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Juan Turnes

@jturnes.bsky.social
687 followers 300 following 46 posts

Chief of Gastroenterology & Hepatology at University Hospital of Pontevedra, Spain | ➡️ AI in Medicine | EASL SoMe advisor | Associate Editor at Liver International #LiverSky #GIsky #MedSky

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Juan Turnes @jturnes.bsky.social · 22/01/2025
Nuestro 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 💪
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Elliot Tapper @ebtapper.bsky.social · 09/01/2025
The 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
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Rob Brierley @robbrierley.bsky.social · 10/01/2025
Long-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 #MedSky
thelancet.com
Long-term risk of chronic liver disease in patients with celiac disease: a nationwide population-based, sibling-controlled cohort study
CeD 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.
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Philippa Matthews @pippa-matt.bsky.social · 11/01/2025
There 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
Two maps, first showing the distribution of HBV infection worldwide and then showing the location of clinical trials. Trials are least representative of high burden settings, especially for Africa.
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José Miguel Cacho @josemiguelcacho.bsky.social · 30/12/2024
Un 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-...
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Atoosa Rabiee @atoosarabiee.bsky.social · 06/01/2025
Admittedly 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
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David Wong, Hepatologist in Toronto. UHN/SMH. INTJ @torontoliver.bsky.social · 05/01/2025
The 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.
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Juan Turnes @jturnes.bsky.social · 05/01/2025
Key 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
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Cheryl Iny Harris, MPH, RD @cherylharrisrd.bsky.social · 05/01/2025
Q: 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.com
Sex Differences, Menses‐Related Symptoms and Menopause in Disorders of Gut–Brain Interaction
Our 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....
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Malcolm Tan @ibdgastrodocsg.bsky.social · 05/01/2025
Ulcerative 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
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Elliot Tapper @ebtapper.bsky.social · 04/01/2025
I 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
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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
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Juan Turnes @jturnes.bsky.social · 04/01/2025
Albumin 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
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Elliot Tapper @ebtapper.bsky.social · 02/01/2025
Incidence of cancer in PSC #liversky
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Juan Turnes @jturnes.bsky.social · 03/01/2025
Decompensated 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
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Juan Turnes @jturnes.bsky.social · 01/01/2025
Today 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
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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
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Elliot Tapper @ebtapper.bsky.social · 23/12/2024
Early 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... #liversky
journals.lww.com
Image Gallery : Early treatment with terlipressin in patients with hepatorenal syndrome yields improved clinical outcomes in North American studies : Hepatology Communications
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Microsiervos @microsiervos.com · 09/12/2024
OpenAI 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.com
Dicen que ChatGPT se ha marcado un «Black Mirror» intentando «escapar» para salvarse de sus ser borrado por sus creadores
OpenAI alerta sobre las capacidades de engaño en las IAs, tras descubrir intentos de «autoconservación» en ChatGPT.
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Elliot Tapper @ebtapper.bsky.social · 08/12/2024
Over 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
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Andrew Moon @andrewmmoon.bsky.social · 09/12/2024
What 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...
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Altmetric @altmetric.com · 09/12/2024
We’re serious about @bsky.app’s future 🤝
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Rob Brierley @robbrierley.bsky.social · 05/12/2024
The 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 #IDSky
nejm.org
Xalnesiran with or without an Immunomodulator in Chronic Hepatitis B | NEJM
Xalnesiran, 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...
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Freddy E Escorcia, MD/PhD @freddyeescorcia.bsky.social · 06/12/2024
Systematic 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/3ONRpQ1
ja.ma
Locoregional Therapies for Hepatocellular Carcinoma
This 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 ...
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Pierre 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. #liversky
nejm.org
Tirzepatide for Obesity Treatment and Diabetes Prevention | NEJM
