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  1. Article ; Online: Peritoneal videodialysis: first Italian audit.

    Neri, Loris / Caria, Simonetta / Cannas, Katia / Scarpioni, Roberto / Manini, Alessandra / Cadoni, Chiara / Malandra, Rosella / Ullo, Ines / Rombolà, Giuseppe / Borzumati, Maurizio / Bonvegna, Francesca / Viglino, Giusto

    Giornale italiano di nefrologia : organo ufficiale della Societa italiana di nefrologia

    2022  Volume 39, Issue 4

    Abstract: Conceived and developed since 2001 at the Alba Center, Videodialysis (VD) was used initially to prevent dropout in prevalent PD patients by guiding them in performing dialysis (VD-Caregiver). Subsequently, its use was extended to the clinical follow-up ... ...

    Abstract Conceived and developed since 2001 at the Alba Center, Videodialysis (VD) was used initially to prevent dropout in prevalent PD patients by guiding them in performing dialysis (VD-Caregiver). Subsequently, its use was extended to the clinical follow-up of critical patients (VD-Clinical), problems relating to transport to the Center (VD-Transport), and since 2016 for training/retraining all patients (VD-Training). Since 2017 other Centers have employed VD using modalities analyzed in this paper.
    MeSH term(s) Aged ; Aged, 80 and over ; Humans ; Italy ; Middle Aged ; Peritoneal Dialysis ; Peritonitis/epidemiology ; Peritonitis/etiology ; Renal Dialysis
    Language English
    Publishing date 2022-08-29
    Publishing country Italy
    Document type Journal Article
    ZDB-ID 1237110-5
    ISSN 1724-5990 ; 0393-5590
    ISSN (online) 1724-5990
    ISSN 0393-5590
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: [Economic impact of kidney patients with sepsis in hospital setting].

    Battaglia, Yuri / Guerzoni, Franco / Gigante, Manuel / Veronesi, Marco / Oppi, Chiara / Forini, Elena / Ullo, Ines / Vagnoni, Emidia / Storari, Alda

    Giornale italiano di nefrologia : organo ufficiale della Societa italiana di nefrologia

    2019  Volume 36, Issue 6

    Abstract: Introduction: ...

    Abstract Introduction:
    MeSH term(s) Aged ; Aged, 80 and over ; Female ; Health Care Costs ; Hospitalization/economics ; Humans ; Male ; Middle Aged ; Renal Insufficiency, Chronic/complications ; Renal Insufficiency, Chronic/economics ; Renal Insufficiency, Chronic/therapy ; Retrospective Studies ; Sepsis/complications ; Sepsis/economics ; Sepsis/therapy
    Language Italian
    Publishing date 2019-12-09
    Publishing country Italy
    Document type Journal Article
    ZDB-ID 1237110-5
    ISSN 1724-5990 ; 0393-5590
    ISSN (online) 1724-5990
    ISSN 0393-5590
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Ultrasonography of Quadriceps Femoris Muscle and Subcutaneous Fat Tissue and Body Composition by BIVA in Chronic Dialysis Patients.

    Battaglia, Yuri / Ullo, Ines / Massarenti, Sara / Esposito, Pasquale / Prencipe, Michele / Ciancio, Giovanni / Provenzano, Michele / Fiorini, Fulvio / Andreucci, Michele / Storari, Alda / Sabatino, Alice / Fiaccadori, Enrico / Granata, Antonio

    Nutrients

    2020  Volume 12, Issue 5

    Abstract: Protein Energy Wasting (PEW) in hemodialysis (HD) patients is a multifactorial condition due to specific pathology-related pathogenetic mechanisms, leading to loss of skeletal muscle mass in HD patients. Computed Tomography and Magnetic Resonance Imaging ...

