This unique book reviews the information available in the literature regarding the new syndrome, frailty, in patients with various renal conditions, such as acute kidney injury, chronic kidney disease, as well as dialysis and transplant patients. The topic is of importance in nephrology, specifically nephrogeriatrics, since frailty is a condition affecting many elderly patients and which is becoming increasingly common in medical practice. As such, there is a considerable need for information to assist professionals treating these patients. The book includes chapters on the frailty syndrome (definition, evaluation and treatment), the main geriatric syndromes (gait disorder, falls, incontinence, and delirium), the main renal syndromes (acute renal injury, chronic kidney disease) as well as dialysis and kidney transplant, and the relationship between geriatrics and renal syndromes. Frailty and Kidney Disease: A Practical Guide to Clinical Management is an essential resource for general practitioners, researchers, internal medicine physicians, geriatricians, and nephrologists.

The third edition of a bestseller, this book provides insight from a wide array of international contributors in the field of pediatric nephrology. Copiously illustrated with photomicrographs and clinical diagrams, the third edition reflects current advances in the field. Each chapter contains a set of questions, directed at helping fellows succeed at the American Pediatric Nephrology Board examination. New information for this edition includes changes in treatment options for hyponatremia, and updates on hyperparathyroidism and transplantation. Text boxes highlight important "take home points" throughout the chapters. Clinical Pediatric Nephrology, Third Edition will be a valuable reference for clinicians in nephrology, pediatrics and urology, and any professional involved in the care of children with renal diseases seeking a reliable contemporary text.

This handbook on vacuolar and plasma membrane H+-ATPases is the first to focus on an essential link between vacuolar H+-ATPase and the glycolysis metabolic pathway to understand the mechanism of diabetes and the metabolism of cancer cells. It presents recent findings on the structure and function of vacuolar H+-ATPase in glucose promoting assembly and signaling, in addition to describing the regulatory mechanisms of vacuolar H+-ATPase in yeast cells, neural stem cells, kidney cells, cancer cells, as well as under diabetic conditions.

Kidney transplantation is a medical procedure performed on patients with end-stage kidney disease that can increase their life expectancy by several years. However, the procedure involves some risk and potential complications. Chapter One of this monograph summarizes the current strategy for diagnosis and treatment of chronic kidney disease-associated mineral bone disease (CKD-MBD) in kidney transplant recipients and aims to demonstrate the latest findings and therapeutic options in the field beyond recent published guidelines. Chapter Two describes the necessity of involving a psychiatrist in the transplant team to facilitate positive outcomes in kidney transplants, as psychological factors can contribute to treatment non-compliance and other issues. Chapter Three defines the surgical techniques used in living donor nephrectomy, discusses the use and reliability of these techniques in different patient groups, and examines the long-term follow-up results of donors and recipients. Lastly, Chapter Four discusses the variables involved in treating patients with autosomal dominant polycystic kidney disease (ADPCKD), whose enlarged and deformed kidneys can complicate kidney transplantation.

Zur Untersuchung des Einflusses von tubularem HIF auf die renale EPO-Produktion generierte Navid Farsijani ein genetisches Mausmodell, in dem durch tubulare Vhl-Ablation, tubulare Epithelzellen HIF uberexprimieren. Die tubulare Vhl-Ablation fuhrte zu einer prompten Suppression der renalen EPO-Produktion. Anhand weitere konditioneller Mausmodelle zeigt der Autor, dass die Entwicklung der Anamie von HIF-abhangig ist, proximale Tubuluszellen fur die Regulation von EPO im Nephron verantwortlich sind und die tubulare Vhl-Ablation mit einer Reduktion der mitochondrialen Masse sowie einer Erhoehung des kortikalen Gewebssauerstoffpartialdruckes (PtO2) einhergeht. Dies spricht fur eine multi-zellulare Regulation der renalen EPO-Synthese, in der eine Homoeostase zwischen tubularen Epithelzellen und REPC fur eine adaquate EPO-Produktion der Niere notwendig ist. Zudem koennte der EPO-suppressive Effekt von tubularem HIF einen pathophysiologischen Faktor in der Entstehung von renalen Anamien darstellen.

Written by an interdisciplinary team of experts, this book contains historical information as well as current update on renal replacement therapy. New technology and techniques are presented in a concise, easy-to-read style that keeps the reader interested.

The contributors include physicians who practise uremia therapy since its conception to more recent graduates, along with surgeons, pioneers and physicians who are patients themselves, thus giving readers the broadest perspective.

