MT Vol 3 Issue 3 Eng Jan 2019 by Lalfx

Vol.3 | Issue No.3 | Jan - Mar 2019

POINT OF CARE DEVICES

NEW TREND IN DIAGNOSIS & TREATMENT

TECHNOLOGY ENHANCED

DENTAL TREATMENT WITH MORE ACCURACY

TECH REVOLUTION IN CARDIAC CARE

MEDICAL VALUE

OVARIAN CANCER

CAN BE CURED IF DETECTED IN EARLY STAGES

TRAVEL IN INDIA

A Complete Magazine on Healthcare in Asia

Medical Tourism Jan. - Mar. 2019

A Complete Magazine on Healthcare in Asia

WELCOME TO THE AGE OF MEDICAL DEVICES

Vol. 3 | Issue No. 3 | Jan - Mar 2019

Medical

tourism RNI No. KERBIL/2016/68979

Regardless of the type of medical devices used, it is highly important that they are properly maintained to deliver longer service-life and to prevent infections. Maintaining and cleaning them are the most effective means in order to ensure that they would function at their peak, and that they would not become the source of the spread of diseases.

Editor & Publisher BENNY THOMAS Consulting Editor O.J. GEORGE

In hospitals, medical equipment play a vital role in diagnosis, monitoring and treatment of different kinds of medical conditions. These devices are designed to maintain rigorous safety standards in order to ensure the safety of patients.

Executive Editor BYJU ARYAD

Editorial Co-ordinator NINU SUSAN ABRAHAM Layout & Design LAL JOSEPH

The cover story is about how POC tools are helping patients in diagnosing diseases and how doctors find it more effective for treatment. New techniques in the medical device industry have helped to introduce new machines which can reduce the radiation level for treatments like chemotherapy and X-rays.

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Medical Tourism Jan. - Mar. 2019

Medical devices play a crucial role in in prevention, diagnosis, treatment and rehabilitation of illnesses. Globally, medical device manufacture is governed by rigorous safety standards in order to ensure the safety of patients. Given their importance in treatment, billions of healthcare givers and seekers the world over are eagerly looking forward to the latest developments in the medical devices industry.

The huge machines seen in hospitals are now replaced by smaller ones. Even the results of the diagnosis are now available in a tablet or a smartphone. Now there is no need for the patients to wait for hours in hospitals for examination and to get the test results as ‘point of care’ concept is developed where the machines will reach out to the patients. Even though the machines are smaller, these do not compromise on accuracy. Now the machines are designed in such a manner that they could position themselves to pinpoint whichever area scanning or X-ray should be taken without the movement of the patient. Gone are the days when chemotherapy resulted in loss of hair. Machines have been developed for scalp cooling during chemotherapy which would help in preventing hair loss. In this issue, machines in cardiovascular treatment and dentistry, which made a huge transformation in treatments, have also been included. Apart from the medical device news, articles on how physiotherapy helps in treatment of diseases, disorders or disabilities, best hospitals from UAE and Saudi Arabia, news on Arab Health Exhibition and Middle East Technology Conference are included. Innovations in the delivery of healthcare can result in more convenient, more effective, and less expensive treatments for today’s time-stressed and increasingly empowered healthcare consumers. IT innovations that connect the many islands of information in the healthcare system can both vastly improve quality and lower costs. The future of medical device industry perhaps lie in Virtual Reality (VR) and robotics, which will make a revolutionary change in the medical field. The VR and Augmented Reality systems have to face several technological challenges for researchers and developers to fulfil their vast promises. Medical Tourism Magazine was the media partner for Advantage Healthcare India 2018. Medical Tourism magazine is the media partner for Middle East Technology Conference at Jeddah and participant at Arab Health Exhibition at Dubai and the magazine will be available at these venues. We wish you a happy reading. Editor

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Disclaimer: The statements in this magazine have not been evaluated by the Food and Drug Administratin of USA or any other country. Information provided in this magazine are not intended to diagnose, treat, cure or prevent any disease. If you have a medical condition, consult your physician. All information is provided for research and education purpose only.

A Complete Magazine on Healthcare in Asia

Contents

08 â&#x20AC;&#x2DC;Point of Careâ&#x20AC;&#x2122; Devices are the new trend in diagnosis & treatment

'It's a tech revolution in cardiac care'

Technology enhanced dental treatment with more accuracy

Reflections

24 National Medical Devices

Promotion Council to come up in India

26 Medical value travel in india 30 Physiotherapy has a role to

38 Spirulina :

play before a child is born

The superfood which can relax your arteries, lower blood pressure

40 Arab Health Exhibition to

be held at Dubai from January 28-31

42 Middle East Healthcare and

Technology 2018 at Saudi Arabia

Osaka Group opened head office at Angamaly, Kerala

44 Hospitals 56 Rare Surgeries 59

Equipment

60 Medical Events 32 Ovarian cancer can be cured if

detected in early stages

34 Youth pose great threat

against lifestyle diseases

Want to lose weight? Focus more on your diet than exercising 6

Medical Tourism Jan. - Mar. 2019

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MEDICAL TOURISM COVER STORY

â&#x20AC;&#x2DC;POINT OF CAREâ&#x20AC;&#x2122; DEVICES ARE THE NEW TREND IN DIAGNOSIS & TREATMENT

contemporary health system relies on the contribution of human resources and health technologies. Medical devices, one aspect of health technologies, equip health care providers with tools to perform their functions effectively and efficiently.

Technology plays a very important role in enhancing the world of equipments, thus helps to develop the lifestyle of the patients. These equipments make prior identification of the diseases and prevent the serious ones. In the field of hospitals, the medical equipments play a vital role in the diagnosis, monitoring and treatment of different kinds of medical conditions. These devices are designed to maintain rigorous safety standards in order to ensure the safety of patients and the absence of these medical tools could significantly pull down the medical industry and become detrimental to the lives of billions of people worldwide.

Medical Tourism Jan. - Mar. 2019

Now the trend is to bring in “Point of Care’ (POC) devices so that there is no need for the patients to visit hospitals or laboratories for diagnosing diseases. It is used in doctors’ room, hospitals, and in patients' homes which gives quick feedback on many sorts of medical tests. POC devices are commonly used for testing glucose and cholesterol levels, do electrolyte and enzyme analysis, test for drugs of abuse and for infectious diseases and for preg-

nancy testing. Blood gases, cardiac markers, and fecal occult blood tests can also be done with POC diagnostic devices. But, the technology had developed with more medical devices companies using most modern technology for manufacturing POC devices. New techniques have helped to reduce the radiation level of machines for treatments like chemotherapy and also for X-rays.

According to Nithin Besent, Bio Medical Engineer at Medical College Ernakulam, Kerala, the new trend in the medical device industry is to replace the conventional machines to hand- held machines. Earlier, there were huge machines seen in Intensive Care Units and now it is slowly disappearing with doctors getting all the data of the patients in their tablets or smart phones. “ Technology has developed to such an extent that the use of huge Ultra

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There is no need to go to hospitals for detecting cancer as hand- held devices have been developed for mammography. Most of the hospitals have this facility so that screening has become very easy. During colonoscopy, the doctor uses a colonoscope, a long, flexible, tubular instrument about 1/2-inch in diameter that transmits an image of the lining of the colon so the doctor can examine it for any abnormalities. But now swallowing a tablet will enable the doctor to get images inside the body. The tablet will transmit the images to a machine, tablet or the mobile phone of the doctor. The tablet will be dissolved when it reaches the intestine.

Sound machines are now confined to small machines. Now there is no need for the patients to wait for hours in hospitals for examination and getting the test results as ‘point of care’ concept is developed where the machines will reach to the patients”, he said. He also pointed out that the smaller machines also do not compromise on technology. The technology development helps doctors to diagnose disease quickly and take decisions for treatment. Now X-ray machines with low radiation to patients and staff are available. Now the machines are designed in such a manner that the machines could position itself to whichever area the X-ray should be taken without the movement of the patient. Dr. Arun R Warrier, consultant, Medical Oncologist, Aster Medcity, Kochi pointed out that new devices have been developed for scalp cooling 10 Medical Tourism Jan. - Mar. 2019

during chemotherapy. There is no need for fear of hair loss during Chemotherapy, if this device is used. “This machine will eject a liquid which will cool the scalp and there will not be any hair loss. The machine has liquid gas inside it and it also prevent from medicine entering into the scalp” he said.

In dentistry too, medical devices play a vital role in most modern treatment. The manually operated dental chair is now transformed to automated ones with changing of positions of the chair being done mechanically. Dental Surgeon Dr. Deepak Babu B confirms that the treatment has become more efficient with the introduction of new devices. Laser technology is used for surgeries in mouth without the presence of blood and even there is no need for anaesthesia.

ment and of care that is less costly, disruptive, and painful. IT innovations that connect the many islands of information in the healthcare system can both vastly improve quality and lower costs.

“Digital X-rays, using a small machine at the size of a swipe machines in banks, are used to take X-rays which will help in finding out that the root canals have reached the accurate position. Drilling and filling of tooth are being done using air compressor which is more accurate than the conventional technology”, Deepak Babu says. For sterilisation in hospitals, ultrasonic scaling is used which will ensure that the medical devices used in dentistry are free of all micro organisms like bacteria. Now this is mandatory for all the hospitals. Apart from this, it is highly imperative that the equipments should be properly taken care of to guarantee the functionality and their reliability in hospitals. The most perfect medical product is one that provides, at zero invasiveness, an immediate and permanent cure at very low cost. The medical device industry is important due to the fact that Medical devices or equipment like Medical monitors, IV Infusion pumps, PCA pumps, Medical stretchers, etc. are very much necessary for proper care of a patient in Hospitals. Innovations in the delivery of healthcare can result in more convenient, more effective, and less expensive treatments for today’s time-stressed and increasingly empowered health care consumers.

Innovation can help in getting patients’ needs right, connecting medical device to its users such as doctors, lab technicians and patients, leveraging latest technology and innovative and more efficient ways for compliance to various regulatory requirements. From electronic medical records (EMRs) and personalized genomic information, to lifestyle and personal health data – along with the ability to analyze the data, represent another revolutionary force driving unprecedented insights and facilitating scientific breakthroughs in the development of new drugs and therapeutic devices.

BENEFITS OF POCT TESTING • Portability • Convenience • Speed • Connectivity • Sample Quality • Quality Assurance

EQUIPMENTS USED FOR TREATMENT • Diagnostic equipments like resonance imaging and X-ray machines. • Therapeutic equipments like lasers. • Life support equipments including ventilators. • Medical monitors for ECG and blood pressure.

New drugs, diagnostic methods, drug delivery systems, and medical devices offer the hope of better treatA Complete Magazine on Healthcare in Asia

MEDICAL TOURISM CARDIOLOGY

'IT'S A TECH REVOLUTION IN CARDIAC CARE'

echnological innovations has created a revolution in the health care sector and changed the way how diseases are viewed and managed across the world. Cardiovascular science has advanced so far that the diagnosis and treatment has not only become simple but health information is available at the finger tips of both the health care provider and health care receiver. Starting from the age old tradition when teaching was limited to the patient bedside, we are living in the age of electronic gadgets and internet where diagnosis and treatment is possible anywhere in

12 Medical Tourism Jan. - Mar. 2019

the world even from a pocket mobile. The global health care has been miniaturized as a result of these innovations. Cardiovascular medicine is undergoing radical changes day by day as a result of the vast amount of information and resources being channeled into the field across the globe. Important advances are being made in all areas starting from acute ischaemic syndromes to heart failure and end of life care.

THE EVOLUTION OF CARDIOVASCULAR SCIENCE Before the advent of the stethoscope, heart sounds were heard by putting

the ear to the chest wall of the subject. Then came the stethoscope, the main tool for the diagnosis of diseases related to the heart. It was invented in France in 1816 by RenĂŠ Laennec at the Necker-Enfants Malades Hospital in Paris. However its importance is coming down day by day all because of technological advancement. The first diagnostic coronary angiogram was performed by Dr. Mason Sones in 1958. This was followed by the first balloon angioplasty procedure on a coronary artery in Zurich, Switzerland, by Andreas Gruentzig, a German-born physician in 1977. Coronary artery bypass surgeries, valve

polymorphisms (SNPs), which are patterns of gene expressions which can predict heart diseases.

DRUG TREATMENTS

replacement and heart transplants followed. In the 1980s most of the critical coronary artery disease was managed by coronary artery bypass surgeries (CABG). Now only 15% of the cases are managed by CABG for the same indication. Catheter based technologies have improved so much that even valve replacements are performed via catheter based routes ( TAVR) . Now we are living in an era where people walk with wearable gadgets and integrated systems that monitor, control and optimize the functions of the heart.

A PEEP INTO THE WORLD OF TECHNOLOGY Advances in cardiovascular science can be stratified into 3 main areas: 1. Diagnostic technologies 2. Drug treatments 3. Interventions The scenario has changed drastically from what was 50 years ago to the present day and we shall discuss how the management of heart diseases has evolved over the decades.

DIAGNOSTIC TECHNOLOGIES Since the late 1990s, imaging in cardiovascular field has evolved

from routine coronary angiography to computerized tomography [CT], cardiac magnetic resonance, electron-beam computerized tomography [EBCT], and advanced echocardiography. Intravascular coronary imaging techniques like IVUS (intra vascular ultrasound) & OCT (optical coherence tomography) has created a revolution in the field of coronary angiography and angioplasty. Functional imaging techniques like Fractional flow reserve (FFR) has changed the way we manage atherosclerotic diseases. 3D electrophysiologic mapping techniques have in fact created a revolution the way rhythm disorders of the heart are managed and treated. Now hand-held biosensors capable of detecting a wide range of diseases within minutes by analyzing a drop of blood, urine, saliva, or breath have been introduced. This is in fact a â&#x20AC;&#x153;lab on a chipâ&#x20AC;? (a miniature chemical laboratory as small as 3 mm square also called micro-chip) that detects the presence of particular proteins or gene expressions as well as compares patterns of genes or proteins characteristic of particular disease states. Micro- chips also are capable of detecting single-nucleotide

The work of the Human Genome Project, in the early 2000s was a turning point in the history of cardiovascular medicine and health care. The Genomic revolution has been able to provide individualized and personalized treatment and changed the health scenario drastically. The end result was this: genomics (the study of the genome), proteomics (the study of the full complement of human proteins), bioinformatics (the methods of gathering and processing the above information) and systems biology (the study of how all of these processes work as a complex adaptive system). As a result, in cardiovascular medicine two vast fields were created: predictive diagnostics and pharmaceuticals. Pharmacogenomics encompasses all genes in the genome that may determine drug response.

INTERVENTIONS The device therapies have continued their rapid improvements during the course of the last 30 years. Stents have evolved from bare metal stents to drug eluting stents to absorbable ones of late. The platforms have changed and can be placed as small as 2 mm coronary arteries. New materials have greatly reduced the incidence of re-stenosis. Catheters have become more maneuverable and smaller, affording interventionists a wide range of capabilities, from the traditional angioplasty. Laser

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techniques encouraging the growth of new blood vessels, and the direct placement of new angiogenesis drugs are in the evolving phases. Apart from this, smart phones, smart watches and a wide variety of gadgets have surfaced which accurately capture various biochemical and vital information without the need to draw blood as was the case before. We have pacemakers, AICDs and CRT devices which are MR compatible to those which automatically switch modes when a magnetic field is detected. Leadless pacemakers have been launched. Telemetric monitoring is increasingly been used to detect events and administer therapies as is routine in our institution. Beating heart surgeries have become the talk of the day. Minimally invasive surgery and intervention techniques are now used for all routine heart surgeries. Sternotomy is now becoming rare and employed only in difficult cases or for full organ replacement procedures. Aortic aneurysms and dissections which were previously unmanageable and associated with high mortalities and morbidity has been simplified with the advent of various endovascular repair techniques. Robotics has emerged as a tool for managing a wide variety of cardiovascular diseases. Tele robotics has made its advent in India of late and is leading the world stage. Replacement hearts (electro-mechanical and swine hearts) are going to be so common in the near future and we are expecting replacement coronaries constructed from bovine and swine collagen as well to be the talk of the day in the days to come. Neo-organs grown in the laboratory from the patient’s own cells are starting to capture headlines. Now we are living in a world of 3 D printing where bioprinting of cellular material for creating patient specific tissue engineered implants is performed. 14 Medical Tourism Jan. - Mar. 2019

Researchers have been successful in growing thin sheets of heart muscle capable of sustaining a heartbeat to growing entire hearts, complete with vessels for carrying the blood supply. Nano - gadgets have now entered the arenas which are capable of delivering pharmaceuticals and capable of targeted therapy. Nanotechnology has also produced substances that mimic natural human tissue and responds to hormonal and nervous signals naturally. The scope of technological innovations is increasing day by day and is continuously evolving. We would end this discussion with the following scenarios:

co-passenger who is in the late 90s and finds that he as a transplanted swine heart. 3. Year 2050: Mr X is 100 years of age and feels healthier than he was 50 years back. All because he has undergone a wholesale organ replacement and his ‘telomerase’ enzyme constantly renews, thanks to nano - technology which delivers the right pharmaceuticals to his cells. The ‘Hayflick’ limit does not bother him anymore and he is like the immortal Avenger Superhero for his grandchildren and great grandchildren. He is even thinking of travelling to Mars in a space jet, thanks to technology.

