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Minutes of the Asian Pediatric Nephrology Association Council Meeting, 29th
                             October 2005 Beij...
2.1   The minutes of the previous Council meeting held in Adelaide, Australia on
      August 30th 2004 was approved by th...
4.4   Councilors were reminded to inform their members that they were entitled to the
      discounted registration fees f...
Hospital, and National University of Singapore has trained 2 doctors to date: Dr
       Khin Moh Moh from the Yangon Child...
for his continued support and outstanding contributions to the development of
       Pediatric Nephrology in Asia, since h...
13.3    Currently in the IPNA constitution, there is one permanent seat each for China
        and India, and 2 others for...
15.1   Sri Lanka represented by CK Abeysekera submitted the application for AsPNA
       membership, and was unanimously a...
Appendix 1: Issues IPNA Council (Beijing) October 2005

1.    Report of the Secretary General

1.1   Current number of act...
4.2   A training course was held in Mongolia, Kazakhstan and Kyrgyzstan, where renal
      biopsy training was carried out...
5.3    Preference will be given to candidates who apply to training centers within their
       own geographical area.

5....
c.     Support for one regional meeting within the year of completion of the
              fellowship.
       d.     Train...
8.6    Impact factor has been improving: 1.44 in 2004.

8.7    Average time for submission to reply is 28 days.

8.8    Re...
11.4   Deadline for early bird registration is April 30th 2007.

11.5   Suggestions are invited for potential Asian speake...
15.3   Isidro Salusky is the President-Elect for 2007.

16.    International Pediatric Association Relations

16.1   Teach...
Appendix 2: Country Reports

1.   Bangladesh: Bangladesh has a Kidney Institute for both adult and pediatric
     nephrolo...
held in Princess Margaret Hospital, and interhospital X-ray meetings were
            held in Queen Elizabeth Hospital.
  ...
Proposed formulation of guidelines for pediatricians by IPNG which will
            be finalized at the forthcoming Nation...
nephritis” and “D+ hemolytic uremic syndrome” have been recorded since
            2003, and will be analyzed in 2004. .
 ...
f.     Plenary lecture was given by Prof. Afroze Ramzan at the 39th Annual
            Symposium of Jinnah Postgraduate Me...
-   University of the Philippines-Philippine General Hospital
             -   University of Santo Tomas Hospital

10.   S...
ix)    Research training in both clinical and laboratory methods, and
                    journal writing.

12.   Thailand...
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  1. 1. Minutes of the Asian Pediatric Nephrology Association Council Meeting, 29th October 2005 Beijing, China 1. AsPNA Council: Honorary Secretary-General Tadasu Sakai, Japan (absent with apologies) Secretary-General Carmelo A. Alfiler, Philippines Asst. Secretary-General Hui-Kim Yap, Singapore Treasurer Man-Chun Chiu, Hongkong Councilors Mohammed Hanif, Bangladesh Jie Ding, China Kishore D Phadke, India Yuhei Ito, Japan Chong-Guk Lee, Korea Yam Ngo Lim, Malaysia Ching-Yuang Lin, Taiwan ROC Absent with Apologies Husein Alatas, Indonesia Wiwat Tapaneya-Olarn, Thailand Afroze Ramzan, Pakistan Observers Arvind Bagga, India Yong Choi, Korea (absent with apologies) Matthias Brandis, IPNA Secretary-General Taralan Tambunan, Indonesia Prapaipim Thirakhupt, Thailand Farhana Amanullah, Pakistan Chandra Kumari Abeysekera, Sri Lanka 1. Welcome by Secretary-General, AsPNA and IPNA 1.1 The AsPNA Council records its gratitude to Professor Matthias Brandis, President of IPNA for his continued and enthusiastic support for the development of Pediatric Nephrology in Asia. This includes the support for the 9th Asian Congress of Pediatric Nephrology, Beijing 2005. Professor Brandis was awarded the AsPNA Award 2005 for his contributions to the development of Pediatric Nephrology in Asia at the Congress. 1.2 Dr CA Alfiler welcomed the new Councilor from Korea and Pakistan. 1.3 Welcome address was delivered by Prof Brandis. 2. Minutes of the previous meeting
  2. 2. 2.1 The minutes of the previous Council meeting held in Adelaide, Australia on August 30th 2004 was approved by the Council (Proposer: Yam Ngo Lim; Seconder: Kishore Padhke). 3. Issues from IPNA Council Meeting Beijing October 27-28th 2005 (Appendix 2) 3.1 IPNA Council meeting was held in Beijing in support of the 9th Asian Congress of Pediatric Nephrology. 3.2 The next IPNA Congress will be held in Budapest in 2007. 3.3 Isidro Salusky will take office as Secretary-General of IPNA in 2007. 3.4 Prof Brandis explained the role of the Teaching Committee of IPNA. The Teaching Course will be organized by the local community, and IPNA will pay for 3-4 speakers from other parts of the world. A similar partnership may be established with the ISN through COMGAM to teach Pediatric Nephrology to areas of the world where there is no access or competence in Pediatric Nephrology. 3.5 The IPNA Fellowship Committee runs a Basic Training Fellowship Program, which is open for applications and priority is given to individuals who are from areas where there is a lack of training facilities, to go to areas either within a country or to a regional center for training. The principal goal of training should be for basic pediatric nephrology training which is lacking in the area where the fellow is from. This may evolve later to include specialized areas of training eg dialysis or transplantation. Training in general is for a period of 6 months or more. The Committee reviews applications twice a year in April and October. 3.6 Prof Brandis brought up the issue of membership for the Pan-Arabic Pediatric Nephrology Society. This issue was brought up for debate that IPNA Council could consider giving one more seat to the AsPNA to cater for the representative for West Asia or the Middle East. 4. Report of the Treasurer 4.1 Dr MC Chiu reported that 13 countries have paid their country membership dues till 2007. In addition there were a few individual memberships. 4.2 The current AsPNA funds stand at USD 3189.08. 4.3 The income included a 5% contribution from the registration fees of the 8th ACPN, as was previously agreed upon at the Council Meeting in September 2002 in Jeju.
