HOSPITALS Magazine 76

KAMEL GHRIBI

Bridging Continents with Visionary Leadership

Joint Commission International (JCI) offers a comprehensive framework and practical tools to guide your healthcare organization on its journey towards high reliability. We equip your leaders and staff with the knowledge, resources, and strategies needed to:

• Foster leadership commitment to zero harm, ensuring unwavering support for safety initiatives

• Promote safety culture, open communication, and continuous improvement

• Implement robust process improvement (RPI) methods to systematically identify and eliminate potential risks

Your Organization on the Path Toward Delivering Highly Reliable Healthcare? Let us guide you on a transformative path toward consistent excellence in

HEALING GOES BEYOND MEDICATION PREVENTION IS KEY!

With medical advancements and extensive research, there's growing recognition of the significant influence of psychological and mental health on overall physical well-being. Early on in the development of medicine, Arab physicians delved into understanding mental disorders, excelling in describing their symptoms, signs and treatments. This included notable figures like Ibn Sina, particularly in his renowned work “Al-Shifa” (The Book of Healing).

Arab physicians viewed mental illnesses as organic disorders akin to other ailments affecting the body's organs, identifying them as injuries occurring within the brain. These ancient practitioners possessed expertise in treating such conditions and aiding those afflicted through what we now refer to as “psychoanalysis”.

Today, amidst global challenges including conflicts, economic instability, and health crises, a significant portion of the population grapples with disorders that are often perceived as purely physical, but are fundamentally psychological in nature. These psychological issues have manifested into physical symptoms for many individuals. Therefore, effective treatment must address the underlying psychological causes rather than merely addressing the physical symptoms.

According to specialists, effective treatment should operate on two fronts. Firstly, it involves the conventional and medically recognized use of drugs, tailored to each individual case through appropriate methods of administration. Secondly, and perhaps most crucially, it requires concerted efforts from all organizations, governments, institutions, and stakeholders to cultivate conducive social and psychological environments. This proactive approach aims to curb the proliferation of psychological disorders before they escalate into conditions necessitating clinical intervention.

The book “Al-Shifa” (The Book of Healing) by Ibn Sina does not focus solely on topical treatments and specific types of drugs. Instead, it serves as a comprehensive encyclopedia covering various natural sciences and beyond, including theology and logic. Ibn Sina aimed to highlight the significance of our environment and the broader context in which we operate, emphasizing actions and knowledge. This underscores his belief that healing extends beyond medication and that treatment should begin before the onset of illness, rather than afterwards.

The Publisher

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34

KAMEL GHRIBI

Bridging Continents with Visionary Leadership

70 LINET guides you in choosing the right medical mattress

80 Mother and Son Undergo Heart Transplants with Same Doctor at Baylor St. Luke’s

Breakthroughs

in Pediatric

Gastroenterology: Discover the Future of Care at UCLA Health

NEW

10 Estithmar Holding reinforces its expansion in the healthcare sector in Iraq by signing an agreement to manage and operate a 492-bed Al Hasan Al Mujtaba Teaching Hospital, Karbalaa

72 Emirates Nursing Association and BD explain the significance of their recent tie-up to everything from health worker safety to treatment outcomes

ARTICLES

74 Is Mental Health Leading the Telemedicine Revolution?

78 "The Future of Medicine: Ingestible RobotsRevolutionizing Diagnostics and Treatment"

94 The Role of Nurses In Our Society Today

96 Oracle Protects Healthcare Customers Against Cyberattacks

130 Principal Types of Gastric Balloons

132 Bariatric Surgeries: Types and Benefits

134 Post-Gastric Sleeve Diet: Dietary Guidelines and Important Instructions

142 Generative Artificial Intelligence for efficient and effective healthcare system - Emirates Health Services, UAE

MEDICAL TECH

98 Dual Energy - Patented NewTom Technology

INTERVIEWS

64 Mohammad Yousef, Ph.D. Professor of Physics, Weill Cornell Medicine-Qatar (WCM-Q)

Al Ahli Hospital: Bariatric Surgeries: Types and Benefits - Dr. Abdul Azim Abdul Wahab Hussain

104 Dr. Ibrahim Melki, American Board-Certified Plastic Surgeon

116 Dr. Heitham Hassoun, Chief Executive, InternationalCedars-Sinai

138 Nurgul Vatansever, EEMEA Vice President at Beckman Coulter, Inc.

148 Martin Vozenilek, Manager of Janské Lázně

FEATURES

84 Investment in the Health Sector

112 Benign Breast Tumors:

126 Childhood Obesity

MEDICAL INSTITUTIONS

70 LINET guides you in choosing the right medical mattress

80 Mother and Son Undergo Heart Transplants with Same Doctor at Baylor St. Luke’s

82 Breakthroughs in Pediatric Gastroenterology: Discover the Future of Care at UCLA Health

90 Al Fahim Manufacturing: Setting the Standard in Microbiology Culture Media Production

100 Robotic Mitral Valve Surgery Helps Patient Get Back to Active Lifestyle Quickly by Chicago Medicine

102 Clemenceau Medical Center, Beirut-Lebanon: Personalized and Integrated Care Supporting Patients

108 Trusted Hands, Safer Outcomes At ACIBADEM

120 Clemenceau Medical Center, Beirut-Lebanon

Recognized for Excellence and Innovations in Healthcare

Accelerating the Future of Global Healthcare

5,000

1,000

Estithmar Holding reinforces its expansion in the healthcare sector in Iraq by signing an agreement to manage and operate a 492-bed

Al Hasan Al Mujtaba Teaching Hospital, Karbalaa

Elegancia Healthcare W.L.L, a subsidiary of Estithmar Holding has entered into a second strategic agreement with the Iraqi Ministry of Health to manage and operate Al Hasan Al Mujtaba Teaching Hospital, with the capacity of 492 beds in Karbala Governorate in Iraq.

This agreement is the second of its kind for Elegancia Healthcare in Iraq, where an agreement was signed recently to manage and operate Al Nasiriya Teaching Hospital in Dhi Qaar Governorate, bringing the total number of beds managed to nearly 1000 beds between the two hospitals. The agreement was signed by Dr. Sabah Noor Al-Musawi, Director General of Karbala Health and Eng. Mohammed bin Bader Al-Sadah, in his capacity as Group CEO of Estithmar Holding.

On this occasion, Eng. Mohamed bin Bader Al-Sadah, Group CEO of Estithmar Holding, commented on Elegancia Healthcare’s expansion in Iraq, stating: " This initiative is in line with Estithmar Holding's efforts to expand its business and projects in Iraq and is an addition to the recently signed agreement with Dhi Qaar Governorate. We are pleased to move forward with this strategic partnership, which aims to develop and upgrade the health sector in the Republic of Iraq, as we take pride in our

numerous collaborations with the Iraqi Ministry of Health. “Elegancia Healthcare, known for its efficient and excellent operation and management of significant healthcare projects and facilities worldwide, is committed to enhancing and expanding its business portfolio. This initiative aims to foster growth opportunities and enhance shareholder value.”

Mr. Joseph Hazel, CEO of Elegancia Healthcare, said: “These agreements seek to elevate the quality of healthcare services offered by Al Hasan Al Mujtaba Teaching Hospital and Al-Nasiriyah Teaching Hospital. This includes improving operational efficiency, expanding medical specialties, and implementing the latest administrative and operational strategies, while leveraging Elegancia Healthcare's extensive expertise in managing and operating healthcare facilities.”

It is worth mentioning that these agreements are notable for their significant scope, specifically that Al Hasan Al Mujtaba Teaching Hospital encompasses three buildings and a wide array of healthcare services. This project includes comprehensive surgical treatment facilities for in-patient hospitalization, as well as a significant number of outpatient clinics offering various specialties. Al Nasiriyah Teaching Hospital project also includes nineteen medical departments.

THE TOTAL NUMBER OF BEDS THAT WILL BE MANAGED FOR BOTH HOSPITALS WILL REACH APPROXIMATELY 1,000.

NEW IMAGING HORIZONS.

Featuring a large gantry aperture, the NewTom 7G is the most advanced CBCT device on the market. From in-depth detail to the big picture.

ULTRA-DETAILED MULTI-DIAGNOSTICS

Localised analysis over the entire body. Ray2D and 3D imaging up to 90 µm, also with radiocontrast agent. Artifact reduction and movement analysis using CineX and Cine-Scout. The eXtra Functions protocol extends the field of view longitudinally to analyse anatomical structures such as the spine and limbs.

TECHNOLOGICAL EXCELLENCE

High power generator (120 kV – 20kW). High-sensitivity 3D panel and innovative algorithms for volumetric reconstruction. 77 cm gantry aperture.

ERGONOMICS AND PRACTICALITY

Fully motor-powered table and 10” touch-screens, front and rear. Optimised examination flow thanks to certified NNT software with processing, sharing and RIS/PACS connectivity functions.

MAXIMISING PATIENT CARE

The patient lies comfortably on the table and X-ray doses are always proportioned to the patient’s build and the examination type thanks to SafeBeamtm technology.

Fujairah Hospital Becomes the First Public Hospital to Achieve "Patient Safety Friendly Hospital" Accreditation

Fujairah Hospital, a leading healthcare facility under Emirates Health Services, has been awarded the "Patient Safety Friendly Hospital" title after meeting World Health Organization’s requirements. This achievement comes as part of the initiative launched by the Ministry of Health and Prevention in the UAE in collaboration with the World Health Organization.

With this announcement, Fujairah Hospital proudly emerges as the first public hospital to be bestowed with this esteemed title. This accolade is a testament to the dedication and proficiency of its administrative, medical, nursing, and administrative staff in implementing top-tier international practices in patient safety. This milestone marks a substantial advancement for Fujairah Hospital, solidifying its reputation as a pioneer in delivering exceptional and cutting-edge medical care. It highlights the hospital's steadfast commitment to maintaining the highest levels of quality and safety through the advancement and implementation of healthcare standards, while offering innovative and comprehensive healthcare services.

The announcement of the hospital's achievement followed a meticulous and comprehensive three-day evaluation that encompassed a wide array of standards focused on enhancing patient safety. This evaluation included the implementation of standardized safety practices to ensure consistent application of patient safety practices across various healthcare networks. It also emphasized collaboration among hospital managers, physicians, and patients, engaging all stakeholders to foster a culture of safety and continuous improvement and enhancing the overall quality of care. Furthermore, it aimed to reduce healthcare costs, as improving patient safety practices leads to a decrease in adverse events and hospital-acquired infections.

Dr. Ahmed AlKhadim, Director of Fujairah Hospital, emphasized that achieving the title of "Patient Safety Friendly Hospital" represents

a strategic milestone in the hospital's journey towards providing effective and innovative healthcare. He noted that this accomplishment reflects the hospital's strategic vision to enhance care quality and patient safety by adopting the best international practices in patient safety. Dr. Al Khadim underscored the hospital's steadfast commitment to providing a safe and innovative medical environment for all stakeholders. He emphasized that achieving the title of "Patient-Friendly Hospital" represents a strategic milestone in the hospital's journey towards providing effective and innovative healthcare.

Dr. AlKhadim added, "This achievement contributes to enhancing transparency and effective communication with patients and their families, enabling patients to actively participate in their treatment plan and understand the medical procedures taken. It improves the patient experience in the hospital and elevates levels of satisfaction and trust between both parties. The support provided by Emirates Health Services to its healthcare facilities has played a pivotal role in enhancing the status of these facilities, leading to the achievement of numerous accomplishments that will continue on both local and global scales."

The Ministry of Health and Prevention, in partnership with the World Health Organization, introduced the "Patient Safety Friendly Hospitals" initiative in the country to enhance patient safety.

THIS INITIATIVE FOCUSES ON DEVELOPING ACCREDITED STANDARDS THAT ENHANCE HOSPITAL PERFORMANCE IN LINE WITH GLOBAL PRACTICES, TO ENSURE THE DELIVERY OF HIGH-QUALITY HEALTHCARE SERVICES TO PATIENTS BASED ON THE BEST INTERNATIONAL STANDARDS AND PRACTICES.

Ahmed-AlKhadim

King Fahd Armed Forces Hospital begins trial of new bioadaptive angioplasty procedure for heart disease treatment

King Fahd Armed Forces Hospital is first in the Kingdom of Saudi Arabia to begin clinical research and now offers a new type of angioplasty procedure with the DynamX bioadaptor implant, an innovation beyond stents designed to restore vessel function. The bioadaptor is a transforming implant that, after the period of healing, unlocks and allows the artery to pulse and function more naturally in response to a patient’s exertion and heart’s changing needs. More normal artery motion and expansion help the artery restore its healthy function and reduce the risks of secondary adverse events such as heart attacks or repeat procedures. The new procedure is being offered to patients under the leadership of Dr. Mirvat Alasnag, Head of Catheterization Lab, Dr. Khalid Al Shaibi, Director of Cardiac Center, and Dr. Waqar Ahmed, Interventional Cardiologist, Dr. Salem Assiri, Interventional Cardiologist, and Dr. Sultan AlOtaibi, Interventional Cardiologist.

“We are pleased to offer bioadaptive angioplasty at King Fahd Armed Forces Hospital to patients suffering from coronary artery disease, and especially for those who are younger and seek to reclaim an active lifestyle,” said Dr. Mirvat Alasnag, MD, Head of the Catheterization Laboratory at the King Fahd Armed Forces Hospital in Jeddah, Saudi Arabia. King Fahd Armed Forces Hospital, one of the premier hospitals and clinical research centers, is also participating in the global BIO-RESTORE post-market registry for bioadaptor to generate diverse, in-market experience, specifically in Saudi patients.

The bioadaptor is a metallic coronary device that is implanted via a minimally invasive angioplasty procedure. It is designed to provide dynamic vessel support and establish adaptive hemodynamic modulation of the artery, enabling vessel function and motion and increased blood flow. It consists of three thin metal alloy helical strands held together temporarily by a bioabsorbable coating to provide strength when opening artery blockage. Unlike traditional stents, after the period of healing and coating resorption in the first six months, the bioadaptor unlocks and the helical strands separate thereby uncaging the vessel and establishing more natural and dynamic support of artery motion and function.

Bioadaptors can also expand slowly over time along with the artery in order to maintain good blood flow. Recent findings also show stabilization and even shrinking of plaque volume in arteries treated with bioadaptors.

Coronary artery disease (CAD) is the most common form of heart disease in the world and a leading cause of death.It is caused by a buildup of fatty deposits and other substances in the walls of the arteries that supply blood to the heart and other parts of the body. Over time, the build-up causes the inside of the arteries to stiffen and narrow, and lose their natural functions, which can partially or totally block the flow of blood and nutrients to the heart. Chest pain is the most common symptom of CAD. For many people, a heart attack is the first sign that they have CAD.

THE BIOADAPTOR IS A METALLIC CORONARY DEVICE THAT IS IMPLANTED VIA A MINIMALLY INVASIVE ANGIOPLASTY PROCEDURE. IT IS DESIGNED TO PROVIDE DYNAMIC VESSEL SUPPORT AND ESTABLISH ADAPTIVE HEMODYNAMIC MODULATION OF THE ARTERY, ENABLING VESSEL FUNCTION AND MOTION AND INCREASED BLOOD FLOW.

Abu Dhabi Global Healthcare Week Set to Explore the Paradigm Shift from Healthcare to Health

Under the patronage of His Highness Sheikh Khaled bin Mohamed bin Zayed Al Nahyan, Crown Prince of Abu Dhabi and Chairman of Abu Dhabi Executive Council, the Department of Health – Abu Dhabi (DoH), the regulator of the healthcare sector in the Emirate is set to host the inaugural edition of Abu Dhabi Global Healthcare Week (ADGHW) this month under the theme "Accelerating the Future of Global Healthcare".

Taking place between May 13 - 15 2024, at the Abu Dhabi National Exhibition Centre (ADNEC), the global event will convene a distinguished assembly of healthcare leaders, researchers, policymakers, specialists, investors, and entrepreneurs across the global healthcare and life sciences ecosystem. ADGHW is committed to advancing the future of health and life sciences and proactively addressing tomorrow’s challenges today. As an always-on platform for open, inclusive exchange and joint action for

a healthier world, ADGHW will witness a true gathering of pioneering minds and a powerful network of 5,000 attendees, 1,000 delegates, 200 speakers, and 100 exhibitors.

Held with and for the world, ADGHW will facilitate conversations to find solutions to the most pressing global healthcare challenges, and to foster actionable strategies to address critical issues through cross-sector collaboration. In addition to sparking innovation, the curated sessions encourage the participation of those who positively influence humanitarian relief and promote or support philanthropic efforts.

H.E. Dr. Noura Al Ghaithi, Undersecretary of the Department of Health – Abu Dhabi (DoH) said: “Under the directives of the UAE’s wise leadership, we seek to proactively address current and future challenges, promote research and innovation, and spearhead global collaboration for a healthier tomorrow. Stemming from this commitment, we look forward to

DURING THE FIRST DAY OF ADGHW, THE PROGRAM WILL WITNESS THE HEALTH LEADERS FORUM WHICH WILL WELCOME AROUND 200 VIPS INCLUDING MINISTERS AND PUBLIC OFFICIALS, CEOS, INTERNATIONAL INVESTORS, INNOVATORS, HEADS OF MULTILATERAL ORGANISATIONS, LEADING EXPERTS ACROSS SCIENCE, HEALTH, AND MEDICINE TO FOCUS ON HOW TO TACKLE THE CHANGES AND CHALLENGES OF GLOBAL HEALTH. INSIGHTS GAINED HERE WILL BE USED AS A FOUNDATION FOR STRATEGIES AND A COMPREHENSIVE PLAN, OUTLINING THE KEY TAKEAWAYS AND POLICY RECOMMENDATIONS FROM THE FORUM.

welcoming some of the world’s leading organisations, innovators, and disruptors. As part of the year-round, always-on platform for action and collaboration, this three-day event promises to fuel dialogue, anticipate future healthcare demands, and embrace the paradigm shift from reactive to proactive care with an ultimate goal of co-designing a healthcare system which is outcomes-focused and equipped with sustainable, innovative, and agile infrastructure.” H.E. Dr. Noura added: “We look forward to welcoming the global healthcare research, innovation, and investment communities in Abu Dhabi to create and together achieve a bold, collective vision for a brighter future of global health.”

During the first day of ADGHW, the Program will witness the Health Leaders Forum which will welcome around 200 VIPs including ministers and public officials, CEOs, international investors, innovators, heads of multilateral organisations, leading experts across science, health, and medicine to focus on how to tackle the changes and challenges of global health. Insights gained here will be used as a foundation for strategies and a comprehensive plan, outlining the key takeaways and policy recommendations from the Forum. The 2024 theme ‘Transforming the Global Health Ecosystem: From Healthcare to Health’ marks a significant paradigm shift in how societies approach the concept of well-being and reflects a broader understanding of what constitutes true health – a departure from the traditional reactive model of treating illnesses to a proactive focus on promoting holistic health and wellness.

Furthermore, throughout the three-day event, the Future Health Summit will host keynote speeches, panel sessions, and discussions around themes central to the healthcare industry, focusing on creating impact on an individual, community and global level. Themes range from Artificial Intelligence (AI) to microbiomes, regenerative medicine, longevity, and covering genomics to a fast-growing centre for preventative and precision medicine.

Salman

Abou Hamzeh

, Senior Vice President of DMG Events, said: “As we prepare to

welcome global healthcare visionaries to Abu Dhabi for Abu Dhabi Global Healthcare Week (ADGHW), we stand at the forefront of a transformative era in healthcare policy, regulation and experiences. Our unwavering commitment to proactive collaboration, innovation, and global partnerships underscores Abu Dhabi's steadfast dedication in welcoming all to address present-day challenges and enabling a healthier tomorrow. The upcoming edition is a testament to our shared mission in accelerating the future of global healthcare, driving substantial progress for tomorrow.”

ADGHW is a major government initiative hosted by DoH, which seeks to accelerate collaboration, innovation, and investment, and brings together researchers, policymakers, healthcare specialists, investors, and entrepreneurs across the global healthcare and life-science ecosystem. The Department is collaborating with key strategic partners within the healthcare ecosystem, including the event’s Foundation Partner M42 and other leading healthcare ecosystem sponsors, PureHealth, Johnson & Johnson, Microsoft, Burjeel Holdings, GSK, Institute for Healthier Living Abu Dhabi (IHLAD), Novartis, Viatris, AstraZeneca, Sanofi and many more to bring the vision of better health to life.

THE 2024 THEME ‘TRANSFORMING THE GLOBAL HEALTH ECOSYSTEM: FROM HEALTHCARE TO HEALTH’ MARKS A SIGNIFICANT PARADIGM SHIFT IN HOW SOCIETIES APPROACH THE CONCEPT OF WELLBEING AND REFLECTS A BROADER UNDERSTANDING OF WHAT CONSTITUTES TRUE HEALTH – A DEPARTURE FROM THE TRADITIONAL REACTIVE MODEL OF TREATING ILLNESSES TO A PROACTIVE FOCUS ON PROMOTING HOLISTIC HEALTH AND WELLNESS.

H.E. Dr. Noura Al Ghaithi, Undersecretary of DoH at ADGHW Press Briefing

REHABILITATION CLINIC

A MODERN REHABILITATION FACILITY ESTABLISHED BY THE MINISTRY OF HEALTH. ONE OF THE OLDEST REHABILITATION CLINIC FACILITIES IN THE CZECH REPUBLIC.

Janské Lázně Spa has a long-standing reputation as one of the best rehabilitation facilities in the Czech Republic. It is also an ideal starting point for sports and recreational activities in the Krkonoše Mountains.

The natural healing resources are the thermal mineral water of the hydrocarbonate-lime-sodium type, springing up in the spa area, and the local foothill climate

The medical spa focuses on physiotherapy and the treatment of the disorders of the musculoskeletal system resulting from diseases of the brain, disc, spine or accidents (hemiplegia in the lower body or on one side of the body or complete paralysis), diseases of the muscular and nervous system, including muscular dystrophy, cerebral palsy, various sclerosis and effects of strokes. In addition to this, the effects of malignant tumours on the body are also treated as are problems with joints, rheumatism, joint stiffness, muscle weakness, gait impairment and balance.

The spa also treats respiratory diseases such as asthma and allergies and cases after respiratory surgery. It also offers tailored programs for weight reduction.

The Children’s Sanatorium is one of the largest and most modern facilities of its kind in the Czech Republic. It continues a long tradition of treating cerebral palsy, especially in children. It

specializes in the treatment of children from 6 months and adolescents up to 18 years of age with nervous disorders including muscular dystrophy and cerebral palsy, as well as in the treatment of musculoskeletal disorders and conditions after injuries and orthopedic surgeries. Among other things, we also treat metabolic disorders and endocrine problems, including obesity, as well as respiratory diseases.

INDIVIDUAL PHYSIOTHERAPY

Individual physiotherapy is the key to effective treatment; the therapist accurately diagnoses the patient’s condition, then designs and adjusts the treatment plan according to the patient’s

ELECTROACUPUNCTURE

It combines traditional acupuncture, an official medical method in the Czech Republic, with the current knowledge of physical treatment. The doctor inserts acupuncture needles and then uses the device to deliver an electric current to the needles.

In Janské Lázně, patients with complete severing of the spinal cord have been able to regain movement, and a unique treatment of paralysis using electroacupuncture has been helping patients for several years. The author of the AC-TIVE ENF treatment method is Peter Olšák, a rehabilitation physician who has treated more than 700 patients, including some with complete spinal cord severance. The method was created by combining medi-

needs and abilities. This personalized approach allows the therapist to work with individual limits, provide immediate feedback and correct exercise techniques, maximizing the effectiveness of the therapy and preventing potential complications.

PHYSICAL THERAPY

SUPER INDUCTIVE SYSTEM (SIS) consists of an intense electromagnetic field that has positive therapeutic effects on human tissue. The main therapeutic effects include pain relief, promotion of fracture healing, muscle relaxation, muscle stimulation and joint mobilization.

ERGOTHERAPY

Combines physical and mental training, helping to increase muscle strength, improve coordination and develop cognitive function.

SNOEZELEN

A specially adapted room with light and sound for children with developmental, mental and physical disabilities, autism spectrum disorder, behavioural and learning disorders, and post-traumatic brain injury.

NEW!!!

cal acupuncture and knowledge of physical medicine.

Olšák led a team of scientists from Palacký University in Olomouc who won the Transfera Technology Day 2023 competition with innovative needles for electroacupuncture applications.

Excellence in Healthcare

Cedars-Sinai is proud to be recognized eight years in a row on the “Best Hospitals” Honor Roll and ranked among the top fi ve in the U.S. in six specialties by U.S. News & World Report . As a global leader in healthcare, we offer a full range of services to patients from around the world. Whether we’re providing clinical services in your region, via video visits or at our main campus in Los Angeles, our mission remains unchanged: to give patients access to excellence in healthcare— wherever they may be.

• Cancer

11 specialties ranked among the best in the U.S.

• Cardiology, Heart & Vascular Surgery

• Diabetes & Endocrinology

• Ear, Nose & Throat

• Neurology & Neurosurgery

• Obstetrics & Gynecology

• Orthopedics

• Pulmonology & Lung Surgery

• Gastroenterology & GI Surgery

• Geriatrics

• Urology

Learn more: cedars-sinai.org/international | cedars-sinai.org/globalcollaborations

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ESSENZA 300

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Patient comfort and well-being are getting more important within hospital care. The design of the room and the entire design concept can play a significant role in recovery.

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The Essenza 300 bed enables the integration of advanced medical beds into a unique hospital room concept due to SMART LINK technology. Thanks to SMART LINK you create the original design of bed ends and side rails.

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Advanced Technology

Essenza 300 is a top-quality, smart hospital bed available as a universal low-height bed or Essenza 300 LT with bed-framed lateral tilt.

Jitka Stranska Managing Director of LINET MEA

“The fusion of hospital care and hotel services is increasingly evident. Prestigious hospitals not only pay attention to high-level medical standards but also to other aspects of hospitality, including, among others, top-quality interior design. We are delighted that our beds are once again bringing a new element: personalized room customization. Thanks to special technology, our new Essenza 300 bed offers a completely individual design to match the room concept or create pleasant healing environment.”

High Quality Healthcare Services for Everyone’s Needs!

Kamel Ghribi's journey from humble beginnings in Tunisia to becoming a pivotal figure in the global healthcare sector is a testament to his unyielding commitment and visionary leadership. His endeavors across various platforms reflect a profound dedication not only to advancing healthcare and education but also to fostering inclusive growth and unity across different regions. Ghribi's ability to intertwine his deep-rooted values with his professional achievements offers a blueprint for responsible and effective leadership in today's interconnected world. As he continues to influence and inspire, Kamel Ghribi remains a beacon of innovation and philanthropy, paving the way for a healthier, more educated, and more cooperative global community.

Kamel Ghribi, a Global Leader, Entrepreneur, and Philanthropist, is a man who has already accomplished a great deal, with even more on the horizon. He holds the position of President at GKSD Investment Holding Group, serves as President of IRCCS San Donato Hospital, and is the

“Success means different things to different people, but one thing everyone has in common is the ability to make sacrifices to achieve them. Great success is born of great personal sacrifice; you must fight to achieve success".

Vice President of both GSD IRCCS San Raffaele University Hospital and IRCCS Galeazzi Sant’Ambrogio Hospital. With such a diverse portfolio, Kamel Ghribi has made an undeniable impact in the healthcare sector on a global scale.

A proud son of Tunisia, Kamel Ghribi has a profound attachment to his homeland, attributing much of his success to his heritage. From humble beginnings, he learned a strong work ethic, dedicating himself entirely to the tasks and chores he needed to complete. His work ethic, combined with an entrepreneurial spirit, led him to leave his homeland and explore new territories. Leaving his country and family was bittersweet, but the outcomes have proven it to be the right decision, as he shows gratitude to his mother and Tunisia at every milestone he reaches. Kamel Ghribi is now one of the most influential figures in the healthcare industry. He believes that opportunities present themselves everywhere in the world to those who are ready to work for them, emphasizing the importance of collaboration and surrounding oneself with a good team.

Kamel Ghribi’s North African heart has been deeply troubled by the events in the Middle East and Africa, particularly the lack of investment in sectors such as healthcare, education, and infrastructure. He began to openly discuss these concerns with those he esteemed most and who were in positions of influence. He perceived a lack of understanding between certain nations, which he believes deters many investors from initiating projects in these regions. Therefore, Kamel Ghribi turned to some of the most powerful tools humanity possesses: teamwork and communication. There is a long way to go, but Kamel Ghribi is paving the way for new generations of political and business leaders to embrace tremendous challenges and responsibilities instead of fearing them.

"Hospitals" Magazine is committed to highlighting the key figures shaping the healthcare industry, aiming to showcase those whose influence extends beyond their titles. Kamel Ghribi is a quintessential example of such a figure, having not only met but significantly surpassed the criteria for influence within the sector. His contributions are a testament to a career marked by unwavering commitment and visionary leadership. Each of Ghribi's projects serves as a narrative of his core values and beliefs, embodying principles such as innovation, accessibility, and quality in healthcare. These initiatives are not just investments in infrastructure but in the very fabric of healthcare delivery, aiming to elevate standards and improve patient outcomes across regions.