1. Year 2000: Mr X aged 50, diabetic, with regular exercise and medications, walks into the laboratory for blood glucose monitoring- The technician puts a prick on his finger and on a hand held device takes a drop of blood. Comes back a few minutes later with a print of his result… 2. Year 2030: Mr X is travelling in a jet plane and has a co-passenger by his side. He relentlessly talks with the

Dr. Shreetal Rajan Nair Consultant – Cardiology Meitra Hospital, Calicut

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MEDICAL TOURISM DENTAL DEVICE

TECHNOLOGY ENHANCED DENTAL TREATMENT WITH MORE ACCURACY The Virtual Reality (VR) and robotics as new technologies will have a great impact on dental health care in the next decades, says Dr Mathew Philip. Now an array of new products and equipment are used for enhanced dental treatment.

16 Medical Tourism Jan. - Mar. 2019

ental device have made a revolutionary change in the treatment methods by dentists with enhanced patient care and more satisfaction for the patients.

it has greater strength from non-metal materials. New pre-stressed ceramics are made in solid blocks that are milled and shaped by the computer system to make single copings and bridge frameworks.

Now more productive dental practice is followed with the use of the modern tools. Digital treatment including laser fluorescence device enables the clinician to evaluate quantitatively the smaller “sticks” and “watches” that are common throughout the profession.

The Virtual Reality (VR) and robotics as new technologies will have a great impact on dental health care in the next decades . The dynamic association of operation on a real organ with imaging data may create new modes of diagnosis and treatment for technically challenging patients.

Early diagnosis enables the doctors to use approaches as microrotary instrumentation, air abrasion and laser technology along with newer, bonded resin-based composite restorations to help patients maintain more of their tooth . Several other high-technology devices can enhance the diagnostic capabilities of the practitioner which include DetecTar, a light-emiting diode to visualize and detect subgingival calculus, the Perioscope, a highly illuminated microcamera lens that can peer into a periodontal pocket and magnify the area almost 50 times.

Surgeons will benefit the most from such systems by extending the safe limit for more efficient operations. The VR and Augmented Reality systems seem promising, but there are still technological challenges that researchers and developers must face in order to fulfil these promises.

Now an array of new products and equipment are used for enhanced treatment. Computer-aided design/ computer-aided manufacturing, or CAD/CAM, has evolved within the past few years to create dental restorations. As technology developed, more powerful processors are available at lower costs and it is economically feasible to install such a device in a dental practice. The non-clinical benefit of installing such device is the time savings for patients and dentists, because the process can be completed in one visit. Wax-ups, copings and restorations can be created in a dental laboratory with great accuracy using laboratory CAD hardware and software and also

NEW DIAGNOSTIC AND RESEARCH DEVICES IN DENTISTY 1. Scanning Acoustic Microscope: It detects the accurate properties of various cells as in some diseases which observes changes in elastic properties of tissues like Periodontal Ligaments (PDL)and its use in pathological examination. 2. SEM- During caries due to bacterial activities tooth enamel gets de calcified and it becomes soft which can further be detected by SEM (scanning electron microscope) 3.Air Abrasion – It’s an alternative to dental drill and it is used to treat small caries preserving tooth structures causing precise removal of decay using Aluminium Oxide base. 4. Bone replacement – It is used to treat people suffering from bone loss. it is of various types.

a) Man- made bone replacement

b) Animal or cadaver bone re placement

c) Grafting bone replacement taken from same person’s another area. 5. CADCAM- CADCAM dentistry is a field of dentistry and prosthodontics using CADCAM to improve the design and creation of dental restorations, especially dental prosthesis, including crown veneers, inlays onlays, Bridges and orthodontic appliance. 6. Caries detection solution – it’s a liquid dye that is applied over tooth to confirm that all decay is removed from the affected area and are used after brushing to highlight that are not well cleaned. 7. CT scan - 3D CT scan is widely used by implantologist to provide a more accurate view of jaw bone and surrounding bony structures. 8. Diagnodent - It is used to detect cavities. It uses electric pulse and laser to detect cavities, so it helps to control future decay and preserve maximum natural healthy tooth structure. 9. Desensitizer - It is used prior to treatment in sensitive teeth so that patient is comfortable during the treatment. It can be used alone or in conjugation with other pain and anxiety relief modalities such as Local Anaesthesia and sedation dentistry. 10. Digital X-ray - It is the latest technology in which electronic sensor is used that captures and stores the images in a computer which can be enlarged if required and it has less radiation exposure. 11. Electric handpiece - It assists in hygienic procedure and can be used along with rotary. And it is quick in use and it offers a smooth delivery of material and reduces stress on healthy tooth. 12. Intra Oral camera - It produces accurate image of the teeth and supporting structures .It helps to learn more about dental hygienic A Complete Magazine on Healthcare in Asia

practice in life and area to be focused for brushing. 13. Laser - It uses light energy resulting in shortened and painless treatment procedures. Since there is no bleeding the working area can be cleaned for various procedures like crown lengthening, frenectomy and gingivectomy. 14. Optical Scanner - It provides a digital map of tooth and 3D replica of dental structures. It helps in accurate colour analysis for cosmetic restoration made in lab such as porclain, veneers etc. 15. Dental Microscope –It’s the latest trend which offers to visualise the micro cracks, weakened tooth structure and proximity to the dental nerve and it is used in various microscopic surgeries also. 16. Vizilite– It’s a painless screening tool for detecting small changes in mouth. It identifies, evaluates and monitors abnormalities in patients who are at increased risk of cancer. 18 Medical Tourism Jan. - Mar. 2019

17. Periometer - It is an instrumented percussion diagnostic system designed for various range of dental application including monitoring implantossessointegration. It can help to avoid catastrophic implant failures. 18. Wand - A computerised tool to deliver anaesthesia in a slow and methodic manner. Pain is caused after anaesthesia with the pressure with which the amount of liquid is injected out but by this method it is done in a controlled manner to control pain. 19. Orthophos - It allows a very high- quality diagnostic images for orthodontics procedures, including braces and invisalign.20. Digital Photography - It helps to design a photograph for a patient to access that how they will look like after a complex dental procedure such as smile make-over, full mouth reconstruction, so that it allows patient to visualise their after treatment expectation prior to the treatment.

21. CBCT (Cone Beam Computed Tomography) – It’s a radiologic diagnostic aid in dentistry. The advantage is the radiation exposure is less compared to CT scan. It is used for 3D view of facial structures, aids in implant treatment, TMJ disorders, addressing bone strength and also finds soft tissue pathological lesions. 22. Photodynamic Therapy – It involves the use of low power laser with appropriate wave-length to kill microorganisms treated with a photosensitizer drug 23. Halimetre – It’s a diagnostic instrument for the measurement of level of volatile sulphur compounds in the mouth which are produced by bacteria causing bad odour.

Dr Mathew Philip Dental Surgeon Al-Sheima Dental Clinic LLC Sultanate of Oman

Medical Tourism Magazine.pdf 1 1/17/2019 9:09:57 AM

TREATMENT AT

PARADISE

CMY

CARDIOTHORACIC SURGERY • Beating heart • Valve repair /replacement • Congenital / paediatric open heart • Aortic and great vessel • Peripheral vascular diseases • Lung and thoracic minimally invasive

ORTHOPEDIC SURGERIES •Knee and Shoulder Arthroscpic (Keyhole) surgery • Knee and hip replacement surgery • Sports injury and sports physical rehabilitation • Spine Surgeries • Micro-surgeries

NEUROSURGERIES • Congenital brain and spine surgery • Peripheral nerve surgeries • Craniotomy and excision of Brain Tumor • Cervical artificial disc replacement • Complex cervical and lumbar spine surgery • Endoscopic lumbar disectomy

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MEDICAL TOURISM REFLECTIONS

MEDICAL EQUIPMENT ARE THE BE-ALL AND END-ALL FOR SERVING THE DISEASED PROLONGING LIVES OF PEOPLE IS NOT THAT DIFFICULT AT PRESENT IF AVAILABLE TOOLS ARE PRESSED INTO SERVICE At the same time, vigorous steps should be taken to take care of the teeming number of the elderly By O.J.George (Consulting Editor)

20 Medical Tourism Jan. - Mar. 2019

umanity has mastered the art and craft of prolonging life of the people with treatment utilising the help of various medical equipment. We have come a long way from the days of the apothecare who was considered the First in the fraternity, Onnaaman in Malayalam, In my childhood, I had seen an apothecare who used to divine diseases with the help of feeling the pulse, of course, he had a stethoscope of yore. Also he had what was called a steel pen and ink-pot, with the ink ball dissolved in water, for writing out prescriptions of medicines. Even during those times various experiments were going on in different

parts of the world to tame the deadly diseases that wiped out millions of people globally. Of course, these experiments were going on with the help of tools, medical gadgets and instruments. In the case of medicines also, there were fast- changing developments for the betterment of the people. At one time, millions of people had died of typhoid before the invention of penicillin. Later developments had seen to it that deadly diseases like pneumonia, small pox, various types of plague and subsequently, HIV etc could be contained. Leptospirosis, Nipah virus, Dengue fever etc have taken the toll of many lives, no doubt about it. Developments have overtaken in many cases to tame abominable diseases, for example, using anti-retroviral medicines HIV patients can survive for a very long time. Modern medicine is a fast- developing stream of dealing with every conceivable ailment, to the betterment of human kind. Now even pre-term babies can be supported with the help of incubators, nebulizer for taking care of breathlessness and asthma and the like. I can vouchsafe it for the fact that my son had arrived in the world at slightly less than seven months of his motherâ&#x20AC;&#x2122;s pregnancy. Our lives were churned by hospitalization of the kid for taking care of tenuous situations. The baby had also suffered for a very long time on account of wheezy bronchitis. He could stand on his own feet and take â&#x20AC;&#x153;frightfulâ&#x20AC;? (for the parents) steps only at the age of three years. But he would not sit idle anywhere, one should hold both of his stands over his head and he would run around the house. I had noticed one thing, that was a special gift, he could talk cogently

from the very early stage, which means he could express his feelings and fleece from his parents whatever he wanted. His life has been ensured using what all equipment were available there at the hospital. The pediatrician taking care of him all through his life (At the age of 14, the doctor had told us he is no more a child, he should be examined by a doctor for adults, but since the pediatrician was his stay-secure we used to consult him even later) had taken special care for him always. When we visit hospitals with various problems, necessitating consultation with very many specialists we come across use of innumerable number of gadgets, without which the patients would not have been all right to such an extent as is possible. ECG, Ultra Sound system, MRI, etc are now commonly used in addition to the preliminary X-ray examination. I know a person in the neighbourhood of the ancestral house who used to live 20 years extra using a pace-maker for the heart, that means he was 80-plus when he collapsed and died. Of course, he had recharged the battery once earlier. He had gone for recharging the battery a second time, but he was unwilling as he and his family members were witness to a patient dying during the process of recharging. An old friend of mine here had developed heart problems which necessitated implanting of a pace-maker. He was reluctant at first saying he is now an old man and so let fate decide about his life. But his family members insisted on his prolonging life with the help of the pace-maker. He has since been all right after implantation of the gadget. I had jovially told him of the instance pointed out in the beginning, it providing 20 more of years for him. Now I have come across an instance A Complete Magazine on Healthcare in Asia

of a Parkinsonâ&#x20AC;&#x2122;s Disease patient using such a facility for his brain. The process is called Deep Brain stimulation. The patient himself is a medical doctor, and after undergoing the expensive method, he could strut around with the help of a walking stick. Tremor, propensity for falling down have all been reduced considerably. I have read in the literature that expenses for the same could come up to Rs 90 lakh. Not all ordinary mortals can choose this method, for sure, but those who can afford should definitely take the chance. Parkinsonâ&#x20AC;&#x2122;s disease, which causes degeneration of neurons in particular part of the brain, is caused by absence in proper measure of dopamine. Celebrities such as Pope John Paul II, Evangelist Billy Graham, President George Bush Senior, had fallen prey to this debilitating medical condition.

22 Medical Tourism Jan. - Mar. 2019

Heart diseases, cancer onslaught have all immobilized very many people, but they could survive this long with the help of procedures and medication with varying degrees of success rate. The point is, people can pull on with very many diseases, at the behest of specialists and modern medical equipment.

elderly during their Sunset years. Let all the tools be accessible to them to take care of their lives.

I have got a message in the social media saying yesterday was Experience, today is the Experiment. Tomorrow is Expectation. Use your Experience in your Experiment to achieve your Expectation. This is well said for situations in modern times.

In the field of medicine, progress of using medical tools to equip doctors with ultra-modern facilities has become unavoidable.

At the time of my paternal grand-father, life expectancy was less than fifty years of age. Now things have changed dramatically with a lot of elderly persons struggling with their lives everywhere in the world. Actually there should be a lot more of attention being bestowed on the

Man â&#x20AC;&#x201C; machine nexus had started centuries ago, for human civilization, industrial revolution and all advanced only on account of the advent of various machines.

Using Artificial Intelligence and the like, there is talk of taking humanity to super-human levels. One day, there could be brain-manipulated beings in hibernation for eons, to wake up later in a different mode. The possibilities are endless, so far as technological innovations reach new heights. (ojgeorge@gmail.com)

Yantra Ayurvedic Beach Resort is located in the village in Nattika Beach, Triprayar, Yantra Ayurvedic is an ayurvedic resort located by the sea which combines the pleasure of a beach holiday with authentic ayurveda treatment and welllness therapies. The resort has all the facilities to make your stay relaxed, comfortable and rejuvenating. Yantra is providing Panchakarma treatment with well experienced and dedicated Ayurvedic doctors and efficient therapists. Also provide Yoga classes and meditation for good health. The resort is located at very close to gold sand beach frontage with lash green lawn, the ambience of cottages make it in a traditional Kerala style with all modern facilities. We also make number of huts to watch the sun set and sun rise for our valued guests. We are providing Ayurvedic and authentic food in our traditional restaurant and also you can see the beautiful sea view from our restaurant while having your healthy food. Yantra is the epitome of peace tranquillity. We look forward to having you at our beautiful resort.

Nattika Beach, Thrissur 680566, Kerala, India

Phone: +91-99619-75000, Mobile: +91-99951-25000 Email: yantraresort@gmail.com

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www.yantraayurvedicresort.com

MEDICAL TOURISM MEDICAL DEVICES

NATIONAL MEDICAL DEVICES PROMOTION COUNCIL TO COME UP IN INDIA

o give a boost to the medical devices industry, which is a sunrise sector, the Union Govt will set up of a National Medical Devices Promotion Council. It will be an agency under the Department of Industrial Policy and Promotion (DIPP) in the Ministry of Commerce and Industry. The proposed national council, headed by the Secretary, DIPP, would achieve convergence as medical devices were covered under various Ministries and departments. Apart from the departments concerned, it will also have representatives from healthcare industry and quality control institutions. 24 Medical Tourism Jan. - Mar. 2019

FUNCTIONS OF THE PROPOSED NMDPC The NMDPC will undertake several activities, including facilitation, promotion and development of the sector, besides holding seminars and workshops to garner views of industry and understand best global practices. It would also identify redundant processes and render technical assistance to the agencies and departments concerned to simplify the approval processes involved in the sector. It will enable entry of emerging interventions and support certifications for manufacturers to reach levels of global trade norms and lead India to an export- driven market in the sector.

