81 results on '"R, Tarchini"'
Search Results
2. Modeling the influences of pressure and velocity variations on the microwave-induced pyrolysis of wood
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R. Tarchini, Antonio Galgano, C. Di Blasi, Tarchini, R., Galgano, A., and DI BLASI, Colomba
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Electromagnetic field ,Thermal equilibrium ,Environmental Engineering ,Darcy's law ,microwave ,Waste management ,Chemistry ,General Chemical Engineering ,Vapor phase ,modeling ,Mechanics ,pyrolysi ,Flow velocity ,transport phenomena ,Constant pressure ,Pyrolysis ,Microwave ,wood ,Biotechnology - Abstract
A detailed two-dimensional mathematical model is studied for the unsteady heat-and mass-transfer equations coupled with a quasi-steady formulation of the electromagnetic field for the microwave-induced pyrolysis of a wood block. The aspects examined include the description of the flow field based on either the assumption of constant pressure and one-dimensional flow velocity directed along the wood fibers or the linked two-dimensional variation of pressure and velocity in accordance with the Darcy law and deviations from the assumptions of local thermal equilibrium between the solid and gas/vapor phase. © 2011 American Institute of Chemical Engineers AIChE J, 52: 610–624, 2012
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- 2011
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3. [Untitled]
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B. Koller, Luca Gianfranceschi, R. Liebhard, C.D. Ryder, R. Tarchini, Cesare Gessler, and W.E. van de Weg
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Genetics ,Genetic diversity ,biology ,Malus floribunda ,food and beverages ,Locus (genetics) ,Plant Science ,biology.organism_classification ,chemistry.chemical_compound ,Gene mapping ,chemistry ,Genetic linkage ,Linkage based QTL mapping ,Molecular marker ,Microsatellite ,Agronomy and Crop Science ,Molecular Biology ,Biotechnology - Abstract
The availability of suitable genetic markers is essential to efficiently select and breed apple varieties of high quality and with multiple disease resistances. Microsatellites (simple sequence repeats, SSR) are very useful in this respect since they are codominant, highly polymorphic, abundant and reliably reproducible. Over 140 new SSR markers have been developed in apple and tested on a panel of 7 cultivars and 1 breeding selection. Their high level of polymorphism is expressed with an average of 6.1 alleles per locus and an average heterozygosity (H) of 0.74. Of all SSR markers, 115 have been positioned on a genetic linkage map of the cross ‘Fiesta’ × ‘Discovery’. As a result, all 17 linkage groups, corresponding to the 17 chromosomes of apple, were identified. Each chromosome carries at least two SSR markers, allowing the alignment of any apple molecular marker map both with regard to identification as well as to orientation of the linkage groups. To test the degree of conservation of the SSR flanking regions and the transferability of the SSR markers to other Rosaceae species, 15 primer pairs were tested on a series of Maloideae and Amygdaloideae species. The usefulness of the newly developed microsatellites in genetic mapping is demonstrated by means of the genetic linkage map. The possibility of constructing a global apple linkage map and the impact of such a number of microsatellite markers on gene and QTL mapping is discussed.
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- 2002
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4. The Role of Platelet-Activating Factor in the Haemoincompatibility of Haemodialytic Treatments
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Jy Bosc, Mary Lou Wratten, Giovanni Camussi, C. Tetta, R. Tarchini, B. Canaud, and Jp Cristol
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Platelet-activating factor ,Biomedical Engineering ,Medicine (miscellaneous) ,Biocompatible Materials ,Membranes, Artificial ,Bioengineering ,Complement System Proteins ,General Medicine ,Pharmacology ,Biocompatible material ,Biomaterials ,chemistry.chemical_compound ,chemistry ,Renal Dialysis ,Leukocytes ,Humans ,Platelet Activating Factor - Published
- 1998
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5. Development, characterization and mapping of microsatellite markers in Eucalyptus grandis and E. urophylla
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Rosana Pereira Vianello Brondani, Claudio Brondani, R. Tarchini, and Dario Grattapaglia
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Eucalyptus grandis ,Genetics ,education.field_of_study ,Population ,Linkage map ,Microsatellite ,Locus (genetics) ,General Medicine ,Biology ,Quantitative trait locus ,E. urophylla ,Gene mapping ,Genetic linkage ,Genetic marker ,education ,Agronomy and Crop Science ,Biotechnology ,Synteny - Abstract
Made available in DSpace on 2016-10-10T03:52:26Z (GMT). No. of bitstreams: 5 Development characterization and mapping of microsatellite markers in Eucalyptus grandis and E. urophylla.pdf: 434857 bytes, checksum: 624437860a7984c288a5560f141a4b16 (MD5) license_url: 52 bytes, checksum: 2f32edb9c19a57e928372a33fd08dba5 (MD5) license_text: 24372 bytes, checksum: 94b0a37ff5ec51de8c55507bff4a7ff9 (MD5) license_rdf: 24623 bytes, checksum: 378d22d8fe50e084ee2f354be78cbe62 (MD5) license.txt: 1887 bytes, checksum: 445d1980f282ec865917de35a4c622f6 (MD5) Previous issue date: 1998 We report on the development, genetic characterization and linkage mapping of a battery of SSR (simple sequence repeat) loci in Eucalyptus grandis and E. urophylla. This study reveals the abundance of SSRs in Eucalyptus, the very high information content of these markers for mapping and individual identiÞcation, and demonstrates the feasibility of constructing a comprehensive microsatellite-based linkage map for Eucalyptus. Primer sequence for a set of 20 highly informative EMBRA (Eucalyptus microsatellites from Brazil) loci are made available together with their map position and estimates of the expected heterozygosity and allele size range in these two species. Using genomic library enrichment and anchored-PCR screening prior to sequencing, the e¦ciency of SSR marker locus development was 63% from sequencing data to operationally useful SSR loci. Absolute transportability between the two species and very high levels of allelic variability and expected heterozygosity (H) were seen at all SSR loci surveyed. The number of alleles per locus ranged from 9 to 26 with an average of 16.3$4.8. The average H of 15 loci was 0.86$0.04, 0.83$0.08 and 0.89$0.04, respectively, for E. urophylla, E. grandis and the combined two-species estimate. In the mapping analysis 16 out of 20 marker loci segregated in a fully informative conÞguration, allowing the determination of synteny of six homologous linkage groups between the two species. The availability of transportable, multiallelic, PCR-based co-dominant SSR locirepresents a dramatic improvement in our ability to carry out detailed population genetic analysis and to search, understand, and manipulate allelic variation at QTLs (quantitative trait loci) in species of Eucalyptus. Sim Publicado
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- 1998
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6. Simple sequence repeats for the genetic analysis of apple
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Cesare Gessler, M. Komjanc, R. Tarchini, Luca Gianfranceschi, and N. Seglias
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Germplasm ,Genetics ,Malus floribunda ,food and beverages ,Locus (genetics) ,General Medicine ,Biology ,biology.organism_classification ,Genetic analysis ,RAPD ,Settore AGR/07 - GENETICA AGRARIA ,Gene mapping ,Genetic marker ,Microsatellite ,Agronomy and Crop Science ,Biotechnology - Abstract
The development of highly informative markers, such as simple sequence repeats, for tagging genes controlling agronomic characters is essential for apple breeding. Furthermore the use of these markers is fundamental both for variety identification and for the characterisation and management of genetic resources. We have developed 16 reliable simple sequence repeat (SSR) markers that amplify all alleles from a panel of 19 Malus x domestica (Borkh.) cultivars or breeding selections and from Malus floribunda 821. Those markers show a high level of genetic polymorphism, with on average 8.2 alleles per locus and an average heterozygosity of 0.78. Due to this high level of polymorphism, it was possible using two selected SSRs to distinguish all cultivars except Starking and Red Delicious. Ten of the markers we developed have been mapped on a RAPD linkage map, proving their Mendelian segregation as well as their random distribution in the apple genome. Finally, we discuss the importance of using co-dominant markers in outbreeding species.
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- 1998
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7. [Mortality triplicates in acute myocardial infarction patients affected by chronic renal failure]
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A, Serra, A, Izzo, L, Tomasi, R, Zanini, E, Talassi, C D, Marseglia, R, Tarchini, S, Tardivo, and T, Zerman
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Survival Rate ,Intensive Care Units ,Italy ,Risk Factors ,Myocardial Infarction ,Prevalence ,Humans ,Kidney Failure, Chronic ,Middle Aged ,Prognosis ,Aged ,Retrospective Studies - Abstract
In order to calculate the cardiovascular risk in patients with chronic renal failure (CRF), we retrospectively analyzed 1482 acute myocardial infarctions (AMIs) treated in the ICU at C. Poma General Hospital, Mantua, Italy, from 1 December 2004 to 31 July 2007. Of these patients, 133 suffered from CRF at hospital admission (eGFR40 mL/min/1.73 m2 body surface and/or serum creatinine2 mg/dL). During hospitalization for AMI, the CRF-affected patients showed a 2.7 times higher relative risk of mortality than patients without CRF (Yates chi square 14.46; p = 0.0001432). The evaluated comorbidities (hypertension, type 2 diabetes, supra-aortic vascular stenosis70%, previous PTCA, COPD, previous AMI, previous coronary artery bypass and chronic obliterative peripheral arteriopathy) increased the relative risk of death 1.2- to 3.76-fold in those affected. In accord with recent evidence in the international literature, our results point to the importance of early assessment of CRF for the prognosis of patients with AMI.