Ghribi's approach to decision making and strategic planning is holistic and deeply engaged, reflecting a personal investment that goes beyond professional obligation. He infuses his work with a level of dedication and passion that ensures not just the success but the excellence of every endeavor he undertakes. This commitment is the cornerstone of his remarkable success story, setting a benchmark for leadership in the healthcare sector. Moreover, Ghribi's success is not measured solely by the profitability or size of his projects but by their impact on communities and the healthcare landscape at large. His strategies often involve collaborative efforts, bringing together diverse stakeholders to address complex healthcare challenges. This collaborative approach, coupled with Ghribi's keen insight into the needs and potential of the healthcare sector, has led to innovative solutions that have reshaped healthcare delivery in various regions.

Mr. Ghribi, as a recognized leader in healthcare and investment, you've often mentioned the influence of your Tunisian heritage on your work ethic. How do you see your origins shaping your approach to entrepreneurship and global leadership?

My Tunisian heritage is a cornerstone of my identity and work ethic. It instilled in me a strong sense of perseverance, curiosity, and ambition from a young age. These values were the bedrock upon which I built my entrepreneurial journey. Embracing my origins while being open to global perspectives has allowed me to navigate and lead across diverse cultural landscapes. I believe in investing in people for a better tomorrow, which is a principle that guides all my ventures.

Mr. Ghribi, you have often emphasized the critical role of vision in leadership. Could you elaborate on how your personal vision has shaped your approach to leadership and influenced the strategic direction of your ventures? Furthermore, how do you see this vision fostering a culture of inclusiveness and mentorship within the business community and beyond?

Absolutely, I firmly believe that the essence of effective leadership lies in having a clear and compelling vision. My personal vision has always been a guiding force in every endeavor I undertake, shaping not only the strategic direction of our ventures but also the core values that define our organizational culture. This vision is deeply rooted in my beliefs, actions, and goals, and it revolves around creating sustainable value not just for our businesses but for the

communities we serve. Throughout my career, I have learned that to indeed lead, one must be able to articulate a shared vision—a vision that not only forecasts future possibilities but also resonates deeply with the team, stakeholders, and the broader community. This approach has been instrumental in mobilizing collective efforts and inspiring our teams to achieve common objectives. It is about communicating a future that everyone wants to be part of and can believe in.

Moreover, I view entrepreneurship as a civic duty that extends beyond business. It involves mentoring the next generation and teaching them to thrive by transmitting skills and knowledge. This is crucial for their personal growth and for the advancement of our society. Our initiative aims to foster a culture where young people feel empowered, valued, and connected to their heritage and future opportunities.

However, achieving these goals requires overcoming barriers, including political and sectoral divisions. It is essential to advocate for inclusiveness and peaceful coexistence, pushing for a collective approach where everyone's voice is heard and valued.

This inclusiveness must also translate into our economic strategies, ensuring that progress benefits all, not just a select few. In essence, my vision is about building bridges— between the present and the future, between businesses and communities, and among diverse groups. As a leader, my role is to ensure that this vision is not just mine but shared among all those involved in our journey, thereby creating a ripple effect of positive change that transcends our immediate sphere of influence.

Mr. Ghribi, you have articulated a passionate commitment to philanthropy, particularly in the realms of healthcare and education. How has your mission to leverage your business success for humanitarian purposes shaped the operations and priorities of GKSD Investment Holding, Gruppo San Donato (GSD) and the Non-Profit European Council for African and the Middle East (ECAM) ? Additionally, how do you integrate these philanthropic goals into the strategic decisions and daily activities of your businesses?

My commitment to philanthropy is not just a personal ethos but a fundamental aspect of how we operate at GKSD

“Just as mistakes teach you how to be better, so failure lets the world see that you have tried. We should remember our failures with fondness as they are testimony to the courage we had to try something new and uncharted.”

Investment Holding. From the outset, I recognized that the success achieved in the business world, particularly in the petroleum sector, provided not just an opportunity but a responsibility to give back to society in meaningful and impactful ways. This understanding has deeply influenced the operational and strategic priorities of our Group.

We consciously integrate our mission of philanthropy into every facet of our business. This is evident in how we channel our resources, expertise, and networks into promoting universal access to healthcare and education. I believe these are the cornerstones of any civil society and must be accessible to everyone, regardless of their socioeconomic, political, or geographical status. To actualize this,

we support and endow institutions, particularly in regions that are underprivileged and underserved. For instance, as President of GKSD, GSD and ECAM I am in a privileged position to influence healthcare accessibility directly. We are not just running hospitals; we are fostering environments where knowledge, skills, and resources are shared.

Our projects often involve training local healthcare professionals, investing in medical infrastructure, and ensuring that the best practices in medicine are accessible even in the most remote areas.

Moreover, our philanthropic approach is integrated into our business model. We view our investments through a dual lens of profitability and social impact. This dual focus

ensures that while the business grows, it also meaningfully contributes to societal development. Every strategic decision we make considers its potential to support philanthropic goals, be it through direct funding, partnerships, or community engagement programs.

In essence, by embedding these philanthropic objectives into the DNA of our business operations, we create a virtuous cycle where business success fuels humanitarian efforts, and these efforts, in turn, stabilize and enrich the communities we operate in. This holistic approach not only advances our business objectives but also ensures we live up to the ancient ideals of philanthropy—loving humanity and building cooperative, tolerant, and respectful societies. Through these endeavors, we aim to leave a legacy that is not just measured in financial terms but in the betterment of human lives across the globe.

Your commitment to social responsibility extends through your engagement with cultural and historical legacies to enhance diplomatic and business relations. How do you operationalize this commitment within your business practices, particularly in regions like the Middle East and Africa? Could you detail how these principles influence your business models and contribute to local development?

Certainly, my approach to business has always been deeply intertwined with a strong sense of social responsibility. This perspective stems from the recognition that businesses, especially those operating on a global scale, have the capacity—and indeed the obligation—to foster positive change within the communities and nations they serve. This is particularly relevant in culturally rich and historically significant regions like the Middle East and Africa, where business operations can have profound social impacts.

From the outset, I have applied my business skills not only to pursue economic success but also to engage meaningfully with local institutions and state entities. This engagement is crucial for developing a deep understanding of the cultural and historical contexts that shape business relationships and, ultimately, influence our business strategies. In practice, this means that every business decision and project is approached with a keen awareness of its potential cultural impacts and contributions to societal progress.

For instance, in our operations in the Middle East and Africa, we prioritize projects that are not only economically viable but also capable of contributing to the local social

fabric. This might involve investing in healthcare and education—sectors that provide immediate benefits to local populations and lay the groundwork for long-term societal advancement. We engage in constructive dialogues with local leaders and stakeholders to ensure that our projects are aligned with the needs and aspirations of the communities.

Moreover, our commitment to social responsibility is reflected in how we build our business models. We deliberately integrate opportunities for local workforce development and capacity building.

This approach ensures that our presence in a region contributes to creating a skilled workforce, which is essential for sustainable development. We also emphasize the importance of creating opportunities for the youth, as they are pivotal for the future stability and prosperity of any society. Through partnerships with educational institutions and local businesses, we aim to provide pathways for young people to gain the skills and opportunities needed to succeed. This not only helps in reducing poverty and ignorance but also fosters a generation of well-informed, skilled individuals who can contribute to their society's growth and stability.

In essence, our business models are designed not just to extract value from the regions in which we operate but to create it. By integrating social responsibility into the core of our business practices, we strive to not only achieve economic success but also contribute to peace and stability by fostering opportunities for growth. This approach has been fundamental in guiding our actions and ensuring that our legacy is marked by a meaningful contribution to a better world.

Could you provide an overview of GKSD Healthcare Management & Consulting's role within the GKSD Investment Holding Group and the San Donato Hospital Group? Additionally, how does your diverse portfolio, encompassing sectors from real estate to healthcare, enhance your capacity to deliver integrated solutions across different regions?

GKSD Healthcare Management & Consulting is a vital entity within GKSD Investment Holding Group and the San Donato Hospital Group, strategically positioned to leverage our parent organizations' extensive expertise and renowned excellence.

Established in 2020, our focus has been on providing top-tier strategic advisory services and integrated healthcare solutions, a mission that taps into the rich vein of knowledge and experience housed within our network, including the distinguished Vita-Salute San Raffaele University.

Gruppo San Donato – GSD (Part of GKSD Investment Holding Group); it is the largest private hospital group in Italy with circa €2.3 billion in revenues. Founded in 1957, GSD boasts 58 hospital facilities in Italy and 77 in Poland. The Group also includes three IRCCS (University Research hospitals), and employs over 26,000, people including over 8,000 doctors. Our facilities treat over 5.6 million patients a year and we have projects in over 15 countries.

Our teaching hospitals are internationally recognised as centres of excellence in scientific research and medical training. The Group research is ranked top 10 globally by medical research citations and we take pride in being a founding player in Gene and Cell therapy. With Microsoft, GKSD/GSD have a number of programs in development in AI-based diagnostic care. This of course enriches our understanding and capability in healthcare management. GSD’s leadership in the sector is supported by its commitment to cutting-edge technology and innovative care methodologies which are the principles that guide GKSD consulting services as well.

Our unique position in the market is also enhanced by GKSD Investment Holding itself. As a multidisciplinary Group we offer expert services in healthcare, procurement, strategic and corporate finance consulting, renewable energy solutions and engineering & construction. Thanks to a network of international relations that has been built over more than forty years of activity, GKSD Investment Holding has become the go to company in project management and consultancy. In particular, the GKSD Green Solutions arm was born from a drive to develop renewable and sustainable energy services. The GKSD Engineering & Construction arm specializes in the construction of major civil engineering and construction works, as well as in the management of complex urban renewal and regeneration projects. We already provide project support in various countries, including Iraq, the UAE and Romania, and are actively sharing our objective of enhancing healthcare facilities, energy supply systems, and infrastructure. This diversity is not just a strength but a strategic tool that allows us to draw on cross-sectoral expertise to offer more holistic solutions to our clients.

Whether it's integrating advanced engineering solutions into healthcare infrastructure projects or leveraging our real estate expertise to enhance the physical accessibility of healthcare facilities, our broad sectoral engagement enriches our service offerings. Moreover, our geographical footprint extends across Italy, Europe, and the MENA region, with a significant local presence in Milan, Dubai, Riyadh, Baghdad, Bucharest, and Lugano. This widespread presence ensures that we are not only familiar with but deeply integrated into the local markets we serve, allowing us to tailor our solutions to meet regional needs effectively while maintaining a global standard of excellence.

In summary, GKSD Investment Holding and GKSD Healthcare embody a bridge between diverse sectors and regions, enhancing our ability to deliver integrated, innovative solutions that reflect the complex needs of the modern healthcare landscape. Through this integrative approach, we aim to contribute significantly to the improvement and evolution of global healthcare systems.

You have described the ECAM Council as a platform for fostering dialogue and cooperation between Europe, Africa, and the MENA region. Can you explain how this initiative aligns with your vision for integrating philanthropy into business practices? Moreover, how does the ECAM Council

plan to tackle the challenges related to healthcare and education investments across these diverse regions?

The ECAM Council was conceived with the vision of not only enhancing dialogue and fostering new partnerships but also demonstrating how seamlessly philanthropy can be integrated into business and governance to generate positive global impacts. This alignment with my personal beliefs— that business and philanthropy are interconnected forces capable of driving substantial change—is foundational to the Council’s approach.

Our primary objective is to create a unified platform where Europe, Africa, and the MENA region can collaborate more closely, leveraging our collective strengths to address some of the most pressing challenges facing these regions today, particularly in the sectors of healthcare and education. These two areas are crucial because they form the backbone of any society’s potential for growth and development. Investing in them is not merely a charitable act but a strategic economic decision that benefits everyone.

For example, the COVID-19 pandemic has starkly highlighted the vulnerabilities and interdependencies of global health systems. It underscored the critical need for robust healthcare infrastructures as essential to economic stability. The ECAM Council is particularly focused on raising awareness about the importance of healthcare investment—

not just as a cost but as a vital investment in the economic and social stability of a nation. By promoting and facilitating investments in healthcare and education, we aim to ensure that these fundamental needs are met, thereby fostering healthier, more educated populations who can contribute to their economies.

The Council also aims to serve as a conduit for greater cooperation by leveraging the unique position of Italy, and more broadly, Europe, as a bridge to Africa and the MENA region. Our choice of Rome for our second session is strategic, symbolizing and actualizing this bridging role. Rome’s historical and positive ties with these regions make it an ideal place to foster discussions that transcend borders and cultural barriers. In addressing these challenges, the ECAM Council plans to use its platform to create alliances akin to a league of nations—unified, without borders, inclusive, and welcoming to all. By doing so, we intend to transform the way nations think about and invest in healthcare and education, shifting the narrative from viewing them as burdens to recognizing them as critical investments that yield long-term benefits for all of society. Ultimately, the ECAM Council embodies my long-held belief that the business world has a crucial role in strengthening national institutions.

We can make meaningful contributions towards a better world through strategic investments that support and service

the general population. This is why the ECAM Council not only seeks to promote greater cooperation and dialogue but also to lay down the real, practical pathways for achieving these investments, thereby building the necessary bridges for a more interconnected and cooperative future.

The ECAM Council has been actively involved in various philanthropic projects across critical sectors like healthcare, education, and training. Could you discuss some of the key projects undertaken by the Council and elaborate on their impacts? How do these projects align with the Council’s goals of fostering development and cooperation within the regions where you operate?

Certainly, the ECAM Council is deeply committed to making tangible impacts in the fields of healthcare, education, and training, as these are pivotal in fostering sustainable development and cooperation across regions. Each project not only addresses immediate needs but also aligns with our broader mission of nurturing long-term partnerships and strengthening community resilience.

One of our notable initiatives was the provision of earthquake aid to Syria, which we launched on February 11, 2023. This project was crucial in delivering immediate relief to affected communities, demonstrating our commitment to rapid response in times of crisis, and emphasizing the

importance of solidarity and support among nations in the face of natural disasters.

In the realm of education, we awarded two scholarships in partnership with the Molly Bloom Academy on June 9, 2022. These scholarships are part of our strategy to invest in youth by providing access to quality education, thereby equipping the next generation with the skills and knowledge needed to contribute effectively to their societies.

On August 4, 2021, we made a significant humanitarian donation to Algeria, which was aimed at supporting various community needs. This donation exemplified our commitment to addressing the specific challenges faced by communities, enhancing their well-being, and supporting their developmental aspirations.

Additionally, on July 24, 2021, we initiated a project titled "Oxygen for Tunisian Hospitals." This was particularly important during the peak of the COVID-19 pandemic, as it directly contributed to the healthcare system's capacity to

save lives and manage the health crisis more effectively.

Another impactful project was the establishment of a Children's Heart Catheterization Room, launched on June 11, 2021. This specialized medical facility has been instrumental in providing critical healthcare services to children, significantly improving the quality of cardiac care available to young patients.

These projects, each carefully chosen and implemented, reflect the ECAM Council's commitment to addressing immediate needs while also building the foundation for sustainable development.

By focusing on healthcare and education, we aim to create environments where communities are not only equipped to handle current challenges but are also empowered to forge a brighter future. Each initiative is a step towards realizing our vision of a world where cooperation and development transcend borders, fostering a stronger, more connected global community.

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Mayo Clinic earns top marks for patient safety and patient experience

Mayo Clinic was recently recognized by Healthgrades for its commitment to exceptional patient care. Healthgrades is an online resource for patients to find information about physicians and hospitals.

Healthgrades recognized over 830 national hospitals with its 2024 Outstanding Patient Experience Awards and Patient Safety Excellence Awards. Mayo Clinic in Florida, Mayo Clinic in Rochester, and Mayo Clinic Health System in Mankato, Minnesota, were among 79 hospitals that received both awards.

The Outstanding Patient Experience Award recognizes healthcare facilities that excel in fostering clear and compassionate communication with patients and their families.

Hospitals receiving the Patient Safety Excellence Award ranked among the top 10% nationally for their commitment to patient safety.

Here are the Mayo Clinic award winners:

Outstanding Patient Experience Award

• Mayo Clinic in Arizona.

• Mayo Clinic in Rochester.

• Mayo Clinic in Florida.

• Mayo Clinic Health System in La Crosse.

• Mayo Clinic Health System in Eau Claire.

• Mayo Clinic in Mankato.

Patient Safety Excellence Award

• Mayo Clinic in Rochester.

• Mayo Clinic in Florida.

• Mayo Clinic Health System in Austin and Albert Lea.

• Mayo Clinic Health System in Mankato.

Focus on Patient-Centered Care

The Outstanding Patient Experience Award recognition is based on patient survey data released in November 2023 by the Centers for Medicare and Medicaid Services, covering patients discharged between Jan. 1, 2022, and Dec. 31, 2022.

This achievement is reflected in the quality of interactions between physicians, nurses and patients, as well as a commitment to understanding and fulfilling patient needs throughout their healthcare journey.

Commitment to Safety

The Patient Safety Excellence Award recognition is based on an analysis of 13 patient safety indicators measured through MedPAR data between 2020 and 2022, including:

• In-hospital falls resulting in hip fractures.

• Collapsed lung due to a procedure or surgery in or around the chest.

• Pressure sores or bed sores acquired in the hospital.

• Catheter-related bloodstream infections.

Many agencies rate quality in healthcare, and Mayo Clinic is the only healthcare organization that consistently ranks among the top healthcare organizations nationwide regardless of the quality measure used.

HEALTHGRADES, A NATIONAL CONSUMER ORGANIZATION THAT PROVIDES PATIENTS WITH INFORMATION ON HOSPITALS AND PHYSICIANS, HAS RECOGNIZED MAYO CLINIC FOR ITS COMMITMENT TO EXCEPTIONAL PATIENT CARE.

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Healthcare London launched in GCC showcasing London’s international medical expertise

Healthcare London, a collaborative of leading private healthcare providers and teaching hospitals, is attending Health Tourism Future Forum in Saudi Arabia to showcase why London is the medical destination of choice for international patients seeking to advance their complex care needs.

Officially launching at the forum in Riyadh, Healthcare London will exhibit for the first time with its collaborative partners - Chelsea and Westminster Hospital Private Care (NHS unit), Cleveland Clinic London, Cromwell Hospital, HCA Healthcare UK, King Edward VII's Hospital, Imperial College Healthcare Private Care (NHS unit), Phoenix Hospital Group, The London Clinic, and University College London Hospitals Private Healthcare (NHS unit). Together they will showcase why London, which boasts a unique blend of internationally acclaimed healthcare institutions, stands as a world-leading medical tourism destination. Each year London continues to attract a significant number of overseas patients, particularly from the Middle East. Annually, over 100,000 individuals based abroad choose London as their preferred destination for medical treatment, a number that continues to rise.

Speaking on behalf of Healthcare London David Hare MBE, CEO of the Independent Healthcare Providers Network which hosts Healthcare London said: “At Healthcare London, we want to make it as easy as possible for patients to get treatment in London. Our single portal enables patients and referrers to explore treatment options and find the most suitable hospital for their needs. With choice comes complexity, and we are committed to guiding patients through London’s medical landscape to access the finest healthcare London has to offer. “London brings together a distinguished community of healthcare professionals, and led by the world’s top medical talent, who are committed to delivering unparalleled medical treatments and services to patients from Saudi Arabia and the wider MENA region."

London is home to some of the finest healthcare available anywhere in the world and over many years has pioneered many groundbreaking medical discoveries including modern surgery.

Situated in a diverse, multicultural city, London’s network of teaching and private hospitals has the highest concentration of medical and surgical specialists of any global city. Together, they are well-positioned and experienced in serving the needs of patients that access them for care from around the globe. From advanced diagnostics to the treatment of complex conditions, London’s private hospitals collectively deliver one of the broadest service ranges available in a single city anywhere in the world. They also continue to innovate with telehealth and the virtual patient experience, which are increasingly becoming a key part of the patient pathway.

David added: “To facilitate access to the quality treatment London provides, several leading private healthcare providers, including prominent NHS teaching hospitals with private patient units, have united under the banner of 'Healthcare London'. “Healthcare London is committed to facilitating individuals seeking the finest and safest care to access and progress their complex healthcare needs within London's centres of excellence, where they benefit from multidisciplinary, value-based, coordinated care services.”

Healthcare London’s partners are committed to sharing expertise with Saudi clinicians through training programs, both in-country and remotely, as well as staff exchanges in London. This initiative aims to enhance medical practices and patient care standards, benefiting healthcare both locally and globally.

FROM ADVANCED DIAGNOSTICS TO THE TREATMENT OF COMPLEX CONDITIONS, LONDON’S PRIVATE HOSPITALS COLLECTIVELY DELIVER ONE OF THE BROADEST SERVICE RANGES AVAILABLE IN A SINGLE CITY ANYWHERE IN THE WORLD. THEY ALSO CONTINUE TO INNOVATE WITH TELEHEALTH AND THE VIRTUAL PATIENT EXPERIENCE, WHICH ARE INCREASINGLY BECOMING A KEY PART OF THE PATIENT PATHWAY.

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Middle East Cardio-Oncology Congress 2024

Unveiling the cutting-edge breakthroughs in Cardio-Oncology

Global mortality is heavily impacted by cardiovascular diseases and cancer. Scientific advancements have ushered in remarkable pharmacological and device innovations, significantly enhancing survival rates and potential cures for both conditions. However, oncological and hematological therapies, while altering disease progression, often bring about frequent cardiac toxicities. Chemotherapy, radiation, targeted, and immunotherapy have documented percentages of cardiotoxicities.

Simultaneously, cardiology has seen a leap in diagnostic methods, enabling early detection of toxicities and subclinical conditions. The emerging subspecialty of cardio-oncology aims to prevent today's cancer patients from becoming tomorrow's cardiac patients and aims to

ensure existing cardiac conditions don’t hinder life-extending cancer therapy.

The first Cardio Oncology congress in UAE was conducted on 27th of April ,2024 at Jumeirah Creek Hotel Dubai and international prestigious speakers authoring and cochairing the first cardio oncology guidelines have participated from Spain Prof. Teresa Lopez and from England Prof Alexander Lyon . In addition to regional and national faculty from different emirates and hospitals across UAE. This congress seeks to introduce this crucial concept to the UAE and GCC countries. It aims to heighten awareness and education among cardiologists, oncologists, and hematologists for early cardiovascular risk stratification, prevention and detection of cardiotoxicities, and prompt referral and management, ultimately elevating patient care standards.

THE EMERGING SUBSPECIALTY OF CARDIOONCOLOGY AIMS TO PREVENT TODAY'S CANCER PATIENTS FROM BECOMING TOMORROW'S CARDIAC PATIENTS AND AIMS TO ENSURE EXISTING CARDIAC CONDITIONS DON’T HINDER LIFEEXTENDING CANCER THERAPY.

Liquid biopsy in breast cancer – Less invasion more precision

Plasma-SeqSensei™

Liquid biopsy in breast cancer – Less invasion more precision

Plasma-SeqSensei™

The Plasma-SeqSensei Breast Cancer IVD Kit is an NGSbased liquid biopsy assay that focuses on highly sensitive detection of clinically relevant mutations in TP53, ESR1, PIK3CA, AKT1 and ERBB2 from blood plasma.

Learn more about the unique advantages of Plasma-SeqSensei technology

The Plasma-SeqSensei Breast Cancer IVD Kit is an NGSbased liquid biopsy assay that focuses on highly sensitive detection of clinically relevant mutations in TP53, ESR1, PIK3CA, AKT1 and ERBB2 from blood plasma.

High sensitivity at low MAFs

Learn more about the unique advantages of Plasma-SeqSensei technology

Down to 0.06% - 0.07% Mutant Allele Fractions.

High sensitivity at low MAFs

Down to 0.06% - 0.07% Mutant Allele Fractions.

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Expert voices

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Data analysis and reporting made easy

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Expert voices

‘We know that tissue samples cannot be taken regularly, but liquid biopsy is easy to take, it is simply a sample of blood. And it gives you real-time information.’

‘Even low levels of ctDNA could have given an indication of the coming progression in the follow-up.’

‘There is much more diagnostic power in the absolute quantification.’

Dr Bhuwnesh Agrawal Member of The Supervisory Board Sysmex Inostics and MD, Germany

‘We know that tissue samples cannot be taken regularly, but liquid biopsy is easy to take, it is simply a sample of blood. And it gives you real-time information.’

Dr Bhuwnesh Agrawal Member of The Supervisory Board

Sysmex Inostics and MD, Germany

‘Even low levels of ctDNA could have given an indication of the coming progression in the follow-up.’

‘There is much more diagnostic power in the absolute quantification.’

Prof. Christopher Gebhardt UKE Hamburg, Germany

Prof. Christopher Gebhardt UKE Hamburg, Germany

Prof. Geert A. Martens AZ Delta General Hospital, Belgium

Prof. Geert A. Martens AZ Delta General Hospital, Belgium

Expert Alert: Are all calories created equal?

You’ve heard "a calorie is a calorie" when it comes to weight loss, but can that really be true? With several diets out there (Keto, Intermittent Fasting, Mediterranean), it can be an overwhelming challenge.

Tara Schmidt, a Registered Dietitian at Mayo Clinic in Rochester, Minn., says the answer to this question is "yes and no."

While a calorie may be a calorie when it comes to the mathematical equation of weight loss, there's more to it, Schmidt says. Calories are a unit of energy. The total calories a food or beverage provides depend on the number of grams of carbohydrates, protein, fat and/or alcohol contained. The number of calories, though, does not predict how we'll feel afterward.

For example, a 200-calorie snack of an apple with peanut butter is going to help you feel fuller and more satisfied than a 200-calorie snack of chips, Schmidt says. The difference is in not only the food composition but food volume as well. The apple and peanut butter snack will provide fiber, fat, water and some protein. The majority of these attributes are lacking when it comes to the chips.

Think volume too — the apple snack will stretch the stomach more due to its larger size, sending that fullness signal to the brain. The 200 calories worth of chips are also going to be digested and leave the stomach faster than the apple because there's not much breakdown that needs to happen.

"We also can't talk about this topic without referencing health outcomes," Schmidt says. "It is well known that the composition of one's diet, or dietary pattern, is significant. A plant-based diet containing whole grains, fruits, vegetables, unsaturated fats and lean proteins provides the body with balanced nutrition that can decrease the risk of chronic conditions."

There are multiple ways to do this healthfully, Schmidt says. Diet styles such as Mediterranean, DASH and the Mayo Clinic Diet are

examples of eating patterns that focus on high nutrient density and have been shown to promote positive health outcomes. This also can be done through a well-planned vegetarian diet. It's important to take both your food preferences and health concerns or goals into account.

So what about weight loss? Here's where calories are crucial, Schmidt says. For example, even a Mediterranean diet does not guarantee weight loss if a calorie deficit is not present. Olive oil and nuts are excellent sources of healthy fat, but when eaten without one's total calorie intake in mind, it could, technically, cause weight gain. Using the style of eating that is best for you, consider working toward a 250-750 calorie per day deficit. This may be swapping your mid-afternoon snack for a piece of fruit or skipping your usual sweetened coffee or alcoholic beverage.

The body needs to burn more than it's consuming to produce weight loss, Schmidt says. While exercise is always going to be recommended, it's important to remember that exercise alone is not likely to get most people into that roughly 500-calorie deficit. The majority of us will be most successful with weight loss through dietary changes.

Most diets work because adapting your baseline eating habits to fit a specific diet's protocol will likely cause you to eat fewer calories, Schmidt says. Good news, right? Possibly. This is only going to benefit someone who can stay on said diet long term. Diets that endorse or require drastic and unrealistic changes (such as the cabbage soup diet) aren't sustainable. And when a diet is not sustainable, the weight loss won't be either. So, start here:

• Choose a healthful diet that fits your personal eating and health preferences.

• Work toward a gradual calorie deficit, ideally limiting excess (more than you need) and empty (non-nutrition-providing) calories.

• Remember that a slow, steady and sustainable approach is most likely to help you achieve a healthy weight.

THE BODY NEEDS TO BURN MORE THAN IT'S CONSUMING TO PRODUCE WEIGHT LOSS, SCHMIDT SAYS. WHILE EXERCISE IS ALWAYS GOING TO BE RECOMMENDED, IT'S IMPORTANT TO REMEMBER THAT EXERCISE ALONE IS NOT LIKELY TO GET MOST PEOPLE INTO THAT ROUGHLY 500-CALORIE DEFICIT. THE MAJORITY OF US WILL BE MOST SUCCESSFUL WITH WEIGHT LOSS THROUGH DIETARY CHANGES.

Tara Schmidt

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Can you explain why physics is relevant to medicine?

Physics is a fundamental science that underpins much of modern medicine, from the radiation that enables diagnostic imaging to the precise delivery of therapeutic treatments. Physics is everywhere. Understanding the fundamental principles of physics allows medical professionals to develop cutting-edge technologies, optimize treatment strategies, and ensure patient safety.

How significant is radiation physics to medicine?

Radiation physics is a specialized branch of physics that explores the properties, behavior, and effects of various forms of radiation. In medicine, it encompasses the study of ionizing radiation, such as X-rays and gamma rays, and non-ionizing radiation used in diagnostic and therapeutic applications. This

Mohammad

Yousef, Ph.D.

