Download - Grande Hospital

page
4
BE CAREFUL AGAINST THE ROTAVIRUS DIARRHEA!
constitute 39% of hospitalizations due to
acute gastroenteritis and most of them are
due to rotavirus.
Dr Binod Kumar Sah,
Pediatric & Neonatology
Gastroenteritis (intestinal inflammation),
is one of the major reasons of mortality
(death rate) and morbidity around the
world especially in neonates and in
children under age of 5. The viruses are
responsible for large proportion of
childhood deaths in acute gastroenteritis
and among viral gastroenteritis the most
important
is
rotavirus.
Rotavirus
diarrhoea is major problem for both
developed and developing countries.
One of the features that make the rotavirus
diarrhea important is diarrhea-induced
hospitalization rate; and is very high and in
this sense; it imposes an economic burden
for the family and the country. It
According
to
the
latest
study
approximately
110
million
of
Gastroenteritis patients a year, 25 million
comes to OPD, 2 million hospitalized and
440,000 thousand children death in the
world. One of 50 children in world being
hospitalized from diarrhea and severe
dehydration and its more higher in
developing country and and also mortality
is much more higher and is due to hospital
accessibility and having not optimal
high fever and abdominal pain with very
nutrition and hygiene requirements.
bad smelly diarrhea. In particular, it is
characterized by persistent vomiting and
“Rota virus infection
diarrhea. Accordingly it leads to severe
dehydration. The disease is usually milder,
complaint starts after
it can lead to severe clinical picture that
getting infected by
can be fatal depending on fluid and
rotavirus between 4 hour
electrolyte imbalance and dehydration.
to 4 days and continue the
symptoms till 4 to 8 days.
After the incubation period
of 18 hour to 48 hour onset
of sudden vomiting
bad-smelling diarrhea
,abdominal pain and half
of patient have high fever”
OPERATIONAL
ROOFTOP
HELIPAD
EMERGENCY MEDICAL
SERVICE HOTLINE
5159077
Dhapasi, Kathmandu, Nepal
P.O. Box: 11796
T : 01-5159266, 5159267, 1618015159266 (Audio Notice)
F : 977-1-5159276
E : [email protected]
www.grandehospital.com
An initiative by the Marketing & Business Development
Department, Grande International Hospital.
EMERGENCY
MEDICAL
SERVICES
Newborns have More Bones : When babies
are born, they have 300 bones. Adults have
206. Bones fuse together during growth to
come up with the new number.
2
Newborns Can’t Cry : baby can scream and holler for what
they want or need, but newborns can’t technically cry. Tears
can’t actually be created or released until about three weeks
of life However, in some cases, it isn’t unusual for babies to
shed their first tears until four or five months of life.
Unbelievable Growth : During the nine months
between conception and birth, a baby’s weight increases
upto 3,000 million times.
5
Rota Virus
DID YOU KNOW
NOV 2016 VOL 11.
w w w. g ra n d e h o s p i ta l . c o m
Protection:
Children should be given the importance
of hand hygiene. Nursery, kindergarten
students should not be sent to school when
they are sick. Shared toys and other goods
should be cleaned properly.
Newborns Can Hear As Well As You : They will startle at just about anything.
Not because it is louder or softer, but because it is new. Smell is also advanced
at this time.
3
PREDIATRIC SURGERY
milk for babies. For severe patients
intravenous fluid therapy is applied and
sould be admitted to hospital.
Did you know?
