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Dong SW, Walker J, Nematollahi S, Nolan NS, Ryder JH. The ID Digital Institute: Building a digital education toolset and community. Transpl Infect Dis 2024:e14297. [PMID: 38884941 DOI: 10.1111/tid.14297] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/30/2024] [Accepted: 05/03/2024] [Indexed: 06/18/2024]
Abstract
Organic digital education (ODE) includes online medical education content that can take various forms, such as blogs, social media, videos, podcasts, or infographics. Multimedia ODE platforms have unique benefits and have quickly become an essential part of medical education. Modern medical educators with competency in digital teaching modalities can leverage these for teaching as well as career development and dissemination of scientific research. The ID Digital Institute is a digital education program with a curriculum designed to equip infectious diseases (ID) professionals with the skills to appraise, create, curate, and integrate ODE into their teaching and career. We share the structure, content, and lessons learned from the ID Digital Institute program. We also illustrate how digital education skills can present unique opportunities to align with current and future transplant and immunocompromised host infectious diseases education efforts.
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Affiliation(s)
- Sara W Dong
- Division of Infectious Diseases, Departments of Medicine and Pediatrics, Emory University School of Medicine & Children's Healthcare of Atlanta, Atlanta, Georgia, USA
| | - Jeremey Walker
- Division of Infectious Diseases, University of Alabama at Birmingham, Birmingham, Alabama, USA
| | - Saman Nematollahi
- Division of Infectious Diseases, Department of Medicine, University of Arizona College of Medicine, Tucson, Arizona, USA
| | | | - Jonathan H Ryder
- Division of Infectious Diseases, Department of Internal Medicine, University of Nebraska Medical Center, Omaha, Nebraska, USA
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2
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Hawthorne WJ. Ethical and legislative advances in xenotransplantation for clinical translation: focusing on cardiac, kidney and islet cell xenotransplantation. Front Immunol 2024; 15:1355609. [PMID: 38384454 PMCID: PMC10880189 DOI: 10.3389/fimmu.2024.1355609] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/14/2023] [Accepted: 01/22/2024] [Indexed: 02/23/2024] Open
Abstract
In this state-of-the-art review we detail the journey of xenotransplantation from its infancy, detailing one of the first published cases and the subsequent journey the field took in its inception and development. With a focus on the science, technological advances, precautions required along with the potential limitations in application, the ethics, guidance's, and legislative advances that are required to reach the safe and efficacious clinical application of xenotransplantation. Along with a view over the past several decades with the overall significant advancements in pre-clinical study outcomes particularly in islet, kidney, and heart xenotransplantation, to ultimately reach the pinnacle of successful clinical heart and kidney xenotransplants. It outlines the importance for the appropriate guidance's required to have been developed by experts, scientists, clinicians, and other players who helped develop the field over the past decades. It also touches upon patient advocacy along with perspectives and expectations of patients, along with public opinion and media influence on the understanding and perception of xenotransplantation. It discusses the legislative environment in different jurisdictions which are reviewed in line with current clinical practices. All of which are ultimately based upon the guidance's developed from a strong long-term collaboration between the International Xenotransplantation Association, the World Health Organisation and The Transplantation Society; each having constantly undertaken consultation and outreach to help develop best practice for clinical xenotransplantation application. These clearly helped forge the legislative frameworks required along with harmonization and standardization of regulations which are detailed here. Also, in relation to the significant advances in the context of initial xeno-kidney trials and the even greater potential for clinical xeno-islet trials to commence we discuss the significant advantages of xenotransplantation and the ultimate benefit to our patients.
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Affiliation(s)
- Wayne J. Hawthorne
- The Centre for Transplant & Renal Research, Westmead Institute for Medical Research, Westmead, NSW, Australia
- Department of Surgery, School of Medical Sciences, University of Sydney, Westmead Hospital, Westmead, NSW, Australia
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3
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Cignarella A, Marshall A, Ranse K, Opdam H, Buckley T, Hewitt J. Identity Disclosure Between Donor Family Members and Organ Transplant Recipients: A Description and Synthesis of Australian Laws and Guidelines. JOURNAL OF BIOETHICAL INQUIRY 2023:10.1007/s11673-023-10287-y. [PMID: 38060147 DOI: 10.1007/s11673-023-10287-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/07/2023] [Accepted: 07/20/2023] [Indexed: 12/08/2023]
Abstract
INTRODUCTION The disclosure of information that identifies deceased organ donors and/or organ transplant recipients by organ donation agencies and transplant centres is regulated in Australia by state and territory legislation, yet a significant number of donor family members and transplant recipients independently establish contact with each other. AIM To describe and synthesize Australian laws and guidelines on the disclosure of identifying information. METHOD Legislation and guidelines relevant to organ donation and transplantation were obtained following a search of government and DonateLife network websites. Information about the regulation of identity disclosure was extracted and synthesised using a process guided by Walt and Gilson's (1994) policy analysis framework. FINDINGS Nineteen documents were examined. Six guidelines refer to and were consistent with current legislation. Four documents did not address identity disclosure. All jurisdictions prohibit healthcare professionals from disclosing identifying information. In three states, the prohibition extends to all members of the public including donor family members and transplant recipients. CONCLUSION Restrictions on identity disclosure have implications for public promotion of donation and transplantation where sharing of stories and images of organ donors and transplant recipients is common. Further research is required to understand the perspective of donor family members, transplant recipients, and healthcare professionals impacted by the current laws.
