Author: Eric H. Yang
Publisher: Elsevier Health Sciences
ISBN: 0443246858
Category : Medical
Languages : en
Pages : 336
Book Description
In this issue of Cardiology Clinics, guest editors Drs. Eric H. Yang and Ashley F. Stein-Merlob bring their considerable expertise to the topic of Cardio-oncology. Top experts discuss key topics such as anthracycline-induced cardiotoxicity; cardiac complications of immunotherapy: immune checkpoint inhibitors and CAR T cell therapy; advances in diagnosis and treatment of amyloid cardiomyopathy; guidelines in cardio-oncology; and more. - Contains 18 relevant, practice-oriented topics including permissive cardiotoxicity; advances in imaging of cardiotoxicity; management of cancer therapy-related hypertension; cardiac complications of radiation therapy; health disparities in cardio-oncology; and more. - Provides in-depth clinical reviews on cardio-oncology, offering actionable insights for clinical practice. - Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create clinically significant, topic-based reviews.
Cardio-oncology, An Issue of Cardiology Clinics, E-Book
Author: Eric H. Yang
Publisher: Elsevier Health Sciences
ISBN: 0443246858
Category : Medical
Languages : en
Pages : 336
Book Description
In this issue of Cardiology Clinics, guest editors Drs. Eric H. Yang and Ashley F. Stein-Merlob bring their considerable expertise to the topic of Cardio-oncology. Top experts discuss key topics such as anthracycline-induced cardiotoxicity; cardiac complications of immunotherapy: immune checkpoint inhibitors and CAR T cell therapy; advances in diagnosis and treatment of amyloid cardiomyopathy; guidelines in cardio-oncology; and more. - Contains 18 relevant, practice-oriented topics including permissive cardiotoxicity; advances in imaging of cardiotoxicity; management of cancer therapy-related hypertension; cardiac complications of radiation therapy; health disparities in cardio-oncology; and more. - Provides in-depth clinical reviews on cardio-oncology, offering actionable insights for clinical practice. - Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create clinically significant, topic-based reviews.
Publisher: Elsevier Health Sciences
ISBN: 0443246858
Category : Medical
Languages : en
Pages : 336
Book Description
In this issue of Cardiology Clinics, guest editors Drs. Eric H. Yang and Ashley F. Stein-Merlob bring their considerable expertise to the topic of Cardio-oncology. Top experts discuss key topics such as anthracycline-induced cardiotoxicity; cardiac complications of immunotherapy: immune checkpoint inhibitors and CAR T cell therapy; advances in diagnosis and treatment of amyloid cardiomyopathy; guidelines in cardio-oncology; and more. - Contains 18 relevant, practice-oriented topics including permissive cardiotoxicity; advances in imaging of cardiotoxicity; management of cancer therapy-related hypertension; cardiac complications of radiation therapy; health disparities in cardio-oncology; and more. - Provides in-depth clinical reviews on cardio-oncology, offering actionable insights for clinical practice. - Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create clinically significant, topic-based reviews.