It supports dissemination and documentation of international norms and standards for medical devices, by capturing the best global practices and facilitate domestic manufacturers to rise to international level. It will also drive a preferential market access policy, by identifying the strengths of the Indian manufacturers and discouraging unfair trade practices in imports. Besides, it would make recommendations to government based on industry feedback and global practices on policy and process interventions to strengthen the medical technology sector. The medical devices industry plays a

market local medical technology. We welcome the government’s decision to create a National Medical Devices Promotion Council (NMDPC) to boost the Medical Device Industry and MTaI will help in strengthening this ecosystem” said PavanChoudary, Chairman, Medical Technology Association of India (MTaI). The Medical Devices Industry (MDI) plays a critical role in the healthcare ecosystem. The manufacturing and trade in MDI is growing steadily in India. Currently with sufficient manufacturing capacity for low- cost lowrisk devices such as surgical gloves, blood bags, extension lines, stop cocks, some IV access products and syringes. India is yet to see extensive growth spikes in high tech medical devices.

critical role in the healthcare ecosystem and is indispensable to achieve the goal of health for all citizens. Although the industry has been growing in double digits, it is predominantly import-driven, with imports accounting for over 65 per cent of the domestic market. “Within the overall health ecosystem, medical devices has remained a sector where focused attention is much required. Medical devices are different from other healthcare industries as they develop and grow based on a dynamic innovation and manufacturing ecosystem. Such a system is often born with the help of global legacy technology companies and also allows indigenous entrepreneurs and physicians to create and bring to

To ensure patient safety, the industry is investing and focusing on constant technological innovation and upgradation. While the medical devices industry has been growing in double digits it is predominantly import-driven for medical devices with imports accounting for over 70% of the domestic market and around 80% for critical-care devices. The setting up of NMDPC will address the issue of expansion of domestic manufacturing for critical-care devices. The NMDPC order mentions about the robust Preferential Market Access (PMA) policy discouraging unfair trade-practices in imports. “Robust tracking mechanisms from the Government to streamline all trade practices have always been welcomed by all MTAI member companies. Our member companies strictly abide by stringent Drugs & Cosmetics Act and Tax (transfer pricing) laws,” added Choudary.

THE MEDICAL DEVICES INDUSTRY IN INDIA The Medical Devices industry in India has steadily grown and is valued at more than $5 billion. As per industry estimates, the Indian medical devices market will grow to USD 50 billion by 2025.

Currently, India is counted among the top 20 global medical devices market and is the 4th largest medical devices market in Asia after Japan, China, and South Korea. Up to 100% Foreign Direct Investment is permitted in Medical devices through the automatic route.

CHALLENGES TO MEDICAL DEVICE INDUSTRY IN INDIA Low Penetration - The per capita medical device spending of USD 3, compared to USD 7 in China and USD 42 in Russia is significantly low. Lack of Accessibility - The Indian healthcare system is inadequate, inefficient, and unevenly distributed. 69% of the Indian population lives in rural areas, while 73% of qualified consulting doctors reside in urban areas. Eight percent of qualified doctors are in rural areas, and the remaining 19% are in semi-rural areas. Inadequate regulatory systemsNon-alignment with global standards and the lack of quality product testing infrastructure are issues that hinder sectoral progress. Real estate prices and high capital costs limit the growth of delivery infrastructure. Insufficient attention by policymakers and a complex tax regime are also responsible for the sector’s under-development. The lack of a comprehensive policy and focus to develop the healthcare eco-system. The limited attractiveness of India as a destination for medical devices due to uncertain regulations and pricing environment, unavailability of skilled resources, and ease of doing business compared to other comparable destinations in Asia. Also, there is lack of innovation and customization resulting in fewer options available to the patients.

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MEDICAL TOURISM MEDICAL TRAVEL

MEDICAL VALUE TRAVEL IN INDIA  The indefinite waiting period for elective procedures in countries like the UK and Canada. These could be procedures that included surgery to improve the quality of life – knee replacement, hip replacement etc. rather than life-saving in nature like open-heart surgery.  Buying Behavior: There are countries, which has official treatment abroad programs, when hospitals like Apollo could offer high end technology like Robotics at a fraction of cost than in the west, sponsoring governments saw that as a reason to work with Indian providers for their citizens.  The emergence of high-end tertiary care facilities in India and South East Asia.

WHAT IS MEDICAL TOURISM? WHERE DOES INDIA STAND IN GLOBAL MEDICAL TOURISM SPACE? Cross border medical travel can be seen from ancient times, whether it is to Holy rivers or hot springs from illness to wellness, today, medical travel has become a segment by itself endorsed by governments in over 100 countries. In India, it was compared to the second biggest segment after IT considering India’s strong network of high-end private healthcare. Indian Medical Tourism Industry is expected to touch 3 billion USD by 2020. India caters to over 26 Medical Tourism Jan. - Mar. 2019

18% of global medical tourism segment. Looking back at the latter half of the 80s, institutions like the Apollo Hospitals had already assessed the potential of the trickle of foreign patients. Projections that quantified the trend were already being put into place. The international patient was evolving into the ‘medical value traveler’ in a very comprehensive way.

WHY DO PEOPLE TRAVEL FOR HEALTHCARE FROM VARIOUS PARTS OF THE WORLD?  Lack of adequate medical facilities in one’s home country.

 The cost advantage. This, by far, is the most significant factor. For about one-fifth the cost in the west, a patient can travel to India, undergo an operation, recuperate in a five-star resort and fly back home. This doesn’t make Indian Healthcare cheap, its fundamentally the currency exchange rate difference that makes our healthcare affordable to a foreigner combined with the strong currency and high cost of healthcare in the developed world.

SOME COST COMPARISON? COST COMPARISON CHART (IN USD) Procedure

USA

40,000

23,000

8,500

6,000

2,50,000

1,50,000

22,000

Knee Replacement

25,000

14,000

8,000

6,000

Body Contouring Liposuction

20,000

10,000

4,000

2,500

Open-Heart Surgery Bone Marrow Transplant

Thailand

India

DISEASE PATTERN- MACRO LEVEL

WHICH ARE THE KEY COUNTRIES AND THEIR HEALTHCARE SCENARIO THAT FAVORS INDIAN MEDICAL TRAVEL BUSINESS? South Asia: Bangladesh, Afghanistan, Maldives and Sri Lanka are the major source markets for India’s medical value segment. While Afghanistan inflow is to Delhi and Bangladesh to Kolkata and Chennai, Sri Lanka and Maldives the trend is to Trivandrum, Chennai & Bengaluru. While Bangladesh and Sri Lanka have elaborate secondary care network, war torn Afghanistan and Maldives have issues with infrastructure

USA: An estimated un-insured population of 40 million and another under-insured 20 million makes USA a very important target for all countries involved in the medical travel industry. The presence of a sizeable number of Indian doctors in the US can become a very productive catalyst in increasing patient traffic to India.

THE GEOGRAPHICAL SPLIT OF INDIA’S MEDICAL TRAVEL SEGMENT

CANADA: Canada has a very long waiting period for elective procedures. To avail a specialist consultation for an elective procedure in Canada may require more than six months. This makes Canada a huge market of potential medical value travellers. UK: The NHS takes care of public health and the waiting list is a major problem. However, the NHS has taken steps to solve this by offering the option of treatment in other European Union countries. RUSSIA & CIS: This is an untapped market. The increasing buying power of the people and the lack of adequate medical facilities in their country could make Russia and the CIS future entrants in India’s medical value travel market. The CIS traffic is already being seen in Delhi and NCR. INDIAN OCEAN ISLANDS: Fiji, the Seychelles, and Mauritius are major clients from this region. With a lack of medical facilities in these A Complete Magazine on Healthcare in Asia

countries, the high cost of healthcare in their neighboring countries like South Africa (near the Seychelles) and Australia (near Fiji), the Indian advantage becomes evident both in terms of access and cost. Africa: With over a billion people, this continent has huge healthcare delivery gap. The English speaking Africa comes to India and now even the French speaking ones. Within Africa, countries like Egypt South Africa and Kenya are also medical travel destinations, however expensive ones compared. Middle East: Oman, Bahrain, UAE, KSA currently form a large chunk of the medical value travel market. Compared to SAARC countries, the affordability value of this group is considerably higher and hence its contribution to the earnings in this area forms a significant percentage.

SOME RELEVANT FAQ’S OF A MEDICAL VALUE TRAVELLER. • Follow-up care in one’s home country This remains an area of concern for a majority of medical value travelers. The best solution would be to get back home and into their own healthcare system. For Orthopaedic and spinal surgeries, since the x-rays clearly indicate the surgical pathway, the doctors can offer reviews via e-mails.

However, this would not be the appropriate way to address follow-up in a case of Lap Band surgery where the band needs to be adjusted periodically. This is perhaps one reason why Orthopaedic and spinal procedures are more sought after by medical value travelers from the west. • Medical malpractice and jurisdiction How can a foreign hospital be made legally liable for a proven case of medical malpractice? Here, the answer is obvious. The selection of care provider should be made carefully since the jurisdiction of one’s home country courts do not have any legal standing on a company incorporated in a foreign country. So, the legal option would be to fight the matter in the local court where the care provider is based. • Criteria to identify the right healthcare provider This is a serious decision and needs to be made only after evaluating the recognition that an institution has, the Brand value offered, the profile of the doctor/s, location, feedback from other patients, recommendations by referral doctors, etc.

INDIAN CITIES AND STATES IN THE PICTURE Chennai – has emerged as the healthcare capital of India - gets more

numbers than any other city in India. The other cities, which are statistically noteworthy, are Delhi, Mumbai, Hyderabad and Bangalore and, as states, Kerala and Goa are very much in the race. Kolkata and Ahmedabad are the new entrants. Chennai - The gateway to South India is renowned for its tertiary care facilities and comparative low cost as compared to Mumbai and Delhi. Delhi - As the national capital, well connected with all the major cities of the world, home to institutions like AIIMS, Apollo, Escorts, etc. Delhi comes a close second in attracting medical value travelers. However, non-medical expenses are higher here. Mumbai – India’s commercial capital, its well -connected airports make it a hub for medical tourism. As in the case of Delhi, Mumbai’s high priced non-medical charges makes its affordability a matter of need-based option. Kerala – Kerala has pioneered India’s wellness tourism with a host of renowned Ayurveda centers. However, it has failed to maintain this leverage especially with countries like Sri Lanka going heavy on wellness tourism. The cities of Trivandrum and Cochin have placed themselves well in attracting medical tourists. Trivandrum caters to 70% of Maldivians coming to India while Cochin with leading brands caters to Middle East traffic. The current trend is positive for Kerala. Other major cities like Hyderabad, Ahmedabad and Kolkata are all getting into the global foray with stateof-the-art facilities and international accreditations.

SOME AREAS TO BE ADDRESSED  Lack of a coordinated effort by the Indian Healthcare industry to project India as the healthcare destination of the world. More effort should be put into place than merely one or two 28 Medical Tourism Jan. - Mar. 2019

independent campaigns. The industry’s major players should unite in this venture to better serve this purpose. A notable effort was the establishing of the Indian Healthcare Federation with about 300 members organized by the CII.  Increasing competition and market offers. An apt example would be of the Bariatric surgery (a weight reduction procedure) offer in Mexico with 3 days for recuperation, including up and down flight fares from the USA for USD 8000. This procedure in India for someone from the US would cost about USD 5500 for the procedure and USD 2000 for flight fares. South Africa is another country that has set its focus on tapping medical tourists. We may not feel the threat yet considering the value of the Rand over the INR, but, in the long run, this can affect the current high traffic for treatment from African countries and the Indian Ocean island countries like the Seychelles and Mauritius. This again points to the urgent need for a coordinated approach from the Indian Healthcare industry to focus on those specialties in which the Indian medical fraternity has a distinct

advantage.  Finally, how well will the Indian private healthcare industry address the growing requirement of healthcare delivery in the domestic market? The rapidly advancing middle class, aided by an increasing health insurance spread, seeks a lot more from the private healthcare sector that must account for about 80 per cent of healthcare delivery in the country. The domestic disease pattern is yet another feature, and lifestyle diseases - especially cancer and heart disease - will increase the requirement of in-patient facilities that remain mainly with private sector tertiary care providers. Government spending in healthcare is more focused on primary and secondary care and although life expectancy in India has almost doubled from 32 years in the 1940s to 66 years in 2004, it still has a long way to go. Here, too, the huge opportunity for the private sector in Indian Healthcare is so abundantly visible.  Lack of standardization in the holistic options - including Ayurveda, Yoga and a gamut of such services - and lack of effort in combining

alternative medicine systems with allopathic treatment must be explored. This is a large area of untapped opportunity which has long been neglected. The Apollo Hospitals has already begun to focus on ‘Wellness Centers’ where alternative therapies are given their due. This is one area where India has a definite and indigenous edge and the opportunity to unleash its potential is phenomenal. Kerala has already shown us the way. Medical Value Travel is a dynamic, evolving industry. Its time is now. What began as a trickle in the early 80s is a steady wave today. Lets stay focussed, the world needs us as a global healtchare destination.

Jithu Jose Group Head International Business (Middle East & South Asia) Apollo Hospitals India Email: jithu_j@apollohospitals.com A Complete Magazine on Healthcare in Asia

MEDICAL TOURISM PHYSIOTHERAPY

PHYSIOTHERAPY HAS A ROLE TO PLAY BEFORE A CHILD IS BORN Modern physical therapy was established towards the end of the 19th century due to events that had an effect on a global scale, which called for rapid advances in physical therapy, says Dr. Ali Irani, President Indian Association of Physiotherapists (International Affairs).

hysiotherapy is a health care profession concerned with human function and movement and maximising physical potential. In other words, Physiotherapy means physiotherapeutic system of medicine where physical agents like heat, cold, light, water, electricity and exercises including mobilization and manipulations are used as treatment modalities which have diagnostic, prognostic, preventive and

30 Medical Tourism Jan. - Mar. 2019

rehabilitative dimensions in treating of diseases, disorders or disabilities. The earliest records of Physiotherapy date back to 460 BC, where physicians like Hippocrates, and later Hector, are believed to have been the first practitioners of physiotherapy, advocating massage, manual therapy techniques and hydrotherapy to treat people.

The earliest documentation of physiotherapy as a profession dates back to 1894, when four nurses in Great Britain formed the Chartered Society of Physiotherapy followed by the development of The School of Physiotherapy at the University of Otago in New Zealand in 1913, and the United States' 1914 Reed College in Portland, Oregon, Modern physical therapy was established towards the end of the

19th century due to events that had an effect on a global scale, which called for rapid advances in physical therapy.

Some Common Areas of Specialization in Physiotherapy are:

Some of the important milestones in the field of Physiotherapy are:

It involves, improving functional independence and endurance of patients with disorders or diseases of the cardiopulmonary system. Disorders like cystic fibrosis, COPD (chronic obstructive pulmonary disease) and so on.

• 1914: Physiotherapists Were Called Reconstruction Aides During World War I • 1940: Margaret Knott & Dorothy Voss introduced PNF (Proprioceptive Neuromuscular Facilitation Technique) • 1950: Bertha Bobath presented NDT (Neurodevelopmental Technique) • 1960: Following Cyriax Manual Therapy Giants Kaltenborn, Maitland, Mulligan & Mckenzie Came up with individual Techniques. • 1980: Explosion of technology – Electrotherapeutic Modalities Like TNS, Ultrasound, Short wave Diathermy, LASER • 1990: Introduction of Practice of Manual Therapy in India.

