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In modern medicine, the aging population is prone to many
simultaneous cardiovascular (CV) risk factors which often produce
co-incident pathology. Nowhere is this more obvious than in the
interaction between Chronic Kidney Disease (CKD), Diabetes and
diverse CV diseases (CVD). This is a complex and challenging area,
as the presence of CKD/diabetes promotes CVD while also
complicating its treatment. The emergence of CKD as a public health
priority is one of the most challenging problems of modern
medicine. It is now solidly established that renal dysfunction
portends a high risk for cardiovascular disease. Cardiovascular
diseases remains the main cause of death in western societies and
the amplification of the death risk conveyed by coexisting CKD,
even though still poorly understood, appears considerable. The
bidirectional link that associates renal and cardiovascular
diseases, the high risk of the death signalled by their coexistence
and the considerable epidemiological burden imposed by this link is
at the basis of the emergence of a new discipline aiming at making
the borders between nephrology and cardiovascular medicine even
more permeable than before. The term Cardio-Renal Syndrome was
coined around 5 years ago to try to formalize this link, and act as
a stimulus to interaction between clinical teams, researchers and
others to achieve better management and outcomes for all. This book
takes clinical presentations and clinical problems as its base, and
then discuss the evidence for best management of common clinical
problems as well as the reasons for the complex interplay between
the cardiac and renal systems. Moreover, it addresses the issue of
organizing healthcare to maximize the opportunities for prevention
and best healthcare economic returns, building on cutting edge
initiatives at the Karolinska, Stockholm. The book will be of
immediate value and interest to all cardiologists and renal
physicians.
On Solid Ground is intended to inform a general audience about what
geologists know about the earth. It will do so by telling the
stories of the people who made the discoveries. It will also
chronicle the doubters and nay-sayers who have worked so hard to
undermine our understanding of the earth. We know, for example,
that the earth is old, in part because William Smith created our
modern system of dating fossils to win a bar bet. The warming
properties of atmospheric carbon dioxide were first discovered by
Eunice Newton Foote, when she wasn't pursuing her other passion
-fighting for women's rights at Seneca Falls. We are sure the earth
is round despite the efforts of Samuel Birley Rowbotham, a conman
who convinced thousands of people that it was flat before moving on
from science to sell bogus health tonics . Each of its nine
chapters will contain three things: the human story of a geologic
controversy, an explanation of why geologists are so sure about the
right answer to that controversy, and a short discussion of the
logical fallacies being used by those still unwilling to accept
geologic expertise
This concise book provides practical strategies to help
nephrologists and endocrinologists correctly diagnose and treat the
various forms of parathyroid disease they may encounter in the
management of chronic kidney disease. Each chapter deals with
various topics related to parathyroid gland anatomy and physiology,
as well as diagnostic tests and their particularities in regard to
chronic disease. The book highlights the range of therapies used
for the treatment of secondary hyperparathyroidism, and critically
analyses the latest research in the field. Providing an up-to-date
review of the current literature, including innovations in both
medical and surgical treatment and current indications for
parathyroidectomy, this practice-oriented book is an excellent
resource for nephrologists, endocrinologists, endocrine surgeons
and family medicine physicians.
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