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DailyDay 4, Thursday 30 January 2020 DoseThe official daily newspaper of the Arab Health Exhibition Medlab , your dedicated medical laboratory show, coming next week

By Daily Dose Staff

and blood typing challenges; Laboratory quality management system, the best of CLSI and Laboratory accreditation, CAP updates,. Medlab Middle East also offers an educational agenda for clinical laboratory specialists to enhance their skill sets to inspire and provide advanced medical laboratory techniques for better health. More than 4,500 conference delegates will have the opportunity to hear from 120 speakers from around the world, across 12 CME accredited conferences. The 2020 edition of the show will see the edlab Middle East is all set to showcase Middle East will also host a series of free-to-attend introduction of four new conference tracks including cutting-edge laboratory medicine workshops, hosted by the National Reference Blood Transfusion Medicine, Laboratory innovation, Msolutions and takes place next week, from Laboratory (NRL) and Bio-Rad, where a hands-on Digital Pathology and the Roundtable Discussions, 3-6 February 2020 at the World Trade Centre. approach to learning and knowledge-sharing on which will feature focused scientific group discussions The expo will welcome more than 600 exhibitors new product offerings, technology and best practice on selected administration and technical topics in from 35+ countries and over 25,800 attendees will will take place. Workshops include Transfusion the medical laboratory. attend the 19th edition of the MENA region’s largest medical laboratory exhibition and congress. According to research by Wise Guy Research Consultants, the value of the Middle East & Africa DHA launches Bushra (MEA) clinical services market will reach over US$14 billion by 2023 with technological advances one Article provided by Dubai Health Authority (DHA) of the key drivers pushing market growth. Medlab he Dubai Health Authority (DHA) Middle East has a central theme of ‘Transforming launched Bushra, an all-in-one IT solution tomorrow’s diagnostics’, underscoring the role for reproductive medicine at Arab Health. of innovative technological advances in the T His Excellency Humaid Al Qutami, Director development of laboratory medicine in the region. General of the DHA launched the service, which The four-day show, which is organised by provides clinicians, clinical scientists and other Informa Markets, will introduce the Transformation experts in fertility centers with perfect quality Hub, a dedicated zone showcasing advanced clinical assurance and documentation of therapies. laboratory products by industry leaders committed to transforming diagnostics and advancing healthcare. Continued on page 2 In addition to the Transformation Hub, Medlab

v

THE FIRST HEALTH Visit us and INFORMATION preview the Malaffi EXCHANGE IN THE patient app MIDDLE EAST Arab Health 2020, Department of Health- (Stand: Hall 5, H5.B10)

arabhealthonline.com Arab Health Daily Dose

Continued from page 1 Investment sentiment in GCC With this new service, patients and visitors to the center will be able to obtain data and information about their IVF treatment in a safe and confidential healthcare sector remains strong as manner. Bushra enables the collection of all data relevant to diagnostics and therapy market value reaches US$70 Billion such as findings, diagnoses, treatment process, treatment results and documented correspondence, so that they can be he healthcare investment landscape in the retrieved paperlessly from anywhere. Gulf Cooperation Council (GCC) region was Commenting on the launch, His Tthe main focus for the inaugural Healthcare Excellency Humaid Al Qutami commended Investment Forum, which took place yesterday. the role of the Dubai Fertility Center in With the healthcare market in the GCC estimated giving hope to married couples who dream to be worth US$70 billion, and expected to grow of having a family by providing quality at a compound annual growth rate (CAGR) of 5 services that treat all forms of infertility. per cent, healthcare continues to provide strong Al Qutami added that the Dubai value opportunities for investors. Fertility Center has become locally and Conversation at the forum focused on the internationally renowned due to its drivers of change in healthcare investing in the experienced specialists and state-of-the- region and offered a platform for discussion art equipment. on what the future holds for the healthcare Hana Tahtawa, the Director of the investment landscape in the Middle East. Dubai Fertility Center explained that Bushra Speaking during yesterday morning’s session, allows immediate access to all patient files Jad Bitar, Managing Partner and Director, BCG, to allow the organization of administrative Dubai, UAE, said: “Although there is enormous tasks and processes intelligently. room for growth, the GCC is only spending around shared the companies insights into investing in expecting a stable performance. “This includes a perfect cryo- half of what mature markets spend on healthcare. healthcare tech from a global perspective, while Paul McGrade, former EU policy adviser to two management system including As such, there are several factors creating Dr Ihsan Almarzooqi, Managing Director of British Prime Ministers and now Senior Counsel consistent documentation of information investible opportunities in healthcare in the Glucare in Dubai, highlighted local learnings and at Lexington Communications, one of the UK’s and sensitive data as well as a quick region, including underperforming systems and experiences in the market. leading strategic consultancies, said: “With Brexit and uncomplicated execution of players; shifts in strategic focus such as disease In a recent report by Informa Markets, organiser imminent, the UK will be putting increasing effort communication tasks such as medical burden and geographic footprint; the outsourcing of Arab Health, titled Voice of the Healthcare and resources into growing trade globally, and the reports, diagnostic reports etc... this of operations such as manufacturing and supply Industry Market Outlook, respondents shared their Middle East will be an important part of that. The will help expedite the registration of chain; as well as capacity build through digitisation experience regarding investment opportunities in region’s demand for world-class healthcare, and appointments and manage waiting lists and value-based healthcare and the current state the healthcare market in the GCC. The UAE and historic links to the UK market, make this a priority more efficiently,” she concluded. of fragmentation in service provision.” Saudi Arabia remain the strongest markets in the sector for growing UK trade.” Arab Health visitors are welcome to visit Over the course of the Healthcare Investment GCC, both in terms of current performance and Delegates will return to the Healthcare the authority’s stand to learn about the Forum, attendees were also given an overview of in participants’ expressed level of attractiveness Investment Forum today to hear about private equity latest health services adopted by the DHA. both local and global experiences in investing in for the next two years. The overall outlook of the investment strategies and cross border collaboration, healthcare technologies and innovative startup survey was positive for 2020 globally, with 79.3 as well as developing a venture capital (VC) funding Visit DHA at stand CC130. companies. General Manager of International percent of respondents expecting an increase strategy around how to deply funding capital in Business at Jawbone Health, Bandar Antabi, in revenue compared to 2019, and 15.4 percent order to maximise the returns on investment.

