This document contains an audit report from Nova Medical Centers for August 2011. It includes summaries of key performance metrics such as outpatient department footfalls, health checks, specialty surgery trends, top revenue earners, marketing activities, highlights, and untoward events. The footfalls, health checks, and surgeries have been increasing month over month. Orthopedics, general surgery, and gynecology have been the top revenue earning specialties. Several new procedures and certifications have been highlights. There was one reported peri anal abscess after a hemorrhoidectomy surgery.
MobileOD: travel patterns from large scale mobile phone datamajingtao
Mobile phone data from carriers like Sprint and Verizon can be used to derive 24/7 operational origin-destination (OD) matrices showing travel patterns. A pilot study in Sacramento used encrypted Sprint data to identify over 280,000 trips which were mapped to traffic analysis zones to generate hourly OD matrices. These matrices were refined using traffic assignment and counts with results having R-squared values over 0.85. Further research opportunities exist to analyze trip modes, activity chains, and travel behavior changes over time using continuous mobile phone data observations.
Fortis Healthcare and Mahindra Hotels & Resorts are proposing a merger to capitalize on the growing medical tourism industry in India. The merger would combine Fortis' healthcare expertise and nationwide hospital network with Mahindra's hospitality experience and resort properties. This would allow them to provide integrated healthcare and accommodation packages that better serve medical tourists. The merged company is expected to have improved positioning in the market and increased profitability through a larger customer base and elimination of competition between the two firms.
It gives me immense pleasure to introduce you to Apollo Nova Specialty Hospitals. It is a multi-specialty facility committed to offering an integrated treatment approach to its patients from diagnostics and primary care to surgery and rehabilitation. Using the latest and advanced technologies and best medical practices, the internationally acclaimed doctors at Apollo Nova deliver best of the results that are also cost effective.
This document discusses strategies for preventing ventilator-associated pneumonia (VAP) in intubated patients. It defines VAP and reviews risk factors such as prolonged intubation. Preventative measures include following infection control guidelines, using oral antiseptics to reduce bacterial colonization, maintaining head of bed elevation and cuff pressure to prevent aspiration, and minimizing the duration of mechanical ventilation when possible. Adhering closely to bundles that incorporate these various preventative strategies can help reduce the incidence of VAP.
Apollo Hospitals Enterprise Limited (AHEL) is a leading private healthcare provider in Asia. It owns and operates a network of hospitals and clinics across India. As of June 2012, AHEL had 49 hospitals with nearly 8,000 beds, including 36 owned hospitals. In the first quarter of 2013, AHEL reported consolidated revenues of 8.8 billion rupees, up 21.8% from the previous year. Apollo Hospitals has pioneered many new medical procedures and technologies in India and receives medical tourists. While opportunities for growth exist in India's expanding healthcare market, Apollo Hospitals faces threats like rising costs and shortage of skilled medical professionals.
Apollo Speciality Hospital is part of Apollo Hospitals Enterprise, one of the largest integrated healthcare groups in India. Apollo Hospitals was a pioneer in integrated healthcare in Asia and globally. It now has over 10,000 beds across 51 hospitals in India and other countries, as well as over 1,500 pharmacies and 100 primary care clinics. The objectives of the study are to understand Apollo Speciality Hospital's organization structure, products and services, department functions, and management responsibilities. The healthcare industry in India is large and growing, but government hospitals are understaffed and overburdened, leading many to use private services. Major players in the Indian healthcare market include Apollo Hospitals, Fortis Healthcare, and Max Healthcare
Sun Pharma acquired Ranbaxy in 2014 in a $4 billion deal to become the largest pharmaceutical company in India and fifth largest globally. The acquisition made Sun Pharma the largest Indian pharma company in the US and provided Ranbaxy with API manufacturing capabilities to resume exports to the US. However, Sun Pharma also assumed $800 million of Ranbaxy's debt and regulatory issues remain resolving quality issues at Ranbaxy's plants that were banned by the USFDA. The merger aimed to create synergies but was expected to negatively impact Sun Pharma's financial performance in the near term.
Sun Pharma - Ranbaxy Merger PresentationDeepak Shenoy
SunPharma and Ranbaxy merge in 2014 to create India's largest and the world's fifth largest pharma company. The merger, which is all stock, will give Ranbaxy shareholders 0.8 Sun Pharma shares for each share they own.
