and Workshop on Brachytherapy, 08 June 2008
Sindh Institute of Urology and Transplantation (SIUT) started new modality “Brachytherapy Services” for treatment of patients suffering from cancer of prostate gland, cervix etc.
Inauguration was held at Suleman Dawood Auditorium, 5th floor, Hanifa Suleman Dawood Urology and Transplant Oncology Centre of SIUT.
Chief guests were Mr. Basheer Dawood, Mr. Razak Dawood, Vice Admiral Khalid Mir, Prof. Ali Mohammad Ansari and Prof. Sadiqa Jaffery. Prof. Adibul Hasan Rizvi, Director SIUT welcomed the guests. On this occasion a scientific symposium was held in which Dr. Shahid Hameed discussed about treatment of cancer. Dr. Asad Abbasi of SIUT presented his experience of external beam radiation therapy.
Prof. Altaf Hashmi of SIUT discussed in detail the prevalence of urological cancers with special reference to the prostate and urinary bladder cancer. He discussed the detailed modes of treatment for these cancers and facilities provided by SIUT.
Prof. Razvan Galalae of Germany discussed in detail the results of Brachytherapy.
Cancer is a menace and is no longer the problem of developed Western World but is very much our own problem in South Asia. The inception of dedicated oncology service at SIUT has resulted in increasing number of cases reporting with urological malignancies. SIUT’s Oncology Center was pledged In May 2002. The land was allotted by the City Government and the donation for the construction of this building came from the Sulaiman Dawood family who also donated the major equipment of radiotherapy. This center will cater to urological malignancies and post transplant cancers. The Hospital is named as Hanifa Suleman Dawood Urology and Transplant Oncology Centre (HSDOC). This has state-of-the-art facilities including Linear Accelerator, Brachytherapy, Surgical and Medical Oncology.
Prostate cancer treatment depends on the stage of the disease Treatment includes radiation therapy, surgery, hormone therapy and chemotherapy. Radiation therapy can be very effective as the primary treatment for localized prostate cancer. New forms of radiation such as IMRT (intensity modulated radiation therapy) and Brachytherapy have proved even more effective with fewer side effects.
Brachytherapy is also known as Internal Radiation Therapy. Unlike external beam therapy (EBT) in which high energy x-ray beams generated by a machine are directed at the tumor from outside Brachytherapy involves placing radioactive material inside the body. It is used to treat cancer and it involves placement of a radioactive material either temporarily or permanently. There are two major methods of prostate Brachytherapy; permanent seed implantation and high dose rate (HDR) temporary Brachytherapy. SIUT will provide service to treat cancers of prostate, cervix, head and neck, ovary, breast, gall bladder, uterus and vagina free of cost with dignity.
- World Kidney Day , 13th March 2008
Professor Adibul Hasan Rizvi, Director, SIUT welcomed the guests to the World Kidney Day at the SIUT. He said, this was a day to create awareness on kidney diseases and how to prevent them. He said the World Kidney Day was a joint initiative of the of the International Federation of Kidney Foundations and International Society of Nephrology, held every year on the second Thursday of March. The purpose of the day is to raise awareness about the importance of our kidneys which play a vital role in maintaining our health. The loss of kidney function which can be secondary to infections, stones or diabetes is a threat to health and life. Our kidneys are amazing organs and we need to protect them to enjoy a healthy life.
Dr. Ejaz Ahmed, Professor of Nephrology talked on chronic kidney disease. When the disease is present for three months it is termed chronic. There is increased excretion of albumin in urine and a decrease in kidney function. The common causes are high blood pressure, diabetes and infections. It is estimated that one of ten adults in our country are suffering from chronic kidney disease. Simple laboratory tests as urine analysis and blood Creatinine can lead to early diagnosis. Chronic kidney disease can be prevented by keeping a good control of diabetes and blood pressure.
