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RNI No. DELENG/2010/33833
Anniversary Volume I || Issue VI || Mar - Apr 2011
The Gateway to Health & Medical World
India’s Top Doctors The Gateway to Health & Medical World Vol. I Issue VI Mar-Apr 2011
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Department of Radiology Cardiology Gastroenterology
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24 Hours Emergency Facilities ICU, ICCU with Ultra Modern Equipment Non Invasive Cardiac Lab For 24 Hours including Echocardiography TMT, PFT, HOLTER, AMBULATORY BP Monitoring E.C.G. X-Ray, USG, Pathological Lab 24 Hours Ready O.T With Ultra Modern Equipment Free Ambulance with Ultra Modern Emergency Equipment Heamo - Dialysis etc. Round the clock medicine counter
Muzaffarpur Heart Hospital & Research Centre Pvt. Ltd. Bank Road, Muzaffarpur (Bihar) Tel. 0621 - 2245478 (O), 0621 - 2243860 (H) Email: drajay111@yahoo.com
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Editor SPEAK
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Editor
Dr. Ma Kamal
Editorial Adviser Success is the good fortune that comes from aspiration, desperation perspiration & inspiration
Anniversary is the celebration of trust, service and relation India’s Healthcare Sector To Touch $77 Billion By 2012
India’s healthcare sector is projected to grow at 23% annually to become a $77-billion industry. The report, jointly prepared by the Associated Chambers of Commerce and Industry (Assocham) and Yes Bank, says that India’s healthcare industry has grown at 9.3% per annum during 2000-09. “Driven by various catalysts such as increasing population, rising income levels, changing demographics and illness profile, the healthcare industry is expected to move to levels of $77 billion in the next three years Healthcare services sector includes firms that are dependent upon and provide corollary services to hospitals, and is currently approximated at $1 billion. According to Yes Bank and Assocham, diagnostics would add $2.5 billion to the healthcare industry by 2012. A mounting number of public and private healthcare facilities are expected to push demand for the industry, accounting for another $6.7 billion in this period. With a rising demand for affordable quality healthcare, the penetration of health insurance is poised to experience an exponential growth to emerge as a $3-billion industry in the next three years. “However, the corresponding growth in health infrastructure is yet to match the basic healthcare facilities in many other countries. For instance, the present number of nine beds per 10,000 people in India is far behind the world average of 40 beds per 10,000 Any thoughts or questions you may have mail us: info@medgatetoday.com
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Saraswati Hospital & Research Centre Pvt. Ltd.
Dr. Ramjee Prasad
Under the leadership of Dr Ramjee Prasad, Saraswati Hospital brings you experts in their field of specialisation
MD(Med), D.T.C.D (Pat), M.C.C.P (USA), F.I.A.M.S, F.R.S.T.M.H (London), F.I.A.C.M. (India) (Professor & Head of the Department Pulmonary Medcine & Critical Care S.K. Medical College & Hospital, Muz.) CARDIODIABETOLOGIST- Saraswati Hospital & Research Centre
Dr. Satyendra Kumar
MD, DTCD, (Mumbai) Physcian & Chest Specialist Ex-RMO VM Medical College & Safdarjung Hospital, New Delhi Ex-RMO Deptt. of Med. & Respiratory disease SKMCH
Dr. (Mrs.) Preeti Singh
MBBS, MS (Mysore) Obst & Gynae
Dr. Amrendra Kumar BDS, MDS Oral & Maxillo Facial Surgeon
Facilities Available 24 hours Emergency Facilities ICU, ICCU with Ultra Modern Equipment TMT, PFT, HOLTER, AMBULATORY BP Monitoring E.C.G. X-Ray, USG, Pathological Lab 24 Hour Pharmacy Internal Medicine Cardiology Pulmonary Disease Diabetes Gastroentrology Gaynee/Obst Normal & High Risk Pregnancy & Delivery Women’s Health & Maternal facilities Child Care
Dental Services
Dr. (Mrs.) Prerna BDS Dental Surgeon
General Dentistry Cosmetic Dentistry Oral Surgery Orthodontics
Saraswati Hospital & Research Centre Pvt. Ltd.
New Police Line Road , (In front of M.I.T. East Gate), Daud Pur Kothi, Muzaffarpur (Bihar) Contact No. +91 9204792918, + 9204552225, +91 9334545669 Mar - Apr 2011
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Cover Story Dr. Devi Shetty (Banglore)
Dr. Ramakanta Panda (Mumbai)
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Dr.Rajiva Kumar (Muzaffarpur)
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Dr. Ashwani Maichand (New Delhi)
Dr. Ramjee Prasad (Muzaffarpur)
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Dr. Sharad Lakhotia (New Delhi)
Dr. S G Parasramani (Mumbai)
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Dr. Rishikesh R Pandya (Mumbai)
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Dr. Shashanka Mohan Bose (Chandigarh)
Dr. Pradeep Bhardwaj (New Delhi)
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Dr. N. Ashraf (New Delhi)
Content VAC Wound Therapy 46 60 Situation Vacant
Narrow arteries increase the risk of pain 38
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Cardiac Rehabitilation Health Care Consultant
News Update
8-22
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READERS’ VOICE
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K. Sundarajan (Project Director, Medicall)
Medgate Today Magazine has worked into the reader’s mind in a
very short span of 1 year. I see the magazine being read by all the doctors, leaders in medical fraternity, health care professionals and business owners the magazine must strive very hard to increase and qualitatively improve the technical content.
Dr A P Singh (Civil Surgeon Muzaffarpur)
Medgate today magazine is a very informative and with latest update.
Its quality of content, range of topics, visual and editorials are nice. I wish a bright and prosperous future of the magazine.
Dr. G K Thakur (Suprintendent SKMCH Muz.)
Medgate today magazine has impressed me. The topics covered are quite interesting and informative. Overall, i feel it is one of good medical magazine which also updates about latest medical equipments. I wish him all success to the magazine. Surender Kumar Kamal (Manager-International Regulatory Affairs, Ranbaxy Global Consumer Healthcare)
As a reader, I liked Medgate today magazine which updates me about
medical devices, regulatory news, scientific updates, which keep me abreast in today’s world. I enjoy reading Medgate Today magazine which gives me new learning and knowledge. I wish you all the very best and keep up the good work.
Dr. R R Sharma (MD, Biochemistry)
The magazine Provides comprehensive information about all the latest trends in the medical and healthcare industry. I always like to read about the new innovation and expert views content. Overall, it is a complete package.
Vijoy Kumar (Managing Director, Muz. Dairy)
Medgate today a magazine which has been improving its outlook,
features with every edition. It is full of new technology and innovations in health care sector.
If you would like to share your views, please write in at info@medgatetoday.com 6
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Launching new products in India Silent features of pulse oximeter First Time in India • Strong AntiShaking Technology same used in Multi parameters • Alarm values adjustment option • IPX4 Splash Proof • Dual color OLED display • 4 sided 6 display mode with big font for easy view
Unique glucometer
It is not high in cost with compare to other available. Value for your money.
• First Time in India Inbuilt USB Connector • No CD or Cable required built in glucose analysis software • No CODING • Memory is 10,000 PC Capacity • “The only direct PC connection Blood Glucose Monitor in India”
Mini-Wright Peak flowmeters from UK A complete range of product for asthama COPD cystic fibrosis & Bronchitis
In the treatment of respiratory diseases such as Asthma and COPD, inhaling medication into the lungs can be a very effective drug delivery route. Unfortunately, many patients use inhalers incorrectly, resulting in reduced effect of the medication, increased risks of side effects and greater costs to the Health Service.
Cloth like Pull-Ups & Diapers
For Breathable Pull-Ups Diapers very easy to wear & tear to remove Clothlike feel have anti-rash cotton diapers. Enhanced Breathable zones, helps keep skin moisture free. Environmentally Friendly
Blood group anomaly ‘caused Tudor king’’s reproductive issues, mental impairment’ A new study has claimed that blood group anomaly could have been the reason for Tudor king’’s reproductive problems as well as his mental and physical impairment. Catrina Banks Whitley at Southern 8
Methodist University and anthropologist Kyra Kramer said that if the king’’s blood carried the Kell antigen, a Kell negative woman who has multiple pregnancies with a Kell positive man can produce a healthy, Kell positive
child in a first pregnancy. But the antibodies she produces during that first pregnancy will cross the placenta and attack a Kell positive foetus in subsequent pregnancies.
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Adalimumab just as effective in paediatric Crohn’s
Adalimumab is as effective in the treatment of paediatric Crohn’s disease (CD) as it is in adult disease, new results show. Presented at the ECCO Congress in Dublin last week by US paediatric gastroenterologist Dr Jeffrey Hyams, the study of 124 Patients found that 28% of patients on low-dose adalimumab achieved remission at 26 weeks,whereas 39% of those receiving a high dose achieved remission.
Cardiac MRI an ‘indispensable tool’: review
Cardiac MRI (CMR) is emerging as an indispensable tool for interventionalists,Dr Gemma Figtree, from Royal North Shore Hospital in Sydney, and colleagues said the application of CMR was still evolving, because of the complexities in studying a moving organ. Absence of radiation exposure from CMR was a significant significant benefit, benefit, in addition to the quality of the images obtained.“CMR has a role in a broad range of patients presenting with suspected coronary artery disease (CAD),”
Hypertension changes spark controversy No patient should be started on antihypertensives without having their high BP confirmed by 24confirmed hour monitoring, UK expertssay,
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Skin cancerthiopurines link settled
The long controversy over the responsibility of thiopurines in promoting skin cancer has been settled by a prospective cohort study of nearly 20,000 people. Presenting the results of the French trial to the ECCO Congress in Dublin, Laurent Peyrin-Biroulet from the University Hospital of Nancy said the evidence shows that both past and present exposure to thiopurines significantly increase the significantly risk of non-melanoma skin carcinomas in patients with inflammatory inflammatory bowel disease (IBD)
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Doctor gives the Patient
A New
Limb Life
Dr Ashwani Maichand How unbelievable and wonderful results come when technology meets expertise. And when it happens in the field of healthcare it changes lives. Such an example was set at B L Kapur Memorial hospital in the city on 26.2.11. A patient, Prem Narayan, aged 58 yrs, was suffering from a tumor of thigh bone (femur).He was having severe pain in his thigh and was hardly walking. He had to take leave from his office and was on bed rest for last few weeks. When he contacted some nearby hospital he was advised to undergo amputation from hip joint level. The patient and the family were obviously very distraught because amputation meant not only disability but also loss of job. Then he came to BLK Hospital and met Dr Ashwani Maichand , senior Joint Replacement Surgeon, who after clinical assessment told the family that the limb could be saved.
