medgate today magazine - nov-dec 2014

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The Gateway to Health & Medical World

Volume V || Issue IV || November-December 2014

News Update | Doctor Speak | Expert Views | Product Line | Industry Watch | Healthcare Management

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Sh. J.P. Nadda(Union Health Minister of India)

Group manufacturing facilities in Europe, Asia & Africa

Group turnover in excess of 100 Million USD

Manufacturing in India as per EN 13795 in Class 100,000 D Clean room

Own manufacturing of laminates in Europe

Global C

ustom

ers

Global E

mployee

s

Global

Work Cult

ure

Hitex HealthcareA-402, Laxmi Sadan, Thakur Village, Kandivali (E) Mumbai 400101

Ph.: +91 22 28860782 E-mail: [email protected]

SMMMS GownsProcedure Sets Surgical Drapes

CSSD SMMMS WrapsDrape Making Machine

www.medegatetoday.com November-December 20146

Potential Healthcare industry is the world’s largest industry with total revenues of approx US$ 2.8 Trillion. In India as well, Healthcare has emerged as one of the largest service sectors with estimated revenue of around $ 30 billion constituting 5% of GDP and offering employment to around 4 million people. By 2025, Indian population will reach 1.4 billion with about 45% constituting urban adult (15 years+). To ca-ter to this demographic change, the healthcare sector will have to be about $100 billion in size contributing nearly 8 to 10% of the then GDP. By then, the 10 large national healthcare networks would be able to absorb 30% of the market share. The leaders in the Indian healthcare sector will be bench-marked to international quality and efficiency standards.

Where we are talking about GDP and world largest Industry but this is fact that , India faces a huge need gap in terms of availability of number of hospital beds per 1000 population. With a world average of 3.96 hospital beds per 1000 popula-tion India stands just a little over 0.7 hospital beds per 1000 population, one of the lowest in the world.

With the number of hospitals and medical colleges that are estimated to be built in the next decade, there is absolute need for qualified healthcare architects.

Have an insightful reading.Your suggestions are most welcome!E-mail: [email protected]: w w w . m e d g a t e t o d a y . c o m

Dr Pradeep BhardwajEditor-in-Chief

Dr. ma Kamal

Dr. Pradeep BhardawajGP Capt. (Dr.) Sanjeev SoodDr. Sharad Lakhotia

afzal Kamaladesh Singh Solanki

Sonia Pandit

Sa Rizvi, Dr. HN Sharma

mohd. Javed ahmad

amjad Kamal, SY ahmed Khan, Ranjit Shirsath Deepti Tripathi, Nizamuddin alam

Jagruti Diddi, Saba Khan

all right Reserved by all everts are made to insure that the information published iscorrect ‘medgate today’ holds no responsibility any unlikely errors that might occur.

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Volume - V Issue - IV Nov-Dec 2014

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Indian Healthcare Architecture Industry on Growth Path

Editor’s note

India Needs to build 8.9 Lacs more hospital beds to achieve the target of one bed for 500 patients


Contents

8 www.medegatetoday.com November-December 2014

NEWS

World Diabetes Day 8

Siemens Goes Pink 10

India’s premiee hospital 12

New SPECT System 14

HbA1c test listed 16

Intravenous Autologous 18

Control Diabetes 20

EXPERT VIEWS

Lifestyle Diseases... 26

A Critical Appraisal... 36

A new way to Treat 50

When and why? Laparoscopy 58

DOCTOR SPEAK

Predicting a Heart Attack 30

Timely and Accurate... 52

Infertility Cause... 56

HEALTHCARE - IT

Transforming Healthcare.. 45

IT in Indian Healthcare 60

PALASH Healthcare... 62

INTER VIEW 46

INDUSTRY WATCH

Hospitech Consultancy 64

PRODUCT LINE

Eubiq Pioneer in Hospital 66

Medisystems 68

JPNadda

Mr.

22 24

32

34

42

What do you Need toknow about Valve Dis-eases?

SB GROUPis ready to mark the presence of Welfare Medical in INDIA

Infection control inOperation room

38

Facility Designto Enable NABH Accreditation

The Most Common Illnesses in

Children during Winter Season

54


“The number of people in the world suffering from diabetes is increasing. Nearly 87 million people with diabetes live in the WHO South-East Asia Region. India alone accounts for 65 million, the second highest in the world after China, which has 98 million of the total 392 million diabetics in the world. It is projected that the number of diabetics globally will reach 582 million by 2035. It is estimated that 5.1 million deaths occurred globally last year on account of diabetes. Diabetes makes people prone to heart diseases, kidney failure and infectious diseases such as tuberculosis (TB), malaria, and HIV/AIDS, among others, leading to premature deaths. Nearly 80% people with diabetes live in low- and middle-income countries. The magnitude of the problem is huge and is growing rapidly. We must to act quickly to arrest this trend.

