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Page 1: Medgate Today Magazine - Sept-Oct 2014

w w w. m e d g a t e t o d a y. c o m PRICE : `150

The Gateway to Health & Medical World

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

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

Scan the QR Code to know more

Page 2: Medgate Today Magazine - Sept-Oct 2014
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Contents

8 Rajiv Gandhi Rashtriya ekta samman...10 Metals may not work for You!...12 Medgate Today Magazine won Business...13 Kodak Alaris Achieves Microsoft Gold...14 world Health Partners Crosses...16 Delhi Orthopedic Association Celebrates...18 PPP, Technology...20 Saluting every Child’s Right to live...21 Minister of Health and Family welfare...22 world Congress on Clinical Preventive...26 Vast possibilities in India-Australia...28 Calls for email Repository of Doctors...30 A life Changing Cardiac Surgery...

News Update

54 Take Care of Your Kid’s Sleepin...

Expert Views

34 Missing a Beat… not so Romantic...36 Smoking and Cardiac Surgery...52 Modern Treatment of Heart Disease...62 Non-Surgical Treatment of Heart...66 The world Heart Day is celebrated...

Doctor Speak

Sept - Oct 2014MT India HealthcareAwArds 2014

MT India HealthcareAwArds 2014

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56

Importance ofAccrediting Hospitals

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76-79

?Do You KnowFlossing is asImportant as Brushing

Classifieds UpdateClassifieds Update

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Rajiv Gandhi RashtriyaRajiv Gandhi Rashtriyaekta samman puraskar

Dr. Anchal Gupta (Delhi) Opthalamologist

Afzal Kamal (National Head-Medgat today Magazine)

Dr. Puneet Kathuria (Chandigarh) Psychiatrist

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

The award is given to men and women who matter, from various fields and have outstanding achieve-ments, contributions and working towards society. The award is a part of All India National Unity Conference, which is working for peoples move-ment for national unity and national integration. The founder of AINUC IS late Shree Harbhajan Singh, whose was a true patriot, his life was fully devoted to the cause of national unity and prevent the country from being divided on aspect of caste, community and creed.

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

On the occasion dignitaries presented were Dr. Bhishma Narain Singh (Former Governor & Union Minister), Dr. G.V.G Krishnamurthy (For-mer Chief Election Commissioner), Dr Shakeel Uz Zaman Ansari (Member National Commission for Backward Classes) Govt. of India, Shri Gurinder Singh (Member Press Council of India) Govt. of India, Maj Ved Prakash (Secretary All India Con-gress Committee), Shri Deepak Singh (Editor, In-dian Observer) beside others.

“Rashtriya Ekta Samman” were presented to Dr. Anchal Gupta (Delhi) in the field of Medicine, she is an Eye Specialist, Dr. Puneet Kathuria (Chandi-garh) in the field of Medicine, he is a Psychiatrist , Dr. Senapathi Ramanathan (Mumbai) in the field of Education, he is a Director of Mumbai Institute of Metallurgy, Quality and Management, Shri Afzal Kamal in the field of Healthcare Media(Medgate Today Magazine). Shri Satish Sharma (Mer-rut) in the field of Defense and Security Services beside others.

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Often people have experience Itchy face, neck or ears after wearing jewellery. Showing the sings of bleed-

ing, itchiness, redness, soreness and rash are the allergies caused by artificial jewellery. These allergies are caused by reactive metals like nickel, sliver or brass. Imagine! The same metal is being transplanted in your body. Pa-tients with metal on metal hip replacement shows the possible signs of metal allergies like Cardiomyopathy (heart problems) including heart failure, Kidney Failure , Skin disorder, Infection, nerve damage etc.

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

Recently introduced Oxinium hip & knee replacement materials are the best choice for such patients who exhibit metal allergies. Ox-inium contains no detectable nick-el, the leading cause of negative reactions in patients with metal al-lergies. Another major reason why Oxinium is so highly recommend-ed is the fact that it is a scratch resistant material. Conventional technology implant is made of CoCr (Cobalt Chrome Alloy) and titanium. This surface cannot give scratch resistance. Laboratory tests of four million cycles on machine with this material prove it to be scratch prone. This leads to more polyethylene wear and tear which is the main part of the one knee set of implant.