“Generosity of spirit” to support growing availability of transplants

Article provided by Cleveland Clinic

hanging attitudes towards organ donation week, using the organs of one or multiple donors, in the UAE will enable more patients to is a positive measure of how far the program has Cbenefit from life-changing operations in come in recent years.” 2020, according to senior physicians at the UAE’s The majority of kidney and liver transplants first and only multi-organ transplant center at the performed at Cleveland Clinic Abu Dhabi are from show. living-related donors. Cleveland Clinic Abu Dhabi, part of the Since 2017, 23 kidneys have been donated Mubadala healthcare network, has performed 74 by living relatives as well as 11 living related transplant operations since conducting its first donation, transforming the lives of the recipients procedure in 2017. This has included heart, lung, without the need to wait for a deceased donor liver transplants and kidney transplants. organ to become available. During the ‘Year of Tolerance’ in 2019, a However, despite growing numbers of growing number of residents indicated their registered organ donors, the demand for organ willingness to donate organs in the event of their transplant in Abu Dhabi is even higher. death, to help other people suffering from serious Cleveland Clinic Abu Dhabi continues to work illnesses. closely with the Ministry of Health and Prevention “As people see the positive impact that and the Abu Dhabi Department of Health to organ transplants have had on the health of the support the UAE’s organ donation register. There community, attitudes towards donation have are a number of initiatives in development for shifted significantly. This generosity of spirit has 2020 to help raise awareness of the importance helped supported the growth of the nationwide of organ donation. organ donation program,” says Dr. Bashir Sankari, Cleveland Clinic Abu Dhabi is the UAE’s only chief of the Surgical Subspecialties Institute at multi-organ transplant center. Before patients Cleveland Clinic Abu Dhabi. The team’s expertise has enabled them to operation, involving a wide range of caregivers enter the transplant program, they work with In the two years since performing its first heart perform multiple transplant operations in a single at Cleveland Clinic Abu Dhabi and other partner transplant coordinators, dieticians, social workers transplant operation, Cleveland Clinic Abu Dhabi week, ensuring that patients can receive the hospitals in the UAE, as well as health authorities, and psychologists to ensure they are ready for has now performed 39 kidney transplants, 23 liver surgery they urgently required as soon as a viable transport services and a number of other key their surgeries. transplants, seven heart transplants and five lung organ becomes available. actors,” explains Dr. Sankari. “That we are now able transplants. “Each organ transplant is a very significant to conduct multiple operations in the space of a Visit Cleveland Clinic at H5.A10.

2 /arabhealth Thursday 30 January 2020

Today at a glance Arab Health Daily Dose The Arab Health Daily Dose is the official newspaper of the Arab Health Exhibition & Congress. It will be distributed from Monday 27th - Arab Health 2020 Congress Thursday 30th January 2020.

President, Global Exhibitions EMEA Conference Room Location Start Finish Peter Hall [email protected] Total Radiology Grand Ballroom Conrad Dubai 09:00 17:00 Executive Vice President – Healthcare Wouter Molman Obs & Gyne The Ballroom Conrad Dubai 08:30 16:30 [email protected]

Orthopaedics Dubai D DWTC 08:30 16:30 Head of Content Matthew Brady Surgery Umm Al Quwain DWTC 08:25 18:00 [email protected]

Anaesthesia and Pain Management Ajman D DWTC 09:00 17:40 Editor Deepa Narwani [email protected] Diabetes J & K DWTC 08:20 16:15 Creative Director Mark Walls Healthcare Investment Forum Al Ain F DWTC 10:00 12:45 [email protected]

Physical Medicine, Rehabilitation Ras Al Khaimah DWTC 08:20 16:45 Senior Graphic Designer Amna Hanif and Sports Medicine [email protected] Quality Management Abu Dhabi B DWTC 09:00 17:30 Graphic Designer Nysam Shahul Healthcare Infrastructure Forum Pavilion Hall DWTC 10:30 14:30 [email protected]

Marketing Director Solenne Singer [email protected]

Advertising Sales Manager Roshal Solomon [email protected]

The Arab Health Daily Dose is owned and distributed by Informa Markets, Floor 20, Dubai World Trade Centre Tower, Dubai, UAE. All images © Shutterstock.com unless otherwise specified. This publication may not be reproduced or transmitted in any form in whole or part without the written consent of the owners. For Daily Dose articles online, please visit www.insights.omnia-health.com/daily-dose

Your guide to Innov8 Talks

Featuring 32 start-up companies pitching their heart out to the Innovation Committee, come and hear General Partner, Raiven Capital, San Francisco, California, U.S., will be the MC of the event. Location: about the latest products making a change across the healthcare industry. With eight pitches a day, for Plaza Hall, Keynote: Idea to Impact: the key steps in building a successful venture, Dr Malik Majmudar, eight minutes each – this will be the competition to check out. Supreet Singh Manchanda, Managing Cardiologist, Medical Officer, Amazon, Seattle, USA

Pitches - 11:30am to 13:30pm Innovation committee

1) Ampersand Health - The first scientifically 1) Abdelhamid Suboh, Partner, Healthcare and validated digital therapy for long term Life Sciences ME Leader, Deloitte, UAE inflammatory conditions 2) Daniel Amir Raduan, Digital Business 2) Clinical Science Systems – NeuroCenter EEG: Transformation Head – MENA Region, AI based prediction of neurological outcome Novartis, Dubai, UAE in the ICU 3) Saqr AlHemeiri, Chief Innovation Officer, Ministry 3) Made of Genes - Made of Genes is the first of Health and Prevention, Abu Dhabi, UAE service in the market to go beyond genomics 4) Supreet Singh Manchanda, Managing by combining genetic testing with metabolic General Partner, Raiven Capital, San Francisco, analysis to provide 100% actionable wellness California, USA and prevention insights based not only on who 14:30 The final pitch off you are but also how you are 4) Noul - Realizing the potential of AI analysis in The best of each day come back for one final pitch diagnostics Final members of the innovation committee: 5) Prognica - AI powered health-tech 1) Hasan Al Nowais, Acting Head of Mubadala company aiming to improve clinical outcomes Healthcare, Abu Dhabi, UAE and accelerate the discovery of breakthrough 2) Hazem Abu Khalaf, Managing Director, Private advancements in the fight against breast cancer Equity, Gulf Capital, Dubai, UAE 6) OKDOK - Tele-medicine App that enables remote 3) Ugo Mosanya, Head of Strategy & Business diagnostic/consultations for health and wellbeing Development, Solutions CoE and HTS Consulting, 7) UDX - UDX is developing a cancer platform Philips Middle East & Turkey, Dubai, UAE consisting of a set of minimally invasive, blood- 4) Tristan de Boysson, CEO, Amanat Holding, based solutions for detecting cancer early Dubai, UAE when treatment options are more plentiful 8) VRapeutic - Development of therapeutic 15:30 Winner of the Innov8 Talks announced solutions using AI-enabled virtual reality, with 16:00 Close of conference a current focus on learning difficulties and developmental disorders

