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دسته بندی: بیماری ها: طب داخلی ویرایش: 1 نویسندگان: Takashi Wada, Kengo Furuichi, Naoki Kashihara سری: ISBN (شابک) : 9789811593000, 9789811593017 ناشر: Springer Singapore سال نشر: 2021 تعداد صفحات: 189 زبان: English فرمت فایل : PDF (درصورت درخواست کاربر به PDF، EPUB یا AZW3 تبدیل می شود) حجم فایل: 5 مگابایت
کلمات کلیدی مربوط به کتاب بیماری کلیه دیابتی: نفرولوژی
در صورت تبدیل فایل کتاب Diabetic Kidney Disease به فرمت های PDF، EPUB، AZW3، MOBI و یا DJVU می توانید به پشتیبان اطلاع دهید تا فایل مورد نظر را تبدیل نمایند.
توجه داشته باشید کتاب بیماری کلیه دیابتی نسخه زبان اصلی می باشد و کتاب ترجمه شده به فارسی نمی باشد. وبسایت اینترنشنال لایبرری ارائه دهنده کتاب های زبان اصلی می باشد و هیچ گونه کتاب ترجمه شده یا نوشته شده به فارسی را ارائه نمی دهد.
این کتاب آخرین اطلاعات در مورد ویژگی های بالینی- پاتولوژیک بیماری کلیوی دیابتی را ارائه می دهد. داده های وارد شده بر اساس یک مطالعه کوهورت از بیماران نفروپاتی دیابتی و بیماران نفرواسکلروز اثبات شده با بیوپسی، که در طولانی مدت مشاهده شده اند، و بر روی ثبت طولانی مدت نفروپاتی دیابتی (بیماری کلیه دیابتی) در ژاپن است. این یک محور بالینی-آسیب شناختی در تنظیمات بالینی، از جمله تشخیص های پاتولوژیک/بالینی افتراقی CKD در بیماران دیابتی (به عنوان مثال، وجود نفروپاتی دیابتی "کلاسیک" و/یا نفرواسکلروز و/یا سایر بیماری های اولیه کلیوی) فراهم می کند. نمونههای بیوپسی فراوان با سوابق پزشکی طولانیمدت، شرح پاتولوژیک و بالینی مفصلی را ارائه میدهند. این کتاب همچنین شامل دادههای نمونه ادرار برای توسعه و تأیید نامزدهای احتمالی برای نشانگرهای زیستی جدید برای بیماری کلیوی دیابتی است. بسیاری از کشورها، از جمله ژاپن، جمعیتهای سالخوردهای دارند که در آنها نفروسکلروزیس به پیشرفت ضایعات کلیوی در بیماران مبتلا به بیماری کلیوی دیابتی کمک میکند. به این ترتیب، مقایسه یک گروه نفروپاتی دیابتی با نفرواسکلروز برای ارائه درمان های بهتر ضروری است. این کتاب جامع و آموزنده یک منبع مرجع ضروری برای همه پزشکان و محققان در زمینه نفرولوژی و دیابت است.
This book presents the latest information on the clinical-pathological features of diabetic kidney disease. The data included is based on a cohort study of biopsy-proven diabetic nephropathy patients and nephrosclerosis patients, who were observed over a long term, and on the long-term registry for diabetic nephropathy (diabetic kidney disease) in Japan. It provides a clinical-pathological axis in clinical settings, including differential pathological/clinical diagnoses of CKD in diabetic patients (e.g. the presence of “classic” diabetic nephropathy and/or nephrosclerosis and/or other primary kidney diseases). The abundant biopsy specimens with long-term medical records provide a detailed pathological and clinical description. The book also includes urine-sample data for developing and validating possible candidates for novel biomarkers for diabetic kidney disease.Many countries, including Japan, have ageing populations, in which nephrosclerosis contributes to the progression of kidney lesions in patients with diabetic kidney disease. As such, a comparison of a diabetic nephropathy cohort with nephrosclerosis is indispensable to offer better treatments.This comprehensive and informative book is an indispensible reference resource for all physicians and researchers in the field of nephrology and diabetes.
