The majority of the offending toxicants to be reviewed in this volume were devel oped to help mankind, and it is only with prolonged or widespread application that their adverse effects have been recognized. Conversely, in the case of pre scrip tion drugs, there has been an attempt to identify the adverse effects in advance and incorporate these risks into the decision of approval for human consumption. Unfortunately, for those drugs in which recognized injury occurs only after prolonged use, such appraisals are made in retrospect. Despite this, most renal injury induced by drugs or toxicants can be either prevented by excluding drugs with unacceptable side effects or interrupted by eliminating the offending agent once damage is manifested. The fact that prevention, reversibility, or arrest of renal injury is possible provided a major impetus for this publication. Since no international registry for nephrotoxic injury exists, estimates of incidence must rely on less than ideal sources. Recently I, together with Dr. William Bennett, summarized a survey of the frequency of various categories of nephrologic disease (Porter and Bennett, 1981). Based on this survey, we projected that in nearly one of ten patients seeking nephrologic consultation a nephrotoxic etiology may be involved. Of cases of end-stage renal disease, between 3 and 4% are due to drug nephrotoxicity, according to recent published results(European Dialysis and Transplant Association, 1979). For acute renal failure, antibiotics and contrast agents persist as major offending agents, while for chronic renal failure, analgesics remain a worldwide problem.

Nephrotoxic Mechanisms of Drugs and Environmental Toxins

Porter, George A.

Health, Fitness & Dieting

Plenum Medical Book Co.

For every news story in the popular press detailing the horrors and the violence associated with cocaine, there have been corresponding studies in the medical litera ture shedding new light on our understanding of this most troublesome drug. Our knowledge of addiction, and specifically cocaine addiction, has increased dra matically within the last few years. We stand on the threshold of an exciting new era in addictionology that promises better treatments, improved diagnostic proce dures, and more effective preventative strategies. We must prepare today for the avalanche of exciting dis coveries that will arrive in the coming years. Along with the first two volumes in this series, Marijuana and Alcohol, this book strives to help the general medical community to stay abreast of the latest medical information on addiction, while presenting a fundamental resource on the neurobiology, physiology, epidemiology, history, diagnosis, treatment, and p- v vi PREFACE vention of cocaine abuse. In addition, the comorbidity of cocaine abuse and eating disorders, depression, anx iety, hypertension, and various other disorders is dis cussed in detail. Finally, the last chapter presents new strategies tailored to specific patient groups and aimed at confronting the ever-changing face of drug abuse.

Cocaine (Drugs of Abuse: A Comprehensive Series for Clinicians)

Gold, Mark S.

Addiction & Recovery

Responding to demographic changes among physicians and six years of new experiences since the first edition, Dr. Myers has revamped his well received work. He includes new information on older physicians, gay and lesbian physicians, medical student abuse, economic strain on interns, depression, malpractice, ethical violations, and other stressors which may cause marital difficulties. Therapists seeking to council symptomatic physicians, as well physicians themselves, will find this a humane, readable, and useful book.

Doctors’ Marriages: A Look at the Problems and Their Solutions

Myers, Michael F.

Computers & Technology

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