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Volume V || Issue III || September-October 2014

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News Update | Doctor Speak | Expert Views | Product Line | Dental Care | Healthcare Management

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Editor’s note

Congratulations to all the winners of 4th MT India Healthcare Awards 2014 With sucessful completion of 5 great years in the healthcare industry, we medgate family would like to thank you all for your enormous support and encouragement to help us work at our best and become an industry mouth piece.

Across the world, healthcare industry is 2nd most developing sector globally and yet india, booming towards development, but still its poverty stricken with only 0.6 doctors available for every 1000 people where as compared to a developed country like USA, where the ratio is 3 doctors for every 1000 people, hence we still have the dearth of doctors in india, facing the demand and challenges of hospital beds in india.

The current modi government has also taken great efforts by emphasising on health to all, govt. decided to convert district hospitals into medical colleges to make our country gain more and more doctors soon, and fill the scarcity of the doctors. we as medgate family are proud to say that we are the bridge between hospitals, doctors and health care professionals, we raise the challenges to the government and concerned authorities, with our best efforts to get positive, rigirious, and action planned results.

magazine Volume - V Issue - III Sept-Oct 2014

Editor Chief Editor Editorial Advisor

Have an insightful reading.

Your suggestions are most welcome!

E-mail: editor@medgatetoday.com Website: w w w . m e d g a t e t o d a y . c o m

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Dr. Pradeep Bhardawaj GP Capt. (Dr.) Sanjeev Sood Dr. Sharad Lakhotia

National Head Business Head

Afzal Kamal

Asst. Manager

Sonia Pandit

Corporate Communication

Cheif Correspondent Design and Layout Sales and Marketing Subscribtion & Cirrculation

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SA Rizvi, Dr. HN Sharma Mohd. Javed Ahmad Amjad Kamal, SY Ahmed Khan, Ranjit Shirsath Deepti Tripathi, Nizamuddin Alam Jagruti Diddi, Saba Khan All right Reserved by all everts are made to insure that the information published is correct ‘Medgate today’ holds no responsibility any unlikely errors that might occur.

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Sept - Oct 2014 NEWS Update

Contents

38

MT india

Healthcare

Awards 2014

32

58

News Update

8 Rajiv Gandhi Rashtriya ekta samman...

10 Metals may not work for You!...

12 Medgate Today Magazine won Business...

13 Kodak Alaris Achieves Microsoft Gold...

14 World Health Partners Crosses...

16 Delhi Orthopedic Association celebrates...

18 ppp, Technology...

20 Saluting every child’s right to live...

21 Minister of Health and Family Welfare...

22 World Congress on Clinical Preventive...

26 Vast possibilities in India-Australia...

28 Calls for email repository of doctors...

30 A life changing cardiac Surgery...

Expert Views

Importance of

Accrediting Hospitals

56

76-79

Classifieds

?

Update

Do You Know

Flossing

is as

Important as Brushing

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Take Care of Your Kid’s Sleepin...

Doctor Speak

34 36 52 62 66

Missing a beat… not so romantic...

Smoking and Cardiac Surgery...

Modern Treatment of Heart Disease...

Non-Surgical Treatment of Heart...

The World Heart Day is celebrated...

NEWS Updat e

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NEWS Update

Rajiv Gandhi Rashtriya

ekta samman puraskar

R

Dr. Anchal Gupta (Delhi) Opthalamologist

ajiv Gandhi Rashtriya ekta samman puraskar was held on the eye of 70th birthday of late Shree Rajiv Gandhi on 20th August, 2014.

The award is given to men and women who matter, from various fields and have outstanding achievements, contributions and working towards society.

The award is a part of All India National Unity Conference, which is working for peoples movement for national unity and national integration.

The founder of AINUC IS late Shree Harbhajan Singh, whose was a true patriot, his life was fully devoted to the cause of national unity and prevent the country from being divided on aspect of caste, community and creed.

Each year the award is given on birth anniversary of Rajiv Gandhi to commemorate his contribution towards society and advanced India.

Afzal Kamal (National Head-Medgat today Magazine)

Dr. Puneet Kathuria (Chandigarh) Psychiatrist 10

www.m e d e g a t e t o d a y. c o m September-October 2014

On the occasion dignitaries presented were Dr. Bhishma Narain Singh (Former Governor & Union Minister), Dr. G.V.G Krishnamurthy (Former Chief Election Commissioner), Dr Shakeel Uz Zaman Ansari (Member National Commission for Backward Classes) Govt. of India, Shri Gurinder Singh (Member Press Council of India) Govt. of India, Maj Ved Prakash (Secretary All India Congress Committee), Shri Deepak Singh (Editor, Indian Observer) beside others. “Rashtriya Ekta Samman� were presented to Dr. Anchal Gupta (Delhi) in the field of Medicine, she is an Eye Specialist, Dr. Puneet Kathuria (Chandigarh) in the field of Medicine, he is a Psychiatrist , Dr. Senapathi Ramanathan (Mumbai) in the field of Education, he is a Director of Mumbai Institute of Metallurgy, Quality and Management, Shri Afzal Kamal in the field of Healthcare Media(Medgate Today Magazine). Shri Satish Sharma (Merrut) in the field of Defense and Security Services beside others.

INTERVIEW PRODUCT EXPERT COVER NEWS POST Updat B Views Event St Line y ory Mte

Medical Relief Operations undertaken by Ministry of Health & Family Welfare in Jammu & Kashmir The following medical relief activities have been taken up On the request of the State Government, another 20 member by the Ministry of Health & Family Welfare for the flood clinical team comprising physicians, pediatricians and reaffected areas of Jammu & Kashmir: productive health specialists have been deployed in Srinagar The Ministry is regularly monitoring the situation arising yesterday. out of floods in Jammu and Kashmir. A control room has Two psycho-social teams for psycho-social need assessbeen set up in the Ministry (phone-23061469, 23063205, ment are being deployed tomorrow from National Institute 23061302). of Mental Health and Neuro-Sciences (NIMHANS), BanA team of Special DGHS, Additional Secretary, Joint Sec- galore. retary and Addl. DDG Director (EMR) went to Srinagar to Chief Secretary (J&K) vide his fax message dated 05th Sepoversee the arrangements. tember, 2014 requested twenty three medicines. Five medTwo Public Health Teams have been positioned on 8 September, 2014, one each in Jammu and Srinagar for Rapid Health Assessment and to prevent/control public health exigencies.

icines have been supplied in full on 07th September, 2014; thirteen medicines have been supplied in part and remaining five drugs are being procured to be supplied on urgent basis.

Out of the remaining drugs to be supplied by 13/09/2014, A 10 member clinical team comprising physicians, pediatri- 05 more medicines along with the 998500 Chlorine tablets cians and gynaecologists have been positioned in Srinagar have been dispatched from Delhi by Air force. Around 100 since 10 September, 2014 to provide medical relief to the tonnes of medicines and other supplies (including 23 tonnes affected population. of medicines) have been sent so far.

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NEWS Update

Metals may not work for You! O

ften people have experience Itchy face, neck or ears after wearing jewellery. Showing the sings of bleeding, itchiness, redness, soreness and rash are the allergies caused by artificial jewellery. These allergies are caused by reactive metals like nickel, sliver or brass. Imagine!

The same metal is being transplanted in your body. Patients with metal on metal hip replacement shows the possible signs of metal allergies like Cardiomyopathy (heart problems) including heart failure, Kidney Failure , Skin disorder, Infection, nerve damage etc.

Metal on metal hip components are constructed from a cobalt-chromium alloy and undergo wear and tear which releases chromium and cobalt ions. These ions can seep into local tissue near the site of an implant, potentially destroying bone and muscle. If these ions manage to enter a patient’s circulatory system, they can injure the kidneys, liver, spleen and lymph nodes before they are eliminated from the body through urine.

Recently introduced Oxinium hip & knee replacement materials are the best choice for such patients who exhibit metal allergies. Oxinium contains no detectable nickel, the leading cause of negative reactions in patients with metal allergies. Another major reason why Oxinium is so highly recommended is the fact that it is a scratch resistant material. Conventional technology implant is made of CoCr (Cobalt Chrome Alloy) and titanium. This surface cannot give scratch resistance.

Laboratory tests of four million cycles on machine with this material prove it to be scratch prone. This leads to more polyethylene wear and tear which is the main part of the one knee set of implant.

20 new cancer treatment centres across India

T

he government will set up 20 new advanced cancer treatment facilities across India over the next few years to meet the rising burden of the disease, Health Minister Harsh Vardhan said.

He said that for Madhya Pradesh, the central government has planned a new State Cancer Institute (SCI), along with two Tertiary Care Cancer Centres (TCCC).

“Annually 11 lakh new cases of cancer are detected in India. Of them, about 6.06 percent are in Madhya Pradesh,” Harsh Vardhan told the media .

The minister was speaking at the inauguration of an indigenously developed Linear Accelerator at the Indian Institute of Head and Neck Oncology, a project of the Indore Cancer Foundation Charitable Trust.

He said the three facilities planned for Madhya Pradesh will be set up at the Vidisha district hospital, GR Medical College in Gwalior, and Netaji Subhash Chandra Bose Medical

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Dr. Harsh Vardhan

College in Jabalpur. The first two will be TCCCs while the one at Jabalpur will be an SCI. “Each 50-bedded TCCC will be part of an existing government hospital with well-equipped and functional departments of medicine, surgery, gynaecology, ENT, pathology and radiology.

“The union health ministry will provide one-time support of up to Rs.45 crore to each TCCC, including up to 30 percent for construction and renovation,” he added.

Harsh Vardhan said the government will also set up 20 SCIs across the country.

“The total cost of each will be Rs.120 crore, of which the central government will contribute 75 percent. In all, 50 such institutes are planned in the country over the long term,” he said.

NEWS Updat e

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NEWS Update

Medgate Today Magazine won Business Leadership Awards 2014 Wins World wide achievers Awards in association with ZEE Business recognitions

Medgate Today Magazine , India’s top & world’s foremost healthcare magazine has recently been honoured with prestigious award by world wide Achievers in association with ZEE Business . The magazine has received Best Healthcare magazine of the year Award.

Mr. Afzal Kamal, National Head, said, “It is a moment of gratification to be awarded with Best Healthcare magazine of the year Award . These recognitions underscore Medgate today, continued commitment towards healthcare fraternity sustainability and provide latest technology, knowledge & information to read- Mr. Afzal Kamal Receiving Award from BJP Govt. Official with his wife Mrs. Rafat Kamal ers. At Medgate Today, it is our endeavour to continuously improve upon our own benchmarks of readers/ dates in health ministry and efficiency. We will continsubscribers satisfaction, quality Contents, latest up- ue to build on our services and enhance the reading experience.”

Apollo WHITE Dental Launches its 62nd centre in Puducherry

“To light up billions of smiles across India, making it glow on the world map as a nation free of dental problems and pain”

A

pollo White Dental, India's largest and most trusted dental chain has launched its 62nd dental centre in Puducherry. Thiru. N. Rangasamy, honourable chief minister of Puducherry, was present to inaugurate the centre along with Thiru. R. Radhakrishnan - Honorable Member Of Parliament, Thiru.P.Rajavelu - Honorable Welfare Minister, Thiru.G.Nehru (Kuppusamy) M.L.A & Thiru.A. Ashok Aanand M.L.A and Mr. V.S. Venkatesh, CEO, Apollo WHITE Dental.

ry etc. The centre also has internationally trained dentists to perform simple & high end dental procedure such as microscopic dentistry, laser dentistry, sedation dentistry, oral and maxillofacial surgery etc. To keep up to the hygiene and safety On the occasion, Mr. V.S. Venkatesh, CEO, Apollo standards, 'Triple sterilizaWHITE Dental commented, "We are immensely happy to tion protocol' is followed to expand ourselves by launching the 62nd Apollo WHITE sterilize medical and dental equipments.

Dental centre in Puducherry. This is a part of our plan to Consultants from all the six specialties of dentistry cater more people across geographies and spread healthy Prosthodontist, Endodontist, Periodontist, Orthodontist, smiles in India”.

Pedodontist, Oral & Maxillofacial Surgery are available The Center is equipped to perform all dental procedure here making it a one stop solution for all your dental problike root Canal, Crowns & Bridges, Aesthetic Dentistry, lems. The centre has 3 adult's dental chair and 1 unique Smile Designing, Pediatric Dentistry, Geriatric Dentist- kid's dental chair.

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NEWS Updat e

Kodak Alaris Achieves Microsoft Gold Application Development Competency Document Imaging division demonstrates best-in-class software capabilities, market leadership and customer commitment

K

odak Alaris today announced that it has attained a Gold Application Development competency, demonstrating a “best-in-class” ability and commitment to meet Microsoft Corp. customers’ evolving needs in today’s dynamic business environment. By achieving Gold-level competency, Kodak Alaris has distinguished itself within the top one percent of Microsoft’s partner ecosystem.

ed the highest, most consistent capability and commitment to the latest Microsoft technology,” said Phil Sorgen, Corporate Vice President, Worldwide Partner Group at Microsoft Corp. “These partners have a deep expertise that puts them in the top one percent of our partner ecosystem, and their proficiency will help customers drive innovative solutions on the latest Microsoft technology.”

To earn a Microsoft gold competency, individuals from partner organizations must successfully complete a series of examsto prove their expertise, resulting in the Microsoft Certified Professional credential. Gold Partners must designate these certified professionals to one Microsoft competency, ensuring a certain level of staffing capacity. Partners also must submit customer references that demonstrate successful projects, implement a yearly customer satisfaction study, meet a revenue commitment and pass technology or sales assessments.

Earning the Application Development competency helps partners differentiate themselves as a trusted expert to their customers through development and deployment of commercial or custom applications built using core Microsoft technologies such asSharePoint, Windows Server and Windows 8 operating systems, the Windows Azure platform, Microsoft Visual Studio 2012 development system, Microsoft BizTalk Server and emerging cloud-based and web business models. By gaining access to a comprehensive set of benefits through the Application Development competency, partners can acquire new customers and help them be more productive and profitable through deployment of business applications, advanced web portals or rich client user interfaces that run on premises or in the cloud.

“Achieving a Microsoft Gold competency showcases Kodak Alaris’ expertise and commitment to being a leader in information management and technology, while demonstrating our deep knowledge of Microsoft and its products,” said Dolores Kruchten, President of Kodak Alaris’ Document Imaging division (kodakalaris.com/go/dinews). “We plan to increase our customers’ success by serving as technology advisors for their most challenging business demands.”

“By achieving a gold competency, partners have demonstrat-

The Microsoft Partner Network helps partners strengthen their capabilities to showcase leadership in the marketplace on the latest technology, to better serve customers and, with 640,000 Microsoft partners in their ecosystem, to easily connect with one of the most active, diverse networks in the world.

914 passengers being tracked for Ebola in States

9

14 passengers are being tracked by IDSP. Most of them are in the States of Maharashtra, Kerala, Tamil Nadu, Gujarat, West Bengal and Delhi.

M/s Afcons and International SOS have brought back 113 passengers (including 2 Nepalese Nationals) from Liberia to India. 96 passengers landed in Mumbai and another 17, in Delhi. The passengers who landed in Delhi were also taken to Mumbai by M/s Afcons. They have all travelled to their respective destinations. State Governments have been provided with the details. The IDSP is tracking these passengers. Report has been received from the State IDSP units of 20 States tracking these passengers. 104 passengers have been tracked and are being monitored.

During past 24 hours, 126 passengers from the affected countries have arrived at the Airports of Mumbai (29), Delhi (44), Chennai (19), Bangalore (11), Kochi (19) and Hyderabad (3) and Trivandrum (1). As on 04.09.2014, 15951 passengers have been screened [Low risk: 15909; Medium Risk: 07 and High Risk: 35]. Today, no passenger has been isolated at the quarantine facility.