1
The Pulse
EVENTS HIGHLIGHT
PEDIATRIC
EDITION
Diagnosis:
Depends open physical examination and
laboratory findings. Elisa test and finding Vaccination:
of antigens from stool are important for Prevention is the most important
diagnosis.
implementation and for that vaccines are
available which protect the children up to
Treatment:
85-90% from rotavirus disease. In our
Most important approach of treatment is country there are two types of rotavirus
management of dehydration in children to vaccines monovalent rotavirus vaccine
save lives. Mild to moderate dehydration is (Rotarix)
Ressort
pentavalent
treated with oral re-hydratation fluid human-bovine
rotavirus
vaccine
Clinically symptoms start within 4 days (ORS) and we can give Curd, rice, soups, (RotaTeq)
and patients complaints sudden vomiting, potatoes and bananas to eat and breast
EMS
OUR
a monthly newsletter for staff and friends of
GRANDE INTERNATIONAL HOSPITAL
MIRACLE OF ZINC
RESPIRATORY
4
Mother milk: More Then 80% of mother milk is Water so
baby dont need Water till 6 month of life.
editorial
Grande International Hospital has
recently formulated a new
generation Pediatric Department
equipped with a 10-bed Neonatal
Intensive Care Unit (NICU);
combining the latest in modern
technology and a team of highly
skilled doctors & nurses working
under strict infection control
guidelines. This team is ready &
equipped with road & air
ambulances to rescue neonates
and patients under 18 years of age
from any part of Nepal. The OPD
clinic at the hospital provides the
best contemporary diagnosis
&treatment
by
world-class
doctors.
Preventive medicine is better than
curative medicine – this is a
known fact. For that reason, we
have started a new program where
we monitor the health of newborn
babies and instruct their parents &
guardians on how to care for them.
Under this program, we provide
education on how to take care of a
baby, breast-feeding techniques,
possible difficulties that may arise
at home and counsel the parents
&children together. After this
preliminary tutorial, we proceed
with follow-up calls till they are
well-educated on how to handle a
baby. Parents are also free to call us
and make inquiries should they
face any difficulties in these
matters, to avoid having to come to
the hospital for minor problems.
GIH runs a comprehensive
Immunization Program where we
have a vaccination unit for babies
& adults with readily available
vaccinesof all types. The Pediatric
Department at GIH offers a
child-friendly environment with
facilities such as a play area at the
OPD, which is also used by
hospitalized patients. We are
currently in the process of
completing a 7-bed Pediatric
Intensive Care Units (PICU),
equippedwith modern technology
and a team of highly-skilled
doctors & nurses.
On this note, we welcome you and
your
children
to
GIH’s
new-generation
Pediatric
Department
and
experience
world-quality medical care offered
with all our heart.
vf]k lbnfcf}+ /f]uaf6 arfcf}+
VACCINATION
ROTA VIRUS
MMR
PCV-13
DPT BOOSTER
VARICELA
HEPATITIS A
TYPHOID
YELLOW FEVER
HUMAN INFLUENZA
MENINGOCOCCAL
HUMAN PAPILLOMA VIRUS (HPV)
Additional vaccine are available from Sunday to Friday.
· Every Wednesday 2-3 PM Free Vaccination to
the babies under one year National Immunization
Program Of Nepal Government.
· Free anti Tetanus and Diphtheria Vaccination for
Pregnant Women.
· Vaccination for the patients with Chronic Kidney
Disease, Chronic Respiratory Disease and
Cancer.
· Vaccination service with all kind of vaccines for
the people going abroad for different reason.
page
2
RESPIRATORY
DISEASE IN
CHILDREN
Dr. Amrit Ghimire,
Pediatric, Pulmonologist
M
inerals are elements, which are
required regularly but in trace
amounts in our daily diet. Minerals
neither have energy value nor do they
build body tissues or muscles, but they
play a vital role in the proper functioning
of different organ systems of the human
body. Zinc, though a trace mineral, is an
incredibly essential component of
various enzyme molecules, proteins and
page
Increasing prevalence of drug resistance
tuberculosis is another major challenge.
Asthma is one of the commonest chronic
illness for visit to doctor. Only one third
of asthmatic patients receive standard
inhalation therapy.
Environment in cities like Kathmandu is
becoming more complex and polluted.