GROWTH OF PHYSIOTHERAPY IN INDIA 1952: First Physiotherapy Unit in India Was Established at Mumbai 1953: King Edward Memorial Hospital, 1st school of physiotherapy, Mumbai with 2 years Diploma program with 10 students 2nd school was Christian Medical College, Vellore followed by, 3rd school at Government General Hospital, Chennai

TODAY WE HAVE: • 225 Colleges offering a Bachelor’s Degree in Physiotherapy • 82 Colleges offering a Master’s Degree with specialization • 15 Universities offering Ph.D. Program in Physiotherapy

CARDIORESPIRATORY/ CARDIOPULMONARY

ORTHOPAEDIC/ MUSCULOSKELETAL Musculoskeletal physiotherapists focus on Musculoskeletal injuries and conditions and handle rehabilitation after orthopaedic surgery. Common conditions treated are pains, sprains, strains, fractures, amputations, etc.

PAEDIATRICS Paediatric physiotherapists play an important role in the diagnosis and management of congenital or acquired disorders in children They work with children with congenital birth defects and developmental delays like cerebral palsy, spina bifida and torticollis CTEV (congenital talipo equino varus )and so on

GERIATRICS Here the focus is on the elderly; keeping them mobile and helping them live healthy lifestyles. The physiotherapist working in this field are expected to have additional knowledge on likely conditions or challenges the geriatric population might be facing or likely to have as a result of being advanced in age.

women's health focus on disorders of the pelvis and pelvic floor such as incontinence, prolapse, constipation and pelvic pain ante - natal and post-natal health etc.

NEUROLOGY Neurological Physiotherapists deal with people with neurological damage, disease or disorders of the central and peripheral nervous system.

DISASTER MANAGEMENT Physiotherapist play an important role in triage after disasters and help prevent further complications like immobilisation, subluxations during transfers, chest complications & bed sores.

ERGONOMICS Corporate world and business sector demands for long hours at a desk. Physiotherapist not only treat the repetitive stress injuries but also prevents them like Carpal Tunnel Syndrome, Cervical Spondylosis, Disc prolapse. They also help in designing office space ergonomically and training staff to improve employee productivity. Physician adds years to life but Physiotherapists add Life to Years!! To Summarize, Physiotherapy has a role to play before a child is born (Prenatal stage) till we exist (Geriatrics) – Womb to Tomb

SPORTS PHYSIOTHERAPY Sports physiotherapists don't just focus on treating sport injuries or injuries sustained by athletes. They also have in depth knowledge on various kinds of sports and information on likely injuries that may be sustained. They are actively involved in not just rehabilitating the sports person but also preventing injuries.

WOMEN'S HEALTH

Dr. Ali Irani President ,Indian Association of Physiotherapists (International Affairs) H.O.D., Physiotherapy and Sports Medicine Nanavati Super Speciality Hospital, Mumbai E-mail: dralirani@gmail.com

Physiotherapists that specialise in A Complete Magazine on Healthcare in Asia

MEDICAL TOURISM ONCOLOGY

OVARIAN CANCER CAN BE CURED IF DETECTED IN EARLY STAGES We are able to prevent the advancement of ovarian cancer and control it, similar to controlling ailments like diabetes and high blood pressure. However, a complete cure is unfortunately still in the distant horizon unless detected in the early stages, more so in relation to epithelial ovarian cancers, which is the most common form of ovarian cancer in women, says Dr. K Chitrathara, HOD & Sr. Consultant in Surgical & Gynec Oncology, VPS Lakeshore Hospital, Kochi.

32 Medical Tourism Jan. - Mar. 2019

ew months back I attended a public meeting in Alleppey organized as part of block level cancer screening project. A cancer awareness class was delivered. I was accompanied to the place by Venugopal who was one of the co-ordinator of the function. Venugopal also narrated to me his personal experience which spurred him towards this project. He said: “by the time we, the children, attained good positions, our mother had passed away without giving us an opportunity to take care of her”. His voice quivered and he stumbled over his words. A moment later he continuedmy mother was losing weight daily, became easily tired and her stomach was distended with water. We consulted numerous doctors in various hospitals. After conducting various tests they came to the conclusion that my mother had liver cirrhosis. Five to six valuable months were taken to arrive at this conclusion. Subsequently, we consulted the leading gastroenterologist in Ernakulam who confirmed that my mother had final stage Ovarian Cancer. It was already too late by then. We had already lost a valuable period of nine to ten months. There was therefore no opportunity for any effective treatments to be administered. She passed away soon after. I had been searching since then for an opportunity to do something for the early detection and treatment of Cancer. We instituted a charitable society in the name of our mother. But it was very hard to mobilize money and government grants to administer it. Therefore I believe that this block level project is an opportunity given by the Almighty to fulfil my ambition. I perceived the sincerity in his voice. Venugopal suddenly queried me: ‘Madam ... Hope we get good treatments for Ovarian Cancer now? Is it possible to cure it completely?

If ovarian cancer is discovered early, that is when it is at the localized stage, it can be treated and cured. But the unfortunate reality is that it is quite onerous to discover at that stage. Venugopal’s mother passed away 25 years ago. I felt sombre when I thought of the fact that even today the majority of patients are diagnosed at the same final stage as that of Venugopal’s mother. However, today better surgical procedures and superior chemotherapy drugs are available. We are thus able to prevent the advancement of ovarian cancer and control it, similar to controlling ailments like diabetes and high blood pressure. However, a complete cure is unfortunately still in the distant horizon unless detected in the early stages, more so in relation to epithelial ovarian cancers, which is the most common form of ovarian cancer in women. The Ca 125 blood test and ultrasound scanning are the best methods for early diagnosis of this cancer. However, both these tests have got certain limitations. Scientific studies propound that it is impractical for everyone to undergo these tests since the accuracy and cost effectiveness of these screening tests are not optimal. However, all women who have a family history of breast or ovarian cancer are recommended to undergo these tests biannually or annually. It should also be noted that the Ca 125 level need not be elevated in all incidents of ovarian cancer. The normal value of Ca 125 is below 35u/ml. However, the normal value may differ from individual to individual. For example, in some individuals it might be below 4 u/ml, for others their normal level might be 30 u/ml or 20 u/ml. It can be elevated to very high levels in non-cancerous conditions, for example, endometriosis. If the normal value increases suddenly or serial increase from what is generally an

individual’s normal level, caution will have to be exercised in evaluating this increase and close monitoring or further scans will be required. Despite the controversies, undergoing a Ca 125 blood test biannually or annually is considered to be useful in identifying early ovarian cancer. Having witnessed numerous piteous and hapless ovarian cancer patients, I think that it is only proper that a Ca 125 test be done by every woman at regular intervals, the regularity depending on their risk of getting ovarian cancer. An ultrasound scan also can be performed at regular intervals. Furthermore, it is also advocated that women undergoing hysterectomy (removal of uterus) for non-cancerous conditions subsequent to the age of forty-five, give serious consideration to removing their ovaries as well. Removal of both fellopian tubes is also considered as an ovarian cancer risk reducing strategy. Prevention measures of ovarian cancer based on genetic testing known as “Angelina Jolie Effect” sends immense hope to people across the world.

Dr. K Chitrathara MBBS MD MCh FAIS FACS ICRETT Fellowship in Oncology HOD & Sr. Consultant in Surgical & Gynec Oncology VPS Lakeshore Hospital, Kochi, Kerala

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MEDICAL TOURISM LIFESTYLE

YOUTH POSE GREAT THREAT AGAINST LIFESTYLE DISEASES

great health threat is faced by the youth with improving economy and changing lifestyles. It is more of a problem in urban families. The main factors contributing to lifestyle diseases include bad food habits, physical inactivity, wrong body posture, and disturbed biological clock. A report, jointly prepared by the World Health Organization (WHO) and the World Economic Forum, says India will incur huge loss due to unhealthy lifestyles and faulty diet. Two out of 3 employees in India are victims of stress in the cities. India is also the diabetes capital of the world. Studies say that the possibility of an Indian suffering from a lifestyle disease is 4 per cent more than one of any other nationality. Technology advancement has always tried to make our living environment to adapt as per our require34 Medical Tourism Jan. - Mar. 2019

ment rather than acclimatization of our self according to the environment. While this has made our lives easier and useful for other purposes, it has also made it as technically, physically inactive and unfit. Long working hours are fixed by the employers and the young employees are constantly engaged in spending hours in front of the computer screen, working. They are not realising that they are moving towards an even more unsecured future as they are becoming more vulnerable to serious health risks. According to a survey conducted by the Associated Chamber of Commerce and Industry (ASSOCHAM), 68% of working women in the age bracket of 2152 years were found to be afflicted with lifestyle ailments such as obesity, depression, chronic backache, diabetes and hypertension. In India, 10% of adults suffer from hypertension while the country

is home to 25-30 million diabetics. Some of the common diseases encountered because of occupational lifestyle are Alzheimer's disease, arteriosclerosis, cancer, chronic liver disease/cirrhosis, chronic obstructive pulmonary disease (COPD), diabetes, hypertension, heart disease, nephritis/CRF, and stroke. A healthy lifestyle must be adopted to combat these diseases with a proper balanced diet, physical activity and by giving due respect to biological clock. The most prevailing lifestyle disorders are induced by stress. Stress causes many diseases like obesity, mental disability, Alzheimerâ&#x20AC;&#x2122;s, arteriosclerosis and gastrointestinal disorders. People now-a-days are ageing very fast due to their work stress. Anxiety due to change in sleep pattern or improper sleep is leading to mental illness. To decrease the ailments caused by occupational

postures, one should avoid long sitting hours and should take frequent breaks for stretching or for other works involving physical movements. A diet of only junk food, overeating and lack of physical activity are not only responsible for diseases related to nutrition, but also anorexia nervosa, which involves many people starving themselves for maintaining their figure. This type of disease is more prevalent in the fashion and showbiz industry. The situation demands a general growth of awareness among todayâ&#x20AC;&#x2122;s youth and shaking them from their complacency towards the self-destructive lifestyle they have adopted, and requires to make them realize the dangers posed by it. It calls for implementation of workplace health programmes, as the workplace environment largely influences the youth to promote better health behaviour.

Common reasons for lifestyle diseases Lifestyle diseases affect all age groups. Physical inactivity is the core behind these disorders. Risks can be reduced by minor change in living habits. Eating right is required to keep diseases at a bay.

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MEDICAL TOURISM DIET

WANT TO LOSE WEIGHT? FOCUS MORE ON YOUR DIET THAN EXERCISING

or those planning to hit the gym to lose weight, take note. A new study suggests that diet is far more important than physical activity, including walking, fidgeting and formal exercise. The reason is that exercise increases appetite especially with prolonged endurance exercise or with weight lifting that can ultimately sabotage the best of intentions, the CNN has reported.

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People who lose weight gradually (about 1 to 2 pounds per week) are more successful at keeping weight off, according to the US Center for Disease Control and Prevention. About 10 per cent of our calories are burned digesting the food we eat and roughly 10 per cent to 30 per cent are lost through physical activity, the study said. "It could not be more true. What you omit from your diet is so much

more important than how much you exercise," nutritionist Lisa Drayer was quoted as saying to CNN. All of your "calories in" come from the food you eat and the beverages you drink, but only a portion of your "calories out" are lost through exercise, according to Drayer. The average person -- excluding professional athletes -- burns five per cent to 15 per cent of their daily

can be made easier by knowing the right kinds of food to eat and in the right quantities. There are some magic fat burning foods that are really helpful in weight loss. While we all know in general what to eat and not to eat on weight loss diets, there are some magic foods that are really helpful in weight loss with quick results. Their properties are really beneficial in aiding weight loss and giving you the lean and thin body you aim for.

Fatty fish Contrary to its name, fatty fishes like salmon, sardines, herring, etc. help you lose weight because of the high protein content in them. They increase the feeling of fullness and ensure you do not feel hungry too often to avoid overeating. Fish also increase metabolism and help in weight loss.

Eggs

calories through exercise, said AlexxaiKravitz, Investigator at the National Institute of Diabetes and Digestive and Kidney Diseases in the US. It is not nearly equal to food intake, which accounts for 100 per cent of the energy intake of the body, said Kravitz. All this is not to say that exercise does not have its place. It is certainly important for building strength and muscle mass and flexibility and can help manage diseases, including heart disease and diabetes. But although exercise can help with weight loss, diet is a much more important lifestyle factor, Drayer noted.

5 FAT-BURNING FOODS TO INCLUDE IN DIET Weight loss is not an easy journey but

Eggs are extremely helpful in weight loss and really help in burning the fat and making you really slim and lean. Eggs, just like fish are rich in protein. Eggs also increase metabolic activity and help in staying fuller for longer, so you do not feel the need to overeat.

Green tea

most of them are off limits when you are on a diet. Greek yoghurt has probiotics that build immunity and reduce bloating and irritation in the digestive system. Greek yoghurt is also rich in protein, potassium and calcium.

WEIGHT- LOSS TIPS • Choose a low-carb diet • Eat when hungry • Eat real food • Eat only when hungry • Measure your progress wisely • Be persistent • Avoid fruit • Avoid beer • Avoid artificial sweeteners • Review any medications • Stress less, sleep more • Eat less of dairy products and nuts • Supplement vitamins and minerals • Use intermittent fasting • Exercise wisely • Achi eve optimal ketosis • Get your hormones checked

The most popular choice among teas is green tea which can burn around 70 calories in a day! Green tea has antioxidants that improve metabolism and burns fat. It is recommended to drink a cup of green tea especially if you are trying to lose belly fat.

Chilli peppers You may be surprised to see this one on your list but apparently, chilli peppers have an antioxidant in them called capsaicin which helps in regulating weight. Chilli peppers also make you feel fuller for longer and keep you from overeating.

Greek Yoghurt This can be your dessert option as A Complete Magazine on Healthcare in Asia

MEDICAL TOURISM FOOD

THE SUPERFOOD WHICH CAN RELAX YOUR ARTERIES, LOWER BLOOD PRESSURE 38 Medical Tourism Jan. - Mar. 2019

uffering from hypertension? Take heart, Italian researchers have identified Spirulina, a superfood made from algae, that could help to reduce blood pressure. The superfood, described as the “most complete food source in the world”, contains a specific protein which was found to relax arteries in the laboratory and in animals, the Daily Mail reported.

The spirulina triggered relaxation of the artery, a process called vasodilatory action, which can help lower blood pressure by increasing the amount of blood pumped in one motion.

Spirulina, scientifically called arthrospiraplatensis, is technically a type of bacteria. Researchers at the Mediterranean Neurological Institute in Pozzilli, Italy, isolated certain molecules from the spirulina to test its health benefits.They simulated the effects of digesting spirulina on isolated arteries and animals in the lab.

Spirulina contains protein, iron, potassium, magnesium, and many other minerals and is widely used in supplements and smoothies for a host of conditions, including weight loss, hay fever, PMS and diabetes.

“We reproduced what happens in the human gut after ingesting the substance,” lead author Albino Carrizzo was quoted as saying.“This way we have been able to isolate the peptides that would be absorbed by our body,” he added. The study, detailed in the journal Hypertension, also discovered for the first time molecules in spirulina, called SP6, which lowered the blood pressure of animals. When put into the body SP6 is thought to stimulate a process in the body which releases nitric oxide.

This is an effect caused by nitric oxide, a chemical known for maintaining healthy blood pressure, the researchers reported.

Though more research is needed into the potential of spirulina, but the findings are promising for the future of “natural” treatments for high blood pressure, the researchers noted.

