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1.
PLoS One ; 13(5): e0196075, 2018.
Artículo en Inglés | MEDLINE | ID: mdl-29715289

RESUMEN

Many studies have reported that hydraulic properties vary considerably between tree species, but little is known about their intraspecific variation and, therefore, their capacity to adapt to a warmer and drier climate. Here, we quantify phenotypic divergence and clinal variation for embolism resistance, hydraulic conductivity and branch growth, in four tree species, two angiosperms (Betula pendula, Populus tremula) and two conifers (Picea abies, Pinus sylvestris), across their latitudinal distribution in Europe. Growth and hydraulic efficiency varied widely within species and between populations. The variability of embolism resistance was in general weaker than that of growth and hydraulic efficiency, and very low for all species but Populus tremula. In addition, no and weak support for a safety vs. efficiency trade-off was observed for the angiosperm and conifer species, respectively. The limited variability of embolism resistance observed here for all species except Populus tremula, suggests that forest populations will unlikely be able to adapt hydraulically to drier conditions through the evolution of embolism resistance.


Asunto(s)
Sequías , Árboles/clasificación , Árboles/fisiología , Agua , Xilema/fisiología , Clima , Europa (Continente) , Bosques , Fenotipo
2.
Plant Biol (Stuttg) ; 20(5): 834-847, 2018 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-29732663

RESUMEN

Positive sap pressures are produced in the xylem of birch trees in boreal conditions during the time between the thawing of the soil and bud break. During this period, xylem embolisms accumulated during wintertime are refilled with water. The mechanism for xylem sap pressurization and its environmental drivers are not well known. We measured xylem sap flow, xylem sap pressure, xylem sap osmotic concentration, xylem and whole stem diameter changes, and stem and root non-structural carbohydrate concentrations, along with meteorological conditions at two sites in Finland during and after the sap pressurisation period. The diurnal dynamics of xylem sap pressure and sap flow during the sap pressurisation period varied, but were more often opposite to the diurnal pattern after bud burst, i.e. sap pressure increased and sap flow rate mostly decreased when temperature increased. Net conversion of soluble sugars to starch in the stem and roots occurred during the sap pressurisation period. Xylem sap osmotic pressure was small in comparison to total sap pressure, and it did not follow changes in environmental conditions or tree water relations. Based on these findings, we suggest that xylem sap pressurisation and embolism refilling occur gradually over a few weeks through water transfer from parenchyma cells to xylem vessels during daytime, and then the parenchyma are refilled mostly during nighttime by water uptake from soil. Possible drivers for water transfer from parenchyma cells to vessels are discussed. Also the functioning of thermal dissipation probes in conditions of changing stem water content is discussed.


Asunto(s)
Betula/metabolismo , Árboles/metabolismo , Agua/metabolismo , Betula/fisiología , Presión Osmótica , Raíces de Plantas/metabolismo , Raíces de Plantas/fisiología , Tallos de la Planta/metabolismo , Tallos de la Planta/fisiología , Presión , Estaciones del Año , Almidón/metabolismo , Azúcares/metabolismo , Árboles/fisiología , Xilema/metabolismo , Xilema/fisiología
3.
Plant Cell Environ ; 41(10): 2288-2298, 2018 10.
Artículo en Inglés | MEDLINE | ID: mdl-29676016

RESUMEN

Most plant-based emissions of volatile organic compounds are considered mainly temperature dependent. However, certain oxygenated volatile organic compounds (OVOCs) have high water solubility; thus, also stomatal conductance could regulate their emissions from shoots. Due to their water solubility and sources in stem and roots, it has also been suggested that their emissions could be affected by transport in the xylem sap. Yet further understanding on the role of transport has been lacking until present. We used shoot-scale long-term dynamic flux data from Scots pines (Pinus sylvestris) to analyse the effects of transpiration and transport in xylem sap flow on emissions of 3 water-soluble OVOCs: methanol, acetone, and acetaldehyde. We found a direct effect of transpiration on the shoot emissions of the 3 OVOCs. The emissions were best explained by a regression model that combined linear transpiration and exponential temperature effects. In addition, a structural equation model indicated that stomatal conductance affects emissions mainly indirectly, by regulating transpiration. A part of the temperature's effect is also indirect. The tight coupling of shoot emissions to transpiration clearly evidences that these OVOCs are transported in the xylem sap from their sources in roots and stem to leaves and to ambient air.