#arabhealth @arab_health 3 Arab Health Daily Dose Malaffi, helping create a healthier Abu Dhabi for current and future generations

Article provided by Malaffi

n the region, the future of healthcare ultimately saving lives, Malaffi also contributes data to move towards more preventative and help patients better manage their health. Once is evolving with the introduction of significantly to population health across Abu predictive healthcare models. For example, logged into the portal or by downloading the app, Iintelligent technologies. With this, there Dhabi as a whole. patient healthcare information can be leveraged patients will have their own medical information has been a substantial shift towards prevention, to build machine learning models that predict at their fingertips. Patients can check their Malaffi personalisation and precision. The UAE, often Understanding the needs of the population the likelihood of being readmitted or developing file anytime and anywhere through the app, which seen as an incubator for innovation in the region, Through data, Malaffi will support the DoH in chronic conditions. It does so by using clinical also supports prevention and early detection of has witnessed an influx of technology within the performing population health analytics and data to assess clinical events that have actually illnesses. Commenting on the announcement Atif healthcare sector which has contributed to the monitoring care quality trends throughout the happened to patients in the past to be able to Al Braiki, the Chief Executive Officer of Abu Dhabi world-class care available to the population. With Emirate. For example, with 37 percent of adults develop predictions for patients in the future. Health Data Services, the operator of Malaffi, said: this in mind, a Public Private Partnership between reported as obese, and 15.7 percent of adults This will provide greater insight into preventative “For us, Malaffi is a platform that connects health the Department of Health - Abu Dhabi (DoH) and living with diabetes, the UAE is currently working medicine, allowing providers to have a different providers in Abu Dhabi to support communities to Injazat Data Systems, a subsidiary ultimately towards reducing chronic diseases. In contributing conversation about lifestyle and help with better health. of Mubadala Investment Company, launched to this data, Malaffi will provide real-time and directing population health activities. The Malaffi As part of doing this, we are proud to be Malaffi, the region’s first Health Information accurate information to understand the health analytics portal is being showcased at Arab Health working closely with the Department of Health – Exchange (HIE) platform. needs of people in the Emirate. This benefits on the DoH stand. Abu Dhabi to be positively impacting the lives of A HIE allows healthcare providers and the whole population as it will provide more All of this is made possible by the collaboration people now and in years to come. The patient app practitioners to access patient health data information to the DoH when developing public of healthcare providers across Abu Dhabi. The is especially exciting, as it encourages patients to through a centralised database. The appropriate health programmes, such as programmes aimed more data that is available, the more accurate use the app for their benefit and so, collectively, and reliable sharing of patient health information at health prevention and the management of the programmes, initiatives and provisions will be we can encourage better engagement and facilitates better care coordination and informed chronic diseases. in future. Malaffi has been well-received by the empowerment of their own health.” decision-making at the point of care. Before industry in Abu Dhabi. Currently, the Malaffi database contains more Malaffi, patient health information was recorded Identifying public health risks Currently, the database contains more than than 38 million patient records for more than 3 in the provider’s Electronic Medical Records As providers update their EMR systems after 38 million patient records for more than 3 million million patients, who are being treated and their (EMR) system, and was not accessible to others patient consultations, each individual’s Malaffi patients, who are being treated and have their care care managed through Malaffi by over 15,000 outside of that system if needed. Malaffi will now file will update in real-time. Through the unified managed through Malaffi. Every time a provider doctors and care teams utilising the platform. To safely and securely connect all public and private patient records, Malaffi will also be able to joins, Malaffi becomes even more effective in date, 1,732 facilities in Abu Dhabi have signed healthcare providers in the Emirate of Abu Dhabi, swiftly identify any public health risk, such as improving the speed, quality and safety of patient the Participant Agreement, and 406 facilities enabling the meaningful, real-time exchange of an outbreak. In turn this will assist the Emirate’s care. have been onboarded, with many more in the important patient health information, ultimately emergency preparedness in the event of such a With the UAE facing a growing ageing pipeline. Some of the onboarded providers include creating a centralised database of unified patient situation arising. population and rising prevalence of chronic Abu Dhabi Health Services Company (SEHA), records. diseases, there comes no better time to utlise data Mediclinic Al Noor Hospital, Kanad Hospital, Malaffi is a key component of the digital Laying the foundations for advanced to create programmes and initiatives that truly UEMedical Group, Cleveland Clinic Abu Dhabi and transformation of the healthcare system in Abu technologies cater to the needs of the population and stimulate Healthpoint. Dhabi. In addition to the host of benefits that As technologies such as artificial intelligence and behaviour change. Malaffi directly offers patients and providers on machine learning continue to mature, stored During Arab Health, Malaffi also announced To learn more about Malaffi, please visit an individual level, from increased efficiency to patient information will provide the necessary the soft launch of their patient application to DoH stand at Hall 5, Booth H5.B10. Primal Health highlights TESSIDENT innovation Article provided by Primal Health