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Affiliation(s)
- Anthony Cignarella
- School of Nursing and Midwifery, Griffith University, 1 Parklands Drive Southport, Gold Coast, QLD, 4222, Australia.
- Peninsula Health, Frankston Hospital, Learning Hub, 2 Hastings Road Frankston, Melbourne, VIC, 3084, Australia.
| | - Andrea Marshall
- School of Nursing and Midwifery, Griffith University, 1 Parklands Drive Southport, Gold Coast, QLD, 4222, Australia
| | - Kristen Ranse
- School of Nursing and Midwifery, Griffith University, 1 Parklands Drive Southport, Gold Coast, QLD, 4222, Australia
| | - Helen Opdam
- Intensive Care Unit, Austin Health, The Austin Hospital, 145 Studley Road Heidelberg, Melbourne, VIC, 3084, Australia
- Australian Organ and Tissue Authority, 14 Childers Street Level 3, Canberra City, ACT, 2601, Australia
| | - Thomas Buckley
- School of Nursing and Midwifery, The University of Sydney, Susan Wakil Health Building Level 8, D-18 Western Avenue Camperdown, Sydney, NSW, 2006, Australia
| | - Jayne Hewitt
- School of Nursing and Midwifery, Griffith University, 1 Parklands Drive Southport, Gold Coast, QLD, 4222, Australia
- Law Futures Centre, Griffith University Law School, 170 Kessels Road, Nathan, QLD, 4111, Australia
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Atif M, Kaplow KN, Akhtar JM, Sidoti CN, Li J, Au EHK, Baan CC, Levan ML. Using Social Media to Promote Cutting-edge Research in Transplantation: Results of an International Survey. Transplantation 2023; 107:2294-2297. [PMID: 37309031 PMCID: PMC10615888 DOI: 10.1097/tp.0000000000004688] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/14/2023]
Affiliation(s)
- Mo Atif
- Department of General Surgery, University Hospitals Birmingham, Birmingham, United Kingdom
| | - Katya N Kaplow
- Department of Surgery, NYU Grossman School of Medicine, NYU Langone Health, New York, NY
| | - Jasmine M Akhtar
- Department of Surgery, NYU Grossman School of Medicine, NYU Langone Health, New York, NY
| | - Carolyn N Sidoti
- Department of Surgery, NYU Grossman School of Medicine, NYU Langone Health, New York, NY
| | - Jennifer Li
- Centre for Transplant and Renal Research, Westmead Hospital, Westmead, NSW, Australia
- Westmead Institute for Medical Research, Westmead, NSW, Australia
| | - Eric H K Au
- Department of Renal Medicine, The Alfred Hospital, Melbourne, VIC, Australia
- Central Clinical School, Monash University, Melbourne, VIC, Australia
- Sydney School of Public Health, The University of Sydney, Sydney, NSW, Australia
| | - Carla C Baan
- Department of Internal Medicine, Erasmus MC Transplant Institute, University Medical Center Rotterdam, Rotterdam, the Netherlands
| | - Macey L Levan
- Department of Surgery, NYU Grossman School of Medicine, NYU Langone Health, New York, NY
- Department of Population Health, NYU Grossman School of Medicine, New York, NY
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Olsacher A, Bade C, Ehlers J, Fehring L. How to effectively communicate health information on social media depending on the audience's personality traits: An experimental study in the context of organ donation in Germany. Soc Sci Med 2023; 335:116226. [PMID: 37734177 DOI: 10.1016/j.socscimed.2023.116226] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/26/2023] [Revised: 09/01/2023] [Accepted: 09/04/2023] [Indexed: 09/23/2023]
Abstract
OBJECTIVE The shortage of organs donated for transplantation is a global concern. Even though increasing awareness can boost organ donation registration rates (thus leading to a higher number of available organ transplants), public organ donation campaigns lack effectiveness and are rarely tailored to audiences. To further enhance the effectiveness of digital health (i.e., organ donation) communication, we assessed the perception of social media organ donation campaign strategies (i.e., transformational, informational, neutral) as a function of personality traits (i.e., Big Five). METHOD Data was collected through an online experiment with 1000 participants (i.e., German citizens between 18 and 70 years) who were recruited via Facebook and Prolific between Jun-Aug 2022. Perceived message effectiveness of the organ donation posts was measured on a 5-point Likert scale applying the AIDA model and consequently analyzed using multiple regression analyses. RESULTS Messaging strategy applied in the social media campaigns served as a predictor for message effectiveness depending on the personality traits of the audience when controlling for demographics and donor status. Extraversion was positively associated with higher message effectiveness of the transformational post while neuroticism showed a significant positive association with informational content. Agreeableness was positively correlated with transformational as well as informational post effectiveness. Furthermore, higher perceived post effectiveness increased the likelihood to sign-up for further organ donation information. CONCLUSION Our results show that Instagram in Germany is an underleveraged but potentially effective platform to spread organ donation knowledge. Based on our results, we urge public health authorities to revisit and start tailoring their (digital) health (i.e., organ donation) campaigns to audiences (i.e., personality traits) to increase their effectiveness.
