Evolution of Liver Transplantation Program in Shiraz, Iran

Malek-Hosseini, Seyed Ali; Nikeghbalian, Saman; Salahi, H; Kazemi, Kourosh; Shemsaeifar, Alireza; Bahador, Abbas; Dehghani, Mohsen; Imanieh, Mohamad Hadi; Tabrizi, Reza; Lankarani, Kamran Bagheri

doi:10.5812/hepatmon.60745

Cited by 15 publications

(14 citation statements)

References 33 publications

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“…Although organ donation from DDs was permitted in Iran as early as 1967 based on fatwa (legal pronouncement made by authoritative scholars capable of religious judgment), the Amman declaration in 1986 was the first collective action to recognize brain death in Muslim countries. This declaration paved the way for donation from DDs in the region . Following the declaration, liver transplantation (LT), both from living donors (LDs) and DDs, was started in several countries in the early 1990s.…”

Section: Registered Lts In the Me 2016‐2017mentioning

confidence: 99%

“…For instance, in Iran, which has the highest actual rate of donation from DDs among all Muslim nations, there is high variation between provinces, with the highest being more than 30 per million. The reason for these success stories could be related to engagement of various sectors, particularly nongovernmental organizations and social marketing, making donation the norm rather than the exception …”

Section: Registered Lts In the Me 2016‐2017mentioning

confidence: 99%

“…There is a discrepancy in the volume of patients among centers in the ME. Although the Shiraz Organ Transplant Center has recorded 635 LTs in 1 year, most centers have performed less than 100 in two decades . In addition, at least three countries in the region have suspended their LT programs.…”

Section: Registered Lts In the Me 2016‐2017mentioning

confidence: 99%

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The Status of Liver Transplantation in the Middle East

Lankarani

Malek-Hosseini

2019

Clinical Liver Disease

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Section: Registered Lts In the Me 2016‐2017mentioning

confidence: 99%

Section: Registered Lts In the Me 2016‐2017mentioning

confidence: 99%

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The Status of Liver Transplantation in the Middle East

Lankarani

Malek-Hosseini

2019

Clinical Liver Disease

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“…Liver transplantation has been performed in Iran for over 20 years. 22 Liver transplantation care after the surgery consists of hospitalization in the ICU for several days and transfer to the transplantation ward, staying for about 2 weeks. Specialized nurses provide appropriate care and education to patients and their relatives until they are discharged from the hospital.…”

Section: Introductionmentioning

confidence: 99%

Factors influencing health self-management in adherence to care and treatment among the recipients of liver transplantation

Moayed¹,

Ebadi²,

Mohammadi³

et al. 2018

PPA

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IntroductionLiver transplantation is the global treatment of end-stage liver diseases. Since the patients’ survival rate has been improved, the patient may experience reductions in physical, cognitive, and psychosocial functions after liver transplantation influencing their adherence to care and treatment. The transplant survival is complex and patients’ adherence to care and treatment should be considered when health care providers make decisions regarding treatment. This qualitative study aimed to explore factors influencing health self-management in adherence to care and treatment among the recipients of care and treatment.MethodsIn this study, 23 interview sessions were carried out with a total 18 patients, 2 family members and 3 transplantation team members from May to November 2017. The patients were selected using the purposive method from both genders, with a various age range and initial diseases leading to liver transplantation, and time passed from liver transplantation. A semi-structured interview guide was developed based on literature review and pilot interviews. The participants were asked to describe their experiences of self-management behaviors in adherence to treatment and care. The data were analyzed using a conventional content analysis method and managing via the MAXQDA-10 software.ResultsTwo themes were developed during data analysis as “self-regulation” and “self-care”. “Self-regulation” consisted of “intentionally changing”, “positively thinking”, “information seeking”, “problem-solving”, “past knowledge transferring”, and “self-controlling”. “Self-care” had three sub-themes “shift to independence”, “vigilance”, and “self-care support”.ConclusionThe participants perceived the health self-management in adherence to care as a set of factors related to “self-regulation” and “self-care” behaviors. “Self-regulation” is required to create a balance in life. Also, “self-care” efforts can help with maintaining and improving patients’ health.

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“…As we mentioned previously the start of LT program in Iran was based on historical fatwa of late Imam Khomeini on May 21, 1989, which was further underscored by his successor Imam Khamenei. 2 The law passed by Iranian parliament on brain death, which was based on these fatwas, was indeed the first among Islamic countries and to the best of our knowledge there are no such law in many Islamic countries, which makes Iran and the Shiite‘s Jurisprudence the pioneer in providing the opportunity for expansion of the solid organ transplantation among Islamic countries. Most of these countries still rely heavily on living donation.…”

mentioning

confidence: 99%