Preface Contents Part I: Clinical Aspects Chapter 1: Clinical Epidemiology 1.1 Definition of DKD 1.2 Prevalence of Diabetes 1.3 Incidence of DKD 1.4 Incidence of ESRD in DKD Patients 1.5 Prevalence of DKD 1.6 DKD Without Albuminuria 1.7 Conclusion References Chapter 2: The Japanese Registries of Diabetic Nephropathy/Diabetic Kidney Disease 2.1 Introduction 2.2 Analysis of the J-RBR/J-KDR 2.3 Analysis of the JDNCS 2.3.1 Clinical Characteristics at Enrollment 2.3.2 Clinical Variables at Enrollment Associated with Outcomes 2.3.3 Transition in eGFR and UACR Categories 2.3.4 Percentage Changes in eGFR and ESRD 2.3.5 Remission of Macroalbuminuria and ESRD 2.4 Conclusion References Chapter 3: Diabetic Kidney Disease and Cardiovascular Disease 3.1 Introduction 3.2 Risk Factors and Mechanisms of CVD in DKD 3.3 Manifestation of CVD in DKD 3.4 Prevention and Management to Reduce CVD Risk 3.4.1 Management of Hyperglycemia 3.4.2 New Glucose-Lowering Therapies and CVD 3.4.3 Management of Hypertension 3.4.4 Management of Albuminuria 3.4.5 Management of Dyslipidemia 3.4.6 Multifactorial Therapy 3.4.7 Lifestyle 3.4.8 Management of CVD 3.5 Conclusion References Chapter 4: Possible Biomarkers for Diabetic Kidney Disease 4.1 Introduction 4.2 Biomarkers Currently Established Through the Use of Previously Reported Analytical Methods 4.2.1 Urine Biomarkers 4.2.1.1 Urine Albumin 4.2.1.2 Tubular Damage Biomarkers Urinary Neutrophil Gelatinase-Associated Lipocalin Urinary α-1-Microglobulin Urinary Kidney Injury Molecule-1 Urinary L-Type Fatty Acid Binding Protein Urinary Angiotensinogen Urinary Cystatin C Urinary N-Acetyl-Glucosaminidase 4.2.1.3 Glomerular Injury Biomarkers Urinary Type IV Collagen Urinary Ceruloplasmin Others 4.2.2 Urinary and Serum Inflammatory Biomarkers 4.2.2.1 Inflammatory Cytokines 4.2.2.2 Growth Factors 4.2.2.3 Adhesion Molecules 4.2.2.4 Other Factors 4.2.3 Serum and Urinary Oxidative Stress Biomarkers 4.2.4 Development of Novel Biomarkers 4.2.4.1 Integrated Omics Analysis in the Development of Comprehensive Biomarkers Analytical Methods Using Metabolomics 4.2.4.2 Application of Omics Analysis to the Development of Urinary Biomarkers of DKD (Table 4.2) Proteomic Analysis Metabolomic Analysis miRNA 4.2.4.3 Exploratory Biomarkers Identified by Research Performed by the Ministry of Health, Labour and Welfare (MHLW)/AMED Team (Representative: Takashi Wada) References Chapter 5: Blood Pressure Management in Diabetic Kidney Disease 5.1 Introduction 5.2 Basic Strategy for CKD Treatment 5.3 Basic Pathophysiology of DKD 5.3.1 Alterations in Microhemodynamics in the Kidney 5.3.2 Vascular Endothelial Dysfunction 5.4 BP Management in DKD 5.5 First-Line Treatment for DKD 5.5.1 Effectiveness of RA Inhibitors in Inhibiting Progression of DKD 5.5.2 Preventive Effect of RA Inhibitors Against DKD 5.6 Antihypertensive Drug Combination Therapy 5.6.1 The Advantages of Combination Therapy with an RA Inhibitor and Diuretic 5.6.2 The Advantages of Combination Therapy with Ca Antagonist 5.6.3 Combination Therapy with RA Inhibitors 5.7 Conclusion References Chapter 6: Glycemic Control and Future Perspectives for Treatment 6.1 Glycemic Control 6.1.1 Introduction 6.1.2 Glycemic Control and Prevention of Development and Progression of DKD 6.1.3 Relationship Between Strict Glycemic Control and Cardiovascular Events and Mortality 6.1.4 Target Level of Glycemic Control and Points of Attention 6.1.5 Glycemic Control in Patients with Renal Dysfunction 6.1.6 Intensive Therapy 6.1.7 Conclusion 6.2 Future Perspectives for Treatment 6.2.1 Introduction 6.2.2 Pathogenetic Factors for DKD 6.2.2.1 Glycation Reaction 6.2.2.2 Activation of RAS and Changes in Glomerular Hemodynamics 6.2.2.3 Abnormal Intracellular Metabolism 6.2.2.4 Oxidative Stress 6.2.2.5 Inflammation 6.2.3 Therapeutics for DKD 6.2.3.1 GLP-1 Receptor Antagonist 6.2.3.2 SGLT2 Inhibitor 6.2.3.3 Bardoxolone Methyl 6.2.3.4 Mineralocorticoid Receptor Antagonist 6.2.4 Conclusions References Chapter 7: Nutrition and Diet Therapy for DKD 7.1 Introduction 7.2 Diet Therapy for DKD 7.2.1 Diet Therapy in Chronic Kidney Disease Stages G1A1-2 and G2A1-2 7.2.1.1 Caloric Intake 7.2.1.2 Protein Intake 