Professor of Physics, Weill Cornell Medicine-Qatar (WCM-Q)

"Physics is a fundamental science that underpins much of modern medicine."

Dr. Mohammad Yousef is a Professor of Physics at Weill Cornell Medicine-Qatar (WCM-Q). He previously served as an Associate Professor of Physics at Southern Illinois University Edwardsville.

Dr. Yousef is an experienced educator who has taught physics courses tailored to the needs of health science, as well as pre-professional and biomedical physics programs. His areas of research interest include molecular and structural biophysics, and he is currently pursuing several lines of inquiry related to big data, environmental biophysics, and medicine.

Dr. Yousef holds a Ph.D. in molecular biophysics from Florida State University and a Master's of science in healthcare informatics from Southern Illinois University.

Dr. Yousef spoke with "Hospitals" magazine about how physics concepts are fundamental to medicine and how physics intersects with almost every medical discipline.

field is pivotal in several medical disciplines, including radiotherapy, nuclear medicine, and diagnostic radiology. Moreover, with the advent of AI, radiation physics is witnessing unprecedented advancements in medical imaging interpretation, treatment planning, and personalized medicine.

The growing regional interest in radiation physics is also evident by the record number of attendees we recently welcomed to a workshop we hosted as part of a WCM-Q Continuing Professional Development (CPD) activity. Titled “The Future of Radiation Physics in Medicine,” the workshop resonated with a broad spectrum of healthcare professionals who had the opportunity to hear from top international scientists on cutting-edge advancements and potential trajectories of this dynamic field and the interdisciplinary collaboration and intersection of physics with other domains of medicine, such as biomechanics and AI.

"RADIATION PHYSICS IS A SPECIALIZED BRANCH OF PHYSICS THAT EXPLORES THE PROPERTIES, BEHAVIOR, AND EFFECTS OF VARIOUS FORMS OF RADIATION."

INTERVIEWS

How safe is radiation in medical techniques?

The apprehension surrounding radiation in medical techniques is understandable, but it’s crucial to differentiate between ionizing and non-ionizing radiation to address safety concerns effectively.

Ionizing radiation, such as X-rays and gamma rays, possesses sufficient energy to remove tightly bound electrons from atoms, thereby ionizing them. This high-energy radiation is commonly used in diagnostic imaging techniques like X-ray radiography, CT scans, radiotherapy, and nuclear medicine procedures. While ionizing radiation is highly effective, it carries potential risks due to its ability to damage biological tissues at the cellular level. However, strict safety protocols, including shielding and dose optimization, are employed in medical settings to minimize these risks for patients and health workers.

Non-ionizing radiation, such as radio waves, microwaves, sound waves and visible light, is commonly utilized in medical applications such as magnetic resonance imaging (MRI) and ultrasound imaging. These techniques are considered safer alternatives to ionizing radiation-based imaging modalities. Moreover, both radiation techniques are surgically non-invasive, further enhancing their safety profile.

In medical facilities, comprehensive radiation safety programs are implemented to ensure the safe use of ionizing radiation in diagnostic and therapeutic procedures. Additionally, regulatory bodies enforce strict guidelines and standards to uphold radiation safety in healthcare settings, further enhancing the safety of patients and healthcare workers.

What does the future hold for radiation physics in managing difficult-to-treat diseases?

Radiation therapy, in particular, is increasingly recognized as a vital tool in the management of difficult-to-treat diseases, including certain

types of cancers and neurological disorders.

Proton therapy is a powerful treatment modality that delivers highly targeted doses of radiation to tumors while minimizing exposure to surrounding healthy tissues.

Moreover, integrating advanced imaging modalities, such as PET (Positron Emission Tomography) and MRI-guided radiation therapy, enhance treatment planning and targeting accuracy, further optimizing outcomes for patients with challenging diseases. Additionally, ongoing radiobiology and tumor biology research sheds light on novel therapeutic approaches, such as targeted molecular radiation therapy and immunoradiation, which promise to improve treatment efficacy and patient outcomes in difficult-to-treat diseases.

The synergy between radiation physics and emerging technologies, such as AI and nanotechnology, is revolutionizing treatment paradigms by enabling personalized and adaptive radiation therapy approaches.

What are some of the recent advances in applying physics to treat disease?

Conditions such as Alzheimer’s disease and Parkinson’s disease have traditionally been managed through pharmaceutical interventions and behavioral therapies, while emerging technologies rooted in physics now offer novel avenues for therapeutic exploration.

One significant advancement involves the application of deep brain stimulation (DBS) in treating Parkinson’s disease. Similarly, in Alzheimer’s disease, non-invasive brain stimulation techniques, such as transcranial magnetic stimulation (TMS) and transcranial direct current stimulation (tDCS), have emerged as promising therapeutic modalities.

Moreover, integrating physics-based computational modeling and simulation tools offers valuable insights into the complex dynamics of neurodegenerative diseases. By simulating neuronal networks, researchers can explore disease mechanisms, predict treatment outcomes, and

"IONIZING RADIATION, SUCH AS X-RAYS AND GAMMA RAYS, POSSESSES SUFFICIENT ENERGY TO REMOVE TIGHTLY BOUND ELECTRONS FROM ATOMS, THEREBY IONIZING THEM. THIS HIGHENERGY RADIATION IS COMMONLY USED IN DIAGNOSTIC IMAGING TECHNIQUES LIKE X-RAY RADIOGRAPHY, CT SCANS, RADIOTHERAPY, AND NUCLEAR MEDICINE PROCEDURES. WHILE IONIZING RADIATION IS HIGHLY EFFECTIVE, IT CARRIES POTENTIAL RISKS DUE TO ITS ABILITY TO DAMAGE BIOLOGICAL TISSUES AT THE CELLULAR LEVEL."

optimize therapeutic interventions tailored to individual patient profiles.

Is it important to integrate physics into medical curricula?

Physics is a fundamental science that inevitably intersects with almost every medical discipline, albeit indirectly. It holds a very strong presence in physiology, neuroscience, and anatomy. Even at the molecular level, it’s challenging to comprehend the intricate interactions within the human body without a solid understanding of physics principles.

In the next 10 to 15 years, we will likely witness doctors transform into multifaceted professionals with niche specialization in research, AI, physics, engineering, or big data analysis. Of course, we’re not expecting future doctors to be world-class physicists, but they should at least be able to understand the basics in order to stay competitive in the rapidly changing medical practice.

Integrating physics and other scientific dis-

ciplines into medical education is imperative for producing well-rounded and adaptable healthcare professionals equipped to effectively tackle the challenges of tomorrow’s healthcare landscape.

How do you envision the future of radiation physics in medicine?

The future of radiation physics in medicine holds tremendous potential for transformative advancements in diagnosis, treatment, and patient care.

As we continue to push the boundaries of technology and innovation, collaboration between doctors and physicists will be paramount in realizing this vision, with physicians providing clinical insights and patient-centric perspectives while physicists contribute technical knowledge and analytical skills.

Together, doctors and physicists can pioneer novel treatment modalities, improve treatment outcomes, and ultimately enhance the standard of care for patients worldwide.

"THE SYNERGY BETWEEN RADIATION PHYSICS AND EMERGING TECHNOLOGIES, SUCH AS AI AND NANOTECHNOLOGY, IS REVOLUTIONIZING TREATMENT PARADIGMS BY ENABLING PERSONALIZED AND ADAPTIVE RADIATION THERAPY APPROACHES."

With a vast and diverse portfolio, Pharmatrade offers over 5000 high-quality products. These encompass a wide array of medical and pharmaceutical supplies, catering to various healthcare needs. Pharmatrade's product range is carefully curated to meet the requirements of both the Government and Private sectors in the UAE. What We Do

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LINET guides you in choosing the right medical mattress

LINET is not only sophisticated hospital beds, but also anti-decubitus mattresses are a stable part of our portfolio. However, the issue of pressure care and pressure injuries is sometimes so complex that choosing the right mattress for a particular patient can be a difficult problem. Let us guide you to choose the right surface.

Passive mattresses as elemental care

The effectiveness of a passive or foam mattress is based on maximum redistribution, i.e. spreading the pressure over as large an area as possible. This can be achieved in particular by using high-quality PU and viscoelastic foams. For example, the premium viscoelastic mattress range ViskoMatt combines the extraordinary properties of memory foam for pressure redistribution, cold foam for stable support, and a patented cover that creates an optimal contact environment.

THREE-CELL ALTERNATING MATTRESSES ARE USED ESPECIALLY IN INTENSIVE CARE UNITS FOR PATIENTS WITH A HIGH LEVEL OF IMMOBILITY.

Active mattresses for active prevention and treatment

As the name suggests, active air mattresses work on the principle of activity. The movement of air is provided by a compressor, which takes care of creating either an alternating system or a system with flowing air at constant pressure. In alternating mattresses, the adjacent parts of the mattress segments are constantly inflated and deflated. What is complicated to describe works very simply? The pressure is relieved at the point of contact between the skin and the pad, while the overall support of the supporting body is maintained. The construction of these segments, called cells or chambers, maybe two- or three-wall, and mattresses may have several air layers.

For the most at-risk patients, the top mattress range Virtuoso is designed, with a three-cell alternating system and the possibility of individual pressure adjustment in each cell. The top helps to relieve areas of the body with already developed decubitus or at high risk of developing them.

Why alternate?

Three-cell alternating mattresses are used especially in intensive care units for patients with a high level of immobility. However, the new Air2Care range of twin-celled mattresses, which have been developed to meet the needs of patients in acute care hospitals or social services clients - especially the elderly and immobile - share the same pressure-relieving technology. Air2Care 4 is a seat mattress, Air2Care 6 is a standard mattress and Air2Care 8 has a capacity of up to 250 kg.

Uniquely in the world, the 6 and 8 mattresses are also available as integrated systems. This means that both the air pump and the control are part of the bed. The advantage is especially the greater level of comfort for the supine person.

The integrated compressor is quiet and its operation does not disturb the resting mode, especially during sleep.

Integrated systems for intensive care

The integrated compressor also has another group of mattresses, namely those with constant low pressure. OptiCare and OptiCare X are part of the top-of-the-range beds - Multicare and Multicare X. Their advantage is, in addition to the integration of microclimate management and the possibility of the so-called pronation mode for ventilated patients in the pronation position.

Be clever, be hybrid

How to combine the advantages of passive and active matrices? How to use a suitable mattress when the patient's condition changes without having to move to another mattress? Such a possibility is offered by hybrid models that function as passive mattresses, but if they are connected to a compressor, the system can change to an active one.

The Hybrimatt hybrid mattress is new. The active system with alternating two cells ensures regular pressure reduction. The passive system then helps to redistribute the pressure thanks to a viscoelastic foam layer in the mattress and reinforced edges. Microclimate management helps to maintain the body's natural thermoregulation through airflow and a special breathable vapor permeable cover.

AS THE NAME SUGGESTS, ACTIVE AIR MATTRESSES WORK ON THE PRINCIPLE OF ACTIVITY. THE MOVEMENT OF AIR IS PROVIDED BY A COMPRESSOR, WHICH TAKES CARE OF CREATING EITHER AN ALTERNATING SYSTEM OR A SYSTEM WITH FLOWING AIR AT CONSTANT PRESSURE. IN ALTERNATING MATTRESSES, THE ADJACENT PARTS OF THE MATTRESS SEGMENTS ARE CONSTANTLY INFLATED AND DEFLATED.

‘Let’s care for our carers’ – the health industry partnership that is poised to elevate nursing and midwifery

Emirates Nursing Association and BD explain the significance of their recent tie-up to everything from health worker safety to treatment outcomes

In 2023, Alpen Capital estimated that current healthcare expenditure (CHE) in the GCC stood at more than US$100 billion and that over the next three years it may reach US$135 billion. Amid an industry landscape characterized by supply-chain disruptions, rising costs, and recruitment challenges, Emirates Nursing Association is working to maintain care levels for patients and safety levels for healthcare workers.

“The sector is doing a remarkable job in maintaining standards of care given the external pressures on clinical and non-clinical staff,”

said Her Excellency, Dr. Sumaya Al Blooshi, President of the Emirates Nursing Association (ENA). “The UAE’s hospitals, clinics, and therapy centres rely significantly on well-trained and dedicated nurses and midwives whose safety remains a priority for UAE leaders.”

A recent ally in ENA’s campaign of excellence is the Dubai branch of global medical technology company BD (Becton, Dickinson & Co.), which has been working to strengthen the sector and enhance treatment outcomes. The two recently entered a partnership that

THE SECTOR IS DOING A REMARKABLE JOB IN MAINTAINING STANDARDS OF CARE GIVEN THE EXTERNAL PRESSURES ON CLINICAL AND NONCLINICAL STAFF.

DR. SUMAYA AL BLOOSHI

will focus on critical areas such as infection prevention, complications reduction, medication management, and vascular access management.

“Everything we do is focused on frontline heroes, and how to equip them with the technology, services, and solutions that will help them enhance their internal clinical processes and, by implication, clinical therapy for patients,” said Maher Elhassan, Vice President and General Manager, BD Middle East, North Africa, and Turkey. “Our people bring unparalleled passion and commitment to what they do. And we believe we make a huge difference to healthcare systems around the world by helping providers to strengthen safety standards, enhance the efficiency of care delivery, and increase the speed and accuracy of diagnostics.”

ENA’s collaboration with BD was formalized in a memorandum of understanding (MoU) signed in the presence of Her Excellency Dr. Sumaya Al Blooshi, President of the Emirates Nursing Association (ENA), and Maher Elhassan, Vice President and General Manager, BD Middle East, North Africa, and Turkey.

“We have an opportunity here to elevate nursing and midwifery practices in the United Arab Emirates,” Dr. Sumaya Al Blooshi explained. “Our plan is far-reaching and inclusive; we shall run training programs. together, join forces on community activities, and collaborate on research programmes. And we shall develop new national standards and practice guidelines.”

Among the main focuses of the joint program will be combating needle-stick injuries and enhancing the quality and efficiency of specimen collection. As a global leader in medical technology, BD sees itself as being “in a prime position to engage with the everyday challenges of nursing and midwifery”.

“It has long been BD’s contention that by empowering healthcare professionals, we enhance the entire value chain up to and including care quality and treatment outcomes,”

said Maher Elhassan. “The safety and proper equipping of nurses must therefore be top priorities. We are confident that our partnership with Emirates Nursing Association will be a significant milestone in our ongoing efforts to advance the world of health. We shall start by focusing on areas such as infection prevention and medication management, which I believe will make a substantial impact on healthcare outcomes in the UAE.”

Healthcare-associated infections (HAIs) are a global issue. According to the World Health Organisation (WHO), Today, out of every 100 patients in acute-care hospitals, seven patients in high-income countries and 15 patients in low- and middle-income countries will acquire at least one health care-associated infection (HAI) during their hospital stay. On average, 1 in every 10 affected patients will die from their HAI.

One of the focuses of the MoU between BD and ENA is on combating some of the most common HAIs – surgical-site infections (SSIs), central line-associated bloodstream infections (CLABSI), and catheter-associated urinary-tract infections (CAUTI).

Over the years, BD has leveraged its global reach to advance developments in medical technology with a view to improving overall standards of care and enhancing treatment outcomes. The company concentrates on improving medical discovery and diagnostics, but also plays a role in research and development, as many of its solutions are designed for the scientists working on the next generation of diagnostics and therapeutics.

“Similar to our partnership with ENA, BD is committed to collaborating with organizations to find solutions to the most pressing challenges faced by healthcare providers around the world,” said Maher. “We work to introduce a broad spectrum of benefits that include enhanced outcomes, lower costs, boosted efficiencies, better safety, and more inclusive access to healthcare. But surely our number one priority is to ensure our healthcare professionals are equipped for their frontline struggle. Let’s care for our carers; let’s help them help us.”

EVERYTHING WE DO IS FOCUSED ON FRONTLINE HEROES, AND HOW TO EQUIP THEM WITH THE TECHNOLOGY, SERVICES, AND SOLUTIONS THAT WILL HELP THEM ENHANCE THEIR INTERNAL CLINICAL PROCESSES AND, BY IMPLICATION, CLINICAL THERAPY FOR PATIENTS MAHER ELHASSAN

Is Mental Health Leading the Telemedicine Revolution?

Dr.

Fatih Mehmet Gul, CEO of Dr. Soliman Fakeeh Hospital Jeddah and Vice President Group Marketing Office

Telemedicine's integration into mental healthcare has transformed access to services, making help more accessible and fast. This transition is critical as the global demand for mental healthcare rises, fueled by social difficulties like the COVID-19 pandemic and increased awareness of mental health issues.

Telemedicine's History and Evolution

Telemedicine's roots can be traced back to the early days of telecommunications, when initial efforts in remote treatment entailed using telephone lines to eliminate the need for in-person appointments. Over the years, technological improvements have expanded telemedicine's capacity to offer a diverse variety of treatments across numerous specializations, with mental health being one of the most important. According to Epic patient data, the proportion of telehealth visits peaked across all specialties in Q2 2020, with the greatest rates observed in mental health (65.5 percent), endocrinology (55.5 percent), geriatrics (55.2 percent), transplant (52.2 percent), and gastroenterology (51.5 percent). In 2023, mental health remained the most popular specialty for telehealth use. By the third quarter of 2023, 37% of mental health appointments were virtual, followed by infectious disease (11%), obstetrics (10%), and transplant (10%).

Technological advancements

Telemedicine's progress has been aided by significant technology advancements such as high-speed internet, secure video conferencing tools, and enhanced data encryption technologies. These improvements have enabled the safe and efficient delivery of complicated and sensitive services such as mental health treatment.

Current Landscape of Online Mental Health Services

Service Overview Psychotherapy and counselling are among the online mental health treatments available, along with psychiatric examinations and medication management. These services are provided through a variety of channels, including synchronous video

conferencing, asynchronous messaging, and integrated digital health apps.

Impact Assessment According to studies, online mental health services are highly beneficial. For example, a systematic study published in the "Journal of Psychological Disorders" discovered that online cognitivebehavioral therapy (CBT) was equally beneficial

TELEMEDICINE'S PROGRESS HAS BEEN AIDED BY SIGNIFICANT TECHNOLOGY ADVANCEMENTS SUCH AS HIGHSPEED INTERNET, SECURE VIDEO CONFERENCING TOOLS, AND ENHANCED DATA ENCRYPTION TECHNOLOGIES. THESE IMPROVEMENTS HAVE ENABLED THE SAFE AND EFFICIENT DELIVERY OF COMPLICATED AND SENSITIVE SERVICES SUCH AS MENTAL HEALTH TREATMENT.

as face-to-face treatment for major depression, panic disorder, social anxiety disorder, and generalized anxiety disorder.

Major Platforms in Mental Health Telemedicine

Teladoc Health Teladoc Health offers extensive telehealth services, including mental health. It exhibits excellent levels of patient satisfaction and significant decreases in depressed symptoms among users. Teladoc's technology enables customers to communicate with mental health doctors via video and phone, ensuring prompt access to care.

MDLive MDLive provides a variety of mental health services through its platform, including therapy and psychiatric care. The platform has played an important role in increasing access to mental healthcare for people living in remote or underserved communities.

Shezlong Shezlong, the Middle East's first online psychotherapy platform, addresses the region's specific cultural and socioeconomic mental health concerns. The application and website offer services in Arabic and has played an important role in decreasing the stigma associated with mental health treatment in the region.

Emerging Startups and Innovations

Innovative Startups New startups like BetterHelp and Talkspace have disrupted the traditional mental health landscape by offering subscription-based services that provide users with access to mental health professionals through text, video, and voice messaging.

Technological Innovations Recent innovations include the use of AI to enhance therapeutic outcomes. For example, platforms like Woebot use AI-driven chatbots to deliver cognitive-behavioral therapy techniques, helping users manage symptoms of anxiety and depression.

User Demographics and Access

Online mental health services are widely used across all demographics. The growth in usage is especially significant among older persons and minority groups, who have

traditionally faced challenges to receiving mental health services.

Case Studies

Case Study 1: Rural Access A telepsychiatry program in rural Wyoming provided access to psychiatric care for patients who previously had to travel over 100 miles to see a psychiatrist. The program significantly improved adherence to psychiatric treatment and reduced hospitalization rates.

Case Study 2: Emergency Implementation

During the COVID-19 lockdowns, a New York City hospital system rapidly deployed a telehealth program to continue providing mental health services. The program catered to thousands of patients and effectively managed to maintain continuity of care through the crisis.

Case Study 3: Permanent Telemedicine

Coverage Centers for Medicare and Medicaid Services (CMS) issued permanent coverage of behavioral/mental telehealth services delivered using audio-only communication platforms and will extend coverage of some non-behavioral/ mental telehealth services delivered using audioonly communication through December 31, 2024. Where CMS leads, payer organizations typically follow, meaning non-video telemedicine channels are likely to find permanent or longstanding reimbursement pathways—further encouraging provider usage of non-video telemedicine.

Regulatory and Policy Landscape

Regulatory frameworks influence the introduction and scalability of telemedicine services, notably in mental health. In the United States, the 21st Century Cures Act and several state-specific telehealth regulations have created a favourable atmosphere for the growth of telemedicine. These regulations are intended to guarantee that online services adhere to the same standards of care as inperson services, covering concerns such as licencing, reimbursement, and patient privacy. The continual modification of these regulations, particularly in reaction to public health events such as the COVID-19 epidemic, demonstrates how dynamic the regulatory framework for telemedicine is.

ACCORDING TO STUDIES, ONLINE MENTAL HEALTH SERVICES ARE HIGHLY BENEFICIAL. FOR EXAMPLE, A SYSTEMATIC STUDY PUBLISHED IN THE "JOURNAL OF PSYCHOLOGICAL DISORDERS" DISCOVERED THAT ONLINE COGNITIVEBEHAVIORAL THERAPY (CBT) WAS EQUALLY BENEFICIAL AS FACE-TO-FACE TREATMENT FOR MAJOR DEPRESSION, PANIC DISORDER, SOCIAL ANXIETY DISORDER, AND GENERALIZED ANXIETY DISORDER.

Future Trends and Predictions

The future of mental health telemedicine is poised for significant transformation with advancements in technology and increased patient demand for services. Experts predict a surge in the use of AI and machine learning for personalized treatment plans and diagnostics. Additionally, the integration of VR into therapy sessions is expected to become more mainstream, providing immersive experiences that can replicate or enhance traditional therapeutic environments.

The expansion of telemedicine is also likely to continue disrupting traditional healthcare models, making mental health services more accessible to a broader population.

Comparative Analysis

Different countries and regions have adopted telemedicine at varying rates due to cultural, economic, and regulatory factors. For instance, while the U.S. and Europe have seen robust growth in telemedicine adoption due to high internet penetration and supportive legislation, countries in the Middle East and some parts of Asia are still in the early stages of adoption, often hindered by infrastructure

challenges and regulatory gaps. Understanding these differences is crucial for global health organizations aiming to implement telemedicine solutions effectively.

Challenges and Barriers

Despite its benefits, online mental health care faces challenges such as privacy concerns, the need for technical literacy among users, and the variability of insurance coverage for telehealth services. Overcoming these barriers is crucial for the future of telehealth in mental health.

Conclusion

The field of mental health care is at the forefront of the transformation brought about by telemedicine, which is revolutionizing the delivery of services and their accessibility. It is possible that as technology advances, the ability to improve patient treatment will also increase, which may result in mental health services becoming more accessible and effective. The incorporation of telemedicine into conventional medical treatment is a revolution that will be lasting and has the potential to enhance the lives of a great number of people who require assistance with their mental health.

THE FUTURE OF MENTAL HEALTH TELEMEDICINE IS POISED FOR SIGNIFICANT TRANSFORMATION WITH ADVANCEMENTS IN TECHNOLOGY AND INCREASED PATIENT DEMAND FOR SERVICES. EXPERTS PREDICT A SURGE IN THE USE OF AI AND MACHINE LEARNING FOR PERSONALIZED TREATMENT PLANS AND DIAGNOSTICS.

"The Future of Medicine: Ingestible Robots - Revolutionizing Diagnostics and Treatment"

Dr. Samer Ellahham, MD, Cleveland Clinic Abu Dhabi

Ingestible robots have emerged as a groundbreaking technological advancement in the field of medicine, with the potential to revolutionize various aspects of healthcare. These miniature robots, designed to be swallowed and navigate the digestive system, offer a multitude of possibilities for diagnostics, drug delivery, and surgical interventions. As research and development in this field continue to progress, the future of medicine holds great promise for these remarkable devices.

One of the most significant contributions of ingestible robots lies in the field of diagnostics. Traditional diagnostic procedures often involve invasive techniques such as endoscopy or colonoscopy, which can be uncomfortable and carry certain risks. Ingestible robots provide a non-invasive alternative, allowing for the examination

of the gastrointestinal tract without the need for sedation or anesthesia. These robots can be equipped with sensors and imaging capabilities, enabling them to capture images and collect data as they navigate the digestive system. This data can then be transmitted wirelessly to external devices for analysis, providing valuable insights into the health of the patient. By enabling early detection and monitoring of diseases such as gastrointestinal cancers, ingestible robots have the potential to improve patient outcomes and save lives.

In addition to diagnostics, ingestible robots also hold great promise for targeted drug delivery. Traditional oral medications are often administered systemically, meaning they affect the entire body rather than targeting specific areas. This can lead to unwanted side effects

ONE OF THE MOST SIGNIFICANT CONTRIBUTIONS OF INGESTIBLE ROBOTS LIES IN THE FIELD OF DIAGNOSTICS.

and reduced effectiveness. Ingestible robots, on the other hand, can be designed to deliver medications directly to the site of action, allowing for more effective treatment with reduced side effects. These robots can be programmed to release medications in a controlled manner, ensuring optimal dosage and timing. Moreover, the robots can be equipped with sensors to monitor drug levels in real time, allowing for personalized and precise drug administration. This targeted drug delivery approach has the potential to revolutionize treatments for a wide range of conditions, from gastrointestinal disorders to chronic diseases.

Another area where ingestible robots show great promise is in surgical interventions. Traditional surgical procedures often involve large incisions, lengthy recovery times, and a higher risk of complications. Ingestible robots offer a less invasive alternative, allowing for precise and targeted interventions with minimal discomfort and faster recovery times. These robots can be controlled remotely by healthcare professionals, enabling them to perform complex tasks such as tissue biopsies or delivering therapies directly to affected areas. The use of ingestible robots in surgery has the potential to transform the field, making procedures safer, less invasive, and more efficient. However, despite their immense potential, ingestible robots still face several challenges that need to be addressed before widespread adoption can occur. One of the main challenges is ensuring the safety and reliability of these devices. Ingestible robots need to be designed in a way that minimizes the risk of complications such as device malfunction or damage to the gastrointestinal tract. Additionally, rigorous testing and regulatory approvals are necessary to ensure their safety and efficacy.

Another challenge is the development of power sources for these miniature robots. Since they are designed to be swallowed and traverse the digestive system, they need to be powered by a reliable and safe energy source. Researchers are exploring various options, including using the body's own fluids or harnessing external energy sources such as ultrasound or magnetic fields. Finding a sustainable and efficient power

source is crucial to the long-term viability of ingestible robots.

Furthermore, there are ethical and privacy considerations associated with the use of ingestible robots. As these devices collect and transmit sensitive patient data, ensuring patient privacy and data security becomes paramount. Robust protocols and regulations need to be in place to protect patient information and prevent unauthorized access or misuse.

Despite these challenges, ongoing research and development in the field of ingestible robots show great promise. The potential benefits they offer in terms of non-invasive diagnostics, targeted drug delivery, and minimally invasive surgeries are immense. As technology continues to advance, these robots may become more sophisticated, versatile, and accessible.

In conclusion, ingestible robots represent a groundbreaking advancement in the field of medicine. Their ability to navigate the digestive system, perform specific tasks, and gather crucial data holds tremendous potential for transforming healthcare. From non-invasive diagnostics to targeted drug delivery and minimally invasive surgeries, these robots offer numerous benefits that can improve patient outcomes, reduce complications, and revolutionize the way healthcare is delivered. While challenges still need to be addressed, the ongoing research and development in this field offer hope for a future where ingestible robots play a vital role in enhancing patient care and reshaping the healthcare landscape.

FROM NON-INVASIVE DIAGNOSTICS TO TARGETED DRUG DELIVERY AND MINIMALLY INVASIVE SURGERIES, THESE ROBOTS OFFER NUMEROUS BENEFITS THAT CAN IMPROVE PATIENT OUTCOMES, REDUCE COMPLICATIONS, AND REVOLUTIONIZE THE WAY HEALTHCARE IS DELIVERED. WHILE CHALLENGES STILL NEED TO BE ADDRESSED, THE ONGOING RESEARCH AND DEVELOPMENT IN THIS FIELD OFFER HOPE FOR A FUTURE WHERE INGESTIBLE ROBOTS PLAY A VITAL ROLE IN ENHANCING PATIENT CARE AND RESHAPING THE HEALTHCARE LANDSCAPE.

