New Paradigm in

HealthcareEducation

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EDITORIAL

CHARNOCK HEALTHCARE INSTITUTE AT A GLANCE

UPBEATS IN CHARNOCK HOSPITAL

ON LIGHTER NOTES

JULY - AUGUST 2013

The only way that we can live, is if we grow. The only way that we can grow is if we change. The only way that we can change is if we learn. Life as a journey is propelled by leaning – hence it must never stop. Shall learning stop; stagnation will follow. Restarting the Charnock Newsletter is dedicated to the 'Learner' within us.

With its renewed structure, content and pattern; fueled by editorial entrepreneurism I'm sure the new Charnock Times will be informative, educative and entertaining.

'CHARNOCK HOSPITAL' – The name is like a “Home” to many of us employees now. We have seen it grow, prosper, struggle and again strive towards achieving a new goal. During this process, we have added up our new wings namely, Charnock Healthcare Institute and Pipal Tree Hotel along with us and also looking forward to becoming a Super-specialty Hospital within this financial year itself.

As “Charnock Pulse” is restarting in a new way, I am delighted to take this opportunity to thank everyone around for letting us grow. We are indebted to all of you for your advice and guidance.

We, at Team Charnock, stress on transparency and try to pay maximum attention to Patient Service and Care. Our ultimate target, therefore, is to reach a level where both our Doctors and our patients consider “Charnock” as their second home! Hope we will be able to reach this target too.

GMIpsita Kundu

MDPrashant Sharma

Intellectual value chain starts from data, data to information, information to education and ends at education to wisdom. Our fundamental endeavor here is to complete this value chain. We stand in a threshold where industry admires academia and vice versa, Charnock Hospital and Charnock Healthcare Institute together will create noteworthy intellectual impact in the healthcare industry.

Charnock Times will be the projection of such impact in form of scholarly dissertations. Healthcare is always driven by human values and Charnock Times will add more value to such human values

DIRECTOR, CHI Pramit Das

After a long gap we are going to introduce Charnock Times, which will be circulated to doctors, healthcare specialists, our students, our well wishers, employees as well as people related to healthcare industry. This will communicate our vision to healthcare industry; our progress, our progressive plans, critical patients and critical procedures performed by our team of doctors, those who are lifting our hospital in the healthcare society.

CEOSusovan Dasgupta

Welcome Reader !

he hibernation is over and it's Ttime to start afresh. We are all set with our new edition of

Charnock Times which will surely be an answer to your literary quest in relation to Healthcare Education. Charnock Healthcare Institute (CHI) is no more a concept; it is a reality with rm determination to stand taller than a lot of its kind. Best of infrastructure, nest human resources and a positive attitude to aim for delivering global standard in healthcare education to a varied group of professionals is just here to welcome pupils from every corner of the society. And Charnock Times is the reections of CHI in every direction; be it literary, intellectual, societal or industrial. Let us start another journey together as you start turning the pages. Happy Mindful Reading.

(Page 2 - Page 4) : C H I a t a g l a n c e

(Page 5 ) : Sudden Cardiac Death

(Page 6 ) : Case report & Health News

(Page 7 ) : Relaxation tip and recipe

It has given me immense satisfaction to learn that the news bulletin of Charnock Hospital is being reintroduced in the new name "Charnock Times" in a complete new dimension. Regular news bulletins of these types have, now a days, become the essence of the organisations to communicate with their clients and public at large with regards to the various developments & remarkable achievements of the people attached with the industries and various other sectors.The management of the SKM GROUP has to believe in the psychology of working in the

society with honest commitment and transparency.

I am of the firm opinion that "Charnock Times” in future will act as an instrument to project the ongoing activities of the group and the people attached with them in the health and its allied education sector.I wish the "Charnock Times" to fulfill its mission with dignity.

CHAIRMANSri Susil Kumar Misra

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Current Scenario

Background

Our Proposal

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Healthcare is India’s largest service industry with revenue of $35 billion by 2018. Some organisations have partly met this

opportunity by establishing multi-speciality and super-speciality hospitals to cater to the huge demand. Much more investments are in the pipeline to cater to this opportunity. In India, the healthcare sector currently employs more than 4 million people and future manpower requirements are expected to double to 8 million.

West Bengal is likely to see a 1,30,000 shortfall in skilled resources by 2015, claims a CII - PWC Skill Gap Study released in

Kolkata. In healthcare, there would be an additional requirement of 5,000 -7,000 qualified MBBS / MD doctors, 20,000 - 30000 qulified nurses and over 60,000 paramedical staffs and allied health professionals. The bed to manpower ratio in hospitals is 1 Bed : 5 Employments.

Charnock Hospital, a multi-speciality hospital, is the promoter of this initiative. Coming from the healthcare industry, we are well aware of the nuances, the demand-supply gap between industry requirements and institutes that churn out such personnel. It is after experiencing first hand, how desperately healthcare industry needs quality personnel to fulfill this gap, thus Charnock Healthcare Institute was formed.

