Nefrologi

En fuldt opdateret 2. udgave af det bedste og sundeste alternativ til potenspiller. Ved hjælp af bogens øvelser kan muskulaturen i mandens bækkenbund forstærkes væsentligt. Når mandens penis ændrer karakter fra regnorm til anakonda, er det ikke ved hjælp af magi, selv om det måske kan virke sådan. Det drejer sig om forholdsvis simple kropslige processer. I lighed med hvad der gælder for resten af kroppen, kan disse processer forbedres ved hjælp af træning. Træningen hjælper både på rejsningen, til at holde tæt og til at tømme de sidste dråber ud efter vandladning. Bogen henvender sig til alle, som ønsker at vedligeholde, forbedre eller genvinde bækkenbundens funktioner. Søren Ekman er bevægelsespædagog og underviser på Gotvedskolen.

Basisbog i medicin og kirurgi udgør en overskuelig dansksproget introduktion til de to centrale kliniske fag på medicinstudiet: intern medicin og kirurgi. I bogens indhold og opbygning er der lagt vægt på hyppige og almindelige sygdomme samt på mere sjældne tilstande, hvor manglende viden om sygdommen kan få fatale konsekvenser for patienten. I denne 5. udgave er det grundlæggende koncept justeret og videreudviklet på baggrund af kommentarer fra bl.a. studerende og læger. For at sikre fornyelse og foryngelse er en del af forfatterne blevet udskiftet, hvilket har betydet store og væsentlige ændringer i mange af kapitlerne. Som en ekstra nyskabelse suppleres bogen af en hjemmeside med mange spændende og interessante cases. Basisbog i medicin og kirurgi er først og fremmest en basal lærebog for medicinstuderende, men bogen henvender sig også til andre inden for sundhedsvæsenet, der har brug for en overskuelig og opdateret viden inden for intern medicin og kirurgi.

DIALYSE er en håndbog, der omhandler behandlingen af patienter med nyreinsufficiens og dialysebehov. Bogen indeholder bl.a. kapitler om de forskellige dialyseformer, plasmaferese, dialysebehandling af forgiftninger samt forebyggelse og behandling af komplikationer til kronisk nyreinsufficiens. Bogen er skrevet for yngre læger, men henvender sig i høj grad også til sygeplejersker, medicinstuderende og andet sundhedsfagligt personale, som kommer i kontakt med dialysepatienter. Bogen er skrevet af en række danske eksperter på området, og alle kapitler er opdateret mht. teoretisk viden og nyeste behandlingsprincipper. Bogen er rigt illustreret, logisk opbygget og skrevet i et klart og lettilgængeligt sprog. DIALYSE 3. udgave, er en gennemgribende revideret udgave af den bog, som udkom første gang i 1999.

OPSLAGSVÆRK TIL ALLE, DER ER I KONTAKT MED PATIENTER MED DIALYSEBEHOVNU I 4. UDGAVE DIALYSE giver et bredt indblik i behandlingen af patienter med nyreinsufficiens og dialysebehov. Bogen indeholder bl.a. kapitler om de forskellige dialyseformer, plasmaferese, dialysebehandling af forgiftninger samt forebyggelse og behandling af komplikationer til kronisk nyreinsufficiens. Bogen er skrevet af de førende eksperter på området fra hele landet, og denne 4. udgave er grundigt revideret med den nyeste teoretiske viden, de nyeste behandlingsprincipper samt tre helt nye kapitler om hhv. dialysevalg, palliation og maksimal medicinsk uræmibehandling. Bogen er primært skrevet til yngre læger, men den henvender sig i høj grad også til sygeplejersker, medicinstuderende og andet sundhedsfagligt personale, som kommer i kontakt med dialysepatienter. DIALYSE er et rigt illustreret, koncist og lettilgængeligt opslagsværk.

Få bedre orgasmer og hold på tisset – en stærk bækkenbund har mange forcer. En stærk og velfungerende bækkenbund er vigtig for god kropslig funktion og velvære gennem hele livet. Alligevel bliver bækkenbunden overset i næsten alle træningsformer. Og det er synd og skam, for en bækkenbund i topform mindsker risikoen for inkontinens, og med træningen følger også et bedre sexliv. Og det er aldrig for sent at gå i gang! Bogen instruerer i at lokalisere, aktivere, strække og afspænde bækkenbunden og giver forslag til enkeltstående øvelser med og uden redskaber samt til en række træningsprogrammer. Mange af øvelserne er illustrerede, så det er nemt selv at udføre dem derhjemme.Bogen er for alle, der ønsker viden om – og inspiration til – træning af bækkenbunden. Ea Suzanne Akasha er psykomototrisk terapeut og tidligere formand for Danske Afspændingspædagoger. Hun underviser i træning og afspænding og har skrevet flere bøger om krop, bevægelse og afspænding.

