The global growth of Chronic Kidney Disease (CKD) patients has resulted in an increasing number surviving on renal replacement therapy. Hemodialysis remains a predominant form of renal replacement therapy. Providing optimal dialysis vascular access care remains a challenging task.
Kidney disease does affect 1:10 adults. It is defined as: “abnormalities of kidney structure and/or function present for greater than three months, with implications for health.”
Cancer is one of the leading causes of death and is rapidly becoming a global pandemic. Cancer patients with kidney disease have a worse prognosis with higher mortality and morbidity.
Last March during the World Congress of Nephrology in South Africa, you voted for the new members of the ISN Council, ISN’s governing body.
ISN and the American Society of Diagnostic and Interventional Nephrology (ASDIN) have entered into an educational partnership agreement to promote and improve the understanding and management of clinical issues concerning dialysis access care.
A couple of weeks ago, when a mail inviting me to contribute to the ISN blog landed in my inbox, I instinctively hit the delete button. After all, is my life not already too busy? There are grant applications and manuscripts to write and review, PhD theses to pore over, classes to take, presentations and question papers to prepare, patients to see, manage an office, lab meetings to supervise, research consortia to manage, and meetings to go to. And after all, how useful is a blog compared to these very important activities?
Even though the mail was out of my sight but not completely out of my mind. My conscience was jolted further when my son, a master’s student, sent me a link to this story.
ISN leaders Giuseppe Remuzzi, Guillermo Garcia Garcia and Motoko Yanagita have got involved in translating valuable educational material into Italian, Spanish and Japanese. This resource was released on World Kidney Day 2015 to show support for the overall theme for this year’s campaign: Kidney Health for All.
Members of our unit at Westmead Hospital, Sydney (Australia) have just returned from a four day-day visit to the Sindh Institute of Urology and Transplantation (SIUT) in Karachi (India).
At the end of March this year, following on from the World Congress of Nephrology (WCN) in Cape Town, we held an Acute Kidney Injury (AKI) symposium in Blantyre, Malawi. This was attended by 100 delegates (nurses, clinical officers and doctors) who work in hospitals and health centers around the Central and Southern region of Malawi.
The 10th Conference on Kidney Disease in Disadvantaged Populations was held from March 17 to 18, 2015 in Cape Town, South Africa as a satellite symposium following the ISN World Congress of Nephrology 2015. As part of the symposium, a moderated panel discussion on research development for young investigators working in low-resource, global health settings was held on March 17, 2015.
STOP is an acronym for Stop the Obesity Pandemic. Obesity seems to be an independent risk factor in onset and progression of CKD. Furthermore it should be considered the most important root cause of CKD.
We provide evidence based information to educate general population regarding the beneficial effect of exercise on the following the onset of CKD and slowing its progression, the effect on quality of life and co-morbid conditions in patients with kidney disease and decreased mortality in different stages of kidney disease.
STOP is an acronym for Stop the Obesity Pandemic Metabolic Syndrome, a condition resulting from energy imbalance is a very common public health problem.
Stop Kidney Disease Initiative intends to help prevent Chronic Kidney Disease (CKD) and End Stage Renal Disease (ESRD) in people. Addressing lifestyle behaviors like exercise and diet to combat obesity, diabetes mellitus and hypertension should help prevent kidney disease in majority of patients.
The recently concluded World Congress of Nephrology in Cape Town was by all accounts a resounding success. The opening ceremony was fabulous with great interactive entertainment and fantastic inspiring addressees by Archbishop Emeritus Desmond Tutu and Editor of the Lancet Richard Horton.
The developing countries of sub-Saharan Africa are under threat by an emerging epidemic of kidney disease. Populations are no longer solely affected by ‘diseases of poverty’ such as HIV/TB/malaria but also ‘diseases of affluence’ such as diabetes and hypertension.
