"No Factory and no Lindsey Graham."
In his final video from Kiev, Graham stood with a Ukrainian drone, boasting it would soon fly to "kill Russians."
Alexander Dugin explains the dark symbolism behind the death of the man who hated Russians and called for nuking Gaza.
🎓 New & Free CME/CE!
This free activity provides a practical, case-based overview of applying current guidelines and emerging evidence to optimize CKM care using a multimodal, team-based approach.
Enroll now: https://t.co/eadG2PD1cK
🎓 New & Free CME/CE! Lupus Nephritis: Raising the Bar on Early Diagnosis and Optimal Treatment. Enroll now and complete the activity at your convenience: https://t.co/OavJVuC6US
In a new Voices blog post, @PaulSaxMD, takes us on a guided tour through EIAs, RPRs, false negatives, false positives, and the strange endurance of a test from 1906. Read the latest: https://t.co/CUY96CRfUB
The updated Dialysis Core Curriculum 2026 is here. Strengthen your dialysis expertise with 12 comprehensive, on-demand courses featuring practical, case-based education, virtual flashcards, downloadable resources, and up to 22.75 CME credits. Learn more: https://t.co/8eMx541E3V
Do low-dose glucocorticoids prevent major relapse during #AAV maintenance?
In 171 patients with GPA or MPA followed for a median of 7.4 years:
❌ Glucocorticoids did not reduce major relapse risk
✅ Rituximab was associated with lower relapse risk
⚠️ Higher glucocorticoid exposure was associated with more damage accrual and hospitalisations
These real-world data support tapering and discontinuing glucocorticoids after remission whenever feasible.
🔓 https://t.co/omdYagvghD
🇷🇺 Vladimir Putin:
I once asked Jacques Chirac, "Why does American leadership behave this way; why are they so aggressive and in some cases so narrow-minded?"
He replied in Russian:
"Because they are uncultured people."
El dilema del bicarbonato en la ERC avanzada: ¿Frenar la progresión o sobrecargar el corazón? 🧪⚖️
Pautar bicarbonato de sodio de forma universal ante cualquier acidosis metabólica leve en la ERC avanzada exige precaución hemodinámica.
Un ensayo clínico aleatorizado de fase 3 publicado en @Kidney_Int demuestra que, si bien la suplementación alcalina oral estabiliza la caída del eGFR en pacientes con ERC estadios 4-5, en aquellos con disfunción cardíaca subyacente incrementa de forma significativa el riesgo de hospitalización por insuficiencia cardíaca debido a la sobrecarga sódica concomitante.
En la consulta: si tu paciente roza el peso seco o tiene cardiopatía estructural, considera prioritario el ajuste dietético y optimiza diuréticos antes de forzar la carga de sodio exógeno.
Bibliografía:
de Brito-Ashurst I, et al. Bicarbonate supplementation in advanced chronic kidney disease and the risk of fluid overload-driven heart failure: a multicenter randomized trial. Kidney Int, 2026. doi:10.1016/j.kint.2026.04.011
#Nefrología #MedicinaBasadaEnEvidencia #CardioRenal #TrasplanteRenal #NefroTwitter
😍Did you already discover the NDT kidney art gallery?
https://t.co/o3UUQby2kS
📷Check it out and send us one of your own kidney images!
😍Selected images appear on the covers of NDT🥳
We have a new #ArticleinPress from @UF! Influence of serum #chloride concentrations on the renin-angiotensin-aldosterone system in dogs with congestive heart failure (Darcy Adin et al.):
https://t.co/lOMqJLTrrt
Check out our new video series, KDIGO IgAN Guideline in Practice: https://t.co/FpdLWTVIDb
In this three-part series, Dr. Smeeta Sinha (UK), Dr. Brad Rovin (US), and Dr. Sydney Tang (HK) share implementation, global, and Asia-Pacific perspectives to help clinicians apply the KDIGO IgAN Guideline in everyday clinical care.
Each video offers practical insights to inform evidence-based care for people with IgAN.
Clinical takeaway: early UACR & SBP responses are complementary, actionable signals of CV efficacy on finerenone — not just surrogate niceties. Watch both.
The other half operates through pathways still to be defined.
🔗 https://t.co/Ju6I9TN8IR
w/ @mvaduganathan@FaiezZannad
Not everyone performs #VExUS yet since it's a relatively advanced #POCUS application. But we can often get an early clue from routine radiology studies we already order, such as liver or kidney Doppler.
@ChailShah does a great job highlighting this perspective in a narrative review written in collaboration with his radiologist father (& me).
🔗https://t.co/AIQSNaqWrP
Pedir anticuerpos antinucleares sin síntomas clínicos es abrir la "puerta al infierno" del estrés y diagnósticos erróneos. 🛑🩺 Excelente consejo del Dr. Moctezuma para estudiantes y médicos. https://t.co/gjS3XzKrIW
#MedicinaInterna#EducaciónMédica#lupus