May 8 - 10, 2015
General Practitioner
Internist, Nephrologist
Other Specialist Interested in Nephrology and Hypertension
Borobudur Hotel, Jakarta
May 8 - 10, 2015
20152015 2015
“Glomerulonephritis and Chronic Kidney Disease”
“Management of Hypertension in Specific Conditions”
th
15 Jakarta Nephrology and
Hypertension Course
Symposium on Hypertension
Chronic Kidney Disease Initiatives
(AFCKDI)
th
9 Asian Forum of
Joint Meeting of The
(JNHC)
Participants :
May 08, 2015 May 08, 2015 May 08, 2015 May 10, 2015 May 10, 2015 May 10, 2015 May 09, 2015 May 09, 2015 May 09, 2015(SH)
9th 2015 9 Asian Forum of Chronic Kidney Disease InitiativesPreface
Dear colleagues,
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We will meet again on the 15 JNHC with the theme of Glomerulonephritis and Chronic Kidney Disease. Glomerular disease is one of the leading cause of end stage renal disease, therefore medical practitioners should be able to recognize and treat the disease. Indonesian nephrology experts will discuss the disease with the aim to improve the knowledge and skills of practitioners in the management of the diseases.
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The second day of the 15 JNHC is a joint event with the Asian Forum of Chronic Kidney Disease Initiatives ( AFCKDI ). Nephrology experts from the Asia Pacific region will discuss the topic of chronic kidney disease, especially the implementation of KDIGO guidelines. This event aims to disseminate the treatment of chronic kidney disease based on KDIGO guidelines and attempt to overcome the obstacles that exist in every country in Asia, and we expect Indonesian practitioners will gain the maximum benefit.
On the third day there will be Symposium on Hypertension with the theme Management of Hypertension in Specific Conditions. The topics to be discussed including: Current Management of Isolated Systolic Hypertension, The Insight of Hypertension in Pregnancy and Post Partum, Pediatric Hypertension: Epidemiology and Management, Clinical Approach of Hypertension and Hypokalemia, Management of Hypertension in Acute Kidney Injury, Risk Factors and Management of Resistant Hypertension. The prevalence of hypertension in Indonesia is high and the high incidence of target organ damage encourage all participating medical practitioners to manage hypertension.
Dr. Ginova Nainggolan, Sp.PD-KGH
Chairman of Organizing Committee
Dr. Dharmeizar, Sp.PD-KGH
President of InaSN
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15 Jakarta Nephrology and Hypertension Course (JNHC), 9th Asian Forum of Chronic Kidney Disease Initiatives (AFCKDI) & Symposium on Hypertension (SH) 2015
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th 15 Jak arta Nephrology and Hypert
ension Course ( JN H C ), 9th Asian F
orum of Chronic Kidne
y Disease Initiatives ( A FC K D I) & Symposium on Hypert ension ( S H ) 2015 Join t Mee ting of the T H E 1 5 th J A K A R T A N E PH R O LOG Y AN D H Y P E R T E N S IO N C O U R S E (J N H C ) “G lom er ul o ne p hri s an d Chr oni c Kid ney Di se ase ” Friday , 8 M ay 201 5 : Fl or es Ro om T IM E P R O G R AM 0 7.00 fini sh Regi str a o n an d M or n ing C off ee 08.00 08.15 Openi ng Ce rem o n y & E xhi bi o n 08.15 09.45 08.1 5 0 8.4 0 08.4 0 0 9.0 5 09.0 5 0 9.3 0 Sy mp os ium I Clini cal Man ifest a on of Glo me rulon ephr i s Glo me rula r Disease: C lin ica l and H is topath olog ica l Rela ons hip The Rol e of Kidne y B iopsy in G lo meru loneph ris 09.45 11.15 09.4 5 1 0.1 0 10.1 0 1 0.3 5 10.3 5 1 1.0 0 Sy mp os ium I I Rapid ly Pr ogressiv e Glo me rulon ephr i s: Updat e in Ma nage ment Vira l H epas Infe c on and G lom eru loneph ri s Curren t Mana ge ment of IgA N ep hropath y 11.15 12.30 Friday Pr a yi ng 12.30 13.30 Lu nc h 13.30 14. 