In July 2014, a new hemodialysis unit opened in Blantyre, Malawi. Blantyre is in southern Malawi, not far from the border with Mozambique. With a population of over 600,000 it is the country’s second biggest city behind the capital Lilongwe, and is a major financial centre. Queen Elizabeth Central Hospital (QECH) is a tertiary referral centre for the entire Southern region in Malawi with over 1000 inpatient beds. There are around 30 medical admissions per day with over 200 general medical inpatients. The burden of kidney disease in both medical and non-medical patients is large.
As Chair of the ISN Young Nephrologists Committee (YNC), I'm pleased to announce that our online community has grown to over 2000 members.
As one of ISN leaders involved in the ISN 0by25 Initiative, I want to talk to you about a far-reaching project called the ISN 0by25 Global Snapshot, which is one of the current core activities of the ISN 0by25 Initiative.
Because of previous political restrictions, this was the first ISN visit to Myanmar since the late 1990s when a number of visits were made involving senior ISN leaders (including Clarkson, Dirks, Schrier, Atkins and Kerr). During the restrictions, healthcare spending was severely restricted (1.5% of GDP). There has now been significant change with the arrival of the new government. Healthcare expenditure is growing and it is expected to reach 5% of GDP in the next two to three years.
Congratulations to Detlef Schlondorff and his team at Kidney International (KI) for the continued success of ISN’s flagship journal. The 2013 impact factor for Kidney International has risen by almost 10% on last year to 8.520.
My interview with Headquarters magazine, a publication featuring large meeting organizers and associations, was recently published. It contains a lot of facts and praise about how ISN is structured and about the staff that makes our programs tick, so I thought you would be interested.
Here is the link to the magazine, the interview is on page 7.
ISN is a global organization with many ‘moving parts’, and has organically grown over the last 50 years. With the changing needs of the nephrology community, technical and economic advances around the world, ISN has recognized the importance of improving our ability to hear the advice, concerns and opportunities from all regions of the world.
This year's World Kidney Day was an incredible experience for me in many ways. It was the first time that it meant so much because I was selected as a champion of the event and asked to write a chronicle about what the day meant here in Spain.
In between clicks, I sat down with ISN News to talk about the great pool of resources that ISN Education has become and looked at what is coming up for the future. The full interview is also available in the February 2014 edition of ISN News, CLICK HERE.
It all began with a bang in Bangalore, thanks to ISN. The Children’s Kidney Care Center at St John’s Medical College Hospital became sister center to Montreal Children’s Hospital, Canada. The vision was in place, the mission ready, borders to cross and boundaries to erase. Today, the partnership reflects the glory and pride of a far-fetched dream that turned into reality for children and their kidneys.
A successful World Kidney Day screening event was held at the Kilimanjaro Christian Medical Center (KCMC) in Moshi, Tanzania.
My latest trip as ISN President took me to India, where I visited nephrology renal centers in Bangalore and Chennai. I discovered more about local facilities and progress being made to improve care - especially in pediatrics.
Thanks in large part to an ISN Research and Prevention grant, we are learning about many important aspects of Chronic Kidney Disease (CKD) in Tanzania.
When the World Kidney Day team contacted me a few months ago, I was stunned. They wanted me to be a World Kidney Day champion! As a Chronic Kidney Disease (CKD) patient I understood the importance of the task very well, and when the ISN Blog asked me to write something I knew perfectly what I wanted to tell.
I was recently adjourned by John Feehally - who had a mail exchange with fellow nephrologists from Syria - about the desperate and tragic situation in the country. We have all seen the news broadcasts that describe the terrible consequences of a war that does not seem to come to an end.
Yesterday I was asked to consult on a young boy of 20 who has chronic kidney disease and has been on hemodialysis for a few months. Why do I tell this, you may wonder? The point is that this guy is in jail, and I went to visit him there, Regina Coeli, an old prison in Rome.
The role of peritoneal dialysis (PD) to treat patients with acute kidney injury (AKI) is currently being re-examined. This has occurred for several reasons.
