This book aims to present a comprehensive classification of hypertensive phenotypes based on underlying target organ involvement. Particular emphasis is placed on review and assessment of clinical presentation, pathophysiologic mechanisms, and possible specific therapeutic options for each hypertension phenotype. Several of these phenotypes are well known and well described in the literature, such as prehypertension, white coat and masked hypertension, isolated systolic hypertension, renovascular hypertension, endocrine hypertension, pediatric hypertension, and gestational hypertension. Other hypertension phenotypes, however, are not widely recognized, being reported only in special reviews; examples include hypertension associated with renal calculus disease and other rarer causes such as Turner syndrome, herbal and medicinal compounds, and pharmacologic agents. A detailed account of the various causes of monogenic hypertension is also included. Finally, a section is devoted to general aspects of hypertension, including the significance of blood pressure indices, the natural course of untreated and treated hypertension, hypertension mechanisms, genetics, and guidelines for blood pressure control.

Critical References Nephrology (Edition 1) contains the essential references for each of 62 topics in adult clinical nephrology. With each reference, the authors have explained how that research study contributed to the clinical topic of interest, providing immediate context. Critical References Nephrology (Edition 1) is an invaluable reference, serving as an easy guide for exam preparation, daily clinical practice and preparation of both research articles and teaching sessions. By summarizing the major findings of the most important research studies, Critical References Nephrology quickly provides the most evidence based information of all major nephrology topics.

The two kidneys of mammalian organisms receive around 25 % of the cardiac output at rest, of which only 7 % is distributed to the renal medulla. Despite the low blood flow to the renal medulla, small changes in perfusion to the region can have profound effects on urine-concentrating ability and the excretion of sodium, which in turn affects the chronic regulation of body fluid volumes and arterial blood pressure. Importantly, we know that if blood flow to the renal medulla is not tightly regulated, sodium and water homeostasis is impaired and medullary hypoxia develops. The resultant injury inevitably reduces urine concentrating ability and leads to hypertension. This book will discuss the variety of mechanisms that mammalian organisms have developed to ensure that renal medullary blood flow and oxygen levels are precisely regulated. This book will focus on the unique anatomical arrangement of the medullary circulation, the functional roles of medullary blood flow, as well as the experimental techniques used to assess medullary blood flow and the insight that these studies have provided. The hormonal and non-hormonal control of medullary blood flow will be considered and finally the impact of reduced medullary blood flow on blood pressure is discussed.

Kathleen and 24 of her fellow patients provide easy-to-read helpful tips and share their personal experience, that is both useful and informative. This book will certainly assist those who are currently on dialysis or about to start it. Dialysis is not easy, but this information may give you a much better understanding and change the way you feel about it. Attitude is most important. Staying positive and finding some new ways to combat the negatives just might make it a whole lot easier.

Acute kidney injury (AKI), defined as an abrupt decrease in renal function over a period of hours to days, is a common complication among hospitalised patients with different acute diseases. Its incidence has been increasing in recent years and is reported to be very high especially in the acute settings. Since clinical signs and symptoms of acute renal damage are not specific, it is difficult to promptly distinguish AKI at the time of patient presentation. Currently the diagnosis of AKI requires serial assessment of laboratory tests over a period of several days, and is based mainly on the evaluation of serum creatinine (sCr) and decrease in urine output as supported by Risk, Injury, Failure, Loss, and End-Stage Kidney Disease (RIFLE) criteria, Acute Kidney Injury Network (AKIN) criteria, and the recent Kidney Disease: Improving Global Outcomes (KDIGO) practice guidelines for AKI. Such a need for repeated sCr evaluations and monitoring of urinary output for too long time after admission could therefore result in a diagnostic delay. With delays in diagnosis, clinicians miss opportunities to start appropriate treatment to minimise damage, and patients incur more severe AKI with subsequent greater risk of developing progression of renal damage leading to chronic kidney disease (CKD), dialysis and increased risk of severe cardiovascular diseases and death.

Handbook of Peritoneal Dialysis Second Edition Steven Guest M.D. This book is a guide to the clinical practice of Peritoneal Dialysis. Chapters provide the core curriculum for expertise in PD therapy and address relevant clinical challenges faced by caregivers. Contained in this Handbook: Peritoneal Membrane Physiology, PET, Modified PET, DATT, Acute and Chronic PD Prescription, Catheters and Placement Techniques, PD Solutions, Infectious and Non-infectious Complications, Fluid Management in PD, PD in the Diabetic and Morbidly Obese Patient, Nutritional and Metabolic Issues in PD, Survival in the PD Population, Setting Up a PD Program / Infrastructure.

