Mar - Apr 2012
Mar - Apr 2012
Mar - Apr 2012
Editor speak Anniversary is the celebration of trust service & relations
The trauma device market is forecasted to grow at a 13 % compound annual growth rate (CAGR) through 2015
very day thousands of people are killed and injured on roads. Men, women or children walking, biking or riding to school or work, playing in the streets or setting out on long trips, will never return home, leaving behind shattered families and communities. Millions of people each year will spend long weeks in hospital after severe crashes and many will never be able to live, work or play as they used to do. The trauma and minimally invasive surgery markets show the most promise for future growth as younger patients seek techniques that require minimal recovery time and retirees deal with the consequences of aging bones. Injuries such as lumbar stenosis—a condition caused by the narrowing of the spinal canal (central stenosis) or vertebral foramen (foraminal stenosis)—is not a condition that is exclusive to retired sports stars. Orthopedic surgeons expect the disorder to more than double over the next nine years as baby boomers confront the harsh realities of their aging bodies and contend with afflictions such as osteoarthritis and degenerative disc disease. The world’s aging population will become one of the most significant drivers of growth in the orthopedic industry over the next several decades, though certain sectors are projected to grow at a faster rate than others. One area that is hot is trauma. That is where you are going to see double-digit growth rates, possibly around 11 %. Part of the reason for that is it’s tougher for hospitals to apply some of the cost savings pressures that they apply in other areas because many of the products such as screws, nails and fixation systems are used in emergency [surgical] procedures. The smart orthopedic companies have discovered that if they go after some of these trauma products there’s better growth to be had. Foot and ankle procedures, as well as those for the shoulder and hand, are not as common as spinal procedures or hip and knee replacements but those areas are becoming more established and will grow very fast. Those markets might grow 7 or 8 % annually, where your standard hip and knee procedures might grow an average of 2% each year. Overall orthopedic device market growth has slowed; however, some segments are set for significant growth. In the trauma device market, plate and screw devices are forecasted to grow at a 13 % compound annual growth rate (CAGR) through 2015, while the adoption of intramedullary nails will rise at a rate of 11 percent. Another sector that will see growth is the market for extremity devices (consisting of reconstructive implants, trauma, soft tissue repair and biologics) for the shoulder, foot and ankle, and hand, wrist, and elbow; this sector is forecasted to grow at a 10% CAGR in the next five years. Additionally, minimally invasive (MI) spinal fusions will grow above the overall spinal fusion segment at a CAGR of nearly 10 % compared to 1%.
Have an insightful reading. Your suggestions are most welcome!
Dr MA Kamal Editor-in-Cheif
Editor Dr. M.a Kamal Chief Editorial Adviser Dr. Pradeep Bhardwaj National Head Afzal Kamal Sr. Manager I.A Khurshid Cheif Correspondent SA Rizvi l Dr HN Sharma Design and Layout Vikas Sales and Marketing Amjad Kamal Rahul Ranjan Neetu Sinha S.Y Ahmed Khan Subscribtion & Cirrculation Pallavi Gupta All right Reserved by all everts are made to insure that the information published is correct, Medgate today holds no responsibility any unlikely errors that might occur.
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Mar - Apr 2012
Mar - Apr 2012
Volume - II
Dr. Rajiva Kumkar
Dr. Ashwani Maichand Dr. Pradeep Bhardwaj
Dr. Mohsin Wali
Dr. Ramakanta Panda
Interview Mr. Pranay Upadhyay 6
Dr. Sarabjit Singh
34 Dr. Naresh Trehan
Dr. M. Khalilullah
Dr. Rohit Garg
Mar - Apr 2012
Dr. Devi Shetty
Issue - VI
44 Eat Healthy
51 Expert Views
Mar - Apr 2012
Mar - Apr 2012
Ms. Ameera Shah
bags ‘Women Leadership Award’ by World HRD Congress
s. Ameera Shah, MD & CEO, Metropolis Healthcare, has been recently honored with ‘Women Leadership Awards’ by World HRD Congress. The Award was conferred on Ms. Shah, at a national level seminar on “Survive & Thrive” HR Leadership & Challenges in the coming years. The event was graced by eminent personalities to name a few Dr. Bhaskar Chatterjee, Director General Indian Institute of Corporate Affairs, Mr. Varun Bhatia, VP – HR(Asia Pacific), Kraft Foods, Ms. Alexandra Richardson, Senior Director – HR Pepsico Asia Pacific, Mr. Arun Arora, Chairman – Edvance Pre-school Pvt Ltd & Emeritus Chairman – World HRD Congress, Mr. K. Ramkumar, Executive Director – ICICI Bank Ltd, Dr.Adil Malia, Group President – HR Essar Group which took place in Mumbai on 17th – 18th January, 2011 at Hotel Taj Lands End. Women Leadership Award is a symbol of recognizing and appreciating women power and their work with celebrating their successes for showcasing excellence in their respective fields. Ms. Ameera Shah has been presented with this award in recognition of her outstanding contribution in the field of diagnostic and healthcare sector. Ms. Shah has been instrumental in shaping Metropolis Healthcare by creating a landscape change in building the first multinational company to come up with a chain of labs in the emerging markets. The key elements of this event is that it focuses on the following parameters, which contribute to the overall success of the event ie Strategy & Change Management, HR Technology, HR Outsourcing, Talent Management, Development & Retention, Compensation Strategies, Global HR Leadership, The Positive Power of Humor & Creativity, Innovation and Expatriate Management & Global Mobility. Which attracts lot of talent pool & motivates the organization to perform better in a innovative way, where both the company & the employee grows. Speaking on this prestigious occasion, Ms. Ameera Shah, MD & CEO, Metropolis Healthcare said “I am highly privileged to bring in another proud addition to the long list of accolades and achievements in the Metropolis family. I would like to thank my entire team for their dedication, hard work and continuous support towards making my vision come true. Being a self-starter and learning the subject thoroughly along with applying a combination of analytical and
Mar - Apr 2012
Mar - Apr 2012
FDA approves Gleevec for expanded use in patients with
Confirmatory trials show significantly prolonged survival in patients; drug granted regular approval
he U.S. Food and Drug Administration today granted Gleevec (imatinib) regular approval for use in adult patients following surgical removal of CD117positive gastrointestinal stromal tumors (GIST). Todayâ€™s action also highlights an increase in overall patient survival when the drug is taken for 36 months rather than the standard 12 months of treatment. Gleevec was originally granted accelerated approval
for the treatment of advanced or metastatic GIST in 2002. In 2008 Gleevec received a subsequent accelerated approval for adjuvant use that is for the treatment of patients with GIST who had had potentially curative resection (surgical removal) of GIST tumors, but who were at increased risk for a recurrence. The accelerated approval program provides earlier patient access to promising new drugs while the confirmatory clinical trials
are being conducted. Regular approval for the metastatic GIST indication was also granted in 2008. GIST is a rare form of cancer that originates in cells found in the wall of the GI tract. These cells, known as interstitial cells of Cajal, are part of the autonomic nervous system, which regulates body processes such as food digestion. More than half of GISTs start in the stomach. n
Brain cells created from human skin
ritish scientists have for the first time generated crucial types of human brain in the laboratory by reprogramming skin cells, which they say could speed up the hunt for new treatments for conditions such as Alzheimerâ€™s disease, epilepsy and stroke. Until now it has only been possible to generate tissue from the cerebral cortex, the area of the brain where most major neurological diseases occur, by using controversial embryonic stem cells, obtained by the destruction of an embryo. This has meant the supply of brain tissue available for research has been limited due to the ethical 10
concerns around embryonic stem cells and shortages in their availability. However, scientists at the University of Cambridge now insist they have overcome this problem after showing for the first time that it is possible to re-programme adult human skin cells so that they develop into neurons found in the cerebral cortex. Initially brain cells grown in this way could be used to help researchers gain a better understanding of how the brain develops, what goes wrong when it is affected by disease and it could also be used for screening new drug treatments. Mar - Apr 2012
Mar - Apr 2012
Urgent Need for a ‘National Ambulance Code’ and ‘Standardised National Helpline Number’ to ensure effective Emergency Medical Services in India New Delhi, 9th February: National and International experts at the 1st International Congress on Emergency Medical Service Systems, today highlighted the need for a ‘National Helpline Facility’ as well as a ‘National Ambulance Code’ to ensure timely delivery of emergency services. The 3-day congress which is being organised by the Department of Hospital Administration, AIIMS, also emphasized on the need for timely delivery of healthcare to the affected with the
1st International Congress on Emergency Medical Service Systems (EMS 2012) highlights key areas for delivery of emergency medical services in India provision of rescue operation and administration of first aid at the site of an accident and evacuation of the victim under adequate medical care to prevent loss of life and limb. At the site of Impact/ Accident there is no standardised toll free national access number to call for
emergency medical help. The crux of this unaddressed problem lies in the fact that there is a general lack of awareness of the Emergency Medical Service System as the general public doesn’t possess basic first aid skills. So there is an urgent need for a Standardised National n Helpline Number.
Schiller India launches a Portable CT Scanner - CereTOM
chiller India, a leading Swiss Joint Venture Company in the field of Medical Diagnostics, has launched a Portable CT Scanner called CereTOM. It is a product of NeuroLogica Corporation, U.S.A. NeuroLogica Corporation develops, manufactures and markets medical imaging equipment for healthcare facilities and private practices worldwide. Schiller is committed to providing state of the art medical diagnostic equipment and services, and NeuroLogica Corporation’s range of medical imaging equipment increases Schiller’s offerings. CereTOM is a 8 Slice Portable head and neck CT scanner which delivers effective, reliable and flexible CT imaging at the Emergency Room , Operating Room, NICU, MICU, SICU, interventional suite, or any medical clinic. n 12
Mar - Apr 2012
Mar - Apr 2012
Arab Health 2012 :
Mar - Apr 2012
the way for a healthy Middle East
For information about the next edition of Arab Health Exhibition & Congress, please visit
www.arabhealthonline.com, or call +971 4 407 2743.
