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Ottawa Nephrology
Canada
Registrace 17. 12. 2020
CZcams channel for presentations at the Nephrology Grand Rounds at the University of Ottawa.
This will feature select presentations from the grand rounds, and are meant for educational purposes alone.
This will feature select presentations from the grand rounds, and are meant for educational purposes alone.
Hyponatremia Correction with Dr Harish Seethapathy
Learning Objectives:
Deeply explore the evidence supporting the current guidelines for correction rates in hyponatremia
Recognize the implications and potential adverse effects associated with various correction rates
Dr. Harish Seethapathy is a Clinician-Educator in the Division of Nephrology at Massachusetts General Hospital and an Assistant Professor of Medicine at Harvard Medical School in Boston, MA. His research interests include hyponatremia, glomerular disease and onconephrology. He is one of the Program Directors for the GlomCon Fellowship. He was co-chair of the Education Committee for the American Society of Onconephrology (2022 & 2023). He enjoys teaching students, residents & fellows and serves as the Director of Education for the BWH/MGH Nephrology Fellowship Program. He also serves as the Curriculum Advisor for the Core-I Clerkship at Harvard Medical School
Deeply explore the evidence supporting the current guidelines for correction rates in hyponatremia
Recognize the implications and potential adverse effects associated with various correction rates
Dr. Harish Seethapathy is a Clinician-Educator in the Division of Nephrology at Massachusetts General Hospital and an Assistant Professor of Medicine at Harvard Medical School in Boston, MA. His research interests include hyponatremia, glomerular disease and onconephrology. He is one of the Program Directors for the GlomCon Fellowship. He was co-chair of the Education Committee for the American Society of Onconephrology (2022 & 2023). He enjoys teaching students, residents & fellows and serves as the Director of Education for the BWH/MGH Nephrology Fellowship Program. He also serves as the Curriculum Advisor for the Core-I Clerkship at Harvard Medical School
zhlédnutí: 399
Video
RCTs of Dietary Interventions in CKD with Dr Dylan MacKay
zhlédnutí 166Před 14 dny
Learning Objectives: At the end of this session, participants will be able to: Explain why we need more RCTs in nutrition and CKD. Describe how the potential renal acid load equation can be used to “dose” fruit and vegetables intake for metabolic acidosis. Consider that all source of dietary potassium are not equal in terms of impact on blood potassium concentrations. Dr. Dylan MacKay, PhD is a...
Personalized Risk-based management of IgA Nephropathy
zhlédnutí 246Před 21 dnem
Learning Objectives: To review population-level data on the incidence of GN, the risk of cardiovascular disease and the risk of infections To describe personalized risk stratification in IgAN and the use of proteinuria as a surrogate outcome in IgAN Dr. Sean Barbour Bio: I completed my internal medicine and nephrology training at the University of British Columbia (BC) in 2010. I subsequently d...
Oral Anticoagulation for Atrial Fibrillation in Dialysis with Ziv Harel
zhlédnutí 379Před 28 dny
Learning Objectives: To highlight why managing atrial fibrillation is important and discuss its epidemiology in patients receiving dialysis. To demonstrate that equipoise exists in the current management strategies for atrial fibrillation in patients receiving dialysis. To describe the results of a pilot trial comparing different anticoagulation strategies in atrial fibrillation patients receiv...
Rare Genetic Variants to Kidney Disease with Dr Alex Chang
zhlédnutí 135Před měsícem
Learning Objectives: Describe the genotypic and phenotypic spectrum of ADPKD Improve recognition of potentially undiagnosed Alport Syndrome in patients with hematuria and proteinuric kidney disease Understand differences in prevalence and severity of genetic kidney diseases in the general population vs. disease-focused cohorts As a physician-scientist, practicing nephrologist, and acting co-Dir...