The Control Room in the Ministry of Health & Family Welfare has received 720 calls since its inception on 09/08/2014 morning and only 6 calls received in the past 24 hours.

Most of the callers have sought information on signs and symptoms of the disease and travel related risk of acquiring the infection. w w w.medegatetoday.com September-October 2014

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NEWS Update

World Health Partners Crosses the milestone of 100,000 tele-consultations in UP and Bihar ÂÂ W HP’s tele-medicine initiative, called SkyCare, uses a network of 5,000 rural health providers to connect under-served rural communities with qualified doctors in cities ÂÂ T he project has led to diagnosis and treatment of over 717,000 cases of childhood pneumonia and more than 755,000 cases of childhood diarrhea till now ÂÂ T he first half of 2014 saw 14 % rise of the total consultations in comparison to last year

W

orld Health Partners (WHP), a non-profit organization that provides health and reproductive health services in developing countries, has crossed a significant milestone by delivering 120,402 tele-consultations to some of the most under-served rural communities in UP and Bihar.

vided tele-consultation to more than one lakh patients in some of India’s most remote and in-accessible areas, helping save lives and cure sickness. Expert doctors at our tele-medicine center attend to calls from patients and offer treatment and prognosis. They also do diet and life counseling and explain danger signs of disease complications. So far, our work in India has resulted in the treatment and diagnosis of over 717,000 cases of childhood pneumonia and 755,000 cases of childhood diarrhea, in addition to many other diseases.

Also, more than 797,000 couples in the region have benefitted from family planning through long-lasting modern contraceptive methods provided by our network.”

In the first half of 2013 and 2012, the tele consultations ranged between 15,910 and 12,671. With the increasing mobile and technology penetration and robust marketing and on-ground community connect & education initiatives WHP saw a spike in the requests for tele – consultations in the first half of the current year. By June 2014 end WHP had conducted 16,464 consultations ranging from ailment reporting, treatment prognosis, Diet and life counselling, updates on danger signs of the complicated diseases, Pre and Post treatment care, etc. Consultations to the patients and the Health WHP brings together unorganized private providers, both providers also included steps to monitor the patients during formally and informally qualified, into a branded and tiered Social Franchise network. It provides integrated health serthe treatment and counselling of the families. vices and is linked to higher-skilled urban healthcare proThe tele-consultations, involving medical care and fol- viders through telemedicine and referrals. The price of entry low-ups, are provided through WHP’s network of 5,000 into the network for rural providers is nothing but a formal rural health providers as a part of its SkyCare program. agreement to abide by improved health services and referOften the first and only point of contact for the majori- ral protocols, particularly for preventive services, as well as ty of patients, these informal rural health practitioners are regulated pricing for the poorest. This approach creates ecoequipped with low-cost mobile solutions to enable them to nomic viability that motivates providers and delivers comprovide tele-consultations, referrals, diagnostics, and symp- prehensive care to underserved communities close to their tom-based treatments. They are backed by 110 tele-medicine homes. provision centres, called SkyHealth Centres, which in turn are connected to qualified doctors at WHP’s Central Medical Adds Gopi Gopalakrishnan: “Our objective is to harness Facility (CMF) in New Delhi and other nearby towns. The local market forces to work for the poor by leveraging the rural health providers are trained by the CMF doctors about latest advances in communication, diagnostic and medical how to monitor the patients during the treatment and counsel technology. Combing tele-medicine with the infrastructure the families. The SkyCare providers charge a very nominal and manpower already available in rural areas, we have fee for their services and earn commission for each referral, managed to establish large-scale, cost-effective healthcare networks that provide the much-needed health and family thus providing an incentive. planning services in under-served rural areas. Millions of Talking about the achievement, WHP Founder President patients have already benefited from our program since it Gopi Gopalakrishnan said: “We are delighted to have pro- was launched as a pilot project in 2008.”

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NEWS Updat e

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NEWS Update

Delhi Orthopedic Association celebrates

‘Bone & Joint Day’ Organizes healthy knee walk against Arthritis Pain

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ndian Orthopedic Association observed “Bone and Joint week (29 July to 4th August 2014)” with a slogan of “Save the Bones and Save the Joints”. On this special occasion the association organized a special knee walk today, Sunday, 3rd August, 2014 which was flagged off from Lodhi Garden where patients with knee problems participated and walked. Government of India has named 4th August as Bones and Joint Day’. The core idea of this day is the belief that “strength of the nation lies in strong bones of countrymen”. Dr Jitender Maheshwari, President, Delhi Orthopedic Association, Senior consultant, Orthopaedics at Sitaram Bhartia and Director, Knee and Shoulder Clinic, was available to share details on the same. Senior doctors shared details on bone & joint scenario in India. Special doctor patient interaction highlighting problems & solution for Arthritis was also conducted.

India being the Arthritis capital of the world, we have 7% (84 million) population above 65 years of age with joint arthritis and osteoporosis. Most of the Indians develop osteoporosis (bone softening) at an early age, which is the most productive age of life hence it affects the earning capacity of family, society and country. The bones growth in size (volume and length) starts immediately after birth.

The bones continue to increase in size till 18-21 years.

The bones continue to grow in volume till the age of 30 years. The bone volume attained at 30 years is called “Peak bone mass”. After 30 years the bone looses in volume by 1% every year and after menopause in females by 3% every year. The severe reduction in bone volume is manifested as “osteoporosis”. The loss of bone is such a

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slow process so that in spite of patient having vague generalised pain, early fatigability, it is difficult to diagnose bone softening and osteoporosis. It is diagnosed only when severe bone loss occurs and patient has developed fracture with trivial trauma.

“This is an effort to sensitize common man about the bone and joint health issues and advice about the remedial steps to prevent development of preventable bone and joint disabilities so that they remain healthy. The bone loss is minimized by good nutritious diet (Calcium, Vitamin D, proteins) and physical exercises. Early morning and evening sun exposure allows body to make vitamin D in human body. These simple steps can improve bone and joint health,” said Dr. Maheshwari.

NEWS Updat e

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NEWS Update

Ppp, Technology

The Only Solutions To Healthcare Challenge In India

Dr Prasad at Cii Healthcare Conclave

I

nviting active industry participation to provide healthcare services in India, Dr Jagdish Prasad, Director General - Health Services, Ministry of Health & Family Welfare, Government of India said that “Industry should adopt one district in each state, upgrading the medical facilities in District health centers and primary health centers to provide the best possible quality healthcare services to the common man. He was addressing the CII Conclave on NextGen Healthcare - Roadmap: Healthcare for All, organized by Confederation of Indian Industry at New Delhi today.

care policy. Two-thirds of the health problems can also be solved by providing safe drinking water and sanitation.

Even if we concentrate on these basic facilities, we can control many waterborne and airborne infectious diseases”, he added.

“Each year 39 million people in India enter BPL category due to poor delivery of healthcare services. To confront this, industry has to by-pass the rules and regulations and bureaucratic bottlenecks and find out innovative ways or build confidence with Chief Ministers and get MC regulations eased, to build world class hospitals and strengthen Calling Public Private Partnership as the only solution to healthcare delivery system in India. For this, the key is vast prevailing disparity in healthcare, he appealed to the good intent and strong political will of the government”, industry, cooperatives and the NGOs for support specifi- emphasized the DG. cally in strengthening healthcare delivery systems, drugs distribution, use of Information Technology (IT), latest I would even recommend altering the constitution to technologies and enhanced pharma supply chain manage- make Healthcare a Centre subject, which is presently a state subject. The state governments and bureaucracy are ment. not as proactive as they should be. For example, we ad“We are ready to support you with funds, even in convert- opted and provided money to 238 districts out of total 730 ing the district hospitals into world class Medical Hospi- odd districts to create special Cardiac clinics across India, tals but industry will have to ensure proper delivery sys- but only 37 centers have come up so far, that too majorly tems and strengthened supply chain, so that the facilities in south and very few in Rajasthan and Gujarat. None and medicines reach even the last person in the remotest of the other northern states benefitted from this scheme. areas”, he further highlighted.

In 12th Five year plan, we have decided to develop 20 Highlighting the solution to this challenge, he called for National Cancer Centers at a cost of 120 crores” shared “Integration of working of five key ministries i.e the Min- Dr Prasad. istry for Rural Development, Women & Child welfare, “Our ministry is also planning to open AIIMS in all states Water, Urban sanitation, Education and health. Presently, and create ideal healthcare centers across different states we all are working in isolation of each other and do not with world class standards at Rs 50 crore each and would know what the other ministries are doing. If these five ask state governments to replicate similar standards in ministries can derive coordinated campaigns and launch joint schemes, then we would be far better equipped to others as well. We would soon launch a web portal and provide quality healthcare to each and every individual E mechanism for public health delivery like supply chain management, Drugs distribution and recognition, hospiof this country. tals and available healthcare facilities for different dis“This is because some of the challenges lie outside health- eases etc, ”, further informed the DG. 20

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Saluting every child’s right to live a healthy life on India’s 68th year of independence Ministry of Health and Family Welfare launches “Phool Khil Jayenge”, a song celebrating child health & immunization

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s India ushered in its 68th year of independence, the Ministry of Health and Family Welfare (MoHFW) reiterated its commitment to immunize all Indian children. A public service message in the form of a music video ‘Phool Khil Jayenge’ was launched by Hon’ble Minster of Health and Family Welfare Dr. Harsh Vardhan. Also present were renowned lyricist and Member of Parliament Javed Akhtar, actor Shabana Azmi, singer Sonu Nigam and music director Lalit Pandit.

The song highlights the importance of immunization in saving lives of Indian children, given that 14 lakh children under 5 years of age die every year in India due to preventable diseases, like pneumonia and diarrhea. Just last month, the Prime Minister’s Office announced the introduction of four new vaccines: rotavirus, rubella, polio (injectable) and an adult vaccine for Japanese Encephalitis in districts with high burden.

The lyrics of the song have been written by well-known poet, scriptwriter and Rajya Sabha MP Javed Akhtar and Bollywood actors Farhan Akhtar and Vidya Balan feature in the video. Prominent singers Sonu Nigam and Alka Yagnik sang the song and music director Lalit Pandit composed the music.

The Minister also highlighted that the Ministry of Health and Family Welfare is committed to tackling child mortality and

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ensuring that the benefits of immunization reach all sections of society, regardless of social and economic status.

A panel discussion titled ‘The Right of Every Child to Survive and Thrive,’ set the tone for the evening, moderated by Bachi Karkaria. The panelists included Health Minister, Dr. Harsh Vardhan, the Health Secretary, Mr. Lov Verma, the Additional Secretary from the Ministry of Health, Mr. CK Misra, Mr. Javed Akhtar, Mr. Sonu Nigam and Mr. Lalit Pandit.

The panel lauded the Government’s initiative for expanding the Universal Immunization Programme and providing free vaccines against 13 life threatening diseases to 27 million children annually Member of Parliament and lyricist, Javed Akhtar said: “It’s an honour to be a part of an initiative to raise awareness about the importance of immunization. We wanted to convey this message through simple and effective lyrics and we hope we have been able to achieve that. It is my sincere hope that we don’t lose young lives to diseases for which vaccines exist and that all children in India have access to immunization.”

Actor Farhan Akhtar said from Mumbai, “As the father of two young daughters, I relate to the need to protect chil-

NEWS Updat e

dren from life-threatening and preventable diseases. I believe parents who do not immunize their children do them a great disservice and risk their lives. I am very happy to have been part of this endeavor to raise awareness about the need to immunize every chil­d in this country.”

Bollywood singer Sonu Nigam added, “I believe that as role models we play an important role in spreading these messages and what better way than to participate in this campaign. Every child has the right to good health, and one of the easiest ways to ensure this is through immunization.

I therefore appeal to all parents to get their children immunized without fail.”

Currently, more children die in India each year than in any other country. Annually, more than 14 lakh children under five die in India. Once children survive the first month, infectious diseases are the biggest threats to their survival despite being preventable. Diarrhea and pneumonia account for more than 4,36,000 deaths among Indian children aged 1-59 months of age.

Statement by

Dr. Harsh Vardhan:

Phool Khil Jayenge : Lyrics Phool Khil Jayenge Flowers will bloom

Minister of Health and Family Welfare, Government of India

Swasth Jeewan jo Bacchon ko Mil Jayenge If children get a healthy life Kal Ke Bharat Ke Ye Bacche Takdeer Hain These children are the destiny of India of tomorrow

Said Minister of Health & Family Welfare, Dr. Harsh Vardhan: “Lakhs of young children die of preventable diseases in India each year. Most of these deaths can be prevented by immunisation. Even 29 years after the launch of the immunisation program, only 65-70% of children get immunised. The rest are susceptible to diseases which often turn fatal. One important aspect of meeting healthcare challenges is to focus on preventive and positive healthcare, in which immunisation plays a big role. I believe we can achieve anything if we put our heart into it. The eradication of polio from India, once considered an impossible task, is an excellent example. There is goodness in every person’s heart. We need to leverage that and make every Indian a stakeholder in good health. I hope each of us would volunteer to turn into a ‘health solider’ to achieve 100% immunization. The support of all political and religious leaders is essential in this endeavor. I am confident that this music video will help us repeat the success story of polio with many other preventable diseases as well, by creating awareness about how essential immunization is in saving lives. I assure you that the Government is very serious about achieving total immunisation in India, and whatever it takes, we are determined to achieve this goal.”

Aane Wale Dinon Ke Ye Tasweer Hain They are the image of the days to come Koi Tasweer Dundhlee Na Hone Do Don’t allow this image to fade Pyar Karte Ho To Dhyan Ye Bhi Rakho If you love your kids, then keep this in mind Koi Rog Chu Na Pai Inka Tan No disease should be able to touch their body Bacchon Ke Raksha Karta Hai Teeka Karan Vaccination protects children Please join this mission by watching, sharing and spreading the message of this song: Youtube link: youtube.com/phoolkhiljayenge

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NEWS Update

World Congress on Clinical Preventive Cardiology & Imaging-2014 Inaugurated by his Excellency R.N. Yadav, Governor of MP, Video conference inaugural message by

Hon’ble Health Minister, Govt. of India Dr. Harsh Vardhan On Sept. 5th, 2014 at Main Arena, Shantivan, Abu Road, Rajasthan

Dr. Harsh Vardhan Hon’ble Health Minister Govt. of India

His Excellency Sh. R.N. Yadav Governor of Madhya Pradesh

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Xth World Congress on Clinical Preventive Cardiology & Imaging (WCCPCI-2014) being organized by World Heart Academy (WHA), in association with International Society of Cardiovascular Ultrasound (ISCU), BK WHQ, American Association of Cardiologists of Indian Origin, USA (AACIO), CSI Delhi Branch, Indian Academy of Echocardiography (IAE), World Wellness Foundation, (WWF), ASSOCHAM and SCOPE from Sept. 4-7, 2014 at Main Arena, Shantivan, Abu Road, Rajasthan, India hosted by Brahma Kumaries is being inaugurated by Dr. Harsh Vardhan, Hon’ble Health Minister, Govt. of India and His Excellency R.N. Yadav, Governor of MP, Dr. Jayshree Mehta, President, Medical Council of India (MCI) is Special Guest, Guests of Honour will be Dr. Mark Creager, President Elect. American Heart Association (AHA), Dr. Ravi Jahagirdar, President, American Association of Physicians of Indian Origin (AAPI), Dr. K. Venugopal, President, Cardiological Society of India,. Mr. A.K. Khanna, COO Emcure Pharmaceutical Ltd., Mr. V. Ramdas, Sr. Director, Reddy’s Lab. Dr. H.K. Chopra, Organizing Chairman, WCCPCI-2014 & Sr. Consultant Cardiologist, Moolchand Medcity, New Delhi, a cardiologist of international repute said that the theme of the World Heart Day is “Focusing on creating heart-healthy environment to prevent Cardio Vascular Disease” and said that heart disease is the globe’s biggest slayer, claiming about 17.5 millions lives every year. To combat this rising menace of CVD and enhance awareness about healthy heart.

