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Optimal nutrition is essential for maintaining the structural and functional integrity of all the organs and systems in the body. This is especially relevant in disease and dysfunctional states when the functioning of organ systems is compromised. This clinical update handbook aims to discuss and debate the impact of nutrition, describe methods for assessment of nutritional status and recommend the diet modifications helpful in managing various types of kidney diseases and dysfunctions. The first chapter of this book describes the various components of a healthy diet when there is no kidney disease or dysfunction. The chapter 2, 3, 4, and 5 provide a brief but relevant review of the dietary ...
This book discusses the epidemiology, recognition, screening, and management of the various common systemic diseases that commonly present with renal manifestations like diabetic nephropathy, lupus nephritis, hypertension and renal involvement, liver disease, and dysproteinemias. Diabetic nephropathy remains the leading cause of end-stage renal disease across the world. The outlook for patients who have lupus nephritis has improved in the last decade. Kidney disease is common in patients who have advanced liver disease, and creatinine-based methods do not provide an accurate estimation of renal function in this population. Dysproteinemias are associated with protean renal manifestations, and renal disease may be the presenting manifestation. The authors have given a very comprehensive view pertaining to each topic and have given an insight to their own clinical experiences along with the standard guidelines as followed.
Directory of Lion Leaders of India for the Lionistic year 2018-19 is released by LCCIA Chairperson Lion V.K.Luthra in September 2018. It contains Details of DG Teams, PDGs, LCI President Team, IDs, PIDs. Highlight of this year edition is that all the Lion Leaders details are printed in multi Colour.
Urinary tract disorders, be they anomalies or infections, are an important cause of acute and long-term morbidity in children. These conditions need prompt diagnosis and management, not only to relieve the acute morbidity, but also to prevent the long-term renal damage. This makes diagnostic and therapeutic issues concerning these conditions very important. The most common urinary problem encountered in children is urinary tract infection (UTI), which is usually bacterial in origin. Urinalysis and culture play an important role in the diagnosis of this condition. The treatment consists of prompt and specific antibiotic therapy followed by genitourinary imaging in high risk patients to detect...
The skeleton is a metabolically active organ that undergoes continuous remodeling throughout life. This remodeling is necessary both to maintain the structural integrity of the skeleton and to fulfill its metabolic functions as a storehouse of calcium and phosphorus. Skeletal remodeling can be triggered by changes in mechanical forces or microdamage and by hormonal response to changes in circulating calcium and phosphorus levels. The skeleton also serves as the second line of defense against acidosis, and it is able to liberate buffers in the form of inorganic phosphates. Disorders of Bone and Mineral Metabolism is a multi-authored clinical update that covers all major aspects of bone and it...
Lived experiences of kidney patients show resilience as an attribute in a few that dared to harness the formidable disease. The book will be a treatise for struggling patients, source of inspiration to people who never saw realities of life at close quarters and make corporate and stakeholders sit at the drawing board to craft a different world for those who faced unspoken problems in their quest for survival.
Renal cystic diseases include a large number of sporadic and genetically determined congenital, developmental, or acquired conditions. A cyst is a cavity lined by epithelium and filled with fluid. Cysts derive primarily from tubules (from Bowman’s capsule to the collecting duct). Cystic kidneys of different etiologies may appear morphologically similar, whereas the same etiologic entity may cause a wide spectrum of renal abnormalities. Simple renal cysts are acquired and are not associated with any disease. In contrast, polycystic kidney diseases can be complicated by renal failure or tumor development. Autosomal dominant polycystic kidney disease (ADPKD) is the most common potentially let...
Continuous ambulatory peritoneal dialysis (CAPD) was introduced by Popovich et al. in 1976, with 4–6 exchanges per day and long dwell time between the exchanges. Later, a group from Seattle used the combination of cyclic and automated PD in their patients and then it was called as continuous automated ambulatory peritoneal dialysis (CAAPD). Later in 1981, this technique was given the name continuous cycling peritoneal dialysis (CCPD) by Diaz-Buxo. Currently, over 130,000 patients are on CAPD worldwide, and it is the most popular form of peritoneal dialysis. This book on continuous ambulatory peritoneal dialysis is designed to address the various clinical decision questions supported by typical clinical scenarios, with which all readers will be able to identify. Thus, it provides an excellent opportunity to widen one’s perspective in this area.
Kidney transplantation is one of the breakthroughs in medical science. The most important consideration in the procedure is the natural tendency of the human immune system to reject any foreign tissue—be it a harmful bacteria or a life-saving kidney. After transplantation, the immune system of the patient will reject the kidney in no time. The answer to the solution has been the tremendous development in the identification and use of immunosuppressive medicines. But on the other hand, as we reduce the strength of immune system, the patients are highly prone to infections and it can cause life-threatening infections if left undiagnosed. So, the greatest job of the nephrologist is to balance...