Epitope-based Re-matching of Donor-recipient Pairs for Kidney Graft Allocation PDF Download
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Author: Morgan M. Mastrocinque
Publisher:
ISBN:
Category : Kidneys
Languages : en
Pages : 68
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Book Description
When considering the matching of donor and recipient pairs for kidney transplantation, there are many aspects that must be compared and evaluated in order to ensure the best outcomes for recipients. Historically, a focus has been placed on evaluating the number of mismatches in various loci of Human Leukocyte Antigens (HLAs) in addition to other clinical factors including blood type, history of disease, etc. While HLA is still a standard technique for determining the histocompatibility of donor-recipient pairs, recent research has shown that other methods such as immunogenicity scores and eplet load may provide a more nuanced approach to donor-recipient matching, resulting in the ability to increase both quantity and quality of kidney transplants that occur. Based on evidence that eplet-based matching may provide improved outcomes for kidney transplant recipients, this thesis develops computational tools, namely a small Python-based library, to aid in the evaluation of this matching methodology and explores data in order to demonstrate computationally the potential impacts of eplet load-based matching when considering race. A secondary evaluation is also made to see how introducing an additional HLA (HLA-DQ) potentially affects re-matching success. Results demonstrate that matching on eplet load yielded an average 8x increase in matches than when using HLA mismatches.
Author: Morgan M. Mastrocinque
Publisher:
ISBN:
Category : Kidneys
Languages : en
Pages : 68
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Book Description
When considering the matching of donor and recipient pairs for kidney transplantation, there are many aspects that must be compared and evaluated in order to ensure the best outcomes for recipients. Historically, a focus has been placed on evaluating the number of mismatches in various loci of Human Leukocyte Antigens (HLAs) in addition to other clinical factors including blood type, history of disease, etc. While HLA is still a standard technique for determining the histocompatibility of donor-recipient pairs, recent research has shown that other methods such as immunogenicity scores and eplet load may provide a more nuanced approach to donor-recipient matching, resulting in the ability to increase both quantity and quality of kidney transplants that occur. Based on evidence that eplet-based matching may provide improved outcomes for kidney transplant recipients, this thesis develops computational tools, namely a small Python-based library, to aid in the evaluation of this matching methodology and explores data in order to demonstrate computationally the potential impacts of eplet load-based matching when considering race. A secondary evaluation is also made to see how introducing an additional HLA (HLA-DQ) potentially affects re-matching success. Results demonstrate that matching on eplet load yielded an average 8x increase in matches than when using HLA mismatches.
Author: Anil Chandraker
Publisher: Springer Science & Business Media
ISBN: 1461400082
Category : Medical
Languages : en
Pages : 250
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Book Description
Though kidney transplantation is considered a routine procedure, there are still significant challenges in post-transplant management. Core Concepts in Renal Transplantation is a clinically focused authoritative guide to the management of kidney transplantation. This comprehensive, state-of-the-art reference summarizes the recent changes in the field of transplantation, offering the complete range of up-to-date information on all the various aspects of basic immunobiology and the medical care of the transplant recipient. Written by a team of renowned authorities in renal transplantation, this concise resource is intended for both the nephrologist and the non-specialist with an interest in kidney transplantation.
Author: American Society of Transplantation
Publisher: John Wiley & Sons
ISBN: 1405142677
Category : Medical
Languages : en
Pages : 320
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Book Description
Produced in association with the American Society of Transplantation, this new edition is full of practical advice for the next generation of transplant professionals. In addition to 5 organ-specific chapters: kidney, pancreas, heart, lung and liver, the book includes essential information on: immunobiology pharmacology donor management infectious complications pediatric transplantation general principles of patient management Fully updated and redesigned to make it even more user-friendly, the book now contains clinical vignettes, key point boxes, and self-assessment multiple choice questions in each chapter. Primer on Transplantation, Third Edition is an invaluable resource for all health professionals in the transplant team including trainees, residents, fellows, physicians, surgeons, nurses and transplant co-ordinators. Purchasing this book entitles you to access to the companion website: www.astprimer.com The website includes: Interactive Multiple-Choice Questions for each chapter Figures from the book as Powerpoints for downloading All chapters online
Author: Georgia B. Vogelsang
Publisher: Cambridge University Press
ISBN: 1139478893
Category : Medical
Languages : en
Pages : 427
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Book Description
Chronic graft versus host disease (GVHD) is the most common complication of allogenic bone marrow transplantation. Because of the protracted clinical course of chronic GVHD, transplant centers and hematology/oncology offices are inadequately equipped to manage these immuno-incompetent patients with a multi-system disorder. Practitioners need to be able to recognize and effectively manage chronic GVHD as a late effect of more than half of allogenic transplantations. The text is oriented for the clinician, with chapters covering staging, organ site and system-specific manifestations, treatment options, and supportive care. Drs Georgia B. Vogelsang and Steven Z. Pavletic have been pioneers in the recognition of the multi-organ complexity of this disease and have gathered the input of a variety of subspecialist physicians for this book. This book fills the gap in practical literature on chronic GVHD, providing a comprehensive, up-to-date, and clinically relevant resource for anyone who deals with cancer patients post-transplant.
