ISNews MEET EXCERPTS NEW IN NEPHRO NEPHRO DECLARATION OF GENEVA Trends & Traditions SCIENTIFIC PROGRAM RESEARCH STUDY WORKSHOP

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1 An Official Publication of the Indian Society of Nephrology ISNews Trends & Traditions ISSUE-II NEPHRO MEET NEW IN NEPHRO RESEARCH STUDY WORKSHOP EXCERPTS 2017 WORLD MEDICAL ASSOCIATION DECLARATION OF GENEVA TH ANNUAL CONFERENCE OF INDIAN SOCIETY OF NEPHROLOGY 2017 SCIENTIFIC PROGRAM

2 In metabolic acidosis, early drug release may cause dose dumping in the stomach and adverse drug effects.* * JPP 2007,59: Introducing BLOATING Delayed Release ph specif ic Gastro Sparing Formulation ph BURPING BELCHING Sodium Bicarbonate Enteric Coated Tablets 500 mg Neutralize with Precision COMPACT, CONVEX tablets or better compliance For the use of Registered Medical Practitioner or a Hospital or a Laboratory only An Official Publication of the Indian Society of Nephrology ISNews Published on behalf of the Indian Society of Nephrology by PROMEDICA New Delhi Mumbai USA. info@promedica.co.in., Disclaimer: ISNews is an educational newsletter service depicting current information in the field of Nephrology and published by Promedica Health Communication Pvt. Ltd. The information presented in ISNews is for educational purposes only and exclusively for use of registered medical practitioners. 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3 ISN Leadership Governing Body President Dr. Vijay Kher Immediate Past President Dr. Pradeep Deshpande President-Elect Dr. Chakko Jacob Vice-President Dr. H.S. Kohli Hon.Secretary Prof. Dr. Narayan Prasad Treasurer Dr. Santosh Varughese Executive Members Dr. Sanjay Kumar Agarwal Dr. Manish Rathi Dr. Sree Bhushan Raju Zonal Members Dr. K.C. Gurudev (South Zone) Dr. D.S Chafekar (West Zone) Dr. D.S. Ray (East Zone) Dr. Ashwini Gupta (North Zone) Ex. Officio Members Prof. Sanjay Kumar Agarwal Editor, Indian Journal of Nephrology Dr. Pradeep Deshpande, Chairman, Credential Committee Dr. M.M. Rajapurkar, Chairman, Scientific Committee Organizing Secretary (ISNCON 2017) Credentials Committee Chairman Dr. Pradeep Deshpande, Hyderabad Members Dr. Georgi Abraham, Chennai Dr. P.P Varma, New Delhi Dr. Umesh Khanna, Mumbai Dr. Jayant Basu, Kolkata Member, IJN Editor Dr. SK Agarwal, New Delhi Convenor Secretary, ISN Prof. Dr. Narayan Prasad, Lucknow Scientific Committee Chairman Dr. MM Rajapurkar, Nadiad Members Dr. Vivekanand Jha, Chandigarh Dr. Sandeep Mahajan, New Delhi Dr. N Gopalkrishanan, Chennai Dr. Sampath Kumar, Madurai Dr. Arpita Roy Chaudhary, Kolkata Dr. Om Kumar, Patna Dr. Tarun Jeloka, Pune Convenor Secretary, ISN Prof. Dr. Narayan Prasad, Lucknow Message from the President Dear Friends, It has been about nine months of serving the society as the President of ISN and I am connecting with you to inform you about some of the developments which I am sure are important to each one of you. It is a matter of great pride and delight to inform you that Prof. Vivekanand Jha has been elected as the President-elect of Int.SN. He will be the President I, on behalf of all of you, congratulate him on this monumental elevation, first ever, for an Indian. He has made all of us very proud. We wish him well. Indian Society of Nephrology (IndSN) had an Exhibition stall in the World Nephrology Village at the World Congress of Nephrology (WCN) at Mexico City. I am pleased to inform you that our stall was very popular, visited by more than 500 delegates from rest of the world. IndSN participated for the first time and every member of the Ind. SN who attended WCN did feel great coming every day to their own stall to meet and chat with everyone else. I take this opportunity to thank Mr. Yogesh Puri of Steadfast to have helped us put up a nice show at Mexico City. It was a window for us to showcase IndSN to others and I am sure we will improve with time. We have lost three doyens of Indian Society of Nephrology Prof. Kirpal Singh Chugh, Prof. S.N.A Rizvi and Dr. Ramdas Pisharody recently. Prof. Chugh had been an inspiring leader of the Society who put Indian Society of Nephrology on International platforms. Dr. S.N.A Rizvi was head of Nephrology at Maulana Azad Medical College, New Delhi & worked on bone mineral disease in CKD passionately. Indian Society of Nephrology pays tribute to them and will miss them. Dr. Mohan Rajapurkar and the scientific committee team of IndSN held a very successful research training methodology workshop recently in New Delhi for DNB students. All attendees were very pleased with the effort. I compliment him and his team for this new initiative. I have initiated a proposal to the Govt. of India for a partnership between Indian Society of Nephrology with Govt. of India for preventive and curative aspects of kidney disease. I do hope it will materialize & fructify sooner than later. We need continued advocacy with the Government. The preparations for our annual conference ISNCON 2017 from 14 th -17 th Dec 2017 at Aerocity, New Delhi, hosted by Delhi Nephrology Society, are going on with great enthusiasm. This is an era of communication through social media and I am pleased to inform you that ISNCON 2017 is also being promoted on Twitter/Facebook. Indian Society of Nephrology has a social media taskforce, which is predominated, to a large extent, by Indians and they are doing a commendable job of promoting ISN education and other activities on the social media #SoMe. Mumbai Nephrology Group led by Dr. Umesh Khanna and his team has used this medium #SoMe extremely well for promoting AVATAR, which was held earlier in Goa. I have requested the ISN social media task force led by Dr. Arvind Canchi and his team to promote ISNCON 2017 on social media and I would request all of you to connect with them on Twitter. Members may register on Twitter to remain connected. This seems to be a modern and quick method of connectivity and information. Also, please do not forget to remain connected at #ISNCON on Twitter for all further updates on ISNCON New Delhi. With best wishes, Dr. Vijay Kher President, ISN From the Desk of Scientific Committee, Chairman Dear Colleagues, I hope this finds you all in good health & spirit. You must have enjoyed Diwali and ASN renal week and are back to work refreshed. The Scientific Programme for ISNCON 2017 has been finalized. It can be seen at the Members of the scientific committee have worked hard to put the programme together for you. I hope all of you will enjoy the scientific content and return enriched after ISNCON 2017 Delhi. This year the scientific committee undertook a special workshop on Research Methodology from 9 th to 11 th June, It had lectures by 17 faculties. 60 students had attended the workshop. The scientific committee had decided to bring out a CD from the recording of the workshop; unfortunately though, due to improper video recording, this could not be made available. We hope to make this workshop into an Annual activity of the scientific committee. I welcome all suggestions for improving scientific content of the ISNCONs as well as invite suggestions for activities by scientific committee for the next year. We the members of the scientific committee are keen to help any junior members of the ISN and PGs in Nephrology for any requirement related to their research project/s; such help to form scientific question, help to analyze data and help to write the manuscript. Please note that the help is not intended to belittle senior Nephrologist & teacher guiding that particular research. Your request for help must therefore be endorsed by your teacher. I hope to see you at the ISNCON 2017 from 14 th to 17 th December, 2017 at Delhi. With best personal regards Sincerely, Dr. Mohan Rajapurkar Chairman, ISN