MobileOD: travel patterns from large scale mobile phone datamajingtao
Mobile phone data from carriers like Sprint and Verizon can be used to derive 24/7 operational origin-destination (OD) matrices showing travel patterns. A pilot study in Sacramento used encrypted Sprint data to identify over 280,000 trips which were mapped to traffic analysis zones to generate hourly OD matrices. These matrices were refined using traffic assignment and counts with results having R-squared values over 0.85. Further research opportunities exist to analyze trip modes, activity chains, and travel behavior changes over time using continuous mobile phone data observations.
Fortis Healthcare and Mahindra Hotels & Resorts are proposing a merger to capitalize on the growing medical tourism industry in India. The merger would combine Fortis' healthcare expertise and nationwide hospital network with Mahindra's hospitality experience and resort properties. This would allow them to provide integrated healthcare and accommodation packages that better serve medical tourists. The merged company is expected to have improved positioning in the market and increased profitability through a larger customer base and elimination of competition between the two firms.
It gives me immense pleasure to introduce you to Apollo Nova Specialty Hospitals. It is a multi-specialty facility committed to offering an integrated treatment approach to its patients from diagnostics and primary care to surgery and rehabilitation. Using the latest and advanced technologies and best medical practices, the internationally acclaimed doctors at Apollo Nova deliver best of the results that are also cost effective.
This document discusses strategies for preventing ventilator-associated pneumonia (VAP) in intubated patients. It defines VAP and reviews risk factors such as prolonged intubation. Preventative measures include following infection control guidelines, using oral antiseptics to reduce bacterial colonization, maintaining head of bed elevation and cuff pressure to prevent aspiration, and minimizing the duration of mechanical ventilation when possible. Adhering closely to bundles that incorporate these various preventative strategies can help reduce the incidence of VAP.
Apollo Hospitals Enterprise Limited (AHEL) is a leading private healthcare provider in Asia. It owns and operates a network of hospitals and clinics across India. As of June 2012, AHEL had 49 hospitals with nearly 8,000 beds, including 36 owned hospitals. In the first quarter of 2013, AHEL reported consolidated revenues of 8.8 billion rupees, up 21.8% from the previous year. Apollo Hospitals has pioneered many new medical procedures and technologies in India and receives medical tourists. While opportunities for growth exist in India's expanding healthcare market, Apollo Hospitals faces threats like rising costs and shortage of skilled medical professionals.
Apollo Speciality Hospital is part of Apollo Hospitals Enterprise, one of the largest integrated healthcare groups in India. Apollo Hospitals was a pioneer in integrated healthcare in Asia and globally. It now has over 10,000 beds across 51 hospitals in India and other countries, as well as over 1,500 pharmacies and 100 primary care clinics. The objectives of the study are to understand Apollo Speciality Hospital's organization structure, products and services, department functions, and management responsibilities. The healthcare industry in India is large and growing, but government hospitals are understaffed and overburdened, leading many to use private services. Major players in the Indian healthcare market include Apollo Hospitals, Fortis Healthcare, and Max Healthcare
Sun Pharma acquired Ranbaxy in 2014 in a $4 billion deal to become the largest pharmaceutical company in India and fifth largest globally. The acquisition made Sun Pharma the largest Indian pharma company in the US and provided Ranbaxy with API manufacturing capabilities to resume exports to the US. However, Sun Pharma also assumed $800 million of Ranbaxy's debt and regulatory issues remain resolving quality issues at Ranbaxy's plants that were banned by the USFDA. The merger aimed to create synergies but was expected to negatively impact Sun Pharma's financial performance in the near term.
Sun Pharma - Ranbaxy Merger PresentationDeepak Shenoy
SunPharma and Ranbaxy merge in 2014 to create India's largest and the world's fifth largest pharma company. The merger, which is all stock, will give Ranbaxy shareholders 0.8 Sun Pharma shares for each share they own.
This document discusses advances in ambulatory surgery, specifically related to urology. It highlights key developments in areas like minimal access and non-invasive surgery techniques, diagnostic and imaging technologies, peri-operative anesthesia, and improved patient experience management. These advances have helped urological procedures transition from traditional in-patient settings to ambulatory settings, allowing for shorter hospital stays, earlier return to normal activities, and cost savings, while still providing enhanced patient comfort. Laser prostate surgery is presented as one example of a urological procedure that has benefited from these trends towards ambulatory surgery.
