Charutar Arogya Mandal

Annual Report 2008-2009 1 The Structure That Reflects Our Vision

4 Empowerment and Ownership

6 Bhanubhai & Madhben Patel Cardiac Centre

7 Institutional Highlights for the Year

9 Medical Education

17 Patient Care

28 New Equipments and Facilities at a Glance

30 Community Extension

33 Research

38 Support Services

42 Human Resource Development Activities

56 Papers Published

58 Awards and Recognitions

60 The Faculty

62 The Management Team

63 Donors for the Year 2008-2009

64 Deh Dan

65 Accounts ANNUAL REPORT 2008-09

Trustees The Structure that Shri JM Rawal Reflects Our Vision Shri Baboobhai Z Patel Governing Body Chairman Dr. Amrita Patel Hon. Secretary Shri Jagrut Bhatt Dean Dr. Utpala N Kharod Members elected by the Council Shri Chimanbhai B Patel Dr. Chhotubhai L Patel Shri Ashokbhai J Patel Shri Natubhai M Patel Shri Thakorbhai C Patel Shri Prayaswinbhai B Patel Ms. Mirai Chatterjee Shri Harshadbhai S Patel Member co-opted by the Governing Body Dr. Babubhai R Patel Member co-opted by the Chairman Shri Hasmukhbhai S Parikh Smt. Dakshaben N Shah

Governing Council he structure of the Charutar Arogya Mandal is a reflection of President Tits commitment to professionalism Shri Hasmukhbhai Shah on one hand and accountability to the Vice-President community, including its many donors, Shri Chimanbhai B Patel on the other. Registered as a trust and a Chairman society, its properties are vested in the Dr. Amrita Patel Board of Trustees. Its policies are decided by the Governing Body headed by the Members elected by the General Body Mandal’s Chairman, Dr. Amrita Patel, who is Shri Bharatbhai M Patel also the executive head of the Mandal. The Shri Harshadbhai S Patel Governing Body functions under the purview Shri Maganbhai B Patel of the Governing Council, which is a wider Dr. Ambalal I Patel body with representation from donors, sister Smt. Sumiben V Patel institutions and members of the Mandal, in Shri Rameshbhai Shah addition to the members of the Governing Donors’ Representatives Body. The President of the Mandal, Shri Shri Ashokbhai J Gokal Hasmukhbhai Shah, chairs the Council Shri Ravindra J Gokal meetings. The Council, in turn, reports to Shri Kishorbhai J Gokal the General Body, in which the members of Shri Hasmukhbhai S Parikh the Mandal participate. The total number of Dr. Anand N Nathwani members as at March 2009 was 1879. Shri Shishir K Diwanji

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Shri Jagrut Bhatt Hon. Secretary Ms. Mirai Chatterjee Shri Jagrut Bhatt Shri Manubhai S Patel Dean Dr. Babubhai R Patel Dr. Utpala N Kharod Shri KB Sanghvi Shri Natubhai H Desai Chief Executive Officer Shri Nitinbhai R Desai Shri Sandeep Desai Shri Bharat N Dave Shri Ashokbhai J Patel Sardar Patel University Shri Dinshaw A Desai Vice Chancellor Shri Navinbhai C Patel Prof. (Dr.) BG Patel Shri Thakorbhai C Patel Bochansanvasi Akshar Purushottam Dr. Darshit Shah Sanstha Shri Prayaswinbhai B Patel Shri SA Patel Nominee of Karamsad Municipal Borough Co-opted Members Shri Kiranbhai R Patel Dr. BR Patel Chairman, Charutar Vidya Mandal Consulting Cardiologist, Vadodara Dr. Chhotubhai L Patel Dr. MM Rajapurkar Medical Director Hon. Secretary, Charutar Vidya Mandal Muljibhai Patel Urological Hospital, Nadiad Shri RP Patel Dr. Jagdish N Patel Members nominated by the Governing Hon. Secretary Body of Charutar Vidya Mandal Medical Care Centre Trust Dr. ARV Murthy KG Patel Children Hospital, Vadodara Dr. AK Saluja A Board of Management has also been set Vice Chancellor, Sardar Patel University up to provide policy inputs to the Cancer Prof. (Dr.) BG Patel Awareness, Education and Early Detection Chairman/President, Anand District Project. Its members are: Panchayat Dr. Amrita Patel Representative of Bakrol Chairman Shri Chandrakant M Patel Charutar Arogya Mandal Eminent ladies nominated by the Dr. Viren Doshi Chairman Chief Executive Officer Smt. Dharmishtaben N Pandya Tribhuvandas Foundation Prof. Ila Patel Dr. Ravi Patel Smt. Neelima Khaitan Oncologist and Donor Members Co-opted by the Council Maj. Gen. Virendra Singh Shri Chandrakantbhai Patel Shri Shantibhai M Amin Donor Shri Natubhai M Patel Dr. Pankaj Shah Shri Dinubhai P Patel Director The Board of Management for the Gujarat Cancer & Research Institute, Pramukhswami Medical College has the Ahmedabad following members: Dr. VK Gupta Chairman Medical Director Dr. Amrita Patel Rajkot Cancer Society

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Shri Jagrut Bhatt Governing Council Committee Hon. Secretary Chairman Charutar Arogya Mandal Shri Hasmukh Shah Dr. Utpala N Kharod Members Dean Dr. Amrita Patel Pramukhswami Medical College Shri CB Patel Shri Ashok J Patel Dr. S Mukherjee Dr. BG Patel Professor (Community Medicine) Dr. BR Patel Pramukhswami Medical College Dr. RR Doshi Dr. Girish Mishra Shri JM Rawal Project Director & Convenor Dr. ND Jotwani Dr. Utpala N Kharod Dr. S Shastry Dr. NM Kharod Professor & Head Department of Preventive Oncology Scientific Research Advisory Committee Tata Memorial Cancer Centre Chairman Mumbai Dr. BR Patel Members The Charutar Arogya Mandal Medical Dr. RV Bhatt Research Society, the Mandal’s arm Dr. Mahesh R Desai engaged in the field of medical research Dr. Geeta Pandya appropriate to local conditions, is Dr. Utpala N Kharod managed through a Scientific Research Dr. MM Rajapurkar Advisory Committee, which is responsible Dr. Shilin N Shukla for approving and reviewing the research Dr. TE Udwadia proposals and the Governing Council, Dr. Madhvi Sheth which provides policy inputs and Research Coordinator directions in research. The members of Dr. Nayanjeet Chaudhary these committees are:

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even more intense. The first of the Retreats, Empowerment and the mid-year meet, saw progress on many initiatives, the seeds of which were sown Ownership earlier. Thus, while on the one hand the staff, hose working in the Mandal’s this time numbering well over 50, deliberated institutions have, for the last few on the financial situation of the Mandal and years, created in their own way a its implication, significant decisions in respect T of matters where there would ordinarily unique model of governance; a model that encourages participation of everyone in all be competing claims, such as allocation the activities and one that seeks accountability of budget for purchase of equipment, from the participants themselves. In doing so, were taken in a great spirit of collective it also fosters a sense of ownership among responsibility. The amount of funds available the staff members that enables it to face all for investment is finite and the expectations challenges in the most effective manner. and needs of those delivering services in the institutions are much higher. The total Over the last few years, the staff, growing in investments, based on the estimates made by number each year, have engaged themselves each department, required to be made totaled progressively in defining and redefining their Rs. 525 lakhs, while the amount available own work and planning it for more effective was merely Rs. 150 lakhs. What followed results. The foundations of the planning were several rounds of negotiations, where process are laid and strengthened at semi- departments not only tried to cut down on annual meetings, called Retreats, which has their own requirements, they questioned and emerged as a forum that is central to all critically evaluated the requirements of other planning and thinking for the senior staff of departments. The result that actually emerged, the Mandal. and the manner in which it transpired, speaks In the current year, these Retreats were volumes of the maturity of the staff and their

4 ANNUAL REPORT 2008-09 active involvement in deciding their own modules of three days each at the Institute of future. Rural Management, Anand. The vertical heads and the management executives participate The most important decision, however, related to how the operations of the in a meeting that is held each Wednesday, Mandal’s institutions were organised. The where not only the progress and difficulties Mandal seeks to inculcate the values of faced by them are discussed and resolved, a charitable organisation, but believes in their management capability is also sought to professionalism in its working and it becomes be strengthened by discussing contemporary necessary, therefore, that the organisation management theories and practices. In fact, of its activities takes cognizance of these one of the more intense discussions just somewhat conflicting expectations. After before the second Retreat that this group much deliberation, it was decided that the was concerned with was arriving at the Core hospital-related activities should be divided Purpose and Core Values of the Mandal. into five areas; outdoor services, indoor These, fundamental to any institution, but services, critical care services, trauma & even more so for the Mandal at the present emergency and operation theatres. Pharmacy, stage of its existence, have since helped in radiology and labs, which support these areas being the basis of a number of decisions. and by themselves have significant activities, were also considered as independent areas, Our Core Purpose requiring attention and focus. To provide modern and professional health care to the rural community equitably. Similarly, the academic activities were categorised in respect of undergraduate and Our Core Values postgraduate courses. And finally, recognising 1. Commitment: Doing things wholeheartedly the importance of research in an academic (with heart & soul) institution, it was also designated as an area 2. Excellence: Continuous improvement to that would be given more focused attention. achieve best possible standards All these areas, ‘Verticals’ as they are referred 3. Honesty & Integrity: Meaning what we say to, were then assigned one senior staff, each and doing what we mean of who volunteered their services, to manage As a final step, before starting the process them as Vertical Heads. of transformation, a tentative vision of the This process was further strengthened at the Mandal, ‘To surpass CMC, Vellore as the role second Retreat, in early January, where each model of rural health care’, was enunciated. of the Vertical Heads not only presented the The operating plans have since then been present financial picture of their respective Verticals, but also a tentative operating plan refined, more concrete strategies have been for the forthcoming year and some broad worked out and a performance evaluation strategies on how these would be achieved. programme has been put in place. Even more These plans were presented to a much larger importantly, these and other decisions taken audience comprising all the faculty members at the Retreats were communicated to the and officers of the Mandal, as well as its remaining staff members through a series of Chairman and Secretary, in a full-day session. eight full-day sessions. Other important interventions followed. A What has emerged is a future that has been process of equipping the “Verticals” and planned and projected by those who are those managing it has been initiated. Each going to live it. They own it, will carry it Vertical now has a management executive forward and benefit from it. This is our way supporting it. The Vertical Heads have of introducing empowerment and ownership, undergone a Management Appreciation and we hope, one day, it would become Programme that was conducted in two iconic enough to inspire others.

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medical staff working at the Centre have Bhanubhai & been trained at Frontier Lifeline. On the occasion of the Centre’s inauguration, Dr. Madhuben Patel Cherian himself performed a couple of surgeries. The Centre is now connected Cardiac Centre to the Frontier Lifeline Hospitals with a telemedicine link that enables our he latest addition to the Mandal’s consultants to be in touch with specialists facilities, the Bhanubhai & Madhuben there. TPatel Cardiac Centre was inaugurated In the long-term, the Centre aims at by Shri Prayaswinbhai Patel, Chairman and specializing in paediatric cardiac cardiology, Managing Director of the Elecon Group an area that remains largely ignored by of Companies on October 8, 2008, on commercial cardiac centres, as the patients the auspicious day of Dussera. His family are largely from the lower economic strata. was also present. The Centre, built at a The Centre has made a start in this direction total cost of Rs.16 crores, houses state- by appointing as its head a cardiac surgeon, of-the-art equipment for treatment of all who is trained in paediatric surgery under cardiac conditions and fulfils a long- Dr. Cherian. A cardiologist with training in standing need of the region. The centre paediatric cardiology has also been appointed. is funded entirely by the Elecon Group of It is expected that over the next couple of Companies. The Centre has a collaboration years, the Centre would not only become with Dr. KM Cherian, the world-renowned self-sufficient, but would start contributing cardiac surgeon and his hospital, Frontier towards the deficit of the Shree Krishna Lifeline Hospitals, at Chennai. All the para- Hospital.

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• The revised health check-up programme Institutional was introduced. • Charutar Arogya Mandal received Highlights approval under Section 35AC of the Income Tax Act for two of its projects; for the Year the Cardiac Centre and Upgradation of cancer treatment facilities. April 2008 • Facility for Blood Component Separation • Cochlear implant surgery and was made operational. Rehabilitation Centre was made July 2008 functional. • 10 management quota seats were given as May 2008 Tata-CAM scholarships to undergraduates • The CDL, a collaboration of the three under the HM Patel programme for concerned departments: the Departments Academic Excellence. of Biochemistry, Microbiology and • Opening of Extension Centre at Bhadran, Pathology, created history by receiving Anand. accreditation by the National Accreditation Board of Testing and Calibration August 2008 Laboratories (NABL). In doing so, • The Mid-year retreat was organized. Pramukhswami Medical College became • Indoor services for patients were made the first medical college in the country free to mark the birth anniversary of the to have all its laboratories (Biochemistry, Founder Chairman, Dr. HM Patel. Clinical Pathology and Haematology, Cytopathology, Microbiology and Surgical • Cancer Survivors ‘Meeting, ‘New Hopes Pathology) accredited. New Dreams’ was organized on

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August 27, 2008 and a new product, Paediatrics, Neonatology Chapters. PSMC Cancer Krupa, was announced on that is the only institution in Gujarat to have day. been conferred the honor of conducting the fellowship. October 2008 • The Cardiac Centre was inaugurated on January 2009 October 8, 2008 and the first surgery was • The annual retreat was organized on 2nd performed on the auspicious occasion of and 3rd January 2009. Dussera. February 2009 • The event was marked by a musical • A pneumatic system for conveying evening by Manhar Udhas on the 11th of samples, blood products and medicine October. was commissioned. November 2008 • Pay revision was announced for the employees of the Charutar Arogya Mandal.

December 2008 • HM Patel Memorial lecture was held on December 1st. • The Department of Paediatrics, PSMC was granted two seats for Fellowship in Neonatology of the Indian Academy

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Government on the basis of its merit list, Medical Education while 15 seats should be filled by non- resident Indians and 10 seats could be We offer to our students an environment filled up by institutions, as management conducive for excellent teaching and learning seats. Self-financed institutions generally so that they become health care professionals generate considerable revenue from the fees of the highest calibre, sensitized to the health charged for management seats. However, needs of the less-privileged and equipped to in keeping with the mission with which Dr. carry out ethical and value-based practice. HM Patel founded this institution, it was For this to happen, we focus on the decided to make these seats available to the following aspects of teaching and learning, economically weaker sections of society. which distinguishes us from other medical Under the aegis of the HM Patel Programme institutions: for Academic Excellence, meritorious but 1. Adherence to a planned and rigorous economically weak students aspiring to academic schedule, pursue MBBS degree were given TATA-CAM 2. Regular updates of the teaching material scholarships at an annual fee of only Rs.5000 and curriculum, against the regular fee of Rs. 2.75 lakhs annually. 3. Experimenting with innovative teaching methodologies, and Students with a family income of less than 4. Arranging special events on a regular Rs. 2 lakhs, and who had scored above 80% basis, in order to keep abreast of the latest were considered eligible to apply for the knowledge and enhance our visibility on scheme, provided they give an undertaking the academic map. that after graduation, they will serve the Mandal for three years, in affiliated hospitals he Mandal’s educational institutions; or field programmes. This would enable the Pramukhswami Medical College, HM Mandal to create a pool of skilled and trained TPatel Institute of Post-Graduate Studies, doctors, especially so that the outreach KM Patel Institute of Physiotherapy, GH programmes are run under the care of trained Patel School of Nursing and Smt. LP Patel and meritorious MBBS graduates. Institute of Medical Lab Technology, conduct a number of courses, both at undergraduate The response to the scholarship scheme was and post-graduate level. Some of the major overwhelming. A total of 417 applications activities with regard to these courses are as were received out of which 10 candidates follows: were selected. Each of these applications was screened in a systematic manner: Undergraduate Courses: 1. A first-level screening of the applications Medical: received was made by a senior faculty Scholarships for Economically Weaker member and applications where the Sections: stated income was more than Rs.2 lakhs and/or merit less than 80%, were The admission process for the MBBS course excluded. is largely guided by the decisions taken by the Government of Gujarat for self-financed 2. Ten two-member teams comprising senior institutions. This year, the Government faculty and staff members visited each promulgated the Gujarat Act No-3 of of the first 30 candidates on the merit 2008 namely “The Gujarat Professional list that had been prepared after the first Medical Educational Colleges or Institutions screening. This was to verify, first hand, (Regulation of Admission and Fixation of the living conditions of the candidates Fees) Act 2007”, which stipulated that 75% and her/his family as well as the contents of the seats would be filled up by the of the application form. The teams visited

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10 locations within a period of four days. system-wise curriculum, with departmental 3. The findings were discussed in a group co-ordinators having been appointed for consisting of members of the ten teams each system. The co-ordinators consult the and candidates that were considered concerned teachers for the given system and eligible, were identified and a merit list ensure that there is no unnecessary repetition prepared. and most importantly, the learning objectives for each lecture are defined. The clinical 4. As a last step and to ensure validity departments try to ensure that the sessions and objectivity of the entire process, the are interactive, and a problem-based approach findings of the teams were placed before is encouraged with case discussions at the a Committee consisting of educationists end of each system. In spite of the mammoth from outside (Director-Sardar Patel efforts required, the teaching schedule has Renewable Energy Research Institute, proceeded in a time-bound manner without Senior Professor-IRMA and Dean- any rescheduling or postponement. The Veterinary College, Anand Agricultural schedule for each system is displayed at University) as well as the Dean of the least a month in advance, so that both, Medical College and Dean of Faculty, the teachers and students, come prepared. Sardar Patel University. Student feedback is taken at regular intervals. The final admissions were given in the order The faculty is now focusing its efforts of merit. The selected students were not only on designing the curriculum for the 3rd provided remission in fee and their hostel MBBS students. In the clinical subjects, stay made free, but their text books and other the aim is to introduce a few modules of study materials have been made available common clinical problems where integration without charge, courtesy a group of doctor of clinical, para-clinical and pre-clinical donors from the USA. The students have been subjects is feasible. It is anticipated that performing well and are well-adjusted to the when the batch of 2006, with which the college. process of integration started, graduates, the Pramukhswami Medical College would Development of System-based Integrated have provided medical schools of the entire Curriculum country with a role model for System-based, Continuing the process which was initiated Integrated teaching. two years ago, Heads of all Departments and other senior colleagues continued to meet Development of Faculty to improve upon the unique System-based, In order to improve the quality of teaching Integrated Teaching which has now been further, during the year, faculty development institutionalized for the MBBS students of the workshops were organized to sensitize faculty Pramukhswami Medical College. Though the MCI regulations do not cover aspects of First Aid, Medical Ethics and Communication Skills, having realized that most MBBS students and graduates often suffer on these fronts, these subjects have been formally introduced in the curriculum for First MBBS. The routine for the 2nd MBBS students is well in place, the participating departments are familiar with planning the

10 ANNUAL REPORT 2008-09 members on various aspects of teaching. The workshop topics were: 1. Objective Structured Clinical Examination (OSCE) and Objective Structure Practical Examination (OSPE) 2. Microteaching 3. Art of Lecturing and Interactivity in a Large Group In order to ensure that changes and advances in medical education are brought about in a Counseling of all first MBBS students systematic manner, members of the faculty continued at regular intervals. In order to were encouraged to pursue fellowships under ensure that the students adjust well to a life away from and to the pressures of the MBBS course, each first MBBS student is assigned a faculty member (ten students per faculty) to ensure that they are adequately looked after and supported. Three counseling sessions were arranged for all First MBBS students during the year – the first such session was conducted by an external trained counselor.

ICMR Short Term Studentship (STS) for Medical Undergraduates The Indian Council of Medical Research runs its Short Term Studentship Programme the FAIMER (Foundation of Advancement to promote an interest and aptitude for of International Medical Education and research among medical undergraduates. Research) Fellowship programme. Having The main objective of this programme is to at least five FAIMER fellows at the Medical provide undergraduate medical students the College will bring about a qualitative change opportunity to familiarize themselves with in the teaching methodology as also expose research methodology and techniques, by the faculty members to academicians at both being associated for a short duration with national and international levels. Additionally, their seniors on ongoing research programmes two senior professors attended the Teacher or by undertaking independent projects. It is Training Programme at National Teacher expected that this activity might inspire these Training Center (NTTC) at Jawaharlal Institute students to take up research as a career in of Postgraduate Medical Education and the future. During the year, three 2nd MBBS Research, Pondicherry. Eight faculty members students were awarded the ICMR STS-2008, attended conferences on medical education under the guidance of the Department of held at other medical colleges. Physiology. Two of these students have been invited to participate in the 3RD National Student Orientation Conference for Medical Students which is The orientation programme for the MBBS to be held at Kasturba Medical College, students admitted in 2008 was held for a Mangalore in June 2009. Two 2nd MBBS period of 1 week. The effort is to first make students of the College, who were awarded the students comfortable and minimize the the ICMR STS-2007 under the guidance of the inhibitions of a newly admitted medical Department of Physiology, also participated student. The orientation programme includes at the National Conference of Physiologists visits to the hospital and field visits as well. and Pharmacologists of India (APPICON 2008)

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held at Kasturba Medical College, Mangalore with such diverse subjects as primary health, during the year. industrial activities, rehabilitation of mentally challenged persons, water and sanitation, etc. Physiotherapy: The Candle Lighting Ceremony for PTS The new students for the Bachelor’s course (Preliminary Trainee Students), one of the (BPT) admitted during the year was the highlights of a student’s life at the School first batch exposed to the integrated system and a moving ceremony that inducts these for teaching of basic sciences. This new aspiring students in the profession of nursing, initiative probably would be the first of its was celebrated with the same sobriety and kind in India in physiotherapy teaching. The dignity during the year. Institute has introduced Objective Structured Clinical Examination (OSCE) and Objective Post-graduate Studies: The goals and strategies for various PG courses were decided at the mid-year retreat and include: • Systematic training programme for all postgraduate disciplines • Uniform assessment methods for all postgraduate disciplines • Evaluation of training programme and continuous renewal • Capacity building of faculty for teaching and research skills Subsequent to the mid-year retreat, a senior faculty member has been appointed to guide a Post Graduate Academic Cell. The Cell would prepare, in consultation with Structure Practical Examination (OSPE) system the departments running the post-graduate for the first year BPT students for both programmes, generic curriculum modules internal assessment as well as the University which would be common to all disciplines. Examinations. A revised curriculum was These modules are expected to address implemented for the first time for the 3rd year the development of competencies of post BPT students and as its part, log books were graduates in the areas of professionalism, introduced. Physical and Functional diagnosis communication, emergency patient care, has been included in the new syllabus and teaching skills, research methodology etc. a series of case presentations were made by the students throughout the year with active Medical: faculty participation. Scholarships for Post-graduate students The Mandal provides merit-cum-need based Nursing: scholarships ranging from 50 – 75% of The students of the GH Patel School of the total fees to meritorious students from Nursing performed well at the University economically weaker backgrounds, who score Examinations. As a part of their learning high marks in the post-graduate entrance programme, the students are exposed to test conducted by the College. There are 10 not only a number of medical institutions such students in the process of completion which specialize in areas such as Cardiology, of their studies and some of them are serving Neurology and Nephrology, they are also the Mandal in fulfilment of their scholarship taken to a myriad of institutions which deal obligation.

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Student Orientation: M.Sc.(MLT) courses, through theory classes, Before they join work at their respective practicals and postings at its NABL-accredited departments, the post-graduate students Central Diagnostic Laboratory (CDL) of Shree undergo an orientation programme of 10 Krishna Hospital, have been providing a days, which takes them through the various unique opportunity to candidates to acquire activities and procedures related especially not only knowledge and skill in laboratory to patient care. This ensures that the new techniques, used for the diagnosis and students do not waste time in getting management of a variety of diseases, but acquainted and also learn how to work in an integrated fashion for the patients’ best interests. A trip to the sub- centres is also included only to re-emphasize the Mandal’s commitment to work with the community that it serves.

