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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. 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.