The document discusses haematoma block, a technique for anesthetizing fractures using local injection of lignocaine into the fracture haematoma. It describes haematoma block as a boon for ambulatory orthopedic surgery as it allows for shorter hospital stays, reduced costs, and faster return to work compared to general anesthesia. The document outlines the patient populations best suited for haematoma block, the procedure and risks, and concludes that when properly applied it can benefit both patients and hospitals by improving bed turnover rates while providing satisfied patients.
Dr lalit-mohan-parashar laryngeal-surgery-well-suited-to-ambulatory-practice-...Nova Medical Centers
This document discusses laryngeal surgery and its suitability for outpatient procedures. It begins by noting the airway involvement in laryngeal surgery and potential need for immediate interventions. It then outlines various ENT procedures like tonsillectomies and laryngoscopies. The document focuses on advances in laryngeal surgery diagnosis, understanding of diseases, surgical technologies, and factors that allow patients to be discharged home after surgery like effective communication and transportation. It provides details on diagnosis techniques, microsurgery procedures, anesthesia considerations, equipment needs, and treatments for issues like vocal fold augmentation and laryngo-tracheal trauma.
Dr lalit-mohan-parashar laryngeal-surgery-an-overview-ncas_2011Nova Medical Centers
This document provides an overview of laryngeal surgery. It discusses various problems affecting the larynx that may require surgery, including hoarseness, breathing difficulties, and cancers. Effective diagnosis involves examination in the ENT clinic and use of endoscopy with or without stroboscopy. Surgeries described include extirpation of lesions, vocal fold augmentation, repositioning, and framework manipulation. Complicated cases like laryngotracheal trauma are also discussed, along with approaches for managing different types and severities of injury. The goal of surgical techniques is to restore normal laryngeal function and cover exposed cartilage to prevent resorption or granulation.
Dr lalit-mohan-parashar laryngeal-surgery-ambulatory-surgery-ncas_2011Nova Medical Centers
This document discusses laryngeal surgery and its suitability for outpatient or ambulatory practice. It notes that laryngeal surgery involves the airway and may require immediate solutions, trained staff, and possibly tracheostomy. Most ENT surgeries also involve the airway. The document then lists various types of ENT surgeries performed in different areas like the ear, nose, throat, and head and neck. These include procedures like tonsillectomy, septoplasty, cochlear implants, and thyroid surgeries.
Dr. Anita Krishnan presented on her experience with 220 ENT surgeries performed at Nova Medical Center from July 2009 to August 2011. The most common nasal surgeries were septoplasty, FESS, and turbinoplasty. Common ear surgeries included tympanoplasty and mastoidectomy. Three cases (1.2%) had complications including bleeding, laryngobronchospasm, and epistaxis, all of which were managed successfully. Nova Medical Center provides benefits for ambulatory surgery including experienced staff, minimal cancellations, and good instrumentation. The key learning is that communication is important for ambulatory surgery.
This document summarizes anorectal surgeries performed at Nova Medical Centers in Bangalore, India between August 2009 and August 2011. A total of 110 surgeries were performed, including stapled hemorrhoidectomies, fistulectomies, and abscess drainages. Most patients were discharged on the same day. Post-operative outcomes were good, with only 3 patients experiencing urinary retention and all patients following up regularly. The aim was to evaluate operating anorectal procedures in an outpatient surgery center.
The document discusses ambulatory hernia surgery. 88 hernia repairs were performed between March 2010 and August 2011, with 66 being inguinal hernias. Procedures included open, TEP and TAPP repairs. Most patients were discharged within 6-14 hours, with only a few requiring overnight or longer stays. Complications were few. The document advocates for stand-alone ambulatory surgical centers and notes selection criteria, anesthesia protocols, benefits over traditional inpatient surgery, and literature reviews on ambulatory hernia repair outcomes and safety.