Metals may not work for You!

20 new cancer treatment centres Across IndiaDr. Harsh Vardhan

The government will set up 20 new advanced cancer treatment facilities across India over the next few years

to meet the rising burden of the disease, Health Minister Harsh Vardhan said.

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

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

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

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

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

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

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

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

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Apollo White Dental, India's largest and most trust-ed dental chain has launched its 62nd dental centre

in Puducherry. Thiru. N. Rangasamy, honourable chief minister of Puducherry, was present to inaugurate the centre along with Thiru. R. Radhakrishnan - Honorable Member Of Parliament, Thiru.P.Rajavelu - Honorable Welfare Minister, Thiru.G.Nehru (Kuppusamy) M.L.A & Thiru.A. Ashok Aanand M.L.A and Mr. V.S. Venkatesh, CEO, Apollo WHITE Dental.

On the occasion, Mr. V.S. Venkatesh, CEO, Apollo WHITE Dental commented, "We are immensely happy to expand ourselves by launching the 62nd Apollo WHITE Dental centre in Puducherry. This is a part of our plan to cater more people across geographies and spread healthy smiles in India”.

The Center is equipped to perform all dental procedure like root Canal, Crowns & Bridges, Aesthetic Dentistry, Smile Designing, Pediatric Dentistry, Geriatric Dentist-

Apollo WHITE Dental Launches its 62nd Centre in Puducherry

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

ry etc. The centre also has internationally trained den-tists to perform simple & high end dental procedure such as microscopic dentist-ry, laser dentistry, sedation dentistry, oral and maxillo-facial surgery etc. To keep up to the hygiene and safety standards, 'Triple steriliza-tion protocol' is followed to sterilize medical and dental equipments.

Consultants from all the six specialties of dentistry - Prosthodontist, Endodontist, Periodontist, Orthodontist, Pedodontist, Oral & Maxillofacial Surgery are available here making it a one stop solution for all your dental prob-lems. The centre has 3 adult's dental chair and 1 unique kid's dental chair.

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

Mr. Afzal Kamal, National Head, said, “It is a moment of gratification to be awarded with Best Healthcare magazine of the year Award . These recognitions un-derscore Medgate today, continued commitment to-wards healthcare fraternity sustainability and provide latest technology, knowledge & information to read-ers. At Medgate Today, it is our endeavour to continu-ously improve upon our own benchmarks of readers/subscribers satisfaction, quality Contents, latest up-

Wins World wide achievers Awards in association with ZEE Business recognitionsMedgate today Magazine won Business Leadership Awards 2014

dates in health ministry and efficiency. We will contin-ue to build on our services and enhance the reading experience.”

Mr. Afzal Kamal Receiving Award from BJP Govt. Official with his wife Mrs. Rafat Kamal

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As India ushered in its 68th year of independence, the Ministry of Health and Family Welfare (MoHFW) reiter-

ated its commitment to immunize all Indian children. A public service message in the form of a music video ‘Phool Khil Jay-enge’ was launched by Hon’ble Minster of Health and Family Welfare Dr. Harsh Vardhan. Also present were renowned lyr-icist and Member of Parliament Javed Akhtar, actor Shabana Azmi, singer Sonu Nigam and music director Lalit Pandit.The song highlights the importance of immunization in saving lives of Indian children, given that 14 lakh children under 5 years of age die every year in India due to preventable diseas-es, like pneumonia and diarrhea. Just last month, the Prime Minister’s Office announced the introduction of four new vac-cines: rotavirus, rubella, polio (injectable) and an adult vac-cine for Japanese Encephalitis in districts with high burden.The lyrics of the song have been written by well-known poet, scriptwriter and Rajya Sabha MP Javed Akhtar and Bolly-wood actors Farhan Akhtar and Vidya Balan feature in the video. Prominent singers Sonu Nigam and Alka Yagnik sang the song and music director Lalit Pandit composed the music.The Minister also highlighted that the Ministry of Health and Family Welfare is committed to tackling child mortality and

