SIX SIGMA HEALTHCARE

Page 62

Corporatization

and competition in healthcare sector are forcing healthcare organizations to look for new ways and means for improving their processes. If you make Six Sigma a strategy in your hospital, the end result will get reflected in sustainable bottom line improvement. It requires strategic vision, diligence, patience and hard work.

From the desk of Chief Editor

Dear Readers,

Heli

Ambulance services is a comprehensive term covering the use of air transportation, aeroplane or helicopter, to move patients to and from healthcare facilities and accident scenes. Personnel provide comprehensive prehospital and emergency and critical care to all types of patients during aeromedical evacuation or rescue operations aboard helicopter and propeller aircraft or jet aircraft.

The use of air transport to provide medical evacuation on the battlefield dates to World War I, but its role was expanded dramati cally during the Korean and Vietnam wars. Later on, aircraft began to be used for the civilian emergency medical services. Helicopters can bring specialist care to the scene and transport patients to special ist hospitals, especially for major trauma cases. Fixed-wing aircraft are used for longdistance transport.

Air medical services can travel faster and operate in a wider coverage area than a land ambulance. This makes them par ticularly useful in sparsely-populated rural areas.

Air medical services have a particular advantage for major trauma injuries. The controversial theory of the golden hour suggests that major trauma patients should be transported as quickly as pos

sible to a specialist trauma center. There fore, medical responders in a helicopter can provide both a higher level of care at the scene of a trauma and faster transport to a trauma center. They can also provide critical care when transporting patients from community hospitals to trauma centers. An air ambulance is a specially outfitted helicopter or fixed-wing aircraft that transports injured or sick people in a medical emergency or over distances or terrain impractical for a conventional ground ambulance. Fixed-wing aircraft are also more often used to move patients over long distances and for repatriation from foreign countries. These and related opera tions are called aeromedical. In some cir cumstances, the same aircraft may be used to search for missing or wanted people.

DR. PRADEEP BHARDWAJ sixsigmahealthcare@gmail.com www.drpradeepbhardwaj.in

Oct O ber-N O vember 2022 www.sixsigmahealth.org 4
DR. PRADEEP BHARDWAJ Founder & Chief Editor

Chairman

Capt. R. K. Bhardwaj, War Veteran

founder and Chief editor

Dr. Pradeep Bhardwaj editor

Dr. Anita Bhardwaj

editorial team

Sh. Ashish Sharma Sh. Bharat Sharma Sh. Siddhant Sharma Sh. Sanjeev Kumar Sh. Baldev Batra Dr. Bhanu Pratap Singh Sh. Rakesh Kumar Sh. Tushar Singh

proof reader Col. Ashok Pratap Tanwar

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Member of Parliament - Loksabha

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prof. (dr.) ‘padmashree’ d.S. rana

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prof. (dr.) m.C. misra

Former Director- AIIMS, Delhi

air marshal pawan Kapoor

VSM, FR Director General, Medical Services, Air dr. S.p. Byotra

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Managing Trustee and Secretary Sardar Patel Education Trust, Anand, Gujarat

adG robin hibu, ipS

Special Commissioner of Police Delhi Police p.K. Bhardwaj, ipS Former Spl. CP-Delhi Police

deSiGn

Siddhant Sharma Sameer Kishore, Fill and Strokes

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Editorial Correspondence and Circulation Office

Six Sigma House, 10A, Sai Baba Enclave, Najafgarh New Delhi-110043, India Email: sixsigmahealthcare@gmail.com Website: www.sixsigmahealth.org Tel No: 011-25324000/4001 Mob No: 9818868727

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Editor: Anita Bhardwaj

october-november 2022 www.sixsigmahealth.org 8
oCtoBer-noVemBer 2022

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ihfM+r yxHkx 5600 ls vf/kd yksxksa dks cpk;k gSA gkbZ ,sfYVV~;wM dh dfBu ifjfLFkfr;ksa esa yksxksa dks cpkus ds fy, cgqr ls lkekftd dk;ZdrkZvksa ds lkFk&lkFk Hkkjr ljdkj] fnYyh ds phQ fefuLVj] usiky ljdkj] phu ljdkj] fgekpy çns'k ljdkj] tEew&d'ehj ljdkj] vkbZVhchih ds vfrfjä ns'k ds Js"B lhbZvks vksj ns'k&fons'k ds fofHkUu laLFkkuksa ds v/;{k lkekftd {ks= esa fof'k"V LFkku j[kus okys çeq[kksa us esjs }kjk fd, x, dk;Z dks ljkgkA 6- D;k vkidks feys vusdksa iqjLdkj drZR;cks/k dh fu'kkuh gSA MkW- iznhi Hkkj}kt% ;s 'kkunkj vokMZ esjh esgur vkSj dk;ksZa dks crkrs gSaA eSa cgqr [kq'k gwa fd vkus okyh ftEesnkfj;ksa dks c[kwch le>rk gwa] D;ksafd mä vkadM+s gsYFkds;j eSustsesaV esa igyh ckj fn, x, gSA eSa rks le>rk gwa fd ;g eq>s Hkkjr esa gWkfLiVy ,sMfefuVªs'ku vkSj eSustesaV ds {ks= esa
ifjokj ds lkFk बेहद ख़ास मलाक़ात
February–march 2022 www.sixsigmahealth.org 10 The Inside Story 4 Editor's Note 14 Heli Ambulance services 20 Career in Aerospace Medicine 24 GHIM Courses 34 Avalanche 38 News you can use 50 Conference Alert 54 12 Tips to Get Ahead at the Workplace 56 Media Coverage 58 Artificial Intelligence in the Provision of Health Care Systems 62 The Junk Food Culture 20 14 58
Prime
Minister of India
Sh. NareNdra Modi Meets Six Sigma Team at Shri
Badrinath Dham

Heli Ambul A nce services

HHeli Ambulance services is a comprehensive term covering the use of air transportation, aeroplane or helicopter, to move patients to and from healthcare facilities and accident scenes. Personnel provide comprehensive prehospital and emergency and critical care to all types of patients during aeromedical evacuation or rescue operations aboard helicopter and propeller aircraft or jet aircraft.

the use of air transport to provide medical evacuation on the battlefield dates to World War I, but its role was expanded dramatically during the Korean and vietnam wars. Later on, aircraft began to be used for the civilian emergency medical services. Helicopters can bring specialist care to the scene and

Oct O ber-N O vember 2022 www.sixsigmahealth.org 14
Six Sigma Healthcare, Delhi

transport patients to specialist hospitals, especially for major trauma cases. Fixed-wing aircraft are used for long-distance transport.

Air medical services can travel faster and operate in a wider coverage area than a land ambulance. this makes them particularly useful in sparsely-populated rural areas.

Air medical services have a particular advantage for major trauma injuries. the controversial theory of the golden hour suggests that major trauma patients should be transported as quickly as possible to a specialist trauma center. therefore, medical responders in a helicopter can provide both a higher level of care at the scene of a trauma

Like ground ambulances, air ambulances are equipped with medical equipment vital to monitoring and treating injured or ill patients. Common equipment for air ambulances includes medications, ventilators, ECGs and monitoring units, CPR equipment, and stretchers. A medically staffed and equipped air ambulance provides medical care in flight while a nonmedically equipped and staffed aircraft simply transports patients without care in flight.

and faster transport to a trauma center. they can also provide critical care when transporting patients from community hospitals to trauma centers. An air ambulance is a specially outfitted helicopter or fixedwing aircraft that transports injured or sick people in a medical emergency or over distances or terrain impractical for a conventional ground ambulance. Fixed-wing aircraft are also more often used to move patients over long distances and for repatriation from foreign countries. these and related operations are called aeromedical. In some circumstances, the same aircraft may be used to search for missing or wanted people.

Like ground ambulances, air ambulances are equipped with medical equipment vital to monitoring and treating injured or ill patients. common equipment for air ambulances includes medications, ventilators, ecGs and monitoring units, cPr equipment, and stretchers. A medically staffed and equipped air ambulance provides medical care in flight while a non-medically equipped and staffed aircraft simply transports patients without care in flight. military organizations and NAtO refer to the former as medical evacuation (meDevAc) and to the latter as casualty evacuation (cASevAc).

Air traffic control (Atc) grants special treatment to air ambulance operations, much like a ground ambulance using lights and a siren, only when they are actively operating with a patient. When this happens, air ambulance aircraft take the call sign meDevAc (formerly LIFeGUArD) and receive priority handling in the air and on the ground. sshc

Oct O ber-N O vember 2022 www.sixsigmahealth.org 15

INDIAN HELICOPTER SCENE

Who is Operating What Type of Turbine Helicopter

Scheduled Operators

(Location)

Type NoReg.

1 Aero Trans Service Pvt, Ltd Ahmedabad Bell 407 2VT-OXF05/ 15 GMR Aviation Pvt. Ltd (New Delhi)Bell 412 EP1VT-MRV13/2010

Himalyaputra Aviation Ltd (New Delhi) Agusta A 109E2VT-JPS06/ Bell 505 1 VT-GHL 04/ VT-JIT 06/

VT-MPU05/ 16

2 Air Charter Services (P) Ltd, New Delhi Augusta 109S2VT-IKR06/200817

Himalayan Heli Services Pvt. Ltd (New Delhi) AS-350 B3 Ecureuil 6VT-JMD06/2001 VT-EVV 06/ VT-BSG 06/2013

3 Aryan Aviation (P) Ltd (Mumbai) AS355N 1VT-SIL06/2007

VT-IOS06/ Bell 407 1 VT-SVK 05/2007 VT-GIO 06/ AS365N2 1 VT-SIM 05/1997 VT-BKJ 06/ Bell 407 3 VT-RPN 06/ VT-HHM 06/

VT-ARB06/ 18 Heligo Charters (Mumbai) Agusta A 1394VT-HLH11/ VT-BKA 06/ VT-HLD 11/

4 Arrow Aircrafts Sales & Charters Pvt. Ltd Bell 407 1VT-JPH06/ VT-HLR11/ AS350B3 1 VT-ASC 06/ VT-HLU 11/

5 Belgaum Sugars Pvt. Ltd, Karnataka Bell 407 1VT-MHN06/ Bell 412 EP3VT-HLL13/

6 Bharat Hotels Ltd, New Delhi Augusta 109S1VT-LJH06/ VT-HLS11/

7Chipsan Aviation Pvt. LtdBell 407 1VT-JIB05/

VT-HLT11/ EC135P2+ 1 VT-IBA 06/ As 365 N3 4 VT-HLI 11/ Bell 407 1 VT-RPO 06/ VT-HLJ 11/

8 Crescent EPC Projects & Technical Services LtdAugusta 109 E1VT-VSR05/ VT-HLM11/

9Davangere Sugar Co. LtdAS 350B31VT-DVG06/2012 VT-HLN11/

10 Deccan Charters Ltd (Bangalore) Bell 206 L41VT-RBG06/ H145 2VT-HLP08/ AS 355 F-I 1 VT-DAX 05/ VT-HLQ 09/ AS-350 B3 1 VT-DCB 05/2004

11 Dhillon Aviation (New Delhi) Bell 206 L43VT-ZIN06/199819

Heritage Aviation (P) Ltd (New Delhi)Augusta 109E1VT-HAX07/ VT-IQB 06/ AS 350B3 2 VT-HCX 06/ VT-NJH 06/ VT-HDX 06/

12 Govt. of Rajasthan Augusta 109E 1 CT-RAJ 05/ VT-HGX 07/

13 Global Vectra Helicorp (Mumbai) Bell 412EP14VT-AZQ13/2006 VT-HFX07/ VT-AZS 13/2006 VT-HEX 07/ VT-GVA 13/ VT-GVB 13/

VT-GVL13/ 20 Himalyaputra Aviation (New Delhi)Augusta 109E2VT-JIT06/ VT-GVK 13/ VT-IPS 06/

VT-GVM13/ 21 India Fly Safe Aviation (New Delhi)AW 139 1VT-JSA12/2010

VT-GVT13/ 22 Indo Pacific Aviation Ltd Augusta A109E 1VT-FOR08/ VT-GVW13/ 23Indocopters (P) LtdAS350B3 1VT-VAD06/2006

VT-GVX13/ 24 Innxt Aviation Pvt. Ltd (Pune) EC 135P2+1VT-MHM05/

VT-GYY13/ 25 Kestrel Aviation (Mumbai) Agusta A 1191VT-CLN07/2006 VT-RRD 13/ Koala 1 VT-CLR 07/2006

VT-AZR13/ Agusta A 119 MK II 1VT-RNK07/ VT-RRF 13/

350 B31VT-GVF06/ 26 Kelachandra Logistics Pvt. LtdBell 429 1VT-HKB05/

AW 139 4VT-GVI15/ 27 LMCS InfraHolding Pvt. Ltd, New DelhiEC 135P2+1VT-PEC05/

VT-GVP15/ 28 OSS Air Management (New Delhi) Augusta A109E 1VT-OSC07/2008

Oct O ber-N O vember 2022 www.sixsigmahealth.org 16 Sl. No. Company (Location) Aircraft Type NoReg. No Capacity / Year Sl. No. Company
Aircraft
No Capacity / Year
AS
Non

INDIAN HELICOPTER SCENE

1 Aero Trans Service Pvt, Ltd Ahmedabad Bell 407 2 VT-OXF 05/ 15 GMR Aviation Pvt. Ltd (New Delhi) Bell 412 EP 1 VT-MRV 13/2010 VT-MPU 05/ 16

Himalyaputra Aviation Ltd (New Delhi) Agusta A 109E 2 VT-JPS 06/ Bell 505 1 VT-GHL 04/ VT-JIT 06/