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Affiliation(s)
- Alexandra Olsacher
- Didactics and Educational Research in Health Care, Faculty of Health, School of Medicine, Witten/Herdecke University, Germany
| | - Celina Bade
- Faculty of Health, School of Medicine, Witten/Herdecke University, Germany
| | - Jan Ehlers
- Didactics and Educational Research in Health Care, Faculty of Health, School of Medicine, Witten/Herdecke University, Germany
| | - Leonard Fehring
- Faculty of Health, School of Medicine, Witten/Herdecke University, Germany; Helios Universitätsklinik Wuppertal, Klinik für Gastroenterologie, Hepatologie, Endokrinologie und Diabetologie, Wuppertal, Germany.
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Olsacher A, Bade C, Ehlers J, Freitag B, Fehring L. Messaging strategies for communicating health-related information in social media-a content and effectiveness analysis of organ donation posts on Instagram in Germany. BMC Public Health 2023; 23:867. [PMID: 37170189 PMCID: PMC10176822 DOI: 10.1186/s12889-023-15736-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/05/2022] [Accepted: 04/23/2023] [Indexed: 05/13/2023] Open
Abstract
BACKGROUND Although organ transplantation is a very effective clinical solution to save the lives of patients suffering from organ failure, the supply of donated organs still cannot meet its growing demand. Educating the society about organ donation is a critical success factor in increasing donation rates, especially in countries that require potential donors to proactively register and opt-in (e.g., Germany). While social media has emerged as an effective tool for disseminating health information, recent evidence suggests that published organ donation content (both online and offline), aimed at raising awareness, still lacks effectiveness. To develop recommendations for optimizing organ donation messaging via social media, this study not only examines the current state of organ donation communication on Instagram, but also identifies factors that contribute to message effectiveness. METHODS We conducted a retrospective content analysis to in-depth assess organ donation-related content published on Instagram in Germany between January and March 2022. Systematic coding allowed to identify common themes, sentiments, and communication strategies, which were analyzed for their effectiveness using linear regression analyses. RESULTS Of the 500 organ donation posts, 57% were published by institutional authors while the remainder was shared by private accounts. Most content was aimed at the general population and shared neutral (80%) or positive sentiments (17%). Transformative messages, positive emotions, posts published by the transplant recipient and the image of a human served as predictors for post effectiveness measured in terms of likes (p < 0.001) and comments (p < 0.01). Sharing personal experiences (p < 0.01) and highlighting the meaning of organ donations (p < 0.05) resulted in significantly higher audience engagement than any other topic discussed. CONCLUSION Our findings highlight the need for health officials to work closely with organ transplant recipients to publicly advocate for organ donations by sharing personal and transformative messages. The high share of posts published by transplant recipients indicates a certain openness to share personal experiences with broad audiences. Different message characteristics served as predictors for message effectiveness (i.e., increased audience engagement) which can likely be extrapolated to other health-related use cases (e.g., cancer screening).
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Affiliation(s)
- Alexandra Olsacher
- Witten/Herdecke University, Faculty of Health, School of Medicine, Alfred-Herrhausen-Straße 45, Witten, 58455, Germany
| | - Celina Bade
- Witten/Herdecke University, Faculty of Health, School of Medicine, Alfred-Herrhausen-Straße 45, Witten, 58455, Germany
| | - Jan Ehlers
- Witten/Herdecke University, Faculty of Health, School of Medicine, Didactics and Educational Research in Health Care, Witten, Germany
| | - Bettina Freitag
- Witten/Herdecke University, Faculty of Health, School of Medicine, Alfred-Herrhausen-Straße 45, Witten, 58455, Germany
| | - Leonard Fehring
- Witten/Herdecke University, Faculty of Health, School of Medicine, Alfred-Herrhausen-Straße 45, Witten, 58455, Germany.
- Helios Universitätsklinik Wuppertal, Klinik Für Gastroenterologie, Hepatologie, Endokrinologie Und Diabetologie, Wuppertal, Germany.
