ETPOD (European Training Program on Organ Donation): a successful training program to improve organ donation.

Advanced training of healthcare professionals active in organ donation is highlighted as a major means to overcome organ shortage. The objective of this study was to improve donation rates in the selected European target areas (TAs) by providing an advanced training program. A prospective intervention study was conducted in 25 TAs with active donor programs from 17 European countries, between 2007 and 2009. A training program based on collaborative methodology was designed at three different professional levels (health workers awareness, junior transplant coordinators, managers). Courses evaluation scores and donation figures in each TA were collected and compared before and after intervention. Courses with new developed training tools were implemented reaching out 3286 healthcare professionals. Feed-back questionnaires revealed a high degree of satisfaction among participants (average of 4.35 on a 1-5 scale). The number of utilized donors in the TAs increased from 15.7 ± 14.3 (95% CI: 9.8-21.6) to 20.0 ± 17.1 (95% CI: 13-27.1) (P = 0.014) and the number of organs recovered increased from 49.7 ± 48.5 (95% CI: 29.6-69.7) to 59.3 ± 52.1 (95% CI: 37.8-80.8) (P = 0.044). The European Training Program on Organ Donation is a successful training program, achieving a significant increase in organ donation figures.

Benefits of Transplant Procurement Management (TPM) specialized training on professional competence development and career evolutions of health care workers in organ donation and transplantation.

OBJECTIVES: Training on organ donation and transplantation is relevant for transplantation improvement. This study aimed at investigating the perceived benefits of Transplant Procurement Management training programs on professional competence development and career evolutions of health care workers in organ donation and transplantation. MATERIALS AND METHODS: An online survey was developed in 5 languages (Spanish, English, Italian, French, and Portuguese) and its link was emailed to 6839 individuals. They were asked to forward it to other professionals in organ donation and transplantation. The link was also shared on Facebook and at relevant congresses. Two research questions on the perceived influence of specialized training programs were identified. RESULTS: A total of 1102 participants (16.1%) took the survey; 87% reported participating in Transplant Procurement Management training programs, of which 95% selected Transplant Procurement Management courses as the most influential training they had participated in. For research question one, 98% reported influence on knowledge (score 4.5 [out of 5]), 93% on technical (4.2) and communication skills (4.1), 89% on attitude toward organ donation and transplantation (4.1), 92% on motivation to work (4.2), 91% on desire to innovate (4.0), 87% and 79% on ability to change organ donation and trans plantation practices (3.9) and policies (3.5). For research question 2, main and interaction effects for position at the time of training and type of training were reported. CONCLUSIONS: Transplant Procurement Management training programs had positive perceived effects.

Organ procurement: Spanish transplant procurement management.

Transplantation is an accepted therapeutic option to save or improve the quality of life when organ failure occurs or tissue replacements are needed. However, the lack of organs is the major limitation. The deceased organ procurement organization and professionals provide the solution to this international problem. In this review, we identify the elements involved in the organ procurement management process to analyze the possibility of implementation of deceased organ procurement for a transplantation program. While the donation rates are subject to several negative factors including religious, economic, cultural, and legal issues, the existence of well-trained professionals may considerably increase them. Professional training in organ donation along with the establishment of a solid organizational system has been identified as the crucial factor in developing efficient organ donation and transplantation programs.

Revisión de registros basales no estresantes alterados, en un estudio longitudinal / Review of abnormal NST in a long-term study

Se revisan 1.248 registros basales no estresantes realizados en el departamento de Ginecología y Obstetricia durante el período noviembre de 1987 a septiembre de 1988. Se seleccionan 65 casos con registro alterado, analizándose las siguientes variables: a) Alteraciones de otros métodos de evaluación de la unidad feto-placentaria. b) Circular de cordón. c) Tipo de Parto y d) Apgar al minuto y cinco minutos. En los casos con registros basales no estresantes hubo un incremento de circulares de cordón (36,9%) y de la resolución del parto por cesárea (32,4%), pero no se observaron alteraciones de la vitalidad del recién nacido cuantificada por el Apgar. Al comparar los casos con alteraciones de otros métodos de evaluación de la unidad feto-placentaria, con los que sólo mostraban un registro basal no estresante alterado, se observaron diferencias estadísticamente significativas en la presencia de circular de cordón y en la resolución del parto por cesárea