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- 2009
8. [Prevention and therapy of critical ischemia in hemodialyzed patients]
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M, Andreoli, G, Galli, A, Arienzo, A, Nora, M, Tedoli, D, Guidetti, R, Pacchioni, G, Ferrari, E, Talassi, A, Serra, and R, Tarchini
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Aged, 80 and over ,Male ,Leg ,Arterial Occlusive Diseases ,Middle Aged ,Limb Salvage ,Prognosis ,Amputation, Surgical ,Radiography ,Tibial Arteries ,Early Diagnosis ,Treatment Outcome ,Italy ,Cardiovascular Diseases ,Ischemia ,Renal Dialysis ,Risk Factors ,Humans ,Kidney Failure, Chronic ,Female ,Vascular Surgical Procedures ,Vascular Patency ,Aged ,Follow-Up Studies ,Retrospective Studies - Abstract
The cardiovascular disease is largely increased in chronic renal failure and the patients have a 10-20 times higher mortality respect normal population. Besides habitual risk-factors they add the mineral metabolism alterations, iperomocisteine and chronical vessel flogosis. In these patients the vascular disease is often lately diagnosed, but early diagnosis would be extremely important to establish appropriate pharmacologic or surgical treatment (PTA or by pass). The basic diagnostic methods are still digital angiography, angio-NMR or angio-CT. In our experience appears that dialysed patients present high total mortality and re-vascolarization (particularly for peripheral occlusive disease) gives less guarantee of success. During last years endovascular surgery procedures extremely improved short-term prognosis for these patients. When there is no space for the re-vascolarization and the situation is strongly compromised by the presence of extended gangrene or infected lesion, amputation is still indicated and can be considered the only possible solution.
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- 2009
9. Absorption of Di- and Tripeptides by the Intestine of the Guinea-Pig
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B. S. Lindblad, D. Burston, A. Baum, D. M. Matthews, B. Lindqvist, P. Fürst, R. Tarchini, E. Taylor, and L. Chao
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chemistry.chemical_classification ,Taurine ,chemistry.chemical_compound ,Chromatography ,Arginine ,chemistry ,Casein ,Peptide ,Tripeptide ,Hydrolysate ,Amino acid ,Whole blood - Abstract
This paper describes a method of quantifying the amount of smaller peptides in physiological fluids and reports the preliminary results of studying the mesenteric blood of adult guinea-pigs during absorption of a partial hydrolysate of casein. Because of the different roles suggested for plasma and erythrocytes in the inter-organ transport of amino acids, both plasma and whole blood have been studied. Whole blood and plasma samples were deproteinized with sulphosalicylic acid, and amino acids and small peptides separated from residual small amounts of protein on a Sephadex G-25 column. Ion exchange chromatography was then performed before and after acid hydrolysis. The concentration of small peptides in blood seems to be much lower than was previously believed. The adult guinea-pig did not absorb small peptides across the intestine into mesenteric whole blood or plasma in our experiments. However, casein hydrolysates are not necessarily representative of all protein hydrolysates, and further studies are required using different proteins and varying degrees of hydrolysis. The possibility of peptide transfer during development, and in conditions involving mucosal damage, should also be investigated. The present investigation confirms the assumption that predominantly plasma, and not red blood corpuscles, carries amino acids from the gut to the liver. It is worth noting, however, that taurine, aspartic acid, glutamic acid, citrulline and arginine were found in higher concentrations in whole mesenteric blood than in plasma.
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- 2008
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10. [A good vascular access allows an effective treatment]
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G, Ferrari, E, Talassi, C, Baraldi, M, Baruffaldi, R, Tarchini, F, Galli, A, Arienzo, and R, Pacchioni
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Clinical Trials as Topic ,Renal Dialysis ,Humans ,Kidney Failure, Chronic ,Catheterization - Abstract
Vascular access (VA) for dialysis is defined as the 'Achilles heel', but also the 'Cinderella' of dialysis, indicating the poor consideration of the problem whether in the surgical environment, or in incomprehensible way in that nephrologic. It can only aspire to the definition 'Fundamental detail'. However, presupposed effective dialysis is a blood flow rate of 300-350 mL/min. Good VA must be easy to prepare, long lasting, free from complications, and aesthetically acceptable and economical. The arteriovenous fistula (AVF) of Cimino and Brescia, from 1966, represents the gold standard and the model of comparison for other systems, more technologically advanced. It must be programmed with an adapted margin (1-2 months) to allow maturation and access certainty for the first puncture, and never carried out sooner than 14 days from the operation. It is known from hemodynamic studies that the good functional flow of the new fistula can already regain 400-500 ml/min in the first week, with cardiological implications like the increase in cardiac throw, in ejection fraction and in the cardiac index. Health workers, patients and dialysis staff must follow a continuous educational program to protect the VA and avoid 'routine and absent-minded management', a basis for its premature failure. The nephrologist must take the responsibility upon himself not to carry out 'medical malpractice'. In the Dialysis Center of Mantova, the VA 'road map' previews all patients (young and old, affections from mono or pluropathology), first the fistula to the wrist, then the cephalic proximal. It follows the basilic vein transposition, the vascular graft to the arm or to the groin, as an alternative to peritoneal dialysis. The permanent central venous catheter (CVCp) is the last choice in patients with reduced life expectancy, heart failure, neoplastic patients with vascular patrimony destroyed by chemotherapy and ischemic lesions produced by the fistula. There were 180 afferent prevailing patients at the Mantova Dialysis Center . The natural fistula rate was 91%, grafts 7% and CVCps 2%. Between 2000 and 31 March 2004 we prepared 367 VAs. Average patient age was 65 yrs, range 20-90 yrs; 59% male and 41% female. Eighty-eight percent of operations were performed by the nephrologist (distal fistula, rescue and cephalic proximal) and 12% by the vascular surgeon (basilic vein transposition, graft in PTFE stretch to the arm and to the groin and permanent catheter in the jugular vein). The fistula with native veins was the better solution, the graft must be prepared after the exhaustion of natural possibilities, and the CVCp, for serious complications (inadequate flow and infections), must be the last alternative.
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- 2005
11. [Acute renal failure caused by VIP-secreting tumor]
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D, Lambertini, E, Bottini, E, Talassi, R, Tarchini, L, Gaetti, and A, Bellomi
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Pancreatic Neoplasms ,Humans ,Female ,Acute Kidney Injury ,Vipoma ,Aged - Abstract
A 74-year-old woman had secretory diarrhea, severe metabolic acidosis, hypokalemia, hypovolemia, and acute renal failure caused by a pancreatic vasoactive intestinal polypeptide (VIP)-secreting tumor. Vipoma is a rare neuroendocrine tumor. Morbidity and mortality are related to long-standing dehydration and electrolyte and acid-base disturbance resulting in acute renal failure. Diagnosis requires the documentation of large volumes of secretory diarrhea, elevated VIP plasma levels, and the localization of the VIP-secreting tumor. Metastases are present in 50% of patients at the time of diagnosis. Treatment includes correction of volume, electrolyte, and metabolic abnormalities; CVVH during ARF; pharmacotherapy to decrease gastrointestinal secretion; and surgical resection of the vipoma.
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- 2003
12. [Thirty years of nephrology and dialysis in Mantua: results and prospects]
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C, Baroni and R, Tarchini
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Hemodialysis Units, Hospital ,Hospitals, Urban ,Italy ,Bibliometrics ,Nephrology ,Renal Dialysis ,Humans ,Kidney Diseases ,History, 20th Century ,History, 21st Century ,Forecasting - Abstract
During the thirty years from its birth, the activity of the Department of Nephrology and Dialysis at the Carlo Poma Hospital in Mantova has witnessed the progressive increase in the number of kidney patients (300/year), uraemic patients in RRT, both peritoneal and extracorporeal (220 patients) and kidney transplants (84). During the same period there has also been an increase in the following activities: from kidney biopsy by echocolordoppler for glomerular illness to metabolic studies for the prevention of kidney stones, therapy and follow-up for hypertension during pregnancy to echo-studies of the renal vascular bed, long-term follow-up of kidney transplant patients to territorial distribution of 4 limited-care dialysis facilities. Vascular access surgery, 100 interventions per year, and home peritoneal dialysis (CAPD and APD (today more than 50 pts in treatment) are increasing. During the last three years there has been a rapid increased in requests for CRRT in the ICU's. After acknowledging the work of all doctors active throughout the years, this presentation ends with a report on the goals for the near future.