Dr. Manzoor Hussain, Professor of Urology spoke on Kidney stones. He said, kidney stones form a major burden of urological diseases in Pakistan with 10 percent of the population suffering from it. The weather and geographical location of the country is very conducive for kidney stone formation. The causes of kidney stones include, low water intake, high oxalate in diet, poor nutrition , low or high proteins in diet and exposure to high temperatures. in working hours, urinary tract infections and blockage of the urinary tract. The important symptoms are kidney pain, fever, blood in urine and vomiting. If left untreated, the kidney can be permanently damaged requiring dialysis and transplantation.
Prevention of kidney stones include adequate hydration with at least ten glasses of water daily, lemon juice and orange juice which increase citrate levels and prevents oxalate stones. Salt restriction in diet prevents calcium stone formation. In children, milk helps to prevent bladder stone formation and should be a part of the school diet. In adults, consumption of low red meat and no organ meat is recommended for uric acid stone prevention. In oxalate stones, black tea, coffee, chocolate and spinach should be avoided.. Prevention is the call of the day which will save many patients from pain, hospital visits and expenditure. Stone clinics are necessary for early diagnosis and protection of complications.
Dr. Ali Lanewalla Paediatric Nephrologist, talked on Urinary tract infection in children. This can have serious consequences if not treated promptly. In newborns it can be secondary to congenital malformations and is seen in the first two weeks of life. In older children UTI can present as flank pain, fever, blood in urine, nausea and vomiting. It is more common in girls and uncircumcised boys are at a higher risk. Testing the urine and treating with appropriate antibiotics is imperative.
Dr. Fatema Jawad, consultant dialectologist emphasized on Diabetes being an important leading cause of chronic kidney disease and kidney failure There are around 9 million people with diabetes in the country and about 25 % of them develop diabetic kidney disease. This disorder is diagnosed when there is persistent protein in the urine, blood pressure is raised and kidney function is declining. This disorder is progressive with eventually failure of the kidney with the patient requiring renal replacement therapy in the form of dialysis or kidney transplantation.
Diabetic Kidney Disease can be prevented by keeping the blood sugar and blood pressure in good control with the help of medication and a low protein diet, cessation of smoking, and adopting a healthy life style. Prevention of Diabetes Nephropathy is imminent to provide a better quality of life and reduce the treatment cost. From the start diabetes itself should be prevented by keeping healthy, moderate life habits according to the slogan, “Eat Less, Walk More.
The symposium was followed by a panel of experts answering questions raised by the audience.
- The World Diabetes Day at SIUT
The World Diabetes Day was observed at the Sindh Institute of Urology and Transplantation with a large gathering of doctors, paramedical staff, students of the nursing school and medical students. Professor Pirzada Qasim, Vice Chancellor, Karachi University was the Chief Guest.
Welcoming the audience and introducing the occasion, Dr. Fatema Jawad of SIUT said that this was a day for creating awareness on diabetes. It is a United Nations observed day from 2007 onwards as the UN had recognized Diabetes as a serious disorder on 20th December, 2006. The theme of the day was Diabetes in Children and Adolescents and the importance of it is due to the rising trend of type 2 diabetes in the young generation. This is being seen more in Asian countries due to adoption of an unhealthy life style. Eating dense calorie food and lack of physical activity due to the computer and television culture is ruining the health of children by increasing obesity. Around 4 to 20% of the Pakistani children are overweight. To protect our children we have to join hands and work for a healthy life style.
Professor Zaman Shaikh of the National Institute of Diabetes and Endocrinology, DUHS talked on the past, present and future of diabetes. He said that before the discovery of insulin in 1921, children with type 1 diabetes had a grim outlook. Insulin is the gift of life for them now. He talked on all the new additions to the diabetes armamentarium in the last century. Oral tablets, blood glucose monitoring systems, new insulin, new injecting devices had all provided a big help to improve the quality of life for people with diabetes. He talked about pancreatic transplantation and later stem cell transplantation which gives a big hope for bringing a cure for diabetes.
Professor Fazal Akhtar of SIUT, spoke on Diabetic kidney disease. Diabetes is now the leading cause of renal failure and one third of people with diabetes develop kidney disease. Those with a poor blood glucose and blood pressure control are more at risk. In Pakistan, about 15000 people develop kidney failure. The treatment for these patients is either dialysis or renal transplantation but only 1000 can receive a new kidney. Prevention lies in good care and control of diabetes.