pproximately 3.5 billion people are burden of dental pathogens Aggregatibacter afflicted by dental disease, worldwide. actinomycetemcomitans and Porphyromonas AThe effects of cavities, periodontal disease gingivalis, known to cause aggressive periodontal and edentulism are profound, with direct and disease. Moreover, TESSIDENT dental lozenge indirect economic costs totaling $544BB USD. recipients had a significantly reduction in plaque Dental disease is now a public health crisis, which burden. Lastly, 78 percent of TESSIDENT dental accelerates as we age, and is in the top 10 leading lozenge recipients had a significant reduction in causes of years lived with disability (YLDs). Primal bleeding on probing compared to sugar alcohol Health LLC, a Minnesota start-up, is taking a placebo lozenge recipients. Intended use of completely new approach to address the root TESSIDENT dental lozenges are for individuals cause of these oral diseases – oral dysbiosis. with a history of dental disease or who are higher Similar to lower gut dysbiosis, oral dysbiosis is risk of developing dental disease. TESSIDENT a shifted composition of the microbial community dental lozenges can also be used to supplement inhabiting the mouth (oral microbiome) that daily hygiene routines for improved outcomes. drives disease processes in the mouth, particularly TESSIDENT powder or pressed rapid-melt dental below the gum line and predisposes the host to lozenges are available in bulk or a 30 day supply. other systemic diseases. Disruption of the healthy The active ingredients in TESSIDENT powder are balance in the oral microbiome leads to an over naturally recognized as safe with years of safety representation of pathogens or pro-inflammatory data in pregnant women, children and older microbes and a decreased level of beneficial/ adults. protective microbes. Primal Health, LLC was founded by Dr. Oral dysbiosis is strongly associated with metabolism to stop pathogen growth while remineralization. TESSIDENT is made in the USA Emily Stein, PhD, after witnessing the life- cavities, gingivitis, periodontal disease, oral thrush, selectively stimulating the growth of protective and is fully consumable. It is manufactured in pure threatening cardiovascular event experienced and stomatitis. Stress, a carbohydrate-rich diet and microbes in an oral biofilm. The company’s initial powder form and is compatible with numerous by her grandmother as a direct result of dental antibiotic exposure are drivers of oral dysbiosis. products selectively block carbohydrate-uptake by formulations and product formats. The company disease. Dr. Stein has been working since 2010 Tooth brushing, antibiotics, antiseptic rinses and dental pathogens to inhibit inflammatory organic also offers TESSIDENT in the form of pressed on understanding and solving the problem of xylitol have not shown an ability to treat or reverse acid production in the oral cavity. rapid-melt dental lozenges for daily use. dental disease and the chronic systemic diseases oral dysbiosis. TESSIDENT is a patented clinical-strength In a six week placebo-controlled double blinded that result from it. Dr. Stein earned her PhD in Primal Health, LLC is a biotechnology company combination of 4 small molecules to (i) neutralize study on older adults with mild-to-moderate Microbiology from UC Berkeley and her fellowship with a pipeline of patented small molecules for bacterial acids, (ii) block the sugar-to-acid gingivitis conducted by the Benjamin Rose in Rheumatology and Immunology at Stanford the selective control of the oral microbiome and conversion pathways in oral bacteria for durability Institute on Aging, TESSIDENT dental lozenges University. use in human and animal dental health. This in between meals and (iii) to provide bioactive were clinically proven to grow protective bacterial novel approach selectively modulates microbial calcium to the oral cavity for tooth enamel strains while simultaneously reducing the oral Vist Primal Health at Booth #H1.G19.

4 /arabhealth Thursday 30 January 2020 Leader Healthcare drives the future of healthcare

By Deepa Narwani, Editor

Sabu Thomas

rtificial Intelligence (AI) is not just a explains, if a person goes in for a CT scan or an and foresee if the patient has the chance of about avoiding diseases, so it will be a fantastic buzzword anymore and is changing X-ray or MRI, a radiologist or a pulmonologist getting a heart attack or lung cancer, in 4 years time for future generations! If I am going to look Ahealthcare for the better. This is evident at would interpret things based on their knowledge. or 10 years. “If it is a brain scan, it might be able forward to 2023, you will see a completely different Leader Healthcare’s presence at the show, as the “Based on AI, there are algorithms that are fed into to tell you that in 10 years, you will have a 98% Leader Healthcare where we will continue to drive company’s solutions are highlighting how AI has from millions of databases from all over the world chance of having dementia or cancer or breast the vision of the UAE's leadership, and look at the potential to drive the healthcare industry’s shift and with this feedback, the software is able to look cancer. The person is then able to take preventive providing quality healthcare,” he concludes. towards providing improved clinical outcomes. at each and every nodule, read the algorithm and measures before the symptoms start,” he adds. Sabu Thomas, Chief Operating Officer, Leader accordingly enhance the diagnostic capabilities of Leader Healthcare also has a stem cell research Leader Healthcare has two booths in Healthcare tells Daily Dose: “The UAE’s vision has existing modalities such as X-ray or CT scan.” and genomic lab that set up at their booth. Hall 4 (H4.F10, H4.F30) and is also been towards driving Artificial Intelligence (AI), The most important thing, Thomas emphasizes, Thomas says: “In the genomic lab, based on this present at the Innovation Hub (PZ. virtual reality, automation, robotics etc. We at is that the algorithm can pinpoint if there is a diagnosis coming in from AI, you are able to play K30) where it is showcasing 3D4 Leader Healthcare have also decided to implement cancerous cell in the lungs. He says, “Even if you around with the genome and make sure that you anatomy medical and virtual rehab that and are focusing full-fledged into AI.” are not looking at it, the algorithm will bring it out. don’t have the disease that is diagnosed.” for physiotherapy. It has also brought He says that the company is working in the This makes it a great prevention tool. Plus, it also When asked about what the future looks like, Anatomaze (M.B50) to the show that area of AI in terms of improving the interpretation becomes cost effective for healthcare providers to he shares, “In my opinion, the future will be that takes visitors on an unforgettable of clinical data that could help the clinician as diagnose and come up with solutions.” doctors will deal with completely fine individuals journey into the human body. a strong decision-making tool For instance, he Furthermore, the algorithm is able to forecast and take care of their well-being. Well-being is all

