ABSTRACT
COVID-19 challenges to keep a valuable educational offer with lockdown measures and social distancing are reviewed. Scientific Societies had to think of new alternatives to maintain meetings with conversion to a virtual format and development of online resources, rapidly available and broadly accessible. Other in person activities as face-to-face clinics have been substituted by telemedicine; the same happened with surgical training in theatre, given the suspension of most of the operations. Finally, the need to share and communicate in a continuous evolving scenario, has impacted negatively the integrity of peer review process, not following the normal procedures to ensure scientific integrity and reproducibility in the earliest phases of the pandemic.
Subject(s)
Biomedical Research/organization & administration , COVID-19/prevention & control , Education, Distance/organization & administration , Specialties, Surgical/education , Telemedicine/organization & administration , Biomedical Research/standards , Biomedical Research/trends , COVID-19/epidemiology , Global Health , Humans , Italy/epidemiology , Pandemics , Peer Review, Research/standards , Peer Review, Research/trends , Periodicals as Topic/standards , Periodicals as Topic/trends , Physical DistancingABSTRACT
The American Society of Nephrology, the European Renal Association-European Dialysis and Transplant Association and the International Society of Nephrology Joint Working Group on Ethical Issues in Nephrology have identified ten broad areas of ethical concern as priority challenges that require collaborative action. Here, we describe these challenges - equity in access to kidney failure care, avoiding futile dialysis, reducing dialysis costs, shared decision-making in kidney failure care, living donor risk evaluation and decision-making, priority setting in kidney disease prevention and care, the ethical implications of genetic kidney diseases, responsible advocacy for kidney health and management of conflicts of interest - with the aim of highlighting the need for ethical analysis of specific issues, as well as for the development of tools and training to support clinicians who treat patients with kidney disease in practising ethically and contributing to ethical policy-making.
Subject(s)
Nephrology/ethics , Conflict of Interest , Cost Control/ethics , Decision Making, Shared , Health Priorities/ethics , Health Services Accessibility/ethics , Healthcare Disparities/ethics , Humans , Kidney Diseases/genetics , Kidney Transplantation/ethics , Medical Futility/ethics , Organ Trafficking/ethics , Patient Advocacy/ethics , Renal Dialysis/economics , Renal Dialysis/ethics , Renal Insufficiency/therapy , Tissue and Organ Procurement/ethicsABSTRACT
The purpose of this manuscript is to describe a collaborative research initiative to explore the role of hydration in kidney health. Our understanding of the effects of hydration in health and disease is surprisingly limited, particularly when we consider the vital role of hydration in basic human physiology. Recent initiatives and research outcomes have challenged the global medical community to expand our knowledge about hydration, including the differences between water, sugared beverages and other consumables. Identification of the potential mechanisms contributing to the benefits of hydration has stimulated the global nephrology community to advance research regarding hydration for kidney health. Hydration and kidney health has been a focus of research for several research centers with a rapidly expanding world literature and knowledge. The International Society of Nephrology has collaborated with Danone Nutricia Research to promote development of kidney research initiatives, which focus on the role of hydration in kidney health and the global translation of this new information. This initiative supports the use of existing data in different regions and countries to expand dialogue among experts in the field of hydration and health, and to increase scientific interaction and productivity with the ultimate goal of improving kidney health.
Subject(s)
Biomedical Research , Drinking/physiology , Health Promotion , Kidney/physiology , Nephrology , Beverages , Financing, Organized/economics , Humans , International Cooperation , Research Support as Topic/economics , Societies, MedicalSubject(s)
Kidney Diseases/epidemiology , Child , Child, Preschool , Humans , Kidney Diseases/therapy , PediatricsABSTRACT
Twelve March 2015 will mark the 10th anniversary of World Kidney Day (WKD), an initiative of the International Society of Nephrology and the International Federation of Kidney Foundations. Since its inception in 2006, WKD has become the most successful effort ever mounted to raise awareness among decision-makers and the general public about the importance of kidney disease. Each year WKD reminds us that kidney disease is common, harmful and treatable. The focus of WKD 2015 is on chronic kidney disease (CKD) in disadvantaged populations. This article reviews the key links between poverty and CKD and the consequent implications for the prevention of kidney disease and the care of kidney patients in these populations.