Mar - Apr 2012
FDA Licenses Sanofi Pasteur’s New Influenza zVaccine Delivered by Intradermal Micro injection
anofi Pasteur, the vaccines division of Sanofi , announced today the U.S. Food and Drug Administration (FDA) has approved the company’s supplemental biologics license application (sBLA) for licensure of Fluzone Intradermal (Influenza Virus Vaccine). Fluzone Intradermal vaccine is indicated for active immunization of adults 18 through 64 years of age against influenza disease caused by influenza virus subtypes A and type B contained in the vaccine. “The microinjection delivery system utilized in Fluzone Intradermal vaccine provides reliable and easy delivery of the vaccine into the dermal layer of the skin, an attractive site for immunization,” said Olivier Charmeil, President and CEO, Sanofi Pasteur. “Sanofi Pasteur is proud to bring this innovation in influenza vaccine administration to the U.S., offering health-care providers a new tool that may help enhance n adult influenza immunization rates.”
Fluzone® Intradermal (Influenza Virus Vaccine) first to offer an immunization option with 90 percent smaller needle
Mar - Apr 2012
Mar - Apr 2012
Antivaccine Lobby Resists introduction of Hib Vaccine in India
campaign against the Haemophilus influenzae type b (Hib) vaccine in India launched by some medical professionals has delayed a government plan to introduce the vaccine through its free national immunisation programme for children. The health ministry had last year announced that it would replace the standard vaccine for diphtheria, pertussis, and tetanus with a pentavalent vaccine that would also protect children against hepatitis B and Hib. The Global Alliance for Vaccines and Immunisation (GAVI), after consultation with the Indian health ministry, had pledged in August 2009 a grant of $165m (£110m; 135m) to roll out the new vaccine to cover 10 million children in 10 of India’s 28 states in 2010. The Hib organism, which can cause severe bacterial meningitis and pneumonia, is estimated to kill more than 370 000 children worldwide each year, GAVI said. Nearly 20% of these deaths occur in India.
But the campaign mounted against the Hib vaccine prompted the health ministry to set aside recommendations from its own technical advisory group on immunisation and to ask an independent panel of experts to examine the need for the Hib vaccine in India’s national immunisation programme. The expert panel has now endorsed the advisory group’s decision and asked the health ministry to introduce the vaccine in selected states and to assess its effect on the incidence of meningitis
before it is expanded to other states. However, a member of the expert panel who asked to remain anonymous told the BMJ: “Concrete steps to introduce the pentavalent vaccine into the immunisation programme are still not visible. India’s antivaccine lobby appears to have succeeded in influencing the health bureaucracy.” Campaigners against the Hib vaccine have argued that India lacksepidemiological data to justify its introduction into the public health programme.
HPV Vaccine Protects Against Anal Infection in Women
he bivalent human papillomavirus (HPV) vaccine , which is indicated for the prevention of cervical diseases caused by infection with HPV-16 and HPV-18, also provides “strong protection” against anal infection with these HPV types in young women, according to authors of new trial conducted in Costa Rica. The study is the first to show that an HPV vaccine can prevent anal HPV infection in females. However, the protection was not as effective at the anus as it was in the cervix, which was used as a comparator. The women, who were vaccinated at ages 18 to 25 years, were tested 4 years later for anal and cervical n HPV-16 and HPV-18 infections to assess the vaccine’s efficacy.
Mar - Apr 2012
Mar - Apr 2012
HospiArch 2012: Chennai
ospiArch 2012 conducted at Chennai on Jan 20th and 21st 2012 emerged as a BIG success with more than 150 Delegates across the country.. HospiArch is India’s biggest Conference series on Hospital Planning, Design and Architecture, organized by AMEN, pioneers in Healthcare Event Management and Hospaccx India Systems, India’s fastest growing Hospital Consultancy. The Conference began with Dr. N Sethuraman, Chairman of Meenakshi Mission Hospital, Madurai delivering the Key Note address. Dr. Sethuraman shared his experiences and challenges while building his hospital and also spoke about Hospital Architectural challenges in the past and the future.. Mr. Tarun Katiyar. Principal Consultant, Hospaccx India Systems shared a few slides on Architectural errors conducted by Hospitals and also explained ways to overcome these errors. The next session was probably one of the most informative sessions of the Conference as Dr. B Krishnamurthy, Director, Acute Care Services, Kauvery Hospitals, Chennai spoke on Quality Standards applicable to Hospital Planning, stressing upon the applicable NABH standards. Ms. Monika Kejriwal, General Manager, Healthcare Planning, Chaitanya Projects, Bangalore shared a presentation on Planning and Designing a New Hospital and threw light on the Planning process involved in the upcoming Chaitanya Hospital project at Bangalore. “Green Buildings provide financial benefits that conventional buildings do not. These benefits include 20
energy and water savings, reduced waste, improved indoor environmental quality, greater employee comfort/productivity, reduced employee health costs and lower operations and maintenance costs”, shared Dr. Rajeev Boudhankar, Vice President, Kohinoor Hospitals, Mumbai; during his presentation on Planning a Green Hospital. Mr. Abhishek P Singh, Head - Healthcare, Crisil, Mumbai, expressed his views on Budgeting and Financial Planning for a New Hospital Project. “80% of Healthcare Financing is by Private Providers... and only 10% of Healthcare delivery is in an Organized format”, he said. The next presentation was followed by a long Q & A session as it focused on Fund Raising options for Hospitals, and was delivered by Mr. R Venkatakrishnan, Director, Value Added Corporate Services, Chennai. The presentation included various strategies and methods of fund raising including venture capital, Private equity etc. Mr. Ananthapadmanabhan, Past President, Kovai Medical Centre, Coimbatore, added to Dr. Rajeev’s thoughts on Planning a Green Hospital ... and shared his experiences at KMCH, Coimbatore .. especially in the area of Energy Management. The first day ended with a Power packed Panel Discussion on challenges and issues in Hospital Planning, Design and Architecture. The Panel was moderated by Dr Manivannan, Joint Medical Director, Kauvery Hospitals, Chennai (also the CEO of Medicall).. “HospiArch is a unique Conference concept and we would continuously work on improving the features and quality of the Conferences as we move forward to other parts of the country. The next HospiArch would be held at Mumbai in the month of April 2012”, announced Mr. Paniel, Head - AMEN, the chief organizer of the Conference series. Mar -- Feb Apr 2011 Jan 2012 Sep Oct
MEDICALL 2012 Gujarat : The Industry
gives MEDICALL 2012 a Warm Welcome
3rd to 5th February 2012 at Gujarat University Exhibition Hall, Ahmedabad, Gujarat
edicall was exactly what the doctors ordered. Held recently from 3rd to 5th February 2012 at Ahmedabad, it attracted professional visitors and manufacturers under one roof in large numbers. For the first time in Gujarat, MEDICALL organized a Fashion Show on Hospital Garments in cooperation with NID â€“ National Institute of Design, Ahmedabad. This Fashion Show on Hospital Garments was a huge success and was very well received by the industry. MEDICALL is one of the premier medical equipment expo in Gujarat was amply proved. Being held in Gujarat for the first time, MEDICALL had 200 medical equipment manufacturers from India, Singapore, China. A wide range of medical equipment and technology product was displayed to over 2500 serious business visitors from all over India.Medicall offered a 3 days of focused business platform to explore business opportunities to an exclusive B2B audience. The visitors were the doctors, Medical administrators, Procurement department of the hospital, Nursing homes, Biomedical engineers, HODâ€™s of the Hospital, Trade dealers and Mar - Feb Apr 2012 Jan
distributors etc. Healthcare professionals benefitted from the show as they could find the entire range of medical equipment and technology under one roof. Some hospitals even placed firm orders at MEDICALL 2012 with Indian Medical Manufacturers. MEDICALL 2012 Ahmedabad conducted phenomenal conferences and seminars by top industry professionals as speakers. Seminar on Hospital Constructions, Lean Six Sigma in Healthcare was very well received by the healthcare industry. Other conference like Business Intelligence for Hospitals and Private Equity Funding for Hospitals was also well received by the industry. MEDICALL brought together the best in the business ofICU and Operation Theatre equipments, Refurbished equipments, Trolley, wheel chairs, Cots and other furniture, Hospital linen and laundry, Hospital charts and stationary, Office automation equipments, Printers dealing with pamphlet and file designing, Communication equipments, Medical disposables, Hospital Information System, solutions, surgical and examination furniture, rescue and emergency equipment, to diagnostic/ laboratory.O.T.equipment and cleaning equipment. Special products at Display will
be Ambulance, Mannequins and other teaching aids for nursing, Hospital management software, Energy saving equipments, Hospital flooring, Housekeeping equipments, Nurses alarm system, Liquid oxygen and central pipeline, Physiotherapy equipments, Autoclave and sterilizer, Medexpert, the organisers of MEDICALL, are a reputed name in events & trade shows for the health care industry. Being leading trade fair organizers in Chennai and now in Gujarat, they have proved their high degree of professionalism by attracting the right target audiences through highly effective and focused marketing strategies. This is reflected in the level of satisfaction its participants have derived from this unmatched platform over the years. Medexpert are totally committed to making the exhibition experience of exhibitors both profitable and efficient by maximizing return on their investment. Medexpert also is organizing show in Srilanka from 2nd to 4th March 2012 & Chennai from 3rd to 6th August 2012. For more information we welcome your opinionline at : email@example.com, firstname.lastname@example.org visit our website www.medicall.in n 21
Glimpse of Medical Fair 2012
2 - 4 March, 2012, Mumbai
Mar - Feb Apr 2012 Jan
MEDICAL FAIR INDIA CROWNED A SUCCESS!! T
