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- BookHua Yan, editor.Summary: Ocular Emergency is a systematic, symptom based reference book for clinical practice guidance. This book aims to provide the most thorough knowledge and standard process to clinical practitioners, such as the nurses, medical students, residents, fellows and even ophthalmologists, to help them make the most appropriate decision on the management of patients who have suffered from urgent ocular conditions. The first three chapters provide the audiences general information of ocular emergency and the emergency room (ER), which will help them generate a clinical thinking. The following four chapters are symptom based discussion of common complaints of ocular emergency. These chapters contain almost all the symptoms the audiences will meet in the ER and covers hundreds of diseases the audiences may or may not think of which fits the symptom. They will help the readers to make the right diagnose and offer the best advice or treatment to the patients. The last two chapters provide the audiences the information of most urgent ocular traumas. For each disease, definition, etiology, clinical presentations and signs, treatment and typical clinical case with pictures or illustrative figures will be provided. In addition, each chapter will be provided with an algorithym(s) for differential diagnosis and treatment as a summary of the chapter. Hopefully this book may help the clinical practitioners to be fully prepared for any challenge of ocular emergency cases.
- ArticleAnderton JL, Fananapazir L, Eccleston M.Proc Eur Dial Transplant Assoc. 1977;14:342-50.The purpose of this study was to define the minimum steroid requirement in patients with a well established renal transplant, monitoring rejection by urinary fibrin degradation products (FDP) and complement (C3) measurements. Urinary FDP and C3 were measured daily over two years in ten patients who had a renal cadaveric transplant. Steroid therapy was reduced step-wise over an average period of fifty weeks to minimum values (range 5--10 mg, mean 7.0 mg prednisone). Three patients developed rejection when taking 7.5 mg prednisone for 10, 21 and 50 weeks respectively. In these three patients urinary FDP excretion rose markedly 12, 10 and 8 weeks respectively prior to the diagnosis of rejection and had fallen to pre-rejection values by the time any significant changes were observed in renal function. C3 appeared in the urine of two of the three patients who had graft rejection, heralding the diagnosis by 14 and 11 days respectively. The minimal steroid dosage varied from 0.06 to 0.24 mg prednisone/kg body weight (mean 0.11) and the three patients who rejected did so on doses of 0.10, 0.13 and 0.16 mg/kg. Doses of prednisone less than 10 mg per day risk the induction of rejection, depending upon the individual response of the patient.