Kidney transplantation is a major advance of modern medicine which provides high-quality of life for patients with end-stage renal disease. What used to be an experimental, risky, and very limited treatment option more than 50 years ago is now routinely performed in many countries worldwide. The number of renal transplants is expected to rise sharply in the next decade since the proportion of patients with end stage renal disease is increasing.


Clinical Kidney, Pancreas and Islet Transplantation


Clinical Kidney, Pancreas and Islet Transplantation



Instructors: Marlies Reinders
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There are 6 modules in this course
Great that you are joining us! In this course you will learn about clinical kidney, pancreas and islet transplantation and its challenges. Before you start with studying we invite you first go through our introduction module and introduce yourself in the forum to meet your fellow learners. If you encounter any difficulties while studying, please let us know in the forum. For technical difficulties or questions regarding the course certificate, you can always contact the Coursera Learner Helpdesk. Good luck & we hope you enjoy studying in this course!
What's included
2 videos1 reading1 discussion prompt1 plugin
2 videos•Total 4 minutes
- Trailer Clinical Kidney Transplantation•2 minutes
- How to succeed in your online class?•2 minutes
1 reading•Total 5 minutes
- About us: Introduction to the Team•5 minutes
1 discussion prompt•Total 20 minutes
- Introduce yourself•20 minutes
1 plugin•Total 2 minutes
- Discover The World at Leiden University [video]•2 minutes
Welcome to this first module of the course! We will answer important questions before transplantation. These include: why is transplantation the preferred option for patients with end stage renal disease? What are the immunological barriers for transplantation? And what are the selection criteria before transplantation? Unique 3D movies about the different immunological tests will help you to understand the concepts. There are also optional lectures, including a fascinating movie about the Eurotransplant allocation system and patient/donor interviews. At the end of the module we will link the contents you have learned to clinical patient cases, patient - donor interviews and a quiz. You can find each other on the discussion forum. With the e-tivities you can apply your knowledge. In the honors lessons more in depth immunological testing and pre transplant screening can be obtained. The lesson also includes peer reviews about important preclinical questions. Have fun and good luck with the first module!
What's included
11 videos4 readings2 assignments1 peer review3 discussion prompts
11 videos•Total 79 minutes
- Short Introduction•2 minutes
- The Kidney in Health and Disease•6 minutes
- Options if Kidneys Fail•6 minutes
- Immunogenetics•7 minutes
- Introduction to the Immune System•7 minutes
- The Humoral Immune System•6 minutes
- Histocompatibility•7 minutes
- Cases from Daily Practice - Patient Selection•8 minutes
- Eurotransplant Company Film 'More than a Match'•13 minutes
- Interview: Transplant Recipient and Donor: Part 1•10 minutes
- Epitopes•6 minutes
4 readings•Total 110 minutes
- Glossary•20 minutes
- References•30 minutes
- HLA Epitope Matching is the Future•30 minutes
- HLA Antibody Detection: Not All Antibodies are the Same•30 minutes
2 assignments•Total 60 minutes
- Check your knowledge•30 minutes
- Check your knowledge•30 minutes
1 peer review•Total 30 minutes
- Advise your Colleague: a Pretransplantation Question•30 minutes
3 discussion prompts•Total 100 minutes
- E-tivity: Which Donor do you choose?•40 minutes
- The COVID-19 Pandemic and Transplantation•20 minutes
- E-tivity: Which Strategy would you choose for this Highly Sensitized Patient?•40 minutes
Now you know the factors of importance before transplantation, including the immunological barriers and important aspects for patient selection, we can focus on challenged patient groups and on surgical procedures. What does a kidney, pancreas and islet transplantation surgical procedure look like? What is important? And what are the key aspects in elderly patients, patients with diabetes and immunological challenged patients. We have unique visulisations, 360 virtual reality videos and a game about a patient case. Advanced readings will invite you to look at the different subjects in more depth. At the end of the module there are interviews about a patient with diabetes and the transplant recipient and donor to illustrate the impact of life. You can discuss patient cases on the forum together with your peers. In the honors lesson you can apply knowledge about more in depth immunological, surgical and metabolic challenges and living kidney donation. Let’s start and we hope you will enjoy this module.