he 18th edition of Medical Fair India concluded recently at Mumbai’s Bombay Convention and Exhibition Center. With a strong growth in international exhibitors & visitors, the show has consolidated its position as India’s largest medical trade show. The exhibition recorded an attendance of over 6791 Visitors, an increase of 20 % compared to the 2011 edition. The event took place from 02—04 March and featured 322 companies from 17 countries including 9 country pavilions. Every year, the exhibition develops and grows. This year, two new country pavilions joined the exhibition: Japan and the Czech Republic. Two new segments Rehabilitation and Components too were introduced. A two day conference was organized along with the exhibition which was divided into tree track’s – “Indian Medical Devices Industry towards Global Leadership” “Medical Equipment and System” “Hospital Up gradation”. Conference had eminent speakers from the Industry as well as from the Government which was equally attended by the delegates from paramedical, biomedical engineers, administrators and medical professionals. The event was supported by Indian associations such as AIMED (Association of Indian Medicals Device Industry) and IAPMR (Indian Association of Physical Medicine and Rehabilitation), as well as international institutions such as MREPC (Malaysian Rubber Export Promotion Council), CCCMHPIE, KMDICA (Korea Medical Devices Industrial Cooperation Association),
UBIFRANCE, SAMD, GHE (German Health Care Export Group) und ZVEI (German Electrical and Electronic Manufacturers’ Association). Equally supported by leading Indian hospitals such as Fortis Hospital and Apollo Hospitals. Road shows were planned in major cities i.e. Mumbai, Ahmadabad and Delhi during the month of February. The invitees were from the medical industry where they got to meet and discuss about the event. Exhibitors were very happy with both the increased attendance at the event and the amount of business they were able to do at the exhibition. The level of satisfaction was such that 82% of exhibitors have committed to block space for the 2013 edition, which will take place from 08 – 10 March in New Delhi. n
The MEDICAL FAIR INDIA takes place annually, rotating between Mumbai and Delhi. For further information, Vhttp://www.medicalfair-india.com or contact Mr. Suraj Ullal with Messe Düsseldorf India at UllalS@md-india.com or +91-22-6678-9933. Mar Apr 2012 Jan - Feb
Padma Bhushan will help achieve goals
CONTRIBUTION TO INDIAN HEALTHCARE
BM Birla Heart Research Centre, Kolkata:
Created a 120 bed exclusive cardiothoracic surgical unit for the Birla family of Kolkata as its Clinical Director and Chief Cardiac Surgeon. Over here performed India’s first neonatal cardiac surgery on a nine-days-old baby. Performed India’s first dynamic cardiomyoplasty operation for end stage heart failure. Performed India’s first video assisted PDA ligation. Performed India’s first video assisted open-heart surgery (closure of Atrial Septal Defect.) Standardized off pump BD Glenn shunt most appropriate for developing countries. Introduced the concept of free heart camp for villages of Northeastern hill states as a simple screening mechanism to detect early stage heart disease completed 8000 surgeries in six years after leaving United Kingdom.
Manipal Heart Foundation:
Vice-Chairman and Senior Consultant Cardiac Surgeon proved the concept of large-scale heart surgery by performing twelve heart surgeries a day. Performed first heart transplant of Karnataka State Standardized beating heart Bypass grafting, which was in its nascent stage.
Narayana Hrudayalaya Group of Hospitals:
Developed a concept of 5000 bed health city in 30 acres with infrastructure to perform 60 heart surgeries a day. Narayana Hrudayalaya, Bangalore performs 24
over 30 major heart surgeries a day, one of world’s largest heart hospitals. Narayana Hrudayalaya performs largest number of heart surgeries on children with heart disease attracting patients from 56 countries. Narayana Hrudayalaya Bangalore has world’s largest pediatric cardiac surgical ICU under one roof with 80 critical care beds. In 2008 launched a programme to add 30,000 beds all across India in five years. Collaborated with six different state governments of India for this project.
Yeshaswini Micro Programme
Developed a term called Micro Health Insurance. Six years ago launched health insurance with a premium of 11 cents per month for 1.7 million farmers of state of Karnataka in partnership with Karnataka State Cooperative Society, which has now grown to cover 3 million farmers. Yeshaswini proved to the Indian healthcare policy makers that the only way for working class and poor for affordable healthcare is through Micro Health Insurance Programme, which is being launched with different names in different states. Brought down the cost of major heart surgery from Rs. 1, 20,000/(₤1517.07) in the year 1989 to Rs. 65,000/- (₤821.75) in 2006. n
This recognition by the Government and the people of India is going to strengthen my resolve for implementing two points on my agenda. The first point that I have on my agenda is health insurance for all the poor people of our country. We have 750 million Indians spending Rs. 150/- per month just to speak on the mobile phone. All we need is Rs. 10/- out of this Rs. 150/- to ensure the best health insurance program one can think of. This can be implemented just by minor policy changes by the government and my sincere belief is that our government will definitely be willing to bring about required regulatory changes to make this happen. The second wish I have is to enroll 2000 children from rural India to medical colleges every year. We started one such effort on a small scale in West Bengal six years ago, under a program called Udayar Pathey wherein children in Class 7 from rural West Bengal who are passionate about becoming doctors are given a scholarship of Rs. 500 per month. These children make a commitment that they would study hard to become doctors. We mentor and motivate them to join medical colleges on merit. We also support them by organizing a student loan for their studies and help them with their other requirements if necessary. I hope that this model to can be successfully replicated across the country to ensure better healthcare for our future generations. This award will definitely strengthen our resolve to achieve these goals.
Dr. Devi Prasad Shetty
Chairman, Narayan Hrudayalaya Bengalore Mar - Apr 2012
Total Knee Replacement? T
otal knee replacement surgery is considered for patients whose knee joints have been damaged by either progressive arthritis, trauma, or other rare destructive diseases of the joint. The most common reason for knee replacement in the United States is severe osteoarthritis of the knees. Regardless of the cause of the damage to the joint, the resulting progressively increasing pain and stiffness and decreasing daily function lead the patient to consider total knee replacement. Decisions regarding whether or when to undergo knee replacement surgery are not easy. Patients should understand the risks as well as the benefits before making these decisions. ABOUT Dr. ashwani maichand I am a graduate of medical college Rohtak and did my post graduation from SMS med college Jaipur. In my post PG period I had great exposure of joint replacement surgeries at various centres in India and abroad. I also completed my MCh degree in 2009. I did my first knee replacement surgery in 1999. Till date I have been through more than 4000 joint replacement surgeries including knee , hip ,shoulder and elbow replacements. My team is providing comprehensive joint care in terms of management of all joint related diseases. Itâ€™s not only about joint replacement services but if the situation requires arthroscopy, physiotherapy, rehab, joint preservation procedures etc they are also advised and provided to our patients. Mar - Apr 2012
Dr. Ashwani Maichand M.S. (Ortho) M.Ch. (Ortho) Fellowship Joint Replacement Senior Consultant & Head Joint Replacement Unit BLK Super Speciality Hospital, New Delhi
The knee joint is composed of three compartments and ligaments which stabilize the joint. Causes of knee pain may include injury, degeneration, infrequently infection and rarely bone tumors. Although routine x-rays do not revel meniscus tears, they can be used to exclude other problems of the bones and tissues. The knee joint is the most commonly involved joint in rheumatic disease, as well as immune diseases that affect various tissues of the body. 25
“Think big, your deeds will grow. Think small, you will fall behind Think what you can and you will, It is all in the state of mind” “Dr. Pradeep Bhardwaj climb the corporate ladder in consonance with his skills and abilities, he achieved excellence in terms of Quality of work and working standards along with a strong educational background in healthcare management. ‘Dr, Pradeep Bhardwaj’ started his healthcare career as a “Trainees ‘ in the year 200l and now with persistent of hard work., higher education he becomes the Youngest Chief Executive Officer, (CEO) in India. He is well known to be an honest and a very balanced hospital administrator. Now a days he is a well known name in the arena of Indian Healthcare Administration, Operations & Management. He is also a Medico Legal Consultant, Author & visiting faculty in leading Healthcare management Colleges / Universities. He is a dynamic, confident and courageous star performer of Indian Healthcare Industry, who is providing overall management leadership & innovation to the Ojjus Medicare Group in the changing scenario of healthcare. He is responsible for driving the Strategy, Value growth, Development and success of Six Sigma. Dr. Bhardwaj is one of the few young leader who have made a mark for themselves, without having a godfather in the industry. His phenomenal triumph did not happen overnight. It is started from Fortis Healthcare to Sir Ganga Ram Hospital and ISIC, New Delhi. In healthcare industry he is also known as ‘Champion of Changes’. He is an expertise Medico legal consultant, Author’s and Visiting Professor & Faculty in n leading Healthcare Management Colleges / Universities like IIM, Amity etc.
e possess a vast Healthcare Academics, Project, Operations, Administrative & Management experience with top Healthcare/ Institute like-FORTIS HEALTHCARE, INDIAN SPINAL INJURIES HOSPITAL, SIR GANGARAM HOSPITALS, IIM, AIILSG, AMITY, JAMIA HAMDARD, SYMBIOSIS, NATIONAL BOARD OF EXAMINATIONS, MANIPAL UNIVERSITY, UGC–CEC, & RAI Foundation Delhi. He is an outstanding leader always remembered by his teachers, colleague & friends for his helping nature and respect. He has the power to influence people and to get along well with others.