5 dr jaya-bhat-an-audit-of-gynaecological-ambulatory-surgery_ncas_2011Nova Medical Centers
This document summarizes an audit of gynecological ambulatory surgery cases from June 2009 to June 2011. It presents data on 461 total gynecology cases, of which 319 were from a single physician. Major surgeries like hysterectomies comprised 31 cases, while other procedures like laparoscopy, D&C, and MTP comprised the remaining 258 cases. Patients typically had a 2-night stay for major surgeries and same-day discharge for other procedures. There were 2 reported complications. Literature reviews on similar studies found mixed results regarding patient satisfaction with ambulatory vs. inpatient surgery. The goal is to introduce ICD coding, protocols and a registry to further improve outcomes.
4 dr shikha-sharma-nutrition-in-post-surgical-recovery_ncas_2011Nova Medical Centers
Nutrition plays an important role in post-surgical recovery by supporting the various phases of wound healing. Several nutrients have been shown to specifically aid the inflammatory, proliferative, and remodeling phases. A balanced diet high in protein, antioxidants, fiber, and certain supplements can help reduce healing time, morbidity, and length of hospital stay. Research demonstrates nutritional support leads to improved outcomes and reduced costs for patients who are nutritionally depleted after surgery.
The document discusses professionalism in healthcare. It emphasizes that healthcare is a noble profession aimed at caring for living beings. Medical professionals owe a duty of care to their patients and must perform their duties according to principles of good medical practice using modern medical training. They should approach their work with passion, develop meaningful interest in their duties, think rationally, and communicate skillfully. Teamwork, respect, trust, and life-long learning are essential to achieve the aims of the profession.
This document contains a quote from Professor B.M. Hegde stating that knowledge advances not by repeating known facts but by refuting false dogmas. It then lists Professor Hegde's credentials and experience in medical science and education. It goes on to list topics related to advancing medical science such as the need for a new scientific model beyond randomized controlled trials and peer review, recognizing that the human body works as a whole rather than focusing on individual parts, and redefining what health means.
7 ravindra pai-marketing-a-necessity-in-healthcare-delivery_ncas_2011Nova Medical Centers
The document discusses the healthcare sector in India and the need for healthcare marketing. It notes that while India has a large population, only 25% have access to quality healthcare as most hospitals and resources are urban-focused. The sector is growing rapidly but more investment is needed to improve infrastructure and access. Healthcare marketing can help increase revenues, connect patients with providers, and promote a positive experience. It discusses how marketing addresses the unique challenges in healthcare like legal barriers and influencing non-end users. The conclusion is that healthcare marketing is necessary to realize the large potential of India's healthcare sector.
This document discusses the benefits and necessity of day care surgery in India. It notes that day care surgery provides high quality surgery at affordable costs, providing both time and cost savings. It establishes that day care surgery can reduce costs to patients by at least 30% compared to corporate hospitals. The document then outlines various statistics that demonstrate the need for more accessible and affordable healthcare options in India, given factors like population size, income levels, and lack of public spending on health. It provides details on the work of the Indian Association of Day Surgery to promote and establish standards and protocols for day care centers across various medical specialties.
Ambulatory surgery involves performing planned surgical procedures on patients who are admitted and discharged on the same day. The concept began in the early 1900s and benefits were better realized after WWII. Key requirements include appropriate facilities, patient selection, pre-operative assessments, standardized procedures, oral post-op medications, and guidelines to ensure safety. Benefits include high quality care, lower infection rates, reduced costs, faster recovery and return to work, and less burden on inpatient facilities. Ambulatory surgery is now a global trend performed for over 70% of elective cases in the US and 65% in the UK.
Nova Medical Centers provides ambulatory spine surgery, also known as day care spine surgery, in Bangalore, Delhi, and Mumbai, India. Advances in surgical techniques and technology have allowed many spinal procedures that previously required long hospital stays to now be routinely performed on an outpatient basis. Key procedures discussed include percutaneous endoscopic lumbar discectomy (PELD) for herniated discs, nucleoplasty for contained disc herniations, kyphoplasty for osteoporotic vertebral fractures, and percutaneous endoscopic transforaminal lumbar interbody fusion (Pe-TLIF) for severe degenerative lumbar disc disease.
The document discusses international accreditation through the Accreditation Association for Ambulatory Health Care (AAAHC). It outlines AAAHC's philosophy of cultural adaptation when providing accreditation internationally. This includes privately meeting with international clinics to understand their systems, customizing standards, and establishing a comprehensive international surveyor program. It also notes AAAHC's goal of providing accreditation in an economically efficient and affordable manner.