Environmental tobacco smoke (ETS) is
produced by an active smoker while
exhaling smoked tobacoo and from the
Respiratory system is a vital organ indiscriminate use of antibiotics in
burning end of a cigarette which is
system of body, illness of which may respiratory tract infections. Majority of
inhaled by non smokers.
affect function of body as a whole. upper respiratory tract infections are
Respiratory diseases remain a major viral infections and do not need
ETS consists of particles much smaller
challenge for the healthcare systems.
antibiotics.
than those in mainstream smoke and
Acute respiratory tract infections (ARI)
are one of the leading causes of
morbidity and mortality in children.
Emergence of drug resistance to
commonly used drugs is one of the
important challenges. Reason for
emergence of drug resistance includes
bicarbonates. It is absorbed throughout
the small intestine, and most of the
absorbed zinc is taken up by the liver,
which plays a central role in zinc
metabolism.
In zinc-treated children, stool output was
reduced to 31% by decreasing duration of
episodes, lowering stool frequency and
reduces the number of deaths or
treatment failure by 40%. Use of zinc in
Tuberculosis is an important public
health problem in developing countries
like Nepal. It is difficult for children to
expectorate sputum and the number of
bacteria in the sputum is lower.
Identification of index case is important
to prevent transmission to others.
the treatment of diarrhea is 10-20 mg per
day in two divided doses for 14 days.
Regular intake of zinc reduces the
duration of severe pneumonia by 30%
and ensures significant shorter duration
of individual markers of disease severity
like fast breathing, chest indrawing and
hypoxia. There was a mean reduction of
25% in the length of hospital stay. Zinc
also acts as neurotransmitter, and by
influencing cell division and growth early
in fetal life it may determine later
neurodevelopment and intellect. Its
deficiency
affects
cognition,
neurodevelopment, response to stress
and emotion and motor activity.
Mild to moderate zinc deficiency is
common in underdeveloped and
developing countries, because of low
dietary intake of zinc-rich animal
sources in which zinc is more
bio-available.
Short
stature,
hypogonadism,
impaired
immune
functions, skin disorders; cognitive
dysfunction and anorexia are indicators
of zinc deficiency. Similarly in animal
models, zinc deficiency has been shown
to affect skin, gastrointestinal, skeletal
and reproductive models.
therefore, has greater penetrability to the
airways of children. It is a major
challenge and responsibility of the
society to make sure that our children are
breathing fresh and smoke free air.
HIGHLIGHTS OF OCTOBER
Health Camp
GIH conducted free health screening program at
Everest Bank Limited Head office Panipokhari,
Kathmandu. The program was conducted on the
occasion of 22nd anniversary of the Bank.
Consultants from ENT Head & Neck surgery,
Orthopedics, Ophthalmology, Gastroenterology
and Dentistry screened the staff members and the
costumers of the bank.
GIH handed over two wheel chairs to Tribhuvan
International Airport officials on 23rd Oct. 2016.
These wheel chairs would be useful to the
travellers travelling through TIA.
PEDIATRIC
SURGICAL DISEASES
IN NEPAL AND GIH
MIRACLE
OF ZINC
Dr. Sanjay Raj Thapa,
Consultant, Pediatrician
Dr .R.P.Chaudhary,
Senior Consultant Pediatric Surgeon / Urologist
Children aren’t just mini adults as they
differ
significantly
anatomically,
physiologically and psychosocially. It is a
subspecialty of surgery involving the
surgery of fetuses, neonates, infants,
children, adolescents, and young adults.
Surgical problems seen by pediatric
surgeons are often quite different from
those commonly seen by adult or general
surgeons. They cannot always say what is
bothering them. They cannot always
answer medical questions, and are not
always able to be patient and helpful
during a medical examination. Pediatric
Surgeon has the Special training,
experience and qualifications to treat
your child. Pediatric surgeons know how
to examine and treat children in a way
that makes them relaxed and cooperative.