This book provides an extensive review of the current topics of interest and updated practices of renal replacement therapy for both pediatric and adult populations. The chapters are authored by nephrologists and healthcare and other professionals from around the world. This book brings a multidisciplinary and multidimensional perspective to the current advances in renal replacement therapy. It also provides updated recommendations to assist with clinical decision-making on whether a patient is suitable and indicated for renal replacement therapy across different clinical settings and contexts, and strategies to optimize their holistic care when they are receiving treatment.

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.

The book surveys common complications in the procedure of dialysis, including those due to inherent complexities related to advanced kidney disease and the disorders that cause it. The chapters review the pathophysiology or mechanisms of each complication, how it can be recognized and managed, and more importantly how it can be prevented. The text also addresses whether the complication is due to conditions associated with kidney disease, such as frailty and muscle weakness, or whether the complication occurs as the consequence of treatment. The complications addressed include infections, AV access and catheter issues, problems in procedure, coagulation-related disorders, and falls, among others. Written by experienced dialysis experts, this book is a resource and learning tool for anyone involved in caring for patients undergoing renal replacement therapy.

This textbook of clinical cases moves beyond the science of transplant medicine and covers important transplant nephrology concepts. This book covers the diagnosis and treatment of many typical and atypical immunological and infectious post-transplant complications, such as acute antibody-medicated rejection in early and late post-transplant period, post-transplant cytomegalovirus infections, congestive heart failure after kidney transplant, and many other typical and atypical post-transplant infections.In each chapter, a case scenario is given for important post-transplant complications. The scenario is followed by a question and answer on the best investigation, the diagnosis, and a discussion of the best treatment option and outcomes. This stepwise learning process makes this book uniquely helpful to trainees learning how to treat their complicated transplant recipients systematically. This book is an accurate and straightforward guide to assist future and current transplant physicians, as well as the primary care physicians who deal with these complicated patients every day.

Hemodialysis (HD) is the commonest form of kidney replacement therapy worldwide with a prevalence rate close to 90%. Despite significant improvements in HD techniques and related devices and solutions, the cardiovascular and all-cause mortality of HD patients remains unacceptably elevated. More recently, there have been significant improvements in the creation and maintenance of vascular access as well as the knowledge of types, classification, and monitoring of uremic toxins and their relationship with inflammation, atherosclerosis and vascular classification, and cardiovascular and all-cause mortality. More interesting is the innovation in dialysis membranes/dialyzers, which resulted in the creation of the medium cut-off membrane, which enables the safe, simple, and effective removal of middle- and large-sized uremic toxins. This type of HD treatment is called expanded hemodialysis (HDx) therapy, which so far has resulted in significant improvement in the quality of life of HD patients as well as reductions in hospitalization, medications, and non-fatal cardiovascular events. Updates on Hemodialysis discusses these innovations and how they can be used to improve daily practice and achieve the best possible medical outcomes in HD patients.

This book will be the first book that presents the beneficial effects of hydrogen sulfide in the treatment of various kidney pathologies. Hydrogen sulfide (H2S), a gas with a distinctive smell of rotten eggs, was known for over three centuries for its toxicity and death at high concentrations especially among agricultural and industrial workers. This is due to its ability to reversibly antagonize complex IV of the mitochondrial electron transport chain. However, studies over the past two decades have shown that H2S has risen above its historic notorious label and has received significant experimental attention as an endogenously produced gaseous signaling molecule that plays an important role in cellular homeostasis and influences a myriad of physiological and pathological processes at low concentrations. Its production is enzymatically regulated and has specific molecular targets. Several recent in vitro and in vivo studies have demonstrated that at low micromolar concentrations, H2S exhibits important therapeutic characteristics that target multiple molecular pathways and thereby preventing the development and progression of several pathologies.This beneficial effect of H2S suggests that it may meet the demand for alternative and/or additional therapeutic agents against various renal pathologies in which reduced levels of renal and plasma H2S were observed. Interestingly, while the distribution of H2S-producing enzymes is tissue-specific, they are abundantly expressed in the glomeruli and in the brush border and cytoplasm of epithelial cells of the renal tubules and in the peritubular capillaries. This makes the kidney a rich source of endogenous H2S production. From pre-clinical and clinical perspectives, this book is topical and timely, and seeks to lay the foundation for future clinical applications of H2S in nephrology.

