LITMIR.BIZ

Cardiorenal syndrome – the presence of significant renal insufficiency and heart failure simultaneously – constitutes one of the most vexing and difficult challenges facing clinicians and researchers today. Given the fundamental role of the kidneys in maintaining fluid and electrolyte balance within the body, it comes as no surprise that renal abnormalities are inextricably linked with congestive heart failure. What is surprising is that recent data have indicated that renal dysfunction is a more critical determinant of mortality than heart failure itself.
In The Cardiorenal Syndrome: A Clinician's Guide to Pathophysiology and Management, experts from around the world clearly outline the current issues associated with this increasingly prevalent condition, provide invaluable insight into its pathophysiology, and highlight the risks, benefits, and rationales for both practical and promising prevention and treatment strategies, including: • Diuretics • Role of ACE inhibitors/ angiotensin receptor blockers in renal dysfunction • New «designer» peptides for heart failure • Inotropes and neurohormonal blockade • Dialysis and ultrafiltration • Renal cell therapy • Left ventricular assist device implantation • Renal and/or heart transplantation
While recognition of the role of renal dysfunction in the progression of heart failure is a pivotal advance, many questions about the scope and impact of this condition remain. This book serves as a touchstone for cardiovascular specialists and internists as they encounter the diverse varieties of cardiorenal syndrome and attempt to navigate the radically different and evolving therapeutic options in their quest to provide optimal individualized care for their patients.

Подробнее

The first comprehensive resource on transseptal catheterization.
Although the transseptal technique was described half a century ago, it has remained essentially unchanged. Recent advances in cardiac electrophysiology and left heart interventions have led to renewed interest in the technique as a means of delivering modern therapeutic interventions.
Until now, the knowledge required for safely gaining access to the left atrium to perform catheter ablation for atrial fibrillation or other interventions has existed only in original publications and review articles. This textbook brings all of the relevant information about this technique under one cover, with top experts in each area addressing anatomy, indications, transseptal puncture, visualization technologies, interventional devices, challenging cases, complications, and emerging tools. Electrophysiologists and interventional cardiologists will find Transseptal Catheterization and Interventions invaluable for their work. For teachers and trainees, it will be a welcome teaching tool and resource.
Transseptal Catheterization and Interventions was listed by the American Journal of Cardiology as one of the «Good Books in Cardiovascular Disease in 2010». – American Journal of Cardiology Vol. 107, Issue 8, Pages 1250-1251
Transseptal left heart catheterization is here to stay. It already plays an important role in the repertoire of both interventional cardiologists and clinical electrophysiologists, and it will play an increasingly important role in the future.

Подробнее

Perinatal cardiology is an important developing field as high quality ultrasound is used on a growing number of pregnant women, and diagnosis prior to birth will become a more common occurrence. In addition, highly sensitive noninvasive diagnostic tools, advances in neonatal care and anesthesia, evolution of transcatheter interventional procedures and performance of complicated surgical procedures in the neonate and young infant have advanced to such an extent that almost all congenital cardiac defects can be diagnosed and “corrected.” Illustrated with over 500 figures, this book by leaders in the fields of pediatric cardiology, neonatology, pediatric cardiovascular surgery and interventional pediatric cardiology focuses on congenital heart defect issues during the perinatal period: prenatal (before birth) and neonatal (first month after birth). This book discusses the three major areas of perinatal cardiology: 1. Provides an overview of advances in perinatology, neonatology, cardiology and cardiac surgery in making early diagnosis and offering treatment options for patients with CHD. 2. The concept of the multidisciplinary approach to managing infants with congenital cardiac lesion. 3. Evidence-based therapeutic approaches to successfully treat the fetus and the newborn with congenital cardiac lesions.

Подробнее

Medical practice is not only a specialist occupation but also a business. Practice finance and law are complex matters and it is becoming increasingly difficult to run a successful practice in the present climate. With the pressures facing GPs and practice managers at an all-time high it is now essential to work ‘on’ as well as ‘in’ the practice. To do this practices need to reorganise to create time to undertake these hugely important tasks. This compendium of hot topics around accounting, banking and legal issues will be of enormous use to practice managers and GPs. The topics have been carefully selected to be as up to date and applicable to current issues as possible. The topics include: changes to the GP contract and their financial impact, tax returns, partnership roles, disputes and changes, incorporation, practice mergers and federations, GP property ownership, loans, security and overdrafts, recruitment of partners, salaried GPs and locums, retirement and pensions, the types of private work available. The easy-to-read topics are support by worked examples and tables throughout. This book will assist with the success of a practice in terms of earnings, quality of life and indeed patient care. It will help GPs and practice managers find and take the time to work ‘on’ as well as ‘in’ the business.