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Meena P, Kute VB, Bhargava V, Mondal R, Agarwal SK. Social Media and Organ Donation: Pros and Cons. Indian J Nephrol 2023; 33:4-11. [PMID: 37197042 PMCID: PMC10185012 DOI: 10.4103/ijn.ijn_158_22] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/08/2022] [Revised: 06/06/2022] [Accepted: 07/14/2022] [Indexed: 12/28/2022] Open
Abstract
Shortage of organ donors is the most important obstacle standing in the way of lifesaving organ transplantation in a myriad of patients suffering from end-stage organ failure. It is vital that the transplant societies and associated appropriate authorities develop strategies to overcome the unmet needs for organ donation. The power of prominent social media (SoMe) platforms such as Facebook, Twitter, and Instagram, which reach millions of people, can increase awareness, provide education, and may ameliorate the pessimism toward organ donation among the general population. Additionally, public solicitation of organs may be helpful for waitlisted candidates for organ transplantation, who cannot find a suitable donor among near relations. However, the use of SoMe for organ donation has several ethical issues. This review attempts to highlight the advantages and limitations of using social media in the context of organ donation for transplantation. Some suggestions on the best utilization of social media platforms for organ donation while balancing ethical considerations have been highlighted here.
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Affiliation(s)
- Priti Meena
- Department of Nephrology, All India Institute of Medical Sciences Bhubaneswar, Odisha, India
| | - Vivek B. Kute
- Department of Nephrology, Institute of Kidney Diseases and Research Centre, Dr. HL Trivedi Institute of Transplantation Sciences (IKDRC-ITS), Ahmedabad, Gujarat, India
| | - Vinant Bhargava
- Institute of Renal Science, Sir Gangaram Hospital, New Delhi, India
| | - Rishita Mondal
- Department of Nephrology, All India Institute of Medical Sciences Bhubaneswar, Odisha, India
| | - Sanjay K. Agarwal
- Department of Nephrology, All India Institute of Medical Sciences, New Delhi, India
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Afful-Dadzie E, Afful-Dadzie A, Egala SB. Social media in health communication: A literature review of information quality. HEALTH INF MANAG J 2023; 52:3-17. [PMID: 33818176 DOI: 10.1177/1833358321992683] [Citation(s) in RCA: 7] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/19/2023]
Abstract
BACKGROUND Social media is used in health communication by individuals, health professionals, disease centres and other health regulatory bodies. However, varying degrees of information quality are churned out daily on social media. This review is concerned with the quality of Social Media Health Information (SMHI). OBJECTIVE The review sought to understand how SMHI quality issues have been framed and addressed in the literature. Health topics, users and social media platforms that have raised health information quality concerns are reviewed. The review also looked at the suitability of existing criteria and instruments used in evaluating SMHI and identified gaps for future research. METHOD The Preferred Reporting Items for Systematic Reviews and Meta-Analyses and the forward chaining strategy were used in the document search. Data were sourced according to inclusion criteria from five academic databases, namely Scopus, Web of Science, Cochrane Library, PubMed and MEDLINE. RESULTS A total of 93 articles published between 2000 and 2019 were used in the review. The review revealed a worrying trend of health content and communication on social media, especially of cancer, dental care and diabetes information on YouTube. The review further discovered that the Journal of the American Medical Association, the DISCERN and the Health on the Net Foundation, which were designed before the advent of social media, continue to be used as quality evaluation instruments for SMHI, even though technical and user characteristics of social media differ from traditional portals such as websites. CONCLUSION The study synthesises varied opinions on SMHI quality in the literature and recommends that future research proposes quality evaluation criteria and instruments specifically for SMHI.
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Nishio-Lucar AG, Hunt HF, Booker SE, Cartwright LA, Larkin L, Gonzalez SA, Spiers JA, Srinivas T, Ahmad MU, Levan ML, Singh P, Wertin H, McAdams C, Lentine KL, Schaffer R. Utilizing Social Media to Identify Potential Living Donors: Learning from US Living Donor Programs. CURRENT TRANSPLANTATION REPORTS 2022; 9:318-327. [PMID: 36466961 PMCID: PMC9684893 DOI: 10.1007/s40472-022-00382-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/19/2022] [Indexed: 11/24/2022]
Abstract
Abstract
Purpose of Review
Living donor transplantation provides the best possible recipient outcomes in solid organ transplantation. Yet, identifying potential living donors can be a laborious and resource intensive task that heavily relies on the recipient’s means and social network. Social media has evolved to become a key tool in helping to bring recipients and potential living donors together given its ease of utilization, widespread access, and improved recipient’s comfort with public solicitation. However, in the USA, formal guidelines to direct the use of social media in this context are lacking.
Recent Findings
To better inform the landscape and opportunities utilizing social media in living donation, the OPTN Living Donor Committee surveyed US transplant programs to explore programs’ experiences and challenges when helping patients use social media to identify potential living donors (September 2019). A large majority of survey participants (N = 125/174, 72%) indicated that their program provided education to use social media to identify potential living donors and most programs tracking referral source confirmed an increase utilization over time. The use of social media was compounded with program and recipient’s challenges including concerns about privacy, inadequate technology access, and knowledge gaps. In this review, we discuss the results of this national survey and recent literature, and provide suggestions to inform program practices and guidance provided to patients wishing to use social media to identify potential living donors.
Summary
Transplant programs should become competent in the use of social media for potential living donor identification to empower patients interested in using this tool. Social media education should be provided to all patients regardless of voiced interest and, when appropriate, revisited at multiple time points. Programs should consider developing a “team of experts” that can provide focused education and support to patients embarking in social media living donor campaigns. Care should be taken to avoid exacerbating disparities in access to living donor transplantation. Effective and timely guidance to patients in the use of social media could enhance the identification of potential living donors.
