of time. The information regarding the religious fatwas has not been transmitted to the level of the educational institutions.
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To assess, among medical students, the willingness to donate their own organs or those of a family member, and to establish reasons for refusal. ⋯ A considerable percentage of medical school students would not be willing to donate their own or a family member's organs. Main reasons are mistrust of the system, lack of information about donation programs, and poor understanding of the brain death concept. Contact with an organ recipient and discussing the subject in the family both favored donation.
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In this study we assessed burnout and resilience levels among transplant nurses to analyze the relationship between these 2 variables, and to address whether demographic factors were associated with burnout. ⋯ Transplant nurses in China experience burnout. Resilience was negatively related to emotional exhaustion and depersonalization, and was positively associated with personal accomplishment. Older age, being married, and having children may increase the risk of burnout. Nurses with a high monthly income, high title or position, and adequate exercise are not likely to experience burnout.