    Abstract Protein Energy Wasting (PEW) in hemodialysis (HD) patients is a multifactorial condition due to specific pathology-related pathogenetic mechanisms, leading to loss of skeletal muscle mass in HD patients. Computed Tomography and Magnetic Resonance Imaging still represent the gold standard techniques for body composition assessment. However, their widespread application in clinical practice is difficult and body composition evaluation in HD patients is mainly based on conventional anthropometric nutritional indexes and bioelectrical impedance vector analysis (BIVA). Little data is currently available on ultrasound (US)-based measurements of muscle mass and fat tissue in this clinical setting. The purpose of our study is to ascertain: (1) if there are differences between quadriceps rectus femoris muscle (QRFM) thickness and abdominal/thigh subcutaneous fat tissue (SFT) measured by US between HD patients and healthy subjects; (2) if there is any correlation between QRFM and abdominal/thigh SFT thickness by US, and BIVA/conventional nutritional indexes in HD patients. We enrolled 65 consecutive HD patients and 33 healthy subjects. Demographic and laboratory were collected. The malnutrition inflammation score (MIS) was calculated. Using B-mode US system, the QRFM and SFT thicknesses were measured at the level of three landmarks in both thighs (superior anterior iliac spine, upper pole of the patella, the midpoint of the tract included between the previous points). SFT was also measured at the level of the periumbilical point. The mono frequency (50 KHz) BIVA was conducted using bioelectrical measurements (Rz, resistance; Xc, reactance; adjusted for height, Rz/H and Xc/H; PA, phase angle). 58.5% were men and the mean age was 69 (SD 13.7) years. QRFM and thigh SFT thicknesses were reduced in HD patients as compared to healthy subjects (
    MeSH term(s) Aged ; Body Composition ; Cross-Sectional Studies ; Electric Impedance ; Female ; Humans ; Kidney Failure, Chronic/diagnostic imaging ; Kidney Failure, Chronic/physiopathology ; Kidney Failure, Chronic/therapy ; Male ; Middle Aged ; Quadriceps Muscle/diagnostic imaging ; Quadriceps Muscle/physiopathology ; Renal Dialysis/adverse effects ; Reproducibility of Results ; Subcutaneous Fat/diagnostic imaging ; Subcutaneous Fat/physiopathology ; Ultrasonography/statistics & numerical data
    Language English
    Publishing date 2020-05-12
    Publishing country Switzerland
    Document type Journal Article ; Observational Study
    ZDB-ID 2518386-2
    ISSN 2072-6643 ; 2072-6643
    ISSN (online) 2072-6643
    ISSN 2072-6643
    DOI 10.3390/nu12051388
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Detoxification of bilirubin and bile acids with intermittent coupled plasmafiltration and adsorption in liver failure (HERCOLE study).

    Donati, Gabriele / Angeletti, Andrea / Gasperoni, Lorenzo / Piscaglia, Fabio / Croci Chiocchini, Anna Laura / Scrivo, Anna / Natali, Teresa / Ullo, Ines / Guglielmo, Chiara / Simoni, Patrizia / Mancini, Rita / Bolondi, Luigi / La Manna, Gaetano

    Journal of nephrology

    2020  Volume 34, Issue 1, Page(s) 77–88

    Abstract: Background: CPFA is an extracorporeal treatment used in severe sepsis to remove circulating proinflammatory cytokines. Limited evidence exists on the effectiveness of bilirubin adsorption by the hydrophobic styrenic resin, the distinctive part of CPFA. ... ...

    Abstract Background: CPFA is an extracorporeal treatment used in severe sepsis to remove circulating proinflammatory cytokines. Limited evidence exists on the effectiveness of bilirubin adsorption by the hydrophobic styrenic resin, the distinctive part of CPFA. The aim of this study is to validate CPFA effectiveness in liver detoxification.
    Methods: In this prospective observational study, we enrolled patients with acute or acute-on-chronic liver failure (serum total bilirubin > 20 mg/dL or MELD Score > 20) hospitalized from June 2013 to November 2017. CPFA was performed using the Lynda (Bellco/MedTronic, Mirandola, Italy) or the Amplya (Bellco/MedTronic, Mirandola, Italy) machines. Anticoagulation was provided with unfractionated heparin or citrate. Bilirubin and bile acids reduction ratios per session (RRs) were the main parameters for hepatic detoxification.
    Results: Twelve patients with acute (n = 3) or acute-on-chronic (n = 9) liver failure were enrolled. Alcohol was the main cause of liver disease. Thirty-one CPFA treatments of 6 h each were performed, 19 with heparin and 12 with citrate. RRs was 28.8% (range 2.2-40.5) for total bilirubin, 32.7% (range 8.3-48.9) for direct bilirubin, 29.5% (range 6.5-65.4) for indirect bilirubin and 28.9% (16.7- 59.7) for bile acids. One patient received liver transplantation and 8/9 were alive at 1 year of follow-up. Three patients (25%) died: 2 during hospitalization and 1 for a cardiac event at 4 months of follow up with restored liver function.
    Conclusions: CPFA resulted to be effective in liver detoxification. Thus, it may be considered as a "bridge technique" both to the liver transplant and to the recovery of the basal liver function.
    MeSH term(s) Adsorption ; Bile Acids and Salts ; Bilirubin ; Hemofiltration ; Heparin/adverse effects ; Humans ; Liver Failure/therapy ; Sorption Detoxification
    Chemical Substances Bile Acids and Salts ; Heparin (9005-49-6) ; Bilirubin (RFM9X3LJ49)
    Language English
    Publishing date 2020-07-24
    Publishing country Italy
    Document type Journal Article ; Observational Study
    ZDB-ID 1093991-x
    ISSN 1724-6059 ; 1120-3625 ; 1121-8428
    ISSN (online) 1724-6059
    ISSN 1120-3625 ; 1121-8428
    DOI 10.1007/s40620-020-00799-w
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.A 3369: Show issues Location:
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  5. Article: Ultrasonography of Quadriceps Femoris Muscle and Subcutaneous Fat Tissue and Body Composition by BIVA in Chronic Dialysis Patients

    Battaglia, Yuri / Ullo, Ines / Massarenti, Sara / Esposito, Pasquale / Prencipe, Michele / Ciancio, Giovanni / Provenzano, Michele / Fiorini, Fulvio / Andreucci, Michele / Storari, Alda / Sabatino, Alice / Fiaccadori, Enrico / Granata, Antonio / On behalf of the Ultrasound Study Group of the Italian Society of Nephrology

    Nutrients. 2020 May 12, v. 12, no. 5

    2020  

    Abstract: Protein Energy Wasting (PEW) in hemodialysis (HD) patients is a multifactorial condition due to specific pathology-related pathogenetic mechanisms, leading to loss of skeletal muscle mass in HD patients. Computed Tomography and Magnetic Resonance Imaging ...