The surgery, Total Femur Replacement, was done by Dr Ashwani Maichand on 26.2.11. The surgery lasted six hours, required four units of blood and patient was perfectly fine in post operative period. The surgeons removed the thigh bone (femur) completely and replaced with artificial femur made of titanium. The hip and knee joints were also replaced with artificial joints. It is a very rare and complex surgery and is done at very few centers in the world. The patient was perfectly fine after surgery. He was able to stand and walk with a walker 48 hrs after the operation. He is undergoing intense physiotherapy training so as to strengthen his muscles.
The implant (the artificial bone) used was especially designed for this patient according to his height and weight. The implant was made of titanium to keep it strong and lightweight. Dr Maichand told, ‘ The beauty of the surgery is that we are able to give the patient a practically new limb which is tumor free and can make the patient stand within few days. But such extensive surgeries need really good back up like efficient anesthesia team, a well equipped ICU & a vigilant oncology division.’ So gone are the days of amputations for cancer patients. Now with this technique patients with bone cancer can lead normal and dignified life.
FDA Approves New Head Lice Treatment
The FDA has approved a new treatment for controlling head lice, called Natroba Topical Suspension 0.9%, and says the substance can be safely used for infestations in children as young as age 4, as well as in older youths and adults.
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Early intervention ‘critical’ in non-specific musculoskeletal pain Chronic non-specific musculoskeletalpain (CNSMP) that occurs in childhood is a significant disabling disorder that is multidimensional and requires early intervention,
Nasal insulin
Cycling seen as one of biggest causes of heart attacks
may prevent diabetes
Nasal insulin may offer a chance to prevent the onset of type 1 diabetes by inducing immune tolerance to insulin and thus preventing autoimmune destruction of pancreatic beta cells
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Cycling has always been touted as being good for health, but now a study has found that it is actually one of the biggest triggers of heart attacks. The study, which analysed 36 pieces of research on everyday risks, proves that the “final straw” in bringing on a heart attack is spending time in traffic as a driver, cyclist or commuter. But of the three, cyclists are in greatest danger because they are more heavily exposed to pollution and are subjecting themselves to another major heart attack trigger, exercise. Traffic exposure was blamed for 7.4 percent of heart attacks, followed by physical exertion with 6.2 percent, while air pollution triggered between 5 percent and 7 percent of heart attacks, and drinking alcohol or coffee accounted for 5 percent. Other risk factors included negative emotions (3.9 percent), anger (3.1 percent), eating a heavy meal (2.7 percent), positive emotions (2.4 percent) and sexual activity (2.2 percent). Mar - Apr 2011
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MEDICALL 2011 AT KOLKATA Show date: 11th to 13th February 2011 Venue: Netaji Indoor Stadium, Kolkata, East India, INDIA
First Time in Kolkata MEDICALL 2011
– a Medexpert Business Consultants Pvt. Ltd. Event was the 6th Edition of MEDICALL. The show was inaugurated by Hon’ble Dr. Surjya Kanta Mishra – Ministry of Health and Family Welfare – Govt. of West Bengal, INDIA on the 11th February 2011 at Netaji Indoor Stadium, Kolkata, INDIA. The fair consisted of 3 days from 11th February to 13th February 2011 at Kolkata and it was the most comprehensive trade fair for Hospital needs with concurrent medical conferences and seminars on Cost control in Hospitals, organizing a Central Sterile Supply Department in Hospitals and Hospital Construction.
MEDICALL 2011 catered from the humble to the hospital consortiums & chain with a pro-active pledge to offer the best the customer could desire & more. Of course further establish & develop footprints in the market. The aim of MEDICALL 2011 in Kolkata was fulfilled as both the medical equipment manufacturers as well as the business visitors could network and had an opportunity to facilitate informal referrals and exchanges. We invite you all to our 7th Edition MEDICALL 2011 at Chennai from 12th to 14th August 2011 at Chennai Trade Center, South India, INDIA. For more details please visit our website www.medicall.in panchal@medicall.in, info@medicall.in
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Fatty liver ‘independently increases Type 2 diabetes risk’ In a new study, scientists have found that individuals with fatty liver were five times more likely to develop Type 2 diabetes than t h o s e without fatty liver. This higher risk seemed to occur regardless of the patient’’s fasting insulin levels, which were used as a marker of insulin resistance.
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Soon, nasal spray vaccine to fight Alzheimer’’s, stroke Tel Aviv University researchers are working on a nasally delivered vaccine that promises to protect against Alzheimer’s as well as stroke. The new vaccine repairs vascular damage in the brain by using the body’’s own immune system and, in addition to its prophylactic effect, it can work even when Alzheimer’’s symptoms are already present.
“Using part of a drug that was previously tested as an influenza drug, we’’ve managed to successfully induce an immune response against amyloid proteins in the blood vessels,” said Dan Frenkel, who collaborated on this project with Prof. Howard L. Weiner of Brigham and Women’’s Hospital, Harvard Medical School.
Scalp cooling cap may help patients undergoing chemotherapy keep hair Wake Forest University Baptist Medical Center will conduct a feasibility study to test the use of a scalp cooling device that breast cancer patients will wear while undergoing chemotherapy treatment. This will be part of the first significant study of the medical device in the United States. The FDA has given approval for an investigational device exemption (IDE) feasibility study to be conducted at both Wake Forest Baptist and University of California, San Francisco (UCSF). A total of 20 patients with stage one breast cancer will be involved - 10 at Wake Forest Baptist and 10 at UCSF. The study will test the safety and tolerability of the patented DigniCap scalp cooling system, which is worn by patients during chemotherapy treatment to prevent hair loss.
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Half of Men Have Genital HPV
FDA Approves New Drug to Treat COPD
Men at High Risk of Developing Most Common Type of Sexually Transmitted Infection, Study Finds About half of adult men have genital human papillomavirus (HPV), a sexually transmitted infection that has been linked to certain cancers, according to a study funded by the National Cancer Institute (NCI). Genital HPV is the most common type of sexually transmitted infection. Many people infected with HPV do not know they have it. There are many different strains of HPV.
More than 40 of them affect the genitals. Some types of genital HPV cause genital warts, while others can lead to cancer. Persistent infection with a high-risk strain of HPV is the leading cause of nearly all cervical cancers in w o m e n . Genital HPV may also lead to less common, but serious, cancers of the penis, anus, vulva, and vagina and some cancers of the oral cavity and head and neck.
Daliresp Will Be Sold in Pill Form to Treat Chronic Obstructive Pulmonary Disease The FDA has approved a new treatment for people with worsening symptoms of severe chronic obstructive pulmonary disease (COPD), a lung disorder that makes breathing difficult. The drug, roflumilast -- carrying the trade name Daliresp -- will be sold in pill form, unlike some other medications for COPD, which are inhaled. The FDA says roflumilast, a new drug class for COPD treatment, is an inhibitor of an enzyme called phosphodiesterase type 4 (PDE-4).
Darvon, Darvocet Banned Controversial Painkiller Sunk by Dangerous Heart Side Effects The FDA has at last banned Darvon, Darvocet, and other brand/generic drugs containing propoxyphene -- a safetyplagued painkiller from the 1950s. New proof of heart side effects, in studies of healthy people taking normal doses of the drug, prompted the FDA to act.
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SKMCH ALUMNI MEET CUM CME-2011 12-13 FEB 2011 at MUZAFFARPUR by Fazal Ahmad
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wo day meet and seminar was successfully concluded at SKMCH campus. The eminent doctors of various discipline from India and abroad were participated in the meet. Dr.Khaliquzzaman (President)
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greeted all the delegate & participants. The most important aspect of the seminar was that every speaker took the delegates to world of personalized medicine.They also proposed to have a small forum of networking.
The seminar concluded with vote of thanks by Dr.K.Zaman,Dr.Sunil Kumar Shahi,Dr.B.M.K.Sinha, Dr.Ranjeet Kumar,Dr.(Mrs) Leela Pandey,Dr. Suresh Sharma,Dr.Binay Kumar Sinha and Dr.P.C.Verma
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BAPICON-2011 (4-6 March,2011) 21st Annual Conference of Association of Physicians of India, Bihar Chapter
Dr.B.B.Thakur
(Organising Chairman)
Dr.B.N.Jha (Reception Comm.Chairman) Dr.Ramjee Prasad (Scientific Chairman) Dr.Kamlesh Tewary (Organising Secretary)
by Iftekhar Ahmad
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hree day event concluded successfully in litchi city Muzaffarpur. The CME programme and seminasr were organized aims to provide innovative,educative and interactive.The emphasis is being put on the alarming situation of the non communicable diseases
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Like Hypertension,Diabetes ,Obesity,Dyslipidaemia,Ca rdio vascular Diseases and Infective diseases. The main objective of CME was to update the knowledge of practicing clinicians on topics of day to day interest in different spheres of internal medicine.