Asunto(s)
Transpiración de Plantas/fisiología , Compuestos Orgánicos Volátiles/metabolismo , Acetaldehído/metabolismo , Acetona/metabolismo , Metanol/metabolismo , Pinus sylvestris/metabolismo , Pinus sylvestris/fisiología , Brotes de la Planta/metabolismo , Agua/metabolismo , Xilema/metabolismo
4.
Plant Cell Environ ; 39(3): 527-38, 2016 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-26385487

RESUMEN

Coniferous tree stems contain large amounts of oleoresin under positive pressure in the resin ducts. Studies in North-American pines indicated that the stem oleoresin exudation pressure (OEP) correlates negatively with transpiration rate and soil water content. However, it is not known how the OEP changes affect the emissions of volatile vapours from the trees. We measured the OEP, xylem diameter changes indicating changes in xylem water potential and monoterpene emissions under field conditions in mature Scots pine (Pinus sylvestris L.) trees in southern Finland. Contrary to earlier reports, the diurnal OEP changes were positively correlated with temperature and transpiration rate. OEP was lowest at the top part of the stem, where water potentials were also more negative, and often closely linked to ambient temperature and stem monoterpene emissions. However, occasionally OEP was affected by sudden changes in vapour pressure deficit (VPD), indicating the importance of xylem water potential on OEP as well. We conclude that the oleoresin storage pools in tree stems are in a dynamic relationship with ambient temperature and xylem water potential, and that the canopy monoterpene emission rates may therefore be also regulated by whole tree processes and not only by the conditions prevailing in the upper canopy.


Asunto(s)
Ritmo Circadiano , Pinus sylvestris/fisiología , Extractos Vegetales/metabolismo , Tallos de la Planta/fisiología , Presión , Taiga , Clima , Modelos Biológicos , Pinus sylvestris/anatomía & histología , Temperatura , Terpenos/análisis , Presión de Vapor , Xilema/anatomía & histología
5.
Ann Bot ; 114(8): 1711-8, 2014 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-25252688

RESUMEN

BACKGROUND AND AIMS: Woody plants can suffer from winter embolism as gas bubbles are formed in the water-conducting conduits when freezing occurs: gases are not soluble in ice, and the bubbles may expand and fill the conduits with air during thawing. A major assumption usually made in studies of winter embolism formation is that all of the gas dissolved in the xylem sap is trapped within the conduits and forms bubbles during freezing. The current study tested whether this assumption is actually valid, or whether efflux of gases from the stem during freezing reduces the occurrence of embolism. METHODS: CO2 efflux measurements were conducted during freezing experiments for saplings of three Scots pine (Pinus sylvestris) and three Norway spruce (Picea abies) trees under laboratory conditions, and the magnitudes of the freezing-related bursts of CO2 released from the stems were analysed using a previously published mechanistic model of CO2 production, storage, diffusion and efflux from a tree stem. The freezing-related bursts of CO2 released from a mature Scots pine tree growing in field conditions were also measured and analysed. KEY RESULTS: Substantial freezing-related bursts of CO2 released from the stem were found to occur during both the laboratory experiments and under field conditions. In the laboratory, the fraction of CO2 released from the stem ranged between 27 and 96 % of the total CO2 content within the stem. CONCLUSIONS: All gases dissolved in the xylem sap are not trapped within the ice in the stem during freezing, as has previously been assumed, thus adding a new dimension to the understanding of winter embolism formation. The conduit water volume not only determines the volume of bubbles formed during freezing, but also the efficiency of gas efflux out of the conduit during the freezing process.


Asunto(s)
Dióxido de Carbono/metabolismo , Congelación , Picea/fisiología , Pinus/fisiología , Estaciones del Año , Árboles/fisiología , Factores de Tiempo
6.
Sci Rep ; 3: 2031, 2013.
Artículo en Inglés | MEDLINE | ID: mdl-23778457

RESUMEN

Water in the xylem, the water transport system of plants, is vulnerable to freezing and cavitation, i.e. to phase change from liquid to ice or gaseous phase. The former is a threat in cold and the latter in dry environmental conditions. Here we show that a small xylem conduit diameter, which has previously been shown to be associated with lower cavitation pressure thus making a plant more drought resistant, is also associated with a decrease in the temperature required for ice nucleation in the xylem. Thus the susceptibility of freezing and cavitation are linked together in the xylem of plants. We explain this linkage by the regulation of the sizes of the nuclei catalysing freezing and drought cavitation. Our results offer better understanding of the similarities of adaption of plants to cold and drought stress, and offer new insights into the ability of plants to adapt to the changing environment.