In addition, pediatric surgeons use
equipment and facilities specifically
designed for children like very few
centers like here. Most pediatric surgical
offices are arranged and decorated with
Grande International Hospital
35 DEPARTMENTS
800+ STAFF
200 BEDS
Wheelchair Handover
OVERVIEW OF
3
children in mind. This includes the
examination rooms and waiting rooms,
which may have toys, videos, and reading
materials for children. This helps create a
comfortable
and
nonthreatening
environment for your child.
If your pediatrician suggests that your child
see a pediatric surgeon, you can be assured
that he or she has the widest range of
treatment options, the most extensive and
complete training, and the greatest
expertise in dealing with children and in
treating surgical disorders.
400 MEDICAL STAFF
GRANDE
Stay
Healthy,
Stay
Happy!
WELLNESS
C E N T E R
BASIC
HEALTH
CHECK-UP
6
10
Pediatric surgeons diagnose, treat, and
manage children’s surgical needs including:
Surgical repair of birth defects,
Transplantation operations, Minimal
invasive, endoscopic procedures and
robotic surgery. More cases mean greater
surgical expertise and a sharper ability to
determine if surgery is even necessary –
and that adds up to better outcomes.
Common neonatal and pediatric diseases
that may require pediatric surgery include:
• Congenital malformations:
lymphangioma, birth defects like cleft lip
and palate, esophageal atresia and
tracheoesophageal fistula, hypertrophic
pyloric stenosis, intestinal atresia,
necrotizing enterocolitis, meconium plugs,
Hirschsprung's disease, imperforate anus
• Pediatric nephro-urological conditions:
Hypospadias, Hydronephrosis, Posterior
urethral valve, undescended testes
• Serious injuries that require surgery:
abdominal trauma, Burn injuries
• Abdominal wall defects: omphalocele,
gastroschisis, hernias
• Pediatric minimal invasive surgeries:
Laparoscopy assisted transanal pull
through
• Childhood tumors: like
Nneuroblastoma, Wilms' tumor, teratomas
and liver tumors
• Separation of conjoined twins
• Other surgical procedures for children.
nephro-urological
surgery,
pediatric
neurosurgery, pediatric emergency surgery,
surgery involving fetuses or embryos,
surgery involving adolescents or young
adults, pediatric hepatological and
gastrointestinal surgery (including liver
and intestinal transplantation in children),
pediatric orthopedic surgery, pediatric
plastic and reconstructive surgery (such as
for burns, or for congenital defects like cleft
palate not involving the major organs), and
pediatric oncological surgery.
Other areas of surgery also have pediatric
specialties of their own that require further
training during the residencies and in a
fellowship: pediatric, pediatric
Over the years, Out here, surgical practices
have changed as qualified and experienced
pediatric surgeons are providing surgical
services ranging from neonatal to
STANDARD
HEALTH
CHECK-UP
KIDNEY
SCREENING
DIABETES
HEALTH
CHECK-UP
WOMEN’S
HEALTH
CHECK-UP
EXECUTIVE
HEALTH
CHECKUP
SENIOR
HEALTH
CHECK-UP
CARDIAC
HEALTH
CHECK-UP
COMPREHENSIVE
HEALTH
CHECKUP
Preventive health check-ups are very useful in early detection of various illnesses and risk factors.Our Wellness
Center offers comprehensive tests that have been specially designed keeping your health in mind.
For more info:
Tel: 01-5159266, 5159267
Email: [email protected]
adolescent surgeries with excellent results
as per international standards.
Still, in terms of further qualitative
improvements by performing more
neonatal and complicated minimal invasive
surgeries like lap assisted neonatal and
pediatric surgeries, its long way to go. In a
place like Grande, I strongly believe in
working as a team with our
anesthesiologist,
obstetrician,
neonatologist, pediatrician, adolescent and
other medical and surgical colleagues,
hence strongly recommend the need and
emphasis on work culture of subspecialty.