Mother and Son Undergo Heart Transplants with Same Doctor at Baylor St. Luke’s

When Roberto DeJesus Perales visited his cardiologist, he was run-down, out of breath and had swollen feet – a feeling he’d known before in his young life.

“I would get weak. I would get fatigued. I would get short of breath,” Roberto DeJesus Perales said, recalling the time a few years earlier when he experienced heart failure at age

GABRIEL LOOR PERFORMED ROBERTO’S TRANSPLANT, ASSISTED BY DR. KENNETH LIAO.

23. Roberto became so ill then that he needed a heart transplant. He had one in 2016, and he returned to an active life. Before long, his mother, Maricela Garcia, in her 40s experienced chest pain and was hospitalized.

Genetic tests revealed both mother and son have a rare inherited condition known as Danon disease, which can cause heart failure. About two years after her son’s transplant, she, too, underwent a heart transplant at Baylor St. Luke’s Medical Center in Houston.

Fast forward to 2023: Roberto’s heart was again struggling to work. It became clear to doctors that the 30-year-old needed a second heart transplant.

“His heart wasn’t beating much – low functioning, low blood supply,” said Gabriel Loor, M.D., Surgical Director of Lung Transplantation And A Cardiac Surgeon at Baylor St. Luke’s. Loor had performed Maricela’s heart transplant. The family was so pleased with his medical skill and his ability to communicate in Spanish – Maricela only speaks Spanish and understands limited English – that when Roberto needed his second heart transplant, they hoped Loor would be the surgeon.

“I already told my cardiologist that I wanted Dr. Loor to do mine,” Roberto said. “We could understand each other. He would be on top of everything.”

On Nov. 17, 2023, Loor performed Roberto’s transplant, assisted by Dr. Kenneth Liao, Chief Of Cardiothoracic Transplantation And Mechanical Circulatory Support at Baylor St. Luke’s and associate professor of surgery at Baylor College of Medicine. It was an unusual scenario with the same surgeon conducting heart transplants on a parent and a child.

Ajith Nair, M.D., Roberto’s cardiologist, explained that Danon disease derives from a mutation of the X chromosome. The genetic disorder can show itself through skeletal muscle weakness, intellectual disability and cardiomyopathy, or a weakening of the heart muscle. With Roberto and his mother, heart disease was the symptom that appeared.

Gabriel Loor, who is also an Associate Professor Of Surgery, Cardiothoracic Transplant And Circulatory Support at Baylor College of Medicine, worked along with other St. Luke’s physicians in performing Roberto’s transplant. Each member of the multidisciplinary surgery team brings a technical expertise to the operation so the transplant goes as smoothly as possible, he said.

After the transplant, Roberto felt better right away. Within two days he was sitting up, taking selfies and heading toward an anticipated complete recovery. His family members were there with him happy about his successful outcomes.

“They were very optimistic, and he was so excited to have another chance,” Loor said. “You have to persevere and you have to maintain hope. He was really an inspiration for everybody.”

About a month after the transplant, Roberto was recuperating at home and experiencing no complications.

“I’m doing great, just day by day,” he said. He planned to rebuild his strength through physical therapy and eventually return to his work in the oil field and his usual activities in his community of Sweeny – playing soccer and DJ’ing at friends’ gatherings.

Getting back to that point was a tough road. Four months before the second transplant, when Roberto was feeling ill and saw his cardiologist, Nair, the doctor had him immediately admitted to the hospital. Medical tests showed a deteriorating condition. Doctors placed him on a balloon pump to help the blood flow in his heart while he awaited a donor heart.

Potential donor hearts were evaluated by the medical team, and doctors had to wait for exactly the right match for Roberto’s antibodies and body size. The concave structure of his chest, a condition known as pectus excavatum, added to the challenges both before and during the surgery, Loor explained.

A donor heart became available after a sixweek wait. Roberto, who had cried before his first transplant when he was told a healthy heart was coming, said this time he remained calm, his mother and father at his side. He was able to relax and sleep the night before the surgery.

“I just said in my mind, just leave it to God,” he said. “I was already ready.” Roberto said he thinks about the donor’s gift of life and how he intends to take care of his new heart. His thoughts often turn to his faith. “God is always with me,” he said. He said he is also grateful for the medical care he received at St. Luke’s. “They have good teamwork,” he said. “I want it to be known that I’m thankful for the staff, the nurses, doctors and surgeons at St. Luke’s, and, well, not only am I, but my mom and all my family.”

AJITH NAIR, M.D., ROBERTO’S CARDIOLOGIST, EXPLAINED THAT DANON DISEASE DERIVES FROM A MUTATION OF THE X CHROMOSOME. THE GENETIC DISORDER CAN SHOW ITSELF THROUGH SKELETAL MUSCLE WEAKNESS, INTELLECTUAL DISABILITY AND CARDIOMYOPATHY, OR A WEAKENING OF THE HEART MUSCLE. WITH ROBERTO AND HIS MOTHER, HEART DISEASE WAS THE SYMPTOM THAT APPEARED.

Breakthroughs in Pediatric Gastroenterology: Discover the Future of Care at UCLA Health

Pediatric gastroenterology stands at the forefront of medical innovation, particularly at UCLA Health, where pioneering research and clinical practice are revolutionizing the understanding and treatment of gastrointestinal disorders in children. Two areas of particular focus are genetics and intestinal stem cell research, both of which hold immense promise for improving patient outcomes and quality of life.

Genetics Unleashed: Decoding the Blueprint of Pediatric Digestive Health

The integration of genetics into pediatric gastroenterology practice at UCLA Health

represents a transformative approach to understanding and managing gastrointestinal disorders in children. Through cuttingedge genomic sequencing techniques and interdisciplinary collaborations, researchers and clinicians have unraveled the complex genetic underpinnings of conditions such as inflammatory bowel disease (IBD), celiac disease, and rare genetic disorders affecting the digestive system.

By identifying genetic predispositions, clinicians can offer personalized diagnostic and therapeutic strategies tailored to each patient's unique genetic profile. This precision medicine approach not only enhances diagnostic accuracy but also facilitates early intervention

and targeted treatments, ultimately improving patient outcomes and long-term prognosis. Furthermore, genetic counseling services provided at UCLA Health empower patients and their families with valuable insights into their conditions, hereditary risks, and available support resources.

Unveiling the Power of Intestinal Stem Cells: Nature's Regenerators in Pediatric Gastroenterology

Intestinal stem cell research represents a frontier in pediatric gastroenterology at UCLA Health, offering novel insights into the regenerative capacity of the gastrointestinal tract and its implications for disease management. By elucidating the molecular mechanisms governing intestinal stem cell behavior, researchers aim to develop innovative regenerative therapies for conditions such as inflammatory bowel disease, necrotizing enterocolitis, and congenital gastrointestinal abnormalities.

Through state-of-the-art techniques such as lineage tracing and single-cell sequencing, scientists at UCLA Health are unraveling the intricacies of intestinal stem cell biology, including their role in tissue repair, regeneration, and response to environmental cues. This deeper understanding not only sheds light on the pathophysiology of gastrointestinal disorders but also offers potential targets for therapeutic intervention. From bioengineered scaffolds to cell-based therapies, the pursuit of regenerative medicine holds promise for restoring intestinal function and improving quality of life for pediatric patients.

Innovating Care for Gastrointestinal Failure: A New Horizon in Pediatric Digestive Health

In addition to genetic and stem cell research, UCLA Health is a leader in the management of gastrointestinal failure in infants and children, with Dr. Martín G. Martín at the forefront of this specialized field. With a focus on comprehensive care and multidisciplinary collaboration, UCLA Health offers innovative treatment approaches, including parenteral and enteral nutrition support, intestinal rehabilitation, and surgical

interventions tailored to each patient's unique needs. Dr. Martín is excited about the remarkable new tools that have enhanced our ability to diagnose children rapidly and accurately with genetic gastrointestinal disorders, and our ability to generate patient-specific intestinal organoids has allowed us to harness our understanding of stem cell biology to generate novel treatment options for children.

In conclusion, UCLA Health is at the forefront of advancing pediatric gastroenterology through pioneering research and clinical practice in the fields of genetics and intestinal stem cells. By harnessing the power of genomics and regenerative medicine, clinicians and researchers are transforming the landscape of pediatric gastrointestinal care, offering hope and improved outcomes for children and their families facing complex digestive disorders. As UCLA Health continues to lead the way in innovation and collaboration, the future of pediatric gastroenterology shines bright with possibilities for improved diagnostics, personalized treatments, and regenerative therapies.

For more information, please visit https://mena.uclahealth.org/ or call +1 310-794-8759

Investment in the Health Sector: The Gulf is a market for foreign healthcare companies

Economists anticipated significant growth in the healthcare sector across the Arab Gulf countries in 2024, driven by a surge in both foreign and local investments, creating abundant opportunities for development. The Global Health Forum in Riyadh witnessed the signing of 138 agreements, memorandums of understanding and deals, at more than SR 13.3 billion and in the presence of more than 111,000 visitors and interested local and international stakeholders.

Qatar, the UAE, and other Gulf countries have observed a notable uptick in investments within the health sector, signaling burgeoning opportunities for its expansion. The influx of investments in healthcare and pharmaceuticals has propelled this market to become the largest in the entire Middle East region.

The Gulf countries are experiencing a consistent increase in foreign investments, driven by their steady growth across various sectors. Notably, there's a significant surge in foreign investments specifically directed towards the healthcare sector within these countries. This trend, alongside substantial government spending and ambitious plans for expansion and diversification, has elevated their healthcare sectors to positions of leadership, garnering global attention.

Saudi Arabia: Increase in Healthcare Investments

The healthcare sector in Saudi Arabia is experiencing an unprecedented surge in investment opportunities, accompanied by both horizontal and vertical expansion. With annual spending reaching around $2.4 billion, the Kingdom is reaffirming its dedication to becoming a hub for advanced healthcare initiatives. While the government continues to support the healthcare sector, there's notable growth from the private sector,

showcasing its capacity to establish and efficiently manage major hospitals. This has prompted the government to pursue sector privatization through a mechanism ensuring quality and efficiency. This approach aims to deliver services to citizens via an insurance framework, ensuring sustainability and quality across the board.

Saudi Arabia has made significant progress in its healthcare transformation, positioning itself as an attractive destination for health investments. The sector's contribution to the gross domestic product is projected to rise from SAR 199 billion in 2020 to SAR 318 billion by 2030.

Consequently, the Kingdom urges investors to consider opportunities in the Saudi healthcare sector, which is projected to reach a total of SAR 330 billion (USD 88 billion) by 2030. The private sector's contribution to the gross domestic product is anticipated to play a more significant role in the coming years, with projections indicating a rise to 145 billion in 2030, up from 72 billion in 2020. Riyadh recently hosted the Global Health Exhibition under the theme "Invest in Health," attracting 300 local and international companies specializing in healthcare.

It is noteworthy that Saudi Arabia has plans for over 100 partnership projects with the private sector in healthcare services over the next five years. Capital investment opportunities in these projects by the private sector are estimated to reach SAR 48 billion.

In June 2023, the Public Investment Fund (PIF) announced the establishment of the Pharmaceutical Investment Company (Lifera), a commercial-scale contract development and manufacturing organization, to enable the growth of the local biopharmaceutical industry, strengthen national resilience, and supporting Saudi Arabia’s position as a global pharmaceutical manufacturing destination.

THE HEALTHCARE SECTOR IN SAUDI ARABIA IS EXPERIENCING AN UNPRECEDENTED SURGE IN INVESTMENT OPPORTUNITIES, ACCOMPANIED BY BOTH HORIZONTAL AND VERTICAL EXPANSION. WITH ANNUAL SPENDING REACHING AROUND $2.4 BILLION, THE KINGDOM IS REAFFIRMING ITS DEDICATION TO BECOMING A HUB FOR ADVANCED HEALTHCARE INITIATIVES.

In this context, Saudi Arabia’s Ministry of Health recently welcomed a delegation of Canadian companies specializing in healthcare and medical services. The delegation also emphasized the potential for long-term cooperation between the two countries in the field of medical education, especially in light of Canada’s expertise in areas such as digital health, virtual healthcare services, and artificial intelligence applications.

Meanwhile, Amanat Holdings has partnered with Mada International Holding to develop Ministry of Health Public-Private Partnerships (PPPs) projects in Saudi Arabia, focused on the long-term care and rehabilitation segment. Partnership unlocks potential for significant PPP opportunities in Saudi Arabia commencing with participation in the upcoming 900-bed PPP post-acute care tender in Riyadh and Dammam.

Key milestone in the value creation strategy for Amanat Healthcare and is expected to accelerate the Company’s target of delivering 1,000 beds. The combination of Amanat and Mada International Holding creates a powerful strategic partnership with extensive expertise in Saudi Arabia, that is optimally positioned to further unlock regional PPP opportunities and accelerate Amanat’s expansion plans in the Kingdom.

Qatar: Steps to Enhance Innovation and Research

A new study issued by Investment Promotion Agency of Qatar (IPA Qatar) said Qatar's focus on the integrated care models and promotion of health and prevention against diseases is an indicative of projections for a long-term growth for healthcare sector in the country.

The new study that was published recently indicated that health promotion and disease prevention underpin its commitment to ensuring the well-being of existing and future generations. The nation is taking big strides in fostering innovation and research, which is evident in initiatives like the Qatar Genome Programme and Qatar Biobank, as well as

collaborations with renowned institutions such as Weill Cornell Medicine, Mayo Clinic, Imperial College London, Cleveland Clinic, Johns Hopkins Medicine, and University College London.

Sustained high levels of investment for the expansion of healthcare infrastructure and services ensure a positive market outlook across primary, secondary, and tertiary care. The country already boasts several state-ofthe-art healthcare facilities.

Aspetar, was the first specialized orthopaedic and sports medicine hospital in the GCC; Hamad Medical Corporation (HMC), was the first hospital in the Middle East to be accredited by US-based non-governmental organization ACGME International.

IPA Qatar also stated that the country’s pharmaceutical market is forecast to grow at a compound annual growth rate (CAGR) of 6.1% between 2021 and 2026, with solid efforts in place to attract foreign investment to expand local production.

This includes a recent agreement between HMC and Qatar Pharma that sets out a threeyear roadmap to reach self-sufficiency in pharmaceutical production.

According to a report published on "LA Biotech" website, Qatar's investments in the healthcare sector and pharmaceutical industry are projected to reach USD 11.8 billion by the year 2024. The report highlights that Qatar's focus on investment in this sector signifies not only a doubling in the size of Qatari projects within this field but also aims to establish itself as a prominent hub for this industry, attracting foreign investors.

This creates a competitive business environment, supported by a robust medical infrastructure and substantial investments in research and development.

Additionally, the commitment to delivering world-class services remains paramount, reflected in healthcare spending that surpasses $1.827 billion, leading among the Gulf Cooperation Council countries.

Foreign investors will find a valuable and competitive business climate in Qatar,

A NEW STUDY ISSUED BY INVESTMENT PROMOTION AGENCY OF QATAR (IPA QATAR) SAID QATAR'S FOCUS ON THE INTEGRATED CARE MODELS AND PROMOTION OF HEALTH AND PREVENTION AGAINST DISEASES IS AN INDICATIVE OF PROJECTIONS FOR A LONGTERM GROWTH FOR HEALTHCARE SECTOR IN THE COUNTRY.

backed by a stable and resilient economy, pro-business regulations and a vibrant knowledge ecosystem. The country’s strategic investments in healthcare institutions, skilled talent, and world-class tech infrastructure pave the way for remarkable growth and innovation in the healthcare sector.

The Investment Promotion Agency Qatar’s (Invest Qatar) 2022 report underscores the remarkable growth in foreign direct investment within the country. It also highlights the creation of new projects and jobs in the local labor market as a result of these investments. Additionally, the report positions Qatar at the forefront among countries attracting foreign direct investment, both regionally and globally.

The report revealed that the State of Qatar achieved a surge in foreign direct investment (FDI), as it attracted USD 29.78 billion in 2022.

Due to the country's strong and stable economic growth and attractive investment prospects, 135 new FDI projects were recorded, creating 13,972 new jobs in 2022. This represents almost 25 times the value of FDI projects from the year before and a doubling of jobs created compared to 2021.

UAE: The Growth of the Pharmaceutical Industry

Over time, through meticulous planning and concerted efforts, the UAE has evolved into a dynamic testing ground for cuttingedge innovations and intelligent solutions within the healthcare sector, with a particular focus on pharmaceuticals. This progression bolsters the country's leadership position and competitiveness in both healthcare and pharmaceutical fields, establishing it as a hub for advanced technologies, smart applications, and the integration of artificial intelligence. Moreover, it has emerged as a regional and international launch pad for pharmaceutical companies seeking to introduce their products in the Middle East.

Official statistics indicate that over 90% of international pharmaceutical companies

now have regional headquarters and scientific offices based in the UAE. Additionally, more than 50% of these companies cater to a region spanning across Africa and Eastern Europe.

Currently, there are around 95 scientific offices representing these international companies in the UAE. They offer logistics support from the UAE to serve 41 countries in various aspects such as medicines, medical supplies, training, and programs. The pharmaceutical market is undergoing substantial growth, with projections indicating it will reach $4.7 billion by 2025.

AstraZeneca unveils new sustainable offices at TECOM Group's Dubai Science Park as part of drive to net zero healthcare.

The offices are part of a raft of measures by AstraZeneca to accelerate the transition to sustainable healthcare in the UAE and will contribute to AstraZeneca’s drive to cut emissions and be science-based net zero by 2045 at the latest.

Increased foreign investment in Dubaibased high-tech companies will benefit Dubai’s healthcare sector. Healthcare expenditure in Dubai is expected to boom over the coming years, with spend on medicines forecast to rise at 8% CAGR. Meanwhile, ongoing investment in pharmaceutical production alongside the medical device industry is predicted to see both markets grow at a rate of 8.2% CAGR and 4.4% CAGR through to 2025. Both sectors are key priorities of the 2030 Dubai Industrial Strategy, which aims to elevate the emirate as a global platform for knowledge-based, sustainable and innovation-focused businesses.

In Abu Dhabi, the Department of Health endeavors to build a healthcare system that consistently delivers high-quality services, catering to the needs of community members. This goal is pursued by strategically supporting investments in the emirate's healthcare sector. The Department focuses its efforts on bolstering the healthcare sector, aiming to create an open market for investment in various health facilities including centers, clinics, pharmacies, dentistry, and other privately paid beauty services not covered by insurance.

OFFICIAL STATISTICS INDICATE THAT OVER 90% OF INTERNATIONAL PHARMACEUTICAL COMPANIES NOW HAVE REGIONAL HEADQUARTERS AND SCIENTIFIC OFFICES BASED IN THE UAE. ADDITIONALLY, MORE THAN 50% OF THESE COMPANIES CATER TO A REGION SPANNING ACROSS AFRICA AND EASTERN EUROPE.

Al Fahim Manufacturing: Setting the Standard in Microbiology Culture Media Production

Al Fahim Manufacturing, located in Dubai, UAE, is certified by the Dubai municipality and adheres to ISO 13485 and GMP standards. Our state-of-the-art facility specializes in producing Ready-to-Use Microbiology Culture Media. Utilizing fully automated production lines within our validated ISO 7/Class 10,000 Cleanroom, all products undergo rigorous quality testing based on CLSI M22 A3 and ISO 11133 Guidelines.

Al Fahim Manufacturing stands as one of the most esteemed manufacturers in the UAE, offering a comprehensive selection of ready-touse microbiological culture media. Our products cater to various industries, including Clinical, Food & Dairy, Pharmaceutical, and Veterinary labs, both in the United Arab Emirates and the wider GCC region.

Al Fahim Manufacturing adheres to stringent protocols to oversee every aspect of the manufacturing process. We maintain meticulous in-process control and uphold rigorous standards of quality assurance, validation, and calibration. Additionally, we operate a fully equipped on-site microbiological and water testing quality control laboratory, ensuring compliance with current international guidelines.

Al Fahim Manufacturing boasts a dedicated Class 10,000 clean room measuring 15 meters by 9 meters, exclusively for petri dish filling. Our facility features a state-of-the-art filling machine capable of processing 2,000 plates per hour, complemented by fully automated packaging and labeling equipment.

A cleanroom is a specialized zone within a laboratory or manufacturing facility engineered for the meticulous preparation and packaging of culture media under controlled and sterile conditions. This dedicated space can accommodate a filling machine capable of processing up to 4,000 plates per hour, seamlessly integrated with existing fully automated packaging and labeling machinery.

At Al Fahim Manufacturing, we utilize a heat-

sealable coating on both sides of cellophane, enhancing stiffness in chilled conditions while controlling moisture permeability. Presently, our production capacity stands at 20,000 agar media plates, with plans to increase it to 60,000 plates per day upon the incorporation of additional media preparators and filling machines.

Our petri dish filling machines are specialized for 55mm, 90mm, and 140mm sizes, achieving speeds of up to 2,000 dishes per hour for 90mm and 55mm types, and 800 plates per hour for 140mm plates. Production rates are determined based on a three-minute drying time.

The petri dish filling machines are equipped with standard modules that include: an enclosed HEPA drying environment, additional HEPA filtration at the receiving end, an open lid drying system to eliminate excess moisture and reduce condensation during transport and storage, adjustable dry time for customizable drying durations, two cavities for simultaneous pouring, an additive pump for online mixing of fresh sheep blood during pouring, and meniscus generation for achieving an even surface. Overall, these automatic filling machines offer enhanced efficiency, accuracy, and consistency compared to manual filling methods, making them the preferred choice for large-scale production of culture media plates.

In addition to its current setup, Al Fahim Manufacturing's clean room has extra space available to accommodate additional filling machines, capable of processing 4,000 plates per hour. These machines can seamlessly integrate with the existing packaging system and label print station.

It also features a dedicated Class 10,000 area for tube filling, bottle filling, and inkjet printing. Additionally, there are personal entry and media preparation rooms classified as Class 100,000, serving as airlock areas. Inkjet printing of plates occurs online, where the final product is automatically printed. Additionally, a separate inkjet printer is exclusively dedicated to tubes and bottles. A shrink-wrapping machine is kept

AL FAHIM MANUFACTURING STANDS AS ONE OF THE MOST ESTEEMED MANUFACTURERS IN THE UAE, OFFERING A COMPREHENSIVE SELECTION OF READY-TO-USE MICROBIOLOGICAL CULTURE MEDIA. OUR PRODUCTS CATER TO VARIOUS INDUSTRIES, INCLUDING CLINICAL, FOOD & DAIRY, PHARMACEUTICAL, AND VETERINARY LABS, BOTH IN THE UNITED ARAB EMIRATES AND THE WIDER GCC REGION

on standby for use during maintenance of the automated packaging machine. Additionally, it can be utilized for packaging very low volume agar media.

Al Fahim Manufacturing features walk-in cold rooms maintained at temperatures ranging from 2°C to 8°C for storing finished products, along with dedicated space for raw materials and other consumables. Additionally, there is a refrigerator set at 2°C to 8°C, equipped with a backup battery, for storing growth and antibiotic supplements.

The water plant features a reverse osmosis (RO) system capable of producing 5000 liters in 24 hours. The RO membrane has a shelf life of 2-3 years and is supplemented with in-line UV treatment, in-line filtration (0.2um), and additional vent filters. The deionization cylinder

MEDICAL INSTITUTIONS

is equipped with standard (strong) mixed bed resin, eliminating the need for regeneration with alkali or acid. The mixed bed resin is replaced once a year. The media preparators represent cutting-edge systems equipped with fully automated control panels. Available in both 30 L and 50 L capacities, these automatic media preparators can handle volumes ranging from 2.5 Liters to 30 Liters and 5 Liters to 50 Liters, respectively. Featuring a patented large stirring system, these preparators ensure thorough mixing of the media throughout the entire cycle. The stirrer speed is adjusted according to the type of media being prepared. The stirrer is engineered to eliminate any bubble formation. The 30 L model can produce a maximum of 1,500 plates per cycle, while the 50 L model can yield up to 2,500 plates in a single cycle. With

PRESENTLY, OUR PRODUCTION CAPACITY STANDS AT 20,000 AGAR MEDIA PLATES, WITH PLANS TO INCREASE IT TO 60,000 PLATES PER DAY UPON THE INCORPORATION OF ADDITIONAL MEDIA PREPARATORS AND FILLING MACHINES

the option to repeat the cycle 2 or 3 times per day, achieving the target production quantity is feasible. Safety features include a lid that locks automatically when the temperature reaches 80°C. Utilizing various locking mechanisms, along with visible and audible alarms, and housed in an anti-shock casing, the risk is significantly minimized compared to traditional mechanical media preparation methods. Complete traceability and easy data export via a USB interface streamline work processes and optimize workflow. Cleaning is effortless, facilitated by a drain mechanism located underneath the bowl. Real-time data monitoring is enabled through Wi-Fi and Ethernet connections to your PC, smartphone, or tablet. Each cycle is meticulously recorded and stored locally, with the option to export data (in PDF or CSV format) via the USB drive. Approximately 45% of agar media produced by Al Fahim Manufacturing necessitates defibrinated sheep blood. To meet this requirement, we collaborate with a meticulously managed sheep farm under veterinary supervision in Scotland. Specially designed collection bags and custom-made instruments are employed to extract sheep blood. Prior to pooling for batch production, blood from each individual animal undergoes thorough testing. Every donor animal is tagged for identification and traceability purposes. Rigorous microbiological quality control procedures are conducted before approving each batch of sheep blood for use in production.

A specialized breed of sheep with high packed cell volume is exclusively maintained for this purpose. The shelf life of defibrinated sheep blood is 56 days, and orders are rotated every 20 days to ensure an adequate stock for agar plate media production at Al Fahim Manufacturing. Dehydrated culture media, growth supplements, and antibiotic supplements are sourced from Oxoid, Ltd, UK, a prominent supplier of raw materials. To maintain sufficient stock levels, inventory rotation occurs every 4 months at our Dubai warehouse. Oxoid products undergo rigorous testing before release, and Al Fahim Manufacturing adheres to established ISO/GMP protocols by routinely testing incoming raw materials.

Al Fahim Manufacturing operates a fully equipped Quality Control Laboratory to conduct thorough testing on each batch. Our laboratory features essential instruments such as deep freezers for storing ATCC cultures, bacteriological and CO2 incubators, a Biosafety cabinet, pH, TDS, and conductivity meters, laboratory refrigerators, microscopes, and more. Quality control certificates are provided with every batch delivered to ensure product integrity. Al Fahim Manufacturing transports the final product to customers in refrigerated trucks maintained at temperatures of 2°C to 8°C. Our deliveries extend to customers in the UAE, neighboring GCC countries, and to certain international destinations via air freight. Dubai International Airport serves as a central hub in the Middle East, facilitating efficient transportation. Our commitment to innovation extends beyond production, with essential instruments and stringent testing protocols in place, we deliver nothing short of excellence. We are proud to be at the forefront of microbiology culture media production in the UAE and beyond.

AL FAHIM MANUFACTURING FEATURES WALKIN COLD ROOMS MAINTAINED AT TEMPERATURES RANGING FROM 2°C TO 8°C FOR STORING FINISHED PRODUCTS, ALONG WITH DEDICATED SPACE FOR RAW MATERIALS AND OTHER CONSUMABLES. ADDITIONALLY, THERE IS A REFRIGERATOR SET AT 2°C TO 8°C, EQUIPPED WITH A BACKUP BATTERY, FOR STORING GROWTH AND ANTIBIOTIC SUPPLEMENTS.

Factory address: AL Fahim Manufacturing LLC, 597-4217 Dubai Investment Park 2. Opposite to Gulf Rice Factory. Dubai, UAE Tel: +971 4 3483277 Mobile / WhatsApp: +971 50 539 9422 Email: info@alfahimhealth.com Website: www.alfahimhealth.com

The Role of Nurses In Our Society Today

Dr. Veronica Freeman, Senior Manager, Clinical Consulting, Oracle Health

Nurses play an essential role in today’s society — they’re advocates for health promotion, educators of patient safety and wellness, participants in to acknowledge of how the nursing profession has evolved, and how nurses have advanced their careers to decipher the role to be far more than it had been at inception. The work of nurses to consistently influence nursing concepts not only includes caring for the sick and the public, but being advocates for wellbeing and impacting positive patient outcomes.

Many regard Florence Nightingale as the founder of modern nursing as she laid a foundation of strong nursing principles like the importance of patient observation, rejecting stagnant industry practices, and implementing patient-first care practices. Her gritty determination and passion are characteristics that many midwives and nurses identify with today, especially with the demands faced due to COVID-19 and other health challenges seen in communities. As nurses, we provide evidence-based care, which advocates for public policy and framework for conducting

THE WORK OF NURSES TO CONSISTENTLY INFLUENCE NURSING CONCEPTS INCLUDES BEING ADVOCATES FOR WELLBEING AND IMPACTING POSITIVE PATIENT OUTCOMES.

research, which Nightingale influenced by her earlier work. Nurses also provide consistent and underserved attention to the patients and providing a patient-centered design, which fosters hospital environment wellbeing, safety, and health. Moreover, we work together as a team to validate outcomes of the results with data and give easy interpretation to improve the basic needs of our patients that we care for in both inpatient and outpatient venues of care. Lastly, nurses advocate for reforms that affect society and its health, so it is safe to say that Nightingale’s work truly inspires nurses to promote health in the Middle East, which is just one of the many impacts we bring to the nursing profession.

