Journal of transplant coordination : official publication of the North American Transplant Coordinators Organization (NATCO)最新文献

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The dilemma of too few hearts. 红心太少的困境。
N D Long, A M Borkon
{"title":"The dilemma of too few hearts.","authors":"N D Long,&nbsp;A M Borkon","doi":"10.7182/prtr.1.9.4.36r42jv206579209","DOIUrl":"https://doi.org/10.7182/prtr.1.9.4.36r42jv206579209","url":null,"abstract":"<p><p>The number of patients being listed for heart transplantation continues to escalate. Despite a variety of attempts to increase organ donation, the number of available donor hearts remains unchanged. This imbalance of supply and demand creates medical rationing of donor organs. When the success of heart transplantation became apparent, selection criteria was relaxed, further increasing the disparity between the numbers of donor hearts and potential recipients. Decreasing the demand by tightening the selection criteria is the most reasonable solution at this time.</p>","PeriodicalId":79507,"journal":{"name":"Journal of transplant coordination : official publication of the North American Transplant Coordinators Organization (NATCO)","volume":"9 4","pages":"277-80"},"PeriodicalIF":0.0,"publicationDate":"1999-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21731277","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
Clinical decision making and ethics in communications between donor families and recipients: how much should they know? 临床决策和捐赠家庭与接受者之间沟通的伦理:他们应该知道多少?
P L Albert
{"title":"Clinical decision making and ethics in communications between donor families and recipients: how much should they know?","authors":"P L Albert","doi":"10.7182/prtr.1.9.4.75r22071pv3l1p06","DOIUrl":"https://doi.org/10.7182/prtr.1.9.4.75r22071pv3l1p06","url":null,"abstract":"<p><p>Advances in organ recovery and transplantation have provided us with the skills and opportunity to save, extend, and improve the quality of life for many. But with these opportunities have come challenges to redefine our practice and relationships with donor and recipient families. Although most donor families and transplant recipients receive some information about each other, many still do not. In the past, communication between donor families and recipients has been anonymous and highly controlled, with much inconsistency among and within the transplant community, leaving many involved in the process confused and frustrated. Transplant professionals may wish to consider critically the common ethical values of autonomy, beneficence, salience and benefit of choice in making decisions about information shared with and contact between donor families and recipients.</p>","PeriodicalId":79507,"journal":{"name":"Journal of transplant coordination : official publication of the North American Transplant Coordinators Organization (NATCO)","volume":"9 4","pages":"219-24"},"PeriodicalIF":0.0,"publicationDate":"1999-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21731369","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Author and Subject Index: Volume 9, 1999 作者和主题索引:1999年第9卷
{"title":"Author and Subject Index: Volume 9, 1999","authors":"","doi":"10.1177/090591999900900416","DOIUrl":"https://doi.org/10.1177/090591999900900416","url":null,"abstract":"","PeriodicalId":79507,"journal":{"name":"Journal of transplant coordination : official publication of the North American Transplant Coordinators Organization (NATCO)","volume":"9 1","pages":"284 - 287"},"PeriodicalIF":0.0,"publicationDate":"1999-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/090591999900900416","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"65467103","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Ethical challenges in infant heart transplantation: a clinical case presentation. 婴儿心脏移植的伦理挑战:一个临床病例介绍。
J K Johnston, R D Orr
{"title":"Ethical challenges in infant heart transplantation: a clinical case presentation.","authors":"J K Johnston,&nbsp;R D Orr","doi":"10.7182/prtr.1.9.4.1604656r63208411","DOIUrl":"https://doi.org/10.7182/prtr.1.9.4.1604656r63208411","url":null,"abstract":"<p><p>Although heart transplantation has become recognized as a viable option for the treatment of incorrectable heart disease in infants and children, its application becomes less clear in infants with potentially serious neurologic impairment. The following case study illustrates one transplant team's approach to decision making in the case of an infant born with a chromosomal deletion syndrome.</p>","PeriodicalId":79507,"journal":{"name":"Journal of transplant coordination : official publication of the North American Transplant Coordinators Organization (NATCO)","volume":"9 4","pages":"263-5"},"PeriodicalIF":0.0,"publicationDate":"1999-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21731274","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Financial Incentives: Alternatives to the Altruistic Model of Organ Donation 财政激励:器官捐赠利他模式的替代方案
L. Siminoff, M. D. Leonard
