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Fayth Clinic conducts workshops in Mumbai to help teens combat obesity

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Dr. Paula Goel is a practicing adolescent pediatrician with special interest in adolescent obesity and its influence on lifestyle diseases in teenagers and young Indians. She is currently the adolescent pediatrician and director of Fayth Clinic, Mumbai – the only clinic specializing in adolescent health services in Mumbai. I got the opportunity to interview Dr. Goel through email about obesity among adolescents, the effects, preventive measures, and the workshops and treatment offered by Fayth Clinic.

 

For the last 6 years, you have worked extensively in the field of adolescent medicine dealing with problems of obesity and its effects in teenagers and young Indians. How would you rate the adolescent obesity ratio in India as compared to other countries? Is it growing at an alarming rate in India?

 

The incidence of obesity in Indian adolescents is about 1/3 of the developed countries, but it is growing at an alarming rate.

 

What do you attribute as the main causes for obesity in adolescents and children in India?

 

  • Overeating
  • Lack of Exercise
  • Increased sedentary activity with lack of exercise like TV viewing for more than 20 hrs per week with decreased physical activity
  • Children exposed to food advertisements and increase in caloric intake
  • Other screen time includes video games, internet use, telephone use, home viewing of movies
  • Heredity factors which reduce basal metabolic rate
  • Socio economic status: More obese in higher socio economic status in poorer countries and more obese in lower socioeconomic status in richer countries
  • Insulin resistance leading to sugar build up causing obesity and diabetes
  • Low leptin levels – does not allow brain to get signal that food intake is enough
  • Endocrine and chromosomal abnormalities

What are the major complications that an obese adolescent can face during adolescence and as an adult

 

Following are the complications faced as young adults:

 

  • Cardiovascular system: high blood pressure, heart attack, brain stroke
  • Respiratory system: breathlessness, asthma, frequent sleep apnoea, hypoventilation. High amount of fat in chest wall / abdomen limits the respiratory excursions which lead to frequent awakening and resultant sleep deprivation leading to daytime somnolence
  • Metabolic disorders: elevated cholesterol, diabetes, insulin resistance, menstrual irregularities
  • Gastro intestinal system: fatty liver, cirrhosis, hemorrhoids, hernia, colorectal cancer , gall stones
  • Malignancy: breast cancer, endometrial cancer, prostratic cancer , cervical cancer
  • Musculoakeletal problems : back pain , joint pains, frequent strains, sprains, limp, groin pain leg bowing
  • Poly cystic ovarian syndrome in young girls : dysmenorrhea, excess body hair ( hirsutism), acne, hair loss on scalp, central obesity, insulin resistance, infertility
  • Behavioural complications: disordered eating ,depression ,negative body image, decreased school performance, social isolation ,decreased self esteem ,bullying, being bullied
  • Metabolic syndrome in young adults characterized by central obesity, hypertension, DM, premature coronary artery disease

How much is the awareness for obesity in adolescents in India? What steps are being taken by you and your clinic to spread the awareness?

Awareness of obesity in India especially in the young population is increasing. Many adolescents suffer from BODY IMAGE PROBLEM and this also results in bulimia, anorexia nervosa and eating disorders which may lead to depression. We hold regular seminars, workshops, community camps and media awareness programs.

 

You have been conducting various workshops for rehabilitating adolescents. Are these workshops conducted only in Mumbai? Are the workshops also conducted in other parts of India? How successful have these workshops been?

 

We are holding these workshops only in Mumbai at present. The results have been rewarding with positive feedbacks from the participants. The take home message has been implemented.

 

Regarding treatment, what are the various plans that you provide to the patient? Who comprise the team (doctor, dietician, counsellor, etc.)? Could you tell us in brief what are the various steps in the treatment and rehabilitation process? In terms of percentage can you tell us how much of medication and counselling is involved?

The Medical Management of Obesity consists of a detailed plan comprising of medical examination to determine the cause of obesity, diet and exercise protocol as per individual needs, detailed history will include onset, progression of obesity, growth and development, family history of obesity and complications. Exploring diet practices, family structure and habits. Over weight child with less than 50th percentile for height are screened for endocrine or genetic conditions. Screening for complications is important. certain conditions like high blood pressure, asthma and orthopaedic problems may require treatment before exercise regimen can be prescribed treatment .Laboratory screening is also required for base line investigations and associated complications .The team comprises of doctor(adolescent paediatrician),dietician and counsellor and exercise therapist. Review is done on a periodic basis .However, medications are not provided for to lose weight. Medication is required as per the medical requirement and counselling is done for all patients.