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Her Holiness Rajyogini Dadi Janki Ji

Dr. Jayshree Mehta President, MCI

Dr. Chopra Said that the unique features of this World Congress Cardiology is Clinical & Preventive Cardiology. ÂÂ About 3000 delegates from India and abroad will participate in the scientific deliberations with international faculty of more than 40 from various parts of the world. ÂÂ Public conference on “Healthy Heart” is being organized on the occasion in public interest.

Dr. Chopra said that the prevalence of coronary artery diseases is rising steeply in our country, it was 1 % in 1960, 11% 2003 and 14% now in 2014, in India in urban population. “To be an Indian is itself risk for pre-mature coronary artery disease” because of genetic predisposition with high levels of LPa & faulty lifestyle such as high levels of stress, inability to cope with negative competition, ego arrogance and cynical behaviour, consumption of tobacco lack of exercise, eating the wrong food, at a wrong time, in wrong place, in a wrong manner, in wrong doze, in wrong environment, consuming excessive Alcohol with changing pattern of jobs in night shift workers. The CAD is more extensive, diffuse, multivessel and more pre-mature (Four times higher in young individual less than 40) in Indians as compared to its counterpart in the Western and European world. CVD mortality is decreased by 60 percent in Japan and Finland, by 50 per cent in USA, Canada and Australia and by 25 per cent in Europe. According to WHO Projections, there will be 100 % rise in mortality in CVD in India by 2015.

NEWS Updat e

consumption, Nurturing with Spiritual and Ethical Values, Enhancing Spiritual Eligibility for Healthy Heart, Cholesterol Control, Obesity Management, Aroma & Massage Therapy, Anger Management, Hypertension and Diabetes Management, Women Care after Menopause, Enhancing Corporate and Work Place Environment for Healthy Heart, Enhancing Social and Cultural Value, Youth Care for Healthy Dr. H.K. Chopra Dr. Navin C. Nanda Dr. S.K. Parashar Dr. Satish Gupta Heart initiative , Optimizing Mind and Heart Connection and effective Medicalisation, Inter Heart Study Data published from 52 countries in the Coronary Intervention and EECP etc. Awareness about the world has shown very clearly that negative stress such as Warning signals of Heart Attack Ache in chest: heart attack hostility, cynicism and negative competition are new emerggenerally causes uneasiness or ache in the middle of chest. ing risk factors for pre-mature CVD. It has also shown that The ache may come upon swiftly, or now and then begins consumption of more fruits, vegetables and practice of reggradually, developing in excess of minutes and it may sufular exercise and stress management may combat this menfer like pressure, squeezing, fullness, heaviness or tightness. ace.. “How long you live is alright, but how well you live The sensitivity has been depicted as: ‘like an steel band tightdefinitely matters”. Dr. Chopra‘s said that Heart Point conening around my chest’.

And the ache might be mild, severe nections awareness with effective practice of 3 M (Mindor even moderate.

Ache spreading: chest pain may spread to fulness, Meditation & Medication). May help halting rising throat and neck shoulders, jaw, the backside, or both arms and menace of CVD in Indians. also even into hands and wrists. Uneasiness in upper body: A Dr. Chopra emphasis is on the need of Heart Wellness Pro- few people do not feel any type of chest pain- only uneasigramme launched by him for the first time in the country ness in upper body. And there might be an unpleasant feeling integrating Indian wisdom with modern science. Dr. Chopra in throat. And the arms also may feel ‘useless’ or ‘heavy’. is of the opinion that following components of “Heart Well- Other symbols: frequently there may be complexity breathness Programme” may help in curbing the rising menace of ing, vomiting or nausea, light headed a feeling of being coronary artery disease in India. The various components of faint or a cold sweat. Symptoms of heart attack can also be enumerated as follows Chest pain, Heaviness in chest, Heart Wellness Programme (HWP) are as follows: Tightness in chest, Unexplained Sweating, Dizzy spell, DysÂÂ Heart Work Plan (HWP) periodically pepsia, recurrent unexplained Vomiting, Shortness of breath etc. Awareness about “How to Attack Heart Attack” Every ÂÂ Heart Risk Factors Evaluation individual in a family/office/corporate/community should be ÂÂ Heart Risk Scoring (Indian Perspective) aware of an “Emergency Heart Line” Phone No. in the hospital in their vicinity. The doctor should be contacted withÂÂ Lifestyle optimization (LSO) out any delay and emergency, ECG should be summoned. If ÂÂ Awareness about the Warning signals of Heart Attack heart attack, then one tablet of aspirin should be chewed and ÂÂ Awareness about how to Attack Heart Attack 40 mg atorvastatin should be taken instantaneously with waÂÂ Timely Effective Medicalization including need of Aspirin, ter. If the pain persist one tablet sorbitrate 5mg may be given Statin, Ramipril, ARBs, Betablockers etc A Need of the under the tongue in the lying position. If the heart attack is confirmed than patient may be given clot buster such as Hour tenecteplase injections bolus in 5 seconds at home, or in the Lifestyle optimization (LSO) including Yogic Lifestyle in- clinic, or in the ambulance or in the emergency room to salcluding all eight limbs of yoga: Yama (do’s & don’t) Ni- vage the jeopardized heart and shift the patient to the nearest yama (self Discipline), Asana (Postures), Pranayama (Deep tertiary hospital for immediate coronary angiography and Breathing), Pratyahara (Contemplation), Dharana (Concen- percutaneous coronary angioplasty/ stenting/ CABG as a life tration) Dhayana (Meditation) and Samadhi (Experience of saving procedure.

God’s Bliss) and other spiritual practices (Spiritual association for divine realization) of Heart Sutras connecting to Timely Effective Medicalization including need of Aspiconsciousness through heart nerve plexuses which is chem- rin, Statin, Ramipril, ARBs, Betablockers etc A Need of the ically mediated by endorphins and serotonin, Meditation, Hour Early screening for CAD, lifestyle optimization right Heart Energizing Meditation, Stress Management, Nutrition from the childhood & its practice both in men and womfor Healthy Heart (Sattvic Diet in Ayurvedic Way), Exercise en in adulthood, early intervention of drugs such as Asprin, Protocols such as walking wogging, jogging, treadmilling, Statins, Remipiril, and Beta Blockers and after the age of Tobacco Abstinence, Potential of Fruits, Vegetables and Nuts 55 is the need of the hour. The unique features of this Heart w w w.medegatetoday.com September-October 2014

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NEWS Update

Wellness Programme is very well highlighted as the preven- trend. More than a quarter of World adult population suffers tive strategies for Indians to reduce morbidity and mortality from high blood pressure. It has been projected that by 2025, there would be about 1.56 billion people with this disease of caused by the CAD. which about 75% will be in developing countries. Similarly Dr. Chopra will appeal to Hon’ble Health Minister to estab- it is estimated that there are about 50-55 million patients in lish state of art World Center of clinical, preventive cardi- India suffering from coronary artery disease. ology (WCCPC), one of it its kind at Shantivan, BK WHQ and may replicate similar centers in the different states with Dr. Parashar said that the coronary artery disease preventhe grant of Ministry of Health, Govt. of India, AHA and tion is of paramount importance at a younger age when an AAPI. This will really crystallize the guidelines and prac- individual is in the most productive phase of life both for tically help to reduce the rising menace of coronary artery the society and family. He repeatedly emphasized that the faulty lifestyle obesity, lack of exercise, smoking, and todisease in India. bacco consumption coupled with stress and strain of modern Dr. Navin C. Nanda, International President of World Con- life are the most important contributory factors by the rising gress Cardiology-2014 from USA, is of the opinion on the prevalence of coronary artery disease in India. need of a module for early implementation of Preventive strategies globally to curb the rising menace of CVD in the Dr. Satish Gupta Secretary General said that CVD Protection World. He also said that there should be a special Heart care strategies should be practiced right from the time when baby Programme for maximizing the outcome and function ca- is in the mother’s womb. He is the main author of the most pacity in children, women and elderly with heart problems. prominent Abu Heart Trial published in Indian Heart Journal Dr. Navin C. Nanda is brining a delegation of more than 30 and running CAD Preventive Programe for last many years. faculty members from abroad with him to participate in the He believes that prevention is the only key to reduce the rising menace of coronary artery disease. Following doctors Scientific Deliberations of WCCPCI-2014. were honored as the “World Icon in Cardiology” including Dr. S.K. Parashar, Chairman Scientific Committee of WC- Dr. H.K. Chopra, Dr. Navin C. Nanda (USA) Dr. S.K. CPCI-2014 said that the progressive increasing trend of cor- Parashar and Dr. Satish Gupta was bestowed ‘Award of Exonary artery disease in developing countries is a disturbing cellence in Preventive Cardiology ’

South-East Asia Region on World Suicide Prevention Day observed each year on 10th September Dr. Poonam Khetrapal Singh, Regional Director of World Health Organization

“Suicide is among the top 20 leading causes of death globally for all ages. Every 40 seconds, a person commits suicide somewhere in the world. Mental illness, primarily depression and alcohol use disorders, abuse, violence, loss, cultural and social background, represent major risk factors for suicide. In richer countries, three times more men commit suicide than women, but in low- and middle-income countries this ratio is 1.5 men to each woman. In most countries, suicide rates are highest in people 70 years and over, but young people aged 15-29 are also particularly vulnerable. Worldwide, the prevention of suicide has not been adequately addressed due to lack of awareness of suicide as a major problem and the taboo in many societies to openly discuss it. The first step in this battle is to create a national strategy, stating a clear commitment to suicide prevention. Suicide prevention requires intervention also from outside the health sector and calls for an innovative, comprehensive multisectoral approach, including both health and non-health sectors, 26 w w w . m e d e g a t e t o d a y. c o m July-August 2014

e.g. education, labour, police, justice, religion, law, politics and the media. Countries must restrict access to the most common means of suicide. Follow-up care by health workers for people who have attempted suicide is critical, as they are at great risk of trying again.”

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NEWS Update

Vast possibilities in

India-Australia health care cooperation

Dr Harsh Vardhan shows visiting PM Tony Abbott AIIMS Trauma Centre

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ndia and Australia are exploring cooperation possibilities in preventive healthcare, trauma care, geriatric medicine, diabetes research and mental illnesses. This found iteration in the dialogue held between the visiting Prime Minister of Australia, Mr Tony Abbott, and the Union Health Minister, Dr Harsh Vardhan, Dr Harsh Vardhan, who later had a meeting with the visiting leader, said, “The warm and friendly relations that exist between India and Australia could materialise into manifold streams of cooperation in the health sector.”

Dr Harsh Vardhan took Mr Abbott on a tour of the Jai Prakash Narayan Apex Trauma Centre of the All India Institute of Medical Sciences (AIIMS).

Mr Abbott took keen interest in the state-of-art trauma care facilities, the integrated Call Centre and the nformation Technology enabled medico legal case sheet handling system.

Mr Abbott warmly complimented Dr Harsh Vardhan for pioneering the Pulse Polio movement which led to India becoming polio free. “There is a sense of altruism and commitment in the health care systems in both our countries,” he remarked.

The Australian Prime Minister said that the existing Australia-India Trauma Systems Collaboration (AITSC) aims to reduce the burden of injury in both countries through development and piloting of improved systems of care.

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The Indian Health Minister said that rich possibilities exist in sharing India’s expertise as well as gaining from the Australian experience in the training of health care workers and nurses in geriatric care and emergency medicine.

Dr Harsh Vardhan also spoke of Australia’s deep capacities in telemedicine.

“I have shared with Mr Abbott the optimism evinced by Prime Minister Shri Narendra Modi in the transformation of India’s health care system into a modern, affordable and accessible model before the developing world.

Among other things, the Prime Minister has already cleared the opening of advanced secondary and tertiary health care institutions in every state of the country,” Dr Harsh Vardhan said.

India, he pointed out, is a country where young (under 35) dominate. The national disease burden can be substantially brought down if the right information on how to avoid contacting communicable and non-communicable diseases is passed on to the population.

“India and Australia both have rich democratic traditions.

I am sure that we could gain a lot of advantage from friendship with a country whose own health care system has achieved much,” Dr Harsh Vardhan added.

Mr Jitendra Singh, Union Minister of State for Science and Technology, Mr Lov Verma, Union Health Secretary and senior officials were present on the occasion.

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Calls for email repository of doctors for better disease management TB a “national emergency” says Dr Harsh Vardhan

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n email repository has been planned for establishing connectivity between the government and all doctors in the country with the objective of pooling resources to lower the disease burden. Government doctors as well as those in private practice would be covered by it.

Announcing this here today at the inauguration of the First National TB Drug Resistance Survey, Dr Harsh Vardhan, Union Health Minister, said, “Building up an email repository would especially help in the national fight against TB, a notifiable disease. It would facilitate instant transmission of news to all health authorities, public health and healthcare providers, public health laboratories and healthcare professionals.

Dr Harsh Vardhan said that the use of Information and Communication Technology will help in real time monitoring the survey. “It has the potential to allow policymakers devise new strategies to combat MDR TB and identify the accurate channels for funds deployment.”

Recalling the first TB survey conducted in India—by Dr Arthur Lankester, the Honorary Secretary of the Medical Missionary Society of India in 1914-16 – the Minister said, “People would lose faith in these surveys if nothing short of time-bound, target-set programmes are launched. We did it for polio, so let us use the same energy to fight TB.”

Dr Harsh Vardhan pointed out, “The repository could be utilised to spread information on new medical knowledge to all doctors or the fruits of research by ICMR and other organisations. TB patients could benefit if the doctors treating them are told of effective treatment methods and Dr Harsh Vardhan, who also re-launched the Ministry’s protocol which they may not be aware of.” media campaign on TB, said, “Let us focus on advocacy The Minister said the survey, which would be held in col- and social mobilisation. It is another tragedy that the vast laboration with WHO and USAID, will have the largest masses of people are more conscious about cancer and ever sample size –5,214—covering 120 TB units in 24 AIDS than TB. They should be reminded that the high states. The patients to be surveyed are both first time and incidence of TB even after a century of government proretreatment cases. Their resistance levels against 13 an- grammes is a matter of national shame.” ti-TB drugs would be observed – five of them first-line Speaking at the occasion, Dr Nata Menabde, WHO counand eight second-line. try representative in India, stated that the survey would He stressed the international significance of the survey help stakeholders understand the epidemiology of the findings and analysis based on them would help form a disease. “A lot more will be learnt about the various anbetter understanding of TB not only in India but all over ti-drug resistant TB strains from this survey which would the world. The earlier surveys were carried out in Bangla- help us devise strategies.” Also present on the occasion desh, Brazil and China but had smaller sample sizes and were Dr Matteo Zignol of WHO’s TB Programme, Dr covered just four drugs.

Nancy Godfrey, Chief of Office, USAID, Mr Lov Verma, The Minister said India accounts for 99,000 of the global Health Secretary, Mr C. K. Mishra, Additional Secretary burden of 390,000 multi-drug resistant (MDR) TB cases in the Ministry of Health, Dr Jagdish Prasad, DG Health annually – 25 percent of the total burden. The mortality Services, Mr Anshu Prakash, Joint Secretary, Dr R.S. associated with this form of TB is higher than drug-sus- Gupta, DDG, Central TB Division, Dr K.S. Sachdeva, ceptible TB. Now, an even bigger challenge has emerged Additional DDG, Central TB, Division, and other senior called “Extensively drug-resistant TB” (XDR-TB). officers from the Ministry and partner agencies.