Frailty Assessment in CKD with Dr Andrew Nixon
zhlédnutí 208Před měsícem
Dr. Andrew Nixon is a Consultant Nephrologist and Supportive Care Lead in the Department of Renal Medicine, Lancashire Teaching Hospitals NHS Foundation Trust and Honorary Lecturer at the University of Manchester, UK. Andy graduated in 2009 from the University of Edinburgh. He was awarded a PhD by the University of Manchester in 2021 for his thesis: ‘Frailty Assessment and Intervention in Chron...
Acute Kidney Injury Risk Classification and Phenotyping, with Dr Javier Neyra
zhlédnutí 468Před 2 měsíci
Dr. Javier Neyra graduated from the Universidad Peruana Cayetano Heredia Medical School in Lima, Peru (MD degree), and completed postgraduate training in Internal Medicine at Henry Ford Hospital (Detroit, Michigan) and in Nephrology and Clinical Research (Master of Science in Clinical Sciences) at UT Southwestern Medical Center (Dallas, Texas). After serving on the Faculty as Director of Critic...
Estimating GFR: Facts and Fiction with Dr Pierre Delanaye
zhlédnutí 540Před 2 měsíci
Dr. Pierre Delanaye, MD, PhD 50 years old, who is working at the University Hospital of Liège in Belgium. His daily practice is the care of dialysis patients (acute and chronic). His topics of research are: estimating and measuring GFR, definition and epidemiology of CKD, frailty in dialysis patients, CKD-MBD biomarkers Learning Objectives: how estimating GFR in 2024 ? Limitations of estim...
Obesity in the Patient with CKD: Mechanisms to Management with Dr Evan Zeitler
zhlédnutí 386Před 3 měsíci
Dr. Evan Zeitler is a nephrologist-scientist interested in better understanding the mechanisms underpinning the effects of obesity on the kidney. His work focuses on understanding how kidney cell metabolism changes in response to high caloric intake and increased adiposity, with the hopes of discovering new pathways involved in the development of obesity related kidney disease. He is a practici...
The Aging Kidney with Dr Andrew Rule
zhlédnutí 579Před 3 měsíci
Dr. Andrew Rule After receiving his B.S. in Bioengineering and his M.D. from University of Washington in 1999, Dr. Andrew Rule completed residency in internal medicine and fellowship in nephrology at the Mayo Clinic in 2006. He subsequently stayed on staff at the Mayo Clinic as an academic nephrologist. His early career was launched with several seminal contributions in estimating glomerular fi...
Urinary Sediment Microscopy for Kidney Disease Diagnosis with Dr JC Velez
zhlédnutí 522Před 3 měsíci
Urinary Sediment Microscopy for Kidney Disease Diagnosis with Dr JC Velez
Hepatorenal Syndrome with Dr Juan Carlos Velez
zhlédnutí 833Před 3 měsíci
Dr. Juan Carlos Q. Velez earned a medical degree from Universidad Peruana Cayetano Heredia in Lima, Peru. He completed residency in Internal Medicine at Advocate Illinois Masonic Medical Center in Chicago, and a clinical and research fellowship in Nephrology at Emory University in Atlanta. Following his training, he joined the Division of Nephrology at the Medical University of South Carolina w...
Dialysate Bicarbonate Concentration: A Tricky Balancing Act, with Dr Amber Molnar
zhlédnutí 427Před 4 měsíci
Dr. Amber Molnar is a Nephrologist at St. Joseph’s Healthcare Hamilton. She is an Associate Professor with the Department of Medicine, Division of Nephrology at McMaster University and holds a cross appointment with the Department of Health Research Methods, Evidence and Impact. She received her MD at the University of Saskatchewan and completed Internal Medicine training at Western University....
Pitfalls and Promise of Alerts for AKI and Beyond, with Dr Perry Wilson
zhlédnutí 250Před 4 měsíci
Dr. Wilson is an Associate Professor of Medicine and Public Health at Yale University and Director of Yale's Clinical and Translational Research Accelerator, a multi-disciplinary human subject's research collaborative. Dr. Wilson uses the tools of data science - machine learning, digital health devices (like wearables) and epidemiologic and translational research methods to target diagnostic an...