ensuring that the benefits of immunization reach all sections of society, regardless of social and economic status.A panel discussion titled ‘The Right of Every Child to Survive and Thrive,’ set the tone for the evening, moderated by Bachi Karkaria. The panelists included Health Minister, Dr. Harsh Vardhan, the Health Secretary, Mr. Lov Verma, the Addition-al Secretary from the Ministry of Health, Mr. CK Misra, Mr. Javed Akhtar, Mr. Sonu Nigam and Mr. Lalit Pandit.The panel lauded the Government’s initiative for expand-ing the Universal Immunization Programme and providing free vaccines against 13 life threatening diseases to 27 mil-lion children annuallyMember of Parliament and lyricist, Javed Akhtar said: “It’s an honour to be a part of an initiative to raise awareness about the importance of immunization. We wanted to con-vey this message through simple and effective lyrics and we hope we have been able to achieve that. It is my sincere hope that we don’t lose young lives to diseases for which vaccines exist and that all children in India have access to immunization.”Actor Farhan Akhtar said from Mumbai, “As the father of two young daughters, I relate to the need to protect chil-

saluting every child’s right to live a healthy life on India’s 68th year of Independence

Ministry of Health and Family Welfare launches“pHOOL KHIL JAyenge”, a song celebrating child health & immunization

saluting every child’s right to live a healthy life on India’s 68th year of Independence

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On World Heart Day, listen to your heart and ensure that it is beating well when you and your family are busy chasing your dreams.

Quest, Quest Diagnostics, any associated logos, and all associated Quest Diagnostics registered or unregistered trademarks are the property of Quest Diagnostics. All third party marks - ® and � - are the property of their respective owners. © 2013 Quest Diagnostics Incorporated. All rights reserved.

Quest Diagnostics offers you a simple test to know your heart better

Heart Screening Panel (Lipid Profile)Test your Triglycerides, Total Cholesterol,

Call us on our Toll Free Number 1800-180-8378 to know more

Disclaimer: Individual tests are available apart from those listed above. Please ask your doctor for further details.

Dear HEARTWish you a Very Happy Birthday

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India and Australia are exploring cooperation pos-sibilities in preventive healthcare, trauma care, geriatric medicine, diabetes research and mental illnesses. This found iteration in the dialogue held between the visiting Prime Minister of Australia,

Mr Tony Abbott, and the Union Health Minister, Dr Harsh Vardhan, Dr Harsh Vardhan, who later had a meeting with the visiting leader, said, “The warm and friendly relations that exist between India and Australia could materialise into manifold streams of cooperation in the health sector.” Dr Harsh Vardhan took Mr Abbott on a tour of the Jai Prakash Narayan Apex Trauma Centre of the All India Institute of Medical Sciences (AIIMS).

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

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

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

Vast possibilities in India-Australia Health care cooperation Dr Harsh Vardhan shows visiting PM Tony Abbott AIIMS Trauma Centre

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

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

“I have shared with Mr Abbott the optimism evinced by Prime Minister Shri Narendra Modi in the transforma-tion of India’s health care system into a modern, afford-able and accessible model before the developing world. Among other things, the Prime Minister has already cleared the opening of advanced secondary and tertiary health care institutions in every state of the country,” Dr Harsh Vardhan said.

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

“India and Australia both have rich democratic traditions. I am sure that we could gain a lot of advantage from friendship with a country whose own health care system has achieved much,” Dr Harsh Vardhan added.

