A n n u a l R e p o r t 2 0 1 6 - 2 0 1 7

Charutar Arogya Mandal Contents 2 CAM’s Commitment, Professionalism, and Accountability 2 Board of Trustees 6 Reaching the Last Person in the Last Village 8 Patient Care 18 Medical Education 28 Research 30 Community Extension 37 Visitors 38 The Team 42 CSR and Fund Raising 44 Deh Daan 44 Donors 47 Accounts 56 Gratitude Chairman, Charutar Vidya Dean, Pramukhswami Medical Board of Management – CAM’s Commitment, Mandal College Education Dr Chhotubhai L Patel Dr Utpala N Kharod Chairman, Charutar Arogya Mandal Hon. Secretary, Charutar Vidya Chairman, Humane Care Group Professionalism, and Dr Amrita Patel Mandal & Professor, Dept. of General Medicine, Pramukhswami Dr Shantibhai G Patel Hon. Secretary, Medical College Accountability Charutar Arogya Mandal Members Nominated by the Dr Bhalendu Vaishnav Shri Jagrut Bhatt Charutar Arogya Mandal (CAM) is structured The Governing Body is part of and functions Governing Body of Charutar Vidya Mandal Chairman, Rational Care Group so as to reflect its professionalism on the one under the purview of the wider Governing Chief Executive Officer, & Professor, Dept. of Obstetrics hand and accountability to the community on Council, which includes representatives of Dr A K Saluja Charutar Arogya Mandal & Gynaecology, Pramukhswami the other. donors, sister-institutions and members of CAM. Dr Sirdeshpande Malhari Medical College Shri Sandeep Desai Kamalakar Registered as a Trust and a Society, CAM’s The President of CAM, Shri Hasmukhbhai Dr Smruti Vaishnav properties are managed by a Board of Trustees Shah, chairs the Governing Council meetings. Dean, Pramukhswami Medical Dean, Pramukhswami Medical College comprising Shri Nitinbhai R Desai and Shri The Governing Council, in turn, reports to the Chairman, Efficient Care Group College Dr Utpala N Kharod Prayasvinbhai B Patel. General Body. (The total number of members & Professor, Dept. of Chest Dr Utpala N Kharod Medicine, Pramukhswami CAM’s policies are decided by a Governing was 1,853 as on 31st March 2017). In this way, Medical College Chairman, Curriculum Design Body headed by CAM’s Chairman & Executive the Community participates in the running of Vice-Chancellor, Dr Rajiv Paliwal & Implementation Group & Head, Dr. Amrita Patel. the institution. Sardar Patel University Professor, Dept. of General Medicine, Pramukhswami Prof Shirish R Kulkarni Chairman, Affordable Medical College Board of Trustees Governing Council Dr Darshit Shah Care Group & Professor, Chairman/President, Anand Dept. of General Surgery, Dr Jyoti Mannari Shri Nitinbhai R Desai President Shri Prashant C Amin District Panchayat Pramukhswami Medical Shri Prayasvinbhai B Patel Shri Hasmukhbhai Shah Shri Dinesh M Patel Smt Kapilaben G Chavda College Chairman, Clinical Training Dr Sudarshan Iyengar Dr Jitesh Desai Group & Professor, Dept. of Governing Body Vice-Presidents Eminent Ladies Nominated Anaesthesia, Pramukhswami Shri Ravinbhai R Shah Medical College Shri Sudhir Mankad by the Chairman Chairman, Quality Chairman Shri Amlan Shah Shri Atulbhai H Patel Improvement Group & Dr Hemlata Kamat Dr Amrita Patel Dr Ila Patel Shri Ashokbhai V Patel Professor, Dept. of Pathology, Smt Shruti A Shroff Pramukhswami Medical Chairman, Professional Hon. Secretary Chairman Shri Rajesh G Upadhyaya College Development Group & Shri Jagrut Bhatt Dr Amrita Patel Shri C M Makadia Members Co-opted by the Dr Monica Gupta Professor, Dept. of General Shri Dixit R Patel Council Medicine, Pramukhswami Dean Members Elected by the Medical College Shri Hemantbhai T Patel Shri Natubhai M Patel Former Associate Professor Dr Utpala N Kharod General Body Shri Pramit K Patel in Psychiatry, Institute of Dr Himanshu Pandya Shri Harshadbhai S Patel Shri Dinubhai P Patel Smt Meeta K Jain Space and Aviation Medicine, Members Elected by the Smt Sumiben V Patel Bengaluru & Puducherry Chairman, Student Support Smt Bhaviniben D Patel Representative of Bakrol Council Shri Rameshbhai Shah Institute of Medical Sciences Group Smt Pannaben S Patel Shri Pragneshbhai A Patel Shri Natubhai M Patel Shri Mehulbhai J Patel Dr Alok Pandey Dr Swapnil Agarwal Dr Chhotubhai L Patel Shri Atulbhai H Patel Shri Amitbhai B Patel Board of Management – Shri Ashokbhai J Patel Smt Kokilaben J Patel Head, Centre for Chairman, Academic Dr Vijaybhai J Patel Patient Care Histopathology SRL Diagnostics Administration Group & Shri Amitbhai B Patel Shri Dilipkumar V Desai Chairman, Charutar Arogya & SL Raheja Hospital, Mumbai Professor, Dept. of Physiology, Shri Sanjay J Desai Pramukhswami Medical Shri Harshadbhai S Patel Donors’ Representatives Mandal Dr Anita Borges College Shri Vikrambhai C Patel Shri Ashokbhai J Gokal Shri Bimal N Desai Dr Amrita Patel Dr Ashok Raman Nair Shri Ravindra J Gokal President & Chief Operating Members Co-opted by the Nominee of Karamsad Secretary, Charutar Arogya Officer, Narayana Health Shri Kishorbhai J Gokal Municipal Borough Chairman, Assessment Group Governing Body Mandal Dr Lloyd Nazareth Shri Hasmukhbhai S Parikh Shri Nileshbhai I Patel Shri Jagrut Bhatt & Professor, Dept. of General Shri Keshav Desiraju Surgery, Pramukhswami Dr Anand N Nathwani Medical Director & GM Shri Atulbhai H Patel Chairman, Charotar Medical College Chief Executive Officer, Operations Nova Speciality Shri Shishir K Diwanji Gramoddhar Sahakari Mandal Charutar Arogya Mandal Hospital Dr Shirish Srivastava Members Co-opted by the Shri Jagrut Bhatt Ltd Shri Sandeep Desai Dr Ashish Ranjan Benerji Chairman Shri Mayurbhai N Patel Shri Vikrambhai C Patel Mr Dilip Jose Smt Dakshaben N Shah Shri Bharat N Dave Smt Arunaben Lakhani Shri Ashokbhai J Patel

2 I ANNUAL REPORT 2016-2017 CHARUTAR AROGYA MANDAL CHARUTAR AROGYA MANDAL ANNUAL REPORT 2016-2017 I 3 Associate Professor & Head, Chairman, Public Health Dean, Pramukhswami Medical Dean, Pramukhswami Medical Board of Management – Director Nursing, Bombay Dept. of Medical Education Initiatives Group & Professor, College College Nursing Hospital, Mumbai & Technology, Maharashtra Dept. of Paediatrics, Dr Utpala N Kharod Dr Utpala N Kharod Chairman, Charutar Arogya Ms Shaila S Bhalekar University of Health Sciences - Pramukhswami Medical Mandal External Expert College Professor, Dept. of Principal, KM Patel Institute of Nursing Advisor, College Dr Amrita Patel Dr Payal Bansal Dr Nikhil Kharod Gastroenterology, Sanjay Physiotherapy of Nursing, Tata Memorial Gandhi Postgraduate Institute Hospital, Mumbai Dr R Harihara Prakash Secretary, Charutar Arogya Professor of Microbiology, Chairman, Assessment Group of Medical Sciences, Lucknow Ms Anita Deodhar Melaka Manipal Medical Mandal & Professor, Dept. of General Dr Rakesh Aggarwal Principal, College of College, Manipal - External Shri Jagrut Bhatt Surgery, Pramukhswami Physiotherapy, MS Ramaiah Medical Social Worker, Expert Medical College Dean, Research Studies & Medical College, Bengaluru Muljibhai Patel Urological Chief Executive Officer, Dr Ciraj Ali Mohammed Dr Shirish Srivastava Senior Scientist Madras Hospital, Nadiad Prof. Savita Ravindra Charutar Arogya Mandal Diabetes Research Foundation Dr Sujata M Rajapurkar Content Manager, Centre for Shri Sandeep Desai Member, Public Health (MDRF), Chennai Professor, MGM College of Health Informatics (CIH) of the Initiatives Group & Professor, Dr M Balasubramanyam Physiotherapy, Navi Mumbai Principal, Nupur Nursing National Health Portal (NHP) Dean, Pramukhswami Medical Dept. of Community Medicine, Academy, Vadodara under the Ministry of Health, Dr Bharti Bellare College Pramukhswami Medical Director, Centre for Health New Delhi Ms Geeta K Murch College Research and Development Dr Utpala N Kharod Dr B V Adkoli Dr Dinesh Kumar Society for Applied Studies, New Delhi Principal, GH Patel School of Professor Dept. of Medicine Nursing Member, Public Health Dr Nita Bhandari All India Institute of Medical Initiatives Group & Associate Smt Kaushalya Masurkar Sciences - External Expert Professor, Dept. of Community Associate Professor, Dr Rita Sood Medicine, Pramukhswami Community Health & Medical College Epidemiology, St. John’s Professor of Paediatrics and Dr Shyamsundar J Raithatha Research Institute, Bengaluru Vice-Principal Undergraduate Dr Prem Mony Studies, Christian Medical Director, Indian Institute of College - External Expert Public Health, Gandhinagar, Professor & Head, Dept. of Dr Tejinder Singh Gujarat Community Medicine, Shri Dr Dileep Mavlankar Manakula Vinayagar Medical Advisor, Task Force for College & Hospital, Puducherry Research Apollo Hospitals Director, State RMNCH+A Unit, Educational & Research Dr Amol R Dongre CARE, Bihar Foundation - External Expert Dr Hemant Shah Division of RHN, Indian Council Dr Sita Naik of Medical Research, New Delhi Secretary & Founding Member, Board of Management – Dr Shalini Singh Jan Swasthya Sahyog, Bilaspur, Public Health Initiatives Chhattisgarh Chairman, Research Group, Chairman, Charutar Arogya Dr Yogesh Jain Charutar Arogya Mandal Mandal Dr Somashekhar Nimbalkar Dr Amrita Patel Ex-Director, Deepak Charitable Trust, Vadodara, Gujarat Board of Management Secretary, Charutar Arogya Smt Aruna Lakhani Mandal – KM Patel Institute of Physiotherapy Shri Jagrut Bhatt Board of Management – Chairman, Charutar Arogya Research Chief Executive Officer, Mandal Charutar Arogya Mandal Chairman, Charutar Arogya Dr Amrita Patel Mandal Shri Sandeep Desai Dr Amrita Patel Secretary, Charutar Arogya Dean, Pramukhswami Medical Mandal College Secretary, Charutar Arogya Shri Jagrut Bhatt Mandal Dr Utpala N Kharod Shri Jagrut Bhatt Chief Executive Officer, Charutar Arogya Mandal Chief Executive Officer, Shri Sandeep Desai Charutar Arogya Mandal Shri Sandeep Desai