It would be remiss of me during this holy time of Ramadan to ignore the contributions of the first Muslim nurse, Rufaidah Al-Asalmiya, who lived during the time of the Prophet Muhammad (peace be upon him) in the eighth century and, like Nightingale, set up a training school for nurses, developed the first code of conduct and ethics, and was a promoter of community health. This influence is seen today by nurses in the Middle East as primary care providers promoting patient advocacy for patients by ensuring that they respect their rights and help them make informed decisions. It is the nurse’s role of providing continuity of care and establishing an intense intimacy with the patient that builds trust and creates a safe environment for healing to take place. Patient advocacy is an ideal that is currently supported by many international nursing codes of practice. For the role to be accepted, Nightingale dispelled higher authorities about women being powerless and she also cooperated with other healthcare team members in which they incorporated this skill in modern nursing today.

The definition and roles of nurses are now sophisticated and can only be explained through experience, observation, and people’s perceptions. Today, nurses are hailed as the true heroes of healthcare, often placing their own comforts after the needs of patients they care for day in and day out. In the past, women dominated

nursing because society and the public widely accepted their role but through the ever-evolving profession, men have made their presence known and the value they bring to the care for patients. They ensure that male patients feel represented and their needs addressed by individuals that look like them.

Currently, nurses play a huge role in the Middle East because they advocate for health promotion, patients and the public, along with supporting current COVID-19 patient needs. Florence Nightingale is the heroine for establishing and building nursing institutes that have paved the way for nurses in the Middle East and internationally, all in an effort to encourage more women to pursue nursing careers.

This Nurses Week, we salute Rufaidah Al-Asalmiya and Florence Nightingale for their contribution to nursing roles for all patients and their families. Today, nurses emulate both Rufaidah and Nightingale by advocating for patients and caring for them with compassion and determination. Take a moment to recognize and appreciate the nurses you know for the many sacrifices they make in caring for all patients. They will tell you “I’m only doing my job,” but we all know it is more than that. They pour into patients’ lives by showing empathy and a commitment to impacting the lives of patients and families. From one nurse to another, thank each and every one of you for all that you do – happy Nurses Week!

AS NURSES, WE PROVIDE EVIDENCEBASED CARE, WHICH ADVOCATES FOR PUBLIC POLICY AND FRAMEWORK FOR CONDUCTING RESEARCH, WHICH NIGHTINGALE INFLUENCED BY HER EARLIER WORK. NURSES ALSO PROVIDE CONSISTENT AND UNDERSERVED ATTENTION TO THE PATIENTS AND PROVIDING A PATIENT-CENTERED DESIGN, WHICH FOSTERS HOSPITAL ENVIRONMENT WELLBEING, SAFETY, AND HEALTH.

Oracle Protects Healthcare Customers Against Cyberattacks

Keeping healthcare organizations sage with the Autonomous Shield Initiative

In the nearly two years since the Cerner acquisition, Oracle has invested tens of thousands of engineering hours and millions of dollars to enhance its core clinical applications and improve cybersecurity for its customers in the healthcare industry. As part of this investment, Oracle has helped more than 1,000 Oracle Health EHR customers dramatically strengthen their defenses against cybercrime by supporting their migration to Oracle Cloud Infrastructure (OCI). Customers that migrated to OCI also reported performance gains of 20 to 60%. Today, Oracle is expanding its commitment to creating a safer and more secure healthcare ecosystem by launching the Autonomous Shield initiative to simplify and accelerate Oracle Health EHR migrations to OCI at no additional cost.

Cloud computing delivers consistent innovation, so customers have the latest product features and the most up-to-date security capabilities. OCI automatically applies fixes to address a constantly changing cyber-terror landscape.

This enables healthcare organizations to rely on Oracle’s real-time threat detection and monitoring, autonomous systems, and team of experts to help keep their networks safe.

In turn, healthcare organizations can focus on what they do best—making people healthier. The constant innovation made possible with cloud computing, also enables customers to benefit from breakthrough AI technologies that can make their jobs easier and enhance patient experiences, such as the Oracle Clinical Digital Assistant.

“Recent events in healthcare have exploited vulnerabilities facing health systems around the world. Now more than ever, it’s important for health systems to choose companies like Oracle that make security simple—easy to use, deploy, and operate,” said Kemal Erkan, Chief Executive Officer and President, United Medical. “Our transition to Oracle Cloud Infrastructure has been seamless and gives us more confidence in the performance and security of our technology.”

MORE THAN 1,000 ORACLE HEALTH EHR CUSTOMERS ALREADY BENEFITTING FROM ORACLE CLOUD INFRASTRUCTURE’S ADVANCED AUTOMATION AND SECURITY.

According to a report from the U.S. Department of Health and Human Services (HHS), the healthcare industry has seen a 239% increase in large breaches involving hacking and a 278% increase in ransomware reported in the past four years. Even in the face of this growing threat, healthcare providers only spend about 8% of their IT budgets on security, well below the cross-industry average.

“Cyberattacks represent an imminent and existential threat to healthcare worldwide,” said Seema Verma, Executive Vice President and General Manager of Oracle Health and Life Sciences. “Our top priority is helping to keep our customers and their patients safe from the debilitating impacts of cyber-terrorism. With our clinical applications running on OCI, we provide our customers—big and small—with the same military-grade security that is used to protect the most sensitive data at some of the largest and most sophisticated businesses, national defense agencies, and governments around the world.”

The Oracle Autonomous Shield Initiative simplifies Oracle Health EHR customer migrations to OCI with a clear and proven methodology that includes:

• Built-in security best practices

• Solution architecture development

• Application migration

• Access to a team of experts

• Go-live support

Building on Oracle’s legacy of protecting the world’s most important data

OCI can better equip customers to prevent, detect, and respond to security concerns because it is:

Automated and effective: Oracle is the only healthcare technology provider that uses autonomous databases and operating systems to automatically patch and protect against the latest vulnerabilities. This helps eliminate cybersecurity’s biggest weakness—human error and delay.

Secure from the ground up: Starting from the physical infrastructure, OCI isolates itself and customers from one another to reduce av-

enues of attack. Oracle is unique in offering not only choice in cloud location, but also a staffing and governance model to address compliance requirements.

Secure by default: OCI provides always-on data encryption and on-by-default multi-factor authentication, activity auditing, and DDoS protection, so patient data, business transactions, and sensitive information can be protected. Our data encryption solutions incorporate industry-leading 256-bit AES encryption for data at rest and in transit.

Built to deliver more control and greater protection: Oracle makes it easier for healthcare organizations to control access to their systems, enforcing least privilege access by default. OCI also helps customers pinpoint potential vulnerabilities and makes timely remediation recommendations to help ensure that essential healthcare systems stay up and running.

“The Oracle Autonomous Database completely automates provisioning, management, tuning, and upgrade processes of database instances without any downtime,” said Alexei Balaganski, Lead Analyst, KuppingerCole Analysts. “For healthcare organizations this substantially increases security and compliance of sensitive data and makes a compelling argument for moving this data to the Oracle Cloud.”

Protecting patients and the health networks from cybercrime

The recent attack on Change Healthcare was a wake-up call that more needs to be done to protect the industry from increasingly savvy cybercriminals. Although Oracle systems were not involved, Oracle security experts were able to support companies impacted by the attack.

Oracle diverted the traffic of several large health networks that used Change Healthcare as a payment gateway to other gateways in a matter of days. Since Oracle rerouted their traffic, these networks have avoided payment disruptions on more than $3 billion in claims.

LAUNCHES AUTONOMOUS SHIELD INITIATIVE TO HELP CUSTOMERS MIGRATE TO A COMPREHENSIVE EHR AND CLOUD INFRASTRUCTURE SOLUTION THAT REDUCES RISK AND INCREASES SYSTEM PERFORMANCE.

Dual Energy - Patented NewTom Technology

TTHE NEXT LEVEL CBCT

he result of a continuous quest for patient well-being and ever-greater diagnostic precision, Dual Energy uses two different radiant energies to identify any pathologies with greater clarity and precision.

NewTom CBCT imaging now draws on fresh energy

As of today, NewTom 7G incorporates the Dual Energy (DE) system, elevating performance to new heights and revolutionizing the way your practice operates.

Dual Energy tomography employs two distinct radiant energies to acquire two sets of images of the same anatomical area.

Since tissues have different sensitivities to different energy levels, the obtained images can now provide information on the chemical composition of the tissues themselves.

This means pathologies can be detected with greater confidence and precision.

New functions

Virtual Monochromatic Images

Dual Energy technology mitigates beam-hardening artifacts. What’s more, being able to reconstruct monochromatic virtual images at different keVs improves soft tissue imaging quality and reduces metal artifacts. Lastly, Dual Energy CBCT provides a basis for tissue characterization.

Colour-coded images

NewTom Dual Energy software ables users to perform semi-automatic tissue segmentation and apply colour codes, streamlining the differentiation of materials within the scanned area. This allows rapid and straightforward detection of potential pathologies.

Blended images

The new features enable weighted blending of highand low-energy imaging. The resulting images combine the low noise, typical of high-energy acquisition, with the high contrast resolution of the low-energy image set.

Patent Pending

NewTom CBCT imaging now draws on fresh energy.

As of today NewTom 7G incorporates the Dual Energy (DE) system, elevating performance to new heights and revolutionising the way your practice operates.

Dual Energy tomography employs two distinct radiant energies to acquire two sets of images of the same anatomical area. Since tissues have different sensitivities to different energy levels, the obtained images can now provide information on the chemical composition of the tissues themselves. This means pathologies can be detected with greater confidence and precision.

DUAL ENERGY: NEXT-LEVEL MEDICAL IMAGING

At the forefront of diagnostic imaging, Dual Energy Cone-Beam CT acquisition is set to broaden the medical application horizons of CBCT technology. NewTom Dual Energy CBCT provides unique clinical information that lets you highlight, characterise, quantify and distinguish tissues within the scanned zones. This means you can obtain much more information on the chemical composition of the materials in the area under investigation.

IMPROVED PRECISION

Quantitative tests have demonstrated that Dual Energy protocols improve - compared to single-energy CBCT exams - HU accuracy, contrast resolution and image homogeneity.

FEWER METAL ARTIFACTS

Metal artifacts are a common issue in tomography and can significantly impact image quality and, consequently, diagnostic accuracy. Dual Energy CBCT lets you reconstruct a monochromatic virtual image by selecting the most suitable energy level (keV), ensuring unrivalled image quality even where implants, prostheses and/or osteosynthesis systems are present.

IMPROVED TISSUE CONTRAST

CBCT Dual Energy lets you differentiate between separate tissue types by harnessing their energy absorption properties. Hence its outstanding effectiveness in obtaining higher-quality imaging of the cortical bone, the trabecular bone and significantly better soft tissue images.

FEWER MOTION ARTIFACTS

One of the main causes of image quality decay is the appearance of artifacts caused by patient movement, including involuntary actions such as breathing or trembling. NewTom has developed an algorithm that corrects any movementinduced distortions. It does this on each axis, offsetting any shifts, rotations or variations in distance from the panel. The result is uncompromising quality.

LOW ENERGY, HIGH ENERGY... AND EVERYTHING IN BETWEEN

Reconstruction of the information from the low and high energies is instantaneous. The special DE software developed by NewTom allows real-time selection of energy levels during display. This means you can access a vast spectrum of information, making pathology detection more effective and reliable.

Robotic Mitral Valve Surgery Helps Patient Get Back to Active Lifestyle Quickly

Dan Moceri knew for years that he had a mitral valve prolapse — a heart valve disease that causes blood to leak backward into the left upper chamber of the heart. But when his wife was diagnosed with an aggressive brain tumor, he put his own health issues on the back burner for five years to care for her. After she passed away in late 2022, Moceri went back to his cardiologist, who told him that the prolapse had progressed. More blood was regurgitating back into the chamber, and he was beginning to feel the effects of his condition.

At 69 years old, Moceri had kept in shape through biking and hiking, but now just walking

up the stairs left him out of breath. “I recognized it was time to get something done,” he said. When his cardiologist suggested surgery to fix the valve, Moceri — who had learned to research medical literature while caring for his wife — found he had two options: the traditional, open-chest surgery offered by most hospitals in the area, or the minimally invasive robotic surgery offered by the University of Chicago Medicine. “I have an engineering background,” said Dan Moceri, who is the co-founder of a security integration firm. “The more I dug into the robotic surgery, the more I realized there was no reason not to do it. And the experience was incredible.”

FOR MORE THAN 10 YEARS, UCHICAGO MEDICINE HAS OFFERED PATIENTS ROBOTIC CARDIAC SURGERY OPTIONS, AND SURGEONS HAVE SUCCESSFULLY PERFORMED MORE THAN 1,600 ROBOTIC HEART PROCEDURES.

Dr. Husam Balkhy performing a robotic cardiac surgery

Robotic surgery is less invasive with quicker recovery for patients

For more than 10 years, UChicago Medicine has offered patients robotic cardiac surgery options, and surgeons have successfully performed more than 1,600 robotic heart procedures. Husam Balkhy, MD, is a pioneer in the field. As Director Of Minimally Invasive And Robotic Cardiac Surgery at UChicago Medicine, he has used the robotic da Vinci Surgical System since 2006. While traditional heart surgery involves cutting through the breastbone and opening the rib cage to access the heart, robotic surgery involves inserting robotic instruments through four or five dimesize incisions. These instruments include robotic arms, a camera, and a port for delivering the needles and sutures needed to make the repair. The surgeon then uses a console to operate the robotic arms for the procedure.

“It allows the surgeon to have a highly magnified, high-definition view of the organs inside the chest and gives them the ability to use not two human arms but three robotic arms that can exceed the capabilities of a human hand,” Balkhy said. For a mitral valve prolapse, the surgery involves either sewing damaged flaps or inserting artificial cords to help strengthen the valve’s shape and function. “With degenerative mitral valve disease, the best thing to do is repair the valve rather than replace it,” Balkhy said.

The procedure only takes a few hours, and patients enjoy a faster recovery time with minimal need for pain management. Because the incisions are so small, patients also face less risk for infection. While patients who have traditional open-chest surgery typically stay in the hospital for five days after the procedure, Balkhy’s patients often go home the next day or two.

“It’s significantly less invasive and allows people to get back to their lives very quickly,” Balkhy said.

The number of hospitals around the country offering this sort of robotic cardiac surgery is slowly increasing, he estimates only about 15% of mitral valve surgeries are done with robotic assistance. With his expertise, Balkhy and the ro-

botic surgery team at UChicago Medicine draw patients from around the country. More than half of his patients come from outside Illinois.

Getting back to an active lifestyle

After Moceri did his research on the da Vinci system, he met with Balkhy and scheduled the surgery for August 2023. The procedure went as planned, and Moceri left the hospital just one day later. At home, he found he only needed a few Tylenol to manage pain during his recovery.

“I was like a new person,” he said. “Five days after the surgery, I was doing 20 miles on my bike. Three weeks later, I hiked in the mountains of the Pacific Northwest. It was incredible how much energy it gave me and how much better I felt.” Moceri recommends the robotic surgery to anyone who is a candidate. “It makes all the sense in the world,” he said. “People need to research and understand what’s available to them and become advocates for themselves. If you dig into it, you see that there’s no reason not to do the robotic surgery.”

After the surgery, Moceri was also able to quickly get back to work, which requires him to travel around the world.

“In my business, I’m always focused on service, and I can’t say enough about the quality of service I received from University of Chicago,” he said. “Everyone was phenomenal — the doctors, the nurses, the aides. I would go back there in a heartbeat.”

Husam Balkhy, MD Professor of Surgery Director, Robotic and Minimally Invasive Cardiac Surgery

Husam H. Balkhy, MD, is a pioneer in the field of minimally invasive and robotic cardiac surgery. He specializes in the treatment of coronary artery disease, heart valve disorders, atrial fibrillation, and other cardiac diseases, using robotic and less invasive techniques in order to reduce pain, disability, and recovery time.

Dan Moceri

Clemenceau Medical Center, Beirut-Lebanon

Personalized and Integrated Care Supporting Patients at Every Stage

Clemenceau Medical Center, BeirutLebanon, in affiliation with Johns Hopkins Medicine International, is positioned as a cutting-edge medical institution centrally located in Beirut, serving as a beacon of quality healthcare for patients across Lebanon and the Middle East. CMC's visionary mission is to enhance the quality of life and fortify healthcare standards within the local and regional community.

CMC has just acquired an upgrade for its Radiation Oncology department. This enhancement will ensure that CMC maintains its position at the forefront of state-of-theart radiation delivery in Lebanon and the Middle East. The upgrade features a Brainlab ExacTrac Dynamic system and a Varian

PerfectPitch 6 degrees of freedom couch, enabling submillimetric patient positioning and monitoring accuracy.

With this latest advancement, CMC continues to exemplify its commitment to providing cutting-edge medical services. This new technology enhances the precision and accuracy of radiation therapy, further elevating the standard of care for cancer patients.

As the first medical center in the Middle East, with a Radiation Oncology Department certified by the Novalis certificate, CMC remains dedicated to upholding the highest quality and safety standards in radiotherapy and surgery treatments. The integration of the Brainlab ExacTrac Dynamic system and Varian PerfectPitch couch underscores CMC's ongoing efforts to stay at the forefront of technological

CMC HAS JUST ACQUIRED AN UPGRADE FOR ITS RADIATION ONCOLOGY DEPARTMENT. THIS ENHANCEMENT WILL ENSURE THAT CMC MAINTAINS ITS POSITION AT THE FOREFRONT OF STATE-OF-THE-ART RADIATION DELIVERY IN LEBANON AND THE MIDDLE EAST.

innovation, ensuring optimal outcomes for patients undergoing radiation therapy.

This state-of-the-art upgrade facilitates submillimetric precision in patient positioning and monitoring, setting a new benchmark for radiation oncology in the region. As CMC continues to advance its capabilities, it reaffirms its commitment to providing comprehensive and advanced care to individuals facing cancer and other related conditions.

Clemenceau Medical Center's Cancer Center not only boasts the highest technology but also offers a comprehensive range of services to ensure the best possible care for patients:

Comprehensive Diagnostic and Interventional Radiology Department:

• Ultrasound

• CT with 83% less radiation

• 3Tesla Silent MRI

• PET/CT

• Ductogram

• Digital Mammography with 3D Tomosynthesis

• Interventional Radiology

Laboratory & Pathology Support:

Ensuring accurate and timely diagnostic services.

Surgical Oncology:

Utilizing minimally invasive da Vinci robotic surgical systems for advanced and precise procedures.

Medical Oncology:

Providing comprehensive medical oncology services tailored to individual patient needs.

Radiation Therapy:

Offering state-of-the-art radiation therapy for targeted and effective cancer treatment.

Supportive Services:

Including Pain Management and Palliative Care to enhance patient comfort and quality of life.

Continuous Education and Research:

Affiliated with Johns Hopkins Medicine

International, ensuring ongoing education and research initiatives.

Internal Pharmacy:

Providing access to the latest and most effective drugs for comprehensive patient care. This integrated and multidisciplinary approach at CMC Cancer Center emphasizes not only cutting-edge technology but also a commitment to patient-centered care, education, and research, ensuring the highest standards of excellence in cancer treatment and support. To ensure Caring, Safety, and Excellence, a multidisciplinary team, including Organ Specialists (medical/surgical), medical oncologists, radiation therapists, rehabilitation therapists, and psychologists, will be available throughout the entire journey of the patients. This collaborative approach emphasizes a comprehensive and holistic care strategy, addressing medical, emotional, and rehabilitative aspects to enhance the well-being of individuals undergoing treatment. The continuous presence of this diverse team underscores CMC’s commitment to providing personalized and integrated care, supporting patients at every stage of their medical experience.

AS THE FIRST MEDICAL CENTER IN THE MIDDLE EAST, WITH A RADIATION ONCOLOGY DEPARTMENT CERTIFIED BY THE NOVALIS CERTIFICATE, CMC REMAINS DEDICATED TO UPHOLDING THE HIGHEST QUALITY AND SAFETY STANDARDS IN RADIOTHERAPY AND SURGERY TREATMENTS.

Dr. Ibrahim Melki

American Board-Certified Plastic Surgeon

"Mia FemtechTM - A Revolutionary Technique in Minimally Invasive Breast Harmonization"

Mia Femtech™ represents a groundbreaking innovation in breast enhancement, designed to achieve balance and harmony among all body components. This provides women with comfort and self-confidence around their appearance.

Dr. Ibrahim Melki, an American board-certified Plastic Surgeon spoke to “Hospitals” magazine about the Mia Femtech™ technology, the newest approach to breast harmonization aimed at offering natural-looking results without the exaggeration often seen with traditional methods. He noted that this technology has introduced a new option for women seeking a harmonious figure without the need for conventional surgery. It is the newest in breast enhancement.

Tell us about yourself? Your specialty? Your philosophy as a surgeon?

I have over 22 years of experience in plastic surgery, performing procedures for the face, body, and breasts. My philosophy is focused on achieving natural and harmonious results that enhance the patient's body. Today, there is a growing preference among women for a natural appearance, achieved through cosmetic procedures that highlight their beauty and boost self-confidence without leaving obvious signs of intervention. Our goal is to balance all body parts, rather than concentrating on enhancing a single feature.

The culture of plastic surgery has notably evolved over the past decades. There is a clear trend towards more natural cosmetic procedures, particularly in breast augmentation. Many women now seek to enhance their appearance in a way that is proportionate with their bodies, avoiding overdone enhancements.

How do you stay abreast of emerging

techniques and technologies in cosmetic and reconstructive surgery?

As a member of the American Board of Plastic Surgery, I am committed to continuously developing my skills. This involves participating in training courses periodically, which is crucial for maintaining the highest level of patient care. I take part in workshops offering practical training on new cosmetic surgery techniques and attend conferences and seminars that discuss the latest developments and innovations in the field. This continuous learning is essential for staying at the forefront of the industry.

What technological advancements have significantly impacted the field of plastic surgery in recent years?

Recent years have brought tremendous technological advancements in cosmetic surgery, leading to major improvements in procedure outcomes and safety. The field is now safer and more effective, allowing patients to expect better results with minimal pain and

I HAVE OVER 22 YEARS OF EXPERIENCE IN PLASTIC SURGERY, PERFORMING PROCEDURES FOR THE FACE, BODY, AND BREASTS. MY PHILOSOPHY IS FOCUSED ON ACHIEVING NATURAL AND HARMONIOUS RESULTS THAT ENHANCE THE PATIENT'S BODY.

less noticeable scarring. In cosmetic medicine, staying updated with new skills directly benefits patients by improving outcomes and ensuring greater safety, effectiveness, and satisfaction.

Plastic surgery techniques are rapidly evolving, and keeping pace with these developments is essential. Advances in surgical techniques are continually improving the precision and effectiveness of procedures while minimizing risks and complications. Discovering new techniques and materials has also significantly enhanced our practice.

What are some of the latest trends and innovations in breast health that plastic surgeons should be aware of, particularly with the introduction of Mia Femtech™?

The field of breast surgery is witnessing significant advancements, with a variety of techniques available for breast enlargement, lifting, or reduction.

Mia Femtech™, a highly advanced method for breast harmonization and enhancement, stands out with unique properties that make it an ideal choice for many women. This technique has introduced a new philosophy focused on restoring harmony with the entire body, including shoulders and waist, leading to a natural and attractive look.

The emphasis with Mia® technology is on achieving natural sizes that complement a woman's body, steering clear of unrealistic beauty standards.

The goal is to restore body symmetry, not to create exaggerated enlargement. This philosophy empowers women to feel comfortable and confident in their appearance.

Mia Femtech™ is designed to naturally shape the breasts, offering an ideal solution for women who prefer minimal changes. It is especially suitable for those who use compensatory clothing like specialized bras and gel pads, or for those who seek a subtle enhancement rather than significant breast enlargement.

The advancement of this modern procedure in breast aesthetics came through Medica Group, a leader in the aesthetic sector, who provided us with a comprehensive introduction

to this procedure. After recognizing its importance, I underwent specialized training in Belgium provided by Medica. When conducting the first few procedures, we were assisted by an award-winning expert in plastic surgery who flew to the Middle East to join us and support our initial experience.

Explain what Mia® is, its benefits, what makes it so special in terms of technology and technique, what it means to the consumers.

Mia® offers several benefits that make it the preferred choice, providing advanced solutions for breast enhancement while focusing on natural, effective results, reducing risks, and speeding up recovery. The main benefits are:

• Small, invisible incision made under the armpit.

• Local anesthesia with sedation, eliminating the risks associated with general anesthesia.

• Advanced diamond-shaped implant without hard edges, which contributes to more natural-looking results. This implant is particularly compatible with the body, made from materials that gradually integrate without the risk of fibrosis or hardening in the breast.

• Preserves the natural shape of the breast by using specialized methods to insert the implant without cutting into any breast tissue.

• These aspects collectively enhance the overall safety and effectiveness of the breast shaping process, providing a comfortable and satisfactory experience for our consumers.

How do you approach the delicate balance between achieving aesthetic goals and maintaining natural-looking results for your consumers? Who are the ideal candidates for the Mia® technique?

Mia® is ideal for women who prefer a subtle, natural enhancement rather than exaggerated breast enlargement. Suitable candidates are those without breast sagging

PLASTIC SURGERY TECHNIQUES ARE RAPIDLY EVOLVING, AND KEEPING PACE WITH THESE DEVELOPMENTS IS ESSENTIAL. ADVANCES IN SURGICAL TECHNIQUES ARE CONTINUALLY IMPROVING THE PRECISION AND EFFECTIVENESS OF PROCEDURES WHILE MINIMIZING RISKS AND COMPLICATIONS. DISCOVERING NEW TECHNIQUES AND MATERIALS HAS ALSO SIGNIFICANTLY ENHANCED OUR PRACTICE

and who possess adequate fat density in the breasts. This ensures they can enjoy a comfortable and low-risk procedure while achieving natural-looking results.

It is crucial to choose the right candidate for this technique as it significantly affects the outcome. A thorough evaluation process is necessary to understand a woman's needs and goals and determine if this technique is suitable for her. This experience includes comprehensive service that supports the woman before, during, and after the procedure to ensure a smooth and satisfying experience.

What alternative options does this innovative technique offer compared to traditional surgery?

Fortunately, this technique provides an option for women who wish to enhance their appearance naturally and harmoniously but have concerns about traditional surgery, such as exposure to general anesthesia, long recovery periods, and lasting scars. This technique meets the aspirations of many women and introduces a new trend in plastic surgery clinics where it is exclusively available in the Middle East.

How can a balance between aesthetic goals and natural results be achieved?

As a plastic surgeon, I recognize the importance of striking a precise balance

between meeting a patient's aesthetic desires and maintaining a natural appearance. This involves a holistic approach that prioritizes understanding a woman's expectations through detailed discussions to grasp her goals for the procedure. I then assess the overall appearance, body, and skin characteristics to determine the best approach.

Attention to detail during surgery is key to ensure natural-looking results that are harmonious with the patient's body. I use the latest surgical techniques to achieve precise and effective results with minimal scarring and quick recovery.

Providing post-surgery advice and regular follow-ups is also essential to ensure complete healing and maintain long-term results.

In your opinion, what is the secret to achieving satisfying and long-lasting results?

Each woman should be treated as a unique case deserving a personalized approach based on her needs and expectations. Therefore, I take the time to understand each woman individually, starting with a consultation that discusses every detail. I measure the size of the woman's breasts, determine the appropriate size of the implant, and carefully explain the available options and the most suitable techniques for her expectations.

SUITABLE CANDIDATES ARE THOSE WITHOUT BREAST SAGGING AND WHO POSSESS ADEQUATE FAT DENSITY IN THE BREASTS. THIS ENSURES THEY CAN ENJOY A COMFORTABLE AND LOW-RISK PROCEDURE WHILE ACHIEVING NATURAL-LOOKING RESULTS.

Trusted Hands, Safer Outcomes At ACIBADEM

The Assurance of Aesthetic Expertise

One of the most important values that determines our position in business and social life is our appearance. Having a life-oriented behavior and a presentable body brings us a step forward. Thanks to the solutions offered by today's medical technology, body shaping has become both easy and comfortable.

Ahmet Küçükçelebi, an Associate Professor of Aesthetic, Plastic and Reconstructive Surgery, joined Acıbadem Health Group in Turkiye in 2012. Trained internationally, including in the United States, he is a member of prestigious organizations such as the American Society of Aesthetic and Plastic Surgery. He specializes in diverse aesthetic surgical procedures, including rhinoplasty, breast surgery, augmentation and reduction surgery, blepharoplasty, abdominoplasty and liposuction. Assoc. Prof. Küçükçelebi provides information about these aesthetic procedures, which he most frequently performs.