{"title":"Financial Incentives: Alternatives to the Altruistic Model of Organ Donation","authors":"L. Siminoff, M. D. Leonard","doi":"10.1177/090591999900900408","DOIUrl":"https://doi.org/10.1177/090591999900900408","url":null,"abstract":"Journal of Transplant Coordination, Vol. 9, Number 4, December 1999 5500 donors per year,2 the number of deaths due to lack of organs5 is anticipated to outstrip the number of organ donors annually very soon. Present methods for securing organ donations rely on voluntary donations by the general public. The primary motivation for the donation of organs is presumed to be altruism. However, the notion that organs are a gift has become increasingly problematic as the public becomes aware that organ transplantation does indeed financially benefit some sectors of society. The continued struggle over the equity and rationality of the organ distribution system further degrades the notion of the “gift.” Moreover, donated organs are hardly gifts in the traditional sense: nonliving donors cannot actively exchange their “gift” with an intended recipient, who in turn cannot reciprocate. In purely fiscal terms, transactional costs of procurement, distribution, and transplantation likewise prevent pro gratis dispensation of organs from donors to intended recipients. Finally, policy efforts such as “required request” (procedures to ensure that families of potential donors be asked to donate organs and tissues), which were designed to better direct altruistic appeals along “gift-of-life” Financial incentives: alternatives to the altruistic model of organ donation","PeriodicalId":79507,"journal":{"name":"Journal of transplant coordination : official publication of the North American Transplant Coordinators Organization (NATCO)","volume":"9 1","pages":"250 - 256"},"PeriodicalIF":0.0,"publicationDate":"1999-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/090591999900900408","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"65466800","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Self-care guidelines: finding a common ground. 自我护理指南:寻找共同点。
S Randolph, K Scholz
{"title":"Self-care guidelines: finding a common ground.","authors":"S Randolph,&nbsp;K Scholz","doi":"10.7182/prtr.1.9.3.13xk103386xl3242","DOIUrl":"https://doi.org/10.7182/prtr.1.9.3.13xk103386xl3242","url":null,"abstract":"<p><p>Pressure to reduce overall transplant costs is one of the factors which has led to earlier hospital discharge and increased patient management challenges in outpatient and home care settings. Earlier discharge often contributes to decreased opportunity to provide and ensure comprehension of critical patient and family education, resulting in challenges for home care clinicians who are committed not only to patient and environmental assessments, but to helping assure patient and family understanding of and compliance with critical posttransplant responsibilities and regimens. This article describes a transplant patient education tool that was developed for use with all types of solid organ transplant recipients discharged from multiple centers yet managed by a single home care organization. The tool provides patient education information that can be realistically reviewed and reinforced during the home visit. The resource focuses on key self-care issues to promote wellness and graft survival and help prevent adverse outcomes.</p>","PeriodicalId":79507,"journal":{"name":"Journal of transplant coordination : official publication of the North American Transplant Coordinators Organization (NATCO)","volume":"9 3","pages":"156-60"},"PeriodicalIF":0.0,"publicationDate":"1999-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21556014","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 5
Liver Donation by a Trauma Patient: A Case Study in Placement 创伤患者的肝脏捐赠:安置的个案研究
M. Kraljevich
{"title":"Liver Donation by a Trauma Patient: A Case Study in Placement","authors":"M. Kraljevich","doi":"10.1177/090591999900900305","DOIUrl":"https://doi.org/10.1177/090591999900900305","url":null,"abstract":"Journal of Transplant Coordination, Vol. 9, Number 3, September 1999 injuries, the patient was transported by medevac helicopter to the nearest trauma center. On arrival, C.C.’s physical examination showed significant bleeding from multiple facial lacerations and nares. Scattered abrasions of the chest and back were noted. Auscultation revealed clear, equal breath sounds bilaterally, with symmetrical chest wall expansion. The abdomen was soft and nondistended, with scattered abrasions and hypoactive bowel sounds. The extremities were unremarkable, with the exception of multiple abrasions. Neurologically, the pupils were pinpoint, corneal reflexes were absent, and painful stimuli elicited decerebrate posturing. The admission CT scan of the head showed transverse bitemporal skull fractures, with pneumocephalus and a subarachnoid hemorrhage. Admission CT scan of the abdomen and pelvis, according to the radiologist, showed a questionable liver laceration with no