2 Air Charter Services (P) Ltd, New Delhi Augusta 109S 2 VT-IKR 06/2008 17

Himalayan Heli Services Pvt. Ltd (New Delhi) AS-350 B3 Ecureuil 6 VT-JMD 06/2001 VT-EVV 06/ VT-BSG 06/2013

3 Aryan Aviation (P) Ltd (Mumbai) AS355N 1 VT-SIL 06/2007 VT-IOS 06/ Bell 407 1 VT-SVK 05/2007 VT-GIO 06/ AS365N2 1 VT-SIM 05/1997 VT-BKJ 06/ Bell 407 3 VT-RPN 06/ VT-HHM 06/ VT-ARB 06/ 18 Heligo Charters (Mumbai) Agusta A 139 4 VT-HLH 11/ VT-BKA 06/ VT-HLD 11/

4 Arrow Aircrafts Sales & Charters Pvt. Ltd Bell 407 1 VT-JPH 06/ VT-HLR 11/ AS350B3 1 VT-ASC 06/ VT-HLU 11/

5 Belgaum Sugars Pvt. Ltd, Karnataka Bell 407 1 VT-MHN 06/ Bell 412 EP 3 VT-HLL 13/

6 Bharat Hotels Ltd, New Delhi Augusta 109S 1 VT-LJH 06/ VT-HLS 11/

7 Chipsan Aviation Pvt. Ltd Bell 407 1 VT-JIB 05/ VT-HLT 11/ EC135P2+ 1 VT-IBA 06/

As 365 N3 4 VT-HLI 11/ Bell 407 1 VT-RPO 06/ VT-HLJ 11/

8 Crescent EPC Projects & Technical Services Ltd Augusta 109 E 1 VT-VSR 05/ VT-HLM 11/

9 Davangere Sugar Co. Ltd AS 350B3 1 VT-DVG 06/2012 VT-HLN 11/

10 Deccan Charters Ltd (Bangalore) Bell 206 L4 1 VT-RBG 06/ H145 2 VT-HLP 08/ AS 355 F-I 1 VT-DAX 05/ VT-HLQ 09/ AS-350 B3 1 VT-DCB 05/2004

11 Dhillon Aviation (New Delhi) Bell 206 L4 3 VT-ZIN 06/1998 19 Heritage Aviation (P) Ltd (New Delhi) Augusta 109E 1 VT-HAX 07/ VT-IQB 06/ AS 350B3 2 VT-HCX 06/ VT-NJH 06/ VT-HDX 06/

12 Govt. of Rajasthan Augusta 109E 1 CT-RAJ 05/ VT-HGX 07/

13 Global Vectra Helicorp (Mumbai) Bell 412EP 14 VT-AZQ 13/2006 VT-HFX 07/ VT-AZS 13/2006 VT-HEX 07/ VT-GVA 13/ VT-GVB 13/

VT-GVL 13/ 20 Himalyaputra Aviation (New Delhi) Augusta 109E 2 VT-JIT 06/ VT-GVK 13/ VT-IPS 06/

VT-GVM 13/ 21 India Fly Safe Aviation (New Delhi) AW 139 1 VT-JSA 12/2010 VT-GVT 13/ 22 Indo Pacific Aviation Ltd Augusta A109E 1 VT-FOR 08/

VT-GVW 13/ 23 Indocopters (P) Ltd AS350B3 1 VT-VAD 06/2006 VT-GVX 13/ 24 Innxt Aviation Pvt. Ltd (Pune) EC 135P2+ 1 VT-MHM 05/

VT-GYY 13/ 25 Kestrel Aviation (Mumbai) Agusta A 119 1 VT-CLN 07/2006 VT-RRD 13/ Koala 1 VT-CLR 07/2006

VT-AZR 13/ Agusta A 119 MK II 1 VT-RNK 07/ VT-RRF 13/

AS 350 B3 1 VT-GVF 06/ 26 Kelachandra Logistics Pvt. Ltd Bell 429 1 VT-HKB 05/

AW 139 4 VT-GVI 15/ 27 LMCS InfraHolding Pvt. Ltd, New Delhi EC 135P2+ 1 VT-PEC 05/

VT-GVP 15/ 28 OSS Air Management (New Delhi) Augusta A109E 1 VT-OSC 07/2008

VT-GVR 15/ Augusta A109C 3 VT-OSE 07/1995 VT-RRE 15/ VT-ICL 07/1991

Oct O ber-N O vember 2022 www.sixsigmahealth.org 17 Sl. No. Company (Location) Aircraft Type NoReg. No Capacity / Year Sl. No. Company (Location) Aircraft Type NoReg. No Capacity / Year
EC-135 P2+ 1 VT-AZY 8/ VT-OSE 07/1992 EC-130 T2 2 VT-GVO 06/2008 Augusta 109SP 1 VT-OSH 06/ VT-GVV 7/ AS 350 B3E 2 VT-RRA 6/ VT-RRB 6/ 29 Pinnacle Air (P) Ltd (New Delhi) Bel 407 2 VT-PSA 06/2008 AW169 2 VT-GYZ 8/ VT-GNK 06/2008 VT-RRC 8/ 30 Poonawalla Aviation Pvt. Ltd H145 1 VT-NAP 07/ 14 Ghodawat Enterprises Pvt. Ltd (Maharashtra) EC-135 1 VT-GSD 05/ EC-130 T2 1 VT-ISG 06/ EC-120B 1 VT-SDG 04/
Who is Operating What Type of Turbine Helicopter Non Scheuled Operators

Aircraft

Sl. No. Company (Location)

31 Pawan Hans Helicopters (New Delhi / Mumbai) Dauphin N 17 VT-ELB 13/

VT-ELD 13/1986

VT-ELE 13/1987

Sl. No. Company (Location)

Type

1 ACE Air Service Ltd EC 130 B4 1 2427

2 Arki Aviation (Pune) Agusta 119A 1

VT-ELI Koala

VT-ELK Bell 427 1

VT-ELL

VT-ELM

3 Balaj Auto A109S 1

4 BG Shirke (Pune) Bell 206 L4 2 2018

VT-ELN Bell 427 1

VT-ELP

ELR

ELT

ENW

ENZ

ENX

ELG

ELQ

5 Bharat Forge (Pune) Bell 206 L4 1 2018

6 Essar Power (Mumbai) Bell 430 1 4218

7 Chemplast Sanmar Ltd (Chennai)Bell 429 1 3402

8 Garware Bestrich Bell 206 L4 1 2018

9 Garware Bestrich Bell 505 1

10 HAL Dhruv 3 5500

11 Kalyan Jewellers Bell 429 1 3402

12 Kiran Airways Bell 230 1

ELS Bell 206L 1 2018

PHA Robinson 44 1

PHE

13 Indian Metal & Ferro Alloys (Bhubaneshwar) Robinson R44 1

PHI Bell 206L 1 2018

PHN Robinson44 1

PHQ

PHJ

PHL

PHM

14 Navyuga Engineering Co Ltd Bell 412 EP 1 4398

15 Orissa Stevedore Ltd. (BBN) Enstrom 480B 1 1900

16 Poonawala Aviation EC -145 1

17 Pushpaka Aviation (Mumbai) Bell 47G5 1 1293

PHO Bell 47G2 1 1111

PHR Bell 47G3 B2 1

PHS

PHW

18 Reliance (Mumbai) Bell 412 EP 2 5398

19 Tata Power Co. Ltd (Mumbai) MD902 1 2954

PHX MD520N 1 1523

PHY

20 Tata Steel Co. (Jamshedpur) Bell 429 VT-TSJ 1 3402

PHZ Bell 429 VT-TSI 1 3402

PWB Bell 429 1 3402

PWC

PWD

PWE

PWH

Raymond Ltd (Mumbai) AS355N

A109S

Vednata Aluminium Ltd (Bhuvaneswar) EC 130 B4 1 2427

Vshad & Co. (Mining) Bangalore Bell 407 1 2268

Varva Aviation Agusta 109 1 3000

Grand

(Location)

BSF Dhruv

Type

Kgs PWI

MML 05/1993

GSH 06/

Reliance Commercial Dealers Ltd Sikorsky S76C++ 2 VT-NMA 05/2008 VT-NIT 08/2009 VT-JIO 05/

Aviation Services Pvt. Ltd Bell 206 1 VT-TBB 04

Simm Samm Airways Pvt.

5500

2200

Oct O ber-N O vember 2022 www.sixsigmahealth.org 18
Type NoReg. NoCapacity / Year
Aircraft
NoAIW Kgs
21
22
23
PHV New
PHU PHG PWG
HAQ HAR Sl. No. Company
Aircraft
NoAIW
1
(New Delhi VT-BSJ/VT BSK 32
1
VT-BSS/VT BSP 6
Agusta
1
VT-BSM/VT-HAA Cheetah VT-EBA 1
33
34 SAR
35
Ltd (Mumbai) MD 900 1 VT-SSE 07/ 36Suhan Aviation Pvt. Ltd MumbaiS-76 C++1VT-DBH06/ 37 Skyone Airways (P) Ltd (New Delhi)MI-1723VT-JJA26/2006 Sl. No. Company (Location) Aircraft Type NoAIW Kgs VT-SKB 26/ 1 Govt. of Bihar (Patna) AS 365 N 1 4000 VT-MAE 26/ 2 Govt. of Gujarat (Ahmedabad) AS 365 N 1 4000 1 VT-SKH 19/ 3 Govt. of Haryana EC 145 1 3585 4 Govt. of JYK (Sirinagar) A 109 E 1 3000 38 Span Air (New Delhi) Bell 429 2 VT-NKL 06/2010 Bell 407 1 2268 VT-JSH 06/ 5 Govt. of Chhatisgarh (Raipur) A109E Power 1 3000 Bell 407 GX 1 VT-NAL 06/2013 6 Govt. of Madhya Pradesh (Bhopal)Bell 430 1 4082 Bell 407 1 2268 39 Thumby Aviation Pvt. Ltd Bell 412 EP 2 VT-ASL 13/ EC =155P2 1 4920 VT-KNG 13/ 7 Govt. of Punjab Bell 429 1 1925 Bell 407 1 VT-KSA 06/ 8 Govt. of Tamil Nadu (Chennai) Bell 412 EP 2 1 40 Trans Bharat Aviation (New Delhi) Bell 407 2 VT-TBC 06/1996 9 Govt. of Uttar Pradesh Bell 412 EP 2 VT-TBF 06/2007 1 10 Govt. of Uttarakhand (Dehradun)EC 135 1 2835 41 United Heli Charters (P) Ltd. Bell 412EP 1 VT-HGF 13/2007 11 Govt. of Jharkhand (Ranchi) Dhruv 1 5500 12 Geologicla Survey of India Dhruv 1 5500 13 HAL Scweizer 330 2 1025 42 Universal Airways Pvt. Ltd (New Delhi)Aw139 1 VT-TWO 08 Agusta A109E 1 VT-JPA 06/ 43 UT Air India (P) Ltd AS 350B3 1 VT-UTC 06/ Sl. No. Company (Location) Aircraft Type NoReg. NoCapacity / Year 1 Antan Aviation & Aeospace Solutions Pvt. RobinsonLtdR-44 1 VT-CNJ 03/ 2 Jet Serve Avition Pv.t Ltd R-44 Raven II 3 VT-ZJM 03/ VT-OJS 03/ VT-HNC 03/ 3 Maharaja Aviation (P) Ltd Robinson R-66 3 VT-MAL 04/ VT-BAM 04/ VT-SDD 04/ 4 Mandle and Mandle Infrastructure Pvt. Ltd Robinson R-66 1 VT-MAN 04/ Govts/ PSUs NSOP = 172 *De registered Helicopters Private Category Total Para Military = 7 Total Govt/PSUs = 19 Non Schedule Operators Piston Engine Helicopter Total Private = 37 Pra Military
Platinum Inr 8500 LIfetIme l e membership certificate and ID cards will be provided l Discounts on mountain medicine courses l Access to world-renowned knowledge base l Updates in expedition medicine topics for cPD and professional development l mmSI blog access l Preference in High Altitude medical Services l Preference in Armed forces training l Access to Six Sigma Healthcare magazine l Promo at Social media Pages l Discount in Leadership Summit/ conference l Special Discount in Adventure exercises/ expeditions l e membership certificate and ID cards will be provided l Discounts on mountain medicine courses l Access to world-renowned knowledge base l Updates in expedition medicine topics for cPD and professional development l mmSI blog access l Preference in High Altitude medical Services l Preference in Armed forces training l Access to Six Sigma Healthcare magazine l Promo at Social media Pages l Discount in Leadership Summit/ conference l Special Discount in Adventure exercises/ expeditions Gold Inr 5500/10 Year l e membership certificate and ID cards will be provided l Discounts on mountain medicine courses l Access to world-renowned knowledge base l Updates in expedition medicine topics for cPD and professional development l mmSI blog access l Preference in High Altitude medical Services l Preference in Armed forces training l Access to Six Sigma Healthcare magazine l Promo at Social media Pages l Discount in Leadership Summit/ conference l Special Discount in Adventure exercises/ expeditions l e membership certificate and ID cards will be provided l Discounts on mountain medicine courses l Access to world-renowned knowledge base l Updates in expedition medicine topics for cPD and professional development l mmSI blog access l Preference in High Altitude medical Services l Preference in Armed forces training l Access to Six Sigma Healthcare magazine l Promo at Social media Pages l Discount in Leadership Summit/ conference l Special Discount in Adventure exercises/ expeditions Silver Inr 3500/5 Year Bronze Inr 2500/3 Year for membership & more information please log on to : www.mmsi.in or email at : mountainmedsociety@gmail.com

Career in

AerospAce Medicine

WWhenever you are travelling to somewhere on a flight, do you notice the difference that your body feels when the plane is journeying in the air, somewhere in the middle of the clouds? the cabin temperature might seem strange our body and that’s why whenever medical emergencies happen during an aeroplane flight, their seriousness is at another level. to handle these conditions, Aerospace medicine is a specialised medical field that concentrates on maintaining the health and performance of cabin crew that frequently remain in an aviation and space environment. It is considered slightly different from the typically chosen medical degrees and offers a plethora of career opportunities that a graduate can discover.