4 I ANNUAL REPORT 2016-2017 CHARUTAR AROGYA MANDAL CHARUTAR AROGYA MANDAL ANNUAL REPORT 2016-2017 I 5 The mandate of the Charutar Arogya Mandal to contact qualified medical professionals at the make quality yet affordable healthcare accessible secondary or tertiary healthcare facilities to resolve to the rural community necessitates that it does a problem, should she find one that she cannot not restrict itself to only those places where it has deal with. She goes through refresher courses set up healthcare facilities. Beyond the tertiary periodically. care facility at Shree Krishna Hospital at Karamsad Patients who have been screened at a diagnostic or the secondary care facilities at its extension camp held about once every month in each village centres (notably the Sevalia Hospital), the Mandal’s by a mobile medical team from the secondary care Reaching the Last Person mission is to explore ways to extend its services to centres, can volunteer to enrol themselves in the the very doorsteps of patients in outlying villages. programme. The Health Worker makes a monthly Over the years, a number of efforts have home visit to these patients, monitoring their vitals in the Last Village been made. As early as in 1986, the Mandal and replenishing their medicines based on the implemented a UNICEF-sponsored programme doctor’s prescriptions. for Reproductive & Child Healthcare. In the 1990s, The work of the Village Health Workers is but it collaborated with Tribhuvandas Foundation to one feature of SPARSH. The relevant section in the launch a Cancer Awareness, Early Detection and Annual Report covers other aspects including the Treatment Programme in the villages of Anand and programme’s achievements thus far. Kheda districts. But the most significant leap in What is most exciting is the promise SPARSH this direction is the creation of a model of vertical holds out to bring about a significant difference integration in healthcare delivery – a programme in the lives of those it was created to serve. In named SPARSH. the process, it could become a model for any SPARSH, or Shree Krishna Hospital’s Programme institution with the same mandate – perhaps even for Advancement of Rural and Social Health, is governments – to replicate it using SPARSH’s designed to create systems and processes that structure, systems and processes. But, as Charutar enable the last person in each of the villages Arogya Mandal recognises, for this to happen, a lot it operates in to access appropriate healthcare more has to be done. facilities. The Mandal has chosen to work on a set To begin with, the systems and processes would of diseases together named Non-Communicable need to be tested and retested to ensure they Diseases or NCDs, to create this model. Its choice stand the test of time, the variations in quality of of NCDs was not just because there are not too persons who would operate it, and the various many noteworthy systematic efforts on the part situations and circumstances within which they of any government or non-government agencies operate. The programme also needs to be more to screen and control these diseases anywhere in technology-enabled so that not only are the the country, but also because NCDs present an advances in medicine easily made available to opportunity to engage with rural communities the community but so that the documentation and on a long-term and sustained basis. Cancer, monitoring systems are made more robust. hypertension and diabetes are some of these Then there is a need to expand the programme NCDs, with many chronic patients suffering from geographically and in its range so that the them. The reality is these are lifestyle diseases impact of the programme can be properly gauged which can be easily prevented but somehow are thereupon. From the present 90 villages that it not taken seriously. presently covers, SPARSH hopes to add 60 more SPARSH is now active in 90 villages in three villages over the next 2-3 years, taking the number clusters of 30 villages each. These clusters are of lives it touches from the present 300,000 to served by a secondary care facility which in turn about half a million. It also hopes to add Chronic is linked to Shree Krishna Hospital. In each village, Obstructive Pulmonary Disease (COPD), palliative the Mandal has positioned a trained Health Worker care, and mental disorders to the NCDs it presently who is equipped with educational material and works on. supplies that enable her to do her work effectively In this reaching out, Charutar Aroyga Mandal and efficiently. On her routine visits, she carries has sought to achieve a number of objectives, a tablet with a specially-designed application but none more important than living its motto that enables her to document her work, educate ‘Solace for the Suffering’ – more purposefully, more households with uploaded videos and even to effectively, and more satisfyingly.

CHARUTAR AROGYA MANDAL ANNUAL REPORT 2016-2017 I 7 Patient Care Quality at an Affordable Cost

Charutar Arogya Mandal (CAM), founded in 1972, gave concrete shape to founder Chairman Hospital in 1981, the community, especially the less privileged, was assured of quality and former Union Minister Dr. H.M. Patel’s dream to provide the best medical care and treatment at an affordable cost. The Hospital provides special subsidised services facilities for medical education in rural Gujarat. Today, 45 years later, the Mandal’s Shree for economically-challenged persons. For example, it does not charge for outpatient Krishna Hospital is one of the most modern and professional healthcare centres for medical consultation and registration, and the treatment in General Wards is free of cost. facilities in Gujarat. Shree Krishna Hospital is accredited by the NABH (National Accreditation Board for Dr. Patel’s motto, ‘Solace for the Suffering’, has become the cornerstone of all Charutar Hospitals & Healthcare Providers) and has facilities like ICUs, Green OTs, a Trauma Arogya Mandal’s activities. CAM’s ongoing mission is to offer more and more patients Centre, MRI and CT scan machines, also labs and a blood bank. The Hospital also houses comprehensive healthcare with commitment and compassion at an affordable cost while a state-of-the-art Cardiac Centre and Cancer Centre. A recent addition is the Privilege keeping abreast of state-of-the-art technology. With the establishment of the Shree Krishna Centre which provides personalised treatment in a tasteful ambience matching the best of city hospitals. At a Glance SHREE KRISHNA HOSPITAL The Shree Krishna Hospital served 391,480 patients through its outpatient departments, and Multiple Schemes for the Needy • Another scheme, the ‘Jan Arogya Yojana’, was patients in the indoor departments. Patient care has always been the cornerstone of introduced to provide services at affordable 37,080 all activities at Charutar Arogya Mandal. rates for those patients whose monthly family There were 5,708 admissions in the Intensive Care Units. To continue giving world-class treatment at income is less than Rs. 10,000. The scheme Nearly 14,150 cases were treated at the Trauma Centre. affordable rates significant steps were taken offers a host of benefits in the general services during the year: including free registration and a substantial 8,448 surgeries were performed – 1,069 supra-major, 2,462 major and 4,917 minor. • The Hospital introduced its most pa- waiver in investigation charges for lab and tient-friendly product, the ‘Aashirwad Wards’, imaging on an outpatient basis. It also offers • Palliative care services were launched on OPD by Shri Vijaybhai Patel, co-chairman of the which offers the maximum healthcare advan- waivers on hospitalization to men at 60% of basis where patients with terminal diseases Shantaben Foundation, and his wife Smt. tage to the needy. In these Aashirwad general cost and 100% to women and children in addi- and deteriorating geriatric conditions can be Smitaben Patel, who are the major donors, wards, the entire treatment, not including tion to 60% and 75% waiver in ICU treatment to served. The services are jointly run by the along with other donors Shri Subir Patel and medicines, implants and consumables, is pro- each respectively. The scheme has over 20,233 Departments of Anaesthesia, Community Shri Vipin Patel. With the completion of this vided free of cost. 60% or 450 of the 720 beds members enrolled till date. Medicine, and Extension Programmes. Home Critical Care Centre with its 150 beds, the in the Hospital are now earmarked for the • To make treatment of chronic diseases like care services are also provided in villages Hospital will be the State’s first to have the Aashirwad Wards. diabetes, hypertension, thyroid, kidney adopted by the Mandal. largest capacity of critical care services. With the introduction of Aashirwad Wards conditions, obesity, asthma and COPD • The Hospital’s very own social security • The Hospital facilitated a liver transplant and related schemes offering patient care at (Chronic Obstructive Pulmonary Disease) scheme, ‘Krupa Arogya Suraksha’, has 35,212 procedure for the first time. The liver of a highly affordable rates, the services of the affordable, another scheme, ‘Arogyashree’, members to date. During the year gone by, patient brought to the Hospital in brain-dead Hospital get broadly categorised into two: was introduced with Regular and Premium 14,636 members were added. condition was donated with the consent of Aashirwad Services and Privilege Services. programmes. The scheme offers waivers for relatives and transported to Ahmedabad Patients coming to the Hospital for any form outpatient and inpatient treatment, medicines, Some Other Achievements where the immediate transplant saved a life. of medical aid can choose the type of service investigations and special screening packages • The Bhoomi Poojan ceremony of the Critical • The blood bank acquired a new machine to they would prefer according to their financial at half rates. There are special clinics for each Care Centre was performed on 14th February conduct apheresis, a procedure to collect capacity. condition. Shree Krishna Hospital’s newly introduced and most-friendly product is ‘Aashirwad Wards’ – Through its outpatient departments, Shree Krishna Hospital continues to offer affordable care to 450 of the 720 beds offer free treatment. thousands of underprivileged patients.

CHARUTAR AROGYA MANDAL ANNUAL REPORT 2016-2017 I 11 Quest for Quality Care Shree Krishna Hospital continued its quest to achieve the highest standards of quality. The Hospital was Ramanbhai Gokal Privilege Centre recognised as the Best Hospital with a Medical College at the second edition of Express Public Health Since its inauguration in 2014, the Ramanbhai Awards. For the second consecutive year, its eco-friendly strategies won it the prestigious Green Hospital Gokal Privilege Centre has been offering person- Award conferred by the Association of Healthcare Providers India (AHPI). The NABH accreditation for alised care and high-end comfort to patients. The Nursing Excellence was another major achievement. revenue earned from the Centre goes towards The Quality Improvement Group continued its efforts in initiating and maintaining the standards of meeting the deficit incurred in treating economi- quality care in the Hospital services. cally disadvantaged patients. Regular assessments and monitoring of quality parameters beyond any prescribed accreditation A unique loyalty programme – the Privilege requirements in patient care are carried out regularly by the group. Essential changes for improvement are Club with Annual and Lifetime memberships – introduced as and when required. was introduced during the year for patients of the Privilege Centre. Members become eligible only platelets from donors instead of whole • The Hospital is committed to a judicious use of for a host of benefits in the services at the Centre blood. This method is particularly useful in the natural resources. During the year four sand- in addition to other special offers by business treatment of dengue patients. pits were constructed in the campus to harvest partners of the programme. • The heroes of our institution – the doctors – rainwater. Alongside, there have been contin- Laser procedures offering various skin im- were felicitated on 1st July, that is Doctors’ uous efforts aimed at prudent use of water. provement modalities were introduced during Day. The day was celebrated in gratitude to As a result, despite the nearly 10% increase the year in the Skin department. these brave men and women who dedicate in footfalls in the Hospital and a significant themselves 24x7 to the medical field to provide increase in civil works being undertaken, the The Ramanbhai Gokal Privilege Centre treated 29,506 outdoor patients and 2,441 indoor The Ramanbhai Gokal Privilege Centre provides solace to the suffering. Special thank-you consumption of water has increased only by personalised care and premium facilities. cards along with personalised mugs were 4% during the year. Interestingly, thanks to the patients. Around 6,000 members enrolled presented to all the doctors and residents in conservation efforts, the consumption of water in the Centre’s preventive health check-up the Hospital, college and extension centres. has decreased by 12% in the last six years. programme, ‘Hello Health’.

Recognised as the Best Hospital with a Medical College, Shree Krishna Hospital assures quality care to all.

12 I ANNUAL REPORT 2016-2017 CHARUTAR AROGYA MANDAL BHANUBHAI AND MADHUBEN PATEL CARDIAC CENTRE Beyond Hospital Walls • Fourteen camps were organised in various The Hospital believes in taking quality health- schools having Krupa memberships offering • For the first time in India, a one-day young the Healthy Heart Walkathon was organised care to people and places where it is not readily students free consultations for eyes, skin and baby was operated with Norwood procedure for the second consecutive year with over available. During the year there were many such teeth. for a rare heart disease known as hypoplastic 1,700 supporters participating. The flagship outreach activities organised which benefitted • A one-day camp was organised at Barwani in left heart syndrome, where the left side of the event has been garnering enormous enthusi- patients. Madhya Pradesh where consultants from Med- heart is not developed. asm and support from the community. • 24 eye camps were organised in villages with icine, Neurology, Orthopaedics, Cardiology • For the first time in the region, the technique of 57 patients undergoing free cataract surgeries. and General Surgery provided services. Nearly minimal access surgery was utilised to oper- The Centre saw 8,090 patients on outdoor • Fifteen multi-speciality camps were organised 170 patients benefitted from this camp. ate upon the heart of a 26-year young patient basis, conducted 237 adult surgeries and in villages with nearly 2,875 patients partici- with a critical heart condition. 192 paediatric surgeries in addition to pating. In 14 of these camps generous spon- • To commemorate its Eighth Foundation Day, 748 cath procedures. Making Treatment Affordable sors made it possible to distribute medicines Shree Krishna Hospital treated about 2,495 free of cost. cancer and 581 cardiac patients under the Manibhai Shivabhai Patel Cancer Centre • Two super-speciality camps were organised at Mukhyamantri Amrutum Yojana (MA Scheme) Bhuj with support from the Bidada Trust. In a rare case a three-month baby was brought the best treatment free of cost, thanks to funds during the year. Owing to the seriousness • Six camps were organised to screen and iden- to the Hospital with Wilms’ tumour, a type of raised by the institution and significant contribu- of the diseases, the treatment costs were tify cancer and cardiac patients from villages childhood kidney cancer. A complex surgery by tions and support from his community. This is an way beyond the compensation received from who could be offered free treatment at the the Centre’s cancer surgeon saved this precious excellent example of caregivers and the commu- the State government, hence the Hospital Hospital under the Mukhyamantri Amrutum life and revived the hopes of the desperate par- nity joining hands to save precious lives. contributed Rs. 259.56 lakh of its own funds. ents. The Centre celebrated its Foundation Day Yojana. The Medical Oncology service came across with great enthusiasm. The event saw a huge Shree Krishna Hospital reaches out to rural areas – organising Health Camps in villages an unusual case of a 30-year male having typical participation from former patients of the Centre throughout the year. symptoms which was subsequently diagnosed as also other staff members of the Mandal. Pa- as Non-Hodgkin’s lymphoma – a type of blood tients who had completed their treatment and a cancer but complicated by an advanced stage few who were still undergoing treatment shared of HIV infection. Unfortunately, the wife too was their experiences, which served to boosting the detected to have contracted the infection – and spirits of all present. fortunately, their only daughter, three years of age, was found to be not infected. The treatment The Centre treated 18,797 outpatients, out of was both critical and more expensive because which 3,758 were seen by Radiation Oncology, of the HIV infection. CAM took up the challenge 10,804 by Medical Oncology and 493 by to save the patient and the family. He was given Surgical Oncology.