Charnock Healthcare Institute is a unique medical education institute, which will create quality manpower for every level of healthcare delivery. This is the first such dedicated medical education institute which provides Nursing, Paramedical and Administrative education - all under one roof.

To provide qualified manpower to the growing healthcare industry in India

Vision

Mission

To be one of the best Medical Education Institutes in Eastern India

Charnock Healthcare InstituteCreating talented Workforce for the Healthcare sector

Salient Facts of the Institute

Location - in the most upcoming area of New Town, Kolkata.

World class infrastructure and campus.

Centrally air-conditioned, Wi-Fi enabled classrooms, equipped with Audio - Visual aids.

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Charnock Healthcare Institute : Through another Lens

Synthesis - Unit 4, CBD - 1, Action Area - II, New Town, Kolkata -700156. India. Tel: (033) 40-300-300 Fax: (033) 40-300-310,

842-000-333-0842-000-333-3www.charnockinstitute.in

email: charnockinstitute@gmail.com

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How to catch a killer : Sudden Cardiac Death

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“World cinema, Indian cinema, mostly Bengali cinema woke up to the terrible news of actor/director Rituparno Ghosh's untimely demise. The national award winning director was only 49. He was suffering from pancreatitis and suffered a cardiac arrest today morning.”- TOI, May 30, 2013. Likewise we lost Michael Jackson, Tim Russert, Joe Strummer and many more at pick-time of their highly productive lives. It is not unusual to see news stories about people in the prime of their lives dying suddenly of a heart attack during exercise. Sometimes these people are young and strong, very often they are male, and alarmingly they often have no previous symptoms. The magnitude of the problem is more enormous than generally realized.

Sudden Cardiac Death or Sudden Cardiac Arrest (SCD or SCA) is defined as death due to cardiovascular causes in a patient with or without known preexisting heart disease in whom the mode and time of death are unexpected. Though a heart attack or Myocardial infarction may cause a Cardiac arrest, these terms are not synonymous. Heart attack may result in cardiac arrest and sudden death but all sudden cardiac deaths are not due to heart attacks.

According to a survey conducted in India, approximately 4280 out of every one lakh people die every year from SCA (Sudden Cardiac Arrest) in India. This corresponds to around 54.6 million people in India alone. Statistics show that only about 7% of the people who suffered SCA survived, and this rate could be improved to 50% with human intervention.

Most cardiac arrests that lead to sudden death occur when the electrical impulses in the diseased heart become rapid (ventricular tachycardia) or chaotic (ventricular fibrillation) or both. This irregular heart rhythm (arrhythmia) causes the heart to suddenly stop beating. Some cardiac arrests are due to extreme slowing of the heart. Other factors besides heart disease and heart attack can cause cardiac arrest. They include respiratory arrest, electrocution, drowning, choking and trauma. Cardiac arrest can also occur without any known cause.

Brain death and permanent death start to occur in just 4 to 6 minutes after someone experiences cardiac arrest. Cardiac arrest can be reversed if it's treated within a few minutes with an electric shock to the heart to restore a normal heartbeat. This process is called defibrillation. A victim's chances of survival are reduced by 7 to 10 percent with every minute that passes without CPR and defibrillation. Few attempts at resuscitation succeed after 10 minutes.

No statistics are available for the exact number of cardiac arrests that occur each year. It's estimated that more than 95 percent of cardiac arrest victims die before reaching the hospital. In cities where defibrillation is provided within 5 to 7 minutes, the survival rate from sudden cardiac arrest is as high as 30–45 percent.

Early CPR and rapid defibrillation combined with early advanced care can result in high long-term survival rates for witnessed cardiac arrest. If bystander CPR was initiated more consistently, if AEDs were more widely available, and if every community could achieve a 20 percent cardiac arrest survival rate, more lives could be saved each year. Death from sudden cardiac arrest is not inevitable. If more people react quickly by calling medical aid and performing CPR, more lives can be saved. For instance, in June 1999, automated external defibrillators (AEDs) were mounted 1 minute apart in plain view at Chicago's O'Hare and Midway airports. In the first 10 months, 14 cardiac arrests occurred, with 12 of the 14 victims in ventricular fibrillation. Nine of the 14 victims (64 percent) were revived with an AED and had no brain damage.

What is Sudden Cardiac Death or Sudden Cardiac Arrest (SCD or SCA)?

Indian scenario:

Why so ?

Can cardiac arrest be reversed ?

How many people can survive cardiac arrest ?

What can be done to increase the survival rate ?

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Dietary Exposure to Certain Plastics May Play a Hidden Role in Epidemic Increases in Childhood Hypertension

The average looking middle aged fair lady never thought of attracting such public attention while she boarded the plane from Dubai alone. This resident of Philippines suddenly went into active and rapid labor as the airbus was on high flying zone. And to all surprise to fellow passengers and crew on board, she gave birth to a tiny (1.9 Kg) baby girl on 7th February 2013.

