Friday,
November 3, 2000, Chandigarh, India |
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Silent kidney stones
‘more dangerous’ CHANDIGARH Prof. S. K. Sharma, Director, PGI, was the convener of the panel in the discussion, which also included Dr A.K. Goswami and Dr S.K. Singh from PGI, Dr A.S. Bawa from GMC, Col (Dr) V.K. Kapoor from CMC and Dr R.K. Jethi from Panjab University. An important message that emerged from the discussion was the fact that since kidney was a vital organ, it needs to be treated only by the urologists. The experts informed the open house that “silent stones” in the kidneys if not attended by qualified doctors, could prove to be more damaging than the painful variety. It was also pointed out that stones passed out in urine, or those removed surgically needed to be subjected to a detailed chemical analysis to analyse the management modalities. The role of diet in the formation of stones was also discussed in details. Prof M. Farouzandeh from Tarbiat-Modares University, Teheran discussed the possibility of using a technique based on monoclodal antibodies in identifying potential stone formers.The conference concluded with a valedictory function in which Prof R.K. Jethi was installed president of the Urolithiasis Society of India. |
Core areas in paediatric surgery need to be assessed CHANDIGARH, Nov 2 — In India there are core areas in paediatric surgery, which need to be focussed upon. The main aim of the millennium conference of Indian Association of Paediatric surgeons which began here today is to identify and assess these areas. Dr K.L.N. Rao, Head of the Paediatric Department at the PGI, and organising secretary,while addressing the mediapersons today, said that fatal surgery in the country needed specific attention. The meet-the-press was also attended by leading paediatric surgeons from India and abroad. As a general consensus the eminent doctors stressed that children below two years of age should not be operated upon by general surgeons, especially where paediatric surgical help was available. Although as against the required ideal number of 2000, there were just about 600 paediatric surgeons available in the country, the doctors felt that the problem was more in disparity in their distribution. “Out of these 500 surgeons are based in metropolitan and big cities leaving only about 100 for rest of the country,” said Dr
Rao. Despite the fact that physiologically babies happen to be young adults, however, owing to various factors, including dietary and maintaing body temperatures during and after operations, they require specialised paediatric surgeons. According to Dr David Lloyd, President of the British Association of Paediatric Surgeons, the main difference was the fact that paediatric surgery had to take into account the fact that patient was still in the developing stage. An area which also needed attention was liver transplant in the babies. Jaundice happens to be a very common neo-natal disease in the country which essentially needed medical attention before four to six week in the babies life. “However, due to lack of awareness,”said Prof
Rao, “most of these patients arrive at an age when liver transplant is the only answer and the country lacks the expertise to perform this sophisticated transplant”. Prof
A.J.W. Miller from Capetown, Johannesburg, the only paediatric surgeon in the world who does liver transplants in the world said that embarking upon liver transplant programme is no small undertaking. “There has to be hospital wide commitment of resources besides a mindset to invest in the children’s cause Since money never comes in sufficient form even in an advanced country like South Africa, there is a special Children’s Welfare Trust which has during the past four years collected over 15 million rands for the cause,” he added. Another crucial area where India lacked was intensive care in the new born babies. Surgically, in the newborns 50 percent of the part is played by doctors, but the remaining 50 percent is played by the nurses, said Prof Rao, while adding that neonatal nursing needs to improve in capacity, skills as well as attitude which is no where near the western standards. To provide a high quality nursing is one of an important aim of this
CME. This is possibly for the first time that parallel training programme for paediatric surgical nurses has been arranged with participants of their counterparts from Sheffeild Children’s Hospital. Prof
A.E. McKinnon, consultant paediatrics surgeon at Sheffield, has made special efforts in organising a simultaneous nursing education
programme. More than 500 delegates from India and abroad are expected to attend the conference. These also includes 15 top international doctors all celebrities in their individual field of expertise. The five-day meeting will be marked by three symposia on the first day followed by free paper sessions and CME. The meeting will end with a live endoscopic and operative pediatric urology workshop using the state of art telemedicine lead by Prof Howard Snyder III from Children’s Hospital of Philadelphia, USA. There will be a symposia on how to operate an intrauterine baby, liver transplant, trauma and intensive care for sick children. While most of the doctors from abroad are unanimous in their opinion that Indian paediatric surgery standards as well as quality of treatment was high, they felt need of the hour was support by paramedical staff. Chandigarh and PGI have recognised the need for separate set up for paediatric surgery as it is difficult to treat the children well if they are clubbed them with the adults, specialists added According to Dr Santosh J. Karmakar from the Wadia Hospital for Children at
