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“The work focuses on a phenomenon that is occurring with increasing frequency in the practice of cardiac surgery, namely the need to address cardiac surgical issues in patients with end-stage renal disease (ESRD). . . . this book will serve to stimulate trials of competing and complementary therapies so that the outcomes for these unfortunate patients can be improved.” -- from the Foreword by R. Morton Boltman, III, MD Professor of Surgery, Harvard Medical School Chief, Cardiac Surgery, Brigham and Women’s Hospital, Boston Cardiovascular disease remains the most common cause of death for patients with chronic renal failure, and although cardiac surgery can frequently relieve symptoms a...
This book is a detailed practical guide to the use of ventricular assist devices and total artificial hearts to provide mechanical circulatory support (MCS) in patients with end-stage heart failure. It explains why MCS may be indicated, which patients require MCS, when and how to implant ventricular assist devices or a total artificial heart, and how to avoid potential complications of MCS. Management throughout the period of care is described, from preimplantation to follow-up, and both typical and atypical cases are discussed. The text features numerous helpful tips and tricks relating to surgical and nonsurgical management and is supported by a wealth of high-quality illustrations that document the preoperative evaluation and implantation techniques. Heart transplantation remains the gold standard for the treatment of patients suffering from end-stage heart failure, but the shortage of donors has led to an increase in the use of MCS. This book will assist all physicians, and especially cardiologists and anesthesiologists, who are involved in the care of these patients.
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Shortlisted for the 2023 Royal Society Science Book Prize A structural engineer examines the seven most basic building blocks of engineering that have shaped the modern world. Some of humanity’s mightiest engineering achievements are small in scale—and, without them, the complex machinery on which our modern world runs would not exist. In Nuts and Bolts, structural engineer Roma Agrawal examines seven of these extraordinary elements: the nail, the wheel, the spring, the magnet, the lens, the string, and the pump. Tracing the evolution from Egyptian nails to modern skyscrapers, and Neanderthal string to musical instruments, Agrawal shows us how even our most sophisticated items are built ...
Is global violence on the decline? Steven Pinker’s highly-publicized argument that human violence across the world has been dramatically abating continues to influence discourse among academics and the general public alike. In this provocative volume, a cast of eminent historians interrogate Pinker’s thesis by exposing the realities of violence throughout human history. In doing so, they reveal the history of human violence to be richer, more thought-provoking, and considerably more complicated than Pinker claims.
The treatment of end-stage heart failure with advanced surgical therapies has evolved significantly over the last several years and is a dynamic subspecialty within cardiac surgery. Surgical Treatment for Advanced Heart Failure describes the surgical management of advanced heart failure, including coronary artery revascularization, mitral valve repair, aortic valve replacement, ventricular remodeling, cardiac resynchronization, mechanical circulatory support with short-term devices for acute stabilization, long-term mechanical support as a bridge to transplant and for destination therapy, left ventricular assist devices, complete cardiac replacement with the total artificial heart, and cardiac transplantation. With contributions from a distinguished group of heart failure cardiologists and transplant surgeons, it is an authoritative resource for cardiac surgeons, cardiologists, and surgeons.