Ms. Kehkeshan Zehra of SIUT talked on diet therapy of people with diabetes which is a healthy diet and beneficial for all people. It is essential for diabetics to eat a high fibre carbohydrate diet and small and well distributed meals. Exercise was an integral part of the therapy. She stressed on avoiding too much of fat and salt intake. Fast foods as burgers and pizzas are very harmful .Whole grain cereals, fruits and vegetables should form the daily meal.
Professor Adibul Hasan Rizvi said the number of kidney and bladder diseases with diabetes had dramatically increased. Diabetics are being transplanted at the institute with good results. He stressed on the prevention of diabetes so as to prevent the chronic complications as renal failure. Every person has a right to lead a good quality of life and he should be educated to follow the rules. The World Diabetes Day is an important event to create awareness in our people, men, women and children.
Professor Pirzada Qasim emphasized on the importance of a good diet, exercise and medication for diabetes management. He said obesity was a punishment which one imposes on oneself. It leads to heart disease, high blood pressure, stroke and cancers. Everyone should realize the importance of a healthy life style and adopt it. He thanked Prof. Rizvi for inviting him for this very important event.
Painting Exhibition for School children
The second Painting Exhibition for school children was organized by Sindh Institute of Urology and Transplantation (SIUT) on 27th October, 2007, on the theme, “Health for All”. The participants included children from 6 to 16 years from all schools of Karachi. The objective of this contest was to enhance awareness on health amongst the younger generation. What is being observed today is a life style extremely damaging to health. To emphasize the importance of exercise the 6 to 9 years had the topic “Playing in the garden” and the older children painted on “Exercise is essential to prevent diseases”. To make the children realize their responsibilities, the subjects included were “Caring for the sick, “Respect your elders” “I love my parents and “Love for animals”. The older group selected the subject, “Organ Transplantation saves lives”. All the paintings displayed the talents of the child right from the thoughts to the fine finger work with brushes or pencils.
The paintings were judged by renowned senior artists. Included were Mrs. Chris Zainab Abbas, Ms. Niluufer Farrukh, Mr. Moeen Faruqi, Mr. S.M. Shahid and Mr. Anwar Maqsood. Prizes were given to 5 best paintings in each group.
In all 1821 paintings were received from 101 schools, 35 public and 66 private ones. There were ten paintings from ABSA School for deaf children of which two were selected for prizes. Children from SIUT had submitted thirty paintings. These children are being treated at the institute and some are on regular dialysis.
The atmosphere was colourful and full of happiness with around 600 children being present. The paintings were displayed in the Hanifa Sulaiman Oncology Centre with the winning ones being marked by a flower. The children with their parents walked through the painting area, enjoying every picture. The pleasure could be seen on the young faces.
The auditorium of the Dewan Farooq Medical Centre was the venue for the programme. It was colourfully decorated with flowers and balloons. Dr. Fatema Jawad, coordinator of the exhibition, welcomed the guests and talked on the aims and objectives of the exhibition. She said that we want our children to have healthy minds and healthy bodies and painting was a very good media for providing healthy thinking and relaxing the mind. Professor Adib Rizvi, Director SIUT, said it was his dream to have a bigger painting exhibition of contributions from school children all over Pakistan. Children are the torch bearers of the society and we want them to have a healthy mind and respect for all. “We at SIUT treat all patients with dignity”, he said.
The winners were awarded prizes and the programme ended on a musical note, with songs presented by Zainab, the talent of SIUT and Afshan Ahmad, the nightingale of Pakistan. All the children sang together and it was a memorable evening for all.
- 25 October, 2007
International collaboration in Transplantation: curbing commercialism and increasing transplant activity was the topic of the seminar organized by SIUT. It was attended by a large number of doctors from all over the country, members of the judiciary and people from all walks of life and the media.
