Jun 22, 2021

Scholarships to Vietnames healthcare professionals

DTI Community, along with DTI Foundation, have the mission of saving lives. At DTI (Donation and Transplantation Institute), we believe in the power of education, respect, diversity, and transparency. Our way of doing this is by promoting knowledge transfer through our training courses in order to have more competent professionals specialized on organ donation and transplantation. 


Our main goal is - through our project on GlobalGiving, Save 1 Million Lives - to facilitate access to practices and training related to organ donation and transplantation and help healthcare professionals who find themselves in developing countries. With the main goal of raising $50.000 to ensure that under-resourced countries in Asia, Central and South America, and Africa can be trained and receive help to develop organ donation and transplantation processes and protocols.

 

Through the project on GlobalGiving, Save 1 Million Lives, DTI Foundation has been able to grant various scholarships to healthcare professionals from all over the world. In doing so, we have created amazing relationships and a strong network of friends, alumni and volunteers all inspired to save lives.

 

Two doctors from Vietnam, benefited from our grants: Dr. Nhieu, from the Neurosurgical Intensive Care Unit at Cho Ray Hospital, in Ho Chi Mihn; and Dr. Linh, also from Ho Chi Mihn, from the Intensive Care Unit.

 

And how are these two doctors from Vietnam performing in their local hospitals?

 

The professor Tran Quang Vinh was a chief of Neurosurgery ICU and Spine Surgery. He retired. Dr. Nhieu, one of the granted doctors, replaced his position at the end of 2020. He works in the Intensive Care Unit in Chao Ray Hospital, the largest general hospital in Ho Chi Minh City, Vietnam; and also the largest in Vietnam.

 

On the other hand, Dr. Tran Thanh Lihn has strongly supported organ recovery when in the hospital they have a case of brain death donor. They are both preparing the training program for ICU staff in the South of Vietnam for 2021. Dr. Linh is a leader of the ICU team of COVID-19 program. For that reason, the training program for ICU staff is waiting him to join.

 

Professionals of the Intensive Care Unit in this hospital are trying to complete the protocol taught by DTI Foundation. It says that ICU doctors must have a brain death diagnosis for every patient when they are discharged from hospital with brain death clinical signs. The protocol also says that they must call the ICU coordinator. 

 

On the 20th of December 2020, the Chao Ray Hospital team has had one DBD at one hospital in the East of Vietnam. One team from Chao Ray went there. It included: ICU doctor, brain death diagnosis team, coordinator, and a medical social worker. 

They also assist the retrieval team to receive heart, liver, kidney. The team delivered the heart to Hue, the capital of the Thua Thiên Hue Province in central Vietnam. The liver was delivered to Ha Noi, the capital city of Vietnam situated in the north of Vietnam. And the kidney to Cho Ray Hospital where Dr. Nhieu and Dr. Linh work.

 

All the recipient patients have been discharged. They are doing well with the transplant. It is a successful case. Thanks to that experience doctors have closely joined between Cho Ray Hospital, Ba Ria Hospital, National Organ Transplantation coordination centre, Police officer and Vietnam airline.

 

 

***Dr. Thu Du has given us permission to use these pictures of the activities at Cho Ray Hospital (CRH) for this report.

All the constituents gave us consent to having their names published in this report. ***

Apr 27, 2021

IDOTCOVID

Demographic Data
Demographic Data

IDOTCOVID is an open-source platformhosting information about transplanted patients who tested positive to Covid-19, providing a holistic perspective on the influences of the pandemic on donations and transplantations’ outcomes. The database displays 135 different variables and regroups statics about patients’ status, recoveries, immunosuppressive treatments and Covid-19 treatments.

 

The goal of the database is to develop a machine learning algorithm to assist in the decision-making process - treatment alternatives and expected outcomes - of the population at the study.

 

The IDOTCOVID database uses data provided by 4 international registries - SEN, ELITA, CENATRA, and INCUCAI -, as well as 43 distinct centers. The collaborating registries / centers have been entering data in two ways: individually by an official representative of the registry / centers or automatically from the Registry of the Spanish Society of Nephrology as of August 2020.