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

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Adding quality to life and health has been the most prestigious recognition that Manipal Center For Cardiology is known for, states Dr Devananda, Chairman of the Manipal Heart Institute, Manipal Health Enterprises. Manipal

Heart Institute is amongst the select few centres in India with capabilities to handle the end-to-end cardiac care of individuals with success rates to international standards. At Manipal Heart Institute, we have treated millions of people with cardiac ailments and with severe complexity and have been witnessing the joy of seeing them resume their normal lives. The young ones getting back on the playgrounds, the middle-aged climbing stairs at work leaving their colleagues stunned, and the elderly getting back with their grandchildren, are recognitions that keeps this centre going. Below is the story of an open heart sur-gery that we performed on a baby, weighing in at just 1.3 kilos.Andrea was born at 31 weeks gestation, and even after two months, she was still in ICU with two large holes in her heart, not able to be weaned off oxygen. This was posing a serious threat to her health and she would need to undergo high-risk open heart surgery to correct her heart. Her parents started collecting opinions from dif-ferent speciality centres across India, but unfortunately to no avail. Then Andrea’s parents were referred to Manipal Hospital where they consulted Dr Devananda. Planning

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

Dr DevananD ProfileField of expertise:

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

Achievements: Â Performed more than 7,000 successful paediatrics

and adult surgeries. Has reputation of successfully performing many advanced and complex surgeries varying from a one-day old infant and a infant weighing just 900 grams, to a 90-year old patient in India

A Life changing cardiac surgery on a 31 Week Old Infant Brings Back Joy to the parents

Dr. DevanandChairmanManipal Heart Institute

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SpeakDOCTOR

Heart Disease in WomenUnderstand Symptoms and Risk Factors

All women face the threat of heart disease. But becoming aware of symptoms and risks unique to

women, as well as eating a heart-healthy diet and exercising, can help protect them…

The fact is that Heart disease is the No. 1 killer of women, causing 1 in 3 deaths each year. That’s approximately one woman ev-ery minute! But it doesn’t affect all women alike, and the warning signs for women ar-

en’t the same in men. What’s more: These facts only begin to scratch the surface. Although heart disease is often thought of as a problem for men, but Women are almost three times more likely to die of it than breast cancer.There are a several misconceptions about heart disease in women, and they could be put-ting you at risk. Women under the age of 65, and es-pecially those with a family history of heart disease, need to pay close attention to the heart disease risk factors. Women of all ages should take heart disease seriously.The traditional risk factors for coronary artery disease — such as high cholesterol, high blood pressure and obesity — affect women and men, other factors may play a bigger role in the development of heart disease in women. Diabetes increases the risk of heart disease significantly more in women than in men.

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

Dr Aparna JaswalPrincipal Consultant – CardiologistDept of Cardiac Pacing & Electro PhysiologyFortis Escorts Heart Institute, New Delhi

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Smoking is a greater risk factor for heart disease in women than in men. Pregnancy complications such as high blood pressure or diabetes during pregnancy can increase a woman's long-term risk of high blood pres-sure and diabetes and increase the risk of development of heart disease in both the mother and in her children. Menopause is a time when a woman stops having men-strual cycles. If you have reached menopause, your overall risk of heart disease may increase due to the reduction in the hormones estrogen and progesterone

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

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

It is important for every woman to know about their risk factors and recognize the warning signs for heart disease and stroke so that you can prevent and manage them. Women can prevent and reduce their risk of heart dis-ease by becoming and remaining smoke free, achieving and maintaining a healthy body weight, being physical-ly active for at least 150 minutes of moderate- to vig-orous-intensity aerobic physical activity per week, in bouts of 10 minutes or more. It’s also very important to maintain blood pressure through lifestyle changes.

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Missing a Beat…not so Romantic(Arrhythmia)

Dr TS KlerFortis Escorts Heart InstituteNew Delhi

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The proverbial ‘missing/skipping of heart beat’ by sight or fond remembrance of loved one is a romantic thing. However, in context of cardio-vascular health, things are not as pleasing. Heart beats in each of us constantly from the time the

