Septemberreportcombo

Page 1

PR, Media Report for September 2013

K Raveendran


Press Releases Coverage

1. Device Closure 2. Hotel Show


Device Closure Coverage











Hotel Show









Press Releases, Articles


HSGN

PRESS RELEAS E

Sept 25, 2013

Locally-performed procedure opens new era in non-surgical cardiac intervention Doctors at RAK Hospital marked the opening of a new era of intervention in congenital heart disease for this part of the world by carrying out an Atrial Septal Defect (ASD) Closure without surgical intervention on a young adult by the technique of Device closure ASD device (Amplatzer septal occluder) is a relatively new non-surgical technique used to treat patients with atrial septal defect in which patients are born with “hole” in the heart. It is the commonest defect encountered in adults with birth defects of the heart. These patients are usually asymptomatic in the first two to three decades of life and then start developing symptoms of breathlessness and fast heart beats. Untreated, the disease course is progressive resulting in heart failure in the fourth and fifth decade of life. The ASD device is placed using a catheter, which guides the placement of the device in the heart by radiological and echocardiographic imaging in the cardiac catheterization laboratory. The device then becomes a permanent implant that will seal the hole in the heart. Through the catheter, the ASD closure device is moved to the heart and to the location of the heart defect. Once in the correct location, the device is allowed to expand to its preformed shape to straddle each side of the hole. The device will remain in the heart permanently to stop the abnormal flow of blood between the two atrial chambers of the heart. The catheter is then removed and the procedure is complete. The device is compatible with the body without causing any adverse reactions or “rejection”.


The patient is discharged on the next day of the procedure and allowed to continue with daily routine activities immediately after discharge Within a few days, the body’s own tissue begins to grow over the device. By 3 to 6 months, the device is completely covered by heart tissue and at that point becomes a part of the wall of the patient’s heart. The procedure at RAK Hospital was carried out by Dr S Radhakrishnan, leading Cardiologist from Fortis Escorts Heart Institute, who is a visiting consultant with RAK Hospital. He was assisted by Dr Mukesh Nathani, Dr Ajay Kumar Kanojia and the anesthesia team at RAK Hospital. Surgical cover was provided by Dr Arun Goyal. The procedure went very well with no immediate complications and patient tolerated it well. There are no scar marks on the chest as with all open heart procedures and pain is minimized. “I am sure this will open new era of device intervention in congenital heart disease in this part of the world. Dr S Radhakrishnan has extensive experience (and the largest number of cases) in device closure of ASD, PDA, VSD and balloon mitral / pulmonary/aortic valvuloplasty and is world renowned in management of congenital heart disease in children and adult,” said Dr Ajay Kanojia, Director of Cardiac Services, RAK Hospital. “This is a landmark achievement that the UAE medical community can be proud of. It adds to the locally available expertise in treating heart problems with the latest procedures, which is a blessing for heart patients,” said Raza Siddiqui, Executive Director of RAK Hospital. The RAK Hospital has exclusive partnership in the Middle East with the globally renowned Fortis Escorts Heart Institute. The partnership has resulted in the setting up of the UAE's first dedicated private paediatric interventional cardiac unit at RAK Hospital. A panel of hand-picked cardiac specialists from FEHI is stationed at RAK Hospital as part of the arrangement, adding further strength to RAK Hospital's cardiac team. Fortis Escorts Heart Institute has set benchmarks in cardiac care with its path breaking work. Dr S Radhakrishnan is himself a pioneer in pediatric cardiology,


particularly in device closure of defects, Balloon Valvuloplasty of diseased valves in children and adults with congenital heart disease. He makes regular visits to RAK Hospital for consultations.

For more information: Please contact: DR Ajay Kumar Kanojia Director Cardiac Services RAK HOSPITAL, Ras Al Khaimah, UAE Principal Consultant Cardiologist Fortis-Escorts Heart Institute Okhla Road, New Delhi, India. Mob: +971 527675646 ajay.k@rakhospital.com PO Box 11393, RAK, UAE www.rakhospital.com

Santhiya Keerthi Project Officer RAK Hospital Phone: +971 72074444 Santhiya.k@rakhospital.com

Attachment: Four stages of Device Closure Procedure


HSGN

Hotel Show Dubai 2013

Sept 29, 2013

Hospital investment has four times more revenue potential than hospitality sector Need to create 5000 new hospital beds to tap into Dubai’s medical tourism prospects, says leading hospital management expert.

The hospital sector is capable of yielding four times of the revenue generated by the hotel industry for the same amount of investment, a leading hospital management expert told the Hotel Show Dubai 2013 at the Dubai World Trade Centre on Sunday. The cost of putting up a hospital bed is almost the same as the cost of creating a room in a five-star hotel, but there is a huge difference in the revenue potential of the two, he pointed out. The potential for investments in hospitals was highlighted by Raza Siddiqui, CEO of Arabian Healthcare Group, while making a presentation on the medical tourism potential of Dubai and the UAE. Dubai, in particular, offers great scope for investments in high-quality medical infrastructure, he pointed out. According to Department of Tourism and Commerce Marketing (DTCM) estimates, 10 million tourists visiting the UAE, spending an average 3.8 days in 80,000 hotel rooms, generate AED 20 billion-revenue. This makes an average of AED 250,000 per bed for a regular hotel and AED 500,000 for a five-star hotel annually. The total investment required for creating a room in a five-star property is estimated at AED 2 million, which is roughly the project cost required for putting up a hospital bed in a premium hospital.


“While the average revenue per bed in a five-star hotel is AED 500,000, the average revenue per bed in a premium hospital is AED 2 million per year. That is the kind of difference in revenue yields, although the cost of creating the two facilities is the same”, Siddiqui pointed out. Given Dubai’s superior hospitality sector and its excellent healthcare infrastructure, the Emirate is in a strong position to develop medical tourism as a major component of its tourism industry. There is a need and the opportunity for investing in 5,000 new hospital beds, Siddiqui said. According to him, out of the 40 million transit passengers at the Dubai airport, on an average 1,500 to 2,000 patients daily change flights to travel to medical tourism destinations daily. With Dubai’s excellent hospitality and healthcare infrastructure, it should be possible to attract some of them to seek treatment here. “Medical tourism can complement the thriving tourism industry in the region. If the Emirate targets even 500,000 medical tourists per year, the revenue contribution can be in the region of AED 10 billion, which is 50 percent of the earnings by the tourism industry,” Siddiqui said. “Dubai can hope to position itself alongside Singapore and Thailand, both of which offer quality healthcare and good hospitality infrastructure. India has good healthcare, but it is not so good in terms of hospitality. Dubai has very good hospitality and good healthcare,” he said. India is among the countries that receive one million or more medical tourists in a year, the others being Thailand, Mexico, US and Singapore. India is expected to receive 1 million medical tourists this year with an annual spend of US$5 billion, making an average of US$5,000 per patient. According to McKenzie projections for 2013, the regional market for medical tourism is worth US$20 billion out of a total industry size of US$100 billion. The global medical tourism market is estimated to grow with a CAGR of 9.5% from 2012 to 2018. Over 50 countries have identified medical tourism as a national industry.


About Arabian Healthcare Group: Arabian Healthcare LLC (AHG) is a leading player in the UAE healthcare industry, with investments in premium hospitals, clinics, specialty centres and medical laboratories. The group owns and operates the RAK Hospital, the high-end premium hospital that combines premium hospitality, and attracting significant numbers of medical tourists. The Star Metropolis, another member of the AHG portfolio, runs a chain of top-notch medical diagnostic labs with state of the art facilities. The stand-alone Specialty Medical Centres focus on the management of Diabetes, Eye Care and Assisted Reproduction.

About Raza Siddiqui: Raza Siddiqui is the CEO of Arabian Healthcare Group and the Executive Director of RAK Hospital. A highly reputed professional within the healthcare, hospitality and real estate industry, Raza Siddiqui’s experience profile spans over three decades and a number of prestigious assignments. He has been associated with some of the leading corporate entities and governmental institutions, including the Apollo Group of Hospitals and Ranbaxy Laboratories of India. Issued on behalf of Arabian Healthcare Group 3B/C, 3rd Floor, Gate 2 Hamrain Centre, Abu Baker Al Siddiqui Road Post Box 82533 Deira, Dubai Phone: +971 04 2599172 For more information: 050 6259940


HSaGN ARTICLE FOR FRIDAY

Passionate About People’s Healthcare Raza Siddiqui pioneers the concept of premium healthcare with premium hospitality

