- Tattoos, blood-borne viruses and blood donors: a blood donor cohort and risk assessment. [Journal Article]Vox Sang 2019VS
- CONCLUSIONS: This residual risk indicates BBV deferral for donors post-tattoo in Australia is not required for blood safety.
- Mapping and prediction of organ procurement in cases resulting in mortality due to traumatic injuries: A matched cohort analysis. [Journal Article]Ulus Travma Acil Cerrahi Derg 2019; 25(4):361-368UT
- CONCLUSIONS: In terms of predictive traits for organ procurement, a SBP of ≤90 mmHg and presence of serious penetrant injuries were found to be more predictive for organ transplantation than other factors such as AIS Head ≥3 or 1500 cc or more replacement of blood and blood products.
- Community engagement and mobilisation of local resources to support integrated Community Case Management of childhood illnesses in Niger State, Nigeria. [Journal Article]J Glob Health 2019; 9(1):010804JG
- CONCLUSIONS: The achievements of community engagement, mobilisation, and the resources leveraged, demonstrated acceptability of the project to the beneficiaries and their willingness to contribute to uninterrupted service provision by CORPs.
- End-of-life care content in postgraduate critical care nursing programs: Structured telephone interviews to evaluate content-informing practice. [Journal Article]Aust Crit Care 2019AC
- CONCLUSIONS: This study provides preliminary evidence of the variation in end-of-life content in postgraduate critical care nursing programs in Australia. Addressing gaps in end-of-life care content in formal education, including clinical care of the dying patient, is urgently needed to address the complexity of this phase of care that is so frequently provided in critical care units.
- Seroprevalence and risk factors on Syphilis among blood donors in Chengdu, China,from 2005 to 2017. [Journal Article]BMC Infect Dis 2019; 19(1):509BI
- CONCLUSIONS: Health consultation and screening of high-risk groups before blood donation need to be further improved. Blood donor recruitment should emphasize on excluding the high-risk donors and recruiting more low-risk blood donors. In addition, this study also shows that sharing cosmetic surgical instrument has been proven to transmit blood-borne diseases. Therefore, the syphilis in blood circulation should not be ignored.
- A Summary of Transplantation Activity in Hungary. [Historical Article]Transplant Proc 2019; 51(4):1202-1208TP
- The first kidney transplantation was performed in Hungary by András Németh in 1962. It was a living donor procedure. After many years of silence, organized cadaveric programs were established in Budapest (1973), Szeged (1979), Debrecen (1991), and Pécs (1993). The heart program was initiated by Professor Zoltán Szabó in 1992 and the liver transplant program by Professor Ferenc Perner in 1993. The…
The first kidney transplantation was performed in Hungary by András Németh in 1962. It was a living donor procedure. After many years of silence, organized cadaveric programs were established in Budapest (1973), Szeged (1979), Debrecen (1991), and Pécs (1993). The heart program was initiated by Professor Zoltán Szabó in 1992 and the liver transplant program by Professor Ferenc Perner in 1993. The pancreas transplantation program was started in Pécs in 1998 by Károly Kalmár-Nagy, followed another in Budapest by Robert Langer in 2004. The lung transplant program was started in cooperation with Vienna in 1996. This fruitful collaboration continues today, even though that the national Hungarian program was established by Ferenc Rényi-Vámos and Professor György Lang in 2015, as it is detailed in this special issue. As a framework, the Hungarian Society of Organ Transplantation was founded in 1997 to give a scientific background for the transplant professionals. The coordination and organ allocation from deceased donors is carried out in collaboration with Eurotransplant. Usually more than 200 potential cadaveric donors are reported yearly, and 168 actual donation after brain death (DBD) donors (17.17 pmp) were utilized in 2018. The multiorgan donor rate was 65.5% among all DBDs in 2018; 505 organs were donated for transplant purposes. To date, more than 10,000 organ transplantations have been performed. The living related kidney transplant program was established in all transplant centers, led by Budapest. In this paper the authors summarize the activity of the Hungarian transplant community and of the Society over the last few decades.
- Designing a co-productive study to overcome known methodological challenges in organ donation research with bereaved family members. [Journal Article]Health Expect 2019HE
- CONCLUSIONS: Although expensive and time consuming, co-production was effective and added value to research processes and study outcomes.
