By H. Joachim Deeg M.D., Hans-Georg Klingemann M.D., Gordon L. Phillips M.D. (auth.)

ISBN-10: 0387548319

ISBN-13: 9780387548319

ISBN-10: 3540548319

ISBN-13: 9783540548317

ISBN-10: 3642973744

ISBN-13: 9783642973741

ISBN-10: 3642973760

ISBN-13: 9783642973765

In 1988 we provided our consultant to Bone Marrow Transplan­ tation. The reception has been enthusiastic and we now have re­ ceived a flood of severe reviews, feedback and requests to supply an replace in due time. even supposing numerous books on marrow transplantation have lately been released, their scope and target have commonly been diversified. therefore, we've got made up our minds to arrange a moment version of the consultant. Our target was once to take care of a brief, concise textual content which by no means­ theless might contain alterations that experience happened over the last 4 or 5 years. now we have streamlined the outline of pretransplant issues, through condensing sections into one (Treatment making plans and Timing of Transplantation). This additionally facilitated the evaluation of debatable symptoms for marrow transplantation, for instance in sufferers with acute myelogenous leukemia in first chemotherapy-induced remission. we now have up to date the bankruptcy facing conditioning regimens and feature multiplied the part on donor choice, particularly in regard to the present point of tissue typing and the id of unrelated volunteer donors. within the bankruptcy on assortment, processing, and infusion of marrow, we've got integrated contemporary advancements, for instance, using closed structures for marrow harvesting and processing and using good part separation of stem cells.

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Moreover, certain less obvious points should be detailed; for example, an acute leukemia patient may have been a reasonable candidate for transplantation soon after first achieving an initial complete remission, but be much le~s so after a year of continuous remission. Also, although the chief reason for considering a marrow transplant is almost always the possibility of cure, some patients arrive with the misconception that marrow transplantation is invariably curative; this idea must be dispelled.

In addition to further discussions, pamphlets and other resource materials are helpful in imparting information to the patient; of particular benefit is a videocassette describing the marrow transplant procedure that the patient may borrow, if such is available. Patients and families often appreciate being given a tour of the Transplant Unit prior to admission and the opportunity to meet other members of its staff (especially nursing personnel) during their initial visit. Some prospective patients also request that they be allowed to meet with patients who have had transplants.

The referring physician will play an important role in the patient's continuing care after discharge from the Transplant Center. the policy of close communication noted above, established soon after the patient's initial evaluation, will allow optimal post-transplant management. 46 Pre transplant Considerations Discussion with the Patient When patients are first evaluated by the Transplant Team, they may have widely varying amounts of information and perceptions regarding marrow transplantation.

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A Guide to Bone Marrow Transplantation by H. Joachim Deeg M.D., Hans-Georg Klingemann M.D., Gordon L. Phillips M.D. (auth.)

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A Guide to Bone Marrow Transplantation - download pdf or read online
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