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alexgutierrezd.bsky.social

@alexgutierrezd.bsky.social
35 followers 19 following 34 posts

Nephrology at Hospital Miguel Servet, Zaragoza, Spain, and biophilia everywhere

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alexgutierrezd.bsky.social @alexgutierrezd.bsky.social · 04/09/2025
Great news and a highly anticipated article. Not a word about the immunosuppression received??? Just a mention in supplemental material (standard steroid-free IS, islet transplantation protocol by the Clinical Islet Transplantation Consortium). www.nejm.org/doi/full/10....
nejm.org
Stem Cell–Derived, Fully Differentiated Islets for Type 1 Diabetes | NEJM
Zimislecel is an allogeneic stem cell–derived islet-cell therapy. Data on the safety and efficacy of zimislecel in persons with type 1 diabetes are needed. We conducted a phase 1–2 study of zimisle...
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alexgutierrezd.bsky.social @alexgutierrezd.bsky.social · 26/08/2025
Very interesting article about the different preferences and perceptions of older patients regarding their health and increasing age. Health Outcome Preferences and Trade-Offs Among Older Adults With Advanced CKD - American Journal of Kidney Diseases www.ajkd.org/article/S027...
ajkd.org
Health Outcome Preferences and Trade-Offs Among Older Adults With Advanced CKD: A Discrete Choice Experiment
Decision making for the treatment of kidney failure in older adults, should incorporate patient preferences. This discrete choice experiment (DCE) aimed to identify the health outcome preferences of o...
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alexgutierrezd.bsky.social @alexgutierrezd.bsky.social · 25/08/2025
Beatiful review of basic cellular and molecular mechanisms for sensing imbalances in blood osmolality, volume, and sodium content The neurobiology of thirst and salt appetite: Neuron www.cell.com/neuron/fullt...
cell.com
The neurobiology of thirst and salt appetite
Thirst and salt appetite are critical for maintaining fluid balance. In this review, Grove and Knight discuss how fluid imbalances are sensed at a molecular level and how these signals converge on bra...
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alexgutierrezd.bsky.social @alexgutierrezd.bsky.social · 17/08/2025
Transplantation is a story of serendipity, of lives intertwined in ways both seen and unseen. The Serendipitous Dance between Life and Death | New England Journal of Medicine www.nejm.org/doi/full/10....
nejm.org
The Serendipitous Dance between Life and Death | NEJM
As her father awaits an organ for his third transplantation, a surgical resident retrieves a kidney from a fellow hockey fan, recognizing at a deep, personal level the value of his gift of life.
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alexgutierrezd.bsky.social @alexgutierrezd.bsky.social · 11/08/2025
A necessary wake-up call about an everyday reality in all kidney transplant programs Unmet Educational and Psychosocial Support Needs After Graft Loss: A Call for Clarity and Compassion. journals.lww.com/transplantjo...
journals.lww.com
Unmet Educational and Psychosocial Support Needs After... : Transplantation
An abstract is unavailable.
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alexgutierrezd.bsky.social @alexgutierrezd.bsky.social · 07/08/2025
An impressive leap forward in the field of transplantation. I'm eagerly awaiting a whole organ modification. @senefrologia.bsky.social @edoardomelilli.bsky.social Survival of Transplanted Allogeneic Beta Cells with No Immunosuppression | New England Journal of Medicine www.nejm.org/doi/full/10....
nejm.org
Survival of Transplanted Allogeneic Beta Cells with No Immunosuppression | NEJM
The need to suppress a patient’s immune system after the transplantation of allogeneic cells is associated with wide-ranging side effects. We report the outcomes of transplantation of genetically m...
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alexgutierrezd.bsky.social @alexgutierrezd.bsky.social · 01/08/2025
Clear, direct, understandable, i love it www.youtube.com/watch?v=NukU...
youtube.com
Human Papillomavirus and Cancer | NEJM
YouTube video by NEJM Group
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alexgutierrezd.bsky.social @alexgutierrezd.bsky.social · 30/07/2025
looking forward to seeing it, I'm afraid it won't be a fiction film but rather a story of everyday reality... www.theguardian.com/film/2025/ju...
theguardian.com
The shocking hit film about overworked nurses that’s causing alarm across Europe
A Swiss film about a nurse pushed to her limits one night is being praised for the picture it paints of treacherously underfunded healthcare. The director talks about the ‘heart-pounding’ story that i...