Governments need to revisit their health promotion strategies for noncommunicable diseases to increase awareness about simple and effective lifestyle changes,

World Diabetes Day

such as physical activity and healthy diet. Enabling environments must be created for people to adapt these lifestyle changes, with improved access to areas for walking, bicycling, sports and other physical activities. Healthy food should be made available at affordable rates to make healthy choice an easy choice. This requires a holistic approach and must include the private sector and engagement of sectors beyond health. Another important intervention is creating easy access to early diagnosis and management of diabetes. Approximately half of those with diabetes in the South-East Asia Region are as yet undiagnosed. While governments have a role in prevention and control of diabetes, individuals can also make a difference by taking responsibility for their own health. Eating right and undertaking regular physical activity to maintain a healthy weight can cut the risk of diabetes or delay its onset. Healthy diet, including consumption of at least five servings of fruits and vegetables, reducing sugar, salt and fat and sufficient physical activity need to be promoted in schools and workplaces.”

Dr. Poonam Khetrapal SinghRegional Director for WHO South-

East Asia Region

Shri J P Nadda on Chattisgarh deaths due to sterilisation: On the matter of the deaths after ster-ilisation in Chattisgarh, the Union Minister for Health & Family Welfare, Shri J P Nadda said here today that on the request of the Chief Minister of Chattisgarh, the Center sent a team of doctors from AIIMS which has supervised the medical treatment being given to the affected patients. The Health Minister informed that the team of doctors has provided necessary guidance and support to the team of treating doctors in order to ensure that the best possible care is being provided to the affected.Shri J P Nadda stated that he was in continuous touch with the Chief Minister of Chattisgarh. He informed

that a judicial inquiry has been ordered by the state government. The center will provide all necessary assistance for the inquiry.

The Health Minister stated that it was a misconception that family planning is a target driven programme. On the contrary, he stated that it is a target-free, promotional and a demand driven program. He clearly stated that there are no targets set by the Central government.

Health Ministry will extend all possible help to the state for an impartial inquiry on Chattisgarh deaths duto sterilisation

UpdateNEWS


UpdateNEWS

Siemens Healthcare introduces the Symbia EvoExcel SPECT systemat the 27th

Congress of the European Association of Nuclear Medicine (EANM).The system is a new version of the successful Symbia E.Symbia Evo Excel combines industry-leadingSPECT image resolution and detector sensitivitywith the smallest room sizerequirementin its class*.Designed to fit into almost any existing nuclear medicine exam room, Symbia EvoExcel virtually eliminates costs associated with room renovation and expansion. With a high-capacity patient bed, larger bore sizecompared to previous systems and highly flexible detectors, the system is optimizedfor obese or critically ill patients andincreasesthe variety of applications a healthcare institution can offer.

With a room sizerequirement up to 29 percent smaller than for conventional systems in its class*, Symbia Evo Excel fits in a room as small as3.60 m (11 ft 8 in) x 4.57 m (15 ft).The systemimprovespatient comfortwith a 30 percent larger bore [102 cm (40.2 in)],compared to its predecessor, and a high-capacity patient bed thatsupports patients up to 227 kg (500 lbs). The bed also improves accessibility for patients with limited mobility with a convenient minimum access height of 53 cm (21 in). The exceptional detector flexibility allowsimaging of critically ill patients on a gurney or in a hospital bed. Additionally, the short tunnel length and maximum scan length of up to 200 cm (6 ft 7 in) improves patient comfort for claustrophobic and tall patients.

New SPECT System Scans Virtually Every Patient andminimizes Costs• Smallest room sizerequirementin its class*

• Highthroughput and exceptional detector flexibility

• Industry-leading image resolution

requires the following Doctors with minimum Experience of 5 Years:

Good remuneration and Commission on Partnership

OPPORTUNITYTanzania, East Africa

Â CARDIOLOGIST Â PHYSICIAN

Â RADIOLOGIST Â GYNAECOLOGIST

Â Ultra Fast CT Scan Â X- Ray Machine Â Mammography

requirement for following Medical Equipment: Â MRI Â Other Medical Equipment like

ECG, Ultrasound, Doppler etc.

[email protected] [email protected] [email protected]

E-mail:


UpdateNEWS

Under the auspices of All India Institute of Medical Sciences (AIIMS), New Delhi and with the financial grant of Department of Biotechnology, Govt. of India, a study of

stem cell treatment in patients with Stroke (Paralysis) is ongoing since 2006. General public, particularly those suffering from disabling and incurable diseases, have limitless hope from stem cell treatment because stem cells have potential to replace the damaged parts of the body. But we should remember that there are different types of stem cells and a scientific study is absolutely essential before using them in clinical practice. Such a scientific study must be a comparative study comparing patients who receive stem cells with those who do not.

After a preliminary study in 2006, we launched a comparative study in 2008 in which besides AIIMS, New Delhi; SGPGI, Lucknow; PGIMER, Chandigarh; AFMC, Pune; R&R Hospital, Delhi participated. Between November 2008 and January 2010, these five hospitals received consent from 120 patients for participating in this study. For comparison, 60 of these were assigned to receive conventional treatment and another 60 bone marrow stem cells besides other treatment. All these patients had

stroke / paralysis two to four weeks, before inclusion in this study but they had not improved significantly. After measuring their difficulties in using hands and feet and also doing MRI of the brain, 58 patients underwent stem cell aspiration from hip bone and bone marrow stem cells were infused into the veins of their forearm. On an average 28 crore bone marrow cells were injected of which blood forming stem cells were on average 29 lakhs per patient. Thereafter, patients’ difficulties in using upper and lower limbs were measured at 3 months, 6 months and 12 months. To avoid bias, these measurements were done by telephone by a person who did not know who received the stem cells and who did not. The difficulties in their activities of daily livings were measured using two scales. It was found that the stem cell treatment is safe but there is no added beneficial effect.