The region’s medical lab expo

Next week 3-6 February 2020 Za’abeel halls 1-6 | Dubai World Trade Centre

Free registration

medlabme.com/arabhealth Together for a healthier world

#arabhealth @arab_health 5 Arab Health Daily Dose UltraZonic ensures highest standard of patient safety By Deepa Narwani, Editor

eeping healthcare facilities clean is extremely important. A dirty equipment or Ktool could be deadly if the germs hitch a ride to surgical site and cause an infection. Nancy Steenbakkers, Founder and CEO of UltraZonic, was a nurse for 20 years and used to assist in the Al-Futtaim operating theater and she was also responsible for the cleaning of surgical instruments. Health launched She tells Daily Dose: “It is very hard to clean these instruments. I was observing a lot of hospitals l-Futtaim Health introduced the company and noticed the same issues and problems across and its state-of-the-art facilities; HealthHub the world, when it comes to patient safety and AAl-Futtaim Clinics and Pharmacies, Tashafi, ensuring the medical instruments are cleaned Total Care and the luxury aesthetics clinic Maison properly. After that I became a distributor for Lutétia, at the show. washers, disinfectors and autoclaves, and saw that Health is a new initiative from the Al-Futtaim washer disinfectors have their limits. Group, which offers specialized healthcare options “I told this to my husband, who is a chemical from multidisciplinary clinics to advanced plastic engineer and he invented two new patented surgery and aesthetics services in a modern setting. devices. These are called the UltraZonic Endo and As a hub for continuous care, the HealthHub UltraZonic Med.” Nancy Steenbakkers provides accessible, integrated health UltraZonic is a three-year-old Belgium-based management supported by smart solutions in firm and their main focus is precleaning. “Instead of the most needed in the market, as we see many and will ensure that there is no dirt anymore. With a happy and insight-driven environment. With a of having many sinks in hospitals, with many issues in this area,” she explains. this device, the patient safety level is climbing up.” family doctor who knows each patient and their staff, we have now invented two new cleaning “In Europe, most of the hospitals are investing Steenbakkers says that their products have medical history, patients can feel confident that concepts, instead of a number of sinks that were in washer disinfectors and drying cabinets but been getting a considerable amount of interest. they are dealing with a true family doctor. used for precleaning,” she explains. "Depending there are still a lot of issues regarding the cleaning “We have references in Belgium, The Netherlands Understanding the need for accessible quality on the motivation and knowledge of the staff is of endoscopes. I had a really good contact with and Sweden. I am attending Arab Health to healthcare for all in the healthcare market, Al- depending on the cleaning efficacy. Patient safety a repair company who were repairing endoscopes understand the Middle East market. I have seen Futtaim Health designed clinics in and around is still in big risk!" after they were damaged, and they showed me the hospitals in the region and device cleaning industrial locations. These care centers, or The first one is the precleaning machine that pictures with all kinds of dirt inside! That’s why is also an issue here. Patient safety is given a lot community health clinics serve either on a walk-in cleans the stainless-steel surgical instruments in we invented our device, which is an automated of importance in the Middle East and our devices basis or by appointment, offering ethical care to three minutes. “This makes the lifecycle of the machine with traceability and software package are at hand to make sure the instruments are the workforce of Dubai. instrument much longer,” adds Steenbakkers. in it. With it we know every single step that is really clean,” she concludes. The second concept the company has invented being carried out. With the instruments, the user Visit Al-Futtaim Health at stand CC70. is precleaning for flexible endoscopes. “This is one has to follow the steps. These cannot be skipped Visit UltraZonic at stand PZF740.

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ORTHEMA Group Fon: +41 41 798 04 34 Email: [email protected] CH – 6343 Switzerland Fax: +41 41 798 04 35 Web: www.orthema.com Arab Health Daily Dose Quado – the small bedside cabinet full of great ideas

Article provided by Stiegelmeyer

radii and the overall design is clear with as little strength: it is very mobile. If the bed is moved to niches as possible,” explains Schröder. If several another room or ward, the lightweight Quado can Quado cabinets are stored, they can be pushed simply be attached to the head or footboard of together and require even less space. most Stiegelmeyer hospital beds for joint transport. Quado also convinces with its second great This is especially useful during patient transfers.

The new bedside cabinet Quado by Stiegelmeyer is compact and mobile while still offering plenty of room for personal items. It can be attached to almost all current Stiegelmeyer hospital beds for joint transport.

new member can be found among open compartments and a drawer can be reached Stiegelmeyer’s hospital products. It is the from both sides and provide room for e.g. two Asmallest in terms of dimensions, but in large bottles. The optional lockable drawer is also terms of functionality will play a major role: the suitable for wallets. new bedside cabinet Quado, the compact miracle. As standard, a rail protects the upper table top, Quado is slimmer and lighter than conventional so that glasses and cups can be safely put down. bedside cabinets but offers a comparable level of The damped foldable overbed table is suitable comfort, making work on wards much easier. What for enjoyable meals. Lars Schröder reaches under were the reasons for Stiegelmeyer to develop such the overbed table and shows another practical a small modern bedside cabinet? “First of all, detail: On both sides of the table small bookrests limited space is available in many hospital rooms,” can be extended to e.g. place a smartphone to explains Product Manager Lars Schröder. “Quado comfortably watch videos. To change the height fits next to every bed, even in narrow spaces.” of the bedside cabinet, just press a button on the Experience has shown that patients put many rail and effortlessly pull or push the cabinet’s body personal belongings in their bedside cabinet. Even into the desired position. a smaller model must offer enough space. During Made of large plastic elements, the Quado is the development great effort was put into making very easy and thorough to clean – automatically the best possible use of the available space. Two and manually. “The compartments have large

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Arab Health Daily Dose Painful hip in children, a practical diagnostic approach By Herma C. Holscher, Past President, Dutch Society of Radiology, HAGA Teaching Hospital, The Hague, The Netherlands and Joosje Bomer