 

Talking with an adolescent is definitely different from talking to a child or an adult. So do you have to use a different approach in the treatment and rehabilitation of adolescents? (By approach I mean the method of treatment, the counselling done afterwards, even any symptoms and side effects during diagnosis).

 

Approach definitely has to be different. Understanding and gaining trust of the adolescent is very important to maintain compliance during the treatment. Vast majority suffer from problems of body image and also early depression. They are also very sceptical and have their own set of value system which is as per the peer group. So gaining the trust is most important. Once they are comfortable, they open up and counselling is then easier. Diet also has to be looked into carefully as this is a growing phase and severe restriction of diet is not possible as this will hamper growth and development. Moreover, adolescents if put on to a strict diet will always binge and will never comply with the diet plan. Certain weight training exercises are also not recommended as it damages the growth plate which is at the end of the bones and this will also affect the final height of the adolescent. Moreover, if there is any muscle injury, it is more dangerous than bone injury as bone injury is picked up by X-rays while muscle injury cannot be picked up and it takes a longer time to heal. Hence complete physical and medical examination is mandatory before starting exercise protocol.

 

Today we lead a fast pace lifestyle and stress accompanied with studies, competition among peers, peer pressure, etc. What are your suggestions to prevent adolescence obesity in India?

 

  • Lead a disciplined lifestyle
  • Breakfast provides food for the brain and should never be missed
  • A balanced diet with fruits and vegetables
  • Prevent obesity at an early stage of life
  • No child should be forced to complete the portion left behind on the plate in pre adolescent phase as it leads to obesity
  • Should not be given energy-dense foods: chocolates, ice-creams, chips, as rewards for good behavior
  • Fast foods/cold drinks be avoided
  • Life style modification -walking, cycling, playing outdoor games rather than video-games, outings- trekking/walking on the beaches instead of malls every week ends
  • Television viewing-a sedentary activity must be restricted. Snacking during TV viewing be condemned
  • May have medical reasons-evaluation required
  • Positive peer pressure through friends and peer educators may also be used to motivate to lose weight and to cope with body image problem, emotional taunts and emotional blackmail

How many workshops have you conducted on adolescence obesity? When is the next workshop scheduled to take place?

 

We have conducted about 4 to 5 workshops. The next workshop is due in January 2011.

How does one register for attending the workshop?

 

Either by phone (Mansi Kothari, Fayth Clinic admin 9869505556, tel: 02224311616/14) or by email services@faythclinic.com. For further details about Fayth Clinic visit www.faythclinic.com.

 

 

 

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Take advantage of the opportunities the British Midlands offers Indian companies

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The British Midlands is a UK government-funded organisation, that comprises two of the nine UK-based regional development agencies East Midlands Development Agency (EMDA) and Advantage West Midlands (AWM) who work together to offer support to all international businesses looking to invest in the British Midlands region. The British Midlands region, which is the largest commercial centre outside London, has always been a favoured investment destination for Indian engineering, manufacturing and automotive companies. India is among the top ten countries to have invested into the UK in the last couple of years. At present there are over 50 Indian-owned companies in the British Midlands region and this is expected to double in the next few years.

The benefits of investing in British Midlands

  • UK’s primary manufacturing region with a GDP of $ 176 billion which is 15% of GDP is the British Midlands
  • Proximity to the city of London
  • 25% cheaper than London with same quality of skill sets and standard of living
  • Strategic location for access to Europe’s 400 million inhabitants
  • Property rates – 28% less than that of London
  • Excellent linkages – air, water, road and rail transportation – 180 plus flights to Europe, US and Middle East
  • Excellent Research facilities with 17 world class universities
  • Largest freight hub outside London in UK
  • Largest concentration of Indian population in the region in UK

The region has expertise in the following sectors which enables it to be the primary manufacturing region in the UK:

Engineering Cluster in The British Midlands

The Engineering Sector in The British Midlands is part of the Transportation technologies cluster. This broad cluster includes many sub-clusters such as Automotive and Performance Engineering, Railways and Aerospace.