Oct O ber-N O vember 2022 www.sixsigmahealth.org 20
Air Marshal Pawan Kapoor Board Member Six Sigma Healthcare, Delhi Study Requirements MBBS, MD Duration 4.5+1 Year Internship Entrance Exam NEET PG Average Salary INR 10 lakhs -20 lakhs p.a. Best Institute in India Institute of Aerospace Medicine (IAM)

WhAt IS AERoSPAcE MEDIcInE?

medical emergencies can happen anywhere anytime and especially during a flight, ensuring the presence of a team of medical professionals is extremely important. As an area of study, Aerospace medicine analyses the physiological and psychological impact of a space environment on individuals. Perusing these two parameters, it formulates effective preventive and medicinal measures that can help in lessening the impact of an airborne environment on the human body. In simpler terms, it strives to maintain the well-being and safety of the aviation crew as well as passengers. to qualify for a program in this field, the candidates require an mbbS degree with qualifying marks which can vary from college to college.

SuBjEctS

Pursuing a degree program in Aerospace medicine, the individuals are provided with a deeper insight into the implications observed by a human body in a space environment. Further, they are provided with clinical training in the following areas of study:

• Radiation health

• Space medicine: Basic Flight Surgeon Training

• Flight Medicine

• Hypobaric and Hyperbaric Therapy

• Military and Civilian Aviation

• Flight Familiarization

• Elective subjects such as travel medicine, administration, etc.

couRSES In AERoSPAcE MEDIcInE

most of the specialised programs available in this field are of postgraduate level and are majorly pursued by mbbS graduates. below we have listed some of the popular courses in Aerospace medicine that you can opt for:

• MD in Aerospace Medicine: This 2-year postgraduate course is for mbbS graduates aiming to gain specialised expertise in Aerospace medicine.

• MD Aeromedical Retrieval and Transport: This 2-year course equips the candidates with advanced training in retrieval medicine and Aeromedical evacuation.

• MD Aviation Medicine: This is also a 2-year program that provides students with the knowledge of maintaining the optimum health of the aircrew in aviation as well as space environment.

• MD Health Science Endorsed in Aeromedical Retrieval and transport: It is a master’s degree program that involves the study of aeromedical transports and how medical emergencies are handled during a flight.

• MD Oral Health: During a flight, there is a frequent change in the pressure that can impact the human

body in various. this course aims to prepare medical professionals for tackling situations regarding oral problems in a space environment.

• Civil Aviation Medicine (Certificate): This shortterm course provides students with the knowledge of performing a thorough examination of the cabin crew and if they are fit for handling the airborne environment.

• Aeromedical Retrieval and Transport (Diploma): Like the other Aerospace medicine course this course also provides deep and practical knowledge of the aeromedical evacuation and retrieval medicine.

• MSc Aerospace Medicine: This is an advanced level degree program that involves a detailed study in the theoretical and practical instructions in advance aviation.

• Aerospace Medicine (Diploma): Pursuing this diploma course, students in various aspects of flight medicine like pathology, clinical, psychology, physiology and operation aviation medicine.

ElIgIBIlIty cRItERIA

there are certain prerequisites that you need to fulfill in order to pursue a course in Aerospace medicine which are as follows:

• Since most of the courses in Aerospace Medicine are available at the postgraduate level, you must have completed their mbbS degree or its equivalent medical science program with the minimum percentage specified by the university.

• Most universities also require the applicant to clear Neet PG to pursue a degree in aerospace or aviation medicine.

• If you are planning to study aerospace or aviation medicine abroad, you will have to provide mcAt scores along with Language proficiency scores such as IELTS, TOEFL, PTE, etc. You will also have to submit a lucrative Statement of Purpose (SOP) and Letters of Recommendation (LORs)

Oct O ber-N O vember 2022 www.sixsigmahealth.org 21

REquIRED SKIllS

It is necessary that students know about the required skills to pursue a career in aerospace medicine. It can give you an edge in the industry and increase the chances of selection. Some of the basic skills regarding space medicine are as follows.

• Being alert

• Critical thinking

• Spontaneous actions

• Interpersonal and communication skills

• Leadership skills

• Professionalism

Medical emergencies can happen anywhere anytime and especially during a flight, ensuring the presence of a team of medical professionals is extremely important. As an area of study, Aerospace Medicine analyses the physiological and psychological impact of a space environment on individuals. In simpler terms, it strives to maintain the well-being and safety of the aviation crew as well as passengers.

toP unIvERSItIES

Since Aerospace medicine is evolving as a pivotal sub-field of medical Science, there are numerous medical institutions around the world that offer a plethora of courses in this field. Following are some of the key universities providing a wide range of degree and diploma courses in Aerospace medicine.

• Monash University

• King’s College London

• The University of Sydney

• University of Pretoria • University of Otago

• University of North Dakota

• Wright State University

• Auckland University of Technology

cAREER In AERoSPAcE MEDIcInE In InDIA

The Institute of Aerospace Medicine (IAM) is the sole institute in India for students who aspire to make a career in aerospace medicine. It is one of its kind in entire South Asia for conducting courses in Aerospace medicine/ Students must complete their MBBS and then specialize in a Doctor of Medicine level (MD).

cAREER oPPoRtunItIES In AERoSPAcE MEDIcInE

combining the broad spectrum of medical Science with Aviation, there is an array of sectors offering job prospects in Aerospace Medicine. Here is a list of employment areas in which you can build a prosperous career after completing a degree in Aerospace medicine:

• NASA

Oct O ber-N O vember 2022 www.sixsigmahealth.org 22

• Federal Aviation Administration

• National Transport and Safety Board

• Airline Medical department

• Airline Medical clinic

• Aerospace Manufacturing

• Commercial Spaceflight Operations

• Military

SAlARy

Aerospace medicine has many companies across the world that are connected to making space-related medicines and other pills. there are many job positions available for students who have received complete training in aerospace medicine. the average salary package for aerospace medicine in India can range from rs. INr 10 lakhs -20 lakhs p.a.

FutuRE ASPEctS

the domain of Aerospace medicine is expanding with the advent of biotechnology and innovations in aviation as well.

Further, it has sprouted into a varied array of disciplines such as,

• Clinical/Civil/Military Aerospace Medicine

• Space Medicine

• Operational Medicine

• Emergency Aerospace Medicine

• Interplanetary and Space Station Medicine

• Research and Development

• Industrial Aerospace Medicine

• Gerontology and Geriatric Aerospace Medicine

FAqS

What is Aerospace Medicine?

Aerospace or Aviation medicine is a specialised field of preventive and occupational medicine and corresponds to the medical treatment and handling medical emergencies in a space environment.

Does NASA hire medical doctors?

Yes, NASA requires specialised medical practitioners with expertise in aviation and aerospace medicine and can efficiently tackle medical emergencies faced by astronauts in a space environment.

What is MD aviation medicine?

MD Aviation Medicine is commonly offered as a 2-year course for mbbS graduates aiming to gain expertise in the field of Aerospace and Flight medicine.

Can I join NASA after MBBS?

MBBS graduates can opt for an MD in Aerospace Medicine to apply for opportunities to work with NASA.

If you are curious about the amalgamation of medical Science with Aviation, a course in Aerospace medicine can provide you with an insight into the know-how of Space medicine as well as Aeromedical care. take the help of Leverage Edu‘s AI tool to browse through a wide range of courses in this unique specialisation of medical Science and finding the right combination of program and university that fits your interests and career ambitions. sshc

Oct O ber-N O vember 2022 www.sixsigmahealth.org 23
Oct O ber-N O vember 2022 www.sixsigmahealth.org 24 Global InstItute of healthcare manaGament (GhIm) POST GRADUATE DIPLOMA COURSES From COURSE to CAREER GUIDES yOUR PROFESSIOnAL jOURnEy TO GREAT hEIGhTS
Oct O ber-N O vember 2022 www.sixsigmahealth.org 25 POST GRADUATE DIPLOMA COURSES

DIPLOMA COURSES

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Oct O ber-N O vember 2022 www.sixsigmahealth.org 27 DIPLOMA COURSES DIPLOMA In DEnTAL hyGIEnIST (DDh) DIPLOMA In COMMUnITy MEnTAL hEALTh (DCMh) DIPLOMA In OPERATIOn ThEATER TEChnOLOGy (DOTT) apply now

CERTIFICATE COURSES

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CERTIFICATE

Oct O ber-N O vember 2022 www.sixsigmahealth.org 29
COURSES

TRAInInG

Oct O ber-N O vember 2022 www.sixsigmahealth.org 30
PROGRAMME COURSES

AVALANCHE

WWhat is an avalanche?

the rapid fall of snow or stone from the slope of a mountain is called avalanche or avalanche. During an avalanche, snow, rock, soil, and other objects rapidly slide down a mountain.

Avalanches usually begin when objects such as snow or rock on the slopes of a mountain loosen from its surroundings. After this, they rapidly collect more things present under the slope and start falling down. the landslide of rocks or soil is called landslide.

there are three types of avalanches:

• Rock Avalanche: these consist of large pieces of rock.

• Avalanche: Snow is in the form of powder or large pieces. these often occur around glaciers or glaciers.

• Debris Avalanche: It consists of a variety of materials, including stone and clay.

hoW do avalanches start?

mainly this happens in two ways, first, many times when the snow on the already existing snow on the mountains increases the weight due to snow, the snow starts sliding down, which causes avalanches. Second, in summer, avalanches occur due to the melting of snow due to sunlight i.e. heat. A large and fully developed avalanche can weigh up to 1 million tons or 1 billion kg. While falling down from the mountains, its speed can be more than 120 kilometers per hour to more than 320 kilometers per hour.

Avalanches usually occur in winter and are more likely to occur from December to April.

Why do avalanches happen?

most of the avalanches are spontaneous ie natural, there are many reasons for this, like...

• heavy snow

slope

fall the second biggest reason for this is the melting of ice due to heat.

Avalanches are also caused by humans, such as:

• Snow scooter riders in the snow

Oct O ber-N O vember 2022 www.sixsigmahealth.org 34
• deforestation • Steep
• earthquake • storm • rock
• Skiing
• Mountaineer
col. ashok pratap tanwar Senior Associate Six Sigma Healthcare, Delhi

Avalanches are of two kinds - slough and slab.

1. Slough Avalanche: In this, loose snow slides a little far.

2. Slab Avalanche: this is the most dangerous avalanche. A huge ice slab slides in it.

3. Powder Snow Avalanche:

1. Loose Snow Avalanche:

Loose Snow Avalanche consists of loose snow.

• These are examples of slough avalanches, which are followed by fresh snowfall on steep slopes.

• The snow of this avalanche does not harden and becomes soft by sunlight.

• In this, a very solid snow-pack i.e. a pile of snow cannot be formed.

• These come out from a single point and widen as you move down.

2. Slab Avalanche:

Slab avalanches are the deadliest avalanches

• In this avalanche, large icebergs i.e. huge blocks of ice fall down the slope.

• In this, thin ice slabs cause less damage while thicker slabs are fatal.

• Loose snow avalanches can also cause slab avalanches.

Powder Snow Avalanches consist of both soft snow and slabs of ice.

• It is a mixture of slough and slab avalanche.

• It has snow slabs and wind in the lower part and soft snow in the upper part.

• As they move down the slope, they turn into a giant snowball.

• Their speed is more than 300 km/h and they can cover long distances.

4. Wet Snow Avalanche:

Wet snow avalanches are deadly because of the debris they carry.

• These avalanches are initially made up of water and snow. These can be quite dangerous.

• Due to friction, they collect debris on the way by moving at a slow speed.

• Sometimes their speed can also be fast

are avalanches beneficial?

Avalanches are generally considered to be harmful, but they are often beneficial except for human beings in the grip of them. When an avalanche occurs on the mountains during the rainy season, the snow particles are scattered in the air and fall into glaciers i.e. glaciers as snow.

this gives new energy to the glaciers. the avalanche that followed Kedarnath a few days ago is an example of such a beneficial avalanche.

Oct O ber-N O vember 2022 www.sixsigmahealth.org 35
avalanches can be divided into four different categorie

is avalanche prediction possible?

So far scientists are not able to predict when and where an avalanche will occur. they can simply estimate avalanche hazard from snowpack, temperature and wind conditions. Avalanche control teams are stationed in some areas with snow sking.

Patrols in some skiing areas use explosives to stop avalanches. they cannonball any dangerous slopes, to prevent any loose or new snowpack from becoming an avalanche. Special military is deployed for avalanche control in the high mountains of canada and Switzerland. many mountain villages in Switzerland have strong structures to protect houses from the snowpack.

Snow fence installed to protect against avalanche danger in chuenehorn, Switzerland.

What should i do if i get caught in an avalanche?

According to the report of National Geographic, if you get caught in an avalanche, first try to get out of the ice slab or pile. If that's not possible, try to reach a tree and try to come out of the snow as a last resort.

After getting buried in the snow, first try to make some space for breathing and then punch towards the sky, that is, try to break the wall of ice. Actually, when the avalanche

stops, the snow freezes like concrete and the person dies due to suffocation. After being trapped in a pile of snow for more than an hour, the chances of survival are greatly reduced.

Oct O ber-N O vember 2022 www.sixsigmahealth.org 36
hoW do We find victims buried in ice With an electronic device'avalanche beacon'?