Prof. Francis Delmonico from the International Transplantation Society U.S.A, spoke about the success of ethical transplantation in the U.S. It began over four decades back with living donation on altruistic grounds and no compensation and later included Non Heart Beating Donations. This has helped in increasing the availability of donor organs.
Mr. Luc Noel of World Health Organization, Switzerland said that commercialization of transplantation and organ trafficking was condemned by every country of the world. It was unethical and illegal. Deceased organ donation was necessary to stop this inhuman trade. He congratulated the Pakistanis for having this law now when every country in the world practices deceased organ donation.
Professor Mehmet Haberal, founder President, MESOT, from Turkey spoke on the success of deceased organ Transplantation in his country. Quoting figures, he said that between 1975 and now they had transplanted 1904 kidneys and in all 16310 organs from cadaver sources. Turkey has the cadaver law and the infrastructure for retrieving organs. He was extremely happy that now this law is prevalent in our country.
Professor Faissal Shaheen, President, Saudi Committee of Organ Transplantation said cadaver organ donation was being practiced in Saudi Arabia for many years. They had transplanted 1672 cadaver kidneys between 1985 and 2006. He said that deceased donation was allowed in Islam and had been approved by all Muslim countries.
Ms. Zubeida Mustafa, senior assistant editor, Dawn spoke about the barriers faced in getting the Cadaver law imposed. She said organ trade was inhuman and against human esteem. Selling an organ as a commodity is not permitted in any culture or religion. She praised the services of SIUT and said that as all treatment was free, so organ trade did not grow in Karachi and Sindh. It flourished in Punjab as there are no public hospitals there offering free organ transplantation.
Professor Adib Rizvi, Director, SIUT, talked about the long struggle in getting the Bill on Cadaver Law approved by the parliament. He appealed to the concerned authorities to make the ordinance into a permanent law for the benefit of the people of the land. Organ trafficking had to be stopped and the patients with end organ failure needed help. He said the first step towards the deceased donor programme was the launching of the Donor Card, which is being done today.
The chief guest for the event, Federal Secretary of Health, Mr. Khushnood Lashari, appreciated the dedicated work at SIUT. He also admired Dr. Rizvi’s perseverance in getting the Bill eventually into the assembly. He vowed to provide help in getting the Bill transformed into a Law.
At the end of the symposium the launching ceremony of the Donor Card took place.
- 8 September, 2007
SIUT celebrates World Literacy Day
SIUT proved itself to be a promoter of World Literacy Day on Saturday 8 September by inaugurating the SIUT Institute of Transplant Sciences and Bio-Technology in a most innovative manner. Four Hundred student volunteers along with parents and friends joined the SIUT team in Kathore and laid a brick wall with Dr. Adib Rizvi, Dr. Anwer Naqvi and their team to launch the foundations of the Institute. In this way the youth of tomorrow pledged to build this institution of higher learning together with Dr. Rizvi and his team. This Institute will promises a source of education for those brilliant students who will be future resource for Pakistan. The vision of the Doctors who initiated this endeavor was to see that a state of the art educational institute be established in Pakistan to harness the talents of those students who are forced to go abroad to pursue a better education and must suffer the disappointments of visa rejections or expensive fees.
The ceremony began in the afternoon with a recitation from the Holy Quran and a Hamd. Two student volunteers then presented their experience on their work at the hospital and their expectations from the institute. One student had just been admitted into Aga Khan University and pledged to come to work at SIUT once his education was complete. Dr. Anwar Naqvi then told of the humble beginnings of the SIUT and how today it has grown to be such a noble service to society. The students then got together to sing famous national song: Yeh Watan tumhara hai – once again showing their spirit and enthusiasm for SIUT and their country.
In a very moving ceremony then a long line of youngsters began to lay bricks and built a wall cemented by Dr. Adeeb Rizvi. This gesture was very symbolic of the efforts of Dr. Rizvi and his band of volunteers who have vowed to make this institute into a reality.
Dr. Adeeb then took the stage and commented on the wonderful work the students were doing in the service of humanity and how he was encouraged in his work when he saw the young people working hard to serve SIUT’s compassionate cause. He then proceeded to adorn the most dedicated of the volunteers with an ajrak to show the gratitude of the hospital.