Credentials in Automotive and Performance Engineering Cluster

About 900 automotive companies (1/3rd of UK) are in The British Midlands. 51% of all UK car production takes place in The British Midlands. 25% of all motorsport companies in UK are based in the British Midlands, including engine manufacturers, race and rally preparation companies, and race car construction teams. 40% of all Formula One engines are made in the British Midlands. The region’s racing circuits include Silverstone (the UK’s premier motorsport venue and home to Formula 1), Donington Park, Mallory Park, Rockingham Motor Speedway and Santa Pod Raceway (the UK’s leading drag racing venue) and the British Midlands has established an international reputation in motorsport engineering and technology.

Europe’s largest road distribution centre, Magna Park, is located here, along with three dedicated rail freight terminals providing intermodal road and rail transportation and customs facilities.

Mile-long trains can travel from Eurohub in Corby direct to Paris.

Credentials in Railways

Over 1000 companies are directly involved in the rail industry. Derbyshire is the focal point for the UK rail industry. It is uniquely placed to offer virtually all of the skills needed to design, build and run a modern transportation network. University of Birmingham has a dedicated Railway Research Centre, involved in industry-wide research to improve the safety and efficiency of rail travel.

Credentials in Aerospace

There are more than 600 aerospace companies located here. The British Midlands is home to nearly 27% of all suppliers to the UK aerospace industry and contributes over 43% of the value of the country’s supplies. The region’s long association with the aerospace industry began with the development of the jet engine, RADAR and the Spitfire Credentials in Research & Development Credentials. Motor Industry Research Association, Europe’s leading independent automotive research, design and development centre houses test facilities in the region.

It has 26 test laboratories and 50 m of test tracks, used by over 800 companies worldwide. It has conducted research for MG (Lola Le Mans cars), Rob Beere Racing, T-Cars formula, Peugeot Rally and Prodrive’s Subaru team.

Coventry is a magnet for companies carrying out R&D for the automotive industry – Lotus, Corus and Lear have all established major bases here. The Ford College in Loughborough is a ground-breaking initiative which is benchmarking standards of professionalism for the auto dealerships industry. The Motorsport Industry Association has over 220 members, who do over $ 960 m of motorsport business worldwide. QinetiQ, the largest research and development organization in Western Europe, has 8,000 scientists in the region. Toyota has established its own Training Centre on a 1.2 acre site within the grounds of Nottingham Trent University.

Loughborough University and Warwick University offer leading edge research, development and test facilities specific to the motorsports industry. The British Midlands is internationally acknowledged as a world centre of automotive technology innovation. Its expertise extends across design, fabrication, engine technology, transmission, electronic systems, components and chassis. The Rolls Royce University Technology Centre in Birmingham carries out ground-breaking research and development work on titanium based materials for the aerospace industry. The Rolls Royce University Technology Centre in Nottingham researches advanced aero engine technologies. Research at Warwick Manufacturing Group has led to numerous breakthroughs and innovations for the aerospace industry. Warwick is a partner in ENHANCE (Enhanced Aeronautical Concurrent Engineering) which aims to reduce the time-to-market and cost of development of aeronautical products.

Apart from this, the region has 17 universities that produce 7,000 engineering and technology graduates annually.

For more details visit: www.thebritishmidlands.com

Written by sreelakshmi

16 March, 2009 at 5:46 pm

The Muthoot Group opens its 1000th branch at Vazhakkala

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The Muthoot Group, A Muthoot M George Enterprise, today announced the opening of their 1000th branch at Vazhakkala, Kochi, Kerala. The 122 year old Rs. 20,000 crores business conglomerate today has diverse interests in 16 business verticals ranging from Financial Services, Infrastructure & Housing, Information Technology, Power Generation, Hospitality to Healthcare & Education. The group has a presence in 20 states across the country and international presence in the UK and UAE.