4 Message from the Secretary On behalf of the Indian Society of Nephrology(ISN), it is my pleasure to welcome you to the 48th Annual Conference of Indian Society of Nephrology (ISNCON 2017) scheduled on 14 th to 17 th December 2017 at New Delhi. ISNCON 2017, a scientific and clinical congress will attract clinical nephrologists and researchers in area of kidney diseases. The scientific programme incorporates a wide range of pre-conference CME, invited contributions, free communications, plenary and state of art lectures, symposia, free paper, poster sessions and orations. Thanks to the work of the experienced scientific committee under the chairmanship of Prof. M.M. Rajapurkar, we look forward to outstanding sessions of scientific deliberations and presentations.the meeting incorporates a wide range of presentations and plenary lectures with high scientific content. The scientific committee has made an attempt to present latest information on the advances in scientific and clinical research that focuses on issues related to practice of nephrology and transplantation in Indian context. The Indian Society of Nephrology would be giving travel fellowships to young nephrologists, researchers and scientists who would be making presentations during the ISNCON As an organization we need to lead and address the issues related to renal diseases in Indian subcontinent and particularly in South-Asia region. We would need to push for health care policy and research funding that can help translational research in relevance to the practice of clinical and preventive nephrology. The major responsibility of Indian Society of Nephrology is to produce Indian data pertinent to kidney diseases in India. We have launched Acute Kidney Injury registry which can be seen under domain name of and also making attempt to revive CKD registry again. We have also started co-funding ISN-ANIO-India research grant which will help in unfolding the CKD of unknown etiology prevalent in this region. I will like to thank International Society of Nephrology and Nephrologist of Indian origin in USA for this collaborative study. We have successfully restarted Larenon research grant for young researchers. In order to improve the scientific communications amongst budding nephrologists, scientific committee of Indian Society of Nephrology has organized a workshop on scientific writing dedicated for DM/DNB students in months of June 2017 and fellows from across India have participated in this scientific endeavor. The Indian Society of Nephrology would work to enhance the education & training of primary care physician in treatment of Nephrology care as well. The Indian Society of Nephrology has successfully showed its presence at World Congress of Nephrology (WCN) 2017 held at Mexico in affiliated societies village of International Society of Nephrology and thousands of international delegates have visited the stall of Indian Society of Nephrology and we had the opportunity to showcase our Indian Journal of Nephrology and achievements of Indian Society of Nephrology. The venue of the conference is Pullman-Novotel in Aerocity, New Delhi which is in close vicinity to International Airport and now considered to be the heart of National Capital Region (NCR). New Delhi is home to several historic sites, museums and home to numerous National and International organizations. Cultures in New Delhi are combination of old heritages of Lal-Quila, Qutub Minar, National Museums, Parliament House with features of a modern city with metros, bustling markets and fabulous eating places. The past and the present meld seamlessly together, making centuries-old cultures a part of the city s daily life. The story of the city is as old as the epic Mahabharata, when the town was known as Indraprastha, where Pandavas used to live. Over the centuries, eight more cities came alive adjacent to Indraprastha: Lal Kot, Siri, Dinpanah, Quila Rai Pithora, Ferozabad, Jahanpanah, Tughlakabad and Shahjahanabad. Many empires rose to the heights of their power and were destroyed here. Among the prominent dynasties which made Delhi their capital were the Tughlaqs, the Khiljis and the Mughals. New additions to the city, such as Akshardham Temple and the Lotus Temple are also pleasant to visit and give an idea of its multi-faceted culture. Delhi is also gaining recognition as a cultural destination. No visit to Delhi is complete without an experience of its famed specialties such as its delicious curries, barbecued tikkas and kebabs. It is also a shoppers haven, whether you want to pick up some rich, woven silks, handicrafts, or ethnic cushions for your home. One of the seventh wonders of the world Taj Mahal in Agra is only three hours drive away from Delhi. I request all the members of our Society to take active participation in the national scientific feast with good interaction and healthy discussion. Our Society has got a rich heritage and reputation in the International arena and i request all the members of our society to make it more vibrant. My humble request to all our esteemed colleagues is to join hands together for growth of this society. Looking forward to see you at New Delhi With best wishes, Sincerely yours, World Medical Association Declaration of Geneva 2017 The Physician's Pledge Adopted by the 2nd General Assembly of the World Medical Association, Geneva, Switzerland, September 1948 and amended by the 22nd World Medical Assembly, Sydney, Australia, August 1968 and the 35th World Medical Assembly, Venice, Italy, October 1983 and the 46th WMA General Assembly, Stockholm, Sweden, September 1994 and editorially revised by the 170th WMA Council Session, Divonne-les-Bains, France, May 2005 and the 173rd WMA Council Session, Divonne-les-Bains, France, May 2006 and the WMA General Assembly, Chicago, United States, October 2017 AS A MEMBER OF THE MEDICAL PROFESSION: I SOLEMNLY PLEDGE to dedicate my life to the service of humanity; THE HEALTH AND WELL-BEING OF MY PATIENT will be my first consideration; I WILL RESPECT the autonomy and dignity of my patient; I WILL MAINTAIN the utmost respect for human life; I WILL NOT PERMIT considerations of age, disease or disability, creed, ethnic origin, gender, nationality, political affiliation, race, sexual orientation, social standing, or any other factor to intervene between my duty and my patient; I WILL RESPECT the secrets that are confided in me, even after the patient has died; I WILL PRACTISE my profession with conscience and dignity and in accordance with good medical practice; I WILL FOSTER the honour and noble traditions of the medical profession; I WILL GIVE to my teachers, colleagues, and students the respect and gratitude that is their due; I WILL SHARE my medical knowledge for the benefit of the patient and the advancement of healthcare; I WILL ATTEND TO my own health, well-being, and abilities in order to provide care of the highest standard; I WILL NOT USE my medical knowledge to violate human rights and civil liberties, even under threat; I MAKE THESE PROMISES solemnly, freely, and upon my honour. Prof. Narayan Prasad Secretary, ISN