Breast Plastic Surgeries: Augmentation – Lift – Reduction

Breast augmentation involves enhancing breast size and shape through implants, typically requiring a recovery period of one to two days. Breast lift, or mastopexy, is geared towards lifting and reshaping sagging breasts,

with a similar recovery duration of three to five days. Breast reduction, aiming to reduce breast size and improve shape, entails a slightly longer recovery, typically a few days more than augmentation mastoplasty. In all procedures, patients may experience drains and wear a special garment during initial recovery, with drains usually removed within two days. While these surgeries carry inherent risks, such as minor issues like hematoma or seroma formation, and more serious complications like tissue loss or sensory losses, these occur infrequently and are usually treatable.

Rhinoplasty: Nose Job

Rhinoplasty is a surgical procedure designed to change the size, shape, or functionality of the nose. Evolving beyond aesthetic changes, modern rhinoplasty considers both visual and functional aspects, addressing nasal bone and cartilage to achieve desired results. Recovery involves temporary swelling and bruising, with final results taking months to appear. Consultation with an experienced plastic surgeon is critical for individuals considering

ACIBADEM HEALTH GROUP IS A HEALTHCARE INSTITUTION THAT PROVIDES HIGHLEVEL SERVICES IN PLASTIC SURGERY OPERATIONS WITH ITS EXPERIENCED AND EXPERT STAFF. ACIBADEM OFFERS SAFE AND EFFECTIVE SOLUTIONS TO ITS PATIENTS BY USING THE LATEST EQUIPMENT AND TECHNIQUES IN LIPOSUCTION, ABDOMINOPLASTY, AND OTHER AESTHETIC SURGERY PROCEDURES

BREAST AUGMENTATION INVOLVES ENHANCING BREAST SIZE AND SHAPE THROUGH IMPLANTS, TYPICALLY REQUIRING A RECOVERY PERIOD OF ONE TO TWO DAYS. BREAST LIFT, OR MASTOPEXY, IS GEARED TOWARDS LIFTING AND RESHAPING SAGGING BREASTS, WITH A SIMILAR RECOVERY DURATION OF THREE TO FIVE DAYS. BREAST REDUCTION, AIMING TO REDUCE BREAST SIZE AND IMPROVE SHAPE, ENTAILS A SLIGHTLY LONGER RECOVERY, TYPICALLY A FEW DAYS MORE THAN AUGMENTATION MASTOPLASTY

for six weeks to reduce swelling. Early mobility is encouraged, although some initial discomfort may occur. Recovery involves resuming activities after one week, with heavy exercise delayed for four to six weeks. Maintaining a healthy lifestyle is essential for lasting benefits. Following these guidelines and consulting with an experienced plastic surgeon will ensure a safe and successful outcome.

Liposuction

Liposuction is a cosmetic procedure used to remove excess fat and improve body contours. The primary goal is to remove unwanted fat from under the skin using a variety of techniques, including traditional, laser, vaser, and power-assisted liposuction. The choice of technique depends on the patient's preferences and the intended use of the extracted fat. Successful liposuction depends on the skill of the surgeon, who prioritizes the patient's health by limiting fat removal to a safe range, typically around 45 liters or no more than 10% of body weight. Recovery is generally easy, allowing a return to daily activities within days. Surgeon skill is critical to a safe and satisfactory outcome.

Your Choice for Body Shaping Is Acıbadem

Acıbadem Health Group is a healthcare institution that provides high-level services in plastic surgery operations with its experienced and expert staff. Acıbadem offers safe and effective solutions to its patients by using the latest equipment and techniques in liposuction, abdominoplasty, and other aesthetic surgery procedures. Acıbadem provides special solutions for the needs of patients with its expert medical staff and prioritizes the comfort of its patients by providing effective follow-up and support in the postoperative period. With its respected position in the field of healthcare and quality service approach, Acıbadem is a reliable address for your aesthetic surgery preferences.

Frequently Asked Questions

1. Are breast plastic surgeries painful procedures?

No, they are typically associated with

minimal pain, and discomfort is manageable with medications.

2. How long does it take to see the final results of rhinoplasty?

The final results of rhinoplasty become noticeable after several months as temporary swelling and bruising subside.

3. How long do facelift results last?

Facelift results are permanent; however, the aging process continues, ensuring a lasting, refreshed appearance beyond one's actual age.

4. Is abdominoplasty a permanent solution for a firmer abdomen?

Yes, abdominoplasty provides a permanent solution by addressing excess abdominal skin and fat, tightening muscles for a lasting, firmer result.

5. How often should liposuction be done? The frequency of liposuction depends on individual goals and needs, but it is generally a one-time procedure for each targeted area.

ACIBADEM PROVIDES SPECIAL SOLUTIONS FOR THE NEEDS OF PATIENTS WITH ITS EXPERT MEDICAL STAFF AND PRIORITIZES THE COMFORT OF ITS PATIENTS BY PROVIDING EFFECTIVE FOLLOWUP AND SUPPORT IN THE POSTOPERATIVE PERIOD. WITH ITS RESPECTED POSITION IN THE FIELD OF HEALTHCARE AND QUALITY SERVICE APPROACH.

Benign Breast Tumors: Can they become cancerous?

Benign breast tumors are non-cancerous growths in the breast tissue that are not usually life-threatening. However, it is important for women to be aware of this condition and see a doctor if they notice any breast changes.

Histological diagnosis remains the gold standard procedure to diagnose benign breast tumors, ensuring accurate identification of these masses and distinguishing them from malignant growths. Biopsy is recommended as the preferred diagnostic method for different types of benign tumors.

Although benign breast tumors are usually not serious, it is important to consult a doctor as soon as you see or feel anything out of the ordinary in the breast.

Among the symptoms or changes that a woman may feel are:

• The appearance of a breast lump: This is the most common symptom, and the lump may vary in size, shape and texture.

• Breast pain: The pain may be general or can occur when the breast is touched, and may get worse before menstruation.

• Nipple discharge: Clear, yellowish, brown, or even bloody discharge from the nipple can occur.

• Changes in the breast shape or size: A woman may notice a change in the size or shape of one or both breasts.

• Peeling, scaling, crusting or flaking of the skin on the breast: In some cases, the woman notices peeling, dark color or redness in the breast skin.

• Skin dimpling: The breast skin may appear shrunken or sunken.

The doctor needs to make an accurate diagnosis to rule out any other possibilities. The steps followed in diagnosing benign tumors include:

Clinical Breast Examination

A clinical breast exam (CBE) is a physical exam of the breasts in order to detect a lump in your breast. The doctor also checks the armpit area to make sure there are no swollen lymph nodes.

Imaging examinations

• Ultrasound: A breast ultrasound can show whether a breast lump is a fluidfilled breast cyst (usually not cancerous) or a solid mass (which could be cancer and may need further testing).

• Mammography: Mammograms are X-ray images of your breasts designed to detect cancers and other changes in breast tissue.

• MRI: In some cases, your doctor may recommend a breast MRI if the diagnosis isn't clear using ultrasound or mammography.

Breast Biopsy

Sometimes, your doctor may need to take a sample of breast tissue for a microscopic examination to confirm the diagnosis. There are different types of biopsies, and the doctor may choose the most appropriate type based on the condition.

Types of Benign Breast Tumors

Fibroadenoma: It is the most common type of benign tumors, and most often affects women of reproductive age. It is a unilateral, benign (non-cancerous) breast tumor that is a solid, not fluid-filled, lump and usually occurs in women between the ages of 20 and 35 years. The lump may feel larger or smaller during the menstrual cycle and is usually painless.

Fibrocystic breast changes: Fibrocystic breast changes are common and benign changes within the breast characterized by a dense irregular and bumpy consistency in the breast tissue. They are more common before menopause and are not a cause for concern.

Papillomas: They are benign

HISTOLOGICAL DIAGNOSIS REMAINS THE GOLD STANDARD PROCEDURE TO DIAGNOSE BENIGN BREAST TUMORS, ENSURING ACCURATE IDENTIFICATION OF THESE MASSES AND DISTINGUISHING THEM FROM MALIGNANT GROWTHS. BIOPSY IS RECOMMENDED AS THE PREFERRED DIAGNOSTIC METHOD FOR DIFFERENT TYPES OF BENIGN TUMORS.

(noncancerous) tumors that form in your breast's milk ducts. Often, they're asymptomatic. But sometimes, they cause clear or bloody discharge from your nipple.

Lipomas: A lipoma is a lump of fatty tissue that grows just under the skin. Lipomas move easily when you touch them and feel rubbery, not hard. It does not cause changes in the breast skin and rarely causes nipple discharge.

Do they turn into cancer?

In some rare cases, benign breast tumors can turn into cancer. However, this is very rare. All women should do routine check-ups and follow-ups with their doctor and have regular breast exams (mammograms, ultrasounds etc.) according to the approved medical recommendations. If the doctor notices any suspicious changes in the benign tumor or breast, they may decide to perform further tests to rule out any cancerous transformation.

When the benign breast tumor grows quickly in an unusual way, it may be a cause of concern. Also, any change in its shape or size may indicate the presence of cancer.

If a benign tumor causes severe or persistent pain, it may be an indication of a more serious problem. Sometimes the texture may change and it can suddenly become harder, or for example, the skin color may change and can become red with swelling or ulcers. All of these changes require an immediate visit to the doctor to be properly evaluated and to obtain appropriate medical guidance. However, there are some risk factors that can increase the possibility of a benign breast tumor turning into cancer. Nevertheless, these factors do not necessarily mean that a benign tumor will turn into cancer, but rather require further monitoring and regular follow-ups by a specialist doctor.

Risk factors include:

Family history of cancer: Having a family history of breast cancer increases the risk of cancer transformation.

Personal history of cancer: Having a previous history of breast cancer increases the risk of benign tumors turning into cancer.

Age: As we age, benign tumors are more

prone to becoming cancerous. For instance, women over the age of 50 have a higher risk.

History of radiation exposure: Past radiation exposure to the breast area, such as radiation treatment for another cancer, increases the risk of cancer transformation.

The presence of suspicious changes: If there are suspicious changes in a benign tumor, such as rapid growth or changes in shape or texture, this may increase the possibility of it turning into cancer.

In such cases, doctors assess the risk factors and the patient's medical history to identify potential risks and make appropriate treatment decisions.

Suggested Treatments

Usually, benign breast tumors do not pose a serious health risk and do not require immediate treatment. Rather, the doctor simply monitors them closely to notice any possible changes that may occur. However, in some cases, these tumors can cause disturbing symptoms or cause anxiety for the woman, and in these cases some treatment measures may be taken. Modern treatments for benign breast tumors include:

3D Mammography: It is a modern technology that helps improve the detection of benign breast tumors and provides clearer images for their evaluation.

Breast Ultrasound: Aims to analyze the structure of breast tumors and determine their nature. They can be used to help precisely guide a needle to a suspicious area or in other surgical procedures if needed.

Lumpectomy: When benign breast tumors cause irritating symptoms or need to be removed for aesthetic purposes, lumpectomy can be performed to remove the tumor without removing the entire breast.

Educating women and aising awareness: The path towards enhancing health awareness and self-care

Education and awareness help women understand the importance of early detection of breast cancer. When a woman learns about

EDUCATION ENHANCES AWARENESS OF BREAST CANCER PREVENTION METHODS AND THE IMPORTANCE OF BREAST SELF-CARE. WOMEN CAN LEARN ABOUT THE FACTORS THAT CONTRIBUTE TO AN INCREASED RISK OF BREAST CANCER AND TAKE PREVENTIVE MEASURES SUCH AS MAINTAINING A HEALTHY DIET, EXERCISING AND AVOIDING SMOKING AND BAD HABITS THAT CAN BE HARMFUL TO HER HEALTH. BREAST SELF-CARE IS PROMOTED THROUGH REGULAR BREAST SELF-EXAMS AND GOING TO YOUR DOCTOR FOR AN ANNUAL CHECK-UP.

the signs and symptoms of cancer and knows how to do a breast self-examination and when to see a doctor, she can act quickly if she detects any suspicious breast change. Early detection and treatment can lead to better treatment outcomes, as the disease may be in its initial stages, making it more responsive to treatment. Early detection and treatment can also prevent the disease from progressing, reducing the risk of complications and improving long-term health.

Promoting prevention and self-care contributes to enhancing awareness of breast cancer prevention methods and the importance of breast self-care. Women can learn about the factors that contribute to an increased risk of breast cancer and take preventive measures such as maintaining a healthy diet, exercising, and avoiding smoking and alcohol. Breast selfcare is enhanced through regular breast selfexams and going to your doctor for an annual checkup. Education can also help women deal with the psychological and emotional challenges associated with breast cancer. By understanding information about cancer, available treatments and support, women can feel confident and reassured and make the right decisions to care for their health.

In general, educating and raising women’s awareness about breast tumors and the importance of regular check-ups help in promoting health awareness, early diagnosis, self-care, and rapid response to any suspected changes. Educating and raising women’s awareness about breast tumors and the importance of regular check-ups is of utmost

importance for several reasons:

Early detection of breast cancer: Education and awareness help women understand the importance of early detection of breast cancer. When a woman learns about the signs and symptoms of cancer and knows how to perform breast self-exams and when to see a doctor, she can act quickly if she detects any suspicious breast change. Early detection increases the chances of successful treatment and reduces disease complications.

Reducing anxiety and stress: Education helps women understand that benign breast tumors are common and are often harmless. When a woman is aware of the common symptoms of benign tumors and knows that many of them are not related to cancer, she may experience less anxiety and stress.

Promoting prevention and self-care: Education enhances awareness of breast cancer prevention methods and the importance of breast self-care. Women can learn about the factors that contribute to an increased risk of breast cancer and take preventive measures such as maintaining a healthy diet, exercising and avoiding smoking and bad habits that can be harmful to her health. Breast self-care is promoted through regular breast self-exams and going to your doctor for an annual check-up.

Promoting mental health: Education can help women deal with the psychological and emotional challenges associated with breast cancer. By understanding information about cancer, available treatments and support, women can feel confident and reassured and make the right decisions to care for their health.

EARLY DETECTION AND TREATMENT CAN LEAD TO BETTER TREATMENT OUTCOMES, AS THE DISEASE MAY BE IN ITS INITIAL STAGES, MAKING IT MORE RESPONSIVE TO TREATMENT. EARLY DETECTION AND TREATMENT CAN ALSO PREVENT THE DISEASE FROM PROGRESSING, REDUCING THE RISK OF COMPLICATIONS AND IMPROVING LONG-TERM HEALTH

Los Angeles, California

Cedars-Sinai Medical Center

What is the core mission and vision of your hospital, and how do these principles guide its day-to-day operations and future planning?.

Cedars-Sinai is fully focused on providing quality outcomes and the best patient experience. We offer the excellence of an academic medical center coupled with the agility of an independent institution. We are fortunate to be in Los Angeles, one of the world’s most diverse cities and a beautiful environment for health and wellness. We have been an integral part of our community for 120 years so our relationships and resources are substantial. Our talent is incredible. We are one of only three hospitals that are consistently above the national average in quality of outcomes for several key medical conditions. In 2023-24, we are proud to be on U.S. News & World Report’s “Best Hospitals” Honor Roll for the eighth consecutive year and six of our specialties are ranked among the top five in the U.S.

What measures or initiatives are in place to ensure the continuous improvement of

Dr. Heitham Hassoun

Chief Executive, International Cedars-Sinai

"Cedars-Sinai is fully focused on providing quality outcomes and the best patient experience."

In this exclusive interview with Heitham Hassoun, MD, Chief Executive, International at Cedars-Sinai, "Hospitals" Magazine explores the foundational principles guiding one of the world's leading medical institutions. Dr. Hassoun shares insights on Cedars-Sinai's commitment to quality outcomes, patient experience, and continuous improvement. From the hospital's global outreach in the Middle East to strategic collaborations and the pursuit of excellence, this interview provides a compelling look into the visionary leadership shaping healthcare on a global scale.

healthcare quality and patient outcomes?

Cedars-Sinai takes a data-driven, evidencebased approach to continuously improving quality, safety and patient experience. We are an active member of the American Association of Medical Colleges (AAMC) Council of Teaching Hospitals and Health Systems (COTH), which represents 400 leading teaching hospitals and health systems in the U.S. Membership in COTH is recognized throughout the world as a standard for excellence in patient care, research and medical education. The U.S. government’s Centers for Medicare and Medicaid Services (CMS) collects data on 30-day mortality rates for Medicare patients who receive care for five health conditions: heart attack, heart failure, pneumonia, chronic obstructive pulmonary disease (COPD) and stroke. Since CMS began tracking this data, the mortality rates for CedarsSinai patients have remained among the lowest in the U.S. These outcomes are a direct reflection of our clinical excellence.

Could you elaborate on the specific objectives or goals your hospital aims to

OUR STRATEGIC COLLABORATIONS HAVE ALREADY LED TO NEW STATE-OFTHE-ART FACILITIES LIKE THE VIEW HOSPITAL IN QATAR, AN AFFILIATION BETWEEN CEDARS-SINAI AND ELEGANCIA HEALTHCARE, WHICH IS A SUBSIDIARY OF ESTITHMAR HOLDING.

achieve by establishing a presence in the Middle East?

All of our global outreach efforts strive to bring care closer to the patient, whether through direct care delivery, telehealth consultation, visiting physicians, accreditation support, etc., or indirectly as we partner with private and public healthcare providers to establish the best modern medicine facilities. We are steadfast in achieving those goals in the Middle East and around the world.

What unique challenges or opportunities do you see in providing healthcare services in the Middle East compared to your domestic operations?

We see challenges and opportunities across the entire patient journey, including time zone differences where we are collaborating across night and day, variations in payor systems and regulatory environments and, most importantly, learning, respecting and valuing the differences among cultures and traditions. We envision a unified delivery system where the care you receive in Dubai is the same care that you receive in LA.

What partnerships or collaborations are being pursued in the Middle East to support your hospital's international initiatives?

Cedars-Sinai International’s Global Services team continually explores opportunities to bring top-flight care closer to more people through collaborations with hospitals outside of the U.S. Through a variety of strategies, we offer a full spectrum of advisory and consulting services that help prospective partners achieve their goals as the global healthcare environment evolves. From Mexico to Asia to the Middle East, our experts participate in webinars, conferences and trade shows to share knowledge, ideas and visions for the future.

Additionally, our growing in-country office presence (currently in Mexico City, in Singapore and more countries) provides patients and referring physicians the opportunity to learn more about Cedars-Sinai, gain access to our knowledge through second opinions, and receive care in Los Angeles as the need arises.

Our strategic collaborations have already led to new state-of-the-art facilities like the View Hospital in Qatar, an affiliation between Cedars-Sinai and Elegancia Healthcare, which is a subsidiary of Estithmar Holding. This extraordinary facility ushered in a new era of global collaboration.

Cedars-Sinai has also been one of Abu Dhabi’s preferred providers in the U.S., facilitating a referral system which allows patients from UAE to benefit from CedarsSinai care and supports a wide range of quality improvement projects.

Regarding academic collaboration, we have an agreement with Khalifa University to provide third and fourth medical students access to short-term, hands-on clinical rotations of four to eight weeks in a variety of specialties. In FY 2023, we hosted three fourth-year medical students from Khalifa University for a two-month observership and clinical rotation experience on our main campus in Los Angeles.

With all these endeavors, one thing remains steadfast: our commitment to providing the finest care available and exceeding our patients’ expectations no matter where they are.

Can you highlight a key experience or turning point in your career that shaped how you lead and envision the hospital's international growth?

I’ve learned and grown over the years by stepping outside my comfort zone as an academic surgeon and going out in the field and doing the work, whether on the clinical or administrative side. Early in my career, I spent a year in the UAE as Chief of Surgery at Tawam Hospital and after that, I came back to join the Johns Hopkins international team. Working there and embedding myself in the international department made all the difference. I’ve brought all that experience and so much more to my leadership role at Cedars-Sinai International, where we truly strive to impact the world through the work we do.

We are learning the dynamics of international collaboration and you can’t do that if you only focus on the US and what works here. It takes time and a passion for being out there with your counterparts and their teams.

“THE UAE IS AN IMPORTANT PART OF CEDARSSINAI’S GLOBAL COMMUNITY BOTH FROM A PATIENT PERSPECTIVE AND THE HEALTHCARE PROVIDERS WHO ARE CHAMPIONING WORLD CLASS HEALTHCARE IN ABU DHABI. THE TEAM AT CEDARSSINAI IS EXCITED TO PARTICIPATE AT THE INAUGURAL ABU DHABI GLOBAL HEALTHCARE WEEK TO ENGAGE IN THIS VERY ACTIVE AND IMPORTANT CONVERSATION AROUND THE LATEST INNOVATIONS IN HEALTHCARE AND THE RESPONSIBLE IMPLEMENTATION OF THESE TECHNOLOGIES TO THE BEST INTEREST OF PATIENTS, WHEREVER THEY ARE. WE LOOK FORWARD TO MEETING YOU IN HALL 5, BOOTH C28”.

Clemenceau Medical Center, Beirut-Lebanon Recognized for Excellence and Innovations in Healthcare

Clemenceau Medical Center (CMC), in affiliation with Johns Hopkins Medicine International, stands as a state-of-theart medical institution at the epicenter of Beirut, providing quality healthcare services to patients in Lebanon and the Middle East. The vision of CMC is to enrich the quality of life and strengthen healthcare within the local and regional community, guided by international ethics and core values such as excellence, commitment, integrity, and collegiality.

This unique private medical center seamlessly combines luxury and technology in a 5-star setting, serving as a hub for continuous medical education, knowledge transfer, and a

healing environment. Equipped with avant-garde medical technologies, CMC ensures its patients benefit from innovative treatments, making it the first of its kind in the surrounding region.

CMC's affiliation with Johns Hopkins Medicine and multiple accreditations by the Joint Commission International (JCI) enables the Center to offer superior healthcare services within a culture of excellence and a commitment to high-quality patient care. The center houses all specialty branches, diagnostic services, and outpatient clinics, featuring a film-less digital medical imaging environment and modern Operating Theaters with advanced laparoscopy and OR automation systems.

CMC has been a pioneer in introducing

SUPERIOR HEALTHCARE SERVICES WITHIN A CULTURE OF EXCELLENCE AND A COMMITMENT TO HIGH-QUALITY PATIENT CARE

robotic surgery and cutting-edge technology in Radiation Oncology in the Middle East. The Center has achieved remarkable success rates in surgical and robotic procedures, particularly in the field of interventional medicine. Currently, under development is the kidney transplant program as experts in the field join the initiative.

The launch of Next Generation Sequencing (NGS) stands as a groundbreaking addition to CMC's advanced healthcare services. NGS, a technology dedicated to genetic material sequencing, distinguishes itself through precision and rapid analysis of DNA. It offers results within 14 days, eliminating the need for overseas processing that traditionally takes over 45 days. The introduction of this technology at CMC aims to enhance disease diagnosis, improve the prediction of genetic risks, and tailor treatment plans, especially for conditions like cancer. This technology assists in formulating personalized treatment plans for patients, reinforcing CMC’s commitment to delivering effective and individualized care.

Moreover, Clemenceau Medical Center is recognized for its state-of-the-art automated laboratory system, integrating cutting-edge technologies to ensure precision, quality, and reliable results across all tests. In a recent development, the implementation of the RLDatix system has been launched, marking a new frontier in patient safety management and risk administration. This system is a cuttingedge platform dedicated to elevating patient safety through advanced incident reporting, risk management, and quality improvement modules.

The Center continuously invests in updating medical equipment and adopting the latest medical technologies, effectively contributing to improving the quality of healthcare services provided. Recently, all radiological diagnostic devices and equipment have been updated to provide accurate and effective diagnoses for patients, utilizing artificial intelligence techniques and advanced software not available in any other medical center in Lebanon and the region. Now, proudly announcing its 6th consecutive JCI accreditation, Clemenceau Medical Center celebrates this noteworthy achievement. It serves as a testament to CMC's dedication to quality healthcare and its ongoing commitment to delivering exceptional services. The Center's adherence to International Patient Safety Goals and standards since its first accreditation underscores its continuous commitment to patient safety.

In summary, Clemenceau Medical Center's 6th consecutive JCI accreditation reflects its dedication to excellence, patient safety, and meeting global healthcare standards. CMC's ongoing innovation, partnerships with respected institutions, and international recognition establish it as a leader in providing high-quality healthcare services worldwide.

AS THE FIRST MEDICAL CENTER IN THE MIDDLE EAST, WITH A RADIATION ONCOLOGY DEPARTMENT CERTIFIED BY THE NOVALIS CERTIFICATE, CMC REMAINS DEDICATED TO UPHOLDING THE HIGHEST QUALITY AND SAFETY STANDARDS IN RADIOTHERAPY AND SURGERY TREATMENTS.

The global health landscape is currently facing one of its most formidable challenges: OBESITY

Recent findings by the World Health Organization, in collaboration with a consortium of international researchers, have cast a spotlight on the alarming reality that over one billion individuals worldwide are afflicted by obesity. This condition, notorious for its role in precipitating a myriad of serious diseases, is on an upward trajectory. Particularly distressing is the inclusion of children and teenagers in these statistics, signaling a deepening crisis within lower and middle-income nations. The pervasive nature of obesity across the globe underscores the urgency of addressing this epidemic. Obesity is not merely a significant health challenge; it is a complex, multi-faceted global health dilemma that has reached pandemic proportions. Characterized by an excessive accumulation of body fat, obesity escalates the risk of a host of chronic diseases, thereby imposing a significant burden on both individual health and community healthcare systems. Among these are cardiovascular diseases, type 2 diabetes, hypertension, and certain forms of cancer, making obesity a central risk factor that cannot be ignored.

The etiology of obesity is intricate, involving a confluence: Genetic Factors: The discovery of numerous genes linked to an increased risk of obesity underscores the complexity of this condition. These genes influence critical bodily functions like metabolism, digestion, appetite, and satiety regulation, as well as fat storage. Genetics play a pivotal role in shaping an individual's unique physiological traits, including their response to diet and exercise, fat distribution, and metabolic rate. However, the genetic predisposition to obesity is often modulated by environmental and lifestyle factors, highlighting the dynamic interplay between our genetic makeup and our surroundings.

Environmental Factors: The environment is a significant contributor to the obesity epidemic. Factors such as limited access to nutritious food, a prevalence of fast food and processed foods high in calories, saturated fats, and sugars, and lack of opportunities for physical activity create a conducive environment for obesity. Modern technological advancements have also contributed to a more sedentary lifestyle, further exacerbating the issue.

Behavioral Habits: The dietary and lifestyle choices individuals make play a crucial role in the obesity equation. The consumption of fast food and calorie-dense, nutrient-poor foods is a primary driver of obesity. These foods, often lacking in essential nutrients like fiber, vitamins, and minerals, contribute to excessive calorie intake and weight gain. Additionally, a sedentary lifestyle marked by inadequate physical activity diminishes calorie expenditure, further contributing to obesity. Moreover, disrupted sleep patterns can adversely affect hormones that regulate appetite and metabolism, leading to increased hunger and a propensity for highcalorie foods.

Obesity's complications extend far beyond increased body weight, posing significant risks for various health conditions:

Cardiovascular Diseases: Obesity is a critical risk factor for a range of cardiovascular issues, including heart failure, coronary artery disease, and other related conditions. The excess body fat, particularly visceral fat, is linked with heightened cardiovascular morbidity and mortality. Research has demonstrated that obesity can directly impair heart muscle function, with its impact on the heart encompassing a broad spectrum of functional, structural, and hemodynamic alterations that foster the development of cardiovascular anomalies.

Type 2 Diabetes: The intricate relationship between obesity and type 2 diabetes is welldocumented, with obesity recognized as a major risk factor for the development of this condition. The excess weight, particularly in the form of visceral fat, heightens the risk of insulin resistance—a state where the body's cells become less responsive to insulin, leading to elevated blood sugar levels and the eventual onset of type 2 diabetes.

In confronting the obesity epidemic, a mixed approach is essential. Treatment strategies vary widely, encompassing lifestyle modifications, comprehensive weight management programs, and, in certain cases, surgical intervention:

Lifestyle Changes: At the core of obesity treatment is the modification of lifestyle factors. This encompasses adopting a balanced diet rich in fruits, vegetables, whole grains, and lean proteins, and minimizing the intake of processed, high-fat, and sugary foods. Equally important is the incorporation of regular physical activity, which aids in calorie expenditure and weight management.

Weight Management Programs: These structured programs offer a holistic approach to weight loss, combining nutritional guidance, physical activity recommendations, and psychological support to address the complex interplay of factors contributing to obesity.

Surgical Intervention: For individuals facing severe obesity and related health complications, surgical options such as bariatric surgery may be considered. This approach requires thorough pre-operative assessment and a commitment to post-operative lifestyle changes to ensure longterm success.

In summary, the fight against obesity demands a concerted effort that addresses the multifaceted nature of this condition. Through a combination of individual commitment, healthcare support, and societal changes, it is possible to stem the tide of this global epidemic and pave the way for healthier future generations.

CHILDHOOD OBESITY Understanding Its Complex Origins and Long-term Health Implications

Childhood obesity is increasingly prevalent across the globe, a trend driven by a complex interplay of lifestyle and environmental shifts that influence dietary habits and physical activity levels, alongside genetic predispositions that impact body weight. Far from being a mere aesthetic concern or a temporary phase that resolves with growth, childhood obesity lays the groundwork for a continuum of health risks extending into adulthood.