Подробнее

The Good GP Training Guide is a travel guide-style book for trainees in general practice. Written by over a hundred contributors assembled from five continents, it includes contributions from leading writers in primary care. It is written in an accessible style with down-to-earth tips and anecdotes, sometimes irreverent, from real life. There is an emphasis on the reality of general practice. It also contains humorous or touching vignettes with accompanying linocut artwork from the Red Roses exhibition. The book's first section covers hospital placements. It is intended to show trainees how to get the most out of their training posts. Beginning with basic information on behaviour required in the hospital setting, there are chapters looking at cardiology, ophthalmology, rheumatology, etc. These chapters are split up into handy lists, covering the basics, tips on patients and PDP pointers. The second section covers GP rotations. It gives information on passing the various RCGP exams as well as realistic advice on other facets of general practice. The third section looks at finding a job and making the transition to an independent practitioner. Options for broadening a doctor's career are looked here, with chapters on event medicine, academia, teaching, etc. There is information on how stay out of trouble and how to use social media safely and without running foul of the GMC. The book offers the ultimate guide to the training process. It covers the entire training experience and the practicalities of what comes after.

Подробнее

Mapping Eclecticism Through Practice brings together a range of graphic design  practices and approaches that include the use of socially responsible design and persuasion, as well as collaboration with other disciplines, to improve safety; framing theory and ideograms within architectural pedagogy to convey complex ideas and relationships; literary analysis to explore graphic design authorship, narrative and viewer experience; discursive dialogue and a non-linear presentation to interrogate and shed light on personal practice; and cartographic metaphors as a means of visualising and investigating the topography of graphic design.

Подробнее

Working with Vulnerable Groups challenges GPs to consider that all patients are not equal in terms of need, and that therefore GPs may have greater responsibilities to some patients than to others. Designed to resolve this tension in the work of GPs, the book presents chapters on the homeless, Travelling communities, refugees and asylum seekers, sexual orientation and transgendered people, patients in secure environments, older people, patients with intellectual disabilities, and adolescents. Working with Vulnerable Groups defines social exclusion and health inequalities, and discusses how GPs can deliver care to their disadvantaged patients. The book ends with a chapter that discusses the imminent organisational and ethical challenges caused by changes in the NHS. GPs and other members of the primary care team will find this book invaluable in helping their most vulnerable patients. Why is it needed? This book will make it easier for all doctors to engage in the care of those patients who need care most and to realise the intense rewards both personal and professional that can result. This book is also for those who feel that working in primary care despite all its rigours and stresses is a privilege. If like the chapter authors you wish to better help those presenting in primary care as vulnerable but feel as if you sometimes lack the necessary knowledge and skills required, then this book is for you. It aims to guide the reader towards a better understanding of a variety of vulnerable groups so that the care we offer may be more tailored to their needs. This will allow the reader to offer help that is more useful and effective than that offered by the well-motivated generic practitioner.

Подробнее

This book challenges the assumption that it is bad news when the economy doesn’t grow. For decades, it has been widely recognized that there are ecological limits to continuing economic growth and that different ways of living, working and organizing our economies are urgently required. This urgency has increased since the financial crash of 2007–2008, but mainstream economists and politicians are unable to think differently. The authors of this book demonstrate why our economic system demands ecologically unsustainable growth and the pursuit of more ‘stuff’. They believe that what matters is quality, not quantity – a better life based on having fewer material possessions, less production and less work. Such a way of life will emphasize well‑being, community, security and ‘conviviality’. That is, more real wealth. The book will therefore appeal to everyone curious as to how a new post-growth economics can be conceived and enacted. It will be of particular interest to policy makers, politicians, businesspeople, trade unionists, academics, students, journalists and a wide range of people working in the not-for-profit sector. All of the contributors are leading thinkers on green issues and members of the new think-tank Green House.

Подробнее

Crime Fiction in the City: Capital Crimes expands upon previous studies of the urban space and crime by reflecting on the treatment of the capital city, a repository of authority, national identity and culture, within crime fiction. This wide-ranging collection looks at capital cities across Europe, from the more traditional centres of power – Paris, Rome and London – to Europe’s most northern capital, Stockholm, and also considers the newly devolved capitals, Dublin, Edinburgh and Cardiff. The texts under consideration span the nineteenth-century city mysteries to contemporary populist crime fiction. The collection opens with a reflective essay by Ian Rankin and aims to inaugurate a dialogue between Anglophone and European crime writing; to explore the marginalised works of Irish and Welsh writers alongside established European crime writers and to interrogate the relationship between fact and fiction, creativity and criticism, within the crime genre.

Подробнее

Monastic Wales – new approaches is an interdisciplinary collection of essays written by some of the leading scholars working on aspects of medieval Welsh history. The chapters in this volume consider the history, archaeology, architecture and wider cultural, social, political and economic context of the religious houses of Wales between the Norman conquest in the eleventh century, and the dissolution of the monasteries in the sixteenth.

Подробнее