OHSU ditches 'archaic' transplant policy

Oregon Health&Science University reversed course and announced Wednesday that it had ditched its “archaic" transplant policy that had prevented an undocumented woman from getting evaluated for a liver transplant. “Upon learning of the policy, OHSU leaders acted immediately and terminated the policy,” the university said in a written statement posted on its website. “We deeply regret th e pain this has caused the family.” The transplant team informed the family of the change, and OHSU’s…
Source: bizjournals.com Health Care:Physician Practices headlines - Category: American Health Authors: Source Type: news

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ConclusionATTR amyloidosis was associated with high levels of impairment in many domains, including physical health, quality of life, and reduced productivity. Providing care for ATTR amyloidosis patients is associated with a negative impact on the mental health of caregivers. These results highlight the substantial burden of ATTR amyloidosis for patients and caregivers.Trial RegistrationClinicalTrials.gov: NCT01604122.FundingPfizer.
Source: Neurology and Therapy - Category: Neurology Source Type: research
We presently forget 98% of everything we experience. That will go away in favor of perfect, controllable, configurable memory. Skills and knowledge will become commodities that can be purchased and installed. We will be able to feel exactly as we wish to feel at any given time. How we perceive the world will be mutable and subject to choice. How we think, the very fundamental basis of the mind, will also be mutable and subject to choice. We will merge with our machines, as Kurzweil puts it. The boundary between mind and computing device, between the individual and his or her tools, will blur. Over the course of the ...
Source: Fight Aging! - Category: Research Authors: Tags: Newsletters Source Type: blogs
ConclusionWe report the first case of internal herniation of small bowel around biliary catheter early after LDLT.
Source: International Journal of Surgery Case Reports - Category: Surgery Source Type: research
Publication date: April 2018Source: Clinics and Research in Hepatology and Gastroenterology, Volume 42, Issue 2Author(s): A. Thébaut, D. Debray, E. GonzalesSummaryPruritus is a disabling symptom accompanying chronic cholestasis. In extreme cases, the refractory nature of pruritus can result in a need for invasive therapies including liver transplantation. The pathogenesis of pruritus in cholestatic disease is poorly understood. It may involve a specific neural pathway (similar to that associated with pain) regulated by several pruritogenic substances such as bile acids, opioids, serotonin, and the more recently iden...
Source: Clinics and Research in Hepatology and Gastroenterology - Category: Gastroenterology Source Type: research
ConclusionERAS protocols in liver surgery appeared to be safe and effective. Recent recommendations from the ERAS group in liver surgery are the only ones published so far. Other studies evaluating ERAS components in liver surgery and recommendations from scientific societies are needed to spread this clinical care pathway.
Source: Anaesthesia, Critical Care and Pain Medicine - Category: Anesthesiology Source Type: research
ConclusionThis work investigated peroperative systematic echocardiographic evaluation of diastolic function during liver transplantation. Diastolic dysfunction occurs frequently during liver transplantation and could lead to postoperative cardiorespiratory complications.
Source: Anaesthesia, Critical Care and Pain Medicine - Category: Anesthesiology Source Type: research
ConclusionWe report the first case of internal herniation of small bowel around biliary catheter early after LDLT.
Source: International Journal of Surgery Case Reports - Category: Surgery Source Type: research
Publication date: 23–29 June 2018Source: The Lancet, Volume 391, Issue 10139Author(s): Jessica K Dyson, Ulrich Beuers, David E J Jones, Ansgar W Lohse, Mark HudsonSummaryPrimary sclerosing cholangitis is a rare, chronic cholestatic liver disease characterised by intrahepatic or extrahepatic stricturing, or both, with bile duct fibrosis. Inflammation and fibrosis of bile ducts and the liver are followed by impaired bile formation or flow and progressive liver dysfunction. Patients might be asymptomatic at presentation or might have pruritus, fatigue, right upper quadrant pain, recurrent cholangitis, or sequelae of por...
Source: The Lancet - Category: General Medicine Source Type: research
Publication date: April 2018Source: Clinics and Research in Hepatology and Gastroenterology, Volume 42, Issue 2Author(s): A. Thébaut, D. Debray, E. GonzalesSummaryPruritus is a disabling symptom accompanying chronic cholestasis. In extreme cases, the refractory nature of pruritus can result in a need for invasive therapies including liver transplantation. The pathogenesis of pruritus in cholestatic disease is poorly understood. It may involve a specific neural pathway (similar to that associated with pain) regulated by several pruritogenic substances such as bile acids, opioids, serotonin, and the more recently iden...
Source: Clinics and Research in Hepatology and Gastroenterology - Category: Gastroenterology Source Type: research
ConclusionERAS protocols in liver surgery appeared to be safe and effective. Recent recommendations from the ERAS group in liver surgery are the only ones published so far. Other studies evaluating ERAS components in liver surgery and recommendations from scientific societies are needed to spread this clinical care pathway.
Source: Anaesthesia, Critical Care and Pain Medicine - Category: Anesthesiology Source Type: research
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