Current Perspectives in Kidney Diseases

Current Perspectives in Kidney Diseases
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Описание книги

After years of stagnation, much has been happening in the diagnosis and treatment of kidney diseases. This book contains a comprehensive review of the main developments in AKI, CKD, hemodialysis and kidney transplantation. The section on AKI deals with the key innovations in extracorporeal technologies. The section on nephrology and CKD concentrates on mineral metabolism alterations, restenosis in hemodialytic fistulas, mycophenolate mofetil as an alternative treatment for IgA nephropathy, and the genetics and progression of autosomal dominant polycystic kidney disease. The part on hemodialysis includes contributions on expanded hemodialysis, potassium profiling and home hemodialysis. Chapters on the treatment of acute antibody-mediated rejection after transplantation, pathogenesis and therapy of chronic allograft injury, and non-invasive surrogate biomarkers of acute rejection round out the subjects covered. Due to the wide variety of topics included in each section, this book is not only of interest to nephrologists, but also to professionals from related fields.

Оглавление

Группа авторов. Current Perspectives in Kidney Diseases

Contributions to Nephrology

Current Perspectives in Kidney Diseases

Contents

Foreword. Present and Future of Acute and Chronic Kidney Disease

Extracorporeal Treatments in Patients with Acute Kidney Injury and Sepsis

Abstract

Introduction

S-AKI: Novel Pathogenic Mechanisms, Biomarkers of Tissue Injury and Promising Therapeutic Targets

Fluid Overload

New Biomarkers and Phenotypic Analysis of Cells in the Peripheral Blood

Extracorporeal Therapies in Patients with Sepsis-Associated AKI

Biological and Clinical Effects of Extracorporeal Treatments

Timing

Dose

Modality

Anticoagulation Strategies

Specific Extracorporeal Therapies for S-AKI

Antibiotic Dosing during RRT

Conclusions

References

Citrate Anticoagulation during Continuous Renal Replacement Therapy

Abstract

Introduction

Citrate: Mechanism of the Anticoagulant Action

RCA versus Heparin: Incidence of Bleeding

RCA and Circuit Life Span

Citrate: Anticoagulant and Buffer

Metabolic and Electrolyte Disarrangements Due to Citrate Anticoagulation

Monitoring Citrate Anticoagulation during CRRT

RCA in Patients with Liver Failure as a Safety Paradigm

Conclusion

References

Coupled Plasma Filtration Adsorption Application for Liver and Thyroid Toxins

Abstract

Introduction

Case Reports. Case 1

Case 2

Discussion. New CPFA Application: Liver Failure

New CPFA Application Thyrotoxicosis

Conclusions

References

Extracorporeal Sorbent Technologies: Basic Concepts and Clinical Application

Abstract

Introduction

Basic Principles

Sorbent Materials and Structure

Requirements for a Sorbent

Mechanism of Solute Adsorption in Porous Media

Biocompatibility of Sorbents

Rationale for the Use of Adsorption in Clinical Settings

Most Common Modalities of Utilization of Sorbents

Hemoperfusion

Coupled Plasma Filtration-Adsorption

Sorbent-Based Adjunctive Therapies for Sepsis

CytoSorbTM

Polymyxin-B-HP

Novel Applications of Sorbents. Lixelle Beta 2-Microglobulin Apheresis Column

Virus Removal by Lectin Affinity Plasmapheresis

HP for Sepsis-Induced Acute Lung Injury

Sorbent Technology in Wearable Artificial Kidney Devices

Conclusions

References

Development of the New Kibou® Equipment for Continuous Renal Replacement Therapy from Scratch to the Final Configuration

Abstract

Introduction

Kibou® Design: Features and Characteristics

In vitro and In vivo Evaluation

Staff Involved

General Evaluation

Hardware Evaluation

Software Evaluation (Bugs, GUI)

