Textbook Of Cardiorenal Medicine

Download Textbook Of Cardiorenal Medicine full books in PDF, epub, and Kindle. Read online Textbook Of Cardiorenal Medicine ebook anywhere anytime directly on your device. Fast Download speed and no annoying ads. We cannot guarantee that every ebooks is available!

Textbook of Cardiorenal Medicine

Author : Peter A. McCullough
Publisher : Springer Nature
ISBN 13 : 3030574601
Total Pages : 381 pages
Book Rating : 4.0/5 (35 download)

DOWNLOAD NOW!

Book Synopsis Textbook of Cardiorenal Medicine by : Peter A. McCullough

Download or read book Textbook of Cardiorenal Medicine written by Peter A. McCullough and published by Springer Nature. This book was released on 2020-11-24 with total page 381 pages. Available in PDF, EPUB and Kindle. Book excerpt: This textbook provides a practical and board-driven resource to describe and define the emerging field of cardiorenal medicine. Covering all aspects of the topic with depth and relevance, this groundbreaking reference brings together experts at the nexus between cardiovascular and renal medicine to provide an exception reference to educate in this critical area of modern medicine. It describes how the heart and kidneys are inextricably linked via hemodynamic, neural, hormonal and cellular signaling systems and, concentrating on disease-based coverage, goes on to review emerging concepts in epidemiology, pathogenesis, screening, diagnosis and the management of cardiorenal syndromes, all extensively illustrated and containing features to support scholarship in the field. Textbook of Cardiorenal Medicine provides consistent chapter organization, clear design and engaging text to define the diagnosis, treatment, intervention and surgical aspects of the full range of conditions encountered within this area of medicine. It is therefore an essential resource to all involved in the management of cardiorenal disease.

Cardiorenal Syndrome

Author : Adel E. Berbari
Publisher : Springer Science & Business Media
ISBN 13 : 8847014638
Total Pages : 396 pages
Book Rating : 4.8/5 (47 download)

DOWNLOAD NOW!

Book Synopsis Cardiorenal Syndrome by : Adel E. Berbari

Download or read book Cardiorenal Syndrome written by Adel E. Berbari and published by Springer Science & Business Media. This book was released on 2010-10-04 with total page 396 pages. Available in PDF, EPUB and Kindle. Book excerpt: Chronic kidney disease with a worldwide prevalence of 10% in the general population is emerging as a major public health priority. Renal dysfunction is associated with a high risk for cardiovascular complications. The relationship between renal insufficiency and cardiovascular disease, termed the cardiorenal syndrome exists whether impairment of renal function is a consequence of primary renal parenchymal disease or primary heart disease. Several pathophysiologic mechanisms have been postulated to explain the relationship between renal dysfunction and cardiovascular disease. Recent studies indicate an integrated response of the vascular smooth muscles and glomerular mesangial cells to traditional and uremia related cardiovascular risk factors. Traditional risk factors can incite renal impairment and cardiac damage. As renal function deteriorates, uremia-related risk factors play an increasing role both in reduction in glomerular filtration rate and cardiovascular damage. Several uremia related factors such as uncontrolled hypertension, disturbed glucose insulin metabolism, microalbuminuria, phosphate retention, secondary hyperparathyroidism, myocardial and vascular calcification, hypertensive-uremic cardiomyopathy, inflammation, oxidant injury, and neurohormonal dysregulation have been implicated in the pathogenesis of the cardiorenal syndrome. Recent data suggest that management of the cardiorenal syndrome requires aggressive control of traditional risk factors as well novel approaches to prevent or reverse uremia –related processes. This book provides a comprehensive update analysis of our current understanding of the cardiorenal syndrome including epidemiology, pathophysiologic mechanisms, and therapeutic approaches.

Oxford Textbook of Medicine: Cardiovascular Disorders

Author : David Warrell
Publisher : Oxford University Press
ISBN 13 : 0198717024
Total Pages : 689 pages
Book Rating : 4.1/5 (987 download)

DOWNLOAD NOW!

