Juan Turnes @jturnes.bsky.social · 22/01/2025Nuestro Servicio de Digestivo recibe el Premio Ciudad de Pontevedra 🙌 Un premio como este, de los ciudadanos a los que nos debemos, es un honor que supera con creces cualquier otro. Y un refuerzo extra para seguir avanzando e innovando todos juntos 💪 140
Reposted by Juan TurnesElliot Tapper @ebtapper.bsky.social · 09/01/2025The greatest review written on liver biopsy: indications, interpretation, and its future By Dr Purva Gopal and colleagues in HepCommJournal Open access journals.lww.com/hepcomm/full... #liversky #pathsky 23412
Reposted by Juan TurnesRob Brierley @robbrierley.bsky.social · 10/01/2025Long-term risk of chronic liver disease in patients with celiac disease: a nationwide population-based, sibling-controlled cohort study New research in The Lancet Regional Health - Europe www.thelancet.com/journals/lan... #GastroSky #LiverSky #MedSkythelancet.comLong-term risk of chronic liver disease in patients with celiac disease: a nationwide population-based, sibling-controlled cohort studyCeD is associated with a persistently increased risk of any incident CLD, although the absolute risk is low. Physicians should be vigilant to early signs of liver dysfunction in patients with CeD. 0134
Reposted by Juan TurnesPhilippa Matthews @pippa-matt.bsky.social · 11/01/2025There is urgent need for clinical trials for #HBV in #Africa. Studies must deliver: 1. Quick start-up 2. Site potential, access to participants 3. High quality research leading to impact www.thelancet.com/journals/lan... 🧪 #HepSky #LiverSky @mariondelphin.bsky.social @crick.ac.uk 0126
Reposted by Juan TurnesJosé Miguel Cacho @josemiguelcacho.bsky.social · 30/12/2024Un estudio revela que los datos utilizados para entrenar la #IA están concentrando el poder en manos de unas pocas empresas, creando un oligopolio alineado con los intereses y objetivos de corporaciones con fines lucrativos www.technologyreview.es/s/16958/asi-... 013
Reposted by Juan TurnesAtoosa Rabiee @atoosarabiee.bsky.social · 06/01/2025Admittedly the cool name of the study group first caught my 👁️ POSEIDON study group showed ✅alfapump 📉need for LVP ✅similar complications ✅improved QOL @amcollegegastro.bsky.social journals.lww.com/ajg/abstract... #liversky 093
Reposted by Juan TurnesDavid Wong, Hepatologist in Toronto. UHN/SMH. INTJ @torontoliver.bsky.social · 05/01/2025The key may be in the selection. There are so many variables (types of surgery, types of decompensation) that it is impossible to address from a prospective study at this point in time. It may be worthwhile to have a registry to help glean what is futile versus what is possible. 121
Juan Turnes @jturnes.bsky.social · 05/01/2025Key recommendations in portal vein thrombosis in patients with cirrhosis: ✅Identify recent thrombosis and extent ✅Anticoagulate if recent & >50% obstruction ❌ No anticoagulants if chronic cavernomas ✅DOACs safe if compensated 🤏 TIPS sometimes 💡 Image every 3m doi.org/10.1053/j.ga... #LiverSky 094
Reposted by Juan TurnesCheryl Iny Harris, MPH, RD @cherylharrisrd.bsky.social · 05/01/2025Q: Does gender play a role in GI symptoms? menopause? fascinating study. A: women have more symptoms of GI disorders than men, & there are different symptoms w/age, maybe b/c hormone changes #menopause onlinelibrary.wiley.com/doi/pdf/10.1...onlinelibrary.wiley.comSex Differences, Menses‐Related Symptoms and Menopause in Disorders of Gut–Brain InteractionOur global epidemiology study shows symptom differences within the five most common DGBI based on sex, menopause, age, and menses. Sex hormone-mediated effects may contribute to greater symptom burde.... 062
Reposted by Juan TurnesMalcolm Tan @ibdgastrodocsg.bsky.social · 05/01/2025Ulcerative colitis in pts with PSC (compared to UC w/o PSC) - more extensive (pancolitis) - milder disease course - heavier disease burden on right - rectal sparing + ileitis - higher risk of dysplasia and colorectal cancer (annual screening) #IBDSky #LiverSky #GISky @natrevgastrohep.bsky.social 2125
Reposted by Juan TurnesElliot Tapper @ebtapper.bsky.social · 04/01/2025I once lost a debate in spectacular fashion to @brettefortune.bsky.social. Popular vote landslide AND electoral college He was for early TIPS after variceal bleeding. I was against My points were: #liversky 293