painful hip, without a direct traumatic bone scintigraphy can be useful. Always consider the possibility of septic Figure 6. Sites of common origin, is a frequent complaint in children, Most radiographs will not show abnormalities arthritis in a sick child! avulsion injuries and Awhilst young children most often present in the early stages of the disease, but after 7-10 muscle attachments. with a limp. Next to clinical presentation, the days osteolysis and periosteal reaction are seen. Perthes disease differential diagnosis can be narrowed down by In young children ( < 1.5 year) there are still Perthes disease, also known as Legg-Calvé-Perthes the age at presentation. vessels in the physis, so infection may easily disease, is an idiopathic avascular necrosis of Awareness of the fact that children can present spread to the epiphysis and joint. In older children the proximal femoral epiphysis. It occurs more with knee pain, due to hip pathology (referred pain) the physis forms a natural border for spread of commonly in boys, typically between 5 and 8 is important and vice versa, especially young children infection (Fig. 1). Ultrasound can be helpful in years of age, but may range from the ages 3-12. can have pathology in the knee, lower leg or foot. visualising subperiosteal abscess formation or fluid It can occur bilaterally, but it is usually asymmetric. collections. MRI will also demonstrate the joint Early radiographs may be normal or show subtle Clinical presentation effusion and synovial thickening, but can also flattening of the femoral head (Fig.4). Sclerosis disease of more than 6 weeks duration in children Trauma show damage to the bone and cartilage. On MRI and subchondral fractures may develop, features under 16 years of age. It is a clinical diagnosis When a child presents with hip pain or a limp, osteomyelitis appears as an area of T2 increased best appreciated on the frog-leg lateral view. and is currently divided into six different subtypes. parents are inclined to ask for a history of trauma. signal in the metaphysis with enhancement Treatment is symptomatic. If disease progresses, Contrary to the adult population, cartilage loss and This can be misleading as children virtually always and surrounding edema in the soft tissues, and fragmentation and collapse of the femoral head erosions are not a frequent finding in JIA. X-rays remember a history of some fall or minor trauma. occasionally a subperiosteal abscess. Brodie’s will occur and metaphyseal lucencies can be seen. are usually negative early on in the disease. Typical Important is to directly relate the beginning of abscess is a subtype of subacute osteomyelitis, In the healing phase, Perthes disease can findings in children in later stages of the disease pain with the supposed trauma. which is typically seen in children, with lead to a short, broad femoral head and collum, may be a slightly larger epiphysis, or accelerated intraosseous abscess formation occurring usually known as coxa magna deformity. The radiologic bone maturation. Ultrasound will show effusion, Fever in the metaphysis. As the abscess is encapsulated differential diagnosis of Perthes disease includes thickened synovium and sometimes hyperemia. Next to hip pain, it is important to note feelings by a rim of granulation tissue, systemic symptoms secondary avascular necrosis (due to underlying of general illness and fever, as bacterial arthritis is such as fever and inflammatory markers may be disease, or medicamentous). Meyer’s dysplasia Normal variants a surgical emergency. Furthermore, osteomyelitis absent. and multiple epiphyseal dysplasia can have In order to avoid false positive results on X-ray can have normal radiological findings on comparable radiological findings, but are mostly imaging one should be aware of normal variants conventional X-ray in the early stage of disease. In Referred pain bilateral and symmetric, whilst Perthes disease is, that may simulate disease. In newborn babies up to case of fever, blood examination is required. Because young children may have difficulty if bilateral, mostly asymmetrical. 6 months, a symmetric physiologic periostal reaction communicating the problem, it may be necessary can be seen around the diaphysis of the long bones, Age to image the entire extremity. Slipped Capital Femoral Epiphysis probably due to rapid growth rate. This should not The most important factor in making an Under the age of four a relative common cause Slipped Capital Femoral Epiphysis (SCFE) or be mistaken for non-accidental injury. Osteochondral appropriate differential diagnosis is the age of of a limp is the Toddler fracture, a spiral fracture femoral epiphysiolysis is an idiopathic Salter- connections, like the ones of the pubic bones can the patient, as some diseases occur more often in of the tibia or fibula caused by stress on juvenile Harris type I fracture of the proximal femoral be mistaken for an abnormality. Awareness of the certain age groups (Table 1). bone because of “excessive”walking. epiphysis. It occurs more commonly in boys and in various normal variants is useful and when in doubt A common cause in the foot is Köhler’s disease, obese children. The typical age at presentation is consider examining the other side to compare. Table 1 an idiopathic osteonecrosis of navicular bone. between 12-15 years. SCFE may occur bilaterally Imaging modalities < 4 years 4-10 years 10-16 years Figure 2. Toddler fracture As stated earlier several imaging techniques can be All ages: Septic arthritis/Osteomyelitis of the distal tibia. useful (Table 2). In children from 4 to 10 years old with symptoms for less than 5 days, and in the absence Referred pain Transient Slipped femoral of high fever or elevated inflammatory markers - a lower limb synovitis epiphysis wait-and-see policy is recommended. In these cases, Non accidental Perthes disease Avulsion the diagnosis is usually transient synovitis, which is injury fractures a spontaneously resolving condition. In most cases Uncommon all ages: Leukemia/ Bone tumors/ Juvenile osseous pathology can be excluded with a frog- idiopathic arthritis leg (Lauenstein) view only. In case of suspected

