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Nephrology Journal Club Profile
Nephrology Journal Club

@NephJC

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A twice monthly nephrology journal club that meets on Twitter. Hashtag #NephJC

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Joined April 2014
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@NephJC
Nephrology Journal Club
3 days
A bit later is better than never. Here is the distilled and refined #NephJC summary of this week on chapters 1, 2, and 6 from @goKDIGO chronic kidney disease guideline ✍️By @stephanietr612 and @DrMedhavi_G ⚔️Are you ready for the feisty discussions?
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@NephJC
Nephrology Journal Club
4 months
Finally here The #TopNephrology Stories of 2023
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@NephJC
Nephrology Journal Club
10 years
This Atlas of Risk is brilliant! http://t.co/PMq4BNywO5 http://t.co/gg6NqCXodx
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@NephJC
Nephrology Journal Club
3 years
T0: HRS-1 is the diagnosis we hate to make, given it’s prognosis (untreated = median survival 2 weeks) Here are the criteria for diagnosing HRS-1 (under the alternative name of HRS-AKI) Do the criteria work? What’s good, what’s bad? Image courtesy of @drkeithsiau #nephjc
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@NephJC
Nephrology Journal Club
4 years
this is a nice graphic of where all the trials fit with respect to GFr and ACR #NephJC
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@NephJC
Nephrology Journal Club
3 months
Take a look at the amazing #visualabstract made by @divyaa24 🎨 @goKDIGO LN guideline has already started some controversies. ⚔️ If curious or if you'd add some perspective, come to #NephJC chats 💬Chat 1: 9 pm EDT, Feb 6 💬Chat 2: 9 pm IST, Feb 7
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@NephJC
Nephrology Journal Club
5 years
1/ #Tweetorial #NephJC #Hypernatremia Reviews and guidelines say to correct hypernatremia in adults by no more than 10 mmol/L per day. This is based on little hard data, has little support in literature and may be harmful
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@NephJC
Nephrology Journal Club
3 years
This week we dive deep into Roxadustat for CKD-ND and Dialysis Its finally here...epo in a pill! Does roxa live up to the hype? -
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@NephJC
Nephrology Journal Club
4 years
Apparently, these SGLT2i drugs are pretty good for the kidney -
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@NephJC
Nephrology Journal Club
5 years
check out the awesome schematic from @drlovygaur about the trials and tribulations in DM nephropathy #NephJC
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@NephJC
Nephrology Journal Club
10 months
T0g: Among balanced crystalloid solutions, Plasma-Lyte 148 is ❤️isotonic, ❤️no lactate ❤️comparable chloride content with plasma Do you think it is better fluid? #NephJc
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@NephJC
Nephrology Journal Club
3 years
This week we talk STARMEN -
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@NephJC
Nephrology Journal Club
4 years
The Top Nephorogy Stories of 2019
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@NephJC
Nephrology Journal Club
2 years
Who's ready for tomorrow? We're tackling the ISPD 2022 Peritonitis Guidelines! Check out the VAs by @Momen_Abbasi + @drpriyajohn and the Summary by @NephroSeeker and @Husamjz #NephJC
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@NephJC
Nephrology Journal Club
3 years
See this table for all the major trials in a single pic from @dilushiwijay and @priti899 #NephJC #NephJC
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@NephJC
Nephrology Journal Club
1 year
T3c: Are the results comparable with CREDENCE and DAPA-CKD? The renal benefits were consistent Check out this amazing infographic by the uber-talented @priti899 which captures all 3 in a snapshot #NephJC
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@NephJC
Nephrology Journal Club
1 year
If you only read one #TenTweetNephJC this year, make it this one. EMPA-KIDNEY is one of those landmark trials it is worth knowing inside-out, but you can still rapidly catch up on the key findings & author tweetchat secrets in the thread below👇
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@NephJC
Nephrology Journal Club
4 years
You might also find this useful table by @sophia_kidney helpful to keep track of the other trials we'll be referencing. #nephjc
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@NephJC
Nephrology Journal Club
2 years
Welcome to #TenTweetNephJC ✳️ Catch the key points, in 10 tweets ✳️ Up first - has an antibody that induces Minimal Change Disease finally been found?
