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 a combination of "loud cheers, loud boos, and whistles." A 1973 performance of "Four Organs" at Carnegie Hall in New York City nearly caused a riot, with "yells for the music to stop, mixed with applause to hasten the end of the piece." One of the performers, Michael Tilson Thomas, recalls: "One woman walked down the aisle and repeatedly banged her head on the front of the stage, wailing 'Stop, stop, I confess.'" References 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