Looking forward to work together for care
to cure of children.
page
2
RESPIRATORY
DISEASE IN
CHILDREN
Dr. Amrit Ghimire,
Pediatric, Pulmonologist
M
inerals are elements, which are
required regularly but in trace
amounts in our daily diet. Minerals
neither have energy value nor do they
build body tissues or muscles, but they
play a vital role in the proper functioning
of different organ systems of the human
body. Zinc, though a trace mineral, is an
incredibly essential component of
various enzyme molecules, proteins and
page
Increasing prevalence of drug resistance
tuberculosis is another major challenge.
Asthma is one of the commonest chronic
illness for visit to doctor. Only one third
of asthmatic patients receive standard
inhalation therapy.
Environment in cities like Kathmandu is
becoming more complex and polluted.
Environmental tobacco smoke (ETS) is
produced by an active smoker while
exhaling smoked tobacoo and from the
Respiratory system is a vital organ indiscriminate use of antibiotics in
burning end of a cigarette which is
system of body, illness of which may respiratory tract infections. Majority of
inhaled by non smokers.
affect function of body as a whole. upper respiratory tract infections are
Respiratory diseases remain a major viral infections and do not need
ETS consists of particles much smaller
challenge for the healthcare systems.
antibiotics.
than those in mainstream smoke and
Acute respiratory tract infections (ARI)
are one of the leading causes of
morbidity and mortality in children.
Emergence of drug resistance to
commonly used drugs is one of the
important challenges. Reason for
emergence of drug resistance includes
bicarbonates. It is absorbed throughout
the small intestine, and most of the
absorbed zinc is taken up by the liver,
which plays a central role in zinc
metabolism.
In zinc-treated children, stool output was
reduced to 31% by decreasing duration of
episodes, lowering stool frequency and
reduces the number of deaths or
treatment failure by 40%. Use of zinc in
Tuberculosis is an important public
health problem in developing countries
like Nepal. It is difficult for children to
expectorate sputum and the number of
bacteria in the sputum is lower.
Identification of index case is important
to prevent transmission to others.
the treatment of diarrhea is 10-20 mg per
day in two divided doses for 14 days.
Regular intake of zinc reduces the
duration of severe pneumonia by 30%
and ensures significant shorter duration
of individual markers of disease severity
like fast breathing, chest indrawing and
hypoxia. There was a mean reduction of
25% in the length of hospital stay. Zinc
also acts as neurotransmitter, and by
influencing cell division and growth early
in fetal life it may determine later
neurodevelopment and intellect. Its
deficiency
affects
cognition,
neurodevelopment, response to stress
and emotion and motor activity.
Mild to moderate zinc deficiency is
common in underdeveloped and
developing countries, because of low
dietary intake of zinc-rich animal
sources in which zinc is more
bio-available.
Short
stature,
hypogonadism,
impaired
immune
functions, skin disorders; cognitive
dysfunction and anorexia are indicators
of zinc deficiency. Similarly in animal
models, zinc deficiency has been shown
to affect skin, gastrointestinal, skeletal
and reproductive models.
therefore, has greater penetrability to the
airways of children. It is a major
challenge and responsibility of the
society to make sure that our children are
breathing fresh and smoke free air.
HIGHLIGHTS OF OCTOBER
Health Camp
GIH conducted free health screening program at
Everest Bank Limited Head office Panipokhari,
Kathmandu. The program was conducted on the
occasion of 22nd anniversary of the Bank.
Consultants from ENT Head & Neck surgery,
Orthopedics, Ophthalmology, Gastroenterology
and Dentistry screened the staff members and the
costumers of the bank.
GIH handed over two wheel chairs to Tribhuvan
International Airport officials on 23rd Oct. 2016.
These wheel chairs would be useful to the
travellers travelling through TIA.