HEALTH BENEFITS OF SPIRULINA Spirulina is among the world’s most popular supplements. It is loaded with various nutrients and antioxidants that may benefit your body and brain. Spirulina is an organism that grows in both fresh and salt water.It is a type of cyanobacteria, which is a family of single-celled microbes that are often referred to as blue-green algae. Just like plants, cyanobacteria can produce energy from sunlight via a process called photosynthesis. Spirulina was consumed by the ancient Aztecs but became popular again when NASA proposed that it could be grown in space for use by astronauts . A standard daily dose of spirulina is 1–3 grams, but doses of up to 10 grams per day have been used effectively .It also contains decent amounts of magnesium, potassium and manganese and small amounts of almost every other nutrient. In addition, the same amount holds only 20 calories and 1.7 grams of digestible carbs. A tablespoon (7

grams) of spirulina provides a small amount of fat — around 1 gram — including both omega-6 and omega-3 fatty acids in an approximately 1.5–1.0 ratio. The quality of the protein in spirulina is considered excellent — comparable to eggs. It gives all the essential amino acids that you need. It is often claimed that spirulina contains vitamin B12, but this is false. It has pseudovitamin B12, which has not been shown to be effective in humans. Spirulina is a fantastic source of antioxidants, which can protect against oxidative damage. Its main active component is called phycocyanin. This antioxidant substance also gives spirulina its unique blue-green color. Phycocyanin can fight free radicals and inhibit production of inflammatory signaling molecules, providing impressive antioxidant and anti-inflammatory effects .Phycocyanin is the main active compound in spirulina. It has powerful antioxidant and anti-inflammatory properties. Studies indicate that spirulina can lower triglycerides and “bad” LDL cholesterol and may simultaneously raise “good” HDL cholesterol. The antioxidants in spirulina appear to be particularly effective at reducing lipid peroxidation in both humans and animals. Some evidence suggests that spirulina has anti-cancer properties. Research in animals indicates that it can reduce cancer occurrence and tumor size. Spirulina may have anti-cancer properties and appears especially effective against a type of precancerous lesion of the mouth called OSMF. A higher dose of spirulina may lead to lower blood pressure levels, a major risk factor for many diseases. Spirulina is a popular alternative treatment for symptoms of allergic rhinitis, and there is evidence that it can be effective. A Complete Magazine on Healthcare in Asia

MEDICAL TOURISM NEWS & EVENTS

ARAB HEALTH EXHIBITION TO BE HELD AT DUBAI FROM JANUARY 28-31

he 44th edition of Arab Health Exhibition will be held from 28 - 31 January 2019 at the Dubai World Trade Centre and the Conrad Hotel.

Arab Health Exhibition is the largest and most comprehensive gathering for healthcare industry in the MENA (Middle East and North Africa) region. It first took place in Dubai, United Arab Emirates, in 1975; is now recognised as the second largest healthcare exhibition and congress in the world and the largest in the Middle East. It offers important opportunities to build relationships within the healthcare industry, to showcase progress and

40 Medical Tourism Jan. - Mar. 2019

achievement in the sector, and to explore new opportunities with stakeholders in the healthcare field. Healthcare industry representatives attend from the Middle East, Asia, Europe and the US. The Exhibition is supported by the UAE Ministry of Health, the Abu Dhabi Health Authority, the Dubai Health Authority and the Dubai Healthcare City Authority. The official organizer of the show is Informa Life Sciences Exhibitions, in charge of the healthcare portfolio within Informa's Global Exhibitions division, organizes 26 exhibitions yearly covering the Middle East, Africa, Asia, Europe and US market,

The visitors can engage with 4,150+ companies coming in from 66 countries that will be showcasing the latest healthcare technology, products and services. There will be an opportunity to discover thousands of products on display and evaluate the latest competing solutions in healthcare across all product categories. Manufacturers of medical devices and equipment use Arab Health as an opportunity to showcase their latest products to the MENA region’s healthcare industry. Companies vary from large organisations such as Siemens and Philips to smaller entrepreneurships getting involved in an exhibition for the first time. Professionals who are tasked with purchasing and procurement responsibilities for healthcare facilities, educational providers and medical specialty associations use Arab Health as a way of starting each new year efficiently. Using the show as an opportunity to get ahead of the upcoming year’s product needs, they scope the full variety of options available and then have detailed discussions with attending key influencers from manufacturing companies to secure the best deals. Arab Health provides a beneficial experience for all dealer and distributor job functions – from senior management of larger organisations that are looking to connect with key industry players, sales and business development professionals tasked with expanding their product portfolios and entrepreneurs hoping to source the next ‘big product’ to supply in their country. As a leader in the healthcare industry that emphasises the importance of innovation, Arab Health ensures that several avenues are available through the show for healthcare professionals to develop themselves. Not only does the event provide insights into the advancements of the healthcare industry through the exhibition, but dedicated CME accredited conferences and hands-on-training workshops provide the opportunity for growth in multiple fields and disciplines.

connecting more than 150,000 healthcare professionals worldwide and offering a range of marketing solutions for companies involved with the healthcare sector. The show will be attended by Trade Delegations, Medical Professionals, Purchase & Production, Associations, Delegates of Seminar, Exporters, Health Professionals and much more. Arab Health is expected to welcome more than 4,150 exhibiting companies and 84,500 attendees from 160+ countries.

Arab Health’s CME Total Radiology Conference is a fourday scientific meeting presenting the latest advances in medical imaging, accurate imaging diagnosis and improvement of care quality for radiology patients within the theme “Practical advice and updates in radiology practice”. The training and workshop programmes at Arab Health are led by the leaders in the healthcare industry. These sessions will focus on advanced techniques of the latest stateof-the-art equipment across different modalities such as Safety Innovations in the OR, Ultrasound - Liver and Ultrasound MSK & Small Parts, Cardiology, Bariatric & Colorectal Surgeries and many more.

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MEDICAL TOURISM NEWS & EVENTS

MIDDLE EAST HEALTHCARE AND TECHNOLOGY 2018 AT SAUDI ARABIA

he annual event of Bricsa Consulting, â&#x20AC;&#x153;Middle East Healthcare & Technology 2018â&#x20AC;?, a 2-day strategic business conference, is scheduled to be held on 04th-05th of March 2019 at Sheraton Jeddah, Kingdom of Saudi Arabia. This conference will provide a platform for the Healthcare developers, manufacturers, hospital developers, owners, government bodies, officials, authorities, healthcare solution providers to collaborate and implement the foundation for growth and development in the healthcare sector in the GCC region. The conference will also help to get acquainted with the latest regional hospital projects in the GCC Region, providing affordable and effective healthcare services and facilities, digital healthcare innovations under the vision 2030 plan, acquire hospital development insights on market outlook, investment opportunities and advancements in thriving imaging equipment to improving cost-effective disposables. Bricsa Consulting understands the need of technology implementation in Healthcare sector in Saudi Arabia and hence developed an agenda which focuses on the im42 Medical Tourism Jan. - Mar. 2019

mense opportunities in the region while keeping in mind the opening it will provide to the private sectors in order to enter the market. Middle East Healthcare and Technology 2018 is a two-day closed-door program that will bring together key decision-makers from both public and private sectors across the world. A target of Vision 2030 is greater participation of the private sector within the economy and this is especially so of healthcare. There is a definite move towards privatization with a stated objective in the National Transformation Plan (NTP) of increasing private healthcare expenditure from the current 25 per cent to 35 per cent of total expenditure by 2020. This represents a projected increase in revenue generated from 3 Billion SAR to 4 Billion SAR. In addition to this, the Ministry of Health plans to spend over 23 Billion SAR on new initiatives over the next 5 years. This plan will mostly target on updating and expanding primary care across Saudi Arabia, establishment of additional medical cities, improved laboratory and radiology services across the country in partnership with the private sector.

MEDICAL TOURISM NEWS

OSAKA GROUP OPENED HEAD OFFICE AT ANGAMALY, KERALA

n the eve of the silver jubilee celebrations, Osaka Group has opened its new office measuring 10000 Sq. Ft as its headquarters at the KSRTC Building Complex, Angamaly, Kerala. Minister of state (Independent Charge) for Tourism Alphons Kannamthanam inaugurated the office along with high ranking dignitaries. The Osaka Group also maintains a branch office at Kochi. Osaka Air Travels established 25 years back i.e. in 1993 at the heart of Angamaly Town step by step grew up and has emerged as a travel management company in the name of Osaka Group. This outstanding achievement came up through the motivation and hard work of the fore front runner and the founder and chairman of Osaka Group PB Boss , his wife Bissy Boss the Director of Osaka Group along with the excellence work of 140 professional executives. The Osaka Group is providing the best services possible to all its customers. Osaka Group comprises of six companies namely Osaka Air Travels, Osaka Air Travels Pvt Ltd, Kerala Tour Mart (India) Pvt Ltd, Osaka Connect Dot Com Pvt Ltd, Osaka Edu Care and Jiva Pranava Kendra. The two companies namely Osaka Connect Dot Com and Osaka Edu care were recently launched. Osaka Connect Dot Com is a global B2B portal which utilizes the traditional

and online facilities at the same time for booking of worldwide ticketing, worldwide hotel reservation (12 Lakh hotels within 128 countries) and online cruise booking in more than 18 luxurious ships worldwide is being made available within the reach of each and everyone’s fingertips. Osaka Edu care was launched to provide awareness and services with regard to the Global Educational Consultation to the students desirous of studying abroad. Osaka Air Travels have been recognized for the outstanding performance in the travel and tour field. The main such awards are namely “The best business travel agency in the South India”, “Mahatma Gandhi Foundation Travel and Tourism Excellence award”, “International Achievers Award” jointly given by the India Government and Thailand Government, World Signature Award 2019, Tourism Brand of Kerala 2019 etc. In addition Colombo open University honored Osaka Group Chairman PB Boss with Doctorate for his contributions towards the field of Travel and tourism. On the eve of silver jubilee celebrations Osaka Connect Dot Com is planning to open up offices at Australia, Dubai, Singapore and U.K. With this Osaka Group is entering the global market. Osaka is aiming to bring all the travel and tourism products online through digitalization.

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MEDICAL TOURISM HOSPITALS IN UAE

NMC Healthcare

Aster DM Healthcare Aster DM Healthcare is one the largest and fastest growing conglomerates in the MENA region, which covers the full spectrum of healthcare services. The portfolio includes hospitals, clinic, Diagnostic centre and retail pharmacies. Aster DM Healthcare is constantly seeking opportunities to set new yardsticks with advanced developments. With many more innovative and ambitious initiatives, Aster DM Healthcare has radically catalyzed the healthcare revolution across Middle East. The Clinic developed robust quality standards, enhanced professional expertise and built spacious infrastructures to render the most comfortable and satisfying experience for all patients. Aster Clinic have been consistent in their mission to provide quality healthcare at affordable cost at the door steps of people. Aster provides services closer to customers through the large network of clinics and pharmacies, It is also in the process of rolling out programs, leveraging Information Technology to make accessibility much wider and deeper, carrying delivery of healthcare to the homes of people. Quality Healthcare is the need of an increasingly discerning population the world over. In the quest for excellence, Aster DM Healthcare provides comprehensive healthcare of the highest quality in the geographies that they operate. Aster also assist patients in making travel arrangements, airport transfers, hotel accommodation, organizing interpreters, taking care of their food and beverage requirements. A committed International Help Desk caters to all the requirements of our international patients to ensure that their stay in the hospital and in the country is comfortable. Aster Clinic 33rd floor,Tower D- Aspect Towers, Dubai, UAE Phone: 04 4 400 500 Email: info@asterclinics.com Website:asterclinic.ae

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NMC Healthcare is the largest private healthcare company in the UAE and ranks amongst the leading fertility service providers in the world. NMC was the first company from Abu Dhabi to list on the London Stock Exchange and is now part of the premium FTSE 100 Index, an elite club of top 100 blue-chip companies by market cap. NMC's strategic acquisitions coupled with its legacy institutions have helped fill the service gap in healthcare delivery system and offer a continuum of care to patients. With a team of over 2,000 doctors and 18,000 paramedical and support personnel, NMC owns and manages over 135 healthcare facilities that includes hospitals, medical centres, long term care facilities, day surgery centres, fertility clinics and home health services. Every year, over 8.5 million patients are treated by NMC doctors across UAE, Saudi Arabia, Kuwait, Oman, UK, Spain, Italy, Denmark, Slovakia, Egypt, Brazil and Colombia. NMC Healthcare guarantee personalised care, genuine concern and a sincere commitment to the overall well-being of society. NMC believe in the policy of providing healthcare to all sections of society while upholding ethical medical practices and discouraging malpractices. The customers are assured of receiving personalised care in a compassionate and friendly environment under the highest standards of quality at affordable prices. Continuing with the mission to provide advanced healthcare services to all the customers, NMC are also keen to explore new business opportunities with like-minded partners in the UAE and abroad. The Mission of NMC is to be the trusted healthcare provider across the globe, driven by excellence in innovation, quality, teamwork, advanced technologies, patient safety and customised care offerings. NMC Specialty Hospital Zayed the First St., Near Sama Tower, Madinat Zayed, P.O. Box: 6222, Abu Dhabi, United Arab Emirates. Phone: +971 2 633 2255 Email: info@nmc.ae Website:nmc.ae

MEDICAL TOURISM HOSPITALS IN UAE

Latifa Women & Children Hospital

Thumbay Hospital Hospitals and Medical Centre in Ajman, Fujairah, Sharjah, Dubai and Hyderabad (India), Thumbay Chain of Hospitals is one of the largest health care providers in the region which focuses on three pillars Education, Healthcare and Research. Thumbay Hospitals aim to provide exceptional quality of care with latest technology, highly skilled medical work force from 20 nationalities, speaking more than 50 languages. The hospital is managed by qualified professionals with wide range of experience in hospital management. Thumbay Hospitals are committed to provide ethical patient care focused on patient safety, high quality care and cost effective services. Thumbay Hospitals are committed to integrate latest trends in education to produce competent healthcare professionals who are sensitive to the cultural values of the clients they serve. Thumbay Hospital has become the highly popular healthcare destination due to leading network of private teaching hospitals in the region, JCI accreditation for the hospitals, CAP-accredited laboratories, patient-centric services, presence throughout the UAE. Quality Healthcare and Advanced Technology Thumbay Hospitals use the latest technology in healthcare service delivery. The hospitals have adopted a host of technological offerings aimed at superior patient convenience. They have state-of-the-art operation theatres and diagnostic labs with ultra-modern facilities, and well-equipped Labor and Delivery Rooms. Thumbay Hospitals have lined up many ‘painless’ surgeries and treatments. With the right technologies in place, Thumbay Hospitals provide time-efficient, cost-effective and reliable services. Among the recent technologies incorporated by Thumbay Hospitals is the implementation of PACS (Picture Archiving and Communication System) across all their Radiology labs. Thumbay Labs, the diagnostics company of Thumbay Group which operates the labs of the hospitals and clinics under the Group, use advanced technology which makes lab reports available online at unbelievable fast rates.

Latifa Hospital for Women and Children is one of the largest maternity and children's hospital in the UAE. Latifa Hospital provides tertiary care for maternal and neonatal services including paediatric and neonatal surgery as well as treatment for genetic and metabolic issues. The hospital has a well-equipped Neonatal Intensive Care Unit and an expert team of health care professionals who provide international levels of neonatal, Pediatric and maternal care. Latifa Hospital serves as a referral hospital due to its highly sophisticated and well equipped Neonatal Intensive Care Unit, Fetomaternal services and the Paediatric Surgery Unit. Latifa hospital currently has 344 beds which are distributed across Obstetrics, Gynaecology, Paediatric Medical ,Paediatric Surgery and Neonatology . These sections are supported with all necessary services and highly sophisticated equipment in order to offer high quality patient care. Latifa Hospital was conferred 'Baby Friendly' hospital status in February 2011 by UNICEF for its effective implementation of practices that protect, promote and support breastfeeding. The major services provided by Latifa Hospital Pharmacy include dispensing medication to outpatients and providing counseling to ensure safe and proper use of drugs, label clear instructions in both English and Arabic with a proper explanation and reviewing electronic patient medication profiles, ensuring appropriate doses contraindications excluding any interactions and supplying labelled medications in unit dose form through the unit dose carts. Latifa Women and Children Hospital Oud Metha Road, Al Jadaf, PO Box 9115 Dubai, UAE E-Mail: LH@dha.gov.ae Telephone: 971-4-2193000 Website: https://www.dha.gov.ae/en/LatifaHospital/pages/ aboutlatifahospital.aspx

Thumbay Ltd P.O. Box 415555, DIFC – Dubai, United Arab Emirates Tel : +971 4 2985555 Email : info@thumbay.com Website: https://thumbayhospital.com/

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MEDICAL TOURISM HOSPITALS IN UAE

Rashid Hospital Rashid Hospital is a teritiary specialized academic hospital, which includes the state-of-the-art Emergency and Trauma Centre, which is a regional centre of excellence for emergency and trauma care. The 771 bed hospital includes highly specialized surgical, medical, intensive care units, and operating theaters and clinical support. The hospital includes highly specialized surgical, medical, intensive care units, and operating theaters and clinical support. Rashid Hospital provides emergency, in-patient and outpatient services to patients. The hospital is one of busiest in the region, as it is highly recognized for its specialized trauma and emergency care services and receives patients not only from Dubai but also from the Northern Emirates with a 73-bed emergency department and considered the major disaster facility for Dubai and the Northern Emirates.