Book Synopsis Oxford Textbook of Medicine: Cardiovascular Disorders by : David Warrell

Download or read book Oxford Textbook of Medicine: Cardiovascular Disorders written by David Warrell and published by Oxford University Press. This book was released on 2016-06-16 with total page 689 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Oxford Textbook of Medicine: Cardiovascular Disorders is selected from the cardiology section of the renowned Oxford Textbook of Medicine. An authoritative resource on heart disease and beautifully illustrated in full colour, it is an essential guide to best practice in managing and preventing a wide variety of cardiovascular disorders. Chapters on arrhythmias, acute coronary syndromes and cardiac surgery have been completely revised and updated, together with new chapters on blood vessels and the endotheium, cardiac physiology, syncope and palpitations, and cardio-renal syndrome. Heart failure and heart disease in pregnancy are thoroughly treated, while imaging chapters evaluate the latest techniques and illustrate all clinical features with detailed images. In 46 finely crafted chapters with clear essentials, experts in cardiovascular disease review the essentials of diagnosis, guidelines and practice and provide a wealth of practical advice for use in clinical situations. In addition, background information on epidemiology, pathogenesis and pathophysiology encourages a fuller understanding of conditions, and more than 350 full colour images help with diagnosis. This essential reference tool supports all medical professionals seeking a general outline of treatment and prevention of cardiovascular disorders, and fills the gap between undergraduate teaching texts and specialist texts for cardiologists. Cardiologists and general physicians will find it immensely valuable when diagnosing and managing heart disease in their day-to-day practice. It is also of usefor trainees in cardiology and general medicine, especiallythose interested in applied cardiovascular pathophysiology.

The Cardiorenal Syndrome : A Clinician's Guide to Pathophysiology and Management

Author : J. Thomas Heywood
Publisher : Cardiotext Publishing
ISBN 13 : 1935395548
Total Pages : 256 pages
Book Rating : 4.9/5 (353 download)

DOWNLOAD NOW!

Book Synopsis The Cardiorenal Syndrome : A Clinician's Guide to Pathophysiology and Management by : J. Thomas Heywood

Download or read book The Cardiorenal Syndrome : A Clinician's Guide to Pathophysiology and Management written by J. Thomas Heywood and published by Cardiotext Publishing. This book was released on 2011 with total page 256 pages. Available in PDF, EPUB and Kindle. Book excerpt: Cardiorenal syndrome - the presence of significant renal insufficiency and heart failure simultaneously - constitutes one of the most vexing and difficult challenges facing clinicians and researchers today. Given the fundamental role of the kidneys in maintaining fluid and electrolyte balance within the body, it comes as no surprise that renal abnormalities are inextricably linked with congestive heart failure. What is surprising is that recent data have indicated that renal dysfunction is a more critical determinant of mortality than heart failure itself. In The Cardiorenal Syndrome: A Clinician's Guide to Pathophysiology and Management, experts from around the world clearly outline the current issues associated with this increasingly prevalent condition, provide invaluable insight into its pathophysiology, and highlight the risks, benefits, and rationales for both practical and promising prevention and treatment strategies, including: DiureticsRole of ACE inhibitors/ angiotensin receptor blockers in renal dysfunctionNew "designer" peptides for heart failureInotropes and neurohormonal blockadeDialysis and ultrafiltrationRenal cell therapyLeft ventricular assist device implantationRenal and/or heart transplantation While recognition of the role of renal dysfunction in the progression of heart failure is a pivotal advance, many questions about the scope and impact of this condition remain. This book serves as a touchstone for cardiovascular specialists and internists as they encounter the diverse varieties of cardiorenal syndrome and attempt to navigate the radically different and evolving therapeutic options in their quest to provide optimal individualized care for their patients.

Textbook of Cardiovascular Medicine

Author : Eric J. Topol
Publisher :
ISBN 13 : 9780781718639
Total Pages : 2760 pages
Book Rating : 4.7/5 (186 download)

DOWNLOAD NOW!

Book Synopsis Textbook of Cardiovascular Medicine by : Eric J. Topol

Download or read book Textbook of Cardiovascular Medicine written by Eric J. Topol and published by . This book was released on 1997-12-01 with total page 2760 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Cardio-Renal Clinical Challenges

Author : David J. A. Goldsmith
Publisher :
ISBN 13 : 9783319091631
Total Pages : 250 pages
Book Rating : 4.0/5 (916 download)

DOWNLOAD NOW!