New additions and recognition of courses: A Fellowship Programme in Neonatology under the aegis of the Indian Association of Paediatrics was started in the Department of Paediatrics. Two students are admitted every year under the programme. During the year, postgraduate courses run also to strengthen there interest for research by the Departments of Chest Medicine, and development by undertaking an in- Ophthalmology, Pathology and Skin and VD house research project as a compulsory received recognition from the Medical Council dissertation in the M.Sc. Programme. An of India. on-the-job training programme; under which the students, after completion of DMLT, are Physiotherapy: selected on merit for 1-Year traineeship at The first batch of Master of Physiotherapy the Central Diagnostic Laboratory of Shree graduated during the year. The third batch of Krishna Hospital, is also available. During the MPT students joined the course. The students year, 8 junior trainees joined the programme. went through an orientation programme on Twenty six students successfully completed the day of their induction, which included their DMLT and the first batch of 8 students, observation at the indoor and outdoor admitted in 2007, completed their M.Sc.(MLT) services at the physiotherapy department for course during the year a month before regular assignments. Medical Education Technology classes were conducted Other activities: for the PG students during the year. HM Patel Memorial Lecture The 4th HM Patel Memorial Lecture on Medical Laboratory Technology: “Surgical Care In India – A Purely Personal With the increasing relevance of diagnostics Perspective” was delivered by the eminent in patient care, it is envisaged that there surgeon, Dr. Tehemton E. Udwadia on would be a considerable scope for technically December 1, 2008. The Memorial Lecture trained personnel for various positions in series is an attempt by the Mandal to create hospitals and laboratories. The DMLT and a platform through which issues of concern

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in the field of public health are discussed to suit Indian conditions especially in terms and the staff and students of the Mandal’s of lowering the cost of surgery to the patient. institutions are sensitized to these issues. Dr. Dr. Udwadia concluded by saying that in Udwadia, who has been honored with such spite of surgical care for the poor being awards as Padma Shree by the Government an uphill and Herculean task, it is worthy of India, the Order of the British Empire of every ounce of our collective effort and (OBE) by Her Majesty Queen Elizabeth II and energy and appealed to surgeons everywhere Dr. BC Roy National award for promoting in the country to come together and ensure the specialty of Laparoscopic Surgery in basic surgical care for the poor also. India, started his presentation by quoting Martin Luther King, Jr., “Of all the forms Integral Health of inequality, discrimination and injustice A teaching programme incorporating some in health care is the most shocking and basic aspects of Integral Health has been inhumane”, and went on to discuss the initiated for the students of First MBBS in rural-urban divide in terms of the practice active collaboration with the Department of Surgery in India- the fact that there is of Physiology. The concept is based on a a low surgeon to patient ratio, even after holistic approach towards health, bearing the rise in number of medical colleges, a in mind spiritual aspects and principles of disproportionately large population of doctors alternative forms of medicine other than is located in urban areas. Though the Bhore Allopathy. A Certificate Course on Basic committee and other subsequent committees Principles and Practices of Ayurveda was have tried to develop a three tier structure for Health Care in India, there has remained a vast gap in planning and performance. According to Dr. Udwadia, Surgical training in India, to an extent, is unrelated to reality as most of it is directed to the practice of surgery in an urban setting. Thus, although on the one hand Indian surgery has achieved tremendous heights in urban India, organized at the institution wherein 15 senior there is no surgical care for the rural poor faculty members/students participated. The in large parts of the country. Dr. Udwadia course is a unique and first of its kind faculty emphasized the need for an urgent rethinking development programme in the Western Zone and revamping of the medical education of the country. A monthly programme of system in India – a system which ‘relentlessly participatory meetings deliberating on certain churns out specialists where the need of quintessential aspects of health is regularly 70% of the people of this country is for arranged under the Evolve meetings. The general surgeons!’. He further went on to give participants include students of First MBBS, examples of innovation in surgical techniques teaching and non teaching staff members of

14 ANNUAL REPORT 2008-09 the institution. The topics covered include National Pharmacovigilance programme subjects such as ‘Empathy’, ‘Prayer’, ‘Right of India and with the Indian Medical attitude in work’, ‘Gratitude’, ‘Humility’, ‘I Association and the Anand Branch of treat’, ‘He cures’ and ‘Divine Grace’. Guest Gujarat State Family Physician’s Forum. lectures were also organized by inviting • The 3rd Gujarat State Inter-medical eminent specialists on subjects such as College Physiology Quiz Competition Integral Approach to Healing, Integral Health was organised for the first year medical and on Spirituality as a necessary component undergraduates. 150 students from 10 of Medical Education. Perhaps the biggest Medical Colleges of Gujarat participated lacuna for alternative forms of medicine is in the competition. The department was the lack of literature and publications, that also involved in post-graduate teaching of leads many to criticize this form of medicine. Industrial Hygiene to students of ISTAR, An initiative has been taken up by a faculty Vallabh Vidyanagar member in the form of a research project to • The first Paediatric Cardiac CME compare the various forms of Medicine. was organized by the Department of Paediatrics in association with the Indian Academic activities organized by Academy of Paediatrics (Gujarat Branch) Pramukhswami Medical College on ‘Awareness to the Medical Fraternity • A symposium on “Integrated Teaching in Paediatric segment’. Dr. KM Cherian, Learning Programme in Undergraduate prominent cardiothoracic surgeon, Medical Education: an Indian Perspective” was the Chief Guest. The department was organized, as a part of the Platinum also organized Quiz competitions for Jubilee celebrations of the Medical nurses and students on Newborn Week Council of India. Faculty members from Celebrations. In addition ‘Breastfeeding all ten medical colleges of Gujarat were week’ was celebrated from 1st August to invited to participate in the symposium. 7th August, 2008. It was observed that very few medical • A number of events were organized by colleges in the country are following the Department of Preventive & Social integrated curriculum for undergraduate Medicine, including celebrations for the training and Pramukhswami Medical World Health Day, International Women’s College’s system-based integrated teaching Day, World No Tobacco Day, World AIDS at pre-clinical and para-clinical level is, Day and World TB Day. These events, therefore, unique. organized in collaboration with a local • Forty three “Involve” academic meetings institution, were marked with quizzes, were organized during the year, covering competitions, educational programmes, a variety of topics, including case screening camps and exhibitions, where discussions and newer techniques or a large number of participants, especially even research findings. from the community, attended and • A Xenobiotics Week was organized by benefited. Some of these programmes the Department of Pharmacology in were organized in collaboration with the collaboration with National Pharmaco- Department of Extension Programmes. vigilance Programme of India. This • A workshop on ‘Benign Head and Neck included many talks and an exhibition Lesion’ with live surgical demonstration by the faculty members for increasing was organized by the Department of ENT, awareness of Xenobiotics among where the participants could view the Health Professionals at various levels. surgeries while sitting in the auditorium. The department also organized two • A Laparoscopic Hernia Training Workshop CMEs on Xenobiotics Awareness for was organised by the Department of Complementary and Alternative Medicine Surgery for training the staff and residents Practitioners in collaboration with the of the department.

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Events organized by the KM Patel Institute Association of Physiotherapists, Anand Kheda of Physiotherapy Districts branch. The Institute arranged a brain storming Library session on “Physiotherapy Diagnosis / A number of books, journals, clinics, patient Physical Functional Diagnosis”, a newly education resources, CDs and DVDs were introduced subject in the curriculum, purchased during the year. With purchases where the senior faculty members from of upto Rs.5.46 lakhs, the number of books various colleges of Gujarat participated. went up to 11,690 during the year in In association with the Indian Association addition to 9614 bound volumes of journals, of Physiotherapists, Anand Kheda districts 739 CDs, 45 DVDs and hundreds of video branch, the institute organizes weekly case and audio cassettes. Orders of Rs.33 lakhs discussion, where cases are presented by the were placed for purchase of journals, faculty of the Institute. many of them online through EBSCO and Dynamed. The institution subscribed to MD Consult from Elsevier, Springer, and Oxford. Total online paid journals are 356 in number and there are 52 print journals.

Savitaben and Hirubhai Patel Student Activity Centre As of March 2009, the membership of the Centre is 1050 members including staff members. The major activities at the centre include Health and fitness programmes, Weight management programmes, Aerobics, Badminton, Table Tennis, Nutritional assessment and counseling World Disability Day was observed by services, Health cafeteria, Music club, Dance organizing a cultural function, where classes, Book club and a Movie club. specially-abled children performed. Apart from the Physiotherapy students, students from Mitra Rehabilitation School, Mogri and Deepa Academy, Tarapur also participated in the programme which was organized with the support of Rotary Club of Anand Town and under the aegis of the Indian

16 ANNUAL REPORT 2008-09

patients and higher discounts, including Patient Care a 25% discount on all diagnostics to BPL We would offer to our patients, comprehensive families and senior citizen groups. and personalized health care with 5. “Antyodaya” programme for BPL patients commitment and compassion at an affordable through evidence of ration card status get cost, to their utmost satisfaction, while 50% concession on all treatment including keeping ourselves abreast of the state-of-the-art charges for ICU. They also get free technology. accommodation and food during their In order that we are able to do this, we focus stay in general wards and 10% discount on the following aspects of patient care: on medicines. 1. Constantly review the cost of treatment to 6. 50% discount to senior citizens during patients, including review of the average hospitalisation. length of stay at the hospital and the 7. Janani Krupa, which provides an ante- rationality of treatment, to ensure that the natal package and free hospitalisation at treatment remains affordable, the time of delivery. 2. Evolve treatment packages that suit 8. Several surgical packages which make patients from various income strata, treatment extremely affordable, e.g. the with special emphasis on economically package for cataract surgery costs Rs.500, disadvantaged persons, and which includes an intra-ocular lens. 3. Constantly update and introduce new, As a measure of its commitment to relevant medical technologies so that the continually look at ways to reduce the cost treatment at the hospital continues to of treatment for the community and make maintain its high standard it more affordable, on the occasion of the he patient care services of the birth anniversary of its Founder Chairman on Mandal are delivered by a number of August 27, 2008, the hospital announced that institutions; Shree Krishna Hospital, MS for all patients in general wards, the cost of T bed and food would be free. These steps, Patel Cancer Centre, Bhanubhai & Madhuben Patel Cardiac Centre and the many extension centres located in the periphery. A brief report on the activities of these institutions is as follows:

Shree Krishna Hospital & Medical Research Centre: The hospital’s reputation as a modern, yet affordable health facility continued to grow. Its efforts in reducing the cost of treatment has led to several unique features, a few of which are: 1. Charging a flat fee of Rs.10 for registration of out-patients, old or new. 2. No registration charges for members of a Below-the-Poverty-Line (BPL) family as well as senior citizens, two major vulnerable groups in our country. 3. OPD Registration charge of only Re.1 for all women and children below 12 years. 4. A discount of 5% on medicines to all

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together with the dedicated and committed Indoor Services work of the medical and para-medical staff During the year, 19633 patients were admitted of the hospital, have contributed immensely in various wards of Shree Krishna Hospital. in creating a positive impact in the minds While the general ward charges have been of the community. As a result, the work of made completely free, there is a plan to the hospital and its satellite centres increased offer value-added indoor services, under the significantly during the year. omnibus Privilege brand for the hospital’s The hospital services are now organized premium services, including two entirely new around five Verticals; outdoor services, indoor categories of accommodation; Privilege Silver plus and Privilege Gold Plus. These categories services, critical care, operation theatres are likely to be introduced soon. In order and trauma services. In addition, pharmacy, to minimize the administrative procedures radiology and lab services are also managed and make them more patient-friendly, the and monitored independently. Highlights of hospital has recruited ward secretaries who the major activities of these Verticals are given ensure smooth admission and discharge below: procedures. CNE programmes are being Outdoor Services conducted regularly for the nursing staff to enhance their skills in order provide quality The out-patient services witnessed a nursing care. During the year, additional significant increase in attendance. During the nursing staff was recruited to further improve year, 2,48,249 patients attended various OPDs the nurse to patient ratio for optimal nursing of the Shree Krishna Hospital, an increase of care, which stands today at 278. In keeping 22% over the previous year. with the hospital’s plan to apply for NABH The Hospital’s health check-up programmes Accreditation in the next financial year, the grew impressively in popularity, with 4645 team members are busy with preparation of individuals participating in it compared to Standard Operating Procedures and protocols 1600 in the previous year. During the year, to comply with the NABH standards. the health check up programmes were revised Trauma and Emergency Care (TEC) to make them more comprehensive and patient-friendly. An air-conditioned lounge has Shri Shapurbhai Ishwarbhai Patel Trauma been opened, where patients wait and relax and Emergency Centre is a one of its kind, in between investigations. The participants tertiary level emergency care centre in are escorted to various areas of the hospital Anand-Kheda region. The centre, equipped by trained attendants. A feedback mechanism with modern facilities and well-trained and is now in place in order to receive inputs for dedicated staff and doctors, caters to more than 12500 emergencies in a year. Nearly 300 continuous improvement. emergency cases in a month are brought by The work at the Extension Centres of the EMRI ambulances which include all types of Shree Krishna Hospital continued to increase. surgical, medical and orthopaedic emergencies. During the year, the extension centre at The centre is also equipped with specialised Anand Agriculture University and another ambulance services like cardiac ambulance to at Bhadran became operational, while the transport critical cases. In order to help the services at Petlad were expanded, by including families of patients and to help the patient’s Orthopaedics. The addition has been well relatives in tiding over the initial impact of received, with 85 patients registered on the trauma and shock, services of a counselor have first day. A multi-specialty camp at Bhadran been made available 24x7. The counselors and an Asthma camp at the Petlad centre were have been instrumental in ensuring that while organized in March, 2009. A total of around they take care of other aspects related to 40,000 patients were seen at these centres admission and counseling of patients, treating during the year. doctors focus mainly on the treatment. The

18 ANNUAL REPORT 2008-09 number of emergencies attended represent The OTs received a cash donation worth Rs. an increase of 28% compared to the previous 11 lakhs as well a Four Tried Auto Sonics year. Of the 12,500 emergencies, 2503 patients Cautery Valley Lab worth Rs. 16 Lakhs from were brought to the hospital by the EMRI a NRI donor. A major camp of Laparoscopic (108) ambulances. To help the staff of the TEC Cholecystectomy was held in which 93 serve the patients better, a training session of Cholecystectomies were done in 3 weeks. The 12 lectures, on topics related to emergency Department of ENT started Cochlear Implant services, were conducted. With a vision to surgeries during the year, with 7 Cochlear ensure that emergencies are attended to by Implant surgeries already performed during consultants in minimum turn around time, a the year. furnished residential accommodation has now Critical Care been made available to those who are on call. With the critical care services being Operation Theatres supervised independently, the policies and The number of surgeries performed increased procedures that guide critical care at the by nearly 24% compared to the previous Hospital have been standardized uniformly year as shown in the table below. There has across its four ICUs; medical, surgical, been an increase in supra-major surgeries neonatal and paediatric. The Medical ICU from 104 in the previous year to 143 in the admitted a total of 866 patients during the current year. The number of supra-major year, a 43% increase compared to the last orthopaedic surgeries has increased from 37 year while the NICU admitted 455 patients, a to 53. Additionally, there is an appreciable 31% increase compared to the last year. The increase in the number of microvascular surgical ICU treated 599 patients during the surgeries performed by the Department of year which was a 16 % increase compared Orthopaedics. to the last year. The focus in critical care has been to reduce hospital acquired infections. Financial Year % In this context, good practices like regular 2007-08 2008-09 Increase hand washing are being emphasized in all the Supra Major 48 75 55.30 ICUs. A culture register is being maintained in Major Surgeries 290 387 33.47 ENT Minor Surgeries 689 985 43.03 the ICUs to record and monitor the infection Total 1027 1447 40.90 rates. There has been a significant reduction Supra Major 1 1 0.00 in the hospital acquired infection rate in the Obstetrics & Major Surgeries 1303 1605 23.15 first quarter of 2009, with the rate in the Gynaecology Minor Surgeries 331 365 10.25 Total 1635 1971 20.53 medical ICU, for example, decreasing from Supra Major 0 0 0.00 58% to 8%. Major Surgeries 808 983 21.65 Ophthalmology Minor Surgeries 777 720 -7.29 The ICUs also benefit from the services of Total 1585 1703 7.46 physiotherapists, available round the clock Supra Major 37 53 43.49 to all patients. In all the ICUs there is an Major Surgeries 791 1028 29.94 Ortho ongoing teaching programme for nursing Minor Surgeries 692 942 36.19 services. Various administrative and disease Total 1520 2023 33.11 specific protocols have been made and are Supra Major 18 16 -10.10 General Major Surgeries 704 895 27.08 ready for implementation. Surgery Minor Surgeries 792 975 23.07 At the neonatal ICU, Kangaroo Mother Care Total 1514 1886 24.54 for neonates is being pursued aggressively Minor Surgeries 1448 1785 23.29 Trauma Care even during ventilation and photo-therapy. Total 1448 1785 23.29 Supra Major 104 145 39.25 The department has been coordinating with Major Surgeries 3896 4897 25.70 paediatricians around the district in facilitating Total Surgeries Minor Surgeries 4729 5773 22.08 transfer of Neonates to the extent that a team Total 8729 10815 23.90 of resident doctors picks up neonates from

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these hospitals and transfers critical babies to closure of non-conformances. A total of 23 the NICU. This has greatly reduced the death non-conformances were raised, which were, rate during transfer of critical neonates. however, closed within 2 months. In addition to the above, to continually Radio-diagnosis improve and provide better patient care, The department saw a significant increase various committees of the hospital continued in work load compared to previous years. A to meet on a monthly basis. These include total of 68424 investigations were performed. the Hospital Acquired Infection Control While the time-tested X-rays were close to Committee meeting, Laboratory Services 48,000, 4360 CT scans and 662 MRIs were meeting, Mortality meeting, Nursing performed during the year. The department participated in 5 multi- diagnostic camps one each at Kheda, Kapadvanj, Tarapur, Balasinor and Tribhuvandas Foundation, Anand. 128 patients were examined by Ultrasound in these camps. In an effort to provide better ante-natal services to the women of Ardi, the department has also started Ultrasonography for Antenatal women at Ardi on 3rd Wednesday of every month.

Central Diagnostic Laboratory The laboratory received the certificate of accreditation from NABL in May 2008 for adhering to the international standard ISO 15189:2003. As part of the document review system that has been laid down at the CDL, all the documents of the CDL were reviewed, revised if necessary, and released. These included the Quality Manual, which contains the details of the Quality Management System, the primary sample collection, nearly 280 standard operating procedures and formats. Critical alerts are regularly intimated to the clinical departments. Regular training and evaluation of the non-teaching staff was introduced. Committee meeting, Pharmacy Committee During the year, one internal audit and one meeting and Transfusion Committee meeting. external audit were conducted. Yet another surveillance assessment was conducted by Some of the other important the NABL on December 13-14, 2008 in order developments at the hospital during the to assess compliance with ISO 15189:2007. year are detailed below: This time, the assessors were more stringent What will be another first in the state of than the previous occasion, especially in Gujarat for a health care organization is the Biochemistry. The assessors recommended installation of the pneumatic tube system continuation of accreditation, subject to for the transport of blood samples, blood

20 ANNUAL REPORT 2008-09 products and medicines. The installation of saving the all important factor of time in the system was completed by the end of the critical patients, are reduced expenses in current financial year and it is expected to be terms of using manpower. Also, as more fully commissioned during the next year. The buildings come up delivering patient care, the system is currently being used for transport pneumatic system will help linking the labs of blood samples from the wards and Out- and pharmacy located in the main building patient Lab Collection Centre to the Central with the new structures. Diagnostic Labs and for sending blood and The AD Gorwala Blood Bank received blood products from the Blood Bank to the its license for component separation in Operation Theatres and other locations where May 2008. Since then the blood bank has these are required. The hospital pharmacy completely switched over to components, in is expected to start servicing medicine keeping with WHO guidelines which state requirements of various wards of the hospital that with the availability of components, using the system by the middle of the next there is no indication for administering whole financial year. Where routinely it took up to blood. The blood bank collected 4800 units at least 20-30 minutes, to collect blood from of blood though out the year. Of these, the the Blood Bank (even in an emergency), with initial 749 were collected as whole blood the new system, it takes a few seconds, to (since the license had not been received transport blood components to the trauma till then). A total of 6172 units of various care centre or labour room. With 10 stations blood components were dispatched during being connected by 598 metres of tubing, the year. Yet another achievement has been installed across the hospital, including the the significant increase in the number of Trauma and Emergency Care Centre, the collections through voluntary blood donation system is already a blessing when the need which had been at 49% at the end of 2007, for blood is urgent and every second counts, increased to 88.54% at the end of 2008 for saving the patient, in terms of reducing and at the end of the financial year the the time spent on transport of samples and AD Gorwala Blood Bank is close to 99% blood to and from the blood bank. The collections through voluntary blood donation. system is based on the pneumatic transport The number of repeat donors was around of blood/samples, inside carriers. The blood 11.5%. With concerted efforts of the staff at samples/bags are put into inserts. The inserts the blood bank, it is hoped that this number ensure that the samples do not move inside would rise in the coming years. 61 voluntary the carrier. These are then placed in a carrier. blood donation camps, compared to 30 in At the receiving station, the carrier comes out into a basket which is then collected by the concerned personnel. The conveying speed of the system is 2.5 - 6.0 m/sec. The obvious advantages of the system, apart from

21 CHARUTAR AROGYA MANDAL

the previous year, were organized across the The Department of Forensic Medicine district and 26 on-site motivation programmes, carried out 298 medicolegal post mortems and with an overall audience of 2458 participants, investigated 16 cases for sexual offences. The were organized to encourage voluntary blood department carried out disability assessment donation. Two programmes ‘Sneh Milan’ were and issued certificates for 26 cases. arranged with organizers of the voluntary blood donation camps to felicitate them, create further awareness and to solicit their support even further, in this activity. Both the meetings were attended by more than 200 individuals and were supported by Gujarat State AIDS Control Society. For the second meeting a documentary film was prepared with messages from doctors on the use of blood and the importance of administering components with messages from the authorities at GSACS. A skit was also performed by our MBBS students. Perhaps what was most The Department of Medicine’s Diabetes heart-rending was three of our thalassaemic Clinic continued to enroll new members. The child patients waving out to the audience clinic attended to 886 patients during the year with the title track of the movie ‘Taare with 115 new patients. Regular education by a Zameen Par’ playing in the background. nurse educator is done at the clinic to create The work carried out by the departments general awareness about the disease and involved in patient care is summarised its complications. It is also conducting two below: projects related to “Diabetic Nephropathy” in coordination with Department of Biosciences, The Department of Chest Medicine Sardar Patel University. The Club provides continued its activities at Sakarpur near free Insulin injections to 10 patients regularly. Khambhat, where there are a number of Currently two research projects are also being Silicosis patients, who require management carried out at the clinic. At the Bhanubhai of their condition. Patel Dialysis Centre, which the department The Department of ENT performed more manages, 977 patients of chronic renal failure than 20 radical cancer surgeries. Of these, and acute renal failure underwent dialysis. 10 surgeries were reconstructions. The Department introduced Endoscopic Dacro The Department of Obstetrics and Cysto Rhinostomy (DCR) this year and Gynaecology maintained its focus on successfully completed 15 endoscopy DCRs. community extension activities and was Five cosmetic nasal surgeries (rhinoplasties) involved in diagnostic camps and training at were performed. In 3 cases of total the Mandal’s extension centres. 195 pregnant laryngectomy, tracheo-oesophageal prosthesis mothers were registered under the Janani was given. An electronic larynx was given Krupa programme of the hospital, which to a patient. One patient was also given offers free delivery if registered during the thyroplasty Voice Surgery. Treatment for a ante-natal period. Of these, 44 women have case of tracheal stenosis is still going on. already delivered.

22 ANNUAL REPORT 2008-09

Department of Ophthalmology of Shree Personality testing and Disability-rating scales Krishna Hospital is now registered with the at reasonable costs. state-level governing body for Eye bank The Department of Skin and Venereal and Corneal Transplantation purposes. The diseases is responsible for counseling department celebrated Eye Donation Fortnight patients of leprosy and their relatives regarding the nature of disease. It also advises regarding care that should be taken to prevent deformities and treatment of deformities. The department runs a free Sexually Transmitted Infections Clinic which is supported by the National AIDS Control Organisation (NACO). Patients are counseled here, given free investigations and treatment for all sexually transmitted infections. Spouse counseling and treatment is also undertaken to prevent spread of Sexually Transmitted Infections and HIV in the society. from 25th August to 8th September 2008, The Department of Surgery’s Endoscopy where awareness about eye donation was Unit offers exclusive diagnostic/therapeutic created. During the year, 12 pairs of eyes facilities in the form of Oesophagoscopy, were donated and so far 9 pairs have been Gastroscopy, Duodenoscopy, colonoscopy, used. sigmoidoscopy and Cysto-urethroscopy. These facilities have resulted in early diagnosis The Department of Orthopaedics witnessed and treatment of many cancer patients. an increase in the number of sports injuries Therapeutic Endoscopy is routinely performed and surgeries in the form of Arthroscopy and for procedures like ERCP, Esophageal also Joint Replacements. Industrial accidents varices sclerotherapy, esophageal dilatation, were managed on a large scale. An in house Polypectomy, Pyloric dilatation, esophageal training workshop for suturing techniques, stenting, PTC, PTBD etc. Superspeciality sepsis and infection control was carried out. services like those of neurosurgeons, The Department of Pharmacology set up pediatric surgeon, onco-surgeons and vascular a Clinical Pharmacology Unit (CPU), with a surgeons are now available for patients, capacity of 4 beds, to conduct studies and round the clock making the trauma care a research on therapeutic drug monitoring. comprehensive care centre. The Unit would enable training of doctors (both undergraduate and postgraduate) in safe, rational and efficacious use of medicines. It is equipped with six instruments to test psychomotor functions in human beings. In keeping with the plans of the hospital to go in for accreditation by NABH, the department has been developing standard treatment guidelines in collaboration with clinical departments. In addition to its routine activities, the Department of Psychiatry started conducting new tests for IQ,

23 CHARUTAR AROGYA MANDAL

The steady growth in the number of 4th anniversary of the Cancer Centre a patients reporting to the KM Patel Institute meeting, ‘New Hope New Dreams’ was of Physiotherapy continued along with organized on 27th August 2008 at Sardar domiciliary services and in-patient admission. Patel Memorial Hall, Karamsad. This year’s A total of 29534 outdoor patients were programme, based on the theme, “Critical treated while as many as 10984 indoor Appraisal of Late Side effects of Treatment patients were given physiotherapy. Around and Precautions to be Taken for Cancer”, 186 patients were received for EMG/NCS. with an emphasis on creation of social During the year, the institute started a 24-hour awareness/groups and mass education service for all the ICUs. This has resulted in campaigns, was attended by 450 participants. much better patient care especially at the What is unique about this programme is the Bhanubhai & Madhuben Patel Cardiac Centre fact that patients who have been treated, and the Surgical ICU. The department has cancer survivors, share their own experience made plans to start separate fitness clinics of having survived the deadly disease and for different segments of population like provide hope and support to patients who Geriatrics, Obesity and Ante-natal / post- are still on treatment. In fact, the stories of natal patients and would follow it through these patients give hope but also make us, in the next year. The Prosthetic and Orthotic the medical fraternity, even more determined clinic of the Institute continued to do well to fight cancer. A Head and Neck Cancer and has seen a steady increase in patient Support Group Meet was organised on 29th attendance. The Institute has procured a state November 2008 at MS Patel Cancer Centre of the art Electrotherapy equipment which followed by the Breast Cancer Support will gives a range of electric stimulation and Group Meet on 27th December 2008 which Ultrasonic treatment and can be used for was attended by 25 participants. The various combination therapies. Yet another Gynaecology Support Group Meet was held addition was a Perineometer which is useful on 31st January 2009 and was attended by for assessment and rehabilitation of post-natal 30 participants. Lymphoma and Leukemia women and incontinent females. Support Group Meet was held on 28th The Institute has started a new out-patient February 2009, which was attended by 30 service at the premises of the Rajchandra participants. In all these meetings while Ashram at Agas which will serve both the patients provided each other support, the inmates of the Ashram as well as people doctors tried to address issues related to in and around the village. The Institute rehabilitation, diet etc. Yet another initiative organized a camp at Agas in November, 2008. was ‘power yoga’ for cancer patients in The Institute also runs a similar out-patient order help the patients cope with the service at the Hospital’s Petlad Centre. disease better.