  3. 3. 4.4 Councilors were reminded to inform their members that they were entitled to the discounted registration fees for future congresses of the AsPNA. 5. Report of the 9th Asian Congress of Pediatric Nephrology 5.1 323 abstracts were received from 19 countries including outside of Asia. 5.2 The total number of participants of the Congress reached over 380 from 32 countries and regions. The Chinese delegates come from 26 provinces and cities. Apart from mainland China, the delegates are from Korea, Hong Kong, Japan, USA, India, the Philippines, Thailand, Singapore, Australia, Malaysia, Turkey, France, Germany, Hungary, Poland, Sri Lanka, Taiwan China, Bangladesh, Canada, Chile, Mongolia, Pakistan, United Kingdom, Indonesia, Italy, New Zealand, Russia, South Africa, Spain, and Vietnam. 5.3 Dr Jie Ding acknowledged IPNA and Japan for their support in providing financial sponsorship as well as speakers for the meeting, Dr HK Yap for helping in obtaining sponsorship from Baxter Healthcare (Asia) and Dr MC Chiu for help in organizing the conference. 5.4 Ten travel grants of 500 USD have been awarded for participants who could not afford to come to the Congress. This was sponsored in part by IPNA. 5.5 Dr Carmelo Alfiler obtained a grant from B Braun to be awarded as prizes at the Congress. The AsPNA-B Braun award, at 100 USD will be given to the 6 best oral papers – with 450 USD from B-Braun, and the rest from AsPNA. 6. Country Reports 6.1 The country reports are attached in Appendix 2. 7. IPNA Training Programs 7.1 As mentioned in point 3.5, IPNA has expanded its fellowship program to enable more young doctors to be trained. 7.2 Currently there are 3 IPNA training centers in Asia – Bangalore, New Dehli and Singapore. 7.3 Dr Kishore Phadke reported that one fellow has completed his training at Bangalore and two in New Dehli. 7.4 The IPNA-Baxter Training Fellowship in Pediatric Nephrology at the Shaw-NKF Children’s Kidney Centre at the Children’s Medical Institute, National University
  4. 4. Hospital, and National University of Singapore has trained 2 doctors to date: Dr Khin Moh Moh from the Yangon Children’s Hospital, Myanmar and Dr. Nguyen Thu Huong from Nephrology Department, National Pediatric Hospital, Hanoi, Vietnam. For 2004, a total of 9 applications were received from 4 regions – 6 from China, 1 from Indonesia, 1 from Pakistan and 1 from Vietnam. Dr. Nguyen Thu Huong from Nephrology Department, National Pediatric Hospital, Hanoi, Vietnam, has been shortlisted for the fellowship, and she will be starting her fellowship training in September. For 2005, 13 doctors from 7 countries – Sri Lanka, China, Indonesia, Philippines, Vietnam, Pakistan and Nepal have applied. Dr. Eric Emmanuel Aragon was awarded the fellowship in June 05 and he will start his training in December 2005/January 2006. Dr Aragon is from the College of Medicine, Philippines General Hospital, Manila. 8. Training Courses in Asia 8.1 Training courses have been held in various parts of the world, including Asia, such as in India. For the course in India held in New Dehli in November 2004, travel grants were obtained to fund participants from South Asia, including Pakistan (4), Bangladesh (2), Sri Lanka (3), Nepal (1) and Maldives (1). This was a 3-day course, and the course material has been published. 8.2 The AsPNA has begun to compile a database of potential teachers from Asia for future IPNA training courses. This list will be submitted to the Training Committee of IPNA. For those countries which have not submitted a list, the Councilors are reminded to send them to Dr HK Yap. 9. Sponsorship of Pediatric Nephrology Journal 9.1 The Japanese Society of Pediatric Nephrology had kindly agreed to sponsor 30 journal subscriptions for Asia for 2005. There were a total of 31 applicants from 10 countries, Burma, Indonesia, Vietnam, China, India, Nepal, Sri Lanka, Bangladesh, Pakistan, and Mongolia. Out of these, 16 are not IPNA members, while 4 are members but have not yet renewed their 2005 memberships. 11 were already supported by IPNA, hence full sponsorship for 2005 journal subscription was awarded to the remaining 20 applicants under this program. 9.2 The AsPNA Council recorded its thanks to IPNA and the Japanese Society of Pediatric Nephrology for its sponsorship of the journal. The Japanese Society of Pediatric Nephrology has confirmed that it will continue this sponsorship in 2006. 10. Honorary Membership of AsPNA 10.1 Nominations for honorary membership of AsPNA were received. 10.2 Professor Matthias Brandis, IPNA Secretary-General, was proposed by Dr Hui- Kim Yap, and seconded by Dr Carmilo Alfiler. Professor Brandis was nominated