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Nakazawa E, Shaw MH, Akabayashi A. The Ethical Acceptability of a Recipient's Choice of Donor in Directed and Nondirected Transplantation: Japanese Perspective. Camb Q Healthc Ethics 2022; 32:1-6. [PMID: 36330827 DOI: 10.1017/s0963180122000214] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
In organ transplantation, there is a lack of ethical discussion about the recipient's right not to receive a transplant. Using the current situation of living organ transplantation and deceased organ transplantation in Japan as an example, we prospectively discussed to what extent the recipient's right not to receive a transplant is ethically acceptable. In directed transplantation from a living donor, a recipient may refuse organ donation from a particular donor. It is preferable that a recipient's request for organ donation from a donor occurs as part of a transparent process. In nondirected transplantation from a deceased donor, refusal of transplantation from a particular type of donor appears potentially justifiable. There are both moral and pragmatic considerations. Certain refusals based solely on belief are morally unacceptable, and refusal to transplant a recipient based on the donor's age jeopardizes the entire transplant system. When religious beliefs affect mental and physical health, individualized measures are required for transplant rejection. We also deductively developed a prospective argument based on the current status of donor-recipient communication in living organ transplantation in Japan and the 2010 amendment of the law allowing relatives to be given priority in organ transplantation from deceased donors.
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Affiliation(s)
- Eisuke Nakazawa
- Department of Biomedical Ethics, School of Public Health, Faculty of Medicine, The University of Tokyo, Tokyo, Japan
| | - Margie H Shaw
- Department of Health Humanities and Bioethics, University of Rochester School of Medicine and Dentistry, Rochester, New York, USA
| | - Akira Akabayashi
- Department of Biomedical Ethics, School of Public Health, Faculty of Medicine, The University of Tokyo, Tokyo, Japan
- Division of Medical Ethics, New York University School of Medicine, New York, New York, USA
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Social Media in Transplantation: An Opportunity for Outreach, Research Promotion, and Enhancing Workforce Diversity. Transplantation 2022; 106:2108-2110. [DOI: 10.1097/tp.0000000000004143] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Abstract
BACKGROUND Social media has grown significantly and its application in health care has been dramatically accentuated by the COVID-19 pandemic. It is often considered as a "new dimension" of health care, particularly in its ability to provide health information. In 2017, the top social media sites utilized by pediatric orthopaedic surgeons included Facebook, LinkedIn, and Twitter. In our study, we analyze the current social media usage, trends in Instagram and TikTok content, and the perceptions on social media usage among pediatric orthopaedic surgeons. METHODS The Pediatric Orthopaedic Society of North America (POSNA) membership directory was searched for the presence of social media. A review of all Instagram and TikTok posts made by the POSNA members were reviewed. A survey regarding the perception of social media networks and content was distributed to all POSNA members. RESULTS A total of 1231 POSNA members actively practicing in the United States were included in our study. In all, 327 (26.6%) had a LinkedIn profile, 34 (2.8%) had a professional Facebook profile, 15 (1.2%) had a public Instagram account, 0 (0%) had TikTok, and 72 (5.8%) had a professional Twitter account. Fifteen POSNA members with public Instagram accounts had 10,878 followers. A total of 907 Instagram posts were made, 134 (14.8%) of which were education and 462 (50.9%) of which were personal or political. The perception of various social media networks such as Instagram (3.02), Facebook (3.16), and LinkedIn (3.51) were positive on a 5-point Likert scale, while perceptions of TikTok (2.36) and Twitter (2.99) were negative. Educational posts on Instagram (3.19) and Facebook (3.37) were positive. CONCLUSIONS We provide an update to the utilization of social media by pediatric orthopaedists. Use of Instagram and TikTok accounts remain rare. Educational posts, when hosted on an appropriate social media platform, are perceived positively among pediatric orthopaedists. LEVEL OF EVIDENCE Level IV.
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Affiliation(s)
| | | | | | - Sean A Tabaie
- Department of Orthopaedic Surgery, Children's National Hospital
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13
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Cignarella A, Ranse K, Hewitt J, Opdam H, Romero L, Marshall A. Identity disclosure between donor families and organ transplant recipients: an integrative review of the international literature. PSYCHOL HEALTH MED 2022:1-23. [PMID: 35272546 DOI: 10.1080/13548506.2022.2050272] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Abstract
Anonymity of deceased organ donation is a legal requirement in many international jurisdictions where legislation prohibits health professionals from disclosing identifiable information about donors, recipients or their families. Written correspondence between donor families and transplant recipients that is coordinated by healthcare professionals must remain anonymous. Internationally, an increasing number of donor families and transplant recipients have advocated for law reform and policy amendment to enable the exchange of identifiable written correspondence and/or face-to-face meetings. This paper aims to synthesise and critically evaluate published, peer-reviewed literature on the perceptions, benefits and challenges of identifiable communication or anonymity between donor families and organ transplant recipients in the international context. Analysis of the findings revealed two major themes: (1) views held by donor families, transplant recipients and healthcare professionals towards identity disclosure in the context of organ donation are diverse across and within groups (2) there are benefits and burdens associated with connecting donor families and transplant recipients through written correspondence. Less is known about the impact of face-to-face meetings between donor families and transplant recipients. However, what is known is that for some donor families, meeting with the transplant recipient(s) may provide a range of positive emotions.