PEDIATRIC
SURGICAL DISEASES
IN NEPAL AND GIH
MIRACLE
OF ZINC
Dr. Sanjay Raj Thapa,
Consultant, Pediatrician
Dr .R.P.Chaudhary,
Senior Consultant Pediatric Surgeon / Urologist
Children aren’t just mini adults as they
differ
significantly
anatomically,
physiologically and psychosocially. It is a
subspecialty of surgery involving the
surgery of fetuses, neonates, infants,
children, adolescents, and young adults.
Surgical problems seen by pediatric
surgeons are often quite different from
those commonly seen by adult or general
surgeons. They cannot always say what is
bothering them. They cannot always
answer medical questions, and are not
always able to be patient and helpful
during a medical examination. Pediatric
Surgeon has the Special training,
experience and qualifications to treat
your child. Pediatric surgeons know how
to examine and treat children in a way
that makes them relaxed and cooperative.
In addition, pediatric surgeons use
equipment and facilities specifically
designed for children like very few
centers like here. Most pediatric surgical
offices are arranged and decorated with
Grande International Hospital
35 DEPARTMENTS
800+ STAFF
200 BEDS
Wheelchair Handover
OVERVIEW OF
3
children in mind. This includes the
examination rooms and waiting rooms,
which may have toys, videos, and reading
materials for children. This helps create a
comfortable
and
nonthreatening
environment for your child.
If your pediatrician suggests that your child
see a pediatric surgeon, you can be assured
that he or she has the widest range of
treatment options, the most extensive and
complete training, and the greatest
expertise in dealing with children and in
treating surgical disorders.
400 MEDICAL STAFF
GRANDE
Stay
Healthy,
Stay
Happy!
WELLNESS
C E N T E R
BASIC
HEALTH
CHECK-UP
6
10
Pediatric surgeons diagnose, treat, and
manage children’s surgical needs including:
Surgical repair of birth defects,
Transplantation operations, Minimal
invasive, endoscopic procedures and
robotic surgery. More cases mean greater
surgical expertise and a sharper ability to
determine if surgery is even necessary –
and that adds up to better outcomes.
Common neonatal and pediatric diseases
that may require pediatric surgery include:
• Congenital malformations:
lymphangioma, birth defects like cleft lip
and palate, esophageal atresia and
tracheoesophageal fistula, hypertrophic
pyloric stenosis, intestinal atresia,
necrotizing enterocolitis, meconium plugs,
Hirschsprung's disease, imperforate anus
• Pediatric nephro-urological conditions:
Hypospadias, Hydronephrosis, Posterior
urethral valve, undescended testes
• Serious injuries that require surgery:
abdominal trauma, Burn injuries
• Abdominal wall defects: omphalocele,
gastroschisis, hernias
• Pediatric minimal invasive surgeries:
Laparoscopy assisted transanal pull
through
• Childhood tumors: like
Nneuroblastoma, Wilms' tumor, teratomas
and liver tumors
• Separation of conjoined twins
• Other surgical procedures for children.
nephro-urological
surgery,
pediatric
neurosurgery, pediatric emergency surgery,
surgery involving fetuses or embryos,
surgery involving adolescents or young
adults, pediatric hepatological and
gastrointestinal surgery (including liver
and intestinal transplantation in children),
pediatric orthopedic surgery, pediatric
plastic and reconstructive surgery (such as
for burns, or for congenital defects like cleft
palate not involving the major organs), and
pediatric oncological surgery.
Other areas of surgery also have pediatric
specialties of their own that require further
training during the residencies and in a
fellowship: pediatric, pediatric
Over the years, Out here, surgical practices
have changed as qualified and experienced
pediatric surgeons are providing surgical
services ranging from neonatal to
STANDARD
HEALTH
CHECK-UP
KIDNEY
SCREENING
DIABETES
HEALTH
CHECK-UP
WOMEN’S
HEALTH
CHECK-UP
EXECUTIVE
HEALTH
CHECKUP
SENIOR
HEALTH
CHECK-UP
CARDIAC
HEALTH
CHECK-UP
COMPREHENSIVE
HEALTH
CHECKUP
Preventive health check-ups are very useful in early detection of various illnesses and risk factors.Our Wellness
Center offers comprehensive tests that have been specially designed keeping your health in mind.