Asunto(s)
Adaptación Fisiológica , Sequías , Congelación , Hielo , Estrés Fisiológico , Árboles/fisiología , Xilema/anatomía & histología , Árboles/anatomía & histología
7.
J Theor Biol ; 259(2): 325-37, 2009 Jul 21.
Artículo en Inglés | MEDLINE | ID: mdl-19361530

RESUMEN

We carried out a theoretical analysis of phloem transport based on Münch hypothesis by developing a coupled xylem-phloem transport model. Results showed that the maximum sugar transport rate of the phloem was limited by solution viscosity and that transport requirements were strongly affected by prevailing xylem water potential. The minimum number of xylem and phloem conduits required to sustain transpiration and assimilation, respectively, were calculated. At its maximum sugar transport rate, the phloem functioned with a high turgor pressure difference between the sugar sources and sinks but the turgor pressure difference was reduced if additional parallel conduits were added or solute relays were introduced. Solute relays were shown to decrease the number of parallel sieve tubes needed for phloem transport, leading to a more uniform turgor pressure and allowing faster information transmission within the phloem. Because xylem water potential affected both xylem and phloem transport, the conductance of the two systems was found to be coupled such that large structural investments in the xylem reduced the need for investment in the phloem and vice versa.


Asunto(s)
Modelos Biológicos , Floema/fisiología , Xilema/fisiología , Transporte Biológico/fisiología , Presión Osmótica , Floema/anatomía & histología , Fotosíntesis/fisiología , Transpiración de Plantas/fisiología , Viscosidad , Xilema/anatomía & histología
8.
J Theor Biol ; 249(1): 111-23, 2007 Nov 07.
Artículo en Inglés | MEDLINE | ID: mdl-17706683

RESUMEN

The dynamics of a gas bubble inside a water conduit after a cavitation event was modeled. A distinction was made between a typical angiosperm conduit with a homogeneous pit membrane and a typical gymnosperm conduit with a torus-margo pit membrane structure. For conduits with torus-margo type pits pit membrane deflection was also modeled and pit aspiration, the displacement of the pit membrane to the low pressure side of the pit chamber, was found to be possible while the emboli was still small. Concurrent with pit aspiration, the high resistance to water flow out of the conduit through the cell walls or aspirated pits will make the embolism process slow. In case of no pit aspiration and always for conduits with homogeneous pit membranes, embolism growth is more rapid but still much slower than bubble growth in bulk water under similar water tension. The time needed for the embolism to fill a whole conduit was found to be dependent on pit and cell wall conductance, conduit radius, xylem water tension, pressure rise in adjacent conduits due to water freed from the embolising conduit, and the rigidity and structure of the pits in the case of margo-torus type pit membrane. The water pressure in the conduit hosting the bubble was found to occur almost immediately after bubble induction inside a conduit, creating a sudden tension release in the conduit, which can be detected by acoustic and ultra-acoustic monitoring of xylem cavitation.


Asunto(s)
Enfermedades de las Plantas , Transpiración de Plantas , Xilema , Microburbujas , Modelos Biológicos , Tallos de la Planta , Presión , Agua
9.
Tree Physiol ; 25(2): 237-43, 2005 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-15574405

RESUMEN

We examined interrelated xylem water tensions and embolism dynamics under field conditions by simultaneously monitoring ultra-acoustic emissions and changes in stem xylem diameter. Variation in stem xylem diameter was measured with linear displacement transducers to estimate variation in sap tension. Measured ultrasonic acoustic emissions coincided well with changes in xylem diameter, indicating that individual peaks in embolism occurred simultaneously with peaks in water tension. The good time resolution between measurements makes this method especially suitable for observing embolism dynamics on a short timescale. Longer lasting measurements can also be made to monitor inter-daily patterns in water tension and embolism because the techniques are non-destructive. Ultra-acoustic emissions occurred mainly during periods of decreasing stem xylem diameter, i.e., increasing water tension, when the water tension was high enough. Embolism also occurred during periods of increasing xylem diameter, i.e., decreasing water tension, but the number of embolizing conduits under these conditions was small.


