Our Need to Invest in Technology

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Our Need to Invest in Technology

• Sindh Institute of Urology and Transplantation
• Dow Medical College, Karachi

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Men of the Century
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Past and Present
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The Land People Achievement 1000
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The age of Electronics - 2000 AD
MORE THAN 200 COUNTRIES MAKE UP THEworld-and
its still fraying. But theInternet is now the
medium forimperium, as electronicdemocracy
links eventyrannies with anincreasingly World
WideWeb. As chips grow cheaper, the new
have-nots are the Technologically
under-served. What spark canpull the global
plug? World Population
Center of The World New York City If you
can make it there.Rivals Silicon Valley,
Calif., and its playground San Francisco
Shanghai, Asias once and future boomtown. Most
ValuedCommodities ? Petroleum? Microchips?
Airplanes? Armaments? Movies
?
?
6 billion
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Urology - Nephrology and Transplantation are
complimentary to each other
Transplantation
Nephrology
Urology
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Civil Hospital
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Initial Catchments Area
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Expanded Catchments Area
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Filter Clinic - Saturday OPD
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Medical Records
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Modalities of Stone Removal at SIUT
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Two Eras in Stone Management
No. of patients
HM4
Laser
DL50
SL
EDAP
PCNL
Pre ESWL Era
Post ESWL Era
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Modalities of Prostate Treatment at SIUT

• Prostatectomy under local
• Transvesical prostatectomy
• Retropubic prostaectomy

• TURP / TUIP
• TUMT
• TUVP
• Video TURP

Pharmacotherapy
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Impact of Endourology on Management of BPH
No. of patients
TURP TUMT TUEP
TURP TUIP
TURP
Open Surgery
Year
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Health Education Reproductive life
School 5 - 17 yrs.
Adulthood
PUV
VUR
PUJO
Ureterocele
Neuropathic
Stone
Haematuria
UTI
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Increasing Number of Paediatric Patients
Numbers
July 98
Aug 98
Jun 99
Sept 98
Jan 99
Mar 99
Apr 99
May 99
Oct 98
Nov 98
Dec 98
Feb 99
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The First Haemodialysis Machine at SIUT
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Paediatric Haemodialysis
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Renal Transplant Activity at SIUTn 786
Number
Years
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Technology Investment in Renal Transplantation at
SIUT
Molecular and genomic diagnostics
Immunosuppressive drug monitoring
Renal Transplantation
Tissue typing by DNA methods
Flowcytometry
Diagnostic imaging
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Non Heart Beating Cadaver in Collaboration with
Eurotransplant Foundation
1995
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First Local Cadaver Donor
1998
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Rehabilitation
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A Medical UtopiaFree to all citizens in
developing country
?
Why

• Religious
• Constitutional
• Economic

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How we do it ?
SIUT Community - Government Partnership
Doctors
Patient
Government
Community
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Conclusion 1

• Investment in technology has made some parts of
  the world rich, while lack of investment has made
  other parts of the world poor.
• Well being of the people depends on technological
  improvements. In 1950s, people in the West lived,
  on average, 66.5 years by 1990, they were
  living 74.2 years in poor countries, the
  average age increased from 33.5 years to 49.7
  years

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Conclusion 2

• Unless natural resources are exploited by
  efficient technological methods, nations remains
  poor. Africa has gold, uranium, oil etc. But it
  is poor. On the other hand, Holland is not
  endowed with such resources, but it is rich
• Investment in technology will give us freedom
  from
• Starvation
• Ignorance
• Deprivation
• Disease
• and give us back our self respect as a nation