[Severe trauma of the lower extremities. Follow-up study of results from the anatomo-functional point of view].
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Biomedical subjects
Publications and source records attributed to M Pegoraro.
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After a synthetic review of the different kinds of pancreatic cysts, a particular consideration to the proliferative cysts, is given and a case of pa-papillary cystoadeno-carcinoma of the tail and body of the pancreas is reported. Stress is laid on the diagnostic difficulties of these malignant tumors and on the necessity of a radical surgical treatment.
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In order to support interested colleagues with the concepts of Continuous Quality Improvement (CQI) and Clinical Standards for Nephrology Practice, a package of education support has been set up. We enhance the use of procedures, protocols, working plans, guidelines and nursing care plans as instruments of organisational integration. For the nursing care of renal patients in HD and PD we believe that all the procedures and protocols (P&P) above could have an important impact in the renal nursing practice. We propose that group members run a programme which is presented and implemented as a modular package including, theoretical knowledge, setting up working groups involved in literature revision, evaluation of defined P&P after a period of implementation, final implementation & periodic evaluation.
The Italian Branch of EDTNA-ERCA organised a retrospective epidemiological investigation on the spread of HCV infection in dialysis. A questionnaire was sent to 830 Italian dialysis centres to collect information about prevalence and incidence of HCV infection among patients and staff, anti-HCV testing, presumed sources of infection, sanitation procedures and dialysis strategies adopted to prevent or reduce the transmission of HCV infection. Twenty-seven percent of the dialysis centres responded to the questionnaire. The answers confirmed the decline in HCV prevalence and incidence. At variance with official health organisation recommendations, isolation of anti-HCV-positive patients is still used in many centres (25%) despite the fact that it is not advisable in view of the high cost and uncertain benefit. Dedicated machines for anti-HCV-positive patients should be adopted, at least in units with a high prevalence of these cases.
The Italian Branch of EDTNA/ERCA organised a national, epidemiological, retrospective study to collect data and implement preventative measures for the spread of HCV infection in dialysis units. A questionnaire was sent to staff in 830 dialysis centres to collect information relating to 1996. Data are presented on incidence/prevalence of HCV infection, antibodies, viraemia and mortality, and comparison of the management of HCV between centres. At variance with the recommendations of the Official Health Organisations, dedicated machines and separate rooms are used in many centres and this paper concludes with recommendations for units, in particular those units with a low prevalence of anti HCV positive patients.
The Authors report the arterial complications observed in a 360 kidney transplantations experience. They analyze the etiological, diagnostic and therapeutic features.
The Authors report three cases of renal vein thrombosis after transplantation. One of these cases has been successfully admitted to surgical treatment. They point out the pathogenetical features and underline the importance of surgery.
Aneurysms of the lower duodenal pancreatic artery are an extremely rare dilatative arterial pathology. Diagnosis is often difficult and rupture is a frequent clinical evolution; surgical therapy, especially when rupture has already occurred, entails a high risk of operative mortality. A case is described of aneurysm of the lower duodenal pancreatic artery which was treated by elective surgery with good results.
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