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- 2003
13. [Vascular access validity and treatment efficiency in hemodialysis]
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G, Ferrari, E, Talassi, C, Baraldi, D, Lambertini, and R, Tarchini
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Adult ,Aged, 80 and over ,Male ,Catheterization, Central Venous ,Adolescent ,Middle Aged ,Arteriovenous Shunt, Surgical ,Catheters, Indwelling ,Treatment Outcome ,Italy ,Renal Dialysis ,Humans ,Kidney Failure, Chronic ,Equipment Failure ,Female ,Aged - Abstract
The vascular access is the "Achille's heel" of the modern hemodialysis. In order to obtain a good depuration, the blood flow in dialysis must be of 250-300 mL/min, at least. The procedures for the preparation and their complications are cause of the 25% of the hospital admissions in patients with chronic uremia in substitutive therapy. Gold standard is still represented from the distal arteriovenous fistulas of Cimino and Brescia. The alternatives to the native veins as the syntetic graft and the tunneled central venous catheteters or the Dialock system, revealed useful in the patients that have exausted the superficial veins, but are of second choice. The native fistula has an advanced validity, demonstrated from lower risk of mortality in the patients who use it, diabetic or not. These affirmations come just from USA, where the arteriovenous grafts prevail and the percentage of central venous catheters is elevated. Thrombosis, infections and reduced depurative efficiency are the main causes. In the Dialysis Unit of Mantova we adopted an aggressive approach to the construction of distal fistula. Out of 172 patients in chronic hemodialysis, 165 use an arterovenous fistula, 4 an arterovenous grafts (PTFE) and 3 a tunnelled central venous catheters (2 Permcath and 1 Tesio). The surgical activity between 1987 and 2001 included 858 procedures on 516 patients (medium ages 59.1 years): Among these, 815 are created from native veins, 28 by arterovenous graft fistulas and 15 with tunnelled hemodialysis catheters. Our current strategy recommended to candidate to permanent venous catheter only patients on chronic hemodialysis with exhausted periferal vascular bed and only when peritoneal dialisys is'nt possible. Generally, the management of the vascular access must preview one tight collaboration between nephrologists, nurses, patient, vascular surgeons and radiologists.
- Published
- 2003
14. Extracorporeal dialysis: techniques and adequacy
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C. Donadio, A. Kanaki, A. Martin-Gomez, S. Garcia, M. Palacios-Gomez, D. Calia, E. Colombini, F. DI Francesco, S. Ghimenti, M. Onor, D. Tognotti, R. Fuoco, E. Marka-Castro, M. I. Torres Zamora, J. Giron-Mino, M. A. Jaime-Solis, L. M. Arteaga, H. Romero, A. Akonur, K. Leypoldt, M. Asola, B. Culleton, S. Eloot, G. Glorieux, N. Nathalie, R. Vanholder, A. Perez de Jose, U. Verdalles Guzman, S. Abad Esttebanez, A. Vega Martinez, D. Barraca, C. Yuste, L. Bucalo, A. Rincon, J. M. Lopez-Gomez, P. Bataille, P. Celine, A. Raymond, G. Francois, L. Herve, D. Michel, R. Jean Louis, F. Zhu, P. Kotanko, S. Thijssen, N. W. Levin, N. Papamichail, M. Bougiakli, C. Gouva, S. Antoniou, S. Gianitsi, A. Vlachopanou, S. Chachalos, K. Naka, D. Kaarsavvidou, K. Katopodis, L. Michalis, K. Sasaki, K. Yasuda, M. Yamato, A. Surace, P. Rovatti, D. Steckiph, R. Bandini, S. Severi, A. Dellacasa Bellingegni, A. Santoro, M. Arias, A. Sentis, N. Perez, N. Fontsere, M. Vera, N. Rodriguez, C. Arcal, N. Ortega, F. Uriza, A. Cases, F. Maduell, S. R. Abbas, P. Georgianos, P. Sarafidis, P. Nikolaidis, A. Lasaridis, A. Ahmed, H. Kaoutar, B. Mohammed, O. Zouhir, P. Balter, N. Ginsberg, P. Taylor, T. Sullivan, L. A. Usvyat, P. Zabetakis, U. Moissl, M. Ferrario, F. Garzotto, P. Wabel, D. Cruz, C. Tetta, M. G. Signorini, S. Cerutti, A. Brendolan, C. Ronco, J. Heaf, M. Axelsen, R. S. Pedersen, H. Amine, Z. Oualim, A. L. Ammirati, N. K. Guimaraes de Souza, T. Nemoto Matsui, M. Luiz Vieira, W. A. Alves de Oliveira, C. H. Fischer, F. Dias Carneiro, I. J. Iizuka, M. Aparecida de Souza, A. C. Mallet, M. C. Cruz Andreoli, B. F. Cardoso Dos Santos, L. Rosales, Y. Dou, M. Carter, A. Testa, L. Sottini, B. Giacon, E. Prati, C. Loschiavo, M. Brognoli, C. Marseglia, A. Tommasi, L. Sereni, G. Palladino, S. Bove, G. Bosticardo, E. Schillaci, P. Detoma, R. Bergia, J. W. Park, S. J. Moon, H. Y. Choi, S. K. Ha, H.-C. Park, Y. Liao, L. Zhang, P. Fu, H. Igarashi, N. Suzuki, S. Esashi, I. Masakane, V. Panichi, G. De Ferrari, S. Saffiotti, A. Sidoti, M. Biagioli, S. Bianchi, P. Imperiali, C. Gabrielli, P. Conti, P. Patrone, G. Rombola, V. Falqui, C. Mura, A. Icardi, A. Rosati, F. Santori, A. Mannarino, A. Bertucci, J. Jeong, O. K. Kim, N. H. Kim, M. Bots, C. Den Hoedt, M. P. Grooteman, N. C. Van der Weerd, A. H. A. Mazairac, R. Levesque, P. M. Ter Wee, M. J. Nube, P. Blankestijn, M. A. Van den Dorpel, Y. Park, J. Jeon, N. Tessitore, V. Bedogna, D. Girelli, L. Corazza, P. Jacky, Q. Guillaume, B. Julien, W. Marcinkowski, M. Drozdz, A. Milkowski, T. Rydzynska, T. Prystacki, R. August, E. Benedyk-Lorens, K. Bladek, J. Cina, G. Janiszewska, A. Kaczmarek, T. Lewinska, M. Mendel, M. Paszkot, E. Trafidlo, M. Trzciniecka-Kloczkowska, A. Vasilevsky, G. Konoplev, O. Lopatenko, A. Komashnya, K. Visnevsky, R. Gerasimchuk, I. Neivelt, A. Frorip, M. Vostry, J. Racek, D. Rajdl, J. Eiselt, L. Malanova, U. Pechter, A. Selart, M. Ots-Rosenberg, D. H. Krieter, S. Seidel, K. Merget, H.-D. Lemke, C. Wanner, B. Canaud, A. Rodriguez, A. Morgenroth, K. Von Appen, G.-P. Dragoun, R. Fluck, D. Fouque, R. Lockridge, Y. Motomiya, Y. Uji, T. Hiramatsu, Y. Ando, M. Furuta, T. Kuragano, A. Kida, M. Yahiro, Y. Otaki, Y. Hasuike, H. Nonoguchi, T. Nakanishi, M. Sain, V. Kovacic, D. Ljutic, J. Radic, I. Jelicic, S. F. Yalin, S. Trabulus, A. S. Yalin, M. R. Altiparmak, K. Serdengecti, A. Ohtsuka, K. Fukami, K. Ishikawa, R. Ando, Y. Kaida, T. Adachi, K. Sugi, S. Okuda, O. B. Nesterova, E. D. Suglobova, R. V. Golubev, A. N. Vasiliev, V. A. Lazeba, A. V. Smirnov, K. Arita, E. Kihara, K. Maeda, H. Oda, S. Doi, T. Masaki, S. Hidaka, K. Ishioka, M. Oka, H. Moriya, T. Ohtake, S. Nomura, S. Kobayashi, S. Wagner, A. Gmerek, J. Wagner, V. Wizemann, N. Eftimovska - Otovic, K. Spaseska-Gjurovska, S. Bogdanovska, E. Babalj - Banskolieva, M. Milovanceva, R. Grozdanovski, A. Pisani, E. Riccio, A. Mancini, P. Ambuhl, S. Astrid, P. Ivana, H. Martin, K. Thomas, R. Hans-Rudolf, A. Daniel, K. Denes, M. Marco, R. P. Wuthrich, S. Andreas, S. Andrulli, P. Altieri, G. Sau, P. Bolasco, L. A. Pedrini, C. Basile, S. David, M. Feriani, P. E. Nebiolo, R. Ferrara, D. Casu, F. Logias, R. Tarchini, F. Cadinu, M. Passaghe, G. Fundoni, G. Villa, B. R. DI Iorio, C. Zoccali, F. Locatelli, M. Hamamoto, D.