  5. 5. for his continued support and outstanding contributions to the development of Pediatric Nephrology in Asia, since he took over the helm of IPNA in 2001. 10.3 Prof. Pyung-Kil Kim, Korea, was proposed by Dr Chong Guk Lee, Korea and seconded by Dr Kishore Phadke, India. Prof Pyung-Kil Kim was one of the pioneers of the Asian Pediatric Nephrology Association. He has also contributed immensely to the development of pediatric nephrology in Korea. 10.4 Professor Jiyun Yang, China, was proposed by Dr Jie Ding, China and seconded by Dr Mohammed Hanif, Bangladesh and Dr Man-Chan Chiu, Hong Kong. Prof Yang’s contributions include her work on the IPNA Council. She spearheaded the translation of the main contents of international meetings into Chinese, contributing to the promotion of of Pediatric Nephrology in China. 10.5 The Council Members voted unanimously to award Honorary Membership of the AsPNA to all the 3 nominees. 11. AsPNA Administrative and Educational Activities 11.1 The AsPNA website sponsored by Pfizer is up and running. The website address is www.aspna.org www.aspna.org. 11.2 The Council nominated Dr Arvind Bagga to form an Educational Committee to develop educational programs for the AsPNA, including educational material on the website. 11.3 Dr Man-Chan Chiu informed the Council that the book Practical Paediatric Nephrology has been launched at the Beijing Conference. 12. Amendments to the AsPNA Constitution & By-Laws 12.1 Proposed amendments to the AsPNA Constitution & By-Laws were discussed. The new amendments were agreed to in principle. 12.2 The draft of the proposed amendments will be circulated for ratification by the AsPNA Councilors by the next AsPNA Council meeting in 2006. 13. AsPNA Representation on IPNA Council 13.1 Currently AsPNA has 4 representatives on the IPNA Council: HK Yap, Assistant Secretary for Asia, Arvind Bagga, India, Jie Ding, China, and Yong Choi, Korea. 13.2 The terms of all 4 IPNA Councilors from Asia end in 2007 at the Budapest meeting.
  6. 6. 13.3 Currently in the IPNA constitution, there is one permanent seat each for China and India, and 2 others for the rest of Asia. 13.4 The current structure of the 4 AsPNA seats on the IPNA Council precludes the country representatives from India and China from taking the post of Assistant Secretary for Asia. 13.5 The following proposals were tabled by HK Yap for consideration by the Council: a. That we keep the current status quo of representation on the IPNA Council. b. That if the Assistant Secretary from Asia is from India or China, then the remaining 2 posts should be nominated from the other member countries in Asia. c. As all the IPNA Councilors from Asia have to step down in 2007, nominations and elections for the AsPNA Council should take place before October 2006 when the nominations have to be presented to the IPNA Council. d. A decision has to be made as to the number of nominations that AsPNA will be making to the IPNA Council for election by the IPNA General Assembly. 13.6 The Council agreed to the above proposals, and that 4 nominations will be proposed to the IPNA Council for election by the IPNA General Assembly. 14. AsPNA Elections for New Office Bearers in 2007 14.1 The current 6-year term of the office bearers of AsPNA – Secretary-General, Assistant Secretary-General and Treasurer will end by 2007. 14.2 Taking into consideration the points in section 13, nominations will be opened for the above posts (by email circulation) in June 2006 (closing date July 31st 2006). 14.3 Elections will commence in September 1st 2006 (closing date September 30th 2006). 14.4 Nominations will be submitted to IPNA Council meeting at Palermo in October 4th-5th 2006. 14.5 The new officials will take office at the AsPNA Council meeting in Budapest, August 2007. 14.6. The Assistant Secretary for Asia on the IPNA Council will be the Secretary- General or his/her nominee. 15. New AsPNA Members
  7. 7. 15.1 Sri Lanka represented by CK Abeysekera submitted the application for AsPNA membership, and was unanimously accepted by the Council. 15.2 The issue of the Pan-Arabic Pediatric Nephrology Society was discussed with Professor Matthias Brandis. The Council agreed to a dialogue to explore the possibility of membership in AsPNA. 16. 10th Asian Congress of Pediatric Nephrology 16.1 4 bids were received to host the 10th Asian Congress of Pediatric Nephrology in 2008: India, Malaysia, Taiwan, Thailand. 16.2 A proposal was made by HK Yap to hold a smaller meeting on an annual basis, other than years when there is an IPNA Congress. The objective is to increase the educational programs of AsPNA on a regional basis, and also to facilitate the functions of the AsPNA Council. This could be held in conjunction with IPNA- sponsored training courses. 16.3 Dr KD Phadke subsequently withdrew his bid for the 2008 AsPNA Congress, but instead expressed an interest to host an AsPNA Workshop or Focus Group Meeting in Bangalore at the end of 2006. 16.4 Malaysia, Taiwan and Thailand presented their bids, and a ballot was held to determine the venue of the 10th Asian Congress of Pediatric Nephrology 2008. The ballot count was as follows: Bangkok, Thailand (9), Kuala Lumpur, Malaysia (4), Taipeh, Taiwan (1). 16.5 The 10th Asian Congress of Pediatric Nephrology 2008 was formally awarded to Thailand. 17. Any Other Business: 17.1 Dr CA Alfiler circulated a paper recording the history of the AsPNA, as a first step in the development of an AsPNA Archive. This will be put up in the AsPNA website. 17.2 The Council members were informed that an Asian country should consider bidding for the IPNA Congress in 2013. A formal bid must be presented at the IPNA Council meeting in 2007 in Budapest by interested Societies. 17.3 The AsPNA General Assembly meeting will be held on Sunday 30th October 2005 at Congress Hall B from 1.30-2.00 pm.