Book Synopsis Cardio-Renal Clinical Challenges by : David J. A. Goldsmith

Download or read book Cardio-Renal Clinical Challenges written by David J. A. Goldsmith and published by . This book was released on 2014-11-30 with total page 250 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Textbook of Cardiovascular Medicine

Author :
Publisher :
ISBN 13 : 9781469867441
Total Pages : pages
Book Rating : 4.8/5 (674 download)

DOWNLOAD NOW!

Book Synopsis Textbook of Cardiovascular Medicine by :

Download or read book Textbook of Cardiovascular Medicine written by and published by . This book was released on 2007 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:

Cardio-Nephrology

Author : Janani Rangaswami
Publisher : Springer
ISBN 13 : 9783319858111
Total Pages : 0 pages
Book Rating : 4.8/5 (581 download)

DOWNLOAD NOW!

Book Synopsis Cardio-Nephrology by : Janani Rangaswami

Download or read book Cardio-Nephrology written by Janani Rangaswami and published by Springer. This book was released on 2018-08-03 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Extending from the outpatient management of cardiovascular and kidney disease, to hospital-based decision making in patients with cardio-renal disease and complex interfaces such as hemodialysis in patients with ventricular assist device support, this book serves as a single reference point for cardiology and nephrology clinicians and researchers dealing with the significant overlap areas between these two specialties. Chapters cover the physiology, biomarkers, therapeutic agents and full spectrum of these comorbidities and feature separate sections on cardiovascular and CKD evaluations, stratification of kidney transplant patients, lipid management in CKD, interventional strategies and hypertension. Leaders in cardiology, nephrology, hypertension and lipidology bring together the latest evidence with their collective clinical experience into this invaluable resource.This textbook is an essential resource for physicians and allied professionals practicing cardiology, nephrology, students and physician trainees, to deepen their understanding of this crucial field.

The ESC Textbook of Intensive and Acute Cardiovascular Care

Author : Marco Tubaro
Publisher : Oxford University Press
ISBN 13 : 0192589199
Total Pages : 800 pages
Book Rating : 4.1/5 (925 download)

DOWNLOAD NOW!

Book Synopsis The ESC Textbook of Intensive and Acute Cardiovascular Care by : Marco Tubaro

Download or read book The ESC Textbook of Intensive and Acute Cardiovascular Care written by Marco Tubaro and published by Oxford University Press. This book was released on 2021-03-08 with total page 800 pages. Available in PDF, EPUB and Kindle. Book excerpt: The ESC Textbook of Intensive and Acute Cardiovascular Care is the official textbook of the Acute Cardiovascular Care Association (ACVC) of the ESC. Cardiovascular diseases (CVDs) are a major cause of premature death worldwide and a cause of loss of disability-adjusted life years. For most types of CVD early diagnosis and intervention are independent drivers of patient outcome. Clinicians must be properly trained and centres appropriately equipped in order to deal with these critically ill cardiac patients. This new updated edition of the textbook continues to comprehensively approach all the different issues relating to intensive and acute cardiovascular care and addresses all those involved in intensive and acute cardiac care, not only cardiologists but also critical care specialists, emergency physicians and healthcare professionals. The chapters cover the various acute cardiovascular diseases that need high quality intensive treatment as well as organisational issues, cooperation among professionals, and interaction with other specialities in medicine. SECTION 1 focusses on the definition, structure, organisation and function of ICCU's, ethical issues and quality of care. SECTION 2 addresses the pre-hospital and immediate in-hospital (ED) emergency cardiac care. SECTIONS 3-5 discuss patient monitoring, diagnosis and specific procedures. Acute coronary syndromes (ACS), acute decompensated heart failure (ADHF), and serious arrhythmias form SECTIONS 6-8. The main other cardiovascular acute conditions are grouped in SECTION 9. Finally SECTION 10 is dedicated to the many concomitant acute non-cardiovascular conditions that contribute to the patients' case mix in ICCU. This edition includes new chapters such as low cardiac output states and cardiogenic shock, and pacemaker and ICDs: troubleshooting and chapters have been extensively revised. Purchasers of the print edition will also receive an access code to access the online version of the textbook which includes additional figures, tables, and videos to better to better illustrate diagnostic and therapeutic techniques and procedures in IACC. The third edition of the ESC Textbook of Intensive and Acute Cardiovascular Care will establish a common basis of knowledge and a uniform and improved quality of care across the field.