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COVER STORY
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Dr. Devi Prasad Shetty Chairman
Narayana Hrudayalaya Bangalore and Asia Heart Foundation, Kolkota MBBS from Kasturba Medical College, Mangalore Professor of International Health – University of Minnesota Medical School, USA FRCS London 24
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Need to change the way healthcare is delivered in our country
Dr. Devi Prasad Shetty
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Narayana Hrudayalaya
ndia needs 2.5 million heart surgeries and all the heart hospital in the country put together perform less than 90,000 heart surgeries and the rest die gradually over a period of time. To offer heart surgery to everyone we need to change the way healthcare is delivered in our country. The only solution is economy of scale. So w e built a 1000 bed heart hospital with the intension to perform 50-60 major heart surgeries a day. Now we perform 30-35 heart surgeries a day, by doing large number of heart surgeries in 24 dedicated operation theatres, we have emerged as the world’s largest heart hospital. Also we are able to break even by charging 1800$ per operation. However, our desire is to do the heart surgery for 800$. We are in the process of adding 30,000 beds in the next five-seven years and when we reach this number, we will be able to reduce the cost still further. And my message to the masses is that they should request the government to launch a health insurance in the lines of Yeshaswini insurance we launched eight years ago.
Contribution to Cardiac surgery
Awards
First Heart surgeon in India to perform heart surgeries on newborn babies, used Micro chip camera to close holes in the Heart. Pioneered operations for complex problems of the Heart like Pulmonary Endarterectomy, Redo Heart surgery, Valve Repairs in newborn Babies and Aortic Aneurysm surgeries.
Rajyotsava Award – 2002 Padmashree – 2003 Dr. B C Roy Award – 2004
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The early arthritis stage can be managed by antiinflammatory medications, physiotherapy and certain precautions. Patients with advanced stage arthritis generally have no option but joint replacement
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ith more and more accessibility to good medical care and ever increasing awareness about health and well Now a days being, Jointthepain is theis on the New life expectancy rise trends in Joint all over the world. This is a goodReplacement sign common problem and a tribute to the dedication our early arthritis stage can be Every third patient entering ortho ofThe are now able OPD is having medical somefraternity. or thePeople other managed by anti-inflammatory in theirare sixties and joint problem.to work The actively reasons medications, physiotherapy and seventies and many of these elderly lack of regular exercise, obesity certain precautions. Patients members of society are first participating and ageing population. The with advanced stage arthritis in sports and leisure activities like two are actually the by products generally have no option but joint golf, tennis, trekking, swimming etc.
of our modern life style. Though replacement. there is lots of From stressa clinician’s on awareness has played a huge point of view Technology this about health has in lead theto asociety but volume role in the advancements in joint huge and rising how many of us are actually living elderly replacement. These days we of active and health conscious a “healthy life”.population. Young people are of these are using custom made implants More and more stuck to computer and other similar which are designed specifically for people are now visiting our OPD’s gadgets , therewith is little or no regular one patient . Patient’s MRI scan geriatric conditions like cardiac athletic activity. Regular meals is sent to the software engineer problems, hypertension, diabetes, osteoarthritis etc. Out and of all these, have been replaced by snacks a few weeks in advance so that osteoarthritis is one disease for they which can design the instruments junk food. This leads to low muscle there is aand single step solution i.e.for joint tone, osteoporosis obesity. that particular patient. So there replacement. done the patient is chance for malalignment or The other extreme is the Once “pumping is no all pain killers and visits to iron” lots who free notfrom only overstress mismatch. Another major progress orthopaedic surgeon. their joints but the also resort to quick is introduction of ceramic joints. fix regime of steroids and The coefficient of friction Knee replacement surgery has been high protein diet. Both the is very low in ceramic a taboo amongst our patient, people groups ultimately land in implants. This increases are ‘scared’ when the doctor mentions orthopaedic clinics with the life of the artificial surgery. The reasons for the repulsion joint related disorders joint and patient can are various : financial, some bad The other experience, group lack is of family support, forget about wear & tear ‘arthritis’ group. It medical is or revision surgery. additional problems etc. either some genetic type We as surgeons have also arthritis like rheumatoid tried to help these patients Dr. Ashwani Maichand Let's take these one by one. arthritis or age related by refining our treatment Dr.M.Ashwani Maichand S. (Ortho) M.Ch (Ortho) wear and tear Financial: In spite of India’s of joints methods and techniques. M. S. (Ortho) M.Ch (Ortho) phenomenal rise as an economy many Fellowship Joint Replacement called osteoarthritis. I have been following the Sr. Consultant Joint Replacement people don’t have consultant Orthopedic Surgeon Rheumatoid arthritis is reach to basic health MIS (Minimally Invasive Dr.Senior B L Kapur Memorial Hospital B Action L Kapur Memorial Hospital SriDr. Balaji Medical Instivery commoncareinfacilities Indiaso knee replacement is Surgery) technique for just like a dream. Another reason is SriNew Balaji tute, DelhiAction Medical Institute and with increasing many years for my joint our elderly are most of the times population wethatget to see more replacements. This means perfect dependent on their next generation patients. handling of soft tissues, no bleeding I am a graduate of medical college On the other hand the rise Nov in – Dec and 2010 fast rehabilitation. The other Rohtak and did my post graduation number of osteoarthritis patients is modification in arthritis management from SMS med college Jaipur. In my due to increasing life expectancy that we do is that we ‘create’ a team and hence more percentage of of family members, physio, surgeon post PG period I had great exposure elderly people in society. and nurses to give the patient a very of joint replacement surgeries Both the groups can help their disciplined but familiar environment at various centres in India and joints by avoiding undue strain like for rehabilitation. abroad. I also completed my MCh heavy weight lifting, stair climbing, degree in 2009. I did my first knee sitting cross legged, squatting Experts Advice replacement surgery in 1999. Till etc because all these activities My message to the patients is that date I have been through more than damage the articular cartilage. don’t allow the joint problems 3000 joint replacement surgeries Regular exercise like walking, to hamper your activities. Get in including knee , hip ,shoulder and jogging keeps the cartilage of touch with your doctor as soon elbow replacements. My team weight bearing joints healthy and as possible. Early diagnosis may is providing comprehensive joint our muscles in good tone. Balanced save you many complications. The care in terms of management of diet provides all the necessary raw joint replacement is a very simple all joint related diseases. It’s not materials for strong bones. Timely surgery with consistent and long only about joint replacement and appropriate advice from your lasting results. Choose a surgeon services but if the situation requires doctor is the single most significant who has good experience and arthroscopy, physiotherapy, rehab, factor in deciding the fate of your more importantly who has ample joint preservation procedures etc joints. time to examine you carefully they are also advised and provided before surgery and to attend to to our patients. your queries after surgery.
Know Your Doctor
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Dr.Ramjee Prasad is Founder of Saraswati Hospital & Research center. He has been practicing as consultant physician & Cardio-Diabetologist from last 3 decades. Dr Ramjee Prasad , Professor & Head of the Department Pulmonary Medcine & Critical Care S.K. Medical College & Hospital.
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Dr. Ramjee Prasad CARDIODIABETOLOGIST
Diabetes is part of your life. You can learn how to take care of yourself and your diabetes when you’re sick, when you’re at work or school, when you travel, when you’re thinking about having a baby or are pregnant, or when there’s an emergency or natural disaster Mar - Apr 2011
r. Ramjee Prasad one of the known figure and famous as one of the best diabetologist speaks to Medgate Today for his current research and explained diabetes. Having a cold, the flu, or an infection can raise your blood glucose levels. You can have serious health problems leading to a coma if your blood glucose levels are very high. Be prepared for illness. Make a plan ahead of time for sick days. • how often to check your blood glucose levels • whether you should check for ketones in your blood or urine • whether you should change your usual dose of your diabetes medicines • what to eat and drink • when to call your health care provider Your doctor may recommend the following: 99 Check your blood glucose level at least four times a day and write down the results in your record book. Keep your results handy so you can report results to your health care team. 99 Keep taking your diabetes medicines, even if you’re not able to eat. 99 Drink at least 1 cup, or 8 ounces, of water or other calorie-free, caffeine-free liquid every hour while you’re awake.
Your health care provider may say you should call right away if your blood glucose levels are above 240 even though you’ve taken your diabetes medicines your urine or blood ketone levels are above normal you vomit more than once you have diarrhea for more than 6 hours you have trouble breathing you have a high fever you can’t think clearly or you feel sleepier than usual Message: To all common people-Diet control,life style modification.Prevention of common deadly disease like Dibetes,Hypertension,Heart disease etc. Water is important to our body use clean and filtered water, avoid pollution .Exercise and yoga is helpful for healthy life.
If you can’t eat your usual food, try eating or drinking any of the following: juice saltine crackers dry toast soup broth or bouillon popsicles or sherbet regular-not sugar-free— gelatin regular—not sugar-free— soda
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One of the safest heart surgeons in the world with a 99.5% success rate in bypass surgery. Dr. Ramakanta Panda Chief Consultant: Cardio-Thoracic Surgery, Asian Heart Institute
Dr. Ramakanta Panda is the Vice Chairman & Managing Director of the well known Asian Heart Institute in Mumbai.
He is one of the safest heart surgeons in the world with a 99.5% success rate in bypass surgery.
He did his cardiac surgery training from world famous Cleveland Clinic, USA; the Mecca of cardiac surgery and also worked there for two years as associate staff surgeon.
Under his leadership within a short span of over seven years not only Asian Heart has established itself as the top heart hospital in the country but also is recognized as a benchmark in hospital design, patient care and quality standards in India. It is the only cardiac hospital in the country to get JCI accreditation and the only hospital in the country to have received ISO – 9001, NIAHO (USA) and JCI accreditation.
Considered as one of the best cardiac surgeons in the country, he has performed over 15,000 heart surgeries including complex aortic aneurysms & over 900 redo bypass surgeries & has pioneered many techniques in cardiac surgery in the country. He is credited with having performed more than 1800 surgeries on patients considered high risk by surgical definition. These surgeries have offered a new lease of life to many patients considered ‘inoperable’.
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Recently conferred on with the Padmabhushan Award- the third highest civilian honour of the country
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Dr. Sharad Lakhotia Performed over 50000 Eye Surgeries of which 25000 surgeries
were performed for poor patients on charitable camps. Organized thousand of Eye Camps and did free screening & Cataract operation since 1980.