15 Lu nc h Sym po si um Topic, Speak er and Cha ir man to be confir med 14. 15 15. 45 Cas e Di scu ssi on : Gl omer ul o ne phri s 15.45 17.00 15.4 5 1 6.1 5 16.1 5 1 6.4 5 Dail y Pr acce in Cl ini cal Ne p hr ol og y Clini cal Approa ch of Low Back Pa in Clini cal Approa ch of Ede ma 17.00 17.30 Coffee B reak TH E 9 th A S IA N FO R U M O F CH R ON IC K ID N E Y D IS E A S E IN IT IA T IV E S (A FC K D I) Sat ur day , M ay 9, 20 15 : Fl or es Room Tim e Pr ogra mm e 08.0 5 - 08 .1 5 Openin g ce rem on y 08.15 - 11.50 S E S S IO N I. H ow t o im ple men t K D IG O C K D G Ls in L M IC s of A si a 08.1 5 - 08 .4 0 W hat are reco m mended in K D IG O C K D G Ls 08.4 0 - 09 .0 5 Tr
eatment of IgA nephr
opath
y and lupus nephris: Experience fr
om China 09.0 5 - 09 .2 0 Discussion 09.2 0 - 10 .2 5 Specifi c risks in C K D pr ogr ession in South and Southeas t A sia ? 10.2 5 - 10 .4 0 Discussion 10.4 0 - 10 .5 5 Coff ee break 10.5 5 - 11 .1 5 How to pre vent on A K I in C K D ?-ne phrotox ic dru gs/foods, cu ltural backgr ound and en vi ron ment al fa ctor s 11.1 5 - 11 .3 5 W hat we nee d mor e and what we ca nnot affor d fo r in re co mm enda ons? 11.3 5 - 11 .5 0 Discussion 11.5 0 - 12 .4 0 Lunch 12.40 16.50 S E S S IO N I I. S peci al s tr ategy in C K D st ag e 4 an d 5 – fo cu s on tr eatme nt 12.4 0 - 13 .0 0 Timin g o f d ialys is in ia on 13.0 0 - 13 .1 0 Discussion 13.1 0 - 14 .1 0 W hat is the most cos t-effec ve s trat egy in pre ven ng/r et ar ding the progr ess of C K D ? Int er ven o n on h ype rt ensi on, diab et es and w hat else? Sodium r es tri con r ec omm enda ons, a nd any e viden ce -bas ed di ets that are cultu ral ly -rel ev ant ? Prot ein res tr ic on 14.1 0 - 14 .3 0 Treatme nt o f d iabe c neph ropath y in st age G4 -G 5 14.3 0 - 14 .4 5 Discussion 14.4 5 - 15 .0 0 Coff ee break 15.0 0 - 15 .4 0 Pred ialys is manage ment of C K D pa ents in prev enn g CV D A nemia manag em ent C K D M B D 15.4 0 - 16 .0 0 How gov ern ment po lic y affects the ma nage ment of C K D in Indonesia 16.0 0 - 16 .1 5 Discussion 16.1 5 - 16 .3 5 Pall ia ve car e 16.3 5 - 16 .5 0 Discussion 16.5 0 - 17 .0 0 Closing T H E 1 5 th J A K A R T A N E PH R O LOG Y AN D H Y P E R T E N S IO N C O U R S E (J N H C ) “G lom er ul o ne p hri s an d Chr oni c Kid ney Di se ase ” Sa tur da y, 9 M ay 201 5 : Flor es R o om 18.00 20.00 19.0 0 1 9.2 0 19.2 0 1 9.4 0 Di nner Sym po si um Diabe tes and Chron ic Kid ney Disease The Ben efi t of A nalo gue Insu lin Therapy in T2D M 20.00 21.00 In a SN M em ber Mee ng S Y M P O S IU M O N H Y P E R T EN S IO N (S H ) ” M an ag eme n t of H yp erte ns io n in S peci fic Co n dio ns ” Su nd ay , 1 0 M ay 201 5 : Flo res Room T IM E P R O G R AM 07.00 fini sh Regi str ao n 07.15 08.00 07.1 5 0 7.3 0 07.3 0 0 7.4 5 Br eakf ast S ymp os ium 1 A C E Inhib itor: The Founda on of R A A S B lock er in Comb ina on Therap Imp rovi ng Manag em ent of H ypert ension: Rec onside rin g A CE I-C C B Combina on The rapy 08.00 08.45 08.0 0 0 8.1 5 08.1 5 0 8.3 0 Br eakf ast S ymp os ium 2 Theme : Hyp ert ens ion an d Diabet es M el litus: A D oub le B ur d en D isease The Dia bet es Pa ent W ith Rena l I mpai rm ent: Hyp er gly ce mi a Mana ge A cross the Spect ru m of C K D Blood Pr essure Var iabi lity O ver 2 4 -hou r: Imp licat ions and Tr eatmen Single Pil l Co mbi na on 08.45 10.15 08.4 5 0 9.1 0 09.1 0 0 9.3 5 09.3 5 1 0.0 0 Symp os ium I Current