He developed a passion for healthcare while working as a young executive with a pharmaceutical company and became possessed with an indomitable will to succeed while helping his mentor Dr Prathap Reddy of Apollo fame pioneer an Indian revolution in private healthcare. Raza Siddiqui became a celebrity in hospital administration in the 90s for his spectacular success in the launch of Indraprastha Apollo, New Delhi, as the largest corporate hospital in India. The project was featured in over 2000 newspaper articles and over 300 television slots within one year of its launch. Siddiqui has been in the UAE for over 15 years now, pursuing his ambition of creating his own global niche of premium healthcare with premium hospitality. He is currently the Chief Executive Officer of Arabian Healthcare Group. His showpiece projects here include the RAK Hospital, the first of its kind medical institution in the UAE that combines premium healthcare and premium hospitality. RAK Hospital is a joint venture between Arabian Healthcare Group, owned by the Government of Ras Al Khaimah, under the guidance of His Highness Sheikh Saud Bin Saqr Al Qassimi, Supreme Council Member and Ruler of Ras Al Khaimah, and ETA Star Healthcare of Dubai. RAK Hospital aims to provide international quality healthcare with highly qualified medical staff and skilled nursing care by redefining the standards of excellence in patient care with premium hospitality. The hospital is managed by the Arabian Healthcare Group in association with Sonnenhof Swiss Health, a leading healthcare group from Switzerland, which draws upon the rich Swiss heritage of healthcare and hospitality and carries a distinct brand in the global medical scene. Sonnenhof has received top rankings


from WHO for the quality and reliability of its services. It also ranks at the top in aspects like life expectancy, access and responsiveness and fairness in financial contribution. The hospital achieved a remarkable feat, winning two international accreditations within one year of launch: the Joint Commission International Accreditation and Swiss Leading Hospitals Accreditation. “We are driven by Swiss hospitality values, have American standards of accreditation and offer rates at par with Asia – and we are located in the Arab world; can it get any better,” asks Siddiqui. Siddiqui was also instrumental in the setting up of the RAK College of Medical Sciences, a network of clinics and clinical referral laboratories along with the establishment of a medical equipment trading division. He was solely responsible for the planning, execution and management of these projects, the success of which is a prime example of his skill and passion. He had first come to the UAE while working as Director, International Operations, for the well-known Apollo Hospitals Group of India, for setting up an advanced care multi-specialty hospital in Dubai, which was conceptualized, planned and launched under his leadership. In that role he also worked with the Joint Commission International for the accreditation of the hospital and established strong rapport and liaison with various Rulers’ Offices and also with the Ministries of Health in the UAE and the Middle East, connections which were to become prime factors in his future plans. His brilliant track record in hospital administration and management may be traced back to the prestigious assignments he undertook in various related capacities in India. Working under the guidance of Dr Pathap Reddy, Chairman of the Apollo Hospital Group, Siddiqui helped develop Apollo as the largest corporate hospitals group in Asia within a record period of one-and-a-half years. He also helped establish a diverse network of physicians and general practitioners as a referral base across India and launched the concept of satellite clinics as feeders and promoted corporate health as a package to corporates for the first time. He was instrumental in making the hospital financially viable in the first year of operations – recognized as a world record of sorts.


He is also a passionate promoter of medical tourism. During his stint with Apollo, he was responsible for promoting India as a healthcare destination, the first time ever that this activity was pursued with a professional approach. For the first time, he arranged for the treatment of more than 100 patients in a year from the UAE in India. Siddiqui feels that the UAE in its turn has a huge potential for developing into a medical tourism destination. The RAK Hospital itself has played a pioneering role in this respect, attracting significant numbers of medical tourists from Middle East, Africa and the CIS countries, who seek to benefit from the hospital’s premium healthcare facilities combining it with a rewarding holiday in the northern emirate. “In the past, the Middle East had been a major target market for the European and the US healthcare industry and many consultants and hospitals managed to successfully convince people from this region to travel to the US and Europe for treatment. But now, with the standards of healthcare in the Middle East going up, JCI accredited hospitals, top notch facilities and the hiring of doctors with the right credentials, this sector is fast emerging and has all the potential for pulling medical tourists here,” he says. According to him, one of the Middle East’s biggest advantages is that it has a thriving hospitality industry that complements the medical tourism industry. Some of Its disadvantages - not being known as a healthcare hub, are being rapidly overcome as several hospitals in the region are courting US accreditations to enhance credibility and tell the world that they too are world class. “Accreditation is coming into vogue as the international traveler is familiar with UK and US names,” he points out. Siddiqui explains how the emirate of Ras Al Khaimah is unique in the UAE. Its biggest advantage is its uncorrupted landscape – it has a great combination of mountains, seas and deserts and is peppered with date plantations and green patches due to its regular rainfall. RAK’s strategic location makes it ideal for tourists from the Middle East, Yemen, Oman, East and West Africa. “We are promoting RAK Hospital in the African continent and the CIS countries. We are in constant touch with the Ministry of Health in these countries through the embassies and engage with insurance companies, local hospitals and general


practitioners. We have realized that RAK has the potential and credits to pull tourists from all over the world,” he says, “Medical tourists look for quality care as well as convenience. The visas, greeting services at the airport, a good hotel with great F & B options, hospital pick up and drop services, providing for the patient’s family and quality care for the patient’s needs: these are the important factors. And once the medical requirements are met, we put the patient on a plane safely and keep him connected to the hospital,” says Siddiqui. With Asian countries being strong contenders for medical tourism – what are the advantages of RAK as a medical tourist destination? “Our rates are quite affordable. We offer nearly the same price as Asia,” he avers. Siddiqui is, of course, not unmindful of the higher cost of premium healthcare. “Providing premium healthcare involves a great challenge in that the quality has to be improved constantly while at the same time controlling the expenses,” he says. He feels that the solution is not in saying no to premium healthcare, but in making it accessible to more sections of the society. “It is high time that society focuses on making premium healthcare more accessible. This can be done, as in the US, through mandatory medical insurance. Insurance serves an effective accessibility bridge. Thankfully, the UAE has initiated steps in this direction. Its move to make medical insurance compulsory is beneficial to the well-being of the nation and its people,” he says. Siddiqui’s obsession for combining healthcare and premium lifestyle has not kept him confined to hospitals. He was actively involved with the development of ETA’s Dubai Lifestyle City, the Dh2.5 billion unique lifestyle project in Dubailand. Siddiqui finds it extremely gratifying that his prescription for the success of healthcare is being taken very seriously in the UAE.

HSGN


ARTICLE FOR FRIDAY

“Heart Breaks …”: Women and heart disease Women more prone to ‘broken heart syndromes’ as evidence suggests major gender differences in cardiac disease risks, results of investigations and management.

Innumerable classics in world literature have portrayed the tales of heart-broken lovers and the wild swings in their moods - anguish, despair, and even ecstasy in their various shades of mind. Modern medical practitioners have now started approaching the issue with a different perspective: understand the impact of ‘heartbreaks’ on the heart itself. Doctors are now diagnosing what they call ‘broken heart syndromes’ in people in ordinary situations who undergo sudden excessive emotional stress and they say women are more likely than men to suffer this condition. Broken heart syndrome is also called stress-induced cardiomyopathy or takotsubo cardiomyopathy. “Mental stress and depression affect women’s hearts more than men’s. Depression makes it difficult to maintain a healthy lifestyle and follow recommended treatment, so talk to your doctor if you’re having symptoms of depression. Sudden excessive emotional stress can also lead to Broken Heart Syndrome,” says Dr Ajay Kumar Kanojia, Director Cardiac Services, RAK Hospital. Dr Kanojia is also Principal Consultant Cardiologist at Fortis-Escorts Heart Institute, New Delhi, India, with more than 25 years experience in interventional and clinical cardiology and has several international and national publications to his credit. Doctors may misdiagnose broken heart syndrome as a heart attack because it has similar symptoms and test results. However, there’s no evidence of blocked heart arteries in broken heart syndrome, and most people have a full and quick recovery but there are reported mortality also, he points out.


Women and men differ in symptoms, diagnostic procedures and prognosis of coronary heart disease. “Although the traditional risk factors for coronary artery disease — such as high cholesterol, high blood pressure and obesity — affect women and men, other factors may play a bigger role in the development of heart disease in women. And these include metabolic syndrome — a combination of fat around the abdomen, high blood pressure, high blood sugar and high triglycerides — which has a greater impact on women than on men,” Dr Kanojia says. Similarly, smoking is a greater risk factor for heart disease in women than in men. Also, low levels of estrogen after menopause pose a significant risk factor for developing cardiovascular disease in the smaller blood vessels. Most importantly, the tendency to smoke is increasing among women. It is well known that diabetes and smoking are strong predictors of coronary events in both genders, but the risk is two to four-fold greater in women. Diabetes in women is frequently associated with myocardial infarction, heart failure and death. There is increasing evidence that women undergo intensive and invasive evaluation and treatment for chest pain much less frequently than men. “When acute coronary events occur in women, they are generally older, have multiple risk factors and coexisting illnesses and the rate of in-hospital death is always substantially greater than in men, even after revascularization procedures,” says Dr Kanojia. The most common heart attack symptom in women is some type of pain, pressure or discomfort in the chest. But it’s not always severe or even the most prominent symptom, particularly in women. Women are more likely than men to have heart attack symptoms unrelated to chest pain, such as: • • • • • •

Neck, shoulder, upper back or abdominal discomfort Shortness of breath Nausea or vomiting Sweating Lightheadedness or dizziness Unusual fatigue