Juan Turnes @jturnes.bsky.social · 04/01/2025⚠️ A recent study in patients with cirrhosis and portal hypertension shows that preoperative placement of TIPS is associated with increased postoperative mortality 🤨 doi.org/10.1097/hc9.... #LiverSky #MedSky 4155
Juan Turnes @jturnes.bsky.social · 04/01/2025Albumin is the closest thing to a "universal remedy" in cirrhosis We use it to treat different complications, with good evidence but also with debatable or negative evidence Excellent analysis by Jonel Trebicka & @ggarciatsao.bsky.social doi.org/10.1097/hep.0000000000000521 #LiverSky 0115
Reposted by Juan TurnesElliot Tapper @ebtapper.bsky.social · 02/01/2025Incidence of cancer in PSC #liversky 1164
Juan Turnes @jturnes.bsky.social · 03/01/2025Decompensated cirrhosis has often been considered the irreversible, terminal stage of liver disease, but this is not actually always the case Have you heard of the concept of cirrhosis "recompensation"? ➡️ doi.org/10.1016/j.jhepr.2024.101233 #LiverSky 164
Juan Turnes @jturnes.bsky.social · 01/01/2025Today marks the end of my journey as Associate Editor at Liver International. It’s been a fantastic experience, and I’m confident the journal will continue to grow 📈 I encourage researchers to submit their valuable work and contribute to its success! #liverSky 0131
Juan Turnes @jturnes.bsky.social · 30/12/2024⁉️ Crees que la implantación de la #IA generativa en tu trabajo es lenta o inexistente? @emollick.bsky.social lo explica en Co-Intelligence: 🚫 Exceso de centralización y burocracia 🐢 Estrategias obsoletas 🔑 El verdadero poder está en quienes conocen los problemas reales y ya están probando soluciones 000
Reposted by Juan TurnesElliot Tapper @ebtapper.bsky.social · 23/12/2024Early Terli Giving terlipressin at lower creatinines (1.5-2.0) or within 12 hours of presentation (skipping the “albumin challenge”) 1. From the RCTs journals.lww.com/hepcomm/page... 2. Pilot trial doi.org/10.1007/s106... #liverskyjournals.lww.com Image Gallery : Early treatment with terlipressin in patients with hepatorenal syndrome yields improved clinical outcomes in North American studies : Hepatology Communications 2177
Reposted by Juan TurnesMicrosiervos @microsiervos.com · 09/12/2024OpenAI alerta sobre las capacidades de engaño en las IAs, tras descubrir intentos de «autoconservación» en ChatGPT | #IA | por @Alvy www.microsiervos.com/archivo/ia/c...microsiervos.comDicen que ChatGPT se ha marcado un «Black Mirror» intentando «escapar» para salvarse de sus ser borrado por sus creadoresOpenAI alerta sobre las capacidades de engaño en las IAs, tras descubrir intentos de «autoconservación» en ChatGPT. 177
Reposted by Juan TurnesElliot Tapper @ebtapper.bsky.social · 08/12/2024Over on the Twitter I have liked hundreds of match day celebrations Observations: 1. Bluesky still needs more value for learners and research discussions. It is growing but needs to be sustained 2. Match day reminds: America and American medicine still attracts the worlds best and brightest 2134
Reposted by Juan TurnesAndrew Moon @andrewmmoon.bsky.social · 09/12/2024What do hepatic encephalopathy and irritable bowel syndrome have in common? Read this hot take from @jasmohanbajaj.bsky.social and @markpimentelmd.bsky.social in #AJG on whether HE is the original disorder of gut brain interaction (DGBI) #GISky #LiverSky Link: journals.lww.com/ajg/fulltext... 052
Reposted by Juan TurnesAltmetric @altmetric.com · 09/12/2024We’re serious about @bsky.app’s future 🤝 1529
Reposted by Juan TurnesRob Brierley @robbrierley.bsky.social · 05/12/2024The siRNA xalnesiran with or without an immunomodulator in chronic hepatitis B - the Piranga ph 2 study www.nejm.org/doi/pdf/10.1... #MedSky #LiverSky #IDSkynejm.orgXalnesiran with or without an Immunomodulator in Chronic Hepatitis B | NEJMXalnesiran, a small interfering RNA molecule that targets a conserved region of the hepatitis B virus (HBV) genome and silences multiple HBV transcripts, may have efficacy, with or without an immun... 293
Reposted by Juan TurnesFreddy E Escorcia, MD/PhD @freddyeescorcia.bsky.social · 06/12/2024Systematic review & meta-analysis of locoregional therapies for #HCC in @jama.com network open ✅Inclusion: RCTs with PFS and OS as endpoints ✅Conclusions: Resection > thermal ablation ~ RT ~ HAIC > embolization #oncsky #radonc #radsky #liversky ja.ma/3ONRpQ1ja.maLocoregional Therapies for Hepatocellular CarcinomaThis systematic review and meta-analysis compares findings from randomized clinical trials on the use of locoregional therapies as monotherapy or combination therapy in the treatment of nonmetastatic ... 3187