7.2.1.3 Salt Restriction 7.2.1.4 Potassium Intake 7.2.2 Diet Therapy in CKD Stages G1-2A3 and G3-4 7.2.2.1 Caloric Intake 7.2.2.2 Restriction of Protein Intake 7.2.2.3 Issues of Performing Protein Restriction 7.2.2.4 Restriction of Salt Intake 7.2.2.5 Potassium Restriction 7.2.2.6 Phosphorus Restriction 7.2.3 Other Issues in Diet Therapy of Clinical DKD 7.2.4 Mechanisms Behind Dietary Therapy-Related Renoprotection in Experimental Diabetic Kidney Disease and Vascular Damage 7.3 Conclusion References Chapter 8: Renal Structural-Functional Relationships at the Early Stage of Diabetic Nephropathy Among Types 1 and 2 Diabetes: Similarity and Difference 8.1 Renal Histological Changes and Clinical Manifestations of Diabetic Nephropathy in Type 1 and Type 2 Diabetes 8.2 Renal Pathological Findings in Types 1 and 2 Patients 8.2.1 Typical Renal Histological Findings as Diabetic Glomerulosclerosis 8.2.2 Morphometric Analysis of Renal Biopsies 8.2.2.1 Light Microscopic (LM) Morphometric Analysis 8.2.2.2 Electron Microscopic (EM) Morphometry 8.3 Renal Structural-Functional Relationships at the Early Stage of Diabetic Nephropathy in Types 1 and 2 Diabetic Patients 8.3.1 Cross-Sectional Studies 8.3.1.1 Renal Structure and Albuminuria 8.3.1.2 Renal Structure and Glomerular Filtration Rate (GFR) 8.3.2 Longitudinal Studies 8.3.2.1 Renal Histological Findings as Predictors for Renal Functional Decline in Types 1 and 2 Diabetic Patients 8.3.2.2 Renal Histological Heterogeneity and Renal Functional Changes 8.3.2.3 Arteriolar Hyalinosis and Renal Functional Changes 8.4 The Importance of Serial Renal Biopsy 8.5 The Relationships Between Diabetic Nephropathy Lesions and Retinopathy 8.6 Similarity or Difference of Diabetic Nephropathy Between Types 1 and 2 Diabetes References Chapter 9: Study at AMED Collecting 600 Biopsy-Proven Diabetic Nephropathies 9.1 Clinical and Pathological Backgrounds of Diabetic Nephropathy 9.2 Importance of Pathological Findings in Diabetic Nephropathy 9.3 A Pathological Classification by the Renal Pathology Society of the United States for Diabetic Nephropathy 9.4 A New Pathological Classification for Diabetic Nephropathy 9.5 Definition of Each Pathological Finding and Score 9.6 Pathological Findings Based on the Classification of Diabetic Nephropathy in Japan 9.6.1 The Classification of Diabetic Nephropathy in Japan 9.6.2 Kidney Biopsy Cohort in Japan 9.7 Characteristic Pathological Findings Based on the Classification of Diabetic Nephropathy in Japan 9.8 Impacts of Pathological Findings on Clinical Outcomes 9.9 Summary 9.10 Indication of Kidney Biopsy References Part II: Pathological Aspects Chapter 10: Evaluation of Diabetic Kidney Lesions 10.1 Patients Characteristics of Diabetic Nephropathy (DN): Clinical Perspectives 10.2 Diagnosis of DN: Pathological Perspective 10.3 Purposes of Renal Biopsy 10.4 Pathological Changes in Early Stage of DN 10.5 Typical Pathological Findings of DN 10.6 Evaluation of DN by RPS and JRPS 10.7 Renal Biopsy Findings and Renal Prognosis References Chapter 11: Nephrosclerosis and Diabetic Kidney Disease 11.1 Nephrosclerosis 11.2 Nephrosclerosis and Diabetic Nephropathy References Chapter 12: Nondiabetic Renal Disease (NDRD) and Diabetic Kidney Disease (DKD) 12.1 NDRD Superimposed on DN 12.1.1 Prevalence and the Most Common NDRD 12.1.2 Renal Prognosis and Mortality Among DN, NDRD, and Mixed Forms 12.2 Predictors for Differentiating Among DN Alone, Coexistence of NDRD, and NDRD Alone 12.2.1 Duration of DM 12.2.2 Diabetic Retinopathy 12.2.3 Hematuria References Chapter 13: Experimental Animal Models of Diabetic Kidney Disease 13.1 Pathological Lesions of Diabetic Nephropathy 13.2 Animal Models of DKD 13.2.1 Type 1 DM Models 13.2.1.1 STZ-Injected Rodent Models 13.2.1.2 STZ-Injected Rat Models 13.2.1.3 STZ-Injected Mouse Models 13.2.1.4 STZ-DBA/2 Mice 13.2.1.5 STZ-eNOS KO Mice 13.2.1.6 Akita (Ins2+/C96Y) Mice 13.2.1.7 OVE26 Mice 13.2.2 Type 2 Diabetes Models 13.2.2.1 Ob/Ob (BTBR) Mice 13.2.2.2 Db/Db Mice 13.2.2.3 Db/Db eNOS KO Mice 13.2.2.4 KK-Ay Mice 13.2.2.5 ZDF Rats 13.2.2.6 OLETF Rats 13.2.2.7 Goto-Kakizaki (GK) Rats 13.2.2.8 WBN/Kob-Leprfa Rats 13.3 Conclusion References