For more info:
Tel: 01-5159266, 5159267
Email: [email protected]
adolescent surgeries with excellent results
as per international standards.
Still, in terms of further qualitative
improvements by performing more
neonatal and complicated minimal invasive
surgeries like lap assisted neonatal and
pediatric surgeries, its long way to go. In a
place like Grande, I strongly believe in
working as a team with our
anesthesiologist,
obstetrician,
neonatologist, pediatrician, adolescent and
other medical and surgical colleagues,
hence strongly recommend the need and
emphasis on work culture of subspecialty.
Looking forward to work together for care
to cure of children.
page
4
BE CAREFUL AGAINST THE ROTAVIRUS DIARRHEA!
constitute 39% of hospitalizations due to
acute gastroenteritis and most of them are
due to rotavirus.
Dr Binod Kumar Sah,
Pediatric & Neonatology
Gastroenteritis (intestinal inflammation),
is one of the major reasons of mortality
(death rate) and morbidity around the
world especially in neonates and in
children under age of 5. The viruses are
responsible for large proportion of
childhood deaths in acute gastroenteritis
and among viral gastroenteritis the most
important
is
rotavirus.
Rotavirus
diarrhoea is major problem for both
developed and developing countries.
One of the features that make the rotavirus
diarrhea important is diarrhea-induced
hospitalization rate; and is very high and in
this sense; it imposes an economic burden
for the family and the country. It
According
to
the
latest
study
approximately
110
million
of
Gastroenteritis patients a year, 25 million
comes to OPD, 2 million hospitalized and
440,000 thousand children death in the
world. One of 50 children in world being
hospitalized from diarrhea and severe
dehydration and its more higher in
developing country and and also mortality
is much more higher and is due to hospital
accessibility and having not optimal
high fever and abdominal pain with very
nutrition and hygiene requirements.
bad smelly diarrhea. In particular, it is
characterized by persistent vomiting and
“Rota virus infection
diarrhea. Accordingly it leads to severe
dehydration. The disease is usually milder,
complaint starts after
it can lead to severe clinical picture that
getting infected by
can be fatal depending on fluid and
rotavirus between 4 hour
electrolyte imbalance and dehydration.
to 4 days and continue the
symptoms till 4 to 8 days.
After the incubation period
of 18 hour to 48 hour onset
of sudden vomiting
bad-smelling diarrhea
,abdominal pain and half
of patient have high fever”
OPERATIONAL
ROOFTOP
HELIPAD
EMERGENCY MEDICAL
SERVICE HOTLINE
5159077
Dhapasi, Kathmandu, Nepal
P.O. Box: 11796
T : 01-5159266, 5159267, 1618015159266 (Audio Notice)
F : 977-1-5159276
E : [email protected]
www.grandehospital.com
An initiative by the Marketing & Business Development
Department, Grande International Hospital.
EMERGENCY
MEDICAL
SERVICES
Newborns have More Bones : When babies
are born, they have 300 bones. Adults have
206. Bones fuse together during growth to
come up with the new number.
2
Newborns Can’t Cry : baby can scream and holler for what
they want or need, but newborns can’t technically cry. Tears
can’t actually be created or released until about three weeks
of life However, in some cases, it isn’t unusual for babies to
shed their first tears until four or five months of life.
Unbelievable Growth : During the nine months
between conception and birth, a baby’s weight increases
upto 3,000 million times.
5
Rota Virus
DID YOU KNOW
NOV 2016 VOL 11.
w w w. g ra n d e h o s p i ta l . c o m
Protection:
Children should be given the importance
of hand hygiene. Nursery, kindergarten
students should not be sent to school when
they are sick. Shared toys and other goods
should be cleaned properly.