These symptoms are more subtle than the obvious crushing chest pain often associated with heart attacks. This may be because women tend to have blockages not only in their main arteries, but also in the smaller arteries that supply blood to the heart — a condition called small vessel heart disease or microvascular disease. “Many women tend to show up in emergency rooms after much heart damage has already occurred because their symptoms are not those typically associated with a heart attack. If you experience these symptoms or think you’re having a heart attack, call for emergency medical help immediately. Don’t drive yourself to the emergency room unless you have no other options,” cautions Dr Kanojia. According to Dr Ajay Kanojia, Director, Cardiac Services RAK Hospital, there is a certain unpredictability in diagnostic test results in women with coronary artery disease. The standard exercise electrocardiogram testing is the most commonly used of the noninvasive tests for the assessment of myocardial ischemia. However, electrocardiographic changes during exercise are considered of diminished accuracy in women due in part to an increased rate of false positive results. Several factors may influence exercise testing responses in women, such as a lower prevalence of coronary artery lesions; a higher prevalence of single vessel disease; microvascular disease and vascular spasms; limited exercise tolerance; breast attenuation artifacts and hormonal influences mimicking digitalis-like false positive responses. Anatomical factors, such as smaller coronary artery size, smaller left ventricular chamber size and metabolic and hemodynamic influences, such as a lesser increase in the left ventricular ejection fraction and an inappropriate release of catecholamine also influence testing results. Dr Kanojia explains that myocardial infarction in women deserves special attention because women have worse in-hospital and long-term prognosis than men. It is generally recognized that women have a two-fold higher mortality after myocardial infarction compared to men. Elaborating further on gender differences in coronary heart disease outcomes, Dr Kanojia points out there are several ways in which women may differ from men. At the molecular level, sex-gene related diseases may occur while physiological


differences may exist due to sex-hormones and to different responses to risk factors causing different patterns of illness. Women may also produce different responses to pharmacological agents, due to pharmacokinetic differences, e.g. a different metabolization rates, side-effects and risks. Similarly, the level of disability may be mediated by sex-specific disease expression. According to Dr Kanojia, coronary heart disease in women deserves further investigation and is a challenge that should be faced in the 21st century. Heart disease is the number one killer of women in the modern era, regardless of age, race and of ethnicity, although its prevalence rises after menopause. Modern Women generally consuming excess of fat and carbohydrates, rise in trend for smoking, having less or no exercise regularly and do not have enough time to rest. This situation leads to overweight, dyslipidemia, arterial hypertension, impaired glucose tolerance and diabetes. According to Dr Kanojia, women suffering from coronary heart disease die twice as often as men after myocardial infarction and myocardial revascularization procedures. His recommendations for prevention of mortality: major traditional risk factor interventions addressing blood pressure, glucose and lipid plasma levels and lifestyle interventions, including quitting smoking, increased physical activity and weight control. “Women are less frequently treated for coronary disease as compared to men. I strongly hope that such gender differences in the management of coronary disease will reduce in the 21st century, as this century belongs to empowered women� Dr Kanojia says.


COLUMN FOR MAGAZINE

Corporate Wellness for better RoI By Prof. Adrian Kennedy With globalization, automation and service industries dominating the modern day business scene, air-conditioned offices and desk jobs have removed the scope of much physical activity at the workplace. This sedentary life, fast foods culture and high stress jobs have seen a new spate of lifestyle ailments, including diabetes, high blood pressure, heart attacks, anxiety, depression, obesity and degenerative joint ailments, sweep the world. The problem is even more pronounced in the case of countries such as the UAE, where obesity-related diseases are taking a heavy toll on the health of the people. According to current data, as much as 67 percent of people in the UAE can be categorized as physically inactive while 71 percent have been found to be suffering overweight. In comparison, in the US, the proportion of physically inactive people is only 40 percent, although in terms of overweight American citizens are closely behind with 66 percent. When it comes to stress, the US population is much worse off, with more than half of all Americans suffering from stress, compared to only 41 percent in the UAE, but an alarming statistics about the UAE is that 87 percent of people suffer from chronic ailments, with 67 percent being prone to cardiac problems. Governments around the world found themselves unable to control the increasing health care costs. The US health care budget is over $2 trillion with a spend of $6 billion per day. The UAE government with a far smaller population nevertheless spends in excess of AED 25 billion per year and over AED 50 million per day. To compound financial matters further, the loss in productivity due to sickness is pegged at 3 to 5 times more than the actual medical expenditure. In order to contain medicare costs, the WHO embarked on several health charters including: the 2006 school health plan, the 2008 global plan on workers health and


2020 Health for All Charter. In addition every country adopted its own working on wellness (WOW) programs. Of particular note are the health promotion programs of Singapore, Australia and the USA. The Singapore WOW program comprised population health screening, health education, sports programs in schools, and the promotion of safety, health and environment in companies. The Australian version included Healthy School programs, supporting seniors and promoting healthy lifestyle choices, obesity prevention and physical activity programs. The US embarked on implementing aggressive workplace health programs which included web-based programs, smoking cessation, gym and exercises, weight loss, lifestyle counseling and health screening. The workplace health programs brought benefits to individual employees, as well as to employers and Industries. While benefits to the employees include physical fitness, stress management and quality of life, the employers benefit in terms of reduced medicare costs, reduced absenteeism and improved productivity. The cost benefit ratio of workplace health programs has been estimated at 1:5. Certainly one of the more successful countries in the field of corporate wellness is the United States, where more than 50 percent of companies have a Workplace Health Program. While there are obvious improvements in the health of the employees, (for example in Johnson & Johnson there was a 66 percent reduction in smoking, 50 percent reduction in blood pressure readings, 50 percent improvement in fitness, and 57 percent reduction in cardiac risk) there has also been remarkable financial benefits to the organization.


In 2012 for example, United Health which employs 133,000 workers, not only registered improved health, but also a reduced medicare spend of $ 107 million annually. Similarly, Johnson & Johnson, which is a pioneer in the field of corporate wellness, has posted a cumulative saving of $ 250 million over the last 3 year period. A government study undertaken by Dr Richard Milani and Dr Carl Lovie concluded that for every $1 spent on corporate wellness, the intervention yielded $6 in health cost savings. Closer to home in the UAE, the trend in corporate wellness is catching on and will be tracked in the forthcoming articles. Prof. Adrian Kennedy is Chief Wellness Officer at Arabian Wellness & Lifestyle Management, part of the Arabian Healthcare Group. With over four decades of experience in corporate wellness, he was earlier Managing Director of Lifetime Wellness, an Apollo group company, which is now known as Apollo Life.


โ ซ ุฉ โ ฌ

โ ซโ ช2013 25โ ฌโ ฌ โ ซโ ช $โ ฌุฃ " ู ุง ุจ ุฉ ุง ุง ุง ุช ุง โ ฌ

โ ซ) * ) ุฃ( ุก & โ ช %โ ฌุฑุฃุณ ุง " ุง ุฃ ู ุฉ โ ช 4โ ฌุฃ ุงุถ ุง โ ช 20โ ฌุง "ู โ ช /) 0โ ฌู โ ช ,-โ ฌุง โ ช +โ ฌโ ฌ โ ซ โ ช 8โ ฌุง โ ช 6 7โ ฌุฃู โ ช9 :โ ฌุง โ ช<=>6โ ฌู โ ช9 Cโ ฌุจ ุง โ ช Aโ ฌุง@ุฐ โ ช E /) /+โ ฌุจ โ ช D 6โ ฌุฏู ู โ ช HJ Gโ ฌุง โ ช + G HI 6 /โ ฌุงโ ช<=Fโ ฌู โ ช Cโ ฌโ ฌ โ ซุง โ ช N4โ ฌุฒโ ช.โ ฌโ ฌ โ ซู โ ช Nโ ฌุฒ ุฅ=<ู โ ช9 Cโ ฌุจ ุง โ ช Aโ ฌุง@ุฐ โ ช = + G /+โ ฌุง ุฉ & ู โ ช 4 H &ู Gโ ฌุง โ ช %Qโ ฌุง โ ช8 6 Pโ ฌโ ฌ โ ซโ ช9 6โ ฌุจ ุง โ ช Aโ ฌุง@ุฐ โ ช /+โ ฌุง โ ช9UG /โ ฌู โ ช Cโ ฌุฏุฉ โ ช Cโ ฌุฑุฉ โ ช /) ) 8Cโ ฌุง โ ช N 9 20โ ฌุง โ ช96 Pโ ฌู โ ช-N6โ ฌุง ุง ุถโ ช .โ ฌู ู โ ช G /โ ฌโ ฌ โ ซุง โ ช9โ ฌุจ ุง@ุขโ ช ู C9 E Wโ ฌุง โ ช9 /โ ฌุง โ ช NNโ ฌุง โ ช9Vโ ฌู ุง โ ช 9 8 -โ ฌู ู โ ช9 6โ ฌุจ )โ ช /โ ฌุง โ ช / Y .20โ ฌู โ ชYZโ ฌุก ุง โ ช /) %Qโ ฌุง ุฏุฉโ ฌ โ ซ โ ช 8โ ฌุฃู โ ช9Cโ ฌุงุฑุถ โ ช 0โ ฌุถ )โ ช /โ ฌุง โ ช 8โ ฌุฃู ุง โ ช9โ ฌุฏ ุง โ ช \<Wโ ฌุง@ู โ ช 8 %โ ฌุฃโ ช Cโ ฌุฑู โ ช G 8U ุ 7โ ฌุฃ โ ช 6โ ฌู โ ช9Cโ ฌุงุฑุถ ุง ุนโ ฌ โ ซุง โ ช `ู ู +โ ฌู โ ช 6 Qโ ฌุช ุง โ ช 20โ ฌุง & โ ช9Nb 6โ ฌุฑโ ช .โ ฌู ุฅุฐุง โ ช<C 7 7โ ฌุฌ ู โ ช-โ ฌุง ุง ุถโ ช 6 d+C e + : ุ โ ฌุฐ โ ช H ) cโ ฌุง โ ช /) 20โ ฌุง โ ฌ โ ซุง ุงโ ช g6โ ฌุฃู ุง " ` โ ช 8โ ฌุง โ ช 7 .โ ฌู โ ช gQโ ฌู โ ช-โ ฌุง ุง โ ช N4โ ฌุฒ โ ช " 6โ ฌุงู ุง โ ช Wโ ฌุฑ ุง โ ช-โ ฌู & โ ช %0C Cโ ฌู โ ช gQโ ฌุง โ ช N4โ ฌุฒ )โ ช /โ ฌุง โ ช20โ ฌโ ฌ โ ซโ ช 9P 6โ ฌุง โ ช /Cโ ฌุฃู โ ช i " 6โ ฌู ุง โ ช 20โ ฌุง โ ช-โ ฌู ู โ ช 4โ ฌู )โ ช W: " /โ ฌุฉ ุง โ ช .20โ ฌู โ ช 6โ ฌู โ ช * Pโ ฌุง โ ช N4โ ฌุฒ โ ช Cโ ฌุฑุฉโ ฌ โ ซโ ช = 8Cโ ฌุฏุงโ ช 0VG jโ ฌุง ุง โ ช9 9โ ฌุฏุฉ )โ ช /โ ฌุง โ ช.20โ ฌโ ฌ โ ซ โ ช N c G 7โ ฌุฒ ุฅ=<ู โ ช9 Cโ ฌุจ ุง โ ช Aโ ฌุง@ุฐ โ ช<J 8 /+โ ฌู ุง โ ช Wโ ฌุฑ ุฅ โ ช U %โ ฌู ุง โ ช 2โ ฌุง โ ช9 9โ ฌุฏ )โ ช /โ ฌุง โ ช .20โ ฌู โ ฌ โ ซ โ ช gQ9โ ฌุง โ ช N4โ ฌุฒ )โ ช d U /โ ฌุง โ ช d0UE -Jl g 9 6 d * &ู ุ * Pโ ฌุง ุงุฏ โ ช dโ ฌู & ุง โ ช 8โ ฌุขโ ช9 Hโ ฌุง โ ช% . Nโ ฌโ ฌ โ ซุง โ ช N4โ ฌุฒ )โ ช /โ ฌุง โ ช HU 6 20โ ฌุฏุงโ ช m:9 /U 7jโ ฌุง ) = ุง โ ช 0 /โ ฌู โ ช /G 4 8 6โ ฌุง@ุฐ โ ช /) 8โ ฌุง โ ช 6 7 .20โ ฌู ุฅุฒุง โ ฌ โ ซุง โ ช Wโ ฌุฑ ู โ ช +C H UGโ ฌู ุง โ ช9 . 0โ ฌุง) ุง โ ช N4โ ฌุฒ โ ช ( gโ ฌุง โ ช 7&4โ ฌู โ ช 2 & Yโ ฌุฃู ุฑุฏุงุช ) โ ช &UC Hโ ฌู โ ชdI) Yโ ฌโ ฌ โ ซุง โ ช.7&4โ ฌโ ฌ