  8. 8. Appendix 1: Issues IPNA Council (Beijing) October 2005 1. Report of the Secretary General 1.1 Current number of active IPNA members: 1582 including 50 free copies + 18 honorary members. 1301 have renewed membership for 2005. 1.2 Sponsorships 2005: 82 members supported by IPNA. 37 members supported by 37 individual IPNA members, at a reduced membership fee of US$125. 29 members supported by JSPN. 1.3 Fellowship programme of IPNA is very active: Majority of fellows are from Africa and Asia. 1.4 Teaching courses are held around the world. 2. History of IPNA 2.1 IPNA is planning to collect the history of IPNA for an archive. 2.2 The various Regional Societies are hoping to contribute to this archive. 2.3 IPNA is planning to support this activity, and should include the various regions. 3. Report of Regional Societies 3.1 The AsPNA Report is attached as a separate document. 3.2 The AsPNA would like to record its gratitude to IPNA for supporting this 9th Asian Congress of Pediatric Nephrology in Beijing (28th to 30th October 2005), by holding the IPNA Council Meeting in 2005 here. 3.3 A conjoint one-day WCN2005-IPNA workshop on Pediatric Nephrology was held in Singapore on June 26th before the World Congress of Nephrology in 26th- 30th June 2005. This was co-sponsored by IPNA, who paid for 3 speakers. A total of 90 participants came for the Workshop. 4. Training Courses 4.1 Training courses have been held in various parts of the world, including Asia, such as in India. For the course in India held in New Dehli in November 2004, travel grants were obtained to fund participants from South Asia, including Pakistan (4), Bangladesh (2), Sri Lanka (3), Nepal (1) and Maldives (1). This was a 3-day course, and the course material has been published.
  9. 9. 4.2 A training course was held in Mongolia, Kazakhstan and Kyrgyzstan, where renal biopsy training was carried out, in addition to general nephrology. Funding was obtained from local government and private sources including industry. A proposal was made to IPNA to support training courses in this region of Central Asia. 4.3 A suggestions for a list of potential teachers from the various regions should be included in a central database. AsPNA has been collating such a list. 4.4 Role of IPNA in promoting basic research in Pediatric Nephrology: a. Goal: To promote and facilitate basic research of high quality in pediatric nephrology b. Plan for implementation: i. Create a database for research laboratories with activity mostly focused on basic investigation in pediatric nephrology ii. Questionaire to IPNA members about laboratory capabilities iii. Include database in IPNA website iv. Collaborations should be established directly by IPNA members v. Reports in Pediatric Nephrology 4.4 Suggestion that format of training courses and content should be drafted by IPNA. However, training courses in the individual countries should be tailored to the local needs, such as case discussions specific for the region. Assessment should be collected after every training course, and this should be collated in a database, and good teachers can then be identified. It is also useful to send the feedback to the teachers. A plan will be formatted and published in Pediatric Nephrology in the future. 4.5 The joint venture with ISN through COMGAN held in Dubai 2004, had a CME component, followed by a format where specific case discussions in pediatric nephrology. 5. Fellowship Program 5.1 This is a formal recognized program of IPNA. A fellowship committee was appointed in Adelaide, and include Anthony Portale (Chair), Aysin Bakkaloglu, Yong Choi, and Mignon McCulloch. 5.2 The objectives of the fellowship program is to provide basic clinical training in pediatric nephrology for pediatricians with limited or no training in pediatric nephrology and who work far from a pediatric nephrology training center. The goal is to disseminate knowledge of pediatric nephrology to different regions of the world. 5.3 Period of training is 6-12 months, after which the candidate is expected to return to his home institution.
  10. 10. 5.3 Preference will be given to candidates who apply to training centers within their own geographical area. 5.4 The program is not for training in advanced pediatric nephrology, and also not for trainees working close to the training site. 5.5 The IPNA fellowship program has sponsored 31 fellows to date, of which 20 fellows are from Asia: India 9 Vietnam 3 China 2 Myanmar 2 Pakistan 2 Mongolia 1 Philippines 1 5.6 The number of training sites to April 2006 is 15, of which the following are in Asia: Singapore (7 trainees) India, Bangalore (6 trainees) India, New Delhi (4 trainees) Korea, Seoul (1 trainees) 5.7 A proposal has been made to increase the number of fellowships, the duration of fellowships to 12 months, and the amount of the stipends. IPNA is considering increasing this to take into account increased expenses in some countries, for accompanying families, as well as incidental expenses such as health insurance. 5.8 Application forms are available in Pediatric Nephrology. There will be 2 rounds of approval a year – in April and October. The following documents have to be submitted: CV, personal statement describing need for training and training goals, letter of recommendation from pediatric program director of home institution, letter of acceptance from director of proposed training center. The fellowship committee reviews completed applications and recommends acceptance or rejection to the IPNA Secretary General. 5.9 All fellows will receive a certificate of completion from IPNA. 5.10 There should be a commitment from the home institution of support for IPNA fellows returning from the IPNA training program. 5.11 Council approved the following: a. Add travel expenses for the fellow to the training site. b. Stipend is based on the calculated living costs in each center, to be determined by the Chair of each program.