Asunto(s)
Pinus sylvestris/fisiología , Árboles/fisiología , Xilema/fisiología , Tallos de la Planta/fisiología , Transpiración de Plantas/fisiología , Ultrasonido , Xilema/anatomía & histología
10.
J Theor Biol ; 215(1): 23-38, 2002 Mar 07.
Artículo en Inglés | MEDLINE | ID: mdl-12051981

RESUMEN

A model for embolism in the sapflow process was developed, in which embolism is described as a physical process linked to real physical properties of the conduits and the thermodynamic state of water. Different mechanisms leading to embolism and their effect on water relations and especially diurnal diameter changes in a tree were examined. The mechanisms of heterogeneous nucleation, air-seeding, and bubble growth have been considered. The significance of embolism has been revealed here by examining diameter changes, which is an easily measurable quantity under field conditions. The most fundamental effects of embolism on sapflow are decrease in permeability and release of water from embolizing conduits to the transpiration stream. These can be indirectly detected by observing diameter changes. If possible changes in elasticity are not accounted for, embolism generally tends to enhance the amplitude of the diurnal diameter changes due to reduced permeability and increased tensions. In the case of reduced elasticity, embolism gives rise to smaller amplitudes of diameter changes.


Asunto(s)
Modelos Biológicos , Tallos de la Planta/fisiología , Árboles/fisiología , Agua/fisiología , Ritmo Circadiano/fisiología , Permeabilidad , Reología
11.
Pediatr Nephrol ; 16(4): 324-31, 2001 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-11354775

RESUMEN

The cardiac state and the prevalence of high blood pressure (BP) were analyzed in 21 pediatric patients (mean age 5.3 +/- 5.3 years) on chronic peritoneal dialysis (CPD), the aim being to specify the impact of hypervolemia in the etiology of hypertension. C- and N-terminal atrial natriuretic peptide (ANP-C, ANP-N) were measured as possible additional markers of hypervolemia. Baseline investigations were carried out 0.2 years after initiation of PD, and repeated after 0.9 +/- 0.2 years. Fifty-two percent of the patients had high BP, and in 40% the nocturnal BP decline was decreased. Left ventricular hypertrophy was present in 45%, but the systolic and diastolic functions of the heart were not impaired. Left ventricular mass correlated significantly with the severity of hypertension and with ANP-N (r = 0.79, P < 0.01 and r = 0.66, P < 0.01, Spearman rank correlation). Significant correlations were also found between the severity of hypertension and ANP-N and ANP-C (r = 0.82, P < 0.01 and r = 0.66, P < 0.01, Spearman rank correlation). High BP and cardiac impairment were more frequent in the younger and nephrectomized patients in whom volume overload seemed to be the most-important etiological factor. Our results suggest further that an ANP-N over 3.0 nmol/l combined with hypertension is strongly indicative of volume overload in patients on PD.


Asunto(s)
Ecocardiografía , Corazón/fisiopatología , Hiperemia/complicaciones , Hipertensión/etiología , Diálisis Peritoneal , Factor Natriurético Atrial/sangre , Biomarcadores/sangre , Niño , Preescolar , Humanos , Hipertensión/epidemiología , Hipertensión/fisiopatología , Nefrectomía , Prevalencia
12.
Pediatr Nephrol ; 14(10-11): 889-97, 2000 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-10975294

RESUMEN

Clinical outcome under adequacy control was studied in 10 pediatric patients under 5 years and 11 patients over 5 years of age on continuous peritoneal dialysis (PD). Outcome was compared between the age groups and with our previous results in patients under 5 years of age. Peritoneal equilibration test and 24-h dialysate collection were performed. Laboratory data, clinical status, and diet were recorded. PD prescription was adjusted for these parameters. The mean weekly urea Kt/V was similar and stable in the two age groups (3.1+/-0.6 vs. 3.2+/-0.4 at baseline). The mean weekly creatinine clearance (C(Cr)) was at baseline significantly lower in the younger age group (58.7+/-11.9 vs. 78.0+/-14.9 l/week per 1.73 m2, P=0.004), but later similar. Urea Kt/V and C(Cr) correlated significantly. Hematological and biochemical parameters were stable, and catch-up growth was observed in 62% of the patients during 9 months of follow-up. The outcome for children under and over 5 years of age did not differ significantly. The clinical outcome in patients under 5 years of age improved under adequacy control, when compared with our previous results in patients of the same age. This suggests a positive effect of adequacy control on clinical outcome.