This study has been published in a world renowned American journal ‘Stroke’ which has the highest impact factor in the field of Stroke. This is the first and largest randomized controlled trial of stem cell published in the field of stroke. Until ongoing or further randomized trials show efficacy, this treatment should not be used in clinical practice, and patients should not accept such therapy without question.

Dr. Kameshwar PrasadProfessor & Head

Dept. of Neurology, All India Institute of Medical Sciences, Ansari Nagar, New Delhi

Intravenous autologous Bone Marrow Mononuclear Stem Celltherapy for IschemicStroke: A Multicentric, Randomize Trial


JPNadda

Mr. takes charge as the Union Minister for Health and Family Welfare at Nirman Bhawan in New Delhi

UpdateNEWS

www.medegatetoday.com November-December 2014 25

JP Nadda's debut straight into the cabinet, as the Health Minister, reflects his importance as a master strategist and trusted lieutenant of Prime Minister Narendra Modi and BJP president Amit Shah.

The 53-year-old, who runs personality development and time management workshops for party workers, prefers to work behind the scenes.

Sources close to the mild-mannered leader say his inclusion in the Modi government is a vindication of his efficiency and dependability. He also enjoys the support of the BJP's ideological mentor Rashtriya Swayamsevak Sangh and has good equations with all prominent leaders of the BJP.

Mr Nadda was a strong contender for the post of BJP President but extended full support to Amit Shah after losing the race earlier this year. Along with PM Modi and Mr Shah, he is known to be a part of all major decisions in the party and is expected to act as a bridge between the party and the government.

A prominent student activist in his college days, Mr

Nadda is known to be a tough task master.

Born on December 2, 1960 in Patna, Mr Nadda has emerged as a very strong political figure from Himachal Pradesh, where he was an MLA before entering the Rajya Sabha.

Mr Nadda was a member of the BJP's student wing ABVP or Akhil Bharatiya Vidyarthi Parishad and became a Secretary of the student's body in the Patna University in 1977. His father was a Vice Chancellor in the university.

At 31 in 1991, he became national president of the BJP's youth wing. His involvement with the party from a young age is believed to have instilled in him the importance of training at the grass-roots level.

He has been the BJP's National General Secretary since May 2010.

A three-time legislator, Mr Nadda has been a minister in Himachal Pradesh in the past.

In April 2012, he was elected to the Rajya Sabha and has been a member of various Parliamentary Committees.

Mr. Afzal Kamal (National Head)

Medgate today Magazine

Congratulating Sh. J.P. Nadda

(Health Minister) and presenting

Magazine to him at Nirman Bhawan, New Delhi, INDIA

UpdateNEWS

There are four valves in the heart, 2 on the left side called mitral and aortic valves and 2 on the right side called tricuspid and pulmonary valves. Most of the valvular heart diseases in adult patients arise from

left sided valves that are mitral and aortic valves. Tricuspid valve can be involved in many cases mostly in combination with mitral valve though in rare circumstances it can be involved in isolation also. Involvement of pulmonary valve in adults is rare.

What happens in valve diseaseThe valves in the heart regulate the flow of blood from one chamber of heart to another by regulating the forward and backward flow through them. The valves open up during a specific time during the contraction of the heart to allow forward flow through the valve and remain closed during the rest of the cardiac cycle so that blood does not come back. With disease process, either the valve becomes small so that it obstructs the forward flow. This is called stenosis or it starts leaking during the period when it should be closed. This is called regurgitation. So the valvular diseases can be broadly divided into two groups: either stenosis or regurgitation.

Causes of valve diseaseThe most common lesion in mitral valve in young patient is mitral stenosis. In India, the most common cause of mitral stenosis is rheumatic heart disease which occurs

Dr. Z.S. Meharwal

Director-Cardiovascular SurgeryFortis Escort Heart InstituteNew Delhi


SpeaKDOCTOR

What do you Need to

know about Valve Diseases?


ViewSEXPERT

Lifestyle Diseases

Diseases attributed to unhealthy day-to-day living habits are referred to as Lifestyle Diseases. They include obesity, diabetes, hypertension, heart diseases, chronic liver disease/cirrhosis, constipation, gassy ab-

domen and cancers. They have become a major health hazard in upcoming economies such as India and China. Of them, obesity, diabetes, hypertension and hyperlipid-emia are of major concern and cause of death. They are attributed to increased insulin resistance and are grouped as metabolic syndrome. It is the outcome of increasing affluence and adoption of sedentary lifestyle and is being seen increasingly among Indians and other South Asians.Peoples' diet have changed substantially in the second half of the twentieth century with increase in consumption of dairy products, meat, vegetable oils, fruit juice, and alcoholic beverages, and decrease in consumption of starchy staple foods such as bread, potatoes, rice, and maize flour and vegetables, salad and fruits. Other aspects of lifestyle have also changed, notably, large reductions in physical activity and prevalence of obesity.