Cardiac Intensive Care - E-Book

Author : David L. Brown
Publisher : Elsevier Health Sciences
ISBN 13 : 0323553494
Total Pages : 736 pages
Book Rating : 4.3/5 (235 download)

DOWNLOAD NOW!

Book Synopsis Cardiac Intensive Care - E-Book by : David L. Brown

Download or read book Cardiac Intensive Care - E-Book written by David L. Brown and published by Elsevier Health Sciences. This book was released on 2018-07-19 with total page 736 pages. Available in PDF, EPUB and Kindle. Book excerpt: Using a multidisciplinary, team-oriented approach, this unique title expertly covers all the latest approaches to the assessment, diagnosis, and treatment of patients with critical cardiac illness. Led by Dr David L. Brown, a stellar team of authoritative writers guides you through cardiac pathophysiology, disease states presenting in the CICU, and state-of-the-art advanced diagnosis and therapeutic techniques. A visually appealing format, new chapters, and thorough updates ensure that you stay on the cutting edge of this rapidly advancing field. Discusses recent changes in cardiac intensive care, including new care paradigms, new mechanical support modalities, and new therapies and interventions. Contains 11 new chapters: Palliative Care, Temporary Pacemaker Insertion, Pericardiocentesis, Distributive Shock, Electrical Storm, Cardiopulmonary Cerebral Resuscitation after Cardiac Arrest, Temporary Mechanical Circulatory Support Devices, Cardiorenal Syndrome, Fulminant Myocarditis, Stress-Induced Cardiomyopathy, Diagnosis and Treatment of Unstable Supraventricular Tachycardia. Concisely yet thoroughly covers acute and severe heart failure, chronic pulmonary hypertension, life-threatening dysrhythmias, aortic dissection, and other cardiac conditions as they relate to intensive care. Explains drug therapy for key cardiac drugs, such as inotropes, vasodilators, anti-arrhythmics, diuretics, anticoagulants, and anti-platelets, and discusses important drug interactions. Ideal for all healthcare professionals involved in cardiac intensive care, including intensivists, cardiologists, cardiac surgeons, residents, fellows, cardiac nurses, respiratory therapists, physical therapists, and nutritionists.

The ESC Textbook of Cardiovascular Medicine

Author : A. John Camm
Publisher :
ISBN 13 : 9780198824879
Total Pages : 3198 pages
Book Rating : 4.8/5 (248 download)

DOWNLOAD NOW!

Book Synopsis The ESC Textbook of Cardiovascular Medicine by : A. John Camm

Download or read book The ESC Textbook of Cardiovascular Medicine written by A. John Camm and published by . This book was released on 2019 with total page 3198 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Acute Heart Failure

Author : Wolfgang Krüger
Publisher : Springer Science & Business Media
ISBN 13 : 3034600224
Total Pages : 184 pages
Book Rating : 4.0/5 (346 download)

DOWNLOAD NOW!

Book Synopsis Acute Heart Failure by : Wolfgang Krüger

Download or read book Acute Heart Failure written by Wolfgang Krüger and published by Springer Science & Business Media. This book was released on 2009-05-31 with total page 184 pages. Available in PDF, EPUB and Kindle. Book excerpt: Acute heart failure is a potentially life threatening situation where correct, rapid therapy can have a life saving impact. In this rapidly changing area of medicine this text aims to bring the latest understanding of the pathophysiology together with a practical guide to diagnosis and management using a thoroughly evidence based approach. This will appeal to a wide audience of health care professionals who will treat patients with acute heart failure, including doctors, medical students, nurses, and other professionals in the Emergency Department, General Internal Medicine, Anaesthetics, Cardiology (Medicine and Surgery) and Critical Care settings. It may be used as an evidence based guide for the junior practitioner or as an aide-memoire for the more senior. Always keeping the underlying pathophysiology at the forefront of the discussion, the reader is encouraged to understand the aetiology of the acute situation and how to direct management in order to correct the abnormal physiology. Each chapter is heavily referenced allowing the reader to easily refer to the original experimental studies and pursue topics in more detail if required. This text is a valuable addition to any practitioner who treats patients with acute heart failure and wants a deeper understanding of the condition.