Mana ge ment of I solat ed Sys to lic Hype rt ens ion The Insi ght of H ypert ension in P reg na ncy and Pos t Part um P ediat ri c Hy pert ensio n: E p ide mio logy and Mana gem ent 10.15 10.30 Coffee B reak 10.30 12.00 10.3 0 1 0.5 5 10.5 5 1 1.2 0 11.2 0 1 1.4 5 Symp os ium II Clini cal Approa ch of H ypert ension and H ypok ale m ia Mana ge ment of Hype rt ensio n in A cut e Kidn ey Inju ry Risk Facto rs an d Ma na ge me nt of R esis tant H yp ert ension 12.00 13.00 Debat e Topic : How to Sol ve the B ur de n of Di al ys is Pae nts in In do now ad a ys : Sh o ul d P D be the F ir st Choi ce? 13.00 fini sh Closi ng a n d Lu nc h Official Meeng of A FC K D I 2015 (Coff ee Br
eak & Dinner)
17.00
1
9.0
Friday, 8 May 2015
Program at Glance
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The 15 Jakarta Nephrology and Hypertension Course “Glomerulonephritis and Chronic Kidney Disease”
TIME PROGRAM
07.00 - finish Registra on and Morning Coffee 08.00 - 08.15 Opening Ceremony & Exhibi on 08.15 - 09.45 08.15 - 08.40 08.40 - 09 05 09.05 - 09.30 09.30 - 09.45 Symposium I
Chairman : Prof. DR. Dr. I Gde Raka Widiana, Sp.PD-KGH
Dr. Novadian, Sp.PD-KGH
Clinical Manifesta on of Glomerulonephri s
DR. Dr. Haerani Rasyid, Sp.PD-KGH, MKes.
Glomerular Disease: Clinical and Histopathological Rela onship
Prof. Dr. Wiguno Prodjosudjadi, PhD., Sp.PD-KGH
The Role of Kidney Biopsy in Glomerulonephri s
Dr. Ginova Nainggolan, Sp.PD-KGH Discussion 09.45 - 11.15 09.45 - 10.10 10.10 - 10.35 10.35 - 11.00 11.00 - 11.15 Symposium II
Chairman : Prof. DR. Dr. Syakib Bakri, Sp.PD-KGH
Dr. Stella Palar, Sp.PD-KGH
Rapidly Progressive Glomerulonephri s: Update in Management
Prof. DR. Dr. Ketut Suwitra, Sp.PD-KGH
Viral Hepa s Infec on and Glomerulonephri s
Dr. Adi awardana, Sp.PD-KGH
Current Management of IgA Nephropathy
Dr. Aida Lydia, PhD., Sp.PD-KGH Discussion 11.15 - 12.30 Friday Praying 12.30 - 13.30 Lunch 13.30 - 14.15 13.30 - 13.45 14.00 - 14.15 Lunch Symposium Discussion
Chairman : Dr. Maruhum Bonar H. Marbun, Sp.PD-KGH
The Importance of Hyperphosphatemia Management in CKD
DR. Dr. Zulkhair Ali, Sp.PD-KGH
New Approach for Hyperphosphatemia - Sevelamer, a Non-metal based phosphate binder
Dr. Goh Bak Leong
Friday, 8 May 2015
Program at Glance
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The 15 Jakarta Nephrology and Hypertension Course “Glomerulonephritis and Chronic Kidney Disease”
TIME PROGRAM
14.15 - 15.45 Case Discussion : Glomerulonephri s
Chairman : Prof. DR. Dr. Endang Susalit, Sp.PD-KGH
Panelists :
1. DR. Dr. Haerani Rasyid, Sp.PD-KGH, MKes. 2. Prof. Dr. Wiguno Prodjosudjadi, PhD., Sp.PD-KGH 3. Dr. Ginova Nainggolan, Sp.PD-KGH
4. Prof. DR. Dr. Ketut Suwitra, Sp.PD-KGH 5. Dr. Adi awardana, Sp.PD-KGH 6. Dr. Aida Lydia, PhD., Sp.PD-KGH 15.45 - 17.00 15.45 - 16.15 16.15 - 16.45 16.45 - 17.00
Daily Prac ce in Clinical Nephrology
Chairman : Dr. Dharmeizar, Sp.PD-KGH Clinical Approach of Low Back Pain
Dr. Heru Prasanto, Sp.PD-KGH
Clinical Approach of Edema
Dr. Nunuk Mardiana, Sp.PD-KGH
Discussion
Saturday, 9 May 2015
Program at Glance
The 9 Asian Forum of Chronic Kidney Disease Initiatives (AFCKDI)Time Programme Speaker Chairpersons
08.05 - 08.15 Opening ceremony Yusuke Tsukamoto (Japan)
08.15 - 11.50 SESSION I. How to implement KDIGO CKD GLs in LMICs of Asia
08.15 - 08.40 What are recommended in KDIGO CKD GLs
Kunitoshi Iseki
(Japan) Yusuke Suzuki
(Japan) H.M.S. Markum (Indonesia) 08.40 - 09.05 Treatment of IgA nephropathy
and lupus nephri s: Zhi-HongLiu
(China)
09.05 - 09.20 Discussion
09.20 - 10.25
Specific risks in CKD progression in South and Southeast Asia?