Mumbai, said that with 700 members as part of the association, the required expertise was there in the country. Number of super speciality training centers have increased from four to 22, he said “However, infrastructure and paramedic support was woefully inadequate which needed to be adequately spruced up, “he stressed. Dr Kochar, representing the private sector, said that that they were equipped for performing 90 percent surgical correction of the birth defects of the babies. Dr
S.K. Chowdhary stressed that society has to come up with funding organisations for children’s cause. “ It is difficult to raise money from the government, which is why society has to come to their rescue.” |
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Spinal centre to function from
UT CHANDIGARH, Nov 2 — The Spinal Injuries Centre, which is to be set up at SAS Nagar at a cost of Rs 5 crore by the Punjab Government, will function from Government Medical Hospital, Sector 32, Chandigarh, from December 1 for the time being.This decision was taken here today at a meeting of the governing body of the centre.This centre will be the first of its kind in the North after Delhi. It has been approved by the Central Government.Free treatment will be provided to poor patients.
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PU, Pbi
university move up in kho kho tourney CHANDIGARH, Nov 2 — Punjabi University, Patiala and Panjab University, Chandigarh moved up in the league matches of the North-East Zone Inter University Kho-Kho (women) Tournament being played here at the Panjab University grounds, today. Results: Punjabi University Patiala beat Calcutta University, Calcutta by an inning and four points; PU, Chandigarh beat Delhi University, Delhi by an inning and six points; Calcutta University, Calcutta outplayed Delhi University, Delhi by an inning and three points while PU, Chandigarh beat Punjabi University, Patiala by nine points. Football championships: Bridge tournament: |
Charge
sheeted principal submits reply CHANDIGARH It is learnt that Mr Singla was chargesheeted a fortnight back and today was the last day if submission of his reply. He had been chargesheeted on an issue of repatriation of a lecturer in the college that he has allegedly "leaked" out information to her before the official orders could be implemented. Talking to TNS earlier, Mr Singla had denied the charges and said that he had done nothing which was out of place or was not a part of his duty. |
Traffic flow to be streamlined PANCHKULA While a number of studies revolve around streamlining traffic and removing bottlenecks in its implementation, the aspect of upgradation of equipment support base and various public participation programmes has been taken up on priority basis. Having achieved success in involving school students in the challaning drives while educating them on rules and regulations backed by a “satisfactory response”, the police has set its eyes on senior citizens as its next “target group”. The Superintendent of police, Ms Kala Ramachandran, said that the idea of involving them as traffic wardens was under active consideration.“We are taking special care to ensure such exercises are brief and interesting since public enthusiasm is generally short-lived and programmes are devised to draw maximum mileage,” she added. Plans in the pipeline include running of video film clips on cable television to explain the rules of the road and make them aware of the provisions of the Motor Vehicle Act, especially the penalties for committing traffic offences. For school students, traffic quiz and exhibitions on the same will be organised. The completion of the Traffic Park would facilitate the education of children. Computerisation of traffic-related records is also in the offing and breath analyser devices and luminescent traffic jackets have been procured for personnel on duty on the National Highway 22 and 23. To evaluate growth of traffic volume for the future, a study on traffic plying in each direction within 24 hours on the NH-22 is being conducted, essential for the control of traffic accidents. Presently, all figures regarding growth are based on speculation, the department contends. A study to ascertain accident-prone spots and take remedial steps in the direction and checking fake driving licences by surprise checks of drivers of heavy vehicles on the NH-22 is on the anvil. “ASP AS Dhillon will be in charge of the drive. However, all these will be gradually introduced in due course of time subject to the availability of manpower,'' Mrs Ramachandran informed. The police has already involved four schools in a bid to create traffic literacy in the masses through students and further expansion of the project is expected. In addition, the students have been briefed about the hierarchy of the Police Department and visits to police stations have been organised for them. |
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