Dr. Pradeep Bhardwaj
CEO, Six Sigma Health Care
MAN WITH A VISION Dr. Bhardwaj is the young man with the vision and deeply concerned with the changing role of healthcare administration in India. He would like to change the doctor centric model of Indian healthcare industry. He said that, today 90u/o of the hospital in USA & 100% Hospital in UK are headed by the Non-Medicals’ trained in Hospital Administration. In practice it is found that a Non Medical person brought more success to hospital as he is more flexible, has more appetite and a stronger sense of business than medical person. Mar - Feb Apr 2012 Jan
Mar - Apr 2012
rof. M. Khalilullah Began His career as a post - Doctors Student for DM cardiology at AIIMS , New Delhi, after obtaining his MBBS and MD Medicine degree From Nagpur University . AS a Student of DM Cardiology in 1966, Dr. Khalilullah was deeply involved in patient care, Teaching and in accurately diagnosing cardiac arrhythmias. He used a simple but innovative tool based on Ryle’s tube modified esophageal lead to pick up the P wave in patients to differentiate between SVT with aberrancy and ventricular tachycardia since their treatment and prognosis was diagonally different. He was involved in the first implantation of pacemaker on the Indian soil on 23rd of March, 1966 when prof. Sujoy B. Roy implanted the first ever pacemaker. This invoked his keen interest in cardiac pacing and his development of first indigenous pacemaker in 1967 when he was still a student perusing his DM cardiology. After a series of animal experiments, the pacemaker was put to human use very extensively all over the country and was being marketed for Rs.1200/- as against an equivalent to a lakh of rupees for imported ones. He then produced the first ever over drive pacemaker which was used for the termination of serious cardiac tachyarrhythmia’s including VT. Then he also developed India’s first monitoring system and defibrillator, he was awarded two prizes by invention promotion board, Govt. of India, presented by the Hon’ble President of India Dr. V.V..Giri. He continued his deep interest in critical care even after his DM cardiology. He joined G.B. pant Hospital as lecturer in cardiology in 1971 and made significant contribution in setting up the first coronary care unit at the G.P. pant Hospital 28
Dr. M. Khalilullah Director, The Heart Centre under inspiring guidance of prof. S. Padmavati. It was noted that about 30% of the patient with acute heart attack do no see their first physician or reach the hospital and to offer the critical care at the door steps of the patients in the golden hour, the concept of pre hospital care was initiated and India’s first mobile CCU was set up with the help of fabricators on a large vehicle. This mobile CCU was inaugurated in 1972 by the then health minister Dr. karan singh which made a big stride in saving several valuable lives. since the treatment of cardiac arrhythmias is an important part of critical care he introduced several anit-arryhthmic drugs liked Verapamil in 1973, Amiodarone in 1974, Proipafenone and mexiletine in 1975, Disopyramide and Ajmaline, the letter being an indigenous discovery by Siddique and Siddiqui from Lucknow in 1928 but it was not available in India and was marketed in Germany and italy. Ajmaline and its applications were widely reported in American Heart journal. 1975 was a historic year when first Hisbundle recording was carried out on Indian soil by Dr. Khalilullah on 5th march, 1975 where His-bundle electrography and electrophysiology began in the country and which has now become widely established and practiced all Over the Country. In 1990 he was conferred Padma
Bhushan by the Govt. of India. In1991, he was appointed vice President of Asian Pacific Society of Cardiology and was chairman of Education committee when he organized circuit courses in various Asian Countries. He also elected as member of scientific committee of American Heart association . He was the honorary physician to the President of India Mr.R. Venkataraman. In 1990, started non surgical device closure of Atrial Septal Defect for the First time in countries. This has saved thousands of patients especially young girls from understand open heart surgery and ugly surgical scar. After retirement in India in 1995 from G.B. Pant Hospital New Delhi, as Director, he has been serving all segments of the society through his hospital, The Heart Centre where he performs treatment, investigation, interventions and cardiac Surgery to all segments of the society, quite often absolutely free. Dr. Khalilullah has totally dedicated his life to patient care teaching, training, research and development, innovation and interventions and established a new arena of interventional Cardiology which is now widely practiced all over the country as an alternative to n cardiac Surgery. Mar - Apr 2012
Dr.Rajiv Kumar is consultant pediatrician l Practicing for last 20 years l Dedicated to his duty and responsibilities l Case taking 250 per day in OPD
New Born Death and illness Each year:
• Some 350,000 women die in pregnancy or childbirth; • More than 8 million children die before their fifth birthday; • About 40% of those die in the first month of life (neonate mortality); • An estimated 6 million deaths could be prevented -- through better access and integration of health interventions; • These needed interventions are known and affordable. These are only some of the global facts and figures regarding women’s and children’s health – the tragedy of millions of lives lost each year which are preventable.
• Every year nearly 41% of all underfive child deaths are among newborn infants, babies in their first 28 days of life or the neonatal period. • Three quarters of all newborn deaths occur in the first week of life. • In developing countries nearly half of all mothers and newborns do not receive skilled care during and immediately after birth. • Up to two thirds of newborn deaths can be prevented if known, effective Mar - Apr 2012
health measures are provided at birth and during the first week of life. Of the 8.2 million under-five child deaths per year, about 3.3 million occur during the neonatal period — in the first four weeks of life. The majority - almost 3 million of these - die within one week and almost 2 million on their first day of life. An additional 3.3 million are stillborn. A child’s risk of death in the first four weeks of life is nearly 15 times greater than any other time before his or her first birthday. Virtually all (99%) newborn deaths occur in low- and middle-income countries. It is especially in Africa and South Asia that the least progress in reducing neonatal deaths has been made. Almost 3 million of all the babies who die each year can be saved with low-tech, low-cost care.
The challenge: Making through the first day
Until recently, there has been little effort to tackle the specific health problems of newborn babies. Most of
their deaths are unrecorded and remain invisible. A lack of continuity between maternal and child health programmes has meant that care of the newborn has fallen through the cracks between care of the mother and care of the older child. The survival and health of newborn babies is a critical part of the push towards lower child mortality , because a large portion of under-five deaths actually occur during the first month of life. Because many of these deaths are related to care at the time of birth, newborn health goes hand in hand with the health of mothers, According to figures , newborn deaths, that is deaths in the first four weeks of life (neonatal period), today account for 41% of all child deaths before the age of five. That share grew from 37% over the last decade, and is likely to increase further. The first week of life is the riskiest week for newborns, and yet countries are only just starting postnatal care programmes to reach mothers and babies at this critical time. Regular and timely vaccination is very important as prevention is better than cure. Do Preventive regular checkups and be in touch with doctor. n 29
India’s no.1 Killer:
Heart disease L
argest-ever study of deaths shows heart ailments have replaced communicable diseases as the biggest killer in rural & urban India. Heart diseases have emerged as the number one killer in both urban and rural areas of the country.
Top 10 causes of death in India
Dr. M. Wali R.M.L. Hospital New Delhi
Preliminary results from the largest study, yet to find out the exact causes of mortality in India, have revealed that heart ailments take most lives in both urban and rural areas. The results are surprising because they indicate a reversal in disease patterns in the country from communicable diseases to non-communicable or lifestyle diseases. About 25 per cent of deaths in the age group of 25- 69 years occur because of heart diseases. In urban areas, 32.8 per cent deaths occur because of heart ailments, while this percentage in rural areas is 22.9. If all age groups are included, heart diseases account for about 19 per cent of all deaths. It is the leading cause of death among males as well as females. It is also the leading cause of death in all regions though the numbers vary. The proportion of deaths caused by heart disease is the highest in south India (25 per cent) and lowest - 12 per cent - in the central region. “What we have found is quite provocative. If you look at rural areas of poorer states like Uttar Pradesh and Bihar, the leading cause of death among middleaged males is cardiovascular disease.
Heart attacks are killing people not just in urban areas,” said Dr M. Wali, Consultant in Medicine PG Institute of Ram ManoharLohia Hospital highlighting The lifestyle changes and obesity with Junk food habits in youth The data forms part of the first set of results from the study, dubbed the ‘Million Deaths Study’ because it aims to investigate one million deaths by 2014. The preliminary results relate to an analysis of 1,30,000 deaths that occurred between 2001 and 2003. Data relating to another 270,000 deaths is being analysed currently. The study is based on the existing system of tracking the health status of 6 million people across 1.1 million households in all the states and union territories through the units of Sample Registration System (SRS) which the RGI uses to track birth and mortality data in the country. Members of SRS units have been trained in ‘verbal autopsy’ technique - a method of prospective investigation of deaths - while the actual cause of death is determined by physicians. Verbal autopsy is an investigation of a “train of events, circumstances, symptoms and signs of illness leading to death through an interview of relatives or associates of the deceased.” This technique was first tested in Tamil Nadu where 35,000 deaths were investigated in 2006 to find out the exact cause of death. Overall, 42 per cent of deaths in India are accounted for by noncommunicable diseases, while communicable diseases and those associated with child birth and Mar - Apr 2012
nutritional disorders account for 38 per cent of deaths. Other causes of deaths in the 2569 years age group - urban and rural areas taken together - are respiratory diseases such as asthma (10.2 per cent), tuberculosis (10.1 per cent), malignant tumours( 9 per cent), digestive diseases (5.1 per cent) and diarrhoeal disease (5 per cent). Malaria, which had been a leading cause of death, now accounts for only 2.8 per cent deaths. The study is claimed to be the largest exercise of its kind in the world and is expected to throw up new insights into disease patterns as well as underlying risk factors. It is not a mere academic exercise. Findings from the study could help the government design interventions and new policies in the health sector. Currently, India lacks authentic data on the causes of deaths. About 9.5 million deaths, which is about one in six deaths worldwide, occur in the country every year. Over three- quarters of these deaths take place
To Ten Causes of Death in India (Age 25 to 69 as percentage) Rank Cause of Death Male Female Total 1 Cardiovascular Diseases 26.3 22.5 24.8 2 Respiratory Diseases 10.1 10.4 10.2 3 Tuberculosis 11.4 8.3 10.3 4 Malignant and other tumours 7.8 11.8 9.4 5 III-defined conditions 4.8 6.0 5.3 6 Digestive diseases 6.1 3.5 5.1 7 Diarrhoeal diseases 4.0 6.6 5.0 8 Unintentional injuries 5.0 4.1 4.6 9 Intentional self-harm 3.3 2.6 3.0 10 Malaria 2.4 3.4 2.85 (All ages as percentage) Rank Cause of Death Male Female Tota1 1 Cardiovascular Diseases 26.3 22.5 24.8 2 Respiratory Diseases 10.1 10.4 10.2 3 Tuberculosis 11.4 8.3 10.3 4 Malignant and other tumours 7.8 11.8 9.4 5 III-defined conditions 4.8 6.0 5.3 6 Digestive diseases 6.1 3.5 5.1 7 Diarrhoeal diseases 4.0 6.6 5.0 8 Unintentional injuries 5.0 4.1 4.6 9 Intentional self-harm 3.3 2.6 3.0 10 Malaria 2.4 3.4 2.85 Mar - Apr 2012
in the home and more than half of these do not have a certified cause. The law on ‘Medically Certified Causes of Death’ has not been effective in providing any useful inputs as just about 0.4 million deaths are registered under this and that too in some cities. Earlier, only smaller studies conducted in villages in coastal Andhra Pradesh had indicated that cardiovascular diseases had replaced communicable diseases as the top killer in rural areas. But, no large- scale studies have been done so far. Unlike deaths from communicable diseases or injuries having known causes, most noncommunicable diseases can have multiple causes. For example, heart attack could be caused by smoking, high blood pressure, high cholesterol and other factors.