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alexgutierrezd.bsky.social @alexgutierrezd.bsky.social · 09/07/2025
youtube.com/post/Ugkxi3X...
youtube.com
Post from The Guardian - YouTube
Gaza: ‘Clean it out then bring in something good’ ► https://youtu.be/43oZ0yUDG8E “No one knows what will come to replace the international system that is cur...
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Reposted by @alexgutierrezd.bsky.social
Sociedad Española de Nefrología @senefrologia.bsky.social · 13/06/2025
¿Quieres formar parte de una nueva edición del #CursoTXMir2025 #TrasplanteEnAcción? 🫵🫵¡ABRIMOS INSCRIPCIONES! senefro.org/modules.php?... Curso dirigido a socios MIR4 que quieran formarse en Trasplante Renal 👏 @alexgutierrezd.bsky.social @martacrespo.bsky.social @mjoseperezsaez.bsky.social
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alexgutierrezd.bsky.social @alexgutierrezd.bsky.social · 29/05/2025
Fantástica iniciativa de nuestra compañeras del equipo de Nefrología del Hospital San Juan de Dios @senefrologia.bsky.social
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Nephrology Journal Club @nephjc.bsky.social · 28/05/2025
Major Trials in the use of ASIs targeting difficult-to-control hypertension #NephJC
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alexgutierrezd.bsky.social @alexgutierrezd.bsky.social · 22/05/2025
"... a fundamental change in the ethical framework of the law will be difficult to reverse, and the unintended harms to altruism and transplantation as a noncommercial process ... are likely to be irreversible" @senefrologia.bsky.social @edoardomelilli.bsky.social jamanetwork.com/journals/jam...
jamanetwork.com
The End Kidney Deaths Act Risks Irreversible Harm to Organ Donation
This Viewpoint explores the possible negative effects of the End Kidney Deaths Act on organ donation and transplant and offers strategies on how to narrow the gap between organ demand and supply.
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alexgutierrezd.bsky.social @alexgutierrezd.bsky.social · 14/04/2025
Really interesting "the common clinical practice of using the phenotype antigen beads as a screening assay, reflexing to SAB testing only when positive, may inadvertently fail to detect DQ-specific antibodies" www.sciencedirect.com/science/arti...
sciencedirect.com
Antigen quantity is responsible for the discrepancy between phenotype and single antigen beads for the detection of HLA-DQ antibody: potential clinical implications
De novo donor-specific HLA-DQ antibodies detected by single antigen beads (SAB) are significantly associated with chronic antibody-mediated rejection …
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alexgutierrezd.bsky.social @alexgutierrezd.bsky.social · 06/04/2025
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alexgutierrezd.bsky.social @alexgutierrezd.bsky.social · 16/03/2025
Uau!!! wise words "Kidney transplantation is a health and lifespan-extending procedure that relies on the expertise of transplant nephrologists" 💪👏👏 @senefrologia.bsky.social @edoardomelilli.bsky.social www.sciencedirect.com/science/arti...
sciencedirect.com
THE ECONOMIC VALUE OF A TRANSPLANT NEPHROLOGIST: THE CASE FOR IMPROVING COMPENSATION MODELS
This article examines the economic value of transplant nephrologists and the need for adequate compensation. Kidney transplantation is a health and li…
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alexgutierrezd.bsky.social @alexgutierrezd.bsky.social · 25/01/2025
Excellent work and an essential guide 👍. With the changes in our population of kidney transplant recipients, the urgent need to improve the evaluation and treatment of frailty is becoming more evident every day. @senefrologia.bsky.social @mjoseperezsaez.bsky.social journals.lww.com/transplantjo...
journals.lww.com
Unmet Questions About Frailty in Kidney Transplant... : Transplantation
tion with transplant outcomes. Being prefrail significantly impacts both graft and patient survival, often beginning with just 1 Fried criterion. Rather than viewing frailty as a categorical state, it...