5 NEW IN NEPHRO ISNews Nov Scientists somehow just discovered a new system of vessels in our brains It is unclear what they do but they likely play a central role in aging and disease. You are now among the first people to see the brain s lymphatic system. The vessels in the image, transport fluid that is likely crucial to metabolic and inflammatory processes. Until now, no one knew for sure that they existed. Doctors practicing today have been taught that there are no lymphatic vessels inside the skull. Those deep-purple vessels were seen for the first time in images published this week by researchers at the U.S. National Institute of Neurological Disorders and Stroke. Senior investigator Daniel Reich and his team of researchers discovered fluid in the brains of mice and humans that would become known as the glymphatic system. It was described by a team High ESA doses linked with poor outcomes in HD patients Erythropoiesis-stimulating agents (ESAs) are widely used to treat anaemia in patients with chronic kidney disease. The issue of ESA safety has been raised in multiple studies, with correlates derived for elevated cancer incidence and mortality. Whether these associations are related to ESA dose or the typology of the patient remains obscure. In a multicenter, observational, retrospective study of 1679 incident hemodialysis patients, those receiving high doses In a study that followed 1633 middle-aged people for 24 years and had their brain volume assessed through MRI, higher numbers of elevated inflammatory markers in the blood earlier in life were linked with smaller volume in several parts of the brain, including those associated with Alzheimer s disease. Compared with participants with no elevated midlife inflammatory markers, In an analysis of data on 3234 participants in the Diabetes Prevention Program Outcomes Study, statin use was associated with 36% greater diabetes risk. This risk was not materially altered by adjustment for baseline diabetes risk factors and potential confounders related to indications for statin therapy. The original study looked at whether weight loss through lifestyle changes or at the University of Rochester in 2015 as not just the brain s waste-clearance system, but as potentially helping fuel the brain by transporting glucose, lipids, amino acids, and neurotransmitters. Although since the central nervous system completely lacks conventional lymphatic vessels, the researchers wrote at the time, it remained unclear how this fluid communicated with the rest of the body. Reich reasoned that since this fluid exists in human brains, and the conduits exist in mice, the conduits likely exist in humans, too. After two years of work and inordinately complex physics calculations, Reich s team found the vessels. of ESAs had an increased risk of all-cause and cardiovascular death. Also, weekly ESA doses >8000 IU were an independent predictor of all-cause mortality and hospitalization, even though the adjusted cohort displayed the same demographic features, inflammatory profile, clinical hemodialysis parameters and hemoglobin levels. The findings are published in Nephrology Dialysis Transplantation. Inflammation tied to smaller brain volumes later in life participants with elevations in 3 markers had, on average, 5% smaller hippocampal and Alzheimer disease signature region volumes. Inflammatory markers that were assessed included fibrinogen, albumin, white blood cell count, von Willebrand factor, and Factor VIII. The results are published in Neurology. Statins linked with increased risk of developing type 2 diabetes treatment with metformin might reduce or delay type 2 diabetes in high-risk individuals. At 10 years, the cumulative incidence of statin initiation prior to diabetes diagnosis was 33% 37% among the randomized treatment groups. The findings are published in BMJ Open Diabetes Research & Care. Metabolically healthy obesity and hyperuricemia may increase hypertension and diabetes risks In a retrospective study of 9721 Japanese adults without hypertension, diabetes, dyslipidemia, or gout at baseline, individuals with overweight/ obesity but without metabolic syndrome had increased cumulative incidences of hypertension (14.6% vs. 7.2%) and diabetes (2.6% vs. 1.1%) over 5 years compared with lean/normal-weight individuals without metabolic syndrome. Overweight/ obesity conferred an increased diabetes risk even in individuals with normal fasting blood glucose. Hyperuricemia became an independent risk factor for developing hypertension in lean/normal-weight individuals without metabolic syndrome. In the Obesity study, a 1 mg/dl increase in serum uric acid carried a 19% increased risk for hypertension and a 27% increased risk for diabetes. Autoantigen in aggressive kidney disease identified Two independent research groups who analyzed the protein content of glomeruli in patient biopsy specimens detected DnaJ heat shock protein family member B9 (DNAJB9) as an abundant protein in fibrillary glomerulonephritis (FGN) glomeruli, but not in glomeruli from healthy individuals. An accumulation of antibodies was also found along with DNAJB9 in glomeruli from patients with FGN, suggesting that DNAJB9 and antibodies that are likely directed against the protein contribute to the glomerular deposits of FGN. The findings are published in 2 JASN studies, one from investigators at the Mayo Clinic and the other from scientists at the University of Washington. Vancomycin plus piperacillin/tazobactam linked with increased AKI risk in children In a study of hospitalized children, the concomitant administration of intravenous vancomycin plus piperacillin/tazobactam was associated with a 3.4-times increased risk of AKI, after adjustments, when compared with administration of vancomycin plus other antipseudomonal β-lactam antibiotics. The JAMA Pediatrics study included 1915 hospitalized children who received combination antibiotic therapy. A total of 8.2% of patients developed antibiotic-associated AKI within the first hospital week.