foetus is ten weeks old in its mother’s womb to the time one takes his last breath. The beauty of this marvel of na-ture is that it does all its work without making one aware of its presence. In fact in healthy and relaxed state, one should not feel his own heartbeat.So the notion of missing/skipping of heart beat in itself is abnormal. There are various reasons for the above symp-toms. It could be due to a premature extra beat gener-ated from unconventional site either in upper chambers or lower chambers of heart. These extra beats may de-lay the occurrence of next beat by resetting the natural pacemaker of heart leading to feeling of missing/skipping of a beat. Though it can cause distressing symptoms, the condition itself usually has a benign prognosis but these extra beats coming from the lower chamber of the heart in the presence of heart pumping capacity less than nor-mal (Ejection Fraction <40% ) may be dangerous & may be the cause for sudden cardiac death. If it is frequent or severely distressing, a cardiologist should be immediately consulted. The burden of extra beats can be quantified by 24 hours Holter monitoring test and based on that further management can be decided. Drugs are available for sup-pressing the extra beats however, are not routinely rec-ommended. On special occasions, an electrophysiologi-cal study of the heart is done to map the origin of these extra beats which can be subsequently treated with radio frequency ablation for permanent cure.

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

The natural pacemaker of the heart generates beats at a constant rate. It can sometimes be delayed in producing the next beat which is called as the late beat. Late beats are a benign occurrence and do not merit any treatment. However it’s the duration of the pause in the impulse generation that is of importance. Any pause due to miss-ing of heart beat longer than 3 seconds can lead to faint-ing/syncope and requires implantation of a permanent pace maker device in the heart. Missing beats due to failure in conduction of impulse from upper chambers to lower chambers of heart has equally grave prognosis and requires implantation of a permanent pacemaker de-vice in most cases.

Cardiac Electrophysiologist is a cardiologist that spe-cifically deals with the electrical problems of the heart. These electrical problems are either abnormal slowing of heart beat or fast heart rate or irregular heart beat or any combinations of all these three. There are many di-agnostic tests for studying such problems of heart viz. ECG, 24hr Holter test, external and internal loop record-ers, and electrophysiological study (which requires ad-mission and is an invasive procedure). General advice is to refrain from too much tea, coffee and beverages rich in caffeine. Similarly alcohol consumption can also lead to feeling of missing beats. Specific treatment is accord-ing to specific cause and is effective.

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SMOKING ANDcArdIAc sUrgerY

Cigarette smoking is a powerful risk factor for coronary artery disease, m y o c a r d i a l

infarction and cardiac causes of death. Coronary artery bypass is a relatively safe and commonly per-formed cardiac operation with the mortality of 0.6% to 2.0%. Given the ever increasing cardiac surgical patient population and in-tractable problem of contin-ued smoking within these patients is a priority to clear-lydelineate the impact of smoking status.Persistent smoking after cardiac surgery has been consistently identified as a predictor of increased mortality in the follow-up studies after cardiac surgery, late mortality is signifi-cantly worse. Smokers also have a grater incidence of

Dr Yugal K. MishraFortis Escorts Heart InstituteNew Delhi

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recent myocardial infarction, left main stenosis, ur-gent operation and chronic obstructive pulmonary disease(COPD). The rationale behind this is poor CABG outcome due to failure of the vein graft pa-tency, greater risk of post operative complications, mortality and earlier need for reoperation. Length of ICU stay is also high in smoker likely due to the fact that smoker most often present with the respi-ratory disease and have grater ventilator require-ment in the post operative period.

Patient who continue to smoke or who start smok-ing again after coronary bypass surgery have an el-evated rise not only for myocardial infarction but also for the return of angina pectoris and the need for coronary bypass surgery.

Despite the similar rates of early outcome, the con-tinued adverse health effects form smoking on mul-tiple organ systems is well established and should not be ignored. This is reflected in long term fol-low-up of these patients.

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

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

The persistent smokers have a greater risk of death from all causes as compared with patients who stopped smoking after surgery over a long period of follow up. Over a period of time the risk of death from any cause is greater in patients who continued smoking after CABG than it was in those who quit.