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r. Sharad Lakhotia had been President of Delhi Ophthalmological Society from March 2009 to April 2010 comprising 6000 Eye Surgeons of the country including all Eye Surgeons of Delhi. Delhi Ophthalmological Society is one of the largest academy bodies of ophthalmologists in Asia and many of its members are teaching faculty in International Conferences. Its annual convention is attended by over 4000 Eye Surgeons. He is Vice Chairman of Head Quarter Committee of All India Ophthalmological Society. He is also chairman International Relation in recently conducted SAARC academy of ophthalmology which was attended by ophthalmologist from various countries. Dr.Sharad Lakhotia is international member of American Academy of Ophthalmology. Dr. Sharad Lakhotia established Lakhotia Eye Centre & laser Institute in 1986 after returning from abroad after specialized training. Dr. Lakhotia topped university in both graduation andpostgraduationexaminationand received scholarship throughout. He has been Chairman, Co-Chairman, Moderator of various National and International Conferences. He had been vice president of Delhi Medical Association comprising of all twenty thousands Doctors of Delhi in all specialties.. He has been Editor of Ophthalmology Today, a journal of Eye Surgeons from largest medical publication house of Asia. & is currently authoring a text book in
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Dr. Sharad Lakhotia
ophthalmology. He is president of Eye Care Awareness Foundation (Regd). & Ophthalmologists Club. He has contributed in both print & electronic media for Eye Care Awareness. A programme on Zee T.V ‘Ham Honge Kamyab’ in Ophthalmology was featured on him Dr. Lakhotia specializes in Cataract by Phacoemulsification & foldable square edge lens implantation through minimal incision without stitches. He also specializes in C-Lasik for correction of spectacle power besides contact lens & medical retina. Dr. Lakhotia started doing cataract surgery since 1980 and has operated several thousand Cataract operations since then. He has been pioneer of Intra Ocular Implant Surgery and started doing it in 1985 when it just begun in our country. He has been awarded Human Care Award by Chief Minister. He has been nominated for selection committee of Gyan Vigyan Puraskar initiated by Ministry of Home Affairs. He is a self made man with a motto ‘Nobody should lose sight because of ignorance’ & every person has a right to sight with best Eye Care facility within their means.
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Dr. PRADEEP BHARDWAJ Executive Director & CEO
Six Sigma Star Healthcare Limited, Delhi Six Sigma Medical Centre, New Delhi Global Institute of Healthcare Management, Delhi
• Health belongs to the “Service Sector” hence we should underline the Social Contract rather than Business Contract. • According to our finding, In future the hospital will come and hospital will disappear, only those hospitals will survive having the back – up of medical education. • Acute shortage of manpower is a global issue. Half of our population is under 25 years, Age wise India is the
Current Trends in Healthcare
Youngest country in the world and India is the skill capital of the world, the real problems lies in the Quality & not Quantity of manpower. We are short of Doctors, Nurses, Paramedical, but i wonder that we continue to supply the same manpower to other countries like UK, USA, and Australia etc. It is very unfortunate that some healthcare group has taken licences as a business to migrate our qualified people. I request all such groups to stop such migration.
My Advice to Healthcare Professionals:Healthcare is a noble & gratifying profession and people in hospital and healthcare management must feel proud to be the part of these systems, which deals with the question of life and death. Always be a source of light – like stars on earth, be knowledgeful in and creative in talk, amiable and co-operative in relations. Always remember that, Human capital is more important than financial capital. Always practice – Leadership is Action and Not Position. You can’t become a star without dark sky. 30
Dr. Pradeep Bhardwaj alumnus of University of Delhi & Symbiosis, is a young healthcare entrepreneur, who plays on people strengths. He is known for his undying enthusiasm and positive attitude. Dr. Bhardwaj is renowned hospital and healthcare management expert, recipient of many prestigious awards like - Limca Records holder for being the Youngest Medical Superintendent (Recorded in Limca Book) at the age of 26 years, Rajiv Gandhi Award -2010, Indian Achiever Award by UAE Govt., and Rashtriya Ratan Award-2009 (first recipient in healthcare management).
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Q Dr.Rajiva Kumar is consultant pediatrician. Practicing for last 20 years. Dedicated to the community. Case taking 200 per day in OPD
. Doctor tell us about your specialization and latest trend immunization? Well, Pediatric. Screening and evaluating babies and children for appropriate growth and development, and assessing abnormalities and disabilities, if any. Vaccination of babies and children, and advice about specific disease prevention. Vaccination shots are an essential part of child health care. Though painful, immunization protects children against a variety of diseases. The first vaccine was used a little over a hundred years ago, and vaccination is today well established as a major tool of child health. In the field of immunization a lot of change is happening, continuous vaccines give least exposure to the Climate and diseases.New vaccine is coming regularly like chicken pox, Hepatitis,HIB,influenza etc. In breathing problem Nebulizer and inhaler plays vital role . Focus on clinical
investigation & dependency for diagnosis? yes ,Doctor’s are dependent on investigation. To reach correct diagnosis clinical examinations are required with proper examining of patient. . What is your message to moms? Regular and timely vaccination is very important as prevention is better than cure. Without Vaccine preventable diseases are fatal, or leave lifelong disabilities. Medical science still does not have cures for many of them, making vaccination vital for every child. Most of the vaccines in use today are safe and effective, and provide good protection to your child. Use Hygiene methods like washing hands before meal and use personal hankie and towel or use tissue paper. Do Preventive regular checkups and be touch with doctor.
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We from the department of Dermatocosmetology at Lilavati hospital would like to tell are patients to be free to bring to us their skin problems, as we have diverse range of equipment to help them achieve what they desire with realistic expections. Dr S G Parasramani is a Consultant Dermatologist and laser surgeon, in practice since 25 years. He completed post graduation (MD) from Grant Medical College, Mumbai in 1984 and DDV from CPS, Mumbai in 1983 and was a lecturer in Grant Medical college after passing his post graduation. At present he is a Consultant with Lilavati Hospital since 1999. He conceptualized Dermocosmetology center at the hospital in 2007, which was a new concept in a hospital setup. Other attachments include Ramakrishna Mission Hospital, khar, Mumbai and Guru Nanak Hospital, Bandra, Mumbai. He is also serving as a Panel consultant for Air India and ONGC and is a Life Member of IADV&L, IAL, ACSI, AMC, IMA and IACLS. In the past also worked at Inlaks General Hospital, Chembur, Mumbai, Kewalram Chanrai Hospital and Mahindra & Mahindra Ltd. He has presented papers at National and International conferences. Dermocosmetology clinic is one of its kind where dermatology & cosmetology have been amalgamated in a hospital setup. Medlite C6 laser- Q-Switched Nd-YAG laser
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is a versatile laser which he has been using for last four years. Results for Nevus of Ota are remarkable almost ninety percent clearance of pigment is seen. This laser is also useful to treat tattoos, nevomelanocytic nevii, CafÊ au lait spots, freckles, melasma, and Hori’s nevus. It is useful for non ablative face rejuvenation. The laser centre has a long pulsed Nd:YAG laser for hair reduction and to treat vascular skin disorders. Davvlin phototherapy unit has both narrow band UVB and UVA to treat diverse skin conditions. Radiofrequency equipment, fractional carbondioxide laser, conmed electrocautery and cryotherapy units are available at the centre. Cosmetic procedures like various chemical peels, botulinium toxin injections, fillers and various facial treatments are carried out accordingly. All patients are medically evaluated and depending on the treatments required their cases are discussed and the required procedures are then carried out. Periodic follow-up is maintained and medical records well preserved. We from the department of Dermatocosmetology at Lilavati hospital would like to tell are patients to be free to bring to us their skin problems, as we have diverse range of equipment to help them achieve what they desire with realistic expections.
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COVER NEWS UPDATE STORY
In addition to PGI, Chandigarh, Dr.Bose was trained in some of the most well known Institutes - Memorial Sloan Kettering Cancer Centre, New York; Royal Postgraduate Medical School, London; Kings College, London ; S.S.K.M.Hospital, Kolkata. Dr.Bose has done excellently well in all fields of medical science, patient care - a surgeon with vast expertise, he is credited with starting many new procedures in PGI and northern India, a few of these being -
He was President of Association of Surgeons of India, Indian Assocn of Surgical Gastroenterology , Chandigarh Surgical Society. Dr.Bose has been deeply interested in Cancer Awareness and early Detection , has written a health education book CANCER , which has been published by government agency and already translated in 7 vernacular languages. He has delivered a large number of public lectures on the subject. Prof. Bose continues to
breast conservation for breast cancer both early and locally advanced stages; Mini and Laparoscopic surgery; stapler haemorrhoidectomy etc. He was the first one in the country to start Nonoperative Management of Haemoperitoneum for which he was awarded by the President of India with the prestigious MCI award for outstanding research in medical field. Dr.Bose has contributed more than 120 articles. Prof. Bose is a well known medical teacher, participated in a large number of postgraduate teaching courses in the country and abroad; and for this he was decorated by President of India with Dr. B.C.Roy Award of Eminent Medical Teacher. Hundreds of his students are presently occupying prestigious positions in the country and abroad.
participate in all the activities , he is an inspiration for his juniors and colleagues, and with the grace of God, he would continue to serve the humanity for many many years.
Prof. Dr. Shashanka Mohan Bose MS.FRCS,FACS,FACG,FAMS,FICS
current trends in Surgery Prof. Dr.Shashanka Mohan Bose, MS.FRCS,FACS,FACG,FAMS,FICS, the eminent and well known Senior Surgeon of India, super annuated as Senior Professor and Head of Surgery of the Postgraduate Institute of Medical Education and Research, Chandigarh, having spent 40 years in this prestigious Institution.