- Study protocol to investigate the efficacy of normalisation of Advance Care Planning (ACP) for people with chronic diseases in acute and community settings: a quasi-experimental design. [Journal Article]BMC Health Serv Res 2019; 19(1):286BH
- CONCLUSIONS: This study will potentially contribute to better patient outcomes with their health care services. Completion of ACDs will allow patients to express their wishes for care and receive the care that they wish for, as well as ease their family from the burden of making difficult decisions. The study will contribute to development of a new best practice model to normalise ACP that is sustainable and transferable in the processes of: 1) initiation of conversation; 2) discussion of important issues; 3) documentation of the wishes; 4) storage of the documented wishes; and 5) access and execution of the documented wishes. The study will generate new evidence on the challenges, strategies and benefits of normalising ACP into practice in acute and community settings.
- [Viral Hepatitis B: clinical, paraclinical and evolutionary features within the Hepatogastroenterology Department at the Aristide Le Dantec Hospital: about 728 cases]. [Case Reports]Pan Afr Med J 2018; 31:82PA
- Viral Hepatitis B is a major public health problem in sub-Saharan Africa accounting for approximately 65 million of chronic carriers and 56.000 deaths per year. Our study aims to investigate the epidemiological paraclinical, therapeutic and evolutionary features of viral hepatitis B in patients followed up in our Department and to describe their serological profiles. We conducted a retrospective,…
Viral Hepatitis B is a major public health problem in sub-Saharan Africa accounting for approximately 65 million of chronic carriers and 56.000 deaths per year. Our study aims to investigate the epidemiological paraclinical, therapeutic and evolutionary features of viral hepatitis B in patients followed up in our Department and to describe their serological profiles. We conducted a retrospective, longitudinal study in the Hepatogastroenterology Department at the Aristide Le Dantec Hospital in Dakar from 2010 to 2014. We included all HBsAg positive patients followed up on an ambulatory basis or hospitalized. We collected data from 728 medical records of patients infected with Hepatitis B virus: 7 cases of acute hepatitis, 442 cases of chronic infections, 161 cases of cirrhosis and 118 cases of hepatocellular carcinoma. The average age of patients was 33 years [14 - 83 years] with a sex ratio of 2.2. The circumstances in which it was diagnosed included systematic screening (26.2%), right hypochondrium pain (23%) and donation of blood (18.6%). Fifty nine were Hepatitis B virus mono-infected and had chronic active hepatitis. Inactive carriers were 118. Serological status was undetermined in 252 patients due to clinical examination inadequacy related to economic constraints. Antiviral Hepatitis B treatment wasn't performed in 58 patients. Patients' virologic and biochemical response after 120 weeks of treatment with Tenofovir was 85% and 100% respectively. Hepatitis B virus is a major cause of liver disease in Senegal.
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- Isolated pancreas transplantation: Is rank list position related to outcomes of imported grafts? [Journal Article]Am J Transplant 2019AJ
- Transplant centers may decline an import pancreas offer based on demographics and laboratory test results, without information on actual gland quality. The relationship between position on the match run, indicative of the number of centers that chose not to use a pancreas, and patient and death-censored graft survival, is not known. We studied all 199 isolated pancreas grafts transplanted at the …
Transplant centers may decline an import pancreas offer based on demographics and laboratory test results, without information on actual gland quality. The relationship between position on the match run, indicative of the number of centers that chose not to use a pancreas, and patient and death-censored graft survival, is not known. We studied all 199 isolated pancreas grafts transplanted at the University of Wisconsin since July 2000 and compared overall patient and death-censored graft survival based on import vs local status. Of the 199 isolated pancreas transplants, 184 (92.5%) were imported from another donor service area with a median match rank of 49 (interquartile range 14-129). Median cold ischemia time was longer for imported pancreata (16.6 vs 13.4 hours, P = .02). In multivariate Cox modeling, there was no association with position on the rank list and patient (P = .44) or death-censored graft survival (P = .99). There was an overall rate of 6.5% of graft failure within 30 days; however, there was no association with position on the rank list and graft failure at 30 days (P = .33). Although the logistics may be challenging, sound judgment to accept offers independent of prior centers' decisions can result in quality utilization of imported pancreata.