Pregnancy after organ transplantation

With the advent of new immunosuppressive agents in the 1980s, transplant recipients are living longer, healthier lives. Women who before did not have a chance to live, much less conceive, are now carrying and delivering healthy children. Obstetric management of such patients is discussed in this article. Two case reports of women who became pregnant after liver and heart transplants are presented. Perinatal nurses in the high-risk arena have the opportunity to collaborate with other health care specialists to care for this new group of patients.     

Psychiatric complication of organ transplantation

The authors have reviewed the literature with a view to trying to establish the psychiatric disorders associated with organ transplantation and open up a discussion of the psychodynamics involved. Psychiatric complications fall roughly into 4 categories, namely those specific to the 3 stages of transplantation, i.e. whether the patient is awaiting a transplant, has recently received a transplant or is in the post-transplantation stage, and those associated with the underlying psychopathology of long-term illness.     

Group therapy and organ transplantation

Group therapy for organ transplantation patients is in its infancy but has a promising future. Overextended transplantation service providers are interested in its potential for cost-efficient and effective forms of psychosocial intervention. This article summarizes the biomedical and psychosocial aspects of solid organ transplantation, one institution's group therapy program, common group themes, and specific demands on the group therapist working with this population.     

Radionuclide imaging in organ transplantation

This article addresses the utility of radionuclide imaging for evaluating functional and anatomic integrity of transplanted liver, kidney, pancreas, heart, and lung. Information about how to interpret routine nuclear medicine procedures for vascular and surgical complications as well as rejection after transplantation is also presented. The role of new radiopharmaceuticals is discussed briefly.     

Psychological assessment of candidates for solid organ transplantation.

The role of psychologists, who can assist in preparing clients for transplant surgery and support them postsurgery to sustain the complex maintenance protocol, is outlined. An overview of specific procedures used in the psychological evaluation and treatment of solid organ transplant patients, a discussion of general issues involved in treating these patients, and case vignettes are provided. As transplants become more common, the need for additional psychologists as part of multidisciplinary treatment teams increases. Because many patients live great distances from the transplant center, community psychologists may be enlisted to treat organ transplant patients and to collaborate with psychologists on transplant teams. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Diet therapy for organ transplantation. A problem-based approach

Nutrition plays a vital role in the recovery, health, and life expectancy of transplant recipients. Because the medical problems differ between the acute recovery and chronic maintenance phases following transplantation, nutrient requirements and nutrition therapies are unique and distinctly different between these 2 periods. Nutrition therapy during the acute post-transplant phase is aimed at promoting healing. Nutrition and pharmaceutical therapies during the long-term post-transplant phase are intended to prevent and treat common problems such as obesity, diabetes, hyperlipidemia, hypertension, and osteoporosis. Nutrition goals and therapies should be individualized based on the specific complications each patient experiences.     

Culture and psychology in organ transplantation

Neurological, cardiac, and systemic complications during the first days to weeks after ischaemic stroke can cause substantial morbidity and mortality. The reported 30-day case fatality rate for cerebral infarction varies between 10 and 17%. The incidence and effects of the various complications vary with time after stroke: transtentorial herniation and other cerebral complications prevail during the 1st week, whereas medical complications are more prominent in the weeks thereafter. Many complications are treatable, and some are preventable. The goal of this report is to provide information on their incidence, consequences, and management.     

基于网络技术的铝箔轧机控制系统

介绍了1450 mm铝箔轧机控制系统,以PLC为核心的主站通过Profibus-DP总线存取协议对分布式I/O进行实时控制,主站之间以及主站与上位监控机之间通过Ethernet协议进行通信,上位机进行铝箔轧制的工艺参数优化控制,可提高铝箔轧制的自动化控制水平。