The aim of the book is to update the reader on renal replacement therapy as of 2009. It is a textbook that can be read cover to cover and still serve as a fine reference guide. The book is targeted at anyone interested in kidney replacement therapy, from students and patients to the professorial level.

Die zweite, komplett uberarbeitete Auflage des Standardwerkes umfasst das gesamte Spektrum der Kinderurologie auf dem neuesten Wissensstand. - Angeborene Fehlformen und Fehlfunktionen der Urogenitalorgane von pranatal bis adult. - Aufgliederung der kongenital-reduktiven Nephropathie nach Dysplasie, Obstruktion und Refluxkrankheit. - Diagnostische und indikatorische Abklarung zwischen konservativer und operativer Therapie, insbesondere der kanzerologischen Krankheiten, der Nephrolithiasis und der Harnableitung. - Padiatrische Nephrologie samt Nierentransplantation, Behandlung der Spaltfehlbildungen der testikularen Erkrankung, der ambivalenten Geschlechtsmerkmale und der urogenitalen Traumatologie des Kindesalters. Zahlreiche Abbildungen, UEbersichten und Tabellen sorgen fur rasche Orientierung. Mit diesem systematischen Nachschlagewerk sind Sie schnell, umfassend und aktuell informiert.

Durch die technische Weiterentwicklung von der einfachen Dopplersonographie bis hin zur farbkodierten Duplexsonographie ist diese Methode in vielen Gebieten der Medizin mittlerweile ein wichtiger Bestandteil der nichtinvasiven Gefassdiagnostik geworden. Die Spezialisierung in der Medizin macht eine fur die einzelnen Fachgebiete differenzierte Literatur auch fur die Duplexsonographie notwendig. In diesem Buch wird deshalb die Anwendung dieser Diagnostik auf dem Gebiet der Nieren- und Hochdruckkrankheiten abgehandelt. Dazu gehort die Diagnostik der renalen Hypertonie, die Erkennung von Komplikationen nach Nierentransplantation sowie die Diagnostik von Dialyseshunts. Damit sind jedoch nicht nur Nephrologen, sondern auch Radiologen und Internisten angesprochen.

Ziel dieses Buches ist es, das bisherige Wissen fiber das Harn- steinleiden umfassend darzustellen und neuere Entwicklun- gen anzusprechen. Aufgrund der speziellen Gliederung des Stoffes muBten einige Aspekte von mehreren Autoren aufge- griffen werden. 1m Interesse einer instruktiven Darstellung aller Kapitel wurden dabei gelegentlich Wiederholungen, im Interesse einer kritischen Darstellung gelegentlich auch kon- troverse Darstellungen in Kauf genommen. Ich hoffe, daB dies den Leser anregt, er aber letztlich immer eine klare Ant- wort auf seine Fragen findet. Weiterffihrende Literatur ist jeweils am Ende eines Kapitels zu finden. Allen Koautoren mochte ich sehr herzlich fUr ihre Mitarbeit und ihr Engagement danken. Auch dem Verlag gehOrt ein Wort des Dankes fUr seine Einsatz- und Hilfsbereitschaft. Ich haffe mit den Kaautaren, daB das Buch eine breite Auf- nahme findet und den Studenten wie allen am Thema interes- sierten Anten zum Wohl unserer Patienten zum Nutzen ist. Bonn, im April 1987 W. Vahlensieck Inhaltsverzeichnis 1 Epidemiologie und Kausalfaktoren (w. Vahlensieck) 1 Literatur. . . . . . . . . . . . . . . . . . . . . . . . 35 2 Formalgenese (w. Dosch) 47 Literatur . . 82 3 Diagnostik . . . . . . . . . . . " 91 3. 1 Spezielle Anamnese (w. Vahlensieck) . . . 91 3. 2 Klinische Untersuchung und bildgebende Verfahren (w. Vahlensieck und D. Bach) . . 99 3. 3 Laboruntersuchungen (W. Vahlensieck, A Hesse und D. Bach) . . . . . . . . . . . . . . . . . . . . 113 3. 4 Harnsteinanalysen. . . . . . . . . . . . . . . . 151 3. 4. 1 Harnsteinanalyse mittels Rontgendiffraktion (M. Gebhardt und K. -F. Seifert) . . . . . . . . . . 151 3. 4. 2 Polarisationsmikroskopische Harnsteinanalyse (A Hesse) . . . . . . . . . . . . . . . . . . . . . . 198 3. 4. 3 Harnsteinanalyse mittels Infrarotspektroskopie (AHesse) . . . . . . . . . . . . . . . . . . . . . 208 3. 4. 4 Rasterelektronenmikroskopie (H. -P. Bastian) . . . 215 Literatur . . . . . . . . 224 4 Harnsteinentfernung . . . . . . .

