Buttonhole Cannulation

Author: M. Misra
Publisher: Karger Medical and Scientific Publishers
ISBN: 3318055670
Format: PDF, ePub, Docs
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The buttonhole method for the cannulation of the arteriovenous fistula was discovered more than 40 years ago and was soon adopted on a wide scale due to its obvious benefits of decreased puncture pain and extension of the life of the arteriovenous fistula. Following reports of complications such as a higher incidence of access-related infections, the method has lately been the subject of intense scrutiny; recent research has focused on the mechanisms of buttonhole access-related infections and newer techniques that may have bearing on the future use of the buttonhole method. This book presents an easily accessible overview of information relevant to the subject, including history, benefits and the latest research results related to the buttonhole cannulation method. It aims to rekindle an awareness of the advantages of this method and to encourage a critical analysis of possible techniques to overcome current barriers that prevent a wider spread of the technique.

Acute Kidney Injury From Diagnosis to Care

Author: X. Ding
Publisher: Karger Medical and Scientific Publishers
ISBN: 3318058262
Format: PDF, Kindle
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Acute kidney injury (AKI) is a serious disorder in which sudden impairment of kidney function occurs secondary to one or more of a variety of underlying conditions and exposures. It is very common in (elderly) ICU patients and associated with very high mortality. Many of those who survive suffer from permanent kidney failure and other long-term morbidities. Renowned experts from around the world have contributed to this new publication, creating a succinct yet complete review of the most controversial aspects of AKI. The topics range from epidemiology and basic science to pathophysiology and clinical issues. It is intended as a concise reference work for physicians and nurses who deal with AKI in clinical nephrology and intensive care wards on a daily basis.

Scientific Aspects of Dialysis Therapy

Author: H. Kawanishi
Publisher: Karger Medical and Scientific Publishers
ISBN: 3318059293
Format: PDF, ePub, Docs
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This book brings together papers presented both during the 61st Annual Meeting of the Japanese Society for Dialysis Therapy (JSDT) and the 34th Congress of the International Society of Blood Purification (ISBP), held in Osaka in June and in Hiroshima in September 2016, respectively. They cover a broad spectrum of topics, ranging from hemodialysis, peritoneal dialysis, hemodiafiltration and technical innovations in blood purification to complications of chronic kidney disease and acute kidney injury, including mineral bone disease and anemia.

Acute Kidney Injury From Diagnosis to Care

Author: X. Ding
Publisher: Karger Medical and Scientific Publishers
ISBN: 3318058262
Format: PDF, ePub, Mobi
Download Now
Acute kidney injury (AKI) is a serious disorder in which sudden impairment of kidney function occurs secondary to one or more of a variety of underlying conditions and exposures. It is very common in (elderly) ICU patients and associated with very high mortality. Many of those who survive suffer from permanent kidney failure and other long-term morbidities. Renowned experts from around the world have contributed to this new publication, creating a succinct yet complete review of the most controversial aspects of AKI. The topics range from epidemiology and basic science to pathophysiology and clinical issues. It is intended as a concise reference work for physicians and nurses who deal with AKI in clinical nephrology and intensive care wards on a daily basis.

Ultrasound Imaging in Acute and Chronic Kidney Disease

Author: M. Meola
Publisher: Karger Medical and Scientific Publishers
ISBN: 331805884X
Format: PDF, Kindle
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Ultrasound imaging techniques are an indispensable complement to physical examination, which is often frustrating, if not useless, for diagnosing kidney problems. The application of ultrasound techniques in clinical routine helps clinicians to rule out, at first glance, some serious pathological conditions and to concentrate on the accurate diagnosis of the patient. Moreover, sonography can extend the spectrum of diagnostic criteria in acute kidney diseases. It makes it possible to determine morphological parameters without potentially toxic contrast media while exploring functional aspects with contrast enhanced or Doppler ultrasound techniques. This publication meets a growing demand for current information among physicians and nurses in the field. With a focus on the daily practice of diagnosing kidney disease, it is an important resource for both beginner and advanced users of ultrasound imaging techniques.

Multi Criteria Decision Analysis to Support Healthcare Decisions

Author: Kevin Marsh
Publisher: Springer
ISBN: 3319475401
Format: PDF, Docs
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Representing the first collection on the topic, this book builds from foundations to case studies, to future prospects, providing the reader with a rich and comprehensive understanding of the use of multi-criteria decision analysis (MCDA) in healthcare. The first section of the collection presents the foundations of MCDA as it is applied to healthcare decisions, providing guidance on the ethical and theoretical underpinnings of MCDA and how to select MCDA methods appropriate to different decision settings. Section two comprises a collection of case studies spanning the decision continuum, including portfolio development, benefit–risk assessment, health technology assessment, priority setting, resource optimisation, clinical practice and shared decision making. Section three explores future directions in the application of MCDA to healthcare and identifies opportunities for further research to support these.