Asunto(s)
Fallo Renal Crónico/terapia , Diálisis Peritoneal , Adolescente , Antihipertensivos/uso terapéutico , Cateterismo/efectos adversos , Niño , Fenómenos Fisiológicos Nutricionales Infantiles , Preescolar , Crecimiento , Humanos , Hipertensión/tratamiento farmacológico , Hipertensión/etiología , Lactante , Infecciones/etiología , Fallo Renal Crónico/sangre , Fallo Renal Crónico/metabolismo , Fallo Renal Crónico/fisiopatología , Diálisis Peritoneal/efectos adversos , Diálisis Peritoneal/instrumentación , Peritonitis/etiología , Resultado del Tratamiento
13.
Nephrol Dial Transplant ; 15(9): 1438-42, 2000 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-10978404

RESUMEN

BACKGROUND: Today the major outcome measure for peritoneal dialysis is adequacy. We seek the optimal dialysis modality and prescription for each patient. Tidal dialysis (TPD) was introduced in 1990 to increase efficacy. However, studies with TPD have been inconsistent, and results in small children are lacking. METHODS: Nine patients under and eight patients over 5 years of age who were undergoing or starting maintenance peritoneal dialysis (PD) were studied. Patients were dialysed with TPD and with continuous cycling PD (CCPD), each for 6 months. To optimize TPD and CCPD modalities, we recorded urea K(t)/V, creatinine clearance (CrCl), peritoneal membrane capacity, clinical examination, biochemical values and nutrition. RESULTS: The mean nightly dialysate flow rate was significantly higher with TPD than with CCPD (46.4+/-3.7 vs 32.7+/-4.6 ml/kg/h, P:<0.001). Mean total CrCl at the baseline was significantly higher with TPD (79. 3+/-18.5 vs 72.5+/-16.0, P:=0.02), but urea K(t)/V was similar (3. 5+/-0.5 vs 3.3+/-0.4, P:=0.28). Urea K(t)/V and CrCl were higher during TPD in patients with high peritoneal membrane permeability, but similar in patients with high-average membrane permeability. Urea K:(t)/V and CrCl in CCPD and TPD did not differ significantly in the age groups. Nor did the incidence of hypertension differ in CCPD and TPD, despite a significantly lower glucose concentration during TPD. CONCLUSIONS: Both TPD and CCPD provide adequate dialysis for paediatric patients under and over 5 years of age. Because of higher costs, we recommend TPD only for paediatric patients with high membrane permeability and reduced ultrafiltration or with mechanical outflow problems or outflow pain.


Asunto(s)
Diálisis Peritoneal/métodos , Diálisis Peritoneal/normas , Adolescente , Niño , Preescolar , Creatinina/metabolismo , Soluciones para Diálisis/química , Humanos , Lactante , Membranas Artificiales , Permeabilidad , Albúmina Sérica/metabolismo , Urea/análisis
14.
Perit Dial Int ; 18(6): 590-7, 1998.
Artículo en Inglés | MEDLINE | ID: mdl-9932657

