Welcome to the newsletter .

Published bi-monthly to keep our Doctors, Staff,

Students, Donors, Volunteers, Patients and

Supporters updated about the activities of the

SSIUH, IU (Phnom Penh and Kampong Chhnang

branches), Dental Faculty and Clinic.

The Sen Sok - Post

THE SEN SOK

P O S TTHE SEN SOK

P O S T�International University �Sen Sok International University Hospital �Dental Faculty and Clinic

March 2010 Volume 2, Issue 3

National

Clinical

Conference

National

Clinical

Conference

great experience in all fields of ENT – especially the endoscopic

surgery. Cambodia lacks human resource and Prof. Ivan is an

asset of SSIUH. Prof. Sabo Ojano introduced the facilities at the

SSIUH and professors to the audience and assured his full support

to the students and promised that the IU and SSIUH will take

every step to provide the students opportunities of enhancing

clinical skills.

Prof. Sabo Ojano awarded certificates to the speakers, Guest

Speakers and Organizers. After this short awarding ceremony, the

chief guest departed the occasion and the clinical session was

initiated.

Experienced Clinicians of the Cambodia Prof. Sarak Phally, Prof.

Sok Saroeun and Dr. Chan Sovandy (my self) presented different

topics at the conference. It was estimated that more than 600

Guests, Representatives of the Pharmaceutical Companies,

Doctors, Staff and Faculty members and students attended the

conference. The Pharmaceuticals and other companies at this

occasion were Intermohost, Medical Supply, Medi Group, Mega -

we care, Servier International, dynamic, GSK, Hagan Pharma, QB

mobile operator, The Kabab Shop and the Pepsi company.

The first National Clinical Conference for 2010 was Jointly held by

International University IU and Sen Sok International University

Hospital SSIUH on 16 January 2010 in the conference room 501.

The conference was inaugurated and Chaired by

, President Board of Directors – IU and SSIUH. He thanked

all the participants and was satisfied to see the interest of the

students on large scale. He discussed the efforts of IU and SSIUH

in the past. He also discussed that conferences and workshops

are especially emphasized for medical students to update them

with the latest research and new technologies. He mentioned

about the past conferences. He discussed the importance of

World health days like world AIDS day, world hypertension day,

world kidney day, world Tuberculosis day and world NO smoking

day. He mentioned that celebrating these health days bring

awareness in the community and medical knowledge to the

medical students. Prof. Sabo Ojano also highlighted the future

plans of the SSIUH and upcoming projects like angiography and

oncology unit. He informed the audience about skills and

expertise of Prof. Matela Ivan to the audience. Prof. Ivan is

working as a professor and head of ENT department. He has a

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H. E. Prof. Sabo

Ojano

National

Clinical

Conference

Obesity

Prof. Sarak Phally

C – JFBP Center

Dr. Ly Makara

Revolution

Prof. Sabo Ojano

Malaria

Prof. Chhin Senya

Sedation

Dr. Callum Durward

Clinical Conference

Dr. Chan Sovandy

National Clinical Conference for 2010, Report by Dr. Chan Sovandy

Contents and contributors to this edition - March 2010

The Sen Sok Post Welcomes any Article Related to Our Activities Email: Sohailaries@yahoo.com

C-J Friendship Blood Purification Center by Dr. Ly MakaraThe inauguration of the Center was held on 9 March 2010. H.E. Ouk Rabun Minister Delegates, Personal Advisor to Samadech Akak

Moha Sena Padei Dechor HUN SEN - Prime Minister of Kingdom of Cambodia, Secretary of State, Minister for Economy and Finance was

the Chief Guest at the occasion.

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Respected Lok Chumteav Ouk Ravin Vice President, Board of Directors- SSIUH welcomed the audience.

She highlighted the importance of the Center in relation with the health conditions of Cambodia and discussed the role of the SSIUH in

providing the quality health care. She thanked the sincere efforts of H.E. Ouk Rabun and Dr. Hideo Hidai Executive Director - NGO

Ubiquitous Blood Purification International Japan for the establishment of Center. She invited the students to visit the center on 11

March 2010 as world Kidney day and suggested to encourage the patients to get benefit from the services of the dialysis center

Dr. Hideo Hidai represented by Dr. Haruki Wakai by felt satisfaction over the completion of the center and hoped that Center will bring

smile to the faces of the patients. He thanked the management board for their continued hospitality and wished that he will continue his

visits to this country. H.E. Ouk Rabun mentioned that the Cambodia – Japan friendship is exemplary in this S.E.Asian region and thanked

the government and the people of Japan for choosing Cambodia on priority basis to establish this center. He mentioned that this center

will remain as a friendship monument between the two countries; He requested to donate more dialysis machines in the future

particularly for HCV and HIV /AIDS patients.