The Chemotherapy Day Care Centre: Patients include those who are treated free under the Mukhyamantri Amrutum Yojana.

14 I ANNUAL REPORT 2016-2017 CHARUTAR AROGYA MANDAL CHARUTAR AROGYA MANDAL ANNUAL REPORT 2016-2017 I 15 In Pursuit of Excellence haemorrhage, vascular injury, during neurosur- The Mandal has consistently pursued activities geries, etc. The prescription audit findings were that promise improved quality of care and communicated for future adherence at OPD and standards so as to benefit patients coming to IPD levels. the Hospital. The formation of various strategic The continuous audits of infection-control functional groups with a focused mandate, practices have resulted in decreased levels of play a key role in attaining the larger goal of hospital-acquired infections. The rate of hos- all-round excellence. The cohesive efforts of pital-acquired infections at our Hospital is far these groups have resulted in various significant below levels found for general hospitals across developments during the year: Asia. The group ensured review of the antibiotic policy and its compliance at all levels of patient The Efficient Care Group continued to imple- care. ment the indigenously developed software SOLACE across all the wards, OPD and nursing The Affordable Care Group persevered in effec- levels so that it runs smoothly. With repeated tive cost reduction efforts in key areas including training and orientation across all levels of care- a system of recalling unconsumed drugs from givers – the consultants, residents and nurses – patients; reduction in the cost of cancer drugs; the documentation of patient care in the Hospital standardization of packages for common surgical is now almost 100% paper-free. conditions; regulation of high cost investigations with the consent of consultants; and reduction of The Rational Care Group, through the Medical the length of stay of patients in the Hospital. Boards, monitored all the critical incidences that happened during the year. This was followed by The Humane Care Group which had introduced timely intervention, development of guidelines, ‘Code Krishna’ practice garnered heart-warming protocols and check-lists to ensure future compli- responses from caregivers of patients and ance at all levels of patient care. relatives. This has resulted in consolidating this The group played a significant role in the practice to cover the entire pre-terminal period development and introduction of a Massive of critical illness as an ‘Extended Code Krishna’. Transfusion Protocol in the Hospital which A research paper on this subject has been makes possible speedy and efficient care in accepted for publication in the Indian Journal of cases where the patient has had enormous blood Medical Ethics. loss owing to poly-trauma, critical delivery,

Code Krishna The Hospital received some heart-warming responses from relatives of patients who witnessed the Code Krishna Practice: The practice provides the much It was beyond her wildest needed“ humane touch in an era of “imagination that the treating team will high tech medicine, and the solace it stand with them in silence and recite a offers is very deeply touching. prayer solemnly observing the moment ” of death inside the critical care unit. It is far exceeding expectations ” in“ most crucial moments of I was deeply moved by the Hospitalization, very rare to be found “spontaneity with which the whole team anywhere.” quickly gathered, and the care of dead has to be like this always.”

16 I ANNUAL REPORT 2016-2017 CHARUTAR AROGYA MANDAL Medical Education Learning with a Difference

This is medical education with a difference. The medical educational Professional governance of the educational process covers the institutions of Charutar Arogya Mandal have made it their mission to entire range of medical education from curriculum development and equip young students with not only technical knowledge and skills clinical training to student assessment and support. Guiding the but to light in them a spirit of nobility that elevates the profession and process and planning are medical education experts from CAM’s own inculcates sensitivity for those in need. institutions with effective oversight by leading experts from across the country. PRAMUKHSWAMI MEDICAL COLLEGE

The Pramukhswami Medical College (PSMC) year on 30th November to commemorate the continued on its path of expansion. Both aca- death anniversary of our Founder Chairman demic and non-academic activities during the Dr. H.M. Patel. The 12th lecture was delivered by year were geared up to accommodate the 50 ad- Dr. M.R. Rajagopal, Chairman of Pallium India ditional seats in the MBBS curriculum, as grant- and Director of the WHO Collaborating Centre for ed to the college by the Oversight Committee Training and Policy on Access to Pain Relief, on created on the orders of the Supreme Court. the topic, ‘Patient-Centred Care in Healthcare’. Accordingly, the first batch of 150 students World Hospice and Palliative Care Day was (which included the additional 50 seats) was celebrated on 19th October 2016, to raise aware- admitted to the 2016-17 academic session. ness of the concept of palliative care among stu- Funds are being raised for adding all the dents and faculty. The theme for the celebration facilities required for the additional 50 seats in was, ‘Living and Dying in Pain: It Doesn’t Have the Undergraduate course. Work is progressing to Happen’. fast for completing the major building projects The college observed World Bioethics Day on on time. Most of the museums and labs in the 19th October 2016. The theme this year was ‘Hu- college have been renovated. A separate Knowl- man Dignity and Human Rights’, with debates, edge Centre is getting built – which is much and poster and essay competitions forming part more than a conventional library for students, of the event. considering the space that is available and, more The college organised a National Conference importantly, the host of facilities it provides in on Health Professions Education 2016 under the fulfilling the requirements related to medical aegis of the Academy of Health Professions Ed- literature and studies. Work on the Assessment ucation (AHPE), supported by the Foundation of Centre is also proceeding at a brisk pace. Advancement of International Medical Education A separate wing to accommodate more beds Research (FAIMER), during 23rd - 26th November in the Hospital is also in the final stage of com- 2016. There were Indian and foreign participants pletion. from varied disciplines. World Diabetes Day was celebrated on 18th Events November 2016 with all the institutions of the Some of the important events organised during Mandal participating. Poster competitions and the year were: extempore talks on the subject were organised. The H M Patel Memorial Lecture is held every Strategic Groups Regular group discussions help undergraduate students to improve their overall performance. Education at Pramukhswami Medical College has been governed by various strategic groups comprising senior faculty members, whose goal is to bring about improvements in all the various facets of medical education that affect the overall performance of students. Following are highlights of the activities taken up and developments registered through each group:

Curriculum Design and Implementation Group The group constantly monitors and amends the curriculum for the MBBS course that is deemed essential for updating students’ knowledge and is instrumental in making them more competent medical professionals.

20 I ANNUAL REPORT 2016-2017 CHARUTAR AROGYA MANDAL This meant that exams would be focused on June 2016 in the slum area of Bakrol. for the second year in February 2016. Students assessing the knowledge of students on the selected their mentors voluntarily. Around 25-30 basis of relevant practical facets. ‘Aushadhi’, the drug bank was re-initiated by faculty and staff members offered to be mentors. • The group is now contemplating introducing students with the purpose of providing med- these evaluation practices at the PG level as icines free of cost to poor patients coming to Celebration of International Yoga Day: Interna- well. the Hospital. Initially indoor patients are being tional Yoga Day was celebrated in collaboration served, later, outpatients will also be included. with the College of Physiotherapy and Nursing Student Support Group School, on 21st June 2016. 150 students and 20 The Student Support Group’s (SSG) guiding phi- Blood Donation Camp: A blood donation camp faculty members participated. losophy is to facilitate extra-curricular develop- was organised in collaboration with the Blood ment of students and help them develop, togeth- Bank at the Hospital. Yoga Shibir: PSMC arranged a Yoga Shibir for the er with the alumni, as brand ambassadors of the 2013 batch students at the Activity Centre, on institution. During the year the group carried out Medical Camp on Doctors’ Day: Two medical 1st and 2nd September 2016. Director of Lakulish the following activities: camps were organised on Doctors’ Day, one at Yoga University Dr. R.J. Jadeja was the key re- Students celebrate Yoga Day. They are encouraged to engage in extra-curricular activities. Vallabh Vidyanagar covering four Anganwadis source person, accompanied by yoga expert Dr. SPU Inter-College Sports Tournaments 2016 in slum areas. Of around 150 children, 40 were Bhanubhai Pandya. Practical sessions were con- • The PSMC Girls Badminton Team won the treated on OPD basis and 22 were referred to ducted in the morning and theory in the evening. • Activities related to Undergraduate curric- Champion’s trophy at the SPU Inter-College ulum, initiated in 2015-2016 continued. The Shree Krishna Hospital (SKH) for further inves- Badminton Tournament played at the SPU tigations and treatment. The second one, also a Cultural & Social Activities major focus remained on teaching of core areas st Sports Complex on 31 July 2016. The team Horizon-2016: Horizon is the annual socio-cultur- in each of the system modules. regular health check-up camp, was conducted at won the title for the third consecutive year. al festival for Pramukhswami Medical College • The method of conducting the modules was Panchvati School, Karamsad. The team checked • The PSMC Girls also won the Champion’s students. The theme for this year was, ‘Adoles- modified after taking a verbal feedback from around 130 school children of who 50 were treat- trophy at the SPU Inter-College Basketball ed on OPD basis and 10 were referred for further cence: Shaping the Youth’. The event was organ- students and faculty. st rd Tournament, organised from 1 to 3 Septem- ised from 13th to 15th October 2016. • The integrated system of teaching for first and investigations and treatment to SKH. ber 2016. Theme-based events included a health camp second year MBBS is being undertaken to the • The PSMC Boys Team won the second place at Mentorship Programme: The Mentorship Pro- and a street play in Ghunteli village. An adoles- maximum possible level. the SPU Inter-College Chess Tournament, on rd gramme for the 2014 batch students was offered cent health model-based awareness workshop • In the III MBBS, Part 1 & 2 integrated mod- 27th July 2016. ules were conducted. The 720-bed teaching hospital provides students with practical training on an ongoing basis. • Orientation programmes for all MBBS batches Other Sports Tournaments focused on sensitizing students to the need to PSMC organised basketball and volleyball tour- develop soft skills to become better healthcare naments for the first time. The College started professionals. a H.M. Patel Basketball Tournament this year in memory of late Dr. Karan Bhatnagar, a student Assessment Group who suffered a fatal road accident. While 11 The group works at bringing about effective teams participated in the basketball tournament methods of assessment that evaluates the core held in April, eight teams participated in the facets of a student’s calibre as a medical pro- volleyball event in May. In the State-level ‘H.M. fessional. The following significant steps were Patel Night Football Tournament’ organised suc- taken up during the year: cessfully by PSMC students, of the eight teams • The assessment methods for MBBS I, II and participating, the PSMC team secured the first III were standardized after discussions with position. various departments on how to improve the A cricket tournament, in which 18 teams par- conventional system. ticipated, was also organised during the year. • The evaluation components for assessment were also standardized. This entails assessing Generosity Volunteer Activities the students pragmatically on the basis of pa- PSMC Serves: This is an initiative by PSMC rameters that carry weightage to gauge their students in memory of late Dr. Karan Bhatnagar, core potential as medical professionals. a student from the 2010 batch. As a part of this • The group also proposed and brought about movement, students tied up with an NGO called changes in the assessment patterns of the ‘Bachpan’ that works for less privileged children University examination of medical students. of our district to conduct a medical camp on 18th