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A life changing cardiac Surgery on a 31 Week old infant brings back joy to the parents

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dding quality to life and health has been the most prestigious recognition that Manipal Center For Cardiology is known for, states Dr Devananda, Chairman of the Manipal Heart Institute, Manipal Health Enterprises. Manipal Heart Institute is amongst the select few centres in India with capabilities to handle the end-to-end cardiac care of individuals with success rates to international standards.

At Manipal Heart Institute, we have treated millions of people with cardiac ailments and with severe complexity and have been witnessing the joy of seeing them resume their normal lives. The young ones getting back on the playgrounds, the middle-aged climbing stairs at work leaving their colleagues stunned, and the elderly getting back with their grandchildren, are recognitions that keeps this centre going. Below is the story of an open heart surgery that we performed on a baby, weighing in at just 1.3 kilos.

Andrea was born at 31 weeks gestation, and even after two months, she was still in ICU with two large holes in her heart, not able to be weaned off oxygen. This was posing a serious threat to her health and she would need to undergo high-risk open heart surgery to correct her heart. Her parents started collecting opinions from different speciality centres across India, but unfortunately to no avail. Then Andrea’s parents were referred to Manipal Hospital where they consulted Dr Devananda. Planning

the treatment for Andrea wasn’t an easy task. Open heartsurgery at this size and age can potentially give rise to a variety of complications such as bleeding in the brain, gangrene and so on, but then Manipal Heart Institute has the capabilities and skill set to minimize the possible ill effects. Dr Devananda and the team decided to persue the surgery. Today Andrea is successfully discharged, off oxygen and feeding on her own. “Today cardiac care in the right hands and at the right time can produce absolutely fantastic outcomes and Andrea has recovered well and we are sure is going to have a healthy future”, Dr Devananda signs off.

Dr Devanand Profile

Field of expertise: ÂÂ ÂÂ ÂÂ ÂÂ ÂÂ ÂÂ

Aortic aneurysm surgery Complex valve surgery and repair Minimally Invasive Cardiac Surgery Beating heart CABG Neonatal/infant/paediatric cardiac surgery Heart transplants and ventricular assist devices.

Achievements: Dr. Devanand Chairman Manipal Heart Institute

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ÂÂ Performed more than 7,000 successful paediatrics and adult surgeries. Has reputation of successfully performing many advanced and complex surgeries varying from a one-day old infant and a infant weighing just 900 grams, to a 90-year old patient in India

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DOCTOR Speak

Heart Disease in Women Understand Symptoms and Risk Factors

All women face the threat of heart disease. But becoming aware of symptoms and risks unique to women, as well as eating a heart-healthy diet and exercising, can help protect them…

T

Dr Aparna Jaswal

Principal Consultant – Cardiologist Dept of Cardiac Pacing & Electro Physiology Fortis Escorts Heart Institute, New Delhi

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he fact is that Heart disease is the No. 1 killer of women, causing 1 in 3 deaths each year. That’s approximately one woman every minute! But it doesn’t affect all women alike, and the warning signs for women aren’t the same in men. What’s more: These facts only begin to scratch the surface. Although heart disease is often thought of as a problem for men, but Women are almost three times more likely to die of it than breast cancer.There are a several misconceptions about heart disease in women, and they could be putting you at risk. Women under the age of 65, and especially those with a family history of heart disease, need to pay close attention to the heart disease risk factors. Women of all ages should take heart disease seriously.

The traditional risk factors for coronary artery disease — such as high cholesterol, high blood pressure and obesity — affect women and men, other factors may play a bigger role in the development of heart disease in women. Diabetes increases the risk of heart disease significantly more in women than in men.

Mental stress and depression affect women's hearts more than men's. Depression makes it difficult to maintain a healthy lifestyle. A lack of physical activity is a major risk factor for heart disease, and as a group, women tend to be less active than men.

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produced by your body because women tend to develop high cholesterol. They develop tendency towards higher blood pressure.

While some women have no symptoms, others experience angina (dull, heavy to sharp chest pain or discomfort), pain in the neck/jaw/throat or pain in the upper abdomen or back. These may occur during rest, begin during physical activity, or be triggered by mental stress. Women are more likely to describe chest pain that is sharp, burning and more frequently have pain in the neck, jaw, throat, abdomen or back. Sometimes heart disease may be silent and not diagnosed until a woman experiences signs or symptoms of a heart attack, heart failure, an arrhythmia, or stroke.

Smoking is a greater risk factor for heart disease in women than in men. Pregnancy complications such as high blood pressure or diabetes during pregnancy can increase a woman's long-term risk of high blood pressure and diabetes and increase the risk of development of heart disease in both the mother and in her children.

Menopause is a time when a woman stops having menstrual cycles. If you have reached menopause, your overall risk of heart disease may increase due to the reduction in the hormones estrogen and progesterone

It is important for every woman to know about their risk factors and recognize the warning signs for heart disease and stroke so that you can prevent and manage them.

Women can prevent and reduce their risk of heart disease by becoming and remaining smoke free, achieving and maintaining a healthy body weight, being physically active for at least 150 minutes of moderate- to vigorous-intensity aerobic physical activity per week, in bouts of 10 minutes or more. It’s also very important to maintain blood pressure through lifestyle changes. w w w.medegatetoday.com September-October 2014

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DOCTOR Speak

Missing a beat‌

not so romantic (arrhythmia)

Dr TS Kler

Fortis Escorts Heart Institute New Delhi

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he proverbial ‘missing/skipping of heart beat’ by sight or fond remembrance of loved one is a romantic thing. However, in context of cardiovascular health, things are not as pleasing. Heart beats in each of us constantly from the time the foetus is ten weeks old in its mother’s womb to the time one takes his last breath. The beauty of this marvel of nature is that it does all its work without making one aware of its presence. In fact in healthy and relaxed state, one should not feel his own heartbeat.

So the notion of missing/skipping of heart beat in itself is abnormal. There are various reasons for the above symptoms. It could be due to a premature extra beat generated from unconventional site either in upper chambers or lower chambers of heart. These extra beats may delay the occurrence of next beat by resetting the natural pacemaker of heart leading to feeling of missing/skipping of a beat. Though it can cause distressing symptoms, the condition itself usually has a benign prognosis but these extra beats coming from the lower chamber of the heart in the presence of heart pumping capacity less than normal (Ejection Fraction <40% ) may be dangerous & may be the cause for sudden cardiac death. If it is frequent or severely distressing, a cardiologist should be immediately consulted. The burden of extra beats can be quantified by 24 hours Holter monitoring test and based on that further management can be decided. Drugs are available for suppressing the extra beats however, are not routinely recommended. On special occasions, an electrophysiological study of the heart is done to map the origin of these extra beats which can be subsequently treated with radio frequency ablation for permanent cure.

Another important cause of missing/skipping of heart beat is related to defects in either impulse formation by the natural pacemaker of the heart or in the conduction of impulse from upper chambers to lower chambers of the heart.

The natural pacemaker of the heart generates beats at a constant rate. It can sometimes be delayed in producing the next beat which is called as the late beat. Late beats are a benign occurrence and do not merit any treatment.

However it’s the duration of the pause in the impulse generation that is of importance. Any pause due to missing of heart beat longer than 3 seconds can lead to fainting/syncope and requires implantation of a permanent pace maker device in the heart. Missing beats due to failure in conduction of impulse from upper chambers to lower chambers of heart has equally grave prognosis and requires implantation of a permanent pacemaker device in most cases.

Cardiac Electrophysiologist is a cardiologist that specifically deals with the electrical problems of the heart.

These electrical problems are either abnormal slowing of heart beat or fast heart rate or irregular heart beat or any combinations of all these three. There are many diagnostic tests for studying such problems of heart viz.

ECG, 24hr Holter test, external and internal loop recorders, and electrophysiological study (which requires admission and is an invasive procedure). General advice is to refrain from too much tea, coffee and beverages rich in caffeine. Similarly alcohol consumption can also lead to feeling of missing beats. Specific treatment is according to specific cause and is effective. w w w.medegatetoday.com September-October 2014

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DOCTOR Speak

SMOKING AND

CARDIAC SURGERY

C

Dr Yugal K. Mishra Fortis Escorts Heart Institute New Delhi

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igarette smoking is a powerful risk factor for coronary artery disease, myocardial infarction and cardiac causes of death. Coronary artery bypass is a relatively safe and commonly performed cardiac operation with the mortality of 0.6% to 2.0%. Given the ever increasing cardiac surgical patient population and intractable problem of continued smoking within these patients is a priority to clearlydelineate the impact of smoking status.

Persistent smoking after cardiac surgery has been consistently identified as a predictor of increased mortality in the follow-up studies after cardiac surgery, late mortality is significantly worse. Smokers also have a grater incidence of

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There has been much controversy about whether smokers should receive the same opportunities for CABG as nonsmokers. Discussion on this subject was mainly based on the consistent finding that continued smoking after CABG increased clinical complications, such as myocardial infarction and repeat coronary revascularization. At one year after surgery, smokers had more than twice the risk for myocardial infarction and reoperation as compared with patients who had stopped smoking since surgery.

recent myocardial infarction, left main stenosis, urgent operation and chronic obstructive pulmonary disease(COPD). The rationale behind this is poor CABG outcome due to failure of the vein graft patency, greater risk of post operative complications, mortality and earlier need for reoperation. Length of ICU stay is also high in smoker likely due to the fact that smoker most often present with the respiratory disease and have grater ventilator require- The persistent smokers have a greater risk of death ment in the post operative period. from all causes as compared with patients who Patient who continue to smoke or who start smok- stopped smoking after surgery over a long period ing again after coronary bypass surgery have an el- of follow up. Over a period of time the risk of death evated rise not only for myocardial infarction but from any cause is greater in patients who continued also for the return of angina pectoris and the need smoking after CABG than it was in those who quit. for coronary bypass surgery.

Despite the similar rates of early outcome, the continued adverse health effects form smoking on multiple organ systems is well established and should not be ignored. This is reflected in long term follow-up of these patients.

The researchers found that heavy smoking noticeably increased matrix metalloproteinase enzyme level in the saphenous vein. These enzymes have been linked to vein graft failure. Dysregulation of enzymes may gradually normalize after smoking cessation, a noticeable vein recovery needs at least 6 months, vein enzymes do not completely return to normal levels even after one year.

The benefit of smoking cessation on mortality may be explained largely by the reduction in cardiac death which is higher for the persistent smokers than it is for those who quit. It would be advisable to stop smoking at the 6 weeks prior to surgery but it has been observed that many patients can have adverse cardiac events during this period so smoking status alone should not preclude these patients from receiving these operations. However we emphasize that this should not translate into ignorance of continued smoking in patients undergoing cardiac surgery. Given this adverse effects of smoking on overall cardio vascular morbidity and mortality, patient should be encouraged and even assisted in endeavors to quit smoking. w w w.medegatetoday.com September-October 2014

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COVER S t or y

4 MT india th

Healthcare

Awards 2014

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COVER S t or y

Leading Doctor’s of the Country

M

edgate today a leading Magazine for medical professionals in India organized “4th MT India Health Care Awards 2014” at Ashoka hotel on Aug 23rd .

A galaxy of doctors from all over India participated in the event. Honorable Chief Guest Sri Satish Upadhya (President ,BJP Delhi)and Sri Mahesh Giri (MP, East Delhi)spoke about the role of doctors in helping the poor section of the society, Many award winners under various categories received the awards on the occasion. Medgate today focus on every doctor, young entrepreneurs, hospital staff and all people related to the medical fraternity to keep

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Awarded

them updated with the rigorous developments of healthcare industry happy to commence this award ceremony ,Said Afzal kamal (National Head –Medgate Today) Doctors, the second person in the world, who are the first thought of every individual for faith after God, as they are the hands we have to save and treat the best to every person who approaches them.

With deep regards from our hearts, we stand here to honor and appreciate their efforts, which is what they deserve.

NAME

Awards categories

Dr. M. Wali

First Physician of the Country

Dr. Pervez Ahmed

OutstandingContribution to Private Healthcare in delhi/NCR

Dr. Gaurav Sharma

Best Diabetic & Lifestyle Doctor

Dr. Rajiva Kumar

India’s Top Doctor in Pediatric

Tarun Katiyar

Young Entrepreneur in Healthcare of the Year

Dr. Santosh Singhal

Best Doctor in Diabetology

Dr. Ashok Garg

Best Doctor Opthalmology in Haryana

Dr. Dharma Chawla

Life Time Achievement

Dr. Deepak Arora

Best Sex Clinic in India

Cygnus Medicare

Most Promising Hospital Chain of India

Fortis Escorts Hospital, Jaipur

India’s Top Hospital in Patient Safety

Nova Fertility

Best IVF Chain in India

M/S Sai Sumeet Appliances

Best Modular OT Manufacturer

Hitex healthcare

Best Manufacturer of Surgical disposable drapes, procedure packs & Gowns

Dr. Pradeep Bhardwaj

Healthcare Personality of the Year

Dr. Manisha Nishchal

Best Doctor in Pathology

Dr. Alka Kriplani

Best Gynaecologist Delhi/NCR

Dr. Sadiya Vanjara

Best Physiotherapist in Mumbai

Care World TV

Best Healthcare Communicator

Dr.Sunil Khetrapal

Best Doctor in Hospital Administration

Ameya Life

Healthcare Excellence Award For Healthcare delivery & Service

Sameer Bhati

Best in Healthcare Marketing & Research

Dr. Rajesh C. Shah

Best Surgeon of the year

Dr. Shard Lakhotia

Best Eye Specialist in Delhi/NCR

Dr. Rohit Garg

Best Community Services in rural areas in the field of Deaddiction and Psychiatry

Dr.Sunil Waghmare

Best Doctor in Spine Pain

Dr. Mayank Chawla

Young Doctor of the Year

Dr. Nagesh KG

Best Dental Surgeon of the Year

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DOCTOR Speak

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Dr. M.Wali Awarded First Physician of the country (New Delhi)

Awarded Outstanding Contribution to Private Healthcare (Delhi/NCR)

Padma Shri Awardee, Dr. Mohsin Wali is highly accomplished and well sought after physician of national repute. Dr. Wali has served as full time physician to Presidents of India, Mr. R. Venkataraman and Mr. Shankar Dayal Sharma. Besides, he has been appointed to serve family of President Dr. Zakir Hussain. Dr. M. Wali has been recipient of Prestigious Gold Medal for India, awarded to him by Cambridge and American Institute of Biography. He has been honoured with Rajiv Gandhi excellence award for Medicine (2010) and Lifetime Achievement Award by Indian Economic Institute.

After spending more than 40 years in the Healthcare Industry in India & US and starting Healthcare facilities for other, Dr. Ahmed started his own venture to provide affordable and high quality emergency, urgent and accrue medical care which is accessible in the neighborhood under the name of ‘Urgent Care Centre’, currently with 3 Centre’s in Delhi, with plans to be in Tier II & III towns as well.

Dr. Gaurav Sharma

Dr. Rajiva Kumar

Awarded Best Diabetic & Lifestyle Doctor

Dr. G Wellness, an initiative of Dr. Gaurav Sharma (MD, PGDSM), committed to help people fight the Diabetes and keep its complications at bay. Dr. Gaurav Sharma is the leading practitioner of fitness medicine in the country. While placing a special focus on management of lifestyle related disorders such as obesity, hypertension, diabetes, joint problems and heart problems, he has managed to affect a positive change in the lives of many through his lifestyle modification program that combine exercise programs, diet counseling, stress management, motivational counseling, supplementation of vitamins and minerals, and bio-identical hormone replacement.

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Dr. Pervez Ahmed

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Awarded India’s Top Doctor in Pediatric (Muzaffarpur) Dr.Rajiv Kumar is consultant pediatrician. Practicing for last 20 years.

Dedicated to his duty and responsibilities.