6 NEW IN NEPHRO ISNews Nov Anxiety and depression associated with a lower quality of life in maintenance hemodialysis patients Maintenance hemodialysis (MHD) patients with both anxiety and depression display more impaired quality of life (QOL) scores than patients who have either anxiety or depression but not both. MHD patients who have either anxiety or depression, but not both, also tend to have more QOL scores that are lower than in the patients who have neither anxiety nor depression. Interestingly, QOL scores of the patients without anxiety or depression are usually not different from normals. This finding, recently published in Journal of Chronic Diseases and Translational Medicine, is the first to assess cross-sectional associations between objectively measured daily physical activity (DPA), using a mechanical instrument that measures physical activity, and QOL measures in MHD patients. DPA and physical performance measures correlated with several Kidney Disease Quality of Life-Short Form components. Rosacea linked with an increased risk of CKD In an analysis from the Taiwan National Health Insurance Research Database, the incidence rates of CKD per 1000 person-years were in patients with rosacea and in control. After adjusting for other covariates, patients with rosacea had a twofold increased risk of CKD. Patients with moderate-to-severe rosacea had a higher risk than those with mild rosacea. The PLOS ONE analysis included 277 patients with rosacea who were matched with 2216 patients without rosacea. All individuals were individually followed for 8 12 years to identify those who developed CKD.

7 NEPHRO MEET ISNews Nov ONCO-NEPHROLOGY SYMPOSIUM December 1, 2017 ENDORSED BY TH 17 Annual conference on NEPHROLOGY December Dallas, Texas, USA Pulsus Inc. invites all the participants from all over the world to attend Annual Nephrology Conference which is to be held during December 04-05, 2017 in Dallas, USA which includes prompt keynote presentations, Oral talks, Poster presentations and Exhibitions. TH 7 ISN- EMAN UPDATE CONGRESS IN NEPHROLOGY December 2017 Intercontinental Festival City, Dubai, UAE International CME of Bangladesh Renal Association December 11-12, 2017 Dhaka, Bangladesh. ISN CME'S Day 1: Plenary lecture- When to start dialysis in CKD, symposium on AKI: Prevention of AKI, management of AKI in ICU, AKI in the tropics. Free paper & poster presentation. Day 2: Plenary lecture: Conservative management of ESKD. Symposium on Glomerulonephritis- recent advances in the management of lupus nephritis, current understanding of pathogenesis & treatment of membranous nephropathy, management of refractory nephrotic syndrome. Workshop for transplant co-ordinators free paper & poster presentation. 3rd International Update - Diagnosis & Management of Acid-base, Electrolyte and Fluid Alterations th th 8-13 January, 2018, China ISN ENDORSED EVENTS The conference will focus on topics relating to the diagnosis and management of patients with acid-base, electrolyte, and fluid alterations. Specifically, topics will cover acidosis and alkalosis, hypo and hypernatremia, hypo and hyperkalemia, magnesium disorders, principles in fluid resuscitation for patients with various causes of shock and divalent cation disorders/mineral bone disease in patiens with CKD and ESRD. There has not been a similar conference in the proposed regions of China for > 5 years, except for the one we had organized in the last 2 years. We were fortunate to have obtained the ISN endorsement for the last 2 years. For the upcoming 2018 CME, we have invited expert speakers and designed program with specific attention to the most recent clinical and translational research and current practice needs. Preliminary Scientific Program is attached to this application. ISN FRONTIERS MEETINGS KIDNEY DISEASE & CARDIOVASCULAR DISEASE FEBRUARY 22-25, 2018 TOKYO, JAPAN Advancing Nephrology Around the World This conference is designed for health professionals involved in dialysis programs. It covers all aspects of dialysis with sessions on Hemodialysis, Peritoneal Dialysis, Pediatrics, Nursing, and Nutrition. The Conference will be held Sunday, March 4 through Tuesday, March 6, 2018, with pre-conference sessions on Saturday, March 3, at the Orlando World Center Marriott (8701 World Center Dr., Orlando, FL 32821) Asian Pacific Congress of Nephrology th th March, 2018, Beijing 17th International Conference on Nephrology & Urology March 12-13, 2018, London, UK

8 ISNCON 2017 ISNews Nov International Faculties for ISNCON TH ANNUAL CONFERENCE OF INDIAN SOCIETY OF NEPHROLOGY 2017 Indian Society of Nephrology GIUSEPPE REMUZZI MD Department of Biomedical and Clinical Sciences L. Sacco, University of Milan, Milan, Italy th 48 Annual Conference of Indian Society of Nephrology th th December 2017 New Delhi Venue: Pullman Novotel, Aerocity, New Delhi Patrons Greetings from ISNCON2017! Dear Colleagues, th On Behalf of Delhi Nephrology Society It gives us immense pleasure to invite you all for the 48 Annual Congress of the Indian Society th th of Nephrology (ISNCON 2017), to be held from December, 2017 at Pullman - Novotel Hotel Aerocity, New Delhi, which is the most technologically advanced and architecturally pleasing Hotel. The conference would have a galaxy of international and national faculty who will share their knowledge and expertise in the field of medicalcare. Indian Society of Nephrology annual conference is being attended by around 1500 delegates from across the country. Last year about 100 delegates from the neighboring countries attended the conference. Indian Society of Nephrology is affiliated with International Society of Nephrology. The venue of the conference is Aerocity in National Capital Territory of Delhi.The conference venue is nearer to the International Airport. The ancient city of Delhi has seen seven previous avatars and is reported to be over 2000 years old. Do enjoy its various parks and monuments from different periods in its history ranging from the Mahabharata to include the city of the Mughals, the city of the Raj, and the current modern metropolis well known for its generous nature and its big heart. Do join us at Dilwalon ki Dilli. Once again we extend cordial welcome to you all and look forward to your active participation in ISNCON 2017 in Delhi, the capital city of India. It s all here for you to discover & enjoy the conference. We look forward to see you in the meeting. Organising Committee Patrons SHARMA S PRABHAKAR MD MBA FACP FASN Professor and Chief, Division of Nephrology Vice-Chairman (Clinical Affairs & Administration), Department of Medicine, Texas Tech University Health Sciences Center, Lubbock, Texas, USA PRADEEP ARORA Department of Medicine, University at Buffalo, Bailey Ave, Buffalo, NY, USA SUNDARARAMAN SWAMINATHAN MD Associate Professor, Division of Nephrology, University of Virginia Health System, Charlottesville, VA Dr. P. D. Gulati Dr. S. C. Tiwari Dr. R. N. Srivastava Dr. D. S. Rana Organising Chairpersons Vice Chairpersons RAHUL M. JINDAL MD, PhD, MBA Professor, Department of Surgery, Division of Global Health at Uniformed Services, University & the Walter Reed National Military Medical Center, Bethesda, USA Dr. Vijay Kher Dr. Sanjiv Saxena Dr. Sanjay Agarwal Dr. Vivekanand Jha Dr. P. P. Varma Organising Secretaries KAMAL SUD Assoc Prof, Department Head of Renal Medicine; Clinical Associate Professor, University of Sydney Medical School; Nepean Hospital, Derby Street, Kingswood, Australia Joint Secretaries Dr. Shyam Bihari Bansal Dr. Sanjeev Gulati Treasurer INDRANIL DASGUPTA Consultant Nephrologist, Heart of England NHS Foundation Trust, Honorary Reader, University of Birmingham, Heartlands Hospital, Birmingham Dr. Dilip Bhalla Dr. D. Mukherjee Dr. D. Bhowmik Dr. Jitendra Kumar Dr. Reetesh Sharma Dr. Ashish Nandwani Executive Members Dr. Satish Chhabra Dr. A. K. Bhalla Dr. N. P. Singh Dr. Ashwani Gupta Dr. Dinesh Mittal Dr. Manju Agrawal Dr. K. D. Sadhwani Dr. Dinesh Khullar MEERA SRIVASTAVA Department of Physiology and Genetics, Professor of Biochemistry Uniformed Services University, Collaborative Health Initiative Research Program (CHIRP), and The American Genome Center (TAGC), Uniformed Services University of the Health Sciences (USUHS), 4301 Jones Bridge Road, Bethesda, USA Dr. Sunil Prakash Dr. Sanjiv Jasuja Dr. Saurabh Pokhriyal Dr. Manoj Singhal Dr. L. K. Tripathi Dr. Himanshu Mahapatra Dr. Sham Sundar Dr. Kailash Nath Singh

