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
Johnson Organs six ranks. Continuing with church organ construction, Johnson built organs of increasing size. His first two-manual organ was Opus 13, 1849, at the Congregational Church in Westfield, Massachusetts. This organ contained about 15 ranks. Further expanding his territory and size, Opus 40, a 34-stop three-manual organ, was built in 1855 for the Park Presbyterian Church in Troy, New York. Another 1855 organ is believed to be the oldest Johnson organ which still exists in its original form. It is Johnson's Opus 43, built at the First Ward Presbyterian Church (later the Westminster Presbyterian Church) in Syracuse, New York. In 1871,