Alarm Simulation Phase

Fluid Balance Error

Staff Training

Prescription

RRT Disposables and Tubing Set

Collection of Treatment Data and Parameters

Statistical Analysis

Evaluation Results. In vitro Testing

In vivo Testing

Conclusions

Acknowledgements

References

Phosphate in Chronic Kidney Disease Progression

Abstract

Introduction

P Homeostasis in Humans: Nutritional Intake, Intestinal Absorption and Renal Excretion

Assessing Nutritional P Intake and P Balance: A Tough Goal in Research and Clinical Practice

P and Mortality: Mechanisms in Pills

Conclusions

References

Fibroblast Growth Factor 23: Mineral Metabolism and Beyond

Abstract

Physiology and Pathophysiology of Fibroblast Growth Factor 23

FGF23 and Clinical Outcomes in CKD and ESRD

FGF23 in Kidney Transplantation

Future Perspectives

References

Restenosis in Hemodialytic Fistulas and Chronic Kidney Disease-Associated Vascular Disease: Two Pathologies Driven by Metakaryotic Stem Cells

Abstract

Introduction

Vascular Stem Cells Dysfunction and CKD-Associated Vascular Disease

Vascular Stem Cells Over-Proliferation and IH

Metakaryotic Stem Cells

New and Emerging Histopathology: High-Resolution Microscopy and Cell Culture Techniques

Conclusions

Acknowledgments

References

Mycophenolate Mofetil: A Possible Alternative Treatment for IgA Nephropathy

Abstract

Introduction

Case Report

Discussion

References

Genetics and Autosomal Dominant Polycystic Kidney Disease Progression

Abstract

References

Expanded Hemodialysis: A New Therapy for a New Class of Membranes

Abstract

Introduction

Why a New Class of Membranes?

What Are the Target Retention Molecules?

“Expanded Hemodialysis”: A Way to Optimize the Use of HRO Membranes

Conclusions

References

Mathematical Model of Potassium Profiling in Chronic Dialysis

Abstract

Introduction

Method

Body Fluid Model

Solute Kinetics

Equations for Sodium and Potassium

Assignment of Model Parameters

Results

Discussion

References

Home Hemodialysis: What Is Old Is New Again

Abstract

Brief History

Why It Faded?

Now It Is Back

What Has Changed?

Outcomes

Advantages

Disadvantages

Barriers

The Future

Acknowledgement

Disclosure Statement

References

Treatment of Acute Antibody-Mediated Rejection

Abstract

Introduction

Case Report

Treatment of AMR

Considerations and Conclusions

References

Chronic Allograft Injury: An Overview of Pathogenesis and Treatment Strategies

Abstract

Introduction

Non-Immunological Factors. CNI Nephrotoxicity

Poor Quality Donor Grafts

Uncontrolled Hypertension

Other Causes

Immunological Causes

Glomerular Disease Recurrence

Infections (Viral/Bacterial)

Diagnosis of CAI

Prevention of CAI

Therapeutic Options of CAI

Recurrent Primary Glomerulonephritis

Conclusion

References

Looking into the Graft without a Biopsy: Biomarkers of Acute Rejection in Renal Transplantation

Abstract

Introduction

Biomarker Fundamentals

Quantifying Alloreactive Antibodies

Quantifying Memory B Cells

Flow Cytometry

Measuring Anti-HLA Antibodies in Supernatants of ex vivo Expanded mBC Cultures

Enzyme-Linked Immunosorbent Spot Assays

Measuring Alloreactive Memory T Cells

Alloreactive T-Cell ELISPOT Assay

Panel of Reactive T-Cells

Urine Biomarkers

C-X-C Motif Chemokine Ligand 9

Urinary RNA

Molecular Biomarkers

Cell Free-DNA

Future Directions and Conclusions

References

Author Index

Subject Index

Отрывок из книги

Vol. 190

Series Editor

.....

Angeletti, A. (New York, NY/Bologna); Cravedi, P. (New York, NY)

Author Index

.....

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