經過了多種版本的修改，雖然我都用calculator，但是還是把它給整理一下
MDRD公式（四變項）：186 x Cr-1.154 x年紀-0.203 (若黑人x 1.21、日本人x0.742，若女生x0.762)
→IDSM MDRD公式（四變項）：175 x Cr-1.154 x年紀-0.203 (若黑人x 1.21、日本人x0.742，若女生x0.762)
我看diovan還是CV的最愛
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這期NEJM又發表了大型的RCT，旨在評估heart failure LVEF>45%之年老(age>60)患者使用irbesartan(Aprovel)對於CV與整體outcome之影響。結果沒差，所以aprovel應該不是CV的好朋友啦！
詳見
Irbesartan in Patients with Heart Failure and Preserved Ejection Fraction
詳見
Irbesartan in Patients with Heart Failure and Preserved Ejection Fraction
看來本科還是小科咧
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本科最大本的竟然是JASN，impact factor看來只比journal of sex medicine高一點點而已。(見下順序)。若要比起circulation, JACC, gastroenterology, blood, JCO, ann rev of antimicrob, AJRCC, diabetes, immunology, 當然是有輸沒贏。可見本科的學術產值相對而言有一定的弱勢。所以，要投的話當然一定要投The Tecnal，impact factor只有26.638而已，直接超過以上所有的廢材，如果上一篇可能抵人家好幾篇啊！不過話說回來，難怪有些老師肖想NEJM很久了，畢竟人家是impact factor 52.589的高等生啊！！！
J AM SOC NEPHROL 7.111
J SEX MED 6.199
EUR UROL 5.634
KIDNEY INT 4.922
NAT CLIN PRACT NEPHR 4.764
AM J PHYSIOL-RENAL 4.416
CURR OPIN NEPHROL HY 4.146
AM J KIDNEY DIS 3.981
NEPHROL DIAL TRANSPL 3.167
SEMIN DIALYSIS 2.606
CLIN J AM SOC NEPHRO 2.236
AM J NEPHROL 2.182
PERITON DIALYSIS INT 1.995
PEDIATR NEPHROL 1.936
CONTRIB NEPHROL 1.926
SEMIN NEPHROL 1.869
BLOOD PURIFICAT 1.822
NEPHRON EXP NEPHROL 1.675
ASIAN J ANDROL 1.609
ADV CHRONIC KIDNEY D 1.577
J RENAL NUTR 1.565
NEPHRON PHYSIOL 1.539
NEPHRON CLIN PRACT 1.535
CLIN NEPHROL 1.320
NEPHROLOGY 1.241
THER APHER DIAL 1.225
J NEPHROL 1.138
KIDNEY BLOOD PRESS R 1.092
RENAL FAILURE 0.623
NEFROLOGIA 0.516
INT UROL NEPHROL 0.482
DIALYSIS TRANSPLANT 0.161
J AM SOC NEPHROL 7.111
J SEX MED 6.199
EUR UROL 5.634
KIDNEY INT 4.922
NAT CLIN PRACT NEPHR 4.764
AM J PHYSIOL-RENAL 4.416
CURR OPIN NEPHROL HY 4.146
AM J KIDNEY DIS 3.981
NEPHROL DIAL TRANSPL 3.167
SEMIN DIALYSIS 2.606
CLIN J AM SOC NEPHRO 2.236
AM J NEPHROL 2.182
PERITON DIALYSIS INT 1.995
PEDIATR NEPHROL 1.936
CONTRIB NEPHROL 1.926
SEMIN NEPHROL 1.869
BLOOD PURIFICAT 1.822
NEPHRON EXP NEPHROL 1.675
ASIAN J ANDROL 1.609
ADV CHRONIC KIDNEY D 1.577
J RENAL NUTR 1.565
NEPHRON PHYSIOL 1.539
NEPHRON CLIN PRACT 1.535
CLIN NEPHROL 1.320
NEPHROLOGY 1.241
THER APHER DIAL 1.225
J NEPHROL 1.138
KIDNEY BLOOD PRESS R 1.092
RENAL FAILURE 0.623
NEFROLOGIA 0.516
INT UROL NEPHROL 0.482
DIALYSIS TRANSPLANT 0.161