Manibhai Shivabhai Patel Cancer Centre Bhanubhai & Madhuben Patel Cardiac The consultants at MS Patel Cancer Centre Centre ensure that it continues to stay abreast with The Centre offers complete Diagnostic Cardiac the world’s emerging knowledge base and Care in terms of ECG, TMT, Holter Monitoring pass on the benefit to the cancer patients and Echocardiography and is equipped to of this region, their families and those at handle closed and open-heart surgeries for risk of cancer. This year, the consultants adults and children in addition to coronary focused on organizing support group angiography, angioplasty with stenting, meetings throughout the year. During the valvuloplasty and other therapeutic cath-lab year, there were 793 new registrations. 348 Interventions. While most cardiac centres patients were given Radiation Therapy, 204 thrive on cardio-vascular diseases in the adult were given chemotherapy and 60 patients age group, the Peadiatric Cardiology and were given brachytherapy. To mark the Paediatric Cardiac Surgical work that is being

24 ANNUAL REPORT 2008-09 carried out at the centre, is one of its kind The interest from the funds collected in the not just in Gujarat but in the entire Western Corpus Fund would be used to treat poor and Central part of India. The Centre has a children with Congenital Heart Diseases. modern post-operative Cardiac ICU which The centre plans to start a Homograft Valve is well-equipped for carrying out invasive Bank in the future. The bank will preserve and non-invasive monitoring and ventilation, homograft valves to be used for patients cardiac pacing, bedside Echocardiogram, requiring valve surgeries. The mechanical arterial blood gas analysis led by a team of valves presently used are expensive. With dedicated and highly skilled specialists. The homograft, the cost of the surgery can be Centre is backed by technologically advanced brought down. It is also planned to start and modern imaging facilities, Central Heart Transplant Surgery at the centre in Diagnostic Laboratory and the AD Gorwala the near future with the support of Dr. KM Blood Bank of the Shree Krishna Hospital, Cherian, who is a pioneer in the field. which provide services round the clock. Savitaben and Hirubhai Patel Student In the four months since its inception, the Activity Centre Centre performed 30 surgeries including complex Peadiatric surgeries like Arterial Yoga classes for Cancer patients started Switch Operation (ASO), TAPVC Repair, in December 2008 at the MS Patel Cancer Completion Fontan Procedure and adult Centre under which Yoga and relaxation surgeries like CABGs, valve replacement etc. sessions for the patients of the Cancer Centre About 170 cardiac interventional procedures were also performed.

The Centre organised a cardiac check-up and diagnostic camp in October 2008 at subsidized rates, where a total of 132 patients participated. This was followed by a second one-week cardiac check-up and diagnostic camp in December 2008, in which 120 patients availed services. 8 cath-lab procedures were performed and 10 patients were advised open heart surgeries. were organised twice a week. The Activity The Centre also plans to conduct awareness Centre contributes in patient care of Shree and educational programmes for different Krishna Hospital programme through such sections of society and for doctors. As a part programmes. The programme is based on of this process, a Peadiatric Cardiac CME in available evidence of such training for cancer association with Department of Paediatrics survivors. A Corporate Fitness Programme was held. was organised in January 2009 at Vidya Dairy, In keeping with our Founder Chairman’s Anand. Lecture cum demonstration sessions motto of providing solace to the suffering, the on health, fitness and nutrition for employees Centre has been focusing on raising funds, of Vidya Dairy were undertaken. Practical especially for patients of the paediatric age sessions of group exercise were conducted group. The Centre has launched a unique by the staff of the Activity Centre. The Centre programme “Nurturing Life” and set up a hopes to organize more such programmes in Corpus Fund, “The Hole in the Heart Fund”. the future.

25 CHARUTAR AROGYA MANDAL

Krupa Arogya Suraksha The Krupa team also collects donations to The social security scheme – Krupa support BPL families seeking membership of established in August 2003 in collaboration the scheme by subsidizing the membership with Shree Krishna Arogya Trust, attained a amount. During the year, Krupa received a total membership base of 42994 as on 31st sum of Rs 2,51,000/- from individuals and March 2009. The scheme enrolled 27080 new organizations. members during the period and ensured more Cancer Krupa than 50% renewals. Under the option for the ‘Cancer Krupa’ was announced on 27th August 2008 on the occasion of “New Hope New Dreams Meet” for cancer survivors, to extend the social security scheme even for fatal diseases like Cancer. This would enable members to cover the risk of funding treatment of cancer, which is quite expensive. Under this scheme, a healthy couple can subscribe for the scheme on the payment of only Rs.2400. With this amount, the members become eligible to avail treatment up to an enrollment of school/college going youth, amount of Rs.75,000 which includes early Krupa enrolled more than 6500 students of detection and investigation related charges. Anand Municipal Schools with the support of the President, Anand Municipal Corporation. In addition to its own programmes, the More than 34000 members took the benefit of Mandal’s institutions are also engaged in outdoor services and 3285 patients availed of patient care programmes for which it has the in-patient care at Shree Krishna Hospital collaborated with the Government. These are: during the period. The hospital incurred a total expense of Rs. 40.33 Lakhs on these Chiranjivi Scheme patients. The Mandal was recognized for its work in reducing perinatal morbidity and The Mandal received a donation of Rs 4 lakhs mortality with the award of a Certificate of from Smt. Kusumben Patel, an NRI, based Appreciation for the exemplary work carried at London for the purchase of a Van. The out under the Chiranjivi scheme during the vehicle is used to promote Krupa among year 2007-08 by the Department of Health the rural poor community. Krupa team visits & Family Welfare, Government of Gujarat. different villages every Friday with the help of During the year, 328 mothers were treated the van along with a doctor and medicines. under the scheme, an increase of 13% over While the doctor provides treatment for the previous year. Of these, 167 had normal common ailments, the Field Coordinators of deliveries and 161 caesarean sections were Krupa visit each household to educate them performed. The Mandal’s Shree Krishna about the benefits of enrolling in Krupa. Hospital has extended all its treatment

26 ANNUAL REPORT 2008-09

facilities ranging from Medical ICU to Neo- and underwent sputum diagnosis. There natal ICU services to all those who need were 322 sputum positive cases, 94 sputum it, under the scheme, irrespective of the negative but X-Ray positive cases and 162 cost of the treatment. The treatment cost of cases of extra pulmonary tuberculosis. All Chiranjivi beneficiaries varied from Rs. 2000 were given treatment under the Government’s to more than Rs 2 lakh per beneficiary, with DOTS (Directly Observed Treatment, Short an average expense of Rs. 7193, against course chemotherapy) programme. the reimbursement of Rs 1545 from the Sexually Transmitted Diseases Clinic Government of Gujarat. The hospital spent Compared to 90 patients the previous year, about Rs. 24 lakhs and received Rs.5 lakhs as 558 patients were treated and diagnosed free a re-imbursement, thereby incurring a deficit of cost under the Clinic, which is supported of Rs.19 lakhs. by the National AIDS Control Organization, Integrated Counselling and Testing Centre during the year. Of these, 88 were males and The Centre, which is supported by the 470 were females. Gujarat State AIDS Control Organization, 108 Ambulance Service registered 4347 patients. Of these, 131 cases The Mandal’s collaboration with the were found to be HIV positive. 1899 tests Government of Gujarat on its new initiative were performed on pregnant women as a under the National Rural Health Mission part of the ‘Prevention of Parent-To-Child -the 108 ambulance service is perhaps Transmission’ (PPTCT) programme, while the most important one. Patients brought 2448 tests were performed by the ‘Voluntary to the hospital in the 108 ambulance are Counselling and Testing Centre’ (VCTC). All given primary treatment irrespective of their the patients were given pre-test and post-test economic condition. In the current year, 2503 counselling in accordance with the guidelines patients were brought to the hospital through laid down by the National Aids Control this service, which was an increase of 30% Organization. compared to the previous year. On an average, 210 such patients are treated in a month. Revised National Tuberculosis Control During the year, Rs. 18 lakhs were spent on Programme providing free or concessional services to those During the year, 1149 patients were registered who could not afford the treatment.

27 CHARUTAR AROGYA MANDAL

the management of breast cancer patients. New Equipments Three teaching microscopes with dual heads and Facilities were purchased for teaching post-graduates. A fluorescence microscope and an embedding At A Glance station were acquired for the surgical pathology lab. Department of Anaesthesia A laminar air flow bench was purchased at Anaesthesia machine (ELITE – 615 ) - L & the Microbiology lab. T with ventilator – useful in long surgeries A -40 0 C deep freezer was purchased for having PEEP, especially neurosurgeries, where storage of fresh frozen plasma at the Blood the ventilation rate being constant helps to Bank. control ETCO2 better. It also has facility to give medical quality air on its flow meter KM Patel Institute of Physiotherapy block, useful in neonates and polytrauma Outdoor services were started at Agas patients. Ashram. Central Diagnostic Laboratory & AD A New electrotherapy equipment for COMBO Gorwala Blood Bank treatment and a Perineometer has been A fully-automated Biochemistry analyzer purchased for diagnostic/research purpose. was placed at the Biochemistry Lab, which has contributed towards better accuracy and Medicine reducing turn around time for investigations. Two ventilators were added to the MICU. A chemiluminesence-based equipment was

also placed at the Biochemistry lab, which Obstetrics and Gynaecology enables accurate measurement of a variety of Manual vacuum aspiration facility was hormones, tumor markers, vitamins and drug procured by the department. assays. Partial exchange blood transfusion facility for Immunohistochemistry for ER, PR and c-erb early recovery of very severe anemia cases B2 was started. These markers are useful for was introduced

28 ANNUAL REPORT 2008-09

Ophthalmology Preventive and Social Medicine A Phaco-emulsification equipment was added. Normal delivery facility at Ardi was made available. USG facility has been also made Paediatrics available on a monthly basis. Two Bubble Continuous Positive Airway Reproductive and Child Health care was Pressure machines were installed in the started at Petlad, RHTC. NICU for early non-invasive ventilation in the Two more Satellite Centres near Ardi are NICU to help reduce early respiratory distress functional at Vatav and Bisnoli, where without the use of invasive ventilation. Reproductive and Child Health care is being Neo-puff (T Piece resuscitator) was acquired provided.

for administration of delivery room CPAP. Psychiatry The instrument can also be used to transport A Computerized, 32-channel EEG machine neonatal patients over long distances. was installed. Two additional Photo-therapy machines were A new sensitive Brief Pulse ECT machine has installed in the NICU. Four Radiant Warmers been acquired. were also replaced.

Pharmacology Skin and Venereal Diseases Computerized multi-channel poly-write PUVA chamber with narrow band UVB has for human and animal cardiovascular been installed for the treatment of patients of and respiratory system experiments were vitiligo, psoriasis, photo-dermatitis and many purchased. other dermatoses. HPLC for assessment of various drug levels in Micro-dermabrader, which is a skin polishing the body was added. machine, was added.

29 CHARUTAR AROGYA MANDAL

been extending its reach to more than 500 Community villages for its unique Cancer Awareness, Early Detection and Treatment Programme. Extension To catch the deadly disease early, cancer We would deliver to the community, especially detection camps were organized in June, 2008 in the villages, need-based health programmes at the following centres of the Foundation that lead to improvement in the health including one of the villages covered under standards of all and also contribute to national the extension project. A large number of health care policies and practices, and doing these patients were referred to Shree Krishna so by networking with other institutions having Hospital for further work up. similar mission. Sr. Place Patients Patients Consistent with the task we have set for No. seen referred to ourselves, we focus on the following aspects of SKH community extension: 1 Anand TF centre 61 34 2 Balasinor TF Centre 72 32 1. Ensuring that we envision and implement 3 Kapadvanj TF Centre 280 64 programmes that are based on the needs 4 Tarapur TF Centre 160 45 of the community, 5 Kheda TF Centre 179 71 2. That the programmes are implemented in 6 Rahtalav 39 0 a manner that can be used as an example Every Thursday has been earmarked as by other agencies and organizations, and the cancer detection day at Shree Krishna 3. Look for organizations, including the Hospital. All patients with suspected Government, to collaborate with, so that cancer are referred by the VHWs of the the delivery of our extension programmes Foundation to Shree Krishna Hospital for improves. further diagnosis, to visit the hospital he Mandal’s flagship Cancer on Thursday. These patients are given Awareness, Education and Early concessions for further work up. During Detection Programme is a major the year, over 5,000 such patients were T referred by the VHWs to Shree Krishna initiative undertaken to create awareness on the advantages of early detection of cancer Hospital and were attended to in various and thereby downstage the incidence of departments for further work up. Of the cancer in the villages of Anand and Kheda total patients referred by the VHWs more districts. There are however, other extension than 150 cases were found to be positive activities as well with which the Mandal is at Shree Krishna Hospital. associated. A brief progress report of the Mandal’s extension activities, carried out through its Department of Extension Programmes, follows:

Cancer Awareness, Early Detection and Treatment Programme The Mandal in collaboration with the Tribhuvandas Foundation has

30 ANNUAL REPORT 2008-09

The rate of tobacco related cancers in the young population, being especially high in the region, two educational programmes were organized in the urban slums and one programme was organized at ADIT engineering college, to educate the youth about the hazardous effects of tobacco.

Tobacco Cessation Clinic During the year 400 addicts were enrolled with the Tobacco Cessation Clinic out of which 293 persons were found to be having smokeless habits, 80 persons had smoking Under the Mandal’s pilot, Village Health habits and 27 persons were consuming Workers working in the villages, called Arogya tobacco in both the forms. Those enrolled Sahyoginis, are trained in diverse activities were counseled and provided a placebo to that impact on primary health and have the encourage them to stop the usage of tobacco potential to earn a reasonable remuneration for in any form. At the end of the year, it was them. During the year, all Arogya Sahayoginis observed that there were 15 persons stopped were given such training. The activities consuming tobacco in any form. of Arogya Sahyoginis include home visits, cancer awareness programmes, running a Objectives of the Tobacco Cessation Clinic primary health clinic and referring patients for 1. To spread awareness about the hazards further treatment to Shree Krishna Hospital. A of tobacco among the community, summary of these activities is as follows: industrial workers and college / school No. of Home Visits 1730 children. Total no. of people vis- 3989 2. To detect tobacco related disorders. ited during home visits 3. To provide counseling and necessary No. of patients who 10422 attended Primary treatment for de-addiction. Health Clinics To educate the community about the Amount generated Rs.58581 harmful effects of tobacco, education and from sale of medicine awareness, programmes were organized in Male Female Children Attendees at cancer 10802 15026 6253 6 villages. Awareness and screening camps awareness programmes were also organised in industries with the No. of cancer suspects 282 529 811 help of Departments of ENT and Psychiatry. referred to Shree The screening programme involved Krishna Hospital clinical examination of mouth followed by No of general patients 439 704 1143 counseling. All the suspected cases of cancer referred to Shree were referred to the hospital for further Krishna Hospital workup. Multi-diagnostic Camps Mandal’s Pilot Project for Primary Health For the larger benefits of the community, The Mandal initiated work on its pilot project multi-diagnostic camps were organized in to experiment with a more sustainable model different parts of Anand with the support of primary health in about 25 villages of Anand of the Anand Municipality. Multi-diagnostic district through the Department of Extension camps were organized at the centre with the Programmes. The pilot seeks to explore an objective to introduce to the local community alternative to existing models which have the services of the newly initiated Bhadran a very high cost of supervision and low Extension Centre. Six such camps were remuneration for those working in the villages. organized during the year.

31 CHARUTAR AROGYA MANDAL

Red Ribbon Club The Mandal has signed an MOU to implement Red Ribbon Club (RRC) activities among 35 Colleges of Sardar Patel University with the Gujarat State AIDS Control Society,

physicians visit the clinic every week and examine patients with severe respiratory morbidity from various places. The PTRC volunteers look for suspected patients of silicosis, silicosis tuberculosis and other chronic debilitating respiratory conditions in the area and invite them to attend the Ahmedabad (GSACS). The Red Ribbon clubs clinic. Unambulatory patients are visited by aim at instilling among all the students in the doctors at their homes. Essential and life educational institutions values of service, saving drugs have been provided by Shree develop healthy life styles, and increase Krishna Hospital, free of cost. Patients who access to safe and adequate quantities of attend the clinic for other health problems blood to all who need it, by promotion of are charged Rs. 5 for consultation. Till March regular voluntary blood donation. 2009, More than fourteen hundred new Apart from this, RRC also aims at harnessing patients have benefited from the clinic, out the potential of the youth by providing them of which more than 150 cases were sent with correct information on mental health, for free chest X-ray at Cardiac Care Centre, substance abuse, nutrition and reproductive Khambhat, courtesy Lions Club of Khambhat. health and building their capacities as peer X-rays are reported by radiologists and Chest educators. physicians of PSMC, followed by compilation of lists of silicosis positive cases at the CRS. To initiate the activities under RRC, as Periodically these lists are submitted to PTRC per the guidelines provided by GSACS, for the purposes of assisting the victims in the Department of Extension programmes compensation claims. Till March 2009, CRS organized various training programmes. submitted lists of a total 80 positive cases. Silicosis clinic at Shakarpur – A new Since June 2007, the clinic has reported initiative twenty deaths possibly due to silicosis and its associated co-morbidities. The actual number With a view to documenting evidence of in the community is reportedly much higher. serious morbidity and mortality among agate stone polishing workers of Shakarpur of Khambhat city, an occupational health clinic was launched on 6th June 2007 by a combined team comprising of staff from Community Medicine, TB & Chest department of Pramukhswami Medical College. The Peoples Training and Research Centre(PTRC), Vadodara, an NGO working for the rights of workers, made available their premises at Shakarpur and staff to run the clinic. Chest

32 ANNUAL REPORT 2008-09

trust engaged in health care and medical Research education, but also as a research promotion body, a group, ‘Central Research Services’ Conduct innovative and interdisciplinary (CRS) was established. Sufficient dedicated research relevant to the community striving staff has been recruited/relocated to the new always to improving health standards and group for smooth functioning and fulfilling practices. the objectives set out. In line with the above, the Mandal has The idea was mooted after the workshop been making efforts not only to encourage conducted on research methods in March its faculty to undertake research, but also 2008 when the participating faculty expressed inculcate the spirit of research amongst its the need for such a body. The ‘concept students. note’ and the ‘vision and mission statement’ Central Research Services were developed subsequently and the formal proposal for CRS was presented and Over the past few years, while a substantial approved during the Retreat in January 2009. amount of progress has been made in The CRS started functioning immediately medical education and patient care, research thereafter and is in the process of finalizing has been recognized as an area where there the protocols for the thrust areas viz. Capacity is still a long way to go. Having recognized building, Project development, Evaluation and this, the faculty itself has been expressing the monitoring and communication. need for professional support in conducting research within the institution. The Charutar During the year, the following research Arogya Mandal Medical Research Society projects were completed by various has been approving proposals and has department: been operating as an in-house funding Central Research Services agency for medical research over the years. Every department has been making its • “Chikki Project”, a nutritional own contribution in promoting contextual supplementation programme for rural and need based research work in the field women from Anand district attending of health and medical care. There has, antenatal clinic at Shree Krishna Hospital, however, been a lack of organized support Karamsad. a report on the same has been especially in terms of capacity building, submitted to Charutar Arogya Mandal, project implementation and evaluation as also Karamsad. funding. In order to provide such support • “Clinical Profile of Symptomatic Silicosis under the aegis of the Charutar Arogya Patients”. Mandal (CAM) not only as a charitable • A report on the same has been written down but has not yet been sent for publication. • Gave feedback to CAM on the report submitted by United Survey Research Organization, Vadodara on the ‘Cancer Awareness Project’ funded Sir Ratan TATA Trust. • The CRS is also engaged in doing several research projects related to epidemiology and survival of patients at Shakarpur, duely approved by the Human Research Ethics Committee.

33 CHARUTAR AROGYA MANDAL

Forensic Medicine Status with Blood Pressure in Gujarati • “Forensic Histopathology: Bane or a Adolescents” by Principal Investigator: Boon?” by Principle Investigator: |Mr. Ayush P Motwani; Co-investigator: Dr. CB Jani; Co-Investigators: Sanjay Dr. SK Singh Gupta, Monica Gupta, Keyuri Patel, • “Association of Fat Mass Index with Blood Menka Shah Pressure in Gujarati Adolescents” by Medicine Principal Investigator: Ms. Aditi Chhonkar; Co-investigator: Dr. Wasim A.Shaikh • “Effect of Educational Intervention on Accuracy of Death Certificates in a Skin and Venereal Diseases Teaching Hospital” by Dr. Himanshu • “Skin Diseases in School Going Children” Pandya, Dr. Neeta Bose and Dr. Nayanjeet by Dr. Rita Vora. Chaudhury, Dr. Ripal Shah and Mr. Ajay Phatak During the year, the following research Obstetrics and Gynecology activities were initiated or were ongoing: • “Sentinel Survey For HIV Prevalence Anaesthesiology Among Antenatal Women – Unlinked • “A Study of Patient Controlled Epidural Anonymous” Fentanyl V/S Continuous Epidural This survey is undertaken by Obstetrics Fentanyl Infusion For Post-Operative and Gynaecology and Microbiology Analgesia” by Dr. Hemlata Kamat, departments together. The project is Dr. Neeta Bose being supported by Gujarat State Aids Control Society of National Aids Control Anatomy Organisation. • “A Study of Motor Columns of Human Fetal Spinal Cord ” by Dr. Rohini V Paediatrics Routal • “Known Risk Factors For Life Style • “Developmental Study of Nucleus Diseases Among Adolescents” by Principal Investigator: Dr. Nikhil Kharod; Co- Ambiguus” by Dr. Rohini V Routal Investigators: Dr. Dipen Patel and Central Research Services Dr. Keshar Gadhavi. This project is a part • A project on simplifying statistics for of a multi-centric study being coordinated medical undergraduates has been by the Child Development Centre and undertaken by Ms. Jaishree Ganjiwale. University of Kerala, Thiruvanthapuram and was completed in five months. • A school health project to assess the • “Correlation of Risk Score on Admission problem of malnutrition in school going to PICU to Parental/Guardian children. In the first phase, children Understanding of the Prognosis of the from 4 rural schools were screened Patient” by Dr. Somashekar Nimbalkar for malnutrition. The results indicated and Dr. Dipen Patel high prevalence of under-nutrition in Pharmacology school going children emphasizing the • “Assessment of Knowledge on Bioethics need to investigate the determinants of in Medical Students and Teaching Staffs undernutrition to develop a sustainable and Their Perception of Bioethics as a solution. Subject” by Dr. Barna Ganguly. This was • A body composition survey of newly a six months project supported Indian detected diabetic patients visiting diabetic council for Medical Research. clinic at the Hospital. Physiology • Tele-medicine case series study in • “Association of Physical Activity Balasinor.