-Y. Lee, B. Kim, K. H. Moon, Z. LI, P. Ahrenholz, R. E. Winkler, G. Waitz, H. Wolf, G. Grundstrom, M. Alquist, M. Holmquist, A. Christensson, P. Bjork, M. Abdgawad, L. Ekholm, M. Segelmark, C. Corsi, J. De Bie, E. Mambelli, D. Mortara, D. Arroyo, N. Panizo, B. Quiroga, J. Reque, R. Melero, M. Rodriguez-Ferrero, P. Rodriguez-Benitez, F. Anaya, J. Luno, A. Ragon, A. James, P. Brunet, S. Ribeiro, M. S. Faria, S. Rocha, S. Rodrigues, C. Catarino, F. Reis, H. Nascimento, J. Fernandes, V. Miranda, A. Quintanilha, L. Belo, E. Costa, A. Santos-Silva, J. Arund, R. Tanner, I. Fridolin, M. Luman, C. Clajus, J. T. Kielstein, H. Haller, P. Libutti, P. Lisi, L. Vernaglione, F. Casucci, N. Losurdo, A. Teutonico, C. Lomonte, C. Krisp, D. A. Wolters, M. Matsuyama, T. Tomo, K. Ishida, K. Matsuyama, T. Nakata, J. Kadota, M. Caiazzo, E. Monari, A. Cuoghi, E. Bellei, S. Bergamini, A. Tomasi, T. Baranger, P. Seniuta, F. Berge, V. Drouillat, C. Frangie, E. Rosier, W. Labonia, A. Lescano, D. Rubio, N. Von der Lippe, J. A. Jorgensen, T. B. Osthus, B. Waldum, I. Os, M. Bossola, E. DI Stasio, M. Antocicco, L. Tazza, I. Griveas, A. Karameris, P. Pasadakis, V. Savica, D. Santoro, S. Saitta, V. Tigano, G. Bellinghieri, S. Gangemi, R. Daniela, I. A. Checherita, A. Ciocalteu, I. A. Vacaroiu, A. Niculae, E. Stefaniak, I. Pietrzak, D. Krupa, L. Garred, E. Mancini, L. Corrazza, M. Atti, B. Afsar, D. Stamopoulos, N. Mpakirtzi, B. Gogola, M. Zeibekis, D. Stivarou, M. Panagiotou, E. Grapsa, O. Vega Vega, D. Barraca Nunez, M. Fernandez-Lucas, A. Gomis, J. L. Teruel, S. Elias, C. Quereda, L. Hignell, S. Humphrey, N. Pacy, and N. Afentakis
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Transplantation ,medicine.medical_specialty ,Extracorporeal Dialysis ,Nephrology ,business.industry ,Uremic toxins ,Medicine ,Identification (biology) ,business ,Intensive care medicine ,Microbiology - Published
- 2011
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15. [Effects of the oral administration of clonidine in splits doses in the control of high arterial pressure]
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M G, Di Pietrantonio, L, Giordano, R, Guerrieri, and R, Tarchini
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Male ,Dose-Response Relationship, Drug ,Hypertension ,Administration, Oral ,Drug Evaluation ,Humans ,Female ,Clonidine - Published
- 1984
16. [Neuropsychic changes in chronic renal failure]
- Author
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G F, Marchesi, O, Scarpino, P, Fuà, P, Di Bella, U, Salvolini, F, Menichelli, U, Pasquini, V, Mioli, M, Ragaiolo, R, Tarchini, and S, Figus
- Subjects
Adult ,Brain Diseases ,Psychological Tests ,Renal Dialysis ,Neural Conduction ,Humans ,Electroencephalography ,Middle Aged ,Cognition Disorders ,Tomography, X-Ray Computed ,Uremia - Published
- 1978
17. [Possibilities and limitations of radiodiagnosis in uremic osteodystrophy]
- Author
-
P, Aguzzi, F, Amici, V, Mioli, R, Tarchini, and M, Ragaiolo
- Subjects
Chronic Kidney Disease-Mineral and Bone Disorder ,Radiography ,Chronic Disease ,Humans - Published
- 1975
18. Long-term results of CAPD in Italy: a report from the Italian CAPD Study Group
- Author
-
R, Tarchini, G P, Segoloni, M G, Gentile, A, Lupo, G, Cancarini, M, Salomone, G, D'Amico, V, Mioli, A, Vercellone, and P, Zucchelli
- Subjects
Male ,Time Factors ,Italy ,Peritoneal Dialysis, Continuous Ambulatory ,Humans ,Kidney Failure, Chronic ,Female ,Prospective Studies ,Registries ,Middle Aged ,Follow-Up Studies - Abstract
Begun in 1979, the Italian CAPD Study Group monitored prospectively six years of CAPD experience (1980-1985) in 24 centers with 1107 end-stage renal disease (ESRD) patients (age 56.4 +/- 13.7 years). Compiled yearly, the clinical and therapeutical data were processed on a PDP 11-32 computer, according to UCLA BMPD-1L procedure. The survival rate was conditioned by age (more than 70) and by major clinical risk factors, with a large fraction of the deaths due to cardiovascular causes (40.6%) and cachexia (17.8%). The progressive reduction of peritonitis incidence (1/18.5 episodes/patient-month globally reached at the end of 1985) was due mainly to the wide spread adoption of the "Y" connection set (76% for 1985) and contributed to a decrease in drop-outs to 7.5% of 676 patients on CAPD during 1985.
- Published
- 1988
19. Alternative therapy for the infections of the peritoneal catheter tunnel during C.A.P.D
- Author
-
V, Lombardo, E, Bordoni, L, Bibiano, G, Micucci, P, Castelli, R, Radicioni, R, Tarchini, R, Boggi, A, Perilli, and V, Mioli
- Subjects
Adult ,Male ,Clinical Trials as Topic ,Catheters, Indwelling ,Peritoneal Dialysis, Continuous Ambulatory ,Humans ,Female ,Bacterial Infections ,Middle Aged ,Peritonitis ,Combined Modality Therapy ,Aged ,Anti-Bacterial Agents - Published
- 1985
20. [Maladjustment of hemodialysis patients]
- Author
-
G, Borsetti, R, Tarchini, and P, Pacchiarotti
- Subjects
Adult ,Male ,Adolescent ,MMPI ,Renal Dialysis ,Humans ,Female ,Middle Aged - Published
- 1979
21. [Influence of various therapeutic treatments on the glucose and lipid metabolism in chronic uremia]
- Author
-
V, Mioli, P, Pacchiarotti, M, Ragaiolo, L, De Vizia, R, Tarchini, and I, Testa
- Subjects
Adult ,Glucose ,Renal Dialysis ,Chronic Disease ,Humans ,Dietary Proteins ,Middle Aged ,Lipid Metabolism ,Uremia - Published
- 1975
22. [Acute renal insufficiency and rifampicin: experience in 2 cases with clinical and histological observations]
- Author
-
R, Tarchini, V, Mioli, M, Ragaiolo, S, Figus, and V, Lombardo
- Subjects
Adult ,Male ,Humans ,Female ,Acute Kidney Injury ,Kidney Tubular Necrosis, Acute ,Middle Aged ,Rifampin ,Kidney ,Respiratory Tract Infections ,Tuberculosis, Pulmonary - Published
- 1981
23. [Parathyroidectomy in chronic renal insufficiency (CRI)]
- Author
-
V, Mioli, P, Pacchiarotti, M, Ragaiolo, A, Perilli, V, Lombardo, R, Boggi, and R, Tarchini
- Subjects
Chronic Kidney Disease-Mineral and Bone Disorder ,Parathyroid Glands ,Postoperative Complications ,Humans ,Kidney Failure, Chronic ,Hyperparathyroidism, Secondary ,Kidney Diseases - Published
- 1976
24. Effects of chronic biofiltration with PAN membranes on acid-base status: polycentric study
- Author
-
R, Tarchini, A, Albertazzi, C, Baroni, E, Bordoni, U, Buoncristiani, E, Capponi, M, Concetti, L, Giombini, V, Lombardo, and M, Ragaiolo
- Subjects
Acid-Base Equilibrium ,Adult ,Male ,Clinical Trials as Topic ,Acrylonitrile ,Acrylic Resins ,Ultrafiltration ,Membranes, Artificial ,Middle Aged ,Bicarbonates ,Blood ,Renal Dialysis ,Humans ,Hyperkalemia ,Female ,Acidosis - Abstract
Effects of chronic biofiltration (BF) with PAN membranes on acid-base status (ABS): polycentric study. From the 39 cases in a polycentric study we selected 13 patients with metabolic acidosis (pH 7.23 +/- 0.03), marked reduction of plasma bicarbonate (15.4 +/- 2.2 mEq/l) and hyperkalemia (6.2 +/- 0.6 mEq/l). BF was performed with a continuous post-dilutional supply of HCO3 (85 mmol/h), and attained rapid normalisation of blood bicarbonates and serum potassium during the treatment. After 6 months of BF treatment the pre-dialytic ABS showed remarkable improvement, and values were normal after one year. The remaining 26 patients in the polycentric study, treated by chronic BF without severe acidosis, showed good dialytic tolerance. In 15 of them the supply of bicarbonate was too high (because of moderate post-BF alkalosis) and we had to reduce the buffer inflow to about 50 mmol/h.