  11. 11. c. Support for one regional meeting within the year of completion of the fellowship. d. Training period will be from 6-12 years. Extension for fellowship for more than one year will not be supported. 5.12 Currently IPNA has been focusing on supporting fellows for basic training. There is probably also a need to promote advanced clinical training, for 3-6 months, with special application. A consensus has been reached to support a limited number of fellows for advanced training annually. 5.13 Advanced research training fellowships could be considered, in partnership with other programs, eg a joint venture with other funding. 5.14 Evaluation of success of program could be performed by annual reports from returning fellows. 6. IPNA Council Meeting 2005 8.1 The IPNA Council Meeting was held in Beijing on October 26-27th in conjunction with the Asian Congress of Pediatric Nephrology (October 28-30th). AsPNA recorded its thanks to IPNA for supporting this meeting. 7. Dialysis Initiative 7.1 Suggestion that it may important to be involved in the formulation of international guidelines, as many of the members of IPNA are also involved currently in the formulation of these guidelines. 7.2 Joint ventures with industry may be possible to fund such initiatives. 7.3 Such guidelines could be included in the IPNA website. 8. Pediatric Nephrology Journal 8.1 On-line submission is now available since December 24th 2004. 8.2 There has been an increase in the number of pages in Pediatric Nephrology, which is related to the increase in the number of submissions, as well as the publications from the Growth meeting. 8.3 The top 3 countries in terms of submission were USA, Turkey and Japan. 8.4 The percentage of original articles was 60.4%. 8.5 Acceptance rate in 2005 up to September was 57.3%, and rejected 42.7%.
  12. 12. 8.6 Impact factor has been improving: 1.44 in 2004. 8.7 Average time for submission to reply is 28 days. 8.8 Restriction to a certain number of free pages per article has been suggested for the future. 9. Pan-Arabic Society of Pediatric Nephrology 9.1 A representative from the Pan-Arab Society was invited to the IPNA Council Meeting in Beijing to present the position of the Society. 9.2 This comprises 180 members, with activities both clinically and research especially in genetics. 9.3 This area as defined does not solely belong to any major continent – Asia, Africa, Europe, as it includes countries in Africa and Asia. 9.4 The AsPNA IPNA Councillors have highlighted that one possibility is for the Pan-Arabic Society to consider joining the AsPNA. 10. Membership Support 10.1 Currently IPNA has 130 supported memberships. 10.2 Japanese Society of Pediatric Nephrology has pledged to support 30 Asian members. The AsPNA has shortlisted 31 applicants from 10 countries, of whom 16 are not IPNA members, while 4 are members but have not yet renewed their 2005 memberships. 11 were already supported by IPNA, hence full sponsorship for 2005 journal subscription was awarded to the remaining 20 applicants under this program. 10.3 The number of sponsored subscriptions to Pediatric Nephrology will be increased due to the availability of funds. 11. IPNA Congress 2007 11.1 IPNA Congress 2007 will be held in Budapest, Hungary from 31st August to 4th September. 11.2 The homepage for the IPNA Congress 2007 is at www.ipna2007.com 11.3 There will be 3 pre-post congress meetings: Renal Development Worshop Pediatric Hypertension Meeting Nephrology Summer School
  13. 13. 11.4 Deadline for early bird registration is April 30th 2007. 11.5 Suggestions are invited for potential Asian speakers at Budapest. 12. Honorary Membership 12.1 The Council is seeking for recommendations for honorary membership. Candidates should be those who have contributed immensely to pediatric nephrology in the region or country as well as internationally, and who are retired. 12.2 The privilege of honorary membership is free subscription of Pediatric Nephrology. 12.3 The current honorary members from Asia are RN Srivastava, India and Tadasu Sakai, Japan. 13. Council Meeting 13.1 Council meeting for Assistant Secretaries, Chairpersons of Teaching and Fellowship Committees is scheduled for 15th - 16th March, 2006. 13.2 Council meeting at ESPN in Palermo, Sicily 2006: 5th – 6th October, 2006. 14. IPNA Membership Fees 14.1 Due to increasing costs of the journal, there is a suggestion to increase IPNA membership fees. 14.2 A decision was made at this Council meeting was to keep the membership fee the same, but increase the number of free subscriptions. 14.3 For retired members (official figure is approximately 10), reduced subscription rates was previously US$125. A decision was made to reduce the fees to 50% of the full membership fee. 14.4 Honorary membership is still free. 15. New Council Members in 2007 15.1 New Council members by constitution have to be elected by the General Assembly. The IPNA Council makes the nominations. Nominations will have to be made by October 5th 2006. 15.2 The terms of office for the AsPNA representatives in the current IPNA Council will expire by 2007.