Pranawa (Indonesia) Shang-Jyh Hwang (Taiwan) Kearkiat Praditpornsilpa (Thailand) Ghazali Ahmad (Malaysia) Vivekanand Jha (India) Tazeen H. Jafar (Singapore) Syakib Bakri (Indonesia) 10.25 - 10.40 Discussion 10.40 - 10.55 Coffee break
10.55 - 11.15 How to prevent on AKI in CKD?-nephrotoxic drugs/foods, cultural background and environmental factors Lynn Gomez (Phillipines) Vivekanand Jha (India) Jose Roesma (Indonesia) 11.15 - 11.35 What we need more and what
we cannot afford for in recommenda ons?
Ghazali Ahmad (Malaysia)
11.35 - 11.50 Discussion
11.50 - 12.40 Lunch
Saturday, 8 May 2015
Program at Glance
The 9 Asian Forum of Chronic Kidney Disease Initiatives (AFCKDI)
Time Programme Speaker Chairpersons 12.40 - 16.50 SESSION II. Special strategy in CKD stage 4 and 5 – focus on treatment
12.40 - 13.00 Timing of dialysis ini a on David CH Harris
(Australia)
Dharmeizar (Indonesia)
13.00 - 13.10 Discussion
13.10 - 14.10
What is the most cost-effec ve strategy in preven ng/retarding the progress of CKD?
Hung-Chun Chen (Taiwan)
Parlindungan Siregar (Indonesia)
Interven on on hypertension, diabetes and what else?
Weiming Wang (China) Sodium restric on
recommenda ons, and any evidence-based diets that are culturally-relevant?
Ho Jun Chin (Korea)
Protein restric on Angela Wang
(Hong Kong) 14.10 - 14.30 Treatment of diabe c nephropathy in stage G4-G5 Sydney Tang (Hong Kong) 14.30 - 14.45 Discussion 14.45 - 15.00 Coffee break 15.00 - 15.40
Predialysis management of CKD pa ents in preven ng CVD
Harun Rasyid Lubis (Indonesia) Rubin Surachno Gondodiputro (Indonesia)
Anemia management Suhardjono
(Indonesia)
CKD MBD Ketut Suwitra
(Indonesia)
15.40 - 16.00 How government policy affects
the management of CKD in Indonesia
Rully M. A. Roesli (Indonesia)
16.00 - 16.15 Discussion
16.15 - 16.35 Pallia ve care Eric Finkelstein
(Singapore) Kriang Tungsanga (Thailand) 16.35 - 16.50 Discussion 16.50 - 17.00 Closing Yusuke Tsukamoto (Japan) Dharmeizar (Indonesia)
18.00 - 20.00 18.00 - 19.00 19.00 - 20.00 19.00 - 19.20 19.20 - 19.40 19.40 - 20.00 Dinner Symposium Dinner
Chairman : DR. Dr. Imam Effendi, Sp.PD-KGH Diabetes and Chronic Kidney Disease
Prof. Dr. Jose Roesma, PhD., Sp.PD-KGH
The Benefit of Analogue Insulin Therapy in T2DM
Prof. Dr. Sidartawan Soegondo, Sp.PD-KEMD
Discussion
20.00 - 21.00 InaSN Member Mee ng
Program at Glance
Saturday, 9 May 2015 th
The 15 Jakarta Nephrology and Hypertension Course “Glomerulonephritis and Chronic Kidney Disease”
Sunday, 10 May 2015
Program at Glance
Symposium on Hypertension”Management of Hypertension in Specific Conditions”
TIME PROGRAM 07.00 - finish Registra on 07.15 - 08.00 07.15 - 07.30 07.30 - 07.45 07.45 - 08.00 Breakfast Symposium 1
Chairman : Prof. DR. Dr. Ketut Suwitra, Sp.PD-KGH
ACE Inhibitor: The Founda on of RAAS Blocker in Combina on Therapy
Dr. Djoko Wibisono, Sp.PD-KGH
Improving Management of Hypertension: Reconsidering ACEI-CCB Combina on Therapy Dr. Pranawa, Sp.PD-KGH Discussion 08.00 - 08.45 08.00 - 08.15 08.15 - 08.30 08.30 - 08.45 Breakfast Symposium 2
Theme : Hypertension and Diabetes Mellitus: A Double Burden Disease Chairman : Prof. Dr. Rully M. A. Roesli, PhD., Sp.PD-KGH
The Diabetes Pa ent With Renal Impairment: Hyperglycemia Management Across the Spectrum of CKD
Prof. DR. Dr. Parlindungan Siregar, Sp.PD KGH
Blood Pressure Variability Over 24-hour: Implica ons and Treatment With Single Pill Combina on
Dr. Chandra Irwanadi Mohani, Sp.PD-KGH