- Published
- 1986
25. [Pathogenesis of the uremic syndrome]
- Author
-
V, Mioli, R, Tarchini, P, Pacchiarotti, M, Ragaiolo, and S, Figus
- Subjects
Hypertension ,Prostaglandins ,Humans ,Kidney Failure, Chronic ,Anemia ,Calcium ,Nephrons ,Bone Diseases ,Cardiac Output ,Nervous System Diseases ,Kidney ,Uremia - Abstract
Chronic Renal Failure is a generalized functional impairment, due to Kidneys inability to maintain volume and composition of body fluids and solutes within normal conditions. In the attempt to point out the pathophysiology of Bright's syndrome, the Authors review the "intact nephron hypothesis" and his functional reserve. The uraemic clinical appearance is a very wide field of investigations and beside their own experience, the Authors present some datas and theories to explain the coming out and the evolution of poliuria and oliguria, hypertension, heart pathology, anemia and bleedings, hormonal and metabolic pathways alterations, calcium and bone diseases and central and peripheral uraemic neuropathy.
- Published
- 1982
26. [Use of 'active' vitamin D in uremic osteodystrophy]
- Author
-
R, Tarchini, V, Mioli, S, Baldelli, S, Figus, and P, Pacchiarotti
- Subjects
Adult ,Chronic Kidney Disease-Mineral and Bone Disorder ,Male ,Renal Dialysis ,Humans ,Calcium ,Female ,Dietary Proteins ,Middle Aged ,Energy Intake ,Cholecalciferol ,Uremia - Published
- 1982
27. [Differential effects of 1,25-hydroxycholecalciferol in uremic osteodystrophy]
- Author
-
R, Tarchini, P, Pacchiarotti, S, Figus, A, Perilli, S, Baldelli, and V, Mioli
- Subjects
Adult ,Chronic Kidney Disease-Mineral and Bone Disorder ,Calcitriol ,Renal Dialysis ,Humans ,Middle Aged ,Aged ,Uremia - Published
- 1981
28. Absorption of di- and tripeptides by the intestine of the guinea-pig
- Author
-
B S, Lindblad, A, Baum, D, Burston, L, Chao, P, Fürst, B, Lindqvist, D M, Matthews, R, Tarchini, and E, Taylor
- Subjects
Intestinal Absorption ,Guinea Pigs ,Intestine, Small ,Animals ,Dipeptides ,Amino Acids ,Oligopeptides - Abstract
This paper describes a method of quantifying the amount of smaller peptides in physiological fluids and reports the preliminary results of studying the mesenteric blood of adult guinea-pigs during absorption of a partial hydrolysate of casein. Because of the different roles suggested for plasma and erythrocytes in the inter-organ transport of amino acids, both plasma and whole blood have been studied. Whole blood and plasma samples were deproteinized with sulphosalicylic acid, and amino acids and small peptides separated from residual small amounts of protein on a Sephadex G-25 column. Ion exchange chromatography was then performed before and after acid hydrolysis. The concentration of small peptides in blood seems to be much lower than was previously believed. The adult guinea-pig did not absorb small peptides across the intestine into mesenteric whole blood or plasma in our experiments. However, casein hydrolysates are not necessarily representative of all protein hydrolysates, and further studies are required using different proteins and varying degrees of hydrolysis. The possibility of peptide transfer during development, and in conditions involving mucosal damage, should also be investigated. The present investigation confirms the assumption that predominantly plasma, and not red blood corpuscles, carries amino acids from the gut to the liver. It is worth noting, however, that taurine, aspartic acid, glutamic acid, citrulline and arginine were found in higher concentrations in whole mesenteric blood than in plasma.
- Published
- 1979
29. [Problems in perfusion and preservation of the rat kidney isolated for the purpose of transplantation]
- Author
-
V, Saba, G, Orso, E, Petrini, R, Tarchini, F, Mingolla, and F, Alò
- Subjects
Perfusion ,Electrolytes ,Microscopy, Electron ,Time Factors ,Animals ,Transplantation, Homologous ,Organ Preservation ,Tissue Preservation ,Kidney ,Kidney Transplantation ,Rats - Abstract
AA. performed an experimental trial on rats in order to demonstrate damages derived from organ perfusion (kidney) with endo- and extracellular electrolitic solutions. M/E values of structural alterations of the cells allowed the standardisation of renal perfusion methods for transplantation.
- Published
- 1977
30. [Management processing of hemodialytic data. A 6-year experience]
- Author
-
R, Tarchini, E, Bassani, P, Botti, E, Bottini, G, Ferrari, M, Baruffaldi, C, Baroni, L, Costanzi, and F, Pedrazzini
- Subjects
Electronic Data Processing ,Renal Dialysis ,Humans - Published
- 1989
31. Mapping quantitative trait loci (QTLs) for resistance to Gibberella zeae infection in maize
- Author
-
P. Angelini, G. Taramino, R. Tarchini, Mario Enrico Pè, Giorgio Binelli, Luca Gianfranceschi, and M. Dani
- Subjects
Genetic Markers ,Genetic Linkage ,Gibberella ,Population ,Quantitative trait locus ,Plant disease resistance ,Genes, Plant ,Zea mays ,Gene mapping ,Fusarium ,Genetics ,education ,Molecular Biology ,Plant Diseases ,education.field_of_study ,biology ,fungi ,food and beverages ,Chromosome Mapping ,biology.organism_classification ,Gibberella zeae ,Genetic marker ,Restriction fragment length polymorphism ,Polymorphism, Restriction Fragment Length - Abstract
The basic prerequisite for an efficient breeding program to improve levels of resistance to pathogens in plants is the identification of genes controlling the resistance character. If the response to pathogens is under the control of a multilocus system, the utilization of molecular markers becomes essential. Stalk and ear rot caused by Gibberella zeae is a widespread disease of corn: resistance to G. zeae is quantitatively inherited. Our experimental approach to understanding the genetic basis of resistance to Gibberella is to estimate the genetic linkage between available molecular markers and the character, measured as the amount of diseased tissue 40 days after inoculation of a suspension of Fusarium graminearum, the conidial form of G. zeae, into the first stalk internode. Sensitive and resistant parental inbreds were crossed to obtain F1 and F2 populations: the analysis of the segregation of 95 RFLP (restriction fragment length polymorphism) clones and 10 RAPD (random amplified polymorphic DNA) markers was performed on a population of 150 F2 individuals. Analysis of resistance was performed on the F3 families obtained by selfing the F2 plants. Quantitative trait loci (QTL) detection was based either on analysis of regression coefficients between family mean value and allele values in the F2 population, or by means of interval mapping, using MAPMAKER-QTL. A linkage map of maize was obtained, in which four to five genomic regions are shown to carry factors involved in the resistance to G. zeae.
32. Phosphate levels in patients treated with low-flux haemodialysis, pre-dilution haemofiltration and haemodiafiltration: post hoc analysis of a multicentre, randomized and controlled trial.
- Author
-
Locatelli F, Altieri P, Andrulli S, Sau G, Bolasco P, Pedrini LA, Basile C, David S, Gazzanelli L, Tampieri G, Isola E, Marzolla O, Memoli B, Ganadu M, Reina E, Bertoli S, Ferrara R, Casu D, Logias F, Tarchini R, Mattana G, Passaghe M, Fundoni G, Villa G, Di Iorio BR, Pontoriero G, and Zoccali C
- Subjects
- Aged, Bicarbonates blood, Calcium blood, Female, Hemodiafiltration adverse effects, Hemofiltration, Humans, Kidney Failure, Chronic therapy, Male, Middle Aged, Parathyroid Hormone blood, Renal Dialysis, Kidney Failure, Chronic blood, Phosphates blood, Renal Replacement Therapy
- Abstract
Background: Whether convective therapies allow better control of serum phosphate (P) is still undefined, and no data are available concerning on-line haemofiltration (HF). The objectives of the study are to evaluate the effect of convective treatments (CTs) on P levels in comparison with low-flux haemodialysis (HD) and to evaluate the correlates of serum phosphate in a post hoc analysis of a randomized clinical trial., Methods: This analysis was performed in the database of a multicentre, open label and randomized controlled study in which 146 chronic HD patients from 27 Italian centres were randomly assigned to HD (70 patients) or CTs: on-line pre-dilution HF (36 patients) or on-line pre-dilution haemodiafiltration (40 patients)., Results: CTs did not affect P (P = 0.526), calcium (Ca) (P = 0.849) and parathyroid hormone levels (P = 0.622). P levels were associated with the use of phosphate binders including aluminium-based phosphate binders (P < 0.001) and sevelamer (P < 0.001), pre-dialysis bicarbonate levels (P < 0.001) and pre-dialysis blood K levels (P < 0.001). On multivariate analysis (generalized linear model), serum P was again largely unassociated with CTs (P = 0.631). Notably, participating centres were by far the strongest independent correlate of serum P, explaining 45.3% of the variance of serum P over the trial and this association was confirmed at multivariate analysis. Bicarbonate (P < 0.001) and, to a weaker extent, serum K (P = 0.032) were independently related to serum P., Conclusions: In comparison with low-flux HD, CTs did not significantly affect serum P levels. Participating centres were the main source of P variability during the trial followed by treatment with phosphate binders, serum bicarbonate and, to a weak extent, serum potassium levels (ClinicalTrials.gov Identifier: NCT011583309)., (© The Author 2014. Published by Oxford University Press on behalf of ERA-EDTA. All rights reserved.)