DrPrabhatJha of Toranto also observed: “ Heart disease is not an emerging problem anymore. It has already emerged as a major cause of death in rural areas. We haven’t recognised this and don’t have adequate programmes to deal with it. For tuberculosis you have TB clinics. For malaria, you have the malaria control programme. For cardiovascular diseases in rural areas, we have nothing so far.” Regarding acute heart attacks - not chronic heart disease - that are a major cause of death in urban India, he said it was mainly killing young people in their productive years. A large percentage of these heart attacks are attributed to smoking. The message is clear that control weight, regulate lifestyle, have adequate sleep, control cholesterol and diabetes to have a healthy heart. n So exercise every day !! 31
DR. RAMAKANTA PANDA
Vice Chairman & Managing Director Asian Heart Institute
onsidered as one of the best heart surgeons in the country he has performed over Sixteen Thousand heart operations and has one of the best results in the world. He has pioneered complex heart operations & heart surgeries in high risk patients in the country. Under his leadership, in a short span of less than One year of its inception, Asian Heart Institute has the distinction of being the highest volume cardiac surgical center in Mumbai. Today, it is the highest accredited hospital in the country. Asian Heart has received JCI, NIAHO accreditation from USA as well as ISO Certification. The institute is the first & only
one in the city to bring in cutting edge technology in the form of robot assisted surgery. The latest in robotic surgery-the da Vinci Si Robotic Surgical System with simulator is commissioned at the Institute. The state of the art system is the most advanced futuristic cutting edge treatment option & is the only one of its kind in the country. He led the team of Doctors who successfully performed redo bypass surgery on our Honâ€™ble PM â€“Dr. Manmohan Singh. He has also been awarded the third highest civilian award - Padmabhushan by the Govt. of India, for his contribution in the field of medicines. n
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Expertise of Dr. Sarabjit Singh l Training
in LAPAROSCOPIC SURGERY at CMC, Ludhiana, organized by Punjab Health Systems Corporation, 2001. l Training programme on PROXIMATE STAPLERS organized by Ethicon institute of surgical education, 2002 . l Training in MINIMALLY INVASIVE PROCEDURE FOR HAEMORRHOIDS organized by Ethicon institute of surgical education, 2007 . l Training programme on LAPAROSCOPIC SOLID ORGAN SURGERY organized by Ethicon institute of surgical education, 2008 . l Training of trainers under District Mental Health Programme, U.T, Chandigarh, organized by Department of Psychiatry, GMCH 32,Chandigarh, 2004. l Training on HIV/AIDS; its prevention and control organized by Department of Community Medicine, GMCH 32, Chandigarh, 2005. l Training programme on MEDICOLEGAL ASPECTS OF HEALTH CARE organized by Department of Hospital Administration, AIIMS, NEW DELHI, 2000. l Training programme on QUALITY MANAGEMENT IN HOSPITAL AND MEDICAL AUDIT organized by Indian Institute of Health Management Research, Jaipur,2001.
Dr. Sarabjit Singh Chandigarh
Working as a general and laparoscopic surgeon at Government Multispeciality hospital, Sector 16, Chandigarh. I have more than twelve years of clinical experience as a surgeon and my special interest is in the field of minimal access surgery and diabetic foot management. I am performing on an average about 650 major surgeries both open and laparoscopic every year.
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r. Rohit Garg is a Consultant Psychiatrist & Director Garg Psychiatry & Eye Hospital. After finishing with his preliminary education in Chandigarh, he joined B. J. Medical College Pune, for his graduation (M.B.B.S.). He received his masterâ€™s degree (M.D.) in Psychiatry from King Georgeâ€™s Medical University Lucknow, which is one of the prestigious universities of India. He then worked in All India Institute of Medical Sciences (AIIMS) with specialized training in de-addiction and rehabilitation. He has been trained in rTMS (Repetitive Trans Magnetic Stimulation) which is the latest non-pharmacological technique to treat psychiatric illnesses. He has special interest in child psychiatry, geriatric (old age) psychiatry and de-addiction. He has written various articles
Dr. Rohit Garg
MD ( Neuropsychiatry ) New Delhi
No Love is Greater than self love, Love yourself related to mental illnesses in different books & magazines. He has been frequently interviewed by various radio and TV channels for increasing awareness about psychiatric illnesses. He has delivered lectures on Mental Health in schools and social organizations to fight against the
applying tools in research, for diagnosing psychiatric illnesses like depression and anxiety. He is also a member of Mental Health Foundation, a NGO which works to increase the awareness about mental illnesses among people and treat those suffering from mental disorders. He holds good command over his field and believes in approaching mental health in both biological and spiritual way. Currently he is working on techniques which could help in preventing and managing stress among children and
VISION AND MISSION Dr. Rohit Garg is different from other psychiatrists that he is not commercially oriented. His professional aim is to fight against the stigma associated with psychiatric illnesses from all sections of society. He dreams to see people with mental disorders to live an accomplished life with dignity in society. He aims to create 24x7 helpline for suicide in India. For the same he is building chains of centers in various rural and urban areas, directly under his supervision and control. social stigma associated with these illnesses. He has performed many charitable camps, free checkups and counseling in different states like Delhi, Punjab, Rajasthan, U.P. and Haryana. He has great interest for research in psychiatry and has shared his findings and experiences with others at national and international level. He has been trained internationally, in
individuals. He has also been trained for Cognitive Behavior Therapy which is useful therapy in handling negative emotional states especially during stress, depression and anxiety. Considered as one of the best psychiatrist in the country, he has handled more complicated cases successfully by using new n techniques.
Helpline: email@example.com Mar - Apr 2012
Dr Naresh Trehan
CMD Medanta-The Medicity
r. Naresh Trehan, an Indian national, is a renowned Cardiovascular and Cardiothoracic surgeon, a graduate from King George Medical College and subsequently trained and practiced at New York University Medical Center Manhattan USA, where he obtained a Diplomat from the American Board of Surgery and the American Board of Cardiothoracic Surgery. Dr Naresh Trehan is the Chairman & Managing Director, MedantaTMThe MediCity, a 1500 bedded multi super speciality institute, which offers cutting edge technology and state of art treatment facilities at an affordable cost. The Institute is governed under the guiding principles of providing medical services to patients with care, compassion and commitment. Dr. Naresh Trehan founded the Escorts Heart Institute and Research Centre where he was the Executive Director. Escorts was conceptualised, created and managed by Dr. Trehan from November 1987 to May 2007. Dr. Naresh Trehan has received many prestigious awards, including the Padma Shree and the Padma Bhushan Award, presented by the Government of India. Dr Naresh Trehan was the President of the International Society for Minimally Invasive Cardiac Surgery (ISMICS), Minneapolis, USA 2004-05 and has also received Honorary Doctorate Degrees from three prestigious universities.
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Quality Assurance and IT in Healthcare-The Way Forward Can you share your views regarding the reason for IT adoption lagging in the sector of Healthcare? Do you think that IT projects should be implemented across healthcare organizations? Most sectors lag behind in keeping pace with revolutionary changes occurring in Information and Communication Technology in the past one decade. Social sectors like healthcare and education are the most laggards in embracing ICT due to various barriers, such as, lack of resources and initial costs involved in implementation of technology projects. Further, healthcare providers are generally less techno savvy. The approach to project implementation is fragmented and piecemeal. There are issues like interoperability and seamless connectivity and lack of overall policy and vision in ICT adoption in healthcare. There are also some unfounded concerns like dehumanization of patient care, security and confidentiality of data, loss of employment due to automation, loss of customer base by sharing patient medical records, erosion of clinical acumen and perceived value of IT applications for patients. Other challenges are that healthcare delivery is incredibly complex and uniquely personal, making IT system designing a daunting task, not like repetitive, factory chores in manufacturing 38
Group Captain (Dr) Sanjeev Sood MD, PGDHHM, M Phil (HHSM) Hospital and Health Systems Administrator Air Force Hospital, Chandigarh
industry where one size may fit all. I am of the firm belief that IT projects should be implemented across healthcare organizations. According to millennium development goals, especially target 18, the benefits of ICT should be made available to healthcare sector. National Academy of Science’s Institute of Medicine, Institute of Healthcare Improvement and Agency for Healthcare Research and Quality of USA, which are pioneer institutions of quality and patient safety of global repute, strongly recommend use of ICT in improving quality of healthcare. Today, it is not a question of why, but how much and how soon? IT can enhance operational efficiency, curtail TAT of workflows, eliminate barriers of distance and inequity, reduce medical errors, manual workload, space requirements, improve clinical outcome and contain costs. Thus, IT is an important tool in achieving quality in healthcare today, if not panacea for several ills afflicting healthcare sector. What according to you shall be the recommended ways to remedy IT adoption lagging in the sector of Healthcare? What should be the ways to create awareness, in doctors regarding IT in Healthcare? The healthcare providers need to be more aware about IT applications in healthcare and see value for their patients by adoption of IT solutions.
