Top 5 Medical Tourism Destinations in the World

We all know about the recent spurt in medical Tourism, but what you might not know and perhaps, would want to know is,  names of the countries that top this list. Before we look into that, here’s some information on medical tourism. As per international statistics, 11 million people from the USA opted for medical tourism in 2016. Now, that is a huge number. Furthermore, the medical tourism industry is slated to grow by 25% in the coming years. People are choosing medical tourism alternative for reasons like quality healthcare at impressive costs, convenience and more. Lets run-down 5 of the most sought-after medical tourism destinations in the world.

BRAZIL – As per World Health Organization, Brazil tops the list of medical tourism destinations in the world. With over 40 JCI accredited hospitals and world’s best experts under their belts, Brazil is a one-stop solution for healthcare needs around cosmetic and plastic surgery. The reason it is third on the list of most visited countries for cosmetic and plastic surgery is due to its quality services at affordable rates.

MEXICO – Mexico is one of the most preferred destinations for medical healthcare as it is known to reduce the medical costs by a staggering 40% to 65%. It boasts of over 98 JCI accredited hospitals and offers advanced treatment procedures in areas of cosmetic surgery and dentistry. Most of the people residing in the USA are known to travel to Mexico for their healthcare needs.

Medical Tourism

INDIA – India is brimming with medical tourists as on day and the reason it stands in this list is its ability reduce healthcare costs by a mammoth 65% to 90% as compared to the USA, making it one of the most visited countries for healthcare services. India is a preferred location not only due to its affordability or quality healthcare services but because there is zero waiting time for scheduling surgeries and living here is a relaxing experience as well.

THAILAND – The land of the white elephants as it is known, Thailand is also famous for its pristine beaches. But many of us aren’t aware of the fact that it is also a popular destination for medical tourism. You can not only reduce your medical expenditure by 50% to 75% but also avail facilities like private recovery gardens, Thai massage and other relaxation therapies at affordable prices.

TURKEY – The reason Turkey is on the list of most favored destinations for medical tourism is that it offers zero waiting times for services of healthcare particularly like transplant, neurosurgery, genomic medicine, radiation therapy for cancer. The Turkish airlines also offers discounts for medical tourists and the best part is the bottom line –  you end up saving around 50% to 65% of your money as compared to the USA.

Well, healthcare has broadened its horizons and is available across borders at affordable prices. Hence, umpteen people across countries are opting for medical tourism.

Medical College Admission 2018 – MBBS-MS-MD-PhD

With the onset of summer in India, students start getting ready for their board exams and even start head hunting for colleges in India to pursue their dream careers. Well, Indians are slowly evolving and the mindset of medical stream or medicine being the only choice to succeed in Life is slowing fading away from the minds of many educated souls. Having said that, there is still a major chunk of parents in India who feel that the first career choice is nothing better than medicine. True to a certain extent for it offers a career path that is so rewarding since ages.

Now that it’s time of the year when parents of students aspiring a career in medicine are shortlisting or have already shortlisted medical colleges as per their choice, let talk about a possibility that stands out in health education.
RRMCH is an endeavor of Moogambigai Charitable and Educational Trust, established in 1992 with an objective of bringing about academic excellence in Karnataka. RRMCH has a holistic approach towards education and gives equal importance to extracurricular activities together with academics.

MBBS Admissions 2018-19

Spread across a wide spanning campus of 25 acres, the college and hospital are nestled in South West Bangalore. An institutional member of the International Medical Sciences Academy, IMSA, a global body that aims in upgrading medical standards around the world, RRMCH is also recognized by the MCH and is affiliated to RGUHS.

RRMCH has a 1300 bed hospital which provides an easy window for practical learning besides digitally equipped classrooms, auditorium, Bank, intensive care unit, Central research laboratory with state of the art facilities to name a few. The laboratory in collaboration with renowned international institutions carries out numerous research programs. Furthermore, RRMCH also houses a medical museum, that showcases over 300 dissected specimens and 1000 plus models of pathology and anatomy. No wonder it is a NAAC A Accredited college and a leader in health education in Bangalore.

RRMCH offers undergraduate and post graduate course in medicine which include undergraduate, post graduate, doctoral programs and paramedical as well as super specialty courses.

MBBS – RRMCH offers MBBS course of 4.5 years plus 1 year compulsory rotating internship

MD – Doctor in Medicine program can be done in subjects namely Anatomy, Anaesthesia, Bio-Chemistry, Community Medicine, Dermatology, Forensic Medicine, General medicine, Microbiology, Pathology, Paediatrics, Pharmacology, Physiology, Psychiatry, Radio Diagnosis and Respiratory Medicine.

MS – RRMCH offers MS in subjects namely ENT, General Surgery, OBG, Opthalmology and Orthopaedics.

PhD- RRMCH offers PhD in Physiology course

Paramedical Courses – Paramedical courses under RRMCH include Diploma in Medical Laboratory Technology, Operation Theatre Technology, X Ray Technology, Health Inspection, Ophthalmic Technology and Medical Record Technology

Super Specialty Courses – RRMCH also offers super specialty courses in DM – Cardiology, MCH in Urology, Plastic Surgery and Pediatric Surgery and super specialty course in Neurology.