22 I ANNUAL REPORT 2016-2017 CHARUTAR AROGYA MANDAL CHARUTAR AROGYA MANDAL ANNUAL REPORT 2016-2017 I 23 was also conducted in a local school in Karam- Participation of faculty from our Centre as K M PATEL INSTITUTE OF PHYSIOTHERAPY sad. Here too, a street play with about 200 stu- invited speakers, resource persons and experts While the quality of clinical expertise is of para- a learning attitude and bring all the students on dents was held. also increased by 50%, and as chairperson in- mount importance, the Institute has succeeded the same platform. At the end of it, their per- creased by 100%. in nurturing professionals who are sensitive and formance was evaluated through the Objective Adolescent Health Workshops for School Stu- compassionate, virtues essential to the profes- Structured Practical Examination (OSPE) method. dents: This year PSMC students conducted two PSMC - Medical Council of India sion of physiotherapy. half-day workshops on adolescent health, under Nodal Centre Activities here are broadly categorized into A scientific talk on ‘Innovations in Physiother- the guidance of the Department of Community During the year, the Pramukhswami Medical three aspects: Academics, Community Outreach apy’ was delivered by Dr. Savitha Ravindran, Medicine. 90 boy and 100 girl students from Stds. College - Medical Council of India (MCI) Nodal and Student Liaison. Significant highlights of the Principal, College of Physiotherapy, MS Ramaiah IXth, Xth and XIth participated. This is perhaps Centre for Faculty Development conducted four year included: Medical College, Bengaluru, on 26th December the first occasion in Gujarat and may be in India Revised Basic Course Workshops which were 2016. when medical students themselves conducted a attended by 104 faculty members from various Dr. Bharti Bellare, Professor, MGM College of workshop for school students. medical colleges. Seventy one medical facul- Academics The Oath-taking Ceremony was organised for the Physiotherapy, Navi Mumbai, delivered a lecture ty members participated at the three Revised 13th outgoing interns’ batch on 16th April 2016. All on ‘Anatomy of Abdominal Capsule and Its Inte- Professional Development Group Basic Course Workshops at designated colleges. the students were conferred the course com- grated Functions’. The requests for Continuing Professional Devel- Our Nodal Centre’s Resource faculty was also pletion and internship completion certificates. opment (CPD) activities increased this year by nominated as MCI Observers for the workshops Awards for the best project and seminar presen- World Physiotherapy Day was celebrated on 8th almost 17% compared to the previous year, with organised at allocated medical colleges. tation were given away. September with a host of activities. A guidance around 50% increase in participation of junior The Nodal Centre also conducted four Sen- seminar on ‘Physiotherapy as a Career Option’ teachers and 90% increase in participation of sitization Workshops for the ATCOM Module Orientation programmes were held for first year was arranged in six schools of Anand, Vidy- sub-specialists. Of the 535 requests for partici- Program which were attended by a 100 partici- postgraduation students (Batch 2016-18) as well anagar and Valasan. A free camp was organ- pation in national, international conferences, and pants. as I, II, III and IV year students and interns at ised where free fitness assessments, including study leave, 113 received financial support from Dr. Praveen Singh, Professor & Head, Anat- different times during the year. body composition analysis and tailored exercise Charutar Arogya Mandal. omy, was nominated as Member of the newly prescriptions were provided to nearly 70 jog- Presentations at national and international constituted Reconciliation Board of the Medical A unique 11-day Crash Course, with sessions gers and walkers. Booths and posters to create conferences by faculty from our Centre have Council of India. As member, he will be extend- on significant subjects, was introduced for PG awareness on the role of physiotherapy were increased marginally (12%), but participation at ing his assistance to the Council in all academic students so as to refresh their knowledge, instil arranged in the Hospital. international events has increased by 35% com- matters. pared to the previous year. Students are trained to be sensitive and compassionate when dealing with patients, especially the elderly.

H M PATEL INSTITUTE OF POSTGRADUATE STUDIES The College was granted permission to offer MD in Forensic Medicine from academic year 2017- 18 by the Ministry of Health and Family Welfare. The College plans to initiate the process for starting the following courses in the near future: • MD Critical Care Medicine • MD Radiotherapy • DM Cardiology • DM Neurology • DM Oncology As per the Gazette notification of the Ministry of Health & Family Welfare, admissions to Post- graduate courses from the academic year 2017- 18 will be based on marks obtained in the All India PG NEET exam. The previous year, results of PG exams were 100%.

24 I ANNUAL REPORT 2016-2017 CHARUTAR AROGYA MANDAL CHARUTAR AROGYA MANDAL ANNUAL REPORT 2016-2017 I 25 Community Services Disability Day: Children of Deepa Academy G H PATEL SCHOOL AND COLLEGE OF NURSING Physiotherapy Camps: During the year, the disability school in Tarapore, were invited along Institute organised camps at Dahemi, Vasna with the patients of Physiotherapy OPD, to The College offers diploma and graduation (Borsad) and Bakrol villages for about 180 perform at a cultural programme organised on certificates in Nursing. However, the philosophy patients. Those requiring special medical advice Disability Day on 3rd December. governing both the courses remains the same were referred to Shree Krishna Hospital for – that is preparing professionals who will be further consultation. The camp beneficiaries Student Liaison sensitive and compassionate towards their rural were provided 50% concession coupons for seven Physio Pulse – 2016, the annual socio-cultural counterparts while providing quality of care that consecutive treatment days at the Physiotherapy event was celebrated (2nd to 8th April 2016) by is excellent. All the academic and non-academic OPD. combining the two themes adopted during the activities have been woven together in such a previous two years, ‘Ability and Beyond Disabili- way as to promote these very qualities in our NSS Special Shibir: The Institute got National ty’ and ‘Each One Teach One’. nursing professionals. Service Scheme unit for 100 students. As a The week-long celebrations included a blind part of this, a week-long special camping was cricket tournament, a cultural programme by Academics arranged in Vasana village, Borsad taluka, from students from special schools of Tarapur and Gu- • An Orientation programme for the first year th 27th November - 3rd December 2016, with health rukrupa, and a Mahasuryanamaskar by students GNM and BSc students was organised on 7 & hygiene awareness and each one teach one and faculty. On the last day the best outgoing November 2016. Nurses, the backbone of the hospital, are provided themes. Fifty students with three staff members student was felicitated and awarded a gold • The Candle-lighting and Oath-taking ceremo- ny of the 37th batch of DGNM and 3rd batch of intensive and rigorous training, both theoretical in rotation stayed in the village for a week. medal. Awards for academic excellence were and practical. th Various medical camps for ophthalmology, also given away. BSc Nursing was held on 17 February 2017. th th gynaecology, cancer screening and ENT were • A Farewell function was held for final year • Six-weeks training (6 March to 15 April th organised during the week in which 217 patients Med-Olympics 2016: Students and staff partici- Nursing students on 25 March 2017. 2017) on ‘Palliative Nursing’, organised by the participated. A physiotherapy camp was also pated in Med-Olympics and in the Khel Maha- Trivandrum Institute of Palliative Care. organised throughout the week where a total kumb organised in October 2016. During the year, the faculty members and stu- of 209 patients with various conditions were dents participated in a number of Workshops, Research treated. For those who could not attend, there An inter-college sports event was organised Training Programmes and Educational Tours. The faculty and students of Nursing too started was door to door physiotherapy awareness by Sardar Patel University from 27th July to 4th Notable among them were: engaging in research. The humble yet firm campaigning and treatment provided. Mahila August 2016. The Institute’s girls team won the • First National Conference on ‘Accelerate Cov- beginning was with the following studies: Mandal groups were educated about breast and champions title in table tennis and the run- erage and Quality of KMC (Kangaroo Mother • Preparation of Nursing Students towards their th cervical cancers. ners-up position in badminton. Care)’, held at Hyderabad on 26 February Learning Consignments and their Practical 2017. Academic Stress: Shany Thomas, Raksha The K M Patel Institute of Physiotherapy runs specialized clinics for children with special needs. • Visit to the Sewage Treatment Plant at Ajwa Parmar, Anna D Rao. and Water Purification Plant at Nimeta, on 10th • A study to assess the effectiveness of a March 2017. planned teaching programme on knowledge • A national-level conference on ‘Qualitative Re- regarding Palliative Care among staff nurses search in Nursing’, organised by Sumandeep at Shree Krishna Hospital, Karamsad: Shany College of Nursing, Vadodara, on 15th March Thomas, Nancy, Shainy, Yamini, Janki, Riddhi 2017. Shah, Avrutti.

SMT. L P PATEL INSTITUTE OF MEDICAL LABORATORY TECHNOLOGY The L.P. Patel Institute continues to offer various students and parents resulted in 89 new ad- undergraduate courses in Clinical Laboratory missions with a total of 182 students enrolled Technology, Radiotherapy Technology, Imaging for different courses in 2016-17. There were four Technology, Respiratory Care Technology, and admissions in PG-Diploma in Cardiac Care Tech- Operation Theatre & Anaesthesia Technology. nology. Also postgraduate courses like Diploma in Med- The Institute’s MSc CLT student, Minti Patel ical Laboratory Technology, Cardiac Care Tech- got her paper published in the International nology and Perfusion Technology for Masters Journal of Biomedical and Advance Research. degrees, and PhD courses in the field of Allied For the first time in Gujarat, a student is pur- Health Science and Technology. suing a PhD degree in MLT this year. Increasing awareness of such courses among

26 I ANNUAL REPORT 2016-2017 CHARUTAR AROGYA MANDAL CHARUTAR AROGYA MANDAL ANNUAL REPORT 2016-2017 I 27 Research for Better Patient Care An in-house study taken up at the Shree Krishna Hospital resulted in introduction of a practice that Research benefits patients as well as the Hospital by saving on both treatment costs and treatment time – both A Major Thrust Area of which are vital components for efficient patient care. Role of Short Term Video Encephalography with Induction by Verbal Suggestion (STVEEG) in Right from the start, Charutar Arogya Mandal identified Research as a thrust area. In 2009, the Diagnosis of Suspected Paroxysmal Nonepileptic Seizure-like Symptoms – a study carried out by Mandal set up the Central Research Services (CRS) to generate greater awareness and support for Soaham Dilip Desai, Devangi Desai, and Trilok Jani research-related activities. The study concluded that STVEEG is an effective method to diagnose the cause of transient unre- CRS conducts regular research as also scientific writing workshops for students and faculty. sponsiveness in patients. The method involves giving verbal suggestions to a patient to recollect the Overall, CRS focuses on three areas: Teaching or orientating people, including students, in research episode of unresponsiveness while an EEG [record of brain waves] as well as a video recording is methods and biostatistics, epidemiological research, and community-oriented primary care. Since the done. Observation of the patient’s video and the brain waves in the EEG during the induced episode CRS was established, the Department has seen a quantum jump in the number of PubMed-Indexed can differentiate the reasons of the “spells” of unresponsiveness, especially to differentiate a seizure publications. disorder from a “non-epileptic” episode [pseudo-seizure]. Differentiating between the two conditions is extremely important as the treatments for the two are entirely different. CRS Group undergraduates. Three undergraduates pre- The new practice, based on this research, makes diagnosing possible on outpatient basis, thus The CRS Group invited new participants in the sented their work at the prestigious Paediatric avoiding lengthy admission and extended monitoring, and saving at least Rs. 25,000-Rs. 30,000 for group which contributed in adequately manag- Academic Societies at Baltimore, Maryland, US, each patient. ing the flow of activities. The new participants in May 2016, and more than 15 undergraduates include a student representative for the first time presented their work at the European Acade- our own investigators. Cardiologist Dr. Sunil Karna and Microbiologist – indicating the growing enthusiasm of medicine my of Paediatric Societies in Geneva in October Research that has been conducted in Karam- Dr. Suman Singh are leading these projects in students in research. 2016. sad is used by international guideline agencies India. Besides these, regular neurology teaching The Central Research Services enabled pre- The Central Research Service group also con- such as Cochrane to create guidelines. seminars are conducted between UMASS and sentations and publications by many faculty ducted regular research workshops and scien- CAM by Neurologist Dr. Soaham Shah. members of the institution. This year we pub- tific writing workshops for students and faculty. UMASS-CAM Research Over the past year we had multiple visits by lished more than 50 PubMed-Indexed papers It has also begun using STATA as the primary Partnership UMASS faculty members including the Associ- – the highest across medical colleges in Gujarat. software for analysis of data. The UMASS-CAM partnership has been renewed ate Dean for Undergraduate Medical Education, For the third consecutive year, Pramukhswami CRS also collaborates with organisations of in 2016 for another three years. In April 2016, Dr. Melissa Fisher; Professor and Vice Chair, Medical College leads in Gujarat in the number international repute like Johns Hopkins Universi- the partnership was awarded First Prize at the Department of Quantitative Health Sciences, Dr. of research papers published. ty, Boston University, and others such as Indian Universities of Global Health Conference in San Jeroan Allison; Professor Litwin, Head of Surgical More than six undergraduates were authors Immunologicals Ltd, to strengthen public health Francisco for being a first-class model for aca- Department; Dr. Heena Santry, Head of Surgical of publications in PubMed-Indexed journals and extension programmes and provide simple, demic partnerships. The award was received by Research; Dr. Payal Modi, Assistant Professor of this year – probably the highest participation of feasible solutions to complex health problems. Dr. Nisha Fahey and Mr. Apurv Soni of UMASS Emergency Medicine; Dr. Patricia Mcquillkin, Clin- undergraduates across India. Over the last three Recently an industry-funded Nutritional Clinical who presented the paper and are founders of this ical Associate Professor of Pediatrics; Dr. Christina years, 19 publications have been submitted by Trial was developed and conducted entirely by partnership, along with Dr. Somashekhar Nim- Fitch, Palliative Care Specialist; and many other balkar (CAM) and Dr. Jeroan Allison (UMASS). fellows and students. These interactions have Under the partnership, we have had a new encouraged and produced new ideas and helped Surgical Research Scholar, Dr. Maunil Bhatt from the clinical and research process at CAM. UMASS, join us for two years to work on the The European Academy of Paediatrics holds trauma registry. His efforts along with Dr. Kartik its conference every two years and is the most Vishwanathan’s ensured that we were selected prestigious conference in the European con- for the National Task Force on Trauma for re- tinent, attracting faculty and delegates from search on road traffic accidents. Pramukhswami across the world. We had 27 presentations at Medical College is one of the five centres across this conference – the highest number from India India that is part of this prestigious project. Oth- – and with the highest number of undergradu- ers include King George Medical College, Luc- ates presenting their research. The presentations know; M S Ramaiah Medical College, Bengaluru; were appreciated by conference delegates. Government Medical College, Thrissur; and All We had seven oral presentations at the con- India Institute of Medical Sciences, New Delhi. ference and some of the work has already been Apart from this, two other research projects are published. being carried out, namely the Atrial Fibrillation Screening using mobile phones, and the DeWorm Project on hookworm infection in the community.

