Nephrology impact on quality and length of life, and so psychological support, health education and advanced care planning play key roles in nephrology. Chronic kidney disease is typically managed with treatment of causative conditions (such as diabetes), avoidance of substances toxic to the kidneys (nephrotoxins like radiologic contrast and non-steroidal anti-inflammatory drugs), antihypertensives, diet and weight modification and planning for end-stage kidney failure. Impaired kidney function has systemic effects on the body. An erythropoetin stimulating agent may be required to ensure adequate production of red blood cells, activated vitamin D supplements and phosphate binders may be required to counteract the effects
Four Organs Four Organs Four Organs is a work for four electronic organs and maraca, composed by Steve Reich in January 1970. The four organs harmonically expound a dominant eleventh chord (E–D–E–F–G–A–B), dissecting the chord by playing parts of it sequentially while the chord slowly increases in duration from a single 1/8 note at the beginning to 200 beats at the end. The process of increased augmentation is accomplished first by causing notes to sustain after the chord, and then notes start anticipating the chord. As the piece progresses, this "deconstruction" of the chord emphasizes certain harmonies. At the climax of the