Dialysis Access with Dr Fawad Qureshi, Mayo Clinic
zhlédnutí 663Před 4 měsíci
Dr. Qureshi, a consultant in Nephrology and Hypertension at Mayo Clinic, Rochester, completed his medical education at Dow University, Karachi, Pakistan. With residencies in internal medicine and training in nephrology, transplant nephrology, and critical care from the University of Minnesota and Mayo Clinic, he holds certification as an interventional nephrologist by the American Society of Di...
Kidney Biopsies in Deceased Donors: Friend or Foe? Dr S. Ali Husain
zhlédnutí 250Před 5 měsíci
Kidney Biopsies in Deceased Donors: Friend or Foe? Dr S. Ali Husain
The Four Pillars of Managing Diabetic Kidney Disease with Dr Brendon Neuen
zhlédnutí 1,9KPřed 6 měsíci
The Four Pillars of Managing Diabetic Kidney Disease with Dr Brendon Neuen
One Day Kidney Donor Evaluation, with Dr Bugeja
zhlédnutí 150Před 6 měsíci
One Day Kidney Donor Evaluation, with Dr Bugeja
Revisiting Aldosterone: New Perspectives on Hypertension & Cardiorenal Health with Dr. J. Brian Byrd
zhlédnutí 834Před 7 měsíci
Revisiting Aldosterone: New Perspectives on Hypertension & Cardiorenal Health with Dr. J. Brian Byrd
Patient Decision Support in Chronic Kidney Disease with Dr Meghan Elliott
zhlédnutí 285Před 7 měsíci
Patient Decision Support in Chronic Kidney Disease with Dr Meghan Elliott
Non-adherence in Hypertension with Dr Indranil Dasgupta
zhlédnutí 276Před 8 měsíci
Non-adherence in Hypertension with Dr Indranil Dasgupta
Patient Reported Outcomes: Strategies for use in Dialysis with Prof Kara Schick-Makaroff
zhlédnutí 161Před 9 měsíci
Patient Reported Outcomes: Strategies for use in Dialysis with Prof Kara Schick-Makaroff
Update on Membranous Nephropathy with Dr Tiffany Caza
zhlédnutí 1,2KPřed 9 měsíci
Update on Membranous Nephropathy with Dr Tiffany Caza
Improving Fluid Balance in Severe AKI with Dr William Beaubien-Souligny
zhlédnutí 1,4KPřed rokem
Improving Fluid Balance in Severe AKI with Dr William Beaubien-Souligny
ANCA-associated GN: the Known and the Unknowns with Dr Andreas Kronbichler
zhlédnutí 1,8KPřed rokem
ANCA-associated GN: the Known and the Unknowns with Dr Andreas Kronbichler
Hypertension in Polycystic Kidney Disease: Dr Dominique Guerrot
zhlédnutí 946Před rokem
Hypertension in Polycystic Kidney Disease: Dr Dominique Guerrot
Home Dialysis is just not Peritoneal Dialysis
zhlédnutí 608Před rokem
Home Dialysis is just not Peritoneal Dialysis
The neurological complications of acute- and chronic kidney disease with Dr Gord Boyd
zhlédnutí 876Před rokem
The neurological complications of acute- and chronic kidney disease with Dr Gord Boyd
Thrombotic Microangiopathy - Unraveling the Genetics with Dr Anuja Java
zhlédnutí 1,8KPřed rokem
Thrombotic Microangiopathy - Unraveling the Genetics with Dr Anuja Java
AFIB has been on the rise globally. A huge jump in cases of AFIB across the globe was in the year 2020. G5 began to deploy in 2018 and world wide in 2019 In 2020 , G5 is in every hands of cell phone owners. AFIB rates have surged worldwide, notably spiking in 2020 alongside the widespread deployment of G5 technology. This significant increase in AFIB could indicate a potential correlation between the two. Either that or it might be my gas station sushi I had last night.