Written by experienced educators and renal nurses with extensive experience of clinical practice the Oxford Handbook of Renal Nursing is a concise, current and evidence-based guide to the care of patients with renal disease. This practical and thorough resource ensures that expert and relevant information is always accessible, whatever the circumstances.
Assisting both practising and student nurses with decision-making skills from the patient assessment stage through to post procedure/operation nursing care, this handbook provides a wealth of useful information on the aetiology of kidney disease, assessment and diagnostic processes, and the available treatments.
An indispensable resource, it covers caring for patients with a wide range of conditions, including chronic kidney disease and established renal failure. Additional information on treating patients waiting for, or undergoing dialysis or transplant surgery, and those requiring end of life care is also included.
Taking a multi-professional approach to the care and management of renal patients, the Oxford Handbook of Renal Nursing is an essential tool for all renal nurses, studying and practising, as well as dieticians, pharmacists, social workers, counsellors and researchers who specialise in renal care.

stories of postwar nephrology and metabolism. Postwar Uremia is to the nephrologist what the baby is to the nephrology rushed to the fore and supplied nephrologists pediatrician, for it is the final common pathway of literally with such wonderful tools as the flamephotometer, electro- hundreds of disease processes that lead to scarring and destruction of nephrons. . phoresis, microchemistry, immunoassay, sonography, renal biopsy, immunofluorescence, electron microscopy, and un- We estimate that there are well in excess of 300,000 clear magnetic resonance, and permitted a total integration patients in the world living on the varied methodologies of form, histologic structure, and function. Clinical represented by the three basic forms of substituted kidney nephrology became indeed the real fusion of biochemistry, function-hemodialysis, peritoneal dialysis, and renal physiology, immunology, renal endocrinology, and the transplantation: over 100,000 persons in the United States focus of newer imaging techniques. alone, well over 110,000 in the countries compromising With this precision in diagnosis, one could realistically the EDTA Registry, and over 100,000 in the Pacific Rim.

The Oxford Specialist Handbook of Paediatric Nephrology helps the reader understand and manage all conditions affecting the kidney in childhood. This concise yet comprehensive guide covers everything from history taking and urinalysis, to electrolyte management, acute kidney injury and transplantation. It is a complete reference for the day to day, bedside, and out-patient management of all conditions dealt with by general paediatricians and specialist paediatric nephrologists. The handbook also offers advice to clinical professionals working with patients in shared care between general hospitals and specialised centres. Paediatric Nephrology benefits from a clear, user-friendly layout, with bullet points and text boxes to highlight key information and colour plates illustrations and photographs. This makes the book a perfect reference for use on-the-go, and easy to navigate during an emergency. The primary focus of the book is investigation and management, but in order to enable a better understanding of conditions such as fluid and electrolytes, it also discusses pathophysiology. Evidence-based recommendations are made where possible, however the authors also provide recommendations informed by their own personal experience and current best practice in areas where high quality evidence is still lacking. Paediatric Nephrology is useful for paediatric consultants and doctors at all levels of their training, including the general paediatrician and the specialist nephrologist. The book has a global appeal, and presents information that is applicable worldwide.

Pathology of the Kidney in Dysproteinemia is an academic monograph describing in detail the causes and development of structural and functional changes in the human kidney resulting from the deposition of abnormal circulating serum proteins. The material presented was obtained from 147 cases of renal involvement associated with Dysproteinemia encountered in university and community hospital settings. The described entities account for 4.5% of 3.260 biopsies of native kidneys examined over a period of approximately 25 years. While some of the lesions are quite rare, others are relatively common and seen fairly frequently in a reasonably busy renal biopsy service. Together they constitute a group of extremely interesting lesions in terms of immunology, morphology, and pathogenesis.This book should be of interest to pathologists- especially renal pathologists, immunologists, and internists. Both general internists and sub-specialists in nephrology and hematology will find this volume useful, as will medical residents and medical technologists in these various specialties. As a monograph it is user-friendly, since the subject matter is sufficiently circumscribed to permit expanded or detailed visual and textual treatment of specific lesions in a single easy-to-wield volume.