Discussion 08.45 - 10.15 08.45 - 09.10 09.10 - 09.35 09.35 - 10.00 10.00 - 10.15 Symposium I
Chairman : DR. Dr. Shofa Chasani, Sp.PD-KGH
DR. Dr. Yenny Kandarini, Sp.PD-KGH
Current Management of Isolated Systolic Hypertension
DR. Dr. Lestariningsih, Sp.PD-KGH
The Insight of Hypertension in Pregnancy and Post Partum
Dr. Rubin Surachno Gondodiputro, Sp.PD KGH
Pediatric Hypertension: Epidemiology and Management
DR. Dr. Par ni Pudjiastu Trihono, Sp.A (K)
Discussion
Symposium on Hypertension (SH) 2015 ”Management of Hypertension in Specific Conditions” Sunday, 10 May 2015
Program at Glance
TIME PROGRAM 10.30 - 12.00 10.30 - 10.55 10.55 - 11.20 11.20 - 11.45 11.45 - 12.00 Symposium IIChairman : Dr. Abdurrahim Rasyid Lubis, Sp.PD-KGH
Dr. Widodo, Sp.PD-KGH
Clinical Approach of Hypertension and Hypokalemia
Prof. DR. Dr. Parlindungan Siregar, Sp.PD KGH
Management of Hypertension in Acute Kidney Injury
DR. Dr. Ria Bandiara, Sp.PD-KGH
Risk Factors and Management of Resistant Hypertension
DR. Dr. Lucky Aziza Bawazier, Sp.PD-KGH, SH, MH
Discussion
12.00 - 13.00 Debate
Topic : How to Solve the Burden of Dialysis Pa ents in Indonesia
nowadays: Should PD be the First Choice?
Chairman : Dr. Pranawa, Sp.PD-KGH
Speakers : 1. Prof. Dr. Rully M. A. Roesli, PhD., Sp.PD-KGH (pro)
2. Prof. DR. Dr. Suhardjono, Sp.PD-KGH, KGer. (anta)
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The 9 Asian Forum of Chronic Kidney Disease Initiatives (AFCKDI) 2015 committee invites you to submit your abstracts of original research which related to the main topic of the forum or the nephrology and hypertension field. The Scientific Abstract Reviewer Committee will evaluate and select the abstracts based on quality, clarity and relevance on the main topic or nephrology and hypertension field.
Accepted abstracts will be selected for Poster Presentation. Abstracts will be inserted, printed and published by the Indonesian Society of Nephrology (InaSN) in the Proceeding Book.
Abstract Submission & Guidelines General Policies:
1. All abstracts must be prepared according to the correct format and requirements. Submission will be returned to the author if not in the correct format and should be resubmitted to the committee with the exact format.
2. Abstracts submission will only be received through the InaS N Email (pernefri@cbn.net.id) at the latest April 25, 2015.
3. There will be no limit to the number of abstracts for an author to submit.
4. The Scientific Abstracts Reviewer Committee will evaluate and select all abstracts for Poster presentation.
5. All presenting local authors, whose abstract are accepted should register as
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Participant to The 15 JNHC, The 9 AFCKDI & SH 2015.
6. All presenting authors from overseas, whose abstract are accepted should register
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to the committee of The 15 JNHC, The 9 AFCKDI & SH 2015 to get Free Registration.
Joint Meeting of the:
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15 Jakarta Nephrology and Hypertension Course (JNHC), 9th Asian Forum of Chronic Kidney Disease Initiatives (AFCKDI) &
Abstract Format Guidelines: A. Language
English (clear with accurate grammar and spelling of a quality suitable for publication)
B. Title
Abstract titles should be concise and should not contain abbreviations. Please use Title Case and make sure to bold the entire title.