👍🏻👍🏻👍🏻👍🏻👍🏻👍🏻👍🏻👍🏻👍🏻
Excellent talk on a difficult topic
Super !!! 👏🏻👏🏻👏🏻👏🏻
very bad explanation
🤷 'PromoSM'
excellent presentation
morbidly obese with BMI >40 - feel femoral has multiple issues - just going to be moist once the pannus falls back on the catheter post placement, more issues with kinking and need to keep the leg straight. agree planning for a future access but no one size fits all. More obese - more likely IJ
Sorry my question is it convenient to remove temporary line and insert permcath during bactreamia? As our center refused until culture becomes negative
Long term use of Ace inhibitors cause severe damage to the kidneys as shown in a recent study, especially when already hypoxic. Most women are asymptomatic in the more common XLAS, so the risk of Ace inhibitor damage is probably much higher than potential benefit in that group. Since at birth the basement membranes use a different fetal collagen 112 network, not only in Alport disease, I wonder if those are just more susceptible to iron like in other fetal/nonfetal cell diseases. 21:16 indeed she just said it. Yep, serum iron reduces collagen production, so presumably in particular a1a1a2, and increases MMP: Effect of free iron on collagen synthesis, cell proliferation and MMP-2 expression in rat hepatic stellate cells, 2002 17:44 this bell curve is much too wide. The 95% confidence interval is at most 40-60% for x inactivation at 100-200 embryo cells, which should hold also at tissue level. So the right side is very rare. 29:48 to update recommendations based on a handful of patients is absolutely ridiculous, in particular when it involves a very mild form of the disease that wasn't even included in the trial. I thought panels always scream for more data. The non randomized arm with slightly larger numbers did not even show a statistically significant difference, and an endpoint of proteinuria is hardly what matters 34:40 people should really be told that you should not exercise 48 hours before a proteinuria test. I believe the recommendation is 24h. Exercise dramatically raises protein in urine many fold even after 30 hours. 39:53 bardoxolene basically is just a patentable version of oleanic acid (olive oil). The trial was successful increasing egfr. Yet the fda wanted to 'see more data' and denied drug app. Oleanic acid also activates nrf2, and has been shown before to improve ckd. So this seems to work pretty well then, olive oil that is, in Alport. A similar compound was shown to reduce fibrosis, and bardoxolene was shown to improve pulmonary hypertension in connective tissue disease. 41:33 more patients were actually dropped because of elevated liver tests. These, like proteinuria, can be elevated, for over a week after exercise so maybe the people on the trial just felt better and worked out. The patients with more complications were in the placebo group.
I am 41years old. My gfr is 84. My urine is very foamy. My dna report shows homozygous variants on my col4a4 gene. My doctor said i have no blood or protein in my urine
Can SGLT2i be used for patients with minimal change disease using cyclosporine?
Thank you very much excellent comprehensive lecture
Thank you for this excellent talk❤
Very informative. Thank you!
Sean go book Julia help
Excellent work
I am afraid of neurological damage due to dialysis Please help
👌 "Promo SM"
Sir i am suffering by alport syndrome since childhood I am 19 now I had by kidney transplant 1.6 years ago and i am fine now After my transplant my hearing loss is decreased from 62% to 53% and i wear specs now
With Rituximab treatment will follow C/D 19 count or serum IgG levels and when to replace
Aza or MMF for maintenance if Rituximab not available
Other B cell depletion therapy like Benlysta or obitunuzumab in vasculitis and atacicept or telitacicept
Effect of avacopan on ANCA titer
CKD stage 4 creatinine levels 3.25
Does risk of tma recurrence increase in patient with related live donor transplant ?
Very good class …
💘 pքɾօʍօʂʍ
Is there a role of S/V in HFpEF? Does it reduces weight on starting s/v via natriuresis?
So you're saying SGLT2 is Good for the Kidneys ??????
Yes, for chronic kidney disease.
I am a transplanted person who has had covid late December 21, would I now have natural immunity
yes you would have an element of natural immunity - but natural immunity is not durable (ie wanes with time) and may not be protective to all variants out there.
Great TALK!!!
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