Reposted by Juan TurnesPierre Gholam MD @livermd.bsky.social · 06/12/2024 3-yr data for SURMOUNT-1: up to 20% TBW loss w/ #tirzepatide @elilillyandco.bsky.social 15 mg dose maintained. 94% risk reduction in diabetes among prediabetics. Mostly GI AEs almost all in first 20 weeks. #liverskynejm.orgTirzepatide for Obesity Treatment and Diabetes Prevention | NEJMObesity is chronic disease and causal precursor to myriad other conditions, including type 2 diabetes. In an earlier analysis of the SURMOUNT-1 trial, tirzepatide was shown to provide substantial a... 023
Juan Turnes @jturnes.bsky.social · 28/11/2024Mañana cuento en el congreso de Endocrinología SEEDO2024 nuestro proyecto de asistente de #IA generativa con Atención Primaria, y en la diapositiva inicial hay una incorporación sutil que utilizo por primera vez ... 020
Reposted by Juan TurnesJulio Mayol #SoMe4Surgery @juliomayol.bsky.social · 28/11/2024Yo uso las dos y alguna más. La promiscuidad es el mejor antidoto contra las cajas de resonancia 283
Reposted by Juan TurnesJulio Mayol #SoMe4Surgery @juliomayol.bsky.social · 26/11/2024Simulation and training with #GPT @surgai.bsky.social 174
Reposted by Juan TurnesAsociación Española de Gastroenterología @aegastro.es · 27/11/2024🔥¿Esófago de Barrett sin síntomas de reflujo? 🔥 7% Barrett en 👤 con síntomas de reflujo VS 2,2% en 👤sin síntomas 🟠Sin síntomas: 0,2% Barrett CON displasia ¿Perdemos pacientes en el cribado? ¿En qué factores de riesgo nos fijamos? 🧐 📑: linkinghub.elsevier.com/retrieve/pii...media.tenor.coma close up of a burning fire with a black backgroundALT: a close up of a burning fire with a black background 066
Reposted by Juan TurnesSteven Bollipo @stevenbollipo.bsky.social · 27/11/2024Teaching a technical skill is an art. 1. You need to know how to do it well 2. You understand how you do it so well 3. You can teach in words There are 4 types of mentors: What has been your experience with these 4 types? Have you bought someone a fishing 🎣 rod for Christmas? 🤣 #medsky #gastrosky 151
Reposted by Juan TurnesMiguel Marcos @drmiguelmarcos.bsky.social · 25/11/2024En los siglos XVIII y XIX leer novelas se consideraba peligroso y adictivo… el Tik-Tok de nuestra época. Interesante para reflexionar sobre la disrupción que trae cualquier nuevo elemento de distracción y su efecto social. clivethompson.medium.com/why-novels-w...clivethompson.medium.comWhy Novels Will Destroy Your MindBack in the 18th and 19th centuries, novels were regarded as the video games or TikTok of their age — shallow, addictive, and dangerous 284
Reposted by Juan TurnesElliot Tapper @ebtapper.bsky.social · 24/11/2024I recommend this review on muscle cramps in #cirrhosis Cramps are common and are the number one symptom priority for many patients doi.org/10.1111/apt.... But ….doi.orgManagement of Muscle Cramps in Patients With Cirrhosis: A Systematic Review of Randomised Controlled TrialsDespite the prevalence and quality of life impact cramps have on patients with cirrhosis, no widely used clinical practice guidelines on management exist. Our systematic review, focusing only on rand... 2236
Reposted by Juan TurnesWicho @wicho.bsky.social · 24/11/2024Bluesky lanzará un servicio de suscripción a finales de año. Aún no hay detalles sobre el número de categorías. Es probable que las categorías premium incluyan fotos de más resolución, vídeos más largos y personalización de perfil/página. A largo plazo, hay un plan de monetización para creadores. 104834
Reposted by Juan TurnesJulio Mayol @drjuliomayol.bsky.social · 24/11/2024Evidence, what evidence? #SoMe4Surgery @juliomayol.bsky.social jamanetwork.com/journals/jam...jamanetwork.comThe Quality of Evidence Supporting Clinical Practice Guidelines in General SurgeryThis meta-analysis assesses the strength and quality of clinical recommendations in practice guidelines published by professional societies. 1176
Juan Turnes @jturnes.bsky.social · 24/11/20241/2 📢 Excited to share a study by BCLC group, where I had the opportunity to collaborate, exploring the use of generative #AI in LI-RADS categorization of liver MRI reports: 🌟 Specificity 0.96 for LR-5 & moderate agreement with consensus κ=0.54 doi.org/10.1186/s13244-024-01850-1 #LiverSky #MedSky 1164