Speaking on the occasion Mr. M. G. George Muthoot, Chairman, The Muthoot Group, A Muthoot M George Enterprise, said “It is a matter of extreme pride for us to have grown from 450 to 1000 branches in a span of less than three years. With every new branch, and with the addition of every new Muthoot customer, we re-iterate our commitment to ensuring trustworthy flawless services coupled with our unblemished track record of 122 years. We aim to operationalize 1500 branches by the end of FY 2010.” “Our steadfast resilience and complete dedication towards our customers spread across India and even overseas has provided us the zeal to innovate constantly and to offer customer-centric products & services,” he added.


Mr. M. G. George Muthoot, Chairman, The Muthoot Group, A Muthoot M George Enterprise addressing the media at the opening of the group’s 1000th Branch

The group established in the year 1887 by Mr. Ninan Mathai Muthoot, whose ‘2 elephants in unison’ logo denotes strength & stability, The Muthoot Group, A Muthoot M George Enterprise firmly believes in its values of honesty, integrity and determination.

The financial services division of the Group, Muthoot Finance was established in 1939 under the leadership of Mr. M. George Muthoot. It offers multiple services including retail gold finance, deposits, money transfer, insurance, precious metals and foreign exchange to name a few. Muthoot Finance has served over 250 million customers and has a customer footfall of around 30,000 every day seeking retail gold finance. The vast branch network of Muthoot Finance enables the Group to cross and up-sell various products and services of the other verticals of the Group.

Muthoot Finance is the pioneer in ‘Retail Gold Finance’ and is the largest player in this segment worldwide. In continuation of its tradition in revolutionizing the retail gold finance, it has conceptualized ‘5-Minute Gold Power Loans’. This is the fastest and the most hassle-free way to avail loans at the most attractive rates against Gold.

The Muthoot Group, A Muthoot M George Enterprise is actively looking at opportunities for inorganic growth in healthcare, travel related services and entertainment. The Hospitality division of the group has plans of launching a 7-Star Deluxe Hotel in Kochi amongst its other plans for the current fiscal. The Group has also launched its global arm “Muthoot Global“, which mainly deals in Wealth Management, Cash Transfer & Gifting and has a presence in the UK and UAE and plans to expand the network and diversify its foreign operations in the immediate future to more shores outside the country.

For more information, please visit www.muthootgroup.com

MUMBAI TRAFFIC POLICE & METROPOLIS HEALTH SERVICES JOIN HANDS IN A CRUSADE AGAINST DRUNKEN DRIVING

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Life on the fast lane in Indian metros, changing lifestyles even in tier two cities and mushrooming pubs have contributed to the spurt in rash driving on Indian roads and consequent accidents. Liquor is more freely available than before and nearly 75 percent of the Indian population, now below the age of 35, have more disposable incomes to splurge on liquor, studies cite. This is definitely a major risk for public safety, and it is vitally essential for civic bodies such as the police and socially responsible corporates to contribute towards the control of drunken driving. This initiative is worth praising. Let’s hope that there would be a decline in the number of accident cases due to drunken driving.

Mumbai Traffic Police has joined hands with Metropolis Health Services – India’s only multinational chain of diagnostics centers – on their ‘Don’t Drink & Drive Campaign‘. As a part of this initiative, Metropolis will reach out to masses to spread messages on public safety by printing the message on its stationery which reaches out to an average of 1 lakh customers and their families per month.

Speaking on the occasion, Mr. Sanjay Barve, Joint Police Commissioner Traffic –Mumbai Police, said, “The Don’t Drink and Drive campaign began in June 2007, and in the first year itself there were more than 10,000 cases of drunken driving registered. The following year the number of cases increased to more than 16,000. With this there was steep fall in the number of casualties due to drunken driving. In this endeavour we are happy to have found a partner like Metropolis Health Services, who voluntarily came to us to participate in our mission. Everyday Metropolis issues 10,000 reports, making it one of the preferred means to communicate the message of Don’t Drink and Drive by printing it on them.”

Talking about this new initiative of Metropolis, Dr. Sushil Shah, Chairman, Metropolis Health Services (I) Ltd, said, “As a part of our Corporate Social Responsibility Programs Metropolis is happy to be a part of this awareness campaign in any way possible. We have conducted several health awareness campaigns for the police in Kerala, Tamil Nadu. Apart from this, in Mumbai we have a tie up with most of the Government Hospitals to provide high end pathology solutions at discounted rate. Recently we have entered into a tie up with the Police Hospital, Nagpada in Mumbai for provision of pathology services at discounted rates. This service would be available to policemen from 85 police stations in Mumbai. As of now we have this partnership only for the city of Mumbai but gradually we plan it to take it to other cities vis-à-vis Delhi, Bangalore, Chennai and Kerala in the first phase and over a period of time to every state where Metropolis present.