- Published
- 2014
- Full Text
- View/download PDF
33. Efficacy and safety of once-monthly continuous erythropoietin receptor activator in patients with chronic renal anemia.
- Author
-
Locatelli F, Mandolfo S, Menegato Adorati M, Villa G, Tarchini R, Pizzarelli F, Conte F, Guastoni C, Ricciardi B, and Crotta A
- Subjects
- Aged, Anemia blood, Anemia etiology, Darbepoetin alfa, Drug Administration Schedule, Epoetin Alfa, Erythrocyte Transfusion statistics & numerical data, Erythropoietin adverse effects, Erythropoietin analogs & derivatives, Female, Hematinics adverse effects, Humans, Italy, Male, Middle Aged, Polyethylene Glycols adverse effects, Recombinant Proteins administration & dosage, Reference Values, Renal Insufficiency, Chronic blood, Treatment Outcome, Anemia drug therapy, Erythropoietin administration & dosage, Hematinics administration & dosage, Hemoglobin A metabolism, Polyethylene Glycols administration & dosage, Renal Insufficiency, Chronic complications
- Abstract
Background: In the management of anemia in patients with chronic kidney disease stage 5 undergoing dialysis (CKD-5D), maintaining hemoglobin (Hb) within the range recommended by the guidelines is challenging., Methods: The CARISMA study aim was to evaluate the efficacy, safety and tolerability of a once-monthly continuous erythropoietin receptor activator (CERA) for the treatment of anemia in CKD-5D patients. In this single-arm, multicenter, open-label, phase IIIb study, we screened adult patients from 66 centers in Italy receiving intravenous epoetin alfa or beta or darbepoetin alfa. Eligible patients entered the CERA dose titration phase (DTP), followed by an efficacy evaluation period (EEP) and a long-term safety period (LTSP). Patients were analyzed by intention-to-treat (ITT), per protocol (PP) and safety populations., Results: The rate of patients maintaining Hb within the range 10.0-12.0 g/dL throughout the EEP was 63.22% (220/348), and concentration from baseline to any postbaseline time point. CERA may thus offer a convenient and effective treatment 73.94% (122/165) in the ITT and PP population, respectively, periods in both populations. The rate of patients requiring a dose change was higher during the DTP (69.2%) and the LTSP (73.0%) than during the EEP (54.5%), as expected. CERA treatment was generally well tolerated., Conclusions: Once-monthly CERA administered to CKD-5D patients was associated with negligible changes in mean Hb option for these patients.
- Published
- 2013
- Full Text
- View/download PDF
34. [Stocking process for consumables and investement goods in the Italian public health service (part II)].
- Author
-
Fiorini F, Ameri C, Tarchini R, Granata A, and Zuccardi Merli M
- Subjects
- Italy, Public Health, Health Services
- Abstract
The necessity for fairness and transparency during the processes of supply of consumables and capital goods within the Italian Health Service together with that of containing costs in line with budget reductions, are points outlined in the 2006 public and European Union allocation codes and related procedures. These include methods to guarantee open, limited negotiation both without or after the official announcement for competitive bidding has been made, plus mediation and framework agreement. The publicizing of announcements of bidding to potential Health Service suppliers, criteria for applicant selection and selection of personnel to comprise the panels who effectively make the choice of suppliers, are all phases that are carefully regulated at a legal level. Even small expenditures (down to 20,000) are covered by these regulations. An overview of specific responsibilities, the institution of boards of physicians and the application of sanctions ends the present review.
- Published
- 2013
35. [Stocking process for consumables and investement goods in the public health service (first part)].
- Author
-
Fiorini F, Ameri C, Tarchini R, Granata A, and Zuccardi Merli M
- Subjects
- Italy, Public Health, Materials Management, Hospital methods
- Abstract
Hospital procedures to stock tools and equipment supplies for day-by-day clinical diagnosis and treatment place physicians to face up with their ones responsibilities. Nephrologists have to deal with dialysis machines, related technology updating and associated consumables. Overall they have to cope with local health service reality, which looks for progressive doctors skill improvement at lowest or no cost at all. Aim of the first part of this review is to analyze all these issues according European Union, Italian and local main lines and associated laws. Moreover, will be reviewed purchase strategies always looking at patient wellness as final aim of the entire process. They will be illustrated sequences of administrative measures, recent Central Commissioning Headquarters, and laws that since 2006 have defined the related procedures (i.e. open, limited, negotiated, and competitive).
- Published
- 2013
36. [Presentation].
- Author
-
Tarchini R
- Subjects
- Congresses as Topic, Kidney Diseases
- Published
- 2012
37. [Chronic kidney disease in the province of Mantua and its developments over the last 40 years].
- Author
-
Tarchini R, Botti P, Bottini E, Baraldi C, Baruffaldi M, Brescia P, Ferrari G, Lambertini D, Marseglia CD, Mazzola G, Serra A, Talassi E, Guarda L, Ricci P, and Galavotti M
- Subjects
- Adolescent, Adult, Aged, Humans, Incidence, Italy epidemiology, Middle Aged, Prevalence, Time Factors, Young Adult, Renal Insufficiency, Chronic epidemiology
- Abstract
The incidence and prevalence of end-stage renal disease increased steadily for 35 years in the population of Italy's Mantua province until the end of 2007, when they started to decrease. We describe the results of providing information and raising awareness among residents of the province's capital, Mantua, and of direct teaching and short training courses in hospital wards for general practitioners over a period of 3 years. During this period there was also more consultation activity for all kidney outpatients, from the first to the last stages of chronic kidney disease. Clinical data collected by the local NHS section (ASL) showed an increase in age and comorbidities (mainly type 2 diabetes) in kidney patients. As a result of the preventive measures, there has been an effective reduction of the yearly incidence and prevalence for all kinds of treatment, with the exception of kidney transplants, which have increased progressively during the last years.
- Published
- 2012
38. [Production and control of water quality for hemodialysis].
- Author
-
Tarchini R, Botti P, Marseglia CD, Brescia P, Serra A, Mazzola G, and Rovinetti G
- Subjects
- Humans, Water Purification, Dialysis Solutions, Renal Dialysis, Water standards
- Abstract
Certain substances present in drinking water can harm hemodialysis patients if they are not removed before the preparation of the dialysate. An optimal water treatment system includes tap water pretreatment and a double reverse osmosis process. Every component, including the delivery of the treated water to the dialysis machines, contributes to preventing chemical and microbiological contamination. Quality standards for dialysis water do not differ from those for intravenous drug safety and the progress toward the goals depends on practical solutions to important issues, including how the standard is to be applied and whether it should be limited to substances with well-documented toxicity in hemodialysis patients, and how microbiological contaminants should be handled. Meeting the standards for the new dialysis methods and membranes requires protocols for the development of a facility-specific quality management system to ensure dialysate quality based on the validation of system performance coupled with routine monitoring and periodic revalidation.
- Published
- 2012
39. Predictors of haemoglobin levels and resistance to erythropoiesis-stimulating agents in patients treated with low-flux haemodialysis, haemofiltration and haemodiafiltration: results of a multicentre randomized and controlled trial.