9 ISNCON 2017 ISNews Nov PRE-CONFERENCE CME: 14 TH DECEMBER 2017 Topic Speakers Chirpersons/Moderators Session I: Key investigations: What should a nephrologist know? (Each 15 min Basics of genetics Valentine Lobo, Pune Ranjith Nair, New Delhi presentation Ultrasonography and doppler Arun Gupta, New Delhi(Rad) Sunil Prakash, New Delhi and 10 min Discussion) Magnetic resonance imaging Kulbir Ahlawat, New Delhi Nuclear medicine imaging. Sanjay Gambhir, Lucknow(NM) Session I: Physiology of kidney Hyponatremia: Is it excess water? Approach hyponatremia in George Kurian, Kerala Mohan Rajapurkar, Nadiad patients with renal failure. K+ balancing act of kidneys and newer anti-hyperkalemic Praveen Kumar Etta, Hyderabad Sham Sunder, New Delhi agents Calcium handling by kidney: when it concerns Nephrologist? Soumita Bagchi, AIIMS When magnesium bothers nephrologists? Pankaj Hans, Patna Tea Break Session II : Complement in health and kidney disease (Each 15 min Complement pathways: a brief overview Arghya Majumdar, Kolkata A K Hooda, New Delhi presentation Complements in HUS Aditi Sinha, AIIMS Shruti Tapiawala, Mumbai and 5 min Discussion) Complement in ANCA vasculitis and IgA nephropathy: should Anna Valson, Vellore we target or still a wait period? Complement in Immune mediated GN Sidharth Sethi, New Delhi Complements in recurrence of GN Dharshan Rangaswamy, Banglore Session II: CKD-MBD Is the choice of phosphate binders different in presence of Umesh Khanna, Mumbai Dipankar Bhowmik, New Delhi vascular calcification? Umesh Nautiyal, New Delhi Should we screen all CKD patients for fracture risk in India? N Gopalakrishnan, Chennai Intestinal phosphate absopion: Dietary intervention when and Manju Kamal, Cochin How? FGF-23 and klotho handlling by kidneys Ashish Nandwani,New Delhi PTH lowering drugs and parathyroidectomy: is there news? Jacob George, Trivandrum Lunch Symposium: X-Rays and IVU in nephrology practice Anu Eapen, Vellore U K Sharma, New Delhi A K Sarin, New Delhi Session III : GFR (Each 15 min How to avoid underdiagnosis and overdiagnosis of CKD? Imityaz Wani, Srinagar Narendra Sengar, Jhansi Jitendra, Faridabad presentation and 10 min Physiological determinants of GFR: what should a nephrologist know? HS Kohli, Chandigarh Discussion) Measured GFR: how much it differs from egfr at different Ravi Shankar Bonu, Banglore stages of CKD? Should we measure GFR to calculate drug dosing? Vivek Kute, Ahmedabad Session III: Urine examination for Nephrologist Proteinuria: How to interpret? Pratik Das, Kolkata D K Sinha, Kanpur Urinary electrolytes: when it is important to estimate? Jayant Mathew, Trichure Ratan Jha, Hyderabad (Each 15 min presentation and 5 min Discussion) Microscopic hematuria standlone: is it alarm of coming Suresh Shankar, Chennai storms? Urinary casts: when do they clinche a diagnosis? T. Dinesh kumar, Chennai Session IV : Acid base balance of kidneys Regulation of acid by kidenys: Applied physiological aspects Pankaj Beniwal, Jaipur Lactic acidosis: How to take care in nephrology practice? R P Mathur, New Delhi Manju Agrawal, New Delhi Alok Jain, Jaipur Ventilatory seting in metabolic acidosis in critically sick Afzal Azim,CCM specialist patient: case based Sepsis and pediatric AKI S Gulati, New Delhi ECMO: when it becomes useful Sandeep Dewan, New Delhi Session IV: UTI Asympatomtic bacteriuria before non-urological surgery: nephrology consultation Asympatomtic bacteriuria in renal transplantation Asymptomatic bacterituria and UTI in pregnancy Asymptomatic bacterituria in patient with stone,kidney diseases and bladder dysfunction How to approach a patient with bladder dysfunction? Guest Lectures: plenary session Iron and Innate Immunity in Acute Kidney Injury: Promising Therapeutic Targets Anurag Gupta, New Delhi Vinoi G David, Vellore Divya Bajpai, Mumbai Mayoor Prabhu, Mangalore Alok Kumar, Dehradun Pankaj Sah, Ahmedabad C R Kar, Bhubneshwar Swaminathan, Sundararaman, USA RN Srivastava, New Delhi J P Tiwari, Goa The Aging Kidney- Current Concepts and Controversies Prabhakar Sharma, Texas, USA Sanjeev Saxena, New Delhi Nandita Chaudhary, Guwahati

