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Posts Tagged ‘KIDNEYS — Transplantation’

Bayes net classifiers for prediction of renal graft status and survival period






This paper presents the development of a Bayesian belief network classifier for prediction of graft status and survival period in renal transplantation using the patient profile information prior to the transplantation. The objective was to explore feasibility of developing a decision making tool for identifying the most suitable recipient among the candidate pool members. The dataset was compiled from the University of Toledo Medical Center Hospital patients as reported to the United Network Organ Sharing, and had 1228 patient records for the period covering 1987 through 2009. The Bayes net classifiers were developed using the Weka machine learning software workbench. Two separate classifiers were induced from the data set, one to predict the status of the graft as either failed or living, and a second classifier to predict the graft survival period. The classifier for graft status prediction performed very well with a prediction accuracy of 97.8% and true positive values of 0.967 and 0.988 for the living and failed classes, respectively. The second classifier to predict the graft survival period yielded a prediction accuracy of 68.2% and a true positive rate of 0.85 for the class representing those instances with kidneys failing during the first year following transplantation. Simulation results indicated that it is feasible to develop a successful Bayesian belief network classifier for prediction of graft status, but not the graft survival period, using the information in UNOS database. [ABSTRACT FROM AUTHOR]


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Sarah hyland’s kidney transplant news

The article discusses actress Sarah Hyland of the television series “Modern Family,” her kidney dysplasia and transplant surgery, and her boyfriend Matt Prokop.

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Cd20 expression in the transplanted kidney of patients with graft loss and transient allograft dysfunction

The article presents a study which examined the CD20 expression in the transplanted kidney of patients with trancient allograft dysfunction and graft loss. The researchers explored the relationship between the infiltration of CD20+ B cells and the survival time of a renal allograft. They also investigated the role of infiltrated B cells in the rejection of the renal allograft which proved to be a risk factor due to its poor prognosis.

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Comparison of acid and enzymatic methods for inulin dosage: analytical performances and impact on glomerular filtration rate evaluation

Abstract: Among issues susceptible to hamper a reliable measurement of inulin clearance, those regarding the dosage of inulin are largely neglected. We have compared the analytical performances of 2 commonly used methods of inulin dosage (one “acid” and one “enzymatic” method) and studied their potential impact on the glomerular filtration rate (GFR) value given by inulin clearance. Repeatability, uncertainty and the beta-expectation limits were evaluated from pre-determined serum and urine pools of inulin. Agreement between the two methods was analyzed from 99 inulin clearances performed in renal transplant patients. Impact of the method of dosage on GFR evaluation was simulated according to the respective beta-expectations limits of each method. Overall, intra-assay coefficient of variability and relative bias were inferior to 5% and 10% for both methods. Contrary to the acid method, analytical performance of the enzymatic method was not influenced by the presence of glucose. The relative difference in GFR values obtained with the two methods in transplant patients was −0.4±10%. Simulations suggested that changes in inulin concentration attributable to analytical error could modify the value of GFR from −12% to +28%. In conclusion, while analytical performances are globally acceptable for both methods, they are not strictly equivalent. The impact on the determination of GFR, albeit limited, is not negligible and adds to other sources of inaccuracy. International standardization for the dosage of inulin is necessary. [Copyright &y& Elsevier]

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