The ceremony ended with music played by the bands Fussh, Little Green Men and the SIUT house band. Student volunteers had set up stalls an a mini-carnival for the entertainment of the guests and a lucky draw ended the festivities.
All in this entire event was a commemorative one in two ways: marking the advent of a great institute and also encouraging the youth of Pakistan to make efforts to serve their country.
- Summer Student Volunteer Service 2007
Summer Student Volunteer Service 2007
S.I.U.T. has initiated a Voluntary Service Program for students, so as to inculcate love for humanity, respect for human rights and to strengthen ethical and spiritual values. Over 800 students from 42 different schools participated in this programme this summer.
The module of this program is especially structured and formulated to motivate school children to become more involved in community service.
Community service is an invaluable and integral part of most schools’ educational programs. As parents and teachers recognized the need for a well designed and supervised social service program, SIUT received an overwhelming response, when it announced its first Voluntary Service Program in December 2006.
The Student Voluntary Program focuses on instilling the value of compassion in children, as we need to foster a sense of humanity in our future generation. By working with the underprivileged the volunteers learn to recognize their position of advantage and the responsibilities that come with it.
The program gives children an opportunity to assist those unfortunate members of our society, who bear the dual burden of poverty and illness. It raises the level of individual and collective consciousness concerning the needs of the less fortunate and challenges the children’s’ resourcefulness, intelligence and creativity in responding to these needs.
The children believe that this program has changed their perspective on life. Their problems and worries now seem insignificant. They have developed a new understanding of people who have different social and economic backgrounds and have come to realize that they do have the power to make a change. They feel a sense of fulfillment in helping the patients at SIUT.
Community Service inspires SIUT Volunteers
Say Yes to Community Service
- March 2007
World Kidney Day 8th-Mar-2007
The World Kidney Day is a day to spread awareness on kidney diseases and is organized throughout the world on the second Thursday of March. The slogan of the day is “Prevention of Kidney Diseases”. Sindh Institute of Urology and Transplantation (SIUT) organized the event this year (Thursday 08, March) as a part of worldwide celebration with a slogan to prevent kidney diseases.
The programme was divided into two parts: scientific sessions and public awareness sessions. Following the sessions, renal check-ups and consultation was offered to the general public.
Dr Arbab Ghulam Rahim, Chief Minister Sindh, was the chief guest on the occasion. He expressed his concerns for the rising incidence of renal failure, which is of importance in Pakistan too. He said that the only treatment for this ailment was either dialysis or kidney transplantation, both being very costly especially for a developing country.
Prof. Adib Rizvi, Director SIUT, in his welcome address, highlighted the significance of the day. He said it was our ethical, moral and national responsibility to create awareness on kidney diseases. Relating the philosophy of SIUT he said “we believe in “Providing Services Free with Dignity”. He enumerated the state of art facilities provided at SIUT for dialysis, transplantation, lithotripsy and all medical and surgical treatment. He also said that it was easy delivering sermons from the pulpit, but now it is the time to get down from the pulpit and face reality.
Senior experts from the related fields of diabetology, urology and nephrology presented their papers and presentations giving an insight into different kidney diseases, the most common being Chronic Kidney Disease (CKD), Urinary Tract Infections (UTIs), stones and Kidney failure which leads to dialysis or transplant.
The guest speaker, Professor K. S. Prabhakar addressed members of the public on the role of diabetes and hypertension in causing Chronic Kidney Disease.
The symposium concluded with the remarks of Dr. Ali Mohammad Ansari, Ex Health Secretary, who specified the role of doctors as well as the common person in the prevention of kidney diseases.
- February 2007
Student volunteers of SIUT organize a stall at the PECHS culture fest
The Student Volunteers of SIUT participated in the “PECHS Culture Fest” at the PAF Museum on the Friday 23rd and Saturday 24th February. The festival was organized by the PECHS School to celebrate 50 years of Learning.