This document discusses quality management systems and accreditation to NABH SHCO standards for ambulatory surgical centres. It outlines key steps to start a quality department including establishing a team, resources, authority, competence and conducting internal audits. It also covers compliance with legal, patient, employee and hospital policy requirements. Finally, it provides an overview of the NABH accreditation process and SHCO standards for small healthcare organizations with 20-50 beds or day care and ambulatory surgical centres.
Ambulatory surgery has become a popular and efficient form of surgical healthcare delivery in the US and Europe. In India, ambulatory surgery is growing with the development of small, standalone centers equipped with state-of-the-art facilities. While surgery poses risks and fears for patients, ensuring safety is key for the success of ambulatory surgery. Factors that contribute to safety include analyzing and addressing risks and patient fears, employing qualified staff, complying with regulations, incident reporting, and providing continuous patient care and support.
10 chandrashekara anaesthesia-in-ambulatory-surgery_ncas_2011Nova Medical Centers
This document discusses day care (ambulatory) anesthesia. It notes that 70% of surgeries are now ambulatory, including many procedures on children. Advances in short-acting anesthetics and analgesics, as well as less invasive surgical techniques, have enabled more outpatient surgery. The challenges of day care anesthesia include assessing pain in children, lack of experience in standalone centers, and undiagnosed medical conditions in patients. Proper patient selection, planning, anesthetic techniques and post-operative management are keys to success. A multimodal approach to pain management improves outcomes over traditional opiate techniques. Strict discharge criteria focus on stability, orientation and adequate pain control to allow patients to recover at home.
These lecture slides, by Dr Sidra Arshad, offer a quick overview of the physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar lead (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
6. Describe the flow of current around the heart during the cardiac cycle
7. Discuss the placement and polarity of the leads of electrocardiograph
8. Describe the normal electrocardiograms recorded from the limb leads and explain the physiological basis of the different records that are obtained
9. Define mean electrical vector (axis) of the heart and give the normal range
10. Define the mean QRS vector
11. Describe the axes of leads (hexagonal reference system)
12. Comprehend the vectorial analysis of the normal ECG
13. Determine the mean electrical axis of the ventricular QRS and appreciate the mean axis deviation
14. Explain the concepts of current of injury, J point, and their significance
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. Chapter 3, Cardiology Explained, https://www.ncbi.nlm.nih.gov/books/NBK2214/
7. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
This document discusses advances in ambulatory surgery, specifically related to urology. It highlights key developments in areas like minimal access and non-invasive surgery techniques, diagnostic and imaging technologies, peri-operative anesthesia, and improved patient experience management. These advances have helped urological procedures transition from traditional in-patient settings to ambulatory settings, allowing for shorter hospital stays, earlier return to normal activities, and cost savings, while still providing enhanced patient comfort. Laser prostate surgery is presented as one example of a urological procedure that has benefited from these trends towards ambulatory surgery.
The document discusses haematoma block, a technique for anesthetizing fractures using local injection of lignocaine into the fracture haematoma. It describes haematoma block as a boon for ambulatory orthopedic surgery as it allows for shorter hospital stays, reduced costs, and faster return to work compared to general anesthesia. The document outlines the patient populations best suited for haematoma block, the procedure and risks, and concludes that when properly applied it can benefit both patients and hospitals by improving bed turnover rates while providing satisfied patients.
Dr lalit-mohan-parashar laryngeal-surgery-well-suited-to-ambulatory-practice-...Nova Medical Centers
This document discusses laryngeal surgery and its suitability for outpatient procedures. It begins by noting the airway involvement in laryngeal surgery and potential need for immediate interventions. It then outlines various ENT procedures like tonsillectomies and laryngoscopies. The document focuses on advances in laryngeal surgery diagnosis, understanding of diseases, surgical technologies, and factors that allow patients to be discharged home after surgery like effective communication and transportation. It provides details on diagnosis techniques, microsurgery procedures, anesthesia considerations, equipment needs, and treatments for issues like vocal fold augmentation and laryngo-tracheal trauma.