Well, if you are also one of those parents of students looking out to make it big in the world of medicine, RRMCH definitely is one of the institutions that can help you pave the way to success in the healthcare arena. Medical college admission for the year 2018-19 are now open at RRMCH.

Contact for more info: 

No.202, Kambipura, Mysore Road,
Bengaluru-560 074.

Phone: 2843 7444/ 2843 7777
Fax       : 080-2843 7393
E mail id:enquiry@rrmch.org
info@rrmch.org

http://www.rrmch.org

Another Step Towards Preventing Heart Disease – A Vaccine To Lower Cholesterol Levels

The word cholesterol has always been able to raise eyebrows of people because the rising levels of cholesterol is a factual indicator of growing heart disease. While there has been a lot of research and development in the field of cardiac study, here is some further news around the same. Well, lowering cholesterol for a healthy heart is a known fact. We all know how high levels of low density lipo-protein (LDL), also known as bad cholesterol can lead to a stroke due to atherosclerosis or the build up of plaque in the arteries thereby clogging them.

Now, we have this vaccine named Ato4A that has the ability to lower cholesterol levels in the body. It is a cholesterol lowering vaccine by nature and its role is to induce the antibodies production against an enzyme by name PCSK9 responsible for preventing the LDL cholesterol clearance from blood. It apparently attacks the PCSK9 enzyme and reduces the buildup of LDL cholesterol.

Preventing Heart Disease

The vaccine has already been experimented on mice. After feeding the mice with high cholesterol based western food for a while in order to increase atherosclerosis. The findings clearly showed some amazing results.
While the total lowering in cholesterol was a whooping 53%, the reversal of the atherosclerotic damage to blood vessels was a startling 64% and reduction in the biological markers of blood vessel inflammation by 21-28%. The researchers also found that the antibodies were functional throughout the study with increased levels of concentrations towards the end of it.

The PROCESS
Now, the PCSK9 protein is responsible for blocking the LDL cholesterol receptors. Due to this our body fails to get rid of this Cholesterol from blood. When the vaccine Ato4a is injected in the body it starts producing antibodies that in turn block the PSCK9’s function. As a result the activity of LDL cholesterol receptors increases.

A notable difference though between the conventional vaccines and Ato4A is that usually the antibodies in conventional vaccines are only specific to foreign bacterial and viral proteins. While Ato4A induces antibodies against body proteins.

Thus, as per researchers the next step was to take the study forward to human beings and see how the results fare. If it works then surely, this discovery of sorts is going to help fight heart diseases and stroke more effectively in the times to come.

Dr. H. P. Prabhuswamy, MBBS, MS, M. CH, FICC, FIACS, Cardiac Surgery, Professor & HOD, Dept. of CTVS, RRMCH and team conducted a Minimally Invasive Cardiac Surgery.

Stevens Johnson Syndrome

This syndrome has been named after the pediatricians AM Stevens and SC Johnson who were the first to diagnose a reaction of eye and mouth due to a drug in the year 1922. It is a rare disorder or condition but does serious damage to the mucus membranes besides the skin. Abbreviated as SJS, it is a medical emergency known as toxic epidermal necrolysis which requires immediate attention and medical care as it is known to be one of the most adverse drug reactions recognized in USA. The affected groups include Elderly and the children.

This condition causes swelling of face and lips with red and purple rash that blisters on the face accompanied by crusty lip sores. In case the eyes catch it then it can cause vision issues and corneal ulcers.

Genetic Issues – If a close family member has suffered from SJS, there is high possibility of SJS risk. There is a strong connection particularly with the Asian population between HLA-A 33:03 and HLA-C 03:03 alleles as well as allopurinol induced SJS or TEN.

Causes because of medication reactions
Usually the reaction to a certain drug appears within a week of starting the course but with some medications like anti-convulsants, the reaction might take as long as a month to surface. The antibiotics that are particularly on the list to cause SJS are Penicillins like bacampicillin and amoxicillin, cephalosporins like cephalexin and cefaclor, macrolides like azithromyvin, erythromycin and clarithromycin. Some anticonvulsantsare used for treating peilepsy, allopurinol used for gout treatment, Nevirapine for treating HIV infections, Acetaminphen, an all age group medication.

Immunity Issues – If you have an immune system that is weak like HIV infection, due to organ transplant or chemotherapy and more could increase the risk of SJS

Infections that Predispose to SJS
The viral infections that are known to precede SJS include influenza, Hepatitis A, mums, HIV and more while the bacterial include conditions like typhoid, brucellosis, mycoplasma pneumonia to name a few. Malaria and trichomoniasis are the protozoal infections.

Previous infections – There is a high risk of SJS recurring if the same medication of the same group has been used earlier and has been responsible for causing SJS infection.