Our world is facing unprecedented technological development, which affects all the sectors of society. The 4th industrial revolution has brought numerous advances that are currently integrated in our daily life, including artificial intelligence (A.I.), internet of things (IoT), genetic engineering, 3D-printing and robotics. The health care sector is one of the most impacted by these technologies of the so-called digital era. From the simple advent of medical records to robotic surgery, health care has significantly changed from the XX to XXI century and is constantly changing, incorporating novel technologies. Nephrology is itself an innovative branch of medicine, created as a discipline in the 1960s, with breakthrough inventions, such as the dialysis machine, which made it possible to prolong life of those who suffer from chronic kidney disease; kidney transplant, with point-of-care immunosuppression that favours maintenance of kidney allografts for long years; kidney biopsy, which made it possible to discover the mysteries of glomerulonephritis and nephropathology. Novel technologies, such as A.I., IoT, robotics, stem cells, 3D-printing, mHealth, eHealth and several others are starting to be applied in nephrology, with promising results. It is possible that a great part of these technologies will become routinely available in clinical practice, and the burden of kidney diseases will significantly decrease once prevention, prediction, detection, monitoring and treatment of kidney diseases are more precise, with patients taking part in the process and becoming more and more connected. This book gathers essential information on the technologies that have been applied in nephrology and that can be applied in the future, with real possibilities of improving the care of kidney diseases. At first glance, this work is directed to the entire nephrology community and all the healthcare professionals that deal with kidney diseases. Researchers from different fields, not directly linked to nephrology, may also be interested in the book since many of the topics presented are related to other areas and serve as examples of their uses in medicine, such as artificial intelligence, robotics, and big data. Finally, the content provides an important resource to medical students, discussing technologies that will certainly be integrated in their professional practice.

The book explores how kidney disease care is being changed by new technologies, from inception and diagnosis to dialysis and kidney transplant. Massive technological advances have affected health care in the past decade, and doctors are moving quickly to change the way we provide care for kidney diseases. We are rapidly shifting from hospital- and clinic-based systems to providing care at home, with technologies that help monitor care and intervene remotely. Some of the technologies covered include genetic testing for diagnostic and therapeutic purposes, metabolism/ezposome assessment, AI-driven tool for drug dosing, and apps available to patients. This book aims to educate providers on the many new scientific and technological interventions that can help monitor and mitigate kidney disease. 

This book presents the current knowledge on the mechanisms by which exercise lowers blood pressure in hypertension and on its effects on the heart and arteries. In addition, it focuses on the optimal exercise protocols, the international consensus on clinical implementation, and the clinical indications for special populations (obese, diabetic etc). It also addresses possible drawbacks of exercise on left ventricular structure and function. Many experts in epidemiology, patophysiology and clinical research have contributed in preparing the chapters, with the main purpose of guiding clinicians in the optimal application of the present knowledge and to stimulate scientists to fill the gaps in knowledge by performing further research.The book is addressed not only to specialists in Hypertension, Internal Medicine, Cardiology, Metabolism, and Nephrology, but also to general practitioners and all healthcare professionals working in the field of rehabilitation medicine. 

The book is a compact yet comprehensive practical resource that highlights all must-know information on non-alcoholic fatty liver disease (NAFLD). Covering the major issues dominating the field, this book offers a broad vision on NAFLD using key data for a deep and thorough understanding of the latest diagnostic methods, treatment options, potential complications, and disease management strategies to improve patient outcomes. The volume bridges the trans-disciplinary divide between hepatologists, cardiologists, nephrologists, psychiatrists, oncologists and dermatologists in order to cover the complex management of NAFLD in a single volume. It operates under a modern definition of NAFLD that acknowledges the range of presentations related to extrahepatic complications that hepatologists see in daily practice, while also delving into unanswered questions and future directions regarding treatment options. Offering practical, clinical guidance in addition to capturing the new promising therapeutic approaches in the pipeline, this book is an essential reference for clinicians, researchers and students.

