Education Corner: Clinical and Ethical Challenges in Pediatric Brain Death Determination

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Definition of Pediatric Brain Death

American Academy of Pediatrics (AAP):

Determination of brain death in neonates, infants and children relies on a clinical diagnosis that is based on the absence of neurologic function with a known irreversible cause of coma.

Determination of Brain Death

  1. Identify the cause of irreversible brain injury
  2. Exclude conditions that can ...
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UT Southwestern demonstrates efficacy of portable donor liver system

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UT Southwestern announced its participation in the Liver PROJECT trial of a portable system designed to keep livers warm and blood circulating prior to liver transplantation, according to a press release.

“It’s like a virtual transplant,” Malcolm MacConmara, MD, from UT Southwestern’s department of surgery and lead researcher of the Liver PROTECT study, said in the release. “By putting the liver on the machine, we can truly approximate the conditions of the body. We provide oxygen, blood and nutrition to the liver and watch how ...

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Education Corner: Frailty Among Kidney Transplant Candidates

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What is the Clinical Definition of Frailty?

The frailty phenotype is a multi-component syndrome in which three or more of the following criteria are met:

Are Frail Kidney Transplant Candidates at Risk of Poor Outcomes?

Kidney Transplant Candidates, regardless of age, are highly vulnerable to adverse events while awaiting a transplant. In kidney transplant candidates, frailty is associated with increased odds of fair or poor HRQOL (Health-Related Quality of Life) ...

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Redefining the Donation Conversation in New #BeTheGift Campaign

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Signing up to be an organ donor means thinking about what happens after you die, which can be uncomfortable, so DCI Donor Services is appealing to potential donors differently.

“We thought what we had to do was battle these myths and misunderstandings about organ and tissue donation,” said Michael Ashmore, communications director at DCI. “As it turns out, when we started talking about this campaign, all these myths are such a small percentage of why people don’t do it. People just ...

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Sun’s Harms Rise After Organ Transplant

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Organ transplant recipients are at increased risk for skin cancer and need to protect themselves, a dermatologist warns.

“Individuals who receive organ transplants need to take immunosuppressive medications for the rest of their lives, and this makes it more difficult for their bodies to fight disease, including skin cancer,” said Dr. Christina Lee Chung. She is former director of the Drexel Dermatology Center for Transplant Patients in Philadelphia.

“On top of that, some of these medications make the skin more sensitive to ...

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PBS News Explores Controversy of Compensation for Kidney Donors

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From PBS News Hour: In the U.S., Medicare spending on dialysis accounts for nearly 1 percent of the entire federal budget, and the cost is growing. On the other hand, kidney transplants are actually less expensive and offer the possibility of getting back to work and off disability, but there are not enough for every patient in need. Economics correspondent Paul Solman looks at ...

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Hepatitis C-positive Heart Transplants: Safer After All?

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As of July 5, 2018, there are 3,960 people in the United States on the waitlist for a heart transplant. That’s only a fraction of the 114,554 people who need organ transplants. There is a great need for organ donations, and physicians at the University of Washington Medical Center have initiated a protocol to help with that.

The UW heart transplant team, led by Dr. Jason Smith, the associate surgical director of heart transplantation and a cardiac surgeon, plans to transplant hearts from ...

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Education Corner – Donate Life ECHO

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DONATE LIFE ECHO: EVERY COMMUNITY HAS OPPORTUNITY
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On a yearly basis, during the second and third full weeks of July, a two-week outreach campaign known as Donate Life ECHO is observed. This nationally-recognized initiative focuses on educating multicultural communities on the importance of donation and transplantation and registering to ...

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A Dream Starting to Come True: Wearable Kidneys

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Without a transplant, patients with kidney failure need dialysis to stay alive. Dialysis does a good job of cleaning the blood and removing extra fluid, but it takes a lot of time and can hurt a patient’s quality of life. Since the 1970s, doctors have been trying to make a dialysis machine that patients can wear. The hope has always been to free patients from a huge machine that keeps them tied down. But there were no parts small and ...

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Man with world’s largest kidneys receives transplant at Mayo Clinic

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Champion. A title Gene Okun relishes.

Now, the man once-dubbed “Baby Arnold Schwarzenegger” holds a title he never wanted.

Doctors believe Okun, a former powerlifter and bodybuilder, has the largest kidneys in the world. An average kidney is the size of your fist. Okun’s are bigger than a football.

“I can’t say growing bigger kidneys was on my list of dream accomplishments. Unfortunately, as luck would have it, I am now famous for big ...

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