بایگانی برچسب برای: Kidney

Anesthesia.and.Perioperative.Care.[taliem.ir]

Anesthesia and Perioperative Care for Organ Transplantation

Despite extensive surgical training, many transplant team members including surgeons may feel ill prepared in the area of medical ethics. The breadth of transplant surgery ,including the need to balance the needs of multiple patients, and the frequent interaction with issues surrounding death, expose the transplant team members to a variety of ethical concerns. The practicing transplant team members should be prepared to deal with the ethical issues that are integral to this broad spectrum of clinical encounters. Certainly no text or course of study could prepare one for each possible clinical scenario and its associated ethical concerns. This chapter will provide a framework for understanding and addressing the ethical issues that arise daily with patients and families. It is anticipated that this discussion will include some familiar as well as new perspectives on medical decision-making. As transplant team members considering ethical issues in organ donation it may help to adopt the understanding that donation may best be viewed as a voluntary act that has the potential to morally elevate mankind, rather than seeing the human body as a repository of parts.
Bacterial.Infections.and.the.Kidney.[taliem.ir]

Bacterial Infections and the Kidney

APSGN remains a significant clinical entity in spite of declining incidence rate in the pediatric population in well- developed countries. In developed countries APSGN became very rare but may still appear in adults with comorbidities, primarily diabetes mellitus and morbid obesity. APSGN is still prevalent in many parts of the world. In the past, it was the most common and the most studied form of acute postinfectious glomerulonephritis. These extensive studies provided us with invaluable information about the pathogenesis of acute glomerulonephritis, not only APSGN, but other forms of glomerulonephritides as well. Acute glomerulonephritis has been known to follow certain infections a long time ago. Already, Hippocrates described the occurrence of back pain and gross hematuria leading to oliguria or anuria more than two millennia ago . About two centuries ago, Wells noted bloody urine in patients with scarlet fever and postscarlatinal anasarca . Later, Bright noted the association with scarlatina and described the finding of blood in the urine and swelling of the face in what were probably attacks of APSGN . Therefore, acute glomerulonephritis was named after Bright (Bright’s disease).