  14. 14. 15.3 Isidro Salusky is the President-Elect for 2007. 16. International Pediatric Association Relations 16.1 Teaching and training activities of IPNA have been presented to IPA so that the structure set up by IPNA could be potentially emulated. 16.2 Ellis Avner is the IPNA representative on IPA Executive Council. 17. IPNA Congress 2010 17.1 The 15th IPNA Congress 2010 will be held from August 29th to September 2nd 2010. 17.2 There will be more poster interactive time during the Congress. 18. IPNA Website 18.1 IPNA Website is due for upgrading. 18.2 This is currently being explored, including the possibility of the publishers of the journal helping to set up a better Website. 19. Acute Kidney Injury Network 19.1 2 representatives from IPNA were invited to participate in the Acute Kidney Injury Network. This group is primarily comprised of adult nephrologists, and only recently invited pediatric nephrologists to be represented. 19.2 This is an important first step to address the problem in pediatrics.
  15. 15. Appendix 2: Country Reports 1. Bangladesh: Bangladesh has a Kidney Institute for both adult and pediatric nephrology. The country has a postgraduate MD degree for pediatric nephrology as a subspecialty. 2. China: Report of the Chinese Society of Pediatric Nephrology a. The Symposium on Childhood Hematuria was held in October 23-24, 2004 in Jiaxing, Zhejiang province. The symposium was organized by the Chinese Society of Pediatric Nephrology. The main focus of the meeting was on diagnosis and treatment. b. The IPNA Training Course in Pediatric Nephrology was held in May 24 to 30, 2004 in Beijing (see section 2.1). c. The first announcement of the 9th Asian Congress of Pediatric Nephrology to be held in Beijing in October 2005 has been distributed during the 13th IPNA congress in Adelaide, Australia. A preliminary program scientific meeting was held in June 5-9th with Dr. Man-Chun Chiu from Hong Kong chairing the program committee. d. Dr. Jianping Huang, a recipient of an IPNA training fellowship has completed her 6-month training (from July to December, 2004) in Royal and Mater Children’s Hospitals in Brisbane, Australia supervised by Dr. John Burke. e. A 6-month training fellowship was awarded to a Chinese doctor at the Seoul National University Children’s Hospital, with the full support of Prof. Yong Choi and Dr. Hae Il Cheong. f. A retrospective analysis of 1268 patients with chronic renal failure in childhood has been completed by the Chinese Society of Pediatric Nephrology. The data were collected from 91 hospitals in China from 1990 to 2002. This study demonstrated an increasing annual trend in the incidence of chronic renal failure in children, with the majority of children presenting at school-age. Acquired renal diseases formed the main cause of chronic renal failure. The majority of the children were on conservative therapy, although renal replacement therapy was initiated in some of them. The obvious difference in outcome between cases on follow-up and those lost to follow-up emphasized the need for establishing a management system of childhood chronic renal failure in China. 3. Hong Kong: Report of the Hong Kong Paediatric Nephrology Society 2004 a. A Certificate Course in Common Childhood Kidney Problems was jointly organized by the Federation of Medical Societies of Hong Kong and the Hong Kong Paediatric Nephrology Society for the general public. It was held weekly from 16 June – 21 July 2004, and the program consisted of 6 lectures delivered by members of the Society. b. Interhospital Renal Meetings were held on a regular basis, including combined meetings with the pediatric urology group, pathologists and radiologists. The meeting with the pediatric urology group of surgeons was held on 2nd July 2004, focusing on urodynamic study in children and pediatric urolithiasis. Regular interhospital renal biopsy meetings were
  16. 16. held in Princess Margaret Hospital, and interhospital X-ray meetings were held in Queen Elizabeth Hospital. c. The Society sponsored 11 members, including 9 doctors and 2 nurses, to attend the 13th International Paediatric Nephrology Association Conference in Adelaide, Australia (29th August – 2nd September 2004). Eight posters were presented in the conference. d. An open forum was held to discuss Subspecialty Accreditation for Pediatric Nephrology on 12th May 2004. e. Results of collaborative studies on primary nocturnal enuresis, Pediatric Renal Registry and an evidenced-based approach to the management of Henoch-Scholein Nephritis were published in the Hong Kong Journal of Paediatrics in 2004. The “Glomerulonephritis and Lupus nephritis” groups had started a review on childhood Lupus nephritis. Data and results are scheduled to be presented in the coming Interhospital meetings in 2005. A project on “Oscillometric BP Validation Study” is planned to be carried out by the “hypertension” group and their application for Health Services Research Fund is in progress. f. The society has 43 full members and 9 associate members. . 4. India: Report of the Indian Pediatric Nephrology Group (IPNG). a. The XVI Annual Conference of the Indian Pediatric Nephrology Group and a Training Course supported by the International Pediatric Nephrology Association (IPNA) was held at the All India Institute of Medical Sciences, New Delhi from 26-28 November 2004. The scientific program comprised of lectures, symposia, case presentations and sessions on practical nephrology. More than 150 delegates from the country and SAARC region attended the Course. b. The next Annual Conference of the IPNG will be held at Bangalore on 26 – 27 November 2005. c. The National Conference of Indian Academy of Pediatrics was held at Kolkata in January 2005. The IPNG’s participation included a symposium on glomerulonephritis, case discussions, workshop on pediatric dialysis and some invited lectures. d. The IPNG supports one Fellow annually for short term training. e. There are 2 recognized training programs sponsored by IPNA as fellowship programs for developing countries - St. John’s hospital (Dr. Phadke), Bangalore and All India Institute of Medical Sciences, New Delhi (Dr. Arvind Bagga). f. The IPNG publishes a quarterly newsletter providing notable information, news, reviews and selected abstracts. g. Consensus Guidelines have been formulated for management of: Nephrotic syndrome Urinary tract infections Antenatally diagnosed hydronephrosis