- Author
-
Locatelli F, Altieri P, Andrulli S, Sau G, Bolasco P, Pedrini LA, Basile C, David S, Feriani M, Nebiolo PE, Ferrara R, Casu D, Logias F, Tarchini R, Cadinu F, Passaghe M, Fundoni G, Villa G, Di Iorio BR, and Zoccali C
- Subjects
- Adolescent, Adult, Aged, Aged, 80 and over, Female, Follow-Up Studies, Humans, Kidney Diseases metabolism, Male, Middle Aged, Prognosis, Risk Factors, Young Adult, Drug Resistance, Hematinics adverse effects, Hemodiafiltration, Hemofiltration, Hemoglobins metabolism, Kidney Diseases therapy, Renal Dialysis
- Abstract
Background: Predictors of haemoglobin (Hb) levels and resistance to erythropoiesis-stimulating agents (ESAs) in dialysis patients have not yet been clearly defined. Some mainly uncontrolled studies suggest that online haemodiafiltration (HDF) may have a beneficial effect on Hb, whereas no data are available concerning online haemofiltration (HF). The objectives of this study were to evaluate the effects of convective treatments (CTs) on Hb levels and ESA resistance in comparison with low-flux haemodialysis (HD) and to evaluate the predictors of these outcomes., Methods: Primary multivariate analysis was made of a pre-specified secondary outcome of a multicentre, open-label, randomized controlled study in which 146 chronic HD patients from 27 Italian centres were randomly assigned to HD (70 patients) or CTs: online pre-dilution HF (36 patients) or online pre-dilution HDF (40 patients)., Results: CTs did not affect Hb levels (P = 0.596) or ESA resistance (P = 0.984). Hb correlated with polycystic kidney disease (P = 0.001), C-reactive protein (P = 0.025), ferritin (P = 0.018), ESA dose (P < 0.001) and total cholesterol (P = 0.021). The participating centres were the main source of Hb variability (partial eta(2) 0.313, P < 0.001). ESA resistance directly correlated with serum ferritin (P = 0.030) and beta2 microglobulin (P = 0.065); participating centres were again a major source of variance (partial eta(2) 0.367, P < 0.001). Transferrin saturation did not predict either outcome variables (P = 0.277 and P = 0.170)., Conclusions: In comparison with low-flux HD, CTs did not significantly improve Hb levels or ESA resistance. The main sources of variability were participating centres, ESA dose and the underlying disease.
- Published
- 2012
- Full Text
- View/download PDF
40. Automatic adaptive system dialysis for hemodialysis-associated hypotension and intolerance: a noncontrolled multicenter trial.
- Author
-
Colì L, La Manna G, Comai G, Ursino M, Ricci D, Piccari M, Locatelli F, Di Filippo S, Cristinelli L, Bacchi M, Balducci A, Aucella F, Panichi V, Ferrandello FP, Tarchini R, Lambertini D, Mura C, Marinangeli G, Di Loreto E, Quarello F, Forneris G, Tancredi M, Morosetti M, Palombo G, Di Luca M, Martello M, Emiliani G, Bellazzi R, and Stefoni S
- Subjects
- Aged, Blood Pressure, Body Weight, Female, Headache prevention & control, Heart Rate, Humans, Hypotension epidemiology, Male, Middle Aged, Models, Theoretical, Muscle Cramp prevention & control, Nausea prevention & control, Prospective Studies, Sodium blood, Syndrome, Treatment Outcome, Vomiting prevention & control, Hypotension etiology, Hypotension prevention & control, Hypovolemia complications, Renal Dialysis adverse effects, Renal Dialysis methods
- Abstract
Background: Hemodialysis is complicated by a high incidence of intradialytic hypotension and disequilibrium symptoms caused by hypovolemia and a decrease in extracellular osmolarity. Automatic adaptive system dialysis (AASD) is a proprietary dialysis system that provides automated elaboration of dialysate and ultrafiltration profiles based on the prescribed decrease in body weight and sodium content., Study Design: A noncontrolled (single arm), multicenter, prospective, clinical trial., Setting & Participants: 55 patients with intradialytic hypotension or disequilibrium syndrome in 15 dialysis units were studied over a 1-month interval using standard treatment (642 sessions) followed by 6 months using AASD (2,376 sessions)., Intervention: AASD (bicarbonate dialysis with dialysate sodium concentration and ultrafiltration rate profiles determined by the automated procedure)., Outcomes: Primary and major secondary outcomes were the frequency of intradialytic hypotension and symptoms (hypotensive events, headache, nausea, vomiting, and cramps), respectively., Results: More stable intradialytic systolic and diastolic blood pressures with lower heart rate were found using AASD compared with standard treatment. Sessions complicated by hypotension decreased from 58.7% ± 7.3% to 0.9% ± 0.6% (P < 0.001). The incidence of other disequilibrium syndrome symptoms was lower in patients receiving AASD. There were no differences in end-session body weight, interdialytic weight gain, or presession natremia between the standard and AASD treatment periods., Limitations: A noncontrolled (single arm) study, no crossover from AASD to standard treatment., Conclusions: This study shows the long-term clinical efficacy of AASD for intradialytic hypotension and disequilibrium symptoms in a large number of patients and dialysis sessions., (Copyright © 2011 National Kidney Foundation, Inc. Published by Elsevier Inc. All rights reserved.)
- Published
- 2011
- Full Text
- View/download PDF
41. [Prevention in nephrology, dialysis and transplantation. Mantua, June 4-5, 2010].
- Author
-
Tarchini R
- Subjects
- Chronic Disease, Humans, Kidney Diseases therapy, Kidney Transplantation, Nephrology, Renal Dialysis, Kidney Diseases prevention & control
- Published
- 2010
42. [Kidney biopsy in Mantua: 2000-2009 report].
- Author
-
Lambertini D, Brescia P, Serra A, Botti P, Ferrari G, Baraldi C, Marseglia CD, Gaetti L, and Tarchini R
- Subjects
- Adult, Biopsy, Fine-Needle, Female, Humans, Italy, Male, Middle Aged, Kidney Diseases pathology
- Abstract
The aim of this study was to report the frequency of kidney diseases related to gender, age, clinical presentation and renal function at the time of kidney biopsy in the population of Mantua province (400,000 residents). We collected the results of 132 real-time ultrasound-guided fine-needle (18 G) kidney biopsies by optical and immunofluorescence microscopy. The clinical presentation at the time of biopsy was nephrotic syndrome in 57%, nephritic syndrome in 22%, and urinary abnormalities in 21% of cases. Serum creatinine was >-1.5 mg/dL in 48% of patients. Membranous nephropathy was the most frequent histological finding (21.4%), followed by IgA nephropathy (14.5%), focal glomerulosclerosis (11.5%), diabetic nephropathy (8.4%), and chronic interstitial nephritis (6.9%). Primary glomerulonephritis including membranous glomerulonephritis and IgA nephropathy showed a male predominance. The pathological correlations in native biopsy-proven renal disease provided useful information for clinical practice. The histological findings in our patient series are similar to those recorded in Italian and European registries. A less invasive policy in the case of isolated urinary abnormalities and a normal eGFR resulted in a lower incidence of IgA nephropathy in our series than was recorded in the national Italian registry.
- Published
- 2010
43. Chronic kidney disease certification process manual by the Italian Society of Nephrology (SIN): part II: programme management and clinical information management.
- Author
-
Quintaliani G, Cappelli G, Lodetti L, Manno C, Petrucci V, Spinelli C, Tarchini R, Virgilio M, Faini M, Alloatti S, Cancarini G, and Zoccali C
- Subjects
- Chronic Disease, Delivery of Health Care standards, Humans, Italy, Manuals as Topic, Quality of Health Care standards, Societies, Medical, Surveys and Questionnaires, Certification, Disease Management, Information Management, Kidney Diseases therapy, Quality Assurance, Health Care methods
- Abstract
This is the second part of a document describing a voluntary certification process based on Joint Commission International (JCI) criteria developed by the Italian Society of Nephrology (SIN) and JCI representatives. In the first part we discussed standards for clinical care delivery and performance measurements related to chronic kidney disease care. Herein (Part II), we complete the description of Performace measurements and CKD care by describing issues related the management and clinical information management.
- Published
- 2009
44. Chronic kidney disease certification process manual by the Italian Society of Nephrology (SIN): Part I: clinical care delivery and performance measurements and improvement.
- Author
-
Quintaliani G, Cappelli G, Lodetti L, Manno C, Petrucci V, Spinelli C, Tarchini R, Virgilio M, Faini M, Alloatti S, Cancarini G, and Zoccali C
- Subjects
- Certification, Chronic Disease, Data Collection, Database Management Systems, Humans, Nephrology, Societies, Medical, Kidney Diseases therapy, Quality of Health Care
- Abstract
Chronic kidney diseases (CKD) has now emerged as a public health priority, and there is an increasing demand by patients and health care organisations that the quality of care delivered by renal units to CKD patients be systematically monitored and evaluated. The Italian Society of Nephrology (SIN) has started an initiative aimed at promoting a quality certification process specifically focused on CKD. To this end, SIN started a collaboration with an independent Italian company which is a partner of Joint Commission International (JCI), a nonprofit international organisation dedicated to the promotion of quality improvement and safety of health services. As a result of this collaboration, a document describing a voluntary certification process developed based on JCI criteria was produced by SIN. This document comprises 2 parts. Herein (Part I) we deal with standards for clinical care delivery and performance measurements related to CKD care. Programme management and clinical information management will be presented in a separate manuscript (Part II).
- Published
- 2009
45. [Foreword. Prevention in nephrology, dialysis and kidney transplantation. The Fifth Convention, Mantova, May 23-24, 2008 ].