CHARUTAR AROGYA MANDAL ANNUAL REPORT 2016-2017 I 29 PUBLICATIONS: Chen YS. Single stage management of Gustilo type Central PMCID: PMC5324427. RR. Lupus Vulgaris Involving Both Inguinal III A/B tibia fractures: Fixed with nail & covered Regions: A Case of Autoinoculation. J Clin 1: Salunke AA, Chen Y, Lee VK, Puhaindran ME. 13: Parekh U, Gupta S. Kerosene-a toddler’s with fasciocutaneous flap. Chin J Traumatol. 2017 Diagn Res. 2016 Nov;10(11):WJ01-WJ02. doi: Angiomyofibroblastoma of the Foot: a Rare Soft sin: A five years study at tertiary care hospital Apr;20(2):99-102. doi: 10.1016/j.cjtee.2016.06.011. 10.7860/JCDR/2016/19431.8777. Epub 2016 Nov Tissue Tumor at Unusual Site. Indian J Surg in western India. J Forensic Leg Med. 2017 Epub 2017 Feb 22. PubMed PMID: 28359591; 1. PubMed PMID: 28050488; PubMed Central Oncol. 2017 Jun;8(2):210-213. doi: 10.1007/s13193- Apr;47:24-28. doi:10.1016/j.jflm.2017.02.004. Epub PubMed Central PMCID: PMC5392714. PMCID: PMC5198441. 016-0565-6. Epub 2016 Oct 20. PubMed PMID: 2017 Feb 20. PubMed PMID: 28235678. 28546723; PubMed Central PMCID: PMC5427018. 8: Soni A, Fahey N, Jaffe A, Raithatha S, Raithatha 21: Purohit BJ, Singh PR. An Osteologic Study of 14: Kshatriya R, Prajapati D, Khara N, Paliwal N, Prabhakaran A, Moore Simas TA, Byatt N, Cranial Opening of Optic Canal in Gujarat Region. 2: Raithatha SJ, Kumar D, Amin AA. Training R, Patel S. Isolated pulmonary hydatid cyst: Vankar J, Chin M, Phatak AG, Srivastava S, J Clin Diagn Res. 2016 Nov;10(11):AC08-AC11. Village Health Workers in Detection and Misinterpreted as metastatic pulmonary lesion McManus DD, O’Keefe E,Patel H, Patel N, Patel D, doi:10.7860/JCDR/2016/22110.8929. Epub 2016 Monitoring of Noncommunicable Diseases: A in an operated case of carcinoma breast in Tracey M, Khubchandani JA, Newman H, Earon A, Nov 1. PubMed PMID: 28050353; PubMed Central Low Cost Option for Rural Areas Facing the young female. J Family Med Prim Care. 2016 Jul- Rosenfield H, Handorf A, Novak B, Bostrom J, Deb PMCID: PMC5198306. Emerging Health Epidemic. Fam Community Sep;5(3):701-703. doi: 10.4103/2249-4863.197299. A, Desai S, Patel D, Nimbalkar A, Talati K, Rosal M, Health. 2017 Jul/Sep;40(3):253-257. doi: 10.1097/ PubMed PMID: 28217612; PubMed Central 22: Salunke AA, Vala PC, Singh H, Parwani R, McQuilkin P, Pandya H, Santry HP, Thanvi S, Kharod FCH.0000000000000149. PubMed PMID: PMCID: PMC5290789. Gandhi S, Shah D. Intraosseous leiomyoma of U, Fischer M, Allison J, Nimbalkar SM. RAHI- 28525446. the calcaneum: An unusual bone tumor of foot SATHI Indo-U.S. Collaboration: The Evolution of 15: Nimbalkar AS, Patel DV, Nimbalkar SM, Patel and review of literature. J Clin Orthop Trauma. 3: Bansal SC, Nimbalkar AS, Kungwani AR, Patel a Trainee-Led Twinning Model in Global Health VK, Patel DN, Phatak AG. Infant and Young Child 2016 Oct-Dec;7(Suppl 1):61-64. doi: 10.1016/j. DV, Sethi AR, Nimbalkar SM. Clinical Profile and Into a Multidisciplinary Collaborative Program. Feeding Practices in Infants Receiving Skin to jcot.2016.08.001. Epub 2016 Oct 19. PubMed PMID: Outcome of Newborns with Acute Kidney Injury Glob Health Sci Pract. 2017 Mar 28;5(1):152-163. Skin Care at Birth: Follow-up of Randomized 28018075; PubMedCentral PMCID: PMC5167433. in a Level 3 Neonatal Unit in Western India. J doi: 10.9745/GHSP-D-16-00190. Print 2017 Mar 24. Cohort. J Clin Diagn Res. 2016 Dec;10(12):SC09- Clin Diagn Res. 2017 Mar;11(3):SC01-SC04. doi: PubMed PMID: 28351882. SC12. doi: 10.7860/JCDR/2016/22930.9003. Epub 23: Devpura B, Bhadesia P, Nimbalkar S, Desai 10.7860/JCDR/2017/23398.9327. Epub 2017 Mar 2016 Dec 1. PubMed PMID: 28208964; PubMed S, Phatak A. Discharge againstMedical Advice 9: Prabhakaran MC, Patel VR, Ganjiwale DJ, 1. PubMed PMID: 28511469; PubMed Central Central PMCID: PMC5296537. at Neonatal Intensive Care Unit in Gujarat, Nimbalkar MS. Factors associated with internet PMCID: PMC5427395. India. Int J Pediatr. 2016;2016:1897039. doi: addiction among school-going adolescents in 16: Joshi PS. Functional Outcome of 10.1155/2016/1897039. Epub 2016 Nov 24. 4: Vora RV, Anjaneyan G, Kota RKS, Pilani AP, Vadodara. J Family Med Prim Care. 2016 Oct- Conservatively Treated Bilateral Neck of Femur PubMed PMID: 28003834; PubMed Central Diwan NG, Patel NN. Study of clinical profile of Dec;5(4):765-769. doi: 10.4103/2249-4863.201149. Fracture in an Elderly: A Case Report. J Clin PMCID: PMC5143712. herpes zoster in human immunodeficiency virus PubMed PMID:28348987; PubMed Central Diagn Res. 2016 Dec;10(12):RD07-RD08. doi: positive and negative patients at a rural-based PMCID: PMC5353810. 10.7860/JCDR/2016/22145.9105. Epub 2016 Dec 24: Jivani N, Kota RS, Nair PA. Unilateral zosteriform tertiary care center, Gujarat. Indian J Sex Transm 1. PubMed PMID: 28208960; PubMed Central lichen planus involving multiple noncontiguous 10: Ostwal V, Sahu A, Ramaswamy A, Sirohi Dis. 2017 Jan-Jun;38(1):65-68. doi: 10.4103/0253- PMCID: PMC5296533. dermatomes with oral involvement. Indian B, Bose S, Talreja V, Goel M, Patkar S, Desouza 7184.203440. PubMed PMID: 28442806; PubMed Dermatol Online J. 2016 Nov-Dec;7(6):539-541. A, Shrikhande SV. Perioperative Epirubicin, 17: Vora RV, Kota RS, Diwan NG, Jivani NB, Gandhi Central PMCID: PMC5389218. PubMed PMID: 27990397; PubMed Central Oxaliplatin, and Capecitabine Chemotherapy SS. Skin: A mirror of internal malignancy. Indian J PMCID: PMC5134176. 5: Nair PA, Singhal R, Gandhi S, Diwan N. A in Locally Advanced Gastric Cancer: Safety and Med Paediatr Oncol. 2016 Oct-Dec;37(4):214-222. Sporadic Case of Ichthyosis Hystrix: Curth Feasibility in an Interim Survival Analysis. J doi:10.4103/0971-5851.195730. Review. PubMed 25: Desai SD, Desai D, Jani T. Role of Short Term and Macklin Type. aIndian Dermatol Online J. Gastric Cancer. 2017 Mar;17(1):21-32. doi:10.5230/ PMID: 28144085; PubMed Central PMCID: Video Encephalography with Induction by Verbal 2017 Mar-Apr;8(2):139-141. doi:10.4103/2229- jgc.2017.17.e3. Epub 2017 Mar 16. PubMed PMID: PMC5234155. Suggestion in Diagnosis of Suspected Paroxysmal 5178.202264. PubMed PMID: 28405559; PubMed Nonepileptic Seizure-Like Symptoms. Epilepsy 28337360; PubMed Central PMCID: PMC5362831. 18: Varma JR, Prabhakaran A, Singh S, Singh P, Central PMCID: PMC5372439. Res Treat. 2016;2016:2801369. Epub 2016 Nov 11: Patel KP, Makadia MG, Patel VI, Nilayangode Ganjiwale J, Pandya H. Experience of a faculty 17. PubMed PMID: 27980865; PubMed Central 6: Patel VI, Patel KP, Makadia MG, Shah AD, HN, Nimbalkar SM. Urinary Uric Acid/Creatinine development workshop in mentoring at an Indian PMCID: PMC5131252. Chaudhari KS, Nilayangode HN. Levels of Ratio - A Marker For Perinatal Asphyxia. J Clin medical college. Natl Med J India. 2016 Sep- Apolipoprotein A1, B100 and Lipoprotein (a) in Diagn Res. 2017 Jan;11(1):SC08-SC10. doi: Oct;29(5):286-289. PubMed PMID: 28098085. 26: Dongara AR, Nimbalkar SM, Phatak AG, Patel Controlled and Uncontrolled Diabetic Patients DV, Nimbalkar AS. An Educational Intervention 10.7860/JCDR/2017/22697.9267. Epub 2017 Jan 19: Dongara BA, Patel DV, Nimbalkar SM, Potana and in Non-Diabetic Healthy People. J Clin to Improve Nurses’ Understanding of Pain in 1. PubMed PMID: 28274014; PubMed Central N, Nimbalkar AS. Umbilical Venous Catheter Diagn Res. 2017 Feb;11(2):BC01-BC05. doi: Children in Western India. Pain Manag Nurs. 2017 PMCID: PMC5324459. Versus Peripherally Inserted Central Catheter in 10.7860/JCDR/2017/22741.9258. Epub 2017 Feb Feb;18(1):24-32. doi: 10.1016/j.pmn.2016.10.003. 12: Phatak AG, Nimbalkar SM. Method Neonates: A Randomized Controlled Trial. J Trop 1. PubMed PMID: 28384849; PubMed Central Epub 2016 Dec 10. PubMed PMID: 27964909. Comparison (Agreement) Studies: Myths and Pediatr. 2017 Jan 10. pii: fmw099. doi:10.1093/ PMCID: PMC5376851. Rationale. J Clin Diagn Res. 2017 Jan;11(1):JI01- tropej/fmw099. [Epub ahead of print] PubMed 27: Nair PA, Vora RV, Jivani NB, Gandhi SS. A 7: Nambi GI, Salunke AA, Thirumalaisamy SG, JI03. doi: 10.7860/JCDR/2017/23897.9314. Epub PMID: 28077611. Study of Clinical Profile and Quality of Life in Babu VL, Baskaran K, Janarthanan T, Boopathi K, Patients with Scabies at a Rural Tertiary Care 2017 Jan 1. PubMed PMID: 28273982; PubMed 20: Vora RV, Diwan NG, Jivani NB, Singhal