The success of IT projects depends on successful marriage between people, processes and technologies from the stage of inception to competition. If any of these key players in is out of synch or not involved from the project inception stage, the project may not see light of day. I am of the opinion that the Government and accreditation bodies need to reward and incentivize (e.g., payment policy, rebate in accreditation fees or soft loans) healthcare organizations that adopt IT with ‘meaningful use’ in their Organizations. Professional autonomous bodies can also institute competitive awards for excellence for hospitals on line of National Balridge Quality Criteria that are much coveted in USA. Further, government needs to enact suitable legislation and policies to encourage adoption of EMR, legally accept digital signatures, and provide guidelines to standardize records formats, nomenclature, and communication protocols to enhance interoperability of IT applications across healthcare spectrum. While in the U.S, Health Insurance Portability and Accessibility Act (HIPAA) addresses some of the relevant issues, much remains to be done in India. Thus, while additional legislation is needed, it must be crafted in ways that make a revolution in healthcare information possible, and do not paralyze this revolution with Mar - Apr 2012
possible unintended consequencessuch as implementation failures due to organizations’ inability to make the necessary cultural changes. Achieving the full potential of ICT applications in healthcare will be challenging, and is far from guaranteed, but it is possible. If it is to occur, substantial investment will be needed to galvanize this change, probably in large part from the government, with development of a national health information infrastructure representing the most important piece of the puzzle. Do you think that Indian hospitals are spending sufficient funds on IT automation? If not, what according to you, is the reason for Indian hospitals not to spend sufficient funds on IT automation? IT is now so pervasive and essential that it must be treated as a lever for reducing overall costs— not only as overhead to be slashed. Health care organizations in India currently invest less in IT than in any other information-intensive industry, and not surprisingly current systems are relatively rudimentary, compared with industries such as finance or aviation. Firstly, they view IT expenditure as an overhead to be slashed rather than cost containment tool in the long run. Secondly, the decision makers mix up IT budget with other technologies such as medical equipment and devices. In addition, certain aspects of the market-such as payment policies that reward volume rather than quality and the fragmentation of care delivery-do not promote IT investment, and may hinder it. Not many Indian hospitals have been successfully able to implement ICT solutions in their facilities, and those who have implemented, have not been able to fully incorporate and integrate in their work culture and achieve seamless, paperless and filmless environment. Nonetheless, Mar - Apr 2012
a number of organizations have demonstrated that quality can be substantially improved in a variety of ways if IT use is increased in ways that improve care. However, there is a great opportunity since total market for Indian healthcare IT is app USD 3 billion. State in brief regarding the technologies of the two IT delivery models, SaaS and Cloud computing. SaaS and cloud computing IT delivery models can be defined as a set of virtual servers working in tandem over the networking grid with immense computing power and storage capacity in terabytes. Cloud computing can help organizations lower IT’s capital costs, since organizations rent capability instead of owning hardware and software. Clouds have also enabled organizations to scale their IT capabilities up and down in response to fluctuating customer demand. These IT models can universalize availability of IT applications at an affordable cost to even smaller nursing homes and clinics that provide 80% of hospital beds in India. Their technologies are inexpensive and barely need any maintenance .The data security concerns in networking grids can be suitably overcome by SSLs. In addition to healthcare, these technologies can also by useful for pharmaceutical analysis, storage of images, National Databases and biosurveillance. In your opinion do you consider the role of Information and Communications Technologies (ICTs) vital, in improving healthcare services? If so, why, what are the benefits? Certainly yes, it’s not a question of why, rather what all and how soon? ICT in healthcare is a big enabler and has revolutionized the way the healthcare is delivered e.g. telemedicine can eliminate the
barriers of distance, inequity and high cost in healthcare. HIS, LIS, RIS and PACS facilitate collection, storage, retrieval, and transfer of information and images smoothly and seamlessly across the continuum of healthcare spectrum. It can reduce turn around time of work flows and improve operational efficiency. EMRs can reduce incidence of drug allergies and interactions, save storage space and can be accessed anywhere anytime for any duration of time by the treating physician. CPOE and CDSS can reduce the medication errors due to human factors: poor handwriting, memory lapses, fatigue, and distraction; and prevent cognitive foreclosure and facilitate early and accurate diagnosis. Business Intelligence Systems can make the administration and control of healthcare organization more effective, efficient and productive on real time basis. Applications of mobile telephony in healthcare (mHealth) can improve communications, treatment compliance and healthcare accessibility. The lab analyzers and biomedical equipment can be interfaced with HIS generating alerts and cautions, thus improving patient safety. RFID can eliminate patient misidentification and make inventory management more efficient. Bar coding can eliminate hazards due to spurious drugs. These applications curtail ALOS allowing larger number of patients being treated on same bed complementa scarce healthcare infrastructure resource in India. Also, all computer transaction creates an audit trail that increase accountability. In addition, having more consistent data to analyze promotes best practices that make the hospital more efficient and patients safer and healthier. Finally, the IT system helps the hospital to comply with government N regulations. 39
WORKOUT ON THE EXERKING THE TOTAL POWER
Price Ranging from `2.9 - `4.5 Lakh.
Just 3 × 5 feet space what you need
for Cardiac Rehabilitation, Physiotherapy and Occupational Therapy
he technical knowledge of how the body works has increased dramatically in the past decade. FLUID-TECH FITNESS– their Hydraulic Fitness equipment is the first break through in what some chiropractors think will be the ideal conditioning equipment of the new century. FLUID-TECH FITNESS – Hydraulic Fitness equipment has excellent rehabilitation capabilities. The range of strengthening is virtually unlimited because of their hydraulic system. The equipment adjusts the resistance to the user’s motion, so that strength gains continue even as the
person fatigues. The hydraulic system resists against both directions of movement, so workouts take less time and don’t cause next morning muscle soreness. FLUID-TECH FITNESS equipment doesn’t rely on gravity, so there are no injuries / accidents from falling weights or handles. The resistance level is dialed in as the user sits on the machine. Regardless of how much resistance is dialed in, the system increases the resistance as the user increases the speed of the movement and decreases it as the movement slows down. Even the slowest movement meets resistance, Mar - Apr 2012
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WORKOUT ON THE EXERKING THE TOTAL POWER
has been defined by exercise scientists as a form of “isokinetic” resistance, which allows the user to exercise throughout the full range of motion. Launched in 1997, by Fluid-Tech Fitness, EXER-KING The Total Power their Hydraulic Multigym, is an ideal, most compact and safest multi-gym. EXER-KING The Total Power based on hydraulic principle is having six independent resistance level settings and display panel with six eye level read out gauges, which is unique in the world. The space occupied by EXERKING The Total Power is only 3 feet x 5 feet. One can perform Shoulder Press, Lat Pull, Chest Press, Seated Row, Leg extension, Leg curl, Abdominal Back, Abdominal toner, Dip Shrug and many more, in a single machine without getting up and covering different body muscles and joints of the complete body. There are six numbers read out gauges for indication of resistance for all six different independent movements. This provides instantaneous feedback, so that the user / patient can see immediately the force they are generating throughout the full range of motion. Eye-level read out gauges allow the user to see precisely how much force is being exerted. In other words, as the user’s strength increases, his capacity also increases and the same is displayed on the gauges. There are six control knobs provided on the left side of the seat for six independent movements and the resistance can be varied from 0 to 5. Resistance depends on the knob setting and the speed at which you push / pull. Higher the speed at which the force is applied, higher the resistance will be and lower the speed at which the force applied, lower will be the resistance. In no case it can over strain the muscle groups. The secret is the self-adjusting HYDRAULIC cylinders, which keeps on adjusting automatically and continuously to the strength, power, speed output and the need of the person using it. A person can start doing his workout from any position of the handle / lever
providing maximum benefit. There is no destructive force against the patient as there would be with the eccentric force of typical weight machines. FLUID-TECH FITNESS equipment promotes joint stability and strength. The major advantage of this system, which provides accommodating resistance is that the muscle is able to generate more external force and the system is able to provide more resistance. Chiropractors and Physiotherapist who formerly handled only the rehabilitation end of the training are now finding these type of equipment to play a bigger role in preventive medicine and cardiovascular conditioning of their patients. The major advantage is that you can treat a healthy or injured person on the same equipment. There’s no delayed muscle soreness and no risk of injury or damage to the original injury. FLUID-TECH FITNESS equipment can be used by everyone from preschool children to the elderly. For the elderly, these equipment represents an excellent means for fitness, because it allows anyone at any age to being exercising at their own level of fitness. It’s as effective for general fitness as it is for physiotherapy and because it’s so easy and safe to use, patients don’t require extensive supervision during their workout, which gives the practitioner more flexibility in dealing with patient load. Hydraulic resistance has its place in the treatment of musculoskeletal and neuromuscular disorders because of its unique biomechanical design. Major benefits from resistance training include improved muscular strength, increased peak exercise capacity and sub maximal endurance, reduced ratings of perceived exertion during exercise and improved selfefficacy in strength-related tasks. The effects of resistance training on blood pressure and blood lipids levels are equivocal, but there may be positive effects on glucose metabolism. This form of training is likely to assume greater importance in cardiac rehabilitation in the future. This revolutionary type of equipment