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• Started ground work for an obesity clinic Paediatrics in collaboration with medicine department • “Determine the Co-Relation of the with a view to conducting intervention Number of Hours of Kangaroo Mother trials on obesity. Care Received in the Hospital to the Daily Duration of Kangaroo Mother ENT Care Received At Home.” by Dr. Kesar • “Patterns of Care and Survival Studies – Gadhavi, Dr. Somashekhar Nimbalkar, Head and Neck Cancers” by Dr. Girish Dr. Archana Nimbalkar, Miss Wasea Mishra • “Screening For Post Partum Maternal Forensic Medicine Depression.” by Dr. Kesar Gadhavi, • “Diatoms” by Dr. C. B. Jani Dr. Somashekhar Nimbalkar, Dr. Shashi Vani, Miss Himadri, Dr. Nitin Raithata • “Retrospective Study of RTA Cases” by Dr. Sanjay Gupta • “Kangaroo Mother Care (KMC) - Utility and Feasibility For Home Based Newborn Medicine Care in Rural Areas.” by Dr. Somashekhar • “Parallel Clinical Evaluation of Patients Nimbalkar, Dr. Nikhil Kharod, Dr. Sunil According to Principles of Modern Daru, Dr. Nayanjeet Chaudhary Medicine, Ayurveda and Homeopathy” by • “Community Based Kangaroo Mother Care Dr. Bhalendu Vaishnav, Dr. Sanket Sheth, For Low Birth Weight Babies Delivered Dr. S.N.Gupta, Dr. Jagruti Bhatt, At Home a Pilot Study” by Dr. Shashi Dr. Pankaj Trivedi Vani, Dr. Nikhil Kharod, Dr. Somashekhar Nimbalkar Microbiology • “Kangaroo Mother Care in Decreasing • “Study on Extended Spectrum Pain in Preterm Neonates on Heel Prick” B-Lactamase” (Ph.D. Project) by by Dr. Somashekhar Nimbalkar, Dr. Neha Dr. Suman Singh, Dr. Sunil Trivedi and Chaudhary Dr. HH Agravat. • “Effect of Kangaroo Mother Care on • “Drug Resistance Among Tuberculosis Preterm Babies on Continuous Positive Patients” (Ph.D. Project) by Dr. Sunil Airway Pressure” by Dr. Somashekhar Trivedi, Mrs. Mudita Paliwal and Nimbalkar, Dr. Rahul Tandon Dr. H H Agravat. • “Microbiology and Epidemiology Study Physiology of Pseudomonas Aeruginosa with Special • “Life Style, Body Composition and Emphasis on Nosocomial Infections” Cardiovascular Profile in Gujarati (Ph.D. Project) by Dr. Yagnesh Pandya, Adolescent Population (Ph. D. Project)” Dr. Sunil Trivedi and Dr. H H Agravat. by Dr. Wasim A. Shaikh and Dr. SK Singh • “Seroprevalence Study For Human • “Association of Body Fat Percentage Brucellosis” (In collaboration with Indian and Blood Glucose Level in the Gujarati Immunological Ltd. Hyderabad) by Ethnic Adolescents (Ph. D. Project)” by Dr. Sunil Trivedi, Dr. Suman Singh and Dr. Minal Patel and Dr. SK Singh Dr. F. Mukharjee. • “Blood Pressure Profile of Gujarati Ethnic Obstetrics and Gynecology School Going Children and Adolescents (Ph. D. Project)” by Dr. Vivek Verma and • “A Prospective Study of Effect of Color Dr. SK Singh Doppler in Prediction of Fetal Outcome in High Risk Pregnancy” by Principal Preventive and Social Medicine Investigator: Dr. Smruti Vaishnav, and Co- • “Health Seeking Behavior and Reasons Investigators: Dr. Nipa Modi and Dr. Swati For Delay in Diagnosis of Tuberculogis Patel. Patients” by Principal Investigator:

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HREC and the investigators were assisted in modifying the proposals. The following projects were approved by the Human Research Ethics Committee: Obstetrics and Gynaecology • “Study Clinical Profile of Indian Polycystic Ovarian Syndrome in Women attending the Gynaecology Opd at Shree Krishna Hospital, Karamsad” by Dr. Maitri Patel, Dr. S.B. Vaishnav, Dr. Chetna Vyas and Dr. Nipa Modi. Dr. Donald Christian; Co-Investigators: Paediatrics Dr. S Mukherjee, Dr. Uday Shankar Singh and Dr. Deepak Sharma. • “Prevalence and Classification of Epilepsy Among Hospital Patients” by Principal Psychiatry investigator: Dr. Lopa Dalal; • “A Study of Prevalence and Risk Factors Co-Investigators: Dr. Vijay & Dr. Devarshi of Delirium in Referred Patients From Various Departments of SKH” by Principal Physiology Investigator: Dr. Himanshu Sharma and • “Effect of Undergraduate Medical Students’ Co-Investigator: Dr. Nimisha Desai Seminars on Learning” by Dr. Vivek Verma, Dr. Hasmukh Shah, Dr. Minal C. TB and Chest Patel, Dr. Wasim A. Shaikh and Dr. SK • “Pulmonary Function in Silicosis Patient” Singh. by Dr. Rajiv Paliwal Preventive and Social Medicine Human Research Ethics Committee • “Acquiring Knowledge, Develop (HREC) Understanding of Village Life and Health During the year the HREC held 4 full- Care Practices Students During a Village committee meetings and 1 sub-committee Stay Program in a Medical College” by meeting (Sub-committee of HREC has been Dr. Uday Shankar Singh, Dr. Dinesh constituted for reviewing the projects related Bhanderi, Dr. Nayanjeet Chaudhuri, to postgraduate dissertation work for smooth Dr. Tushar Patel, Dr. Deepak Sharma and functioning of HREC) and reviewed 107 Ms. Jaishree Ganjiwale. proposals. So far 25 such meetings have been held since the inception of the Committee. • “A Profile of Road Traffic Injury Victims, Injury Impacts and Outcome; in Anand Of the 107 proposals, 68 proposals were Taluka” by Dr. Deepak Sharma and related to Post Graduate dissertation work Dr. Uday Shankar Singh. of Medical, Physiotherapy and MSc. MLT courses, 34 proposals were research projects Ongoing Projects (including 2 clinical trials) taken up by faculty Anatomy members. There was an interim expedited • “Introduction of Case Based Learning review session of 5 proposals related to For Teaching Anatomy in a Conventional short term studentship research projects for Medical School” by Dr. Praveen R Singh. undergraduate students funded by the ICMR. • “Dermatoglyphics in Rheumatic Heart In order to streamline the methodology of the Disease” by Dr. Praveen R Singh. projects two members of CRS, were invited as members of the subcommittee of HREC Dentistry for review of dissertation proposals by PG • “Epidemiology of Dental Problems At students. 33 new proposals were reviewed for Agas” by Dr. Nikita Goyal

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ENT Chaudhari, Dr. Neena Doshi and • “Role of O.A.E in Early Detection of Dr. Munira Jhabuwala Hearing Loss in Children of Age Less • “Study of Haematological Parameters in Than 2 Years” by Dr. Girish Mishra and Malaria in 2008” by Principal Investigator: Dr. Yojana Sharma Dr. Sanjay Chaudhari; Co-Investigators: • “Tobacco Cessation Clinic” by Dr. Girish Dr. Keyuri Patel, Dr. Neena Doshi, Mishra Dr. Trupti Joshi and Dr. Menka Shah Ophthalmology • “Baseline Cd4+T Cell Counts in India • “Efficacy & Safety of Topical Chloroquine Population” by Principal Investigator: (0.03%) in Patients with Dry Eye Dr. Monica Gupta; Co-Investigators: Syndrome” Dr. Neena Doshi, Dr. Faruq Mulla, Principal Investigator: Mrs Ankita Bhavsar; Dr. Menka Shah and Dr. Sunil Trivedi Co Investigator Dr. SG Bhavsar; Phd • “Comparison of the Utility and the Role of Guide: Frozen Section and Cytological Evaluation Dr. Sunita Jain (LM College of Pharmacy) in the Intra- Operative Management of Pathology Head and Neck and Breast Lesions” by • “Review of Autopsy Findings to Establish Principal Investigator: Dr. Monica Gupta; Presence of Coronary Atherosclerosis At Co-Investigators: Dr. Neena Doshi, Dr. Kirti Shree Krishna Hospital, Karamsad – a Rathod, Dr. Menka Shah, Dr. S Shrivastav, Post Mortem Study in 2008” by Principal Dr. Vipul Yagnik, Dr. Jignesh Rathod and Investigator: Dr. Keyuri Patel; Co- Dr. Hiren Soni Investigators: Dr. Menka Shah, Dr. Sanjay Pharmacology • “Evaluation of Impact of Oral Phenylpropanolamine and Related Agents on Blood Pressure in Our Population” by Dr. Anuradha Joshi and Dr. Bharat Gajjar. • “Study of Antibiotic Drugs Utilization Pattern in Patients Admitted to Medical and Surgical Iccus of Shree Krishna Hospital, Karamsad” (Under the aegis of Hospital Pharmacy Committee) by Dr. BR Sainath Iyer, Dr. Bharat Gajjar, Dr. Nazima Mirza and Dr. Nilesh Patel • “A Study of Utilization of, Traditional, Complementary and Alternative Medicine in Shree Krishna Hospital and Medical Research Centre” by Dr. Alpa Gor, Dr. Nazima Mirza and Dr. BR Sainath Iyer

Radio Diagnosis • “Role of Proton(H1) Spectroscopy & T2 Relaxometry in Neuro-Imaging” by Principal Investigator: Dr. Deepak K Mehta; Co-Investigators: Dr. C Raychaudhari, Dr. Diva S Shah, Dr. Viral B Patel, Dr. Parul J Thakkar, Dr. Mihir P Dave.

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Petlad etc. The group will also be monitoring Support Services transactions related to insurance coverage and claims, co-ordination for purchase of We would work towards a work culture library journals and certification for annual that promotes a sense of belonging and maintenance services. accountability, leading to overall growth and development, both of individuals and The group has also initiated action for the institution, maximizing job satisfaction innovative modifications in the existing through job enrichment. financial accounting system, with the help of the Systems group for effective costing Much of the employee satisfaction and job and budgeting. Adoption of technology for enrichment depends on the efforts of the e-payment to vendors is also in progress. Support Groups. To achieve these objectives, the support services groups strive to: Dietary Services 1. Ensure that the departments carrying out On an average, about 1161 patients are line functions are supported with optimum given diet counseling by the Dietician every response time, month which includes out-patient and in- 2. That their services are recognized as staff- patient counseling. During the year 2,84,515 friendly, and diets were provided to the inpatients of 3. That avenues and opportunities are the hospital. Additionally, 9478 Ryles Tube created to enhance a sense of ownership feeds and oral liquids were provided. A new among employees. scheme was launched to provide lunch and dinner to staff and patients’ relatives at a he major activities of the Support nominal price of Rs. 10 per meal. The meals Services Groups during the year were: have become extremely popular – as many as T 18,281 individuals have benefited from these meals. For the benefit of cancer patients, Accounts wheat grass juice is being provided from In order to make the services more patient January 2009 - so far around 938 patients friendly multiple cash counters have been have benefited. The Surgical and Medical placed at various location within the hospital intermediate wards are also provided special building to facilitate “Any where billing” for diets. The patients in ICUs and deluxe rooms OPD services. are now provided food in hot cases so that A special group has been set up to ensure patients can now enjoy their meals at their better monitoring of financial transactions convenience, if their medical condition so and inventories at the sub-centres of the permits. The Dietary Services do their best hospital at locations like Anand, Bhadran, to ensure that patients do not miss home and take part in the celebrations by serving traditional food on occasions like Diwali, New Year, Id, Christmas, Janmastami, Dhuleti, Shivratri, Dussera, Sharat Poonam, Uttrayan, Independence Day, and Republic Day. The department has also started a one year course on “Clinical Dietician” the eligibility for which is B.Sc. Foods and Nutrition/ Food Science and Quality Control. B.Sc. and M.Sc. Nutrition students are being trained on clinical diet pattern and hospital dietary services. The department organised Nutrition Week from 1st-5th September 2009. An exhibition

38 ANNUAL REPORT 2008-09 on Diabetic Diet, Demonstration on Food Adulteration, Survey on Food Habits among Hospital Staff and Awareness on Anemia were organized. 198 persons participated in these celebrations. Maintenance In addition to routine up-keep and maintenance of the Mechanical/Refrigeration, Electrical, Bio-medical and Electronics equipments, the highlight of the year was the department’s role in providing engineering support to the Cardiac Centre Project. The department also provided support to the Project Group for renovation of Radiology and other OPD areas. The department was also instrumental in providing Central Compressed Air to the different ICUs to facilitate use of latest ventilators and in the OTs for pneumatic tools, which is in final stage. Augmentation of electrical sub- station to meet the additional power needs of the hospital is another milestone for the department during the year. for medicines available in the “Hospital A 700-line digital EPABX was installed during Formulary” for the benefit of clinicians. the year to meet the increased requirement. 4. About 1500 surgical items are included in Materials Management the Medical Stores for Cardiac unit. The function of the Department is to procure 5. During the year, a Central Receiving and supply right quality and quantity of Stores has been introduced which has material from the right source at the most resulted to reduction of internal lead time effective rates at the required time. The key by speedy clearance and acceptance of activities of the department for the year 2008- incoming material. 09 are as follows: Medical Records 1. Nearly 5800 purchase orders, amounting International Statistical Classification of Dis- to approximately Rs.10.25 crores, were eases (ICD) was introduced at the depart- released and approximately 33000 items ment from August 2008 and the pending ICD (excluding Capital items) were ordered. coding of the year 2008 was completed. ICD Though the items being purchased nearly coding is now a mandatory requirement of doubled, this was achieved without any the Medical Council of India (MCI). Policies additional manpower. and protocols are made for medical records 2. About 100 Annual Rate contracts/Annual department as per the standards laid down by Maintenance contracts were finalized. National Accreditation Board Hospital (NABH) 3. In addition to generic medicines, branded standards. Old MLC records are now being products have been added to the hospital filed separately as per the NABH standards. formulary, to suit the needs of the The MRD has started providing sonography patients and the clinicians. A total of reports of pregnant women to district health 1800 medicines are now available in the office as per the PNDT act and is also Hospital formulary. A ready reckoner- providing various kinds of statistical reports to type pocket book has been released the management in time.

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The department provided logistical support for Retreats as well as in arranging a training programme for faculty members at Institute of Rural Management, Anand.

During the year, the department worked on the revision of the pay structure to match the pay structure of the Government’s VI Pay Commission. The pay was revised with effect from 1st January 2006 and the new pay was implemented from 1st January 2009. The arrears The department hopes to introduce ICP-9 would be paid to the staff in coding, which, once achieved, will make our instalments. hospital the first hospital in Gujarat to do so. P & A Group continued to provide support to other departments for organizing various Projects activities including general administrative Completion of the Bhanubhai and Madhuben support for transport, security, maintaining Patel Cardiac Centre was the major residential facilities, housekeeping, estate achievement for the Projects group. The management etc. and handling legal matters centre, which has been built over an area of and facilitating recruitment and personnel 46, 000 sq. ft was completed in a period of management. The department was also 18 months. Another important activity was engaged in ensuring that the meetings of the extension of the substation which was Governing Body, Governing Council and completed during the year. The other major General Body of Mandal were conducted activities of the group are as follows: regularly. 1. Car parking areas. Marketing 2. New drainage pumping station. 3. A Lounge for patients who come for The Marketing department at Shree Krishna health check ups. Hospital, Karamsad, came into existence in January 2009. The need for marketing the 4. Renovation of Radiology Department. services offered by the hospital was felt not 5. Room Renovation at PG Hostel. for financial gains but for the realization that 6. OPD Renovation and Dado tiles in OPD many, even in the vicinity of the hospital, areas. were not aware of the quality services that are offered at affordable charges by the Personnel and Administration hospital. The hospital is known to the local This year, the department was busy with population as a charitable trust hospital many new recruitments for different cadres, which caters largely to the poor and rural due largely to the opening of the Bhanubhai community. A need was felt to change this and Madhuben Cardiac Centre, opening mindset of the local community and the of new extension centres at Agriculture people of Gujarat. The hospital has now University, Bhadran and Agas, addition of been offering super-speciality services like new facilities such as Hello Health, as also to Cardiology, Oncology, Joint Replacement the formation of the new operational structure Surgeries and also has well-equipped of the Shree Krishna Hospital – The Verticals. diagnostic services.

40 ANNUAL REPORT 2008-09

The department facilitates tie-ups with Anand Agriculture University. patients (inpatient and outpatient), individuals Major highlights of software enhancements and institutions for health check-up and credit during the year include – introducing the client servicing. This involves maintaining feature of blood component in the blood existing tie-ups, renewing contracts and bank module, interfacing laboratory reporting maintaining communication channels with module with KX-21 (cell counter) instrument, existing clients. In order to create awareness computerization of Histopathology laboratory about the services of the hospital, the reports, introducing full-fledged employee department organizes conferences, seminars, information system and development of unique workshops, exhibitions, etc both within the MIS reports for hospital management needs. hospital premises and at venues other than the hospital. The department is involved from In order to remove the inhibitions of the organization to logistics and implementation nursing staff and to ensure that they learn of a given event and engages in brand to use the HMS to the best extent possible, enhancement through brochures, patient the group conducted theory and practical information material and camps. sessions and examinations for the course “Computer Applications in Nursing” as a Systems part of the curriculum of Nursing School. During the year, the Systems Group An in-house training programme on “Red implemented policies for users and user Hat Enterprise Linux System Essentials, groups to control internet access and System Administration, Network Security and bandwidth usage through Cyberoam web- Services” was organized to further strengthen based console successfully. At present, the and enhance technical skills in this area for Group has registered about 997 users and the Systems Group’s technical team. This categorized them into five different user training ran twice a week from July 2008 to group(s) viz. hospital, college, student, December 2008. resident and home-user for monitoring and managing internet usage smoothly. All An open source mail server solution using Clinical and Non-Clinical departments of post fix (SMTP and MTA), which is one of Pramukhswami Medical College are linked to the best mail technologies not only in open the Internet via Wireless connectivity. Internet source but in the world, has been selected, bandwidth has been upgraded from 1 MBPS configured, and implemented for about 1195 to 2 MBPS thereby catering to the increasing mail box users including all hospital (both needs and demands of the Charutar paramedical and non-paramedical) staff Arogya Mandal (CAM) user community. members, college (both teaching and non- teaching) staff members, doctors, residents For the recently commissioned Bhanubhai and students. and Madhuben Patel Cardiac Centre, the Systems Group rolled out a state-of-the-art Besides sustaining existing varied network infrastructure setup, telemedicine infrastructure setup and providing technical setup, systems hardware setup (desktop support plus solutions to the ongoing systems, thin clients, dot matrix printers activities of HM Patel Centre for Medical Care and laser printers) and implemented web- and Education, the Systems Group is actively based Hospital Management Software (HMS) engaged in designing, developing, and application successfully. During the year, implementing an in-house software solution(s) HMS application was successfully migrated in the field of patient care, education and from DOS based platform to web-based Linux research using the robust TCP/IP network platform for the Shree Krishna Health Centre protocol, reliable Linux server operating at the Mayank Jayant Foundation, Anand. A system, dependable MySQL database, proven web-based HMS application was successfully Apache web server with PHP and light-weight introduced at the new extension center at browser user interface.

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Sevagram MGIMS, Wardha and Dr. Himanshu Human Resource Pandya. The workshop was facilitated by Dr. Pravin R Singh, Dr. Uday Shankar and Dr. Vivek Development Verma and was attended by 31 faculty members from various departments.

Activities Other Programmes attended by various faculty at various levels is given below: n keeping with our emphasis on continual improvement, especially in the context of Institutional/Regional Iteaching and research, following faculty Anatomy: development activities were organised: Dr. Praveen R Singh is undergoing a short term An in-house workshop on “Art of Lecturing and Certificate Course in “Practice of Ayurveda” at Effective Presentation” was organised by Medical the College since March, 2008. He also attended Education Unit on 30th March, 2009. Dr. Himanshu workshop organised by the Radiology Department Pandya and Dr. Sunil Trivedi were the faculty for on “ Silicosis and Radiology” on 22nd June 2008. the workshop. It was facilitated by Dr. Praveen R Singh and Dr. Suman Singh. 40 faculty members Central Research Services: from various departments attended the workshop. Dhara Antani and Jaishree Ganjiwale joined a certificate course in SPSS (A statistical analysis A workshop on “Integrated Teaching Learning software) in February, 2009. Programme in Undergraduate Medical Education: An Indian Perspective” was Jaishree Ganjiwale attended a workshop of organised by Medical Education Unit, as a part Fellowship for Advancement of International of MCI Platinum Jubilee Celebration, at HM Medical Education and Research 2009 for 7 days at Patel Centre for Medical Care and Education, Ludhiana in January, 2009. Karamsad on 7th February, 2009. The faculty for Dr. Nayanjeet Chaoudhury attended “Integrated the workshop included: Dr. DK Srinivas, Dean Management of Childhood and Neonatal Illnesses”, (Retired) Jawaharlal Institute of Postgraduate a WHO promoted training managed by Gujarat Medical Education and Research, Pondicherry; Dr. Government, at Karamsad from 21st April, to Krishna Sheshadri, Sri Ramchandra Medical College, 28th April, 2008. He also attended a “A two day Chennai; Dr. Himanshu Pandya, Pramukhswami Essential Newborn Care” workshop at the College Medical College, Karamsad and Dr. Rashmi Vyas, on 29th and 30th April, 2008. CMC, Vellore. This was attended by 46 faculty General Medicine: members from various departments. Dr. Himanshu Pandya attended Good Clinical A Management Appreciation Programme was Practice Training at Muljibhai Patel Urological organised at the Institute of Rural Management, Hospital (MPUH), Nadiad, on 15th March, 2009. Anand from 27th to 29th January, 2009. It was He also attended workshop on “Evaluation attended by the Vertical Heads and selected faculty Methodology” and delivered a lecture on “Mini members from various departments. Clinical Evaluation Exercise (mini-CEX)” at An in-house workshop on “Microteaching” was Government Medical College, Bhavnagar, on jointly organised by the Medical Education Unit November, 29, 2008. and PG Academic Cell on 20th November, 2008. Microbiology Dr. Himanshu Pandya was the course coordinator and faculty for the workshop. The workshop was Dr. Suman Singh attended workshop on “Radiology facilitated by Drs. Jyoti Mannari, Raksha Bhatt and and Silicosis” at Pramukhswami Medical College, Sunil Trivedi. 28 faculty members from various Karamsad on 22nd June, 2008. departments attended the workshop. Paediatrics An in-house workshop on “Objective Structure Dr. Lopa Dalal attended workshop on “Problem Practical Examination and Objective Structured Solving in Paediatric Infectious Disease” at Anand Clinical Examination” was organised by the in May, 2008. Medical Education Unit on 21st October, 2008. The workshop was coordinated by Dr. Himanshu Pathology Pandya. The faculty included Dr. Ramji Singh, Drs. Menka Shah, Keyuri Patel, Monica Gupta,

42 ANNUAL REPORT 2008-09

Sanjay Chaudhari, Neena Doshi, Trupti Joshi, at HM Patel Academic Centre from 5th to 7th May, Faruq Mulla, Munira Jhabuawala and Kalpesh 2008. Shah attended an in-house training on “Usages of Dr. Deepak Sharma attended Mamta Diwas/Routine Various Online Journals Search in our Institute, Immunization, a state level review workshop and including Subscribed Journals” on 20th February, preparation of district Project Implementation Plan 2009. (PIP) for healthcare-2009 -2010 at Vadodara on Drs. Menka Shah, Keyuri Patel, Monica Gupta, 5th and 6th January, 2009. He also attended the Sanjay Chaudhari, Neena Doshi, Trupti Joshi training programme on “Integrated Management and Faruq Mulla attended guest lecture on of Neonatal and Childhood Illness” - Training of “Hospital Acquired Infection, Methicillin Resistant Trainers at Government Medical College, Surat Staphylococus Aureus (MRSA)” by Dr. Hemant C from 8th to 17th September, 2008, and Integrated Vaidya from California, USA on 16th February, 2009. Management of Neonatal and Childhood Illness Drs. Monica Gupta, Keyuri Patel, Neena Doshi training for medical officers at HM Patel Academic st th and Sanjay Chaudhari attended a Lecture on Centre from 21 - 30 April, 2008. “Diagnostic Electron Microscopy” by Dr. Pushpa Dr. Shyamsundar attended training on “Integrated Vishwanathan, Professor Department of EM, Cancer Management of Neonatal and Childhood Illnesses” Institute, Chennai at Sophisticated Instrumentation at the campus in September, 2008. The Training Centre for Applied Research and Testing (SICART), was based on the modules designed by World Vallabh Vidyanagar on 9th February, 2009. health Organisation (WHO) and United Nations Children’s Fund (UNICEF), implemented all over Pharmacology the world. He also attended workshop as on Drs. Bharat Gajjar, Anuradha Joshi and Alpa Gor “X-Ray Diagnosis of Pneumoconiosis based on ILO are undergoing a Certificate Course on “Basic (International Labor Organization) Classification” at Principles of Ayurveda” since 24th May, 2008. the campus on 22nd June, 2008.

Physiology State Drs. Ashok R Nair and Archana Nimbalkar attended Anatomy “Paediatric Cardiology CME” on the campus on 28th Dr. Praveen R Singh attended hands-on CME- February, 2009. workshop on “Objective Structured Clinical Preventive and Social Medicine Examination and Objective Structure Practical Dr. Dinesh Bhanderi attended training for Examination as a Tool for Evaluation” supported teachers, who are Red Ribbon Club incharge of by Medical Council of India at NHL Medical College, Ahmedabad on 17th September, 2008. their respective colleges, on healthy life style, He also attended a workshop on “Embalming sex, sexuality, and substance abuse as a resource Techniques” at NHL Municipal Medical College, person organized by Gujarat AIDS Control Society Ahmedabad on 22nd February, 2009. at our campus on 12th February, 2009. He was also a resource person for HIV/AIDS training General Medicine programme for health supervisors at Tribhuvandas Dr. Sanket Sheth attended workshop on “DOTS Foundation organized by Anand network of people Plus therapy for Tuberculosis” organised by living with HIV/AIDs and Gujarat State AIDS Government of Gujarat at Civil Hospital, Control Society on 7th February, 2009. He facilitated Ahmedabad on 26th September, 2008 . workshop on “Problem Solving for Better Health” at Pramukhswami Medical College, Karamsad on Microbiology th th 28 and 29 July, 2008. Drs. Sunil Trivedi, Suman Singh, Yagnesh Pandya Dr. Nila Nanavati attended Training of Trainers on and Rupal Patel attended conference of Indian Integrated Management of Neonatal and Childhood Association of Medical Microbiologist Gujarat Illness Under Reproductive and Child Health – Chapter organised by Department of Microbiology Phase -2 at Government Medical College, Surat at NHL Medical College, Ahmedabad on 21st from 28th January to 6th February, 2009. She also December, 2008. attended Training on “Supervision in Integrated Dr. Suman Singh attended a workshop on Management of Neonatal and Childhood Illness” “Objective Structured Clinical Examination and under Reproductive and Child Health – Phase 2 Objective Structure Practical Examination as Tool

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for Evaluation” at NHL Municipal Medical College, Dr. Menka Shah chaired the “Pre-final Round 2 of Ahmedabad on 17th September, 2008. Gujarat State Inter – Medical College Physiology Dr. Rupal Patel attended Training of Trainers for Quiz Competition 2008” held at Pramukhswami Regional Resource Team/Supportive Supervision Medical College, Karamsad on 27th April, 2008. Team on “Sexually Transmitted Infections/ Pharmacology Reproductive Tract Infection Services Under Drs. Bharat Gajjar, Nazima Mirza, Nilesh Patel National HIV/AIDS Control Project” organised by attended Clinical Cardiology Workshop organised Gujarat State AIDS Control Society at Ahmedabad by Gujarat State Family Physicians’ Forum (GSFPF), from 30th July to 1st August, 2008. Cardio-Vascular Health Foundation (CVHF) and Obstetrics and Gynaecology Apollo Hospital at Ahmedabad on 18th May, 2008.