โ ซโ ช 2โ ฌุฐ โ ช / 0โ ฌุฌ ุง โ ช -โ ฌุง โ ช ) * + ,โ ฌุง (ู ุง ุฅ ุงุก ุง โ ช ุ โ ฌู ู โ ช 3 4 +5 2 2 3 ,โ ฌุง ( โ ฌ โ ซ โ ช 9โ ฌุฉโ ช.โ ฌโ ฌ โ ซู โ ช<Jโ ฌู โ ช I6โ ฌุฃ ู โ ช G ุ โ ฌุฃ ุฃ &โ ช 4โ ฌุง โ ช9) 9 + 6 7&4โ ฌู ุง โ ช N4โ ฌุฒโ ช ุ โ ฌู โ ช<Jโ ฌู โ ช 3โ ฌุฅ โ ช 6 %โ ฌุฃโ ช % Vู NEโ ฌุง โ ช N4โ ฌุฒ โ ช 4& l6 ู Gโ ฌโ ฌ โ ซุง โ ช 20โ ฌู โ ชA -j +C * Pโ ฌุกู ุง โ ช 8โ ฌุงุฑ ุง โ ช.20โ ฌโ ฌ โ ซู โ ช : :โ ฌู โ ช >6โ ฌุงุก ุง โ ช % & /) 0โ ฌุฑุฃุณ ุง " ุง ุข โ ช9โ ฌุฑ ุฑุงุฏุงุข โ ช +โ ฌู โ ช ุ โ ฌู ู โ ช 9โ ฌุฃ ุฃ( ุก ุง โ ช 20โ ฌุง โ ช/) 8 :9โ ฌโ ฌ โ ซ โ ช9) Nโ ฌุฑโ ช ` Gโ ฌุฅ โ ช9Uโ ฌุฑโ ช @ `Gโ ฌุงุถ ุง โ ช 20โ ฌู โ ช % & /) ู Hโ ฌุฑุฃุณ ุง " ุข โ ช & 2โ ฌุฑโ ช .โ ฌู โ ช Eโ ฌุฑู )โ ช/โ ฌโ ฌ โ ซุง โ ช 0โ ฌุฃ โ ช ู Iโ ฌุขโ ช 8 Hโ ฌุง ุข โ ช9โ ฌุฑ โ ช9โ ฌุข โ ช / \ pโ ฌู ุง ุข โ ช9โ ฌุฑ ุฃ ู ุขโ ช 9โ ฌุฑ ู ) ุง " )โ ช % & /โ ฌุฑุฃุณ ุง " โ ช .โ ฌุข โ ฌ โ ซู )ู ุง ุข โ ช9โ ฌุฑ ุฃุฑู ู โ ช 9โ ฌู ุง โ ช Vโ ฌุก ุง โ ช 4โ ฌุง โ ช ./โ ฌู โ ช s :โ ฌุง โ ช ู 4 0โ ฌุข ู ุง ู โ ช G 7โ ฌุซ ุฃู โ ช C Iโ ฌุช )โ ช9โ ฌุฑ ู ุข ู โ ฌ โ ซ< โ ช . HU 6 H 0โ ฌุข โ ช 2 & G 7โ ฌุง โ ชl6 0โ ฌู โ ช <Cโ ฌุช โ ช %0Cโ ฌุฑ ุง โ ช tโ ฌุข ุซ โ ช Cโ ฌุฏุฉโ ฌ โ ซ &โ ช 7โ ฌุง โ ชู 6 : tโ ฌโ ฌ โ ซ)โ ช 0 C /โ ฌุช ุง ุง โ ช 20โ ฌุง โ ช9โ ฌุญโ ช ุ โ ฌู โ ช 8U 7โ ฌู โ ช +โ ฌู ุฃ โ ช 7โ ฌุข โ ช.โ ฌโ ฌ โ ซู โ ช :โ ฌู ุง ุข โ ช9โ ฌุฑ ุฃ ู ุข โ ช J 7&: 9โ ฌุช ุง โ ช % & /) 20โ ฌุฑุฃุณ ุง " โ ช" :โ ฌุฃ ู ุง\ โ ช 8โ ฌุฃู ู โ ช ,-โ ฌุง โ ช 0โ ฌโ ฌ โ ซ * ุง ุจ ุฉ โ ช 8โ ฌุง โ ช /) HJโ ฌุฃ ุงุถ ุง โ ช 20โ ฌุง "ู โ ช96 0โ ฌุง ุง โ ช N4โ ฌุฒ )โ ช /โ ฌู โ ช ,-โ ฌุง โ ช 8 +โ ฌุง โ ช .7โ ฌู โ ชgโ ฌโ ฌ โ ซุง ุข โ ช9โ ฌุฑ ุฑุงุฏุงุข โ ช +โ ฌู โ ช "6โ ฌุฉ ู ุง )ู โ ช g H Gโ ฌุฃุข โ ช Cโ ฌุฏ โ ช 8โ ฌุง โ ชYโ ฌุช( )โ ช 4 /โ ฌู ุฅ=<ู ุง ุช โ ช N4 6โ ฌุฒ โ ชHUโ ฌโ ฌ โ ซ โ ช9 C 8โ ฌุจ ุง โ ช Aโ ฌุง@ุฐ โ ช /+โ ฌู โ ช9 Cโ ฌุจ ุง โ ช Aโ ฌุง โ ช /+โ ฌู ุง โ ช +โ ฌุฉ ุง ุง โ ช 9โ ฌู โ ช<Cโ ฌุฌ โ ช IGโ ฌุง โ ช Pโ ฌู ุง ุง โ ช/โ ฌโ ฌ โ ซู ุง โ ช9jโ ฌู ู ุง โ ช ./โ ฌู ู โ ช 9โ ฌู ู โ ช 4 /) ู Cโ ฌุฃ ุงุถ ุง โ ช 20โ ฌุง "ู โ ช 0โ ฌู ุง@( ู ู ุง โ ช."8 Vโ ฌโ ฌ โ ซุข โ ช :โ ฌู ุฑโ ช / Qโ ฌุง ุง โ ช- +โ ฌู & โ ช %โ ฌุฑุฃุณ ุง " โ ช" :โ ฌู โ ช-โ ฌุง ุงโ ช 4 Fโ ฌุฒ ุง โ ช d6 " Uโ ฌุง โ ช g 4โ ฌุง โ ช/) /โ ฌโ ฌ โ ซุงโ ช Fโ ฌุฑุงุชโ ช .โ ฌู ู โ ช 9โ ฌุฅโ ช "0 N ) Qโ ฌุงุช ุง โ ช 0โ ฌุง โ ช )9โ ฌุฉ )โ ช 4 /โ ฌุขโ ช Hโ ฌุง โ ช l6 20โ ฌุซ ุง โ ช 0โ ฌุชโ ช ุ โ ฌู ู โ ช-โ ฌุง ุง@ โ ฌ โ ซโ ช 6โ ฌุฐุงโ ช j ) d dGโ ฌุฉ โ ช %Q bCโ ฌุง โ ช."20โ ฌโ ฌ


