cardiovascular aspects of dialysis treatment the importance of volume control

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Cardiovascular Aspects Of Dialysis Treatment

Author : E.J. Dorhout Mees
ISBN : 9789401709736
Genre : Medical
File Size : 28. 67 MB
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Cardiovascular complications are not only responsible for more than half of our patients' mortality, they also represent the bulk of everyday problems in a dialysis unit. Yet, the space allocated to them in the major textbooks covers only 2-8% of their total content. The origins of this book lie in many years of day-to-day care of dialysis patients. It gradually became clear to the author that systematic application of well-known pathophysiological principles could improve patients' conditions beyond expectations. More importantly, it appeared that world literature was mainly concerned with evaluating risk factors and that efforts to improve prognosis were concentrated on urea removal. It is important, therefore, to notice that `Volume Control', the central issue of this book, is not incorporated into the `Adequacy' concept. While primarily intended for dialysis doctors, the author sincerely hopes that dialysis nurses, who carry the lion's share of day-to-day responsibility for dialysis patients, will also find this book a useful and practical guide to dialysis treatment.

Comprehensive Hypertension

Author : Gregory Y. H. Lip
ISBN : 9780323070676
Genre : Medical
File Size : 76. 62 MB
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Here is today's most in-depth reference for any cardiologist, internist, or nephrologist interested in hypertension. Drawing from international experience in cardiology, physiology, and nephrology, Drs. Lip and Hall have assembled a group of section editors and contributors second to none. You'll find the long-term effects of primary and secondary hypertension and a lengthy section on hypertensions for special populations featured prominently. Prevention and treatment of hypertension are covered in detail, from lifestyle and diet issues to drug choice and delivery, and the section on comparison of guidelines is unique to this book. Find comprehensive coverage of hypertension including pathogenesis, prevention, and treatment all in one practical volume. See the complete systemic problems of hypertension at a glance with detailed, full-color illustrations of cellular and clinical manifestations. Simplify navigating the complexities of hypertension using algorithms for clinical exam and diagnosis. Get specific insight into prevention and treatment of hypertension in special populations. Go global with a comprehensive section on worldwide guidelines and the application of clinical material to local standards of practice.

Bloodstain Pattern Analysis With An Introduction To Crime Scene Reconstruction Third Edition

Author : Tom Bevel
ISBN : 1420052721
Genre : Law
File Size : 82. 80 MB
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Objective establishment of the truth is the goal of any good crime scene investigator. This demands a consideration of all evidence available using proven scientific methodologies to establish objective snapshots of the crime. The majority of forensic disciplines shed light on the “who” of a crime, bloodstain pattern analysis is one of the most important disciplines to address “what” happened. Understanding the discipline, its underlying scientific basis, and how best to apply this knowledge is crucial in the investigator’s quest for the truth. Internationally known experts in crime scene analysis, Tom Bevel and Ross M. Gardner explore bloodstain pattern analysis in depth, explaining what it is, how it is used, and the practical methodologies employed to achieve defensible results. Bloodstain Pattern Analysis with an Introduction to Crime Scene Reconstruction, Third Edition: Presents a specific and detailed taxonomy of bloodstain pattern characteristics Offers a full-color fold-out Decision Map to guide analysts through the classification process Uses full-color photos and diagrams to illustrate concepts Describes the theory, principles, and methodology for crime scene reconstruction Details proven, applicable scientific methodologies Emphasizes observable and reproducible results to mitigate accusations of subjectivity in evidence and testimony Provides more than 60% new or significantly revised information Offering practical advice and tips for novices and experienced professionals, this book employs clear, lucid, and reasoned scientific arguments to provide the tools to guide and focus any investigative effort. Captain Tom Bevel is a 27-year veteran of the Oklahoma City Police Department, retiring in 1996 as Commander of the Homicide, Robbery, Missing Persons, and Unsolved Homicide units. He is held in high esteem as a qualified expert in crime scene reconstruction and bloodstain pattern analysis in state, federal, and foreign courts. His knowledge and expertise as a crime scene consultant has been sought after in 45 US states and 11 foreign countries. He owns a forensic education and consulting company in his home state of Oklahoma. Ross M. Gardner retired as a Command Sergeant Major and Special Agent in 1999 after serving a total of 24 years in US Army law enforcement. Certified by the International Association for Identification as a Senior Crime Analyst for the past 16 years, Gardner is an active instructor and consultant throughout the United States in crime scene analysis, bloodstain pattern analysis, and crime scene investigation.

Quality Assurance In Dialysis

Author : L.W. Henderson
ISBN : 9780585283128
Genre : Medical
File Size : 32. 7 MB
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In examining the preface of our first book, it is increases needed. The Deming philosophy empha apparent that the editorial comments made in sizes that quality is never fully achieved: process 1994 are even more pertinent in today's cost- improvement is never ending. constrained healthcare environment than when But, what is quality? Without defining, David first written. We repeat them in part. Garvin makes the point that "in its original form, This is a time in history when the concept of quality activities were reactive and inspecti- quality is reaching new highs in terms of public oriented; today, quality related activities have awareness. Articles describing quality, CQI, qual broadened and are seen as essential for strategic ity tools, critical success factors, failures, and success" [1]. How can the broad context of quality lessons learned appear in local newspapers, trade be applied to the diverse aspects of ESRD? journals, scientific periodicals, and professional Furthermore, although far from a new concept, publications on a daily basis, yet implementation Continuous Quality Improvement (CQI) has taken of a quality system in many hospital units is its place as a dominant theme in many industries. approached with caution and the basic tenants of CQI is more broadly applicable, both in concept quality systems and CQI continue to be misunder and execution, to service as well as manufacturi- stood. based operations.

