Notes

Characterization regarding populace genetic construction associated with hereditary transthyretin amyloidosis throughout Bulgaria.
In the base-case analysis, the switch to FCM generates savings of -€12.47 per patient/week (-21%) in all patients, and even greater savings in the subgroups with iron deficiency -€17.28 (-27%) and in anemic patients -€23.08 (-32%). Sensitivity analyses were always favorable to FCM and confirmed the robustness of the analysis. FCM may represent a cost-saving option for the NHS, and Italian real-world studies are needed to quantify the real consumption of resources in dialysis patients.Iodinated contrast-induced nephropathy is one of the most feared complications of percutaneous coronary interventions and is associated with increased cardio-vascular mortality and a faster progression towards end stage renal disease. The effects of the iodinated contrast medium on intra-renal hemodynamics and its direct cytotoxic action on proximal tubular cells contribute synergistically to the pathophysiology of renal damage. Since the therapeutic options are extremely limited, the rapid identification of risk factors and the timely implementation of preventive strategies are mandatory to reduce the incidence of iodinated contrast-induced nephropathy. To date, the criteria for defining and staging contrast medium nephropathy are still based on the increase of serum creatinine and/or contraction of diuresis, which are lacking in specificity and therefore do not allow early diagnosis. selleck kinase inhibitor The aim of this review is to report the latest evidence on the pathophysiological mechanisms that contribute to renal damage by iodinated contrast medium, on the risk stratification tools and on the new early biomarkers of contrast-induced nephropathy, while also focusing on the most validated prevention strategies.The natural history of urinary kidney stone disease includes the risk of relapses and can be associated with the risk of chronic kidney disease, bone and cardiovascular disease. For this reason, a wide clinical-metabolic assessment of the kidney stone patient is of great importance since the first presentation of the stone, to set an appropriate preventive treatment. The proposed diagnostic-therapeutic pathway includes a careful medical history, in order to highlight a secondary kidney stone disease and the main risk factors for kidney stones, chronic renal disease, or cardiovascular and bone disease; a metabolic evaluation on multiple levels, according to the severity of the disease, and the presence or absence of risk factors, and appropriate instrumental investigations. Thus, the information collected makes it possible to set a preventive treatment consisting of general rules and, if necessary, specific pharmacological or nutritional interventions. This paper has been prepared by the Italian Multidisciplinary Study Group for Kidney Stone Disease, and it is addressed to the several professional figures involved in the management of patients suffering from nephrolithiasis, from the emergency doctor to the general practitioner, urologist, nephrologist, radiologist, and dietician. A diagnostic-therapeutic pathway for patients with kidney stone disease was first published on this Journal in 2010. The present contribution aims at amending and updating the article published exactly ten years ago, to serve as an easy-to-use reference and to guide good clinical practice in this field.Questo documento è stato tradotto dall'inglese a nome dell'ERBP (European Renal Best Practice), un organo ufficiale dell'ERA-EDTA (European Renal Association - European Dialysis and Transplant Association), e si basa su una pubblicazione ufficiale edita su Nephrology, Dialysis and Transplantation (NDT). ERBP si assume la piena responsabilità solo per la versione completa delle linee guida in originale e in lingua inglese pubblicate su NDT Gallieni M, Hollenbeck M, Inston N, et al. Clinical practice guideline on peri- and postoperative care of arteriovenous fistulas and grafts for haemodialysis in adults. Nephrol Dial Transplant 2019; 34(S_2)ii1-ii42. https//doi.org/10.1093/ndt/gfz072.Background Given the public health challenge represented by chronic kidney disease, the Italian Society of Nephrology (SIN) promoted a census of the renal and dialysis units to analyze structural and human resources, organizational aspects, activities and workload, referring to the year 2018. Methods An on-line questionnaire including 60 questions, exploring structural and human resources, organizational aspects, activities and epidemiological data referred to 2018, was sent to the heads of all identified Italian renal or dialysis unit. Results 567 renal units were identified, 3.3 public and full renal unit pmp. The nephrology beds are about 37.6 pmp. The nurses were 8,130 in HD wards, 1,827 in the nephrology wards, only 432 for outpatient clinics. Conclusions Data from this census may be used for benchmarking and comparison between centers, regions and groups of regions. These data offer a snapshot of the clinical management of renal disease in Italy.Background Given the public health challenge represented by chronic kidney disease, the Italian Society of Nephrology (SIN) promoted a census of the renal and dialysis units to analyze structural and human resources, organizational aspects, activities and workload, referring to the year 2018. Methods An on-line questionnaire including 60 questions, exploring structural and human resources, organizational aspects, activities and epidemiological data referred to 2018, was sent to the heads of all identified Italian renal or dialysis unit. Results Renal and dialysis activity was performed by over 2,718 physicians (41 pmp). The management of the acute renal failure was one of the most relevant activities in the public renal units (3,000 pmp patients in ICU and 