طبيب القلوب_المنصورة
رئاسة المنتدي
عدد الرسائل : 2410
العمر : 39
الاوسمة :
المهنة : 
الهواية: : 
نقاط : 11625
السٌّمعَة : 3
تاريخ التسجيل : 16/12/2007
 |  موضوع: hand book of dialysis حصريا علي منتديات طبيب القلوب  الأحد أبريل 17, 2011 10:27 pm | |
| It has been 5 years since the
third edition of the Handbook of Dialysis was first printed, and since
that time, translations have appeared in many languages, including
Chinese, Japanese, and Russian. We are particularly gratified by the
strong international interest in this text. In putting together this
fourth edition, we were most respectful of the concept that nephrology
is now very much international. KDOQI guidelines are being incorporated
into KDIGO, and practice patterns are becoming more uniform. Differences
between US and international nephrology remain, but the international
experience is enriching our knowledge and practice base. Given this
strong international interest, in this fourth edition, all measurement
values and examples were given both in English units and SI values. A
chapter is included on hemodiafiltration, which remains a niche therapy
for chronic treatment in the United States, but which is much more
widely used in the rest of the developed world.Since
the third edition, progress in dialysis has been incremental. Much more
attention is being paid to predialysis, stage 1-4, CKD (chronic kidney
disease). Accordingly, this area is covered in more depth. In previous
versions, issues pertaining to water treatment for dialysis had only
been summarized. In this edition, particularly with suggestions that
patient results improve with use of ultrapure dialysate, more extended
discussion is provided. Much progress has also been made in the field of
obtaining vascular access, especially in methods of assuring
arteriovenous fistulas for patients who previously might have received
either venous catheters or grafts. These sections were entirely
rewritten, and access was divided into two separate chapters, one
focusing on catheters and one on fistulas and grafts.The
use of continuous therapies has undergone much simplification due to
availability of new machines. Some of the earlier, do-it-yourself
approaches to CRRT were accordingly deleted. We added a chapter on how
to provide short daily and long nocturnal dialysis, a requirement as
more frequent dialysis schedules become more popular both in the United
States and abroad. Advances in the area of peritoneal dialysis have been
gradual since the appearance of the third edition. Providers have
become perhaps less interested in quantification of dose and more
concerned about glycemic load and ultrafiltration, and now new PD
solutions using alternative osmotic agents are widely available. Our
European colleagues were particularly helpful in reviewing this area.
Knowledge of bone disease and methods to control both hyperphosphatemia
and hyperparathyroidism has grown enormously since the third edition,
and this new information, including the latest guidelines, is
emphasized. In each chapter, we have tried to incorporate the latest
information available and to include information in the 2006 KDOQI
guideline updates. Web links at the end of many chapters will help
ensure that the book remains current as new findings and treatments
emerge in the years to come.Although
a flood of information has become available pertaining to all aspects
of medicine, we have tried to maintain the unique character of the
Handbook of Dialysis, explaining each area from the basics, but then
progressing to an advanced level of understanding, and keeping the
discussion at a practical level, realizing that texts like the Handbook
of Dialysis are often relied upon by both new and experienced nephrology
care providers to help them in their difficult job of providing the
best care for our patients.John T. Daugirdas MDPeter G. Blake MB, FRCPC, FRCPITodd S. Ing MD Handbook Of Dialysis 4Th Ed - J Daugirdas, Et Al | |
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