Pediatric Training and Experience Requirements —Development of UNOS Bylaws

AbstractPurpose of ReviewWe review the background and process of policy development, which led to the development of the UNOS Pediatric Training and Experience Bylaws.Recent FindingsPre- and posttransplant outcomes mirror findings observed in the management of a variety of pediatric surgical diseases ranging from acute appendicitis to complex congenital heart disease. Specifically, patients treated at higher volume and typically pediatric focused institutions exhibit improved outcomes in terms of diagnosis, waitlist survival, and postoperative morbidity and mortality.SummaryPediatric transplantation is a defined subspecialty within transplantation and requires additional pediatric training, experience, and resources to achieve optimal short- and long-term outcomes in this unique patient population.
Source: Current Transplantation Reports - Category: Transplant Surgery Source Type: research

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We report an unusual cause of low SAAG ascites in a 48-year-old woman with valvular heart disease. The patient presented with ascites, and cross-sectional imaging revealed a right iliac fossa mass with omental deposits. The patient was finally diagnosed as having pseudomyxoma peritonei on the basis of clinicoradiopathological features. DISCUSSION: Pseudomyxoma peritonei is a rare cause of low SAAG ascites. It is characterized by the deposition of mucinous material on the peritoneal surfaces. The most common site of origin is the appendix, although it can arise from other intraabdominal organs as well. Excision of the t...
Source: The Permanente journal - Category: General Medicine Tags: Perm J Source Type: research
Authors: PMID: 31150185 [PubMed - in process]
Source: American Family Physician - Category: Primary Care Tags: Am Fam Physician Source Type: research
Hongye Zhao1,2, Tiezheng Zheng1, Xiaohan Yang1, Ming Fan3, Lingling Zhu3, Shuhong Liu3, Liying Wu3 and Changkai Sun1,4* 1Department of Physiology and Key Laboratory of Brain Diseases of Liaoning Province, School of Basic Medical Sciences, Dalian Medical University, Dalian, China 2Department of Physiology, School of Basic Medical Sciences, Qiqihar Medical University, Qiqihar, China 3Department of Brain Protection and Plasticity, Institute of Basic Medical Sciences, Academy of Military Medical Sciences, Beijing, China 4Department of Biomedical Engineering, Faculty of Electronic Information and Electrical Engineerin...
Source: Frontiers in Neurology - Category: Neurology Source Type: research
Barbara Coombs Lee, an ER and ICU nurse and physician assistant for 25 years, has written a critically acclaimed, groundbreaking book about how to live strong to the end. Finish Strong: Putting Your Priorities First at Life’s End is based on her decades as a clinician, caring for dying patients who suffered needlessly, and decades more as an advocate, empowering people to avoid that fate. Its recommendations come with both the authority of knowledge and experience, and the compassion of one who knows firsthand how challenging the end-of-life journey can be. “As baby boomers moved through significant life s...
Source: blog.bioethics.net - Category: Medical Ethics Authors: Tags: Health Care syndicated Source Type: blogs
AbstractPurpose of ReviewWe review the background and process of policy development, which led to the development of the UNOS Pediatric Training and Experience Bylaws.Recent FindingsPre- and posttransplant outcomes mirror findings observed in the management of a variety of pediatric surgical diseases ranging from acute appendicitis to complex congenital heart disease. Specifically, patients treated at higher volume and typically pediatric focused institutions exhibit improved outcomes in terms of diagnosis, waitlist survival, and postoperative morbidity and mortality.SummaryPediatric transplantation is a defined subspecial...
Source: Current Transplantation Reports - Category: Transplant Surgery Source Type: research
Publication date: June 2018Source: Cor et Vasa, Volume 60, Issue 3Author(s): Tomáš Zatočil, Petra Antonová, Jana Rubáčková Popelová, Daniela Žáková, Olga Pokorná, Václav Chaloupecký, Vilém Rohn, Ivo Skalský, Hana Jičínská, Miloš Táborský, Josef Kautzner, Jan JanoušekAbstractThis paper was formed by the Expert committee for congenital heart disease (CHD) in adults – a division of Czech Society of Cardiology (ČKS). It was designed as an appendix to National cardiovascular programme ...
Source: Cor et Vasa - Category: Cardiology Source Type: research
Discussion There were no significant differences in diet consumption or in mouse weight gain between the control and experimental diets over the course of the 12 weeks of treatment, nor were there any observable adverse effects on the mice. Comparison of wire hang times over the 12 weeks of treatment using the maximum holding impulse (weight x time) 13 relative to the start of treatment (100%) as a measure revealed a slight decline in wire hang times in animals on the control diet (Figure 1). Isoflavones and isoflavones with BBI showed a slight and sustained increase in wire hang times over the course of the treatment, but...
Source: PLOS Currents Muscular Dystrophy - Category: Neurology Authors: Source Type: research
r E Abstract Biological redundancy ensures robustness in living organisms at several levels, from genes to organs. In this review, we explore the concept of redundancy and robustness through an analysis of the caecal appendix, an organ that is often considered to be a redundant remnant of evolution. However, phylogenic data show that the Appendix was selected during evolution and is unlikely to disappear once it appeared. In humans, it is highly conserved and malformations are extremely rare, suggesting a role for that structure. The Appendix could perform a dual role. First, it is a concentrate of lymphoid tissue...
Source: Seminars in Immunology - Category: Allergy & Immunology Authors: Tags: Semin Immunol Source Type: research
By ANISH KOKA, MD I’m sitting amidst a number of cardiologists to go over the most recent trials presented at the interventional cardiology conference in Denver.  The cardiology fellow presenting goes quickly through the hors de oeuvres until finally getting to the main course – ORBITA. ORBITA sought to test the very foundations interventional cardiology was built on – the simple idea that opening a stenosed coronary artery was good for patients.  The trial was a double blind randomized control trial of patients with tightly stenosed arteries who either had a stent placed or had a sham procedure...
Source: The Health Care Blog - Category: Consumer Health News Authors: Tags: Uncategorized Anish Koka cardiology Orbita Source Type: blogs
This is an area in which I will be guilty of oversimplification. But even oversimplified, it will vastly outstrip your doctor’s focus on total cholesterol, LDL cholesterol, and statin drugs. Unfortunately, most doctors have fallen for the marketing disguised as statin drug “research,” paid for by the drug industry. Statin drugs do indeed provide a very small benefit—but with substantial health (and financial) costs. The Undoctored Wild, Naked, and Unwashed strategies address these issues quite aggressively. For example, wheat/grain elimination reduces triglycerides dramatically, often by several hun...
Source: Wheat Belly Blog - Category: Cardiology Authors: Tags: Cholesterol Undoctored Wheat Belly Wheat Belly Lifestyle grain-free healthcare Wheat Belly Total Health Source Type: blogs
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