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alexgutierrezd.bsky.social @alexgutierrezd.bsky.social · 23/01/2025
x.com/supermariajo...
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Héctor Uroz @hectoruroz.bsky.social · 21/01/2025
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alexgutierrezd.bsky.social @alexgutierrezd.bsky.social · 21/01/2025
Asymptomatic BP elevations in the hospital are commonly treated with as-needed BP medications, and this could be associated with increased AKI risk. jamanetwork.com/journals/jam...
jamanetwork.com
One-Time and As-Needed Blood Pressure Medication and Adverse Outcomes in VA Hospitals
This cohort study evaluates the risk for acute kidney injury and other adverse effects from as-needed and 1-time blood pressure medications in hospitalized veterans.
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American Journal of Kidney Diseases @ajkd.bsky.social · 11/01/2025
Check out the best of the best on the #AJKDBlog: Top Ten AJKDBlog Posts of 2024! bit.ly/3WyYnwz (FREE)
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alexgutierrezd.bsky.social @alexgutierrezd.bsky.social · 11/01/2025
A paradigm shift? This interesting article shows a complex relationship between GFR, NT-proBNP and CV risk in patients with HF-pEF and CKD, and call into question proposals for higher NT-proBNP references ranges in people with CKD. @senefrologia.bsky.social www.jacc.org/doi/10.1016/...
jacc.org
Natriuretic Peptides, Kidney Function, and Clinical Outcomes in Heart Failure With Preserved Ejection Fraction:
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ISNkidneycare @theisn.org · 03/01/2025
📖 This weekend don't miss our @kidneyint.bsky.social #ISNFridaySelection: Targeted gene therapy for rare genetic kidney diseases www.kidney-internati...
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alexgutierrezd.bsky.social @alexgutierrezd.bsky.social · 03/01/2025
When the top 1% of people hold as much wealth as the bottom 90%, as in the US today, is it time to take drastic action? Limiting the accumulation of wealth would make societies better overall How rich is too rich? www.nature.com/articles/d41...
nature.com
How rich is too rich?
Where should society draw the line on extreme wealth? A fresh account sets out the logic and suggests how to redress inequality.
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alexgutierrezd.bsky.social @alexgutierrezd.bsky.social · 28/12/2024
#stopgenocide As Hopes Rise for Gaza Cease-Fire, Conditions There Have Worsened www.nytimes.com/2024/12/28/w...
nytimes.com
What to Know About Gaza’s Humanitarian Crisis Amid Cease-Fire Push
Human rights organizations and residents describe the situation in the enclave as getting more desperate. Here is a closer look.
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alexgutierrezd.bsky.social @alexgutierrezd.bsky.social · 18/12/2024
Sufficient staffing at dialysis centers associated with access to waiting lists and kidney transplants in older adults (Patzer RE, AJT 2014), young, and adolescents @senefrologia.bsky.social @SETrasplante @mjoseperezsaez.bsky.social @ONT_esp #acerca jamanetwork.com/journals/jam...
jamanetwork.com
Dialysis Facility Staffing Ratios and Kidney Transplant Access Among Adolescents and Young Adults
This cohort study aims to determine whether patient to nurse or patient to social worker staff ratios are associated with access to kidney transplant for adolescents and young adults.
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alexgutierrezd.bsky.social @alexgutierrezd.bsky.social · 16/12/2024
x.com/SETrasplante...
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alexgutierrezd.bsky.social @alexgutierrezd.bsky.social · 07/12/2024
Another opportunity for improvement. Bisphosphonates are underused in kidney transplant patients and may be associated with additional benefits beyond bone health. @SENTRA @SET journals.lww.com/cjasn/abstra...
journals.lww.com
Bisphosphonate Use After Kidney Transplantation Is... : Clinical Journal of the American Society of Nephrology
bisphosphonates associates with lower incidence of non-vertebral fractures after kidney transplantation. Methods: We conducted a retrospective review for all Southern California Kaiser Permanente k...
