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Vivekanand Jha

Issues related to vascular access—the timing of creation, type, site, access care, maintenance, surveillance, early identification of problems, and appropriate resolution—are important determinants of the short-term and long-term outcomes and cost of care of patients receiving maintenance hemodialysis (HD). Calling vascular access the lifeline of these individuals is not an exaggeration. In the 2019 update of its Vascular Access Guideline (1), the KDOQI Guideline Work Group made the guideline more patient-focused, using the tagline “Right Access for the Right Patient for Right Reasons at Right Time” with emphasis on multidisciplinary care; individualized assessment of risks, benefits, and quality

Vivek Kumar and Vivekanand Jha

Asia, home to 60% of the world’s population, is a unique showcase of geographic, racial, and ethnic diversity that has potential implications for disease diagnosis and management. Use of serum creatinine–based estimated GFR (eGFR) equations for diagnosis and staging of chronic kidney disease (CKD) is a perfect example that exemplifies these challenges.

Kidney Disease Improving Global Outcomes (KDIGO) currently recommends Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI) creatinine equation (CKD-EPICr) for diagnosis and staging of CKD, but encourages use of a validated equation in the local population, if available.

Dietary protein intake and muscle mass, key determinants of steady state serum

Mayuri Trivedi and Vivekanand Jha

The unfolding story of COVID-19 in India has shown how a narrative can change quickly. It was only a few months ago that experts around the world were wondering what explained India's relatively cheap escape (until then) from the ravages of the COVID-19 pandemic. India is now back in the news, but this time, the reports are highlighting the utter collapse of the healthcare system, shortage of critical supplies and hospital beds, people dying on the curbsides, and striking images of over-busy cremation and burial grounds. Amid this chaos, care of patients with chronic illnesses like kidney diseases has been

Vivek Kumar and Vivekanand Jha

Asia is synonymous with diversity, which is reflected in the epidemiology of kidney diseases, especially acute kidney injury (AKI). In contrast to people in the industrialized developed countries, most Asian people, especially those living in rural areas with relatively limited access to healthcare, continue to bear a large burden of AKI. This condition develops in these communities secondary to locally prevalent health issues of public health importance.

The 0by25 Global Snapshot study by the International Society of Nephrology showed that 80% of the burden of AKI in low- and middle-income countries of Asia is community acquired. Community-acquired AKI (CA-AKI) predominantly

Vivek Kumar, Vijay Singh, and Vivekanand Jha

Humans face an unprecedented situation today. Human coronavirus disease 19 (COVID-19) has caught everyone, regardless of borders and competence of existing healthcare infrastructures, completely unaware.

The way the disease has spread across the world over 4 months aptly reflects the meaning of “viral” as it is used in social media, where the term frequently describes something that garners immense worldwide publicity within a very short time. The sudden temporal clustering of numerous cases of unexplained rapidly progressive pneumonia leading to respiratory failure baffled clinicians in Wuhan, China, in December 2019. As could be expected, suspicion of some new affliction grew