Cardio-Oncology Practice Manual: A Companion to Braunwald's Heart Disease E-Book
Author: Joerg Herrmann
Publisher: Elsevier Health Sciences
ISBN: 0323681360
Category : Medical
Languages : en
Pages : 547
Book Description
Today's patients have unique cardiologic needs before, during, and after cancer treatment. Chemotherapies, radiation therapy, and targeted therapies can produce acute side effects or lasting adverse consequences on the heart and circulatory system, making the field of cardio-oncology increasingly important in effective patient care. Cardio-Oncology Practice Manual is a comprehensive, portable guide that provides practical approaches to assessment and management of cardiovascular diseases due to the effects of cardiotoxic agents and treatments. Part of the Braunwald family of renowned cardiology references, it clearly presents clinically relevant aspects of this growing field in one quick, practical reference for a wide range of cardio-oncology providers. - Covers all major cancer therapies, cardiovascular toxicities, and malignancies in a portable, authoritative guide—ideal for cardiologists, cardio-oncologists, general practitioners, internists, medical oncologists, and hematologists. - Offers templated and streamlined content for quick retrieval, with key point summaries for each major section. - Presents cardiac disease entities and specific malignant diseases in a succinct overview format addressing important clinical care aspects. - Features "Central Illustrations" for each topic that visually summarize the chapter and its specific content including algorithms for management of cardiovascular toxicities and one-view overviews of malignancies. - Includes a comprehensive drug guide that provides quick reference to drugs prescribed for cancers with therapeutic indications, manifestations and mechanisms of cardiotoxicity, their risk factors, and risk reduction strategies. - Brings you up to date with new immune therapies, including immune checkpoint inhibitors and CAR T-cell therapies
Publisher: Elsevier Health Sciences
ISBN: 0323681360
Category : Medical
Languages : en
Pages : 547
Book Description
Today's patients have unique cardiologic needs before, during, and after cancer treatment. Chemotherapies, radiation therapy, and targeted therapies can produce acute side effects or lasting adverse consequences on the heart and circulatory system, making the field of cardio-oncology increasingly important in effective patient care. Cardio-Oncology Practice Manual is a comprehensive, portable guide that provides practical approaches to assessment and management of cardiovascular diseases due to the effects of cardiotoxic agents and treatments. Part of the Braunwald family of renowned cardiology references, it clearly presents clinically relevant aspects of this growing field in one quick, practical reference for a wide range of cardio-oncology providers. - Covers all major cancer therapies, cardiovascular toxicities, and malignancies in a portable, authoritative guide—ideal for cardiologists, cardio-oncologists, general practitioners, internists, medical oncologists, and hematologists. - Offers templated and streamlined content for quick retrieval, with key point summaries for each major section. - Presents cardiac disease entities and specific malignant diseases in a succinct overview format addressing important clinical care aspects. - Features "Central Illustrations" for each topic that visually summarize the chapter and its specific content including algorithms for management of cardiovascular toxicities and one-view overviews of malignancies. - Includes a comprehensive drug guide that provides quick reference to drugs prescribed for cancers with therapeutic indications, manifestations and mechanisms of cardiotoxicity, their risk factors, and risk reduction strategies. - Brings you up to date with new immune therapies, including immune checkpoint inhibitors and CAR T-cell therapies
Clinical Cardio-oncology E-Book
Author: Joerg Herrmann
Publisher: Elsevier Health Sciences
ISBN: 0323462391
Category : Medical
Languages : en
Pages : 521
Book Description
Clinical Cardio-oncology is a comprehensive, clinically focused title for cardiologists, oncologists, and specialists in cardio-oncology programs who need up-to-date knowledge about the cardiovascular effects of cancer treatment, especially on long-term cancer survivors. This brand-new resource covers the implementation of cardio-oncology into your practice, while a strong focus on patient management offers helpful information on coordinating care before, during, and after therapy. Its highly organized four-section format allows readers to quickly and easily locate relevant information. - Comprised of four sections for quick and easy reference: Oncology and Hematology Principles; Cardiac Complications from Cancer Therapy; Coordination of Care; and Cardio-oncology in Practice. - Provides expert wisdom from cardio-oncology authorities around the world, as well as consultation and perspectives from pioneers in the field of oncology. - Highlights the principles of cancer therapies, including radiation and tumor therapy, as well as pre-, intra-, and post-therapy cardiology evaluation. - Boasts chapters on implementing cardio-oncology into practice: primary cancer centers, comprehensive referral centers, group practices, and educational needs and goals for fellowship programs. - Advises on how to coordinate care for the patient at every stage of treatment (pre-therapy, during therapy, after therapy, and end-of-life). - Presents detailed information on various cardiac complications from cancer therapy, such as cardiomyopathy, vascular disease, arrhythmias, and hypertension. - Teaches the principles of oncology and hematology with coverage of different therapy types and cardiac tumors. - Includes a comprehensive drug guide.