Dr. LN Chauhan attended workshop as a speaker Preventive and Social Medicine on “Obstetric Hysterectomy” in Vadodara on 1st Dr. Donald Christian attended Workshop on March, 2009. “Qualitative Research Methods for Health Dr. Nitin Raithatha attended “Assessors Course for Professionals” at Indian Institute of Public Health, National Accreditation Board for Hospitals and Gandhinagar from 27th to 29th March, 2009. Healthcare Providers” by Quality Council of India Dr. Shyamsunder attended the pre-conference at Gandhinagar Info-City from 26th–30th April, 2008. workshop and annual conference of Indian Ophthalmology Association of Preventive and Social Medicine Dr. Harsha Jani attended Phaco workshop at (IAPSM) Gujarat Chapter on “Medical Education Ahmedabad on 6th and 7th September, 2008. and Health Insurance at CU Shah Medical College, Surendranagar on 18th and 19th December, 2008. Paediatrics Dr. Somashekhar Nimbalkar was course director Dr. Uday Shankar attended Training of Trainers for and faculty for “Paediatrics Advanced Life Support “Regional Resource Team/Supportive Supervision Course” on the campus on 26th and 27th July Team on Sexually Transmitted Infections / 2008, and a for a similar course at VS Hospital, Reproductive Tract Infections Services” under Ahmedabad on 14th and 15th February, 2009. He National AIDS Control programme-III” organized was also faculty for “Golden Hour Emergency by Gujarat State AIDS Control Society, Ahmedabad Medicine Course” at Jamnagar from 13th and 14th from 30th July to 1st August, 2008. December, 2008, and attended “Regional Science Psychiatry of Vaccinology Training programme” as District Trainer at Surat on 6th and 7th September, 2008. Dr. Himanshu Sharma attended “Clinical Neuroscience Workshop” at VS Hospital, Dr. Nimbalkar attended workshop on “Public Ahmedabad on 2nd and 3rd February, 2008. Private Partnership in Neonatal Care” organized by UNICEF (The United Nations Children’s Fund) at Radiodiagnosis Surya Hospital, Vadodara on 25th May, 2008. It was Drs. Chandra Raychaudhari, Mihir Dave, Parul deliberated on cost structure for Bal Sakha which Thakkar and 8 resident doctors from the was launched in December, 2008 by Government department attended “Radio-diagnosis Imaging of Gujarat. Update” at Jamnagar held on 21st February, 2009. Drs. Nikhil Kharod, Lopa Dalal and Dipen Patel attended CME on “Scholastic Backwardness” Dr. Deepak V Mehta attended pre-conference th organised by the Growth and Development workshop of 60 Annual Conference Of Indian Chapter of Indian Academy of Paediatrics at Medical Association (IMA), Gujarat State Branch th st Vadodara Branch of Indian Academy of Paediatrics (60 GIMACON) at Vadodara on 21 November, on 5th October, 2008. 2008.

Pathology General Surgery Drs. Menka Shah and Monica Gupta attended Dr. SH Shrivastava attended MCI Platinum Jubilee workshop on “Total Quality Improvement in Workshop at Surat Municipal Institute for Medical Laboratory Medicine” organised by BD (India) Education and Research, Surat on 17th January, Pvt. Ltd., at Sterling Hospital, Ahmedabad on 2009 and a Workshop of West Zone at BJ Medical 7th March, 2009. College, Ahmedabad on 10th January, 2009.

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Drs. Sunil Vyas and Vipul Yagnik attended Course (ACLS) for Instructors at Life Supporters Association of Minimal Access Surgeons Of India Institute of Health Sciences, Mumbai from 21st to (AMASI) Laproscopic Workshop at Vadodara. 23rd November, 2008. Dr. Asmita Chaudhari was instructor for Advance Skin and Venereal Diseases Cardiac Life Support Course organised by Academy Drs. Rita Vora and 2 residents from the department of Traumatology in collaboration with American attended workshop on AIDS organized by National Heart Association at NHL Medical College, nd AIDS Control Organisation in Ahmedabad on 22 Ahmedabad from 17th to 19th November. June, 2008. Central Research Services National Dr. Nayanjeet Chaoudhury attended advanced Anatomy orientation on “Occupational Health”, training of trainers, sponsored by WHO and Indian Council of Dr. Praveen R Singh attended hands-on Residential Medical Research organized by National Institute Training Session on “Health Professionals Education of Occupational Health, Ahmedabad from 3rd to 5th Towards FAIMER Fellowship” at Christian Medical October, 2008. College, Ludhiana from 17th to 22nd January, 2009. He also completed one year web-based Bhanubhai and Madhuben Patel Cardiac Centre training session in December, 2008 towards Dr. Dhiren Dave attended workshop at Paediatric FAIMER fellowship training programme and online Cardiology Society of India, Cochin from 7th to 15th discussion: LISTSERVE organised by Education November, 2008. Commission for Foreign Medical Graduates Medicine (ECFMG) from January 2007 to December, 2008, and attended national workshop on “Teaching Dr. Ripal Shah attended workshop on “Clinical Learning Methods in Health Profession’s Education” Research Methodology” at Centre for Health Care, at All India Institute of Medical Sciences, New Symbiosis, Pune in January, 2009. He also attended Delhi from 10th to 12th November, 2008. IDCC–2008 “Infectious Disease Certificate Course” organized by PD Hinduja Hospital, Mumbai and Dr. RH Bhatt attended the 27th national course Henry Ford Health System, USA in August, 2008. on “Education Science for Teachers and Health Professor” at National Teacher Training Centre, Dr. Himanshu Pandya attended national workshop Jawaharlal Institute of Postgraduate Medical on “Teaching Learning Methods in Health Profes- Education and Research, Pondichery from 22nd sion’s Education”, at All India Institute of Medical September to 1st October, 2008. Sciences, New Delhi from 10th to 12th November, 2008. He also attended “Faculty Development Drs. Praveen R Singh and Sumati Khanna attended Workshop” at Sri Ramachandra Medical College, national hands-on workshop on “Assessment Chennai, from 23rd to 26th June, 2008. Methods for Learning Evaluation in Basic Medical Sciences” at All India Institute of Medical Sciences, Dr. Sanket Sheth attended course on basic New Delhi from 22nd to 24th September, 2008. “Analytical Toxicology” at Amrita Institute of Medical Sciences, Cochin, Kerala from 15th to 20th Anaesthesiology September, 2008. Dr. Alpa Patel attended 24th Annual National Conference and workshop on Cadeveric II TV Microbiology guided by “Sympathetic Blocks with Radiology Dr. Suman Singh attended Residential Training Rounds” of ISSP (Indian Society for Study of Pain) Session on “Health Professionals Education”, th th 2009 held at Hyderabad from 5 to 8 February, Christian Medical College, Ludhiana from 17th-22nd 2009. January, 2009. She also attended workshop on Drs. Madhavi Chaudhari and Bharti Rajani attended “Teaching Learning Methods in Health Professions’ CME and workshop on “ Updates in Anaesthesia” Education” at All India Institute of Medical organised by Department of Anaesthesiology and Sciences, New Delhi from 10th-12th November, 2008. Critical Care at Sri Aurobindo Institute of Medical Drs. Suman Singh, Yagnesh Pandya and Rupal Sciences and Indian Society of Anaesthesiology, Patel attended workshop on “Advanced Diagnostic th th Indore on 24 and 25 January, 2009. And Research Techniques” at Armed Forces Dr. Neeta Bose attended Instructor Monitoring Medical College, Pune from 21st to 25th October, Workshop and Advance Cardiac Life Support 2008.

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Obstetrics and Gynaecology Education and Research, Pondicherry on 19th and th Drs. Nitin Raithatha and Maitri Patel attended 20 March, 2009. workshop on “Cesarian Section” at Pune on 29th Dr. Vivek Verma attended national workshop on August, 2008. “Assessment Methods for Learning Evaluation” at All India Institute of Medical Sciences, New Delhi Dr. Nitin Raithatha attended training of Gujarat in September, 2008. State AIDS Control Society (GSACS) on “Syndromic Management for Sexually Transmitted Infections” at Preventive and Social Medicine th st Allahabad from 30 July to 1 August, 2008. Dr. Dinesh Bhanderi attended “Adolescent Paediatrics Education Programme” for training of teachers, organized by Central Board of Secondary Dr. Somashekhar Nimbalkar was faculty for Education and United Nations Population Fund at “Paediatrics Advanced life Support Course”, Delhi Public School Bilaspur, Himachal Pradesh on Kausalya Hospital, Thane on 7th and 8th March, 1st December, 2008. 2009. He was course director and faculty for Dr. Uday Shankar Singh was selected for Neonatal Resuscitation programme, a District fellowship of Foundation for Advancement of Trainers programme of the Indian Academy of International Medical Education and Research Pediatrics at Gandhidham on 17th and 18th January, (FAIMER) at Seth Gordhandas Sunderdas Medical 2009. He was also appointed as Joint West Zone College, Mumbai in 10th to 15th June, 2008. Coordinator for Indian Academy of Pediatrics, First Golden Minute programme. Radiodiagnosis

Dr. Nikhil Kharod attended workshop on Dr. Diva Shah attended advances in “Multi-detector “Improving Care of Low Birth Weight Infants in Computed Tomography” with workshop on st Community”, jointly organized by the College “Musculo-Skeletal Ultrasound” at Agra from 1 to rd and National Neonatology Forum, Gujarat State 3 August, 2008. Chapter and UNICEF, Gujarat, at Karamsad on General Surgery 6th December, 2008. He presented a paper on Dr. Jitesh Desai attended “National Accreditation “Essential Newborn Care through Village Health Board of Hospitals (NABH) Assessor’s Training Workers- TF Experience” as principal investigator Programme” at New Delhi from 21st to 25th March, in which Drs. Shashi Vani and Viren Doshi were 2009. He also attended “Laproscopic Training co-investigators. Programme” by National Capital of Asia Pacific Drs. Nikhil Kharod, Dipen Patel and Ankit Sinojia Hernia Society at Mumbai on 5th and 6th February, attended workshop on “Growth Monitoring in 2009. Paediatric Practice” in VII National Conference TB and Chest of Growth and Development Chapter of Indian Academy of Paediatrics at Mumbai on 19th Drs. Rajiv Paliwal and Purvesh Patel attended September, 2008. workshops on “Revised National Tuberculosis Control programme”, “Non-invasive Ventilation” Dr. Somashekhar Nimbalkar attended Vaccinology and “Spirometry” in the 10th National Conference Training programme as district trainer on 6th and on Pulmonary Diseases, NAPCON 2008 at Lucknow 7th September 2008. He also attended workshop from 6th to 9th November, 2008. for the faculty of Medical Institutions in India Dr. SN Patel attended Zonal Task Force workshop on “Basic Research Methodology For Improving (West Zone) 2008 at Goa Medical College on 12th Guidance Of MD Theses” at All India Institute and 13th September, 2008. He also took “DOTS of Medical Sciences, New Delhi on 26th and 28th Plus” training at Ahmedabad from 16th to 19th August, 2008. August, 2008. Dr. Lopa Dalal attended “Paediatrics Epilepsy Course” at Hyderabad on 5th and 6th April, 2008. International Anaesthesiology Physiology Dr. Neeta Bose attended international workshop Dr. Ashok Raman Nair attended workshop on as an Advance Cardiac Life Support Course “Introducing Yoga in Medical Curriculum” at Instructor at Hinduja Hospital Mumbai on Jawaharlal Institute of Postgraduate Medical 18th and 19th July, 2008.

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Central Research Services Orthopaedics Ajay Phatak attended international workshop on Dr. Mihir Dholakia attended “Fellowship in “Statistical Models and Practices in Epidemiology” Computer Assisted Orthopaedic Surgery (CAOS), by Indic Society for Education and Development Especially Knee And Hip Joint Surgery” at (INSEED) at Manipal from 24th - 28th November, Singapore General Hospital and Tantok Seng 2008. He also attended international workshop Hospital from 15th to 21st September, 2008. on “Bayesian Statistics Using Open BUGS and R” Paediatrics organised by INSEED at St. Thomas college, Pala from 8th to 12th December, 2008. Dr. Somashekhar Nimbalkar attended workshop organised by International Postgraduate ENT Organisation for Knowledge Transfer Research Dr. Siddharth Shah attended workshop at Rajkot and Teaching Excellent Students (IPOKRaTES) on Cancer Hospital, Rajkot on 21st March, 2009 “Renal System, Fluid and Electrolytes” at Holy Spirit Hospital, Mumbai from 25th to 27th September 2008. Drs. Girish Mishra, Yojana Sharma, Nimesh Patel Interaction with delegates during this workshop attended workshop on “Beyond the Sinuses” at helped in setting up the Indian Academy of Thane, Mumbai from 21st to 23rd November, 2008. Paediatrics Fellowship in Neonatology at our Dr. Siddhartha Shah attended workshop of Institute. He also attended the “Infant and Young International Federation of Head and Neck Child Feeding Counseling: a Training Course Oncologic Societies (IFNOS) at Tata Memorial (the 3 in 1 Course)” organized by Breast Feeding Hospital, Mumbai from 19th to 21st October, 2008. Network of India at Kalavati Saran Hospital, New Delhi on 28th June, 2008. General Medicine Pharmacology Dr. Kishor Viradiya attended Critical Care Congress and 15th Conference of Indian Society of Critical Dr. Bharat Gajjar attended international training Care Medicine (CRITICARE 2009) at Agra from 18th course on ‘Medication Management in Hospitals: to 22nd February, 2009. Role of Drug and Therapeutics” organised by a committee in collaboration with WHO at New Drs. Jyoti Mannari, Sanket Sheth attended training Delhi from 8th to 11th December, 2008. for International Research Trial by Quintiles Dr. Barna Ganguly attended training programme on Company at Washington DC, USA from 6th to 9th “Bioethics for Development of Experts on Bioethics November, 2008. in India” organised by The Indian Council of Obstetrics and Gynaecology Medical Research jointly with National Institute of Health, Fogarty, USA from 21st-25th April, 2008. She Dr. LN Chauhan attended workshop on “Health was also invited as Chairman of Human Research Policy Making in Vietnam, India and China Ethics Committee at Anand Pharmacy College and (HEPVIC): A Stake Holder Workshop” at Indian Muljibhai Patel Urological Hospital, Nadiad. Institute of Management, Ahmedabad on 18th February, 2009 Physiology

Dr. Nitin Raithatha attended AIDS International Dr. Vivek Verma attended “FAIMER Fellowship Training and Research programme (AITRP) programme” at Seth Gordhandas Sunderdas workshop “A Primer on Clinical Methods” at Medical College Mumbai in June, 2008. Ahmedabad from 11th to 14th February, 2009. It Surgery was a Indo-US collaboration workshop sponsored Dr. SH Shrivastava attended “MCI Commemorative by University of South Florida. He also attended a International Workshop” at New Delhi on 2nd and workshop sponsored by USF (University of South 3rd March, 2009. Florida) on “Ethical issues in International Medical Research” at Vadodara from 21st to 23rd November, TB and Chest 2008 Dr. Rajiv Paliwal attended workshops on “PPM in Resource limited countries” “Management of Ophthalmology MDR (Multi Drug Resistant) / XDR (Extensive Dr. Harsha Jani attended live surgery on “Phaco Drug Resistant) TB”, “Tobacco and Lung Health”, Emulsification” at World trade Centre, Mumbai on “Bronchial Asthma” and “Newer TB Drugs” in 1st 21st August, 2008. international conference of South East Asia Region

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(The Union) and 63rd National conference of TB aegis of Kheda, Anand Orthopaedics Association and Chest Medicine (SEAR-NATCON 2008), at on our campus on 28th June, 2008 and was Delhi from 8th to 10th September, 2008. attended by 50 delegates.

Human Resource Development and Other Paediatrics Activities Organised Dr. Krutika Tandan facilitated workshop on Regional/Institutional “Continuous Positive Airway Pressure” and “Improving Care of Low Birth Weight Infant in Bhanubhai and Madhuben Patel Cardiac Center Community” in the department on 27th March, 2009 Health Talk on “Congenital Heart Disease for the and 7th December 2008 respectively. Physicians of Anand” was organised at La Casa Inn Dr. Somashekhar Nimbalkar was a faculty Hotel, Anand. for “Integrated Management of Neonatal and Press conference for the awareness on “Heart Childhood Illness-Medical Officer Training” held Transplantation” was organised at the centre itself on the campus from 30th September to 5th October, on 28th February, 2009. 2008. He also facilitated workshops on “Integrated Management of Neonatal and Childhood Illness- Forensic Medicine Medical Officer Training” and “Human Lactation The department organised group discussion, on Workshop” on the campus from 21st to 30th April, “Medico-legal Investigations in Cases of Sexual 2008 and 18th June to 2nd July, 2008 respectively. Offence” at HM Patel Academic Center on 13th September, 2008 where Assistant Director of Pathology Forensic Science Laboratory (FSL), Ahmedabad and Dr. Monica Gupta organised felicitation Programme District Government Pleader of Anand were Guest of Voluntary Blood Donors and Camp Organizers speakers. at AD Gorwala Blood Bank, at the Hospital in August 2008 and March 2009. Medicine Dr. Himanshu Pandya organised in-house Training Pharmacology on “Medical Certification of Cause of Death” on The department organized CME on “Xenobiotics” March, 31, 2009. at the College on 29th June, 2008. It included talks by Drs. BR Sainath Iyer, Bharat Gajjar, Nazima Dr. Bhalendu Vaishnav organised Guest Lectures Mirza, Anuradha Joshi, Alpa Gor and Nilesh Patel. on: Doctors from Indian Medical Association and (I) “Integral Health” by Prof. Kittu Reddy from Sri Gujarat State Family Physician’s Forum, Anand Aurobindo Ashram, Puducherry on 28th February, Branch also participated. 2009. The department organised CME on “Xenobiotics (ii) “Spirituality as a Necessary Component of Awareness” at the College on 25th May, 2008. Medical Education” for Members of the Medical This included many talks and an exhibition by th Education Unit on 28 February, 2009, and the department faculty for xenobiotics awareness (iii) by Dr. Ramesh Kapadia on “Integral for complementary and alternative medicine Approach to Healing” on 11th October, 2008 all at practitioners. Pramukhswami Medical College, Karamsad Preventive and Social Medicine He also coordinated a short term Certificate Course on Ayurveda at the campus from 30th June, Integrated Management of Neonatal and Childhood onwards. The course is attended by 15 participants Illnesses for improvement in quality of health and is unique of its type. care provided to neonates and children upto 5 years in Anand and Kheda District was planned. Drs. Jyoti Mannari, Alpa Leuva organised Endocrine For this purpose training of Aganwadi Workers, CME on the campus on 31st August, 2008. The Health workers, Child Development Project Officer sessions were chaired by Drs. HV Pandya, (CDPO), and Medical Officers, of Anand and Bhalendu Vaishnav and other participants were Kheda District was organised. Drs. Sanket Sheth, Samir Patel and Kishor Viradiya. Training of school teachers regarding common Orthopaedics cancers (epidemiology, risk factors, early detection, “Foot and Ankle” update was organised under the prevention and control of common cancers) for

48 ANNUAL REPORT 2008-09 improvement in the level of awareness regarding Dr. Krutika Tandan was district trainer for common cancers in the community through the “Neonatal Resuscitation Programme” by Indian trained teachers was organized through out the Academy of Paediatrics at Gandhidham on 18th year. The training sessions were held on a one day January, 2009. per month basis. Drs. Somashekhar Nimbalkar and Nikhil Kharod Health education of school children regarding organised a workshop on “Improving Care of cancers, HIV (AIDS), personal hygiene and Low Birth Weight Infant in Community and addictions etc. was carried out throughout the Pain Management” on the campus on 6th and 7th year wherein 1 to 2 sessions were conducted in a December, 2008. Dr. Somashekhar Nimbalkar was month at various schools of Anand District. the Co-Convener, faculty and delivered a lecture in this workshop on “Neonatal Pain Protocols and Dr. Nila Nanavati conducted an interactive Care of the Low birth Weight Infants (LBWI) in the seminar on “Adolescence Awareness” at NK High Community”. Dr. Lopa Dalal was also a faculty in School, Petlad on 25th July, 2008. She also gave this programme. an interactive talk on “Cancers in Females” at Swami Computer Centre, Bakrol on the eve of Dr. Somashekhar Nimbalkar was course International Women’s Day, 8th March, 2009. coordinator and faculty for The National Neonatology Forum – Gujarat State Branch PG State CME in Neonatology and delivered a lecture on ENT “Follow Up of NICU Graduate”, “Pain in Neonates” and “Clinical Pathological Conference” on the The department organised pre-conference CME on campus on 19th and 20th July, 2009. He was also “Benign Lesions of Head and Neck” on the campus the course director, course coordinator and faculty on 18th December, 2008, and also organised 32nd for Neonatal Resuscitation Programme on the state level annual conference of Gujarat State campus on 6th April, 2008 and 6th July 2008. Branch- Association of Otolaryngologists of India at the College on 19th and 20th December, 2008. National

Obstetrics and Gynecology Anaesthesiology Conference on maternal and child nutrition was Department of Anaesthesiology organized a three organised by the department and paper was day workshop (3rd to 6th April, 2008) on Basic presented by Dr. LN Chauhan on “Composition Life Support (BLS) and Advanced Cardiac Life of Breast Milk in Severe Anemia and its Effect on Support (ACLS) and one day workshop on First Infants” at Gandhinagar on 18th February, 2009. Aid and BLS on the campus. These workshops were conducted by the Life Supporters Institute The department organised “Cancer Screening” of Health Sciences (LIHS) group, Mumbai, a workshop on the campus on 24th September, 2008 recognized training centre of American Heart Workshop on “Medico Legal Investigations in Case Association. Faculty members from India and of Sexual Offence” was organised on the campus abroad attended the workshop. on 13th September, 2008. TB and Chest Paediatrics The department celebrated World TB Day on 24th The department, in collaboration with WHO and March, 2009 by organizing conferences. AIIMS, organised workshop on “Science and Art of Continuous Positive Airway Pressure (CPAP)”, at CONFERENCES, CMEs and SEMINARS th the College on 27 March, 2009. ATTENDED AND PAPERS Presented Dr. Somashekhar Nimbalkar was Organizing Regional Secretary and faculty for Paediatric Cardiac CME, and delivered a lecture on “Care of the Critically Ill Anaesthesiology Neonate With a Cardiac Problem” on the campus Dr. Gurpreet Panesor delivered a guest lecture on 27th February, 2009. He was also the Organizing in Peadiatric Cardiac CME – 2009 on the campus Secretary for Gujarat Chapter of Indian Academy organized by Cardiac Centre in association with of Paediatrics Conference ( GIAPCON) 2008 on Indian Academy of Paediatrics, Gujarat State “Advanced Ventilation Workshop” on the campus Branch and Department of Paediatrics of our on 19th December, 2008. college on 28th February, 2009.

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ENT Medical College, Surendranagar on 18th December, Dr. Siddharth Shah attended CME on “Oral Cavity 2008. th Cancers”, Kailash Cancer Hospital, Goraj on 5 Pharmacology May, 2008. Drs. Bharat Gajjar and Nazima Mirza attended Manibhai Shivabhai Patel Cancer Center conference on “Ophthalmology for Family Drs. C Haritha and V Shankar attended Regional Physicians” organised by Indian Medical Indian Medical Association Meet on “Changing Association, Anand branch at Shankara Eye Paradigms in Chemotherapy Management of Hospital, Mogar, Anand. Gynaec Cancers”, “Role of Chemotherapy and Radio-diagnosis Radiotherapy in Gynaecology Malignancies” and “Current Radiation Oncology Practices in Gyanec Dr. Raychaudhari and other faculty members Cancers” at Indian Medical Association, Anand on attended Paediatric Cardiac CME Programme 19th July, 2008. organised by Bhanubhai and Madhuben Patel Cardiac Centre, Karamsad on 28th February, 2009. Dr. Haritha attended Regional Indian Medical Association Meet for “Update on Fungal Infections” Drs. C. Raychaudhari, Jayesh Bhatt, Deepak V at Indian Medical Association, Anand. Mehta, Viral Patel, Mihir Dave, Diva Shah, Parul Thakkar, and resident doctors attended a one-day Medicine seminar on “Chest Radiograph Rating in Industrial Dr. Jyoti Mannari delivered a guest lecture on Lung Disease (Pneumoconiosis)” organised by “Diabetes Revisited” in Indian Medical Association Department of Preventive and Social Medicine at meet for the General Practitioners at Sankara Eye the College on 3rd December, 2008. Hospital on 1st March, 2009. Dr. Himanshu Pandya attended seminar on Dr. Deepak V Mehta was a Panelist Radiologist “Relevance of Information/Communication for the case discussions in the “Update on Technology in Medical Education and Effective Gynaecological Malignancies” organised by Baroda Leadership in Health Team” at Surat Municipal Obstetric and Gynaecological Society at Vadodara st Institute for Medical Education and Research, Surat on 31 August, 2008. on 17th January, 2009. He also attended workshop Drs. Chandra Raychaudhari and Jaydeep Doshi on “Evaluation Methodology” and delivered a attended one day seminar on “Industrial Disease lecture on “Mini Clinical Evaluation Exercise (mini- Pneumoconiosis Chest Radiograph Rating” CEX)” at Government Medical College, Bhavnagar, organized by Preventive and Social Medicine th on 29 November, 2008. Department on the campus on 22nd June, 2008. Microbiology TB and Chest Dr. Suman Singh attended CME on “Endocrinology” Dr. Rajiv Paliwal delivered a talk on “Diagnostic at Pramukhswami Medical College, Karamsad on Utility and Interpretation of Pulmonary Function 31st August, 2008. Tests’ at Anand on 28th March, 2009.