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latest technology and focus on current trends in Surgery Surgery has made tremendous progress during the last 25 to 30 years and India is one of the front rankers in this. Minimal invasive surgery, transplants and replacements, foetal surgery, complicated heart and neuro operations are common procedures of modern era with minimal mortality and mobidity . Sky seems to be the limit for the all round progress in all branches of surgical discipline. Indian Surgeons like Prof. S.M.Bose have earned coveted and respected positions all over the world ; and our best wishes to them.
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Cancer does not mean Cancel.
Technology has changed the way we do surgeries, applying the most suitable and the right technique is what the skill is about. Robot assisted Laparoscopic surgeries, Laparoscopic surgeries and new techniques in Open surgeries are great developments in Urology but to put them to optimal use we need the right kind of patients otherwise doing it for the sake of using technology but not on an appropriate patient can bring disrepute to the surgery and the Dr Rishikesh R Pandya Consultant UroOncologist / Urologist technology. Awareness and patient education holds the key to this Fortis Hospital, Mulund and Kalyan, Mumbai success. For patients with terminally ill diseases we do not have a support system for the end of life care. As a Cancer care provider I try and put efforts to make my patients and their families to sail through the rough time of losing a dear one with as less overall pain as possible. I have a network of this patients group who participate actively in counseling and educating fellow patients. This is one of my ambitions to increase the group to such a large proportion to support as many patients as we can. Currently I offer my services as Consultant UroOncologist and Urologist through the Fortis group of hospitals in Mumbai. There will be practically no one who has not heard about the Fortis Hospitals. Fasted growing healthcare group in India and best part is with a vision. At the Mulund facility we just concluded a very successful 2 weeks program of awareness and screening called “Fight against Cancer”
My message to the common man is Cancer does not mean Cancel. Get yourself aware to lead a healthy life. Fear brings more pain and sorrow. Actively participate in understanding the disease from the doctor. Do not just go on blind faith although Doctors profession is still considered a noble profession it has become a debatable issue. Educate yourself because just money cannot buy health.
Dr Rishikesh R Pandya MCh Urology, Diplomate of National Board – Urology, UroOncology Fellowship, University of Toronto Laparoscopic Urology fellowship- Elisabethinen Hospital, Linz Austria. After basic qualifications in Mumbai I have worked in University of Toronto as fellow in UroOncology and then further enhanced surgical skills in Laparoscopic Urology by working at the Elisabethinen Hospital in Linz in Austria. On my return back to India I have dedicated most of my services as UroOncology specialist that deals with cancer of the GenitoUrinary System. In the first 10 common cancers – Prostate cancer, Kidney cancer and Urinary bladder cancer get mentioned all over the world especially in men above the age of 50 years, India is no exception. Lack of awareness is a major concern as fear, myths and ignorance lead to misery and death by cancer. To mention the work - I have done more than 200 UroOncological procedures. I have articles and chapters in UroOncological reference books. My strength and main area of interest is work at community level to create awareness and promote the fight against cancer specially Prostate Cancer. Cancer does not mean Cancel as it is commonly thought. 34
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Allegic respiratoty disorders,in particular asthama are increasing in prevalence,which is a global phenomenon. Dr. N.Ashraf
Specialist in Chest Medicine
Dr.N.Ashraf is one of the leading Pulmonologist and chest physician spoke to Medgate Today about his research on Asthma. He is running a very successful hospital in short span of time in Delhi. Asthma is a chronic inflammation of the bronchial tubes (airways) that causes swelling and narrowing (constriction) of the airways. The result is difficulty breathing. The bronchial narrowing is usually either totally or at least partially reversible with treatments. Bronchial tubes that are chronically inflamed may become overly sensitive to allergens (specific triggers) or irritants (nonspecific triggers). The airways may become “twitchy” and remain in a state of heightened sensitivity. This is called “bronchial hyperreactivity” (BHR). The symptoms of asthma vary from person to person and in any Mar - Apr 2011
individual from time to time. It is important to remember that many of these symptoms can be subtle and similar to those seen in other conditions. All of the symptoms mentioned below can be present in other respiratory, and sometimes, in heart conditions You have a 6% chance of having asthma if neither parent has the condition, a 30% chance if one parent has it, and a 70% chance if both parents have it. Medications chemically similar to adrenaline have been developed. These medications, called beta-2 agonists, have the bronchodilating benefits of adrenaline without many of its unwanted side effects. Beta-2 agonists are inhaled bronchodilators which are called “agonists” because they promote the action of the beta-2 receptor of bronchial wall muscle. This receptor acts to relax the muscular wall of the airways (bronchi), resulting in bronchodilation. The bronchodilator action of beta-2 agonists starts within minutes after inhalation and lasts for about four hours
“There is no cure for asthma, but the disease can be controlled in most patients with good medical care. The condition should be taken seriously, since uncontrolled asthma may result in emergency hospitalization and possible death.”
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Dr.Naresh Trehan
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CMD, Medanta, The Medcity
ecent advance in cardiac surgery have focused on the need to make surgery less invasive and less painful, reduce hospital stay and result in quicker return to productive life. In addition, several new technologies have evolved to deal with conditions which were previously considered inoperable or not amenable to surgical treatment. Among the innovations ,the incisions on the chest have become much smaller. These may now consist of a cut only on the upper or lower part of the sternum (breast bone), or entering the chest cavity through an incision in between the ribs, thus avoiding cutting any bone at all. Through these techniques multi vessel bypass surgery, valve replacements and repair of certain kinds of holes in the heart are possible. Other techniques are Heart Port Surgery, in which only small incisions are made in between ribs, through which instrument can be passed and cardiac surgery done. A revolutionary method, though not yet widely available is robotic surgery. This technique consist of a surgeon manning a robot in a room next to the patient or even in a remote site. Small incisions are made on the patient’s 36
Recent advances in Cardiac Surgery
chest through which robotic arms holding different instruments are passed inside the chest. The movement of these operative instruments occur on the command of the surgeon manning the robot and can be very precise and free of distoration. An advantage of this technique is that the surgeon and the patient may be situated in different cities or countries and yet precise surgery can be done. Newer diagnostic techniques have developed to identify patients previously considered inoperable who can benefit from bypass surgery. These techniques, for example PET scanner can identify heart muscle which apparently looks dead and non functional but is actually capable of being revived once its blood supply is restored. Used judiciously, many patients previously considered as hopeless have shown dramatic improvement. These are certain situations where heart muscle has suffered a severe injury but could recover if given time. In these patients support devices called “Ventricular assist devices” (VAD) are now available which can tide the patient over that critical condition. Some of these are designed for long term use and have been miniaturised enough to be implanted in the patients body to take over function of the heart which has been permanently damaged. These are also called “Artificial hearts”. They are still undergoing refinements and though the devices available are far superior to what was available earlier, the ideal device is still to be developed.
Cardiac transplants have been around for several years though they have not yet been widely available in our country. There are obvious difficultes of procuring a healthy heart matching that of the recepient. Usually these hearts have to be donated by the families of victims dying of trauma. For this program to be successful there has to enough public awareness, willingness to overcome ingrained thought processes and a information grid which describes the location of different recepients along with their profile in different geographical areas of the countries. And finally there is an exciting field of Stem Cell and Gene therapy. A patient’s own Stem cells, which are capable of forming any body tissue, are isolated from the bone marrow and injected into the heart either during surgery or through catheters to help grow new muscle. The field is still evolving but there is a tremendous amount of interest in this technique. Attempts are also being made to grow heart valves outside the body so that the damaged valve can be replaced by valves made from a patient’s own tissue. Preliminary attempts are also being made to grow sheets of heart muscles to use to replace the damaged heart muscle. This is but a brief snapshot of exciting new developements in the field of cardiac surgery and we hope that the next couple of decades will see some revolutionary treatment modalities resulting in far greater benefits for our patients. Mar - Apr 2011
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Cardiac Rehabilitation
According to WHO, defines it as development of physical, psychological, vocational, social and educational potential consistent with his/her physiological impairment conducive to the environmental limitation. Dr. Zahid Jamal BPT, Physiotherapist Aims of Cardiac Rehabilitation
To restore him to self reliance in daily active life. • To restore him to formal work activities • To prepare him for another full time employment compatible with his working capacities. Sheltered workshop. Warning Signs & Symptoms of Cardiac Rehabilitation Dyspnea. Pulse rate–rate should come back to resting level in 2–3 minutes after ending the exercise. Pulse ratio–Pulse is taken before the exercise then on completion. Pulse is counted for 2 consecutive minutes. The pulse after exercise is divided by resting pulse to give pulse ratio e.g. pulse before exercise = 80. Chest pain–Patients must be educated to report chest pain and to rest immediately on any onset of retrosternal sensation or tightness in chest. Fatigue–If patient is doing the ex. every day, and at same patient feels tired before completion of exercise, he should stop exercise at that point and rest. Dizziness–Any onset of dizziness or faintness must be reported & Patient should rest. Cramps–If patient is developing cramps in any of the muscles during the exercise, exercise should be stopped for the day. Abnormal ECG recording–If any abnormality presents, exercise should be stopped on that day and progressed slowly. 38
Abnormal BP. Decreased urinary output. Signs of CV insufficiency. Phase–I of Cardiac Rehabilitation This begins when the patient is admitted to the hospital and ends on discharge, which is usually 7 to 10 days.
Aims
To prevent accumulation of secretion in the lungs. To prevent lung collapse and consolidation.. To prevent Deep Vein Thrombosis. To prevent bed sores.
To teach and encourage relaxation.