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@NephJC
Nephrology Journal Club
10 months
T0e There is a hypothesis that hyperchloremia can lead to vasoconstriction, reduced kidney perfusion, renal ischemia, reduced urine output and adverse renal outcomes. But do you know how? H/T @pulmcrit #NephJC
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@NephJC
Nephrology Journal Club
7 months
Happening this week on #NephJC Should we go slow, or go fast? Hyponatremia correction
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@NephJC
Nephrology Journal Club
4 years
#NephJC has transformed to complete coverage for all things #COVID19 #CoronaKidney 🦠 ✔️ ACEi/ARB HTN ✔️ Transplant ✔️ Peds ✔️ Dialysis/CKD ✔️ AKI
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@NephJC
Nephrology Journal Club
1 month
T0i: #NephJC Glomerular endotheliosis= pathognomonic for PE ⚔️ Flt-1 inhibits VEGF 🔴Glom endotheliosis- swollen, vacuolated endothelial cells, swollen mesangial cells, subendothelial prot deposits+ tubular casts Infographic by @Nephroseeker #Kireports
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@NephJC
Nephrology Journal Club
11 months
Tob: Back to basics: do you remember why bicarb is good for the kidneys? #NephJC It seems oral bicarb delays progression of CKD through protection of the proximal tubules and inhibition of the complement activation #NephJC
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@NephJC
Nephrology Journal Club
4 years
But first - drumroll - a practice point making Both metformin and SGLT2i first line. Take that ADA! #NephJC
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@NephJC
Nephrology Journal Club
1 year
Take home: Empagliflozin ⬇️kidney disease progression & CV death in CKD ✅/❌DM ⬇️eGFR initiation cut-off to 20 ⬆️benefits in those with albuminuria How would EMPA-KIDNEY change your practice? Did it turn you into a flozinator? #NephJC
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@NephJC
Nephrology Journal Club
6 years
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@NephJC
Nephrology Journal Club
4 years
The #NephJC team has put together some resources for #COVID19 from the kidney perspective here We will keep updating it live Keep checking back and share widely #CoronaKidney
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@NephJC
Nephrology Journal Club
2 years
According to the American Society of Apheresis Guideline, AAV is a category II indication for PLEX (BUT not every AAV requires PLEX) *RPGN (Cr ≥ 5.7 mg/dl) or, *diffuse pulmonary hemorrhage. Other AAV parameters fall into category III (below myeloma!). Do you agree?? #NephJC
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@NephJC
Nephrology Journal Club
4 years
So in summary, kidney pathology in COVID19 includes: ATI/ATN, glomerular ischemia/endothelial injury, virions, peritubular capillary congestion and/or fibrin thrombi, and collapsing glomerulopathy - possibly an exacerbation of APOL1 nephropathy. #NephJC
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@NephJC
Nephrology Journal Club
1 year
Did you miss some of the nephrology literature in 2022? Do you love rhyming couplets? Then read our end of year round-up of the 23 most important papers in one thread! (in the order all were covered by #NephJC , with links to the super-rapid #TenTweetNephJC trial catch-ups) 👇
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@NephJC
Nephrology Journal Club
4 years
Until next time... #NephJC
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@NephJC
Nephrology Journal Club
7 months
T0k: Since we are on this topic, how do you quantify congestion? Is seeing edema, or pulmonary asculation enough? 👇Look, here is a comprehensive approach @escardio @WilfriedMullens @PieterMartensMD @kevin_damman #NephJC
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@NephJC
Nephrology Journal Club
3 years
10 min! Here’s a fun overview of Urinary Casts from @medcomic ! #NephJC
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@NephJC
Nephrology Journal Club
2 years
T0c: Acetaminophen has 2 mechanisms for analgesic & antipyretic effects: - By inhibiting the same COX, prostaglandin H2synthase. Different from NSAIDs, it blocks the enzyme at its peroxidase catalytic site. - By interacting with cerebral endogenous cannabinoid receptors #NephJC
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@NephJC
Nephrology Journal Club
1 year
T0b: Here’s our updated post on Landmark Trials in IgAN. Look at the topnotch chronology pod 2 #AQP2 made for IgAN 🤩 @NSMCinternship @landmark_neph #NephJC
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@NephJC
Nephrology Journal Club
2 years
Both Piperacillin & Tazobactam are substrates for OAT1&3, the organic anion transporters, & Vancomycin suppresses expression of these pumps. Is rise in creatinine reflective of true renal injury? #NephJC
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@NephJC
Nephrology Journal Club
1 month
T0e: Pathophysiology of pre-eclampsia ⚖️Central event is imbalance between angiogenic and antiangiogenic factors #NephJC 👇The overview of pre-eclampsia pathogenesis from @ASNKidney360 ✍️By @divyaa24 @silvishah @NephroSeeker @DrSandiDumanski 🔗
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@NephJC
Nephrology Journal Club
3 years
Terlipressin and Hepatorenal Syndrome: Winning the Battle and Losing the War?