An Avalanche bacon or Avalanche transceiver is a large mobile-like electronic device. It is worn by every climber. When someone is buried in an avalanche, their searchers turn on the same device and search for the victim.

by doing this they get to know the location of the buried person from the signal coming from the beacon. Avalanche beacons have 'beepers' which, when activated, make a continuous sound. With the help of avalanche beacon, the rescuer can locate the victim buried in the snow from a distance of more than 260 feet.

Avalanche beacons are the most effective devices in locating a person buried in snow.

avalanche can destroy entire city

A powerful avalanche can destroy trees, houses, buildings as well as the entire city and kill people on its path. Due to this the power supply may also be interrupted. these can block roads and railway tracks.

On may 31, 1970, a powerful debris avalanche made of stone and snow devastated the Peruvian city of Yange and 10 surrounding villages. 18-20 thousand people died in this accident.

10 thousand soldiers were buried in a single day due to avalanche in World War-I

During the First World War, more than 60,000 Italian and Austrian soldiers were killed in separate avalanches during fighting on the icy mountain passes of the Alps.

Out of these, more than 10 thousand soldiers died due to avalanche on mount marmolada mountain in Italy on only one day i.e. 13 December 1916. this event is known in history as 'White Friday'.

According to some claims, the avalanche was not a natural one, but the armies on both sides fired shells at weak icy heaps to bury each other. then more soldiers died from avalanches than from poisonous gases.

an avalanche collided With trains in america, killing 96 people

In march 1910, two trains were stuck in the city depot due to 9 days of heavy snowfall in Wellington, Washington, USA. the avalanche occurred on 1 march 1910 due to heavy rain accompanied by thunder.

After this, a wall of snow 14 feet high fell towards the city and collided with the trains parked at the depot. Due to this the trains fell 150 feet down in the valley of the river tie. 96 people died in this incident. this is the highest number of avalanche deaths in US history. sshc

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A newspaper photograph of Austrian and Italian soldiers killed in an avalanche on Mount Marmolada, Italy, in 1916.

NEWS YOU CAN USE

Graduate Medical Education & Support our nation in developing PG Doctors. There is a great shortage of PG Medical seats in India and now existing (100 bed) hospitals can start DNB Programs at their hospitals.

Why healthcare infrastructure in India needs more attention?

As per the new announcement by the National Board Of Examinations: Union Ministry Of Health & Family Welfare’s, Fresh application are invited from the eligible hospitals to start DNB / FNB Program in all speciality areas. The last date is 15th March, 2019.

1. This is something unique, innovative and an excellent tool to explore your hospital.

the Indian healthcare landscape is quite diverse and is characterised by a range of factors and internal and external elements. this holds true globally as well. countries and their healthcare systems have defined their healthcare systems depending on their population and disease profile; and the cOvID-19 has demonstrated the kind of negative impact that can be prevented by strengthening the healthcare systems.

DNB is at par with other qualifications like MD/ MS.

of starting DNB Program:-

in

At one end of the spectrum is the glittering steel and glass facilities supplying high-tech medicine to the well-heeled, primarily metropolitan Indian. At the other end of the spectrum are the dilapidated outposts in the far corners of 'other India,' struggling to live up to their name as health sub-centres, yearning to be turned into sanctuaries of health and wellbeing. With the current rate of population growth, increasing burden of diseases in the country, this spectrum is expected to broaden considerably, offering even more complexity in the future.

Chandigarh: 2 succumb to H1N1 in 1 week

to the influenza. However, this year, there has been over fourfold increase,” said a senior doctor in the UT health department.

While the National (rural) Health mission has done a lot to enhance the infrastructure of India’s governmentrun healthcare system, many primary healthcare centres (PHcs) lack basic infrastructural facilities like beds, rooms, toilets, and drinking water facilities, clean labour rooms to deliver babies, and electricity regularly (Kasthuri, 2018).

hike is witnessed every winter, said epidemiologists. But as the strain of influenza virus varies from year to year, symptoms, severity and even type of vaccination changes annually.

the need for strong efficient healthcare systems was felt when the nation was grappling with surge in cOvID-19 cases and was facing shortage of ventilators, hospital beds and oxygen cylinders. As the Indian government is ensuring universal healthcare for all, the fast-changing population demographics and its implications on the healthcare system remains a cause for concern.

H1N1 virus has started gripping the city as 18 cases and two deaths were reported in the past five weeks and this week, respectively. Last year, four H1N1 influenza cases were confirmed from Chandigarh.“Last year, until February, only four cases and two deaths had been reported due

India has an extensive healthcare system, however, many differences remain in quality between rural and urban areas, as well as between government and private healthcare.

Sources in the health department said the deaths were confirmed this week after an audit and the data has been recently submitted to the government. “Both the patients who died were women. While one was 85 years old, the other was 30. The latter had tuberculosis as well,” said an official in the UT health department. The total number of patients admitted in PGI from Punjab, Haryana and Chandigarh are 21. This

Will this year see more cases?

According to the rural Health Statistics from moHFW 2021, there are a total of 5439 PHcs in the urban areas and of 3966 PHcs in the tribal areas as on 31st march 2021.

the recent NItI Aayog report 2021 titled ‘reimagining Healthcare in India through blended Finance’ highlighted that 50 per cent of India’s population has access to 35 per cent of hospital beds, thus indicating a strong need to strengthen healthcare infrastructure to ensure access to healthcare facilities for all.

Unlike dengue, the pattern is difficult to predict. “The limitation of treating this flu is that the strains keep on changing. Sometimes, we see the symptoms for a few days and these days, they go on for weeks,” said Dr Meeni P Singh, virologist, PGI. Changes in the virus over the years

to ensure health facilities for the people living in rural

“It’s no longer a traveller’s disease.

Oct O ber-N O vember 2022 www.sixsigmahealth.org 38 AUGUST 2019 www.sixsigmahealth.org 12 Volume 01 Issue 02
Explore Post
2.
Advantage
1. Name & Fame
PG Med Education 2. Recognition from Union Ministry/ NBE 3. Your hospital will be recognised as Post Graduates Institution 10. Value addition to the Nation by Promoting PG Med 13. DNB pass out Doctors will be your ambassadors for the

India, the government has established 24,855 PHcs, 15,8417 sub-centres, and 5,624 community health centres as per 2020 data (Primary Health centres (PHcs), 2020). the government-run health care system comprises limited tertiary and secondary health institutions in major cities, and it has focused on providing primary health facilities, in the form of Primary Health centers (PHcs), in rural areas. the Indian Public Health Standards (IPHS) stipulate the provision of primary health care for the rural population via sub-centres, primary health centres (PHcs) and community health centres (cHcs), whereas secondary care is provided via district hospitals and sub-district hospitals.

recent experiences strongly recommend that a revision of the Indian Public Health Standards (IPHS) is needed for the district hospital, sub-district hospital, community health centre, and Primary Health centre (Sodani, n.d.). together, these are the nerves of India’s public healthcare system,

and the standards on district hospitals for the provision of services, staffing, facilities, supplies, equipment, supplies, and infrastructure needs to be re-examined. Public and private health systems are placing a tremendous burden on India’s ability to develop outstanding leaders and healthcare professionals. Health data needs to be the policy priority in India’s urban public health.

to combat all the above health infrastructure issues, the Government of India launched the Pm Ayushman bharat Health Infrastructure mission (AbHIm). In the next 4-5 years, the goal is to improve the vital healthcare network from village to block to the district to regional and national levels. there are three sides to this mission. the first is the development of complex diagnostic and treatment facilities. the second is connected to the testing network for illness diagnosis. the third issue is the growth of current pandemic research centres, specifically for infectious diseases.

Teleradiology: Coming of age?

How effective is teleradiology in India: Market status

As per marketsandmarkets, 'the teleradiology market is expected to reach $14.8 billion by 2026 from $7.3 billion in 2021, at a cAGr of 15.3 per cent during the forecast period of 2021 to 2026. Due to the outbreak of coronavirus globally, there is a sudden rise in the demand for teleradiology services. In 2021, teleradiology market reached to $7.3 billion.'

vikram thaploo, ceO, Apollo telehealth explains, “the healthcare industry in India is witnessing sharp growth across various sectors, radiology being a prominent one. the world of technology and imaging is constantly evolving, opening up new avenues to a new world of innovations. According to tmr (transparency market research), the worldwide tele-radiology market was valued at $2.6 billion in 2018 and is expected to grow at a cAGr of 16.9 per cent from 2019 to 2027.”

“With a noticeable shift towards preventive healthcare from prescriptive healthcare not only in India but across the world, tele-radiology is further gaining significance as it allows faster and better dissemination of patient information to physicians. the cOvID-19 pandemic has also catapulted the growth of tele-radiology services in India, emerging as a key solution to rapidly report the huge number of images generated. As India continues to face a severe shortage of radiologists, tele-radiology is turning out to be a viable option to act as a stuffing buffer”, he added.

the growth of this market is mainly attributed to the rising geriatric population and the subsequent increase in the prevalence of associated diseases; the increasing number of advanced imaging procedures and a shortage

of skilled radiologists; advancements in teleradiology the increasing adoption of cloud-based solutions.

Stressing on the possible factors responsible for this sector’s growth, Dr Gur Prasad vashisht, Director radiology, Asian Institute of medical Sciences added, “the rapid expansion of the information technology (It) sector is one of the key reasons for the growth of the market in the country. moreover, India is witnessing a considerable rise in the number of individuals suffering from cancer and osteoarthritis which is catalysing the demand for teleradiology in the country. Other factors such as social distancing and quarantine measures undertaken due to the coronavirus disease (cOvID-19) outbreak are responsible for the increase in the utilisation of teleradiology in India.”

Dr Sunil Narayanaswamy, consultant radiologist, bGS Gleneagles Global Hospitals, bangalore also highlights that, “teleradiology like every other branch of telemedicine, owes

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its birth to imbalance between demand and supply. Up until very recently, teleradiology was only used in emergencies. but with the advent of accessible and affordable internet, this practice has begun to spread very fast and wide. It is as easy to send images as it is to send emails that have attachments. there are now computer programs that are dedicated specifically to the transmission of radiological images. these developments have subsequently resulted in teleradiology turning into a significant medical practice, and it continues to grow in importance.”

Sharing his insights on the teleradiology market, Sunil thakur, Partner, Quadria capital said, “Digital tsunami is rapidly revolutionising healthcare, albeit in different ways and stages, across the world and especially in high tech adoption countries like India. Among the many segments of healthcare that are pacing up on this digital highway, teleradiology is one segment that has a substantial potential

to achieve deepest impact both in terms of attending to high unmet need as well as to support supply side in the most consistent and wholesome way.”

“the teleradiology segment in India has grown upwards of $350m growing at 15 per cent pa, thanks to both global and local demand. It is mainly dominated by x-rays with 40 per cent followed by ct at 35 per cent and mr at 25 per cent. the value proposition and service offerings straddles all the way from simple workflow management, to scan reads to supporting training, population health management, second opinion going all the way to deep tech anchored by sophisticated AI. each of the services have varying degree of manual intervention and that’s what defines the product sophistication. that said, to a very large extent, the success of teleradiology will depend on how it integrates with and supports the radiologist”, he added.

How to undertake radiology/imaging equipment planning and procurement

Human body is a complex and mystifying structure and so is the different applications of various modalities in the department of radiology and Imaging. It refers to several different technologies that use imaging methods to scan and image the human body to diagnose, monitor or assess treatment of medical conditions. Some of the high ticket equipment under radiology include ct Scan, X-ray and cathlab, among others.

Understanding how to plan the different types of radiology/imaging equipment thereby covering a few aspects of project preparation, procurement, project delivery, total cost of ownership, and emerging new technologies is of crucial importance.

If a hospital buys equipment without proper planning, it may result in overkilling or suboptimal results. In order to achieve value for money and improve overall project outcome, the planning and procurement must be done in a systematic manner.

the locus of points for planning and procurement of radiology equipment are as follows:

Budget: In medical industry, the cost of medical equipment/infrastructure is to the tune of 25 to 30 per cent of the overall capex of the hospital facility. If we go by a thumb rule cost, then the per bed cost of medical equipment for a multispecialty (tertiary care) facility would be in the range of rs 19 to 20 lacs. For a 100-bed hospital, if the equipment cost goes to the tune of rs 25 to 30 crores

then approximately half of the cost will be attributed to radiology equipment i.e. rs 12 to 15 crores.

Need assessment: before initiating the procurement of any radiology equipment, it is important to consider the overarching goals of the health facility. most wellrun hospitals have a multi-year strategic plan that clearly defines priorities and guides major procurement decisions. With the increasingly rapid speed of innovation and commercialisation of medical technologies, in planning a greenfield site, it is important to conduct a need assessment study covering parameters, such as type and location of facility, number of patients, special infrastructure needs, adequate staff and their training and maintenance.

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Level of technology: In order to establish the level of technology and brand options, it is very important to curb oneself from buying and maintaining a white elephant. technology selection should be retrospectively upgradable. A typical bone of contentions could be exemplified with following examples; 1.5 t mr vs 3 t mr, 10-inch detector cathlab or 20-inch and retro-fit Dr or full room Dr

Space and engineering planning: coordination between Interior designers and Architects is a must w.r.t room and space planning and finalising the location of the equipment. by compiling an equipment book including manufacturer’s installation data and cut sheets and forwarding the necessary info to the interfacing departments to develop architectural and engineering components of the facility can be an effective way.

Procurement schedule: It is important to draw up a procurement schedule to understand the timelines to by which the equipment orders finally need to be placed. Depending on the modality, 4 to 6 months is the estimated lead time from the day of release of PO till commissioning.