The Student Volunteers helped in set up a stall to support SIUT. Students from the 1st and 3rd Batch of the ongoing Students Volunteer Service Programme organized by SIUT, volunteered their time and resources to organize Games, Face Painting, Hair Braiding and a Lucky Dip to raise funds for the patients of SIUT.
This event was mainly supported by students of Foundation Public School, City School PAF Chapter and Mama Parsi School.
The prizes awarded to the winners of the Lucky Dip included 2 Television sets, 2 Mobile Phones and a Play Station which were sponsored by individual donors.
It is heartening to see young members of our society collaborate and work together with commitment to help the less fortunate people of our community.
The Student Voluntary Program at SIUT has helped integrate children from different schools to work in liaison with each other. Their commitment to work for a common cause has encouraged in building a strong networking between schools.
- January 2007
Regular Voluntary Service Program 2007 at SIUT
SIUT started Regular Voluntary Service Program of 30 & 60 hours, from Jan 13th 2007. The main aim is to encourage students from different sections of society to involve themselves in constructive social work to help the society. A large number of children from different schools of Karachi have registered for the program.
- December 2006
Winter Voluntary Service Program 2006 at SIUT
SIUT organized Winter Voluntary Service Program from Dec 23rd to Dec 30th 2006. The main aim is to encourage students from different sections of society to involve themselves in constructive social work to help the society. A large number of children (140) from 33 schools of Karachi participated in the program.
SIUT Made History in Interventional Radiology of Pakistan
A Hands on workshop for the first time in Pakistan was held at SIUT on 18, 19, and 20th Dec 2006 .
Three most eminent interventionalist of the world conducted the workshop.
They were Dr. Tan Bein Soo from Singapore, Dr. Michael Kellett from UK and Dr. Sarwat Hussain from America.
The workshop covered the vascular interventional procedures, Image guided interventional procedures and image guided uro radiological procedures.
Large number of the doctors from all over the country visited SIUT and attended the state of the art lectures and Hands on procedures
International seminar on Deceased Organ Donation ‘Problems and Prospects’ 01-Dec-2006
SIUT Organized an International seminar on Deceased Organ Donation Problems and Prospects. The participating panelists were from WHO Mr. Luc Noel, President of International Transplantation Society Mr. Francis Dolminico, Chief Justice Sindh High Court Justice Sabihuddin Ahmed, Chairman Senate Mr. Mohammed Mian Soomro, Parliamentarians Ms. Nilofer Bakhtiar, Ms. Sherry Rehman, Dr. Farooq Sattar, President Karachi Press Club Mr. Ghazi Salahuddin, Prof. Dr. Anita Ghulam Ali, Ms. Zubaida Mustafa and Dr. S. Adibul Hasan Rizvi. Its very heartening to see all these panelist unanimously appealed with the government to consider passing this legislation regarding the brain death law.
- November 2006
Honoring the Organ Donors
“Honoring the Organ Donors” was an auspicious event organized at the Governor House held on 30th November 2006. It was attended by 500 kidney donors and their recipients, besides the team of SIUT and their well wishers. Chief guest of the ceremony was the honorable governor of Sindh “Dr Ishrat ul Ibad”. Prof. Adibul Hasan Rizvi, Director SIUT, Mr. Luc Noel of WHO and Prof. Francis Delmonico, President International Transplant Society were the speakers.
- September 2006
Inauguration of Hanifa Suleman Dawood Oncology Centre 22-Sep-2006
Hanifa Suleman Dawood Urology and Transplant Oncology Centre is built and equipped by the generous donation of the Suleman Dawood family. It stands as a testament to philanthropy of the family and is a shinning example of public government partnership. The land for the building was given by the local government. This centre will be the first of its kind in Pakistan catering to urological malignancies and post transplant cancer treatment free with dignity.
Celebrating 20 years of Transplantation at SIUT 15-Sep-2006
SIUT organized a function, held at the Karachi Press Club to mark 20 years of kidney transplantation in the country during which more than 1,800 people got transplanted the kidneys donated by their family members and were now living healthy lives.
- October 2006