Das Grundlagenwerk fur Dialyse-Teams

Fur die professionelle Versorgung von Dialysepatienten und Nierenkranken finden Pflegende und medizinische Fachangestellte hier alles Wissenswerte rund um das Gebiet der Nephrologie und Dialyse, u. a.: pflegerische Aufgabenbereiche akuter und chronischer Nierenerkrankungen Ernahrungsempfehlungen bei Dialysepflicht Planung und Organisation der Arbeitsablaufe in Dialyseeinrichtungen Nierentransplantation.

Verstandlich geschrieben, mit zahlreichen Abbildungen, Tabellen und Merksatzen erganzt, eignet sich das Werk hervorragend zum Lernen und Nachschlagen.

• Alle Inhalte der Fachweiterbildung Nephrologie und Dialyse
• Stellenbeschreibungen fur Fachpersonal in der Nephrologie und Dialyse
• Glossar wichtiger Fachbegriffe

Empfohlen von der Deutschen Gesellschaft fur Fachkrankenpflege und Funktionsdienste."

Diabetic Nephropathy (DN) is the leading cause to end-stage renal disease all over the world. Unfortunately, no effective treatment is available to stop its progression. So far, many key issues remain unrevealed in relation to its pathogenesis, new forms of therapy, and complication intervention. In this book, the authors aim to provide updated medical knowledge and practical management strategies to medical professionals who are caring for DN patients based on their ample clinical experiences, strong bench and bedside research background, and tight collaboration with experts in other fields caring for common complications in DN. The authors also want to shed light on the work of bench researchers in fields of DN and its complications from a clinical perspective.

This book has been complied by a group of doctors and nurses from all the over the world. The editors of this book aim to ensure that the reader gets the different perspective of how haematuria is managed all over the world. Chapter contributions have been received from the UK, USA, Spain, India, Japan, Albania, Singapore and Sri Lanka. From a patient's perspective, finding blood in the urine can be a very frightening experience and must be investigated. This book helps provides an update on the common Aetiologies and Management of both adult and paediatric patients. In the book there are contributions from both Nephrologists and Urologists discussing the details of both visible and non-visible haematuria which will help guide the reader with the best management strategies for these groups of patients. Also presented in this book are chapters which purely focus on the patient's perspective of haematuria.

Despite our efforts at creating clinical performance measures, clinical practice guidelines and intense government regulations, we still have disparities in care, poor outcomes and quality that is inferior to many other nations. Bundling and payment reform challenge the ability to deliver good care to patients even further. Chronic dialysis is at a crossroads. Physicians and providers must incorporate new approaches, reinventing the paradigm of how to plot the course of patient therapy. This book offers new ideas. It is refreshing, timely and engaging, with a wide range of topics by leading authors, each designed to help meet the challenges yet to come.

Much of the progress in the understanding of the physiology of vitamin D and its role in calcium and phosphorus homeostasis has been made in recent years. Active vitamin D plays a central role in the regulation of calcium by increasing calcium and phosphorus absorption in the gastrointestinal tract, by stimulating osteoclast activity and stimulating calcium absorption in the distal tubule. Progressive kidney disease is associated with a decline in production and impairment of the action of vitamin D, which leads to an inadequate serum calcium control. This book clarifies the components in Vitamin D therapy and other health factors in regard to kidney disease.

Hepatitis C virus (HCV) infection affects more than 170 million people worldwide and is recognised as both a cause and consequence of end-stage kidney failure. The incidence rates of HCV infection are considerably higher in dialysis patients than in the general population and are 3-fold higher in haemodialysis patients than peritoneal dialysis patients. Risk factors for HCV infection in dialysis patients include blood transfusion number, haemodialysis duration, dialysis unit HCV prevalence, prior kidney transplantation, intravenous drug use, male gender and older age. This book reviews the epidemiology of HCV in dialysis and discusses strategies for screening, transmission prevention, treatment and evaluation/management prior to kidney transplantation.