10 ISNCON 2017 ISNews Nov pm 8.00pm onwards am "Breakfast symposia: Renal Transplantion in sensitised patients" Inauguration Cultural programme and Dinner DAY-1: 15 TH DECEMBER 2017 Vijay Kher, New Delhi PP Varma, New Delhi, Rajesh B Kumar, Mumbai JCM Shastry Memorial Oration Georgi Abraham, Chennai M A Muthu Sethupathi,Chennai D K Pahari, Kolkata KS Chugh Oration lecture: "Diabetic Nephropathy: An Update on Pathogenesis and Management". Prabhakar Sharma, Texas, USA Global nephrology education and research: Indian Society Vivekanand Jha, President Elect, ISN should claim a place at the high table Free paper session and one mini lecture (15 min) mini lecture Mini lecture-m.sreelatha, Calicut topic- Mitochondrial dysfuction in CKD Free paper session and one mini lecture (15 min) mini lecture Mini Lecture-Manish Rathi, Chandigarh topic-remote Ischemic Precondioming Tea Break Poster viewing Chairpersons/Moderators Lunch Symposia Lunch Symposia two lectures-30 mins each Sudhir G Kulkarni, Aurangabad 1. Nephrotoxic antibiotics in nephrology practice-how and when to use. 2. SGLT-2 inhibition: a new agent in armamenerium of obesity Beena Bansal, New Delhi and diabetes. Pregnancy related nephrology issues Pregnancy in kidney transplanted women Arpita Roy Chaudhary, Kolkata Lupus and pregnancy G.Swarnlatha, Hyderabad Pre eclampsia- Immune regulatory and vascular changes Manjuri Sharma, Guwahati Post preeclampsia: is follow up required with nephrologists? Kalpana Mehta, Mumbai Pregnancy in CKD patients Jasmin Das, Ludhiana PD and Miscellaneous Bharat Sah, Mumbai A Gopalkrishnan, Hyderabad T. Ravi raju, Vijaywada S C Tiwari, New Delhi S K Pareek, Jaipur M Jayakumar, Chennai N K Hase, Mumbai, Abhijeet Taraphder, Kolkata Gurudev Konana, Banglore P K Rai, Varanasi Anoop Misra, New Delhi D K Sinha, Varanasi HDF in maintenance dialysis: should we opt in routine Umapati Hegde, Nadiad A K Barman, Guawahati Novel methods of diagnosing PD related peritonitis Narayan Prasad,Lucknow N. Sharat Kumar Singh, Manipur Challages of restarting PD Santosh Varughese, Vellore Incremental PD dose in clinical practice: are evidences Tarun Jeloka, Pune sufficient Tea Break Orations and Guest Lectures Pros and cons of global kidney exchange/paired kidney Rahul Jindal, USA Sankaran Sundar, Banglore donation H S Ballal, Banglore RAAS blockade in AKI Pradeep arora, USA K L Gupta, Chandiagrh K V Dakshinamurthy, Hyderabad Resistant hypertension and adherence to medication Indranil Dasgupta, UK Girish Narain, Hyderabad GH Mallik,Srinagar Governing body meeting Breakfast symposia Pre-Probiotics in CKD progression DAY-2: 16 DEC 2017 Dinesh Khullar, New Delhi Ashwini Gupta, New Delhi, Saubhik Sural, Kolkata President-Elect lecture "Gazing at the crystal ball" Chacko Jacob, Bangalore Vijay Kher, New Delhi P. Soundararajan, Chennai What is MPGN? New ventures Giuseppe Remuzzi,Italy R.Kasi Visweswaran, Trivandrum Jatin Kothari, Mumbai Cognitive function in dialysis patients Indranil Dasgupta, UK K V Johny, Kochi Subba B. Rao, Chennai (Each 15 min presentation and 5-10 min discussion) Hypertension in CKD: where to set a target? Dilip Kirpalani,Mumbai J P Ojha, Varanasi I.B.Sinha, Patna Hypertension during dialysis Om Kumar, Patna Differences in guidelines: Controversies prevail? Raja ramchandran, Chandigarh Bisphenol A(BPA ) in Haemodialysis patients K S Nayak, Hyderabad H S Gill, Chandigarh Sameer Chaubey, Nagpur Anti coagulations in RRT Rajasekara Chakravarthi, Hyderabad Extra corporeal therapy in sepsis: is there strong evidence Saurabh Pokhariyal, New Delhi Mini lecture Free paper- 8 papers (including Rekha Memorial Tanker award) mini lecture-empiric antibiotic therapy in treatment of PD realted peritonitis Mini Lecture Free papers 8 papers Non-invasive diagnosis of renal fibrosis Poster viewing Mini lecture- Prit Pal Singh, Patna Mini lecture-j.balasubramanian, Tirunelveli Ram Rapur, Tirupati, Sanjay D cruz, Chandigarh Urmila Anandh, Hyderabad Shivendra Singh, Varanasi

