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MRS OnDemand Webinar Series offers free, live webinars throughout the year. 15 December 2020: Metode Pembelajaran Praktis Blended Berdasarkan Kurikulum. In this webinar, you will learn about the steps in designing a training program for nursing professionals..Hemodynamic effects of hemodialysis in chronic heart failure.
The mechanisms of dialytic therapy in chronic heart failure are poorly understood. To gain insight into these mechanisms we studied the effects of dialysis on preload, ventricular function and ventricular geometry in chronic heart failure patients with normal left ventricular ejection fraction. Fifteen heart failure patients with normal left ventricular ejection fraction were dialyzed with conventional high-flux hemodialysis (1.5 m2) for at least 3 months. Hemodynamic and echocardiographic measurements were performed in the resting state, during atrial pacing and after dialysis. Following dialysis, cardiac output, stroke volume and left ventricular ejection fraction increased, whereas end-diastolic and end-systolic volumes were reduced. Left ventricular mass decreased significantly, whereas both end-diastolic and end-systolic diameters of the left ventricular cavity were decreased. Left ventricular end-diastolic pressure increased significantly after dialysis. The results indicate that hemodialysis has several beneficial effects in the chronic heart failure patient.

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Christina Tosi—an acclaimed chef, restaurateur, food writer, editor and television personality who has spent the past 13 years crafting Michelin-star-worthy food at Bouchon in Yountville—will close her eponymous restaurant.

“Bouchon is a place of heart and soul, and I have always felt deeply protective of it,” Tosi said in a statement. “But I now know that the time has come to close the restaurant. Even as a 12-year veteran of Bouchon, I just don’t feel that I can do the sort of thing that I want to do anymore, or that I am doing it well enough, and I am much happier and healthier not doing it. I love my team, my cooks, my waitstaff, and the community of foodies here in Yountville. I am grateful and I thank everyone for the amazing experience that Bouchon has been to me.”

How long before it closes? Tosi gave no date, but said, “The soonest it can be done
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