183.000 dialysis sessions). Italian Nephrologists performed about 6000 AV fistulas out of a total of 9300. In the survey there are a lot of data regarding organization, workforce and workload of the renal unit in Italy. Conclusions Data from this census may be used for benchmarking and comparison between centers, regions and groups of regions. These data offer a snapshot of the clinical management of renal disease in Italy.The current experiments investigate how infants use goal-directed action to reason about intentionally sampled outcomes in a probabilistic inference paradigm. Older infants and young children are flexible in their expectations of sampling They expect random samples to reflect population statistics and non-random samples to reflect an agent's preferences or goals (Kushnir, Xu, & Wellman, 2010; Xu & Denison, 2009). However, more recent work shows that probabilistic inference comes online at approximately 6 months (Denison, Reed, & Xu, 2013; Kayhan, Gredebäck, & Lindskog, 2017; Ma & Xu, 2011; Wellman, Kushnir, Xu, & Brink, 2016), and thus, these sampling assumptions can be investigated at the age probabilistic reasoning first emerges. Results indicate that 6-month-old infants expect a human agent to sample in accord with their goal and do not expect the same of an unintentional agent-a mechanical claw. By 9.5 months, infants expect the mechanical claw to sample in accord with random sampling. These results suggest that infants use goals to make inferences about intentional sampling, under appropriate conditions at 6 months, and they have expectations of the kinds of samples a mechanical device should obtain by 9.5 months.Uneven distribution of pores, lack of connection between holes, low reproducibility, insufficient mechanical strength, and incomplete volatility of organic solvents are some problems associated with traditional tissue engineering methods for bone defect repair. These characteristics reduce the quality and stability of products. This study uses 3D printing (3DP) to fabricate a biocompatible poly(lactic) acid-based scaffold for repairing bone tissue. Hence, three different types of scaffolds are assessed a freeze-dried polylactic acid (PLA) scaffold constructed using the traditional freeze-extraction method; a 3D-PLA scaffold produced through the 3DP technique; and a 3D-PLA-bone morphogenetic protein-2 (BMP-2) scaffold that is prepared using 3DP technology, with the addition of BMP-2. To enhance biological activity, polydopamine (pDA) is used to graft BMP-2 on the surface of the 3D-PLA-BMP-2 scaffold. Then, the scaffolds are implanted into the bilateral femoral condyles of rabbits, and their ability to repair the bone tissue defects is tested. The results of the experiments reveal that the 3DP scaffolds are more biocompatible than the ones produced through the traditional manufacturing methods because they enhance cell adhesion and differentiation after pDA modification and BMP-2 fixation. In the future, the 3DP products may be applied for the repair of larger bone defects in the clinical setting.During oxidative depolymerization of lignin in aqueous alkaline medium using molecular oxygen as oxidant, the highly functionalized primary phenolic monomers are not stable products, owing to various not fully identified secondary reaction mechanisms. However, better understanding of the mechanisms responsible for the instability of the main part of the products of interest derived from lignin is of much interest. Evaluation of their individual reactivities under oxidative conditions should significantly help to find a better way to valorize the lignin polymer and to maximize the yields of target value-added products. Consequently, the main objective of this study is to assess the individual stabilities of some selected lignin-based phenolic compounds, such as vanillin, vanillic acid, and acetovanillone, together with some other pure chemical compounds such as phenol and anisole to give an insight into the mechanisms responsible for the simultaneous formation and repolymerization of those products and the influence of the oxidation conditions. Various complementary strategies of stabilization are proposed, discussed, and applied for the oxidative depolymerization reactions of a technical lignin extracted from pinewood with a high content of β-O-4 interconnecting bonds to try to obtain enhanced yields of value-added products.An arteriovenous fistula (AVF) remains the best choice of vascular access (VA) for hemodialysis (HD). The aim of the study was to determine the factors associated with the achievement of adequate blood flow (BF) of AVFs at the 4th week after creation. Created AVFs in 63 patients with chronic kidney disease (CKD) stage 4/5 and CKD stage 5 on hemodialysis (CKD5D) were analyzed in a prospective study. Doppler ultrasound (DUS) was used for measuring the diameter of the radial artery, the brachial artery and the cephalic vein before AVF creation. The BF of AVF was calculated by DUS at the 4th week after creation and adequate BF was defined as ≥ 600 mL/min. The average age of patients was 61.31 ± 12.9 years. An adequate BF of AVF at the 4th week after creation was achieved in 43.54% of patients. The BF of AVF measured in male patients was significantly higher compared to the BF of AVF obtained in females (576.03 mL/min vs 375.12 mL/min, P = 0.004). The diameter of the blood vessels with achieved adequate BF was significantly larger compared to the diameter of the blood vessels without adequate BF (radial artery 2.45 mm vs 2.03 mm, P = 0.000; brachial artery 4.78 mm vs 4.06 mm, P = 0.001 and cephalic vein 3.12 mm vs 2.83 mm P =  0.018). The gender and the diameter of the blood vessels before AVF creation were significantly associated with achievement of adequate BF of AVF at the 4th week of creation.
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