Publisher: Elsevier Health Sciences
ISBN: 0323462391
Category : Medical
Languages : en
Pages : 521
Book Description
Clinical Cardio-oncology is a comprehensive, clinically focused title for cardiologists, oncologists, and specialists in cardio-oncology programs who need up-to-date knowledge about the cardiovascular effects of cancer treatment, especially on long-term cancer survivors. This brand-new resource covers the implementation of cardio-oncology into your practice, while a strong focus on patient management offers helpful information on coordinating care before, during, and after therapy. Its highly organized four-section format allows readers to quickly and easily locate relevant information. - Comprised of four sections for quick and easy reference: Oncology and Hematology Principles; Cardiac Complications from Cancer Therapy; Coordination of Care; and Cardio-oncology in Practice. - Provides expert wisdom from cardio-oncology authorities around the world, as well as consultation and perspectives from pioneers in the field of oncology. - Highlights the principles of cancer therapies, including radiation and tumor therapy, as well as pre-, intra-, and post-therapy cardiology evaluation. - Boasts chapters on implementing cardio-oncology into practice: primary cancer centers, comprehensive referral centers, group practices, and educational needs and goals for fellowship programs. - Advises on how to coordinate care for the patient at every stage of treatment (pre-therapy, during therapy, after therapy, and end-of-life). - Presents detailed information on various cardiac complications from cancer therapy, such as cardiomyopathy, vascular disease, arrhythmias, and hypertension. - Teaches the principles of oncology and hematology with coverage of different therapy types and cardiac tumors. - Includes a comprehensive drug guide.
Patent Foramen Ovale, An Issue of Cardiology Clinics, E-Book
Author: Jonathan M. Tobis
Publisher: Elsevier Health Sciences
ISBN: 0443129703
Category : Medical
Languages : en
Pages : 137
Book Description
In this issue of Cardiology Clinics, guest editors Drs. Jonathan M. Tobis and Ali Emami bring their considerable expertise to the topic of Patent Foramen Ovale. Top experts discuss key topics such as embryology, anatomy, and physiology: diagnosis of PFO: TTE, TEE, TCD, RHC; PFO-associated stroke: a neurologist's perspective; migraine and PFO; hypoxemia and PFO; and more. - Contains 10 relevant, practice-oriented topics including altitude sickness; decompression illness; practical aspects of PFO closure: ultrasound and fluoroscopic guidance; a cardiologist's perspective on PFO-associated conditions; and more. - Provides in-depth clinical reviews on patent foramen ovale, offering actionable insights for clinical practice. - Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create clinically significant, topic-based reviews.
Publisher: Elsevier Health Sciences
ISBN: 0443129703
Category : Medical
Languages : en
Pages : 137
Book Description
In this issue of Cardiology Clinics, guest editors Drs. Jonathan M. Tobis and Ali Emami bring their considerable expertise to the topic of Patent Foramen Ovale. Top experts discuss key topics such as embryology, anatomy, and physiology: diagnosis of PFO: TTE, TEE, TCD, RHC; PFO-associated stroke: a neurologist's perspective; migraine and PFO; hypoxemia and PFO; and more. - Contains 10 relevant, practice-oriented topics including altitude sickness; decompression illness; practical aspects of PFO closure: ultrasound and fluoroscopic guidance; a cardiologist's perspective on PFO-associated conditions; and more. - Provides in-depth clinical reviews on patent foramen ovale, offering actionable insights for clinical practice. - Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create clinically significant, topic-based reviews.