- Author
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Tarchini R
- Subjects
- Humans, Italy, Kidney Diseases prevention & control, Kidney Diseases therapy, Kidney Transplantation, Nephrology, Renal Dialysis
- Published
- 2009
46. [Prevention and therapy of critical ischemia in hemodialyzed patients].
- Author
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Andreoli M, Galli G, Arienzo A, Nora A, Tedoli M, Guidetti D, Pacchioni R, Ferrari G, Talassi E, Serra A, and Tarchini R
- Subjects
- Aged, Aged, 80 and over, Amputation, Surgical statistics & numerical data, Arterial Occlusive Diseases diagnostic imaging, Arterial Occlusive Diseases mortality, Arterial Occlusive Diseases prevention & control, Cardiovascular Diseases complications, Early Diagnosis, Female, Follow-Up Studies, Humans, Ischemia prevention & control, Italy epidemiology, Kidney Failure, Chronic complications, Limb Salvage methods, Male, Middle Aged, Prognosis, Radiography, Retrospective Studies, Risk Factors, Tibial Arteries diagnostic imaging, Tibial Arteries surgery, Treatment Outcome, Vascular Patency, Vascular Surgical Procedures methods, Arterial Occlusive Diseases therapy, Ischemia therapy, Kidney Failure, Chronic therapy, Leg blood supply, Renal Dialysis
- Abstract
The cardiovascular disease is largely increased in chronic renal failure and the patients have a 10-20 times higher mortality respect normal population. Besides habitual risk-factors they add the mineral metabolism alterations, iperomocisteine and chronical vessel flogosis. In these patients the vascular disease is often lately diagnosed, but early diagnosis would be extremely important to establish appropriate pharmacologic or surgical treatment (PTA or by pass). The basic diagnostic methods are still digital angiography, angio-NMR or angio-CT. In our experience appears that dialysed patients present high total mortality and re-vascolarization (particularly for peripheral occlusive disease) gives less guarantee of success. During last years endovascular surgery procedures extremely improved short-term prognosis for these patients. When there is no space for the re-vascolarization and the situation is strongly compromised by the presence of extended gangrene or infected lesion, amputation is still indicated and can be considered the only possible solution.
- Published
- 2009
47. [Mortality triplicates in acute myocardial infarction patients affected by chronic renal failure].
- Author
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Serra A, Izzo A, Tomasi L, Zanini R, Talassi E, Marseglia CD, Tarchini R, Tardivo S, and Zerman T
- Subjects
- Aged, Humans, Intensive Care Units statistics & numerical data, Italy epidemiology, Kidney Failure, Chronic complications, Kidney Failure, Chronic epidemiology, Middle Aged, Myocardial Infarction complications, Myocardial Infarction epidemiology, Prevalence, Prognosis, Retrospective Studies, Risk Factors, Survival Rate, Kidney Failure, Chronic mortality, Myocardial Infarction mortality
- Abstract
In order to calculate the cardiovascular risk in patients with chronic renal failure (CRF), we retrospectively analyzed 1482 acute myocardial infarctions (AMIs) treated in the ICU at C. Poma General Hospital, Mantua, Italy, from 1 December 2004 to 31 July 2007. Of these patients, 133 suffered from CRF at hospital admission (eGFR <40 mL/min/1.73 m2 body surface and/or serum creatinine >2 mg/dL). During hospitalization for AMI, the CRF-affected patients showed a 2.7 times higher relative risk of mortality than patients without CRF (Yates chi square 14.46; p = 0.0001432). The evaluated comorbidities (hypertension, type 2 diabetes, supra-aortic vascular stenosis >70%, previous PTCA, COPD, previous AMI, previous coronary artery bypass and chronic obliterative peripheral arteriopathy) increased the relative risk of death 1.2- to 3.76-fold in those affected. In accord with recent evidence in the international literature, our results point to the importance of early assessment of CRF for the prognosis of patients with AMI.
- Published
- 2009
48. [Prevention in nephrology, dialysis and kidney transplantation. Foreword].
- Author
-
Tarchini R
- Subjects
- Humans, Kidney Diseases prevention & control, Kidney Transplantation, Renal Dialysis methods
- Published
- 2007
49. Burnout in health care providers of dialysis service in Northern Italy--a multicentre study.
- Author
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Klersy C, Callegari A, Martinelli V, Vizzardi V, Navino C, Malberti F, Tarchini R, Montagna G, Guastoni C, Bellazzi R, Rampino T, David S, Barbieri C, Dal Canton A, and Politi P
- Subjects
- Adult, Female, Health Personnel, Humans, Italy, Job Satisfaction, Male, Middle Aged, Nurses, Odds Ratio, Physicians, Quality of Life, Surveys and Questionnaires, Burnout, Professional, Dialysis methods
- Abstract
Background: Few data are available regarding the prevalence of burnout among dialysis health care workers. Aims of the present study were to assess and compare burnout levels in a sample of nurses and physicians working in dialysis units, and to investigate their relationships with quality of life, in a cross-sectional observational study., Methods: A total of 344 workers from 10 dialysis centres in Northern Italy completed a battery of questionnaires including the Maslach Burnout Inventory, the MOS-36 Item Short Form Health Survey [SF36: physical (PCS) and mental (MCS) component scores] and the 30-item General Health Questionnaire (GHQ30). Data on social and demographic characteristics and working conditions were also collected. General Estimating Equations models were used for the analysis., Results: Overall, burnout scores were lower than the Italian normative sample, with no significant differences between physicians and nurses. However, 30% of nurses had high emotional exhaustion vs 18% of physicians (adjusted OR 2.38, P = 0.003). Emotional exhaustion was also predicted by number of worked hours and months worked in dialysis in the previous 2 years. Depersonalisation was predicted by male gender and bad relationship with coworkers. Having no children and having a permanent hospital position predicted low personal accomplishment. PCS was lower in nurses (50.0 vs 53.3, P < 0.001), while no significant difference was found for MCS and GHQ30. Lower PCS was associated with emotional exhaustion (P = 0.007) and GHQ30 > 5 with depersonalization (P = 0.032)., Conclusions: Although burnout is not a general problem in dialysis health care providers, a subgroup of them may be identified, who would benefit from supportive measures to prevent this condition. Nurses appeared more burned-out in the emotional exhaustion scale than physicians.
- Published
- 2007
- Full Text
- View/download PDF
50. [A good vascular access allows an effective treatment].
- Author
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Ferrari G, Talassi E, Baraldi C, Baruffaldi M, Tarchini R, Galli F, Arienzo A, and Pacchioni R
- Subjects
- Clinical Trials as Topic, Humans, Renal Dialysis adverse effects, Renal Dialysis standards, Catheterization, Kidney Failure, Chronic therapy, Renal Dialysis methods
- Abstract
Vascular access (VA) for dialysis is defined as the 'Achilles heel', but also the 'Cinderella' of dialysis, indicating the poor consideration of the problem whether in the surgical environment, or in incomprehensible way in that nephrologic. It can only aspire to the definition 'Fundamental detail'. However, presupposed effective dialysis is a blood flow rate of 300-350 mL/min. Good VA must be easy to prepare, long lasting, free from complications, and aesthetically acceptable and economical. The arteriovenous fistula (AVF) of Cimino and Brescia, from 1966, represents the gold standard and the model of comparison for other systems, more technologically advanced. It must be programmed with an adapted margin (1-2 months) to allow maturation and access certainty for the first puncture, and never carried out sooner than 14 days from the operation. It is known from hemodynamic studies that the good functional flow of the new fistula can already regain 400-500 ml/min in the first week, with cardiological implications like the increase in cardiac throw, in ejection fraction and in the cardiac index. Health workers, patients and dialysis staff must follow a continuous educational program to protect the VA and avoid 'routine and absent-minded management', a basis for its premature failure. The nephrologist must take the responsibility upon himself not to carry out 'medical malpractice'. In the Dialysis Center of Mantova, the VA 'road map' previews all patients (young and old, affections from mono or pluropathology), first the fistula to the wrist, then the cephalic proximal. It follows the basilic vein transposition, the vascular graft to the arm or to the groin, as an alternative to peritoneal dialysis. The permanent central venous catheter (CVCp) is the last choice in patients with reduced life expectancy, heart failure, neoplastic patients with vascular patrimony destroyed by chemotherapy and ischemic lesions produced by the fistula. There were 180 afferent prevailing patients at the Mantova Dialysis Center . The natural fistula rate was 91%, grafts 7% and CVCps 2%. Between 2000 and 31 March 2004 we prepared 367 VAs. Average patient age was 65 yrs, range 20-90 yrs; 59% male and 41% female. Eighty-eight percent of operations were performed by the nephrologist (distal fistula, rescue and cephalic proximal) and 12% by the vascular surgeon (basilic vein transposition, graft in PTFE stretch to the arm and to the groin and permanent catheter in the jugular vein). The fistula with native veins was the better solution, the graft must be prepared after the exhaustion of natural possibilities, and the CVCp, for serious complications (inadequate flow and infections), must be the last alternative.
- Published
- 2005
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