Dr lalit-mohan-parashar laryngeal-surgery-an-overview-ncas_2011Nova Medical Centers
This document provides an overview of laryngeal surgery. It discusses various problems affecting the larynx that may require surgery, including hoarseness, breathing difficulties, and cancers. Effective diagnosis involves examination in the ENT clinic and use of endoscopy with or without stroboscopy. Surgeries described include extirpation of lesions, vocal fold augmentation, repositioning, and framework manipulation. Complicated cases like laryngotracheal trauma are also discussed, along with approaches for managing different types and severities of injury. The goal of surgical techniques is to restore normal laryngeal function and cover exposed cartilage to prevent resorption or granulation.
Dr lalit-mohan-parashar laryngeal-surgery-ambulatory-surgery-ncas_2011Nova Medical Centers
This document discusses laryngeal surgery and its suitability for outpatient or ambulatory practice. It notes that laryngeal surgery involves the airway and may require immediate solutions, trained staff, and possibly tracheostomy. Most ENT surgeries also involve the airway. The document then lists various types of ENT surgeries performed in different areas like the ear, nose, throat, and head and neck. These include procedures like tonsillectomy, septoplasty, cochlear implants, and thyroid surgeries.
Dr. Anita Krishnan presented on her experience with 220 ENT surgeries performed at Nova Medical Center from July 2009 to August 2011. The most common nasal surgeries were septoplasty, FESS, and turbinoplasty. Common ear surgeries included tympanoplasty and mastoidectomy. Three cases (1.2%) had complications including bleeding, laryngobronchospasm, and epistaxis, all of which were managed successfully. Nova Medical Center provides benefits for ambulatory surgery including experienced staff, minimal cancellations, and good instrumentation. The key learning is that communication is important for ambulatory surgery.
This document summarizes anorectal surgeries performed at Nova Medical Centers in Bangalore, India between August 2009 and August 2011. A total of 110 surgeries were performed, including stapled hemorrhoidectomies, fistulectomies, and abscess drainages. Most patients were discharged on the same day. Post-operative outcomes were good, with only 3 patients experiencing urinary retention and all patients following up regularly. The aim was to evaluate operating anorectal procedures in an outpatient surgery center.
The document discusses ambulatory hernia surgery. 88 hernia repairs were performed between March 2010 and August 2011, with 66 being inguinal hernias. Procedures included open, TEP and TAPP repairs. Most patients were discharged within 6-14 hours, with only a few requiring overnight or longer stays. Complications were few. The document advocates for stand-alone ambulatory surgical centers and notes selection criteria, anesthesia protocols, benefits over traditional inpatient surgery, and literature reviews on ambulatory hernia repair outcomes and safety.
5 dr jaya-bhat-an-audit-of-gynaecological-ambulatory-surgery_ncas_2011Nova Medical Centers
This document summarizes an audit of gynecological ambulatory surgery cases from June 2009 to June 2011. It presents data on 461 total gynecology cases, of which 319 were from a single physician. Major surgeries like hysterectomies comprised 31 cases, while other procedures like laparoscopy, D&C, and MTP comprised the remaining 258 cases. Patients typically had a 2-night stay for major surgeries and same-day discharge for other procedures. There were 2 reported complications. Literature reviews on similar studies found mixed results regarding patient satisfaction with ambulatory vs. inpatient surgery. The goal is to introduce ICD coding, protocols and a registry to further improve outcomes.
4 dr shikha-sharma-nutrition-in-post-surgical-recovery_ncas_2011Nova Medical Centers
Nutrition plays an important role in post-surgical recovery by supporting the various phases of wound healing. Several nutrients have been shown to specifically aid the inflammatory, proliferative, and remodeling phases. A balanced diet high in protein, antioxidants, fiber, and certain supplements can help reduce healing time, morbidity, and length of hospital stay. Research demonstrates nutritional support leads to improved outcomes and reduced costs for patients who are nutritionally depleted after surgery.
The document discusses professionalism in healthcare. It emphasizes that healthcare is a noble profession aimed at caring for living beings. Medical professionals owe a duty of care to their patients and must perform their duties according to principles of good medical practice using modern medical training. They should approach their work with passion, develop meaningful interest in their duties, think rationally, and communicate skillfully. Teamwork, respect, trust, and life-long learning are essential to achieve the aims of the profession.