Preparing techno commercials: technical commercials evaluation of the bids received is the most critical factor in the entire process. there should be a demo arranged for the client in coordination with the respective vendor for the equipment in consideration. Price alone may not necessarily represent the value of money, hence the buyer should consider other points such as the reputation of the equipment supplier, bundling of packaged deal, provision of turn key design solution, among others.

Total cost of ownership

tcO is an estimate of the total costs associated with a solution over the whole of the operational life. Different types of equipment may have different tcO elements. the three common elements under this include acquisition costs, commissioning costs and operation/ maintenance costs.

Emerging trends and potential of technology

With advancement in technology at such a rapid pace, more and more sophisticated and high modality equipment is emerging in to the domain of Diagnostics and Investigations. Artificial Intelligence in mrI and ct imaging is the new boon in the radiology segment which allows deep learning of every organ of our body under scan. AI based tools have eliminated the redundant and manuals ways of scanning a patient body and have actually assisted in making the life of the radiologists simpler. New algorithms and new technology coils allow better patient compliance, assists in auto-planning, helps in monitoring the patient vital signs without any extra gadgets, minimises the risk of re-scan and removes the artifacts post acquisition. today a patient while under scan can breathe freely without any body strap and watch a movie of his/ her interest during the time of examination. A new ct scan with dual energy pattern, (high and low energy image) allows less exposure to the source and gives better anatomical results.

Wipro GE Healthcare launches ‘Made in India-AI enabled Cath lab’

Ge Healthcare has announced the launch of its first ‘made in India’, ‘AI-powered’ cath lab – Optima IGS 320 to advance cardiac care in India. built at Wipro Ge Healthcare’s new factory launched under the PLI (production linked incentive) scheme in bengaluru, the cath lab leverages the Ge proprietary Autoright technology.1 Powered by edison, Autoright, is the first neural network-based interventional image chain.2 Autoright features Artificial Intelligence that automatically optimises image and dose parameters in real time, enabling clinicians to focus their attention and expertise on patients.

this new generation of interventional imaging software in Optima IGS 320 enables clinical versatility to guide sophisticated non-invasive procedures with greater precision. Automating the typically complex process with Autoright helps reduce the burden on interventionalists and may increase their attention on the procedure.

Dr Shravan Subramanyam, managing Director, Wipro Ge Healthcare said, “At Wipro Ge Healthcare our mission is to move from health care to healthy ageing and that

can be accomplished with predictive, preventative, personalised medicine. the rising complexity of patient profiles and shifting disease patterns is making the need of personalised care even more vital and Artificial Intelligence solutions have the potential to transform the patient care pathway. With our ‘made in India’ AI-enabled cath lab, we aim to drive intelligent imaging to support cardiologists

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and patients with customized treatment protocols and therapies and enable access to quality healthcare across all of India.”

Srikanth Suryanarayanan, Head-Imaging, Ge Healthcare South Asia said, “With Optima IGS320, we bring to market an imaging innovation that reflects the future of healthcare. this ‘industry-first’ cath lab has a new generation of interventional imaging software that enables clinical versatility to guide sophisticated, noninvasive procedures with greater precision and reduced risk. Our aim is to reduce the burden on interventionalists, increasing their attention on procedures, so that they can

utilise every second to bring their clinical expertise to treating patients.”

Designed for cardiac and electrophysiology procedures, Optima IGS320 advances visualisation across imaging to support intelligent and precision healthcare delivery. It enables flexibility during operations by enabling friendly gantry movement. moreover, with intuitive and advanced features like the PcI ASSISt, the cath lab also enhances image quality that may guide stent placement with increased accuracy. this may reduce complications and empower physicians to conduct complex procedures with confidence.

Significance of a well-managed public healthcare system

efficient management skills are a mandate for companies, who aim to excel in their field. this also applies to the field of healthcare, where management plays an extremely important role as any ups and downs in that can mean the difference between life and death for patients. the significance of management skills in the healthcare industry is an established fact because of the cruciality of their work. So, hospitals and their personnel need to be properly trained and have special management skills to keep up the task.

managers of health care services at hospitals are responsible for a wide variety of departments. On various steps they have to devise unique solutions to a wide variety of challenges to make certain that the hospital is efficiently impactful in providing healthcare.

Global medical treatment delivery needs a new level

of upgrade catering to the different levels of recently cropped difficulties. Healthcare has seen multiple, newly introduced medical practices. It is also evident that the employees in all areas of healthcare are stretching their expertise and doing more than ever. management must stay updated with emerging technologies and cater efficiently to healthcare services of the digital age to meet the needs of a diverse patient population, including the aging patient population. We must have access to superior management technology, to avoid any global crisis in healthcare sector.

to get a better grasp on this subject, one needs to first comprehend the many different patient units that the manager is responsible for supervising. there are several difficulties and concerns regarding staffing that need to be addressed across the board, from the cancer ward to the pediatric hospital. When nurses in one department are working under unreasonable amounts of stress, those same nurses in another department may not be under as much pressure. A good manager will comprehend this concept and be able to place the appropriate workers in the appropriate departments to assist patients. the manager needs to have the ability to multitask and focus on the pool of personnel and departmental difficulties at the same time.

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the management in health care sector needs to handle and resolve multiple situations related to functioning of the hospital, keeping in check the quality of care offered and the efficiency of the personnel simultaneously. they are responsible for planning, supervising, and coordinating the activities of a wide range of practitioners, in addition to having oversight of departments and groups. they must be error-free when juggling multiple responsibilities at once and performing multiple tasks simultaneously. On top of that, a healthcare management department needs to have the following abilities to be successful in their job:

Successful healthcare managers use their analytical skills to examine current procedures and find development areas. In healthcare administration, analytical abilities are the ability to understand health data, translate it into a clear format, and draw insights from changes, trends, distribution, and outliers. the healthcare management department must engage regularly and frequently, with patients, doctors, nurses, families, emergency workers, insurers, and regulators. teamwork is needed to direct competent experts to explain and conduct complex hospital processes. Hospital administrators are supposed to put patients, staff, and the hospital’s needs first.

A healthcare management department needs a team with administrative, financial, and patient care abilities. Healthcare managers must take a holistic approach to improve patient care, accounting for every aspect of the patient’s entire experience, from appointment

scheduling to hospital or clinic parking. the most effective healthcare administrators understand the cases coming in for treatment, whether they are injuries, diseases. they also should have basic knowledge of their symptoms, treatments, and prevention techniques.

managers can have a significant impact on a health care facility through the provision of dependable services. they need to have the capacity to comprehend in addition to being able to manage and direct the services provided by all the departments. Hospital operations are important to a variety of stakeholders, including medical professionals, insurance firms, and even technology distributors. managers are obligated to seek out these groupings and direct them toward a unified objective. they need to be familiar with the appropriate ways of funding and the procedures for directing the flow of funds to the appropriate departments and resources.

management of health care industry is the one who is responsible to guarantee that a high-quality facility is always available for patient treatment. So, the managers often go above and beyond what is expected of them. As a result of this factor, managers have a position of significance in the healthcare industry. they can integrate the commercial parts of running the hospital with the medical skills to make a link between the two, which is both necessary and reliable. this essential connection is what determines the success of the hospital, which in turn creates a medical service that patients can rely on.

COVID-19 wave has had a huge impact on the air ambulance business

Piyush Narang, ceO and co-founder, QuickAir Ambulance explains to viveka roychowdhury why he believes that they are here to save lives in critical conditions and even though the air ambulance industry in India is still at a very nascent stage in India, they have become a basic segment of the advanced medical services framework of the country, more so during the current pandemic.

A year into the medical transport business, QuickAir Ambulance has reportedly executed 1500+ trips with an on-time rate of 98.5 per cent, including 500 evacuations dealing with patient transfers, organ transfers, medicine as well as human remains transfer. So how does it deliver on its promise to provide emergency medical transport support at the right time and at the right price?

Narang explains the challenges faced by his start up air ambulance services company, their membership model, the medical technology and human expertise that goes into operating an air ambulance and how some life changing cases during the current cOvID-19 pandemic reaffirm their commitment to make this service more affordable across the country.

How common are air ambulances in India? Is there a demand supply gap, especially during COVID-19? the air ambulance industry in India is still at a very nascent stage with supply only limited to the situation and a few geographical boundaries. In India, there are make-shift air ambulances, those which are just available because of

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the emergency and have not yet become an industry norm. It is primarily because of the huge expenses involved. the airlifting process isn’t cheap, and it even requires a lot of documentation for the patients to be airlifted. both time and money pose as the biggest challenge in India and are the reasons why air ambulances are only in demand in extreme emergencies.

How did you hit on the idea of setting up an air ambulance service in India, after a career in the aviation industry?

I have been the aviation industry for as many as 15 years and I have had those experiences where a patient’s family would do anything to get the money for their treatment. they would sell their jewelry or even property as a desperate measure to save their loved ones. these experiences are why we set up QuickAir Ambulances. the idea behind QuickAir was to have something that could be well within the means of a common man, one which would be easily approachable and economical.

What were the challenges of setting up such a business?

As I said before, air ambulance industry is very costintensive, for patients as well as for the providers. It requires a lot of investment and to be able to provide the services that are efficient and affordable for its end users, the owners usually must bear the entire cost. Secondly, it isn’t easy to make people believe they can be benefited by such technology. So, creating a market and demand for the product had been a challenge for us.

Given that you head the operations team and look after communication with third-party operators, how do you guarantee quality of services, given that these are life and death situations?

most of it comes from my own life experiences. During my time in the industry, I have successfully evacuated more than 1500 patients and so, I understand the importance of life and death. It is only a matter of few seconds that could prove to be fatal for the patients, which makes this process of choosing the third-party operators more stringent than ever. We are very strict about our quality and efficiency standards only because we have the precious lives in our hands.

What are the USPs of your company given that there are competitors in the market?

At QuickAir Ambulance, we work hard to provide an extremely affordable and cashless air ambulance membership plan that helps our end users with free airport-to-airport transfer in case of an emergency. We have thoroughly studied the market and set up a very competitive

and convincing membership plan for our customers.

You co-launched Ambulance in August 2019, what has been the traction so far, in terms of operational spread in the country, revenues, number of patients and organs shifted, etc? currently we are focused on establishing a strong customer base, one that believes in our services and considers air ambulance as an important aspect of medical emergencies. We have been creating awareness about the need of it rather than focusing on numbers of counting the number of successful transfers.

Can you describe some of the most challenging cases so far?

there are many. In the recent past, we have successfully shifted several patients and each case teaches us a valuable lesson for our future moves. We once shifted a patient from Delhi to chennai whose lungs had been compromised and he had a heart stroke with many other medical complications. He was a cOvID-19 patient in the recovery, thus, had an extremely critical condition. We had to plan this transfer very meticulously and in coordination with the hospital authorities by the second so that everything falls in place when we arrive. It was a life changing case and we come across such cases very often, leaving us in awe with our work and business. We are here to save lives in such critical conditions.

What is your business model, how have you made your offerings more affordable for different customer segments like patients, hospitals, etc?

We have carefully curated the set of services and membership plans for the hospital network and patients, respectively. With our fully equipped air ambulances, we offer patient transfers, organ transfers, medicine and human remains transfer. Our operations care center handles the logistics to carefully transport everything and everyone on time. As far as our membership plans are concerned, we have one for each, individual and family at very affordable rates.

Can you give us an idea of the average cost of the service?

there is no average cost for a medical airlift as it depends upon the distance between the two geographical locations. We have cashless air-lifting services to our members in the times of need.

You indicated that the air ambulance business involves a lot of documentation. How does the company collaborate with hospitals, state governments, etc?

Airlifting process requires a lot of paperwork and approvals

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from the state as well as hospital authorities. However, our users opt for our services at the time the situation is critical and road transfers cannot help, which makes the coordination with the authorities smooth. the departure hospital, destination hospital and the doctors, all of them understand the sensitivity of the situation and make the boarding easier for the patient to be stable and get transferred safely.

What are the company’s expansion plans?

We plan to expand exponentially in the next one year by opening our offices in multiple cities and broadening our fleet of aircrafts. What we have done so far is only the tip of the iceberg and we have lots more in store for the industry and our customers.

As a start up, who are your current funders and do you plan to approach more funders for the scale up process?

We are a self-funded startup and we’ve been blessed with the friends and family who have supported us, financially and emotionally, and trusted our instincts of getting into an industry that is still fresh in India. We would definitely like to approach more like-minded investors in the future.

How did the COVID-19 pandemic change the air ambulance industry and how did QuickAir Ambulance cope?

the cOvID-19 wave has had a huge impact on the air ambulance business. today, people have become more conscious and aware of their healthcare. On the other hand, it has made our job slightly tougher than what it was already. Operators like us need to be more cautious now, since we have to ensure our patients don’t contract the virus as the chances of them getting infected are higher with their critical conditions. this increases the time of preparing the aircrafts for the transfers and thus, requires us to act faster

than we already do.

How is technology changing the contours of the air ambulance sector in India and globally?

Innovation in the medical healthcare sector combined with expanding tendency towards quicker and proficient methods of transportation are helping the air ambulance industry grow bigger and stronger. the air ambulances come with cutting edge clinical facilities, gadgets utilised in emergencies, to give prompt clinical consideration to the patient until they reach the closest hospital.

In addition, air ambulances have trained clinical experts to treat patients in crisis while they are on board. they are technologically efficient in addressing the issue of long travel time and lacking the ability to reach distant areas, which are two of the major challenges faced by road transport. In this manner air ambulances have become a basic segment of the advanced medical services framework.

What is the projected growth of the air ambulance sector globally and in India?

As of now, Asia has the least penetration in the air ambulance industry of the world even though 50 per cent of the world’s population resides in this continent. this shows the kind of potential that we have in India and around.