11 ISNCON 2017 ISNews Nov Lunch symposia 1. Is there any role of induction in low and intermediate risk Amit Gupta, Lucknow renal transplant? 2.Newer sucrosomal oral iron versus IV iron in dialysis Sree Bhusan Raju, Hyderabad patients Vidya Acharya Memorial Oration- Topic: Management of S K Agarwal, New Delhi HCV infection during renal replacement therapy Panel Discussion: Deceased kidney transplantation Panelists: Introduction Alan Almeida, Convenor Donor with infection- when to accept? Sunil shroff, Chennai Liver and kidney combined transplantation- A. K Bhalla, New Delhi Immunosupression should be directed to whom? Is donor kidney biopsy essential before transplantation? Edwin Fernando, Chennai Donor with diabetes in deceased donation: is outcome worse? Mufazzal Ahmad, Lucknow Dual tranplantation if donor is elderly Manisha Sahay, Hyderabad Obese donors- is it concern in deceased donation Vinay Malhotra, Jaipur Guest lectures Dilip Bhalla, New Delhi, R G Singh, Varanasi N P Singh, New Delhi, D S Ray, Kolkata S C Dash, Bhubneshwar, D Mukharjee, New Delhi APKD: finally a treatment, but is it worthwhile? Giuseppe Remuzzi, Italy D S Rana, New Delhi Pradeep Deshpandey, Hyderabad Whole Genome Sequencing: Current status in kidney diseases and transplantation Breakfast Symposium: Vaccination in renal allograft recipents post transplantation Meera Srivastava, USA General Body Meeting DAY3: 17 DECEMBER 2017 R K Sharma, Lucknow Ashok Kirpalani, Mumbai, Arun Kumar, Lucknow(command) Dhananjay Agrawal, Jaipur, Umesh Lingaraj, Banglore AKI survivors and CKD burden Kamal Sood, Australia Akhil Mishra, New Delhi, R N Sahoo, Bhubneshwar Emerging Mechanisms and Causes of Acute Kidney Injury Swaminathan, Sundararaman, Virginia MS Amaresan, Chennai, AC USA Mahakur, Bhubneshwar PPI and kidney injury: Current staus Pradeep Arora, USA MM Rajapurkar, Nadiad, Manoj Singhal, New Delhi CPC Clinical discussant: Dr. Vinay Shakhuja, Chandigarh Samphat Kumar Tea Break Debate Coronary angiography before diabetic renal transplantation Sishir Gang - For Sandip Gokulnath, Banglore, Georgy Mahajan- Against K Nainan, Kerala Bansal Oration Vivek Kumar, Chandigarh Raka Kaushal, Chandigarh S B Bansal, New Delhi, Case based discussions:transplantation 1.Managing a case of BKV and acure rejection simultaneously Dharmendra Bhadauria, Lucknow Lt.Col.Vasant Kumar,Trivandrum Sanjeev Jasuja, New Delhi 2. Treating a case with T cell mediated,and CABMR with TG Ajay Kher,New Delhi like changes 3. A case of recurrence of FSGS Amit Langote, Mumbai Case based discussions: Dialysis 1. A successful case scenario of home hemodialysis in India Rajiv M, Hyderabad Deodutta Chafekar, Nashik A K Vaidya, Ranchi 2.A case story of management of CV stenosis Abhijit Konnur, Nadiad 3. Secondary hyperparathyroidism with vascular calcification Illangovan Veerappan, Coimbatore Closing, lunch and departure Nodosis Sodium Bicarbonate 500 / 1000 mg Neutralize the Manifestation TM Aplazar Awaytox Alpha Ketoanalogue Delay the Deterioration Pre-Probiotics Avoid Accumulation - Reduce Burden

12 The Dronacharya of Nephrology passes away Tributes by Dr. Vivekanand Jha Professor Kirpal Singh Chugh, fondly called the Father of Nephrology in India and a prominent ISN leader, passed away in Chandigarh, India on September 17, He was 85. After completing his medical training, Prof. Chugh wanted to specialise in renal medicine, which was not recognized as a specialty in India at that time. After several representations, he was able to receive his postgraduate degree in medicine with genitourinary medicine as a special subject from Panjab University. In 1965, he set up a nephrology department at the newly established Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh. He had several firsts to his credit, including doing the first percutaneous kidney biopsy, first peritoneal dialysis and setting up the first nephrology training program in South Asia. He was pivotal in setting up the Indian Society of Nephrology in 1970, and was instrumental in starting the Indian Journal of Nephrology. His contributions to renal research in India are substantial. He did pioneering work in describing the epidemiology of various kidney diseases in India. His interests spanned the entire spectrum of nephrology and transplantation, evident from the large number of influential publications. He was particularly interested in the renal problem of the tropics. He set up a research laboratory at PGIMER where he worked on snake bite induced kidney injury. Prof. Chugh was highly active and visible in the international nephrology community, helped set up nephrology societies in almost all South Asian countries, and was one of the founder-members of the Asian Pacific Society of Nephrology. An early leader in the International Society of Nephrology, he was the first Indian to be elected to the ISN Council, served on several Committees and was the first Chair of the South Asian Committee of the ISN COMGAN Program, a forerunner of the current Regional Boards. Easily recognisable due to his distinctive turban, he was a constant presence in global nephrology conferences and was key to bringing Indian nephrology community to International scene. He received numerous awards and accolades, including Padmashree, the fourth highest civilian award in India, the Bywaters Award of the International Society of Nephrology, the Oshima Award of the Asian Pacific Society of Nephrology, and the Distinguished Medal of the National Kidney Foundation of USA. Prof. Chugh s most prominent legacy is the postgraduate training program leading to the award of DM degree in nephrology started by him at PGIMER in This was one of first nephrology training programs in the world, and has produced a stream of outstanding nephrologists who went on to become leaders in all corners of India and around the World. His students and colleagues recalled his many qualities, including his exactitude at work as well as social grace out of it. Almost everyone was struck by his forceful personality at work, and mesmerised by the gregariousness and hospitality in more congenial environments. His students, having received repeated doses of bitter medicine that made them into high quality clinicians, researchers and teachers, emerged from the training program full of respect and lifelong fan of the Guru. According to Prof MS Amaresan, the first nephrologist to graduate from this training program who went on to establish the Department of Nephrology at Madras Medical College, Chennai During the duty hours he was a terror. He was disciplined, punctual, industrious and instilled the same in those who came under his fold. As a person, however, he was very affectionate, hospitable, simple and humble. I can say confidently that there was no nephrology in India prior to Prof. Chugh. I was lured to PGI in February 1965 because he started dialysis, said Professor VK Bansal, an early colleague at PGIMER and currently Professor of Nephrology and Hypertension at Loyola University Chicago. His contribution to nephrology in South Asia was recalled by many who admired and were influenced by him. Dr Vijay Kher, President of the Indian Society of Nephrology recalled his pivotal role in the growth of the Society. He said: Indian Society stands tall today largely because of the rigour, discipline, dedication and scientific fervour brought about by him. We will remember him as the Teacher par Excellence, with a fierce commitment to profession and humanity. The Society will miss his visage, sitting in the front rows of Society meetings, actively participating in the scientific deliberations, guiding and leading by example. Prof. S Adibul Hasan Rizvi, Director of the Sind Institute of Urology and Nephrology, Karachi, Pakistan and an ISN Pioneer Awardee recalls I followed his philosophy of promoting indigenous talents to bring them at par with the rest of the world. He was the first nephrologist from the The Indo-Pakistan subcontinent who trained indigenously and became a towering personality in the world of nephrology. He was honest, ethical and generous throughout his life. He gave us a sense of pride and confidence that we can stand on our own two feet and develop the science of nephrology. He was instrumental in establishing Nepal Society of Nephrology, said Dr Rishi Kafle, President of the Nepalese Society of Nephrology. He was a father figure for Bangladesh nephrology community said Prof Harun Rashid, former President of Bangladesh Renal Association and another ISN Pioneer Awardee. Like Dronacharya of the Hindu mythology, Prof. Chugh inspired large numbers of nephrologist around the world who learnt from him even at a distance. His support and encouragement was recalled affectionately by many who did not train directly under him. Prof Rubina Naqvi, Professor at the SIUT, Karachi recalls He was my mentor, my first guiding teacher. For my post graduation thesis on AKI, he brought handouts of all his publications on subject when came to know that I am working on this topic and provided me the tips to proceed with it. I still remember his advice (and happiness) soon after I went into nephrology. His impact was truly enormous. recalled Prof Prabir Roy-Chaudhuri, Professor of Medicine and director of the Division of Nephrology at the University of Arizona Health Sciences. Young nephrologists of today will hardly know the travails of the handful of nephrologists who established nephrology as a scientific discipline in this country, of whom Prof. Chugh was one of the first and certainly the most prominent. He will always have a special place in Indian nephrology, and in the great institution he founded. said Dr MK Mani, Chief nephrologist at Apollo Hospital, Chennai and Prof Chugh s peer. Prof. Chugh is survived by his wife, and two sons and numerous students and admirers.