Obstetrics and Gynaecology Dr. Purvesh Patel delivered a guest lecture Dr. Maitri Patel attended CME on “Myths and Facts on “COPD Comprehensive Approach with of Progesterone” at La Casa Inn, Anand on 18th Special Emphasis on Pulmonary Function Test March, 2009. (Spirometry)” at Indian Medical Association, Borsad on 19th January, 2009, and delivered a Ophthalmology talk on “Difficult Asthma, Behaving Like Chronic Drs. Devendra Saxena and Chaitali Patel attended Obstructive Pulmonary Disease (COPD)” at CME on Glaucoma at Taj Hotel, Vadodara in March Shree Krishna Hospital on World COPD Day 19th 2009. November, 2008. Preventive and Social Medicine Dr. Rajiv Paliwal delivered a guest lecture Dr. Nila Nanavati attended CME on “Paediatric on “Pulmonary Function Tests- a Paediatrics Cardiology” at HM Patel Academic Centre on 28th Perspective” at the 34th annual conference of February, 2009. Indian Academy of Paediatrics, Gujarat (GIAPCON Dr. Donald Christian attended CME on “Medical 2008) at Karamsad, in December, 2008, and Curriculum and Health Insurance” at CU Shah attended PG CME as a faculty organised by the

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Department of Paediatrics and delivered a talk on Drs. Himanshu Pandya and Kishor Viradiya “Pulmonary Function Tests in Children” on 10th attended Mid-Annual Conference of Association of August 2008, and also delivered a talk in PG CME Physicians of Gujarat in Daman on 20th and 21st on ‘Essentials of Revised National Tuberculosis September, 2008. Control programme’ organised by Department of Dr. Kishor Viradiya attended ECG Conference by th Pharmacy of the hospital on 29 June, 2008. Indian Society of Electrocardiography at Silvasa on 22nd and 23rd August, 2008. State

Anatomy Microbiology Dr. Praveen R Singh attended a pre-workshop Drs. Sunil Trivedi, Suman Singh, Rupal Patel and CME on “Skin Grafting” at NHL Municipal Medical Yagnesh Pandya attended and Drs. Sunil Trivedi, College at Ahmedabad on 21st February, 2009. Suman Singh and Mrs. Annama Wilson presented He also attended a Symposium on “Third Gujarat a paper on “Surveillance of Hospital Acquired Cadaver Transplant Meet” co-organised by Institute Infections at a Teaching Hospital In Rural Gujarat” of Kidney Diseases and Research Centre and organised for Indian Association of Medical Dr. HL Trivedi Institute of Transplant Sciences, Microbiologist Gujarat Chapter by the Department Ahmedabad, Gujarat on 15th June, 2008. of Microbiology at NHL Medical College, Ahmedabad on 21st December, 2008. Central Research Services Obstetrics and Gynecology Jaishree Ganjiwale attended a State level Conference on Economics and Applied Statistics at SM Patel Dr. LN Chauhan presented paper on “Effect of Institute of Commerce (Guajrat Law Society), Severe Anemia in Breast Milk Composition and th Ahmedabad on 26th July, 2008. its Outcome in Infant” in Gandhinagar on 15 January, 2009. Dr. Nayanjeet Chaudhury attended a workshop for physicians on “Diagnosis of Pneumoconiosis based Drs. LN Chauhan, Smruti Vaishnav, Maitri Patel on ILO’s standard X-rays by experts from National and Nipa Modi as co-authors presented paper Institute of Occupational Health, Ahmedabad on on “Wonder Devise: Dynamic Uterine Balloon 29th and 30th April, 2008. Temponade in Management of Atonic Postpartum Hemorrhage” at State level Organisation of Medicine Gynecology and Obstetrics in Ahmedabad on 14th Drs. Himanshu Pandya and Laboni attended December 2009. Pediatric Cardiac CME on the campus on 28th Dr. Nitin Raithatha presented lectures in 1st February, 2009. National conference on “Evidence Based Obstetrics Drs. Kishor Viradiya and Devani Desai attended 3C and Gynecology Practices” at Ahmedabad from 12th CON 2009 at Ahmedabad from 8th to 10th January, to 14th December, 2008. 2009. Dr. Smruti Vaishnav presented a paper on “Study Dr. Kishor Viradiya as author, Drs. BS Vaishnav of Medical Complications in Critically Ill Obstetric and SB Vaishnav as the co-authors presented Patient at Rural Tertiary Care Hospital of Gujarat” a paper on “Study of Medical and Obstetric at Rajkot in December, 2008. Complications in Critically Ill Obstetric Patients Paediatrics at Rural Tertiary Care Hospital of Gujarat”and received 1st best paper award; Drs. Kishor Viradiya Dr. Nikhil Kharod presented a paper on “Mental and Ravi Patel as authors and Dr. BS Vaishnav Health Vulnerability in Rural Adolescents” at th as the co-author presented a paper on “Severity 34 Annual Conference of Indian Academy of Assessment Scoring System In Critically Ill Obstetric Pediatrics, Gujarat State Branch at Karamsad on th st Patient Admitted in Rural Setup ICU” and received 20 and 21 December, 2008. 2nd best paper award; Dr. Kishor Viradiya, Dr. Dr. Amar Patel as principal investigator; Drs. Nikhil Ravindra, Dr. H Pandya, Dr. A Mishra presented Kharod, Shashi Vani and Somashekhar Nimbalkar a poster on “A Rare Case of Acute Disseminated as co-investigators presented paper on “Status of Encephalonlyelitis in Adults” in 30th Annual Neonatal Transfer and Transport to NICU” and Conference of Association of Physicians of Gujarat won first prize at Midterm Scientific Meet of Indian (APGCON) Rajkot on 27th and 28th December, 2008. Academy of Paediatrics at Surendranagar.

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Drs. Kesar Gadhavi and Somashekhar Nimbalkar Jubilee Celebration at Surat Municipal Institute presented a poster on “Determine the Correlation for Medical Education and Research Surat on 17th of the Number of Hours of Kangaroo Mother Care January, 2009. Received in the Hospital to the Daily Duration Preventive and Social Medicine of Kangaroo Mother Care Received at Home” in Drs. Uday Shankar Singh and Deepak Sharma Gujarat Chapter of Indian Academy of Paediatrics attended 26th Annual Conference of Indian Conference, 2008 at Sardar Patel Smarak, Karamsad Association of Preventive and Social Medicine- on 21st December, 2008. The paper received 1st Gujarat Chapter at CU Shah Medical College, prize in the competition. Drs. Dipen Patel and Surendranagar on 19th December, 2008. Dr. U Somashekhar Nimbalkar also presented a paper on Shankar presented paper on “A Cross-sectional “Correlation of Risk Score on Admission to PICU to Study of the Physical Discomfort Among Parental/Guardian Understanding of the Prognosis Occupational Computer Users”. Dr. Deepak Sharma of the Patient” in the same same conference. presented a paper on “Study on Injury Patterns in Pathology Jamnagar City”.

Drs. Menka Shah, Keyuri Patel, Monica Gupta, Radio-diagnosis Sanjay Chaudhari, Neena Doshi, Faruq Mulla Dr. D Mehta presented a paper on “Clinical and and. Munira Jhabuawala attended CME on “Uro- MRI Correlation in the Soft Tissue Injuries of Knee Oncopathology” at Jayaramdas Patel Academic Joints: Importance of Knowing Mode of Injury and Centre, Muljibhai Patel Urological Hospital, Nadiad Functional Anatomy” at the 60th annual conference on 27th and 28th February, 2009. of Indian Medical Association, Gujarat State Branch Dr. Keyuri Patel attended Annual Conference on the theme “Medical Practice Vision 2020” at of Indian Association of Pathologists and Vadodara on 22nd and 23rd November, 2008. Microbiologists, Gujarat Chapter at Bhavnagar on Drs. C Raychaudhari and D Mehta attended 3rd and 4th January, 2009. Gujarat’s 1st (Multi Detector CT Scan user’s meeting Drs. Menka Shah, Keyuri Patel and Munira at Diu on 9th and 10th August, 2008. Jhabuawala attended “Hematology Update” at Ahmedabad on 4th and 5th October, 2008. Drs. C Raychaudhari, J Doshi, J Bhatt, and D Mehta attended seminar on “PNDT Act” organised Pharmacology by Indian Radiological and Imaging Association Drs. Bharat Gajjar, Nazima Mirza and Alpa Gor in association with Ministry of Health and Family attended conference on “Doctor of first Contact Welfare, Government of India at Ahmedabad on – A Dire Need of Today’s India” at SBKS Medical 20th April, 2008. Institute and Research Center, Piparia under TB and Chest Platinum Jubilee Celebrations of Medical Council of rd India on 26th February, 2009. Dr. Rajiv Paliwal attended 23 Annual Conference of The Gujarat State TB Association, Navasari and Drs. Bharat Gajjar, Nazima Mirza attended and chaired a scientific session on “Multi Drug Resistant Drs. Vipul Chaudhari, Barna Ganguly presented TB in Private Practice” on 22nd June, 2008. poster on “Changing Pattern of Prescribing Anti- diabetic Agents in Patients Suffering from Diabetes Dr. Purvesh Patel attended “GIMACON 2008” at Mellitus” in 27th Annual Conference of Indian Vadodara on 21st and 22nd November, 2008. Pharmacological Society at Rajkot on 1st February, Skin And Venereal Diseases 2009. Drs. Rita Vora, Payal Shah and, Pragya Nair, Dr. Bharat Gajjar attended 2nd Conference of attended 34th Annual state Conference “CUTICON- Association of Physiologists and Pharmacologists 2008” on 20th and 21st December 2008. At the of India at NHL Municipal Medical College, conference Dr. Rita Vora delivered a Guest Ahmedabad on 5th April, 2008. lecture on “Approach to a Patient of Palmoplantar Physiology Keratoderma”. Dr. SK Singh attended the above symposium at Dr. Payal Shah presented an award paper on “ Piparia on 26th February, 2009. He also attended A Clinical Study of Cutaneous Manifestations in symposium on “Relevance of Information Endocrinological Disorders”. Technology in Medical Education and Effective Dr. Pragya Nair presented a poster on “Epidermal Leadership of Health Team” in MCI Platinum Nevus Syndrome”

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National Medicine

Anaesthesiology Dr. Himanshu Pandya attended the pre conference CME and presented a paper on “Attitude of Entry Dr. Neeta Bose attended 2nd Infectious Disease Level Medical Students Towards Professionalism National Conference held at Mumbai, organised and Ethics” at the Conference of Associations of by JJ Hospital on 27th February, 2009 to 1st March, Physicians of India, “APICON 2009” at Greater 2009. Noida from 30th January to 1st February, 2009. Dr. Hemlata Kamat attended 58th National Dr. Ripal Shah attended 15th National CME on Conference of Indian Society of Anesthesiologists, “Heamatology and Heamato-Oncology”at Bombay on “Form Protocols to Practice” organized by city branch and Department of Anaesthesiology at Dr. Hospital, Mumbai in January, 2009. He also th SN Medical College, Jodhpur (Rajasthan) from 26th attended RAPICON – 2008, 14 Annual Conference to 29th December 2008. of Railway Chapter of Association of Physicians of India at Railway Staff College, Vadodara, in June, Anatomy 2008 . Dr. Praveen Singh presented paper on “Oral Microbiology Presentation of ML Web” and on ”Introduction of Case Based Learning for Teaching Anatomy Drs. Suman Singh, Rupal Patel and Yagnesh in a Conventional Medical School” in FAIMER Pandya attended CME on “An Update on Vaccines” nd fellowship programme on “Distance Learning” at and 32 National Congress of Indian Association CMC, Ludhiana on 18th and19th January, 2009. of Medical Microbiologists (IAMM), MICROCON 2008, at Armed Forces Medical College, Pune Dr. Praveen Singh gave a talk on “Overview of Pre- from 21st to 25th October, 2008. Drs. Suman Singh, embryo” as a part of Microteaching Workshop on Rupal Patel and Yagnesh Pandya presented paper “Teaching Learning Methods In Health Profession’s on “Automation in Clinical Microbiology - Our Education” at All India Institute of Medical Sciences Experience at a Rural Teaching Hospital”; Drs. at New Delhi on 11th November, 2008. Yagnesh Pandya, Naresh Mewada and Sunil Trivedi Dr. Praveen Singh participated in Joint National presented a paper on “Environmental Sampling-the Conference on “Newer Frontiers in Medical Unappreciated Advantage” and Drs. Suman Singh, Education” jointly organized by Medical Council of Sunil Trivedi and Mrs. Annama Wilson presented a India and Padmashree Dr. DY Patil University at paper on “Surveillance of Device Related Infections Navi Mumbai from 11th to 12th October, 2008. at a Teaching Hospital in Rural Gujarat.”

Biochemistry Dr. Suman Singh attended conference on Medical Education at DY Patil Medical College on 11th and Dr. N Haridas delivered a lecture on 12th October, 2008. “Dyslipidemias” at the National Conference on “Frontiers in Biological Sciences” organized by the Dr. Sunil Trivedi and Mrs. Mudita Paliwal attended Department of Biosciences, Sardar Patel University, National Conference of TB association of India in Vallabh Vidyanagar on 27th and 28th February, 2009. New Delhi from 8th to 10th September, 2008. He also attended National Nutrition Conference on “Healthy Start: Maternal and Child Nutrition” Obstetrics and Gynaecology organized by Gujarat Nutrition Cell, Gandhinagar Drs. LN Chauhan, Smruti Vaishnav, Nitin Raithatha on 15th January, 2009. presented a paper on “Re-laparotomy in Operative Cases” in National conference of Federation of Forensic Medicine Obstetrics and Gynecology Societies of India at Dr. CB Jani attended 30th Annual conference of Jaipur from 5th to 9th January, 2009. Indian Academy of Forensic Medicine, at Indira Drs. LN Chauhan, Smruti Vaishnav, Maitri Patel, Gandhi Government Medical College (IGGMC), Chetna Vyas and Rakhee Patel presented a poster Nagpur on 21st – 23rd February, 2009 and chaired a on “Chiranjivi Yojna: A Dream Come True for session on “Sexual Offences”. Underprivileged Women” and Drs. Smruti Vaishnav Manibhai Shivabhai Patel Cancer Center and LN Chauhan as co-authors presented paper Dr. C Haritha attended Mini-ASCO (American on “Maternal and Perinatal Outcome in Cases of Society of Clinical Oncology) Meet at New Delhi Very Severe Anemia” in the 1st National congress on 29th and 30th November, 2008. of State level Organisations of Gynecology and

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Obstetrics Of Gujarat at Ahmedabad on 13th Paediatrics December 2008. Drs. Nikhil Kharod, Dipen Patel and Ankit Sinojia Dr. Smruti Vaishnav delivered a guest lecture attended VII National Conference of “Growth on “Role Of Cervical Encirclage in Cervical and Development Chapter of Indian Academy of th st Incompetence” in the 1st National congress on Paediatrics” at Mumbai from 19 to 21 September, “Evidence based Obstetrics and Gynecology 2008. Practices” at Ahmedabad on 13th December, 2008. Physiology Drs. Nitin Raithatha and Maitri Patel attended Dr. Hasmukh Shah attended “54th Annual participated in a panel discussion in conference on Conference of Physiologists and Pharmacologists of “High Risk Pregnancy” at Federation of Obstetric India (APPICON 2008)”at Kasturba Medical College, and Gynaecological Societies of India (FOGSI), Mangalore from 27th to 30th December, 2008. Pune from 29th to 31st August, 2008. Prevention and Social Medicine Dr. LN Chauhan attended conference on “Mind- Dr. Shyamsunder attended National Annual Body Medicine” at Abu, Rajasthan from 26th to 28th Conference of Indian Association of Preventive and July, 2008. Social Medicine at Government Medical College, Ophthalmology Aurangabad, Maharashtra from 27th to 29th January, Dr. D Saxena attended All India Ophthalmological 2009. Conference at BM Birla Auditorium, Jaipur from 5th Dr. Donald Christian attended Indian Association of to 8th February 2009. Preventive and Social Medicine Conference (IAPSM Dr. SG Bhavsar attended National conference on CON) and presented a poster on “Various Factors “Mind-Body Medicine” at Mt. Abu from 26th to 30th affecting School Children Health in a Rural Primary July 2008. School of Anand District” at Government Medical College, Aurangabad on 21st – 23rd January, 2009 . Orthopaedics Dr. Shyamsunder attended a seminar on Dr. Saranjeet Singh gave a guest lecture at the “Asbestosis” at Ahmedabad on 20th January, 2009. 27th Annual Conference of North Zone Indian Orthopaedic Association (IOA) on “Industrial Radio-diagnosis th th Accidents Of Hand” at Rohtak from 13 to 15 Dr. Parul Thakkar attended Ultrafest 2009 February, 2009. Conference at Mumbai from 26th to 28th February, 2009. Pathology Dr. D Mehta delivered a Guest Lecture on Drs. Menka Shah and Trupti Joshi attended “Radiological Features of Various Pathologies at the National Hematology Conference at Bombay Cranio-Vertebral Junction” and presided a scientific Hospital, Mumbai from 24th to 26th January, 2009. paper session as co-chairman. He also presented Drs. Monica Gupta, Keyuri Patel, Sanjay Chaudhari, a paper on “Portal Hypertension: Do Aetiologies Faruq Mulla, Munira Jhabuwala and Kalpesh Shah Have Specific Doppler Signature?” in the 62nd attended “National Cytology CME” at BJ Medical annual conference of Indian Radiological and College, Ahmedabad from 13th to 18th November, Imaging Association (IRIA) at Patna from 7th to 11th 2008. January, 2009. Dr. Mehta also attended 11th Annual National Conference of Indian Society of Vascular Drs. Gautam Shah, Dhaval Doshi, Ajay Kocher, and Interventional Radiology (ISVIR) at Mumbai Sanjay Chaudhary, Keyuri Patel and Menka Shah from 31st 0ctober 2008 to 3rd November, 2008. presented poster on “Fine Needle Aspiration Cytology Of Superficial Lymph Nodes - An Skin and Venereal Diseases Institutional Study of 150 Cases Over a Fifteen Drs. Rita Vora, Pragya Nair, attended 37th National Month Period” and Drs. D Doshi, G Shah, N conference of Indian Association of Dermatologists, Doshi, T Joshi and M Shah presented a poster Venereologists and Leprologists (IADVL), on “Carotid Body Tumour–A Case Diagnosed on DERMACON 2009 on 8th and 9th January, 2009 Cytology” in Cytocon 2008: 38th Annual Conference where Dr. Rita Vora chaired two scientific sessions of India Academy of Cytologist at BJMC, and presented a poster on “Circumferential Skin Ahmedabad on 16th November, 2008, which was Folds in a Child – a Rare Case of Michelin- Tire awarded the 2nd Prize in its category. Baby Syndrome”

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Dr. Pragya Nair presented a poster on “A Case of Medicine Tuberous Sclerosis Complex- Multiple Shagreen Dr. Kishor Viradiya attended Critical Care Congress Patches with Multiple Organ Involvement”. and 15th National Conference of Indian Society of Drs. Rita Vora, and Pragya Nair attended CME on Critical Care Medicine ( CRITICARE 2009) from th nd “Recent Advances in Dermatology” at Bangalore on 18 to 22 February, 2009 at Agra and presented 7th January, 2009. a poster on “Study of Medical Complications in Critically Ill Obstretic Patients at Rural Tertiary Care th Dr. Pragya Nair attended CSI conference on 16 Hospital in Gujarat”. Dr. BS Vaishnav and Dr. SB th and 17 August, 2008 Vaishnav were the co- authors.

TB and Chest Dr. Himanshu Pandya attended International Update on “Excellence in Medical Education Drs. Purvesh Patel attended and Rajiv Paliwal for Best of Health Care to Under-served” and chaired a session on “Multiple Uses of Convex presented a paper on “Attitude of Undergraduate Endobronchial Ultrasound” in National Conference Students Towards Mini-CEX as Assessment Tool of Bronchology, Broncocon 2009 on “Advanced for Clinical Clerkship in Medicine” at Sevagram, Bronchoscopy” at Aurangabad from 23rd to 25th MGIMS on 12th - 13th September, 2008 January, 2009. Microbiology Dr. Purvesh Patel attended the 10th National Dr. Sunil Trivedi and Mrs. Mudita Paliwal attended Conference on Pulmonary Diseases, NAPCON-2008 the conference and presented a paper on “Multi- at Lucknow from 6th to 9th November, 2008 drug Resistance Among Treatment Failure and Dr. Rajiv Paliwal was invited as a national faculty Relapse Cases of Pulmonary Tuberculosis in Rural at the 10th National Conference on “Pulmonary Gujarat, India” in National Conference of TB Diseases”, NAPCON2008” at Lucknow from 6th to association of India and International conference 9th November, 2008. He also delivered a talk as a of South East Asia Region (SEAR) - International faculty on “Interpretation of Pulmonary Function Union Against Tuberculosis and Lung Disease Tests with the Special Emphasis on Obstructive (IUATLD) from 8th to 10th September, 2008. Airway Diseases” in a symposium on asthma and attended workshops on “Revised National Obstetrics and Gynaecology Tuberculosis Control programme” and “Non Dr. Smruti Vaishnav as co author presented a invasive Ventilation and Spirometry. poster in International Critical Congress and 15th Annual National conference of Indian Society of Dr. Rajiv Paliwal presented a paper on “Looking Critical Medicine (CRITICSRE-2009) in Agra from Beyond DOTS to Improvise the Compliance” on 18th to 22nd February, 2009. 10th September, 2008 in 1st International conference of South East Asia Region (The Union) and 63rd Dr. Nitin Raithatha attended conference on “Ethical National conference of TB and Chest Diseases Issues in International Medical Research” at st rd (SEAR-NATCON 2008), held in Delhi from 8th to 10th Vadodara from 21 to 23 November, 2008. September, 2008. Ophthalmology International Drs. Harsha Jani and SG Bhavsar attended conference on “Advances in Ophthalmology” at Manibhai Shivabhai Patel Cancer Center World Trade Centre, Mumbai from 22nd to 24th Dr. C Haritha attended international Lymphoma- August 2008. Leukemia update in Mumbai in March, 2009. Orthopaedics Shri. G Senthil attended international conference: Medical Physics–2008 on “Comparison of CT Based Dr. Mihir Dholakia went to Phuket, Bangkok Interstitial HDR Brachy Therapy in Carcinoma for AO Advanced Trauma Symposium on “Latest Developments in Trauma Fixation Methods” from Cervix using MUPIT Template” at Mumbai from 19th to 24th November, 2008. 26th to 29th November, 2008. Dr. V Shankar attended and presented poster in Pathology conference of American Society of Therapeutic Dr. Trupti Joshi attended an International CME on Radiology and Oncology (ASTRO) at Boston from “Surgical Pathology Cytology and Hematology” at 21st to 25th September, 2008. Agra from 2nd to 6th February, 2009.

55 CHARUTAR AROGYA MANDAL

Pharmacology Drs. Barna Ganguly and Prashant Gupta Papers Published presented poster on “Awarness of Dysglycemia and ECG Changes by Fluoroquinolones among Anesthesiology Clinicians” in the 27th Annual Conference of Indian Pharmacological Society at Rajkot on 1st February Patel Alpa, Kharod Utpala, Agrawal Sanjay; “A Near Fatal Complication Following Irrigation with 2009. Glycine Chloride During Transcervical Resection Dr. Barna Ganguly as resource person attended of Endometrium (TCRE)”. (Under peer review and seminar on “Ethical Issues in International Medical accepted for Editorial Correspondence) Journal of Research” organised by USF (Health University of Anaesthesiology and Clinical Pharmacology (www. South Florida) and Medical College at Vadodara joacp.org), October, 2008; 24, No: 04 ISSN- 0970- from 21st to 23rd November, 2008. 9185. Physiotherapy Patel Alpa, Sanwatsarkar Sadhana, Desai N, Drs. Lata Parmar and Daxa Mishra attended Suwalka Usha; “Comparison of Epidural Midazolam “The World Confederation of Physical Therapists with Buprenorphine For Post-Operative Analgesia”; (WCPT)- Asia West Pacifc (AWP) and Indian Indian Journal of Anaesthesiology (Under peer Association of Physiotherapists ( IAP ) Congress – review). nd th 2009 from 22 to 25 January, 2009. Forensic Medicine Preventive and Social Medicine Jani CB; “Brand Endorsement by Medical Dr. Shyamsundar attended a seminar on Association: Who Will Hit the “Bull’s Eye?”; Journal “Prevention and Control of Non-Communicable of Indian Academy of Forensic Medicine; April- Diseases” and an interactive programme on June 2008, 30/2; 61-62 “Research in Non-communicable Diseases” Jani CB, Gupta Sanjay, Barot Hitendra, Gadhavi organised by Madras Diabetes Research Foundation Jaydip; “Retrospective Study of Cases of (MDRF) in association with University of Alabama Drunkenness with Emphasis on Procedure and at Birmingham (UAB) at Madras Diabetes Research Interpretation of Results”; Journal of Indian Foundation, Chennai from 27th to 29th March, 2009. Academy of Forensic Medicine; July – September, It was also supported by National Institute of 2008; 30/3; 128-135 Health, USA, WHO and the Government of India. Jani CB ; Indigenous “Reference Atlas Cum Dr. Dinesh Kumar attended winter symposium at Database for Age Estimation”; Journal of Indian Christian Medical College, Vellore and put up a Academy of Forensic Medicine; October - December 2008; 30/4; 184-185 poster titled ‘Investigation of Hepatitis Outbreak in Edyansathu Village in South India, from 22nd to 24th Gupta Sanjay, Vaishnav Hitesh; “Dyadic Diwali”; January, 2009. Journal of Indian Academy of Forensic Medicine; April-June, 2008; 30/2; 75-78 Radio-diagnosis Gupta Sanjay, Rathore Dinesh, Mehta Ritambhara, Dr. Diva Shah attended International European Dave Kamlesh, Oswal Rajat; “Nicotine Consumption Congress of Radiology (ECR-2009) from 6th to 10th and Schizophrenia: a Correlation Study”; March 2009, Vienna-Austria Europe. International Journal of Medical Toxicology and Dr. Mihir Dave attended 94th Radiological Society Legal Medicine; July – September, 2008; 11/1; 6-11 of North America (RSNA) International Conference Gupta Sanjay, Vaishnav Hitesh, Gadhavi Jaydip; held at Chicago United States of America on 29th “Establishment of An Identity: a Challenge in Mass November, to 5th December, 2008. Disaster”; Journal of Indian Academy of Forensic Medicine; October-December 2008; 30/4; 224-226 TB and Chest Gupta Sanjay, Jani CB; “Oxygen Cylinders: ‘Life’ Drs. SN Patel and Rajiv Paliwal attended First or ‘Death’ ?”; African Health Sciences; January - International Conference of South East Asia Region March, 2009; 9/1; 57-60 (The Union) and 63rd National Conference of Tuberculosis and Chest disease (SEAR – NATCON Manibhai Shivabhai Patel Cancer Center 2008) organized by Tuberculosis Association of Haritha C; “Volumetric Modeling of Irradiated Heart India from 8th to 10th 2008. and Lung Volumes in Post-Mastectomy Tangential