Common all ages: Normal variants pathology on the frog-leg view, an additional AP radiograph should also be acquired for orthopedic Septic arthritis Trampoline fracture is typically located in the in up to one third of cases. As the epiphysis slips and follow-up purposes. It is important to realize that Bacterial arthritis is usually caused by proximal tibia metaphysis and can be very subtle. posteriorly, and to a lesser extent medially it in transient synovitis and early in the course of Perthes Staphylococcus aureus and can have a rapidly is best appreciated on the frog-leg lateral view disease, juvenile idiopathic arthritis, osteomyelitis and deteriorating course with destruction of the joint. Non-accidental injury (Fig.5). SCFE is treated with surgical fixation to septic arthritis, the initial radiographs are normal. On ultrasound there is joint effusion. Note that Non-accidental injury is beyond the scope of this prevent further slip off. Avascular necrosis of the the echogenicity of the fluid is not of diagnostic paper. For imaging protocols the guidelines of the femoral epiphysis is a potential complication. Table 2 value. The synovium may be thickened, but this is Royal College of Radiologists is recommended. Symptoms <5 days No imaging also a non-specific finding. Joint effusion and the Avulsion injuries No trauma and not sick Joint effusion clinical profile are the keystones for the diagnosis. Transient synovitis Avulsion injuries of the pelvis are a frequent cause of Ultrasound (sub-periostal) fluid collections Immediate aspiration and surgical debridement Transient synovitis (coxitis fugax) is an aseptic hip pain in adolescents involved in sports. Because Osseous pathology, start with X-ray should be performed. Absence of joint effusion inflammation of the hip, presumably of postviral at this age the tendons are generally stronger than <4 yr lower leg/foot; > 4 yr frog-leg lateral excludes septic arthritis. aetiology. It is the most common cause of hip pain the apophyses, strong muscle contraction can result Extent of disease in confirmed pathology MRI Radiographs are not sensitive to joint effusion or a limp in children under the age of ten years. in apophyseal avulsion fractures (Fig.6). Avulsion No explanation found for serious complaints and are not helpful in the early diagnosis. Affected children are only mildly ill or have injuries can be acute or chronic. Bone No clear site of origin scintigraphy Multifocal disease recently sustained a low-grade respiratory tract Osteomyelitis infection. The condition is self-limiting and treated Bone tumors and tumor-like lesions Lead Shielding Osteomyelitis is a relatively common severe with rest and if necessary analgesics. There are many bone tumors and tumor-like Gonadal shielding is dissuaded because of risk condition in children. As in septic arthritis, Imaging is not strictly necessary, but an ultrasound lesions that may cause pain in the hip or upper of masking important diagnostic information, a Staphylococcus aureus is the most common is often requested to confirm the presence of a joint leg. We will not discuss the various bone tumors. higher number of retakes and possible shielding pathogen. In suspected osteomyelitis, MRI is the effusion. Radiography is only performed when there of automatic exposure control chambers. imaging method of choice. In infants or young are other differential diagnostic considerations. Juvenile Idiopathic Arthritis children in whom the location may be uncertain, The appearance of the effusion on ultrasound is Juvenile Idiopathic Arthritis (JIA) is an Conclusion Figure 1: not helpful for the differential diagnosis. autoimmune, noninfective, inflammatory joint Hip pain and limping in children is a challenge for all clinicians. A practical approach is presented. Take good care of the sick child with fever and Figure 5. Lauenstein view elevated inflammatory markers, as bacterial with right (H) sided slipped arthritis is a surgical emergency. A history of capital epiphysis. trauma can be misleading. Focus on the age of the patient in decision making for further radiological examinations. In case of persistent unexplained Figure 3. Anechogenic effusion complaints consider MRI and especially in the in the hip (between markers). 0- 18 months 18 month- 16 years Adult young child, bone scintigraphy might be useful. Dr. Holscher will be speaking on ‘The painful hip in children’ at the Total Radiology conference at 15:30. 10 /arabhealth THE FIRST HEALTH INFORMATION EXCHANGE IN THE MIDDLE EAST

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any important developments are on economy in the UAE and boost the local talent the horizon at Arab Health 2020. The influx for the business sector. There are many MUAE government has many different projects that are currently in effect to that end, initiatives and projects in the pipeline as it including: endeavors to equip youth and young entrepreneurs • UAE Green Jobs Program with the latest knowledge and essential skillsets • National Program for Artificial for the future labor markets. Intelligence However, the application of these initiatives is • Training Programs for Government employees not limited to the healthcare sector. That’s why • UAE Ai Camp the UAE government has several projects going on • UAE Ai Internship Program that address the requirements of different sectors, • ICT Fund such as education, space science, renewable • One Million Virtual Expeditions initiative and alternative energy, transportation and • And the UAE Hackathon, to name a few. infrastructure, and the IT sector. The combined initiative of Munfarid and IEMS His Highness, Sheikh Mohammed bin Rashid Al is expected to propel things in the right direction Maktoum was quoted saying, “UAE has adopted in line with the governments’ core goals of Vision innovation as an institutional approach and a 2021 and Centennial 2071. culture of the society that aims at developing its Dr. Sana Farid, the Co-Founder & CEO of human factor as well as government institutions, Munfarid, has high hopes for this initiative and as part of its drive to build a sustainable future.” thinks it will help escalate the immersive learning Amid all this activity, Munfarid and Institute of development initiatives and has many inspiring every project the government has introduced opportunities for both young professionals and Environmental Management and Sustainability projects supporting progress in the areas of during the last few years, Sheikh Mohammad aspiring entrepreneurs. (IEMS) Academy have come together with the science, thought development and digital strongly believes that this is the road to UAE’s We know that disruptive technologies are objective to bring immersive operational and technologies. His Highness expressed his ardent innovation progress, “UAE has adopted innovation here to stay and they are going to define a new vocational training to the youth. support for the young generation at the ‘Spirit of as an institutional approach and a culture of the future. Just like the entire developed world, the Led by the leadership of His Highness Sheikh Youth’ platform, society that aims at developing its human factor UAE is also engaged in exploring the benefits Dr. Sultan bin Mohammed Al Qasimi, Supreme The government of His Highness, Sheikh as well as government institutions, as part of its of immersive learning in consolidating the Council Member and Ruler of , the Mohammed bin Rashid Al Maktoum has already drive to build a sustainable future.” concept for a green future, economic growth and IEMS Academy provides blended training and taken big steps towards bringing more skill-based The Government’s aim in all these initiatives is developing the human resource to sustain the development programs to help develop people’s opportunities and entrepreneurship programs for to develop a robust ecosystem for a sustainable challenges of the future. knowledge and skills for future jobs, particularly the Emirati youth and women to prepare them for economy in the UAE and boost the local talent in the areas of environment & sustainability, and future challenges that have arisen in the wake of influx for the business sector. Explore the Healthcare Immersive digital and immersive learning. the Fourth Industrial Revolution. The Government’s aim in all these initiatives is Experience by VRAR Association in the Sheikh Sultan is a huge supporter of youth With immersive technologies at the back of to develop a robust ecosystem for a sustainable Innovation Hub stand PZ.G20.