    Abstract Protein Energy Wasting (PEW) in hemodialysis (HD) patients is a multifactorial condition due to specific pathology-related pathogenetic mechanisms, leading to loss of skeletal muscle mass in HD patients. Computed Tomography and Magnetic Resonance Imaging still represent the gold standard techniques for body composition assessment. However, their widespread application in clinical practice is difficult and body composition evaluation in HD patients is mainly based on conventional anthropometric nutritional indexes and bioelectrical impedance vector analysis (BIVA). Little data is currently available on ultrasound (US)-based measurements of muscle mass and fat tissue in this clinical setting. The purpose of our study is to ascertain: (1) if there are differences between quadriceps rectus femoris muscle (QRFM) thickness and abdominal/thigh subcutaneous fat tissue (SFT) measured by US between HD patients and healthy subjects; (2) if there is any correlation between QRFM and abdominal/thigh SFT thickness by US, and BIVA/conventional nutritional indexes in HD patients. We enrolled 65 consecutive HD patients and 33 healthy subjects. Demographic and laboratory were collected. The malnutrition inflammation score (MIS) was calculated. Using B-mode US system, the QRFM and SFT thicknesses were measured at the level of three landmarks in both thighs (superior anterior iliac spine, upper pole of the patella, the midpoint of the tract included between the previous points). SFT was also measured at the level of the periumbilical point. The mono frequency (50 KHz) BIVA was conducted using bioelectrical measurements (Rz, resistance; Xc, reactance; adjusted for height, Rz/H and Xc/H; PA, phase angle). 58.5% were men and the mean age was 69 (SD 13.7) years. QRFM and thigh SFT thicknesses were reduced in HD patients as compared to healthy subjects (p < 0.01). Similarly, also BIVA parameters, expression of lean body mass, were lower (p < 0.001), except for Rz and Rz/H in HD patients. The average QRFM thickness of both thighs at top, mid, lower landmarks were positively correlated with PA and body cell mass (BCM) by BIVA, while negatively correlated with Rz/H (p < 0.05). Abdominal SFT was positively correlated with PA, BCM and basal metabolic rate (BMR) (p < 0.05). Our study shows that ultrasound QRFM and thigh SFT thicknesses were reduced in HD patients and that muscle ultrasound measurements were significantly correlated with BIVA parameters.
    Keywords age ; basal metabolic rate ; bioelectrical impedance ; computed tomography ; correlation ; dialysis ; exhibitions ; frequency ; gold ; height ; hemodialysis ; inflammation ; laboratories ; lean body mass ; magnetic resonance imaging ; malnutrition ; mass ; men ; muscles ; nutrients ; nutrition assessment ; patients ; skeletal muscle ; subcutaneous fat ; thickness ; thighs ; ultrasonics ; ultrasonography
    Language English
    Dates of publication 2020-0512
    Publishing place Multidisciplinary Digital Publishing Institute
    Document type Article
    Note NAL-light
    ZDB-ID 2518386-2
    ISSN 2072-6643
    ISSN 2072-6643
    DOI 10.3390/nu12051388
    Database NAL-Catalogue (AGRICOLA)

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  6. Article ; Online: Extreme placement of a tunneled cuffed catheter for hemodialysis.

    Donati, Gabriele / Gargiulo, Mauro / Ullo, Ines / Mauro, Raffaella / Cuna, Vania / Capelli, Irene / Cappuccilli, Maria / D'Arcangelo, Giovanni Liviano / La Manna, Gaetano

    The journal of vascular access

    2017  Volume 18, Issue 5, Page(s) e74–e75

    MeSH term(s) Aged ; Catheterization, Central Venous/instrumentation ; Catheterization, Peripheral/instrumentation ; Catheters, Indwelling ; Central Venous Catheters ; Equipment Design ; Humans ; Iliac Vein/diagnostic imaging ; Iliac Vein/surgery ; Kidney Failure, Chronic/diagnosis ; Kidney Failure, Chronic/therapy ; Male ; Renal Dialysis ; Treatment Outcome
    Language English
    Publishing date 2017-09-11
    Publishing country United States
    Document type Case Reports ; Letter
    ZDB-ID 2252820-9
    ISSN 1724-6032 ; 1129-7298
    ISSN (online) 1724-6032
    ISSN 1129-7298
    DOI 10.5301/jva.5000724
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.A 6414: Show issues Location:
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