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Affiliation(s)
- Anthony Cignarella
- School of Nursing and Midwifery, Griffith University, Gold Coast, Queensland, Australia.,The Alfred Hospital, Alfred Health, Nursing Education, Melbourne, Victoria, Australia.,The Alfred Hospital, Alfred Health, Intensive Care Unit, Melbourne, Victoria, Australia
| | - Kristen Ranse
- School of Nursing and Midwifery, Griffith University, Gold Coast, Queensland, Australia.,Intensive Care Unit, Princess Alexandra Hospital, Brisbane, Queensland, Australia
| | - Jayne Hewitt
- School of Nursing and Midwifery, Griffith University, Gold Coast, Queensland, Australia.,Griffith Law School, Griffith University, Gold Coast, Queensland, Australia
| | - Helen Opdam
- Australian Organ and Tissue Authority, Canberra, NSW, Australia.,The Austin Hospital, Austin Health, Intensive Care Unit, Melbourne, Victoria, Australia
| | - Lorena Romero
- The Alfred Hospital, Alfred Health, Melbourne, Victoria, Australia
| | - Andrea Marshall
- School of Nursing and Midwifery, Griffith University, Gold Coast, Queensland, Australia.,Nursing and Midwifery Education and Research Unit, Gold Coast University Hospital, Gold Coast, Queensland, Australia
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15
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Xiong X, Lai K, Jiang W, Sun X, Dong J, Yao Z, He L. Understanding public opinion regarding organ donation in China: A social media content analysis. Sci Prog 2021; 104:368504211009665. [PMID: 33861661 PMCID: PMC10454996 DOI: 10.1177/00368504211009665] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Organ donation provides a life-saving opportunity for patients with organ failure. China, like most countries, is faced with organ shortages. Understanding public opinion regarding organ donation in China is critical to ensure an increased donation rate. Our study explored public concerns and attitudes toward organ donation, factors involved, and how the public pays attention to organ donation. Sixteen million users' public information (i.e. gender, age, and geographic information) and posts from January 2017 to December 2017 were collected from Weibo, a social media platform. Of these, 1755 posts related to organ donation were included in the analysis. We categorized the posts and coded the users' attitudes toward organ donation and the associations between the demographics. The most popular posts mentioning organ donation were "publicly expressing the willingness to donate organs." Furthermore, 87.62% of posts exhibited a positive attitude toward organ donation, whereas only 7.44% exhibited a negative attitude. Most positive posts were "saluting the organ donors," and most negative posts involved "fear of the family's passive medical decision." There was no significant gender difference in the users' attitudes, but older people generally had a more negative attitude. Users with negative attitudes mainly distrust the medical system and are worried that the donated organs may be used in improper trading. Social media may be an important channel for promoting organ donation activities, and it is important to popularize scientific knowledge related to organ donation in order to eliminate the public's misunderstanding of organ donation and transplantation.
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Affiliation(s)
- Xiling Xiong
- School of Tourism Management, Sun Yat-Sen University, Guangzhou, China
| | - Kaisheng Lai
- School of Journalism and Communication, Jinan University, Guangzhou, China
| | - Wenshi Jiang
- Department of Medical Affair, Intelligence Sharing for Life Science Research Institute, Shenzhen, China
| | - Xuyong Sun
- Institute of Transplantation Medicine, No. 923 Hospital of Chinese People’s Liberation Army, Nanning, China
| | - Jianhui Dong
- Institute of Transplantation Medicine, No. 923 Hospital of Chinese People’s Liberation Army, Nanning, China
| | - Ziqin Yao
- Organ Procurement Organization, The First Affiliated Hospital of University of Science and Technology of China, Hefei, China
| | - Lingnan He
- School of Communication and Design, Sun Yat-Sen University, Guangzhou, China
- Guangdong Key Laboratory for Big Data Analysis and Simulation of Public Opinion, Guangzhou, China
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16
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Kute V, Meshram H, Patel H, Engineer D, Banerjee S, Chauhan S, Navadiya V, Patel H, Gupta A, Rizvi J, Mishra V. First single-center five-way kidney exchange cycle in India. INDIAN JOURNAL OF TRANSPLANTATION 2021. [DOI: 10.4103/ijot.ijot_69_21] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
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17
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Sandal S, Soin A, Dor FJMF, Muller E, Ali A, Tong A, Chan A, Segev DL, Levan M. Insights From Transplant Professionals on the Use of Social Media: Implications and Responsibilities. Transpl Int 2021; 35:10181. [PMID: 35185368 PMCID: PMC8842268 DOI: 10.3389/ti.2021.10181] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/03/2021] [Accepted: 12/15/2021] [Indexed: 02/05/2023]