The western lifestyle, characterized by fast food, watching TV and playing video games is taking its toll on children as well as adults, and is producing increased numbers of overweight, passive youngsters with lifestyle diseases.

Obesity on the riseAccording to the National Family Health Survey (NFHS-3) (2005-06), 13 percent of women and nine percent of men in India are overweight or obese.

Presence of obesity increases greatly the chance of occurrence of other lifestyle diseases in the same person and they all work together to shorten the lifespan of the affected person. Additionally, obesity itself is associated with a huge number of complications and they could be the cause of early mortality (Figure 1).

Dr. Rakesh Tandon

Medical Director & Head of Gastroenterology PSRI Hospital, New Delhi

It is estimated that about 166 per 100,000 people in India die due

to ischemic heart disease (a condition which is

characterized by reduced blood supply of the heart muscle) and around 116

per 100, 000 people in India die due to

cerebrovascular diseases.

an emerging problem

UpdateEXPERT


Sushil Bagga

“ Welfare Medical India”, an

associate of Welfare Medical Ltd,

United Kingdom. Sushil Bagga

has strategically partnered with the

global leader in medical industry with the aim to bring the best to

India.




The operating room historically has been one of the departments where the control of infections has been at best a challenge. Despite the fact that this is an aseptic environment, the constant flow

of patients and staff doing a wide range of procedures every day where there is continuous exposure to a broad range of pathogens in blood, body fluids and tissues encountered, makes this an ongoing challenge.

The selection of medical textiles is an important task for health care sectors in terms of benefits and costs. The basic cost calculation does not always yield to proper results in product selection; it could even mislead. It is usually a complicated task to make a decision whether to work with reusable or single-use products, especially when the patient and surgeons lives are in consideration.

This reason lead to a lot of detailed studies to determine the net benefits and costs associated with reusable and single-use products in operating room in different countries. In a 2013 article in the Journal of Hospital Infection, the conclusion was that colony-forming particles from shed lint were significantly lower when single-use clothing was used. In other study reviewing the laundering practices for these products, it was found that the processes used did not sufficiently remove bacterial contaminants. 93% of the towels tested in this study contained E. Coli and Klebsiella. These products, if

Infection control inOperation room

Commander Manoj Kumar (Retd)

CEO, Hitex Healthcare

The role of drapes, gowns and sets is to improve patient safety and also to

minimize the spread of infectious agents such as antibiotic resistant bacterial

strains, human immunodeficiency virus (HIV) and others, resulting into

decrease of risk of contamination by these infectious agents for staff as well as

other patients

ViewSEXPERT


The development of Neurosurgery in India has almost paralleled the achievements of the country and is now at par with the best of such services available in the world. Over the years the number

of Neurosurgery centres have increased but these well equipped centres of excellence are mostly based in the major tier I cities. When I started practice 20 yrs. ago, all the patients requiring emergency neurosurgical services like traumatic brain injury were transported to larger cities. One can imagine the transport facilities available at that time (and even today ! ). Many patients used to succumb in transition and many patients used to develop irreversible damage to brain before reaching a proper facility. Another problem faced by the family was to arrange adequate finances on urgent basis before going to big city. Many people were scared to travel to a unknown big city and would prefer to stay back without proper neurosurgical treatment.

a CRITICaL aPPRaISaL OF NEUROCRITICaL CaRE SERVICES IN TIER II CITIES

Dr. V.K. rajoriaDirector and HeadDeptt. of NeuroscienceCygnus Hospital

Dr.V.K.Rajoria has experience of more than 20 years in the field of Neurosciences. He was trained at AIIMS, New Delhi and later received

training in Stereotactic and functional neurosurgery at Stockholm, Sweden. He has travelled internationally and has gained rich experience in the field of neurosurgery. He worked as consultant Neurosurgery at Holy Family Hospital, New Delhi for 18 yrs. Later he worked at Indian Spinal Injuries Centre and Primus Superspeciality hospitals. He has presented numerous scientific papers in national and international conferances. He is one of the founder directors of Cygnus Medicare since it was formed in 2011. He is also known for his

philanthropic philosophy and is an active member of an NGO which is working for the mentally challenged poor people.

ViewSEXPERT

LED’s infact are the best choice for the future. They are energy savers with a long life that also produce negligible amount of heat which in turn helps control electrical bills especially due to air-conditioning. Aesthetically also the new LED’s are smaller in size and have better light quality. They have varying colour options to cater to all aspects of lighting for mood, task and general lighting purposes.

LED as a technology is fantastic in terms of reducing power consumption. However, as a designer what is fantastic about LED’s is their compact size and various colours of light that they can achieve. These two things have suddenly broadened the use of light in archietcture and interiors and that is the factor that is leading to its widespread use.

Due to the move towards sustainable architecture, people are opting for LEDs as they are more energy efficient, durable and ecologically friendly when compared to conventional lighting solutions.

From an architectural perspective, LEDs can add a new dimension to the concept of smart buildings as there is potential to build smart features directly into the light source. This means that individual fixtures can be controlled through phones and occupant sensors to moderate light intensity according to ambient light levels. Their smaller size and low energy consumption also allows for more versatility in the aesthetic design of fixtures such as the creation of slender and minimalistic forms, floating fixtures etc.