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alexgutierrezd.bsky.social @alexgutierrezd.bsky.social · 03/12/2024
Effect of Delayed Remote Ischemic Preconditioning on Acute Kidney Injury and Outcomes in Patients Undergoing Cardiac Surgery: A RCT | Circulation. New hope for overcoming the limitations of previous evidence in kidney tx (Ko E, et al. Syst Rev. 2024;(1):201) www.ahajournals.org/doi/10.1161/...
ahajournals.org
Effect of Delayed Remote Ischemic Preconditioning on Acute Kidney Injury and Outcomes in Patients Undergoing Cardiac Surgery: A Randomized Clinical Trial | Circulation
BACKGROUND: Remote ischemic preconditioning (RIPC) has 2 time windows for organ protection: acute and delayed. Previous studies have mainly focused on the organoprotective effects of acute RIPC. We ai...
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ISNkidneycare @theisn.org · 03/12/2024
𝗧𝗢𝗗𝗔𝗬: ISN webinar: "How GLP1 receptor agonist evolved from weight management drugs to kidney protective therapy?". 🗣️ Katherine Tuttle, Peter Rossing 👤 Sola Bahous 🗓️ December 3 🕕 5 pm CET 🔗 Free registration: ow.ly/XoCg50UcV94 #NephSky
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alexgutierrezd.bsky.social @alexgutierrezd.bsky.social · 02/12/2024
"the association between physical activity and mortality risk remained consistent across the adult lifespan, which contrasts with other modifiable health factors, for which associations with mortality risk diminished with age" more than a pill jamanetwork.com/journals/jam...
jamanetwork.com
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alexgutierrezd.bsky.social @alexgutierrezd.bsky.social · 01/12/2024
Interesting for kidney transplant recipients. GLP-1RAs vs insulin were associated with a great risk reduction in 10/13 obesity-associated cancers in T2D, but showed no risk reduction versus metformin. Could there be a synergistic effect of the combination? jamanetwork.com/journals/jam...
jamanetwork.com
GLP-1RAs and Obesity-Associated Cancers in Patients With Type 2 Diabetes
This cohort study evaluates whether glucagon-like peptide receptor agonists (GLP-1RAs) are associated with risk of obesity-associated cancer among patients with type 2 diabetes compared with insulin o...
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alexgutierrezd.bsky.social @alexgutierrezd.bsky.social · 28/11/2024
Amazing Engage II ESOT meeting in Barcelona, plenty of ideas and exchange of experiences in an evolving field @SENTRA @SEN @ESOT
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alexgutierrezd.bsky.social @alexgutierrezd.bsky.social · 24/11/2024
Adding ezetimibe to moderate-intensity statins could be a better approach to reach target LDL-C levels with less new-onset diabetes and intolerance than high high-intensity statin strategy. I think that is true for all statin doses in renal transplant recipients jamanetwork.com/journals/jam...
jamanetwork.com
LDL Cholesterol–Lowering Strategy in ASCVD
This systematic review and individual patient data meta-analysis investigates the association of an alternative low-density lipoprotein (LDL) strategy with differences in long-term efficacy and safety...
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alexgutierrezd.bsky.social @alexgutierrezd.bsky.social · 21/11/2024
We still have room for research in kidney tx recipients. Among hospitalized patients with bloodstream infection, antibiotic treatment for 7 days was noninferior to treatment for 14 days BUT PATIENTS WITH SEVERE IMMUNOSUPPRESSION WERE EXCLUDED www.nejm.org/doi/full/10....
nejm.org
Antibiotic Treatment for 7 versus 14 Days in Patients with Bloodstream Infections | NEJM
Bloodstream infections are associated with substantial morbidity and mortality. Early, appropriate antibiotic therapy is important, but the duration of treatment is uncertain. In a multicenter, non...
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alexgutierrezd.bsky.social @alexgutierrezd.bsky.social · 20/11/2024
Slow correction (<8 or 6-10 mEq/L per 24 hours) and very slow correction (<4-6 mEq/L per 24 hours) of severe hyponatremia were associated with an increased risk of mortality and hospital LOS compared to rapid correction (≥8-10 mEq/L per 24 hours) jamanetwork.com/journals/jam...
jamanetwork.com
Correction Rates and Clinical Outcomes in Hospitalized Adults With Severe Hyponatremia
This systematic review and meta-analysis evaluates the association of sodium correction rates with mortality among hospitalized adults with severe hyponatremia.
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