Case taking 300 per day in OPD

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Dr. Santosh Singhal

TARUN KATIYAR Awarded Young Entrepreneur in Healthcare of the year

Awarded

Obest doctor in diabetology (Delhi)

Mr. Tarun Katiyar- A young Entrepreneur in the field of Hospital Industry.

A Management Graduate is now a Principal Consultant of Hospaccx Healthcare Business Consulting Pvt. Ltd. Only eight years of experience made him expertise in: Consulting & Healthcare Operations, Business Diligence, Strategy Formulation, Hospital Commissioning, Process Improvement, Operations Budgeting, Redesigning & Operations Support,Commissioning Assistance, Market Survey and Feasibility Reports etc.

Dr. Santosh K. Singhal born and brought up in Gwalior has truly serve the mankind, and his dream of establishing the new concept of providing best Diabetic care in this city of Tansen (Gwalior) has paved the way for making Gwalior a medical hub. He has awarded Gold medal for excellent performance in academic and social field in MBBS examination and did MD (Medicine) from GRMC Gwalior with first rank and his thesis was ranked the best thesis for the year.

Dr. Ashok Garg

Dr. Dharam Chawla

Awarded Best doctor opthalmology (Haryana)

Prof. (Dr.) Ashok Garg, Chairman and Medical Director of Garg Eye Institute and Research Centre, Hisar (Haryana). Prof. Garg is Guinness Book and Limca Books of World Records Holders for writing maximum number of books in Ophthalmology at an International level. So far he has written 86 international books and 3 Video Atlases with worldwide distribution. 15 of his books have been converted to Spanish and Portugese editions.Prof. Garg has won more than 15 Inernational and 20 National awards for his achievements. He has been invited to various International ophthalmic conferences as Judge and Guest Faculty Speaker.

Awarded Life time achievement

Dr. Dharam Chawla, M.b.b.s. M.s. F.a.i.s. F.i.a.g.e.s., currently working as a Medical Superintendent, H.o.d. & Sr. consultant surgeon, at Jankidas Kapoor Memorial Hospital, Naraina, New Delhi. Having Acquired Adequate & useful teaching And Clinical Experience, Both (National and International), Finally Setteled in Private Medical Practice in the year 1986).

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CYGNUS MEDICARE

Dr. Deepak Arora Awarded Best Sex Clinic in India

Most Promising Hospital Chain of India

Cygnus Medicare is a group of highly skilled doctors observed that all major hospital chains had been focusing on metro cities, and the district headquarters and towns in India remained untouched by the revolution of superspecialty healthcare.

Infect he and his team is fully qualified sexologists and sex therapists have helped more than 1500 men and women of all ages to start enjoying a happier and sexually fulfilling life.

Cygnus Hospitals has developed into 9 hospitals of super specialty medical excellence,with 800 beds,served by 1200 medically skilled workforce.

Fortis Escorts Hospital

NOVA IVI Fertility

Awarded Indiaâ&#x20AC;&#x2122;s Top Hospital in Patient Safety

(Jaipur)

Commissioned on August 2, 2007, a Multi super Specialty Hospital of 350 beds;6.68 acres. Since 2007 participated in more than 54 international multi centre, Research projects with National and International Institutes.

Best Super Specialty Hospital in Rajasthan by BIG Research in category of Business & Service Excellence 2013 & 2014; State Productivity Excellence Award by Rajasthan State Productivity Council 2012; Community Leadership Award by Institute of Leadership Development

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Awarded

Deepak Arora, U.S. (ABS) Certified Sexologist, have made mission to help men and women in India and around the world to overcome their sexual problems, like Erectile Dysfunction, Premature Ejaculation and Loss of Libido (loss of sexual desire).

www.m e d e g a t e t o d a y. c o m September-October 2014

Awarded Best IVF Chain in India

Nova Medical Centers is the parent company of Nova Specialty Hospitals and Nova IVI Fertility. It currently operates 10 specialty surgery hospitals and 9 fertility centers in India, with 1 polyclinic in Muscat, Oman.

Novaâ&#x20AC;&#x2122;s vision is to create a novel institution that stands for excellence in healthcare services by providing the best patient experience and is an international reference for clinical outcomes, by adopting the latest advances in medical sciences, technology and an innovative business model.

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M/S Sai Sumeet Appliances Awarded Best Modular OT Manufacturer

Awarded

Hitex Healthcare

Best Manufacturer of surgical disposables drapes procedure packs and Gowns

Mr. Prabhu Kumar Tiwari the managing director having vast experience in Hospitals Planning, Architectural & Management Consultancy since 1991. started own company’s M/s. Sai Sumeet Appliances, M/s. Vin Tecno Medicare & M/s. Sai Mediquip having our manufacturing units in Hyderabad and Pune. We are pioneer in the domain of healthcare planning, architectural & management consultancy. Mr.P.K.Tiwari has assimilated the scope of services and recognizes the unique opportunity to provide our bouquet of intellectual services. Our goal is to serve the best interests of each client.

Hitex is one of the leading manufacturers and distributors of medical supplies in the Czech Republic; It manufacture disposable drapes on semi automatic machine imported from Europe; It manufactured drape by using Bi laminates and tri laminates. These laminates are made in the sate – of – art factory at Czech Republic; The company has its own sterilization unit, laminating production line for two-and three-layer printed material and high-capacity fully automatic production line for surgical masks.

Dr. Pradeep Bhardwaj

Dr. Manisha Nischal

Awarded Healthcare personality of the year

Dr. Bhardwaj is a dynamic, confident and courageous star performer of Indian Healthcare Industry, who is providing overall management leadership & innovation in Healthcare Industry. 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.

Awarded Best doctor in Pathology

Managing Director of Pathmaxolab.

The centre is headed by Dr. Manisha Nishchal, M.D., a pathologist of international repute with varied, wide and extensive experience in both Government and Private sector. She is ably supported her team.

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EXPERT V ie w s

Dr. Alka Kriplani Awarded Best Gynecologist (Delhi/NCR)

Professor & Head

Deptt of Obst-Gynae Director in-charge WHO-CCR, HRRC & Family Planning All India Institute of Medical Sciences, New Delhi

Care World Channel Awarded Best Healthcare Communicator

A Channel delivering high quality credible content in holistic, ethical and professional manner integrating health and fitness for the mind, body and soul with the help of highly experienced practitioners specializing in various disciplines and well known Spiritual Leaders who share alternative remedies and ancient secrets.

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Dr. Sadiya Vanjara Awarded Best Physiotherapist (Mumbai)

Dr. Sadiya Vanjara, presently is Head of Physiotherapy Dept at Noor Hospital, Mumbai.Her vast clinical and academic experience in the field of Physiotherapy spreads over more than 15 years. She specializes in Rehabilitation & Dry Needling. Besides having worked in India & abroad, and constantly upgrading her clinical knowledge in the field of Physiotherapy, she also contributes to the society by writing for various general and medical publications. Few of them are newspapers like “Free Press Journal Newspaper”, magazines like “ Physiotimes”, “Stayfit”, “Medgate Today” & Dignity Dialogue magazine, etc.

Dr. Sunil Khetrapal Awarded Best Doctor in Hospital Administration (Jaipur)

Dr. Sunil K. Khetarpal, Chief Operating Officer, Delhi Heart & Lung Institute (100 bedded Super specialty hospital for Cardiology, Cardiothoracic Surgery, Pulmonology and Critical Care). Delhi. he 27 years of rich experience in healthcare industry. Area of Expertise: Hospital Operations and General and Medical Administration, Statutory compliances, Quality & NABH Accreditation, Strategy, Business development & Marketing, delivering high quality Medical and Nursing care, Patient satisfaction, Hospital IT and Medico-Legal issues.

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Sameer Bhati

Ameya life Awarded Healthcare Excellence Award for

Awarded best in Healthcare Marketing & Research

Healthcare delivery & Services

Head of Operations of Star Imaging & Path Lab Pvt. Ltd For me work & performing duties are like worship & from last 14 Yrs. I am worshiping with full dedication. I start my professional journey as Technical person, then worked for Operations & latter on as a Marketing professional, now presently I am Head of the Operations of Star Imaging & Path Lab Pvt. Ltd. For my dedication, I am awarded by many organizations like AIIMS, Indus-Foundation, and Brand Academy etc. I have attended many Seminars & also presented my papers there like in AIIMS, Indus Foundation, IIT Delhi & XLRI etc.

Dr. Rajesh C. Shah

Dr. Shard Lakhotia

Ameya life is an innovative healthcare delivery company with a double bottom line approach based out of Hyderabad, Telangana, its mission is to provide quality healthcare to a diverse population through a variety of service lines with special focus on prevention of non communicable diseases (NCDâ&#x20AC;&#x2122;s) and promotion of healthy lifestyle. Ameya Life is a social entrepreneurial venture which has been operational since September 2013. Mission To provide quality healthcare to a diverse population through a variety of service lines Ameya Life has to offer.

Awarded Best Surgeon of the year

President: International college of surgeon-Indian section; President: Indian society of wound management; President: Indian Hernia Society; Advisory Member: international College of Robotic Surgeons; President: society of endoscopy & laparoscopy surgeons of India; Legal cell convenor & Governing council member: asi Hon. legal Advisor, Amasi; Ex-president: asi, Gujarat Chapter (2006); Ex-president: gujarat State SurgeonsAssociation; Ex-president:ahmedabad SurgeonsAssociation; Ex-executive Member: urological society of India, west zone; President of Indiaâ&#x20AC;&#x2122;s Medal Winner Hon. surgeon: h.e. governor. Staff Officer (Medical) & Sr. Div. Commander,Gujarat home guard, etc.

Awarded

Best eye specialist in (Delhi/NCR)

Dr. Sharad Lakhotia in 1986 established Lakhotia Eye centre & Laser Institute after returning from abroad after specialized training. Dr. Lakhotia topped University in both graduation & post graduation examination & received Scholarship through out. He has been Chairman, Co- chairman, moderator & faculty of various national and international Conferences for past 25yrs Best eye specialist in Delhi/NCR. He specialized in phaco & microphaco for cataract with foldable, accommodating & multifocal intraocular lens implantation. He also specializes in Lasik & Bladeless Lasik( Femtosecond Laser) for correction of glass number.

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Dr. Rohit Garg Awarded Best Community Services in rural areas in

the field of Deaddiction and Psychiatry

Dr. Rohit Garg is a psychiatrist currently worked in the department of psychiatry at All India Institute of Medical Science, New Delhi.

Dr. Sunil Waghmare Awarded Best doctor in spine pain

Sunil Waghmare is interventional vascular and pain stem cell therapist.

He is the head of Om Sai Superspeciality hospital Pvt Ltd.

He has been trained for Cognitive Behavior Therapy which is useful therapy in handling negative emotional states especialy during stress, depression and anxiety.

Dr. Mayank Chawla Awarded Young doctor of the year

he is young, Dynamic, Resourceful & Eager Enough to persue advance studies & Training and Acquire newer knowledge & technology in Medicine in frontline states like Usa, U.k., Japan & Germany.

He has well cherished reaserch oriented ambitions & goals in Medicine, for the service of suffering mankind

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Dr. Nagesh kg

Awarded Best Dental Surgeon of the year

Dr. Nagesh K G is the Head of Nagu Dental Clinic established more than 19 years back in Bengaluru. He has been part of many interactive ‘LIVE’ and recorded shows on dental education in major TV channels & cable channels of Karnataka, Doordarshan Karnataka and Chandana & Aaj Thak . Esteemed patients treated by Dr.Nagesh K G include a list of many Karnataka super star actors, supporting actors, producers, directors, music directors, cinematographers, writers, action masters , editors, singers, production managers & other technicians, leading journalists, & Stars of other fields. “Most Promising Dentist Of Bangalore 2012” was awarded by NDTV Profit & Big Reasearch Group.

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DOCTOR Speak

Modern Treatment of

Heart Disease T

here have been fascinating developments in the treatment of heart diseases in the past twenty to thirty years but more so in the last fifteen years.

New Technologies, new devices, new methodologies have turned into reality what was thought to be impossible and fictional fifteen years ago.

These revolutionary treatments are expected to benefit thousands of patients in the coming years.

Some of the advances in heart disease treatment which I have been closely associated with and contributed to are -

through a major surgery which involved stopping the heart, putting the patient on a ‘bypass pump’ and cutting open the heart to put in a new valve. Now, in one of the biggest breakthroughs in medical science, this can be done non-operatively through a puncture in the groin, in the cath lab in an angioplasty-like procedure without any surgery. The procedure lasts for approximately two hours.

Also, because it’s non-surgical, it is safer and the patient can be discharged in three to four days. It’s particularly recommended for seniors whose age makes surgery a risky affair. We were the first ones to use this technique in India more than two years ago and have successfully treated a number of extremely sick patients. Some of these patients had severe aortic stenosis, had been refused surgery because of high risk and if not treated could have died over next two years. All patients recovered rapidly and are now leading a normal life with full activities.

This non-operative procedure has now become a standard treatment across most countries of the world.

Transcatheter Aortic Valve Replacement (TAVR): This is a technique to replace one of the valves of the heart without ‘open heart surgery’. The heart is a muscular pump which pumps oxygenated blood to all parts of the body including liver, kidneys, brain. The ‘aortic valve’ allows blood to flow only in one (forward) direction. Due to defect of this valve from birth or because of ageing, this valve may develop calcium deposits that narrows it and restricts it from opening fully. This stops blood from passing through to the brain and the rest of Bioabsorbable Stents the body--a condition known as ‘aortic stenosis’. Aortic stenosis affects nearly 4-5% of old people and once se- When arteries of the heart get blocked by cholesterol devere leads to death in most within 2 years. Till recently, posits, heart attacks can occur. One of the widely used and the only way to replace this valve with a new one was successful treatments of coronary artery disease involves angioplasty where small stainless steel spring like devices coated with a drug called ‘Drug Eluting Stents’ are inserted into the arteries to remove the blockage and keep the arteries open. But, having a piece of metal in the heart arteries throughout the life has some disadvantages including the fact that the patients have to be on blood thinning tablets

Dr. Ashok Seth Chairman, Fortis Escorts Heart Institute New Delhi

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Catheteter being place across Aortic Valve

CoreValve being delivered

CoreValve in functional position

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Interrupting the nerves of kidney arteries for treatment of high B.P.

throughout life. There are now ‘stents’ which are made of a certain plastic like material which after doing their job of opening up the heart arteries gradually dissolve and disappear in about two years leaving the artery totally normal. This fascinating and revolutionary treatment was first used in India at Fortis Escorts Heart Institute in October, 2010 as a part of a study. Since Dec 2012 onwards after approval in India, these bioabsorbable stents are in regular use and benefitting large number of patients.

Renal Denervation Therapy Another new treatment under investigation is a procedure of Renal Denervation Therapy where in a brief non-operative angioplasty like procedure the nerves to the kidney are interrupted by microwave catheter. The patient is fine to walk and be discharged on the next day. The procedure leads to better control of uncontrolled blood pressure and decrease in the number of medications. If the trials prove its long term benefits over time then this technique could benefit a large number of patients with uncontrolled B.P.

caused by transportation. However, CritiNext eICU helps provide expert care to the patient at the local hospital helping avoid inter-hospital transfer and risks. ICU care at local hospital allows patient get better support from family as well as help reduce costs by shortening the stay in ICU.CritiNext addresses the shortage of critical care staff in remote areas and enables physicians in remote units to manage ICUs more efficiently. Remote ICU Monitoring Technology combined with expert set of eyes can help reduce medical errors and infection within ICUs leading to reduction in patient mortality by up to 60%.

Optical Coherence Tomography or ‘OCT’

It is a technique for obtaining under the surface images within the lining of heart arteries at a resolution equivalent to a low-power microscope. OCT is attracting interest among the medical community, because it images at much higher resolution (better than one hundredth of a mm) than other imaging modalities such as MRI or ultrasound.