Cardio-Oncology
Author: Roberta A. Gottlieb
Publisher: Academic Press
ISBN: 0128035536
Category : Medical
Languages : en
Pages : 358
Book Description
Cardio-Oncology: Principles, Prevention and Management is a clinical volume that focuses on the basic science of cardio-oncology, addresses cardiotoxicity as a consequence of cancer therapy, and discusses prevention, diagnosis and management of cardiovascular disease in patients with cancer. This comprehensive volume presents unique perspectives ranging from basic science to clinical medicine in the field of cardio-oncology. It would be a valuable resource for cardiologists, oncologists, internists, and pediatricians caring for patients with cancer who have cardiovascular risk factors, as well as for cardio-oncology researchers. - Covers basic science of cardio-oncology to provide readers with the necessary background - Addresses cardiotoxicity related to current cancer therapeutic modalities - Discusses diagnostic and management approaches of patients with underlying cardiac risk factors as well as otherwise healthy cancer patients
Publisher: Academic Press
ISBN: 0128035536
Category : Medical
Languages : en
Pages : 358
Book Description
Cardio-Oncology: Principles, Prevention and Management is a clinical volume that focuses on the basic science of cardio-oncology, addresses cardiotoxicity as a consequence of cancer therapy, and discusses prevention, diagnosis and management of cardiovascular disease in patients with cancer. This comprehensive volume presents unique perspectives ranging from basic science to clinical medicine in the field of cardio-oncology. It would be a valuable resource for cardiologists, oncologists, internists, and pediatricians caring for patients with cancer who have cardiovascular risk factors, as well as for cardio-oncology researchers. - Covers basic science of cardio-oncology to provide readers with the necessary background - Addresses cardiotoxicity related to current cancer therapeutic modalities - Discusses diagnostic and management approaches of patients with underlying cardiac risk factors as well as otherwise healthy cancer patients
Update in Structural Heart Interventions, An Issue of Cardiology Clinics, E-Book
Author: Antonio H. Frangieh
Publisher: Elsevier Health Sciences
ISBN: 0443246378
Category : Medical
Languages : en
Pages : 137
Book Description
In this issue of Cardiology Clinics, guest editor Dr. Antonio H. Frangieh brings his considerable expertise to the topic of Update in Structural Heart Interventions. Top experts discuss key topics such as treatment of incident coronary artery disease in patients with severe aortic valve stenosis; electrosurgery in structural heart interventions; 3-dimensional multiplane reconstruction imaging for guiding tricuspid valve interventions; coronary risk in TAVR; treatment of bicuspid aortic valve stenosis in the transcatheter treatment era; and more. - Contains 11 relevant, practice-oriented topics including lifetime management in treating aortic valve stenosis; left atrial appendage closure: therapy overview and future perspective; structural challenges in native atrioventricular valves replacement; TAVR for aortic insufficiency; patent foramen ovale and atrial septal defect; and more. - Provides in-depth clinical reviews on structural heart interventions, offering actionable insights for clinical practice. - Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create clinically significant, topic-based reviews.
Publisher: Elsevier Health Sciences
ISBN: 0443246378
Category : Medical
Languages : en
Pages : 137
Book Description
In this issue of Cardiology Clinics, guest editor Dr. Antonio H. Frangieh brings his considerable expertise to the topic of Update in Structural Heart Interventions. Top experts discuss key topics such as treatment of incident coronary artery disease in patients with severe aortic valve stenosis; electrosurgery in structural heart interventions; 3-dimensional multiplane reconstruction imaging for guiding tricuspid valve interventions; coronary risk in TAVR; treatment of bicuspid aortic valve stenosis in the transcatheter treatment era; and more. - Contains 11 relevant, practice-oriented topics including lifetime management in treating aortic valve stenosis; left atrial appendage closure: therapy overview and future perspective; structural challenges in native atrioventricular valves replacement; TAVR for aortic insufficiency; patent foramen ovale and atrial septal defect; and more. - Provides in-depth clinical reviews on structural heart interventions, offering actionable insights for clinical practice. - Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create clinically significant, topic-based reviews.
Cardiac Emergencies, An Issue of Cardiology Clinics, E-Book
Author: Ran Lee
Publisher: Elsevier Health Sciences
ISBN: 0443129568
Category : Medical
Languages : en
Pages : 193
Book Description
In this issue of Cardiology Clinics, guest editor Dr. Ran Lee brings his considerable expertise to the topic of Cardiac Emergencies. Top experts discuss common acute cardiac conditions frequently encountered in ER and ICU settings, their pathophysiology and epidemiology, as well as diagnosis and management considerations. As the overall patient population becomes more complex with competing comorbidities, management of the acute cardiac care patient is also becoming equally sophisticated, and this issue reviews up-to-date strategies for optimal care. - Contains 13 relevant, practice-oriented topics including acute coronary syndrome in the 21st century CICU; cardiac tamponade; acute heart failure from ED to the ICU; cardiogenic shock and mechanical circulatory support devices; incessant electrical storm; cardiac trauma; pulmonary hypertension emergencies; and more. - Provides in-depth clinical reviews on cardiac emergencies, offering actionable insights for clinical practice. - Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create clinically significant, topic-based reviews.