56 ANNUAL REPORT 2008-09

Beam Radiation Therapy”; International Journal Obstetrics and Gynecology of Radiation Oncology, Biology, Physics, Vol. 72/ Vaishnav Smruti; “Role of Lifestyle Modification in No.1/S-478 Patients of Polycystic Ovarian Syndrome”; Current Shankar V; “Implant Motion During High Dose Medical Journal; January 2009; Vol. XIV/10; 11-17 Rate Interstitial Brachytherapy in Cervical Cancer Pathology – Does It Really Matter”; International Journal on Patel Keyuri, Gupta G, Shah Menka; “Cytodiagnosis Radiation Oncology, Biology, Physics; Supplement of Malignant Mesothelioma on Usg Guided Fine 2008 Vol. 72, No.1; S-363 Needle Aspiration Cytology Case Report”; Gujarat Trivedi HL, Vanikar AV, Thakker U, Firoze A, Dave Medical Journal; February 2009; Issue: 2/ Vol. 4; 74 SD, Patel CN, Patel JV, Bhargava AB, Shankar V; Pharmacology “Human Adipose Tissue Derived Mesenchymal Stem Cells Combined with Hematopoietic Stem Cell Mirza Nazima, Desai Sagun, Ganguly Barna; Transplantation Synthesize Insulin.”; Transplant “Prescribing Pattern in a Pediatric Out-Patient Proceedings, 01 MAY 2008; 40(4):1135-9. Department in Gujarat”; Bangladesh Journal of Pharmacology; 2009; 4 G Senthil, S Muthulingam, V Shankar; “Comparison Gajjar Bharat; “Modern Medicines in Drinking of CT Based Interstitial Brachytherapy in Carcinoma Water”; An Introduction to Environmental Cervix Using MUPIT Template”; Journal of Medical Pharmacology; March 2009. Physics, November 2008, Supplement. Preventive and Social Medicine Medicine Singh Uday Shankar; “A Cross Sectional Study Ghosh Sarmishtha, Pandya Himanshu; on the Physical Discomfort Among Occupational “Implementation of Integrated Learning programme Computer Users”; Indian medical Gazette; January, in Neurosciences During First Year of Traditional 2009 Vol. CXLIII/No.1; 18-21 Medical Course: Perceptions of Students and Faculty”; BMC Medical Education; 2008; 8:44 Bhanderi Dinesh; “A Study of Occurrence of Domestic Accidents in Semi-Urban Community”; Ghosh Sarmishtha, Pandya Himanshu; “Sensitizing Indian Journal of Community Medicine; April-June Faculty to Problem Oriented Approach as An 2008; Vol. 33/2. Instructional Method: Experience of a Brief Faculty Bhanderi Dinesh; “Facial Rashes in Computer Development Workshop”; National Medical Journal Operators”; Indian Medical Gazette; June 2008; of India; 2008; 21/5 Vol. 142/6 Vaishnav Bhalendu; “Uncomplicated Malaria: Clinical Epidemiology and Clinical Features”; Psychiatry Current Medical Journal of Indi; August 2008; Vol. Sharma Himanshu; “Study of Social Anxiety XIV/5; 49-57 Disorder Among Medical Students”; Eastern Journal of Psychiatry; February – August 2008; Volume II/ Vaishnav Bhalendu; “National Drug Policy on 172 Malaria”; Current Medical Journal of India; October, 2008, Vol XIV/ 7, pp55-57 Skin and VD

Vaishnav Bhalendu; “Lifestyle Measures for Non Vora Rita; “Urticaria- Plan of Investigations”; Communicable Disease”; Current Medical Journal Quatraderm- a quarterly Scientific Publication of of India;, November, 2008 Vol XIV/ 8; 7 Indian Association Dermatologists, Venereologists and Laprologists; July 2009; Issue 71 Microbiology Vora Rita; “Aetiopathogenesis of Androgenic Singh S, Pandya Y, Rathod J, Trivedi S; “Bilateral Alopecia”; Quatraderm- a Quarterly Scientific Breast Abscess: a Rare Complication of Enteric Publication of Indian Association Dermatologists, Fever”; Indian Journal of Medical Microbiology; Venereologists and Laprologists; Dec 2008; Issue 72 2009; 27(1): 69-70 Nair Pragya; “Androgenic Alopecia in Females”; Singh S, Trivedi S, Pal M; “Prevalence of Fungal Quatraderm- a quarterly Scientific Publication of Infections in HIV Patients”; Gujarat Medical Indian Association Dermatologists, Venereologists Journal, 2009; 4(2):33-36. and Laprologists; Dec 2008; Issue 72.

57 CHARUTAR AROGYA MANDAL

Radiology and Oncology (ASTRO) conference at Awards and Boston, USA is selected for “ARRO Poster Walk session with a Professor”. This is one of the 10 Recognitions papers selected from 800 posters in the conference. The selected posters in these sessions are used for teaching the American Radiation Oncology Anatomy residents about newer principles of practice. Dr. Raksha Bhatt and Dr. Praveen R Singh nominated as members Executive Committee of Medicine Gujarat Chapter of Anatomical Society of India. Dr. HV Pandya was elected as the Honorary Dr. Praveen R Singh selected as a Fellow for Secretary of the Association of Physicians of Two year Fellowship Programme (2008-2009) in Gujarat for the Year 2009. “Foundation For Advancement Of International Dr. HV Pandya was selected for the Shrimad Medical Education And Research (FAIMER)” at Jesingbapa Sadguru Rotating Lecturership for the Christian Medical College, Ludhiana. year 2008 presented by Association of Physicians of Gujarat at its Annual Conference on 27th Dr. Praveen R Singh has completed Ph.D December 2008 for his contribution in the field of (Anatomy) from Gujarat University, Ahmedabad medical education. on the topic entitled “Dermatoglyphic Pattern In Congenital Heart Diseases” in March 2009. Dr. HV Pandya selected for FAIMER/WFME (Foundation for Advancement International Medical Central Research Services Education and Reseach/World Federation for Ms. Jaishree Ganjiwale is selected by Christian Medical Education) Distance Learning Module Medical College, Ludhiana Regional Institute for in ‘Standards in Medical Education’. Professional the FAIMER (Foundation for Advancement of developments in the field of Medical Education International Medical Education and Research) for highlighted on website of Foundation for fellowship programme – 2009. Advancement International Medical Education. Dr. Bhalendu Vaishnav was appointed as the Ajay Phatak completed Masters in Public Health Chairperson of Sri Aurobindo Chair of Integral from Hebrew University, Jerusalem, Israel in September, 2008. Studies, Sardar Patel University, Vallabh Vidyanagar in December 2008. Clinical Administration Dr. Bhalendu Vaishnav invited as the Chief guest of the 5th Annual day celebrations of the Dr. Sajan Nair attended National Accreditation Board for Hospitals and Healthcare Providers Waymade College of Education, Vallabh Vidyanagar th (NABH) Training Course from 6th to 10th June and on 20 March, 2009. got NABH Assessorship. Dr. Bhalendu Vaishnav was invited as the Guest editor of a special issue on ‘Lifestyle Measures Dr. Sajan Nair completed M. Phil. (Hospital and for Non-communicable Diseases’ by the Current Health Systems Management) in February 2009. Medical Journal of India in November 2008. Forensic Medicine Dr. Bhalendu Vaishnav nominated as the member of Vidyalaya Management Committee of Kendriya Dr. Sanjay Gupta appointed as “Reviewer of Vidyalaya, Vallabh Vidyanagar. International Journal African Health Sciences”. Dr. Sanket Sheth was selected as Physician Dr. Sanjay Gupta appointed as “Member of Responsible for AIDS case surveillance and Advisory Board” of Journal of Indian Academy of Management (PRAM) by Gujarat state AIDS Control Forensic Medicine. Society.

Manibhai Shivabhai Patel Cancer Center Obstetrics and Gynaecology Dr. V Shankar has been nominated as a member The department received an appreciation certificate of the Editorial Board of Contemporary Journal of for work carried out under the Chiranjivi Yojna at Brachytherapy, Poland. the district level by Commissioner of Health and Poster at the 2008 American Society of Therapeutic Government of Gujarat.

58 ANNUAL REPORT 2008-09

Best Speaker prize won at the State Annual Pharmacology Conference debate level by Dr. Manoj Patel, Dr. Barna Ganguly developed a curriculum resident doctor. on “Ethics” for under graduate medical course Dr. Nitin Raithatha was awarded a scholarship following ICMR NIH Bioethics training programme for online course by AIDS International Training and submitted to ICMR as one of the models and Research programme (AITRP)–University of which was also implemented in 1st MBBS. South Florida (USF) on research methodology for Dr. Bharat Gajjar moderated as an expert, adolescent HIV. two discussions entitled “Modern Medicines in Drinking Water” and ‘Integrated teaching in Paediatrics Medical Curriculum’ on NetRUM (Network for Dr. Nikhil Kharod was invited to train 32 trainers Rational use of Medicines), yahoo e-group of like of Anganwadi workers from three districts of Bihar minded rationalists who have a common cause (Muzzafarpur, Samastipur and Darbhanga) from and concern towards promoting rational use of th th 17 to 19 January, 2009 at Patna on “Essential medicines. Newborn Care at Community Level”. With support from ‘Care-India’ a Hindi translation of a manual Preventive and Social Medicine on essential newborn care for health workers, Dr. Tushar Patel received a certificate and award co-authored by Dr. Shashi Vani, Dr. Nikhil Kharod at state level for his commendable work in and Dr. Rajesh Mehta (all of Pramukhswami the improvement of Routine Immunization by Medical College, Karamsad), was released. Monitoring under the State Routine Immunization Dr. Somashekhar Nimbalkar was appointed West Monitor for Anand by Health Commissioner, Health Zone Coordinator (Indian Academy of Paediatrics and Family Welfare on 7th April, 2009. Pediatric Advanced life support (PALS) for 2009- 2010. Skin and VD

Dr. Somashekhar Nimbalkar was appointed Joint Dr. Rita Vora is selected as Executive Member West Zone Coordinator (Indian Academy of of State Committee of Indian Association of Paediatrics-(FGM). Dermatologists, Venerologists and Leprologists (IADVL) for the year 2009-2010. Dr. Somashekhar Nimbalkar as Faculty for Indian Academy of Paediatrics Goldenhour Emergency Dr. Rita Vora was appointed as a Scientific Management Course. Committee Member for Dermazone 2009 (West zone Conference of Indian Association of Dr. Somashekhar Nimbalkar as Course Coordinator Dermatologists, Venerologists and Leprologists for Indian Academy of Paediatrics Fellowship in (IADVL)- 5 States). Neo-natology.

59 CHARUTAR AROGYA MANDAL

ENT Obstetrics & Gynaecology The Faculty Dr. Girish Mishra Dr. LN Chauhan Dr. Yojana Sharma Dr. Smruti Vaishnav Dean Dr. Hiren D Soni Dr. Rama G Shrivastava Dr. Utpala N Kharod Dr. Nimesh Patel Dr. Maitri Patel Anaesthesiology Dr. Siddharth Shah Dr. Nitin S Raithatha Dr. Hemlata V Kamat Specialists Dr. Nipa A Modi Dr. Pranoti M Patel Shri Sunil Bhatt Dr. Chetna S Vyas Dr. Heena S Patel (Audiologist/Speech Therapist) Dr. Rakhee A Patel Dr. Neeta Bose Shri Hemant Patel Dr. Swati M Patel Dr. Alpa M Patel (Audiologist/Speech Therapist) Dr. Madhavi Chaudhari Ophthalmology Community Medicine Dr. Arvind C Patel Dr. Harsha C Jani Dr. Uday Shankar Singh Dr. Asmita Chaudhary Dr. Samirchandra Bhavsar Dr. Dinesh Bhanderi Dr. Ushma V Parikh Dr. Devendra Saxena Dr. Nayanjeet Chaudhury Dr. Rinku S Arora Dr. Chaitali Patel Dr. Deepakkumar B Sharma Dr. Nupur K Oza Specialist Dr. Tushar A Patel Dr. Gurpreet K Pansesar Dr. Madhavi Sheth Ms. Jaishree Ganjiwale Dr. Vaibhavi Javeri (Retinal Surgeon) Dr. Dinesh Kumar Dr. Bharti R Rajani Dr. Nila Nanavati Orthopaedics Anatomy Dr. Manisha K Gohel Dr. Ashok Vaishnavi Dr. Raksha Bhatt Mr. Prakashkumar D Naik Dr. Ramesh Panchal Dr. Rohini V Routal Mrs. Usha D Patel Dr. Setul Patel Dr. Praveen R Singh Dr. Amit Patel Medicine Dr. Sumati Khanna Dr. Mihir B Dholakia Dr. Jyoti G Mannari Dr. Bhaskar Patel Dr. RL Chhangani Dr. Himanshu Pandya Dr. Parul S Damor Dr. Ramakant B Tibra Dr. Bhalendu S Vaishnav Dr. Ritesh B Patel Dr. Vivek A Patel Dr. Shishir Gandhi Dr. Mohmed Soeb A.J. Dr. Saranjeet Singh Dr. Alpa Leuva Dr. Amit C Rathod Specialists Dr. Ajay K Mishra Dr. Yogendrasingh Pundir Biochemistry Dr. Sanket P Sheth (Spine Surgeon) Dr. N Haridas Dr. Ripal L Shah Dr. Veerendra Shandilya Dr. S Ghosh Dr. Devangi S Desai (Ortbotic Engineer) Dr. KJ Mathai Dr. Kishor J Viradiya Dr. Hiteshkumar N Shah Dr. Labani M Ghosh Paediatrics Dr. Kiran P Chauhan Specialists Dr. Shashi Vani Mr. Amit P Trivedi Dr. Kaushik K Trivedi Dr. Nikhil Kharod (Cardiologist) Dr. Somashekhar N Nimbalkar Dentistry Dr. Anil Ganju (Nephrologist) Dr. Krutika R Tandon Dr. Nikita Goyal Dr. Sishir Gang (Nephrologist) Dr. Lopa K Dalal Dr. Sindhu R Dodamani Dr. Supriya S Tiwari Microbiology Physiology Dr. Snehal R Vandra Dr. Sunil S Trivedi Dr. SK Singh Dr. Sajan S Nair Dr. Ashok Raman Nair Forensic Medicine Dr. Suman P Singh Dr. Vivek Verma Dr. Chetan B Jani Dr. Yagnesh G Pandya Dr. Wasim A Shaikh Dr. Sanjaykumar K Gupta Dr. Rupal M Patel Dr. Minal C Patel Dr. Hitesh Vaishnav Mrs. Mudita Paliwal Dr. Archana S Nimbalkar Dr. Chirag K Pithiya Dr. Chirag P Patel Dr. Hasmukh D Shah

60 ANNUAL REPORT 2008-09

Pathology Dr. Sunil M Vyas Dr. Sandhya Nair Dr. Menka H Shah Dr. Apurva A Patel Ms. Leena J Mudaliyar Dr. Keyuri B Patel Dr. Jayesh Patel Dr. Monica Gupta GH Patel School of Nursing Dr. Sanjay N Chaudhari Specialists Mrs. KS Masurkar Dr. Neena P Doshi Dr. Suresh Nayak Mrs. Sushma C Kapadia Dr. Trupti J Joshi (Neuro Surgeon) Mrs. Trusha V Patel Dr. Faruq I Mulla Dr. Paresh Modi Mrs. Nila B Darji Dr. Kirti M Rathod (Neuro Surgeon) Ms. Raksha G Parmar Dr. Munira F Jhabuawala Dr. Sumit Kapadia Shri HB Suthar Dr. Kalpesh H Shah (Vascular Surgeon) Ms. Vandana D Shrimali Dr. Tarunkumar P Kotadiya Dr. Vijaysingh Thakore Ms. Priti J Solanki Dr. Nargis M Vahora (Vascular Surgeon) Ms. Anna Daniel Rao Dr. Sandeep Sharma Ms. Bhavna C Chavda Pharmacology (Plastic Surgeon) Ms. Kailash Patel Dr. Barna Ganguly Dr. Sameer Raval Ms. Suryabala K Christian Dr. Bharatkumar M Gajjar (Plastic Surgeon) Ms. D A Mirza Dr. Nazima A Mirza Dr. Jayul Kamdar KM Patel Institute of Dr. Anuradha Joshi (Paediatric Surgeon) Physiotherapy Dr. Alpa P Gor Dr. Amit N Chaddha Dr. Lata D Parmar Dr. Nilesh H Patel (Uro Surgeon) Dr. Daxa B Patel Shri UD Panchakshari TB & Chest Dr. G Palani Kumar Psychiatry Dr. Sateeshkumar N Patel Dr. M Moorthy Dr. Himanshu Sharma Dr. Rajiv P Paliwal Dr. B Anishadevi Dr. Nimisha Desai Dr. Purvesh V Patel Dr. Deepak Ganjiwala Specialist Dr. Sangeeta D Macwan Radiology Dr. Manoj D Yadav Dr. Ruchita Chavda Dr. Swati Patel Dr. Chandra Raychaudhari (Pulmonarologist) Dr. Jaydeep Doshi Dr. Sanket K Parekh Dr. Jayesh K Bhatt Trauma & Emergency Care Dr. Kamlesh Vaghela Dr. Diva Shah Centre Dr. Preksha M Shah Dr. Deepak Mehta Dr. Mukesh M Patel Dr. Shlesha G Shah Dr. Parul J Thakkar Dr. Jignesh G Parmar Dr. Gayatri R Chaudhari Dr. Mihir P Dave Dr. Sejal V Raval Dr. Dilar A Rana Dr. Viraj N Shah Dr. Arunkumar R Varun Dr. Nilesh V Trada Dr. Viral V Patel Dr. Jaiprakash Mehta Dr. Ashma M Desai Dr. Ingit M Parmar MS Patel Cancer Centre Skin and Venereal Diseases Dr. Urvashi R Panchal Dr. Rita V Vora Dr. VRKG Shankar Dr. Bhavin S Sharma Dr. Pragya A Nair Dr. Chiramana Haritha Dr. Rajivkumar Damor Dr. Nishit A Bodiwala Dr. Pradeep R Shah Dr. Varunkumar C Patel (Onco Physician) Dr. Kalpana H Patel Surgery Dr. Rajiv Bhatt (Onco Surgeon) Dr. Nargis M Vahora Dr. Shirish H Srivastava Dr. Jignesh Parmar Dr. Maksud K Shaikh Dr. Sharadchandra Shah Dr. Jitesh Desai BM Patel Cardiac Centre Dr. Chirayu M Chokshi Dr. Dhirendrakumar J Dave Dr. Paresh Patel Dr. Sunil Thanvi Dr. Jignesh B Rathod Dr. Gaurav G Goel Dr. Vipul D Yagnik Dr. Kunal Soni

61 CHARUTAR AROGYA MANDAL

College Administration The Management Shri G Rajan Shri P Daniel A Kumar Team Library Mrs Meena P Patel Chief Executive Officer Maintenance Shri Sandeep Desai Shri Shrirang Puntambekar CEO’s Office Shri Pranav G Dave Dr. Neelofar M Sayed Shri Hasmukhray G Bhuva Shri Dilip V Patel Accounts Shri Rasiklal M Patel Shri MH Shah Shri Shabin M Shaikh Shri KJ Suthar Shri Minesh J Shah Project Ms. Shainey Varghese Shri Viren Desai Shri Snehal R Talati Personnel and Administration Shri Bhavesh D Panchal Shri KP Jaiswal Shri NM Panchal Material Management Ms. Archana V Gupta Shri RR Ubgade Shri S Ramanathan Shri Pankaj C Raj Shri RB Prajapati Shri VB Jani Ms. Juhi Upadhyay Shri Dineshkumar M Patel Shri KN Gohil Shri JS Bhatt Shri Ullas R Oza Hospital Administration Ms. Kavita Singh Shri TA Manavalan Ms. Leena Thadani Shri Bipinchandra S Patel Shri Vilsan J Vaghela Systems Shri Rakeshkumar S Parmar Extension Projects Shri Mukesh K Katiyar Shri Pragnesh Gor Shri Nikhil M Makwana Shri Vimal K Singh (Krupa) Shri Maheshkumar W Parmar Dr. Alpesh R Patel Ms. Sejal H Shah Medical Record Shri Nilang J Naidu Shri Tiju Thomas Shri Nayan M Dave Ms. T Vishnu Vallabi Management Support Group Fund Rising Shri Manoj Roy Ms. Aparnaben K Jani Ms. Shivkanya Birla Dr. Abhishek Soni Public Relation Ms. Aditi Khandelwal Ms. Sangeeta P Nair Ms. Divya Gautam Research Ms. Vartika Vaish Shri Ajay Phatak Shri Shashank Tiwari Ms. Dhara Antani Marekting Shri Shantanu Ganguly Dr. Ruchi Kanhere Shri Abhishek Sharma

62 ANNUAL REPORT 2008-09

Dahyabhai Bhailalbhai Patel, Narsanda Donors for the Year Jitendrabhai & Suhasben Shah, Vadodara 2008-2009 Jyotsnaben K Jhaveri, Vadodara Prof. Shantibhai M Amin, Vallabh Vidyanagar Shantaben Shankarbhai Patel, Karamsad Rs. 10,00,000 and more Susma Chatterjee, Vadodara Elecon Engineering Company Ltd., Vallabh Vidyanagar Rs. 50,000 and more Power Build Ltd., Vallabh Vidyanagar Dr. Amrita Patel, Vallabh Vidyanagar EIMCO Elecon (India) Ltd., Vallabh Vidyanagar Janardan G Amin, U S A Manibhai & Brothers Chritable Trust, Pushpaben Chaitanya Patel, U S A Ahmedabad Kalpesh Nandubhai Patel, Vallabh Vidyanagar Vandana & Atulkumar Jashbhai Amin, Bakrol Nagar Chasmaghar, Ahmedabad Ravi & Naina Patel Foundation, California, C B Patel, Anand USA Rasikbhai Patel, Bhadran Speciality Wood Pack Pvt. Ltd., Vallabh Kanubhai Babarbhai Patel, Vallabh Vidyanagar Vidyanagar Sudhakar Bhandari & Noel A Christian, Karamsad Rs. 5,00,000 and more Amlan Shah, Dubai, UAE Rs. 25,000 and more C.C. Patel, Sandesar Prabhulal Ranchhodbhai Patel, Ahmedabad Arunbhai Maneklal Zaveri & Sons, Rs. 2,00,000 and more Ahmedabad Sir Ratan Tata Trust, Mumbai Sarojben Mannari, Anand Sardar Patel Trust, Karamsad Pravinbhai A Patel, Anand Shri Santram Jansewa Trust, Nadiad Mamta Parikh, Vadodara Charotar Gramoddhar Sahakari Mandal, GMM Pfaudler Ltd., Karamsad Vallabh Vidyanagar Arvindbhai Ambalal Patel, Karamsad Mr. & Mrs. Deo, Middlesex, U K Rs. 1,00,000 and more Shree Vir Vitthalbhai Patel Dardi Sahayak Sai Shruti Charitable Trust, Middlesex, U K Charitable Trust, Vallabh Vidyanagar Dasharathbhai Kubersingh Angana, Petlad Minakshi U Patel, Vallabh Vidyanagar Dr. Nirmalaben Desai, Vallabh Vidyanagar Twenty First Century Castings, Vitthal Foundation For Films On India’s War Of Udyognagar Independence, Anand Mahendrabhai B Patel, Vallabh Vidyanagar Kamalaben Chhotabhai Patel, Vallabh Bhavanaben Jayeshkumar Shah, Ahmedabad Vidyanagar Dr. Babubhai R Patel, Vadodara Chaitanyaben Pramodbhai Patel, Bhadran Kalavatiben Jashbhai Patel, Dharmaj Nisha Da Cunha, Mumbai Chandravadan Shantilal Shah, Mumbai

63 CHARUTAR AROGYA MANDAL Deh Dan The Mandal is also grateful to the relatives Dharmaj and families of the following, from whom the Vipulbhai Satishbhai Patel College received Deh Dan. Khankuva Anand Ramanbhai Bhikhabhai Patel Chaitanyabhai Shankarlal Patel Mogri Hansaben Jaggnath Dave Parshottam Somabhai Patel Jayrambhai Ambalal Patel Keshavlal Aditram Patel Ode Kapilben Rameshbhai Patel Ravjibhai Mahijibhai Patel Navinchandra Ranchodbhai Patel Petlad Boria Haribhai Ashabhai Desai Khodabhai Parshottambhai Patel Natubhai Dajibhai Patel Chikhodra Mukundlal Shantilal Shah Vimlaben Chhotabhai Patel Uttarsanda Dabhan Babubhai Ravishankar Joshi Shivabhai Chhotabhai Patel Vadodara Dakor Natubhai Vitthalbhai Patel Kantaben Motilal Parikh Vallabh Vidyanagar Yogeshkumar Vrajlal Dahiben Naranbhai Patel

64 ANNUAL REPORT 2008-09

Auditors’ Report & Accounts

65 CHARUTAR AROGYA MANDAL

C.C. CHOKSHI & CO. Chartered Accountants 3rd Floor, “Heritage” Near Gujarat Vidhyapith, Off Ashram Road, Ahmedabad 380 014

auditors’ report

NAME OF THE PUBLIC TRUST:- CHARUTAR AROGYA MANDAL, VALLABH VIDYANAGAR, DIST.: ANAND

REGISTRATION NUMBER:- F / 119 / ANAND

We have audited the accounts of the above named Mandal for the year ended 31st March, 2009 and beg to report that:-

1. The accounts are maintained regularly and in accordance with the provisions of the Act and the Rules. 2. Receipts and disbursements are properly and correctly shown in the accounts. 3. The Cash Balance and Vouchers in the custody of the Gen. Manager (Accounts ) on the date of the audit are in agreement with the accounts. 4. Books, Deeds, Accounts Vouchers and other documents and records required by us were produced before us. 5. An inventory, certified by the trustee of the movables of the Mandal has been maintained. 6. The General Manager (Accounts) appeared before us and furnished the necessary information required by us. 7. No property or funds of the Mandal was applied for any object or purpose other than the object or purpose of the Mandal. 8. The amounts out-standing for more than one year are Rs. 39,22,473/- and the amount written off is Rs. 14,227/-. 9. Tenders were generally invited for repairs or construction as the expenditure involved did exceed Rs. 5000/-. 10. No money of the Public Trust has been invested contrary to the provisions of Section 35. 11. No alienations of Immovable property have been made contrary to provisions of Section 36.