Affiliation(s)
- Shaifali Sandal
- Division of Nephrology, Department of Medicine, McGill University Health Centre, Montreal, QC, Canada
- *Correspondence: Shaifali Sandal,
| | - Arvinder Soin
- Institute of Liver Transplantation and Regenerative Medicine, Medanta-The Medicity, Gurugram, India
| | - Frank J. M. F. Dor
- Imperial College Renal and Transplant Centre, Hammersmith Hospital, Imperial College Healthcare NHS Trust, London, United Kingdom
- Department of Surgery and Cancer, Imperial College, London, United Kingdom
| | - Elmi Muller
- Division of General Surgery, Department of Surgery, University of Cape Town, Cape Town, South Africa
| | - Ala Ali
- Nephrology and Renal Transplantation Centre, The Medical City, Baghdad, Iraq
| | - Allison Tong
- Sydney School of Public Health, University of Sydney, Sydney, NSW, Australia
| | - Albert Chan
- Division of Hepatobiliary and Pancreatic Surgery and Liver Transplantation, Queen Mary Hospital, The University of Hong Kong, Hong Kong, China
| | - Dorry L. Segev
- Department of Surgery, Division of Transplantation, Johns Hopkins University School of Medicine, Baltimore, MD, United States
| | - Macey Levan
- Department of Surgery, Division of Transplantation, Johns Hopkins University School of Medicine, Baltimore, MD, United States
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18
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Joachim E. Self-Referral Patterns of Living Kidney Donors via Social Media: Examining an Expanding Platform. KIDNEY360 2020; 1:1337-1338. [PMID: 35372901 PMCID: PMC8815527 DOI: 10.34067/kid.0005732020] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/23/2020] [Accepted: 10/16/2020] [Indexed: 06/14/2023]
Affiliation(s)
- Emily Joachim
- Division of Nephrology, Department of Medicine, Medical College of Wisconsin, Milwaukee, Wisconsin
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19
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Henderson ML, Herbst L, Love AD. Social Media and Kidney Transplant Donation in the United States: Clinical and Ethical Considerations When Seeking a Living Donor. Am J Kidney Dis 2020; 76:583-585. [DOI: 10.1053/j.ajkd.2020.03.027] [Citation(s) in RCA: 21] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/14/2019] [Accepted: 03/24/2020] [Indexed: 11/11/2022]
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20
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Navarro SM, Mazingi D, Keil E, Dube A, Dedeker C, Stewart KA, Ncube T, Rickard JL, Lavy C, Tuttle TM. Identifying New Frontiers for Social Media Engagement in Global Surgery: An Observational Study. World J Surg 2020; 44:2881-2891. [PMID: 32447417 PMCID: PMC7385014 DOI: 10.1007/s00268-020-05553-8] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
Background The purpose of this observational study is to characterize the use of social media content pertaining to global surgery. Methods A search for public posts on social media related to global surgery was performed over a 3-month window, from January 1st, 2019, to March 31st, 2019. Two public domains were included in the search: Instagram and Twitter. Posts were selected by filtering for one hashtag: #GlobalSurgery. A binary scoring system was used for media format, perspective of the poster, timing of the post, tone, and post content. Data were analyzed using Chi-squared tests with significance set to p < 0.05. Results Overall, 2633 posts with the hashtag #GlobalSurgery were publicly shared on these two social media platforms over the 3-month period. Of these, 2272 (86.3%) referenced content related to global surgery and were original posts. Physicians and other health professionals authored a majority (60.5%, 1083/1788) of posts on Twitter, whereas organizations comprised a majority of the posts on Instagram (59.9%, 290/484). Posts either had a positive (50.2%, 1140/2272) or neutral (49.6%, 1126/2272) tone, with only 0.3% or 6/2272 of posts being explicitly negative. The content of the posts varied, but most frequently (43.4%, 986/2272) focused on promoting communication and engagement within the community, followed by educational content (21.3%, 486/2272), advertisements (18.8%, 427/2272), and published research (13.2%, 299/2272). The majority of global surgery posts originated from the USA, UK, or Canada (67.6%, 1537/2272), followed by international organizations (11.5%, 261/2272). Chi-squared analysis comparing Instagram with Twitter performed examining media content, tone, perspective, and content, finding statistically significant differences (p < 0.001) the two platforms for each of the categories. Conclusion The online social media community with respect to global surgery engagement is predominantly composed of surgeons and health care professionals, focused primarily on promoting dialogue within the online community. Social media platforms may provide a scalable tool that can augment engagement between global surgeons, with remaining opportunity to foster global collaboration, community engagement, education and awareness.