What are the career opportunities that open up in this sector?

the healthcare sector and medical transport sector are inseparable. Having said that, the current global crisis has exposed the need for better and expanded hospital services along with the need for a bigger healthcare workforce. thus, as the healthcare sector grows, the need for more air ambulances will arise, requiring more infrastructure. Hence, a combination of all of this will ultimately give rise to employment opportunities in all of these sectors exponentially.

Digital health platforms, telemedicine shall be integral to healthcare in post-COVID world: Shobana Kamineni

Shobana Kamineni, executive vice chairman, the Apollo Hospitals Group explains to viveka roychowdhury how the Apollo 24|7 app, launched in February, has in some way, been able to bridge the urban-rural gap in terms of healthcare and the role of such telehealth platforms post the pandemic. She believes that telemedicine will not entirely replace the physical healthcare, but it will be a smarter choice for people, helping to take the load from hospitals, while hospitals continue to play an important role in advanced cross functional treatment requirements, advanced diagnostics and surgical interventions. She also gives details on the expansion plans to stay ahead of the

curve in terms of customer satisfaction

With a tough Q1FY21 behind us thanks to the COVID-19 pandemic, what are the profitability challenges faced by hospital chains in India and what are the measures taken to mitigate these challenges?

Hospitals all over the world are obviously facing major challenges due to the pandemic. Honestly, challenges pertaining to profit are not the main concern here. the world at large seeks to ensure that adequate healthcare facilities are provided to the public through novel means. Of

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course, low revenues plague hospitals in the country as the cost of medical equipments seems to increase. Additionally, OPD walkins and consultations have come down significantly since the lockdown.

but, the tumultuous and volatile business environment during this time has given us all a vital lesson of ‘reinventing and evolution’. Providers have realised that round the clock service availability and access to specialists is the primary duty that each provider, must provide, and at Apollo we have fulfilled the same via all our channels. In this aspect it is not fair to evaluate business and profitability in a preplay ‘revenue’ sense but in a manner in which we can demonstrate the number of lives that have been touched and healed in this pandemic.

I can say that the sector has evolved swiftly and has taken the digital route to ensure that healthcare reaches the patients uninterruptedly. While there was definitely a digital transition taking place before as well, the pandemic has accelerated its adoption by both doctors and patients.

the use of cutting edge technology and data has been central to the functioning of the Apollo ecosystem since its inception. We have always valued technological innovation as paramount to our evolution. With this ideology in mind, Apollo 24/7 was launched to enable users from any part of the country to use trusted Apollo services from their phones, at the click of a button. the platform gives the patients access to more than 7000 quality Apollo doctors, and across 55+ specialties. the platform also provides healthcare services such as seamless medicine delivery at home, diagnostic test booking and doorstep sample collection, digital health records, home healthcare and more. this has especially been beneficial to tier 2 and tier 3 cities, as they’re able to access better healthcare facilities from the comfort and safety of their homes.

Hospitals like AHEL have re-focused on other revenue plays like pharmacies, diagnostics etc. In fact, since patients cannot come to the hospital/ doctor/pharmacy, these facilities have gone to the patient through tele-consultations and omnichannel health platforms. Have ventures like Apollo 24|7 made up for the loss of revenue due to the price cap on COVID-19 treatments?

Indeed, telemedicine has received a never-before impetus since the onset of the pandemic. even the Indian government has legalised and standardised telemedicine this year by issuing strict guidelines for its practice. Apollo has been always a step ahead in pioneering technology and

medical innovation, with this foresight, we had established the first telemedicine setup 20 years back.

With our core philosophy of bringing quality healthcare to every individual we launched Apollo 24/7 in February before the government announced the nationwide lockdown. this has allowed us to continue to provide services to a majority of our patients and deliver healthcare services digitally to people who need it the most. this has also helped us to create access to the best medical specialists without any geographical limitation with ease of booking various services at their fingertips

Apollo 24/7 has helped us continue our mission to provide better healthcare to all, especially during these uncertain times. Apollo 24/7 is the fastest growing health app in the country. During the last six months of operations, we attracted over 15 million Indians to engage with us and over 3.5 million users to register themselves on the app. these users are from 400+ cities across the country. And most importantly, we’ve been able to reach out to areas with poor health infrastructure through the platform. 33 per cent of our registered users are from tier 2 and 3 cities. these cities also account to 21 per cent of our virtual consultation with Apollo doctors. Hence, in some way, we have been able to bridge the urban-rural gap in terms of healthcare.

Will these newer revenue streams like omni-channel health platforms such as Apollo 24|7 remain a part of the post-pandemic world? Will the vision last beyond the pandemic? the health seeking consumer behaviors has changed and we believe will continue to exist even post pandemic as “ the new normal” provides access to primary healthcare services at their fingertips. Also, we are highly certain that digital health platforms and telemedicine shall be an integral part of healthcare in the post-cOvID world.

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back in 2019, the Indian telemedicine market was predicted to reach $32 million by 2020 and now it is expected to cross $5.5 billion by 2025. the extended lockdown and quarantine regulations have only acted as a catalyst in the growth of telehealth apps, which has registered a growth of over 178 per cent in the remote consultations. the improved internet connectivity has also enabled people from tier 2 and 3 areas to easily access tele consultation.

In the post cOvID world, we are sure that people will make smarter choices in every aspect of their life. telemedicine will not entirely replace the physical healthcare, but it will be a smarter choice for people. this means that telemedicine can help take the load from hospitals, but hospitals will always play an important role in advance cross functional treatment requirements, advanced diagnostics and surgical interventions.

Having said that, patients are already opting for telemedicine apps for home based collection of test samples, delivering monthly medicines, and booking appointments. this behavioural change is here to stay. this trend will further accelerate the growth of telemedicine in India. With telemedicine, everyone can access quality healthcare at ease, irrespective of geographical barriers.

Since these are tech-driven initiatives, how can these platforms help in discerning disease trends (like transmission patterns of COVID-19), which could assist public health officials in pre-empting new outbreaks of infections? cOvID-19 is a wake-up call not only for the governments but also for all of us to prepare the world for future pandemics. With the advent of mathematical tools, scientists are now able to better predict epidemics, understand the specificity of each pathogen, and identify potential targets for drug development. there is a need to take advantage of the rapid progress made in the past decades in data processing, analytics, and utilisation. existing structures such as the mOH-driven global influenza surveillance could be used as examples to develop long-term capabilities in preventing infectious disease pandemics and their deleterious effects.

the use of tech- driven initiatives will make it possible to digitally trace the footprints of an infected person and also get access to trace the travel history, places visited, people met. this information can help to stop the widespread transmission of the virus by identifying the person and taking the necessary medical safety measures. the large data sets of anonymous patient information available from digital health platforms can be used to better existing technologies. this can aid health professionals as well as public health officials in dealing with the pandemic. Harmonising the integration of AI will enable us to enforce its use for infectious pandemics prediction, better understanding of infections, and reduce time for drug discovery.

Is India ready for a long term and wide-spread deployment of tele-consultation, given the patient confidentiality and data security issues? What are the security features that can assure patients that their data is safe and not shared without their permissions?

the cOvID-19 pandemic has been a case study on the importance of having efficient and reliable data systems. countries with a robust health data infrastructure have been successfully able to leverage real-time data, which has informed their key strategic and public health responses.

the Indian government launched the Aarogya Setu app to provide real-time updates and contact tracing. Since data security is incorporated by default, it ensures end-to-end encryption. Apropos telemedicine services, remote-care devices and remote patient monitoring are particularly vulnerable when they don’t come with embedded security features to ensure the decoupling of sensitive patient information. In order to scale telemedicine network, data security audits to ensure patient safety are a must.

At Apollo telehealth, all our platforms are HIPAA compliant and the backend is ISO 27001 certified. Our front end point of presence across geographies is also ISO certified. this ensures that the data security measures adhere to global standards.

While tele-consultations will improve access and reach, do they address the affordability challenge, especially in tier 2/3/4 towns and villages of India? there has been a significant increase in the number of people using online consultation. Like I mentioned, Apollo 24|7 has witnessed tremendous increase in online inquiries from tier 2 and 3 cities. 33 per cent of our registered users are from tier 2 and 3 cities. these cities also account to 21 per cent of our virtual consultation with Apollo Doctors.

We believe in customer empowerment and our key responsibility is to make Apollo e xpertise available for every user. c harges are led by the doctors and depends on their experience and expertise. For the users there is a large horizon of choice based on experience, specialty and location. We enable one to choose as per their requirement while empowering towards data-based decision making.

Apollo 24|7 has the capability to remember every user and keeps learning about them and their actions. this help towards giving refined choices for the users with time. We have observed with our experiences that a routine consult involves various direct and indirect costs like travel, incidentals and opportunity. these costs multiply in case of the patient requiring an attendant. Apollo 24|7 definitely cuts a lot of extra expenditure like these for those in tier 2 and 3 cities and provides them with affordable quality healthcare options at their convenience.

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ConferenCe AlERT

International Conference On Recent Advancement In Medical Education, Nursing, And Health Sciences (ICRAMNH)

Conference Organised By:- Irfconference

Conference Contact Person:- Conference co-ordinator. Conference Inquiry Email Id:- Info.irfconference@gmail.com

Important Dates

Conference Start Date : 2022-12-01

Deadline For Submission / Apply: 2022-11-11

Conference End Date : 2022-12-01

Conference Website : http://irfconference.org/Conference/16454/internationalconference-on-react-advancement-in-medical-education-nursing-and-health-sciences/

About the Event

the key motive of IcrAmNH is to provide a world-class platform for the global participants to share their ideas and experience in person with their peers expected to join from different parts of the world. In addition, this gathering will help the delegates to establish research or business relations as well as to find international linkage for future collaborations in their career path. We hope that IcrAmNH outcome will lead to significant contributions to the knowledge base in these up-to-date scientific fields in scope.

1423rd International Conference On Recent Advances In Medical And Health Sciences (ICRAMHS)

Conference Organised By:- Academicsworld

Conference Contact Person:- Conference co-ordinator.

Conference Inquiry Email Id:- Info.@academicsworld.org

Important Dates

Conference Start Date : 2022-12-15

Deadline For Submission / Apply: 2022-11-25

Conference End Date : 2022-12-16

Conference Website : http://academicsworld.org/Conference2022/India/6/ ICRAMHS

About the Event

the Academics World International conference on recent Advances in medical and Health Sciences IcrAmHS aims to bring together leading academic scientists, researchers and research scholars to exchange and share their experiences and research results about all aspects of medical and Health Sciences. It also provides the premier interdisciplinary forum for researchers, practitioners and educators to present and discuss the most recent innovations, trends, and concerns, practical challenges encountered and the solutions adopted in the fields of medical and Health Sciences.

National Conference on Recent Advances in Science, Engineering, Technology and Management Conference Organised By:- wrfer Conference Contact Person:- Conference co-ordinator. Conference Inquiry Email Id:- contact.wrfer@gmail.com Important Dates

Conference Start Date : 2022-10-30

Deadline For Submission / Apply: 2022-10-14

Conference End Date : 2022-10-30 Conference Website : http://wrfer.org/Conference/23373/NCRASETM/ Venue: New Delhi, India

About the Event

NcrASetm is to bring together innovative academics and industrial experts in the field of Science, engineering, technology and management to a common forum. All the registered papers will be published by the World research Library and will be submitted for review for indexing by Google Scholar etc. this conference is sponsored by many International institutes. the conference would offer a large number of invited lectures from renowned speakers all over the country. the best paper Awards will be given for the papers judged to make the most significant contribution to the conference.

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International conference on Medical Health Science, Pharmacology & Bio Technology

Conference Organised By:- Issrd

Conference Contact Person:- Conference co-ordinator. Conference Inquiry Email Id:- papers.issrd@gmail.com

Important Dates

Conference Start Date : 2022-11-20

Deadline For Submission / Apply: 2022-11-04

Conference End Date : 2022-11-20

Conference Website : http://issrd.org/Conference/16563/internationalconference-on-medical-health-science-pharmacology—biotechnology/

About the Event

the key intention of Icmpb is to provide opportunity for the global participants to share their ideas and experience in person with their peers expected to join from different parts on the world. In addition this gathering will help the delegates to establish research or business relations as well as to find international linkage for future collaborations in their career path. We hope that Icmpb outcome will lead to significant contributions to the knowledge base in these up-to-date scientific fields in scope.

scientific field. the organizing committee of conference is pleased to invite prospective authors to submit their original manuscripts to IcIrpebS.

International Conference on Global Business, Economics, Finance & Social Sciences

Conference Organized By : Sciencefora

Conference Contact Person : Conference coordinator Conference Inquiry Email ID : info.sciencefora@gmail.com

Important Dates

Conference Start Date : 26th Oct 2022

Deadline For Submission / Apply: 07th Oct 2022

Conference End Date : 26th Oct 2022

Conference Website : http://sciencefora.org/Conference/15046/internationalconference-on-global--business-economics-finance--socialsciences/

About the Event

International Conference on Innovative Research Practices in Economics, Business and Social Sciences (ICIRPEBS)

Event Enquiry Email Address: info:iseteconference@gmail.com

Website: http://isete.org/Conference/15626/international-conference-on-innovative-research-practices-in-economicsbusiness-and-social--sciences

Starting Date: 18th Sep 2022

Ending Date: 18th Sep 2022

Deadline for abstracts: 02nd Sep 2022

Venue: New Delhi, India

About Event

the aim objective of IcIrpebS is to present the latest research and results of scientists related economics, business and Social Science topics. this conference provides opportunities for the different areas delegates to exchange new ideas and application experiences face to face, to establish business or research relations and to find global partners for future collaboration. We hope that the conference results constituted significant contribution to the knowledge in these up to date

An elegant and rich premier global platform for the International conference on Global business, economics, Finance and Social Sciences IcGeFS that uniquely describes the Academic research and development across globe. this event tries to fill in the void that is being created by the current global academic and research by the different global challenges . 1429th International Conference on Science, Health and Medicine (ICSHM)

Conference Organized By : ISER

Conference Contact Person : Conference coordinator Conference Inquiry Email ID : info@iser.co

Important Dates

Conference Start Date : 15th Jan 2023

Deadline For Submission / Apply : 30th Dec2022

Conference End Date : 16th Jan 2023

Conference Website : http://iser.co/Conference2023/India/1/ICSHM/ About Event

the key intention of IcSHm is to provide opportunity for the global participants to share their ideas and experience in person with their peers expected to join from different parts on the world. In addition this gathering will help the delegates to establish research or business relations as well as to find international linkage for future collaborations in their career path. We hope that IcSHm outcome will lead to significant

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contributions to the knowledge base in these up-to-date scientific fields in scope.