This document contains a quote from Professor B.M. Hegde stating that knowledge advances not by repeating known facts but by refuting false dogmas. It then lists Professor Hegde's credentials and experience in medical science and education. It goes on to list topics related to advancing medical science such as the need for a new scientific model beyond randomized controlled trials and peer review, recognizing that the human body works as a whole rather than focusing on individual parts, and redefining what health means.
7 ravindra pai-marketing-a-necessity-in-healthcare-delivery_ncas_2011Nova Medical Centers
The document discusses the healthcare sector in India and the need for healthcare marketing. It notes that while India has a large population, only 25% have access to quality healthcare as most hospitals and resources are urban-focused. The sector is growing rapidly but more investment is needed to improve infrastructure and access. Healthcare marketing can help increase revenues, connect patients with providers, and promote a positive experience. It discusses how marketing addresses the unique challenges in healthcare like legal barriers and influencing non-end users. The conclusion is that healthcare marketing is necessary to realize the large potential of India's healthcare sector.
This document discusses the benefits and necessity of day care surgery in India. It notes that day care surgery provides high quality surgery at affordable costs, providing both time and cost savings. It establishes that day care surgery can reduce costs to patients by at least 30% compared to corporate hospitals. The document then outlines various statistics that demonstrate the need for more accessible and affordable healthcare options in India, given factors like population size, income levels, and lack of public spending on health. It provides details on the work of the Indian Association of Day Surgery to promote and establish standards and protocols for day care centers across various medical specialties.
Ambulatory surgery involves performing planned surgical procedures on patients who are admitted and discharged on the same day. The concept began in the early 1900s and benefits were better realized after WWII. Key requirements include appropriate facilities, patient selection, pre-operative assessments, standardized procedures, oral post-op medications, and guidelines to ensure safety. Benefits include high quality care, lower infection rates, reduced costs, faster recovery and return to work, and less burden on inpatient facilities. Ambulatory surgery is now a global trend performed for over 70% of elective cases in the US and 65% in the UK.
Nova Medical Centers provides ambulatory spine surgery, also known as day care spine surgery, in Bangalore, Delhi, and Mumbai, India. Advances in surgical techniques and technology have allowed many spinal procedures that previously required long hospital stays to now be routinely performed on an outpatient basis. Key procedures discussed include percutaneous endoscopic lumbar discectomy (PELD) for herniated discs, nucleoplasty for contained disc herniations, kyphoplasty for osteoporotic vertebral fractures, and percutaneous endoscopic transforaminal lumbar interbody fusion (Pe-TLIF) for severe degenerative lumbar disc disease.
The document discusses international accreditation through the Accreditation Association for Ambulatory Health Care (AAAHC). It outlines AAAHC's philosophy of cultural adaptation when providing accreditation internationally. This includes privately meeting with international clinics to understand their systems, customizing standards, and establishing a comprehensive international surveyor program. It also notes AAAHC's goal of providing accreditation in an economically efficient and affordable manner.
This document discusses quality management systems and accreditation to NABH SHCO standards for ambulatory surgical centres. It outlines key steps to start a quality department including establishing a team, resources, authority, competence and conducting internal audits. It also covers compliance with legal, patient, employee and hospital policy requirements. Finally, it provides an overview of the NABH accreditation process and SHCO standards for small healthcare organizations with 20-50 beds or day care and ambulatory surgical centres.
Ambulatory surgery has become a popular and efficient form of surgical healthcare delivery in the US and Europe. In India, ambulatory surgery is growing with the development of small, standalone centers equipped with state-of-the-art facilities. While surgery poses risks and fears for patients, ensuring safety is key for the success of ambulatory surgery. Factors that contribute to safety include analyzing and addressing risks and patient fears, employing qualified staff, complying with regulations, incident reporting, and providing continuous patient care and support.
10 chandrashekara anaesthesia-in-ambulatory-surgery_ncas_2011Nova Medical Centers
This document discusses day care (ambulatory) anesthesia. It notes that 70% of surgeries are now ambulatory, including many procedures on children. Advances in short-acting anesthetics and analgesics, as well as less invasive surgical techniques, have enabled more outpatient surgery. The challenges of day care anesthesia include assessing pain in children, lack of experience in standalone centers, and undiagnosed medical conditions in patients. Proper patient selection, planning, anesthetic techniques and post-operative management are keys to success. A multimodal approach to pain management improves outcomes over traditional opiate techniques. Strict discharge criteria focus on stability, orientation and adequate pain control to allow patients to recover at home.