The first world treatment of multiple organ failure in a neonatal patient of 3 Kg was carried out in Vicenza Italy, with an innovative equipment called CARPEDIEM (Cardio Renal Pediatric Dialysis Emergency machine).
The UN High-Level Panel on the Post-2015 Development Agenda recently released its report (CLICK HERE), which identifies reducing the burden of non-communicable diseases (NCDs) as priority.
At the request of Zhihong Liu, President of the Chinese Society of Nephrology (CSN), I was invited to give the opening plenary lecture at the CSN, held in Fuzhou, China.
I also gave a introduction about ISN, including our focus program, 0 by 25, at the start of the session.
Last week I went to South America, and I was in Bolivia and Chile. In Santiago, I met Luis Fernando Michea, at the Chronic Kidney Disease Research Center (CKDRC).
I had the great honor to participate, as one of the invited speakers, in the recent ISN Forefronts meeting on “Stem Cells and Kidney Regeneration” which was held September 12–15,2013 in beautiful Florence, Italy.
This summer, the Saving Young Lives project organized its first training session in Ghana, both in the centers of Accra and Kumasi.
This was a well-organized outstanding meeting on a timely topic: The role of stem cells and kidney regeneration. Virtually all invited speakers were carefully selected outstanding scientists from all over the world, who represented a well balanced cross-section of the field.
A remarkable ISN Forefronts Symposium entitled, “Stem Cells and Kidney Regeneration”, was held in Florence, Italy, from September 12 to 15, 2013. The speakers were assembled worldwide from laboratories and clinics in the forefront of research extending from very basic investigations to clinical trials.
Florence was the venue for the most recent ISN Forefronts Symposium which focussed on Stem Cells and Kidney Regeneration. Organized by Professors Paola Romagnani and Benjamin Humphreys, leaders in the field from both Italy and the US, the meeting opened with seminal presentations about the processes of reprogramming and regeneration across all species as well as an illustration of the specialized behavior of tissue stem cells in the context of the skeletal muscle.
This must have been the fourth time that I attended the ISN Forefronts Meeting. Once again, this focused meeting on Stem Cells and Kidney Regeneration thrilled its participants with cutting edge science.
During my recent trip to China, I had the opportunity to visit the Renal Division of the Peking University First Hospital, in Beijing which is headed by Prof. Haiyan Wang.
ISN is partnering with ANIO (American Nephrologists of Indian Origin) and other nephrologists of the Indian diaspora to develop projects which will help to create step changes in Indian nephrology through training, education, and capacity building.
From April 12 to 14, 2013, I was in Doha, Qatar, taking part in a meeting of the Declaration of Istanbul Custodian Group (DICG) to celebrate the 5th anniversary of the Declaration of Istanbul (DOI), and the Doha Donation Accord. I co-chaired this meeting with Jeremy Chapman, representing the ISN and The Transplant Society respectively.
The weather contrasts continue to challenge me as I decide what I need in the suitcase for the next trip. The UK Renal Association meeting on the wintry south coast of England, and then a CME in Upper Egypt, complete with two incredibly hot (for a Brit) days and a sandstorm!
Another of those temperature changes which I have got used to as ISN President. It was 3C° when I left home in England and 30 degrees warmer when I arrived in Accra, Ghana for the biennial AFRAN (African Association of Nephrology) Congress, February 20-23, 2013.
I recently returned from an inspiring trip to India. The complexity of medicine presented to me at the Madras Medical College was highly challenging and the fellows were outstanding. Articulate and knowledgeable and a credit to the Indian training systems.
Worldwide, acute kidney injury (AKI) is now well recognized to be associated with poor patient outcomes including mortality, development of chronic kidney disease and increased resource utilization. While this knowledge has generated considerable interest and led to significant advances in defining the pathophysiology and underlying mechanisms, there is still considerable lack of understanding of the condition among physicians, allied personnel and the lay public.
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