Acute Heart Failure

Author : Wolfgang Krüger
ISBN : 9783319549736
Genre : Medical
File Size : 49. 98 MB
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Acute heart failure is a potentially life threatening situation where correct, rapid therapy can save lives. Information from the latest research and studies has been used to update this text to bring the latest understanding of the pathophysiology together with a practical guide to diagnosis and management using an evidenced based approach. Since the first edition of Acute Heart Failure, this research has brought to light three important issues to be integrated into a second edition. First, the so-called “vascular heart failure” has been identified as a common and decisive mechanism provoking acute heart failure due to the coupling and interaction between the heart (right and left heart) and the large vessel systems (aorta and pulmonary artery). Second, the interaction and cross-talk between heart and kidneys, the so-called ‘cardiorenal syndrome’ has been identified as another feature of acute heart failure syndromes. Third, we have new knowledge and updated points of views about the development of pulmonary hypertension in patients suffering from heart failure, the group 2 of the classification system of pulmonary hypertension. These are all covered in this second edition. This revision to a seminal text is a valuable addition to any practitioner who treats patients with acute heart failure and wants a deeper understanding of the condition.

Urology Nephrology

Author : Alan W. Partin
ISBN : 0970052537
Genre : Urology
File Size : 47. 41 MB
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Urology And Nephrology

Author : Alan W. Partin
ISBN : 0970052537
Genre : Medical
File Size : 26. 39 MB
Format : PDF, ePub
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Quality Assurance In Dialysis

Author : Lee W. Henderson
ISBN : 0792327233
Genre : Medical
File Size : 39. 96 MB
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The concept of quality assurance is increasingly recognized as an essential component in the delivery of medical care. It has come into particular focus in the area of kidney failure and its treatment by dialysis because the customer for this care truly enters into a lifetime relationship with his health care providers. The present handbook provides perspectives for those wishing to design and employ quality assurance principles and those of continuous quality improvement in the arena of end-stage kidney failure and its treatment, whether by dialysis or transplantation. Quality assurance principles are considered to be an inherent part of medical training and are commonly assumed to be utilized. The present work permits an interested reader to assess the validity of this assumption and, if found wanting, it provides the tools to introduce these principles as key components of staff training and practice conduct. Contributions in this book have been drawn from leading experts and, as such, represent a variety of perspectives, each with the focus of providing guidelines for introducing quality assurance into the medical care of patients with kidney failure.

Nolph And Gokal S Textbook Of Peritoneal Dialysis

Author : Ramesh Khanna
ISBN : 0387789405
Genre : Medical
File Size : 25. 11 MB
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Nolph and Gokal's Text Book of Peritoneal Dialysis, Third Edition, covers advances made in the field for the past 30 years. During the past two decades, the time during which this therapy has been increasingly utilized, this text has continued to be recognized as the major source of the discipline's base knowledge. The evolution of this text to its newest edition parallels the growth of peritoneal dialysis from Continuous Ambulatory Peritoneal Dialysis in the eighties to the current therapy that encompasses manual and automated therapies with full emphasis on adequacy of dialysis dose. Peritoneal dialysis represents an intracorporeal technique for blood purification. This unique dialysis system represents one of many human attempts to manipulate nature for sustenance of life. The past few years of advances have focused on further improvement of the technique. Areas that have fueled the interest of researchers include: (1) Physiology of high transporters (and the role of genetics and inflammation); (2) Continued debate over the most appropriate adequacy indices (small solute clearances, large solute clearances, clinical assessment etc.); (3) Understanding, preventing and treating the MIA syndrome in PD patients ( including the roles of leptin, and adiponectin); (4) Pathogenesis and newer management strategies of vascular calcification; (5) Continued improvements in infectious complications including peritonitis; (6) Further improvements in catheter technology; (7) Automated techniques; (8) Explaining and correcting PD underutilization; (9) Rationale and applications of newer dialysis solutions; (10) New understanding and approaches to management of osteodystrophy; (11) Refinements in anemia management including new insights in iron metabolism in PD patients; (12) Further definition of indications for PD; (13) The ideal time to initiate dialysis. Newer insight into host defense mechanisms have also made the past decade of advances in the field more meaningful for clinicians. This text also covers the knowledge gained from animal models of peritoneal dialysis. Nolph and Gokal's Textbook of Peritoneal Dialysis, Third Edition is a compilation of the latest knowledge in the field. It cites and describes in great detail, the new discoveries and the evolution of understanding the subject of these discoveries.

Cardiovascular And Respiratory Systems

Author : Jerry J. Batzel
ISBN : 9780898717457
Genre : Mathematics
File Size : 68. 11 MB
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Cardiovascular and Respiratory Systems: Modeling, Analysis, and Control uses a principle-based modeling approach and analysis of feedback control regulation to elucidate the physiological relationships. Models are arranged around specific questions or conditions, such as exercise or sleep transition, and are generally based on physiological mechanisms rather than on formal descriptions of input-output behavior. The authors ask open questions relevant to medical and clinical applications and clarify underlying themes of physiological control organization. Current problems, key issues, developing trends, and unresolved questions are highlighted. Researchers and graduate students in mathematical biology and biomedical engineering will find this book useful. It will also appeal to researchers in the physiological and life sciences who are interested in mathematical modeling.

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