The field of nephrology has witnessed a remarkable transformation with the advent of non-invasive techniques for detecting kidney abnormalities. This revolutionary approach has brought about a paradigm shift in the way we diagnose and manage kidney-related conditions. "Non-Invasive Detection of Kidney Abnormalities" represents a cutting-edge approach that eliminates the need for invasive procedures, ensuring patient comfort while significantly reducing potential risks.Leading the charge are non-invasive imaging techniques such as ultrasound, magnetic resonance imaging (MRI), and computed tomography (CT) scans. These methods provide detailed and accurate assessments of kidney structure and function, enabling medical professionals to identify abnormalities, kidney stones, tumors, and other pathologies without subjecting patients to surgical interventions. Additionally, urine and blood tests complement these imaging techniques, allowing for a comprehensive evaluation of kidney health.Early detection lies at the heart of successful kidney disease management. Through non-invasive methods, medical practitioners can identify potential issues at their nascent stages, empowering them to initiate timely interventions and prevent the progression of kidney diseases. This proactive approach not only improves patient outcomes but also reduces the burden on healthcare systems by mitigating the need for costly and invasive treatments in advanced disease stages.Incorporating non-invasive techniques into routine kidney assessments represents a boon for patients, especially those with chronic conditions requiring regular monitoring. By minimizing discomfort and anxiety associated with invasive procedures, these non-destructive approaches foster a positive patient experience and foster greater compliance with recommended follow-up care.Furthermore, the continued advancements in medical imaging technology and diagnostic tools have revolutionized the landscape of nephrology. Innovations in contrast agents, 3D imaging, and image analysis algorithms have enhanced the accuracy and precision of non-invasive kidney assessments, providing medical professionals with a comprehensive understanding of each patient's unique condition.In conclusion, "Non-Invasive Detection of Kidney Abnormalities" stands as a remarkable milestone in the quest for safer, more efficient, and patient-centric kidney care. As this field continues to evolve, the integration of non-invasive techniques into routine clinical practice promises to revolutionize kidney disease management, fostering better patient outcomes and improved overall kidney health.

Kidney Stone Crystal Growth & Characterization is a comprehensive study that delves into the fascinating world of kidney stones, focusing on the intricate processes of crystal formation and characterization. This research aims to unravel the underlying mechanisms behind the development of kidney stones, a prevalent and painful urological disorder affecting millions worldwide.The examining the crystal growth process within the kidney, exploring factors such as supersaturation, nucleation, and aggregation that contribute to the formation of these mineral deposits. Advanced analytical techniques, such as X-ray diffraction, electron microscopy, and spectroscopy, are employed to accurately characterize the crystal structure, composition, and morphology of kidney stones.By meticulously analyzing the crystal growth patterns, researchers hope to gain valuable insights into the risk factors and potential preventive measures against kidney stone formation. Moreover, understanding the characteristics of kidney stones can lead to the development of targeted treatments, minimizing their recurrence and alleviating patients' suffering.This interdisciplinary investigation bridges the gap between materials science and medicine, offering a deeper comprehension of the complex biological processes intertwined with crystal growth. As a result, this research holds the promise of making significant contributions to medical science, ultimately enhancing the diagnosis, management, and prevention of kidney stones, thus improving the quality of life for those affected by this ailment.

¿Dieses Open-Access-essential schafft Orientierung, wenn Künstliche Intelligenz im klinischen Alltag eingesetzt wird. Die Herausforderungen werden anhand zweier Beispiele aus dem Bereich der Nephrologie erläutert, die ethisch und rechtlich reflektiert werden. Ein umfangreicher Empfehlungsteil schließt diesen durchweg interdisziplinär erarbeiteten Band ab.

This book will cover all aspects of hypertension and the manifestations of cardiovascular disease in the Asian population. Asia has the largest population of all the continents, and also has the largest number of people suffering from these diseases. Due to an expanding economy and increasing affluent lifestyles, their incidence is increasing at alarming rates - in fact, this continent is a ticking time bomb for HTN and CVD outbreaks.  The book fills a large gap, as there are currently no volumes on this topic - and provides much-needed information for physicians not only in Asia but globally. Not only physicians, but also all related medical professionals and libraries will benefit from this book, to which renowned international experts contributed.

This book provides a practically applicable guide to the latest techniques in kidney transplantation in an easy-to-digest format. Background is provided on relevant aspects of anatomy and physiology. Detailed step-by-step procedural guidance describes how to successfully perform benching surgery, kidney transplantation and graftectomy techniques. Surgical methods of non-laparoscopic kidney procurement from deceased and living donors are also covered. Potential complications with relevant prevention and resolution strategies are discussed to assist the reader in developing a deep understanding of the methodologies presented. In this book, the author shares his knowledge and experience gained over 35 years in the field of kidney procurement, preparation and transplantation. The book is a monograph and contains many of the author's individual views on certain kidney procurement and transplantation techniques.Kidney Transplantation: Step-by-Step Surgical Techniques is a concise overview of techniques for kidney procurement, benching and transplantation. Therefore, it is a valuable resource for all practicing and trainee practitioners who encounter these patients in their day-to-day practice.