Iranian Hospital The Iranian Hospital, the first healthcare provider in Jumeirah region, is functioning on the principles based on Red Crescent Societyâ&#x20AC;&#x2122;s international values and hospital. It is a non profit organization with charity orientation aiming to ensure collaboration between the two great nations of Iran and the UAE in providing premium healthcare services to communities in the region. Iranian Hospital delivers the best health care through the team of highly trained, dedicated and committed professionals within the medical, nursing and para-clinical services. In tandem with latest standards of excellence in delivering healthcare services, the hospital provide personalized healthcare services with patient and their family centered approach. The patient centered procedures include After Discharge Follow Up care, Patients and families training programs, patient and families participation in clinical safety programs, process and care planning based on patients and families feed backs. It has the capability to serve over 1200 outpatients daily from more than 182 nationalities in a smooth and fast process in a few hours for all clinical, laboratory and diagnostic imaging work until designing final treatment. The hospital services and facilities are open to all nationalities that reside in the UAE irrespective of race, color or creed. The facilities include new Gastro-Endoscopy Center equipped with latest technology, new Diagnostic-Imaging Center with state of art technology, Fully automated advanced Laboratory with unique technology, First Cytogenetic and DNA diagnostic lab (Genome Analysis). The Out Patient Clinics include General Physician Clinics, Internal Medicine Specialty and sub-specialty clinics in Infectious Disease, Neurology, Neuro-Lab Center, Endocrinology, Pulmonary, Rheumatology, Digestive system, Endoscopy Department, Surgical Departments in Orthopedic, Urology, Pediatric surgery, Neurosurgery, ENT, Ophthalmology, Pediatric, Gynecology, Cardiology, Psychiatry and Dentistry. Iranian Hospital P.O.BOX:2330 , Al-Wasl Road , Dubai , UAE Tel: +971 4 3440250 Email: info@ihd.ae Website: http://www.ihd.ae/ 46 Medical Tourism Jan. - Mar. 2019

It is a consumer centric hospital which prioritize the individual experience in the care delivery process through a coordinated set of services that are tailored to the needs, safety and preferences of the consumers, their families and their caregivers. The Hospital delivers high quality healthcare services and accountable for the communities served. Rashid Hospital Dubai Health Authority Building, Al Maktoum Bridge Street, Bur Dubai Area 4545, UAE. Phone: Toll Free (24/7): 800342 (800 DHA) E-Mail: wasselsotak@dha.gov.ae Website: https://www.dha.gov.ae/en/RashidHospital/pages/ aboutrashidhospital.aspx

MEDICAL TOURISM HOSPITALS IN SAUDI ARABIA

Almana General Hospital Group Almana General Hospital Group provides comprehensive care to prevent and treat illness and provide advanced procedures and modern technology combined with the traditions of caring and compassion. Considering that the healthcare industry should effectively serves the need of the community, Almana Group provides state-of-the-art technology on international standards. Patients can expect a high quality of care and treatment in friendly and comfortable atmosphere. The hospital have all the modern facilities and various departments for treatment of all kinds of diseases. There are specialised centre for dental cardiology, orthopaedics and sport injuries, reproduction unit, nuclear medicine and oncology, cosmo derma center, briatric centre and hemodialysis centre. The pharmacies serve all patients whether admitted or those visiting outpatient clinics. The hospital promote safety, efficacy and cost-effectiveness of drug therapy to provide high quality services and improve patient compliance

Mouwasat Hospital in Dammam provides highest quality standard of healthcare with all modern medical facilities.

The service comprises the art, practice and profession of choosing, preparing, compounding and dispensing medications, advising healthcare professionals and patients on their safe and effective use. Almana have 5 inpatient pharmacies and 6 outpatient pharmacies located in 4 hospitals and 2 dispensaries.

Situated on the shores of the Arabian Gulf and in the heart of the eastern region, the Mouwasat Hospital has access to the airport from all directions. The facilities include more than 100 different medical clinics and operates 16 hours a day from 8 am to midnight.

Over the decades these clinics extended into four large independent ultra modern hospitals with additional out-patients medical centers, specialized medical centers and Medical Dispensaries in the four major cities of the Eastern Province, namely, Ad-Dammam, Al-Khobar, Jubail and Al-Hofuf.

It is equipped with 240 beds in single and double rooms that host hundreds of patients. It also has luxury hotel suites with more than 80 beds all suited for different age groups and medical and surgical specialties.

Almana General Hospital Group Phone: 920033440 Website: http://almanahospital.com.sa/eng

Mouwasat Hospitals and Clinics

The Modern Radiology Department is equipped with modern medical technology and devices that support the work of doctors and enable 24 hours diagnostic procedures. The hospitalâ&#x20AC;&#x2122;s medical laboratoryâ&#x20AC;&#x2122;s services are available to the ambulance and internal departments of the hospital. The laboratory departmentâ&#x20AC;&#x2122;s offers services of the highest standards in terms of international quality and safety through the Pre-Analytical Automation System. The medical services include General Surgery Department, Laparoscopic Surgery, Vascular Surgery, Plastic Surgery, Pediatric Surgery. Bariatric Surgery (Badana Clinic), Neurosurgery Department, Urology Department, Cardiothoracic Surgery Department, Orthopedics Department, General Orthopedic Surgery, Arthroplasty, Arthroscopy, Pediatric Orthopedic Surgery, Hand Surgery, Ear, Nose and Throat Department, Audiology Unit, Obstetrics and Gynecology Department, General Internal Medicine , Pulmonology and Bronchoscopy, Gastroenterology and Endoscopy, Rheumatology, Psychiatry, Neurology, Dermatology, Endocrinology, Diabetology and Diabetic Care Center, Cardiology and many more. Mouwasat Hospitals and Clinics P.O. Box 282 Dammam 31411 Tele. +966 13 820 0000 Website: http://mouwasat.com/en

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MEDICAL TOURISM HOSPITALS IN SAUDI ARABIA

Dr Sulaiman AL-Habib Medical Group (HMG) Dr. Sulaiman Al Habib Medical Group is globally distinguished as one of the leading healthcare provider in the Middle Eastern region due to their expertise and vast experience in the Medical Projects Development Field and their escalated growth witnessed within the last few years. Understanding the region's traditions, values, behaviors and social diversity, backed by strong relations and partnerships with local businesses, empower HMG to develop the optimal medical setup based on international standards and the market's demands and expectations.

Magrabi Hospitals and Centres Magrabi Hospitals & Centers which has evolved from a simple eye hospital in Jeddah was the first to introduce the principle of sub-specialization in ophthalmology. It is also the first private specialized facility in the Middle East. Magrabi was the first in the Middle East to perform a corneal transplant surgery in 1968, the intraocular lens implant in 1972, vision correction by radial keratotomy in 1980, cataract by phaco in 1981, Lasik in 1989, Femtolasik in 2003 and laser assisted cataract in 2011. One of Magrabi doctors, Dr. Mohammad Anwar, discovered a unique method for corneal for corneal transplants that will reduce the cornea rejection incidence. Magrabi has become the largest eye care network in the world, providing eye care to more than 1,000,000 patients and performing more than 100,000 sight-preserving surgeries annually. Magrabi operates in 30 locations distributed in the Kingdom of Saudi Arabia, United Arab Emirates, Qatar, Saltanat of Oman, Yemen, and Egypt. Magrabi has a team of high caliber doctors graduating from the top universities and ophthalmology institutes. Magrabi sends doctors in fellowships in the United States and Europe to be updated with the latest surgical technologies. Magrabi Hospitals & Centers is always keen to adopt the latest technologies and surgical equipment and it had the second Excimer laser machine in the world, the first intralase machine outside the USA, first intralase machine for cataract surgery and first phaco machine. Magrabi Hospitals & Centers is committed to delivering the highest quality services to patients by implementing the top international quality standards of quality and patient safety. Magrabi’s surgical facilities are accredited by the Joint Commission International for hospitals accreditation (JCI). Over the years, MAGRABI Hospitals & Centers has become a symbol for excellence in the Eye, ENT and Dentistry care fields for its heritage, the most skilled internationally trained doctors, exceptional services, state-of-the-art technology and ultra modern facilities offering world-class healthcare. Magrabi Hospitals and Centers Eshbilia Business Center, King Abdullah Street P.O. Box 7344, Jeddah 21462, KSA. Phone : 0096612 2636380 Email : info@magrabi.com.sa Website: https://www.magrabi.com.sa/ 48 Medical Tourism Jan. - Mar. 2019

It has Designed, Developed and Implemented all healthcare projects in conformity with the highest international medical standards. It also provides overall technical and administrative support to ensure that projects’ development is in accordance with the approved designs and technical specifications. Driven by its mission to develop and operate state of the art medical facilities and provide innovative healthcare services to create value for people, they serve the community by providing optimum quality of care and services to the local and regional community. Centers Of Excellence • Dermatology Centers • Plastic Surgery Centers • Ophthalmology Centers • Obesity Treatment Centers • Fertility Centers • Orthopedic And Spinal Surgeries Hospital • Maternity Hospital Clinics • Spinal Surgery Clinic • Vascular Clinic • General Medicine Clinic • Urology Clinic • Dental Clinic • Diabetes And Endocrine Clinic • ENT Clinic • Family Medicine Clinic • Gastroenterology Clinic • General Surgery Clinic • Sport Medicine Clinic • Rheumatology Clinic • Internal Medicine Clinic • Nutrition Clinic • Nephrology Clinic • Neurology Clinic • Neurosurgery Clinic • Orthopedic Clinic • OB/GYN Clinic • Pulmonary Clinic • Psychiatry Clinic • Pediatric Clinic • Pain Treatment Clinic

Website: http://hmg.com/en/Pages/home.aspx

MEDICAL TOURISM HOSPITALS IN SAUDI ARABIA

Saudi German Hospitals Group Middle East Healthcare Company (MEAHCO) is the largest healthcare provider in the Kingdom of Saudi Arabia, founded by Batterjee family, owns and operates network of stateof-the art hospitals under the brand name - Saudi German Hospitals. Currently MEAHCO operates 5 multi-specialty tertiary level hospitals in the Kingdom of Saudi Arabia (Jeddah, Riyadh, Madinah, Aseer and Hail). The hospital in Dammam is in the stage of construction. Saudi German Hospital – Jeddah SGH Jeddah is a tertiary care hospital with all Medical and Surgical specialties, and Diagnostic facilities and support services with 191 beds and is in operations since 1988. The hospital is located on Batterjee Street in the prime Al Zahra district area of Jeddah. Saudi German Hospital – Aseer SGH Aseer started operations in March 2000. SGH Aseer is 194 beds multispecialty tertiary care hospital ideally located on the Abha Khamis Mushait highway in Aseer. This hospital stands on a large and beautifully landscaped area of 55,644 sq. mts. The main hospital building has a built-up area of 35,893 sq. mts.

King Faisal Specialist Hospital and Research Centre King Faisal Specialist Hospital & Research Centre, Jeddah is an nternationally recognized tertiary healthcare organization, with a long tradition of quality patient care. KFSH&RC-J, a 500-bed tertiary specialist hospital, is one of three campuses of the King Faisal Specialist Hospital & Research Centre KFSH&RC-J provides the highest level of specialized healthcare to patients and maintain an additional focus on education and research. The Hospital achieved a number of prestigious accreditations such as Joint Commission International Accreditation (JCIA), American Academy of Continuous Medical Education (AACME), College of American Pathologists (CAP) and the American Association of Blood Banks (AABB) and also the first hospital in Saudi Arabia to be accredited for the highest international Nursing Excellence award, Magnet® Accreditation. The hospital serves thousands of people every year and strives to provide patients with the superior care and services that they deserve. They offer a range of medical specialties & services including oncology, transplant, pediatrics, neuro, cardiology, emergency surgeries and more. The Hospital also operate a pain clinic and provide radiology services.

Saudi German Hospital – Riyadh SGH Riyadh is a 219 beds multi-specialty tertiary care hospital under operations since 2001. SGH Riyadh is located on the King Fahad Road close to the main business and residential districts, easily accessible from all areas of Riyadh city and neighboring areas. The hospital is built on a prime plot of 29,880 square meters with a built-up area of 35,188 square meters. Saudi German Hospital - Madinah SGH Madinah is a 184 beds multi-specialty tertiary care hospital under operations since 2003. The hospital is located in Madinah outside the Haram area conveniently located on Prince Naif bin AbdulAziz Road. The area is accessible to Muslims & non-Muslims. The hospital is built on a plot of 70,771 square meters, with the main hospital building having a built-up area of 34,751 square meters. Saudi German Hospital - Hail SGH HAIL is a 150 bed teritary care hospital started its operation in Feb 2017 to provide the quality healthcare to the people in HAIL region . Saudi German Hospitals Group Phone: 920007997 Website: http://www.sghgroup.com.sa/index.php/en/201411-04-06-52-10/branches-jeddah

KFSH & RC is also organsing Health Outreach Services program with the main objective to deliver specialized medical services to the citizens of the Kingdom of Saudi Arabia, irrespective of their national geographical location with participating key Ministry of Health (MOH) and other regional healthcare institutions as "Partners“. King Faisal Specialist Hospital and Research Centre Phone: +966 12 667 7777 Email COOJEDDAH@kfshrc.edu.sa Website: https://www.kfshrc.edu.sa/en/home

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MEDICAL TOURISM BEST HOSPITALS IN SAUDI ARABIA

King Fahad Medical City King Fahad Medical City (KFMC) is one of the largest and fastest growing medical complexes in the Middle East with a total capacity of 1200 beds. It has a highly qualified and efficient Technical Management Team engaged to make KFMC a benchmark in the medical care, to which all patients from all over the region are referred to, for all treatment levels, The medical and professional competencies of different disciplines are gathered to provide assistance to patients, who are estimated annually by more than 30,000 inpatients and 500,000 outpatients. KFMC provides more quality care and commitment to overall quality in dealing with the patients; in addition to achieving one of KFMC's priorities to spread knowledge, the culture of development and achievement in the community. King Fahad Medical City is utilizing all physical and human potential to provide high level specialized services that achieve the "Vision 2030" adopted by the Kingdom with regard to the health sector, according to the strategy of the Ministry of Health, which aims to achieve a future vision to provide integrated and comprehensive highest international levels of health care.

Dr Soliman Fakeeh Hospial DSFH a leader in the medical field for four decades is recognized as a pioneer in providing medical services in Saudi Arabia. DSFH has a capacity of 475 beds, 120 clinics and 15 operation theatres, which is expected to increase to 810 beds, 393 clinics and 39 operation theaters once its ongoing projects are completed . The services include all types of General Surgeries, Cardio and Thoracic Surgeries, Interventional Cardiology, Internal Medicine Sub-Specialties, Medical Radiation and Surgical Oncology, Palliative Care, Dermatology, Family Medicine, Obstetrics / Gynecology, Pediatric, Dental, Chiropractic, Emergency Services, Ophthalmology, Operating Theatres, Anesthesia, Adult and Pediatric Intensive Care Units, Allergy, Immunology, Respiratory and Sleep Disorders and Hyperbaric Oxygen Therapy. It also has the largest neonatal care unit in the Western Province of the Kingdom. DSFH is an Academic Training Hospital accredited by the Saudi Commission for Healthcare Specialties to train and qualify Board Certified Specialists in five disciplines: Medicine, Pediatrics, Obstetrics and Gynecology, Orthopedics and Anesthesia and a Fellowship In Spine Surgery. There is also a DSFH Elite Center, which assures premium levels of service, attention, access to the most advanced diagnostic tools and healthcare resources. The personalized service starts from the first call the patient makes and be taken care of by the highly motivated team of receptionists, nurses and support staff. Dr. Soliman Fakeeh Hospital P. O. Box: 2537, Jeddah: 21461 - Saudi Arabia. Telephone: +966 12 6655000 Email: administrator@fakeeh.care Website: https://dsfh.med.sa/ 50 Medical Tourism Jan. - Mar. 2019

KFMC obtained a number of awards and global recognition, which positively reflects on the provision of medical services to patients; as well as localizing and utilizing modern medical technologies in the health field. King Fahad Medical City P.O.BOX:59046 Riyadh 11525 Kingdom of Saudi Arabia Phone: +966 11 2889999 Website: https://www.kfmc.med.sa/EN/Pages/Home.aspx

MEDICAL TOURISM BEST HOSPITALS IN SAUDI ARABIA

Mohammad Dossary Hospital Mohammad Dossary Hospital is a premier secondary hospital in the Eastern Region of Saudi Arabia, and accredited by CBAHI (Central Board for Accreditation of Healthcare Institutions) since 2015. It is one of the most sought healthcare facility in the province and continues to progress in delivering the upmost quality and safe care to patients and their families. It is a vital part of the region’s life and healthcare.