โ ซ โ ช % & gโ ฌุฑุฃุณ ุง " โ ช 6โ ฌุงุข โ ช + /) Pโ ฌุง ู ุง@ู โ ช9) N g iโ ฌุฑโ ช ` Gโ ฌุฅ โ ช9Uโ ฌุฑโ ช @ `Gโ ฌุงุถโ ฌ โ ซุง โ ช 20โ ฌุง ู ู โ ช9 & %0Cโ ฌู ุง โ ช .7โ ฌู โ ช 8C e :โ ฌู โ ช ,-โ ฌุง ุงุข ุฅ ุก ุฃู ู ู ุฉ โ ช (@ 6 J 0: HJ Gโ ฌู )โ ช/โ ฌโ ฌ โ ซุฏู ุงโ ช Fโ ฌุฑุงุชโ ช ุ โ ฌู ุฐ โ ช % & /) cโ ฌุฑุฃุณ ุง " โ ช .โ ฌู โ ช C Hโ ฌุฏ โ ช 8โ ฌุฃ( ุก ุง โ ช 20โ ฌุง โ ช 7G 8 -โ ฌุง ุคู โ ช N 8 + 6 7โ ฌโ ฌ โ ซ)โ ช9โ ฌุฑโ ช ` Gโ ฌุฅ โ ช9Uโ ฌุฑโ ช % & /) `Gโ ฌุฑุฃุณ ุง " ุขโ ชA4โ ฌุก โ ช 8โ ฌู โ ช ,-โ ฌุง ุงุข โ ชA ุ โ ฌุฒ โ ช c -6 8โ ฌุง " ุฉ ุง โ ช ) N6 g /โ ฌโ ฌ โ ซุฃ( ุก ุง โ ช 20โ ฌุง " ุต โ ช % & 6โ ฌุฑุฃุณ ุง " โ ช.โ ฌโ ฌ โ ซู โ ช9) Nโ ฌุฑโ ช ` Gโ ฌุฅ โ ช9Uโ ฌุฑโ ช @ `Gโ ฌุงุถ ุง โ ช9 20โ ฌุฐ ู โ ช 6โ ฌุฑุฒู ุง )โ ช 4 /โ ฌู ุง โ ช +โ ฌุง โ ช . 0โ ฌู ุง ุข โ ช9โ ฌุฑ ุฑุงุฏุงุข โ ช +โ ฌู ุฑุงโ ช jโ ฌโ ฌ โ ซ)โ ช 4 /โ ฌุฃ ุงุถ ุง โ ช 20โ ฌู ุง@( ู โ ช " 6 J ุ โ ฌุงู โ ช + Gโ ฌุฅ=<ู ุง โ ช9โ ฌุจ โ ช N4 6โ ฌุฒ ู โ ช 4โ ฌุง โ ช Pโ ฌุชโ ฌ โ ซุง โ ช9 6 Iโ ฌู ู ุง@( ู ู ุง โ ช 8 Vโ ฌุง โ ช l6 8 6 Pโ ฌุงุถ ุง โ ช 20โ ฌุง "ู โ ช . 0โ ฌู ู โ ชA 9โ ฌู ุฑ & โ ช %โ ฌุฑุฃุณ ุง " โ ฌ โ ซโ ช HU 6โ ฌุฏู ุฑู < ุฑุงุชโ ช.โ ฌโ ฌ โ ซ โ ช 8 Aโ ฌุง โ ช 90โ ฌุชโ ช % ุ โ ฌุงโ ช PGYโ ฌู โ ช6โ ฌู โ ช:โ ฌโ ฌ โ ซุง ุข (ุฑ ุฃ ู ุข( ุฑ ุข โ ช (5โ ฌโ ฌ โ ซ ?โ ช >,โ ฌุช ุง โ ฌ โ ซ & โ ช %โ ฌุฑุฃุณ ุง " โ ช ุ โ ฌุฅ ุฑุฉ ุฑุฃุณ ุง " โ ช ุ โ ฌุงโ ช Fโ ฌุฑุงุช ุง โ ช 6โ ฌุง ุฉโ ฌ

โ ซุข โ ช + ,โ ฌุฑู ุฃโ ช 4โ ฌุก ุง โ ฌ โ ซ โ ช9) Nโ ฌุฑโ ช ` Gโ ฌุฅ โ ช9Uโ ฌุฑโ ช @ `Gโ ฌุงุถ ุง โ ช20โ ฌโ ฌ โ ซ( ุฃู โ ช9 ุ <Jโ ฌุฏ โ ช ุ /Nโ ฌุง โ ช +Nโ ฌโ ฌ

โ ซุง โ ช mG Nโ ฌุง ู โ ช+971 527675646 :โ ฌโ ฌ

โ ซุง ุงโ ช U Fโ ฌู โ ชajay.k@rakhospital.com :/โ ฌโ ฌ โ ซ โ ช +โ ฌู ู ุง โ ช ุ 11393 :โ ฌุฑุฃุณ ุง " โ ช ุ โ ฌุงโ ช Fโ ฌุฑุงุช ุง โ ช 6โ ฌุง ุฉโ ฌ โ ซุง โ ช g:9โ ฌุงโ ช U Fโ ฌู โ ชwww.rakhospital.com :/โ ฌโ ฌ

โ ซ โ ช Wโ ฌุข \โ ช/โ ฌโ ฌ โ ซ โ ช 9โ ฌู ุนโ ฌ โ ซ & โ ช %โ ฌุฑุฃุณ ุง " โ ฌ โ ซุฑโ ช 7:โ ฌุง โ ช+971 72074444 :mG Nโ ฌโ ฌ โ ซุง ุงโ ช U Fโ ฌู โ ชSanthiya.k@rakhospital.com :/โ ฌโ ฌ โ ซ โ ช : ) m0โ ฌุง ุง โ ช Hโ ฌุง@ุฑโ ช 0 g6โ ฌุฅ=<ู ุง ุช โ ช N4 6โ ฌโ ฌ


โ ซ โ ช9Nโ ฌุฏ โ ช<C 8 NC * G 0โ ฌุฌโ ฌ โ ซุง โ ช 20โ ฌุฏู ู ุง โ ช940โ ฌุก โ ช HJ 0โ ฌุง โ ช 4โ ฌุง โ ช/โ ฌโ ฌ โ ซโ ช * + , 2 4 H ) 5โ ฌุฑุฃุณ ุง โ ช /โ ฌุง โ ชE$ (Fโ ฌุฌ ุฅโ ช ,5โ ฌุงุฏ ุง โ ช Dโ ฌุงโ ชCโ ฌุฐ โ ช + Bโ ฌุจ ุฏู ู ุง (ุกโ ฌ โ ซ ุง ุง ู โ ช / IJ2โ ฌุงู โ ช Bโ ฌุฉโ ช.โ ฌโ ฌ

โ ซ( ุฃู ุง โ ช C 0Vโ ฌุง โ ช ุ Aโ ฌู โ ช Y + G /โ ฌุง )โ ช Amplatzer Septal Occluderโ ฌุง โ ช +โ ฌุง โ ช 4โ ฌุฉโ ฌ โ ซโ ช< Gโ ฌุฌ ุง โ ช %Qโ ฌุง โ ช 9 8 -โ ฌู ู โ ช9โ ฌู โ ช 4 0 / 0J ,9 G 8โ ฌุจ ุง@ุฐ โ ช /+โ ฌุง โ ช Aโ ฌู ู โ ช 8 /โ ฌุฃุขโ ช Wโ ฌุง โ ชYโ ฌุชโ ฌ โ ซุง โ ช Qโ ฌุง โ ช +C jโ ฌุง โ ช 8 Vโ ฌุง โ ช9 8 -โ ฌู โ ช 8โ ฌุฃ ุงุถ ุง โ ช 20โ ฌุง "โ ช NbG Y ย ุ 0โ ฌุง@โ ช Cโ ฌุงุถ โ ช +Cโ ฌุฃ ุจโ ฌ โ ซู โ ช ,-โ ฌุง โ ช9โ ฌู ุช ุง "โ ช 0โ ฌุฅโ ช /) Yโ ฌุง โ ช 8โ ฌุง โ ช / Wโ ฌุฃู ุง โ ช 8 ย Wโ ฌุง ู โ ช HUE %0C NbGโ ฌุฅ ุน )โ ช /โ ฌุง โ ช ` +โ ฌุฃู โ ช &Gโ ฌุฑุนโ ฌ โ ซ)โ ช I /โ ฌุช ุง โ ช ุ 20โ ฌู )โ ช 4G /โ ฌู โ ช Hโ ฌุง โ ช P tโ ฌุจ )โ ชl6 0 /โ ฌุฒ โ ช Q9 0 C 7 G . 0:โ ฌุงย ุฏุงุฉโ ฌ โ ซุง โ ช 4โ ฌุฉ โ ช " >6โ ฌุงู โ ฌ โ ซุง & ุฉ ู โ ช C & 6โ ฌุฉ โ ช i "Gโ ฌุง โ ช 20โ ฌู ุง โ ช 9Pโ ฌุงโ ช 0V /C EFโ ฌุงย ุฏุงุฉ โ ช 6โ ฌู ุง โ ช HU 6โ ฌุฏุงโ ช.7jโ ฌโ ฌ โ ซู โ ช<J 8โ ฌู โ ช 0 Cโ ฌุง & ุฉโ ชย d 9G 0 C 7 G ุ โ ฌุฏุงุฉ ุง โ ช 0Vโ ฌุง โ ช 4โ ฌุฉ ุฏุงโ ช HJโ ฌุง โ ช 20โ ฌุง โ ช Pโ ฌุจ โ ช / Vโ ฌุง โ ช2 + HU 6โ ฌโ ฌ โ ซ) ุฏ ุงย ุฏุงุฉ โ ช 2 + 9 +6โ ฌู โ ช 74โ ฌุง ) โ ช % d Vโ ฌู ู ุง ุฉ ) โ ช ) G g+โ ฌุง ู ุง โ ช 8 6 / ( Vโ ฌุงโ ชFโ ฌุฐ โ ช8โ ฌโ ฌ โ ซุง@ โ ช 8โ ฌู ุง@ & ) โ ช 6 7โ ฌู โ ช 0 Cโ ฌุฅโ ช Jโ ฌุงุฌ ุง & ุฉโ ช .โ ฌุงย ุฏุงุฉ โ ช 7&4 j< Gโ ฌุงโ ช & Fโ ฌู ู ` ู โ ช +โ ฌู ุฃ " ู ู โ ฌ โ ซโ ช Fโ ฌุฑ)โ ช tโ ฌุง โ ช. N 7&4โ ฌโ ฌ