OCT give better clarity because it is based on light, rather than sound or radio frequency and can pick up very early CritiNext and e – ICU blockages or clot and calcium within the arteries. It is perCritiNext is Asia First electronic intensive care unit in formed like a routine coronary angiography. partnership between Fortis Healthcare and GE Health Optical coherence tomography was initially started as care. The e-ICU services being offered by Criti Next medical imaging technique to obtain high-resolution immakes specialty critical care accessible and affordable to ages of the retina and the anterior segment of the eye. critically ill patients in small towns of India. The Criti FEHI was the first in India to start imaging heart arteries Next e-ICU is powered by GE’s Centricity High Acuity Care Solutions and operationalized by critical care ex- by OCT three years ago. perts from Fortis Healthcare.

It is in cardiology to help diagnose coronary artery disThe CritiNext eICU enables a remote hospital to provide advanced consultation, care and monitoring to their critically ill in patients without having to physically transfer them to super specialty hospitals.

Transporting a critically ill patient from one facility to another, especially a distant hospital, can be risky. Patients are at the risk of clinical deterioration that may lead to adverse events including threat to life, due to the stress

ease to detect fat-rich plaques which are prone to rupture and may lead to heart attack and to see clearly inside the stent i.e how well it is placed in the coronary artery and if there is any deformation inside the stent after placement or any in growth within the stent to find out reasons for recurrence of symptoms. It has the potential to decide which blockages could be bad for the future and more prone to create heart attacks and studies in this direction are ongoing. w w w.medegatetoday.com September-October 2014

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EXPERT V ie w s

Take Care

of Your Kid’s Sleeping Position to Prevent Head Deformity Head deformity is not uncommon among infants. Though not serious, treating it on time is important as it may lead to visual, auditory and neural problems that may hamper the normal development of child.

While surgery is the last option if the condition becomes severe, it can be treated using cranial helmets when diagnosed early, writes Amit Bhanti, Clinical Director, Comprehensive Prosthetics & Orthotics

U

neven head shape in infants is a common sight, often resulting from sleeping in just one position.

As the flattened skull shape is an outcome of lying in the same position in infants, the condition is thus also known as ‘positional head deformity’ or deformational plagiocephaly/brachiocephaly.

Plagiocephaly is abnormal flattening on one side accompanied by bulging from other side of the head, giving the head an uneven shape rather than normal round appearance. Brachiocephaly on the other hand is even flattening of the back of the head which happens from the constant supine position of infant. Both the conditions happen in children when they keep lying on their back for long hours without any movement. With even doctors suggesting parents to keep their babies in supine position when they are

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sleeping in order to avoid SIDS (sudden infant death syndrome), and they are rightly doing so, the prevalence of head deformity in infants has risen. The need of the hour is just to be cautious to prevent it from happening while sticking to the advice of doctors.

Though not unheard of, head deformity is not taken very seriously by parents, particularly in India, who ignore it considering it non-hazardous to health. Oblivious of the ill effects of deformed head, such ignorance is obvious in parents.

Traditional method of using special pillows to keep infant’s head in a proper shape is quite popular in India. However, even after taking all precautions if the skull of the infant gets deformed or flattened on one side it is ignored as a

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minor issue that does not warrant any medical intervention. surgery when the child is 12-18 months. When surgery involves a child, it makes parents panicky. The head area is Parents are, however, unaware of the fact that head defor- sensitive portion where the brain is also located. So surgery mity can lead to major health problems as the age of the is not welcomed easily by parents. Though in some casinfant progresses. es, surgery is the last option, cranial helmets is best suited when the condition is diagnosed early.

Health worries arising out of head deformation

There have been a number of cases wherein deformational plagiocephaly has led to visual, auditory and neural impairment, restricting the child’s normal development. Though results usually are not extreme in every case, staying cautious is very pertinent for almost every parent to avoid any kind of eventuality.

Cranial Helmets

In cases where surgery can be avoided, cranial helmets are the best alternative to treat infant’s head deformation.

These helmets correct the asymmetrical head shape of the infant as he/she grows and helps correct the flattened areas of the skull to round out, besides preventing the bulged out In case of abnormality in the head’s shape, the most com- portion from further bulging. Without putting pressure on mon issue is excessive pressure on the brain. This in- the baby’s head, cranial helmets improve skull shape by creased pressure can potentially damage the normal neural pushing healthy and corrective growth of deformed area. development, leading to many problems, including visual and auditory disorders. Chances are also there that a child The helmets have to be worn by the child for 23 hours a may have hampered learning abilities and may not be able day, providing enough time for head growth. They are custo show the same progress as others who do not have any tom-made and can be removed at the time of bathing and head deformation. On a severe side, loss of vision, mental clothing. When the cranial therapy is started, a tab should retardation and speech problems are the worst outcomes of be kept by parents for any redness or irritation on the child’s head or neck. If any discomfort is detected, changes skull deformity. are made accordingly for easy fit. Parents should be cautious if the helmets cause any redness after its removal for Measures to prevent head deformity Parents, especially those, who have been blessed with a a short period and immediately bring it to the orthotist’s child for the first time should be given counselling by the notice, who can initiate corrective measures. doctors at the hospital itself. They should be made aware The babies are not made to wear the helmet for continuous about how to handle a child and what precautions to take. It 23 hours since beginning of the treatment, as they take time is equally imperative for parents to ask as many questions to get adapted to it. The helmet is introduced slowly so that from their gynaecologist as it involves the health of their the infant becomes used to it. During the initial phases, the child. A lot of information is available on internet too these days and parents should make the most of it. Being inquis- infant is made to wear the helmet for a few hours and then removed for a break. This process is repeated several times itive is essential for the well being of child. as advised by the orthotist. The number of breaks is cut Continuously changing the sleeping position of the infant down as the baby gets accustomed to it. Also, the infants by parents is very important as they are unable to do so on are not made to sleep with it until they are comfortable their own in the very initial months. The infant should be wearing it for continuous 6-8 hours when awake. moved from side to side when sleeping so that pressure shifts from one side to another. At the same time, the baby should also be kept in supine as well as prone positions Things to Keep in Mind when Going for Helmet Therapy while sleeping and when awake. These changes in sleeping ÂÂ When parents notice any abnormal skull shape after birth positions is the best way to keep head deformation in the or during the initial months of birth, they should consult child at bay. Mothers should also be careful to change posia doctor and start the treatment early on as the growth tions during breastfeeding and not leave the child in supine of head slows down after one year. positions for long. ÂÂ The helmets have to be worn for very long hours to achieve desired outcome. As they become an integral part of the Treatment: Surgery (Corrective Measure)/Cranial infant, cleanliness of the device is very important so that helmets (Preventive Measure) the infant does not acquire any infection from it. The helmets are made up of high-end plastic material which Positional skull deformities are usually mild. However, in severe cases that can be corrected through reconstructive can be easily washed and cleaned every day. ww ww.medegatetoday.com w w . m e d e g a t e t o d a y.

September-October c o m July-August 2014 2014

57

DENTAL S e c t ion

?

Do You Know

Flossing

is as

Important as Brushing

T

he idea of a comprehensive dental care is yet to catch up in India, where people are yet to convert to the culture of regular flossing, writes Dr Amit Sachdeva, Sr Dental Surgeon & Director Promoter, Axiss Dental.

Ask any ‘health conscious’ Indian about their idea of good oral hygiene and the reply you are most likely to get is, “Brushing teeth twice a day”.

Ask them a supplementary question on what they think about dental flossing, and they are most likely to dismiss it.

Dental experts around the world today agree that flossing, that removes undesired particles from the insides of the teeth, is as important an activity as brushing your teeth twice daily. However, this idea of comprehensive dental care is yet to catch up among Indians, many of whom do not even care to brush their teeth before going to bed.

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INTERVIEW PRODUCT DENTAL NEWS SUpdat Bec Line y tMt ion e

When we eat or drink throughout the day, the micro particles of food and drinks tend to stick to the teeth.

Often, they stay stuck for long periods of time promoting teeth germs to thrive at them. While brushing takes care of such undesirable particles that are stuck on the outer sides of the teeth, what about the food and plaque that is sticking to the inner edges of the teeth or between the surfaces of two teeth?

This is where the importance of flossing comes up Dental floss is the name referred to the thin soft cord that is sued to gently remove food from between the teeth. It is a very important tool to remove undesired particles and clean up the interdenatal areas of the mouth, which cannot be reached with a tooth brush, no matter how flexible and fine.

The floss is inserted between the teeth and removes the food stuck between them as also the plaque or tartar that can be extremely harmful for teeth health. Dental floss is a very important component of total dental and oral care but many people consider it an unnecessary activity.

Many believe that since they do not encounter the problem of shreds of food being stuck between teeth, they do While greater awareness in Western countries has pronot need floss at all. moted among their populations a comprehensive idea of oral hygiene which involves brushing, flossing and mouth However, this is flawed thinking. Floss not just removes washing, in India such a culture is yet to take shape. Most tangible and thick food pieces like meat shreds from the Indians even loathe brushing their teeth before going to teeth but also smaller particles that are not big enough bed at night, forget about flossing. The required awareto make their presence felt. Moreover, plaque is another ness about how lack of oral hygiene can cause tooth decay threat to oral health that floss removes gently from beand painful cavities in the long term is not present. In fact, tween the teeth. In fact, more than removing food, it is for oral health is taken as the least significant aspect of overremoving plaque that the role of dental floss is important. all health. Visiting a dentist regularly for preventive care Plaque is usually a yellow coating that develops when is another aspect that Indians do not acknowledge. Many bacteria attach themselves to the surfaces of the teeth. It a people who are visiting dentists in their 50s are doing it is in this bio system that bacteria ferment food and the for the first time in their lives, when it is important to get resulting acidic productions can cause cavities in the teeth a dental check up done at least once in two years. and tooth decay.

Then there are some people who believe in the myth that Flossing is a very easy and very effective way of removflossing every day can create more spaces between the ing plaque from the surface of the teeth and preventing teeth, paving way for more food to stick into it. This again tooth loss and gum disease. Dentists believe that a regular is flawed thinking and a floss is gentle and thin and will habit of flossing once a day can go a long way in prenot create space where there is none. venting gum disease and tooth loss by keeping the mouth clean of external undesired elements and hence prevent- Add floss to your daily routine and you will experience a ing microorganisms from feeding on your teeth. cleaner and healthier oral care. Earlier, people used thin fabric threads to floss clean their teeth. Today, manufacFlossing once a day before brushing your teeth will also tured dental floss is available very easily everywhere. You help create enough space for the fluoride from the toothcan pick and chose the floss that suits your mouthâ&#x20AC;&#x2122;s repaste to reach the insides of the teeth. quirement. w w w.medegatetoday.com September-October 2014

59

HEALTHCARE Management

Importance of

Accrediting Hospitals

A

ccreditation is defined as a process of external review of the quality of healthcare being provided by a healthcare organization. This is generally carried out by a non-governmental organization. It also represents the outcome of the review and the decision that an eligible organization meets the applicable set of standards. International Society for Quality in Health Care (ISQua) of which NABH is an institutional member defines accreditation as “Public recognition of the achievement of accreditation standards by a healthcare organization, demonstrated through an independent external assessment of that organization’s level of performance in relation to the standard.”

Prof. M. Habeeb Ghatala Dean, Apollo Hospitals Group (Retd.)

Hyderabad

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Accrediting Organizations, Accreditation and Regulation Though it is voluntary to seek accreditation of a hospital by India’s National Accreditation Board for Hospitals and Healthcare Providers (NABH) or Joint Commission International (JCI), sister organization of USA’s Joint Commission for Accreditation of Healthcare Organizations (JACHO), it is the best step a hospital administra-

HEALTHCARE INTERVIEW PRODUCT EXPERT COVER NEWS Management Updat B Views St Line y ory Mte

tion can take with the support of hospital staff to seek accreditation.

Based on experience in NABH, JCI, and JCAHO accredited hospitals in the U.S. and India for over two decades, the article presents the importance of accrediting hospitals in India.

Major Chapters, Standards and Objectives Accreditation is basically a framework aimed at helping healthcare organizations to establish objective systems focusing on patient safety and quality of care. Documentation plays an important role in defining of such systems.

The systems are related to patients, employees, regulatory compliance, organization’s policies and last but not the least, NABH Standards. There are 10 Chapters in NABH Accreditation Standards for Hospitals, 102 Standards and 636 Objective elements incorporated within these standards. NABH Standards for Small Health Care Organizations (HCO) having bed strength between 20-50 beds and are in possession of supportive and utility facilities that are appropriate and relevant to the services being provided by the organization are as follows:

As mentioned above, accreditation is voluntary and accrediting organizations are non-governmental organizations. But, as in the U.S., JCAHO accreditation is a prerequisite for healthcare organizations to receive reimbursement from government agencies and insurance companies for treating patients without having been accredited by JCAHO. In due course of time, the same requirements will become a standard practice in India.

Hence, tis is the opportune time, especially for private ÂÂ 10 Chapters hospitals to pursue NABH accreditation. ÂÂ 63 Standards Several healthcare practices through regulatory instru- ÂÂ 294 Objective elements. ments are mandated by both state and central governEach of the 636 Objective elements are required to be ments to improve a set of conditions which a healthcare complied with in order to meet the requirements of a parorganization must comply with, before and after it is ticular Standard. Each of the 102 standards has to be compermitted to operate in the country. They are based on plied with in order to meet the accreditation standards. minimum standards, inspection, enforcement and public Following are the 10 chapters. accountability. ÂÂ Access, Assessment and Continuity of Care (AAC) The difference between regulation and accreditation is that regulation is mandatory and accreditation is volun- ÂÂ Care of Patients (COP) tary. Accreditation is promoted by way of incentives and ÂÂ Management of Medication (MOM) market forces. In order to achieve the best of both worlds, ÂÂ Patient Rights and Education (PRE) regulation in time to come can simply rely on accreditaÂÂ Hospital Infection Control (HIC) tion. ÂÂ Continuous Quality Improvement (CQI)

Importance of Accrediting Hospitals

ÂÂ Responsibilities of Management (ROM) ÂÂ Facility Management and Safety (FMS)

Purpose of Accrediting Hospitals

ÂÂ Human Resource Management (HRM)

First and foremost, an accredited hospital gives patients, the most important people in the hospital and their attendants the needed satisfaction that the hospital conforms to quality standards. According to NABH, “The accreditation standard is not expected to be prescriptive. It only lays down the requirements and it is up to the healthcare organizations to come out with the systems, processes and mode of measuring performance indicators which can demonstrate compliance to the requirements as specified in the standard.”

ÂÂ Information Management System (IMS) A sample of the Standards for each of the above 10 Chapters are given below to show the comprehensiveness of coverage for NABH accreditation.

Importance of Accrediting Hospitals ÂÂ T he organization defines and displays the services that it provides (AAC) ÂÂ Uniform care of patients is provided in all settings of w w w.medegatetoday.com September-October 2014

61

HEALTHCARE Management

the organization and is guided by the applicable laws, regulations and regulations (COP)

Importance of Accrediting Hospitals

ÂÂ D ocumented policies and procedures guide the Accreditation Process and Application organization of pharmacy services and usage of The support and active involvement of healthcare organimedication (MOM) zation’s senior management is essential to the initiation, ÂÂ The organization protects patient and family rights and application, progress, successful review and accreditainforms them about their responsibilities during care tion. Prior to submission of application, it is expected that (PRE) the healthcare organization undertake repeated internal ÂÂ The organization has a well designed, comprehensive and assessment as per NABH Guidelines to maximize the coordinated Hospital Infection Prevention and Control chances of satisfactory Pre-Assessment by the NABH (HIC) programme aimed at reducing/eliminating risks Assessor. to patients, visitors, and providers of care. (HIC) There are basically following steps in the process: ÂÂ T here is a structured quality improvement and continuous monitoring programme in the organization ÂÂ Submission of application (CQI) ÂÂ Pre-Assessment ÂÂ The responsibilities of those responsible for governance ÂÂ Final Assessment are defined (ROM) ÂÂ Review of Assessment Report by NABH Secretariat ÂÂ The organization has a system in place to provide a safe ÂÂ Accreditation Committee and secure environment (FMS) ÂÂ Approval for Accreditation ÂÂ The organization has a documented system of human ÂÂ Issue of Accreditation Certificate resource management (HRM) ÂÂ Documented policies and procedures exist to meet the Throughout this process, feedback is given to the healthinformation needs of the care providers, management of care organization and necessary corrective actions are the organization as well as other agencies that require taken by the healthcare organization. data and information from the organization.