• To train postural awareness strengthening trunk and leg muscles. Day 1 to 2 • Nebulisation,Humidification, Vibration, Percussion, Postural drainage and Breathing exercise followed by coughing and huffing. • Passive exercises –ankle/toe exercises– Active movements limited to 5 repetitions. Positioning of the patient to prevent bed sores. • Activities allowed are bed side commode, self feeding, partial self care and mostly bed rest and supported sitting. Day 3 to 4 • Continue all of above, number of repetitions can be increased to 10. • SLR (straight leg raising) can be started– repeat 5 times. • Sitting in a chair 5–10 minutes. Mar - Apr 2011
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• Partial self–care, taking bath in sitting, position by sitting on a high stool. • Isometric activities can be started. • SLR repetition can be increased to 10. • Walking 5–10 minutes. • Sitting and self feeding in a chair. Days 5 to 6 • Same as all of the above. • Trunk mobility exercises. • No. of repetition can be increased. • Walking 50 to 100 meters. Stair cimbing 5-7 steps. • Activities allowed, self dressing and assisted showering. Days 7 to 9 • All of the above, walking 200 meters. • Climb up full one flight of steps (10-15) steps. • Patient in chair most of the day and allowed to shower himself. Day 10 • All of above continue. Before discharge, Exercise Tolerance Tests as below are performed which help us to give a home exercise program to the patient. • 12 minutes walk test–Ask the patient to relax completely, take his resting pulse, BP, RR. Ask the patient to walk comfortably at his own normal pace for 12 minutes in the corridor. Monitor the no. of pauses. Grading used is: Grade I–test cannot be completed. Grade II–can complete the test with more than 3 pauses. Grade III–can complete the test with 3 pauses. Grade IV–can complete without pause. Grade V–complete with 5 kgs extra weight. Take BP, pulse, RR and after 3 minutes of test to check recovery. Progression is by increasing the destination or the speed in the given time. Phase–II It begins when patient is discharged from hospital and continues for 6 weeks to 6 months depending upon facilities and patient’s condition. This phase covers
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DOCTOR SPEAK
supervised home exercises or supervised monitored exercises in an out patient cardiac rehab. center. It is continuation program of Phase–I until a re–evaluation by physician is competed 6–8 weeks Post MI following which a new exercise program is prescribed. During phase–II patients programs are restricted to low level to less restricted moderate level training program. Duration of walking/cycling begins with 10– 20 minutes and progresses to 50–60 minutes within 6 weeks. Each exercise session is divided into warm up and cool down period. Warm up and cool down lasts for at least 5 minutes, at a heart rate of 12–18 minutes with a freq. of 2 times /day, 5–6 times/week. Mostly walking and stationary cycling is given. Occupational and recreational exercise are recommended. Phase–III
Aims
To further increase exercise tolerance. To maintain or improve confidence. To provide support and encouragement. To help decrease risk factors and thereby decrease recurrence. exercises are progressively increased. Exercises intensity is based on patients medical and physical status. Duration is 15–60 minutes depending upon time and intensity. Warm up and cool–down periods should be crucial, i.e. 5–10 minutes. Physical examination as a part of daily activity should be carried out. Exercises are given at 60% of maximum heart rate achieved during stress test. Stress test is done regularly, (after 3 months) and
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Rehabilitation Aids & Implant
Laid a humble foundations of what today is one of the largest Rehebilitation aids & Product, producing company in India, at Delhi
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e “Advance Health Care�, are professionally manged company engaged in manufacturing and supplying a comprehensive range of rehabilitation aids and implements. These include orthopedic support products like knee support socks, ankle support socks, various vein support, cervical collar, arm sling pouch, back support strap, crape bandage, walking stick, wheel chair, crutches and walker. Established in the year 2004, at New Delhi, our team of professionals with their extensive industry experience has helped us in becoming a well reckoned name in the medical and rehabilitation aids industry. Our founder Mr. Jateshwar Jha, who has with him more than 8 years of process experience guides us in the involved business operations. His valuable contribution has assisted us as a team in yearning higher productivity every year. In addition, our team of quality inspectors follow stringent quality check at each stage of production process to ensure delivery of qualitative product range to our valuable customers. Further, our state-of-the-art infrastructure base comprising of advanced production machinery like car collar knitting machine, stitching machine, etc. assist us in designing and developing innovated range of products as well as in the handling of customized projects. Quality Our objective is to deliver qualitative and reliable implements and rehabilitation aids to our valuable customers in both the national and international markets. We make sure that all our products are thoroughly checked at various stages of production and thus, meet the current international quality standards of accuracy and performance. This ensures top-notch levels of precision & accuracy in our products.
Mr. Jateshwar Jha
Managing Director, Advance Health Care Pvt. Ltd.
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Products Knee Support, Ankle Support, Varicose Vein Support, Cervical Collar.
Vision To be the leader in the rehabilitation aids and implement industry We commit ourselves to total customer care by delivering world-class products and services Mar - Apr 2011
VERICOSE VEIN SUPPORT
KNEE SUPPORT
ANKLE SUPPORT
ADVANCE CARE ADVANCE HEALTH HEALTH CARE Manufacturer of ortho and Rehabilitation Aids
Manufacturer of ortho and Rehabilitation Aids C-162, PremNagar Nagar- II, - II,Nangloi, Nangloi, Delhi - 110 C-162, Prem Delhi - 110 041041 Contact us: +91 9289336800, 9310039239 Phone: 011-25180014 Mobile: +91 9968139239, +91 9310039239 Email: info@advancehealthcare.in Email: info@advancehealthcare.in Website: www.advancehealthcare.in Website: www.advancehealthcare.in
Mar - Apr 2011 Jan – Feb 2011
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INTERVIEW
“Mr.Suresh Babu is the global product head of Powerstretch range of products apart from heading the domestic division of the GBL’s entire product range. GBL is planning to launch its PowerstretchTM product range globally and is in the process of adding more potential products under the brand PowerstretchTM”
About Company
Suresh Babu
Senior Manager (Marketing & Technical Services)
Qualification MBA (Marketing), PGD – Rubber Technology (IIT, Kharagpur), DTT (Textiles) Total Experience Sales & Marketing: 10 Yrs, Production & Plant Administration: 7 Years. Total: 17 years
Garware Bestretch Limited; a part of Rs.500 Crore RBG group is the pioneer in the manufacturing of medical rubber products. They are 100% EOU and export to more than 55 countries worldwide. GBL’s product range include Autoclavable Silicon coated “SMART” rubber sheetings, Esmarch Bandage & Tourniquets. GBL recently entered in to the Fitness industry by introducing range of products for Physiotherapy rehabilitation and power exercise under the umbrella brand name “PowerstretchTM” in the retail segment through distribution channels. Powerstretch range of products include Latex & Latex-free exercise bands, Exercise band accessories such as handles, knee/ Neck/Head connector straps, Physio balls, Gel balls, Stability Discs, Clip TQs etc. All the GBL products are listed with FDA-USA and Oekotex Certified.
Achievements All India 1st Rank and Gold Medalist in Textiles (Ministry of Textiles, Govt.of India) and Rubber Technology (IIT, Kgaragpur). Country visited for business trip Malaysia
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EasyCare is established in the year 2008 with success of the latter firm named M. K Agencies since 1994 which is now Ranish Impex Pvt. Ltd., also there are other additions like Bhagwatti Impex & Param International. All the entities are now conglomerate of EasyCare Group.The operations of the group is in to healthcare & surgical distribution. Easy Care has been established to lead the group with different focused operations in respective feilds by Mr. Kishorbhai Thakker, Mr. Parag Thakker, Mr. Manish Thakker, In today’s era the distribution of required products is not sufficient as consumer expectations have gone up for better quality, price and service. The change in the
Mr. Manish Thakker & Mr.Parag Thakker
product development, with basic principle to provide a platform for the people. The operational and functional expertise are involved in various disciplines as supply chain management, distribution, logistics, inventory, marketing & sales, customer relations,
In today’s era the distribution of required products is not sufficient as consumer expectations have gone up for better quality, price and service. pattern as brought channel partners to work towards modern way of distribution than the traditional ones. Day by Day modernization, Up gradation of technology are enhanced to provide best quality products to the end user. The brand EasyCare has been a thought evolved with practical experience of years in the field of healthcare and Mar - Apr 2011
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finance, and back support systems etc. Emphasis on providing range, selections, support and solutions to the buyer. Customer centric approach with multidimensional expertise and quality product is the base of EasyCare. We bring you the world’s best products to because you deserve it.
Directors Easy Care Group
Vision provide variety of products to the suitability of requirements and need. Strict controls over quality standards. To provide them only that what is needed. To be transparent & honest. Assurance of best services in the area. Create bonds in improving healthcare services & quality of healthcare through best products. To give a platform for product manufacturers and providers to explore in the healthcare segments. To launch and get associated with them for quality products with required representations.
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Mr.Suyash Borar
Chief Operating Officer B. M. Birla Heart Research Centre
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The name B. M. Birla Heart Research Centre has become synonymous with being the ultimate destination of Heart Care in this region. Since its inception they have performed over 17,000 cardiac surgery and more than 68,000 cath procedure with a success rate of over 99%. Mr.Suyash Borar the Chief Operating Officer of this institute spoke to our
correspondent about the status of this institution and how it is still striving towards further excellence with top most patient care in mind.
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: B.M.Birla Heart Research Centre has come a long way providing quality treatment, how do you ensure that the hospital maintains its quality care? Mar - Apr 2011
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INTERVIEW
Hospital and Healthcare - NABH reaccreditation. In 2006 we were the first Hospital in India to receive NABH accreditation. In India, 327 hospitals have applied for NABH and only 39 hospitals have been given the NABH accreditation. It is to be noted here that ISQUA an international body grants approval to Accreditation Bodies in the area of healthcare as mark of equivalence of accreditation program of member countries. The approval of ISQua authenticates that NABH standards are in consonance with the global benchmarks set by ISQua. So far hospital standards of only 11 countries have received ISQua Accreditation. Hospitals in India of NABH Standard are equivalent to hospitals providing healthcare to patients in Australia, Canada, Japan and United Kingdom.On Pathology department we were the first hospital in India to also received NABL accreditation and CAP (College of American Pathology). So you can say that we ensure quality care not by self claimant but through proper evaluation process by external authorities.
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:What are the various technologies and services that are available at the hospital for heart treatment?