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Affiliation(s)
- Sergio M Navarro
- Department of Surgery, University of Minnesota, Minneapolis, MN, USA. .,Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, UK.
| | - Dennis Mazingi
- Department of Surgery, Parirenyatwa Group of Hospitals, Harare, Zimbabwe
| | - Evan Keil
- Department of Surgery, University of Minnesota, Minneapolis, MN, USA
| | - Andile Dube
- Department of Surgery, National University of Science and Technology, Bulawayo, Zimbabwe
| | - Connor Dedeker
- Department of Surgery, University of Minnesota, Minneapolis, MN, USA
| | - Kelsey A Stewart
- Department of Obstetrics and Gynecology, University of Minnesota, Minneapolis, MN, USA
| | - Thando Ncube
- University of the Witwatersrand, Linksfield Orthopaedic, Sports and Rehabilitation Centre, Johannesburg, South Africa
| | | | - Chris Lavy
- Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, UK
| | - Todd M Tuttle
- Department of Surgery, University of Minnesota, Minneapolis, MN, USA
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21
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Is There Decreasing Public Interest in Renal Transplantation? A Google Trends TM Analysis. J Clin Med 2020; 9:jcm9041048. [PMID: 32272783 PMCID: PMC7231300 DOI: 10.3390/jcm9041048] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/06/2020] [Revised: 03/29/2020] [Accepted: 04/06/2020] [Indexed: 02/02/2023] Open
Abstract
BACKGROUND AND OBJECTIVES Renal transplantation is the preferred form of renal replacement therapy for the majority of patients with end stage renal disease (ESRD). The Internet is a key tool for people seeking healthcare-related information. This current work explored the interest in kidney transplantation based on Internet search queries using Google TrendsTM. DESIGN, SETTING, PARTICIPANTS, AND MEASUREMENTS We performed a Google TrendsTM search with the search term "kidney transplantation" between 2004 (year of inception) and 2018. We retrieved and analyzed data on the worldwide trend as well as data from the United Network for Organ Sharing (UNOS), the Organización Nacional de Trasplantes (ONT), the Eurotransplant area, and the National Health Service (NHS) Transplant Register. Google TrendsTM indices were investigated and compared to the numbers of performed kidney transplants, which were extracted from the respective official websites of UNOS, ONT, Eurotransplant, and the NHS. RESULTS During an investigational period of 15 years, there was a significant decrease of the worldwide Google TrendsTM index from 76.3 to 25.4, corresponding to an absolute reduction of -50.9% and a relative reduction by -66.7%. The trend was even more pronounced for the UNOS area (-75.2%), while in the same time period the number of transplanted kidneys in the UNOS area increased by 21.9%. Events of public interest had an impact on the search queries in the year of occurrence, as shown by an increase in the Google TrendsTM index by 39.2% in the year 2005 in Austria when a person of public interest received his second live donor kidney transplant. CONCLUSIONS This study indicates a decreased public interest in kidney transplantation. There is a clear need to raise public awareness, since transplantation represents the best form of renal replacement therapy for patients with ESRD. Information should be provided on social media, with a special focus on readability and equitable access, as well as on web pages.
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22
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Pek JH, Ho VK, Ng WS, Kabir T, Tiah L, Koh Y. Missed opportunities for organ donation in patients with intracranial haemorrhage at the emergency department: A single-centre study. PROCEEDINGS OF SINGAPORE HEALTHCARE 2019. [DOI: 10.1177/2010105819868487] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
Background: The demand for transplantable organs has increased in Singapore. However, organ donation has been consistently lower than international standards. Donation after brain death (DBD) most commonly follows intracranial haemorrhage (ICH). Objective: Our aim was to identify missed opportunities for organ donation among those who presented to the Emergency Department (ED) and died following ICH. Methods: A retrospective study was carried out for all cases of ICH presenting to the ED from 1 January 2013 to 31 December 2017. The patients’ medical records were reviewed for identification of potential donors and actualisation of organ donation. Results: There were 615 cases of ICH, with a mortality rate of 6.0%. Among those who died, 28 (75.7%) died in the Intensive Care Unit (ICU) and nine (24.3%) patients had withdrawal of care in the ED. Thirty patients (81.1%) were potential donors but organ donation was actualised in only three (8.1%) patients. Thirteen organs, as well as heart valves and iliac vessels were retrieved from the organ donors for transplantation. Conclusion: There were missed opportunities for organ donation. EDs have an important role to play in the national organ donation programme by identifying potential donors for organ donation and considering admitting these patients to ICU to facilitate organ donation.
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Affiliation(s)
- Jen Heng Pek
- Department of Emergency Medicine, Sengkang General Hospital, Singapore
| | - Vui Kian Ho
- Department of Intensive Care Medicine, Sengkang General Hospital, Singapore
| | - Wei Sheng Ng
- Department of Emergency Medicine, Sengkang General Hospital, Singapore
| | - Tousif Kabir
- Department of General Surgery, Sengkang General Hospital, Singapore
| | - Ling Tiah
- Accident and Emergency Department, Changi General Hospital, Singapore
| | - Yexin Koh
- Department of Hepatopancreatobiliary and Transplant Surgery, Singapore General Hospital, Singapore
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23
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Pullen LC. Organ(elle) Transplants. Am J Transplant 2018; 18:2839-2840. [PMID: 30476365 DOI: 10.1111/ajt.15157] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/25/2023]
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