Adama Hospital and Clinics Adama Hospital and Clinics are integrated For Skin And Plastic Surgery. Adama Hospital is a product and a natural extension to see a select group of doctors, consultants in skin diseases and plastic surgery. The Hospital provide a culture of advanced health care to patients in a friendly environment and ensure that each patient will get the best treatment possible. The hospitals and clinics are committed with the highest local and international professional standards to provide health care for the patients. Services • Dermatology • General Dermatology Center • Vitiligo And Research Center • Skin Children's Center • Laser Therapeutic And Beauty Center • Skin Surgery Center • Skin Allergies Department • Department Of Photodynamic Therapy & The Cultivation

Of Melanocytes

• Laboratory And Department Of Histopathology Of

Cutaneous Skin Cancer Microscopic Surgery Skin Care Center Botox & Filler Injection Department Peeling Skin Center Plastic Surgery Liposuction And Refine The Body Department Arm Lift Tummy Tuck Ears Beautify Enlarge And Minimized Tighten The Chest Rhinoplasty Face & Neck Lift Breast Hyperplasia In Men Thigh Lift Injection Fillers & Botox Distortions Resulting from Accidents/ Correct Distortions Hand Surgery Burns Treatment

Mohammad Dossary Hospital, with its 118 beds, ensures comprehensive healthcare services for both outpatients and inpatients throughout the Eastern Province of the Kingdom of Saudi Arabia and beyond. With high-caliber doctors, competent nurses, proficient allied health care teams, advanced technology and facility, the hospital provide consistent high quality, cost-effective, integrated and safe healthcare services to meet patients’ needs. Driven by the ideology of commitment, Mohammad Dossary Hospital earned its reputation of providing consistent, high quality, cost-effective and safe health care services. Mohammad Dossary Hospital has adopted a corporate structure that allows the institution to be more competitive and each perspective is empowered to take a decisive feat in strengthening what has to be the first choice of health care. Mohammad Dossary Hospital which aims to provide comprehensive and integrated medical care for patients and their relatives also introduced home care program. It provides medical care service at home to those who may need it from all age groups and health status through providing a high quality integrated care with a reasonable price. Mohammad Dossary Hospital 4th Street, Al Khobar Al Janubiyah Saudi Arabia Phone: 920005072 E-mail: info@mdh.com.sa Website: http://mdh.com.sa/

• • • • • • • • • • • • • • • • • •

Adama Hospital and Clinics Riyadh Makkah Road - In Front Of King Fahad Medical City, Tel: +966114660000 Jeddah: Prince Mohamed Bin Abdulaziz Street, Bin Homran Trade Center 1F Tel: +966126600000 Website: https://www.adamahealthcare.com/en A Complete Magazine on Healthcare in Asia

MEDICAL TOURISM HOSPITALS

VENKATESWAR HOSPITAL

JAYPEE HOSPITAL

Dwarka, New Delhi Ph: +91- 11 48 555 555 E-mail:

Noida, Uttar Pradesh Ph: +91-120-4122222 Email: askus@jaypeehealthcare.com

info@venkateswarhospitals.com

www.venkateshwarhospitals.com

www.jaypeehealthcare.com

PRATIKSHA HOSPITAL

BABY MEMORIAL HOSPITALT

Gurgaon Ph: (+91) 124 4131091

Kozhikode, Kerala Ph: +91 - 495 – 2723272 Email: info@babymhospital.org

w-hospital.in

babymhospital.org

SRCC CHILDREN’S HOSPITAL

SHARDA HOSPITAL

Mumbai Ph: 022-7122 2333 Email: info.srcc@narayanahealth.org

Greater Noida Ph: 0120-2333999 Email: info@shardahospital.org

www.narayanahealth.org/hospitals/mumbai/ srcc-childrens-hospital

www.shardahospital.org

INDIANA HOSPITAL AND HEART INSTITUTE

INDIAN SPINAL INJURIES CENTRE

Mangalore Ph: 0824 2880880 Email: info@indianahospital.in

New Delhi Ph: 011 42255225 Email: info@isiconline.org

www.indianahospital.in

isiconline.org

BLK SUPER SPECIALITY HOSPITAL

CONTINENTAL HOSPITALS

New Delhi Ph: +91 -11-3040 3040 Email: info@blkhospital.com

www.blkhospital.com 52 Medical Tourism Jan. - Mar. 2019

Hyderabad Ph: +91 40 67000000

www.continentalhospitals.com

MEDICAL TOURISM HOSPITALS

SARVODAYA HOSPITAL & RESEARCH CENTRE Faridabab Phone: 0129-4184444 Email: info@sarvodayahospital.com

ASTER MEDICITY Kochi Ph: +91 484 66-99-999 Email: astermedcity@asterhospital.com

www.sarvodayahospital.com

NOVA IVI CENTRES Mumbai , Maharashtra Ph: 1800 103 2229 Email: info@novaivifertility.com

astermedcity.com

NARAYANA HEALTHCARE Bangalore , Karnataka Ph: +91 99860 13353 Email: international@narayanahealth.org

www.novaivifertility.com

GEETANJALI HOSPITAL Udaipur Ph: +91-294-2500000-06 Email: info@geetanjaliuniversity.com

www.geetanjalihospital.co.in

SIR H.N. RELIANCE FOUNDATION HOSPITAL AND RESEARCH CENTRE Mumbai Ph: +91 22 6130 5005 Email: rfh.international@rfhospital.org

www.nhinternational.org

MANIPAL HOSPITALS Bangalore Ph: +91 80 2222 1111 Email: info@manipalhospitals.com

www.manipalhospitals.com

NATIONAL CANCER INSTITUTE

Thailand Ph: 00 66 2 354 7025 Email: admin@ncicheckup.com

www.rfhospital.org

BEACON HOSPITAL Kuala Lumpur Ph: +603 7787 2992 Email: info@beaconhospital.com.my

www.nci.go.th/en/index1.html

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MEDICAL TOURISM WELLNESS CENTERS

KAIRALI AYURVEDIC GROUP New Delhi Ph: +91 11 65028307 Email: info@kairali.com www.kairali.com

KALARI KOVILAKAM Kollangode, Palakkad, Kerala Ph: +91 4923 305500 Email: admissions@ cghearthayurveda.com www.cghearthayurveda.com/ kalari-kovilakom

SASWARA Om Beach, Gokarna Ph: +91 484 4261751 Email: greswaswara@cghearth.co.in www.cghearth.com/swaswara

SREEDHAREEYAM AYURVEDIC EYE HOSPITAL AND RESEARCH CENTRE

Koothattukulam, Kerala Ph: + 91 485 2253007 Email: mail@sreedhareeyam.com www.sreedhareeyam.com

SHATHAYU AYURVEDA YOGA RETREAT Bangalore Ph: +91 8884133300 Email: info@shathayuretreat.com shathayuretreat.com

PRAKRITI SHAKTI Panchalimedu, Idukki, Kerala Ph: +91 90726 10130 Email: admissions@prakritishakti.com www.prakritishakti.com

DHATHRI AYURVEDA HOSPITAL Kayamkulam, Kerala Ph: +91 90200 28888 Email: hospitals@dhathri.in www.dhathriayurveda.com

54 Medical Tourism Jan. - Mar. 2019

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MEDICAL TOURISM RARE SURGER

NARAYANA HOSPITAL DOCTORS SUCCESSFULLY CONDUCT TWO RARE SURGERIES IN GUWAHATI

arayana Super-speciality Hospital, Guwahati, conducted surgeries for two extremely rare and complicated diseases under the supervision of Cardiothoracic Surgeon, Dr Rajnish Duara. The first patient, Utpal Barman, 34yrs(M), was suffering from autoimmune disorder involving the Thymus Gland (Myasthenia Gravis) which causes extreme weakness of the muscles and Thyroid Gland (Grave’s Disease) for which a hyperactive thyroid gland present with toxic features, had to be taken care of.

The DVT was managed with blood thinning agents but due to extensive progress of the thrombosis the patient was implanted with IVC Filter by Cardiovascular Surgeon, Dr Rajnish Duara. This is the first time that such a procedure has been done at Narayana Superspeciality Hospital, Guwahati.

This type of operation involving thyroid and chest bone splitting procedure for Thymectomy is extremely rare in India. In another case, a critical patient from, Assam presented with a near fatal vascular disease with acute renal failure at Narayana hospital, Guwahati. He had a dangerous condition called Deep Vein Thrombosis (DVT) involving the whole left leg. He underwent emergency dialysis under Dr Sashank Gupta, Nephrologist.

RARE SURGERY GIFTS SURGERY NEW LIFE TO GIRL PERFORMED AT 20-day-old baby successfully underwent surgery MAXCURE for “transposition of great arteries” at Indraprastha HOSPITALS Apollo Hospitals. According to doctors, the baby

weighed 2.2 kilograms and had undergone arterial switch surgery for the treatment of the congenital heart disorder. Doctors said that like any other parent, Meena and Vinod were delighted after the birth of their son, but their joy didn’t last for long as they got to know that he was suffering from “Transposition of Great Arteries,” which is a congenital heart defect where the large blood vessels that carry blood from the heart to the lungs and to the body are connected exactly opposite of a normal heart’s structure. Adding to the criticality, the 20- day- old child also had two big holes in his heart, along with patent ductusarteriosus (PDA) causing breathlessness. The critical surgery was performed by senior consultant pediatric cardiothoracic surgeon, Indraprastha Apollo Hospitals, Dr Muthu Jothi and his team. Explaining about the case, Dr Jothi said, “Within a week after the child’s birth, the parents witnessed discoloration in his skin tone. His body was turning blue so the parents took him to a local doctor in their area where his echo was done. The reports revealed that he has transposition of great arteries.”

56 Medical Tourism Jan. - Mar. 2019

Cardiologists from MaxCure Hospital, Madhapur, said they successfully conducted Retro Grade Angioplasty on a 64-year-old patient and in the process, avoided bypass surgery. The patient Nageshwar Rao, who was admitted with severe chest pain and mild heart stroke, was suffering from Chronic Total Occlusion, which is complete blockage of coronary arteries. “Heart patients with complete artery blockages can now avoid bypass surgery thanks to this technique called Retro Grade Angioplasty. The procedure helps patients recover very fast and get back to their normal life quickly,” said senior interventional cardiologist, MaxCure Hospitals, Dr.Sharath Reddy. According to cardiologists, the Retro Grade Angioplasty technique, which was invented by the Japanese, must be performed by trained doctors and a good team of healthcare workers from multiple health departments.

MEDICAL TOURISM RARE SURGERY

SURGERY ON A PATIENT WHOSE BRAIN TISSUE WAS OOZING OUT THROUGH A HOLE IN THE EAR Loganathan, 54-year-old from Erode, was suffering from severe periodical headaches and right ear pain/block for the past one year. Though the patient visited several hospitals in and around Tamil Nadu, the reason for his head or ear ache could not be diagnosed. One of the hospitals even performed a tympanomastoidectomy for Right Chronic Otitis media considering this as an ear infection. A few months later, the patient started developing further complications including a clear watery discharge from his right ear and persistent headache. Patient later consulted a couple of other hospitals before presenting himself to Apollo Hospitals OMR, Chennai. On investigating the patient Dr.Krishnakumar, HoD, ENT, Apollo Speciality Hospitals OMR, identified a pink, pulsatile, soft, insensitive mass, which did not bleed on touch filling the external auditory canal. A CT scan and a Brain MRI revealed a huge defect(hole) in the upper wall of the inner ear (right side) through which a small portion of the brain's temporal lobe was prolapsing out. On observing this condition Dr.Krishnakumar K, HoD, ENT, Apollo Speciality Hospitals, OMR and Dr. Joy Varghese, Senior Consultant, Neuro Surgeon & Interventionist, Apollo Speciality Hospitals, OMR performed a procedure to close the defect (hole) in the ear's acoustic canal containing the brain tissue that was exposed. Dr. Joy Varghese, Neurosurgeon opened/removed a small piece of the skull and

peeled out the inner softer portion of the skull (the hard part was replaced from where it was removed from) and used it to seal the hole (10mmx6mm) in the ear, after removing the prolapsed part of the brain. ENT surgeon Dr. Krishna Kumar meticulously removed the prolapsed brain tissue and sealed the defect from below. Efforts of both the expert surgeons saved the 54-year-old man from a life-threatening problem. Dr.Krishnakumar, HoD, ENT, Apollo Speciality Hospitals, OMR explained, "It was an eight-hoursâ&#x20AC;&#x2122; long complicated surgery that saved the patient. Such occurrence is incredibly rare in adults, but the tough membrane around that part of the brain can occasionally rupture under pressure. The cause of this hole in his ear might have been a result of an accident that the patient met with 10 years ago or even a prolonged ear infection. If left untreated the patient might have had sequence of seizures and would have eventually collapsed." Speaking about the procedure, Dr Joy Varghese and team at Apollo Speciality Hospitals, OMR, said. "In this case, the protrusion was a part of the temporal lobe, that is responsible for memory and emotions, removal of this would not affect the patient because it was such a small area and it was any way scarred. Post-operative period was uneventful, with a very smooth recovery from anesthesia and complication free postoperative stay. Patient has recovered well and was discharged, a week after surgery."

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MEDICAL TOURISM RARE SURGERY

SURGERY GIFTS NEW LIFE TO TWO KIDS A team of doctors at KIMS Hospitals, Secunderabad, successfully performed a rare complex cardiac surgery called â&#x20AC;&#x2DC;double switch operationâ&#x20AC;&#x2122; and gave a new lease of life to two children with identical complex congenital heart disease. The procedure for both children was done under the Aarogyasri scheme of Andhra Pradesh government.Muni Dimple, a 12-year-old girl from Madanapalle of Chittoor district, and Lokesh Babu (6) from Prakasam district admitted to the KIMS pediatric cardiac surgical team with an uncommon

condition where the blood comes to and goes out of the heart in a reverse fashion. After being followed up closely for two years by Dr D. Anil Kumar, senior consultant, pediatric cardiac surgeon, and his team, both the kids underwent a 12-hour challenging operation. Dr. Kumar said the condition is not very common and to do complete surgical correction, both pathways coming into the heart and going out have to be switched. Muni and Lokesh now have a well functioning heart that will enable them to lead normal lives.

RARE SURGERY SAVES MOTHER, BABY IN WOMB A woman who was six months pregnant underwent a life-saving surgery at a city hospital in Chennai that managed to ensure not just the safety of her child and herself, but also that she could walk within two days. Sarah, a resident of Nagercoil, hailed from a family of doctors. She was pregnant with her first child and was gearing up for the Christmas season when she began experiencing shortness of breath and increased palpitations. An MRI scan revealed that she had a congenital condition called eventration of the diaphragm, which meant that her diaphragm was like a thin sheet instead of a thick muscle from birth," explained Dr J S Rajkumar, chief surgeon, Life Line Hospitals. "As her child grew inside her womb, it pushed the liver against the diaphragm and this caused the lungs and heart to compress and shift to the left side," he added. After a quick consultation, they arrived at the hospital in Perungudi and within 24 hours" nine doctors from various dis58 Medical Tourism Jan. - Mar. 2019

ciplines had reviewed her status and were ready for the surgery. "We had to thicken her diaphragm using 'pleats' without harming her daughter inside," said Rajkumar. "We combed journals and medical records but no such case had been successfully operated on in the past," he added, stating that in the USA and Spain, successful operations had been done, but those involved making a nine inch incision in the woman's chest. The odds were against them as globally there was a 6085 per cent fetomaternal death rate by medical standards. "We went ahead with multiple incisions instead of one big hole and pleated the diaphragm in five rows," he said. This would make it almost 90 per cent as thick as a normal person's. After a three-hour procedure, throughout which the baby's heart and vitals were monitored, her condition stabilised.