Benefits of Accreditation

Conclusion

A high majority of corporate hospitals in India are aggressively pursuing NABH accreditation. A few are also in possession of JCI accreditation. Very soon, the public will start preferring treatment at NABH accredited hospitals because of their desire for superior clinical outcomes.

As stated earlier, insurance companies may also start encouraging enrollees to use accredited hospitals because of recognized quality of care. Thus, sooner the stand alone Accreditation of a healthcare organization stimulates hospitals decide to seek NABH accreditation, the better it continuous improvement and enables the organization in is for long term survival. demonstrating commitment to quality care. In addition, it raises community confidence in the services provided by the organization and enables the organization to References benchmark against the best. From the standpoint of staff, 1. Accreditation Standards for Hospitals. New Delhi: National Accreditation Board for Hospitals and they have a higher level of job satisfaction because of Healthcare Providers (NABH), 3rd Edition, November opportunities for continuous learning and good working 2011. environment. Accreditation also improves overall professional development of clinicians and paramedical staff 2. Program for Internal Counsellors on Implementation and provides leadership for quality improvement within of NABH Hospital Standards, Course Notes. loc. cit., medicine and nursing.

June 2014.

Accreditation benefits all constituencies of healthcare organizations, especially patients. Furthermore, accreditation results in higher quality of care and patient safety, patients get services by credentialed medical staff, their rights are respected and protected, and equally important, patient safety is regularly evaluated.

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63

DOCTOR Speak

Non-Surgical Treatment of

Heart Diseases O

ver last two decades or so the field of Cardiology has witnessed rapid strides. A significant improvement has taken place as far as the treatment of various types of heart diseases is concerned. More and more patients are nowadays treated with non surgical means by Interventional Cardiology thereby obviating the need for traumatic open heart surgery. Interventional Cardiology involves the intervention of the catheter and other devices through the groin under local anaesthesia just like angiography to treat various heart diseases non surgically.

Broadly the heart diseases are divided into four categories like coronary artery disease, valvular heart disease, congenital heart disease and heart rhythm disease.

Dr. Purshottam Lal Director and Chairman Metro Group of Hospitals, UK

Non-Surgical Treatment of Coronary Artery Disease The coronary arteries are tiny tube like structures that carry blood and oxygen to the heart muscle. If a blood vessel in the heart becomes only partly blocked, then chest pain (angina) may occur however, if the heart vessels

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Figure 1. Slow rotational angioplasty

Figure 2. Atherectomy

is totally blocked heart attack takes place. In 1977 Dr. Grunzig performed the first balloon angioplasty. To deal with many limitations of balloon angioplasty new devices were introduced such as slow rotational angioplasty to open 100% occluded artery by using hand held battery operated drill, coronary atherectomy to remove the fatty deposit from the artery with the help of shaving blade, rotablator embedded with diamond crystals to open up calcified arteries at very high speed rotation and stenting (spring like structure made of an alloy) to keep the artery open. Drug eluting stents has played revolutionary role in the treatment of coronary artery disease and has virtually replaced bypass surgery even in the complex situations.

Latest advancement by using absorbable stents (wherein stent dissolves gradually over a period of time thereby not leaving any permanent scaffold within the coronary artery) has given a new outlook for the non surgical treatment of coronary arteries although long term results are still awaited.

Figure 4. Stent

Figure 3. Rotablator

Non-Surgical Treatment of Valvular Heart Disease Rheumatic heart disease involving heart valves still remains common in India particularly in patients coming from low socio-economic groups. It causes narrowing of the heart valves or leakage in the valves or both. Narrowing of the mitral valve called mitral stenosis is the commonest and at times it is detected during later part of the pregnancy when the patient starts feeling extreme difficulty in breathing, palpitations. Unless this tightness in the valve is removed, it becomes dangerous for the life of the patient and the baby. In 1984 Dr. Inoue introduced a balloon named Inoue Balloon to open the tight valve without surgery. This Inoue balloon has become the most popular and common balloon in the world to open up the narrow valves of the heart and the procedure is called as Valvuloplasty. This balloon is primarily used for opening mitral valve (mitral valvuloplasty or PTMC). The procedure of mitral valvuloplasty is done in the cath lab just like angiography and usually takes 15 minutes. During pregnancy the procedure of valvuloplasty can also be done under echo guidance only without the use of cath lab to avoid any risk factors of radiations to the featus. The patients who are having significant leak in their valves require open heart surgery. In case of aortic valve disease balloons donâ&#x20AC;&#x2122;t work very well and open heart surgery is preferred. The new advances in the Interventional Cardiology has brought up certain valves like core valve which can be used to replace the diseased aortic valve without open heart surgery. The use of this valve is rather limited due to high cost and surgical replacement of the valve still remains the treatment of choice. In patients suffering from leaky valves (mitral regurgitation) the diseased valve has to be replaced with open heart surgery. w w w.medegatetoday.com September-October 2014

65

DOCTOR Speak

Aorta

Aortic sinuses and coronary ostia Aortic valve annulus

Figure 5. Inoue balloon

Non-Surgical treatment of Congenital Heart Disease Medical and nonsurgical treatment for congenital heart disease varies depending upon types of congenital heart defects. Common procedures to treat heart diseases include non-surgical closure of different types of holes in heart such as ASD, VSD, PDA. Various devices such as Monodisc, Amplatzer, double button have been developed to treat selected cases without open heart surgery. Out of these devices Amplatzer Septal Occluder and Amplatzer Duct Occluder remains the most popular and commonly used devices. These devices are fitted in the hole with the help of catheters introduced through the groin under local anaesthesia. These special nonsurgical procedures offer many advantages, including short procedure time, no visible scarring, little or no pain, little or no blood loss and quick recovery with patients frequently able to resume normal activities the next day. The procedure has been real blessing for the young girls who otherwise would have suffered from big scar in the chest due to the open heart surgery and causing social stigma.

Figure 7. PDA Closure Device

66

Figure 8. VSD Closure Device

www.m e d e g a t e t o d a y. c o m September-October 2014

Figure 6. Core valve

Advanced Treatments for Abnormalities of Heart Rhythm, Hypertension and Peripheral Vascular Disease and Abdominal aneurysm In patients suffering from rapid heart beat in the form of PAT, ventricular tachycardia, atrial fibrillation, heart block, severe left ventricle dysfunction, various modalities of treatment in the form of radiofrequency ablations, variety of pacemaker and ICD implantations are available.

These procedures are done non surgically and at times are life saving procedures. Another treatment modality is being under investigation for hypertensive patients not responding to medical treatment. The procedure known as RDN involves the use of radiofrequency waves with the help of catheter. Patients suffering from obstruction in the arteries of the legs can be tackled with implantation of stents thus saving the patients from gangrene. Similarly special kind of stents can be used for the repair of abdominal aneurysm saving the patient from high risk surgery.

A critical block in the carotid artery called carotid artery stenosis can give rise to stroke. It can be rectified successfully by the implantation of the stent thus preventing the patient from stroke.

Non surgical treatment with Interventional Cardiology is ever growing field and has been of tremendous help in large number of patients specially the once who are unfit for surgery however, the selection of the patient for a particular treatment is of paramount importance.

DOCTOR Speak

The World Heart Day is celebrated 29th September every year Its object is to increase awareness about different aspects of heart related diseases among the Doctors and general population

T

he focus for this year is on creating heart healthy environment by ensuring that people are able to make heart healthy choices wherever they live, work and play. Keeping this in mind the World Heart Federation has offered the following advises:

Heart-healthy homes On World Heart Day, put the spotlight on your home and see what you could change to make it heart healthy. Making even just a few changes can help reduce your own and your family’s risk of heart disease and stroke.

Stock your home with healthy food options ÂÂ L imit fast foods that are often high in sugar, fat and salt for example chips, pizzas and samosas ÂÂ Incorporate fresh fruit and vegetables in your meals. Use mango or other fruits instead of sweets. ÂÂ Prepare healthy school or work lunches at home.

Ban smoking in your home Stopping smoking in your home will not only improve your health but also your children’s health. It will also set up a good example for your children.

Dr. V K Chopra Dept. of Cardiology Medanta the Medcity

Be active ÂÂ L imit TV watching and video games at home and encourage participation in outdoor sports ÂÂ Walk 45 to 60 minutes at least 5 to 6 times / week or go swimming, cycling or to a gym.

Recognize your Heart Disease risk ÂÂ V isit doctor for a general check up and measure your blood pressure, cholesterol and glucose levels, weight and body mass 68

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INTERVIEW PRODUCT DOCTOR NEWS Updat B Speak Line y Mte

index. This is specially important if there is a family history of hypertension, Diabetes Mellitus or heart disease or stroke below 60 years of age. ÂÂ Once you know your risk, you can make a specific plan to improve your heart health and your doctor can also advise on appropriate tests and treatment options where necessary. ÂÂ Ensure that your weight is under control. ÂÂ Stress reduction plays an important part in Heart Health.

Yoga, recreational activities like listening to music, meditation are some of the methods.

ÂÂ D emand a smoking ban in your workplace and encourage those who want to quit smoking ÂÂ M ake a complaint when you see Tobacco shops located near playgrounds or schools ÂÂ Cycle or walk to school or work if you can ÂÂ Take the stairs or go for a walk in your lunch break ÂÂ A sk for healthy food at your work canteen and children’s school.

Heart-healthy nations

On World Heart Day, national policymakers should provide more opportunities for people to make heart-healthy ÂÂ On World Heart Day, local communities can try to ensure choices. that their neighbourhoods become places where people They can: have opportunities to make heart-healthy choices. ÂÂ Through collective action you can make changes in the ÂÂ Regulate the amount and reach of fast-food advertising area where you live, including: on TV and radio and promote healthy foods. ÂÂ Increasing physical education and sports in schools and ÂÂ Enact legislation to tax unhealthy foods, tobaccos and childcare facilities alcohol. ÂÂ Creating and maintaining safe neighbourhoods for ÂÂ Enforce regulations for tobacco control and limit its physical activity, such playgrounds or parks with advertising. footpaths for walking. ÂÂ Ensure timely detection of CVD and cost-effective ÂÂ Ensuring schools, workplaces, hospitals and clinics treatment to modify risk factors in high-risk individuals. offer healthy, nutritious and affordable food. these some steps may go a long way in meeting There are also things you can do to turn your Adopting the objectives set for this year world Heart Day. This is own schools, workplaces and communities into especially important for us because South-Asian has the heart-healthy environments: highest incidence of coronary artery disease in the world.

Heart-healthy communities

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Anand Bhuvan Ground Floor 84-A, Princess Street T: 022-66379370

Disposable

A-9, Balaji Indl Est, Kandivali (E)Mumbai-400101 M: 9833246540 Jasleen Endosurgicals

Shiv Shaktiâ&#x20AC;? 7, Bhoite Nagar Jalgaon- 425001 M: 9422275860 Om Surgicals

65, Unique. Est., Nr.Jammunadas, Opp jawahar Talkies, Mulund (W)Mumbai-400080 T: 022- 25670626

GITA HOSPITAL SUPPLIES

SRI Jagan Medicals

Surgeon Gown Suits, Caps, Face Mask, Patient Kurta-Pyjama, etc.

32, New Layalpur Colony, Krishna Nagar Delhi-110051 M: 9311996307

House of Hospital & Disposable Clothings

Ph.: 011-23860175, M: 9810370662

Sho-47, Naraina Bazar, Near Fountain, Chandni Chk, Delhi-6

Email: manojvtuli@gmail.com Hitex healthcare

A-402,Laxmi sadan,Thakur Village, Kandivali Mumbai 22 28860782 Shree Balaji Surgical pvt ltd

1-B-30,Lalita Shashtri Nagar, Behind Kalpatru Shopping Centre, Jaipur-16 T: 0141- 2309675

ECG Equipments

Creative Healthtech Pvt. Ltd.

M: 9811339989

Hygeia Incorporation

Drager Medical Pvt. Ltd.

S No. 16 , Navghar Bldg 59/ 60, Poonam sagar Complex Mira Road (E) Mumbai 401107 M: 9967064947

T: 022-40843826

serene Tower 8-2- 623/A Rd No. 10, Banjara Hills Hyderabad -500034 T: 040-23318229

98873699736

Medion Health Care Pvt Ltd

201, Shiv Industrial Estate, K.B.B. Marg Marg , Chinchpokli (E),Mumbai-12, M:9987642222 sales@medion.co.in

Healthware Pvt. Ltd.

1/1, Sahkar Niwas , Tekri Bunglow, nr.3 Petrol Pump Old Agra Road, Thane- 400602 M: 9820276976

Medical Solution

230,2nd Main Road, Sainikpuri Secunderabad - 500094, T: 040-32908880 akhand enterprises

Endoscopy Instruments Devesh Meditech

www.m e d e g a t e t o d a y. c o m September-October 2014

ENT Equipment Instrument Tufft

Surgical house,44,Mission compound,Ajmer Road,Jaipur T: 141 2373125, 2368568 Adarsh Surgical Work

Suratabai Zillu Dhodi Chawl, Haji Bapu Rd Dhobi Ghat Malad (E)Mumbai 400097 M: 9833112337 Helios Endovision

1/1, Sahkar Niwas, Tekri Bunglow, Nr 3 Petrol Pump old Agra Road, Thane-400602 M: 9820276976

Helios Endovision Ph.: 9820276976

1-1, Sahkar Niwas, Tekri Bunglow, Nr 3 Petrol Pump old Agra Road, Thane-400602

CLASSIFIEDS TENDERS NEWS Updat e

Mokashi Surgical

Nulife Global Medical Devices Pvt ltd

ACE Process Equipment

302, Shah Plaza 3rd Flr, Prabhu Ali, Nr Adarsh Hotel Panvel-410206 M: 9820336291

B6,Byculla Service Indl. Premices, D.K. Marg, Sussex Road,Byculla ,Mumbai-27 T: 022-2374 8371/2/3

168-D, Oshiwara Indl. Est., Link Rd Goregaon (W) Mumbai -400104 M: 9821143050

Sahakar Surgical Corporation

134, Spectrum Commercial Centre ,Salapose road Nr G.P.O. Ahmedabad -380001 M: 9824110748

GLOVES J. K. Ansell Ltd. Raymond Complex Pokhran Road -no. 1. Jekegram Thnane (E)-400606 Ph.: 022- 61527000

Shree Balaji Surgical Pvt. Ltd. A-002, Ruchi CHSGround Floor, Devidas Lane Borivali (W), Mumbai 400103 Ph.: 022- 28954442 Nulife Global Medical Devices Pvt ltd

B6,Byculla Service Indl. Premices, D.K. Marg, Sussex Road,Byculla, Mumbai-27 T: 2374 8371/2/3

HEALTHCARE PRODUCTS Arihant Surgical Opp Ashok Hotel Kalyan Rd, Nxt to vijay Sales Bhiwandi, thane-421302

Bhagwati Gases & Surgical B-12 Shakurpur Metro Pin No. 43, vikas marg Delhi- 110092

Shree Balaji Surgical Pvt. Ltd. A/2, Ruchi CHSGround Floor, Devidas Lane Borivali (W), Mumbai 400103 Ph.: 022- 28954442

Tanita India Pvt. Ltd. Ph.: Tanita India Pvt. Ltd.