Gabriel of Urantia asked the question, in the beginning of his struggle with dialysis, "God, why is this happening to me?" Throughout his 8-month dialysis experience, 3 days a week, 4 hours a day, being tied down to a chair while his blood flowed from his body through a machine and back, he realizes-from the people he meets also on dialysis and in the hospitals after post-kidney-transplant-that very bad things happen to very good people. He met young and old alike, tied down to the machines just like he was, and the young people were the hardest for him to resolve in his mind with God and also to try to give them hope. As a minister, he felt obligated to do so. Being a Pastor of a church (Global Community Communications Alliance-a very social, environmental, and spiritual activist church), he knew that bad things happened to good people who try to change the world. But this disease is personal, between him and God you might say. So he had to discover for himself why God allowed this to happen to him and to the other very good people he met with various traumatic illnesses in the hospitals and dialysis centers. Gabriel of Urantia tries to explain how he felt along the path, from the beginning to the receiving of his new kidney from his 22-year-old daughter and gaining the hope and health to continue not only his spiritual work, but his work as a musician, guitar player, and singer (in which he was planning a tour around the country with his 11-piece Bright & Morning Star Band), while now taking immunosuppressant drugs to keep him alive. He had all the fears that a new transplant patient has. How long will the kidney last? What other affects do these drugs have on my body? He writes about his experience with the medical world, the services he experienced from both very qualified people and those not so qualified (experienced and inexperienced care givers), as well as the bureaucracy of the medical field and insurance companies (both private and governmental). He realized that often in the medical field, the right hand didn't know what the left hand was doing and the patient suffered the results. Beyond that, Gabriel of Urantia tries to give hope to people with life-threatening illnesses by sharing his faith in the Creator to all who may read his book. A must-read for anyone on dialysis or with any life-threatening illness, from a writer who went through this and can identify with what they are going through and give them hope through this trauma in their lives.

The discovery of a potent vasoconstrictor, endothelin (ET)-1, derived from vascular endothelial cells was among a variety of key lines of investigation that helped to fuel a major explosion of studies related to endothelial cell biology. This was particularly evident within the pharmaceutical industry where receptor antagonists were quickly developed and are now on the market for treatment of pulmonary hypertension and in development for other diseases such as diabetic nephropathy and cancer. Importantly, we know that the kidney contains the highest level of ET-1 production and receptor expression in the body where it has been demonstrated to function as a pro-natriuretic autocrine and paracrine factor that is activated in conditions of high salt intake. This eBook provides a review of the various mechanisms whereby ET-1 has been shown to function within the kidney through a wide range of actions that include direct effects on tubular transport, intrarenal hemodynamics, as well as neural and endocrine functions. Much has yet to be discerned, but it is clear that the ET system is a major physiological regulator of fluid-electrolyte balance and blood pressure through these renal actions. Table of Contents: Discovery of Endothelin / Basic Biology of the Endothelin System / Renal Localization / Renal Hemodynamics / Renal Tubular Actions of Endothelin / Endothelin in Neural Modulation of Renal Function / Physiological Role of Endothelin / Endothelin in Renal Pathology / References / Author Biographies

Heme oxygenases (HOs) are the enzymes responsible for the breakdown of heme and the generation of biliverdin/bilirubin and carbon monoxide (CO). The kidney is a complex organ consisting of many different cell types all working together for the single purpose of filtering the blood to eliminate waste products and conserving ions, minerals, and water necessary for life. HO enzymes and their products play a critical role in the normal function of the kidney as well as protecting the kidney from various insults including ischemia and exposure to nephrotoxins. For example, the HO metabolite, bilirubin, is a potent antioxidant which can limit damage to renal tubular epithelial cells following exposure to nephrotoxins associated with chemotherapy or traumatic injury. Another HO metabolite, CO, is an important vasodilator of renal blood vessels and helps protect against severe decreases in renal blood flow in conditions as diverse as exposure to radiocontrast agents and in hypertension-induced kidney disease. HO and its metabolites also play an important role in the survival of kidney cells after acute and chronic injuries by regulating important cell growth and programmed cell death pathways. The intent of this volume is to highlight the important role that HO enzymes and their related metabolites, bilirubin and CO, play in the regulation of renal function and in the response of the kidney to both acute and chronic pathologies. Table of Contents: Introduction to the HO System / HO and Renal Vascular Function / HO and Renal Tubule Function / HO and Acute Kidney Injury / HO and Chronic Kidney Injury / Future of Renal HO Research / References