ITNS Insider
May. 29, 2014

NIH awards $2.585 million grant to School of Nursing and Health Studies for Kidney Transplant Medical Adherence Study
The National Institutes of Health has awarded a $2.585 million grant to the University of Missouri-Kansas City School of Nursing and Health Studies for a study on methods to help adult kidney transplant recipients stay on their vital medication.

ITNS President Cynthia Russell, professor at the UMKC School of Nursing and Health Studies and a global leader in transplant adherence research, is the primary investigator on the grant.More

Help ITNS better serve you
In an effort to better understand your professional needs as a member, and to make the best and most informed decisions on ITNS programs, products and services, ITNS is in the process of collecting updated information from its members.

You will notice that as you log in to the ITNS website to register for the Annual Symposium or purchase a product, you will be greeted by a brief message and an easy-to-use form requesting some brief professional information. The form is pre-populated with your existing information, making ease-of-update a snap (or shall we say a click).

Once you update your information, you will not be prompted to do so again for six months. The goal is to keep our transplant nurse members' professional information as up-to-date as possible in order to have an accurate assessment of ITNS' professional make-up and provide the best services, information and value to all members.

We thank you in advance for your help!More

Make your hotel reservation for the Annual ITNS Symposium
All symposium activities will take place at the JW Marriot Houston. A block of rooms has been contracted at a special ITNS rate of $149 USD per night, which will apply until 28 August 2014, or when the room block is filled. At that point, other rates may apply. Book your room online at the ITNS rate or call +1-888-236-2427 to make a reservation. More

Call for ITNS Award Nominations — Deadline 8 August
As we approach our 23rd Annual ITNS Symposium in Houston, Texas, USA, please consider nominating a colleague for the Transplant Nursing Excellence Award or the Friend of Transplant Nursing Award. These prestigious awards are presented each year at the Annual Symposium, to be held 27-29 September 2014.

Learn more about the awards and submit a nomination today!More

Moral distress in nursing
By Keith Carlson
Moral distress may not be a concept on the lips of many nurses, but it is an issue with which a significant number of nurses grapple on a regular basis. Moral distress occurs when an individual knows what the right course of action should be in a particular situation, but that person is hampered from acting on that knowledge by a variety of factors. Whether in the ICU, the ER or other milieus, nurses can find themselves faced with morally-distressing situations that may easily lead to feelings of burnout, compassion fatigue, cognitive dissonance, depression, anxiety and dissatisfaction.More

How extraordinary doctors and nurses saved the lives of 6 strangers in Australian transplant first
Herald Sun
In an incredible medical marathon, a dozen Victorians went under the knife in ­Australia's largest live kidney ­donation and transplant swap. The Australia-first paired ­kidney exchange, if successful, will give six people who have been languishing on dialysis a second chance of life. Twelve operations to remove and transplant the organs were performed in four major hospitals across Melbourne. The extraordinary chain of events was triggered by Victoria's first altruistic donor giving a ­kidney up to a stranger.More

Study: Grey's Anatomy is turning people against organ donation
About 18 people die every day waiting for organ donations. There are a lot of potential ways to reduce the shortage of organs, but under current law the easiest is probably persuading people to register as donors in case of death. And TV doesn't appear to be helping that cause. There's some evidence, much of it from Purdue University's Susan Morgan and the University of Illinois' Brian Quick, that portrayals of organ donation on TV are generally negative, or, at least, that negative portrayals may get a wider distribution. In one study, Morgan and coauthors reviewed network TV shows from 2004-05 for organ donation related content, and concluded, "the framing of organ donation is primarily negative and highlights moral and material corruption in the medical and organ allocation systems."More

Study finds kidney transplant offers longer survival compared to intensive dialysis
Nephrology News & Issues
Compared with long and frequent home hemodialysis, kidney transplantation may allow kidney failure patients to be successfully treated and to live longer, but it may also increase their risk of being hospitalized within the first year, according to a new study published in the Journal of the American Society of Nephrology. The results support the need to encourage transplantation for potential candidates who are receiving home hemodialysis, but they also indicate that long and frequent home hemodialysis provides good outcomes for patients, the study authors said.More

Toronto doctors set to perform Canada's first hand transplant
Toronto surgeons expect to perform the country's first hand transplant, marking the start of a new age in tissue reconstruction and giving hope to Canadians who suffer from debilitating and disfiguring injuries. Reconstructive surgeons at Toronto Western Hospital are looking for possible candidates for a hand transplant, and say the first patient to undergo the pioneering procedure will likely be someone who needs two new hands. More

Record year for transplants in Irish hospitals
Irish Times
Last year was a record year for organ transplantation, with 294 transplants carried out in Irish hospitals. Some 32 lung, 11 heart, 55 liver, 11 pancreas and 185 kidney transplants were performed in 2013, according to the annual report of the HSE's National Organ Donation and Transplantation Office. All the operations were carried out in three Dublin hospitals, the Mater, St Vincent's and Beaumont.More

Medical breakthrough: Bioengineered heart tissue
By Karen SC Ashley
For patients with heart damage, the best treatment option right now is an organ transplant. But even then, the patient waiting list for an organ donor is seemingly endless. To confound matters, patients can encounter complications after heart transplantation. With new research, the ideal solution — repairing the heart — may soon be possible. To mimic the heart's powerful mechanical action, scientists needed to engineer an artificial cardiac tissue similar in elasticity and biological properties to the native heart. And the breakthrough scientists have long been waiting for has arrived — 3-D-engineered heart tissue that beats.More

Skin grafts from genetically modified pigs may offer alternative for burn treatment
Science Codex
A specially-bred strain of miniature swine lacking the molecule responsible for the rapid rejection of pig-to-primate organ transplants may provide a new source of skin grafts to treat seriously burned patients. A team of investigators from Massachusetts General Hospital report that skin grafts from pigs lacking the Gal sugar molecule were as effective in covering burn-like injuries on the backs of baboons as skin taken from other baboons, a finding that could double the length of time burns can be protected while healing. The report in the journal Transplantation has been published online. More

Kidney transplant patients with PKD may have a reduced risk of cancer compared to patients without PKD
Nephrology News & Issues
Patients with polycystic kidney disease may have a reduced risk of cancer compared with patients with other kidney diseases, according to a study appearing in the Journal of the American Society of Nephrology. James B. Wetmore, MD, MS, from the University of Kansas Medical Center, and his colleagues conducted the first study to examine cancer risk in kidney transplant recipients with PKD and to compare their risk to that of other kidney transplant recipients. More

Medication adherence in solid organ transplant recipients
Pharmacy Practice News
The International Society for Pharmacoeconomics and Outcomes Research defines medication adherence as the extent to which a patient acts in accordance with the prescribed interval and dose of a dosing regimen. Depending on how it is calculated, nonadherence to medications can account for nearly 70 percent of medication-related hospital admissions and approximately $100 billion to $300 billion in health care costs annually.More