The exchange of gifts and certificates distribution was next on the agenda. The chief guest then visited different sections of the center and

met a patient in the dialysis center. The patient told H.E. Ouk Rabun that he is satisfied with the standards of the center.

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THE SEN SOK-POST

Revolution by Prof. Sabo OjanoCambodia faced hard times in the previous decades. Prof. Oun

Sabo wished to help his countrymen. Due to his astute vision, he

initiated an education institution called as International University

in Toul Kork with the help of his sincere friends. Difficulties were

there, but they never compromised on quality, and continued

their journey progressively. Soon the number of students

increased and the campus was shifted to a new location at Phnom

Penh Themy. Currently, there are more than 3000 students

studying in different faculties. After education, the next priority

was health. After the successful response to the dental clinic, they

focused on the hospital with the induction of specialties such as

gynecology, orthopedics, imaging, ENT, ophthalmology, dialysis,

Laparoscopy and endoscopy. Oncology and angiography units at

the hospital are the next goals that will be opened soon. The

patients can get standard health treatment at the hospital. We

hope that in the days to come Cambodia will witness high

standards of education and health facilities at IU and SSIUH and

the dream of the Prof. Oun Sabo will be fulfilled.

IU Dental clinic offers patients sedationIn 2007 an American dentist, Dr Leroy Carson, visited IU and

identified a need to introduce sedation, so that certain types of

dental treatment (eg oral surgery) could be provided in a less

stressful way. Since then, two sedation courses have been held,

and three IU staff. Dr Callum Durward, Dr Veng Sonita and Dr Chav

Bunhean, have undergone training in oral, intramuscular and

intravenous sedation. Following the courses, sedation has been

made available in the IU dental clinic for selected patients

(children and adults). These sessions have been overseen by

several visiting dentists trained in sedation - Dr Leroy Carson, Dr

Philip Sussex and Dr Roger Northen - as well as IU lecturer in

general anaesthesia and sedation, Dr So Saphy. So far

approximately 30 adults and 20 children have been treated under

sedation, following protocols based on those used in New

Zealand. The main agent used is Midazolam, which has been

brought to Cambodia by visiting Drs and dentists, since it is not

available here. This drug is regarded as being very safe and

effective, although it is sometimes supplemented by other drugs.

During the sedation, the patient is monitored closely – including

intermittent measurement of blood pressure, oxygen saturation,

and heart rate.( Remaining on the last page)

THE SEN SOK-POST

Drug-Resistant Malaria Has Emerged In Cambodia by Prof. Chhin SenyaEach year 350-500 million cases of malaria occur worldwide, and over one million people die, most of them young children in sub-

Saharan Africa. Malaria parasites in western Cambodia have become resistant to artemisinin-based therapies, the first-line treatment for

malaria, according to a study published in the New England Journal of Medicine on July 29. Resistance to the drugs makes them less

effective and could eventually render them obsolete, putting millions of lives at risk. Malaria is a potentially deadly disease that kills more

than a million people each year, mainly young children and pregnant women. It is caused by malaria parasites, which are injected into the

bloodstream by infected mosquitoes. The most deadly form, Plasmodium falciparum, is responsible for nine out of ten deaths from

malaria.

The most effective anti-malarial drug is artemisinin, which had been used in Chinese medicine for centuries under the name Qinghaosu.

It was rediscovered in the 1970s, evaluated first in South-East Asia, and eventually accepted as an essential component of antimalarial

treatment in the past few years. The artemisinin derivatives have the advantage over other anti-malarial drugs, such as chloroquine and

mefloquine, in having few side effects and – until now – malaria parasites have no resistance against it. "Preventing the spread of

resistant parasites when they emerge is crucial". Professor Nick White, Chair of the Wellcome Trust S. E. A. Programme, believes the

implications of the findings are potentially huge. "Artemisinins are essential weapons in our war against malaria," he says. "If they

become ineffective, we have no immediate replacement. The consequences could be devastating. Elimination of malaria will not be

possible and millions of lives could be lost." (The article is supported from net)

Problem-based learning (PBL) is a student-centered learning activity in which students collaboratively solve problems and reflect on their

experiences. PBL was first developed in the 1960s at McMaster University in the US, and has since spread to become a very popular

learning technique at medical and dental schools worldwide. In some schools, lectures have been eliminated entirely, and all learning is

carried out using PBL. Recently, PBL was introduced as a trial and research project into the Faculty of Dentistry at IU for students in Year 3.