โ ซ > โ ช $โ ฌุฅ ุงุฌ ุง โ ช( 2 -โ ฌู ู ุง ) โ ชD Mโ ฌุงู ู โ ช 3โ ฌุง โ ช Kโ ฌุข ุฏโ ช.โ ฌโ ฌ โ ซโ ช 6โ ฌู โ ช I 6โ ฌุฃ ู โ ช9 ุ โ ฌู ุง โ ช = H U 6 7&4โ ฌุก โ ช / Vโ ฌุงย ุฏุงุฉโ ช .โ ฌู )โ ช /โ ฌุฉ โ ช Gโ ฌุงู ุญ โ ช<\ 8โ ฌุซ ุฅ โ ช %โ ฌุฃโ ช9UG ุ NEโ ฌู ย ุฏุงุฉโ ฌ โ ซุง โ ช V 0Vโ ฌุฉ โ ช =l6 H U 6โ ฌุง โ ช 20โ ฌุง โ ช 6 * Pโ ฌู โ ชAโ ฌุก โ ชA4 Yโ ฌุก โ ช 20: 8โ ฌุง โ ช.tโ ฌโ ฌ โ ซุฃ โ ช sโ ฌุง โ ช % & /) 0โ ฌุฑุฃุณ ุง " ุง โ ช j 6 / 9Uโ ฌุง โ ช 2โ ฌุฑุงโ ช Qโ ฌุข โ ช +Eโ ฌู ู โ ช 6 & Z 8 / ( 6โ ฌโ ฌ โ ซ( โ ช 8 /โ ฌุฃ( ุก โ ช ` G9)" Nโ ฌุฅ โ ช9Uโ ฌุฑุช " โ ช 20 0โ ฌู ู โ ช 7โ ฌุฅ ุฑ โ ช9โ ฌู ุฒุงโ ช jโ ฌู ู & โ ช %โ ฌุฑุฃุณ ุง " ู โ ช Cโ ฌุง ุข โ ช9โ ฌุฑโ ฌ โ ซุฑุงโ ช Qโ ฌุข< โ ช 8โ ฌุง ุข โ ช9โ ฌุฑ โ ช9โ ฌุข โ ช / \ pโ ฌู ุง ุข โ ช9โ ฌุฑ ย ู ุขโ ช 9โ ฌุฑ ุข โ ช 9โ ฌู ) ุง " )โ ช /โ ฌุง & โ ช ุ %โ ฌู โ ชs Gโ ฌโ ฌ โ ซโ ช 0 Cโ ฌุง โ ช Vโ ฌุง โ ช 4โ ฌุง โ ช H : 8โ ฌุง ุข โ ช9โ ฌุฑ ย ุฑู ู ุขโ ช 9โ ฌู โ ช s00UG .โ ฌุง โ ช 4+6 0โ ฌุญ โ ช Gโ ฌู ู โ ช 6โ ฌู ู ุฃ โ ช C Iโ ฌุช ู โ ช 7Gโ ฌุง ู โ ฌ


โ ซ โ ช gโ ฌุง โ ช H U6 tโ ฌุงโ ช Fโ ฌุง) ุง ู ู ) ุง@ โ ช9โ ฌู ุง โ ช . +Nโ ฌู ` ู โ ช +โ ฌู ุฃ ย \ ุฑ ุฃู ุจ ุฃู ย โ ชYโ ฌู โ ช8C s 4โ ฌโ ฌ โ ซุง โ ช 0โ ฌุข ู โ ช 9โ ฌุง ู )โ ช /โ ฌุง ุช ุง โ ช 20โ ฌุง โ ช. 0โ ฌโ ฌ โ ซ โ ช9โ ฌู ุง ุข โ ช9โ ฌุฑ ุฑุงโ ช : Qโ ฌุฃ โ ชlโ ฌุข โ ชl6โ ฌู ู โ ช-โ ฌุง * โ ช 0โ ฌุฉ โ ช<C 8โ ฌุฌ ุง โ ชYโ ฌุช ุง \โ ช /) 0โ ฌุง โ ช l6 +โ ฌู โ ช .โ ฌู โ ช9:โ ฌู โ ฌ โ ซุง ุข โ ช9โ ฌุฑ ุฃ ู ุข โ ช 7&: 9โ ฌุง โ ช /) 20โ ฌุง & โ ช c0 :%โ ฌุง ุข โ ช9โ ฌุฑ ุฑุงโ ช Qโ ฌุข โ ช +Eโ ฌู โ ช Jโ ฌุฉ ู โ ช 6โ ฌุน (โ ช< 6 8 0 9โ ฌุฌโ ฌ โ ซ โ ชYโ ฌุช ุขโ ช Wโ ฌุฉ ุง โ ช " >6โ ฌุงู ุขโ ช Hโ ฌุงโ ช + Gโ ฌุช ุง ู ุง ู ) <ุฌ ุงโ ช & Fโ ฌุงุฏุงุช ู ุง โ ช9โ ฌู ุช ุง โ ช 0โ ฌู ุง โ ช VPโ ฌุฑโ ฌ โ ซู ุง โ ช.8 Vโ ฌโ ฌ โ ซู โ ช ) <C ,-โ ฌุฑโ ช :โ ฌู ุฅ โ ช 4โ ฌุฒ โ ช9Nโ ฌุฏ โ ช 0โ ฌุน ุง โ ช /โ ฌุงโ ช Fโ ฌุฑุงโ ช /Gโ ฌู โ ช9") 8โ ฌุฑู ู โ ช-6โ ฌุง โ ช cโ ฌู ู โ ช /โ ฌุฅโ ช ) Qโ ฌุข ุฉ โ ช "0โ ฌุงุชโ ฌ โ ซุง โ ช 0โ ฌุง <ุฌ ุง@ ุงุถ ุง โ ช " >6 0โ ฌุงู ุฃ ุซ ุง โ ช +โ ฌุช ุง โ ช H 9G /โ ฌุฅ โ ช Nโ ฌุง โ ช 7โ ฌู ู โ ช%0C &06 / IG /โ ฌโ ฌ โ ซุฃู ุน โ ช %Qโ ฌุง โ ช /) 20โ ฌุง โ ช9 . +โ ฌู ุง ุข โ ช9โ ฌุฑ ุฑโ ช / Qโ ฌุง ุง โ ช- +โ ฌู )โ ช % & /โ ฌุฑุฃุณ ุง " โ ช.โ ฌโ ฌ โ ซ โ ช % & c0โ ฌุฑุฃุณ ุง " โ ช Eโ ฌุงุข ( โ ช9 & %0C Pโ ฌู ุง ู ุง@ู โ ช ` G9)" N g iโ ฌุฅ โ ช9Uโ ฌุฑุช "โ ฌ โ ซ โ ช 20 0โ ฌู โ ช 8C HP Gโ ฌู โ ช ,-โ ฌุง ุงุข ุฅ ุก ุฃู ู โ ช9 & %0C ย P" 7&:โ ฌู ุฏู ุงโ ช Fโ ฌุฑุงุช <ุฌ ุฃ ุงุถ ุง โ ช 20โ ฌู โ ฌ โ ซุง@( ู ู โ ชA "+6โ ฌุฉ โ ช 8โ ฌุฃ)โ ช HIโ ฌุฃ( ุก ู ุง โ ช /โ ฌุง โ ช 20โ ฌุงโ ช 9 9U 8 P JFโ ฌุฅโ ช 7& N ) Qโ ฌุง โ ชHU 6 20โ ฌโ ฌ โ ซโ ช Cโ ฌู )โ ช /โ ฌุง & โ ช.%โ ฌโ ฌ โ ซู โ ช ` G9)" Nโ ฌุฅ โ ช9Uโ ฌุฑุช " โ ช ) <C 20 0โ ฌุฑโ ช /) :โ ฌุง โ ช 4โ ฌู ุง โ ช /โ ฌู โ ช Gโ ฌุง )โ ช 4 /โ ฌู ุฅ โ ช 4โ ฌุฏ โ ช90โ ฌู โ ช Uโ ฌุฉ )โ ช/โ ฌโ ฌ โ ซโ ช<Cโ ฌุฌ ุง โ ช .20โ ฌู ุง ุข โ ช9โ ฌุฑ ุฑุงโ ช Qโ ฌุข โ ช +Eโ ฌู &โ ช 8 dโ ฌุฑู ุงุฏ โ ช<Cโ ฌุฌ ุง โ ช 20โ ฌู โ ช Gโ ฌุง โ ช " >6โ ฌุงู ู โ ช 0= Hjโ ฌุง ุชโ ฌ โ ซุง โ ช 0โ ฌุง โ ช9โ ฌู ุข โ ชY< CF " +โ ฌุช ุช ุง โ ช 20โ ฌู ุง@( ู ู ุง โ ช 8 Vโ ฌู ู โ ช 9โ ฌุฏุข โ ช9โ ฌุฑ ุฅ ุฑู ุฒุงโ ช% & jโ ฌโ ฌ โ ซุฑุฃุณ ุง " โ ช.โ ฌโ ฌ