free air or fluid. No other intra-abdominal findings were noted. The results of this CT scan played a significant role in later attempts to place the liver. C.C.’s admission laboratory values are noted in Table 1. In the emergency department, a ventriculostomy was inserted, but over the course of the next 8 hours C.C.’s neurologic status deteriorated. During the night, he became hypertensive, with a peak blood pressure of 264/170 mm Hg and an intracranial pressure of 170 mm Hg. Shortly after, there was absence of neurologic function accompanied by hypotension, Liver donation by a trauma patient: a case study in placement","PeriodicalId":79507,"journal":{"name":"Journal of transplant coordination : official publication of the North American Transplant Coordinators Organization (NATCO)","volume":"9 1","pages":"153 - 155"},"PeriodicalIF":0.0,"publicationDate":"1999-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/090591999900900305","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"65466049","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Book Reviews: Clinics in Liver Disease: Liver Transplantation 书评:肝病临床:肝移植
V. Skaare
{"title":"Book Reviews: Clinics in Liver Disease: Liver Transplantation","authors":"V. Skaare","doi":"10.1177/090591999900900313","DOIUrl":"https://doi.org/10.1177/090591999900900313","url":null,"abstract":"","PeriodicalId":79507,"journal":{"name":"Journal of transplant coordination : official publication of the North American Transplant Coordinators Organization (NATCO)","volume":"9 1","pages":"189 - 189"},"PeriodicalIF":0.0,"publicationDate":"1999-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/090591999900900313","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"65466220","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Family communication coordination: a program to increase organ donation. 家庭沟通协调:增加器官捐献的计划。
A S Linyear, A Tartaglia
{"title":"Family communication coordination: a program to increase organ donation.","authors":"A S Linyear,&nbsp;A Tartaglia","doi":"10.7182/prtr.1.9.3.l636521r45110325","DOIUrl":"https://doi.org/10.7182/prtr.1.9.3.l636521r45110325","url":null,"abstract":"<p><p>To improve organ donation performance, the Medical College of Virginia Hospitals implemented a comprehensive family support and communication program, consisting of a standard family communications protocol, a hospital-based team from the Department of Pastoral Care, targeted staff education, and an ongoing quality assurance measuring and monitoring system. The 3 best-demonstrated request practices, private setting, \"decoupling,\" and collaboration in the request between the organ procurement organization and hospital staff, were incorporated into the program. Improvement in the consent and donation rate was evident in the second calendar year of the program; the consent rate was 72% and the donation rate was 50%. During the second year, there was also a positive correlation between \"decoupling,\" appropriate requestor, and the consent rate. Implementation of a hospital-based team and a standard protocol facilitated the clarification of roles and responsibilities toward clearer and more consistent family communication and support. Data suggest that staff experience is a major contributor to a positive donation outcome.</p>","PeriodicalId":79507,"journal":{"name":"Journal of transplant coordination : official publication of the North American Transplant Coordinators Organization (NATCO)","volume":"9 3","pages":"165-74"},"PeriodicalIF":0.0,"publicationDate":"1999-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21555260","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 38
Nerve transplantation: a father's final gift. 神经移植:父亲最后的礼物。
T Fabian, K Lohmann
{"title":"Nerve transplantation: a father's final gift.","authors":"T Fabian,&nbsp;K Lohmann","doi":"10.7182/prtr.1.9.3.d4k4018036n11k6p","DOIUrl":"https://doi.org/10.7182/prtr.1.9.3.d4k4018036n11k6p","url":null,"abstract":"<p><p>Offering the option of organ and tissue donation to grieving families may seem stressful, but asking the question may provide a positive means to extend care to the bereaved family and help others in return. Many donor families have said donation was an opportunity to make some sense out of a senseless situation and to relieve some of the grief they experienced. This article presents a case that started with such a discussion by ICU nurses in one of our donor hospitals, and ended with successful organ and tissue recovery and transplantation. As \"routine\" as this may sound, it was anything but routine--it made history.</p>","PeriodicalId":79507,"journal":{"name":"Journal of transplant coordination : official publication of the North American Transplant Coordinators Organization (NATCO)","volume":"9 3","pages":"175-6"},"PeriodicalIF":0.0,"publicationDate":"1999-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21555261","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 3
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