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@NephJC
Nephrology Journal Club
4 years
The Coronavirus Conundrum: ACE2 and Hypertension Edition
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@NephJC
Nephrology Journal Club
7 months
T0j: 🧂 2013 US guidelines recommend <8 mEq/l for high risk pts and 10-12 mEq/l for normal risk/chronic hypoNa 🧂2014 European guidelines strictly recommend <10 mEq/l/24h correction rate in moderate, symptomatic hypoNa patients ✨Infographic by @Nephroseeker #NephJC
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@NephJC
Nephrology Journal Club
2 years
as we come to the end of the year, let's do a quick recap of the year in review for #NephJC We discussed 24 topics in 2021, including 14 RCTs 6 observational studies 3 guidelines 1 book club
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@NephJC
Nephrology Journal Club
6 years
Here is a useful summary of key hypertension studies in the last 20 years #nephjc
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@NephJC
Nephrology Journal Club
2 years
T0c: This diuretic resistance can be classified into: pre-renal & intra-renal, which can be further divided depending on the anatomic site in the nephron. Do you know other mechanisms for resistance? #NephJC
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@NephJC
Nephrology Journal Club
30 days
Landmark trials in IgA Neuropathy
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@NephJC
Nephrology Journal Club
2 years
💥 Treating Diuretic Resistance 💥 ✅ Changing the route administration (IV vs oral) ✅ Albumin infusions ✅ Improve kidney perfusion ✅Sequential Nephron Blockade to Prevent Distal Sodium Reabsorption #NephJC #NephMadness
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@NephJC
Nephrology Journal Club
7 months
Fast or slow? How fast is fast in correcting hyponatremia? Will a few sodium mEq/l make a difference in grand scheme of central myelinolysis or will it change the unbeatable mortal human condition? 👇Next #NephJC @NEJMEvidence 🧂Season ur arguments!
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@NephJC
Nephrology Journal Club
3 years
T0e: Taking this further, here is a great figure from in @AJKDOnline showing urine sediment and biomarkers based on different sites of nephron injury #NephJC
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@NephJC
Nephrology Journal Club
1 year
#NephJC Let’s get the fire started! Less than 1 hour .... And a fascinating question for nephrologists: which one are you? H/T @torra_roser , photo taken during @ERAkidney ‘22 congress
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@NephJC
Nephrology Journal Club
1 year
Many nephrologists make decisions about which anticoagulant (if any) to recommend for atrial fibrillation in patients on haemodialysis on a weekly basis. And we finally have more randomised data! Enjoy a rapid catch-up with #TenTweetNephJC
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@NephJC
Nephrology Journal Club
3 months
28/ Now, on a slightly positive note, how comfortable are u using the two new FDA approved drugs for LN as initial therapy? #nephjc Check out the awesome infographic which resumes and compares voclosporin and belimumab By our fab @divyaa24 👇
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@NephJC
Nephrology Journal Club
4 years
T0c: The 2012 KDIGO guidelines recommend ACR as the most appropriate way to evaluate proteinuria. Between urine dipstick, PCR, and ACR, which test(s) do you routinely get on your clinic patients? Why? #NephJC
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@NephJC
Nephrology Journal Club
4 years
Welcome to tonight’s discussion on therapeutic drug monitoring of Mycophenolic Acid (MMF) (fun fact MMF is derived from the mold Penicillium Glaucum that gives the blue to blue cheese) #NephJC
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@NephJC
Nephrology Journal Club
5 years
Are you ready for the genetic diagnosis of CKD? -
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@NephJC
Nephrology Journal Club
6 months
BEATing  Calciphylaxis 👉a comprehensive summary by @manasib33 , explaining what adaptative platform trials mean and how they can bring hope even to the darkest maladies in nephrology: calciphylaxis Join #Nephtrials @ISNkidneycare ⏰ Nov 21, 9pm EST
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@NephJC
Nephrology Journal Club
5 months