Fortis Healthcare strengthens presence in South by entering Karnataka

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In tune with its strategy to expand its network rapidly and to strengthen its presence in Southern India, Fortis Healthcare Limited (“Fortis”), one of India’s leading private chain of hospitals, today announced its foray into the State of Karnataka. The Company through one of its wholly owned subsidiaries has now become a majority stake holder
in the Bangalore based Apollo RM Hospital, now rechristened Fortis Hospital, Seshadripuram.

The announcement is in line with Fortis’s plan to replicate its model to establish a network of super-specialty “centres of excellence” and multi-specialty hospitals to deliver quality healthcare to patients across the country. This will allow Fortis to leverage its knowledge of the healthcare sector and brand recognition to attract both doctors and patients to such facilities. This will be Fortis’s second project in South India after its investment in Malar Hospitals Limited in Chennai.

Fortis Hospital, Seshadripuram:

  • Has 100 beds, which is expandable to 200 beds.
  • It is a multi-specialty hospital situated in the well located Seshadripuram area of central Bangalore and
  • Has a Centre of Excellence in Advanced Urology with specialized facilities for Urology, Nephrology and related specialties.

The hospital also provides comprehensive range of services in the areas of :

  • Renal Sciences
  • General Surgery
  • Plastic Surgery
  • Oncology
  • Gastroenterology
  • Internal Medicine
  • Gynaecology and Obstetrics
  • Orthopaedic & Trauma Care
  • Dentistry
  • Psychiatry
  • Ophthalmology
  • Dermatology
  • Neurology
  • ENT
  • Neurosurgery
  • Preventive Health Checkup.

Besides, it also has a Diet Clinic, Dialysis Centre, comprehensive Physiotherapy department, 24 hours Emergency Care, 24 hours ambulance service, Diagnostics, Comprehensive Lab medicine, Radiology and a 24 hours pharmacy.

Fortis will leverage its expertise to further strengthen the existing medical programme, upgrade and expand the facility, add new specialties and replicate its operating systems to provide superior medical and patient care.

Speaking at the occasion, Mr. Shivinder Mohan Singh, CEO and Managing Director, Fortis Healthcare Limited said, “We are pleased to announce our entry into the vibrant capital of Karnataka. This is a step forward to realize our vision of becoming a strong national player and brings the FORTIS brand of healthcare to the people of the state. Southern and Western India shall continue to be focus of our network expansion plans.”

Kindly visit http://www.fortishealthcare.com

Written by sreelakshmi

30 January, 2009 at 7:44 pm

Fortis Healthcare goes International by foraying into Mauritius

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Fortis Healthcare Ltd., one of India’s leading private chains of hospitals announces its first foray into the International healthcare market. Fortis, through one of its wholly owned subsidiary, has joined hands with a diversified Mauritian Industrial Group CIEL, through its subsidiary Novelife Limited, to acquire jointly a controlling stake in Mauritius’s largest private hospital, “Clinique Darné,” now rechristened Fortis Clinique Darné

Fortis Clinique Darné is one of the most modern medical centres in Mauritius, combining the traditions of dedicated personal care with hi-tech facilities and offering wide range of general and specialized medical services in a caring and friendly environment. Fortis plans to use this strategic entry into Mauritius to spread its footprints in developed markets and replicate its successful business model.

Fortis has also taken over the operations and management of the hospital and plans to develop the hospital into a large super specialty hospital in the region. Fortis Clinique Darné has adequate potential for growth keeping in mind its six acre property and the size of the market in Mauritius and neighboring countries.

Fortis Clinique Darné represents a strategic acquisition

Mauritius Healthcare is dominated by public sector hospitals, community and health centres that are under-equipped in terms of infrastructure and medical skills. Many Mauritians have to travel to other countries for high end treatment. This would enable Fortis to leverage Medical Value Travel by creating a gateway to Fortis Network of hospitals within India, as also develop Fortis Clinique Darné as a hub for Medical Tourism in Mauritius. Mauritius, with nine lakhs tourists visiting every year, presents ample opportunity to promote medical tourism for elective procedures and minor surgeries.