30 I ANNUAL REPORT 2016-2017 CHARUTAR AROGYA MANDAL CHARUTAR AROGYA MANDAL ANNUAL REPORT 2016-2017 I 31 Centre. J Clin Diagn Res. 2016 Oct;10(10):WC01- Teaching Hospital of Western India. J Clin Diagn 42: Joshi A, Buch J, Kothari N, Shah N. Evaluation Allison J, Nimbalkar S. Association of common WC05. Epub 2016 Oct 1. PubMed PMID: 27891435; Res. 2016 Aug;10(8):OC39-44. doi: 10.7860/ of Hand Written and Computerized Out-Patient mental disorder symptoms with health and PubMed Central PMCID: PMC5121773. JCDR/2016/19876.8387. Epub 2016 Aug 1. Prescriptions in Urban Part of Central Gujarat. healthcare factors among women in rural western PubMed PMID: 27656485; PubMed Central J Clin Diagn Res. 2016 Jun;10(6):FC01-5. doi: India: results of a cross-sectional survey. BMJ 28: Desai SD, Seth S, Shah A, Vaishnav B. PMCID: PMC5028526. 10.7860/JCDR/2016/17896.7911. Epub 2016 Jun Open. 2016 Jul 7;6(7):e010834. doi: 10.1136/ Aspergillus meningoencephalitis in a patient with 1. PubMed PMID: 27504305; PubMed Central bmjopen-2015-010834. PubMed PMID: 27388353; human immunodeficiency virus infection: Normal 36: Mirza N, Ganguly B. Utilization of Medicines PMCID: PMC4963665. PubMed Central PMCID: PMC4947826. cerebrospinal fluid does not mean absence of Available at Home by General Population of meningitis. Indian J Sex Transm Dis. 2016 Jul- Rural and Urban Set Up of Western India. J 43: Raithatha AS, Mishra DG. Musculoskeletal 50: Shah S, Jajal D, Mishra G, Kalia K. Genetic Dec;37(2):185-189. PubMed PMID: 27890955; Clin Diagn Res. 2016 Aug;10(8):FC05-9. doi: Disorders and Perceived Work Demands among profile of PTEN gene in Indian oral squamous cell PubMed Central PMCID: PMC5111306. 10.7860/JCDR/2016/20600.8298. Epub 2016 Aug Female Nurses at a Tertiary Care Hospital in carcinoma primary tumors. J Oral Pathol Med. 1. PubMed PMID: 27656460; PubMed Central India. Int J Chronic Dis.2016;2016:5038381. doi: 2017 Feb;46(2):106-111. doi: 10.1111/jop.12468. 29: Vishwanathan K, Nimbalkar S. Cosmetic limb PMCID: PMC5028514. 10.1155/2016/5038381. Epub 2016 Jul 14. PubMed Epub 2016 Jul 6. PubMed PMID: 27381359. lengthening in a patient of normal stature: ethical PMID: 27493990; PubMed Central PMCID: considerations. Indian J Med Ethics. 2017 Jan- 37: Kshatriya R, Patel V, Chaudhari S, Patel P, 51: Jivani NB, Nair PA. Primary cutaneous PMC4963572. Mar;2(1):45-48. Epub 2016 Nov 11. PubMed PMID: Prajapati D, Khara N, Paliwal R, Patel S. Cannon actinomycosis over right gluteal region. Indian 27866145. ball appearance on radiology in a middle- 44: Pandya RH, Shukla R, Gor AP, Ganguly B. Dermatol Online J. 2016 May-Jun;7(3):217-9. aged diabetic female. Lung India. 2016 Sep- Personal experience narratives by students: a doi:10.4103/2229-5178.182375. PubMed PMID: 30: Kshatriya RM, Khara NV, Paliwal RP, Patel SN. Oct;33(5):562-8. doi: 10.4103/0970-2113.188988. teaching-learning tool in bioethics. Indian J Med 27294068; PubMed Central PMCID:PMC4886605. Evaluation of proficiency in using different inhaler PubMed PMID: 27625459; PubMed Central Ethics. 2016 Jul-Sep;1(3):144-7. PubMed PMID: devices among intern doctors. J Family Med Prim 52: Nair PA, Patel CR, Ganjiwale JD, Diwan PMCID: PMC5006345. 27474694. Care. 2016 Apr-Jun;5(2):362-366. PubMed PMID: NG, Jivani NB. Xanthelasma Palpebrarum with 27843842; PubMed Central PMCID: PMC5084562. 38: Vaishnav SB, Vaishnav B, Desai KN, Raithatha 45: Ganjiwale D, Ganjiwale J, Parikh S. Association Arcus Cornea: A Clinical and Biochemical Study. NS, Bose NS. Critically ill obstetric patients of quality of life of carers with quality of life and Indian J Dermatol. 2016 May-Jun;61(3):295-300. 31: Ganjiwale D, Ganjiwale J, Sharma B, Mishra B. requiring mechanical ventilation in rural western functional independence of stroke survivors. J doi: 10.4103/0019-5154.182426. PubMed PMID: Quality of life and coping strategies of caregivers India: A retrospective analysis. Natl Med J Family Med Prim Care. 2016 Jan-Mar;5(1):129-33. 27293250; PubMed Central PMCID: PMC4885182. of children with physical and mental disabilities. J India. 2016 Mar-Apr;29(2):68-72. PubMed PMID: doi: 10.4103/2249-4863.184637. PubMed PMID: Family Med Prim Care. 2016 Apr-Jun;5(2):343-348. 53: Bansal SC, Nimbalkar SM. Updated Neonatal 27586209. 27453857; PubMed Central PMCID: PMC4943119. PubMed PMID: 27843839; PubMed Central Resuscitation Guidelines 2015 Major Changes. PMCID: PMC5084559. 39: Kshatriya RM, Khara NV, Paliwal RP, Patel SN. 46: Gupta ES, Sheth SP, Ganjiwale JD. Association Indian Pediatr. 2016 May 8;53(5):403-8. PubMed Role of virtual and flexible bronchoscopy in the of Vitamin B12 Deficiency and Use of Reverse PMID: 27254050. 32: Shaikh MN, Malapati BR, Gokani R, Patel B, management of a case of unnoticed foreign body Osmosis Processed Water for Drinking: A Chatriwala M. Serum Magnesium and Vitamin 54: Shukla VV, Nimbalkar SM, Ganjiwale JD, aspiration presented as nonresolving pneumonia Cross-Sectional Study from Western India. J D Levels as Indicators of Asthma Severity. John D. Direct Cost of Critical Illness Associated in an adult female. Lung India. 2016 Jul- Clin Diagn Res. 2016 May;10(5):OC37-40. doi: Pulm Med. 2016;2016:1643717. Epub 2016 Oct Healthcare Expenditures among Children Aug;33(4):420-3. doi: 10.4103/0970-2113.184912. 10.7860/JCDR/2016/19621.7864. Epub 2016 May 12. PubMed PMID: 27818797; PubMed Central Admitted in Pediatric Intensive Care Unit in Rural PubMed PMID: 27578936; PubMed Central 1. PubMed PMID: 27437269; PubMed Central PMCID: PMC5080508. India. Indian J Pediatr. 2016 Oct;83(10):1065-70. PMCID: PMC4948231. PMCID: PMC4948445. doi: 10.1007/s12098-016-2165-4. Epub 2016 Jun 1. 33: Desai D, Desai S, Jani T. Juvenile Myoclonic 40: Vadiya S, Parikh V, Shah S, Pandya P, Kansara 47: Dave P, Nimbalkar S, Phatak A, Desai R, PubMed PMID: 27246828. Epilepsy in Rural Western India:Not Yet a Benign A. Comparison of Modified Cartilage Shield Srivastava S. Missed Opportunities for Nutritional Syndrome. Epilepsy Res Treat. 2016;2016:1435150. 55: Gohel MK, Prajapati JB, Mudgal SV, Pandya Tympanoplasty with Tympanoplasty Using Rehabilitation in Children Admitted to Surgical Epub 2016 Oct 13. PubMed PMID: 27818795; HV, Singh US, Trivedi SS, Phatak AG, Patel RM. Temporalis Fascia Only: Retrospective Analysis of Wards. Scientifica (Cairo). 2016;2016:3470621. PubMed Central PMCID: PMC5081447. Effect of Probiotic Dietary Intervention on Calcium 142 Cases. Scientifica (Cairo). 2016;2016:8092328. doi: 10.1155/2016/3470621. Epub 2016 Jun 27. and Haematological Parameters in Geriatrics. 34: Nimbalkar SM, Patel DV, Phatak AG. Are doi: 10.1155/2016/8092328. Epub 2016 Jul 31. PubMed PMID: 27429836; PubMed Central J Clin Diagn Res. 2016 Apr;10(4):LC05-9. doi: Parents of Preschool Children Inclined to Give PubMed PMID: 27559489; PubMed Central PMCID: PMC4939328. 10.7860/JCDR/2016/18877.7627. Epub 2016 Apr Consent for Participation in Nutritional Clinical PMCID: PMC4983392. 48: Bansal SC, Nimbalkar SM, Shah NA, Shrivastav 1. PubMed PMID: 27190835; PubMed Central Trials? PLoS One. 2016 Oct 12;11(10):e0163502. 41: Gohel M, Singh US, Bhanderi D, Phatak RS, Phatak AG. Evaluation of Knowledge and PMCID: PMC4866133. doi: 10.1371/journal.pone.0163502. eCollection A. Developing and pilot testing of a tool for Skills of Home Based Newborn Care among 2016. PubMed PMID: 27732680; PubMed Central 56: Dalal K, Ganguly B, Gor A. Assessment “clinicosocial case study” assessment of Accredited Social Health Activists (ASHA). Indian PMCID: PMC5061353. of Rationality of Fixed Dose Combinations community medicine residents. Educ Health Pediatr. 2016 Aug 8;53(8):689-91. Epub 2016 Jun Approved in CDSCO List. J Clin Diagn 35: Sheth SP, Leuva AC, Mannari JG. Post (Abingdon). 2016 May-Aug;29(2):68-74. doi: 1.PubMed PMID: 27395839. Res. 2016 Apr;10(4):FC05-8. doi: 10.7860/ Exposure Prophylaxis for Occupational Exposures 10.4103/1357-6283.188684. PubMed PMID: 49: Soni A, Fahey N, Byatt N, Prabhakaran A, JCDR/2016/17856.7691. Epub 2016 Apr 1. to HIV and Hepatitis B: Our Experience of 27549642. Moore Simas TA, Vankar J, Phatak A, O’Keefe E, PubMed PMID: 27190825; PubMed Central Thirteen Years at a Rural Based Tertiary Care