International Conference on Healthcare and Clinical Gerontology

Conference Organised By:- Sciencefora

Conference Contact Person:- Conference co-ordinator. Conference Inquiry Email Id:- info.sciencefora@gmail.com

Important Dates

Conference Start Date : 2022-12-21

Deadline For Submission / Apply: 2022-12-02

Conference End Date : 2022-12-21

Conference Website : http://sciencefora.org/Conference/15139/internationalconference-on -healthcare-and-clinical-gerontology/

About the Event

An elegant and rich premier global platform for the International conference on Healthcare and clinical Gerontology IcHcG that uniquely describes the Academic research and development across globe. this event tries to fill in the void that is being created by the current global academic and research by the different global challenges.

International Research Conference on Covid-19 and Its Impact on Mental Health (IRCCIMH)

Conference Organized By : Research Conferences Conference Contact Person : Conference coordinator Conference Inquiry Email ID : info.researchconferences@gmail.com Important Dates

Conference Start Date : 2022-10-17

Deadline For Submission / Apply: 2022-12-31

Conference End Date : 2022-10-18 Conference Website : http://researchconferences.in/Conference/1886/ IRCCIMH/ Venue : Ujjain, Madhya Pradesh, India

About the Event

International Conference on Nutrition and Health (ICNH)

Conference Organized By : Asar Conference Contact Person : Conference coordinator Conference Inquiry Email ID : papers.asar@gmail.com

Important Dates

Conference Start Date : 2023-01-02

Deadline For Submission / Apply: 2023-12-17

Conference End Date : 2023-01-02

Conference Website : http://asar.org.in/Conference/26125/ICNH/

About the Event

the IcNH conference offers a track of quality r&Ds from key experts and provides an opportunity in bringing in the new techniques and horizons that will contribute to Advanced research on Science, engineering and technology in the next few years. All submitted papers will be under peer review and accepted papers will be published in the conference proceeding. both academia and industries are invited to present their papers dealing with state-of-art research and future developments.

the outbreak of pandemic covid-19 has disrupted the economic, financial and social systems of most countries and the short and long-term consequences will be difficult to appraise. the purpose of this special issue is to encourage early research into what these consequences might be in both developed and developing countries. coronavirus disease made everyone stressed. Anxiety, depression and fear about an outbreak may cause mental health disorders in adults and children. coping of mental health during covid-19 is important for the people you care about. Stress during an outbreak involves changes in eaing habits, eating patterns changes, worsens mental health conditions, over thinking, difficulty in eaing and concentrating. Sleep disorders arise in every individual during the outbreak. mental health of children, teens, adults and older people will vary during this outbreak. take care of yourself and your community to cope with stress disorder. there are many ways to cope with stress, taking breaks from watching, reading, listening to news about the outbreak. Hearing about the pandemic repeatedly can be disturbing and unnecessary tension will be raised in the minds. take deep breaths, do yoga and meditation. talk with people about your feelings and concerns.

FUTURISTIC HEAlTHCARE SUMMIT —

Harnessing the power of technology in Healthcare

Date: - 26 Jan 2023

Venue: - The Leela Palace Bangalore, India Website: - letstalkhealthcare.in

About the Event

Futuristic Healthcare Summit 2019 will bring together

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parity from Healthcare Institutions and technology solution providers for a day of panels, roundtables, and candid conversations. Under the theme 'Harnessing the power of technology in Healthcare' the conference will focus on hot topics such as Artificial Intelligence, electronic health records, robotics, Iot in healthcare, driving down the cost of care with technology, data security, cloud, population health, clinical informatics, analytics, healthcare policy, telemedicine advancements, future of healthcare and many more.

Research International Conference on Medical, Medicine and Health Science (RICMMHS)

Event Enquiry Email Address : info@theires.org Website: http://theires.org/Conference2022/India/1/ICMHS/ Starting Date : 11th Jan 2023

Ending Date : 12th Jan 2023

Deadline for abstracts : 24th Dec 2023

MEDRECON 2022- Medical Record Conference

Date:-8th-9th march 2023

Venue:-ACS Medical College, Hospital, Chennai

About the Event

meDrecON – 2019, Annual National medical records conference is organized by HerAI – Health records Association of India for the upcoming year 2019. conference is planned to be conducted at the grand venue of the renowned and prestigious institution of the city – AcS medical college and hospital. this auspicious 19 Annual National medical records conference was back to the chennai city, where the parental medical records association of the nation – HerAI was formed and the conference will embark the era of the reformation of medical records management in to health information management by addressing.

1241st International Conferences on Medical and Health Science (ICMHS)

Starting Date: 29th Jan 2023

Ending Date: 30th Jan 2023

Deadline for abstracts: 14th Jan 20223

Venue: New Delhi, India

About the Event the idea of the conference is for the scientists, scholars, engineers and students from the Universities all around the world and the industry to present ongoing research activities, and hence to foster research relations between the Universities and the industry. this conference provides opportunities for the delegates to exchange new ideas and application experiences face to face, to establish business or research relations and to find global partners for future collaboration.

Event Enquiry Email Address: info.researchconferences@gmail.com Website : http://researchconferences.in/Conference/1873/ RICMMHS/ Venue : Gurugram, India

About the Event

medical, medicine and Health Sciences conference aims to bring together leading academic scientists, researchers and research scholars to exchange and share their experiences and research results on all aspects of medical, medicine and Health Sciences conference. It also provides a premier interdisciplinary platform for researchers, practitioners, and educators to present and discuss the most recent innovations, trends, and concerns as well as practical challenges encountered and solutions adopted in the fields of medical, medicine and Health Sciences conference.

Pharma Affairs Conference and Expo

25 - 27 Mar 2023

Pragati Maidan, New Delhi, India

About the Event

pharma Affairs conference and expo (pAce) 2022 is a healthcare conference & exhibition. It provides researchers, scientists and delegates with the right forum to share their knowledge through industry and academia and to discuss new technologies worldwide. It is a three-day event and trade show that is specially organised and incorporates a wide variety of scientific disciplines vital to the discovery and production of new medicines and therapies. It will showcase pharma products, machines, devices and technology to buyers from all over the world including major markets like USA, china, Germany, France, India etc. this event will undoubtedly provide a great opportunity to develop and grow your business by meeting active suppliers looking for collaboration with the Indian pharma and Healthcare market. meeting potential investors and business associates will be a win-win situation for both parties.

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sshc
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Siddhant Sharma Chief Controller Asst. Professor -GIHM Six Sigma Star Healthcare (P) Ltd. New Delhi
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Media Coverage

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ArTificiAl inTelligence

in the Provision of health Care systems

Tthe term artificial intelligence (AI) evokes various responses amongst healthcare professionals, researchers and consumers. For some, AI could be panacea to all the problems ailing the healthcare sector and yet for others, a fad to be quickly dismissed. the truth is somewhere in between considering the efficacy of machine learning, a subset of AI, has been demonstrated in different areas of medicine with improved diagnosis and treatment being made possible. In other instances, AI has been found to useful in drug discovery, infectious disease surveillance and

even in aiding efficient healthcare administration. Also, there has been increasing support from governments and the private sector in funding AI in healthcare research and development with a growing number of AI enabled medical software being approved for use in the market . However, AI as a new technology, especially so in the realm of medicine, has to be carefully evaluated for its safety and efficacy in achieving its intended outcomes. there is requirement for some preparatory work and laying out the ground for integration of AI in routine clinical workflows, while supporting more

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research and development of AI in healthcare applications.

DefiniTion

So, what is AI? because of the complexity involved in developing synthetic intelligence that is comparable to human intelligence, there are varying interpretations of what AI is and what goes into developing AI. Some authors even frown upon the term ‘AI’ and prefer the term ‘computational Intelligence’ However, if we consider what is the objective of AI and what resources go into achieving the objective, an acceptable definition encompassing these components can be fashioned. the end objective of AI is to create systems that think and act rationally like humans. these systems can also be termed as ‘intelligent agents’. If the goal of the system is to demonstrate intelligence and developing these systems requires computer programming, a formal definition of AI would read as ‘a field of science concerned with the computational understanding of what is commonly called intelligent behaviour, and with the creation of intelligent agents that exhibit such behaviour’. Simpler definitions describe AI as

‘machines assuming human like capabilities’, ‘extension of human intelligence through computers’ and ‘making computers do things which currently humans do’ but a more accurate description would be ‘the science of making intelligent machines’.

inTelligenT AgenT

AI theory can be best understood through the intelligent agent concept . An intelligent agent incorporates the skills required to pass the turing test, which assesses whether a machine can think like a human? So an intelligent agent should be skilled in perception, practical reasoning and have an ability to take action to achieve its goals. the agent utilises the environment, it operates within, to both receive input and take action (Figure 1). Some key inputs that feed into an agent and potentially, which it can draw itself are current observations about the environment, prior knowledge about the environment, past experiences that it can learn from and the objectives it needs to achieve. the agent perceives the environment through sensors and acts on the environment through effectors. When an intelligent agent is comprised of a computational core with physical actuators and sensors, it is termed a ‘robot’. When an agent is a program acting in a pure computational environment, it is an ‘infobot’ and when an advice providing program is coupled with a human expert, it is a ‘decision support system’.

Because of the complexity involved in developing synthetic intelligence that is comparable to human intelligence, there are varying interpretations of what AI is and what goes into developing AI. Some authors even frown upon the term ‘AI’ and prefer the term ‘Computational Intelligence’

Ai in HeAlTHcAre

AI

in the

well. In fact, in the recent years there has been an

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lends itself to healthcare delivery very
exponential increase
Percepts Actions environment AgenT Sensors ConditionAction rule How the world is like now? Actions to be undertaken effectors

use of AI in clinical environments . With modern medicine facing a significant challenge of acquiring, analysing and applying structured and unstructured data to treat or manage diseases, AI systems with their data-mining and pattern recognition capabilities come in handy. medical AI is mainly concerned with the development of AI programs that help with the prediction, diagnosis and treatment or management of diseases. In contrast to non-AI medical software application, which relies on pure statistical analysis and probabilistic approaches, medical AI applications utilise symbolic models of diseases and analyse their relationship to patient signs and symptoms . For example, diagnostic AI applications gather and synthesise clinical data and compare information with predefined categories such as diseases to help with diagnosis and treatment. medical AI applications have not just been used to support diagnosis but also treatment protocol development, drug development and patient monitoring too.

HisTory of use of Ai in HeAlTHcAre

Discussion of the use of AI in medicine coincides with the advent AI in the modern era. this is not surprising as AI systems initially intend to replicate the functioning of the human brain. In 1970, William b Schwartz, a physician interested in the use of computing science in medicine, published an influential paper in the New england Journal of medicine titled ‘medicine and the computer: the promise and problems of change’. In the paper he argued ‘computing science will probably exert its major effects by augmenting and, in some cases, largely replacing the intellectual functions of the physician’. by the 1970s there was a realisation that conventional computing techniques were unsuitable for solving complex medical phenomenon. A more sophisticated computational model that simulated human cognitive processes, that is AI models, was required for clinical problem solving. early efforts to apply AI in medicine consisted of setting up rules-based systems to help with medical reasoning. However, serious clinical problems are too complex to lend them to simple rulesbased problem-solving techniques. Problem solving in medicine then progressed to construction of computer programs based on models of diseases. It was not just with the field of general medicine, that AI was being explored to assist with problem solving. In 1976, the Scottish surgeon Gunn used computational analysis to diagnose acute abdominal pain. this was achieved through clinical audits of structured case notes through computers, whereby diagnosis through this route proved to be about 10% more accurate than the conventional route. by the 1980s, AI research communities were well established across the world but especially in learning centres in the US. this development helped in expansion of the use of novel and

innovative AI approaches to medical diagnoses. much of this push was because medicine was an ideal testing ground for these AI applications. A significant number of AI applications in medicine at this stage were based on the expert system methodology. by the end of the 1990s, research in medical AI had started to use new techniques like machine learning and artificial neural networks to aid clinical decision-making. the next section explores current application of AI in various aspects of healthcare.

ApplicATion of Ai TecHniques in HeAlTHcAre

the wide acceptance of AI in healthcare relates to the complexities of modern medicine, which involves acquisition and analysis of the copious amount of information and the limitation of clinicians to address these needs with just human intelligence. medical AI applications with their advanced computing ability are overcoming this limitation and are using several techniques to assist clinicians in medical care.