We have further to report:

Attention is invited to following notes in Schedule “G” regarding: Note - 2 : Gratuity liability up to 31.3.2000 treated as deferred revenue expenditure. Note - 3 : Non-provision of balance liability for leave encashment amounting to Rs. 336.73 lakhs. Note - 5 : Income of fees for MBBS course. Necessary adjustment for fees will be made based on the final outcome of the order and any further development in this regard. (Amount is unascertainable) Note - 7 : Non-provision of liability for pay arrears amounting to Rs. 236.30 lakhs. Note - 8 : Non-provision of liability of Value Added Tax on medicines for the reasons mentioned therein. (Amount is unascertainable)

Had the observations made by us in Notes 3 and 7 above been considered the deficit as on 31st March 2009 would have been Rs. 5474.31 lacs as against the reported deficit of Rs. 4901.28 lacs. For C C Chokshi & Co. Chartered Accountants

H. P. Shah Place: Ahmedabad Partner Date : 3rd September, 2009 (Membership No. 33331)

66 ANNUAL REPORT 2008-09

balance sheet as at 31st march, 2009

(Regn.No. F / 119 / Anand) (Rs.In thousands)

SOURCE OF FUNDS: 31.03.2009 31.03.2008

Corpus Funds Schedule “A” 224,623.49 210,156.38

Medical Relief, Infrastructure Dev. and Other Funds Schedule “B” 144,339.08 114,420.93

Donations from the Community Schedule “C” 442,429.85 371,744.89

SECURED LOANS: Term Loan: From Oriental Bank of Commerce for purchase of 24,258.54 30,289.64 Equipments (Against hypothecation of MRI Equipments)

Overdraft Facility: From ICICI Bank Ltd. 8,122.66 2,384.65 [Fixed deposit receipts for Rs. 101.00 lakhs (P.Y.Rs. 101 Lakhs) pledged as Security]

From Oriental Bank of Commerce 31,593.10 – [Fixed deposit receipts for Rs. 404.12 lakhs (P.Y. Nil) pledged as Security]

TOTAL SOURCE 875,366.72 728,996.49

As per our separate report of even date attached herewith On behalf of the Charutar Arogya Mandal

For C.C. Chokshi & Co. Sandeep Desai Jagrut Bhatt Dr. Amrita Patel J.M.Rawal B. Z. Patel Chartered Accountants Chief Executive Officer Hon. Secretary Chairman Trustee Trustee

H. P. Shah M. H. Shah Partner General Manager (Accounts) Ahmedabad Vallabh Vidyanagar Date: 3rd September, 2009 Date: 31st August, 2009

67 CHARUTAR AROGYA MANDAL

balance sheet as at 31st march, 2009 (Regn.No. F / 119 / Anand) (Rs.In thousands) APPLICATION OF FUNDS: 31.03.2009 31.03.2008

INFRASTRUCTURE AND INVESTMENT: Fixed Assets Schedule “D” 311,221.34 210,173.12 Investments Schedule “E” 214,706.79 272,886.03 525,928.13 483,059.15 WORKING CAPITAL: CURRENT ASSETS:

Inventories 15,280.89 10,523.94 Sundry Debtors( Unsecured) Considered good 2,407.71 1,909.61 Considered doubtful 3,323.58 3,323.58 5,731.29 5,233.19 LESS: Provision for doubtful debts 3,323.58 3,323.58 2,407.71 1,909.61

Interest Accured 12,211.86 20,616.18 Deposits, Advances and Receivables 81,598.92 30,249.32 (Including Rs. 19.45 lakhs (P.Y. Rs. 10.47 lakhs) to Charutar Arogya Mandal Medical Research Society) Cash & Bank Balances 1,394.79 3,027.65 Cheques on Hand 10.11 5.11 112,904.28 66,331.81 LESS: LIABILITIES:

Current liabilities 44,832.56 54,329.32 Advance Tuition fees 43,651.46 10,353.68 Fee Deposits - 28,044.30 Sundry Credit Balances 21,917.08 15,499.04 Liability for Gratuity & Leave Encashment 93,042.85 60,293.70 Provision for Pay Arrears 50,406.01 27,954.52 253,849.96 196,474.56

NET WORKING CAPITAL (140,945.68) (130,142.75)

DEFERRED REVENUE EXPENDITURE (to the extent not written off) 255.53 1,672.56

INCOME & EXPENDITURE ACCOUNT: Balance as per last Balance Sheet 374,407.53 334,605.80 ADD: Deficit for the year 115,721.21 39,801.73 490,128.74 374,407.53 Significant Accounting Policies - Schedule “F” Notes on Accounts - Schedule “G”

TOTAL APPLICATION 875,366.72 728,996.49

As per our separate report of even date attached herewith On behalf of the Charutar Arogya Mandal

For C.C. Chokshi & Co. Sandeep Desai Jagrut Bhatt Dr. Amrita Patel J.M.Rawal B. Z. Patel Chartered Accountants Chief Executive Officer Hon. Secretary Chairman Trustee Trustee

H. P. Shah M. H. Shah Partner General Manager (Accounts) Ahmedabad Vallabh Vidyanagar Date: 3rd September, 2009 Date: 31st August, 2009

68 ANNUAL REPORT 2008-09

income and expenditure account for the year ended on 31st march, 2009

(Regn.No. F / 119 / Anand) (Rs.In thousands)

INCOME 2008-09 2007-08

INCOME FROM MEDICAL CARE: Treatment Charges 117,527.54 86,812.36 LESS: Concession to Poor Patients and Patients under Voluntary Health Care Scheme (Net) 22,782.61 14,668.16 Treatment Charges (Net) 94,744.93 72,144.20 Medicines 60,240.02 41,410.75 Blood Bank 3,459.95 2,246.88 Fees for Clinical Teaching 58,169.94 46,212.11 Government Grant 1,368.75 858.19 217,983.59 162,872.13 INCOME FROM MEDICAL EDUCATION : Tuition Fees (Net) 110,473.15 101,017.64 Other fees 2,494.00 3,067.00 Educational Assistance 7,905.11 1,264.07 Government Grant – 60.00 120,872.26 105,408.71

Donations from Community 2,116.91 457.70

OTHER INCOME: Income from Investment 412.14 8,539.94 Rent from Quarters and Hostels 10,070.77 9,322.26 Miscellaneous Income 12,293.10 10,012.53 Sundry Debit / Credit balances written back 6.41 174.83 Profit on sale of Assets 519.18 188.45 Provision for Expenses no Longer required 11.11 – 23,312.71 28,238.01

TOTAL INCOME 364,285.47 296,976.55

As per our separate report of even date attached herewith On behalf of the Charutar Arogya Mandal

For C.C. Chokshi & Co. Sandeep Desai Jagrut Bhatt Dr. Amrita Patel J.M.Rawal B. Z. Patel Chartered Accountants Chief Executive Officer Hon. Secretary Chairman Trustee Trustee

H. P. Shah M. H. Shah Partner General Manager (Accounts) Ahmedabad Vallabh Vidyanagar Date: 3rd September, 2009 Date: 31st August, 2009

69 CHARUTAR AROGYA MANDAL

income and expenditure account for the year ended on 31st march, 2009

(Regn.No. F / 119 / Anand) (Rs.In thousands)

EXPENDITURE 2008-09 2007-08

EXPENDITURE ON MEDICAL CARE: Manpower 93,561.60 71,750.17 Medicines 39,457.41 30,887.75 Other Expenditure Related to Treatment 57,073.60 33,561.47 Blood Bank Expenses 1,628.23 1,349.11 Electricity 12,005.18 8,289.74 Administrative and Other Overheads 37,189.93 26,123.64 Obsolete Stock Written off 454.50 – Expenditure on Cancer Awareness & Detection 1,928.63 1,759.86 243,299.08 173,721.74 EXPENDITURE ON MEDICAL EDUCATION: Manpower 167,934.07 138,821.37 Electricity 6,526.52 5,616.98 Education Training Expenses 12,556.12 9,781.78 Administrative and other overheads 10,974.49 6,131.41 197,991.20 160,351.54 INTEREST EXPENSES On Term Loan 3,339.29 1,025.09 On Overdraft facility 1,037.77 73.28 4,377.06 1,098.37 EXPENDITURE ON ADMINISTRATION: Manpower 5,326.69 3,263.05 Electricity 341.14 171.56 Administrative and Other Overheads 10,225.48 3,743.07 Campus Development 574.54 200.92 Hostel Maintenance 982.93 559.84 17,450.78 7,938.44 Loss on Sale of Assets – 40.37 Depreciation 49,018.42 32,925.02

TOTAL EXPENDITURE 512,136.54 376,075.48 DEFICIT (147,851.07) (79,098.93) Tuition Fees / Fees for Clinical Teaching of earlier years 21,841.84 29,154.43 (Refer to Note No.6 of schedule “G”) Fund transferred from Corpus Fund & HM Patel Centenary 10,288.02 10,142.77 Corpus Fund BALANCE OF DEFICIT FOR THE YEAR CARRIED TO BALANCE (115,721.21) (39,801.73) SHEET

As per our separate report of even date attached herewith On behalf of the Charutar Arogya Mandal

For C.C. Chokshi & Co. Sandeep Desai Jagrut Bhatt Dr. Amrita Patel J.M.Rawal B. Z. Patel Chartered Accountants Chief Executive Officer Hon. Secretary Chairman Trustee Trustee

H. P. Shah M. H. Shah Partner General Manager (Accounts) Ahmedabad Vallabh Vidyanagar Date: 3rd September, 2009 Date: 31st August, 2009

70 ANNUAL REPORT 2008-09

schedules to the balance sheet

SCHEDULE “A”: CORPUS FUNDS (Rs.in thousands) As at As at (i) CORPUS FUND 31.03.2009 31.03.2008

Balance as per last Balance Sheet 109,356.94 106,412.85

ADD: Fund received during the year 527.96 162.00 Interest earned during the year 11,647.80 11,128.41 12,175.76 11,290.41 121,532.70 117,703.26 LESS: Fund transferred to Income & Expenditure Account 8,735.85 8,346.32 TOTAL 112,796.85 109,356.94

(ii) H M PATEL CENTENARY CORPUS FUND Balance as per last Balance Sheet 22,274.12 18,279.24 ADD: Fund received during the year 1,030.83 412.08 Interest earned during the year 2,069.56 2,395.27 Fund transferred from other fund (Ref. Schedule “B”) – 2,983.98 3,100.39 5,791.33 25,374.51 24,070.57 LESS: Fund transferrred to Income & Expenditure Account 1,552.17 1,796.45 TOTAL 23,822.34 22,274.12

(iii) JTT - CAM CORPUS FUND

Balance as per last Balance Sheet 78,525.32 70,039.59 ADD: Interest earned during the year 9,478.98 8,485.73 TOTAL 88,004.30 78,525.32

TOTAL (i + ii + iii) 224,623.49 210,156.38

SCHEDULE “B”: MEDICAL RELIEF, INFRASTRUETURE DEVELOPMENT AND OTHER FUNDS

Balance as per last Balance Sheet 114,420.93 91,510.81

ADD: Fund received during the year 2,614.52 7,914.43 Interest earned during the year 38.21 145.78 Transferred from Tuition Fee 28,669.29 21,017.92 31,322.02 29,078.13 145,742.95 120,588.94 LESS: Utilised during the year 1,151.87 3,184.03 Amount transferred to Corpus Fund (Ref. Schedule “A”) - 2,983.98 Adjusted towards asset sold 252.00 - 1,403.87 6,168.01 TOTAL 144,339.08 114,420.93

SCHEDULE “C”: DONATIONS FROM THE COMMUNITY

Balance as per last Balance Sheet 371,744.89 368,967.50 ADD: Received during the year 70,785.46 3,254.07 442,530.35 372,221.57 LESS: Utilised during the year 100.50 476.68 TOTAL 442,429.85 371,744.89

71 CHARUTAR AROGYA MANDAL – – (Rs. in thousands) Net Value Net Value – 469.08 469.08 – – 1,716.00 23,847.67 – 1,835.54 5,217.53 – – – – – – 8,465.39 88,326.23 104,089.32 62,950.36 – 795.85 2,676.64 8,722.94 1,181.49 – 131.89 2,043.01 747.35 879.24 – – Depreciation Provided on Sale / For the Upto As on As on – – – Provided Upto – 111.98 111.98 31.03.2009 31.03.2008 Adjustments Year 31.03.2009 31.03.2009 31.03.2008 – 469.08 – 192,415.55 79,860.84 – 11,399.58 1,880.79 – 2,790.36 1,911.12 – – – 111.98 469.08 111.98 3,062.28 8,337.30 2,790.36 1,052.33 694.12 302.00 1,444.45 1,048.38 302.00 558.45 1,304.83 139.62 3.95 5,217.53 1,835.54 5,217.53 1,835.54 14,879.10 2,423.58 97.35 17,205.33 12,766.37 97.35 2,573.72 15,242.74 1,962.59 2,112.73 23,847.67 26,785.09 48,916.76 1,716.00 142,811.20 49,604.35 219,576.47 107,993.60 86.44 327,483.63 119,086.92 53.78 34,826.82 153,859.96 173,623.67 100,489.55 410,562.35 175,613.09 598.35 585,577.09 229,454.43 565.56 49,018.42 277,907.29 307,669.80 181,107.92 439,627.55 204,233.72 54,732.64 589,128.63 229,454.43 565.56 49,018.42 277,907.29 311,221.34 210,173.12 350,818.48 103,856.25 15,047.18 439,627.55 196,760.26 230.85 32,925.02 229,454.43 210,173.12 At Cost Additions Sale / Total as on during Adjustments as on 01.04.2008 the Year PARTICULARS PARTICULARS LAND (Freehold) BUILDINGS EQUIPMENTS FURNITURE & DEAD STOCK 25,809.55 6,560.14 0.58 32,369.11 12,788.03 0.45 1,666.30 14,453.88 17,915.23 13,021.52 ELECTRICALS INSTALLATIONS & FITTINGS VEHICLES COMPUTERS SOLAR WATER SYSTEM SOLAR WATER LIBRARY BOOKS LIBRARY CAPITAL WORK-IN-PROGRESS CAPITAL (BUILDING) CAPITAL ITEMS IN STOCK CAPITAL ( PENDING INSTALLATION) TOTAL PREVIOUS Y EAR’S TOTAL schedule “ d ” fi x ed assets

72 ANNUAL REPORT 2008-09 – As at 749.05 749.05 100.00 3,500.00 10,000.00 31,325.00 227,961.03 (Rs.in thousands) As at 31.03.09 31.03.08 31,325.00 41,325.00 183,381.79 231,561.03 214,706.79 272,886.03 – – 100.00 51,010.29 31,325.00 132,271.50 749.05 749.05 A: IN FI X ED DEPOSITS: Corporate Bodies With Scheduled Banks With Charotar Nagrik Sahakari Bank Ltd. ( In Liquidation ) With (Considered Doubtful ) LESS: Provision made Charotar Gramoddhar Sahakari Mandal Ltd. With B: IN BONDS WITH: Industrial Credit & Investment Corpn. of India (2000 Bonds of Rs.5000/- each) OF INVESTMENTS TOTAL RBI 8% Saving Bond Taxable (2003) RBI 8% Saving Bond Taxable schedule “ e ” investments

73 CHARUTAR AROGYA MANDAL

schedule “f” significant accounting policies

1. Basis of preparation of Financial Statements

(a) The financial statements have been prepared under the historic cost convention in accordance with the generally accepted accounting principles.

(b) The Mandal generally follows mercantile system of accounting.

(c) Government grant is accounted when received.

(d) Tuition fees is net of Infrastructure Development Fund and fees for Clinical Teaching.

(e) Corpus Fund:

(i) Corpus Fund : Fund received for general purpose and as decided by the management is credited to Corpus Fund Account. Interest earned on investment of Corpus Fund is credited to the said fund account and 75 % of the interest credited is transferred to Income & expenditure Account ( Medical Care ).

(ii) H M Patel Centenary Corpus Fund : Fund received for meeting the cost of indigent Cancer patients and interest earned there on is credited to H M Patel Centenary Corpus Fund Account and 75 % of the interest credited is transferred to Income & Expenditure Account (Medical Care ).

(iii) JTT - CAM Corpus Fund : Fund received from Jamsetji Tata Trust for scholarship to MBBS students and interest earned thereon is credited to Jamsetji Tata Trust -CAM Corpus Fund Account.

(f) Donation received for Cancer Awareness project and from communities for miscellaneous purposes are credited to Income & Expenditure Account.

2. Fixed Assets Fixed assets are stated at cost.

3. Depreciation Depreciation on fixed assets is provided on the written down value at the rates as prescribed by the Income Tax Rules 1962. Depreciation on assets acquired during the first half of the year is provided for the full year and no depreciation is provided in the year of disposal.

4. Investments Investments are carried at cost.

5. Inventories Inventories include medicines, medical and surgical items, housekeeping materials and other consumables. Medicines are valued on actual cost basis and other items are valued at cost on first-in-first out basis.

6. Retirement Benefits (i) Contribution to Provident Fund and Super Annuation Fund are charged to Income & Expenditure Account.

(ii) Gratuity Liability for the year has been provided as estimated by the management.

(iii) Liability for Leave Encashment benefit for the year has been provided as estimated by the Management.

7. Deferred Revenue Expenditure Past liability for the Gratuity is written off over a period of ten years in equal installments.

8. Contingent Liabilities These are disclosed by way of notes to Accounts.

9. Library Books Expenditure on Library Books are charged to Income & Expenditure Account since 1987-88.

74 ANNUAL REPORT 2008-09 schedule “g” notes on accounts

1. The accounts of all units have been consolidated to represent the overall financial performance and the financial position of the Mandal.

2. The gratuity liability for the period up to 31-03-2000 of Rs. 1,77,83,401/- has been treated as deferred revenue expenditure and is being charged to the Income & Expenditure Account over a period of ten years in equal instalments. The balance in deferred revenue expenditure account as on 31-03-2009 is Rs. 2,55,531 /-

3. The liability on account of leave encashment as on 31.03.2009 is estimated at Rs. 5,01,05,386/-.The provision of Rs. 1,64,31,944/- including Rs. 1,35,11,348 /- for the year is made in the financial year 2008-09.

4. Course wise Tuition fees transferred to Infrastructure fund and fees for clinical teaching as under:

Course % of Tuition fees transferred to % of Tuition fees transferred as Infrastructure fund clinical teaching (to Medical care)

MBBS 7.50 25.00 Physiotherapy 7.50 25.00 Nursing 7.50 25.00 PG 20.00 40.00 MPT 20.00 40.00 DMLT 25.00 – MSC-MLT 25.00 –

5. As per the Order dated 20th June, 2007 of Honourable Justice R. J. Shah (Retd.) Fee Committee, the fees for MBBS Course is recommended at Rs. 2,20,000/-, Rs. 2,45,000/- and Rs. 2,75,000/- for the students on roll in the year 2006-07, 2007-08 and 2008-09 respectively and the Mandal has accounted for the fees as recommended by the fee Committee. The Parents Association for Medical/Dental students has challenged recommendations of Fee Committee before the Honourable Gujarat High Court.

As per Order of Gujarat High Court dated 19-24 March, 2008, the matter was remanded to the Fee Committee for its review. However,on Mandal’s appeal against the Order, as an interim Order, the Divisional Bench of the Gujarat High Court vide its Order dated 23rd May, 2008, directed the students to pay the full fee as decided by the Committee. The aggregate fees of Rs. 5,02,73,750/- being the difference between the fee fixed by the Committee and Rs. 1,80,000/- as specified in the High Court’s order i.e. Rs. 65,000/- and Rs. 95,000/- per student for the years 2007-08 and 2008-09 respectively has been deposited with the Registrar, Gujarat High Court. The said amount has been included in “Deposit, Advances and Receivable” shown in the Balance Sheet. Necessary adjustments for Fees will be made based on the final outcome of the order.

6. Vide order dated 8th July, 2009, Honourable Justice R. J. Shah (Retd.) Fee Committee, pursuant to the order of Honourable High Court of Gujarat dated 13th May, 2009 and the relevant orders dated 8th May,2008 and 20th October, 2008, of the Honourable Justice RJ Shah (Retd.) Fee Committee, recommends the College to devise a fee structure for various PG and MPT courses for the years 2006-07, 2007-08 and 2008-09, provided average fee from all courses does not exceed Rs. 5.22 lakhs per student per year. Based on these orders, during the year differential fees for the years 2006-07 and 2007- 08 aggregating to Rs. 2,18,41,836/- has been accounted for as net fees.

7. During the year, the staff salaries and allowances are revised effective from 1.1.2006. As a result, the total liability of pay arrears worked out to Rs. 7,40,37,073/-. Out of which, provision of Rs. 5,04,06,659/- has been made in the books of accounts up to 31st March,2009 and remaining Rs. 2,36,30,414/- has not been provided in the books of accounts.

8. The Mandal was exempted from the registration as a ‘Dealer’ under the Gujarat Sales Tax Act,1969, however, from the year 2006-07, the Gujarat Value Added Tax Act,2003,(GVAT Act) in place of the Gujarat Sales Tax Act,1969 has came in to force. In response to the Mandal’s application seeking determination of liability for registration under the GVAT Act, vide the order dated 16th June, 2009, of the Gujarat Value Added Tax Tribunal, Ahmedabad, confirmed the determination order dated 27th October, 2008, a passed by the Joint Commissioner, Commercial Tax, Gujarat State, Ahmedabad, holding the Mandal as a ‘dealer’ within the meaning of section 2(10) of the GVAT Act. This matter is being contested by the Mandal in the Gujarat High Court. The liability, if any, of VAT on medicines for the years 2006-07 to 2008-09 will be determined based on the outcome of the matter.

75 CHARUTAR AROGYA MANDAL

9. Contingent Liabilities not provided for in respect of :

2008-2009 2007-2008 Rs Rs i ) Claim against Mandal by the District Collector, 4,77,450 4, 77,450 Anand, towards premium demand for Land and pending with State Government. ii) Claim against Mandal by the Karamsad — 3,23,323 Municipality towards the House Tax for the years from 2002-03 to 2006 -07 and pending with Appellate Authority. iii) Claim against Mandal by Madhya Gujarat Vij 24,22,954 24,22,954 Co. towards the electricity charges due to new (including Rs. 6,05,739 (including Rs. 6,05,739 tariff and pending with Gujarat High Court. paid under protest) paid under protest) iv) Guarantees given by a Bank to the Medical 2,55,00,000 5,21,00,000 Council of India, New Delhi, for undertaking (against pledgement of (against pledgement various PG courses. FDRs amounting to Rs. of FDRs amounting to 60.03 lakhs) Rs.101.00 lakhs) v) Claims against the Mandal lodged by some Amount unascertainable employees and workers of Contractors not acknowledged as debt and pending with different Authorities. vi) Claims against the Mandal towards Amount unascertainable compensation under Motor accident by legal heirs of persons who died in a motor accident and pending with the Motor Accident Claim Tribunal. vii) Claim against the Mandal towards affiliation 86,97,500 — fees for PG courses by the S.P.University and (including Rs.10 lakhs pending with Gujarat High Court. paid under protest)

10. Balances in the accounts of sundry debtors, advances and creditors are subject to confirmation by the parties.

11. Mandal is granted registration under section 12 A(a) of the Income Tax Act, 1961 and its income is exempt under section 11 of the Income Tax Act, 1961. It has also applied for grant of exemption under section 10(23c)(vi) and (via) of the Income Tax Act, 1961 and it does not anticipate any tax liability.

12. Figures for the previous year have been regrouped or rearranged, wherever required to make them comparable with those of the current year.

On behalf of the Charutar Arogya Mandal

For C.C. Chokshi & Co. Sandeep Desai Jagrut Bhatt Dr. Amrita Patel J.M.Rawal B. Z. Patel Chartered Accountants Chief Executive Officer Hon. Secretary Chairman Trustee Trustee

H. P. Shah M. H. Shah Partner General Manager (Accounts) Ahmedabad Vallabh Vidyanagar Date: 3rd September, 2009 Date: 31st August, 2009

76 Gratitude

• The people of Charotar who generously contributed in so many ways. • The people of Karamsad and particularly the Karamsad Municipal Borough for their continuing support. • The Tribhuvandas Foundation for their continued assistance. • The Charutar Vidya Mandal and the Charotar Gramodhar Sahakari Mandal Ltd., for their help and support. • The Kaira District Cooperative Milk Producers’ Union for their support and help. • The Vitthal Udyognagar Industries Association for their support. • The Santram Mandir, Karamsad for providing free meals to relatives of patients coming from long distances. • Sir Ratan Tata Trust, Mumbai and Sir Dorabji Tata Trust, Mumbai for their generous assistance to the Cancer Project and treatment of poor patients. • Sir Jamshedji Tata Trust for their generous assistance to provide scholarships to meritorious, but economically challenged students for the MBBS courses. • Elecon Group of Companies for their generous support in creating state-of-the-art Cardiac Centre. • The Petlad Municipality for entrusting us with the responsibility of managing their centre at Petlad. • Ardi Gram Panchayat for making available a community hall in their village for a Clinic. • The Mayank Jayant Foundation for making available their premises to run a Health Centre at Anand. • The National Dairy Development Board for their assistance in many of our projects. • The Government of Gujarat and the Sardar Patel University who have offered unstinted support. • The honorary consultants and volunteers who have worked selflessly to provide the much needed support. • The dedicated team of doctors and supporting staff who have worked to provide round- the-clock services. • Numerous donors who have been so generous in supporting our projects and activities. • The countless individuals and institutions who have supported the Charutar Arogya Mandal activities in so many ways and without whose help and encouragement the Charutar Arogya Mandal would not have been able to make the progress achieved during the year. Charutar Arogya Mandal Gokal Nagar, Karamsad - 388 324, Gujarat, India Phone: (02692) 222130, 222567