B.M.Birla Heart Research Centre is a one stop solution to all heart related problem. Our centre has recently been incorporated with latest generation of cardiac equipments like Philips Allura F D 10 which is the latest cardiac care system having special features such as stent boost, there is also 3D reconstruction mapping DSA refraction facility which is the first in eastern region which can be compared to international standard. We also have a rotablator system for CTO calcified lesion. In our echocardiography department we have a 3 dimensional echocardiography which can be done on adult, paediatric patients as well as on foetal. Our centre also has a department of Nuclear Medicine which has an unique Dual Head “INFINIA” Gamma Camera which would provide economic and accurate non-invasive diagnosis of artery disease. BM Birla Heart Research Centre has set up a lifestyle clinic and rehabilitation clinic, the first of its kind in Eastern India . EECP or Enhanced External Counter pulsation Therapy is also available here.
B.M.Birla Heart Research Centre
B.M.Birla Heart Research Centre has always emphasised on patient safety and quality of care. This constant emphatic emphasis on quality care has been rewarded to us this year by being the first hospital in India to receive the National Accreditation Board for Mar - Apr 2011
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:Could you please emphasize on the cardiac care packages. How economical are they?
B.M.Birla Heart Research Centre ensures quality of treatment and value for money .It is a not for profit hospital under a trust so the charges are affordable. As the hospital is run by a trust which does not aim at profit we aim to provide quality cardiac care to all patients across all section. Our centre has subsidized cath package for Rs 9,900 and surgery package of Rs1,15,000. We have started a program know as “healing little hearts …”
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I introduced VACWOUNDTM Therapy, means Value Added Care in wound management includes Negative Pressure Wound Therapy (NPWT), Tropical Hyperbaric Oxygen Therapy(THOH), Pneumatic Compression Therapy concepts in India, an established methodology in global healthcare scenario
How the therapy works on Cellular Level?
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ound Management was never a focused area of Indian healthcare industry whereas everybody is aware of how important is to control post surgical infections, trauma & chronic ulcers. Even after successful super specialty surgeries, infection are not controlled the surgical success is not a success. Management of difficult wounds was an area of concern for healthcare experts, where I started working in the year 2006.
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Siddharth Mandal CEO JCB ENTERPRISES PVT. LTD.
What is Negative Pressure Wound Therapy (NPWT)? The NPWT system Delivers sub-atmospheric Pressure (-10 to -200mmHg) to the wound site applied by a tubing which decompresses the specially designed foam dressing continuously or intermittently depending upon the wound type and the clinical objectives
The Negative Pressure Wound Therapy is truely a bio-mechanism, no drug involved, i.e., its specially networked structure improves micro angiogenesis by removing edema, improves dermal perfusion, gives macrostrain on to the wound bed & micro-strain at tissue level which enhances mitosis process & contracts the wound in overall size, promotes granulation tissue formation by facilitating cell migration and proliferation
How the system removes barrier to healing? Fist and the foremost thing is it is a closed sterile technique of dressing,
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where all bacterial interference from external environment stops as soon as we start the therapy. Secondly it continuously removes edema & all bacteria colonized output from the wound, doesn’t allow time for fresh bacterial colonization, improves oxygenation, provides an optimal closed moist wound healing environment.
Is there any Clinical Evidences & Case Studies? Thousands of case studies available Indian or International.
What are the Indications & Contraindications? The therapy is indicated for almost all kind of wounds including Chronic, Acute or Burns. This is also indicated for post flap & graft, for secured fixation where wound bed is not regular. It help in good post surgical outcome.
What are the various dressings available? & Sizes? Yes we have come up
INTERVIEW
Yes we do have VACWOUNDTM Therapy Academy for doctors, Nurses & Technical staffs, This is quite extensively designed with hands on training update programmes. We also encourage healthcare experts to prepare their own case studies for patients & next generation healthcare professional. We have a clinical team of Nurses & paramedical staffs highly skilled & trained in VACWOUNDTM Therapy modalities to support 24x7.
Is it Economically feasible? Yes, it is economical as we have come up with Indian versions, also if we compare the overall cost involved with medication, hospitalization and most importantly time and quality of life. It saves life & limbs. For healthcare experts its very useful as it minimizes nursing time as the dressing change is required only after 3-4 days and also improves bed rotation with very high success rate.
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with different dressings for different wound etiologies. We have sizes for Small, Medium, Large, Extra Large wounds, Abdominal Wounds, Sternal Wounds etc..
Do you have any Education & Training programmes?
Do you have any global interest with this portfolio ? In global platform, focusing on the markets of Middle East, South East Asia, Srilanka, North America & African countries where wound is still an area of concern.
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EXPERT VIEWS
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Healthcare Planning and PROJECTS DEVELOPMENT CORE Management an overview of Medical Equipment Management
project conceptualization
M
healthcare management g co
aintenance is a small little word which infrastructure has to be understood quite in planning depth rather than its superficial meaning of organizational just repairing. Maintenance is a very wide subject which encompasses a whole range of maintenance service p the g management activities regardingplanning project j t following:
Infrastructure comprising of civil, electrical, plumbing, air conditioning and other associated services equipment planning Equipment (medical & non-medical), Plant and machineries like generator, air-conditioning plant, lifts, electrical equipments, autoclaves, coolers, water machines, cleaning machines, incinerators, mortuary coolers, refrigerators etc
development managementt
hospital operations
This chapter undertakes a detailed description of the maintenance management of all above in brief. A. Infrastructure Hospital infrastructure is unique, in a way that it houses a service delivery institution, hence it needs to be separately handled in terms of its maintenance from other infrastructures. If the construction has taken into consideration maintenance free materials, the job becomes easier for the maintenance personnel, otherwise it remains on them to gradually shift during maintenance period towards replacing the existing exposed surfaces with maintenance free materials, so that future maintenance becomes easier and les costly.
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Dr Ashish Roy Director
DDF Healthcare Consultants Medical Equipment Management
ore B. Equipment (medical & non-medical), Plant and machineries Modern medical practice has seen the influx of modern, costly, and technically complex equipments, which although has improved the functioning of the care providers, nevertheless it has added the pressures on the hospital engineering department in terms of their complex maintenance issues, staff training, budget etc. Every equipment has a specific management cycle which has to be understood first, to actually know the maintenance needs, as maintenance means much more than just repairing. Equipment Management Cycle
We will call equipment as all
medical and non-medical plants and equipments for ease of description in this chapter. Equipment management is a continuous process and need to follow a specific chain of activities in a cyclical pattern. This is true for both biomedical equipments and any other plants and machineries that are used in a hospital or a health centers. This may or may not follow a specific type, and may vary from one organization to another. – More details on healthcare planning and managment in next issue
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ur world class products cover a wide range of medical instruments in the field of Cardiology, Imaging, Critical Care Instruments, Monitoring and Gynecology. Medical products require a high degree of quality and reliability, Scientech
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proliferation of hospitals & nursing homes, technological advancements and increasing government support are some of the driving factors in the medical equipment sector.
The healthcare industry is growing and demands are more portable and user friendly devices. Now hospitals, diagnostic centers prefer portable ultrasound machine to big, bulky trolly Machines. They are very keen to modify their hospital and facilities that’s why they are shifting for technological oriented systems. Software plays a very important role in that. Our machines Pranay Upadhyay , Senior Marketing take care of such Executive, Scientech Technologies Pvt systems Ltd, Indore takes care of the Business and Development for the Healthcare vertical now our in the organization. He has done MBA from
University of Applied Sciences, Wuerzburg, Germany, where he had successfully completed his Master Thesis with Senior German Professor on Healthcare Industry. After completing the post graduate diploma in Management from Christ University, Bangalore he has joined the organization and handled the responsibility for the Scientech Medicare a health care division of Scientech Technologies Pvt Ltd, Indore. The company has pick up the market and sales from there and now Scientech Medicare is a well known brand in the health care industry with a significant share. Medicare provides the same level of quality and reliability with our products and services. Focus on growth of Industry. The increase in the healthcare expenditure, rise in demand for healthcare services with respect to growing population, 50
New product launch Recently we have launched our new Portable Ultrasound Machine Caddo 11B. As name implied the machine is very portable only 11 kgs. and user friendly having operating system XPE. The USP of Scientech Medicare’s Caddo 11B is that we have kept the pricing very affordable for doctors, diagnostic centers, practitioners without compromising on the quality. The other advantage one can get is after sales service from Scientech. In Biomedical Educational Training Systems, we have new Anaesthesia Machine Trainer, Medical Ultrasound Machine Trainer, ECG, EMG, EEG Machine Trainers, etc. for the Biomedical Engineering Colleges, Medical Colleges, Paramedical colleges and Nursing institutes to understand the concept and gain the most from the technology. Scientech is an Indian company with a Global vision. We truly understand the Indian market, and our prices are very competitive. Before launching a product in the market, we test our products at several levels to ensure the quality. Our company is a member of WorldDidac, Switzerland. We are an ISO 9001:2000 certified company.
The healthcare industry is growing and demands are more portable and user friendly devices.
instruments are available with USB, DICOM, Ethernet, etc which is the best feature for Tele-Medicine.
Mar - Apr 2011
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For Further enquiries: GLOBAL RESOURCES & PROJECTS NIG. LTD 40, Adegbola Street, Anifowoshe, Ikeja, Lagos. Tel: 01-764768, 4800305, 08051444457, 08023537519, 08055819992 E-mail:info@westafricanhealth.org, globalpri@yahoo.com
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Window Techs always believes in innovation
Focus on R&D department
Our R&D Department has played an important role in improving the overall efficiency in our organization. A routing Research & development programmes are carried out to achieve the following objectives: • • • • •
Improvements in quality by improving manufacturing technology and process. Low manufacturing and process improvement. Conduct exploratory research to develop new product lines and markets. Develop new products and processes that are environmentally responsible. To minimize environmental hazards.
Our R&D Department has pl ayed an important role in improving the overall efficie ncy in our organization W indow Techs introduces first time into India Lutron Lighting Control Systems for the Healthcare Sector. Lutron light control is a powerful way to support the design goals important to healthcare facilities. It improves the patient experience, enhances staff performance and dramatically reduces energy usage, contributing to an environmentally conscious building design.
