J. Alvarez

Hospital Universitario de Fuenlabrada

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Cristina Soguero-Ruíz

Universidad Rey Juan Carlos

Inmaculada Mora-Jiménez

Universidad Rey Juan Carlos

Sergio Martínez-Agüero

Universidad Rey Juan Carlos

Javier Arias‐Díaz

Universidad Complutense de Madrid

R. Peces

Roberto Barrio

Universidad de Zaragoza

Jacob Rudoy

Carmel Medical Center

C.M. Kjellstrand

Canadian Institute for Health Information

J. Iglesias

University Hospital Complex Of Vigo

R. Marcén

Instituto Aragonés de Ciencias de la Salud

Cooperative Institutions

Hospital Clínico San Carlos

Inserm

Hospital Universitario de Fuenlabrada

Hospital San Juan de la Cruz

Pediatric Nephrology of Alabama

Instituto de Salud Carlos III

Université Paris Cité

Complexo Hospitalario Universitario A Coruña

Universidade da Coruña

Universidad Complutense de Madrid

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Contents, Vol. 46, 1987

The Nephron journals/Nephron journals (1987)

Jacob Rudoy Ricardo Kohan J. Ben-Ari Gilles Grateau Bernard Page

10.1159/000184384

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Citations (0)

Technical and functional standards and implementation of a clinical information system in intensive care units

Medicina Intensiva (English Edition) (2011)

V. Gómez Tello J. Alvarez A. Núñez Reiz José Ángel González Sánchez A. Hernández Abadía de Barbará

Workgroup

10.1016/j.medine.2011.12.001

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USEFULNESS OF KIDNEYS OBTAINED FROM NON-HEART-BEATING DONORS

Transplantation (1999)

J. Alvarez Roberto Barrio Samuel Saez Dolores Prats A Sánchez

544 Due to the shortage of organs for transplant, non-heart-beating donors (NHBD) has become a source of themselves. Our hospital has a program on such subject since December 1989 and mainly active from January 1995. Subject: To evaluate the short and long-term results of the kidneys transplanted from NHBD. Methods: Since January 1995 and up to now, we have transplanted 270 kidneys, 70 of them from NHBD (26%). All of these kidneys were obtained from NHBD which comes from the Critical Care Unit or the Emergency Room or donors which also arrives from the prehospital emergency. After the death diagnosis is done a cardiopulmonary bypass with external oxygenation and circulation and deep hypothermia is performed while all the necessary requirements for donation are done. After this a standard surgical procedure begins. Results: During this period we have had 58 NHBD, obtaining 116 kidneys, 70 of them have been transplanted, 68 in our institution and 2 in other hospitals. Of the kidneys transplanted in our hospital, 50 (74%) have had delayed function, recovering it within few days by means of dialysis, 15 kidneys (22%) showed function immediately after the transplant and only 3 kidneys (4%) never worked. These results are different (p<0.001) from those obtained with kidneys from brain-death donors for the delayed function group (25%) and the initial function group (66%), but not for the never function group (9%). The long-term function shows a probability of graft survival of 83% at 48 months for NHBD kidneys and 74% for brain-death kidneys (logrank 0.12). Conclusions: Kidneys obtained from NHBD are a good source for transplant. They show a high rate of delayed function, but they have the same long-term function than those obtained from brain-death donors.

Economic shortage

Brain dead

10.1097/00007890-199904150-00572

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Liver transplantation from Maastricht category 2 non-heart-beating donors

Transplantation (2003)

Alejandra Otero Manuel Gómez-Gutiérrez Francisco Suárez Francisco Arnal Antón Fernández-García