Reza KabulArchitect

Rahul GoreArchitect

Dikshu KukrejaArchitect

Naresh V NarasimhanArchitect

LED Lighting is becoming a preferred choice due to various advantages in today’s design scenario.

StORYCOVER



UpdateEXPERT

Â Influenza (AKA “the flu”): Despite an unlimited supply of the vaccine this year, it appears it is not preventing the B strain (remember, there are A and B strains of influenza) circulating this season. So throw in those who declined influenza immunization this year, and well, it makes for a pretty busy flu season. As far as treatment measures, anti-flu medications exist but are only recommended in certain populations (e.g., the younger and elderly, those with underlying medical issues, etc.).

Â Respiratory Syncytial Virus (RSV): This is the virus that can create a bad cold in any aged individual but with the younger ones (infant-aged), it can become quite problematic. The cough sounds horrible, the airways become clogged with intense nasal secretions and oxygen levels can become compromised. Supportive measures are typically all that is needed but absolutely necessary to see your child’s physician if any respiratory compromise exists. Many children, particularly those under six months of age, require hospitalization for several days if their infections is severe enough to impair feeding or oxygenation. Exposure to cigarette smoke makes symptoms significantly worse.

Â Strep Throat: Yes, strep throat always seems to be circulating no matter the time of year. Take home message here is if your child has a sore throat and fever and minimal cold-like symptoms (runny nose, cough), take him/her in because this is one illness that has a clear treatment plan. Yours truly had it about a month ago but after a day of the antibiotics, you really do start feeling better.

Â Viral Gastroenteritis (AKA “stomach bug”): Plenty of this in between all of the other illnesses I mentioned above. Typically begins with vomiting and when that resolves, here

comes the diarrhea. Hydration and supportive measures are key and in certain instances, an anti-vomiting medication may be used .

Â Rotavirus: Rotovirus causes an infection in the stomach and intestinal tract, and the main symptoms are vomiting, diarrhea, and fever. Vomiting is usually most significant in the first 48 hours of illness, and diarrhea generally starts on the second day of illness and lasts for six to eight days. The main danger of this infection is dehydration, which is more common in infants and toddlers.

Again, because this is a viral infection there is no specific medication which will kill the virus. Treatment is symptomatic while we wait for the body's immune system to fight the infection. Treatment includes modifying the child's diet temporarily so that the stomach can rest. This is done by giving clear fluids and bland starchy foods, which are easier to digest in smaller amounts frequently. Sometimes despite parents' best efforts, a child will require hospitalization to receive IV fluids for several days until they are able to tolerate fluids in their gastrointestinal tract. Please call your doctor if your child is not drinking enough to urinate four times each day, if they have more than six to eight episodes of vomiting in a day, or are acting lethargic. Rotavirus is transmitted though saliva and stools. To avoid the spread of this infection do not SHARE food or drink with others, and wash your hands frequently, especially before eating.

So there you have it. These are the illnesses making things a bit tougher for the children I care for these days.

SpeaKDOCTOR


SpeaKDOCTOR

InfertilityCauses Treatment

Infertility affects approximately 10-15% couples every year. About 30 % to 40% of all infertility is attributed to the female and 30-40% to the male; in few cases combination of male and female factors may be the cause. Following extensive investigation and treatment, approximately 50% of the infertile couples achieve pregnancy through various technological aids.

Dr. Hrishikesh Pai, Gynecologist & Infertility Expert of Fortis La Femme Hospital, New Delhi & Lilavati Hospital, Mumbai informs, The causes of infertility are many and varied. This includes problems with the production of sperm or eggs, with the Fallopian tubes or the uterus, endometriosis, frequent miscarriage, as well as hormonal and autoimmune (antibody) disorders in both men and women.

Male Infertility Male Infertility is generally the result of an inability to properly produce healthy sperm or because of a blockage that prevents sperm from joining the semen. The known causes of male infertility can be subdivided into four areas:

Â Hormonal problems: The failure of the pituitary gland at the base of the brain to stimulate the testis. Disorders of this group, usually referred to as endocrine causes of male infertility, are relatively rare, affecting approximately 1 in 100 patients.

Â Sperm production problems: The disruption of the production of sperm within the testis or the production

Dr. Hrishikesh PaiGynecologist & Infertility Expert of Fortis La Femme Hospital, New Delhi& Lilavati Hospital, Mumbai

&


ViewSEXPERT

Dr. rajesh C. ShahPresident: Indian Hernia Society, Indian Society of Wound Management, Gujarat State Hapter ASI (2006), Gujarat Chapter SELSI

?

Laparoscopy is a type of surgical procedure that allows a surgeon to access the inside of the abdomen (tummy) and pelvis without having to make large incisions in the skin. This procedure is also known

as keyhole surgery or minimally invasive surgery. Large incisions can be avoided during laparoscopy because the surgeon uses an instrument called a laparoscope. This is

a small tube that has a light source and a camera, which relays images of the inside of the abdomen or pelvis to a television monitor.

