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11月7日周六
11月6日周五
11月5日周四
  1. The Lancet · Online

    肾脏病学:[Articles] Preparing for responsive management versus renal dialysis in older people living with kidney failure and frailty or multimorbidity in the UK (Prepare for Kidney Care): a two-arm, superiority, parallel-group, open-label, pragmatic, phase 3, individually randomised controlled trial

    原文摘录:Among older people living with kidney failure and frailty or multimorbidity, we found no evidence that either preparing for responsive management or preparing for renal dialysis was superior in terms of QALYs over a mean follow-up duration of 4·5 years.

    关注理由:关注肾脏病学时,这项随机对照研究可提供直接比较的证据,主要终点和研究局限需要一起阅读。

11月4日周三
  1. PubMed · The American Journal of the Medical Sciences

    肾脏病学:Severe Hyperkalemia in the Emergency Department: Factors Associated with Dialysis and Mortality.

    原文摘录:BACKGROUND: Severe hyperkalemia is a potentially life-threatening emergency, yet data focusing specifically on non-dialysis-dependent patients presenting to the emergency department (ED) with potassium levels ≥7.0 mmol/L remain limited. … These findings support a context-based approach to risk stratification and dialysis decision-making

    关注理由:这篇肾脏病学资料涉及队列研究,建议重点关注入组人群、随访时长和结局定义。

11月3日周二
11月2日周一
  1. FDA · MedWatch Safety Alerts

    肾脏病学:Early Alert: B. Braun Medical Inc. Removes Streamline Bloodline Set for Dialog+

    原文摘录:CDRH is issuing this Early Alert to notify the public of a potentially high-risk device issue. The FDA will keep the public informed and update this web page as significant new information becomes available. Affected Product The FDA is aware that B. … Health care professionals and consumers may report adverse reactions or quality problems they experienced using these devices to MedWatch: The FDA Safety Information and Adverse Event Reporting Program

    关注理由:这条肾脏病学资料适合作为深入阅读入口,尤其要关注研究方法与结论是否匹配。

  2. PubMed · Developmental Biology

    小鼠研究:膀胱上皮Yy1基因对下尿路形态发生必不可少

    小鼠条件性基因敲除研究显示,在尿生殖窦(胚胎膀胱-尿道原基)中条件性失活转录因子Yy1可致输尿管梗阻、肾积水与输尿管积水,输尿管无法与膀胱连接,并伴尿生殖窦嵴缺失、尿路上皮分化障碍。RNA-seq与YY1染色质结合数据整合提示多个差异表达基因为YY1直接靶点,涉及线粒体功能与稳态。研究结果支持YY1是膀胱形态发生的关键转录调控因子,属临床前动物发现。

10月19日周一
10月16日周五
  1. PubMed · American Journal of Physiology-Renal Physiology

    小鼠远端肾单位KCC3a在碱血症时的调控表现出性别二态性(动物研究)

    美国生理学会旗下American Journal of Physiology-Renal Physiology发表的C57BL/6J小鼠研究显示,NaHCO₃负荷10天使雄鼠肾脏KCC3a蛋白丰度上调,雌鼠则无变化,基线表达和mRNA水平相近。去睾可消除雄鼠上调,补5α-双氢睾酮仅部分恢复,卵巢切除不影响雌鼠反应,提示睾丸来源因子(非睾酮单独)参与雄性特异的代谢性碱中毒肾脏适应调控。

10月14日周三
  1. PubMed · Antimicrobial Agents and Chemotherapy

    肾脏病学:Population pharmacokinetics of piperacillin based on multicenter data to support model-informed precision dosing in critically ill women.

    原文摘录:Sex-specific differences in pharmacokinetics are increasingly recognized as clinically relevant, yet most population pharmacokinetic models for antibiotics have been developed in predominantly male populations with limited transferability to female patien … A female-specific population pharmacokinetic model of piperacillin was developed and externally validated, demonstrating robust predictive performance and clear benefits for Bayesian forecasting

10月7日周三
9月1日周二
  1. PubMed · Clinica Chimica Acta

    综述:用于急性肾损伤早诊与即时检测的电化学免疫传感器(KIM-1与NGAL)研究进展(Clinica Chimica Acta)

    本综述总结基于电化学免疫传感器检测急性肾损伤(AKI)生物标志物KIM-1和NGAL(可测于血清和尿液)的近期进展,并比较各传感器的检测限等分析性能。作者指出目前仍需进一步研究,开发能在临床诊断AKI中被广泛接受的最优传感器,尤其是面向早期和即时检测的应用。

6月30日周二