13 In Memoriam: Dr. Syed Nihal Ahmad Rizvi Tributes by Dr. S.K. Agarwal Dr. Syed Nihal Ahmad Rizvi was born on 1 st August, 1939 in Amroha (UP). After completing his postgraduation from Aligarh Muslim University he joined the 2 nd batch of students at Maulana Azad Medical College, New Delhi, for MBBS. He went on to complete his MD in Medicine from MAMC and joined there as Registrar in Medicine in Dr Rizvi continued to work there as faculty till 1997 when he retired as Director Professor & Head of department of Medicine. With a keen aptitude for research and teaching, he was instrumental in conducting pioneering studies in the field of nephrology, endocrinology, rheumatology and immunology. His work in nephrology was specially focussed on renal bone disease and he has authored more than 200 publications in various journals and book chapters. He was also credited with setting up of dialysis unit in 1972 at Lok Nayak Hospital which was one of the very few centres that existed in India at that time. During his long and illustrious career in nephrology he was conferred with numerous national and international awards and felicitations including ICMR Award (1977), National Award for Nephrology (1981), Alexander Flemming Award for research in Internal Medicine (1987,88,89), Aradhakshree Award for Community Service (1994), Sitare-Hind Award for Renal Diseases (1997), Award for pioneering hemodialysis in India (2004) and Netaji Oration Award by API (2007). Dr Rizvi served as the President of Indian Society of Nephrology from and was felicitated by the 6th Asian Forum of CKD Initiative and North Zone Chapter of Indian Society of Nephrology at PGI Chandigarh (2012) for exemplary contribution in Nephrology. His alma mater conferred him with MAMCOS Award for Exemplary Services (2005) and honoured with Scroll of honour on Golden Jubilee of MAMCOS (2009). After superannuation he continued to work in nephrology and made special efforts for community services by holding free OPD and medical camps. He passed away on 11 th September, His patients remember him as a kind, polite doctor with a warm heart who was always available for them. He touched many lives with his kindness and humility. His family, colleagues and patients will always remember him with love and respect. In Memoriam: Dr. Ramdas Pisharody Tributes by Dr. Satish Balan Dr Ramdas Pisharody was born on 29 th March His career in medicine was launched in Government Medical College, Trivandrum where he was the best outgoing student with 1 st Rank from Kerala University and a winner of the Gold Medal. His subsequent academic career was as brilliant, coming second in MD Medicine at PGI, Chandigarh and then obtaining the coveted DM degree from the same premier institute under the watchful eyes of Prof KS Chugh in July His Masters in Clinical Epidemiology from McMaster University in Ontario, Canada followed shortly. As a postgraduate nephrology teacher, his legendary clinical skills and extraordinary teaching ability influenced an entire generation of nephrology postgraduates in the state. His astute administrative skills came to the fore when he was appointed the Principal of the Government Medical College, Trivandrum. His superlative achievement in upgrading the institute under the PMSSY scheme in a record time between 2008 and 2010 changed the face of specialty medical treatment in the Government Medical College Trivandrum. In addition to this many other major upgrades were made to the institute during his tenure as Principal from 2008 to It can be said inarguably that he was the most influential Principal of the GMC, Trivandrum. His lasting contribution to nephrology care in Kerala was exemplified by his conception and leadership in organizing the Mrithasanjeevani Programme of Deceased Donor Organ Transplant in the State which remains one of the most successful programmes of its kind in the country. His organisational skills were amply evident in his tenures in various positions in the National and South Zone Nephrology Societies. Also his tenure as the Organizing Secretary, especially of the ISNCON 2010 at Trivandrum, were always memorable and appreciated by all. He was a recipient of numerous awards from various fora including Best Doctor from the Government of Kerala 2011 and elected Fellow of Royal Societies of Glasgow and of London as well as of the Indian Society of Nephrology. There are innumerable achievements, too many to be included in this commemoration. His was a life fully lived but expiated before its time. May his soul rest in peace and his memories linger on in all of us. An Official Publication of the Indian Society of Nephrology ISNews Trends & Traditions Please your questions, comments & feedback to: editor@isnews.in

14 NEPHRO EVENTS ISNews Nov Research Study Workshop: Excerpts The scientific committee of Indian Society of Nephrology under the Chairmanship of Dr. M.M Rajapurkar had organized a Research Study Workshop regarding; Planning and execution of research study for 1 st year and 2 nd year PGs (DM/DNB) in Nephrology which was held from 9 th to 11 th June 2017 at JW Marriott Hotel, Aerocity, New Delhi. Students from all over India attended the programme and enriched their knowledge in the field of writing thesis, synopsis, manuscript, application of statistics and scientific communication. Round table workshop on study design was main highlights of the programs & has been appreciated by all. Feedback from students was excellent and scientific committee felt worth holding the meeting. Inaugural Function Faculties of Research workshop Question answer session Round table discussion Group photo of participants Name ID Topic of interest Share what s important to you on ISNews! Please send your perspectives, commentary, humor, satire, talk of the town, funny observations etc., to editor@isnews.in. Your submissions must be in MS Word or as PDF attachments. Content may be edited for length and clarity, and may be published in print, online or both. All submissions are read within 30 days. You will be contacted if your material is selected to be published. Other suggestions Dr. Stamp

15 ISNews Nov ISNSCCON th Annual Conference of Indian Society of Nephrology Southern Chapter 9th-11th February 2018 Venue: Leonia Convention Centre, Hyderabad, Telangana

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