Newborns Can Hear As Well As You : They will startle at just about anything.
Not because it is louder or softer, but because it is new. Smell is also advanced
at this time.
3
PREDIATRIC SURGERY
milk for babies. For severe patients
intravenous fluid therapy is applied and
sould be admitted to hospital.
Did you know?
1
The Pulse
EVENTS HIGHLIGHT
PEDIATRIC
EDITION
Diagnosis:
Depends open physical examination and
laboratory findings. Elisa test and finding Vaccination:
of antigens from stool are important for Prevention is the most important
diagnosis.
implementation and for that vaccines are
available which protect the children up to
Treatment:
85-90% from rotavirus disease. In our
Most important approach of treatment is country there are two types of rotavirus
management of dehydration in children to vaccines monovalent rotavirus vaccine
save lives. Mild to moderate dehydration is (Rotarix)
Ressort
pentavalent
treated with oral re-hydratation fluid human-bovine
rotavirus
vaccine
Clinically symptoms start within 4 days (ORS) and we can give Curd, rice, soups, (RotaTeq)
and patients complaints sudden vomiting, potatoes and bananas to eat and breast
EMS
OUR
a monthly newsletter for staff and friends of
GRANDE INTERNATIONAL HOSPITAL
MIRACLE OF ZINC
RESPIRATORY
4
Mother milk: More Then 80% of mother milk is Water so
baby dont need Water till 6 month of life.
editorial
Grande International Hospital has
recently formulated a new
generation Pediatric Department
equipped with a 10-bed Neonatal
Intensive Care Unit (NICU);
combining the latest in modern
technology and a team of highly
skilled doctors & nurses working
under strict infection control
guidelines. This team is ready &
equipped with road & air
ambulances to rescue neonates
and patients under 18 years of age
from any part of Nepal. The OPD
clinic at the hospital provides the
best contemporary diagnosis
&treatment
by
world-class
doctors.
Preventive medicine is better than
curative medicine – this is a
known fact. For that reason, we
have started a new program where
we monitor the health of newborn
babies and instruct their parents &
guardians on how to care for them.
Under this program, we provide
education on how to take care of a
baby, breast-feeding techniques,
possible difficulties that may arise
at home and counsel the parents
&children together. After this
preliminary tutorial, we proceed
with follow-up calls till they are
well-educated on how to handle a
baby. Parents are also free to call us
and make inquiries should they
face any difficulties in these
matters, to avoid having to come to
the hospital for minor problems.
GIH runs a comprehensive
Immunization Program where we
have a vaccination unit for babies
& adults with readily available
vaccinesof all types. The Pediatric
Department at GIH offers a
child-friendly environment with
facilities such as a play area at the
OPD, which is also used by
hospitalized patients. We are
currently in the process of
completing a 7-bed Pediatric
Intensive Care Units (PICU),
equippedwith modern technology
and a team of highly-skilled
doctors & nurses.
On this note, we welcome you and
your
children
to
GIH’s
new-generation
Pediatric
Department
and
experience
world-quality medical care offered
with all our heart.
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VACCINATION
ROTA VIRUS
MMR
PCV-13
DPT BOOSTER
VARICELA
HEPATITIS A
TYPHOID
YELLOW FEVER
HUMAN INFLUENZA
MENINGOCOCCAL
HUMAN PAPILLOMA VIRUS (HPV)
Additional vaccine are available from Sunday to Friday.
· Every Wednesday 2-3 PM Free Vaccination to
the babies under one year National Immunization
Program Of Nepal Government.
· Free anti Tetanus and Diphtheria Vaccination for
Pregnant Women.
· Vaccination for the patients with Chronic Kidney
Disease, Chronic Respiratory Disease and
Cancer.
· Vaccination service with all kind of vaccines for
the people going abroad for different reason.