32 I ANNUAL REPORT 2016-2017 CHARUTAR AROGYA MANDAL CHARUTAR AROGYA MANDAL ANNUAL REPORT 2016-2017 I 33 PMCID: PMC4866123. Epidermodysplasia Verruciformis. Indian 6 Assessment of surgical patient’s perioperative anxiety at a tertiary Dr. Hemlata Kamat J Dermatol. 2016 Mar-Apr;61(2):237. doi: 57: Upadhyay TR, Kothari N, Shah H. Association care hospital. 10.4103/0019-5154.177783. PubMed PMID: Between Serum B12 and Serum Homocysteine 7 The effects of mirror therapy on the gait of chronic stroke patients: A Dr. Daxa Mishra 27057054; PubMed Central PMCID: PMC4817479. Levels in Diabetic Patients on Metformin. J randomized controlled trial. Clin Diagn Res. 2016 Apr;10(4):BC01-4. doi: 61: Jain MM, Gupte SU, Patil SG, Pathak AB, 8 Awareness about government policies amongst the family members Dr. Harihara Prakash 10.7860/JCDR/2016/17604.7518. Epub 2016 Apr Deshmukh CD, Bhatt N, Haritha C, Govind and parents of children with cerebral palsy in Anand District. 1. PubMed PMID: 27190787; PubMed Central Babu K, Bondarde SA, Digumarti R, Bajpai J, 9 Prevalence of contraceptive use in couples having two children in work Dr. Tushar Patel PMCID: PMC4866085. Kumar R, Bakshi AV, Bhattacharya GS, Patil P, area of community medicine department, PSMC. Subramanian S, Vaid AK, Desai CJ, Khopade 10 To identify the prevalence of various traditional risk factors in patients Dr. Tushar Patel 58: Salunke AA, Chen Y, Tan J, Chen X, Pearce A, Chimote G, Bapsy PP, Bhowmik S. Paclitaxel admitted with acute coronary syndrome in a tertiary care center of C, Puhaindran M. Osteosarcoma of the talus injection concentrate for nanodispersion versus rural Gujarat. misdiagnosed as ankle arthritis: a case report. J nab-paclitaxel in women with metastatic breast 11 To Assess whether a simple Indian Diabetes Risk Score could help Dr. Alpa Leuva Orthop Surg (Hong Kong). 2016 Apr;24(1):128-31. screen Gujarati individuals at height risk of Non- Alcoholic fatty liver cancer: a multicenter, randomized, comparative PubMed PMID: 27122529. disease. phase II/III study. Breast Cancer Res Treat. 2016 12 To assess 'Test Anxiety' in medical and paramedical students. Dr. Somashekhar 59: Soni A, Amin A, Patel DV, Fahey N, Shah N, Feb;156(1):125-34. doi: 10.1007/s10549-016-3736- Nimbalkar Phatak AG, Allison J, Nimbalkar SM. The presence 9. Epub 2016 Mar 3. PubMed PMID: 26941199; 13 Study of the effect of yoga nidra on mental wellness during immediate Dr. Smruti Vaishnav of physician champions improved Kangaroo PubMed Central PMCID: PMC4788678. post-partum period. Mother Care in rural western India. Acta Paediatr. 62: Salunke A, Nambi GI, Singh S, Menon P, Girish 2016 Sep;105(9):e390-5. doi: 10.1111/apa.13445. 14 Challenges and barriers related to Informed consent process in health Dr. Barna Ganguly GN, Vachalam D. Hoffa’s fracture with ipsilateral research. Epub 2016 May 16. PubMed PMID: 27111097; fibular fracture in a 16-year-old girl: An approach PubMed Central PMCID: PMC4982817. 15 Introduction of objectively structured practical examination (OSPE) in Dr. Keyuri Patel to a rare injury. Chin J Traumatol. 2015;18(3):178- pathology: A pilot study. 60: Diwan NG, Jivani NB, Nair PA. Acrokeratosis 80. PubMed PMID: 26643247. 16 To assess respiratory symptoms and lung functions in community of Dr. Utkarsh Shah Verruciformis of Hopf Clinically Mimicking villages of Anand district. RESEARCH PROJECTS – COMPLETED 17 Clinical Profile and outcome of obstetric patients admitted to the Dr. Samir B Patel medical surgical intensive care unit. 1 A study on clinical profile and antimicrobial drug resistance in Dr. Yagnesh Pandya 18 An Evaluation and initial approach by bedside point of care (POC) Dr. Samir B Patel infection with stenotrophomonas maltophilia at tertiary care hospital ultrasonography to the adult patients with shock in tertiary care center. of rural Gujarat, India. 19 Attitude & perception of general population about autopsy in India. Dr. Sanjay K Gupta 2 Relationship among age, gender, anthropometric characteristics and Dr. Nirav Vaghela 20 Clinical health implications of heavy metal contamination in soil, water, Dr. Alpa Leuva dynamic balance in children age group between 5 to 12 years old at plant, animal and human in an effluent industrial contaminated area. Anand district. 21 Dermatoscopic Evaluation of various stages of dermatitis- A clinico- Dr. Pragya Nair 3 Qualitative assessment of learning strategies among medical students Dr. Anuradha Joshi dermatoscopic study. using Focus Group Discussion and in depth interviews. 22 To study the prevalence and risk factors of SSI in the patients of Dr. Somashekhar 4 Assessment of surgical skills of ophthalmic residents using surgical Dr. Samir G Bhavsar laparotomies admitted in the surgical wards. Nimbalkar Rubric for Phacoemulsification and SICS. 23 Premenstrual syndrome in nurses Dr. Somashekhar 5 Risk Assessment and safety in trauma centre (Emergency Unit) in Dr. Monica Gupta Nimbalkar Shree Krishna Medical Hospital and Research Centre, Karamsad 24 Smartphone Monitoring for Atrial Fibrillation in Real-Time-India Dr. Sunil Thanvi RESEARCH PROJECTS – ONGOING (SMART India). 25 Assessment of change in road safety behaviors (Helmet Use) for Dr. Somashekhar 1 Knowledge of basic life support (BLS) among doctors and nursing staff Dr. Madhavi Chaudhari Motorized Two-Wheelers: Impact of a Tragic Event on Behavior. Nimbalkar of a rural based tertiary care hospital, Karamsad. 26 To assess user experience with Hospital Management Information Mr. Sandeep Desai 2 A study on non-venereal genital dermatoses in male patients at rural Dr. Pragya Nair System (Solace) in Shree Krishna Hospital (SKH), Karamsad. based tertiary health care centre. 27 Determining worm occurrence, response to drugs, and microbiome Dr. Somashekhar 3 An observation study comparing the effects of Alfuzosin, Tamsulosin Dr. Sharadchandra influences among school-going children in Gujarat, India. (DeWORM- Nimbalkar and Silodosin in catheter free trials after acute urinary retention due to Shah India). benign prostatic hyperplasia. 28 Epidemiological correlates of well- being at work place and other Dr. Deepak B Sharma 4 To study seasonal pattern of hospitalization due to respiratory diseases Dr. Ravish Kshatriya occupational aspects (hazards, injuries, accidents and diseases) in a rural hospital. amongst saw mill workers in Anand, Gujarat 5 Impact of nutritional supplementation on clinical outcome of chronic Dr. Jyoti Mannari liver disease patients.

34 I ANNUAL REPORT 2016-2017 CHARUTAR AROGYA MANDAL CHARUTAR AROGYA MANDAL ANNUAL REPORT 2016-2017 I 35 29 Awareness about human papilloma virus(HPV) vaccine among medical Mr. Ajay Phatak 43 Evaluation of cognitive style and spiritual quotient of postgraduate Dr. Bhalendu Vaishnav & paramedical female students of Shree Krishna hospital campus, students of HM Patel Centre for Medical Care and Education Karamsad, India 44 To study the incidence of peripheral retinal degeneration in interns Dr. Devendra Saxena 30 Prevalence of Kangaroo mother care in neonates post discharge Dr. Vallaree 45 To study the effect of glycemic control on refractive status in diabetes Dr. Devendra Saxena Morgaonkar mellitus patients 31 D419LC00001: Dr. Nirav Asarawala 46 Correlation of body mass index with bed side clinical tests and Dr. Hemlata Kamat A Phase III randomized, open-label, multi-center, global study of Cormack-Lehane Grading for prediction of difficult laryngoscopy and MEDI4736 in combination with Tremelimumab versus standard of care intubation in a rural tertiary health care setup in the treatment of first-line recurrent or Metastatic squamous cell head and neck cancer patients. 47 Histopathological and morphological study of lung tumors Dr. Keyuri Patel Submission of study documents for review and approval 48 Role of serum albumin in preoperatively determining post op morbidity Dr. Shirish Srivastava 32 EFC11570(ODYSSEY CV): Dr. Sunil Karna and mortality and its efficacy against pre op ASA Grade and hematocrit A Randomized, Double Blind, Placebo-Controlled, Parallel-Group Study as risk predictors to Evaluate the Effect of Alirocumab (SAR236553/REGN727) on the Occurrence of Cardiovascular Events in Patients who have Recently 49 A correlational study between prostate specific antigen and prostate Dr. Jitesh Desai Experience an Acute Coronary Syndrome. volume with disease severity in patients of benign prostatic hyperplasia Patient Appointment card for ethics committee submission and approval. 50 1160.186: Dr. Sunil Karna 33 CLCZ696B2317: Dr. Sunil Karna A prospective randomized, open label, blinded endpoint [PROBE] study A multicenter study to evaluate safety and tolerability in patients with to evaluate dual anti thrombotic therapy with Dabigatran Etexilate chronic heart failure and reduced ejection fraction from PARADIGM- (110mg and150mg bid) plus clopidogrel or Ticagrelor vs. Triple therapy HF receiving open label LCZ696. strategy with warfarin (INR 2.0-3.0)plus clopidogrel or Ticagrelor and Patients Card for ethics committee submission and approval. aspirin in patient with non-valvular atrial fibrillation (NVAF)that have undergone a percutaneous coronary intervention (PCI) with stenting 34 AB07015: Dr. Ravish Kshatriya [RE-DUAL PCI] Prospective, multicenter, randomized, double-blinded, placebo- controlled, 2-parellel groups, Phase 3 study to compare the efficacy 51 EFC11570(ODYSSEY CV): Dr. Sunil Karna and the safety of Masitinib at 6mg/kg/day versus placebo in the A randomized, double blind, placebo-controlled, parallel-group study treatment of patients with severe persistent asthma treated with oral to evaluate the effect of Alirocumab [SAR236553/REGN727] on the corticosteroids. Occurrence of Cardiovascular Events in Patients Who have recently Submission of Protocol Amendment Version 12.0 and inform consent Experienced an acute coronary syndrome form Version 8.0 for above mentioned study. 52 An association between hyperlipidemia and diabetic retinopathy Dr. Chaitali Patel Submission of Protocol Amendment Version 11.0 for above mentioned and its psychosocial impact on diabetic retinopathy patients-An study. observational study 35 D419AC00003: Dr Pradeep Shah 53 Assessing the impact of treatment on quality of life in patients of acne Dr. Upama Trivedi A phase III Randomized, Open-label, multi-centre, global study of vulgaris MEDI4736 in combination with Tremelimumab therapy versus standard 54 Assessment of toxicity and tolerability of IMRT/ VMAT based Dr. Nirav Asarawala of care platinum based chemotherapy in first line treatment of patients chemoradiation in patients with carcinoma cervix at a rural based with advanced or metastatic nonsmall-cell lung cancer(NSCLC) community cancer centre at Shree Krishna Hospital, Karamsad (NEPTUNE). Submission of study documents of ethics committee for review and approval. 55 To Study the prevalence of primary open angle and primary angle Dr. Harsha Jani closure glaucoma at tertiary care health center- Shree Krishna Hospital 36 Level of education shaping the attitude of students without disability Dr. Harihara Prakash in the population of Anand district in Gujarat towards people with disability 56 To monitor progression of visual field changes in glaucoma patients Dr. Samir Bhavsar 37 Comparison of efficacy of three devices [foot operated resuscitator, T Dr. Somashekhar using global indices of Octopus Perimetry at a tertiary health care centre piece and bag valve mask] of manual positive pressure ventilation: a Nimbalkar mannequin based study 57 Utilization study of hormones and their antagonists in treatment of Dr. Barna Ganguly patients of breast and prostate cancer and their effect on quality of life 38 Randomized Control Trial to compare Kangaroo Mother Care with oral Dr. Apurva Chapla sucrose for pain management in premature neonates on heal prick 58 Compliance to antibiotic Therapy at Pediatric Out Patient Clinic Dr. Dipen Vasudev Patel 39 Retrospective analysis of safety and efficacy of concurrent chemo- Dr. Nirav Asarawala 59 To study the effects, profile and outcome of patients put on Humidified Dr. Krutika Tandon radiotherapy with dual agent chemotherapy for carcinoma esophagus high flow nasal cannula (HHFNC) (Optiflow system through AIRVO-2) in resource limited setting at PICU of Shree Krishna Hospital 40 Study of clinical profile and outcome of patients with snake bite Dr. Samir B Patel 60 Platelet parameters in stroke patients Dr Sanjay Chaudhari 41 A study of association between hypertensive retinopathy, Dr. Himanshu V 61 Thyroid Dysfunction following management of Non-Thyroid Head and Dr Yojana Sharma microalbuminuria and coronary artery disease Pandya Neck Cancer 42 Effect of music therapy on physical and psychological parameters in Dr. Smruti Vaishnav 62 A Study on human brucellosis in hospital and community of rural Dr Suman P Singh perioperative state in patients of obstetrics and gynecology Gujarat