Example: Titles of Abstract
(Times New Roman, Bold, Size 12, Flush center)
C. Author
First name (s) or initials of first name (s) followed by family name. Affiliation details of all authors: department; institution/hospital; city; country.
Example:
1 2 3
Presenting Author , Co-author , Co-author
(Times New Roman, Size 12, Flush center, Underline Presenting Author)
1 2 3
Institution of Author, Institution of Author, Institution of Author (Times New Roman, Size 12, Flush center)
D. Body
1. Supported file format is Microsoft Word
2. Font: Times New Roman, size: 11 in single line spacing. Except for the first line, the text should be indented from the left margin by 10 mm.
3. Abstracts must not exceed a 250 word limit. The word limit relates only to the text of the abstract and does not include title, authors and institutions
4. The abstract should be concise and present the background, objective, method, result and conclusion.
Joint Meeting of the:
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15 Jakarta Nephrology and Hypertension Course (JNHC), 9th Asian Forum of Chronic Kidney Disease Initiatives (AFCKDI) &
FORMULIR REGISTRASI PESERTA
BIAYA REGISTRASI PESERTA
KETENTUAN DAPAT DILIHAT PADA KETENTUAN REGISTRASI PESERTA
Kategori Sampai dengan 31 Maret 2015 1 April 2015
s/d Onsite th
The 15 JNHC, The 9 AFCKDI & SH 2015:
8, 9, 10 Mei 2015 Rp. 2.500.000,- Rp.
Institusi :
Alamat :
Kode Pos : Telp : Fax : No. HP
E-mail :
Nama Sponsor :
Telp : Fax : Contact Person No. HP
E-mail :
Nama :
(mohon diisi dengan huruf cetak, nama, gelar yang jelas, lengkap / sesuai kartu identitas untuk badge)
Gelar : Prof. DR. PhD Dr. Sp.PD ... Mr. Mrs. Ms.
(Dokter Umum, Spesialis, dll)
th
The 15 JNHC, The 9 AFCKDI & SH 2015: 8, 9, 10 Mei 2015 (Anggota PERNEFRI) Rp. 2.500.000,- Rp. 2.500.000,- 3.000.000,-, 2015 (………..……) Peserta / Mitra Kerja
Disponsori Oleh
(………..……)
, ,
Panitia
, , ,2015
Panitia tidak menerima pembayaran tunai kecuali Onsite
PB PERNEFRI . REGISTRASI Bank Mandiri KCP RSCM Jakarta A/c. : 122 – 00 – 0596362 - 7 Cara Pembayaran Registrasi Peserta:
FORMULIR AKOMODASI
BIAYA AKOMODASI
Institusi :
Alamat :
Kode Pos : Telp : Fax : No. HP
E-mail :
Nama Sponsor :
Telp : Fax : Contact Person No. HP
E-mail :
Nama :
(mohon diisi dengan huruf cetak, nama, gelar yang jelas, lengkap / sesuai kartu identitas)
Gelar : Prof. DR. PhD Dr. Sp.PD ... Mr. Mrs. Ms.
, 2015
(………..……) Peserta / Mitra Kerja
Disponsori Oleh
(………..……)
, ,
Panitia
, , ,2015
KETENTUAN DAPAT DILIHAT PADA KETENTUAN AKOMODASI PESERTA Tipe Kamar Superior Junior Suite Premier Deluxe Club Suite Execu ve
Hotel Borobudur - Jakarta
(Including Breakfasts)
Harga/Night Check in Check out
Rp. 1.600.000,-Rp. 2.450.000,-Rp. 1.800.000,-Rp. 2.600.000,-Rp. 2.000.000,-Tanggal Total Night
Panitia tidak menerima pembayaran tunai kecuali Onsite
PB PERNEFRI . AKOMODASI Bank Mandiri KCP RSCM Jakarta A/c. : 122 – 00 – 0596363 - 5 Cara Pembayaran Akomodasi Peserta:
Transfer Bank :
600.000,-1. Peserta adalah Dokter Umum, Internis, Nefrologis, dan Dokter Spesialis lain yang berminat.
2. Seminar ini menggunakan BARCODE sebagai bukti kehadiran.
3. Peserta yang mendapat sertifikat yang sudah diakreditasi IDI adalah peserta yang telah mengikuti seluruh seminar (Joint Meeting of the: 15th Jakarta Nephrology and Hypertension Course / JNHC, 9th Asian Forum of Chronic Kidney Disease Initiatives / AFCKDI & Symposium on Hypertension / SH 2015) minimal 60%. Peserta yang telah mengikuti seminar namun kehadirannya dibawah 60% akan mendapat sertifikat dengan diberi tanda KEHADIRAN DIBAWAH 60%.