Kidney Disease in the Cardiac Catheterization Laboratory

Author : Janani Rangaswami
Publisher : Springer Nature
ISBN 13 : 3030454142
Total Pages : 468 pages
Book Rating : 4.0/5 (34 download)

DOWNLOAD NOW!

Book Synopsis Kidney Disease in the Cardiac Catheterization Laboratory by : Janani Rangaswami

Download or read book Kidney Disease in the Cardiac Catheterization Laboratory written by Janani Rangaswami and published by Springer Nature. This book was released on 2020-08-03 with total page 468 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book is the first title that focuses exclusively on kidney disease and its impact in the cardiac catheterization laboratory. The increasing prevalence of vascular risk factors such as diabetes, obesity and hypertension coupled with increased longevity has resulted in a worldwide epidemic of cardiovascular and chronic kidney disease (CKD). Never has the impact of one organ system on the other been so profound, as in the current context of cardio-renal interactions. The cross talk between the heart and kidneys is highly relevant in the field of interventional cardiology, given the increasing number of trans-catheter procedures being performed in patients with underlying kidney disease. These procedures also have a significant impact on kidney function and require thoughtful interdisciplinary planning by a cardiorenal team, to achieve optimal outcomes This book assembles the collective expertise of several international leaders in the field of interventional cardiology and nephrology to summarize this complex interface. The book is divided into seven sections to comprehensively cover the topic, including sections on best practices with reduction of contrast associated acute kidney injury, cutting edge techniques to minimize kidney risk with complex interventions, impact of transcatheter valvular procedures on kidney function and the utility of cardio-nephrology teams . Less recognized complications with high morbidity such as athero-embolic renal disease are featured prominently, to increase awareness in the interventional cardiology and nephrology communities. This book is a valuable resource for interventional and structural cardiologists, general cardiologists and nephrologists dealing with the significant overlap areas between these two specialties. It is also relevant to medical students, trainee physicians in nephrology and cardiology, advanced care practitioners and nursing personnel in both specialties . Given the major impact of kidney function on outcomes in patients undergoing cardiac procedures, this textbook serves as a focal point to integrate relevant clinical data from both specialties and help interventional cardiologists achieve optimal outcomes, especially in patients with (or at risk for) kidney disease.

Textbook of Nephro-Endocrinology

Author : Ajay K. Singh
Publisher : Academic Press
ISBN 13 : 0080920462
Total Pages : 534 pages
Book Rating : 4.0/5 (89 download)

DOWNLOAD NOW!

Book Synopsis Textbook of Nephro-Endocrinology by : Ajay K. Singh

Download or read book Textbook of Nephro-Endocrinology written by Ajay K. Singh and published by Academic Press. This book was released on 2009-01-12 with total page 534 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Textbook of Nephro-Endocrinology is the definitive translational reference in the field of nephro-endocrinology, investigating both the endocrine functions of the kidneys and how the kidney acts as a target for hormones from other organ systems. It offers researchers and clinicians expert, gold-standard analyses of nephro-endocrine research and translation into the treatment of diseases such as anemia, chronic kidney disease (CKD), rickets, osteoporosis, and, hypoparathyroidism. Investigates both the endocrine functions of the kidneys and how the kidney acts as a target for hormones from other organ systems Presents a uniquely comprehensive and cross-disciplinary look at all aspects of nephro-endocrine disorders in one reference work Clear translational presentations by the top endocrinologists and nephrologists in each specific hormone or functional/systems field

Fluid Overload

Author : Claudio Ronco
Publisher : Karger Medical and Scientific Publishers
ISBN 13 : 380559416X
Total Pages : 252 pages
Book Rating : 4.8/5 (55 download)

DOWNLOAD NOW!