T0e: Check out the summary of prior trials of ET-A antagonists in proteinuric renal diseases! And a bit of preview of today’s talk #NephJC 🌈 infographic by @DrPallaviPrasad and @Nephroseeker
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@NephJC
Nephrology Journal Club
16 days
T0c: C3G is subclassified in: C3GN and DDD. Both share many overlapping features making it a diagnostic challenge. Check out this nice overview❗️ #NephJC 🖼️ by @AnvithaRangan
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@NephJC
Nephrology Journal Club
4 years
Is Proteinuria the same as Albuminuria? -
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@NephJC
Nephrology Journal Club
4 years
Last week was DAPACKD, Next week on #NephJC : The New @GoKDIGO diabetes guidelines -
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@NephJC
Nephrology Journal Club
5 months
🤩Look at the beautiful #visualabstract on @NEJM trial DUPLEX, made by @DrPallaviPrasad Join #NephJC chats: 📆Nov 28th, 9 pm EST 📆Nov 29th, 9 pm EST It will be fun and will learn a lot! 🪩🎉
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@NephJC
Nephrology Journal Club
5 years
Applications for the 2019 NSMC social media internship are closed. We are really appreciative of the interest. This year 114 people applied, up 75% year over year.
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@NephJC
Nephrology Journal Club
5 years
The first NephJC Podcast is all about the NSAIDs in the Army study
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@NephJC
Nephrology Journal Club
10 months
T0e: Principle of HDF= Convection + Diffusion Each institution has its own way of explaining HDF - I was told convection is like Tsunami - takes whatever comes in its way How were you explained? #NephJC
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@NephJC
Nephrology Journal Club
1 year
T0b: What do we know so far about steroids in treating IgAN? The @landmark_neph has a visual overview & #NephJC has recently discussed TESTING 2.0 👉 Beautifully updated #IgAN Trials infographic from @divyaa24 👇
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@NephJC
Nephrology Journal Club
3 years
#NephJC FIDELIO-DKD - A Kidney Week Late Breaking Trial -
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@NephJC
Nephrology Journal Club
4 years
Nearly 2 million academic reports published annually, up to 50% are read only by the authors, journal editor and reviews – and the majority ARE NEVER CITED!! #NephJC
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@NephJC
Nephrology Journal Club
5 years
No chat tonight. CREDENCE next week at #NephJC - #VisualAbstract via @GeorgeInstitute
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@NephJC
Nephrology Journal Club
1 year
Rituximab, Remission, & Relapses in ANCA-associated Vasculitis This week we will discuss the resounding triumph of rituximab in maintenance therapy for ANCA-associated vasculitis. 🪦RIP Azathioprine? 👏 Summary by @Myasirbaloch & @Nihal_Hamary #NephJC
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@NephJC
Nephrology Journal Club
2 years
T0c: This diuretic resistance can be classified into: pre-renal & intra-renal, which can be further divided depending on the anatomic site in the nephron. Do you know other mechanisms for resistance? #NephJC
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@NephJC
Nephrology Journal Club
3 years
Tonight, we are rehashing the fluid war between balanced crystalloid vs saline in critically ill patients. The link to the paper: ). And here is the brilliant summary and VA by @hellokidneyMD . #NephJC
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@NephJC
Nephrology Journal Club
2 years
T3d: There are few risk scores described in AAV, nephrologist can use: - Berden classification: % crescents - Mayo clinic: glomerular and tubulointerstitial involvement - Brix score: histopath & GFR at diagnosis Do you use any in your practice? When? #NephJC
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@NephJC
Nephrology Journal Club
4 years
Here are the Ten ways to cut out salt #NephJC
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@NephJC
Nephrology Journal Club
2 years
Immunoglobulin G4 ( #IgG4 )-related disease is a true chameleon with multisystem involvement. Most common manifestation of IgG4-related disease in the kidneys is tubulointerstitial nephritis #TIN . #NephJC #NephMadness @edgarvlermamd
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