MEDICAL TOURISM EQUIPMENT

DXA for Metabolic Health

Dual-energy X-ray absorptiometry (DXA) offers precise, comprehensive body composition analysis including bone, lean and fat tissue distribution, as well as bone mineral density (BMD). DXA systems can help manage conditions that impact the distribution of lean and fat mass in the body, such as chronic renal failure, anorexia nervosa, obesity, HIV/AIDS, and cystic fibrosis. Website:http://www3.gehealthcare.in/en/ products/categories/metabolic-health/dxa-formetabolic-health

ECG (Electrocardiograph)

ESSI Syringe Pump

RMS is the leading manufacturer of Cardiology Equipments like Tele ECG, ECG machines in India. The company have complete range of EKG machines which include single channel ECG, 3 channel ECG and 12 channel ECG machine. RMS manufactures the high quality ECG machines at affordable price. The portable ECG machines have some of the unique features having Color TFT, Direct USB A4 Printouts, USB Storage facility. The company also manufacture PC Based ECG machines which can be used with laptop for tele camping purposes. All portable and PC based ECG machines are compatible with the RMS Tele Medicine Solution.

ESSI Syringe Pump features nanometer push accuracy that can be programmed to fit your needs. Work with the Essi's syringe pump is easy and untangled as the pump is both powered and controlled via a USB cable. The pump is controlled from the computer using the Essi Pump software (included as standard) that allows complex, versatile programming. The mounting system (at the front and back) allows quick and reliable installation of any standard laboratory syringes.

Website: http://www.rmsindia.com/ electrocardiograph.html

Website: https://www.essi.tech/syringe-pump-1

Philips EPIQ 5 Ultrasound Machine

ELECTRIC MOBILE OPERATION TABLE

LDR BED MOTORISED SUPREME PLUS C-3005

The Philips Epiq 5 is a premium shared service ultrasound machine from Philips. It offers Purewave single crystal probes, a compact and lightweight design and superior ergonomics and workflow. The Epiq 5 replaces the older Philips iU22 without xMatrix. The Epiq 5 has less probe options and features than the more expensive Epiq 7. All the Epiq and Affiniti ultrasound machines look visually very similar and use the same monitor and huge tablet like touchscreen for navigation.

It has six section table top which allow ease and comfort for surgical positions. Radio-translucent top provides easy convince for x-ray procedures. It has a center pillar with sliding top for maximum coverage of C-Arm machine. The base & column covered with 304G Stainless steel top to ensure high durability hygiene for the operation room. The other features include imported gas spring assisted head section leg section & Backrest, Split type leg section, Memory foam mattress, Central locking Castors and Electrical Movement

Carevel Medical Systems Pvt Ltd presents a fully motorized and versatile LDR bed C-3005 Supreme PLUS. This newly designed bed enables the obstetrician as well as the lying in woman through all stages of parturition, including labor, delivery and recovery stage with utmost comfort and ease. It can be easily changed into chair position to protect lying-in women from transferring from one bed to another. Electric controlled height adjustment, tilt adjustment and back section adjustment greatly enhance the work efficiency of the nurses.

Website: https://www.philips.co.in/healthcare/ product/HC795204/epiq-5-premium-ultrasound-system

Website: https://www.unisurg.com/electric-mobile-operation-table.html

Website https://carevelmedsystems.com/product/ ldr-bed-motorised-supreme-plus-c-3005/

CMS 6000 MULTIPARA MONITOR

SculpSure

Emprint Ablation System with Thermosphere Technology

It has a display mode of 8'' color TFT LCD with high-resolution. Applicable for adult, pediatric and neonatal for all-round monitoring. Multiple display modes are optional, such as big characters interface. Waveform and data colour can be set optionally. It has a storage of 480-hour trend data, and review of 40-second holographic waveform. There is 7-lead ECG displays in a screen, and ECG waveforms series display. Unique Flash memory, storage for up to 2000 NIBP data and 78000 SpO2 data. Anti-high frequency surgical unit, defibrillation-proof(requirement for special leads). It adopts digital SpO2 technology, which has strong anti-interference and anti-weak filling capability. Website: http://shivamhealthcare.biz/category/ Patient-Monitoring/CMS-6000-MULTIPARAMONITOR

SculpSure is the world’s first FDA-cleared laser treatment for non-invasive lipolysis of the abdomen, flanks, back, inner thighs, outer thighs and the submental area. It’s designed to safely and effectively eliminate unwanted fat cells. The result is a permanent reduction in stubborn fat without surgery or downtime. The 1060 nm wavelength’s minimal absorption in the dermis allows for efficient targeting of adipose tissue. This provides safe treatments on all skin types and effectively treats areas of troublesome fat in just 25 minutes. Over time, the body naturally eliminates the disrupted fat cells, with results seen as quickly as 6 weeks and optimal results usually seen in as few as 12 weeks. Website: https://www.hologic.com/hologicproducts/medical-aesthetics/sculpsure

When other treatments like resection, embolization and chemotherapy are not an option for your patient or you are looking for combined treatments, ablation provides a minimally invasive solution. Thermosphere technology provides clinicians with three kinds of spatial energy control — thermal, field and wavelength. This maintains a predictable, spherical ablation zone throughout a procedure, and brings new confidence to the ablation of liver tumors. Emprint ablation system can be used for ablation in other soft tissue within the body. Website: https://www.medtronic.com/covidien/ en-us/products/ablation-systems/emprintablation-system.html A Complete Magazine on Healthcare in Asia

MEDICAL TOURISM MEDICAL EVENTS

World Congress on Pain Medicine & Management (February 20-21, 201), Holiday Inn Atrium, Singapore Pain Medicine conference will give a perfect platform for sharing and developing innovative ideas on the latest developments and future perspectives in the field of Medical and Palliative care for the treatment of various disorders. Attending the Pain Medicine 2019 is an investment in your career growth. It’s the best way to express your passion towards the Pain research and update your skills and enhance your knowledge. Pain Medicine congress 2019 participants include Professors, Researchers, Physicians, Business Delegates, Scientists, students all over the world. The goal of the Pain Medicine congress 2019 is to provide you with a rare opportunity to build on what you already know in the research and development of new therapies and techniques and accelerate efforts to enhance health and well-being. Pain Medicine congress 2019 is supported with related journals and their editorial board members which provide a chance of meeting them, along with experts in Pain medicine research, Palliative care and Pharmacological sciences. In order to accelerate the research in the field of Medical. For details contact: Phone: 1-650-889-4686 Email: painmedicine@conferencesseries.org www.painmedicine.pharmaceuticalconferences.com

16th Annual Congress of Indian Association of Gastrointestinal EndoSurgeons (IAGES) (Feb 07 - 09, 2019) Bhubaneswar, Orissa The 16th National Congress of IAGES (Indian Association of Gastrointestinal Endosurgeons) 2019, will be held from February 7-9, 2019, at Bhubaneswar, Odisha. IAGES 2019, having the theme of “Expanding new horizons and meeting new challenges”, aims at sharing the significant strides made in the field of minimal invasive surgery, both in endoscopy & laparoscopy. This social & academic event is being organised by IAGES Odisha Team for the 1st time. It will be an academic feast with the finest congregation of national & international faculty, who will share their knowledge & expertise, and contribute to the development of future trends in laparoscopic surgeries. It would provide a great opportunity for learning, sharing your experiences, and meeting the stalwarts in the field of Minimal Access Surgery. The conference will feature workshops, CME lectures, scientific sessions; with various national & international exhibitors showcasing the latest that science & technology has to offer. This conference would provide an excellent platform for presenting research work, new ideas, and learning new skills from the hands-on pre-congress workshop on February 6. For details contact Phone: +91 9937878781 Email: iages2019@gmail.com www.iages2019.com

MEDINSPIRE An International Multidisciplinary Medical Summit (Feb 14 - 17, 2019) Mumbai, Maharashtra

27th Annual Meeting of the Asian Society for Cardiovascular and Thoracic Surgery (ASCVTS) (Feb 21 - 24, 2019) Chennai, Tamil Nadu

MEDINSPIRE - An International Multidisciplinary Medical Summit is organized by MEDINSPIRE and will be held from Feb 14 - 17, 2019 at D Y Patil University, Mumbai, Maharashtra, India.

The combined annual meeting of the ASCVTS & IACTS will be held at Hotel ITC Grand Chola, Chennai from 21st to 24th February 2019.

MEDINSPIRE is an international multidisciplinary medical summit to understand the dynamic field of medicine and its convergent, rapidly developing technologies and ideologies and their potential in advancing healthcare.

The focus of this meeting will be on “Re-Inventing Cardiothoracic Surgery”. In addition, an AATS/ASCVTS post graduate course will be conducted for the young surgeons.

MEDINSPIRE seeks to stimulate an exchange of knowledge with the best-in-class 80+ international speakers and 700+ global stalwarts whilst providing evidence-based learning through a variety of methods like simulation workshops at Asia’s first simulation-based medical training facility and hands-on training workshops. MEDINSPIRE aims to empower, embolden & encourage medical professionals to transform the global healthcare landscape.

For details contact: Phone: 02230965840 Email: medinspire2019@gmail.com www.medinspire.in

60 Medical Tourism Jan. - Mar. 2019

The meeting will have renowned international and national faculty. There has been a colossal development in the field of cardiac surgery for the past few years and some have been fortunate enough to witness them, some have grown with them, some are here to learn from them and to contribute for the field. The future of cardiac surgery is far from fading away. The meeting would reinvent newer modalities and innovations that will bring about further advancement to the quality of surgeries that we have been doing. For details contact: Phone: +91 99623 38110 Email: secretary@iactscon2019.com www.iactscon2019.com

MEDICAL TOURISM MEDICAL EVENTS

Middle East Heart Congress (March 18-19, 2019) Dubai, UAE

25th World Congress on Dentistry and Oral Health (March 14-15, 2019) London, UK

"Middle East Heart Congress " which will be held amid March 18-19, 2019 Dubai, UAE. Heart 2019 gathering aims to unite the most dedicated minds in the business, driving Physicians, Medical Practitioners, Surgeons, Nurses and scholastics everywhere throughout the nations to share thoughts and feature their accomplishments. Offering chance to find out about the unpredictability of the heart maladies, talk about interventional systems, take a glance through new and progressed cardiovascular practices and their proficiency and adequacy in the treatment of different cases, and comprehend neighborhood substances and viable imperatives in enhancing understanding consideration. Notwithstanding giving analysts a place to exhibit their discoveries and information, it will likewise help increment open commitment with science and group.

The Conference Series will be holding its CE and ADA accredited 25th World Congress on Dentistry and Oral Health Dental & Oral Health from March 14-15, 2019 at London, United Kingdom. The theme of this year’s meeting is “Conquer the Challenges in Dental and Oral Well-being" which will provide an international platform for discussion of present and future challenges in oral health, dental education, continuing education and expertise meeting. World-leading health practitioners, clinicians, educators and researchers will present cutting-edge and practical clinical techniques based upon widely accepted evidence and will introduce new and emerging research.

For details contact: Phone: +1-201-380-5561 Email: heart@memeetings.com Website: https://heart.cardiologymeeting.com/

For details contact: Phone: 1-800-651-097 Email: dentistrycongress@dentistryspeakerexperts.org www.dentistrycongress.dentistryconferences.com

20th World Congress on Gastroenterology (March 04-05, 2019) Berlin, Germany 20th World Congress on Gastroenterology” is being organized by Conference Series LLC Ltd in Berlin, Germany during March 04-06 2019 with the theme of “On-going research, Innovations and Recent Advancements in Gastroenterology”. The main aim of “World Congress on Gastroenterology” is to bring together leading academic practitioners, Gastroenterologists, Hepatologists, Researchers, Professors, Health Care centers, Scientists, Business delegates, talented student communities and research scholars to commerce and share their experiences and research conclusion about the conference. For details contact: Phone: 1-800-651-097 Email: gastro@gastroconferences.com Website: https://gastro.insightconferences.com

3rd Fibroblast Growth Factors in Development and Repair Conference Feb 15 - 18 2019) Nassau, Bahamas The Fibroblast Growth Factor (FGF) Fusion Conference aims to bring together researchers from different disciplines with an interest in FGF biology/biochemistry and clinical applications. This will be the third FGF Fusion conference, building on two very successful previous meetings. This meeting will provide a unique opportunity for researchers to meet each other, to discuss their project and to initiate new and in some cases highly interdisciplinary research projects and collaborations. For details contact: Phone: +44 (0) 1638 724137 Email: admin@fusion-conferences.com www.fusion-conferences.com/conference81.php

A Complete Magazine on Healthcare in Asia

MEDICAL TOURISM MEDICAL EVENTS

14th Annual Brain Injury Rehabilitation Conference (March 8-9, 2019) Carlsbad, California

15th National Rural Health Conference (March 24-27 2019) Tasmania, Australia

The Annual Brain Injury Rehabilitation Conference is designed to provide a clear understanding of the need for multidisciplinary strategies in the management of patients with brain injuries. A renowned faculty of interdisciplinary specialists will present the latest in research and outcomes from a variety of medical perspectives. A strong emphasis on the need for increased quality, efficiency, and value in response to health care reform will be a consistent theme throughout the course and continue the quest for excellence in brain injury treatment and rehabilitation.

The Conference has a well-earned reputation as the Australia's premier rural health event. Not just for health professionals, the Conference recognises the critical roles that education, regional development and infrastructure play in determining health outcomes, and welcome people working across a wide variety of industries.

For details contact: Phone: 800-727-4777 Email: med.edu@scrippshealth.org www.scripps.org/events/79646-14th-annual-brain-injuryrehabilitation-conference-march-8-2019

For details contact Phone: 02 6285 4660 Email: conference@ruralhealth.org.au www.ruralhealth.org.au/15nrhc/

Annual Scientific Meeting on Anogenital & HPV-Related Diseases (April 4 - 7, 2019) Atlanta, United States

IAHCP International Medical Conference on Progress in Medical Practice, Research and Education (April 13 - 14, 2019) Bucharest, Romania

ASCCP2019 Annual Scientific Meeting on Anogenital and HPV-Related Diseases will feature a variety of topics including: Barriers to Care (transgender, homeless, incarcerated, mentally ill, as well as age and obesity), Patient-Centered Counseling Techniques, for Discussing Risk and Disease State Concepts, Research Ethics and At-Risk Populations, Cervical Cancer Screening Guidelines – U.S. and Beyond, ASCCP Colposcopy Standards with Cases, Risk-Based Assessment and Management, As well as specific sessions to review topics in Anal Diseases, Vulvar Diseases, and Transgender Care.

Reforms in research and innovations have been occurring in medical practice and education globally for the past decades. These have been as a result of advances in medical practice globally. Again, patients have become more informed about their health, and these have resulted in increased in demands and expectations, thereby bringing about the changing roles of the doctors and healthcare workers in society. Currently, there are needs for healthcare professionals to be more involved in teaching and research, as well as in patient care. Hence the conference on ‘Medical Research and Innovations’ will embrace many topics on the various issues affecting medical practice, research and education in the 21st century.

For details contact: Phone: 3017333640 Email: info@asccp.org www.asccp.org/2019meeting

62 Medical Tourism Jan. - Mar. 2019

For details contact: Phone: +44 7438154888 Email: conferences@ahcp.org.uk www.ahcp.org.uk/medical-conferences/

CONSUMABLES

UROLOGY

WOUND CLOSURE MINIMALLY INVASIVE SOLUTIONS

Healthium Medtech is one of the fastest growing Global Medtech companies. Founded in 1992, Healthium has 6 state of the art manufacturing locations around the world, with ofďŹ ces in India & UK; manufacturing / marketing wound closure products, urology products and a range of minimally invasive solutions. Healthium has signiďŹ cant global presence with exports to over 50 countries, including the USA, France, Germany, Italy, Switzerland, Brazil, Mexico, GCC countries, Egypt, Turkey and several Asian countries and trusted by more than 200,000 healthcare professionals across the world.

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