Publisher: Elsevier Health Sciences
ISBN: 0443129568
Category : Medical
Languages : en
Pages : 193
Book Description
In this issue of Cardiology Clinics, guest editor Dr. Ran Lee brings his considerable expertise to the topic of Cardiac Emergencies. Top experts discuss common acute cardiac conditions frequently encountered in ER and ICU settings, their pathophysiology and epidemiology, as well as diagnosis and management considerations. As the overall patient population becomes more complex with competing comorbidities, management of the acute cardiac care patient is also becoming equally sophisticated, and this issue reviews up-to-date strategies for optimal care. - Contains 13 relevant, practice-oriented topics including acute coronary syndrome in the 21st century CICU; cardiac tamponade; acute heart failure from ED to the ICU; cardiogenic shock and mechanical circulatory support devices; incessant electrical storm; cardiac trauma; pulmonary hypertension emergencies; and more. - Provides in-depth clinical reviews on cardiac emergencies, offering actionable insights for clinical practice. - Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create clinically significant, topic-based reviews.
Digital Health, An Issue of Heart Failure Clinics, E-Book
Author: Ragavendra R. Baliga
Publisher: Elsevier Health Sciences
ISBN: 0323920209
Category : Medical
Languages : en
Pages : 153
Book Description
In this issue of Heart Failure Clinics, guest editors Drs. Ragavendra R. Baliga and Dipti Itchhaporia bring their considerable expertise to the topic of Digital Health, sometimes referred to as eHealth. Top experts in the field cover key topics in the field such as using AI to better predict/develop biomarkers; telehealth in heart failure; EHR in heart failure; artificial intelligence and mechanical circulatory support; and more. - Contains 11 relevant, practice-oriented topics including devices to improve symptoms and reduce morbidity and mortality in heart failure; utilizing artificial intelligence to enhance equity in minority populations; 3-D printing in heart failure; machine learning in cardiac imaging; and more. - Provides in-depth clinical reviews on digital health, offering actionable insights for clinical practice. - Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create clinically significant, topic-based reviews.
Publisher: Elsevier Health Sciences
ISBN: 0323920209
Category : Medical
Languages : en
Pages : 153
Book Description
In this issue of Heart Failure Clinics, guest editors Drs. Ragavendra R. Baliga and Dipti Itchhaporia bring their considerable expertise to the topic of Digital Health, sometimes referred to as eHealth. Top experts in the field cover key topics in the field such as using AI to better predict/develop biomarkers; telehealth in heart failure; EHR in heart failure; artificial intelligence and mechanical circulatory support; and more. - Contains 11 relevant, practice-oriented topics including devices to improve symptoms and reduce morbidity and mortality in heart failure; utilizing artificial intelligence to enhance equity in minority populations; 3-D printing in heart failure; machine learning in cardiac imaging; and more. - Provides in-depth clinical reviews on digital health, offering actionable insights for clinical practice. - Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create clinically significant, topic-based reviews.
Cardiovascular Magnetic Resonance, An Issue of Heart Failure Clinics E-Book
Author: Subha V. Raman
Publisher: Elsevier Health Sciences
ISBN: 0323711766
Category : Medical
Languages : en
Pages : 187
Book Description
This issue of Heart Failure Clinics, guest edited by Dr. Subha V. Raman, will cover key topics in Cardiovascular Magnetic Resonance. This issue is one of four issues selected each year by our series consulting editor, Dr. Eduardo Bossone. Topics discussed in this issue will include: When to use CMR for patients with heart failure; Quantifying cardiac dysfunction with CMR; CMR in heritable cardiomyopathies; CMR in ischemic cardiomyopathy; CMR in right heart and pulmonary circulation disorders; CMR of myocardial fibrosis, edema, and infiltrates in heart failure; Magnetic resonance-based characterization of myocardial architecture; CMR in valvular heart disease-related heart failure; Pericardial disease with CMR; CMR's central role in chemotherapy-induced cardiotoxicity; Intracardiac and vascular hemodynamics with CMR in heart failure; Myocardial energetics with CMR; CMR in congenital heart disease: focus on heart failure; and Machine learning in CMR applied to heart failure.