What's included
14 videos7 readings2 assignments1 peer review3 discussion prompts2 plugins
14 videos•Total 111 minutes
- Short Introduction•2 minutes
- Immunological Challenged Patient: ABO Incompatible Transplants•7 minutes
- Immunological Challenged Patient: Highly Sensitized Patient•6 minutes
- The Diabetic Patient•11 minutes
- The Elderly Patient•7 minutes
- Organ Procurement and Preservation•10 minutes
- Kidney Transplant Surgery•7 minutes
- Simultaneous Pancreas Kidney & Islet Transplantation•15 minutes
- A: Cases from Daily Practice: Different Choices for Different Diabetic Patients•5 minutes
- B: Cases from Daily Practice: Different Choices for Different Diabetic Patients•6 minutes
- Interview: Patient with Diabetes•14 minutes
- Interview: Transplant Recipient and Donor: Part 2•4 minutes
- B Cell Replacement and Diabetes Type II•11 minutes
- Surgical Challenged Patients•6 minutes
7 readings•Total 145 minutes
- Introduction to Watching 360 VR Videos•10 minutes
- Serious Game: A Patient with Immunological Challenges•30 minutes
- Glossary•10 minutes
- References•5 minutes
- Highly Sensitized Patients: The AM Program•30 minutes
- Additional Challenged Transplant Recipients•30 minutes
- Living Kidney Donation•30 minutes
2 assignments•Total 50 minutes
- Check your knowledge•30 minutes
- Check your knowledge•20 minutes
1 peer review•Total 25 minutes
- Who is Involved in a Transplantation Procedure?•25 minutes
3 discussion prompts•Total 125 minutes
- E-tivity: Critical Moments During a Donor Nephrectomy•45 minutes
- E-tivity: Which treatment do you advise?•40 minutes
- E-tivity: Do you accept this donor?•40 minutes
2 plugins•Total 30 minutes
- Donor Nephrectomy (360 VR video)•15 minutes
- Kidney transplantation (360 video)•15 minutes
You are now familiar with the basic knowledge about challenges in transplant recipients and the surgical transplant procedures. Once the transplantation has been successful, it doesn’t mean everything is stable. What are actually the graft survival data? Which challenges do we face in the first months? How can we tackle these challenges? 3D movies about early surgical challenges and about the targets for immunosuppressives, including cell therapy, will help you to understand the concepts. In addition, we invite you to master the advanced knowledge and to give your opinion in the patient cases in the forum. There is also a serious game about a patient case. Can you solve the challenges? And can you think of a scenario for the game and help us with building? We will make a game of the best scenario, which will be incorporated in the course. In the honors lesson you can learn in more detail about immunological concepts, including the complement system. A patient case will help to show you the importance of this knowledge. Good luck with this module and happy learning!
What's included
12 videos9 readings2 assignments1 peer review4 discussion prompts
12 videos•Total 95 minutes
- Introduction & Overview of Early Challenges in Transplantation•7 minutes
- Surgical Challenges in the Early Period•6 minutes
- Ischemia Reperfusion Injury•7 minutes
- Cellular Rejection•9 minutes
- Antibody Mediated Rejection•7 minutes
- Immune Suppression•11 minutes
- Novel Therapeutics: Cell Therapy after Transplantation•8 minutes
- Cases from Daily Practice A - Patient Cases with Early Challenges•7 minutes
- Cases from Daily Practice B - Patient Cases with Early Challenges•7 minutes
- Interview Transplant Recipient & Donor: Part 3•9 minutes
- The Complement System and Transplantation•11 minutes
- Cases from Daily Practice: Patient Case with an Early Challenge•7 minutes
9 readings•Total 295 minutes
- Serious Game: Interactive Patient Case•30 minutes
- Optional - Immunesuppressive Regimens and Toxicity Profiles•60 minutes
- Biomarkers•40 minutes
- Therapeutic drug monitoring of immunosuppressive drugs•60 minutes
- Glossary•10 minutes
- References•5 minutes
- A closer Look at Antibody Mediated Rejection•30 minutes
- Innate Immunity and Impact on Transplantation•30 minutes
- Molecular Insights into Cellular Rejection•30 minutes
2 assignments•Total 60 minutes
- Check your knowledge•30 minutes
- Check your knowledge•30 minutes
1 peer review•Total 60 minutes
- Design the next game•60 minutes
4 discussion prompts•Total 110 minutes
- Advanced e-tivity - MSC therapy in the transplant recipient•20 minutes