Author:
Publisher:
ISBN:
Category : Medicine
Languages : en
Pages : 1796
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Book Description
Author: Krista L. Lentine
Publisher: Springer Nature
ISBN: 3030536181
Category : Medical
Languages : en
Pages : 390
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Book Description
This book provides a complete guide to the evaluation, care, and follow-up of living kidney donors. Living donor kidney transplantation is established as the best treatment option for kidney failure. However, despite the tremendous benefits of living donation to recipients and society, the outcomes and optimal care of donors themselves have received relatively less attention. Fortunately, things are changing – including recent landmark developments in living donor risk assessment, policy and guidance. This volume offers authoritative, evidence-based guidance on the full range of clinical scenarios encountered in the evaluation and care of living kidney donors. The approach to key elements of risk assessment, ethical considerations and informed consent is accompanied by recommendations for patient-centered care before, during, and after donation. Advocacy initiatives and policies to remove disincentives to donation and advance a defensible system of practice are also discussed. General and transplant nephrologists, as well as related allied health professionals, can look to this book as a comprehensive resource addressing contemporary clinical topics in the practice of living kidney donation.
Author: Thomas Rath
Publisher: BoD – Books on Demand
ISBN: 9535109855
Category : Medical
Languages : en
Pages : 494
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Book Description
The here presented book covers different areas of clinical and scientific interest, reaching from donor evaluation to newest methods in immunological diagnostics. But also aspects of daily care of transplant recipients can be found in the carefully selected chapters. Everything driven by the aim to improve the care for all of our transplanted patients.
Author: King K. Holmes
Publisher: World Bank Publications
ISBN: 1464805253
Category : Medical
Languages : en
Pages : 1027
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Book Description
Infectious diseases are the leading cause of death globally, particularly among children and young adults. The spread of new pathogens and the threat of antimicrobial resistance pose particular challenges in combating these diseases. Major Infectious Diseases identifies feasible, cost-effective packages of interventions and strategies across delivery platforms to prevent and treat HIV/AIDS, other sexually transmitted infections, tuberculosis, malaria, adult febrile illness, viral hepatitis, and neglected tropical diseases. The volume emphasizes the need to effectively address emerging antimicrobial resistance, strengthen health systems, and increase access to care. The attainable goals are to reduce incidence, develop innovative approaches, and optimize existing tools in resource-constrained settings.
Author: Nadey Hakim
Publisher: Springer Science & Business Media
ISBN: 1447136896
Category : Medical
Languages : en
Pages : 452
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Book Description
It is like a fairy story! Or at least a beautiful epic, a truly significant page in the history of medicine, a staggering scene in which several actors come into play, both fundamentalists and clinical practitioners, eager to place all these new developments at the disposal of those suffering from ill health. Everyone is passionate about their work, be it providing new knowledge or perfecting new therapeutic methods. Man has always been fascinated by the possibility of replacing a damaged organ with a healthy one. Several attempts have been made over the centuries, and some miracles have been reported, such as those of Saint Damien and Saint Come as illustrated by Fra Angelico. The modern saga, however, started more modestly on the mouse. It is on the mouse that the first tissue group was discovered; yet the study of human tissue groups could only be carried out on a human. One human must be subjected to the thousands of tests that have enabled us to unravel the extraordinary complexity of the HLA system.
Author: Sundaram Hariharan
Publisher: Oxford University Press
ISBN: 0197697321
Category : Medical
Languages : en
Pages : 361
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Book Description
Long-term Care of Kidney Transplant Patients provides all aspects of long-term care of kidney transplant patients. Many of the chapters highlight unmet needs relevant to certain post-transplant events that influence survival. Chapters provide clinicians and researchers with opportunities to investigate and advance the science by performing studies than can alter the trajectory of specific post-transplant diseases which will improve long-term kidney survival further until we achieve "Transplant Tolerance."