Air-Born

New research published on May 23, 2013 in the Journal of Pediatrics suggests that certain types of phthalates could pose another risk to children: compromised heart health. Drawing on data from a nationally representative survey of nearly 3,000 children and teens, researchers at NYU Langone Medica l Center , in collaboration with researchers at the University of Washington and Penn State University School of Medicine, have documented for the first time a connection between dietary exposure to DEHP (di-2-ethyhexylphthalate), a common class of phthalate widely used in industrial food production, and elevated systolic blood pressure, a measure of pressure in the

Just like any Hindi movie scene, flight had to make an emergency landing at the NSCB International Airport, Kolkata, where doctors of AAI were waiting for immediate management of mother-daughter duo & finally the whole team arrived at Charnock Hospital with the baby in Kangaroo Mother Care. She was admitted here under able supervision of Dr. Barnali Ghosh in obstetric ward and the newborn was soon shifted to NICU for assessment and further management. After admission the mother was soon prepared for exploration of birth canal in OT. On examination under anaesthesia, uterus was bulky with some retained placental bits and a small posterior vaginal wall tear near introitus was found. So evacuation of blood and placental bits from uterus was done and she was treated conservatively with routine medications. Her puerperal period was uneventful. The newborn was admitted under Dr. Daipayan Ghatak.

The preterm newborn (34 weeks) had respiratory distress, and poor newborn reflexes. So the baby was kept in NICU. Oxygen by hood was administered and started on IV infusion with 10% dextrose 150ml / day. Baby passed urine & meconium within 3 hours after admission and had stable saturation at room air after 10 hours. Though kept on NPM, abdomen remained distended and the newborn was managed with intermittent NG aspiration with administration of H2 blocker and domperidone. Initial sepsis screening was positive. Baby's CRP was 36 and blood for BACTEC culture revealed growth of Methicillin Resistant Staphylococcus Aureus (MRSA) which was sensitive to vancomycin and the newborn was already receiving vancomycin and meroponem. Baby gradually started responding to therapy. Baby developed physiological neonatal hyperbilirubinemia

arteries when the heart contracts. "Phthalates can inhibit the function of cardiac cells and cause oxidative stress that compromises the health of arteries. We wanted to examine the link between phthalates and childhood blood pressure in particular given the increase in elevated blood pressure in children and the increasing evidence implicating exposure to e n v i r o n m e n t a l e x p o s u r e s i n e a r l y development of disease." says lead author Leonardo Trasande, MD, MPP, associate professor of pediatrics, environmental medicine and population health. Recent national surveys indicate that 14 percent of American adolescents now have pre-hypertension or hypertension.

P.S. Stop before you use hair sprays, deodorant, hair gel, perfumes, nail polish, body lotion, shampoo…and READ the label….Be an aware literate citizen.

& was treated with double surface phototherapy. IV antibiotics were continued for 10 days. The heal thcare team at Charnock bid adieu the Mother and baby in stable condition on 1st March, 2013!

The theme for World Health Day 2013 is high blood pressure. Goals: Greater awareness, healthy behaviors, improved detection, and enabling environments

Plastic additives known as phthalates (pronounced THAL-ates) are odorless, colorless and just about everywhere: They turn up in flooring, plastic cups, beach balls, plastic wrap, medical devices made of flexible PVC, such as IV bags, blood storage bags. Once perceived as harmless, phthalates have come under increasing scrutiny. A growing collection of evidence suggests dietary exposure to phthalates (which can leech from packaging and mix with food) may cause significant metabolic and hormonal abnormalities, especially during early development.

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De-stress your colleague (in less than 5 minutes)

Filled to the brim

Massage is highly versatile skill, and can be applied in many different situations, not least the office. How often have you heard

one of your work colleagues complain of terrible tense, aching shoulders preventing them from doing any work? Now you can step in and do something about it. A five-minute massage is all it takes. It can be wonderfully effective, revitalizing and refreshing them.

Herbal tea isn't really made from tea—which is a specific kind of plant. Herbal tea is really just an infusion of leaves, seeds, roots or bark, extracted in hot water. French word Tisane is actually a better name of herbal tea.

Simmer 8-10 green Basil (Holy Tulsi) leaves in a mug of warm water for 10-15 minutes. Strain the water. Add a tea-spoon of honey and few drops of fresh lemon juice into it. Tisane is all yours.

1. Standing behind your seated colleague, place both your hand gently on the shoulders, thumbs towards you and fingers in the front.

5. Allow your fingers to s i n k t h e m u s c l e s around the shoulder blade. Repeat on the other side.

6. Place your hands on your partner's shoulder joints, and press back towards yourself to stretch the upper chest.

3. Place your forearms over the shoulders, and then gradually press down with your body w e i g h t i n o r d e r t o squeeze and stretch the trapezius.

4. Move the forearms gradually outwards to cover the shoulders, m a i n t a i n i n g a fi r m pressure all the time.

2. Using your fingers, knead in small circles up and down the back of the neck. Support the head with your other hand while you are working on the neck.

Preparation:

Benets:

Its Refreshing ….lifts your mood.

Increases your energy level.

Soothes sore throat.

Controls blood pressure.

If taken at early morning, on a daily basis, reduces adiposity.

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