Background. The demand for liver transplantation has increasingly exceeded the supply of cadaver donor organs. Non-heart-beating donors (NHBDs) may be an alternative to increase the cadaver donor pool. Methods. The outcome of 20 liver transplants from Maastricht category 2 NHBDs is compared with 40 liver transplants from heart-beating donors (HBDs). After unsuccessful cardiopulmonary resuscitation (CPR), cardiopulmonary support (CPS) with simultaneous application of chest and abdominal compression (n=6), and cardiopulmonary bypass (CPB; n=14), which was hypothermic (n=7) or normothermic (n=7), were used to preserve the organs from NHBDs. Factors that may influence the outcome of livers from Maastricht category 2 NHBDs were also investigated. Results. With a minimum follow-up of 2 years, actuarial patient and graft survivals with livers from Maastricht category 2 NHBDs were 80% and 55%, respectively. Transplantation of organs from these donors was associated with a significantly higher incidence of primary nonfunction, biliary complications, and more severe initial liver dysfunction compared with livers from HBDs. Graft survival was 83% in livers from NHBDs preserved with CPS and 42% in those maintained with CPB. No graft failed if the duration of warm ischemia did not exceed 130 min with CPR or CPS, and if the period of CPB did not surpass 150 min when this method was used after CPR, regardless if it was hypothermic or normothermic. Conclusion. Livers from Maastricht type 2 NHBDs may be used for transplantation if the period of warm ischemia during CPR or CPS does not exceed 130 min. Hypothermic or normothermic CPB after CPR preserves liver viability for an additional 150 min.

10.1097/01.tp.0000085043.78445.53

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Citations (117)

Positive C4d in Kidney Transplantation Biopsy: Clinical Impact

Transplantation Proceedings (2014)

N. Pedraza Fernando Girón Y. Baez Alejandro Niño J. Alvarez

Panel reactive antibody

10.1016/j.transproceed.2014.06.056

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Citations (2)

Subject Index, Vol. 46, 1987

The Nephron journals/Nephron journals (1987)

Jacob Rudoy Ricardo Kohan J. Ben-Ari Gilles Grateau Bernard Page

10.1159/000184426

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Trasplante renal : Utilidad de los riñones obtenidos de donantes a corazón parado

J. Alvarez

La escasez de organos es el principal impedimento para los trasplantes. Con un protocolo adecuado se pueden obtener organos de personas que fallezcan por parada cardiaca y que cumplan las condiciones generales de los donantes. La presente tesis es la puesta en marcha de un protocolo de donantes a corazon parado, la evaluacion de los resultados y la busqueda de los factores que puedan influir de forma positiva en la funcion a largo plazo de los rinones trasplantados. Tras siete anos de funcionamiento el protocolo ha contribuido a aumentar el numero de donantes en un 20% y el de trasplantes en un 16%. Los resultados de la funcion a corto y largo plazo de los injertos es similar a la reportada en otras series. La hipotension mantenida previa a la parada cardiaca definitiva es el factor que mas influye de forma negativa en la funcion del injerto.

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Valori nei futuri professori

Orientamenti pedagogici: rivista internazionale di scienze dell'educazione (2004)

J. Alvarez

The essay presents the results of a research work that lasted two years and whose objectives were twofold: to identify the values that inform a group of teachers in training at the Ave Maria Institute, a Master program in education of the University of Granada, which applies Andres ManjOn's pedagogical principles. The results of the study show that the values claimed by the teachers attending the school don't correspond to those promoted by ManjOn's educational model.

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Estándares técnicos y funcionales, y proceso de implantación, de un sistema de información clínica en unidades de cuidados intensivos

Medicina Intensiva (2011)

V. Gómez Tello J. Alvarez A. Núñez Reiz José Ángel González Sánchez A. Hernández Abadía de Barbará

10.1016/j.medin.2011.07.001

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Citations (16)

External validation of the Simplified Acute Physiology Score (SAPS) 3 in Spain

Medicina Intensiva (English Edition) (2014)

C. López-Caler Manuel García-Delgado J. Carpio-Sanz J. Alvarez E. Aguilar-Alonso

SAPS II

10.1016/j.medine.2013.06.003

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Citations (2)