and leave anywhere even in the midway, very safely without any fear of accident / injury because nothing will or can come crashing down on him / her. You will never get start up pain in this machine as you get in gyms for the first 4 – 5 days. EXER-KING is 100% safe for both male / female. It can be used by a 5 year old child to an 85 year old person. The person utilizes his maximum capacity each and every time he / she uses the machine. Because of Hydraulics, there is no jerk on any body parts or muscles. Body soreness / body pain is not possible as the user can never apply more force than his capacity even if he is doing his workout after a gap of 10 – 15 days. Machine provides the total body workout in minimum time and space. WHY EXER-KING . . . . * Equipment is based on the technologically advanced Hydraulic principle. There is no weight stack in our equipment. Because of selfadjusting HYDRAULIC cylinders the resistance keeps on adjusting automatically and continuously to the strength, power, speed output and the need of the person using it or with the capacity of the user. * EXER-KING is most Compact and designed for Safety, Simplicity, and Effectiveness. To increase resistance, you simply push or pull harder. The result is an effective strength training method that reduces soreness, and eliminates the potential for injury. * EXER-KING gives Maximum Conditioning with full range of motion in minimum space and time. * No preset start position. A person can start his workout from any position and can leave even mid-way very safely while workout, without any fear of accidents / injury. * The Doctors / Physiotherapist need not to check the capacity of a person, as the same will be indicated on the gauges provided on the machine, i.e. on EXER-KING – The Total Power at the very first use by the patient. Progress of the patient can be monitored and can see how fast 42
FLUID-TECH FITNESS - OMNIKINETIC TRAINING – is the wave of the future. We are proud to be able to bring it to you today ! he recovers. * No instructor / supervisor is required while workout. * Body soreness / body pain is not possible in this equipment as the user can never apply more force than this capacity even if he is doing his workout after a gap of 10 - 15 days. It adjusts to the capacity of the user immediately on the very first use and keeps on adjusting every time he uses the equipment. * The Doctors / Physiotherapist need not to check the capacity of a person, as the same will be indicated on the gauges provided on the machine, i.e. on EXER-KING – The Total Power at the very first use by the patient. Progress of the patient can be monitored and can see how fast he recovers. * Effectiveness of the medicine / treatment given to the patient can be easily monitored. * It doesn’t need any foundation / fixation and can be placed anywhere any time. You can even have Granite
flooring, thus keeping the gym hygienic. * It is specifically designed for rehabilitation from injuries i.e. for muscle or bone injury and for paralytic patients. * Regulates and improve overall body functions. * It is portable and can be moved anywhere at any time. * There is no sound while workout. * No electricity required. * Equipment is virtually maintenance free. Any training program is dictated by the need and the initial fitness level of the individual. FLUID-TECH FITNESS line of variable resistance exercise systems, i.e. EXER-GYM, can be adopted safely and effectively, at a high cardio-respiratory / vascular involvement, which can induce positive aerobic power training effects and can enhance patients’ ability to meet many of their physical demands associated with their daily activities. n Mar - Apr 2012
Mar - Apr 2012
“AMD MANAGEMENT” is NO MORE a QUESTION but Now Onwards it is going to be an EXCLAMATION! A Stich In Time Saves Nine….. ! There are certain devices / procedures which help early detection of the disease entity. And there are a few devices which help screening the patients and forewarns ( Alarming Signal / Forecast ) the likely hood of disease occurrence. Macular Densitometer is one of such Ophthalmic devices. As it is well known, Age Related Macular Degeneration is the second leading cause of blindness. At present what is available is to diagnose ARMD easily. And if it is there, one can be treated. And this treatment prevents the further damage to occur. But now, we have a revolutionary device --- Macular Densitometer. This device measures the Optical Pigment Density at Macula. If it is low, Ophthalmologist can advise some oral supplements and with that over a period of time, pigment density is restored. We have two versions of the instrument. Made in USA. The first version is intended for research and measures multiple points on the retina. The second version is intended for clinical use and measures a single or maximum three point in the centre and para central area of the fovea. The instrument uses selected light-emitting diodes (LEDs) to measure macular pigment, a yellowish substance in the eye that may protect the eye from the destructive effects of light. Professor Billy Wooten designed, built and tested the macular densitometer. The present instrument evolved over a period of many years of basic research. 44
Good News for All of Us! Now, we needn’t to fear from ARMD Blindness, because, now we can detect it before it is Irreversible!
BREAKING THE BARRIERS
A patient looks directly into the machine and adjusts a flickering light until it stops flickering, then repeats the process with a flickering light in peripheral vision. By comparing the two measurements, researchers can determine how much light is absorbed by the macular pigment and therefore how much macular pigment a patient has.
ARMD is the Second Leading cause of Permanent Blindness in age group of 50+ in India and Globally. “EYE” is the most important square inch in our body. It gets useless (during older age), when it is very badly needed! Screening Eyes at least Once in a year on Macular Densitometer will surely n PRESERVE it. Mar - Apr 2012
Mar - Apr 2012
HEALTH & FITNESS
ating sensibly sound like the simplest thing in the world , yet for many, It’s likely that you already know If you could lose a few pound to improve your overall health all that you fully aware that the average western diet is lacking in fruit and veg and overloaded with fat, salt and sugar. But making changes can seem daunting. It doesn’t help that every day, we’re bombarded with hundred of mixed messages from the media and shop and restaurants. The only proven way to loss weight to burn more calories energy than you eat. It’s easy to create this energy difficult by reducing the number of calories of eat cutting down on highly calories food and eating regular moderate sizes meals. Exercise is also important. The average women need around 2,500 for the average man – though the member of calories will very for children, older adult, and if your daily life is unusually active or inactive. 1lb of fat is grained for every 3,500 calories you eat, and equally 1lb of fat is lost for every 3,500 calories you burn and don’t replace, so eating 500 calories per day less than you burn in energy will result in weight loss at a sustainable rate of around 1lb in seven days. If you loss weight much more quickly than this, you’ll be losing water and muscle weight, not fat. If you’re already overweight,
Guideline daily amount for health and average weight maintenance
Energy (kcalories) Protein Carbohydrates Of which sugar Fat Of which saturated fat Fibre Salt
Man Women 2,500 2,000 55g 45g 300g 45g <120g <90 95g 70g <30 <20g 24g 24g <6g <6g Mar - Apr 2012
HEALTH & FITNESS
your body need more than the standard number of calories to maintain its weight, so just by eating the normal recommended amount of calories to maintain its weight, so just by eating the normal recommended amount of calories (2,000 or 2,500 ), you’ll lose weight. But of you’re only overweight, not obese, you could aim to eat around 1,500-1,800 calories a day to lose weight at a realistic pace. Weight loss surgery or slimming pills are not usually recommended expert in extreme cases where some one is unable to make changes to there diet and exercise. Always consult with your doctor about any weight loss plane before you start to cut back.
What is a Portion ? Dietician recommends sticking to the following portion sizes.
Portion of hard cheese Size of a Matchbox Portion of rice 2 tennis Balls (women) 3 tennis Balls (men) Portion of Meat Size of a deck of cards Portion of potatoes 2-4 egg sized Take care with portion sizes : Just because you can food in large portions at restaurant or in the supermarket, then doesn’t mean the portion is considered ‘normal’ and in fact, Your body Will processed Foods are less fitting and nutritious for the number of calories they give you compared with home cooking. If you’re eating sizeable meals, eating between meals or snacks should be avoided; it’s such a potent source of calories and fat. You can eat little and often if all your meals for small enough, but if you’re eating large main meals for breakfast, lunch and dinner, just have a fruit –based snack and only if necessary. Avoid processed sugar* too – it has such a fundamental effect on insulin levels and if your insulin levels are very high, excess calories are likely to be stored as fat. Salt : Eat less then a teaspoon (6g) of salt per day (ready meals are one of the worst offenders when it comes to large quantities of hidden salt). n
Mar - Apr 2012
Common Drug Helps Reducing Gum Disease
Patients who have had a heart attack or a stroke are recommended to take a small dose of Aspirin. This common painkiller helps the blood becoming more “fluid”, and it does not allow it to clot in excess.
atients who have had a heart attack or a stroke are recommended to take a small dose of Aspirin. This common painkiller helps the blood becoming more “fluid”, and it does not allow it to clot in excess. Thus, the blood clots cannot block the arteries and the blood can flow normally to the heart and the brain. A study has been published in this month’s issue of the Australian Dental Journal, according to which a low dose 48
of daily Aspirin intake can actually help reduce the size of the dental pockets of patients struggling with periodontal disease. In the study there have been involved 152 patients who were given a reduced amount of Aspirin every day, for a period of six months. These patents were divided into two different groups: one group was given 75mg of Aspirin per day, while patients from the other group were given 150mg of the same
medication. Both these study groups have been compared to a third group of patients made up of 146 adults who did not take a daily dose of Aspirin. The researchers wanted to track the effect of Aspirin on periodontal disease, so they have kept on measuring at repeated intervals the “pockets” or the empty spaces that form around the tooth when gum disease is present. These dental pockets as they are called, are actually formed Mar - Apr 2012
because the connective fibers and tissues between the gum and the tooth itself become extremely weak. After the measurements, researchers have noted that the dental pockets of patients who have been taking Aspirin for a longer time are on average 2.1mm deep, and the pockets of patients who were not raking Aspirin were on average 2.38mm. It is extremely important Mar - Apr 2012
to mention that even a very small difference in the depth of the pocket can make all the difference when you struggle with periodontal disease. For example, a dental pocket that is between 1 and 2 mm deep is considered mild gum disease; a pocket depth between 3 and 4 mm maximum is considered moderate, while a pocket depth exceeding 5mm is already considered severe
periodontal disease that is extremely difficult to treat. The Aspirin is an anti inflammatory medication which is very useful in treating many health conditions. Past researches have shown that high doses of Aspirin can indeed help tame periodontal disease, but researchers really wanted to see whether the medication has some effect even if taken n in low doses. 49
Shed some light on the companyâ€™s journey since inception? Since 1983, from a few products in Test and measuring instruments (TMI) and Didactics, we are after a decade a multi product, multi service, multi vertical, multi locational and multi talented group of companies. From a humble beginning, we have gone from strength to strength and today we are a force to reckon with in the sectors we operate. Under the leadership of our CEO and Managing Director, Mr. Ambrish Kela, Scientech has acquired tremendous strength in both shape and size over a period of time. Scientech is really blessed to have a team that is hard working and very dedicated.