  17. 17. Proposed formulation of guidelines for pediatricians by IPNG which will be finalized at the forthcoming National Annual Conference of IPNG at Bangalore include hypertension and hematuria. h. A Chronic Renal Failure National Registry has been initiated by IPNG from Jan. 2005. i. The IPNG has a membership of 285. 5. Indonesia: Report of the Pediatric Nephrology Working Group of the Indonesian Society of Pediatricians a. The most common types of kidney disease in children in Indonesia are: urinary tract infections, post-streptococcal acute glomerulonephritis, nephrotic syndrome, acute renal failure, and chronic renal failure. b. There are currently 12 centers providing pediatric nephrology services in the country. c. The Pediatric Nephrology Working Group has 24 members. 6. Korea: Report of The Korean Society for Pediatric Nephrology (KSPN) a. The KSPN founded in Oct. 1994, is a nonprofit corporation to enhance and assist the study and practice of pediatric nephrology in Korea. The KSPN has 96 registered members, consisting of 48 full-time faculty in a university or training hospital, 12 full-time faculty in a general hospital, 22 practitioners in private pediatric clinics, 6 fellows in a university or training hospital, 6 pediatric urologists, 1 pediatric radiologist and 1 renal pathologist. b. The 2nd Spring Meeting of KSPN & Japan-Korea Pediatric Nephrology Seminar, Joint Congress 2004 was held at the Grand Hotel, Busan, Korea on April 23rd , 2004. The total attendance was 101, 83 local and 18 foreign participants. The meeting consisted of 2 invited lectures, 7 clinical case studies and 1 panel discussion about hemolytic-uremic syndrome. The 2nd Japan-Korea Pediatric Nephrology Seminar consisted of a clinicopathological conference. b. The 11th Annual Meeting of KSPN and Satellite Symposium was held at the Sheraton-Walkerhill Hotel, Seoul Oct 23rd 2004. The total attendance was 75 (including 3 guest lecturers from Japan, Germany and China). There were 38 presentations (24 oral and 14 poster presentations), 6 lectures and 1 panel discussion on clinical guidelines for urinary tract infections. c. Publication of 2 issues (Volume 8) of the official journal, the Journal of Korean Society of Pediatric Nephrology (in Korean) was as follows: Volume 8, Issue 1: Apr. 30, 2004: 7 original articles, and 7 case reports Volume 8, Issue 2: Oct 31, 2004: 12 original articles, and 4 case reports d. A summary of the Registry activites is as follows: KSPN has conducted nationwide registries for “mass uninary screening of school children” and “enuresis” since 2002. The results will be published in 2004. In addition, nationwide data on “chronic renal failure”, “lupus
  18. 18. nephritis” and “D+ hemolytic uremic syndrome” have been recorded since 2003, and will be analyzed in 2004. . e. Subspecialty/fellowship training programs in pediatric nephrology are as follows: i) In Korea, the Subspecialty Board of Pediatric Nephrolgoy will be approved officially from next year. However, the KSPN has confirmed 38 members to be accredited as subspecialists in pediatric nephrology based on its standards for approval. ii) Fellowship training programs for pediatric nephrology have been conducted regularly in 5 university hospitals and occasionally in another 3-5 university hospitals. Most of the programs consisted of a 1-year period of clinical work with/without another 1-year period of research work. 7. Malaysia: a: There are 9 pediatric nephrologists in Malaysia, with one newly trained, who are members of the Malaysian Society of Nephrology. b. There are 2 Pediatric Nephrology trainees, one training locally for 2 years, another in her 3rd year of training in Toronto Hospital for Sick Children. c. There are 7 Pediatric Nephrology centres in the country. d. The 10-year report of the Paediatric Renal Replacement Therapy has been published (www.msn.org.my/nrr www.msn.org.my/nrr). e. Continuing medical education activities include talks on post- streptococcal glomerulonephritis and hemolytic uremic syndrome as part of the annual nephrology seminar “systemic diseases and the kidneys”. 8. Pakistan: a. The Pakistan Pediatric Nephrology Group has about 100 members including Associate members. More than 50 new members have been enrolled in 2005. b. The Pediatric Nephrology Group has started separate clinical meetings of pediatric nephrologists, in place of the combined meeting with the adults nephrologists. Interesting clinical cases of different renal diseases are presented and discussed. c. At the 6th Annual Conference of Nephrology and Dialysis organized by the Kidney Foundation on 13-15th February, 2004, sessions on pediatric nephrology were organized by the Pediatric Nephrology Group. d. A National Pediatric Nephrology Conference was held in October, 2004. e. Delegation from Pakistan went to New Delhi in November, 2004 to attend a symposium on Kidney Diseases and training course for Postgraduates organized by All India Institute of Medical Sciences, New Dehli. a) Prof. Afroze Ramzan, NICH, Karachi b) Prof. Tahir Masood, Lahore. c) Prof. Iqtidar Khan, Aga Khan University Hospital, Karachi. Papers were presented as well as lectures were delivered in CME programme by Pakistani nephrologists.