The Kidney chart is a detailed overview of the structure and function of this major component of the urinary system. Both structure and function are illustrated as the images and text describe the kidney from the gross anatomy to the tissue and cellular levels. Heavy gauge 3ml lamination with sealed edges and two metal eyelets for hanging makes chart highly durable. Write-on/wipe-off with dry erase marker (not included).

Advances in long-term improvement and outcomes of patients with kidney disease will require the use of novel biomarkers to identify patients at high risk for kidney disease and to diagnose kidney disease early for effective treatment. A biomarker is a substance found in the blood, body fluids or tissues that provides a measure of normal biological or pathological processes or response to pharmacological compounds or drugs. There are a wide variety of biomarkers including but not limited to mRNA, proteins and peptides, and lipid molecules. In AKI, important pathophysiological processes such as inflammation, apoptotic and necrotic cell death and, tubule regeneration may be reflected in blood or urine. An array of candidate markers along with clinical information in long-term clinical studies with appropriate analytical methodologies will likely provide prognostic information. Despite well-known limitations, currently the most widely used biomarkers for the early diagnosis of CKD and AKI are proteinuria, serum creatinine and blood urea nitrogen. Most clinicians are aware that serum creatinine and blood urea nitrogen are poor biomarkers due to inherent characteristics of these molecules and handling by the kidney. Creatinine is secreted and urea nitrogen is reabsorbed by the renal tubules. Many endogenous substances interfere in the assay for creatinine. Serum creatinine and urea appear late after acute kidney injury and the serum levels in part depend on the generation (large or small body mass). Acute kidney injury is a non steady state condition thus serum creatinine and urea nitrogen will lag behind kidney injury. For these reasons new biomarkers are imperative. With knowledge of these limitations in use of current biomarkers and the lack of progress in reducing the mortality and morbidity from kidney disease, there has been a great surge of interest in identifying novel biomarkers with a particular emphasis on the early diagnosis of kidney disease. A variety of methods have been employed including transcriptomics, proteomics, gene arrays and lipidomics. Currently, candidate biomarkers have been found in different disorders and have been tested in humans and many candidate biomarkers have yet to be identified. Most studies to date are preliminary and require validation in large multicentre studies followed by commercial assay development validation and testing. This new book outlines the rapid advances made in the field of biomarker development for kidney disease in which a variety of novel molecules have been identified and studied in humans.

Kidney cancer usually occurs in older adults and constitutes about 2 per cent of all adult cancers (more frequent in men than women). It is also known as nephrocarcinoma, renal cell carcinoma, hypernephroma, and Grawitz's tumour. This book includes within its scope the prevention, risk factors, symptoms, diagnosis, treatment, and rehabilitation of kidney cancer. Leading-edge scientific research from throughout the world is presented.

Fast Forward is a thought-provoking and gripping autobiography about Andrew Cole’s determination to succeed against all the odds.

Misconceptions have stalked Andrew Cole like a hatchet-man defender determined to cut him down to size. In the world of modern-day football, his reserved demeanour was often interpreted as surly intransigence. Alongside an aptitude for goalscoring, it was widely believed, ran an attitude problem. In Fast Forward, a candid and inspirational autobiography, Cole finally puts his side of the story. The son of a Windrush-generation Jamaican miner from a humble background in Nottingham, he was viewed as a one-man awkward squad by George Graham and Jimmy Hill before Kevin Keegan identified him as the man to bring goals to Newcastle. However, only when Alex Ferguson, his ‘second father’, took him to Manchester United did Cole begin to belie his image, amassing goals, medals and England caps. Two decades on from United’s historic Treble, he reveals the inside track on Eric Cantona and David Beckham, Roy Keane and Ole Gunnar Solskjaer .

After a career spent challenging assumptions and adversity, he had to summon fresh reserves of resilience to battle illness and depression.

This book provides easy consultation and guidance for an appropriate understanding and management of endotoxic shock. Endotoxic shock results from a severe, generalized inflammatory response induced by bloodstream infection with gram-negative bacteria. However, endotoxin-induced inflammatory activation may be disconnected by Gram-Negative threats (e.g. Gram-Positive and yeast infections) as well as occur in multiple clinical scenarios like post-cardiac arrest syndrome and trauma, possibly due to gut barrier dysfunction and consequent endotoxin translocation. The clinical management is structured focusing and dedicating a chapter for antibiotics, corticosteroids, volume support, vasoactive and cardiostimulating drug, coagulopathy and nutritional support. In addition, this book is remarkable because describing polymixin b hemoperfusion points out molecular interactions, and hydrodynamics of Sorption. Each section includes *) brief pathophysiology; *) principles of management; *) key messages. Readers can find updated tips related to the diagnosis and management of endotoxic shock with a multidisciplinary approach drawing a pathway from endotoxin structure and source and the related pathophysiology of endotoxic shock underling the specific clinical aspect and focusing on medical clinical management of endotoxemia and extracorporeal removal. The book - written by international opinion leaders of this field - is addressed to healthcare providers working in intensive care and represents a point of reference for intensivists, infectious disease physicians, nephrologists and critical care nurses involved in the management of endotoxic shock and enriched with useful downloadable material.