โ ซ โ ช 8 Aโ ฌุง โ ช 90โ ฌุช ุง ุก ุง โ ช9โ ฌุง โ ช:Hโ ฌโ ฌ โ ซุง ุข (ุฑ ุฃ ู ุข( ุฑ ุข โ ช (5โ ฌโ ฌ โ ซ ?โ ช >,โ ฌุง โ ฌ โ ซ โ ช * + ,โ ฌุฑุฃุณ ุง โ ช- /โ ฌุงโ ช Nโ ฌุฑุงุช ุง โ ช 2โ ฌุง ุฉโ ช.โ ฌโ ฌ

โ ซุฅโ ช + Iโ ฌุฑู ุฃ ุงุถ ุง โ ฌ โ ซ โ ช R ()" Pโ ฌุฅโ ช(FIโ ฌุฑุช " โ ฌ โ ซโ ช( 5โ ฌุฏ โ ช - Pโ ฌุง โ ช. BPโ ฌโ ฌ โ ซ (ู โ ช00971527675646 :โ ฌโ ฌ โ ซุฃู โ ช $โ ฌุง ุงโ ช F Nโ ฌู โ ช: 5โ ฌโ ฌ โ ซโ ชAjay.k@rakhospital.comโ ฌโ ฌ โ ซ โ ช +โ ฌู ู ุง โ ช 11393 :โ ฌุฑุฃุณ ุง " โ ช.โ ฌโ ฌ โ ซโ ชwww.rakhospital.comโ ฌโ ฌ


/W ‫ آ‬W

" ‫ رأس ا‬% & 6 g ‫ل ا ر‬Z& 0097172074444 :mG ‫ه‬ Santhiya.k@rakhospital.com


Social Media Activities


HSGN

CONTENT GRID FOR SOCIAL MEDIA POSTINGS Sep 22-Oct 5 September 22

September 23

September 24

September 25

September 26

September 27

September 28

Sun

Mon

Tue

Wed

Thu

Fri

Sat

Alzheimer’s Day

Dr S Radhakrishnan

General Health Tip

Focus on Dept

Patient testimony

Healthy food

Work out

Dr Bijlani

Late night snacks

Portable workout: Fitness when you travel

(21st)

Obesity Consultations

5 ways to keep your memory sharp

(to be added)

Bed rest for back pain? A little bit will do.

Liposuction surgery


September

September

October

October

October

October

October

29

30

01

02

03

04

05

Sun

Mon

Tue

Wed

Thu

Fri

Sat

World Heart Day

Cardiac Sciences

General Health Tip

Focus on Dept

Breast Cancer Month Oct 1-31

Healthy Eating

Work out

The Department of Neurosurgery & Spine Centre

Pain after breast surgery

Benefits of eating 5 conditions that can be improved less meat through lifestyle changes

International Day of Older People Can vitamins prevent heart disease?

Gender differences in cardiac diseases (article by Dr Ajay Kanojia)

Bone density test


POSTS 5 ways to keep your memory sharp The way you live, what you eat and drink, and how you treat your body affect your memory as well as your physical health and wellbeing. Here are five things you can do every day to keep mind and body sharp. http://bit.ly/16tArbp Posted by: Department of Preventive Healthcare & Nutrition, RAK Hospital, on the occasion of World Alzheimer’s Day #aging #memory

--

Bed rest for back pain? A little bit will do. Bed rest, once a key part of treating back pain, has a limited role in healing sore backs. In very small doses, bed rest can give you a break when standing or sitting causes severe pain. Too much may make back pain worse. Here is how to do bed rest “right.” To get the most from staying in bed, limit the time you are lying down to a few hours at a time, and for no longer than a day or two. You can rest on a bed or sofa, in any comfortable position. To ease the strain on your back, try putting pillows under your head and between your knees when lying on your side, under your knees when lying on your back, or under your hips when lying on your stomach. These positions reduce forces that sitting or standing impose on the back — especially on the disks, ligaments, and muscles. Source: Harvard Medical School Posted by: Department of Neurosurgery & Spine Center, RAK Hospital #back pain #bed rest


--

Obesity treatment Liposuction surgery improves the contour and proportion of your body by removing excess fat from a wide variety of areas. It slims and reshapes for an enhanced self-image. Areas most commonly treated with liposuction include chin and neck, hips, stomach, inner and outer thighs, knees, ankles, buttocks. Posted by: Plastic, Aesthetic & Reconstructive Surgery, RAK Hospital #obesity #plastic surgery

-Cyst removal “I had undergone a cyst removal procedure on 19th of Sept 2012 by an orthopedic surgeon on the dorsum of the left foot in one of the renowned hospitals in Dubai. But due to reasons the wound never healed. The discomfort along with pain was becoming unbearable with each


passing days. Referred by two sources I visited Dr. Punam Bijlani at RAK Hospital. After thorough check up Dr. Bijlani meticulously explained what her approach will be to tackle the wound, this gave me the confidence to undergo the procedure.� Read more: http://bit.ly/16L2h66 #rak hospital #cyst removal

--

Late night snacks The occasional late-night snack is nothing to worry about. But nightly bingeing merits a closer look. More: http://hvrd.me/1eLbYFd Posted by: Department of Preventive Healthcare & Nutrition, RAK Hospital #obesity #eating habits

--

Even without access to a gym or outdoor recreation, you can still get a good daily workout. All you need is a sturdy chair, a towel, and a comfortable spot for floor exercises. More: http://bit.ly/1aYojXf

Posted by: Department of Preventive Healthcare & Nutrition, RAK Hospital #fitness #workout


--

Can taking vitamins prevent heart disease? No matter what type of vitamins you take, vitamins won't prevent the development of heart disease if you don't control your other risk factors, such as poor diet, lack of physical activity, smoking, high cholesterol and diabetes. Read more: http://mayocl.in/1epDkC7 Posted by: Department of Cardiac Sciences, RAK Hospital #heart #vitamins

--

Bone density test In the past, osteoporosis could be detected only after you broke a bone. By that time, however, your bones could be quite weak. A bone density test now makes it possible to know your risk of breaking bones before the fact. More: http://mayocl.in/1esGXHo Posted by: Department of Neurosurgery & Spine Center, RAK Hospital


#osteoporosis #bone

--

The Department of Neurosurgery & Spine Centre The Department of Neurosurgery & Spine Centre specializes in the diagnosis and management of low backache, neck pain and paralysis; spinal instrumentation including minimally invasive procedures for degenerative disc disease, spondylolisthesis and spinal stenosis; comprehensive neurotrauma care for head injury and spinal cord injury; pediatric neurosurgery; urgery in selected cases of intractable epilepsy and acute stroke; diagnosis and management of chronic headaches; neurooncology services for brain, skull base and spinal tumors and neuroimaging facilities including CT Scan (64 slice) / MR Imaging (1.5 Tesla) / Cerebral Angiography. #back ache #paralysis --

Pain after breast surgery Studies of women who had a variety of breast cancer operations found that between 25 and 50 percent reported some level of pain after breast surgery two to three years later. http://mayocl.in/Qjx13t Posted by: Pain Management Clinic, RAK Hospital #breast cancer #pain


-5 conditions that can be improved through lifestyle changes Plenty of research shows that exercise, diet, and other lifestyle changes are effective weapons against many chronic diseases. But there are more findings about preventing diseases with so-called lifestyle changes than there are about treating them. http://bit.ly/16dSWXc Posted by: Department of Preventive Healthcare & Nutrition, RAK Hospital #lifestyle #fitness

Benefits of eating less meat A plant-based diet, which emphasizes fruits and vegetables, grains, beans and legumes, and nuts, is rich in fiber, vitamins and other nutrients. And people who eat only plant-based foods — aka vegetarians — generally eat fewer calories and less fat, weigh less, and have a lower risk of heart disease than non-vegetarians do. http://mayocl.in/18BfCAy Posted by: Department of Preventive Healthcare & Nutrition, RAK Hospital #calories #vegetarian


HSGN

CONTENT GRID FOR SOCIAL MEDIA POSTINGS Oct 6-Oct 19 October 06

October 07

October 08

October 09

October 10

October 11

October 12

Sun

Mon

Tue

Wed

Thu

Fri

Sat

UAE Cancer Congress

UAE takes heart from new procedure

General Health Tip

News

World Mental Heath Day

Weekend: Healthy food

Weekend: Quit Smoking

8 nutritional approaches to healthy living

Creating a quitsmoking plan

3-5 October

Report on proceedings (to be added

Doctors at the RAK Hospital close hole in the heart of a patient without surgery

Chinese surgeon creates artificial nose on man’s forehead for transplant Stress, illness and Artificial nose high blood sugar

World Sight Day

Can exercise make us smarter?