The advantages of this technique over traditional open surgery include

Â A shorter hospital stay and faster recovery time Â Less pain and bleeding after the operation Â Reduced scarring

how Laparoscopy is Carried out?Laparoscopy is carried out under general anesthesia, so you will not feel any pain during the procedure. During laparoscopy, the surgeon makes one or more small incisions in the abdomen. These allow the surgeon to insert the laparoscope, small surgical tools and a tube, which is used to pump gas into the abdomen – this makes it easier for the surgeon to look around and operate.After the procedure, the gas is let out of your abdomen, the incisions are closed using stitches and a dressing is applied. You can often go home on the same day you have laparoscopy, although you may need to stay in hospital overnight.When Laparoscopy is used?Laparoscopy can be used to help diagnose a wide range of conditions that develop inside the abdomen or pelvis. It can also be used to carry out surgical procedures, such as removing a damaged or diseased organ, or removing a tissue sample for further testing (biopsy). Laparoscopy is most commonly used in gastroenterology, gynecology and urology.

Some commonly performed operations include:

Â Removal of the gallbladder (appx. around 2,00,000 operations per year in India)

Â Removal of the appendix (appx. around 1,50,000 operations per year in India)

Â Female sterilization

When and WhyLaparoscopy


IT in IndianHealthcare System

digitization. Moreover, the frugal government spending on healthcare and skewed ratio of doctors & hospital beds to the population has fueled the problem.

healthcare and ITThe Healthcare information Technology (HIT) is termed as the most efficient and promising tool for augmenting the overall quality, safety and efficiency of the healthcare delivery system. Despite India being an IT enabled services’ behemoth, the use of HIT is very limited in the country. The major users of HIT include big pharmaceutical companies, corporate hospitals and other private sector institutions, while the public healthcare sector is lagging way behind in IT utilization.

Shushmul MaheshwariChief Excutive, RNCOS

Despite the strengthening economic prowess of India, it is ranked among the bottom five countries, with the lowest public health spending world over and accounts for nearly

21% of the global disease burden. A World Bank report published in 2010 estimates that India is annually losing over 6% of its GDP due to premature deaths and preventable illnesses. Indian healthcare sector is still suffering on account of underfunding and poor governance which have led to substantial inequities in basic health care provisions.

Patient monitoring and tracking is one of the biggest hurdles in our healthcare system due to the lack of

it

HEALTHCARE


itHEALTHCARE

Healthcare industry is keeping pace for integrating technology in its working space, but there are

several healthcare providers who still lag in adoption of technology especially small and mid-sized hospitals. The reason being ‘unawareness’ about technological advancements. Healthcare industry in India is bereft of a proper guideline for Electronic Medical Record (EMR) and a proper regulation system. These negligence are widening the gap between the requirements of healthcare providers and its deliverables. Several healthcare providers are still maintaining the entire medical records

manually. With a mission to transform this manual work system through its innovative solutions and services, PALASH Healthcare System (PHS) came into existence in 2006 in Pune soon establishing a strong client base mainly in India, UAE, Africa, Caribbean, South East Asia and Europe.

PHS has created state-of-the-art comprehensive enterprise-wide Healthcare Information Management System (HIMS), Clinical Information Management System (CIMS), Electronic Healthcare Record (EHR), Electronic Medical Record (EMR) and Analytics software provider. Its faculty focused frameworks and operational components cover all aspects of management and operations of hospitals and clinics. PHS provides solutions for small and medium hospitals & clinics, where they have streamlined the entire processes seamlessly. Under the supervision of Dinesh Samudra, Founder & CEO, the company provides various solutions - Multispeciality, Healthcare platform, Clinical Management, IVF, Ophthalmology, Diabetic and Nephrocare to name a few.

PHS has enabled the easiness in the entire workflow mechanism with its single point integrated solutions. Earlier, these hospitals struggled to maintain manual data efficiently. With the implementation of PHS’ solutions, information of patients, labs or others are instantaneously accessible in a single click.

PALASH Healthcare SystemsLeveraging Technology forBetter Healthcare


watCHINDUSTRY

We are a professionally managed consultancy specialising in hospital & healthcare facility management, back by a team of experts from healthcare, engineering, management & allied professionals providing the target completions of projects with careful attention paid to TIME SCHEDULE, COST, QUALITY & PROFESSIONALISM. With our depth of experience & quality of service, we ensure on-time and efficient results of the highest quality. Headquartered in Bangalore with branch offices in 5 cities including Hyderabad, Jaipur, Ahmedabad, Delhi & Mumbai.

Hospitech is an experienced and talented healthcare expertise resource. We offer our clients a cutting edge team of healthcare consultants. We provide innovative solutions to cost, quality, and access challenges for healthcare policy- makers, purchasers and consumers. We have staff with varied expertise and client bases, creating a firm with the talent, people-power and experience in a broad range of project types, to set a new standard in design excellence and commitment to service.

Expertise We assist leading healthcare promoters/companies work on the full spectrum of strategy, operations, organization and mergers and acquisitions in their new and existing business ventures. Our team works alongside client teams at multiple levels of the organization to develop practical solutions that can deliver effective & sustainable results. We work with our clients on all kinds of projects including Hospitals (Multi, Single, Superspecialty), Diagnostic centres, Medical colleges, Nursing homes, Laboratory, Healthcare educational institutions, Day care centres etc.

We assist our clients to gain a clear, demonstrable competitive edge. Continuous monitoring and

improvement makes transparent what has been achieved so far and what can be done to further improve the services.