Light control provides: »» increased patient satisfaction »» improved staff performance Advantages: Patient satisfaction
Enhance the patient experience Many studies have shown the importance of quality light, both sunlight and electric light on patient health and wellbeing. Enabling patients to adjust their lights and control their window shades encourages the patient to personalize Vishal Saraf Managing Director, Window Techs his or her visual environment, enhancing the overall healthcare experience.
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improve patient comfort support natural circadian rhythms enable the patient to adjust lights and shades without relying on the staff
Staff performance
Support the quality of care Light control supports hospital staff by providing the appropriate light for any task. Light controls can also reduce the demands on hospital staff, allowing them to focus on their primary responsibilities with fewer distractions. Having the ability to adjust lights to a personal preference supports staff to deliver the highest quality care. Improve staff performance by providing lighting levels that are most appropriate for the task at hand increase staff satisfaction with lighting based on personal preference Zoheb Zuber
Manager-Business Development
Medgate today has attempt ed to know the signature of Window Techs Few of our major installations
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Max Hospitals,New Delhi Moolchand Medcity,New Delhi GTB Hospital,New Delhi Fortis Healthcare,New Delhi Oswal cancer Institute,Ludhiana SPS Apollo Hospital,Ludhiana Alchemist Institute of Medical Sciences, Gurgaon Jeevan mala Hospital,New Delhi Surana Hospital,Mumbai St.Thomas Hospital,Chennai Holy Help Hospital,Hisar National Heart Institute,New Delhi Himalayan Hospital,Dehradun Nigeria Hospital,Nigeria Bhagat Chandra hospital,New Delhi Goa Medical College,Goa Apollo Indraprastha Hospital,New Delhi Delhi State Cancer Institute,New Delhi
Mar - Apr 2011
“Window Techs, Part of Saraf Group of Companies” is one of the pioneer names in the Interior Products for the Healthcare Industry. Over the years we have built trust and confidence in this crowded market place due to our unmatched quality and services. All our products are in accordance with international quality and are of the highest standards. We believe in “BRINGING THE TECHNOLOGY OF TOMORROW…….INTO THE HANDS OF FRONTLINE CARE, TODAY.”
Products
• G-Rail Privacy Curtain Rail System – Manual & Electrically operated • Hospital Curtains – Inherently Anti Microbial & Flame Retardant • Hospital Bed Linen – Anti Bacterial Fabric • Window Solutions – Anti Microbial Roller Blinds/
Pleated Curtains/Sandwitch Glass Blind ( A blind between two glasses) IV Bag Holder – Flexible and Telescopic Nurse Call System Lutron Total Light Management System
• • •
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Clindiag is an ISO certified company, located in Belgium.
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t is specialized in manufacturing clinical laboratory equipment, such as chemistry analyzer, hemotology, coagulometer, etc, with CE certificates. What is more, we also produce all kinds of equipment-matched reagents.
By producing high quality products, combined with excellent service for our clients, has enabled Clindiag brand products to be exported to more than 30 countries, across Europe, North America, South America, Asia and Africa. What is more, we have registered local offices in the United States, China, and India. Clindiag is determined to become an important player in the clinical laboratory market for years to come. We are entering into partnership with any efficient company, in any country, which aims to do business in clinical devices.
Pioneer in Healthcare Power Backup & Power control SERVOMAX INDIA LTD Is the leading industry in India in the field of Power Electronics
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Servomax India Ltd is a leading manufacturer of Transformers, Voltage stabilizers, energy saving equipment and Isolation transformers in India for the past 28years. Its products are well appreciated world over and received much recognition for their quality. Its product adheres to the CE standards and IS standards. Servomax is awarded as “Best Quality Product Enterprise” in India by Ministry of Micro, Small and Medium Enterprises, Govt. of India for the year 2007.Also received “Rajiv Gandhi Quality Award” from “Bureau of Indian standards”, Govt. of India.
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DOCTOR SPEAK
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Narrow arteries increase the risk of pain, coronary artery disease, heart attack, and death. Angina - or angina pectoris (Latin for squeezing of the chest) - is chest pain, discomfort, or tightness that occurs when an area of the heart muscle is receiving decreased blood oxygen supply. It is not a disease itself, but rather a symptom of coronary artery disease, the most common type of heart disease. The lack of oxygen rich blood to the heart is usually a result of narrower coronary arteries due to plaque buildup, a condition called atherosclerosis. Narrow arteries increase the risk of pain, coronary artery disease, heart attack, and death. A correct diagnosis for chest pain is important because it can predict your likelihood of having a heart attack. The process will start with a physical exam as well as a discussion of symptoms, risk factors, and family medical history. A physician who is suspicious of angina will order one or more of the following tests: Dr. Ajay Kumar • Electrocardiogram (EKG) - records electrical activity of the heart Director and can detect when the heart is starved for oxygen Muzaffarpur Heart Hospital & Stress test - blood pressure readings and an EKG while the patient • Research Centre is increasing physical activity • Chest X-ray - to see structures inside the chest • Coronary angiography - dye and special X-rays to show the inside of coronary arteries (dye is inserted using cardiac catheterization) • Blood tests - to check levels of fats, cholesterol, sugar, and proteins Lifestyle changes recommended to Angina treatments aim to reduce treat angina include: pain, prevent symptoms, and prevent or lower the risk of heart attack. Medicines, lifestyle 99 Stopping smoking changes, and medical procedures may all be employed depending 99 Regularly checking on the type of angina and the severity of symptoms.
cholesterol levels 99 Resting and slowing down 99 Avoiding large meals 99 Learning how to handle or avoid stress 99 Eating fruits, vegetables, whole grains, low-fat or nofat diary products, and lean meat and fish 56
Mar - Apr 2011
HIV AIDS
HIV Testing
facilities available in Muzaffarpur Blood bank
• Sadar Hospital, Muzaffarpur • Shri Krishna Medical College and Hospital (blood bank)
Community Care Centre
Fakirana Sister Society, C.C.C, Muzaffarpur
A.R.T Centre
SKMCH, Muzaffarpur
List of I.C.T.C
I.C.T.C (P.P.T.C.T) S.H, Muzaffarpur I.C.T.C (P.P.T.C.T) SKMCH, Muzaffarpur I.C.T.C (V.C.T.C) S.H, Muzaffarpur I.C.T.C (P.H.C) Kanti, Muzaffarpur I.C.T.C (P.H.C) Katra, Muzaffarpur I.C.T.C (P.H.C) Kurahani, Muzaffarpur I.C.T.C (P.H.C) Motipur, Muzaffarpur I.C.T.C (P.H.C) Paru, Muzaffarpur I.C.T.C (P.H.C) Sakra (Dholi), Muzaffarpur I.C.T.C (P.H.C) Saraiya, Muzaffarpur I.C.T.C (P.H.C) Sakra (Ref.), Muzaffarpur I.C.T.C (V.C.T.C) SKMCH, Muzaffarpur I.C.T.C (P.H.C) Bochan, Muzaffarpur I.C.T.C (P.H.C) Gayaghat, Muzaffarpur I.C.T.C (P.H.C) Minapur, Muzaffarpur
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Mar - Apr 2011
COVER
STORY
Jan – Feb 2011
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Jan 60– Feb 2011
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WINDOW SECTION
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WINDOW SECTION
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SITUATION VACANT
Doctors Required for MINISTRY OF HEALTH, SAUDI ARABIA
CATEGORIES REQUIRED FOR FORTHCOMING MOH INTERVIEW Medicine
Surgery
Dentistry
• • • • • • • • • • • • • • • •
• • • • • • • • • • • •
• • • • • • • •
Internal Medicine Dermatology Cardiology Pediatoric Cardiology Nephrology Chest Dieseases Palmonary Dieseases Neurology Gastrointerology Family Medicine Tropical Medicine Infection Control Endocrinology Icu Emergency Medicine Physical Medicine & Rehabilitation • Oncology • Nuclear Medicine
General Surgery Opthalmology Orthopedics Ent Urology Neurosurgery Peadiatric Surgery Plastic Surgery Cvt Surgical Oncology Cardiac Surgery Thoracic Surgery
Radiology • Radio Diagnosis • Gynecology
Pediatrics • Neonatology • Nicu • Picu
General Dentistry Maxillofacial Surgery Oral Surgery Orthodontist Peridontist Prosthodontist Crown & Bridge Pediatric Dentistry
Anesthesia • ICU
Pathology • • • • • • •
Clinic Pathology Microbilogy Biochemistry Histopathology Heamatology Immunology Blood Bank
Required Tele Marketing Executive Marketing Manager Sales Executive Experience in Medical Equipment Space Selling Send your CV buildini@gmail.com
Mail your CV or contact us for details:
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The 4th International Exhibition on Medical, Dental & Hospital Equipments, Medicine, Health Care, Supplies & Services.
05 - 08 MAY 2011
Jakarta International Expo - Kemayoran
FEATURING : • Medical Equipment • Medical Home Healthcare • Medical Disposables • Electronic Medical Equipment • Hospital Medical Equipment • Sports Relative • Rehabilitation Equipment • Miscellaneous Medical Items • Chemicals Relative • Materials for Medical Equipment • Hardware Relative • Bicycles Relative • Furniture Relative • Handtools Relative • Motorcycles Relative • Technologies • Dental Equipment & Instruments • Dental Materials & medicaments • Dental State-of-the-art • Dental Furniture • Equipment for Infection Control • X-ray Equipment & Materials • Plastic Surgery • Implantation Products • Oral Hygiene • Physical Fitness Equipment
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RNI No. DELENG/2010/33833
Anniversary Volume I || Issue VI || Mar - Apr 2011
The Gateway to Health & Medical World
India’s Top Doctors The Gateway to Health & Medical World Vol. I Issue VI Mar-Apr 2011
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