  19. 19. f. Plenary lecture was given by Prof. Afroze Ramzan at the 39th Annual Symposium of Jinnah Postgraduate Medical Centre, Karachi in December, 2004 on “Prevention and progression of Chronic Kidney Disease” in children. g. First Symposium of NICH was held in January, 2005 in which Paediatric Nephrologists from New Delhi, India, participated namely: Prof. R.N.Srivastava and Prof. Arvind Bagga. h. Pakistan Society of Nephrology hold its Biennial International Conference at Islamabad, Pakistan during March, 2005. Amongst other International delegates, Prof. Hui Kim Yap, Assistant Secretary-General Asian Paediatric Nephrology Association participated and presented a review of Paediatric Renal Transplantation. i. CAPD Pilot project is continuing and more children have been registered. j. Dialysis Registry of Pakistan 2003-2004 has been published in which total number of children for haemodialysis up to the age of 15 years = 97 and from 16 to 30 years = 614. k. Fellowship Training Programme in Paediatric Nephrology by College of Physicians and Surgeons of Pakistan (CPSP). A letter of intent has been submitted to College of Physicians and Surgeons of Pakistan and reply is awaited. l. Dr. Khemchand Moorani, Senior instructor at NICH was awarded a 6- month fellowship for training in Paediatric Nephrology by IPNA. He has completed his training at the National University Hospital, Singapore under Prof. Hui Kim Yap in June 2005. 9. Philippines: Report of the Pediatric Nephrology Society of the Philippines (PNSP) a. The Pediatric Nephrology Society of the Philippines celebrated its 10th year anniversary in November 2004 during its 9th Annual Convention. b. Current membership consists of 19 fellows, 35 diplomates, and 2 associate fellows. c. The 9th Annual Convention was held at the Century Park Hotel on November 18-19, 2004; with the theme “Pearls in Pediatric Nephrology: Ten Years and Beyond.” d. A big delegation from the Pediatric Nephrology Society of the Philippines attended the 13th International Pediatric Nephrology Association Congress held in Adelaide, Australia last August 2004. e. Continuing Medical Education Activities: - Pediatric Nephrology Society of the Philippines Pediatrica Module Seminar Workshops: 3 sessions - Clinico-Pathologic Conference: 2 meetings - G7 Westmont Interdisciplinary Conference: 4 meetings f. Accredited Training Institutions: - National Kidney and Transplant Institute - Philippine Children’s Medical Center
  20. 20. - University of the Philippines-Philippine General Hospital - University of Santo Tomas Hospital 10. Singapore: Report from Chapter of Pediatric Nephrology, Singapore Society of Nephrology a. There are 7 trained pediatric nephrologists in the country, as well as 2 fellows-in-training. b. An active fellowship program is in place, which offers training for pediatric nephrology for the region. There have been 9 trainees attached to the program since its inauguration, 1 from Indonesia, 1 from India, 2 from Thailand, 1 from Bangladesh, 1 from Myanmar, 1 from Vietnam, 1 from China and 1 from Pakistan. The IPNA-Baxter training fellowship for 2004 was awarded to a fellow from Vietnam (see report in item 5). c. The Pediatric End-Stage Renal Registry has been established, and is part of the National Renal Registry. The Pediatric Glomerulonephritis Registry has also been started. d. The Pediatric Nephrology Workgroup has revised its guidelines under the auspices of the National Committee for Renal Care, Ministry of Health, on treatment of glomerulonephritis in childhood. e. A conjoint one-day WCN2005-IPNA workshop on Pediatric Nephrology was held in Singapore on June 26th before the World Congress of Nephrology 26th-30th June 2005. 11. Taiwan: Report from the National Society of Pediatric Nephrology a. The programs for the Society for the year 2004 included a symposium in Southern Taiwan on March 7th, symposium in Northern Taiwan on 6th June, symposium in Middle Taiwan on 12th September, and the Annual Meeting of the Society from 11th – 12th December, 2004, Research Program of Community Health Promotion and Prevention of Kidney Diseases, and Developing Instruction of Kidney Prevention and Healthcare. b. Registry data is available on important clinical programs specific to Taiwan, including the end-stage renal failure program. c. Fellowship training programs in pediatric nephrology include the following: i) Care of admission patients with kidneys disease ii) Training in dialysis, including hemodialysis, peritoneal dialysis, continuous renal replacement therapy and plasmapheresis iii) Care of critically ill patients with kidney disease iv) Care of patients in the outpatient nephrology clinic v) Training in renal ultrasonography vi) Renal biopsy technique vii) Learning pathology of kidney disease viii) Continuing education including case conferences, journal reading, lectures, etc.
  21. 21. ix) Research training in both clinical and laboratory methods, and journal writing. 12. Thailand: a. The program in Thailand for 2004 consists of monthly interhospital conferences in Bangkok as well as the provincial hospitals. b. A short-course for general pediatricians and nurses was held on July 19- 23, 2004 at Siriraj Hospital. c. Organized Pediatric Nephrology symposia at the 12th ASEAN Pediatric Federation Conference, Pattaya, in November 2004.

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