 

To date, the database counts 1.415 cases from more than 20 countries. The main countries represented are Spain, Mexico, Argentina, Italy and Portugal.

 

In terms of organ transplants’ representation, Kidney transplants represent 72,3% of the database’s cases, followed by Liver transplants (26,1%), Heart transplants (1,1%), Pancreas transplants (0,2%), Multivisceral transplants (0,2%), and finally Lung transplants (0,1%).

 

To date the IDOTCOVID database reports that out of the 1.415 cases, 64,5% are males and 35,5% are females. These two populations were studied. 21.7% of males are deceased compared to 18.7% of females – taking into consideration that 5.5% of males’ patients’ status values were missing and 4.8% for females. The average age of the 1.415 recipients at COVID-19 diagnosis is 59 years old.

 

24% of the patients registered on the IDOTCOVID database died during the follow-up.

 

Based on our previous newsletter presenting findings about 941 patients we have different conclusions. The most frequent symptoms among the population at study are fever (78,6%), Cough (63,4%), Dyspnea (41,7%), Diarrhea (23,5%), and Asthenia (9,5%).

 

The main maintenance immunosuppression treatments are Steroids, Tacrolimus and Mycophenolate Sodium. The main Covid-19 treatments are based on different combinations with Hydroxychloroquine (70,8%), Corticosteroids (41,0%), and Azithromycin (34,6%)as the main medicines.

 

The next step of the project is to continue collecting data in order to have a more diverse data base. During the following days, 143 cases from the Hospital Clinic of Barcelona will be uploaded to the platform.

Another essential step is to complete the data we have in hands. Indeed, more than 70% of the data are missing as of today.

 

Thanks to your donations we can create the most complete and diverse database possible in order to achieve the ultimate goal of this project: to create a decision support algorithm (DSA).

Links:

Mar 18, 2021

Constant occupancy of AETHA's shelter homes

A liver transplant is a major surgery that can give a sick person a second chance at life. Although transplant activity has decreased during the covid19 pandemic, urgent liver transplants have continued during these difficult times we are living. Family support has been shown to be necessary for the complete recovery of these patients, and providing a safe place for family members is a major problem for AETHA (Aragon Liver Transplant Patients Association).

 

The Transitional Accommodation Project – Shelter homes of AETHA, is born from the need to offer a resource to those families who have to travel to Zaragoza, capital of Aragon, due to their medical situation from their habitual residence, generally municipalities and rural areas throughout Aragon. Therefore, AETHA offers these shelters to meet and respond to these demands, always free for families. Donations to projects like these have a huge impact on society and specifically for patients who need a liver transplant. Now more than ever it becomes more important given the pandemic situation we are living in.


Zaragoza is one of the regions of Spain with the most cases of Covid-19, and the decrease of hospitalization is going slowly. In this first quarter of 2021 the occupancy of AETHA's reception flats has been constant. 
 
At one of the shelter home's 6 families have stayed since the begging of 2021. And on the other, one of which continues living there since February 10. We have to have in mind that currently, due to the health crisis caused by Covid-19, only one family can be housed per shelter home, which is limiting a lot because there are families who would have used the resources of AEATHA and cannot access it.

 

There is currently a family with three young children at one of the shelter home, who have stayed there for two months. They are from Portugal and were transferred to a hospital in Aragón because of a traffic accident. The father of the family is in the ICU. On the other flat there is now a lonely old lady.


AETHA volunteers monitor users by phone and, if necessary, accompaniment of people staying in the flats. Because of the pandemic, there is little or no face-to-face monitoring of the situation. AETHA volunteers are people with liver transplants and, as the floors are full of people who come and go from hospitals, the less they approach the shelter homes, the better.


The shelter homes are a continuous project in which we try to keep the flats maintained and we are always thinking about how to improve them so that the stay of the people is as comfortable as possible. 
This year AETHA has set a goal: to buy household items for the shelter homes (bed linen, towels, blankets, new duvets) and kitchen equipment/utensils that have suffered some kind of wear. In addition, one entire flat will be painted. 
 
All these improvements will help to improve the quality of families' stay. Thanks to the support of donations received through GlobalGiving, it will be possible to continue supporting these projects that help so many families in need. 

Links:

 
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