Publisher: Elsevier Health Sciences
ISBN: 0323711766
Category : Medical
Languages : en
Pages : 187
Book Description
This issue of Heart Failure Clinics, guest edited by Dr. Subha V. Raman, will cover key topics in Cardiovascular Magnetic Resonance. This issue is one of four issues selected each year by our series consulting editor, Dr. Eduardo Bossone. Topics discussed in this issue will include: When to use CMR for patients with heart failure; Quantifying cardiac dysfunction with CMR; CMR in heritable cardiomyopathies; CMR in ischemic cardiomyopathy; CMR in right heart and pulmonary circulation disorders; CMR of myocardial fibrosis, edema, and infiltrates in heart failure; Magnetic resonance-based characterization of myocardial architecture; CMR in valvular heart disease-related heart failure; Pericardial disease with CMR; CMR's central role in chemotherapy-induced cardiotoxicity; Intracardiac and vascular hemodynamics with CMR in heart failure; Myocardial energetics with CMR; CMR in congenital heart disease: focus on heart failure; and Machine learning in CMR applied to heart failure.
Aortic Valve Disease,An Issue of Cardiology Clinics, E-Book
Author: Marie-Annick Clavel
Publisher: Elsevier Health Sciences
ISBN: 0323711626
Category : Medical
Languages : en
Pages : 169
Book Description
This issue of Cardiology Clinics, guest edited by Drs. Marie-Annick Clavel and Philippe Pibarot, focuses on Aortic Valve Disease. Articles in this issue include, but are not limited to: Pathophysiology of Aortic Stenosis and future perspectives for medical therapy, Assessment of Aortic Stenosis Severity, Assessment of Cardiac Damage in Aortic stenosis, Aortic Stenosis with Other Concomitant Valvular Disease (AR, MR, TR), Biomarker in Aortic Stenosis, Aortic stenosis guidelines: evidence gaps and changing concepts, Heart Valve Clinics and Heart Valve Centers, Frailty and Multi-Comorbidities in Aortic Stenosis, Procedures and Outcomes of Surgical Aortic Valve Replacement, Patient selection and Work-up for Transcatheter Aortic Valve Replacement, Procedures and Outcomes of Transcatheter Aortic Valve Replacement, Sex differences in the Pathophysiology, Diagnosis, and Management of Aortic Stenosis, Implications of Aortic stenosis in Pregnancy and Non-Cardiac Surgery.
Publisher: Elsevier Health Sciences
ISBN: 0323711626
Category : Medical
Languages : en
Pages : 169
Book Description
This issue of Cardiology Clinics, guest edited by Drs. Marie-Annick Clavel and Philippe Pibarot, focuses on Aortic Valve Disease. Articles in this issue include, but are not limited to: Pathophysiology of Aortic Stenosis and future perspectives for medical therapy, Assessment of Aortic Stenosis Severity, Assessment of Cardiac Damage in Aortic stenosis, Aortic Stenosis with Other Concomitant Valvular Disease (AR, MR, TR), Biomarker in Aortic Stenosis, Aortic stenosis guidelines: evidence gaps and changing concepts, Heart Valve Clinics and Heart Valve Centers, Frailty and Multi-Comorbidities in Aortic Stenosis, Procedures and Outcomes of Surgical Aortic Valve Replacement, Patient selection and Work-up for Transcatheter Aortic Valve Replacement, Procedures and Outcomes of Transcatheter Aortic Valve Replacement, Sex differences in the Pathophysiology, Diagnosis, and Management of Aortic Stenosis, Implications of Aortic stenosis in Pregnancy and Non-Cardiac Surgery.