This latest book in the Management of Urology Series provides insight into how to appropriately manage patients undergoing pelvic robotic urological surgery for renal cancer. Extensive guidance is provided on how to perform a range of procedures including the retroperitoneal renal approach along with information on how to utilize the latest robots effectively. Cases are also presented on how to best manage complications associated with partial nephrectomy. Each chapter also contains learning objectives to assist the reader in extrapolating the key information covered.Robotic Surgery for Renal Cancer is an up-to-date overview of the latest techniques utilized in this field along with potential management strategies for these patients, making it a critical resource for urologists, oncologists, and specialist nurses.

This book provides healthcare professionals in Critical Care setting an easy consultation guide to fight against COVID-19. The book is divided into sections: Fundamentals of COVID-19, Pneumological critical care, Neurological manifestations, Cardiovascular manifestations, Renal manifestations, Haemostasis and coagulation, Other multi-organs involvement, Principles of therapy. Each section includes: * brief pathophysiology of COVID-19 (ventilation, neurological, cardiovascular, etc.); * principles of management (enriched with flowcharts and figures); * principles of therapy; * tips and key messages. Readers can find the most updated advices on how to face the ongoing pandemic: from principles of conventional oxygen therapy, assisted and invasive mechanical ventilation in critically ill COVID-19 patients to the complications sometimes underestimated. Tables and flowcharts provided are based on current knowledge in COVID-19 to help the clinician managing COVID-19 patients by a multiple-organs prospective. Written by international key opinion leaders of each field, the book represents a point of reference for all professionals involved in the management of COVID-19 pandemic.

Issues in Kidney Disease - Chronic Kidney Disease (CKD) is a collection of 17 detailed chapters written by world leaders and experts in nephrology in order to provide a comprehensive review of kidney disease using evidence-based recommendations and guidelines. This book starts with an excellent introduction and classification of CKD and progresses into various important aspects of CKD care including prevention, diabetes, hypertension, acid-base disturbances, genetic and age considerations, glomerulonephritis, interstitial nephritis, aging, as well as considerations for patients in pregnancy and with malignancy. This book will appeal to trainees and practicing clinicians in internal and family medicine, as well as nephrology, who would like current and practical clinical knowledge of chronic kidney disease to help improve the lives of patients with this condition.

Volume 13 begins by examining how lipid abnormalities in chronic kidney disease attract continuous attention due to their unclear involvement in chronic kidney disease patient outcomes. If kidney function declines, inflammation and oxidative stress progress and lipid disturbances develop, and malnutrition may ameliorate dyslipidemia in advanced chronic kidney disease. Although rare, pancreatic trauma can significantly impact the life of a patient, with some requiring a total pancreatectomy which will result in pancreatogenic diabetes. Diagnosis can be difficult, especially in children, with clinical symptoms being absent in many. As such, the authors discuss the current scientific literature on the diagnosis and management of pancreatic trauma and the promising use of autologous islet cell transplant in these patients. The authors go on to present the state-of-art knowledge on the effects of adenotonsillectomy and rapid maxillary expansion on the dentofacial development of children, clarifying what might be expected regarding facial growth after normalizing the mode of breathing and increasing the width of the maxilla. Following this, this compilation summarizes the growth and development processes of the face to describe the theories and mechanisms of facial growth and development. Next, the management of multi-drug resistant tuberculosis and extreme drug resistance tuberculosis is discussed, along with the latest World Health Organization guidelines and policy recommendations for treatment. The literature regarding the clinicopathological features of mucosa-associated lymphoid tissue of the dura is reviewed, focusing on how to differentiate mucosa-associated lymphoid tissue of the dura from clinical and pathologic mimics. In the closing study, changes in the molecular mechanism inside an ensemble up to 3 mio Daltons in human muscle in members of one family from eight to 67 years old are investigated using non-invasive gravitational mass spectroscopy.