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12 /arabhealth Thursday 30 January 2020 Mecomed report points way to a value-based healthcare future

By Daily Dose Staff

ecomed, the medical devices, imaging enable transformation through its emphasis on and diagnostics trade association serving innovation, relationship with healthcare providers, Mas the voice of international MedTech therapeutic experience and wealth of data. More manufacturers across MEA, yesterday unveiled its specific ways in which it can help include: position on value-based healthcare at Arab Health. Providing innovative products, services and Speaking at a networking breakfast at Bubble solutions for health issues Lounge, Executive Director Dr Inna Nadelwais Supporting cost-containment by identifying outlined the findings and recommendations of a patients in the early stages of chronic disease or new paper that identifies a value-based healthcare at risk of disease onset model as a “paradigm shift” unlocking major Collaborating with payers and providers benefits, with value for patients as the central goal. creating shared value for patients The value approach, it was explained, Developing digital capabilities and facilitating addresses challenges that include high variations real-world data collection in patient outcomes and spiralling healthcare costs. The latter can be seen in the case of KSA and UAE lead the way ageing populations, particularly in countries with Industry aside, Mecomed also believes that predominantly public healthcare systems. country leadership can play a critical role. A value-based model therefore promises Governments in MEA have significant opportunity to deliver better and more consistent patient to move faster than advanced economies in outcomes – at the right cost of delivering implementing value-based healthcare initiatives. healthcare. It achieves this through more accurate This is for reasons that include not having to face and efficient care, reducing hospital stay and legacy infrastructure and heavy investments in exploring innovative patient pathways. high-cost non-interoperable systems, while the Mecomed recognises however that any GDP percentage of healthcare spending is also transformation to this new model will be a complex growing faster than in developed countries. task. Rather than a single step, an overarching Examples shared of governments currently strategy is required that determines how healthcare leading the way included Saudi Arabia and UAE, is organised, delivered and measured. whose Vision 2030 and Vision 2021 respectively are fully aligned with value-based healthcare Medical Technology industry best principles and capitalise on digital platforms for GET YOUR TICKETS NOW positioned to make it happen therapy registries, patients monitoring, outcomes Taking this into account, the Medical Technology measuring, wearables and activities trackers and industry is particularly well-positioned to online curricula.

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#arabhealth @arab_health 13 Arab Health Daily Dose Happy spaces for kids – Blending Harley Street clinics unite art and wellness By Simon Baynham, Property Director, By John Sunil, CEO Burjeel Hospital The Howard de Walden Estate

ospitals are not just a place for treatment visit the doctor or relax at the lobby listening to linics from Harley Street Medical Area and cure. At a time, when the concept of the soothing music, while the child is being looked (HSMA) are uniting at the show to Hwellness is gaining traction around the after by our team. Cshowcase London’s medical excellence. world, VPS Healthcare’s Burjeel Hospital in Abu For the children, the area is designed to be This year 18 world-renowned hospitals and clinics Dhabi has been regularly organising a special as friendly as their home. This is our concept of will be located on the Harley Street Medical Area programme “Saturday @ Burjeel” for children. wellness and the extent of our caring arms. The stand on the ABHI UK Pavilion to promote the Held every Saturday, the weekly programme is initiative has become so popular that many have outstanding patient care, treatments and cutting- so popular that hundreds of children attend the personally asked me, why aren’t we having this for edge technologies that the area has to offer. programme regularly. Burjeel Hospital is known all the days of the week? I am proud to say that competing clinics from for its pediatric care and one of the few private The programme has benefits for children from across Harley Street will all join forces to showcase why hospitals with a pediatric intensive care unit. the healthcare aspect as well. As per the latest Harley Street Medical has a reputation for medical It was a pleasant Saturday evening. Adiel, guidelines of the World Health Organisation excellence, innovation and patient experience. It is Burjeel’s in-house pianist, was playing his (WHO), children under five must spend less time the perfect platform for our hospitals to connect with favourite music from the Love Story series. Beside sitting watching screens or restrained in prams. other medical healthcare facilities from the Gulf region him were toddlers and children, running around For the healthy growth of a child, they must be and hopefully be part of new initiatives designed to and enjoying themselves at the children’s play various activities such as face painting, cartooning, getting better sleep and have more time engaged help build medical excellence in the Middle East. area with toys, balloons and the Giant Panda. colour painting, a variety of games and so on. in physical activities. Attending the exhibition are hospitals such as Two-year-old Emilie ran to her mommy excitedly, “Saturday @ Burjeel” programme, which is now Engaging children in various physical activities The London Clinic, King Edward VII’s Hospital and wearing a broad smile on her face. She ran into the being successfully held for over a year, has become is crucial in developing their physical, mental HCA, as well as some of the biggest names in British arms of her mother and joyously asks, “How’s the a huge success attracting almost 500 children to health and well-being. This helps in preventing medicine – Royal Brompton & Harefield Hospitals face painting.” “Wow! This is beautiful,” replies the the hospital every Saturday. the child from childhood obesity and associated and Moorfields Eye Hospital. mother. “Yes”, she smiles again cheerfully. Ever since we started this programme, the diseases later in life. Mayo Clinic Healthcare in partnership with Emilie was on her first visit to Burjeel Hospital, feedback has been overwhelming positive from The “Saturday @ Burjeel” programme is thus a Oxford University Clinic and Cleveland Clinic Abu Dhabi, with her parents. She had come to the all the quarters. There are fond memories being great option for children to London – the USA’s two highest performing non- children’s play area inside the hospital with her created. One of the beautiful and precious feedback engage themselves with their peers. There profit academic medical centers – will be joining mother when her father went to buy medicines was from nine-year-old Lana. She wrote a beautiful are a variety of games, which ensures that Harley Street Medical Area for the first time. As from the pharmacy. letter saying that she loves Burjeel a lot and would the child is physically engaged. Also, there are part of a wider collaboration with the University This is not just the story of Emilie. Anybody love to visit the hospital every Saturday. This was a options for children who love to be involved in of Oxford, Mayo Clinic has opened a screening who visits Burjeel Hospital on a Saturday can see great piece of appreciation. The whole team was creative activities. It is a great platform enabling and diagnostics centre on Portland Place, and hundreds of toddlers and children running around overjoyed with excitement and happiness. socialisation as well. Cleveland Clinic has chosen to locate its diagnostic the play area gleefully. There have been many similar experiences. For all these reasons and many more, “Saturday @ and outpatient facility, where most patients begin The “play area” at Burjeel Hospital is a zone This is what makes Burjeel unique. The experience Burjeel” programme is so close to the heart of many. and end their treatment journeys, on the same exclusively for children, who come to the hospital is warming and pleasant. Even though the The success of this programme owes to the planning wide Georgian street – the latter is due to open in either to visit a doctor or with their parents. The area ‘Saturday @ Burjeel’ initiative caters to the and commitment of our team members at Burjeel. October 2020. has all the facilities for the little ones to enjoy the younger ones, it is the parents who benefit the space. They may play with the toys and engage in most of it. Any parent coming with their child may Visit VPS Healthcare at stand H5.C20. Visit them in hall 2 stand H30.

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