Symptoms
It primarily looks like an upper respiratory tract infection, cold or cough, headache, body pain and sore throat
It is followed by blisters on the skin, mouth, nose, ears and genitals as well. The rashes are red or purple in color and with the progress of the conditons may tend to merge as well as rupture thus exposing sores that are painful. Further, the top skin layer forms a crust and sheds.

The face and lips swell and mouth catches ulcers. The lips form a crusty sore and due to the ulcer buildup in the mouth, its becomes difficult to swallow. If there are ulcers in the digestive tract, they may cause diarrhea and even dehydration.

Diagnosis
There are two ways by which the Stevens Johnson syndrome can be diagnosed.
1. Clinical Examination – The target rash characteristic plays an important role in diagnosis of SJS but to study the predisposing factor a complete clinical history is checked.
2. Skin biopsy – Sometimes even a skin biopsy could be needed to confirm the diagnosis.

Treatment -

The patient needs immediate hospitalization because it is considered to be a medical emergency. The first step is to stop the medications responsible for SJS. For treating the infection that is already developing, local antiseptics and antibiotics are used.

To stop the condition from getting worse and spreading, intravenous immunoglobulins are given.
The eye treatment involves artificial tears and lubricants so that the surface drying stops. Even antibiotics, antiseptics and topical fluids are used in order to prevent inflammation as well as infection.
For women suffering from the condition intravaginal steriod oinments are used for preventing scar tissue formation
Painkillers/ Analgesics for relief
Psychological consultancy for emotional stability and anxiety if the need be.

Prevention
If some close relative has developed SJS its important to know the drug that caused it and try and avoid that drug so as to prevent it
These days medicalert bracelets are available so that the health professional who treats come to know about any emergency situation.

Genetic testing is rarely carried out and might be suggested only in cases of South East Asian and Indian descent.
It is known that of the one third cases diagnosed with Stevens Johnson syndrome, the recurrence does occur and hence it is important to stay informed about the medications that might just not be suitable for intake for this condition.

Know More about – Best Medical Colleges in Bangalore

*Source from the internet

What is Simulation? – Simulator Aided Inter Disciplinary Workshop

What is Simulation?

Simulation is a technique to replace or amplify real-patient experiences with guided experiences. Various types of simulators are used to train and assess different levels of learners. These include mannequin simulators, human cadaver or animal models, computer-based simulation, haptic and/or virtual simulation, as well as simulation using standardized patients. Simulation has been an accepted part of training, assessment and research in high-reliability organizations, such as aviation, nuclear power, and military. Healthcare has adopted simulation from these fields for the purpose of training healthcare providers. Simulation-based learning has been used to shorten the gap that exists between the learning environment and the real clinical environment. Many skill trainers have been developed to actualize real clinical site especially for novice residents .

Utilization of simulatiors has many advantages for medical education:
1) learning can be focused on the level of trainees with various levels of difficulties;
2) learners can either learn the whole procedure process or just focus on certain tasks of the procedure;
3) learners have the opportunity to repetitively practice in quick succession;
4) learners learn in a safe environment where they can be allowed to learn from their mistakes rather than be rescued by their supervisor to keep the patient safe;
5) simulators can provide objective evidence of performance, offering potential for their use for assessment, both formative and summative;
6) simulation can provide practice on certain procedures such as cricothyrotomy, which is a critical life-saving procedure that is uncommon and rarely performed by residents.

Simulation has a potential to promote a new paradigm compared to traditional education tools. Technical skills and non-technical skills can be taught to residents via a standardized and organized simulation program teams.

Simulation based teaching workshop by the department of Anaesthesia and critical care was conducted on 7Th and 8th of Dec 2017.The whole programme had audio-video facilities.The whole process was beamed to the another class room in the Ist floor of the college building.

After the invocation, Dr, Sahajananda welcomed the gathering and the Guest faculty from Perth and Melbourne, Australia.
The guest faculty addressed the gathering and gave introductory lecture.

There were two case scenarios on 7th.
1.A pregnant patient with RTA having sustained chest and pelvic injuries. 16 participants were split into two groups and ask to conduct the management of the case.
2.Pregnant patient with severe PIH
After the procedure the defbreefing was done by the faculty namely: Parasad B Achar and Sunanda Gargeswari,in the ist floor class room. Detailed discussions were also held.
On 8th Dec 2017:

Dr. Sahajanand welcomed the gathering and delegates.He also introduced the guest faculty Dr.Shashikanth Manikappa from Melbourne.
Delegates were split into two batches.There were two case scenarios:
Patient with sepsis and septic shock
Patient in the OT who developed Anaphylaxix.

After the procedure the defbreefing was done by the faculty namely: Dr. Shashikanth and Sahajananda H, in the Ist floor class room. Detailed discussions were also held.

The whole programme was well attended by the residents and faculty from Surgery, Orthopedics, OBG, General Medicine and Pulmonary medicine.

 

Date : 7th Dec 2017 and 8th Dec 2017

Time : 2:00 pm to 6:00 pm

Venue : College first floor lecture hall & Kadamba Auditorium (College auditorium)

Speaker : Dr B. G. Prasad Achar & Ms Sunanda Achar, Melbourne, Australia