It is being facilitated by three 4 year students – Soy Rasy, Tak Ranuch and Sreng Rithy – under the guidance of Dr Callum Durward. The

students started this project after attending a research workshop at IU conducted by the International Association of Dental Research last

year.

For the IU PBL project, third year students have been divided into 3 groups of 7 to 9 people. Each group has a facilitator (Rasy, Ranuch or

Rithy) who guides the students to solve the problem (usually a clinical case) - but the facilitator does provide any answers. In each

group, there is a leader, a writer and group members. Every week a clinical problem is presented to the group and group members have to

explore the problem by “brainstorming”. At the end of 1 session, students identify what they don't know or what they need to know

more about. Each is assigned some part of the problem to investigate by going to the library or going on the internet before the next

session. During the second session, group members present their findings to the other group members. There is usually a lot of

discussion, with questions and answers and sharing of ideas. Students learn how to solve problems through exploration, analysis, and

synthesis. The are not simply being “spoon fed” by a lecturer. Getting the “right answer” is not important – what is important is that the

students learn many other things through exploring the problem. During each session students are assessed for their contributions to

the discussion and their efforts to gather relevant information to solve the problem.

At the end of the semester the group of 3 facilitators hopes to evaluate the project and present their findings at the International

Association of Dental Research Conference in Taiwan in November. If successful, this learning methodology which is so popular around

the world might find a place here at IU in the future.

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Problem Based Learning comes to Dental Faculty Int. University

THE SEN SOK-POST

Page 4

The News letter is designed byMr. Ty Heng and published under

the supervision of, PhD

President BODSen Sok Int. University Hospital

Get a free copy of the news letter bycontacting the following numbers:

Prof. Sabo Ojano

Address : # 91-96, Street 1986, SangkatPhnom Penh Thmey, Khan Sen Sok,

Phnom Penh, Cambodia

The Board of Directors ofInternational University and

Sen Sok Int. University HospitalExtend Gratitude on

Wishing Prosperity, Happinessand Peace to

the Kingdom of Cambodia

Join hands with us to provide basiceducation and health facilities

to every citizen ofthe Kingdom of Cambodia.

Khmer New Year 2010

TuberculosisManagement Workshop

Dr. Keo Sokonth Dr. Sin Chhun ImDr. Sohail Rashid

Sen Sok Int. University Hospital27-28th March 2010

Get a Job Before Graduation

Globally, there are more than 1 billion overweight adults, at least

300 million of them obese. Obesity and overweight pose a major

risk for chronic diseases, including type 2 diabetes, cardiovascular

disease, hypertension and stroke, and certain forms of cancer. The

key causes are increased consumption of energy-dense foods high

in saturated fats and sugars, and reduced physical activity.

The prevalence of overweight and obesity is commonly assessed

by using body mass index (BMI), defined as the weight in kilograms

divided by the square of the height in meters (kg/m2). Strategies

include prevention, weight maintenance and weight loss. They

should be part of an integrated, multi-sectoral, population-based

approach, which includes environmental support for healthy diets

and regular physical activity. Key elements include:

- Public policies that promote the availability and accessibility of a

variety of low-fat, high-fiber foods, and that provide opportunities

for physical activity.

- Promoting healthy behaviors to encourage motivate and enable

individuals to lose weight by:

- eating more fruit and vegetables, as well as nuts and whole

grains.

- engaging in daily moderate physical activity for at least 30 minute

- cutting the amount of fatty, sugary foods in the diet.

- moving from saturated animal-based fats to unsaturated

vegetable-oil based fats.

Obesity by Prof. Sarak PhallyIU has a modern Pulse Oximeter machine, donated by Mr.

Tony Munday from Australia. Oxygen and reversal drugs are

available if needed. Adult patients who have experienced IV

sedation in the dental clinic have almost all had a very good

experience, and later remembered nothing of the surgery

that was carried out. Some young children, including some

from the Rabbit School for Disabled Children, have also

received sedation, permitting urgent fillings and extractions

to be carried out. IU prides itself on being able to offer this

service to our patients. It is also training undergraduate

students in the basics of sedation, although additional

training is needed in order to be able to carry out

intravenous and intramuscular sedation

Remaining Sedation Article

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