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Access to diagnosis and dialysis for acute kidney injury can be life-saving, but can be prohibitively expensive in low-income settings. The burden of acute kidney injury in sub-Saharan Africa is presumably high but remains unknown. The authors of this study did a systematic review to assess outcomes of acute kidney injury in sub-Saharan Africa and identify barriers to care.

Tuesday, 29 March 2016 12:33

The influence of diet on kidney stones Featured

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Having discussed the influence of lifestyle modification on prevention of chronic kidney disease in previous columns extensively, I will now turn my attention to its effect on prevention of kidney stones. Almost five percent of adults in the US suffer from kidney stones, with more than half having multiple recurrences. Patients end up in the emergency room experiencing agonizing pain and many undergo multiple procedures to remove them by lithotripsy or surgery.

This ISN Blog post is provided by Rezvi Sheriff at the Western Hospital, Sri Lanka following this year’s World Kidney Day celebrations.

Western Hospital in Borella, Sri Lanka conducted a special program to mark the 11th World Kidney Day on March 10, 2016.

Chronic Kidney Disease (CKD) is the fastest growing chronic non-communicable disease caused by modifiable lifestyle risk factors as discussed previously, CLICK HERE. It is important to highlight the effect of dietary habits on the onset and progression of CKD.

Rates of Chronic Kidney Disease vary considerably across Europe, from 3% to 17% of the population, and are increasing. Demand for kidneys almost always exceeds possible supply, and each country manages transplants differently. A new survey, being presented at the European Association of Urology (EAU) congress in Munich, has shown significant differences in the number of donor kidneys available in each country.

Comparing data from a range of registers, the EAU research found wide country to country variation. For example:

Russian Federation 3.3
Greece 4.2
Germany 10.4
Switzerland 14.3
Poland 15.5
The Netherlands 16.8
UK 20.6
Italy 22.7
France 25.3
Portugal 27.3
Croatia 35.1
Spain 35.7

All figures are 2014 figures. All figures are deceased donors per million population.

Although each country is very different, thse variations mainly depend on two factors, social attitude and perception of organ donation, and legislation. Most organs for transplantation come from brain-dead donors. In Spain for example, each citizen is a potential donor unless they 'opt-out' of the transplant scheme, whereas in Germany there is an 'opt-in' scheme. Some countries also allow donation from living donors, or from persons whose hearts have stopped. The number of organs from both these sources has been increasing.

As transplants becomes more mainstream, and rates of kidney failure are increasing, the demand for organs has increased quite significantly, and there is a general need for more organs to be available. At the moment, whether you can find a donor organ largely depends on where you live. If countries want to increase transplant rates, and so increase survival from kidney failure, they might consider changing the way they source donor organs.

Vellore, Tamil Nadu in southern India in January. Warm and pleasant, rather like a good English summer but the locals say it is a bit too chilly! I am glad January was chosen for my ISN Educational Ambassador visit to the Christian Medical College (CMC) – before the monsoon season and the seriously hot weather in the middle of the year.

According to the data released by The Center for Disease Control and Prevention (CDC) last week, the prevalence of obesity in the United States is at an all time high. Body Mass Index (BMI) is a metric used by organizations worldwide to define and classify severity of obesity.

The Royal Liverpool University has been working together with the Al Shifa hospital in Gaza since 2013. Read 'The Guardian' report of Salim, a member of the Liverpool team during their last visit to Gaza in February:

On February 25, ISN staff at the Brussels headquarters had the pleasure of meeting former ISN President prof. Robert Atkins (2001-2003), and his wife, prof. Prudence Hill, also involved in kidney medicine being a pathologist at University of Melbourne. 

It was a great opportunity to remember the time when ISN, thanks to prof. Atkins’ foresight, started to structure itself with the help of professional staff, and to compare past and present challenges and opportunities for the ISN. We certainly made some progress during the last two decades, but this is firmly anchored in past leadership’s wisdom and careful planning and commitment to advancing kidney care worldwide through a unique scientific and humanitarian Society.

We are grateful to prof. Atkins for having taken the time in his European trip to come and visit our Brussels office. 

 

ISN HQ Feb 2016 1

Prof. Robert Atkins and his wife, prof. Prudence Hill, from Melbourne, honor the Nephrology ship which was at the first World Congress of Nephrology in Evian, 1960

Earlier this January, several ISN Continuing Medical Education courses took place across China in Shanghai, Jiaxing and Hangzhou. These meetings were made possible thanks to a valuable partnership between the Mayo Clinic College of Medicine, Ruijin Hospital Jiao Tong University, Chang Zheng Hospital, the Second Military Medical University and the First Affiliated Hospital, Zhejiang University.

This blog post is provided by Anil Chandraker, Medical Director of Kidney and Pancreas Transplantation Brigham and Women’s Hospital and ISN Educational Ambassador Vanessa Bijol.