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

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4th MT India HealthcareAwArds 2014

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Medgate today a leading Magazine for medical pro-fessionals in India organized “4th MT India Health Care Awards 2014” at Ashoka hotel on Aug 23rd . A galaxy of doctors from all over India participat-ed in the event. Honorable Chief Guest Sri Satish

Upadhya (President ,BJP Delhi)and Sri Mahesh Giri (MP, East Delhi)spoke about the role of doctors in helping the poor section of the society, Many award winners under vari-ous categories received the awards on the occasion. Medgate today focus on every doctor, young entrepreneurs, hospital staff and all people related to the medical fraternity to keep

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

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

NAME Awards CategoriesDr. M. Wali First Physician of the CountryDr. Pervez Ahmed OutstandingContribution to Private Healthcare in delhi/NCRDr. Gaurav Sharma Best Diabetic & Lifestyle DoctorDr. Rajiva Kumar India’s Top Doctor in PediatricTarun Katiyar Young Entrepreneur in Healthcare of the YearDr. Santosh Singhal Best Doctor in DiabetologyDr. Ashok Garg Best Doctor Opthalmology in HaryanaDr. Dharma Chawla Life Time AchievementDr. Deepak Arora Best Sex Clinic in IndiaCygnus Medicare Most Promising Hospital Chain of IndiaFortis Escorts Hospital, Jaipur India’s Top Hospital in Patient SafetyNova Fertility Best IVF Chain in IndiaM/S Sai Sumeet Appliances Best Modular OT ManufacturerHitex healthcare Best Manufacturer of Surgical disposable drapes, procedure packs & GownsDr. Pradeep Bhardwaj Healthcare Personality of the YearDr. Manisha Nishchal Best Doctor in PathologyDr. Alka Kriplani Best Gynaecologist Delhi/NCRDr. Sadiya Vanjara Best Physiotherapist in MumbaiCare World TV Best Healthcare CommunicatorDr.Sunil Khetrapal Best Doctor in Hospital AdministrationAmeya Life Healthcare Excellence Award For Healthcare delivery & ServiceSameer Bhati Best in Healthcare Marketing & ResearchDr. Rajesh C. Shah Best Surgeon of the yearDr. Shard Lakhotia Best Eye Specialist in Delhi/NCRDr. Rohit Garg Best Community Services in rural areas in the field of Deaddiction and PsychiatryDr.Sunil Waghmare Best Doctor in Spine PainDr. Mayank Chawla Young Doctor of the YearDr. Nagesh KG Best Dental Surgeon of the Year

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

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

Dr. Gaurav SharmaAwarded Best Diabetic & Lifestyle Doctor

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

Dr. Pervez AhmedAwarded Outstanding Contribution to Private Healthcare (Delhi/NCR)

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

Dr. Rajiva KumarAwarded India’s Top Doctor in Pediatric (Muzaffarpur)

Dr.Rajiv Kumar is consultant pediatrician. Practicing for last 20 years.

Dedicated to his duty and responsibilities.

Case taking 300 per day in OPD

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TARUN KATIYARAwarded Young Entrepreneur in Healthcare of the year

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

Dr. Ashok GargAwarded Best doctor opthalmology (Haryana)

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

Dr. Santosh SinghalAwarded Obest Doctor in Diabetology (Delhi)

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

Dr. Dharam ChawlaAwarded Life Time Achievement

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

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through a major surgery which involved stopping the heart, putting the patient on a ‘bypass pump’ and cutting open the heart to put in a new valve. Now, in one of the biggest breakthroughs in medical science, this can be done non-operatively through a puncture in the groin, in the cath lab in an angioplasty-like procedure without any surgery. The procedure lasts for approximately two hours. Also, because it’s non-surgical, it is safer and the patient can be discharged in three to four days. It’s particular-ly recommended for seniors whose age makes surgery a risky affair. We were the first ones to use this technique in India more than two years ago and have successful-ly treated a number of extremely sick patients. Some of these patients had severe aortic stenosis, had been refused surgery because of high risk and if not treated could have died over next two years. All patients recovered rapid-ly and are now leading a normal life with full activities. This non-operative procedure has now become a standard treatment across most countries of the world.