Approach Our Team has extensive experience and competence with regard to healthcare processes & delivery. We analyze client’s situation, develop concepts tailored to their needs and support them during execution/implementation. We start by asking the right questions, and then dig deep into the numbers to unearth the right solutions. We help clients decide where they want to go, and how to get there. Our approach and recommendations on every project are highly customized and lead to practically achievable outputs.

The TEAMOur core group of healthcare industry experts have experience in more than 100+ projects. We work as an integrated part of our client’s team, to deliver outstanding results that are sustainable. We make sure our suggestions/decisions get translated quickly into action and that the client's team can sustain the momentum into the future. Our team is committed to leaving our Client’s organizations stronger than when we arrive. Our passion about our work results in long term relationship with the client’s and that is possible with the energetic team which is always at work & a step ahead in the project deadlines.

At Hospitech, we work seamlessly together as one team to serve our clients wherever they need us. We have 5 offices in different parts of the country. With offices in major cities, we make our collective knowledge, experience and strong network available to our clients as quick as possible.

Hospitech Consultancy is a Team of Expertswho bring about the project to its logical conclusin at the right cost


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Services We provide our services which can be either taken together or at different intervals as per requirement. Apart from the services mentioned below, Client’s have the liberty to appoint us in helping them understand the project, finding the solution to their project issues & even help in implementing the solution to the issues.

following are the various services offered Market research & Financial Feasibility (Detailed project report) Hospital Planning & Designing Hospital Project management Hospital Biomedical Equipment & Furniture Planning Management Consulting Hospital Business strategy Operational & Marketing Management Hospital Quality management Manpower planning & Recruitment Hospital Information Systems Hospital commissioning assistance Hospital Branding

List of ProjectsFollowing are some of the projects completed/under progress in different parts of the country.

Multispecialty hospital-150 beds Assam, Ebenezer hospital-150 beds Mizoram, Jaidev hospital-150 beds Tamilnadu, NU life hospital-60 beds Andhra Pradesh, Dr.Sharma multispecialty hospital-100 beds Delhi, Adiva superspeciality hospital-100 beds Jaipur, Optimus Diagnostic centre-Bangalore, Lotus Ayurvedic centre- Bangalore, Multispecialty hospital-150 beds Tamilnadu, Multispecialty hospital-100 beds Tamilnadu, Suraj hospital-50 beds Mumbai, Naikwadi Medical centre-

50 beds Belgaum, Promed hospital-50 beds Bangalore, Popular hospital-40 beds Bangalore, Krishna hospital-150 beds Chhattisgarh, Specialty hospital-40 beds Karnataka, Multispecialty hospital-100 beds Karnataka.

watCHINDUSTRY

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Ambulance EquipmentsShree Balaji surgical pvt ltdA/002,Ruchi CHS, Grd Flr Devidas Lane Borivali (W) Mumbai - 400103M: 9820430338, E: [email protected]

ANESTHESIA EQUIPMENTSAfford Medical Technologies pvt ltd230,2nd Main Road, Sainikpuri Secunderabad - 500094, T: 040-32908880

Akhand EnterprisesG- 12, Shivlok House 1, Commercial Complex, Karampura, New Delhi- 1100159350445559, 9717445559 [email protected]

Medion Health Care Pvt Ltd201, Shiv Industrial Estate, K.B.B. Marg Marg , Chinchpokli (E),Mumbai-12, M:[email protected]

AUToCLAvE & STERILIzERSJAIvEEr SurGICAL EMPorIuM1570, Bhagirath Palace, Delhi-110006T: 011- 23866065, 2386066, M: [email protected]

Creative Healthtech Pvt. Ltd.M: 9811339989

Drager Medical Pvt. Ltd.T: 022-40843826

Saras Life SolutionM: 9923455413

Haribharath Equipments Pvt. Ltd.T: 022-25666869

BLooD PRESSURE APPARATUSLab Hosp InternationalM: 9324152433

remi Sales And Engineering LtdT: 022- 40589888

Sanlar Imex Services Pvt. Ltd.M: 9833192894

DEFIBRILLAToR EQUIPMENTSMedical Solution98873699736

DIABETIC CARE PRoDUCTSHeadlinesAnand Bhuvan Ground Floor 84-A, Princess StreetT: 022-66379370

DIAGNoSTIC & LAB PRoDUCTS

Deals in:

Diagnostic Kit, Elisia range, all rapid range, all Surgical Goods, Glass Wear, Plastic Wear, Lab Equipment, Laboratory Chemical reagents, Dental lab Materials, Medical Equip., Scientific Equipment, Den-tal products & Medical Disposable range

Flat No. D-337, Ground Floor, Pocket - 11, DDA Janta Flat Jasola, New Delhi - 110025

E-mail: [email protected].: +91-8826920507, 9717085785

biogeneDiagnostics & Surgicals

bDS

DISPoSABLE

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

Ph.: 011-23860175, M: 9810370662Sho-47, Naraina Bazar, Near Fountain, Chandni Chk, Delhi-6

Email: [email protected]