The transition from childhood obesity to adult obesity is fraught with heightened risks of chronic conditions traditionally associated with adulthood, such as diabetes, hypertension, high cholesterol, and cardiovascular diseases. Moreover, the psychological repercussions, including diminished self-esteem and potential depression, underscore the profound impact of obesity beyond physical health.

Understanding Childhood Obesity

Body Mass Index (BMI) in Children: Unlike adults, where BMI is a straightforward ratio of weight to height squared, assessing BMI in children is more nuanced. Children's body composition varies significantly as they grow, necessitating age-specific BMI charts for accurate assessment. Pediatricians rely on these charts to track growth patterns and identify potential weight issues.

Growth Charts: These tools are essential for monitoring a child's growth trajectory, comparing their weight and height against standardized benchmarks. Deviations from typical growth patterns, particularly those indicating excessive weight gain, can signal obesity risks.

Identifying Causes

Childhood obesity stems from a variety of sources:

• Dietary Patterns: An inclination towards fast food, sugary drinks, and snacks high in calories but low in nutritional value is a

THE TRANSITION FROM CHILDHOOD OBESITY TO ADULT OBESITY IS FRAUGHT WITH HEIGHTENED RISKS OF CHRONIC CONDITIONS TRADITIONALLY ASSOCIATED WITH ADULTHOOD, SUCH AS DIABETES, HYPERTENSION, HIGH CHOLESTEROL, AND CARDIOVASCULAR DISEASES. MOREOVER, THE PSYCHOLOGICAL REPERCUSSIONS, INCLUDING DIMINISHED SELF-ESTEEM AND POTENTIAL DEPRESSION, UNDERSCORE THE PROFOUND IMPACT OF OBESITY BEYOND PHYSICAL HEALTH

primary contributor to childhood obesity.

• Physical Inactivity: The digital age has ushered in a sedentary lifestyle, with many children preferring screen time over physical play.

• Genetic and Psychological Factors: Genetic predispositions can render some children more susceptible to weight gain. Psychological stress, family dynamics, and emotional well-being also play significant roles, sometimes leading to overeating as a coping mechanism.

• Secondary Obesity: Certain medical conditions, like endocrine disorders or genetic syndromes, can lead to what's known as secondary obesity, which is directly linked to an underlying health issue.

Health Implications

The consequences of childhood obesity extend into various health domains:

• Metabolic and Cardiovascular Risks: Obesity in childhood sets the stage for type 2 diabetes, hypertension, and lipid anomalies, contributing to early cardiovascular disease.

• Musculoskeletal Discomfort: Excess weight can exert excessive pressure on developing joints and bones, leading to pain and mobility issues.

• Sleep Apnea and Respiratory Problems: Obesity can interfere with normal breathing patterns, particularly during sleep, and exacerbate conditions like asthma.

• Psychosocial Impact: The social and emotional toll of obesity can be significant, leading to challenges in self-esteem, social isolation, and depression.

Treatment Approaches

Addressing childhood obesity requires a multifaceted strategy:

• Medical Evaluation: A thorough health assessment is crucial to identify any contributory medical conditions. This may involve various tests to evaluate metabolic health, endocrine function, and genetic factors.

• Lifestyle Interventions: Dietary guidance focuses on nourishing, balanced food choices, minimizing high-calorie, nutrientpoor foods. Physical activity is equally emphasized, encouraging regular exercise tailored to the child's interests and capabilities.

• Behavioral and Psychological Support: Given the complex interplay between emotional well-being and obesity, psychological support is a cornerstone of effective treatment, aiming to foster

healthy relationships with food and body image.

In essence, tackling childhood obesity demands a holistic approach that encompasses dietary modifications, increased physical activity, medical care, and emotional support, all tailored to the child's unique needs and circumstances. This concerted effort not only addresses immediate health concerns but also lays the foundation for a healthier trajectory into adulthood.

CHILDHOOD OBESITY LAYS THE GROUNDWORK FOR A CONTINUUM OF HEALTH RISKS EXTENDING INTO ADULTHOOD.

28-30 May 2024

Pre - Forum workshop 28 May 2024

Crowne Plaza RDC Hotel, Riyadh, KSA

SCFHS

NETWORK, LEARN, AND DISCUSS

PARTICIPATE IN SESSIONS COVERING CRUCIAL TOPICS LIKE:

• LIFE COURSE IMMUNIZATION

• VACCINES FOR ELDERLY AND DURING PREGNANCY

• VACCINES FOR HAJJ, UMRAH, AND MASS GATHERINGS

• RISK OCCUPATIONS

• DIGITAL SOLUTIONS FOR VACCINATION

Principal Types of Gastric Balloons

Dr. Bakhos Al-Haddad, Associate Consultant General Surgeon at Al-Ahli Hospital/Qatar

As we seek effective strategies for shedding extra pounds and addressing severe obesity, the gastric balloon emerges as a widely discussed option among various advanced techniques. Hence, it becomes crucial to delve deeper into understanding its nuances.

What exactly is a Gastric Balloon?

A gastric balloon offers a temporary medical intervention devoid of surgical procedures. It becomes relevant when the body mass index (BMI) falls between 25 and 40, and conventional methods like dieting and exercising fail to produce significant weight loss outcomes. The process involves the insertion of a silicone balloon filled with saline solution into the stomach, occupying a portion of it. This

reduces the available space for food, leading to diminished food intake and heightened satiety. Patients undergoing this procedure must commit to substantial lifestyle changes, adopt a balanced diet thereafter, engage in regular physical activity, and adhere to followup appointments with their treating physician to ensure optimal results.

Principal Types of Gastric Balloons

Several variations of gastric balloons exist, with the suitable type determined based on the patient's specific condition. Some noteworthy types include:

Orbera Balloon: This prevalent type involves inserting a deflated balloon through the mouth into the stomach using an endoscope. It is then

A GASTRIC BALLOON OFFERS A TEMPORARY MEDICAL INTERVENTION DEVOID OF SURGICAL PROCEDURES. IT BECOMES RELEVANT WHEN THE BODY MASS INDEX FALLS BETWEEN 25 AND 40, AND CONVENTIONAL METHODS LIKE DIETING AND EXERCISING FAIL TO PRODUCE SIGNIFICANT WEIGHT LOSS OUTCOMES

filled with approximately 500 cubic centimeters of sterile saline solution. The balloon remains in place for six months, during which patients adapt to consuming smaller portions of food, aiding in weight loss. Subsequently, the balloon is removed using the endoscope.

Elipse Balloon: Also referred to as the smart capsule, this type stands out as it does not require endoscopy. The balloon is introduced into the stomach by swallowing a smart capsule that opens inside the stomach and fills with saline solution. Its proper positioning is confirmed via X-rays, and after four months, it activates a release valve, emptying its contents through the digestive system.

Spatz Balloon: What distinguishes this type is its adjustability post-insertion into the stomach using an endoscope. Physicians can fill it with 400-800 cubic centimeters of sterile saline solution, based on patient preference and tolerance. For instance, after four months, the physician can increase its size to enhance weight loss efficacy or decrease it if the patient finds it intolerable. The Spatz balloon remains in the stomach for a full year before removal via endoscopy.

Apart from the aforementioned types, various other variations of gastric balloons are implemented at Al-Ahli Hospital in Doha, maintaining the highest standards. This hospital boasts a team of globally experienced consultants, along with state-of-the-art technologies and top-notch services for obesity treatment, including balloons, Botox, as well as surgical procedures like sleeve gastrectomy and gastric bypass, all conducted in fully equipped operating rooms.

Benefits of Gastric Balloons

Gastric balloons facilitate the shedding of excess weight, thereby enhancing patients' quality of life, mental well-being, and selfconfidence, while also improving their physical activity capacity. Moreover, the procedure mitigates the risk of obesity-related diseases such as:

• Cardiovascular ailments

• Strokes

• Hypertension

• Elevated cholesterol levels

• Type 2 diabetes

• Obstructive sleep apnea

• Liver inflammation and conditions like non-alcoholic fatty liver disease.

What Distinguishes Al-Ahli Hospital's Obesity Surgery Departments?

Al-Ahli Hospital in Doha extends a warm welcome to individuals seeking to combat obesity, offering them unparalleled services. With 46.1% of women and 35.9% of men in Qatar grappling with severe obesity, the need for a sophisticated hospital equipped with ample expertise to address such cases becomes evident. The obesity treatment department at Al-Ahli Hospital stands out for several reasons:

• Cutting-edge and fully equipped operating rooms.

• Availability of the latest medical devices and equipment for both surgical and non-surgical obesity treatment.

• A specialized medical team comprising highly competent physicians with global experience.

• Female specialists catering to the needs of female patients seeking enhanced privacy.

• Comprehensive services covering various obesity surgeries, balloons, Botox, and other surgical and nonsurgical treatments, all conducted in fully equipped operating rooms.

Additionally, a specialized nutrition department ensures post-operative and theoretical follow-up, guaranteeing healthy and well-planned weight loss by designing suitable dietary programs tailored to each patient individually.

APART FROM THE AFOREMENTIONED TYPES, VARIOUS OTHER VARIATIONS OF GASTRIC BALLOONS ARE IMPLEMENTED AT AL-AHLI HOSPITAL IN DOHA, MAINTAINING THE HIGHEST STANDARDS. THIS HOSPITAL BOASTS A TEAM OF GLOBALLY EXPERIENCED CONSULTANTS, ALONG WITH STATE-OF-THE-ART TECHNOLOGIES AND TOP-NOTCH SERVICES FOR OBESITY TREATMENT, INCLUDING BALLOONS, BOTOX, AS WELL AS SURGICAL PROCEDURES LIKE SLEEVE GASTRECTOMY AND GASTRIC BYPASS, ALL CONDUCTED IN FULLY EQUIPPED OPERATING ROOMS.

Bariatric Surgeries: Types and Benefits

Dr. Abdul Azim Abdul Wahab Hussain, Senior Consultant Surgeon, Head of General Surgery, Chief of Medical Staff at Al-Ahli Hospital/Qatar

Obesity stands out as a significant public health concern of the modern era, extending its reach across the globe. It transcends mere fluctuations in body weight and shape, posing a serious health threat due to its correlation with various chronic conditions like heart disease, diabetes, hypertension, liver ailments, among others.

When combating severe obesity, initial strategies typically involve dietary adjustments and increased physical activity. However, these methods may prove ineffective for some individuals, leading them to explore alternative solutions such as obesity surgeries. These surgical interventions come in diverse forms, each tailored to the specific needs of the individual based on their condition.

The Advantages of Obesity Surgeries

Obesity surgeries are undertaken with the primary objective of addressing severe obesity, which significantly impacts an individual's health and overall quality of life. These surgeries offer a range of benefits:

• Reduced food intake: Obesity surgeries limit the amount of food intake, resulting in decreased calorie consumption, thus facilitating weight loss and preventing further weight gain.

• Mitigated risk of weight-related health complications: These surgical procedures help restore normal blood pressure and cholesterol levels, thereby reducing the risk of heart disease. They also aid in ameliorating the condition of diabetes patients and forestalling the onset of diabetes in high-risk individuals.

• Enhanced sleep quality: Obesity surgeries effectively alleviate symptoms of sleep apnea, promoting better and safer sleep patterns.

• Regained fitness and improved quality of life: By alleviating pressure on the body's joints and enhancing mobility, these surgeries enable patients to regain physical fitness, thereby enhancing their overall quality of life and boosting self-confidence.

It's important to note that the patient's commitment to post-surgical instructions and their collaboration with medical professionals significantly influence the outcome. Careful selection of the surgical team and facility is paramount, given the specialized expertise required in this field.

At Al-Ahli Hospital in Doha, we take pride in our state-of-the-art facilities and the expertise of our medical staff, ensuring the provision of top-notch surgical and non-surgical obesity treatment services.

Our comprehensive approach, overseen by a team of seasoned experts, encompasses both male and female patients, with female specialists available to cater to the specific needs of female patients, ensuring a personalized and confidential experience.

Key Types of Obesity Surgeries

Al-Ahli Hospital offers a range of obesity surgeries performed by experienced surgeons utilizing cutting-edge techniques. These include:

• Gastric sleeve surgery: Also known as sleeve gastrectomy, this procedure involves reducing the size of the stomach to limit food intake.

• Gastric bypass surgery: This surgery involves creating a small pouch in the stomach and rerouting the digestive tract to reduce calorie absorption.

• Gastric banding: A band is placed around the stomach to restrict its capacity, facilitating weight loss.

In addition to surgical interventions, we also offer non-surgical medical procedures such as advanced gastric balloons and gastric botox to address obesity.

Moreover, our specialized nutrition department provides post-operative monitoring and tailored dietary programs to ensure healthy and sustainable weight loss for each patient.

OUR COMPREHENSIVE APPROACH, OVERSEEN BY A TEAM OF SEASONED EXPERTS, ENCOMPASSES BOTH MALE AND FEMALE PATIENTS, WITH FEMALE SPECIALISTS AVAILABLE TO CATER TO THE SPECIFIC NEEDS OF FEMALE PATIENTS, ENSURING A PERSONALIZED AND CONFIDENTIAL EXPERIENCE.

Post-Gastric Sleeve Diet: Dietary Guidelines and Important Instructions

Afiaa Al Masri, Chief Dietician, Hemya Center Manager at Al-Ahli Hospital/Qatar

It is essential to follow a specific diet after undergoing gastric sleeve surgery to aid in your recovery, adapt to the surgery, promote weight loss, and prevent complications.

Here are the details:

The diet after gastric sleeve surgery begins with reliance on clear liquids only, then gradually transitions to full liquids, followed by pureed foods, and finally solid foods. Initially, you may find yourself feeling full very quickly and may not feel hungry at all, which is entirely normal, as your appetite will gradually, improve over the next few weeks. These guidelines are general, and you should consult your doctor about what suits you best, as they may recommend other advice based on your condition. In general, you can follow a trial-and-error approach to find what works best for you.

Week 1: Clear Liquids

Start with small sips of completely clear liquids, such as water, broth, caffeine-free herbal tea, natural juices (if artificial, then sugarfree), aiming to reach 2 liters of fluids daily, at a rate of 1-2 small cups per hour. Stop when you feel full, and do not drink more than necessary as it may harm you. If you experience pain, discomfort, or vomiting, consume smaller sips and leave longer intervals between them. Avoid sugary, acidic, carbonated, and caffeinated beverages.

Week 2: Full Liquids

You will transition to a full liquid diet, including dairy products (skim milk, yogurt), and thick soups (lentil, mushroom, oat).

During this period, you may experience increased appetite, which is entirely normal, but it is not a reason to consume solid foods, as your body is still unable to handle them.

Weeks 3–4: Pureed Foods

Once your body accepts liquids, you can start consuming pureed, low-fat, sugar-free foods with a consistency similar to yogurt, with 4-6 small meals each day, each containing 2-3 tablespoons, gradually increasing over time. Ensure that you eat slowly, chew well, and divide the food into smaller particles, avoiding any solid pieces or skins, and continue drinking up to 2 liters of fluids daily between meals, not with them.

Options for available foods include:

• Cooked and mashed fish.

• Whipped or boiled eggs.

• Broth.

• Cheese.

• Fruit juices with mashed pieces.

• Pureed fruits such as banana, mango, or avocado.

• Yogurt.

• Pudding, custard, and jelly.

• Avoid meat, chicken, bread, and continue to avoid carbonated drinks and caffeine.

Weeks 5-8: Soft Foods

• You can gradually introduce soft foods such as cooked vegetables, soft fruits, cheese, and lean meats, in addition to foods consumed during the previous period, but without the need for pureeing, making them soft enough to break apart when pressed with a fork or spoon.

• Consume 3-4 small meals throughout the day, with an average of half a cup per meal, in the form of small bites, chew thoroughly before swallowing, and drink up to 2 liters of fluids daily between meals.

After Week 8: Normal Eating

Here are some tips for the eighth week and beyond:

• Consume regular foods as long as they are healthy and nutritious, preferably high in protein, low in fat and fiber, and moderate in carbohydrates.

• Chew food well and slowly, take your time with meals to avoid dumping syndrome due to the rapid entry of large amounts of food into the intestines.

• Drink water, ensuring that liquid intake is between meals rather than alongside them, and choose foods rich in water, such as fruits and vegetables.

• Aim for 60-80 grams of protein daily, from foods, natural beverages, or by adding protein supplement powder to juices, soup, or milk.

In general, if you find it difficult to tolerate the texture of foods at any stage, return to the previous stage for an additional two days, then try again. Monitor vitamin and nutrient levels to avoid deficiencies, and you may need to use some supplements such as iron, calcium, vitamin B12, and vitamin D.

Our experienced nutritionists in Hemya Center at Al-Ahli Hospital design personalized nutrition plans to suit your unique needs after gastric sleeve surgery.

Forbidden Drinks and Foods after Gastric Sleeve Surgery

It is recommended to avoid the following foods and drinks after surgery, possibly even in the long term:

• Sugary beverages: To avoid dumping syndrome, severe nausea, fatigue, diarrhea, vomiting, and to avoid unnecessary calories.

• Caffeine: It may contribute to acid reflux and dehydration.

• Carbonated drinks and soda: May cause gas and bloating.

• Spices: May cause heartburn.

• Fried, spicy, or fatty foods: May cause stomach problems.

• Fast, processed, or hard-to-digest foods: May cause stomach problems.

THE DIET AFTER GASTRIC SLEEVE SURGERY BEGINS WITH RELIANCE ON CLEAR LIQUIDS ONLY, THEN GRADUALLY TRANSITIONS TO FULL LIQUIDS, FOLLOWED BY PUREED FOODS, AND FINALLY SOLID FOODS. INITIALLY, YOU MAY FIND YOURSELF FEELING FULL VERY QUICKLY AND MAY NOT FEEL HUNGRY AT ALL, WHICH IS ENTIRELY NORMAL, AS YOUR APPETITE WILL GRADUALLY, IMPROVE OVER THE NEXT FEW WEEKS.

Liv Hospital The Future of Healthcare

Multidisciplinary approach

The first Liv Hospital opened in 2013 and there are now eight hospitals, including two international facilities.

Altogether, the hospitals span a total area of 2,723,292 square feet, hold 1,316 beds, 64 operating rooms and 103 clinics, all of which feature a futuristic architectural design. The experienced medical staff, the successful implementation of challenging surgical procedures, highly professional patient services, hospitable approach and up-to-date technology make Liv Hospital an excellent option for patients. The hospital also holds accreditations such as “Center of Excellence” and “JCI”, to reflect its international standing.

Adapting to the needs of different cultures

Liv Hospital has welcomed patients from 182 countries, with the majority coming from 35 countries. The international marketing team speaks 25 languages between them, with each member being a citizen of the country they represent. This ensures that Liv Hospital’s guests experience a sense of familiarity, supported by individuals who understand their culture, language and homeland — despite them being far from home.

Taking care of heart health, from newborn to adult

The Heart Health Team is comprised of esteemed academics who specialize in cardiology and cardiac surgery and who all have experience in working with cardiovascular diseases. This means they can determine the most precise treatment options applicable across all age groups — ranging from newborns to adults.

Advanced Prostate Clinic for men’s health

The Advanced Prostate Clinic utilizes cutting-edge technology in various urological areas, particularly focusing on urological conditions. Techniques like multiparametric MRI and fusion

LIV HOSPITAL HAS WELCOMED PATIENTS FROM 182 COUNTRIES, WITH THE MAJORITY COMING FROM 35 COUNTRIES. THE INTERNATIONAL MARKETING TEAM SPEAKS 25 LANGUAGES BETWEEN THEM, WITH EACH MEMBER BEING A CITIZEN OF THE COUNTRY THEY REPRESENT.

biopsy help aid in diagnosing prostate issues, enabling targeted biopsies for accurate staging. Post-diagnosis, PSMA PET/CT is used for staging. In addition to robotic surgery, non-surgical methods such as nano knife, which uses an electric current, HIFU for high-frequency ultrasound energy and resume for benign prostatic growth treatment through water vapor, are employed for reduced pain and potentially quicker recovery.

Lifestyle changing health tech: stem cell laboratory with GMP-standardization

The Regenerative Medicine Stem Cell Production and Application Center at Liv Hospital, established in compliance with GMP standards, is the first of its kind in Türkiye, which is within a hospital setting. Professor Erdal Karaöz, PhD says that successful outcomes have been achieved in procedures involving stem cell treatments for primarily degenerative diseases that affect the central nervous system and the muscular system, as well as for cardiovascular system disorders and certain autoimmune disease models. The results have been published in journals as scientific articles. After achieving a 37% survival rate with stem cell treatment in patients who had tried all other treatment options during the pandemic, the ministry incorporated stem cell therapy into the Covid treatment algorithm. With the growing importance of stem cell-based cellular therapies, there’s even the possibility that in the future, various methods including genetic manipulations could be routinely utilized.

High-level service with

robotic surgery and a hybrid operating room

With its robotic surgical infrastructure, Liv Hospital conducts highly intricate surgeries and also implicates robotic knee and hip prosthesis procedures. Hybrid operating rooms, which integrate traditional surgical approaches with cutting-edge technology, bring a novel dimension to health services, addressing various disease groups and trauma surgeries involving the brain, spinal cord and spine.

International fellows are being trained at Liv Spine Health Center

The Spine Clinic at Liv Hospital, which is a member of the European Spine Organization, has been successful in performing many intricate surgeries such as those that help patients with scoliosis. The clinic also functions as the Aospine Spine Surgery Center, attracting spine surgeons from various parts of the world for training.

Liv Hospital: Winners of Best European Digital Health Innovation Award in 2024

At Liv Hospital, one of the most important steps in helping to digitalize healthcare is Healthverse PanoramicWEB. With this technology, patients can explore spatially rendered environments through 360-degree cameras using VR goggles, mobile phones or computers, from anywhere they wish. Virtual reality, which includes the possibility of face-to-face meetings, can be experienced either by being accompanied by an administrator or independently. Individuals can ask real-time questions and access information and videos placed within Healthverse PanoramicWEB during their independent exploration.

WITH ITS ROBOTIC SURGICAL INFRASTRUCTURE, LIV HOSPITAL CONDUCTS HIGHLY INTRICATE SURGERIES AND ALSO IMPLICATES ROBOTIC KNEE AND HIP PROSTHESIS PROCEDURES.

Can you tell us about your journey and how you came to your current role as EEMEA Vice President at Beckman Coulter, Inc.?

I’m an Electrical and Electronic engineer by training and I earned an MBA degree. I have always been inspired by doctors and healthcare professionals which is why I chose to work in the healthcare industry.

Since starting my career as the first female engineer of Hitachi Medical systems in Turkey, I was fortunate to experience many cultures moving across geographies like Russia, Eastern Europe, Middle East and Africa. I have been blessed with diverse career opportunities that have pushed me to broaden my leadership agility, resilience, and adaptability. Throughout my 25-year career in the healthcare market, from professional to executive roles, I have learned through my success and my challenges

Nurgul Vatansever

EEMEA Vice President at Beckman Coulter, Inc.

"We have a responsibility to ensure the long-term, sustained advancement and availability of clinical diagnostic solutions worldwide."

Hospitals Magazine is excited to feature an exclusive interview with Nurgul Vatansever, EEMEA Vice President at Beckman Coulter, Inc. As a global leader in the field of clinical diagnostics, Beckman Coulter is renowned for its significant contributions to delivering smarter and faster diagnostic solutions. In our conversation with Ms. Vatansever, we delve into the innovative technologies and advancements that Beckman Coulter is pioneering. We also explore the company's collaborative efforts with healthcare professionals and institutions to enhance diagnostic accuracy and improve patient outcomes. Additionally, Ms. Vatansever shares insights into Beckman Coulter’s dedication to global health and its strategic initiatives aimed at expanding access to quality diagnostics worldwide. Join us to discover how Beckman Coulter is driving progress in healthcare through innovation and partnerships.

helping me become a stronger and better version of myself.

In 2021, I joined Beckman Coulter Diagnostics as Vice President for Eastern Europe Middle East and Africa. This role represents a great opportunity to make an impact on healthcare and patients’ lives.

Can you provide an overview of Beckman Coulter's role in diagnostics?

Beckman Coulter is amongst the clinical diagnostic’s global leaders, dedicated to delivering smarter and faster diagnostic solutions. We develop innovative instruments, reagents, and software solutions for clinical laboratories worldwide. We provide a diverse portfolio that includes laboratory automation systems, hematology, immunoassay, clinical chemistry, and microbiology solutions. Beckman Coulter's commitment to innovation and

BECKMAN COULTER IS AGILE, ABLE TO RESPOND TO THE “ALWAYS CHANGING” HEALTHCARE DEMANDS FOR INNOVATIONS THAT IMPROVE ACCURATE AND TIMELY DIAGNOSTIC TESTING.

research meets the evolving needs of the IVD industry, with a focus on improving patient care, timely diagnosis, and advancing research. We invest in cutting-edge technologies and collaborate with healthcare professionals and researchers globally.

How does Beckman Coulter contribute to streamlining laboratory practices?

Beckman Coulter takes pride in offering solutions that streamline laboratory practices, including scalable solutions for laboratories of different sizes. Our total lab automation solutions aim to modernize processes, optimize workflow, and reduce turnaround time, resulting in efficient and consistent results. In the EEMEA region, Beckman Coulter focuses on customer satisfaction by providing comprehensive programs for service, training, and application support. These programs ensure that laboratory personnels are proficient in using Beckman Coulter instruments and software, maximizing their potential and optimizing laboratory performance for improved patient care and outcomes.

Could you highlight some recent innovations or advancements in invitro diagnostics that Beckman Coulter has been involved in?

Beckman Coulter is agile, able to respond to the “always changing” healthcare demands for innovations that improve accurate and timely diagnostic testing.

For example, we have launched a series of scalable solutions, including the DxC 500 AU analyzer that helps simplify the operations and enhance performance within low-volume labs, as well as the DxI 9000 Immunoassay analyzer designed amplify impact and power performance in mid to high volume labs.

What sets Beckman Coulter apart from other companies in diagnostics?

Beckman Coulter is a leader in the diagnostics industry, driven by a mission to relentlessly reimagine healthcare through the power of science, people, and technology. With a rich legacy of innovation dating back to nearly

90 years, we have consistently been at the forefront of advancements in diagnostics. Our comprehensive menu and portfolio of products have revolutionized laboratory practices and patient care while maintaining a strong focus on quality. Beckman Coulter prioritizes customer needs by providing efficient and scalable solutions to meet their demands. We are dedicated to ongoing customer support and service, by helping laboratories optimize product use and achieve the best outcomes. Through our commitment to technology, innovation, and collaboration, Beckman Coulter continues to advance healthcare and maintain our position as a leader in the industry.

How does Beckman Coulter collaborate with healthcare professionals and institutions to address their specific needs?

Beckman Coulter Diagnostics values partnerships at all levels of stakeholders and actively engages with healthcare professionals, channel partners, and institutions. We work closely with these stakeholders to identify unmet needs, develop customized solutions, engage with them through thought leaders’ programs and drive continuous innovation. That helps us anticipate even more sophisticated diagnostic platforms, optimal professional education offerings and greater integration of technologies to further improve patient care.

In what ways does Beckman Coulter prioritize accuracy and reliability in its products and services?

Quality is the single most important function of every Beckman Coulter associate. We focus on accuracy and reliability in our products and services through quality control standards, extensive research and development, a well-trained service and application teams, with a commitment to meeting the optimal industry guidelines.

BECKMAN COULTER DIAGNOSTICS VALUES PARTNERSHIPS AT ALL LEVELS OF STAKEHOLDERS AND ACTIVELY ENGAGES WITH HEALTHCARE PROFESSIONALS, CHANNEL PARTNERS, AND INSTITUTIONS. WE WORK CLOSELY WITH THESE STAKEHOLDERS TO IDENTIFY UNMET NEEDS, DEVELOP CUSTOMIZED SOLUTIONS, ENGAGE WITH THEM THROUGH THOUGHT LEADERS’ PROGRAMS AND DRIVE CONTINUOUS INNOVATION.

How does Beckman Coulter stay ahead of emerging trends and technologies in IVD industry?

Beckman Coulter is proud to be part of Danaher Corporation, a global science and technology leader. The Danaher Business System (DBS), our system of continuous improvement and the culture that makes it work, is how we meet the ever-changing needs of our customers, partners and associates. This way of working fuels the strongest possible advancements — helping us innovate, reduce time to market, shrink lead times and deliver all work through the lens of DBS — constantly learning, iterating and improving ourselves so we can help our customers solve their greatest challenges.

Can you discuss Beckman Coulter's commitment to global health and accessibility to its products and services?

Every hour around the world, more than 1 million clinical samples are analyzed using Beckman Coulter Diagnostics laboratory systems, impacting 1.2 billion patients and more than 3 million clinicians per year. We have a responsibility to ensure the long-term,

sustained advancement and availability of clinical diagnostic solutions worldwide. This commitment involves collaborating with local partners, adapting to regional requirements, and ensuring the effective use of the products.

Looking towards the future, what are Beckman Coulter's goals and aspirations in advancing laboratory testing technologies and improving patient care?