Patient Safety in Dialysis Access

Author: M.K. Widmer
Publisher: Karger Medical and Scientific Publishers
ISBN: 3318027065
Format: PDF, Docs
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Not only are dialysis access creation and maintenance prone to complications, but patients suffering from end-stage renal disease and its comorbidities generally have a high risk of adverse events during their continuous treatment. Preventive strategies are key to avoid harm and to improve the outcome of the treatment of the growing number of patients with chronic kidney failure, especially as doctors and nurses are not always aware of the consequences of unsafe behavior. This publication is intended for health care professionals – nurses as well as doctors – and aims to raise the awareness of patient safety aspects, combining medical education with evidence-based medicine. After a general overview of the topic, an international panel of authors provides a diversified insight into important concepts and technical tricks essential to create and maintain a functional dialysis access.

Hemodiafiltration

Author: Menso J. Nubé
Publisher: Springer
ISBN: 3319233327
Format: PDF, ePub, Mobi
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This book gives a complete description of online hemodiafiltration, in five sections. It is unique in the systematic and complete way in which hemodiafiltration is described. Each chapter is completed by a point-to-point summary of essential information, in a separate text box. Part of the book is dedicated to the theoretical background of convective clearance. In this part, safety issues and quality control is reviewed (especially on the quality of water for dialysis and substitution fluid), as well as equipment (both dialyzers and machines) with which this treatment can be performed. As recently the results of several randomized controlled trials were available, the effect of hemodiafiltration on hard clinical end points (mortality and morbidity) is discussed in detail. This has not been done before, as the most recent book/journal on hemodiafiltration was published in 2011, before the results of the 3 randomized controlled trials were published. Furthermore, the methodological quality of the trials is discussed by an expert, in order to help the readers in their judgment of the trials Part of the book concentrates on the effect of the treatment on several biomarkers and uremic toxins. Several clinically relevant issues is discussed separately, such as the prescription of anticoagulation during the treatment, drug prescription and clearance for patients treated with hemodiafiltration, and hemodynamic stability. Finally, a practical guide on how to perform the treatment is provided. In this unique section, seemingly simple but important details of hemodiafiltration-treatment is discussed, such as the importance of needle size for blood flow rates, the difference between filtration fraction and substitution ratio, the different targets that can be set and how to reach them. As most literature is mainly focused on theoretical issues, this unique feature really will help the field to perform hemodiafiltration, and answer practical questions.

Design of Artificial Human Joints Organs

Author: Subrata Pal
Publisher: Springer Science & Business Media
ISBN: 146146255X
Format: PDF, Docs
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​Design of Artificial Human Joints & Organs is intended to present the basics of the normal systems and how, due to aging, diseases or trauma, body parts may need to be replaced with manmade materials. The movement of the body generates forces in various work situations and also internally at various joints, muscles and ligaments. It is essential to figure out the forces, moments, pressure etc to design replacements that manage these stresses without breaking down. The mechanical characterization of the hard and the soft tissues are presented systematically using the principles of solid mechanics. The viscoelastic properties of the tissue will also discussed. This text covers the design science and methodology from concept to blueprint to the final component being replaced. Each chapter will be a brief overview of various joint/organ replacement systems. Engineers working on artificial joints and organs, as well as students of Mechanical Engineering and Biomedical Engineering are the main intended audience, however, the pedagogy is simple enough for those who are learning the subject for the first time.

Down and Dead in Dallas

Author: Vicki Hinze
Publisher:
ISBN: 9781939016201
Format: PDF, Mobi
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Sometimes to live, ya gotta die. And sometimes dying right takes practice¿Christine Branch is elated. Finally her sister, Caroline Branch Easton, has left made the break from her abusive ex, Martin Easton, and returns to Dallas to Christine's ranchette to heal. Only Martin refuses to let her go. Within twenty-four hours, his thugs are doing everything they can to intimidate Christine into returning home. Christine knows she must do something to get her sister the time and space she needs to heal-and she concocts a plan: Operation Switch and Bait. The sisters trade lives and Christine baits the thugs into following her. It works! Caroline undergoes counseling, eventually divorces Martin, though he refuses to accept it, and the operation continues¿ until Martin shows up at the ranchette and issues a return-home ultimatum. Christine's had enough. She ends the operation, resumes her identity and disappears.Christine continues with the switch, hoping confusion of two Carolines will assist in a clean getaway. On Christmas, Caroline calls Christine. A chef from Dallas is assisting her. She's in Even, Georgia but within an hour leaves for Sampson Park. She'll call again as soon as she's settled.But Caroline doesn't call. And three months later, Christine remains unable to find anything on the mysterious Sampson Park, or on her sister's whereabouts. She must take the risks of leading Martin to Even to find out what happened to Caroline. Has she escaped, or is she to remain Down and Dead in Dallas?