Book Synopsis Fluid Overload by : Claudio Ronco

Download or read book Fluid Overload written by Claudio Ronco and published by Karger Medical and Scientific Publishers. This book was released on 2010-01-01 with total page 252 pages. Available in PDF, EPUB and Kindle. Book excerpt: Fluid overload is often observed in patients with heart failure and secondary oliguric states. A thorough assessment of the fluid status of the patient may help guide the therapy and prevent complications induced by inappropriate therapeutic strategies. The present publication is divided into four parts: Definition and Classification, Pathophysiology, Diagnosis and Therapy. In the first section, the authors present new definitions for heart failure, acute kidney injury and cardiorenal syndromes to facilitate the process of understanding the complex link between the heart and the kidney. Subsequently, different conditions leading to fluid overload are described, followed by an account of emerging diagnostic tools, therapies and technologies devoted to the treatment of patients with severe fluid-related disorders. Clearly structured and written, the present book is a practical tool for physicians and professionals involved in the management and care of patients with combined heart and kidney disorders. Moreover, it also serves as a reference textbook for medical students, residents and fellows dealing in everyday practice with fluid overloaded and oliguric patients.

Clinical Companion in Nephrology

Author : Jack Fairweather
Publisher : Springer Nature
ISBN 13 : 3030383202
Total Pages : 331 pages
Book Rating : 4.0/5 (33 download)

DOWNLOAD NOW!

Book Synopsis Clinical Companion in Nephrology by : Jack Fairweather

Download or read book Clinical Companion in Nephrology written by Jack Fairweather and published by Springer Nature. This book was released on 2020-04-29 with total page 331 pages. Available in PDF, EPUB and Kindle. Book excerpt: The second edition of this educational book provides an updated resource on how best to discuss and manage acute and chronic presentations of renal diseases. All chapters have been reviewed and updated to reflect changes which directly affect clinical practice and new chapters have been added including Dialysis and Poisoning, Urinalysis/Microscopy and Renal Biopsy. Chapters now include information on key clinical trials for management strategies Allowing for concise reading on specific topics this book acts as both a quick reference text and study guide. The layout has been designed in a question and answer format in order to promote self-directed learning. Images and diagrams have been further standardized and improved for the new edition and remain a key feature of the book. Clinical Companion in Nephrology, second edition, is an invaluable resource for junior doctors, medical students and renal nurses who encounter renal patients in their daily practice.

Oxford Textbook of Clinical Nephrology

Author : Neil N. Turner
Publisher : Oxford University Press
ISBN 13 : 0191017655
Total Pages : 3045 pages
Book Rating : 4.1/5 (91 download)

DOWNLOAD NOW!

Book Synopsis Oxford Textbook of Clinical Nephrology by : Neil N. Turner

Download or read book Oxford Textbook of Clinical Nephrology written by Neil N. Turner and published by Oxford University Press. This book was released on 2015-10-29 with total page 3045 pages. Available in PDF, EPUB and Kindle. Book excerpt: This fourth edition of the Oxford Textbook of Clinical Nephrology builds on the success and international reputation of the publication as an important resource for the practising clinician in the field. It provides practical, scholarly, and evidence-based coverage of the full spectrum of clinical nephrology, written by a global faculty of experts. The most relevant and important reference to clinical nephrology, this is an authoritative and comprehensive textbook combining the clinical aspects of renal disease essential to daily clinical practice with extensive information about the underlying basic science and current evidence available. Each section of the textbook has been critically and comprehensively edited under the auspices of a leading expert in the field. This new edition has been significantly expanded and reapportioned to reflect developments and new approaches to topics, and includes treatment algorithms to aid and enhance patient care where possible. The fourth edition offers increased focus on the medical aspects of transplantation, HIV-associated renal disease, and infection and renal disease, alongside entirely new sections on genetic topics and clinical and physiological aspects of fluid/electrolyte and tubular disorders. The emphasis throughout is on marrying advances in scientific research with clinical management. Richly illustrated throughout in full colour, this is a truly modern and attractive edition which reinforces the Oxford Textbook of Clinical Nephrology's position as an indispensable reference work of consistent quality and reliability. Enriched and refined by careful revision, this new edition continues the tradition of excellence. This print edition of The Oxford Textbook of Clinical Nephrology comes with a year's access to the online version on Oxford Medicine Online. By activating your unique access code, you can read and annotate the full text online, follow links from the references to primary research materials, and view, enlarge and download all the figures and tables. Oxford Medicine Online is mobile optimized for access when and where you need it.