Our mission says it all – Relentlessly Reimagine Healthcare, Once Diagnosis at a Time. Beckman Coulter aims to continue advancing laboratory testing technologies and improving patient care through expanding test menus, driving automation, embracing digital technologies and informatics, and collaborating with healthcare practitioners. This all contributes to pushing the boundaries of innovation and ultimately improving patient care in the future.

WE FOCUS ON ACCURACY AND RELIABILITY IN OUR PRODUCTS AND SERVICES THROUGH QUALITY CONTROL STANDARDS, EXTENSIVE RESEARCH AND DEVELOPMENT, A WELL-TRAINED SERVICE AND APPLICATION TEAMS, WITH A COMMITMENT TO MEETING THE OPTIMAL INDUSTRY GUIDELINES.

Generative Artificial Intelligence for efficient and effective healthcare system - Emirates Health Services, UAE

EDr. Sara Alshaya, Director of Data and Statistics at Emirates Health Services, and Mr. Sooraj Pilankuveedu, Director of Oracle Health, share insights into the Artificial Intelligence initiatives underway at the health system as a result of the strategic collaboration between their Organizations (EHS) MANAGES HEALTH AND WELLNESS IN THE UAE BY DELIVERING WORLD-CLASS HEALTH SERVICES.

mirates Health Services (EHS) manages health and wellness in the UAE by delivering world-class health services. It was established with the aim of enhancing the efficiency of the federal health sector in the country by providing healthcare and treatment services, taking preventive measures, combating epidemics and diseases, and achieving sustainable development of healthcare in the UAE.

There are more than 130 facilities managed by EHS, and the health system serves more than three million patient visits every year. The Data and Statistics Department drives several data-driven transformation and innovation initiatives for EHS. Oracle Health team works hand in hand with EHS to help ensure prompt and accurate data-driven solutions to the requirements of their population.

EHS has been using Oracle Health’s EHR for more than a decade to drive innovations and uses it to pioneer many transformative projects using the latest technology. This includes supporting an AI-driven sustainability program, GenAI pilot, and several machine learning models, all of which are used in supporting our patient satisfaction, creating smarter care, and helping to improve overall health outcomes. UAE was a proven leader in COVID-19 resilience and recovery and our joint innovations to manage the pandemic are the biggest testimony to this relationship.

To keep ourselves abreast of the latest technology in healthcare, we are piloting the use of Generative AI (GenAI) at EHS, to enhance the efficiency of information collection and reporting for faster decision making, smarter data analysis, and to generate enhanced contextual insights from large volumes of complex data. GenAI is a category of artificial intelligence technology that can produce various types of content, including text, imagery, audio, and synthetic data. It is revolutionizing healthcare across all related segments – patient care, facility operations, treatment plans, drug discovery, etc.

The Oracle Digital Assistant powered by GenAI is an intelligent assistant that supports the users to query analytics or statistical questions using voice and text commands for real-time insights. A first of its kind in the region, the pilot uses GenAI & Conversational AI capabilities on the actual statistical and analytics healthcare data to transform the way valuable insights are generated from large volumes of health data. It has multi-lingual support, reduces massive manual data analysis efforts, and provides deep data-driven decision support.

As many organizations may be considering the adoption of AI, we recommend aligning the AI strategy with their business goals and strategic objectives. It is unavoidable and fundamental for organizational success. Organizations should be bold to experiment with the latest technology following data security guidelines, work with passionate partners, and always keep evolving. Finding a strong technology collaborator like Oracle Health is important for the success of big organizations such as EHS. This collaboration

has yielded the GenAI pilot project in addition to numerous healthcare transformation programs introduced in the region. These initiatives support EHS in enabling innovative analytics solution to improve the efficiency and quality of national health services in the UAE.

The digital transformation is a daunting process that can require a great amount of technology management, planning, and implementation. The relationship between EHS and Oracle Health team has made it possible through its strong collaboration and solutions.

The journey of this project started with the enablement of an enterprise data and analytics platform in collaboration with Oracle Health. This EHS Intelligence platform provides capabilities to convert large volumes of data into clean, curated data. This rich data set is utilized to create advanced analytics models utilizing artificial intelligence.

A few of our clinical models help identify high-risk characteristics from the EHS population that predispose them to a risk of poor disease control. To further elaborate on the significance of such capabilities, we have identified the financial impact of such preventive interventions by avoiding high resource consumption visits and events.

Our No-Show AI model can predict the possibility of the appointment becoming a ‘no show’ based on several parameters. We have integrated the outcomes of the model within EHR to provide the information seamlessly to the scheduling team in real time.

Building a new AI model, training the model on clean data, and making data available are three big challenges for any healthcare organization. Consistent efforts to drive AI-based innovation will eventually bear fruit.

EHS, had the desire to pioneer the use of AI and apply the latest technology to provide state-of-the-art care to our patients. With this solution, we’ve benefitted from many learnings as we bring AI into action.

THERE ARE MORE THAN 130 FACILITIES MANAGED BY EHS, AND THE HEALTH SYSTEM SERVES MORE THAN THREE MILLION PATIENT VISITS EVERY YEAR. THE DATA AND STATISTICS DEPARTMENT DRIVES SEVERAL DATA-DRIVEN TRANSFORMATION AND INNOVATION INITIATIVES FOR EHS. ORACLE HEALTH TEAM WORKS HAND IN HAND WITH EHS TO HELP ENSURE PROMPT AND ACCURATE DATA-DRIVEN SOLUTIONS TO THE REQUIREMENTS OF THEIR POPULATION.

Innovative Treatment Approaches for Musculoskeletal Diseases

Ahealthy musculoskeletal system is essential for maintaining a healthy and active life. Musculoskeletal disorders are one of the most common health problems today and can affect people of all ages. Any problem in this system can directly impact our mobility and quality of life. Therefore, early diagnosis and effective treatment of these conditions are important.

Common Orthopedic Conditions

Musculoskeletal disorders can affect any of the tissues that make up this system. The most common of these disorders is osteoarthritis. Osteoarthritis, a joint disease characterized by wear and tear of articular cartilage, is most common in the knees, hips, hands, and spine.

It causes symptoms such as pain, stiffness, limited range of motion, and swelling in the joint. Fractures caused by trauma or accidents are also common. Hip fractures from falls are common in the elderly. The cartilage discs called meniscus in the knee joint can tear, or the anterior cruciate ligaments in the knees can tear or rupture, especially in athletes and the elderly. Factors such as heavy lifting, prolonged sitting, and improper movements cause the discs in the spine to shift and compress the nerves, leading to herniated disc disease. Rheumatoid arthritis is an autoimmune disease that causes inflammation of the joints. It can affect many joints, particularly the hip. It causes pain, swelling, and limited movement in the joints. Sometimes bone tissue begins

ROBOTIC EXERCISE DEVICES, USED SPECIFICALLY IN THE REHABILITATION PROCESS, ARE EQUIPPED WITH SPECIALIZED SENSORS AND SOFTWARE TO INCREASE THE PATIENT'S MOBILITY AND REGAIN MUSCLE STRENGTH.

to die due to decreased or stopped blood flow to the bone tissue. This condition, called osteonecrosis, causes severe pain and limited movement. It is most common in the hip. A condition called calcification often occurs as a result of wear of the cartilage in the joints and narrowing of the joint space. Diagnosis of musculoskeletal disorders requires consultation with an orthopedic surgeon. The orthopedic surgeon will ask about your medical history and symptoms and perform a physical examination. If necessary, he or she may also order imaging tests such as X-rays, MRI, or CT.

Treatment For Orthopedic Conditions

Treatment depends on the type and severity of the condition. Medications can often be used to reduce pain and inflammation. These medications may include a variety of drugs, such as pain relievers, anti-inflammatory drugs, or steroids. Exercise may be recommended. Physical therapy may be used to strengthen muscles, increase joint range of motion, and reduce pain. Surgery may be necessary in

cases that do not respond to these treatments or in cases where the disease has serious consequences. The most appropriate treatment option for each patient depends on the characteristics of the disease, the patient's health, and the patient's response to treatment. Some common surgical solutions are:

Prosthetic Surgery

Hip replacement surgeries are surgical procedures that replace damaged or degenerative tissue in the hip joint with a prosthesis. Knee replacement surgeries are surgical procedures that replace damaged or degenerative tissue in the knee joint with a prosthesis. Replacement surgeries are performed to help patients regain mobility and improve their quality of life by eliminating problems such as limited mobility and loss of joint function.

ACIBADEM HEALTH GROUP STANDS OUT WITH ITS INNOVATIVE ROBOTIC REHABILITATION OPTIONS FOR ORTHOPEDIC SURGERY AND ITS AFTERMATH. BEFORE THE SURGERY, A DETAILED EVALUATION IS PERFORMED BY SPECIALIZED DOCTORS AND TECHNOLOGICAL FACILITIES, AND THE MOST APPROPRIATE TREATMENT PLAN IS DETERMINED. DURING SURGERY, SAFE AND EFFECTIVE PROCEDURES ARE PERFORMED USING THE LATEST TECHNOLOGICAL EQUIPMENT.

Intra-articular Surgery

Arthroplasty is a surgical procedure that removes damaged tissue from the joint and reshapes the joint surfaces. Meniscus repair is a surgical procedure to repair torn cartilage structures called menisci within the knee joint. Anterior cruciate ligament reconstruction aims to reconstruct or repair the torn or damaged anterior cruciate ligament in the knee joint.

Spine Surgery

Spine surgery is the general term for surgical procedures designed to correct structural problems in the spine or to relieve compression of spinal nerves. These procedures are used to treat conditions such as back or neck pain, pinched nerves, and scoliosis.

Discectomy is the process of partially or completely removing or reducing the contents of a disc in the lumbar spine for conditions such as herniated discs. Spinal fusion is a surgical procedure that joins segments of the spine and fuses the bones. This procedure is used to

treat conditions such as spinal instability, spinal fractures, or spinal curvature.

Muscle and Tendon Repairs

Muscle and tendon repair is a surgical procedure to repair torn or injured muscles and tendons. It is used to restore joint stability.

Physical Therapy May Be Recommended After Surgery

Patients who have lost mobility for a long period, and patients who want to return to health as quickly and comfortably as possible after surgery, may require physical therapy to assist in their recovery after surgery. Traditional physical therapy is an important treatment method that helps patients regain mobility and strength. Today, however, with the advancement of technology, robotic physical therapy applications are becoming more common. These applications can make the treatment process more effective and comfortable for patients.

DIAGNOSIS OF MUSCULOSKELETAL DISORDERS REQUIRES CONSULTATION WITH AN ORTHOPEDIC SURGEON. THE ORTHOPEDIC SURGEON WILL ASK ABOUT YOUR MEDICAL HISTORY AND SYMPTOMS AND PERFORM A PHYSICAL EXAMINATION. IF NECESSARY, HE OR SHE MAY ALSO ORDER IMAGING TESTS SUCH AS X-RAYS, MRI, OR CT..

Robotic-Assisted Rehabilitation

Robotic exercise devices, used specifically in the rehabilitation process, are equipped with specialized sensors and software to increase the patient's mobility and regain muscle strength. These devices analyze the patient's movements and provide feedback to help the patient achieve more effective results. Robotic rehabilitation facilitates the physical therapy process by reducing the patient's burden and assisting with movement. It can be particularly effective in rehabilitation following spine or joint surgery. In addition, virtual reality technology added to these devices creates a motivating physical therapy environment and makes the rehabilitation process more enjoyable. The patient can gain strength and flexibility by performing various exercises in a virtual environment.

These FDA-approved robotic devices are used in Acıbadem Hospitals to make the treatment process more effective and comfortable for patients. Each device is carefully managed by specialized physicians and medical staff, and customized treatment plans are created according to the patient's needs.

ACIBADEM, The Right Choice

Acıbadem Health Group stands out with its innovative robotic rehabilitation options for orthopedic surgery and its aftermath. Before the surgery, a detailed evaluation is performed by specialized doctors and technological facilities, and the most appropriate treatment plan is determined. During surgery, safe and effective procedures are performed using the latest technological equipment. In the postoperative period, robotic rehabilitation options accelerate the patient's healing process, increase muscle strength, and support functional recovery. Using robotic devices such as the LOKOMAT, patients regain mobility and optimal results are achieved with physiotherapy programs tailored to individual needs. Acıbadem Health Group provides safe, effective, and personalized healthcare services to its patients with its expert staff, modern facilities, and robotic rehabilitation equipment.

MUSCULOSKELETAL DISORDERS CAN AFFECT ANY OF THE TISSUES THAT MAKE UP THIS SYSTEM. THE MOST COMMON OF THESE DISORDERS IS OSTEOARTHRITIS. OSTEOARTHRITIS, A JOINT DISEASE CHARACTERIZED BY WEAR AND TEAR OF ARTICULAR CARTILAGE, IS MOST COMMON IN THE KNEES, HIPS, HANDS, AND SPINE. IT CAUSES SYMPTOMS SUCH AS PAIN, STIFFNESS, LIMITED RANGE OF MOTION, AND SWELLING IN THE JOINT. FRACTURES CAUSED BY TRAUMA OR ACCIDENTS ARE ALSO COMMON. HIP FRACTURES FROM FALLS ARE COMMON IN THE ELDERLY.

Martin Vozenilek

Manager of Janské Lázně

"Janské Lázně Rehabilitation Clinic has a longstanding reputation as one of the best spa and rehabilitation facilities in the Czech Republic"

Janské Lázně Rehabilitation Clinic is renowned as one of the premier spa and rehabilitation facilities in the Czech Republic. "Hospitals" Magazine recently had the honor of speaking with Martin Vozenilek, the Manager of Janské Lázně. His leadership and vision have been pivotal in shaping the Center's comprehensive approach to care. This interview serves to underscore the Center's unwavering commitment to providing top-notch care and treatment to patients. It delves into the challenges that arise when operating a large-scale rehabilitation facility and places emphasis on the critical role that health professionals, specifically rehabilitation therapists and physicians, play in the overall functioning of the Center.

BACKGROUND AND ROLE

Can you share a bit about your background and what led you to become the Manager of this Rehabilitation Centre?

I joined the rehabilitation clinic 15 years ago as a Sales Manager. At that time, the business was profiled only as a spa, and over time we extended our portfolio of care and related services including specialized rehabilitation beds as well as other wellness services. After five years in this position, I was given the opportunity to take on a Senior Sales Manager position and build a new sales team that will work more on developing additional services and also promote rehabilitation care, both in the Czech Republic and abroad, including Arab countries. In 2017, I was approached by the Ministry of Health to participate in the selection procedure for the position of a Manager. I was lucky enough to win this post. Since then, we have been working with a new team on developing rehabilitation care and spa care in Janské Lázně.

What inspired you to pursue a career in rehabilitation services?

I must admit that I was brought to this industry by chance, but when I started working in this segment, I started to enjoy the work more and more. The spa and rehabilitation industry is very diverse and complex. It combines medical services as well as the hotel and wellness industry. Because of this, you also get to know many people from these segments and that always pushes you further. It's an industry that is constantly evolving and because of this you have to keep up to date with new trends, legislation and have constant contact with the people you work with and also with clients. It's not an easy job and you don't always succeed to implement everything as you wish, but that's part of it, of course.

CENTRE OVERVIEW

Can you describe the range of services that your Center provides?

Janské Lázně Rehabilitation Clinic has a

longstanding reputation as one of the best spa and rehabilitation facilities in the Czech Republic. It is also an ideal starting point for sports and recreational activities in the Krkonoše Mountains. The natural healing resources are the thermal mineral water of the hydro- carbonatelime-sodium type, springing up in the spa area, and the local foothill climate.

The Rehabilitation Clinic focuses on physiotherapy and the treatment of the diseases of the musculoskeletal system resulting from diseases of the brain, disc, spine or post-accident effects (hemiplegia in the lower body or on one side of the body or complete paralysis), diseases of the muscular and nervous system, including muscular dystrophy, cerebral palsy, various sclerosis and effects of strokes. In addition to this, the effects of malignant tumours on the body are also treated as are problems with joints, rheumatism, joint stiffness, muscle weakness, gait impairment and balance.

INDIVIDUAL CARE CAN ONLY BE PROVIDED IF YOU HAVE ENOUGH QUALIFIED STAFF. IN THESE DIFFICULT TIMES, WHEN THERE IS QUITE A SHORTAGE OF HEALTHCARE PROFESSIONALS IN THE CZECH REPUBLIC, WE ARE LUCKY TO HAVE A STABLE TEAM OF PHYSIOTHERAPISTS, OCCUPATIONAL THERAPISTS AND MASSAGE THERAPISTS.

Respiratory diseases such as asthma and allergies and cases after respiratory surgery are also treated in our Clinic.

Programs for weight reduction are tailored to suit the clients’ specific needs.

Children’s Sanatorium is one of the largest and most modern facilities of its kind in the Czech Republic. It continues a long tradition of treating cerebral palsy, especially in children. It specializes in the treatment of children from 6 months and adolescents up to 18 years of age with nervous disorders including muscular dystrophy and cerebral palsy, as well as in the treatment of musculoskeletal disorders and conditions after injuries and orthopaedic surgeries. Among other things, we also treat metabolic disorders and endocrine problems, including the treatment of obesity, as well as respiratory diseases.

What makes your Rehabilitation Centre stand out in terms of patient care and treatment approaches?

Current trends in rehabilitation are based on the use of modern technologies and approaches such as robotics, instrumented rehabilitation, VR or telemedicine. Our clinic also keeps up with these technologies and continuously incorporates them into the rehabilitation procedures. Unfortunately, with the introduction

of these trends, the most important thing that rehabilitation has is slowly disappearing and that is a human and individual approach to the client. That is why the cornerstone of our rehabilitation services is still individual physiotherapy based on proven methods such as the Vojta method, Bobath concept, PNF, etc.

PATIENT CARE AND TREATMENT

How do you ensure personalized care for each patient in your Center?

Individual care can only be provided if you have enough qualified staff. In these difficult times, when there is quite a shortage of healthcare professionals in the Czech Republic, we are lucky to have a stable team of physiotherapists, occupational therapists and massage therapists, and thanks to this we can provide an individual approach to both paediatric and adult patients.

Could you discuss any innovative treatment methods or technologies that your Center has adopted recently?

As I have already mentioned, we are equipped with robotic devices for rehabilitation of upper and lower limbs, for verticalization and training of walking in relief (anti-gravity walkway). In the framework of occupational therapy, we also use virtual reality for upper

CURRENT TRENDS IN REHABILITATION ARE BASED ON THE USE OF MODERN TECHNOLOGIES AND APPROACHES SUCH AS ROBOTICS, INSTRUMENTED REHABILITATION, VR OR TELEMEDICINE. OUR CLINIC ALSO KEEPS UP WITH THESE TECHNOLOGIES AND CONTINUOUSLY INCORPORATES THEM INTO THE REHABILITATION PROCEDURES.

INTERVIEWS

limb motor training. One of the most recent innovations is the use of electroacupuncture in patients with neurological diseases and we are seeing great progress especially in patients with spinal cord injuries.

ELECTROACUPUNCTURE combines traditional acupuncture, an official medical method in the Czech Republic, with the current knowledge of physical treatment. The physician inserts acupuncture needles and then uses the device to deliver an electric current to the needles. In Janské Lázně, patients with complete severing of the spinal cord have been able to regain movement, and a unique treatment of paralysis using electroacupuncture has been helping patients for several years.

The author of the ACTIVE ENF treatment method is Peter Olšák, a rehabilitation physician who has treated more than 700 patients, including some with complete spinal cord severance. The method was created by combining medical acupuncture and knowledge of physical medicine. Dr. Olšák led a team of scientists from Palacký University in Olomouc who won the Transfera Technology Day 2023 competition with innovative needles for electroacupuncture applications.

How do you measure success in patient outcomes at your facility?

The success and favourable reputation is due to the feedback from clients who come to our rehabilitation facility repeatedly. We also cooperate with other facilities such as hospitals, outpatient clinics that refer patients to us for treatment because of numerous stories of successful treatment. Our medical team maintains medical records which include pre- and post-treatment examinations.

Quality and safe care is certified by a quality certificate. Since June 2020, the Janské Lázně Rehabilitation Clinic has been a holder of a Certificate of the United Accreditation Commission (a certified company that is an authorized assessor of the quality and safety of inpatient healthcare according to the current legislation of the Czech Republic). The Certificate of the United Accreditation Commission guarantees the fulfilment of strict requirements

for the quality and safety of the care provided to patients, in accordance with the current legislation of the Czech Republic. The essence of accreditation is to ensure that the established procedures are consistently followed so that the patient is treated by qualified personnel in a safe environment.

CHALLENGES AND ADAPTATIONS

What are some of the biggest challenges you face in managing a large rehab centre?

Probably the biggest challenge and issue is to maintain a stable team of qualified employees in all professions. Our business is, of course, built on people, there are over 400 employees working in the company, so it is a large team of people who have to work together and if any part of the staff drops out there might be a problem with providing quality services. So, it's a never-ending process and in times of a low unemployment rate, it can be very difficult.

OUR BUSINESS IS, OF COURSE, BUILT ON PEOPLE, THERE ARE OVER 400 EMPLOYEES WORKING IN THE COMPANY, SO IT IS A LARGE TEAM OF PEOPLE WHO HAVE TO WORK TOGETHER AND IF ANY PART OF THE STAFF DROPS OUT THERE MIGHT BE A PROBLEM WITH PROVIDING QUALITY SERVICES

The second issue, despite the fact that our facility is state-owned, is a lack of funding for development investment. We are therefore trying to use all the resources that are available, including European grants and subsidies, to implement our plans.

PATIENT AND COMMUNITY ENGAGEMENT

Could you describe a particularly memorable patient success story?

Generally speaking, there are dozens, maybe hundreds, of emotional stories each year, especially at the Children's Sanatorium, and we are happy for every patient we help to overcome their illness and thus return to a normal life. We are currently experiencing great stories, thanks to electroacupuncture treatment. No one knows what they will encounter in life's journey. The stories of people whose active life has ended from one day to another because they have suffered a fatal injury involving a completely severed spinal cord and subsequent paralysis look hopeless at first glance.

But now hope has appeared for them. There exists a treatment method that a rehabilitation physician from our facility has introduced, a revolutionary method combining traditional acupuncture with the latest advances in physical medicine. We are now following, for example, the story of a patient who, ten years ago,

after hitting a ski lift pillar, was paralyzed from the waist down and whose life turned upside down in a second. The patient is a mother of two children, she enjoys sports (hand-biking and mono-skiing, swimming) and trips to the countryside. Since mid-March 2024, she has been a patient of our medical facility and has been receiving electroacupuncture treatment and her body is starting to come back to life. As the patient herself says: "The first changes were already visible at the first application. It was just hard to believe that it was really happening. There was a phase of denial and rationalizing that it just wasn't possible. My head just couldn't take it in.”

After the second and third application, things were happening that I could no longer deny, and I began to believe that it really worked for me. I started to notice that my abdominal muscles were getting involved, from my navel down and that hadn't been working before. I couldn't, for example, sit on the bed without back support and put both hands up and put on a T-shirt.

And suddenly it worked! When driving a car, I had to fasten my body to prevent from moving from one side to another in an uncontrolled way, or it happened that my arms moved forward onto the dashboard when braking hard. And suddenly I realized I was sitting steady and balancing my body with my abdominal muscles. After the third application, I thought I'd try to get

QUALITY AND SAFE CARE IS CERTIFIED BY A QUALITY CERTIFICATE. SINCE JUNE 2020, THE JANSKÉ LÁZNĚ REHABILITATION CLINIC HAS BEEN A HOLDER OF A CERTIFICATE OF THE UNITED ACCREDITATION COMMISSION (A CERTIFIED COMPANY THAT IS AN AUTHORIZED ASSESSOR OF THE QUALITY AND SAFETY OF INPATIENT HEALTH CARE ACCORDING TO THE CURRENT LEGISLATION OF THE CZECH REPUBLIC).

on all fours and I did. On the fourth application, the doctor helped me, as I like saying, prick the points that were supposed to help me crawl, and I succeeded. It's very challenging, but I'm very happy with any progress. I feel like my body is slowly waking up with each successive application."

We ourselves cannot wait to see how far our patients will go in their improvement.

How does your Center engage with the community to promote wellness and prevention?

Our rehabilitation facility is actively involved in promoting wellness and prevention through a number of initiatives and programs. We offer a wide range of therapies aimed at rehabilitation and prevention of health problems, including hydrotherapy and physical therapy. In addition to rehabilitation treatments and traditional spa services, we also focus on promoting healthy lifestyles through wellness weekends, which include activities such as time spent in the spa centre (aqua centre, saunas, massages) or, for example, yoga and the environment in which the rehabilitation clinic is located.

We use our natural resources such as clean mountain air and thermal springs to offer relaxing and healing stays for our clients. It is also important to mention the social/cultural component that is part of the therapy and these are the activities we organise for clients, such as concerts, lectures, markets or outdoor activities that promote physical health and mental well-being.

In the area where the rehabilitation clinic is located, there are a number of trails for hiking, Nordic walking, which are ideal for improving fitness and relieving stress. In the winter months, Janské Lázně attracts winter sports enthusiasts who can take advantage of the extensive crosscountry skiing trails and ski slopes.

In general, the location of the rehabilitation clinic contributes to the overall improvement of the quality of life and brings clients back to life, which is also our slogan.

FUTURE DIRECTIONS

What are some upcoming initiatives or

projects at your Center that you’re particularly excited about?

As our rehabilitation clinic is one of the oldest facilities of this type in the Czech Republic, its buildings, unfortunately, like most healthcare facilities, no longer meet energyefficiency standards and requirements. We have therefore prepared a major project for the reconstruction of the Vesna Children's Sanatorium and I look forward to seeing this project turn into reality.

This will significantly increase the comfort for our paediatric patients and will also reduce energy costs in the years to come. This is one of the highest priorities not only in our facility, but in all European countries likewise.

Another project I am very much looking forward to is the search for new thermal water. We will be drilling a deep borehole that could in the future supply the clinic with hot mineral water and thus enable the further development of the spa industry in our town. In the coming year, we will be also building new facilities to provide instrumental rehabilitation to keep up with current trends in robotics.

OUR REHABILITATION FACILITY IS ACTIVELY INVOLVED IN PROMOTING WELLNESS AND PREVENTION THROUGH A NUMBER OF INITIATIVES AND PROGRAMS. WE OFFER A WIDE RANGE OF THERAPIES AIMED AT REHABILITATION AND PREVENTION OF HEALTH PROBLEMS, INCLUDING HYDROTHERAPY AND PHYSICAL THERAPY.

Healthcare law, ethics, and legislation confronted by patient rights and privacy, technology, and AI

Dr. Ali Elhaj, CEO, Ardens Health Chair, Governance, Leadership and Research Division Arab Hospital Federation

Navigating the complex realm of healthcare laws and ethics poses a significant challenge for professionals, policymakers, and patients alike. This domain is characterized by a dynamic interplay between legal mandates, ethical principles, and legislative actions designed to shape care standards, safeguard patient rights, and ensure equitable access to medical services. The complexity is further compounded by continuous advances in medical technology and evolving societal values, often surpassing the ability of legal frameworks to adapt promptly.

Partially resolved healthcare issues reflect a broader commitment to aligning healthcare practices with ethical standards and legal requirements, fostering an environment where patient rights and dignity take precedence. However, the healthcare sector is currently grappling with a plethora of unresolved legislative and ethical dilemmas that significantly impact providers, patients, and policymakers alike. Among these quandaries is the persistent debate over the right to healthcare access in relation to the sustainability of funding such services.

The rapid advancement of medical technology, along with

its integration into patient care, introduces additional questions about privacy, consent, and equity in healthcare delivery. How to legislate these technologies in a way that benefits all without exacerbating existing disparities remains a challenge that has yet to be fully addressed. Furthermore, the global nature of health threats, exemplified by recent pandemics, emphasizes the need for international cooperation in health legislation, a goal that remains elusive due to differing national priorities and capacities. These unresolved issues underscore not only the intricacy of healthcare but also the pressing need for innovative legal and ethical frameworks capable of adapting to evolving societal needs.

As personalized medicine and digital health platforms continue revolutionizing patient care, they also introduce complex questions regarding privacy, data security, and equitable access to healthcare innovations. The legislative landscape must adapt to these changes by formulating policies that not only address current issues but are also flexible enough to accommodate future developments. This entails establishing a robust regulatory environment that ensures technological advancements enhance patient care without compromising ethical standards or exacerbating health disparities. Moreover, the role of artificial intelligence in decision-making processes presents an emerging frontier for accountability and ethical considerations…. “When an AI system recommends a treatment that leads to adverse outcomes, establishing liability becomes complex”.

The opacity of AI algorithms further complicates matters, challenging traditional notions of informed consent. Thus, while technology holds promise for transforming healthcare delivery, ongoing scrutiny is necessary to ensure legal and ethical standards evolve concurrently, effectively safeguarding patient interests.

In anticipation of these challenges, ongoing dialogue among healthcare professionals, policymakers, patients, and technologists is paramount. Fostering a collaborative problem-solving approach, will ensure alignment with principles of beneficence, autonomy, and justice; and guarantee that future legislation and ethical guidelines evolve in sync with the ever-changing landscape of healthcare delivery.