Fortis, through this acquisition will get a seamless entry into Mauritius where majority of the population is of Indian origin. Fortis Clinique Darné is evenly poised to leverage Fortis’ expertise and experience of operating super specialty hospitals to upgrade the clinical level of its medical programme to tertiary care and grow significantly in size. Fortis, with its wide network of telemedicine in African countries, would also help evolve Fortis Clinique Darné as a super specialty centre for neighboring countries.

Commenting on the occasion, Mr. Shivinder Mohan Singh, CEO and Managing Director, Fortis Healthcare Ltd. said, “This deal marks Fortis’s first foray internationally. We are very excited about this opportunity to work with our partners to develop tertiary level quality healthcare in the Mascareignes region. This deal is a clear indication of India’s rise in the International healthcare space and we are privileged to be leading that transformation.”

About Fortis Clinique Darné

  • Fortis Clinique Darné, with an installed bed capacity of 120 beds , is the Leading private hospital in Mauritius.
  • Perceived to be the most premium hospital, the hospital caters to the high end populace of the country.
  • The hospital is located in the populated up-market locality of Floreal, Curepipe and surrounded by residential localities. The location is central and accessible from all parts of Mauritius.
  • Spread over six acres of land, the hospital offers scope of expanding the bed capacity.
  • The hospital offers services in various multi specialties including Cardiac, Orthopaedics and Neuro Sciences. It is the only private hospital in Mauritius that undertakes cardiac surgeries.
  • It is well equipped and has the latest Cath lab and a 64 slice CT scanner

For further details contact:

Mr.Sudarshan Mazumdar @ 9810955533

Ms.Pawandeep Kaur @ 9810353439

Fortis Healthcare Ltd.

Also visit website http://www.fortishealthcare.com

Piramal Life Sciences initiates Phase II trials of P276 for Mantle Cell Lymphoma

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Piramal Life Sciences Limited (PLSL) announced that it has started phase II trial in USA for its lead cancer compound P 2 76-00 to treat Mantle cell Lymphoma (MCL) and it is the second IND approved by the US FDA for this compound.

MCL is a subtype of non-Hodgkin lymphoma that has 59,000 new cases in the United States each year. Despite the availability of novel agents, MCL remains an incurable disease for most patients, with a median survival of 3 to 5 years. High-dose chemotherapy followed by transplantation has resulted in improvement in response rates and survival compared with conventional therapy, but relapse is nearly universal and not all patients are candidates for this option of aggressive treatment. Therefore, there is still a need for a targeted, safe and effective therapy.

In most of the MCL cases, genetic and epigenetic events result in over expression of cyclin D1 which provide tumour cells a selective growth advantage. Inhibition of cyclins/Cdks, therefore, offers an attractive mechanism for treatment of this cancer. P276 is a new chemical entity that inhibits Cdk4/cyclinD1 and has been found to be well tolerated and safe in two phase I clinical studies carried out in Canada and India. A number of sites in USA will participate in this phase II clinical trial including University of Wisconsin, Madison, where the clinical study will be coordinated by Dr Brad Kahl -a world-renowned authority in Mantle cell Lymphoma.

Dr. (Mrs.) Swati Piramal, Vice Chairperson, PLSL said, ” Piramal Life Sciences aims to reduce the burden of disease by finding new and affordable cures for unmet medical needs. It is a proud moment for Indian research and an important milestone because a drug discovered in India, with global patents is now being tested at world- renowned cancer hospitals in the USA.”

Dr Somesh Sharma, Managing Director, Piramal Life Sciences, stated, ” Piramal Life Sciences is committed to the Group’s values – knowledge, action and care. We nurture breakthrough thinking and follow it up with dynamic, nimble-footed delivery to impact lives of millions of people. The initiation of phase II clinical trials of P276 in mantle cell lymphoma patients in the US further highlights PLSL’s capabilities in developing a compound to address unmet medical needs worldwide.”

For further information, visit http://www.piramallifesciences.com

Written by sreelakshmi

17 January, 2009 at 12:21 pm