Bioabsorbable StentsWhen arteries of the heart get blocked by cholesterol de-posits, heart attacks can occur. One of the widely used and successful treatments of coronary artery disease involves angioplasty where small stainless steel spring like devices coated with a drug called ‘Drug Eluting Stents’ are inserted into the arteries to remove the blockage and keep the arter-ies open. But, having a piece of metal in the heart arteries throughout the life has some disadvantages including the fact that the patients have to be on blood thinning tablets

Dr. Ashok SethChairman, Fortis Escorts Heart InstituteNew Delhi

Modern treatment of

Heart DiseaseT

here have been fascinating developments in the treatment of heart diseases in the past twenty to thirty years but more so in the last fifteen years. New Technologies, new devices, new meth-odologies have turned into reality what was

thought to be impossible and fictional fifteen years ago. These revolutionary treatments are expected to benefit thousands of patients in the coming years. Some of the advances in heart disease treatment which I have been closely associated with and contributed to are -

Transcatheter Aortic Valve Replacement (TAVR): This is a technique to replace one of the valves of the heart without ‘open heart surgery’. The heart is a mus-cular pump which pumps oxygenated blood to all parts of the body including liver, kidneys, brain. The ‘aortic valve’ allows blood to flow only in one (forward) direc-tion. Due to defect of this valve from birth or because of ageing, this valve may develop calcium deposits that narrows it and restricts it from opening fully. This stops blood from passing through to the brain and the rest of the body--a condition known as ‘aortic stenosis’. Aortic stenosis affects nearly 4-5% of old people and once se-vere leads to death in most within 2 years. Till recently, the only way to replace this valve with a new one was

Catheteter being place acrossAortic Valve

CoreValve beingdelivered

CoreValve in functional position

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Sect ionDENTAL

The idea of a comprehensive dental care is yet to catch up in India, where people are yet to convert to the culture of regular flossing, writes

Dr Amit Sachdeva, Sr Dental Surgeon & Director Promoter, Axiss Dental.Ask any ‘health conscious’ Indian about their idea of good oral hygiene and the reply you are most likely to get is, “Brushing teeth twice a day”. Ask them a supplementary ques-tion on what they think about dental flossing, and they are most likely to dismiss it.

Dental experts around the world to-day agree that flossing, that removes undesired particles from the insides of the teeth, is as important an ac-tivity as brushing your teeth twice daily. However, this idea of compre-hensive dental care is yet to catch up among Indians, many of whom do not even care to brush their teeth be-fore going to bed.

?Do You KnowFlossing is asImportant as Brushing

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Accreditation is defined as a process of exter-nal review of the quality of healthcare being provided by a healthcare organization. This is generally carried out by a non-governmental organization. It also represents the outcome of

the review and the decision that an eligible organization meets the applicable set of standards. International Soci-ety for Quality in Health Care (ISQua) of which NABH is an institutional member defines accreditation as “Public recognition of the achievement of accreditation standards by a healthcare organization, demonstrated through an independent external assessment of that organization’s level of performance in relation to the standard.”

accrediting organizations, accreditation and regu-lationThough it is voluntary to seek accreditation of a hospi-tal by India’s National Accreditation Board for Hospitals and Healthcare Providers (NABH) or Joint Commission International (JCI), sister organization of USA’s Joint Commission for Accreditation of Healthcare Organiza-tions (JACHO), it is the best step a hospital administra-

Importance ofAccrediting Hospitals

Prof. M. Habeeb GhatalaDean, Apollo Hospitals Group (Retd.)Hyderabad

ManagementHEALTHCARE

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non-surgical treatment of

Heart Diseases

Over last two decades or so the field of Cardiol-ogy has witnessed rapid strides. A significant improvement has taken place as far as the treat-ment of various types of heart diseases is con-cerned. More and more patients are nowadays

treated with non surgical means by Interventional Cardi-ology thereby obviating the need for traumatic open heart surgery. Interventional Cardiology involves the interven-tion of the catheter and other devices through the groin under local anaesthesia just like angiography to treat var-ious heart diseases non surgically.Broadly the heart diseases are divided into four categories like coronary artery disease, valvular heart disease, con-genital heart disease and heart rhythm disease.

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

Dr. Purshottam LalDirector and ChairmanMetro Group of Hospitals, UK

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hospi care equipmentsPlot. 2 Kathe Industrial Estate, Tigrania Road Dwarka nashik-422011 9850041969

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