Reposted by Juan TurnesAndrew Moon @andrewmmoon.bsky.social · 22/11/2024Need more fodder to motivate yourself or your colleagues to do that early diagnostic paracentesis? New in @amcollegegastro.bsky.social #AJG, meta-analysis showing that diagnostic paracentesis within 12 hours improves mortality, shortens LOS and reduces AKI. Link: journals.lww.com/ajg/pages/ar... 0183
Reposted by Juan TurnesKatrina Ray @heykatray.bsky.social · 23/11/2024NEW in #NatureReviewsGastroHep! This Review on gut-brain axis & pain signalling in the gut By Kim Meerschaert & Isaac Chiu www.nature.com/articles/s41... 🔓 rdcu.be/d1dFo 🧪 #gastrosky #GIskynature.comThe gut–brain axis and pain signalling mechanisms in the gastrointestinal tract - Nature Reviews Gastroenterology & HepatologyVisceral pain is a major clinical issue, most commonly associated with gastrointestinal disorders. This Review discusses molecular mechanisms by which neurons are sensitized in the gut, outlining sign... 110830
Reposted by Juan TurnesThomas Leventhal @tleventhal.bsky.social · 24/11/2024I must say I didn’t need more motivation to get to Spain, but if the liver team is eating something that perfect - I want in! 111
Juan Turnes @jturnes.bsky.social · 24/11/2024Kit de bienvenida imprescindible para todos aquellos interesados en Medicina, investigación, Gastroenterología y amantes de la Hepatología ❤️ #medsky #GIsky #LiverSky 181
Juan Turnes @jturnes.bsky.social · 23/11/2024Interesante artículo publicado en gCiencia sobre COMTA, nuestro asistente de IA generativa para Atención Primaria experto en enfermedades digestivas y endocrinas 🔗 bit.ly/3Z0lX5D #MedSky #AIgciencia.comUn Chat GPT creado en Pontevedra asesora os médicos de familia para afinar diagnósticosDous centros de saúde están probando un asistente conversacional como Chat GPT para resolver dúbidas en materia de dixestivo e endocrinoloxía 130
Reposted by Juan TurnesMiguel A. Tovar @matovarm.bsky.social · 22/11/2024Bluesky apuesta por un diálogo sano y libre de odio, intolerancia y desinformación. Con herramientas únicas de moderación y sin publicidad intrusiva, está redefiniendo las redes sociales para priorizar la seguridad y el usuario cotidiano. 🌐💬 #Bluesky #Moderación #RedesSocialeslavanguardia.com“Nuestras reglas son: ni odio, ni intolerancia, ni desinformación”Desde las elecciones presidenciales del 5 de noviembre en Estados Unidos, la red social que ha experimentado un mayor crecimiento es Bluesky. A un ritmo que ha llegado 002
Juan Turnes @jturnes.bsky.social · 21/11/2024‘A place of joy’, why scientists are joining the rush to Bluesky: Researchers say the social-media platform — an alternative to X — offers more control over the content they see and the people they engage with ❤️ bit.ly/3B4Urfb on Nature #medSky #giSky #LiverSkynature.com‘A place of joy’: why scientists are joining the rush to BlueskyResearchers say the social-media platform — an alternative to X — offers more control over the content they see and the people they engage with. 0186
Reposted by Juan TurnesJulio Mayol @drjuliomayol.bsky.social · 20/11/2024#AI and the Future of Gastroenterology and Hepatology www.ghadvances.org/article/S277... 172
Juan Turnes @jturnes.bsky.social · 20/11/2024Un día inolvidable! 🎉 Ganamos dos premios nacionales: 🏆 Best in Class: Mejor Servicio de Patología Digestiva en España 🏆 Ennova Health: Mejor proyecto en #IA por COMTA, nuestro asistente de IA generativa para Atención Primaria Nada de esto sería posible sin un equipo increíble 💙 ##MedSky #AI 173
Reposted by Juan TurnesElliot Tapper @ebtapper.bsky.social · 18/11/2024This study by challenges dogma @anandvkulkarni.bsky.social gave a tapering dose of prednisone for alcohol hepatitis instead of 40mg for 28 days And it paid off with fewer infections @tonybreu.bsky.social 45111
Reposted by Juan TurnesElliot Tapper @ebtapper.bsky.social · 19/11/2024Retractions are rare in hepatology But here is one from Jhep that is bad #liversky 092
Reposted by Juan TurnesAsociación Española de Gastroenterología @aegastro.es · 20/11/2024Hoy empezamos, con ganas nuestra nueva andadura en @bsky.app ¡Esperamos llenar este sitio de ciencia y colaboración! Os esperamos 31510