mr. Pranay Upadhyay Marketing (Bio Medical) 50
Recently we are empowered with a new identity, new verve and new energy. We offer more than 550 products in the field of Education, Healthcare, Environment and Industry. We have a pan-India presence and our solutions find preference in more than 65 countries across the globe. We have a numerous awards and accolades to our credit. Elaborate on some unique products you have? Answer: CT Scan Trainer, Medical Ultrasound Training System, Doppler Sonography Trainer, Ultrasonic TM Mode, Ultrasonic investigation with the eye in Imaging, Anesthesia Machine Trainer in Therapeutic, IABP (Intra Aortic Balloon Pump) machine trainer are some of our unique products especially designed for educational and research purpose for biomedical engineering colleges, science colleges, medical institutes and research institutes. Caddo 10 E Computerized Tomography (CT) Trainer is an important method to investigate inner structure of objects not only in medical diagnostics but also testing materials in different fields. Caddo 11E Ultrasonic investigation with the eye is used for ophthalmology studies using ultrasound application. Its largest importance lies in the area of bio-metry, in the measurement of distance in eye. Caddo 12 E Ultrasonic TM Mode is used for studies in echocardiography. A special ultrasonic method is applied for the investigation
Under the leadership of our CEO and Managing Director, Mr. Ambrish Kela, Scientech has acquired tremendous strength in both shape and size over a period of time. of heart movements. Caddo 13 E Doppler Sonography Trainer is used for cardiovascular study (sonography of the vasculature system and heart) and reverse blood flow in the liver. It uses the Doppler effect to assess whether structures (usually blood) are moving towards or away from the ultrasonic probe and its relative velocity. IABP (Intra Aortic Balloon Pump) machine trainer is an electromechanical device that is used to decrease myocardial oxygen demand (MOD) while at the same time increasing cardiac output. It also increases coronary blood flow. The IABP training system consists of both hardware and software that has real and simulated output. We also have unique innovative biomedical learning software that has interactive way of teaching technologies and methodologies with a lot of pictures and animation explanation. Scientech Mar - Apr 2012
Knowledge Universe (SKU) is a personalized online tutoring portal that redefines the learning experience in biomedical engineering. All the user needs to do is register, select the courses, pay the fee and get started, all from the comfort of home. The same can also be delivered on handheld devices. Rise in demand for ultrasound machines, what challenges you observed? Answer: It is quite clear that the market of ultrasound machines is growing rapidly. The demand of ultrasound in market is because of its advantageous and features. These are painless diagnostic procedure, absence of ionizing radiation (x-ray), decreasing prices, grooming population, portable & user friendly machines and few others. Challenges are a part of life & business. There are certain factors and barriers for the growth of ultrasound machines in India. Strict implementation of pre-natal diagnostics tests act that would prevent deliberate abortion of fetus after determining the gender of the baby. This unjust practice has led to seriously-skewed malefemale sex ratio. Hospitals, Nursing Homes etc. that carry out ultrasound tests are made to register and obtain a certificate to be allowed to do the testing. This certification is a tedious process that could take up to six months and more and becomes reason for withdraw of orders. Another reason is lack of awareness, Mar - Apr 2012
skills and knowledge about the machines. A user should undergo a proper training before operating on ultrasound machine. We are going to launch a certified course on Color Doppler Ultrasound. We have received registration for conducting training program at our training centre from the Appropriate Authority, PC-PNDT Act, Indore (M.P.). The training will be more focused on hands on practice. This training is for biomedical engineers (diploma,
engineering, PG). We have already started registering a number of students and professionals for the same. The first batch is going to start on 19th March 2012. Do the products of Scientech Technologies Pvt Ltd possess any quality certification, if so which are they and if not then how do you justify the quality of your products? Scientech Technologies Pvt Ltd is an ISO 9001: 2008 certified company that has a strong presence in educational, health care, environmental and industrial sector. Scientech products are manufactured in its stateof-the-art unit, they carry the highest certification of quality. Before launching a product in the market we test our products at several levels to ensure the quality.
Our several products are RoHS compliant and carry CE marked. Some of our products are FDA approved. We are a member of World Didac, Switzerland. We are being awarded several times for our educational training systems. Scientech quality policy is to be a global leader of innovative, competitive and eco friendly electronic equipments, software products and turnkey solutions for industry and technology training. We will achieve this by enhancing customer satisfaction based on research, modern manufacturing techniques and continuous improvement in quality of the products and the services. How is the outlook in terms of the commercial front? Are you seeing any momentum? Scientech Technologies Pvt. Ltd. is accelerating its growth and commitment not only in India but more than 65 countries across the globe. Scientech Technologies Pvt. Ltd has four verticals that include various products and services. These verticals are â€“ Education, Healthcare, Environment and Industry. Talking about healthcare vertical, Scientech Medicare has gained a significant market capture irrespective of big brands and MNCs. The simple reason is our efficient team, innovative solutions and quality of services. The semi-urban areas and rural areas are most promising segment for momentum in future. 51
what marketing strategy do you manage to edge out competitors in your field? Scientech Technologies Pvt. Ltd follows multiprolonged strategy to cope with the various competitors. We have a vast range of medical equipments & biomedical training systems in our product portfolio covering all aspects of medical segment. Our competitors are far behind in our educational training systems. We have various innovative solutions for biomedical products. Our products are customer driven. We are the number one education solution provider. USP of our company products is its comprehensive range of products in almost every technology, customized base products and quality of service. We special take care of the servicing part. We provide
Scientech World is an Indian company with a Global vision. We are investing more in our R&D to give excellent offerings which will provide extra value to customers. quick solution at customer end. Our strategy for growth is to keep competitive price & best services.
What are your future plans? Scientech World is an Indian company with a Global vision. We are investing more in our R&D to give excellent offerings which will provide extra value to customers. Simultaneously we will aggressively continue with
our marketing activities such as seminars, workshops and participation in healthcare exhibitions. Further expansion is achieved by encouraging more marketing tie-ups with the existing & new suppliers of medical equipments for all our products. Scientech products and services are in the market from decades. We are playing a small but an important role in making the lives of people better and this planet happier and we fore see Scientech to be a very popular brand in n this decade.
Mar - Apr 2012
Multidisciplinary approach needed to manage neck pain in office workers
Medgate Today Spoke to Dr. Zahid Jamal (Physiotherapist), About Neck pain in office workers.
Dr. Zahid Jama Physiotherapist
Mar - Apr 2012
o physical measures of pain and neck function correlate with workplace psychosocial factors in the female office worker, and do these factors identify those with neck pain?’ While there is consensus within the field that the causes of neck and arm pain in the working population are multi factorial in origin, the various risk factors – individual, physical, and psychosocial – are controversial. Whereas psychosocial factors of the work environment are recognised as strongly associated with neck pain, most studies tend to evaluate a relatively narrow band of risk factors simultaneously in the same population. ‘This comprehensive assessment of the office worker with neck pain had not been undertaken previously, thus the research was important to map the features that characterise the female office worker with neck pain,’ says Dr.Zahid Jamal, a Physiotherapist and Rehabilitation Co-ordinator. ‘The ultimate aim is to provide information to assist physiotherapists better understand, asses, and treat women with occupational neck pain to ensure they remain in the workforce longer and healthier.’ Despite the fact that few research projects proceed smoothly, Dr.Zahid Jamal admits that he thought it would be simple to recruit 500 participants, and that industry would embrace the opportunity to participate in research. ‘I had been impressed by the research emanating from many European countries, which had large samples of thousands and could not understand why there was no research of similar proportions in India,’ he says. ‘ ’ Dr.Zahid jamal wanted to survey and
test healthy workers who experienced neck pain, and rather than advertising for recruits, his approach was via the workplace. As such, he says that many of the challenges he faced were similar to those experienced by researchers with human participants. ‘I had to approach many more organisations then originally anticipated as many did not want to participate,’ he explains. Dr.Zahid Jamal says that the reasons given for non-participation were surprising. ‘There were concerns that by bringing neck pain to the workers’ attention it would translate to an increase in workers compensation claims, or that the staff were too busy to participate, or about confidentiality of the information gathered.’ According to Dr.Zahid Jamal, the physiotherapy profession can apply his research by considering that impairments in the sensory and motor system need to be included in any assessment of the office worker with neck pain, and these may have stronger influences on the presenting symptoms than workplace and psychosocial features. ‘This is not to suggest that workplace and psychosocial features should be ignored, but the extent to which these features contribute to the overall presentation can only be understood by considering the biological features of the motor and sensory system,’ he says. ‘It is evident that neck pain in office workers is best understood within the framework of the biopsychosocial model. This model suggests that biological, personal, psychological, and social features should be treated as interlinked systems when assessing and managing persistent pain conditions.’ n 53
Mar - Apr 2012
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World Heart Federation World Congress of Cardiology
Scientific Session 2012
18 - 21 April 2012
Dubai, United Arab Emirates
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