Using the University of Wisconsin Donation After Cardiac Death Evaluation Tool, we were able to predict suitability for donation after cardiac death 83.7% of the time, within a 60-minute period and 74.4% of the time within a 120-minute period. The actual results using the tool were higher when clinical observations were included in the donation after cardiac death evaluation--an overall accuracy of 88.4%.
Using the University of Wisconsin Donation After Cardiac Death Evaluation Tool, we were able to predict suitability for donation after cardiac death 83.7% of the time, within a 60-minute period and 74.4% of the time within a 120-minute period. The actual results using the tool were higher when clinical observations were included in the donation after cardiac death evaluation--an overall accuracy of 88.4%.
The future of deceased donation must include DCD and ex-vivo organ repair if the organ shortage is to be reconciled even partially to the ongoing demand. Although the religious and legal impediments have been overcome to determine brain death, the possibility of DCD has not been addressed. A program of DCD is feasible in all countries with transplantation services. The excellent results following kidney and lung transplantation suggest opportunities of heart and liver transplantation should be the focus of needed DCD accomplishment in the near future.
Study findings support the utility, reliability, and validity of a questionnaire for measuring attitudes in critical care providers and for isolating targets for additional education on donation after cardiac death.
Summary
Thirteen patients with histologically proven mycosis fungoides have had sequential biopsies performed in the course of photochemotherapy. In every case, pruritus was relieved after doses of UV‐A ranging from 4–8 Jc/m2. Complete clinical of clearing of lesions was observed in eleven of the thirteen patients.
Despite objective and subjective clearance of lesions, persistence of a cutaneous infiltrate was observed in all biopsies carried out after commencing PUVA therapy. The quantity of infiltrate was, however, less and the epidermal component considerably reduced.
Because of these observations we believe that maintenance therapy with PUVA is required in the mycosis fungoides patients and that careful follow‐up is essential.
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