In the past two years The Renal Division and the Nephropathology Service at Brigham and Women's Hospital in Boston, Massachusetts has trained two ISN Fellows from Thailand in transplant nephrology and two from Nigeria and China in renal pathology.

The Kuwait Nephrology Association organized a two-day symposium and workshop on vascular access in Kuwait. The workshop was planned as an initiative by ISN’s Middle East Regional Board and the Interventional Nephrology Committee to improve dialysis access care in the Middle East.

This blog post is provided thanks to reports from Hui Kim Yap from the National University of Singapore and Yi Yi Khin from the Yangon Children's Hospital and Mandalay Children's Hospital. They both took part in ISN’s Educational Ambassador Program.

In January, ISN Educational Ambassador Hui Kim Yap visited Yangon Children Hospital, Myanmar to share expertise and knowledge. The course focused on dialysis, clinical nephrology, acute kidney injury, transplantation, with some specific educational training on lupus nephritis, nephrotic syndrome in children and managing chronic kidney disease.

I would like to introduce everyone to a free online patient education resource that has now been translated into 20 languages and has over 20 million hits - http://kidneyeducation.com/

A revised and updated English version, edited by Edgar Lerma, has now been digitized and is ready to be released.

This blog post is provided by the Saving Young Lives Initiative following the team's recent visit to Senegal.

 In December 2015, the Senegalese Society of Nephrology held its first course on dialysis in West Africa. More than 300 delegates attended this highly successful conference.

Tuesday, 12 January 2016 14:59

CKDu in Sri Lanka's population Featured

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On December 16, 2015, Georgi Abraham and I had the honor of being invited to discussions with Sri Lanka’s President Maithripala Sirisena, the country’s Minister of Health as well as the leadership of the Sri Lankan Society of Nephrology.

This blog post is provided by Kirill Komissarov at the Medical Academy of Postgraduate Education in Minsk, Belarus.

Fellows from the Charite Clinic University Clinic in Berlin, Germany spent a month with two fellows from the Minsk center thanks to an ISN Sister Renal Center partnership. Local medical professionals Aliaksandra Hashchuk is an intensivist and Volha Dybava is a nephrologist.

ISHD opening ceremonyThe 9th International Congress of the International Society for Hemodialysis (ISHD) was held from September 13 to 16, 2015 at the Kuala Lumpur Convention Centre, Malaysia.

Wednesday, 04 November 2015 10:26

Kidney International Reports announcement Featured

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It is with great pleasure that I announce the launch of ISN’s new Journal: Kidney International Reports (KI Reports). KI Reports is designed to be a sister journal of Kidney International published in open access format.

20150815140944 A26U1036The 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.

Thursday, 17 September 2015 16:38

CKD: has implications well beyond the risk of dialysis Featured

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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.”

onconephrology webCancer 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.

Monday, 20 July 2015 09:51

Meet our new ISN councillor from Turkey Featured

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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.

Monday, 18 May 2015 09:49

ISN–ASDIN Educational Partnership Featured

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ASDINISN 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.

science blog 2A 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.

kidneyISN 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.

Adib pioneerMembers 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).

Monday, 27 April 2015 11:00

ISN Sponsored AKI Symposium in Malawi Featured

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Team photo Malawi symposiumAt 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.

photo Bernadette and John webThe 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.

Monday, 06 April 2015 09:34

STOP THE KIDNEY DISEASE INITIATIVE Featured

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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.

Thursday, 26 February 2015 15:15

Kidney disease in Uganda Featured

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2014 PG343The 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.

Monday, 24 November 2014 15:58

Caring for kidney patients in Malawi Featured

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Nicolas centre with the dialysis unit nurses and support staffIn 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.

Monday, 03 November 2014 11:43

YNC is a growing community

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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

Monday, 18 August 2014 13:03

ISN returns to Myanmar for CME

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Ward rounds Myanmar JFBecause 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.

Thursday, 31 July 2014 10:16

KI impact factor grows in 2013 Featured

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KI journal cover Jan 2013Congratulations 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.

Wednesday, 23 April 2014 10:27

The evolving ISN structure: form follows function Featured

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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.

Monday, 14 April 2014 09:32

My World Kidney Day in Spain Featured

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David WKD 2014This 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.

Wednesday, 09 April 2014 10:18

Meet ISN Education Editor Tushar Vachharajani Featured

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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.

Monday, 24 March 2014 12:42

ISN - 'big daddy' for children and kidneys Featured

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Arpana IyengarIt 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.

Monday, 10 March 2014 10:56

Steps towards better renal care in India Featured

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Remuzzi india webMy 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.


Monday, 03 March 2014 09:11

Chronic Kidney Disease in Tanzania Featured

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Photo StaniferThanks in large part to an ISN Research and Prevention grant, we are learning about many important aspects of Chronic Kidney Disease (CKD) in Tanzania.

Friday, 21 February 2014 12:37

The importance of being a champion Featured

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ISNblogWhen 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.

Monday, 16 December 2013 10:22

Syria - nephrology in crisis Featured

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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.

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