Publications by authors named "M A Waldram"
Introduction And Hypothesis: The objective was to study the effect of immediate pre-operative warm-up using virtual reality simulation on intraoperative robot-assisted laparoscopic hysterectomy (RALH) performance by gynecology trainees (residents and fellows).
Methods: We randomized the first, non-emergent RALH of the day that involved trainees warming up or not warming up. For cases assigned to warm-up, trainees performed a set of exercises on the da Vinci Skills Simulator immediately before the procedure.
Article Synopsis
- - The study examined the complications of kidney transplants in incompatible living donor recipients (ILDKTr) who have donor-specific antibodies (DSA) compared to compatible living donor recipients (CLDKTr), focusing on the risks of delayed graft function (DGF) and acute rejection (AR).
- - Results showed that AR rates were significantly higher in ILDKTr groups with stronger DSA, while DGF rates were slightly elevated but had no greater mortality impact when compared to CLDKTr groups.
- - The findings suggest that healthcare providers need to assess these risks during pre-surgery discussions and implement strategies to minimize complications in ILDKTr patients.
Unlabelled: The framework currently used for living kidney donor selection is based on estimation of acceptable donor risk, under the premise that benefits are only experienced by the recipient. However, some interdependent donors might experience tangible benefits from donation that cannot be considered in the current framework (ie, benefits experienced directly by the donor that improve their daily life, well-being, or livelihood).
Methods: We conducted semistructured interviews with 56 living kidney donors regarding benefits experienced from donation.
Background: Live kidney donors (LKDs) account for nearly a third of kidney transplants in the United States. While donor nephrectomy poses minimal post-surgical risk, LKDs face an elevated adjusted risk of developing chronic diseases such as hypertension, diabetes, and end-stage renal disease. Routine screening presents an opportunity for the early detection and management of chronic conditions.
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- Desensitization has facilitated incompatible living donor kidney transplants, but increased intensity correlates with a heightened risk of infections.
- In a study involving 475 recipients, infection rates rose significantly with desensitization intensity, reaching 73.5% in those with high-intensity desensitization.
- The most frequent infections included urinary tract infections and opportunistic infections, leading to longer hospital stays and greater risks of graft loss in patients with multiple infections.