Shree Balaji Surgical pvt ltd

1-B-30,Lalita Shashtri Nagar,Behind Kalpatru Shopping Centre, Jaipur-16 T: 0141- 2309675

HOSPITALS (Multi Speciality) Cygnus Hospital

1211,Tower-2, Pearls Omaxe,Netaji Subhash Place, New Delhi-110034 T: 011 42488393 Fortis Escorts Heart Institute & Research Centre

Manaipal Hospitals

S-35/36, site Iv Industrial Area Sahibabad Gaziabad M: 8860786237

98, HAL Airport road, Bangalore-560 017 T: 080 - 2502 4444/3344

Conica Enterprises

HOSPITAL CONSULTANCY

Hosconnn

6, Chaithanya Complex Site 1, 17th Cross, Sir MV Nagar T.C. Palya Main Road, Bangalore M: 9845208778, Email: info@hosconnn.com

Modular Concepts

E-20 A, Lane no. 25, Madhu vihar I.P. Extn, Patparganj Delhi-110092 M: 9717866277 Godrej & Boyce Manufacturing company ltd.

Pirojshanagar, Vikhroli, Mumbai- 400079 T: 022- 67965656 Hospicare Equipments

Po Box 172544 Dubai, UAS. T: 971(0)48829899

Plot No. 2, kathe industrial Estate, Tigrania Road Dwarka Nashik-422011 M: 9850041969

Red Sun Communication Pvt. Ltd. 304, Shubh House, 77 Swastik Society, B/H. City Centre, Navrangupura, Ahmedabad- 380009

Hybrid Biomedical Equipments &Allied Technologies

T: 9376121646

517, Manish chamber , sonawala rd, goregaon (E) Mumbai -400063 M: 9821154687

Hospitech

Jaiveer Surgical Emporium

Bangalore T: 080 40998807

1570, Bhagirath Palace, delhi-110006 M: 9810820087

Health care Institution

Wintex Pharma

6 sigma house, 10A, Phase -1, Najafgarh New Delhi-43 T: 011 2532 4000,4001

Janak Healthcare Pvt. Ltd.

kalpataru Point, Unit No. -12 1st floor, sion (E) Mumbai-400022 T:022- 49153000

Hospital Garments Kaustubh Hospital Garments

HOSPITAL FURNITURE Accurate Surgical Co. 2, Daruwala Compound Opp, Marway road S.V. Road Malad (W)mumbai -400064

Easy Care Group

4th Floor Shugar House, 93/95, Kazi Syed Street, Masjid Bunder (W) Mumbai 03 T: 02223450133 E: info@easycareglobal.com

Bharat Surgical Impex Plot No. 38, Govindpur Industrial Area off.

Ennkay Rubber Factory Gurgaon-122001- Carevel Medical Systems Pvt. Ltd.

502, A,wing, Mittal Commercial ,off M.V. Rd. Marol

HOME CARE

Bhagwati Gases & Surgical B-12, Shakarpur,metro P.No-43, vikas Marg Delhi -110092 M:9711676375

Okhla Road, New Delhi-25 M: 91 11 4713 5000

Global Institutte of Healthcare Management

2, Shivam Apt. B.P. x Road No. 4 (South)Bhayandar (E)Thane- 401105 Andheri (E) Mumbai 400059

All India Surgico 507, gali No. 10 West Kanti Nagar Delhi -110051 M: 9873433325

Aar Kay Enterprises E-25, LGF, Jawahar Park Laxmi Nagar Near Hira Sweet,Delhi -110092 M: 9811232670

4- 401, Vanrai Colony , Opp Nirlon, off W.E. Highway Goregaon (E)Mumbai-400065 M: 9869051352

ICU Equipments Aditya Medico Surgical

D/710, Ushanagar Village Road, Bhandup (W) Mumbai-400078 M: 9820031603

w w w.medegatetoday.com September-October 2014

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CLASSIFIEDS Update

Afford Medical Technologies Pvt. Ltd.

230, 2nd main Road Sainikpuri Secunderabad -500094 T: 040-32908880 Akhand Enterprises

G 12-Shivlok House-1 Commercial Cmplx, Karampura, New Delhi -110015 M: 9350445559 AussIn Intensve care Pvt. Ltd.

304 ,Shubh House 77 Swastc Soc.Navrangpura Ahmedabad- 30009 M: 9998233444 Denovo Health care

Wz-333 , 2nd Floor , Sri Nagar, Shakur Basti Delhi- 9868024721

Aar Kay Enterprises

E-25 LGF Jawahar park laxmi Nagar Near New Delhi -110092 M: 9811232670 Afford Medical Technologies Pvt. Ltd.

Bird Mediteck

G- 12, Shivlok House 1, commercial Cmplx, Karampura, New Delhi-15 M: 9350445559 Authentic Medical System

Bio Zeal

1/2, Nishat Aptt,. Near RDI Bridge Pune- Nasik Road Nasik- 422006 T: 0253- 6575870 Haitech Solution Pvt. Ltd

102, range Villa Road No. 10, Juhu Scheme Mumbai- 400049 T: 022-65569366

Tagore Nagar , Group No. 4+, Nhe+ar M S Bakery, Vikhroli (E)Mumbai-83 M: 9768156266 Caring Heart Services

2066, Sector- 16, faridabad- 121002 T: 022- 2670100 Concept Imaging

B-245, north EX Mall, Near Rohini East Metro Station Sec-9, Rohini, Delhi- 110085 T: 011- 275514433 Gold line Business Centre, Link Road Malad (W) Mumbai-400064 T: 022- 40843826

plot No. 2 Kathe Industrial Estate, Tigrania Road Dwarka, Nasik -422011 M: 9850041969

Medicofits Medical Equipment Co.

Khazanas commercial unit no.2, shantiwadi, J.P. Rd, Andheri (W) mumbai-58 T: 022-26707100 Metrax GMBH

Postfach 1553, Rheinwalostrabe-22, D-78628, Rottweil, Germany T: 49(0)741257-235 Nihon Kohden India Pvt. Ltd.

308, Tower -A Spaz Edge, Secter- 47, Sohna Road Gurgaon- 122002 T: 0124-4931000 Philips India Ltd.

9th Flr, DLF, 9b , DLF, Cyber city, DLF Phase- 3 sec 25, Gurgaon-122002 T: 0124- 4606000

MOdular- Operation Theatre Sai Sumeet Appliances

Hyderabad M: 08099119595

109, 110, NidhiIndl Est, Shankar Industrial Complex No. 2, Waliv, Vasai, Thane-08 T: 0250-3212729 dhanwantari medical Systems

5, Rajni Niwas, Gala No., Ram Nagar Goregaon E Mumbai-60 T: 022-26865056

operation theatre equipment Aarnitron Medical System

Gale No. 2, Savita Sadan Residency, Residency, Church Road Badlapur (w) Thane-03 M: 8097873866 Ace Process Equipment

168-D,Oshiwara Ind. Est., Link Rd, Goregaon (w) Mumbai-400104 T: 022-40214850 Afford Medical Technologies Pvt. Ltd.

230, 2nd main Road Sainikpuri Secunderabad-500094 T: 4032908880

Drager Medical Pvt. Ltd.

Hospicare Equipments

Medicofits Medical Equipment Co.

Neonatal Pediatric Intensive c Arsha Medical

Akhand Enterprises

Gold Line Business Centre, Link Road, Malad (W) Mumbai-400064 T: 022-40843826

Global Medicare Systems

311, Sagar Plaza-II, Plot No. .27, Community Centre Pitampura, Delhi-34 T: 011-42644320

Arsha Medicals G-, Sahar Road Andheri (E) Mumbai-400069 M: 9867219272

Drager Medical Pvt. Ltd.

10, Jagdamba Vyapari Welfare Society, Mumbai 40068 M: 9820082470

Vital Sign Medidevices Pvt. Ltd.

230, 2nd Main Road, Sainikpuri Secunderabad-94 T: 040-32908880

64, 2nd Flr, Shivneri, Dadasahed Phalke Marg Dadar (E) Mumbai Mumbai-14 M: 9867376180

Genotronics

80

Monitoring Equipments & Accesso

Khazanas Commercial Unit No. 2, Shantiwadi, J.P Andheri (W)Mumbai-58 T: 022-2670100 Micromedical Systems

S.No. 19 B, wing poonam vihar off Mahakali Caves Rd, Andheri (E), Mumbai-93 M: 9820530509 Medion Healthcare Pvt. Ltd.

201, Shiv Industrial Estate, K.B.B. Marg Chinchpokli (E) Mumbai-12 T: 022-23771737 Nihon Kohden India Pvt. Ltd.

308, Tower- A, Spaz Edge, Sector- 47, Sohna Road Gurgaon- 122002 T: 0124-4931000 Philips India Limited.

Agora Climate Control system

Unit No. C-1/2/3/, Sagar Sangam Ind. Est., Sativali Vasai (E) Thane-24 T: 0251-2872193 Berchtold India

401, sree Narayana Heaven Apt, F. B. Nagar, Secundrabad- 500015 (A.P.) M: 9849031141 Bharat Surgical Impex

P.N. 38, Gali No. 2., Govindpur Ind., Area off. Ennkay Rubber Factory Gurgaon -12201 T: 0124-6464933 Bio-X

5th, floor,Span center, South Avene Santacruz (w) Mumbai-400054 T: 022-26056666 Bird Meditech

9th Flr, DLF, 9b , DLF, Cyber city, DLF Phase- 3 sec 25, Gurgaon-02 T: 0124- 4606000

109, 110, Nidhi Ind. Est., Nh No. 8, waliv, Vasai (E) Mumbai- 401208 T: 0250-3212729

Skanray Healthcare Pvt.Ltd.

Cosmos Healthcare

Plot No. 360, KIADB Industrial Area Hebbal Hootagalli Mysore-18 T: 0821-2407000

www.m e d e g a t e t o d a y. c o m September-October 2014

RH-3,Mohit Sector 2A, Airoli, Navi Mumbai 400708 M: 9821143366

CLASSIFIEDS TENDERS NEWS Updat e

Esbee Dynamed Pvt. Ltd.

Magnatek Enterprises

110, Sai Commercial Cmplx, BKS Devshi Marg Gvandi Mumbai-88 T: 022-67554289

97, SVC Indl Est., Balanagar, Hyderabad-500037 T: 040-65501094

Five Ster Surgical Industries

88/ 13, Shakarpur Khas Delhi-110092 M: 9811371240 Hospi care Equipments

Plot. 2 Kathe Industrial Estate, Tigrania Road Dwarka nashik-422011 9850041969 Hygeia Incorporation

Shop no. 16, Navghar Bldg.59/60,Poonam Sagar Cmplx,Mira Road (E),Mumbai-401107 M: 9967064947 Magnatek Enterprises

97, SVC Indl Est.Balanagar, Hyderabad-500037 T: 040-65501094 Mahavir Surgical

207, Bombay Talkies Compound Malad (W) mumbai-400064 M: 9967022224

Rehabilitation Product &AIDS Mamta Surgical

Shop No. 602, Near Fish Market Opp Shiv Mandir Baba Dholuramn Rd, Ulhasnagar-421001 M: 9420691000 Relife Medicaids

Shop No. 2, P-1 Pillanji, Sarojini Nagar New Delhi-110023 M: 9891922146

Ribbel International Ltd

20th Mile, Jatheri Road, P.O.RaiNear Rai Industrial Area Sonepat Haryana 131029 M: 8053111016, 8053111011

UROLOGY Ribbel International Ltd

20th Mile, Jatheri Road, P.O.RaiNear Rai Industrial Area Sonepat Haryana 131029 M: 8053111016, 8053111011, sales@ribbel.com

X- Ray Equipment

Romex Orthotics

Apex Bio Medical

Sai Dwar Chs Ltd, Shop No. 3. Shirdi Ngr, Bhayandar (E), Mumbai-401105 M:9892648331

C/5,Shantimani, Nrpremchand Nagar, B odakdev, Satellite, mAhmedabad-380015 M: 9376099924

Vissco Rehabilitation AIDS Pvt. Ltd.

517, Tulsiani Chambers, Nariman Point Mumbai-400021 T: 022-43330300

Dhanwantari Medical System

5/8, Rajni Niwas Gale No. Ram Ngr, Goregaon (E) Mumbai -400060 T: 022- 26865056

Medical Equipment

Med X Technologies Pvt. Ltd.

Akhand Enterprises

Medi Needs 891, bhandarkar Institute Road, Deccan Gymkhana pune-04 T: 2025662620

G-12, Shivlok House-1 Commercial Complex Karampura, New Delhi-15 M: 9350445559

Medion Healthcare Pvt. Ltd.

Aussin Intensive Care Pvt. Ltd.

201, Shiv Ind., Estate, K.b. b. Marg, Chinchpokli (E) Mumbai-400012 T: 022- 23771737

304, shubh House, 77 Swastic Soc, Navrangpura, Ahmedabad-380009 M: 9998233444

Med X Technologies Pvt. Ltd.

Technocare Medisystems

201, Shiv Ind., Estate, K.b. b. Marg, Chinchpokli (E) Mumbai- 400012 T: 022-23771737

C/1310-11,New Bombay Market, Umarwada,Surat- 395010 T: 261 2332042,6569308

Nurse Calling System

SURGICAL BLADES

201, shiv Indl., Es. K.B.B.Marg Chinchpokali (E) Mumbai- 400012 T: 022-23771737 Olympicks Medical System

4,5,6, Sai Krupa, Mahatre Nagar, Kalyan Shill Rd, Dombvili (E)Thane-04 M: 9594338908 Allengers

S.C.O 212-213-214, sector 34,Chandigarh - U.T 160 022 (India) T: 172 3012280-84

Shoes Cover Dispenser BIO-X

Akhand Enterprises

G-12 Shivlok House 1, Commercial Complex , Karampura New Delhi -110015 M: 9350445559

operation theatre Light Al-Med Equipments

Shop no. 1.Shidra Mazil, plot no. 33 sec 50, Oldseawod (W)navi Mumbai M: 9322510636

5th floor, Span center, South Avene Santacruz (w) Mumbai-400054 M: 9820355995

Software and IT Solution Bigsun Technologies Pvt. Ltd.

B-406, Technocity Plot no. X 4/1,4/2, MIDCTTC Mahape Navi Mumbai-400710 T: 022- 27788467 ITDose Infosystem Pvt. Ltd.

Enertech Electronics Pvt. Ltd.

62, Raja Industrial Esate 1st , floor, P.K. Road Mulund (W), Mumbai -400080 T: 022-256118645

D-159, 1st Flr, Sec- 7, Noida-201301 9970066974 Schrack Seconet AG

To Advertise in this Section Please Call:

+91-11-26981342 E-mail: info@medgatetoday.com

Visit: www.medgatetoday.com

T: 124 414150 Esbeed Dynamed Pvt. Ltd.

110, Sai Commercial Cmplx, BKS Devshi Marg , Govandi Mumbai-88 T: 022- 67554289

Kodak Alaris

www.kodakalaris.com w w w.medegatetoday.com September-October 2014

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RNI No. DELENG/2010/33833

Group manufacturing facilities in Europe, Asia & Africa Group turnover in excess of 100 Million USD Manufacturing in India as per EN 13795 in Class 100,000 D Clean room Own manufacturing of laminates in Europe

Procedure Sets

Drape Making Machine

Surgical Drapes

SMMMS Gowns

CSSD SMMMS Wraps

Hitex Healthcare

A-402, Laxmi Sadan, Thakur Village, Kandivali (E) Mumbai 400101 Ph.: +91 22 28860782 E-mail: info@hitexhealthcare.com w w w. h i tex h e a l t h ca re . co m