Obesity 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...
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Juan Turnes @jturnes.bsky.social · 28/11/2024
Mañana 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 ...
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Julio Mayol #SoMe4Surgery @juliomayol.bsky.social · 28/11/2024
Yo uso las dos y alguna más. La promiscuidad es el mejor antidoto contra las cajas de resonancia
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Julio Mayol #SoMe4Surgery @juliomayol.bsky.social · 26/11/2024
Simulation and training with #GPT @surgai.bsky.social
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Asociación 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.com
a close up of a burning fire with a black background
ALT: a close up of a burning fire with a black background
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Steven Bollipo @stevenbollipo.bsky.social · 27/11/2024
Teaching 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
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Elliot Tapper @ebtapper.bsky.social · 27/11/2024
#liversky #medsky
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Miguel Marcos @drmiguelmarcos.bsky.social · 25/11/2024
En 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.com
Why Novels Will Destroy Your Mind
Back in the 18th and 19th centuries, novels were regarded as the video games or TikTok of their age — shallow, addictive, and dangerous
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Elliot Tapper @ebtapper.bsky.social · 24/11/2024
I 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.org
Management of Muscle Cramps in Patients With Cirrhosis: A Systematic Review of Randomised Controlled Trials
Despite 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...
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Wicho @wicho.bsky.social · 24/11/2024
Bluesky 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.
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Julio Mayol @drjuliomayol.bsky.social · 24/11/2024
Evidence, what evidence? #SoMe4Surgery @juliomayol.bsky.social jamanetwork.com/journals/jam...
jamanetwork.com
The Quality of Evidence Supporting Clinical Practice Guidelines in General Surgery
This meta-analysis assesses the strength and quality of clinical recommendations in practice guidelines published by professional societies.
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Juan Turnes @jturnes.bsky.social · 24/11/2024
1/2 📢 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
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Andrew Moon @andrewmmoon.bsky.social · 22/11/2024
Need 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...
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Katrina Ray @heykatray.bsky.social · 23/11/2024
NEW 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 #GIsky
nature.com
The gut–brain axis and pain signalling mechanisms in the gastrointestinal tract - Nature Reviews Gastroenterology & Hepatology
Visceral 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...
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Thomas Leventhal @tleventhal.bsky.social · 24/11/2024
I 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!
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Juan Turnes @jturnes.bsky.social · 24/11/2024
Kit de bienvenida imprescindible para todos aquellos interesados en Medicina, investigación, Gastroenterología y amantes de la Hepatología ❤️ #medsky #GIsky #LiverSky
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Juan Turnes @jturnes.bsky.social · 23/11/2024
Interesante artículo publicado en gCiencia sobre COMTA, nuestro asistente de IA generativa para Atención Primaria experto en enfermedades digestivas y endocrinas 🔗 bit.ly/3Z0lX5D #MedSky #AI
gciencia.com
Un Chat GPT creado en Pontevedra asesora os médicos de familia para afinar diagnósticos
Dous centros de saúde están probando un asistente conversacional como Chat GPT para resolver dúbidas en materia de dixestivo e endocrinoloxía
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Juan Turnes @jturnes.bsky.social · 22/11/2024
Hoy he visto un ordenador cuántico ... o no
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Miguel A. Tovar @matovarm.bsky.social · 22/11/2024
Bluesky 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 #RedesSociales
lavanguardia.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
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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 #LiverSky
nature.com
‘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.
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Julio Mayol @drjuliomayol.bsky.social · 20/11/2024
#AI and the Future of Gastroenterology and Hepatology www.ghadvances.org/article/S277...
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Juan Turnes @jturnes.bsky.social · 20/11/2024
Un 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
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Elliot Tapper @ebtapper.bsky.social · 18/11/2024
This 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
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Elliot Tapper @ebtapper.bsky.social · 19/11/2024
Retractions are rare in hepatology But here is one from Jhep that is bad #liversky
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Asociación Española de Gastroenterología @aegastro.es · 20/11/2024
Hoy empezamos, con ganas nuestra nueva andadura en @bsky.app ¡Esperamos llenar este sitio de ciencia y colaboración! Os esperamos
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