October 13

October 14

October 15

October 16

October 17

October 18

October 19

Sun

Mon

Tue

Wed

Thu

Fri

Sat

News

Health tips

Focus on Cardiology

World Food Day

Video

Weekend:

Weekend:

Healthy Eating

Work out

5 foods that fight high cholesterol

Defining moderateintensity exercise

New pre-surgery drug approved for breast cancer

Need to avoid overkill of BMD tests

How diabetes affects heart disease risk

Is it safe to store food in takeout containers?

What is blood pressure?


POSTS 1. Proceedings of 4th UAE Cancer Congress

2. UAE takes heart from new procedure Doctors at the RAK Hospital recently closed a hole in the heart of a patient without surgery, ushering in a new trend in treating congenital heart diseases in this part of the world. http://bit.ly/16hLwzQ Posted by Department of Cardiology, RAK Hospital

3. Stress, illness and high blood sugar Illness or stress can trigger high blood sugars because hormones produced to combat illness or stress can also cause your blood sugar to rise. http://mayocl.in/19f1DRb Posted by: Preventive Healthcare and Nutrition, RAK Hospital


#obesity #diabetes 4. Chinese surgeon creates artificial nose on man’s forehead for transplant A surgeon in China says he has constructed an extra nose out of a man’s rib cartilage and implanted it under the skin of his forehead to prepare for a transplant in probably the first operation of its kind. Read more: http://bit.ly/19ZgyeE (Image url: http://thearabianpost.com/wp-content/uploads/2013/09/China-Nose-on-Forehead.JPEG-0c577-300x207.jpg) Posted by: Department of Otorhinolaryngology (ENT), RAK Hospital #organ transplant #stem cells 5. Exercise makes us smarter Research has examined the association between fitness level and age-related cognitive decline. http://bit.ly/GzMfmd Posted by: Preventive Healthcare & Nutrition, RAK Hospital #fitness #aging 6. 8 nutritional approaches to healthy living Eating a balanced diet, which supplies all the necessary nutrients for health, is an important part of a healthy lifestyle.

http://bit.ly/1brIrkO


Posted by: Preventive Healthcare & Nutrition, RAK Hospital #healthy living #nutrition 7. Creating a quit-smoking plan If you're like many smokers and other tobacco users, you know you should quit — you just aren't sure how to do it. Creating a quit-smoking plan may improve your chances of stopping for good. http://mayocl.in/1dWpGDH Posted by: Department of Preventive Healthcare & Nutrition, RAK Hospital #smoking #tobacco 8. New pre-surgery drug approved for breast cancer Women with early-stage HER-2 positive breast cancer may benefit by taking a drug called pertuzumab (Perjeta) before undergoing breast surgery. http://hvrd.me/17p15pu Posted by: Department of Surgery, RAK Hospital #drug #cancer

9.


Need to avoid overkill of BMD tests New studies reveal that frequent testing of bone mineral density (BMD) may be overkill for older adults. http://hvrd.me/1909vjx Posted by: Department of Orthopedic Surgery, RAK Hospital #osteoporosis #bones

10. How diabetes affects heart disease risk Diabetes raises the risk of heart disease by four to five times compared with people without the disease. http://bit.ly/1553Zil Posted by: Department of Cardiac Sciences, RAK Hospital #diabetes #heart

11. Is it safe to store food in takeout containers? Don't let prepared food sit out — in your car or on the counter — for more than two hours. http://mayocl.in/16H8enz Posted by: Department of Preventive Health & Nutrition, RAK Hospital


#food containers

12. Video What is blood pressure? http://bcove.me/b56y0a7g Posted by: Department of Cardiology Sciences, RAK Hospital

13. 5 foods that fight high cholesterol It’s easy to eat your way to an alarmingly high cholesterol level. The reverse is true too — changing what you eat can lower your cholesterol and improve the armada of fats floating through your bloodstream. http://bit.ly/1bwA8AQ Posted by: Department of Preventive Healthcare & Nutrition, RAK Hospital #lifestyle #fitness 14. Definition of moderate-intensity exercise Engage in moderate-intensity physical activity for a minimum of 150 minutes each week. http://bit.ly/19VGqqy


Posted by: Department of Preventive Healthcare & Nutrition, RAK Hospital #fitness #workout


A new twitter account has been created for RAK Hospital https://twitter.com/rakhsocial


New Pinterest account created with five boards, each representing an activity of RAK Hospital

http://www.pinterest.com/rakhospital/


Work on Website Review Document


HSGN

Revamp and Redesign of RAK Hospital website A review of RAK Hospital’s website has revealed that it is least SEO-compliant. The result is that its global ranking is way above the 3 million mark, compared to UAE peer websites, which have rankings of 500,000 to 600,000.

The following reasons have been identified to be responsible for the poor SEO score: Lack of dynamic content Poor architecture of the site Poor links between pages Most pages are independent of each other apart from the navigational links on the home page, with the result there is virtually no structure noticed in search engine crawling. 5. Inadequate integration with social media platforms 6. No SEO component in the site architecture. 1. 2. 3. 4.

New Design & Architecture The look and feel of the website needs to be changed to reflect international best practice, with the use of possible sliders on the home page (As per image, but retaining RAK Hospital corporate colours. Original size image attached)


Poor site architecture can completely kill off rankings, traffic and conversions. There are many reasons for this, but the most important is that the search engines in normal circumstances do not access much of the content.

Principles to be followed in site architecture and key words integration The navigation of a site can have huge impact on which pages and which keyword phrases will rank in the search engines. Pages that have lots of other pages linking to them will have higher internal link popularity than those with fewer links pointing to them. And this is a crucial factor as to whether or not they’ll be deemed “worthy� by search engines. In other words, pages that are easy to find and have lots of links within the site will have a better chance of ranking for more competitive keyword phrases than those pages that are not prominently


featured. This means that top-level category pages have to be effectively used for optimization as they have high internal link popularity.

The site architecture will consist of a number of levels within the hierarchy: 1. Home page with the maximum link popularity so that it can be optimized for most general and competitive keywords and phrases. So as far as possible, maximum content should be tagged to the home page with the use of Accordions and Tabs to ensure homogenous linking. 2. Second level pages (Departments) will be top level products and services pages that will allow keyword optimization relating to that category. 3. Specific products and services pages (Doctors, Services, Tests, Procedures) though at the third level will also be an extension of the higher levels for better optimization. 4. Value-added content such as blog posts, articles, news, videos, podcasts, which will form the most important basis for content marketing over social media 5. Seamless social media integration to ensure that all new content is autoposted across all social media platforms such as facebook, twitter, Pinterest, youtube etc.

Broad Structure The Home page will have full content about all relevant information about the hospital, with over 75 percent content tagged to it with the use of Accordions and Tabbed sections, which can be toggled between show and hide options for brief


and expanded content. (Image of Home Page Template attached in original size separately).

There will be a full list of the Departments on the Home Page, which will have show and hide toggle option using Accordion, with three views, one showing only


the name of the department, the second showing brief description and the third showing the full department page with all the details, the first two parts of the content being on the same page. The Department page itself will have Accordions and Tabs, showing General information about the Department, Services, Doctors List etc, toggling between various tabs.

On clicking Details, the next level of the Department will appear with complete details about the department, services, list of doctors using tabs.


Below that there will be list of procedures, tests, services etc using the Accordion option. Services, Tests and Procedures will be listed as follows:

Each of these lines will have the hide and show toggle for a brief into and the name of the service, with the option to go to a separate page where all the details about the test, procedures to be followed for undergoing those tests, news about the new tests and technologies relating to that test/procedure will be provided. The brief intro will appear on the same page, while the detailed page will have a separate link. Similarly, each department will have a Doctors List, which will show a brief about each doctor, specialization, track record etc along with an action picture, which will on clicking take the visitor to the full-fledged Doctor’s page where all detailed information about the doctor, his experience, professional achievements, videos,


testimonials etc would be provided using Accordion and Tab options for hide and show, which would mean the entire content about one particular doctor would be on the same page. Every doctor’s page will also have Live Chat facility

SEO Deliverables The main objective of the revamp is to increase visibility of the RAK Hospital site and raise its online profile so as to attract maximum visitors to the site and then aim for maximum conversions. The page rankings have to be increased from the present 3 million plus to around 500,000, which is a comparable level of peers in the UAE. Given RAK Hospitals status as the leading hospital of its kind in the


country, it should enjoy a much better page ranking and therefore SEO is the most important component of the revamp.

Content Management System The key to achieving such SEO goalposts is dynamic content and optimization of appropriate keywords and phrases, for which the Content Management has to be handled at the hospital level. The CMS must therefore be very flexible and should allow: 1. Facility to change navigation menu, add and delete categories and menu items as required 2. Addition/Updating of content, including pages, posts, blogs on a daily basis 3. Changes to Department configurations, addition of doctors, services, procedures and all components of the department content on a regular basis, some of which will be on a daily basis 4. New pictures/ videos/testimonials on every page of the site on regular basis 5. Dynamic news pages, including widgetized news capture from service providers. News to be picked up from various website sections and shown on home page automatically 6. Tips from the hospital on a daily basis, which will be picked up from the relevant sections and featured on the home page as slide show automatically 7. Continuous SEO updates 8. Automated newsletter creation and broadcast 9. Live chats for each doctor 10. Auto posting of new content on all social media platforms


Turn static files into dynamic content formats.

Create a flipbook
Issuu converts static files into: digital portfolios, online yearbooks, online catalogs, digital photo albums and more. Sign up and create your flipbook.