Saint Francis University

About: Saint Francis University is a education organization based out in Loretto, Pennsylvania, United States. It is known for research contribution in the topics: Population & Osteoblast. The organization has 1694 authors who have published 2038 publications receiving 87149 citations.

Traditional and Novel Invasive Hemodynamic Indices in the Evaluation of Congestive Heart Failure in Cardiorenal Syndrome

Abstract: Cardiovascular disease, especially heart failure, is common among patients with kidney disease, and vice versa. Acute or chronic dysfunction of the heart or kidneys triggers and sustains dysfunction of the other, through a combination of hemodynamic, neurohormonal, sympathetic nervous system and biochemical feedback mechanisms, among others. Hemodynamic changes such as increased afterload, venous congestion, hypervolemia, decreased cardiac contractility, low cardiac output, and impaired renal perfusion are commonly noted among patients with cardiorenal dysfunction and are shown to have varying degrees of prognostic relevance. The gold standard test for invasive assessment of cardiac hemodynamics is right heart catheterization using the pulmonary artery catheter. In this chapter, we discuss the evidence surrounding several invasive hemodynamic parameters in acute and chronic cardiorenal syndrome. We review pre and postcapillary mechanisms contributing to the development of pulmonary hypertension in chronic kidney disease and explore the role for invasive hemodynamic assessment for guiding treatment among those affected by heart failure and/or pulmonary hypertension within this population.

Evaluation of the Adnexal Mass

Abstract: Patients found to have a pelvic adnexal mass in the ambulatory setting are most often asymptomatic or minimally symptomatic. Rather than the need for urgent surgical management which is common in patients with acute pelvic symptomatology, patients with an adnexal mass in the ambulatory setting more often require quantification of the risk of malignancy or a structured plan for surveillance (Table 8.1). Refinements in ultrasound diagnostics (adnexal mass morphology, color flow Doppler), serum tumor markers, multivariate index assays, and genetic testing, when appropriate, have all become strategic in the assessment of an adnexal mass.

A Right to Genetic Family History.

Abstract: In “Does Lack of ‘Genetic-Relative Family Health History’ Represent a Potentially Avoidable Health Disparity for Adoptees?” May and colleagues (2016) argue that adoptee health disparities caused by...