GITA HoSPITAL SuPPLIESHouse of Hospital & Disposable Clothings

Hitex HealthcareA-402,Laxmi sadan,Thakur village, Kandivali Mumbai 22 28860782

Shree Balaji Surgical Pvt Ltd 1-B-30,Lalita Shashtri Nagar, Behind KalpatruShopping Centre, Jaipur-16 T: 0141- 2309675

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

Nasan Medical Electronics Pvt. Ltd.Rangoli Ist floor.,opp Karve StatueKothrud Pune-411038 M: 8237032389

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

Helios Endovision1/1, Sahkar Niwas , Tekri Bunglow, nr.3 Petrol Pump old Agra Road, Thane- 400602M: 9820276976

om Surgicals65, Unique. Est., Nr.Jammunadas, opp jawahar Talkies, Mulund (W)Mumbai-400080T: 022- 25670626

ENT EQUIPMENT INSTRUMENTTuffT Surgical house,44,Mission compound,Ajmer Road,Jaipur T: 141 2373125, 2368568

GLovESShree Balaji Surgical Pvt. Ltd.A-002, Ruchi CHSGround Floor, Devidas Lane Borivali (W), Mumbai 400103Ph.: 022- 28954442

Nulife Global Medical Devices Pvt ltdB6,Byculla Service Indl. Premices, D.K. Marg, Sussex Road,Byculla, Mumbai-27T: 2374 8371/2/3

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

HoME CAREEasy Care Group4th Floor Shugar House, 93/95, Kazi Syed Street, Masjid Bunder (W) Mumbai 03T: 02223450133 E: [email protected]

Nulife Global Medical Devices Pvt ltdB6,Byculla Service Indl. Premices, D.K. Marg, Sussex Road,Byculla ,Mumbai-27T: 022-2374 8371/2/3

Shree Balaji Surgical pvt ltd 1-B-30,Lalita Shashtri Nagar,Behind Kalpatru Shopping Centre, Jaipur-16 T: 0141- 2309675

HoSPITALS (Multi Speciality)Cygnus Hospital 1211,Tower-2, Pearls omaxe,Netaji Subhash Place, New Delhi-110034 T: 011 42488393



Shriram Equipment Finance Company Ltd (SEFC) is a part of the “SHRIRAM” Conglomerate which has significant presence in financial services. SEFC is a fully owned subsidiary of Shriram Transport

Finance Company (STFC) which is India’s largest NBFC with assets under management of over INR 520 billion. SEFC is a leading NBFC in infrastructure equipment lending, having started its operations in October 2010, it has already attained a most prominent position in Construction Equipment Finance space in the country. With a customer base of over 20,000, employee base of over 1200 and Assets under Management of over INR 35 billion, SEFC operates through a wide network of over 165+ branches across India while catering to needs of all classes of customers across the geography of the country.

SEFC has launched Medical Equipment Financing business primarily focusing on diagnostic and dentistry equipments. SEFC intends to aggressively finance equipments like X ray machines, CT scan, MRI machines, Ultrasound, Doppler & Monitors, Mammography machines, Dental chairs & lazers, Dental Radiology equipments, cathlabs i.e. to Diagnosis Centres, Nursing Homes, Hospitals as well as individual Doctors and specialists.

Having started its operations at 15 key cities spread across the country, SEFC aims to expand into 60+ centres catering to all customers in this segment in next 3 to 4 months. Eventually this business will be operated out at all 165 branches of the company.

Shriram Equipment Finance with its focused approach in industry brings in pronounced advantages for both customers and manufacturers:

Simplified & fastest loan processingShriram Equipment Finance has simplified and efficient deal processing system aided with cutting edge technology support to provide shortest Turn-Around-Time in the country. SEFC conclude finance and due-diligence aspects of deal within time that is 50% of industry average TAT.

largest Retail focused companyUnderstanding the distributed customer profile across geography, the risks associated with the profile and segment, Shriram Equipment Finance is focused to empower small and medium enterprises/Individuals with easy and attractive finance option available at their doorstep. Today SEFC is one of the largest retail segment financer in Construction Equipment segment and same would be replicated for Medical Equipment Finance business as well.

pAN India coverageLeveraging Shriram Transport’s presence in more than 650 branches, SEFC has manned its operations at 165+ locations thereby covering entire geography of the country. Having started Medical Equipment Financing in 18 branches currently, intends to spread into all 165 locations across the country.

Superior product OfferingShriram Equipment Finance with its superior industry understanding and underwriting skills has evolved product offering in terms of asset selection, Loan-To-Value, tenor and other finance terms flexible that is by far the best in the industry.

covering all & everywhereShriram Equipment Finance believes and demonstrates financial inclusion of all asset classes/models and customer grades with best in industry product offering. Complete coverage to the matrix of assets and customer grades make Shriram Equipment Finance a comprehensive solution provider in this segment.

Contact us: Business HeadShriram Equipment Finance Co. Ltd.302-306, Shabri Samriddhi Building

Sion Trombay Road, Chembur, Mumbai-400071Tel: +91 22 61146500, Email: [email protected]

Website: http://sefc.in

Medical equipMent Finance

Shriram Equipment Finance – “makes it happen”

26-29 January 2015 Dubai International Convention & Exhibition Centre

www.arabhealthonline.com | [email protected] | Tel: +971 4 3367334

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Where the healthcare world comes to do business

medgate today magazine - nov-dec 2014

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