RESUMEN

OBJECTIVE: To evaluate peritoneal transport kinetics and its changes over time in children with and without peritonitis, and to record possible differences between children under and over 5.0 years of age. DESIGN: A prospective study. The patients underwent a 4-hour peritoneal equilibration test (PET) comprising 2.27% dextrose with a dialysate fill volume of 1000 mL/m2 of body surface area (BSA), at baseline and after a mean of 0.8 +/- 0.4 years of uninterrupted dialysis. PATIENTS: We investigated 28 patients on maintenance peritoneal dialysis at baseline; 10 were under 5.0 years of age. The final PET was performed in 21 patients. MAIN OUTCOME MEASURES: Peritoneal equilibration rates for urea (U), creatinine (C), glucose (G), sodium, potassium, phosphate, and albumin (A) were measured. Initial and final peritoneal equilibration rates were compared. Mass transfer area coefficients (MTAC) were calculated for urea, creatinine, glucose, and albumin. Residual dialysate volume was determined. RESULTS: Median age at first PET was 7.6 years (range 0.3-16.6 yr). The mean (+/- 1 SD) 4-hour dialysate-to-plasma (D/P) ratios for U, C, and A were 0.92 +/- 0.05, 0.70 +/- 0.12, and 0.014 +/- 0.007, respectively. The mean 4-hour D/D0 ratio for G was 0.32 +/- 0.10. D/P and D/D0 results were similar in the two age groups, and peritoneal membrane function remained stable over the study period. Mean MTAC (+/- 1 SD) values were: U, 22.3 +/- 4.8; C, 10.9 +/- 4.1; G, 11.1 +/- 3.3; and A, 0.07 +/- 0.03. MTAC data were similar in the two age groups and no significant changes occurred during the study period. CONCLUSIONS: When the volume tested in children is proportional to BSA, the solute D/P ratios seem to be age-independent. Our data provide evidence that in pediatric patients MTAC is also age-independent.


Asunto(s)
Envejecimiento/metabolismo , Soluciones para Diálisis/farmacocinética , Diálisis Peritoneal , Peritoneo/metabolismo , Peritonitis/metabolismo , Adolescente , Transporte Biológico , Niño , Preescolar , Creatinina/farmacocinética , Femenino , Glucosa/farmacocinética , Homeostasis , Humanos , Lactante , Masculino , Fosfatos/farmacocinética , Estudios Prospectivos , Factores de Tiempo , Urea/farmacocinética
15.
Perit Dial Int ; 17(6): 573-80, 1997.
Artículo en Inglés | MEDLINE | ID: mdl-9655157

RESUMEN

OBJECTIVE: We report our experience with maintenance peritoneal dialysis (PD) in small children. DESIGN: This is a retrospective analysis of the patient records of all children under the age of 5 years treated with continuous peritoneal dialysis (CPD) between 1986 and 1994 in Finland. SETTING: Treatment was started and the patients were seen at the outpatient clinic at the Hospital for Children and Adolescents, University of Helsinki, every 3 months. Between these visits, they had controls at their local hospital every 2-4 weeks. PATIENTS: The most common primary renal disease in these 34 patients was congenital nephrotic syndrome of the Finnish type (27 patients). Others were: congenital nephrotic syndrome (3 patients), polycystic kidney disease (1), urethral valve (1), neuroblastoma (1), and renal dysplasia (1). RESULTS: Mean age at onset was 1.6 years and median treatment time 9.3 months. Time spent in hospital decreased from 270 days/year in the 1980s to 150 days/year in the 1990s. Two children died (5.9%). The peritonitis rate on continuous cyclic peritoneal dialysis was 1:11.5 patient-months. Hernias were diagnosed in 29% of the patients. After 3 months half of the patients were on antihypertensive medication. Pulmonary edema was diagnosed once in 12 patients and twice in 2 patients. During the first 6 months on PD the mean height standard deviation score (hSDS) increased from -2.13 to -1.66 (p < 0.0001). The 6-month change in hSDS before initiation and 6 months after the start of CPD increased from -0.12 +/-0.68 to +0.59 +/- 0.64 (p = 0.0008). CONCLUSIONS: Our results indicate that peritoneal dialysis is feasible and safe in small children. Mortality was low and growth was good. The major challenges presented by CPD therapy were maintenance of optimal nutrition, avoidance of peritonitis, and control of volemia.


Asunto(s)
Enfermedades Renales/terapia , Síndrome Nefrótico/terapia , Diálisis Peritoneal Ambulatoria Continua , Edad de Inicio , Infecciones Bacterianas/etiología , Cateterismo/efectos adversos , Preescolar , Técnicas de Laboratorio Clínico , Femenino , Finlandia/epidemiología , Humanos , Incidencia , Lactante , Enfermedades Renales/epidemiología , Masculino , Nefrectomía , Síndrome Nefrótico/congénito , Peritonitis/etiología , Estudios Retrospectivos , Resultado del Tratamiento
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