- Etivity: Personalized dosing: what is your advice•40 minutes
- Etivity: What is your therapeutic advice?•10 minutes
- Advanced e-tivity - Which cytokine is target of the next drug?•40 minutes
Now you’ve learned about the challenges in the early period after transplantation. But what about the late period? What is the long term patient and allograft survival? Have we improved in the last decades? What are the main causes for morbidity and mortality? And can we reach tolerance in the future? We invite you to give your opinion in the patient cases and to discuss it on the forum. There are also advanced readings to look at additional subjects, including recurrence of the kidney disease after transplantation, the organization of dermatological care for the transplant recipient and the role of the patient himself in the whole process. The interview about tolerance gives you insight why pregnancy is of interest to understand the concept of tolerance and which steps have been made from lab research to a clinical protocol. In the honors lesson late challenges will be discussed in more detail, with a focus on infections, recurrence of the kidney disease after transplantation and tolerance. Have fun and good luck with this last module.
What's included
12 videos5 readings5 assignments1 peer review4 discussion prompts
12 videos•Total 96 minutes
- Introduction & Overview of Late Challenges in Transplantation•5 minutes
- Infections: Overview and CMV infection•9 minutes
- Infections: BK and EBV infection•7 minutes
- Malignancies•8 minutes
- Late Challenges after Pancreas and Islet Transplantation•9 minutes
- Post Transplant Diabetes Mellitus•8 minutes
- Cardiovascular Disease•8 minutes
- Tolerance: Interview with Prof. Claas (LUMC) and Prof. Wood (Oxford)•14 minutes
- Cases from Daily Practice A - Patient Cases with Late Challenges•6 minutes
- Cases from Daily Practice B - Patient Cases with Late Challenges•7 minutes
- Recurrence of Kidney Disease after Transplantation•9 minutes
- Vaccination and Transplantation•8 minutes
5 readings•Total 85 minutes
- Pneumocystis jirovecii•10 minutes
- Glossary•10 minutes
- References•5 minutes
- Skin Diseases after Transplantation and Dermatological Aftercare•30 minutes
- Tolerance in more Detail•30 minutes
5 assignments•Total 95 minutes
- Check your knowledge•30 minutes
- Check your knowledge•20 minutes
- Patient Case 1: Enhanced Glucose after SPK•15 minutes
- Patient Case 2: Hyperglycemia after Islet Transplantation•15 minutes
- Patient Case 3: A Complication after Pancreas-alone Transplantation•15 minutes
1 peer review•Total 60 minutes
- Advise your Colleague: Donor Derived Infections•60 minutes
4 discussion prompts•Total 80 minutes
- E-tivity - How can we prevent Pneumocystis Jirovecii Pneumoniae?•20 minutes
- E-tivity - Why do many transplant patients suffer from obesity?•20 minutes
- E-tivity - Can the patient himself influence allograft survival•20 minutes
- E-tivity: How can we reach tolerance?•20 minutes
We hope you have enjoyed all the modules. Good luck with the final quiz! If you are interested in an intensive course about transplantation go to the course resources.
What's included
2 assignments
2 assignments•Total 60 minutes
- Final Exam•30 minutes
- Final Honours Exam•30 minutes
Instructors
Instructor ratings
We asked all learners to give feedback on our instructors based on the quality of their teaching style.



Instructors
Instructor ratings
We asked all learners to give feedback on our instructors based on the quality of their teaching style.













Offered by

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Leiden University is one of Europe's foremost research universities. This prominent position gives our graduates a leading edge and prepares them for careers both within and outside of academia. Leiden University is the oldest university in the Netherlands, founded in 1575. Our motto is: Praesidium Libertatis (Bastion of Liberty) - Freedom of spirit, thought and expression. Leiden University has a campus in Leiden and The Hague, with 7 faculties, 47 Bachelor Programmes, 79 Master Programmes and nearly 30,000 students.
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Reviewed on May 23, 2017
THE BEST COURSE I have taken in COURSERAGREAT LECTURERS , BEST VIDEOS, AND VERY ORGANIZED3D movies are really fantasticHope to join in future sessions to get better scores
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Very comprehensive but extremely difficult for the layman to follow.
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