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   Table of Contents - Current issue
Coverpage
April-June 2020
Volume 6 | Issue 2
Page Nos. 21-41

Online since Tuesday, September 1, 2020

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EDITORIAL  

Angiotensin-converting enzyme 2 – A boon or a bane? Gastrointestinal and renal involvement in COVID-19 p. 21
Anita Saxena
DOI:10.4103/jrnm.jrnm_22_20  
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CLINICAL EXPERIENCE AND OPINION Top

Effect of lockdown on patient care during COVID-19 pandemic p. 24
Kiran Kumar, Ratan Jha
DOI:10.4103/jrnm.jrnm_17_20  
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REVIEW ARTICLE Top

COVID-19 pandemic and care of chronic kidney diseases patients in India p. 27
Manas Ranjan Behera
DOI:10.4103/jrnm.jrnm_19_20  
In view of the coronavirus disease 19 (COVID-19) pandemic, most health-care resources focused on testing capability and increasing hospital beds and ventilators. Lockdown and reallocation of resources are two major interventions done by the government to tackle with the COVID outbreak. However, this is at the cost of patients living with noncommunicable diseases (NCDs) such as diabetes, hypertension, cancer, cardiovascular emergencies, and chronic kidney disease (CKD). Nevertheless, all health-care services related to NCD are impacted, but patients with CKD, especially those on dialysis, are affected mostly. People living with NCDs especially with CKD are at higher risk of severe COVID-19-related illness and death. It is vital that countries find innovative ways to ensure that essential services for CKD continue, even as they fight COVID-19.
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CLASSROOM READING - 1 Top

Host airway defense system p. 30
Anita Saxena
DOI:10.4103/jrnm.jrnm_21_20  
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CLINICAL PRACTICE Top

Peritoneal dialysis practice during the Coronavirus 2019 pandemic p. 33
KC Prakash
DOI:10.4103/jrnm.jrnm_16_20  
During COVID-19 pandemic. the practice of peritoneal dialysis is better understood as dealing with behaviour, management, and prevention of infection in end-stage-renal-disease. Adequate supplies should be stocked for at least 2 to 3 weeks in case of quarantine or break in supply chain due to transport breakdown. This article briefly covers acute PD in COVID patients with acute kidney injury (AKI) stable PD patients in pandemic (not infected) an PD patients with COVID infection.
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CLASSROOM READING - 2 Top

Immunity boosters: Solutions from nature – Herbs and spices p. 35
Renuraj Shrivastava
DOI:10.4103/jrnm.jrnm_20_20  
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SHORT COMMUNICATION Top

Nephrology teaching during the Coronavirus Disease 2019 pandemic p. 38
S Arunkumar, Dipankar Bhowmik
DOI:10.4103/jrnm.jrnm_18_20  
The rapid spread of coronavirus disease 2019 (COVID-19) to pandemic proportions since March 2020 has placed enormous pressure on health-care workers worldwide. India was placed on a nationwide lockdown from March to May 2020 and is gradually opening up with regard to travel and businesses. India is the third worst-hit country in the world after the United States and Brazil with 2.1 million documented cases. Coronavirus 2 infection is commonly associated with acute kidney injury in severe cases. The rapid spread of coronavirus has strained and stretched our health-care system, in particular, nephrology service to previously unknown dimensions. This has affected the normal routine of clinical training and necessitated a change in the approach to medical education. Apart from the training perspective, the stress on account of changes in clinical rotation, fear of contracting COVID-19, and uncertainty about the future course of disease and job prospects affects mental health of residents. This brief review explores the impact of such curtailed clinical activities and teaching and the possible approaches to nephrology teaching during the pandemic.
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