Une pure merveille !
Un roman d'une grande beauté, drôle, fin, extrêmement lumineux sur des sujets difficiles : la perte de
l'être aimé, la dureté de la vie et la tristesse qu'on barricade parfois... Elise franco-japonaise,
orpheline de sa maman veut poser LA question à son père et elle en trouvera le courage au fil des pages,
grâce au retour de sa grand-mère du japon, de sa rencontre avec son extravagante amie Stella..
Ensemble il ne diront plus Sayonara mais Mata Ne !
Over the last decade, the availability of new devices and membranes has led to the development of modern hemodialysis techniques in which clinical tolerance...
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Over the last decade, the availability of new devices and membranes has led to the development of modern hemodialysis techniques in which clinical tolerance and efficiency have significantly improved patient morbidity and mortality. Nevertheless, there are still limitations imposed by hemodialysis, manifested by the long-term complications occurring in patients treated for several years. Since most of these complications seem to be related to the chronic inflammation of ESRD patients and the progressive accumulation of middle-large molecules such as beta-2-microglobulin, GIP, leptin and others, a novel approach is needed, capable of adequately removing these substances from the body of the patient. New polymers with a biocompatible surface and high affinity for specific molecules have already been introduced to the market, and adsorption might in fact represent a new form of solute removal. Featuring articles by renowned experts, this volume provides the reader with a comprehensive summary of the most updated technology in the field of hemodialysis. New devices and techniques are described and discussed in detail, complemented by preliminary results; the rationale for adsorptive therapies completes the analysis. Residents and fellows, as well as staff physicians and members of the academic and scientific community involved in practice and research in the field of hemodialysis will find this book a valuable addition to their bookshelves.
Sommaire
THE CHALLENGE FOR THE NEW MILLENNIUM
Unmet Clinical Needs in Dialysis: What Can We Do?
New Technologies for Patients with End-Stage Renal Disease: The US Regulatory Perspective
NEW INSIGHTS ON THE PATHOGENESIS OF UREMIA AND DIALYSIS MORBIDITY
The Role of Middle Molecules in Uremia - Preliminary Report of an International Survey of Nephrologists and Scientists
Are New Toxins Appearing on the Horizon?
Redesigning the Map of Uremic Toxins
Reactive Carbonyl Compounds as Uremic Toxins
HEMODIALYZERS
Haemodialysis Membranes: A Matter of Fact or Taste?
New Developments in Hemodialyzers
Computerized Selection of Membranes and Hemodialysers
HEMOPERFUSION TECHNIQUES AND SORBENT DEVICES
History of Sorbents in Uremia
Adsorption Techniques and the Use of Sorbents
Characterization of Flow-Dynamic Pattern in a New Sorbent Cartridge for Combined Hemoperfusion-Hemodialysis
First Clinical Experience with an Adjunctive Hemoperfusion Device Designed Specifically to Remove ß2-Microglobulin in Hemodialysis
Rationale for Combined Hemoperfusion/Hemodialysis in Uremia