These lecture slides, by Dr Sidra Arshad, offer a quick overview of the physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar lead (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
6. Describe the flow of current around the heart during the cardiac cycle
7. Discuss the placement and polarity of the leads of electrocardiograph
8. Describe the normal electrocardiograms recorded from the limb leads and explain the physiological basis of the different records that are obtained
9. Define mean electrical vector (axis) of the heart and give the normal range
10. Define the mean QRS vector
11. Describe the axes of leads (hexagonal reference system)
12. Comprehend the vectorial analysis of the normal ECG
13. Determine the mean electrical axis of the ventricular QRS and appreciate the mean axis deviation
14. Explain the concepts of current of injury, J point, and their significance
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. Chapter 3, Cardiology Explained, https://www.ncbi.nlm.nih.gov/books/NBK2214/
7. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
Basavarajeeyam is an important text for ayurvedic physician belonging to andhra pradehs. It is a popular compendium in various parts of our country as well as in andhra pradesh. The content of the text was presented in sanskrit and telugu language (Bilingual). One of the most famous book in ayurvedic pharmaceutics and therapeutics. This book contains 25 chapters called as prakaranas. Many rasaoushadis were explained, pioneer of dhatu druti, nadi pareeksha, mutra pareeksha etc. Belongs to the period of 15-16 century. New diseases like upadamsha, phiranga rogas are explained.
Basavarajeeyam is a Sreshta Sangraha grantha (Compiled book ), written by Neelkanta kotturu Basavaraja Virachita. It contains 25 Prakaranas, First 24 Chapters related to Rogas& 25th to Rasadravyas.
NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
Osteoporosis - Definition , Evaluation and Management .pdfJim Jacob Roy
Osteoporosis is an increasing cause of morbidity among the elderly.
In this document , a brief outline of osteoporosis is given , including the risk factors of osteoporosis fractures , the indications for testing bone mineral density and the management of osteoporosis
Here is the updated list of Top Best Ayurvedic medicine for Gas and Indigestion and those are Gas-O-Go Syp for Dyspepsia | Lavizyme Syrup for Acidity | Yumzyme Hepatoprotective Capsules etc
Rasamanikya is a excellent preparation in the field of Rasashastra, it is used in various Kushtha Roga, Shwasa, Vicharchika, Bhagandara, Vatarakta, and Phiranga Roga. In this article Preparation& Comparative analytical profile for both Formulationon i.e Rasamanikya prepared by Kushmanda swarasa & Churnodhaka Shodita Haratala. The study aims to provide insights into the comparative efficacy and analytical aspects of these formulations for enhanced therapeutic outcomes.
Muktapishti is a traditional Ayurvedic preparation made from Shoditha Mukta (Purified Pearl), is believed to help regulate thyroid function and reduce symptoms of hyperthyroidism due to its cooling and balancing properties. Clinical evidence on its efficacy remains limited, necessitating further research to validate its therapeutic benefits.
Local Advanced Lung Cancer: Artificial Intelligence, Synergetics, Complex Sys...Oleg Kshivets
Overall life span (LS) was 1671.7±1721.6 days and cumulative 5YS reached 62.4%, 10 years – 50.4%, 20 years – 44.6%. 94 LCP lived more than 5 years without cancer (LS=2958.6±1723.6 days), 22 – more than 10 years (LS=5571±1841.8 days). 67 LCP died because of LC (LS=471.9±344 days). AT significantly improved 5YS (68% vs. 53.7%) (P=0.028 by log-rank test). Cox modeling displayed that 5YS of LCP significantly depended on: N0-N12, T3-4, blood cell circuit, cell ratio factors (ratio between cancer cells-CC and blood cells subpopulations), LC cell dynamics, recalcification time, heparin tolerance, prothrombin index, protein, AT, procedure type (P=0.000-0.031). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and N0-12 (rank=1), thrombocytes/CC (rank=2), segmented neutrophils/CC (3), eosinophils/CC (4), erythrocytes/CC (5), healthy cells/CC (6), lymphocytes/CC (7), stick neutrophils/CC (8), leucocytes/CC (9), monocytes/CC (10). Correct prediction of 5YS was 100% by neural networks computing (error=0.000; area under ROC curve=1.0).