AI is being used for all the three classical medical tasks: diagnosis, prognosis and therapy but mostly in the area of medical diagnosis . Generally, the medical diagnosis cycle (Figure 3) involves observation and examination of the patient, collection of patient data, interpretation of the data using the clinician’s knowledge and experience and then formulation of a diagnosis and a therapeutic plan by the physician. If we can compare the medical diagnostic cycle to the concept of an intelligent agent system, the physician is the intelligent agent, the patient data is the input and the diagnosis is the output. there are several methods, through which AI systems can replicate this diagnostic cycle and assist clinicians with medical diagnosis. One such approach is the use of expert Systems. expert systems are based on rules clearly outlining the steps involved in progressing from inputs to outputs . the progression occurs through the construction of a number of IF-tHeN type rules. these rules are constructed with the help of subject experts like clinicians who have interest and experience in the particular domain. the success of the expert system relies on the explicit representation of the knowledge area in the form of

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Patient Data informationDiagnosis/Assessment therapy Patient observation and measurement Data interpretationPlanning Phase Data categorisation

rules. the core of the expert system is the inference engine, which transforms the inputs into actionable outputs.

fuTure TrenDs AnD ApplicATion of Ai in HeAlTHcAre

As more AI research is undertaken and AI systems become more trained and consequently intelligent, it is foreseeable that these agents replace some of, if not all, the human elements of clinical care. While leaving the communication of serious matters and final decision making to human clinicians, AI systems can take responsibility for routine and less risky diagnostic and treatment processes. the intention here is not to replace human clinicians but enable a streamlined high-quality healthcare delivery process.

Of all the promising medical AI novelties that are being explored, robotics driven by AI will have an important role in the medical automation process. robots embody AI and give it a form, while AI algorithms/programming provide intelligence to the robots. robotic assistants have already been employed to conduct surgeries, deliver medication and monitor hospital patients but the most promising area for their use is in elderly care. mobile robotic assistants are already being used to assist the elderly people in their dayto-day activities either in their home or in aged care settings. the robotic assistants mainly undertake tasks that remind them of their routine activities including medication intake or guidance in their environments. With advances in AI and robotics, the employment of robotic assistants in elderly care is only bound to grow.

cHAllenges

While the application of AI in delivery of healthcare has very promising potential, challenges-both technical and ethical exist. AI research is largely led and driven by computer scientists without medical training and it has been commented that this has led to a very technologically focused and problem oriented approach in the application of AI in healthcare delivery . contemporary healthcare delivery models are very dependent on human reasoning, patientclinician communication and establishing professional relationships with patients to ensure compliance. these aspects are something AI cannot replace easily. Use of robotic assistants in healthcare has raised issues about the mechanisation of care in vulnerable situations where human interaction and intervention is probably more appealing. there is also the reluctance of clinicians in adopting AI technologies that they envisage will eventually replace them. Yet there is no qualm in them using technologies that automate and speed up laboratory diagnostic process. this has led to some suggesting a model of co-habitation. this is a model that accommodates both the AI and human

elements in healthcare delivery and anticipates the inevitable automatisation of significant components of medical processes while preserving the human aspects of clinical care like communication, procedures and decision-making.

conclusion

Healthcare delivery has over the years become complex and challenging. A large part of the complexity in delivering healthcare is because of the voluminous data that is generated in the process of healthcare, which has to be interpreted in an intelligent fashion. AI systems with their problem solving approach can address this need. their intelligent architecture, which incorporates learning and reasoning and ability to act autonomously without requiring constant human attention, is alluring. thus the medical domain has provided a fertile ground for AI researchers to test their techniques and in many instances; AI applications have successfully solved problems with outcomes comparable to that of human clinicians. As healthcare delivery becomes more expensive, stakeholders will increasingly look to solutions that can replace the expensive elements in patient care and AI solutions will be sought after in these situations. However, cold technology cannot totally replace the human elements in patient care and a model that incorporates both technological innovations and human care has to be investigated.

references

1. ramesh AN, Kambhampati c, monson Jrt, Drew PJ. Artificial intelligence in medicine. Annals of the royal college of Surgeons of england. 2004;86(5):334-338

2. Warwick K. Artificial Intelligence: the basics. Abingdon: routledge; 2012

3. Simmons Ab, chappell SG. Artificial intelligence— Definition and practice. Ieee Journal of Oceanic engineering. 1988;13(2):14-42

4. Kok JN, boers eJW, Kosters WA, van Der Putten P, Poel m. Artificial Intelligence: Definition, trends, techniques, and cases. Oxford, UK: encyclopedia of Life Support Systems; 2013

5. cyranoski D. ‘china enters the battle for AI talent’. Nature [Online]. 2018. Available from: https://www. nature.com/articles/d41586-018-00604-6 [Accessed: Jan 12, 2018]

6. Diprose W, buist N. Artificial intelligence in medicine: Humans need not apply? the New Zealand medical Journal. 2016;129(1434):73-76

7. baker S. Final Jeopardy: the Story of Watson, the computer that Will transform Our World. New York: Houghton mifflin Harcourt Publishing company, mariner books; 201 sshc

Oct O ber-N O vember 2022 www.sixsigmahealth.org 61

THE JUNK FOOD CULTURE

NNow a days, it’s very common to see obesity, diabetes or some heart related issues in people and specially among children at a very low age and the root cause of all this is their unhealthy food eating habit.

Some of the StartliNg detailS are:

Only 50% students bring healthy and hygienic food in the school, rest of them go to the cafeteria

or some shops nearby where they eat burger, fries, momoes, noodles or chips etc...

So now the question is what is the problem with fast food and how its effecting the child’s health?

If a child consumes such unhealthy food items for a long period of time on regular basis it can lead to serious health problem. the caloric content (carbohydrate, fats and high level of sugar) will contribute to rapid obesity of a child, and an onset obesity nowdays as visible in adults I think should not surprise us.

You know how much the famous street food momoes and noodles can harm us if we take it on regular basis :

aziNomoto

monosodium glutamate (mSG) also known as azinomoto which enhance the flavour of these food items, US Food and Drug Administrator (FDA) has received many reports of concerning reactions that people have attributed to the foods that have mSG in them which includes-headache,

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Sapna Budhlakoti Coordinator Six Sigma Healthcare, Delhi

So what to do for a proper aNd healthy NutritioN?

For fit and healthy life most important thing is good and healthy nutrition. by eating proper and healthy food a child's body gets the proper nutrition and it functions and grows properly.

N A healthy food includes vitamins, iron, minerals, proteins. Healthy diet reduces the risk of heart diseases obesity and stroke.

N A person for a healthy diet should eat a combination/ variety of food items like cereals, rice, green vegetables, maze, legumes, fruits, eggs and milk.

N eat plenty of vegetables and fruits and avoid overcooking of vegetables.

N Use moderate amount of fats and oils. Unsaturated fat oils like olive oil, sunflower oil etc. rather than saturated fats like ghee, coconut and palm oil.

N eat less salt and sugars: snacks are high in salt and soft drinks or soda are high in sugars.

Now aNother queStioN ariSeS that what Should Be the Sugar limitS?

Sugary foods comprise no more than half of a person’s daily discretionary calorie allowance. Now you will ask what is discretionary calorie. So discretionary calorie are those that are left over once a person has met their daily nutritional needs. this allowance differs for men, women, and children.

Men men should consume no more than 150 discretionary calories of sugar per day. this is equivalent to 38 g or 9 teaspoons (tsp) of sugar.

Women

Women should use no more than 100 discretionary calories on sugar per day. this is around 25 g or 6 tsp of sugar.

Children children between the ages of 2 and 18 should consume no more than 25 g trusted Source, or 6 tsp, of added sugar daily.

theN what Should the people haviNg diaBeteS Should do?

Diabetes makes it difficult for the body to use glucose effectively. the body converts both naturally occurring and added sugars into glucose, that’s why a diabetic person has to monitor his or her overall intake of sugar level.

Foods with a higher GI (glycemic index) raise blood glucose. more than avoiding added sugars focusing on consuming the right amounts of fiber and nutrient-dense carbohydrates from whole foods can help stabilize blood sugar levelsfoods with a lower GI.

the following tips can help a person replace the added sugar in their diet with more healthful alternatives:

N try adding mint leaves, cucumber, berries, or citrus fruit to plain or sparkling water.

N Swap sweets and desserts for fruit, but avoid canned fruit in syrup.

N Prepare homemade sauces and salad dressings.

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flushing, numbness, burning in face, chest pain weakness etc.
If a person consumes such unhealthy food items for a long period of time on regular basis it can lead to serious health problem. The caloric content (carbohydrate, fats and high level of sugar) will contribute to rapid obesity of a person.

N replace store-bought granola and snack mixes with homemade varieties that include unsweetened dried fruits and non-frosted wholegrain cereals.

N When cooking or baking, use unsweetened apple sauce or mashed bananas instead of sugar.

N Stop using sugar in tea and coffee or reduce the amount.

N Use herbs and spices instead of sauces that contain added sugar.

Fats:

We consume fat in the form of triglycerides. A triglyceride molecule consists of three fatty acids attached to a glycerol backbone. the fatty acids contain chains of carbons and hydrogens.

how much fat iS healthy to eat per day?

the appropriate amount of fat to eat will depend on your calorie requirements for weight loss or maintenance. It’ll also be based on your eating style and diet.

how maNy calorieS Should you eat oN average?

the number of calories you should eat per day depends on numerous factors, including your age, sex, height, current weight, activity level, and metabolic health, among several others.

When trying to lose weight, it’s important to create a calorie deficit by consuming fewer calories than you

normally do or by exercising more.

Don’t cut your calorie intake too much as cutting your calorie intake too drastically not only will cause several serious side effects but also increases your risk of nutritional deficiencies.

Here’s a closer look at how many calories you should eat: Keep in mind that the exact number of calories that you need may fall on the high or low end of this range — or even exceed it — depending on how active you are, plus your height, weight, and health status.

Women calorie needs for women can depend on their age, size, and activity level.

most women between the ages of 19–30 require 2,000–2,400 calories per day to maintain their weight.

Women between the ages of 31–59 have slightly lower energy needs. Generally, women in this age group should consume 1,800–2,200 calories per day to maintain their body weight.

Women over age 60 generally require fewer calories and typically need to take in around 1,600–2,000 calories per day to maintain their weight.

Men

As is the case for women, calorie needs for men may range based on several factors.

the most recent Dietary Guidelines for Americans estimates that men between the ages of 19–30 should consume 2,400–3,000 calories per day to maintain their weight.

energy needs decrease as you get older. In fact, men between the ages of 31–59 need about 2,200–3,000 calories per day to maintain their weight, while men over 60 generally require 2,000–2,600 calories.

men who are very active or have certain health conditions may require more calories. the number you need within these ranges also varies based on your height and weight.

Children children have widely varying calorie needs based on their age, size, and activity level.

energy needs for children and teens vary based on their sex and age. A 3-year-old child might need only 1,200 calories, but a teenager can require closer to 3,000 calories

However, keep in mind that there’s typically no need to count calories for growing children and teens.

In fact, cutting a child’s calorie intake may increase their risk of nutritional deficiencies, slow growth, and foster an unhealthy relationship with food or an eating disorder.

Instead of counting calories, it’s best to encourage healthy, nutrient-dense foods, cook more meals and snacks at home, and promote regular physical activity for kids and teens.

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Sugary foods comprise no more than half of a person’s daily discretionary calorie allowance.

what are the diSeaSeS cauSed By JuNk food?

Hypertension

the salt used in the seasoning of junk foods has sodium. And excessive intake of sodium can lead to hypertension or high blood pressure. With high blood pressure comes the risk of atherosclerosis and heart diseases.

Atherosclerosis

Junk foods contain a large number of saturated fats and cholesterol. these substances get accumulated in the arteries and are a threat to arterial health. this narrows the space for blood flow, lowering the amount of oxygen that reaches the cells. When the artery walls get damaged, it causes bleeding and blood clots. this condition is called atherosclerosis and can lead to strokes and heart attacks.

Cancer

Again, junk foods themselves might not cause cancer, but the conditions arising due to eating excessive junk foods precipitate cancer. People who are overweight or have obesity are prone to kidney, colon, gallbladder and several other types of cancer.

Type 2 Diabetes

Overeating junk food can make an individual obese or overweight. these conditions can further lead to type 2 diabetes and decreased insulin resistance, eye damage, skin condition, slow healing, hearing impairment, sleep apnea and dementia.

what are the preveNtive meaSureS to coNtrol diSeaSe cauSed By JuNk food?

Planning Ahead

the best way to avoid junk food is to plan your meals. Don’t go out with empty stomach. Doing this can reduce the intake of junk food. try to incorporate healthy meals and snacks into your daily diet.

Consume Healthy Fats

Incorporating healthy fats like monounsaturated and polyunsaturated fats will help your stomach feel full and avoid cravings for junk foods

Shop from the Perimeters

When shopping in a grocery store, purchase the products

from different sections marked as dairy, meat, fish, vegetables, fruits, eggs, etc.. If you start incorporating these into your diet, the cravings for junk foods will gradually decrease, and so will the odds of diseases caused by junk food.

Eat More Protein Protein-rich foods like fish, beans, green leafy vegetables, nuts, and many more make you feel full and decrease the desire to have junk foods.

Stress Management

If you have the tendency to stress-eat, consider practising stress management tools like taking a run or walk, yoga, meditating and doing some creative stuff like painting, writing, etc.

However, controlling the consumption of junk foods is psychological as our brains are wired to the good taste of junk foods; following the steps mentioned above will help avoid fast foods. this will cut down the risks of the diseases caused by eating junk food.

Now the queStioN ariSeS So how much JuNk food Should i eat a day?

Junk foods are okay to eat occasionally, but they should not make up more than 10% of your daily energy intake. In a day, this may be a simple treat such as a small muffin or a few squares of chocolate. On a weekly basis, this might mean no more than two fast-food meals per week.

A healthy and proper nutrition diet is most important no matter what’s your age. sshc

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2022
Division of
High
Altitude Medical Services | Mountain Medicine
Society of India
www.sixsigmahealth.org | www.gihmdelhi.com | www.mmsi.in
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