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a. Pembayaran melalui TRANSFER Bank : Mohon dituliskan tanggal transfer, nama, no telp/hp, instansi/perusahaan pengirim, pada kolom berita dituliskan NAMA LENGKAP, No. HP, dan EMAIL PESERTA.
b. Pembayaran melalui ATM. Mohon dituliskan Nama pemilik rekening, no. telp/hp, NAMA PESERTA, No. HP dan EMAIL PESERTA
c. Setiap pembayaran melalui TRANSFER atau ATM harus dikonfirmasi ke panitia.
d. Biaya Registrasi adalah biaya registrasi peserta untuk acara :
- The 15th Jakarta Nephrology and Hypertension Course (JNHC),
- The 9th Asian Forum of Chronic Kidney Disease Initiatives (AFCKDI) &
- Symposium on Hypertension (SH) 2015
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Atas nama : PB PERNEFRI.REGISTRASI
Bank : Bank Mandiri KCP RSCM, Jakarta
No. rek : 122 – 00 – 0596362 – 7
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Pembayaran melalui TRANSFER dan ATM terhitung biaya registrasi masuk ke rekening panitia bukan tanggal transfer/tanggal proses di instansi/perusahaan. 9. Peserta yang telah melakukan pembayaran akan diberi kwitansi yang telah
memiliki barcode.
10. Untuk registrasi ulang peserta menggunakan kwitansi berbarcode dan akan diberikan perlengkapan seminar
11. Panitia tidak menerima pembatalan dan perubahan nama peserta sesudah melakukan pembayaran.
12. Apabila ada peserta yang teregistrasi lebih dari satu kali, baik teregistrasi dari instansi/perusahaan yang berbeda maupun dari instansi/perusahaan yang sama, biaya registrasi tidak dapat dikembalikan dan bukan merupakan tanggungjawab dari panitia.
13. Bagi peserta yang didaftarkan mulai tanggal 18 April 2015, panitia tidak menjamin
seminar kitnya.
14. Registrasi di sekretariat PB PERNEFRI tutup tanggal 24 April 2015. Registrasi dibuka kembali mulai tanggal 7 Mei 2015 jam 14.00 – 18.00 WIB di hotel Borobudur, Jakarta.
15. Registrasi ulang secara kolektif dapat dilakukan dengan cara, mengirimkan DAFTAR PESERTA ke sekretariat PB PERNEFRI paling lambat tanggal 24 April 2015. Pengambilan Seminar kitnya dapat dilakukan mulai tanggal 7 Mei 2015 jam 14.00 – 18.00 WIB di hotel Borobudur, Jakarta.
16. Peserta yang telah membayar biaya registrasi dan mengisi lengkap formulir pendaftaran dapat melakukan registrasi ulang mulai tanggal 7 Mei 2015 jam 14.00 – 18.00 WIB di hotel Borobudur, Jakarta.
KETENTUAN AKOMODASI PESERTA
2. Formulir akomodasi dapat diambil di Sekretariat PB PERNEFRI (Jl. Salemba Raya No. 22A, RT. 006 RW. 06, Kenari, Senen - Jakarta Pusat 10430, Telp. 021-314 9208, 390 3873, Fax 315 5551, Email : pernefri @cbn.net.id) dan di Website PERNEFRI :
www.pernefri-inasn.org
3. Pembayaran dan pemesanan akomodasi di Hotel Borobudur, Jakarta dapat dilakukan melaui TRANSFER bank.
a. Pembayaran melalui TRANSFER Bank : Mohon dituliskan tanggal transfer, nama, no telp/hp, instansi/perusahaan pengirim. Pada kolom berita dituliskan NAMA sesuai kartu identitas, No. HP dan EMAIL PESERTA.
b. Pembayaran melalui ATM. Mohon dituliskan pemilik rekening no. telp/hp, NAMA PESERTA, No. HP dan EMAIL PESERTA.
c. Setiap pembayaran melalui TRANSFER dan ATM harus dikonfirmasi ke panitia. 4. Formulir akomodasi dan bukti pembayaran melalui TRANSFER atau ATM dapat difax
ke : 021 – 315 5551 atau email ke : pernefri@cbn.net.id dengan melengkapi data peserta dan data sponsor.
5. Akomodasi hanya tersedia bagi peserta yang telah membayar ONE NIGHT DEPOSIT atau MEMBAYAR LUNAS sesuai lamanya menginap. Pembayaran one night deposit paling lambat 1 Maret 2015 (diterima di rekening panitia). Pelunasan biaya akomodasi sesuai lamanya menginap paling lambat 24 Maret 2015. Sesudah tanggal 24 Maret 2015 apabila pembayaran akomodasi tidak dilunasi, dianggap MEMBATALKAN pemesanan kamar, dan biaya one night deposit yang telah dibayarkan ke panitia tidak dapat dikembalikan. Panitia berhak membatalkan pemesanan kamar, walaupun telah membayar lunas, apabila kamar telah penuh (“first come, first served”).
6. Peserta yang telah melakukan pembayaran akan diberikan kwitansi.
7. Biaya akomodasi tidak dapat dikembalikan apabila terjadi “NO SHOW” / keterlambatan / pembatalan.
8. REKENING AKOMODASI :
Atas nama : PB PERNEFRI.AKOMODASI
Bank : Bank Mandiri KCP RSCM, Jakarta
No. rek : 122 – 00 – 0596363 – 5
1. Pemesanan akomodasi di Hotel Borobudur melalui panitia. Akomodasi termasuk sarapan pagi. Tipe kamar sbb :
Tipe Kamar Harga/Malam Tipe Kamar Harga/Malam
Superior Rp. 1.600.000,- Junior Suite Rp.
2.450.000,-Premier Deluxe Rp. 1.800.000,- Club Suite Rp.
600.000,-Organizing Committee
Hosted by:
Indonesian Society of Nephrology (InaSN) International Advisory Council of the AFCKDI
Advisory Board :
Prof. Dr. Wiguno Prodjosudjadi, PhD., Sp.PD-KGH Prof. DR. Dr. Suhardjono, Sp.PD-KGH, KGer
Chairman:
Dr. Ginova Nainggolan, Sp.PD-KGH Secretary:
Dr. Pringgodigdo Nugroho, Sp.PD Treasurer:
Dr. Maruhum Bonar H. Marbun, Sp.PD-KGH Scientific Committee:
Chairman: Prof. DR. Dr. Parlindungan Siregar, Sp.PD-KGH Member:
Prof. DR. Dr. Endang Susalit, Sp.PD-KGH Prof. DR. Dr. Bambang Purwanto, Sp.PD-KGH Prof. DR. Dr. Emma Syarifih Moeis, Sp.PD-KGH
Dr. Aida Lydia, PhD., Sp.PD-KGH Dr. Abdurrahim Rasyid Lubis, Sp.PD-KGH
Program Committee Members: Dr. Dharmeizar, Sp.PD-KGH Dr. Ni Made Hustrini, Sp.PD Dr. Vidhia Umami, Sp.PD Exhibition Committee: DR. Dr. Imam Effendi, Sp.PD-KGH Dr. Fitri Imelda, Sp.PD Publication Committee :
DR. Dr. Lucky Aziza Bawazier, Sp.PD-KGH, SH, MH Dr. Candra Wibowo, Sp.PD-KGH
Joint Meeting of the: th
15 Jakarta Nephrology and Hypertension Course (JNHC), 9th Asian Forum of Chronic Kidney Disease Initiatives (AFCKDI) &
Joint Meeting of the:
th
15 Jakarta Nephrology and Hypertension Course (JNHC), 9th Asian Forum of Chronic Kidney Disease Initiatives (AFCKDI) &
Symposium on Hypertension (SH) 2015
PT. Sanofi Group Indonesia PT. Novo Nordisk
PT. Boehringer Ingelheim Indonesia PT. Kalbe Farma Tbk.
PT. Fresenius Medical Care Indonesia PT. Dexa Medica
PT. Fresenius Kabi Indonesia PT. Servier Indonesia PT. Sinar Roda Utama - Nipro PT. Laboratorium Klinik Prodia
PT. Pfizer Indonesia PT. Astellas Pharma Indonesia
PT. Ethica Industri Farmasi PT. Bbraun Medical Indonesia
PT. Merck Indonesia Tbk PT. Pratapa Nirmala - Fahrenheit
PT. Roche Indonesia PT. Takeda Indonesia
PT. Combiphar PT. Dipa Pharmalab Division PT. Abadinusa Usahasemesta PT. Johnson & Johnson Indonesia
PT. Mendjangan PT. Novell Pharmaceu cal
PT. Sanbe Farma PT. Transmedic Indonesia
PT. Masa Lestari Husada PT. Actavis
Secretariat : Jl. Salemba Raya No. 22A
RT 006/06, Kenari, Senen, Jakarta Pusat 10430 Telp. +62 21 314 9208, +62 21 390 3873
Fax. +62 21 315 5551 Web Site : www.pernefri-inasn.org
E-mail : pernefri@cbn.net.id
2015 2015 2015
2015 9 Asian Forum of Chronic Kidney Disease Initiatives