36 I ANNUAL REPORT 2016-2017 CHARUTAR AROGYA MANDAL CHARUTAR AROGYA MANDAL ANNUAL REPORT 2016-2017 I 37 63 Risk factors for ventilator associated pneumonia in patients with Dr Suman Singh 88 Physical activity practices, attitudes and motivation among people Dr. Apexa S. Raithatha trauma and head injury in a tertiary care teaching hospital of rural involved in physical activity in Anand Gujarat 89 Challenges faced by physiotherapy students and coping strategies to Dr. R Harihara Prakash 64 A Comparative study of clinic-pathological profile of oral squamous cell Dr Girish Mishra overcome them carcinoma with submucous fibrosis and oral squamous cell carcinoma 90 Awareness of Aerobic Exercise and Yoga among Hypertensive Patients Dr. Nirav Vaghela without submucous fibrosis in Community 65 Correlation of Serum uric acid levels in diabetic patients Dr Simbita A Marwah 91 Involvement of caregivers in executing exercise program versus Dr. Daxa Mishra 66 Awareness and attitudes towards Prosthodontic Rehabilitations Dr Hardik Prajapati supervised exercise program in patients undergoing palliative care among rural population in Anand District, Gujarat, India 92 BBIL/ROTAVAC5CM/III/2016: Dr. Somashekhar 67 Comparison of post-operative pain relief after minimal invasive cardiac Dr Gurpeet Kaur A phase III, multicenter, randomized , open labeled study to evaluate Nimbalkar surgery (mics) vs conventional valve surgery the immunogenicity, reactogenicity and safety of ROTAVAC 5CM , the 68 Assessment of Dental Anxiety in Medical Students undergoing Dr Swati Sathaye live attenuated rotavirus vaccine as a 3 dose series when compared clinical posting in Dental Surgery of Pramukhswami Medical College, with existing ROTAVAC in healthy infants aged 6-8 weeks Karamsad - An interventional Study 93 MYL-1402O-3001: Dr. Pradeep Shah 69 Perception of nursing students towards learning environment and Ms. Shany S Sarate A Multicenter, Double- Blind, Randomized, Parallel-Group Study to their perceived academic stress. Assess the Efficacy and Safety of MYL-1402O Compared With Avastin (R), in the First -line treatment of Patient with stage IV Non- Squamous 70 An Analysis of Deferral Pattern in Platelet pheresis donors at ADGBB Dr Kirti Rathod Non- Small Cell Lung Cancer. Shree Krishna Hospital, Karamsad 94 GPL/CT/2016/003/III: Dr. Rajiv Paliwal 71 A Study of Vancomycin and Daptomycin MIC in clinical isolates of Dr Chirag Modi A 12 week treatment, multi-centre, randomized, double - blind, Staphylococcus aureus at a tertiary care hospital of Gujarat parallel- group, active- controlled study to assess the efficacy, safety, 72 Etiological Agents and Pattern of Antimicrobial drug Resistance with Dr Yagnesh G. Pandya and tolerability of a fixed dose combination of glycopyrronium Blood Stream Infections in a Tertiary Care Teaching Hospital or Rural (12.5mcg/ formoterol fumarate dihydrate (12 mcg) in a dry powder Gujarat inhaler in comparison with Glenmark Airz TM Glycopyrronium powder 73 Correlation of serology with histology based detection of Helicobacter Dr Mudita Paliwal for inhalation 50 mcg in subjects with chronic obstructive pulmonary Pylori infection in a tertiary care teaching hospital, Gujarat disease 74 Study of Health Related Quality of Life in Obese and Overweight Patients Dr Jyoti Mannari 95 EFC11570 (ODYSSEY CV): Dr. Sunil Karna A Randomized, Double-Blind, Placebo-Controlled, Parallel- Group 75 To Study the Effect of Group Exercises in Patients with Parkinson's Dr. Harihara Prakash Study to Evaluate the Effect of Alirocumab (SAR236553/REGN727) Disease : Case Series Study on the Occurrence of Cardiovascular Events in Patients Who Have 76 The effect of aerobic exercise on total and visceral adiposity in Healthy Dr Shweta Parikh Recently Experienced an Acute Coronary Syndrome. obese adult Patient Retention Brochure for Ethics Committee Submission and 77 To Compare the Effects of Aerobic Exercise and Yoga on Primary Dr Nirav Vaghela Approval Dysmenorrhea 96 1160.186 [RE DUAL PCI]: Dr. Sunil Karna 78 Effects of Scapular PNF Exercises in Adhesive Capsulitis Dr Ashish V Gupta A prospective randomized, open label, blinded endpoint (PROBE)study to evaluate dual anti thrombotic therapy with Dabigatran Etexilate 79 Histopathology- immunohistochemistry correlation in Histopathology Dr Keyuri Patel (110mg and150mg bid) plus clopidogrel or Ticagrelor vs. Triple therapy 80 To Assess the diagnostic accuracy of CT pulmonary angiography- 128 Dr Jaydeep Doshi strategy with warfarin (INR 2.0-3.0)plus clopidogrel or Ticagrelor and sliced in the detection of pulmonary embolism in clinical (well’s score) aspirin in patient with non-valvular atrial fibrillation (NVAF)that have and /or biochemical (D-DIMER value) suspiciousness undergone a percutaneous coronary intervention (PCI) with stenting 81 A study on dermatoses in menopausal patients at rural based tertiary Dr Pragya Nair Protocol 1160.186 (RE-DUAL PCI ) for Ethics Committee Review and health care centre Approval 82 Analysis of timeliness in different phases of biochemistry samples Dr. Mitul Chhatriwala 97 Assessment of the impact of disability on Quality of Life and Coping in Dr. Himanshu Sharma patients suffering from Allergic Rhinosinusitis 83 Effectiveness of supervised and home based physiotherapy Dr. Daxa Mishra intervention in patients with chronic obstructive pulmonary disease 98 Awareness and misuse amongst Patients, Pharmacists and Medical Dr. Pragya Nair (COPD) Practitioners 84 Study of coping ability to external demands while walking in geriatric Dr. Vidhi Gajjar 99 Prediction of oesophageal Varices by a non-Invasive Method in Patients Dr. Himanshu Pandya population who are having cirrhosis 85 Evaluation of perceptions of undergraduate medical students about Dr. Utsav N Parekh 'Model Answer' method as a reflective tool for assessment & teaching- learning 86 Pattern of skin diseases in tribal population of Gujarat, India Dr. Pragya Nair 87 Improving compliance to Iron Folic Acid supplementation in rural Dr. Shyamsundar Government schools of Anand district Raithatha

38 I ANNUAL REPORT 2016-2017 CHARUTAR AROGYA MANDAL CHARUTAR AROGYA MANDAL ANNUAL REPORT 2016-2017 I 39 Community Extension Taking Medical Care to the Hinterland

Taking quality medical care beyond the walls of the hospital campus to the community at large, to areas where it has not reached before, is one of Charutar Arogya Mandal’s four thrust areas. The Mandal’s Community Extension strategy is to ensure better health standards for more and more patients in the hinterland, in particular for those economically disadvantaged. Such health programmes cover a range of afflictions and diseases – right from complex ones like cancer to more prevalent diseases like hypertension and diabetes. Six Papers Presented The Mandal’s Public Health Initiatives at the World Cancer Palliative Care Group is tasked with planning, organising and Congress With an aim to make the quality of life better reviewing health projects at the grassroots level. and pain-free for patients with terminal illness While Extension Centres in remote areas The World Cancer Congress (WCC) is like cancer, kidney conditions, liver ailments and are designed to make healthcare accessible to acknowledged by the global cancer community geriatric conditions, an OPD was set up at Shree all, various social outreach programmes have as the leading international event in the field Krishna Hospital with support from Pallium been launched to spread awareness on health of cancer treatment. Of the total 688 research India. The OPD team is headed by an expert in concerns. abstracts, we presented six papers on the pain-handling and includes a doctor specially basis of various community-level programmes trained in administering palliative care, a nurse The Cancer Prevention and Care implemented by us. This was the highest and a paramedic staff. Programme number of entries from a single organisation in Apart from treating patients at OPD level, the The Cancer Prevention and Care Programme, India. team also pays home visits when the patient supported by the Tata Trusts, has been extended is not in a condition to come to the Hospital for application and is operational in 90 villages by four months. It reaches out to more than 90 Anand district through BRC (Block Resource treatment. The medicines too are delivered at across three districts (Anand, Kheda and Panch- villages and involves: Coordinators) and CRC (Cluster Resource Co- home when required. During the year, a total of mahal). It is jointly sponsored by GMM Pfaudler ordinators). 811 patients were treated on outpatient basis in 60 villages and Shamdasani Foundation in 30 Raising Awareness • A two-day workshop was conducted for NGO and 68 home visits were made. villages. To make the students as also the general com- Kaira Social Service Society’s field workers. Through the programme, non-communicable munity aware of cancer, a number of steps were • 91 sessions of training on menstrual hygiene SPARSH conditions like hypertension, diabetes, cardio- taken including: were held for adolescent girls in the district’s (Shree Krishna Hospital Programme for vascular diseases, and others are addressed at • 50 training sessions were conducted for 652 primary and secondary government schools. Advancement of Rural and Social Health) the community level. It provides early screening peers and 52 Sakhi Mandals. SPARSH is the latest initiative in Community Ex- and treatment at the doorstep, thus reducing the • Tobacco consumption is a major cause of Detecting Cancer at an Early Stage tension – a unique five-year home care Non-Com- burden of complications caused by these chronic cancer. To prevent school-going children from A total of 646 camps were held in the 90 villag- municable Disease (NCD) Care Model. It aims diseases. developing the habit of tobacco consumption, es over the last three years, where 583 patients to strengthen a three-tier healthcare system by Till date 627 camps have been organised in 90 informational DVDs on tobacco control and were screened and 51 patients identified as can- connecting virtually at all tiers through android villages and 17,906 patients have been screened. tobacco-free zone posters were distributed in cer positive. Among these, 20 have completed all the 1,032 Government primary schools of their treatment to date. The Sevaliya Secondary Healthcare Centre has emerged as the most dependable healthcare facility in the region. The Village Health Worker provides the vital link between patients in the villages and the Shree Krishna Hospital.

42 I ANNUAL REPORT 2016-2017 CHARUTAR AROGYA MANDAL Of these, 420 patients were positively diagnosed referred to Shree Krishna Hospital for consulta- for NCDs. About 597 patients have enrolled for tion with a psychiatrist or psychologist. home care at their doorstep. To ensure there are no man-made mistakes in handling of significant Sevaliya Secondary Health Centre information related to the patient’s health, the Sevaliya Centre took significant strides in es- Village Health Workers (VHWs) are trained to tablishing itself as a dependable secondary care use tablets with android application for further facility for the region. Ortho surgeries started monitoring of diabetes and hypertension. at the Centre with the Orthopaedic consultants from Shree Krishna Hospital visiting twice in a Extension Centres week and a private consultant once a week. Sur- The five extension centres and a secondary geries related to severe fractures are conducted care centre strengthen the Mandal’s vision of a on a regular basis. With the addition of a full- three-tier model of comprehensive healthcare. time gynaecologist, all medical services are now During the year, 56,997 patients were treated on available. outdoor basis at the five extension centres. Some The Trauma Centre manages casualties of noteworthy events were: varied nature with dedication. A mass casualty • On completion of 25 years, a multi-speciality owing to a road traffic accident was managed camp was organised at Bhadran Arogya Trust efficiently at the Centre despite the limited which was attended by nearly 600 patients. infrastructure and manpower, saving many lives. • International Women’s Day was celebrated During the year 15,287 patients were seen on at the Anand Agriculture University Centre outdoor basis, 631 patients on indoor basis, 590 where orientation sessions for students were casualties were managed and 60 surgeries were organised on ‘Nutrition and Stress – Sources conducted. and Mechanisms to Deal’. Nearly 400 students Extending the affordable care wing of Shree and staff members participated, all of whom Krishna Hospital, the Jan Arogya Yojana was in- are undergoing an SRQ (Self-Report Question- troduced at the Centre in addition to the services naire screening test, a tool to screen depres- that are provided through the RSBY (Rashtriya sion, anxiety and somatoform disorders) in Swasthya Bima Yojana) scheme. phases. Those displaying positive results are A blood donation camp was organised in col-

Needy patients from villages are assured of quality treatment at the Sevaliya Centre.

CHARUTAR AROGYA MANDAL ANNUAL REPORT 2016-2017 I 45 laboration with BHEL (Bharat Heavy Electricals Atrial Fibrillation (AFIB) Study: With help of a Ltd) and 97 units of blood were collected from mobile app and deployment of two field teams Human Resource Development the employees. of VHWs, the heart rates of people in the com- A CME (continuing medical education) on munity were randomly assessed. The study was ‘Common Mental Disorders’ and ‘Management of conducted in 60 villages and the heartbeats of Academic Events organised Title Resource Person Organizers Location From To Department Additional Vaginal Discharge’ was conducted at the Centre 200 people recorded for three days. The results Information with 42 General Practitioners from nearby areas were analysed by the project doctors and those National participating. having abnormal recordings were brought to the Fellowship in Dr. Himanshu MCI, Nodal center 30-03-2016 01-04-2016 Department Second contact cardiac centre of Shree Krishna Hospital for free Medical Education Pandya and Dr. Pramukhswami of Medical session of FIME Praveen Singh Medical College, Education Studies consultation with a cardiologist. Karamsad The Community Extension Group has been con- Presented a poster Dr. Dinesh Association of Kolkata 10-02-2017 12-02-2017 Community Association of on ‘Computer use Bhanderi Preventive and Medicine Preventive and ducting community-based studies which help Deworming: A study was conducted in 10 villag- and Carpal Tunnel Social Medicine Social Medicine Syndrome- A in establishing useful learnings for the future es of Sevaliya region to know the prevalence of Case-control and a foundation for advocacy. Following are the worm infestation in children of age 5 to 15 years. Study’ at 44th annual national findings from research studies completed as also The VHWs have to collect stool samples of 300 conference of Indian new initiatives taken up: children which would be sent for further investi- Association of gation in laboratories. Preventive and Social Medicine Burden of Injuries: The study measured the organized on burden of injuries in villages of Gujarat over the Anaemia in School Children: The study aims to 10th-12 75th annual AIOS Jaipur 16-02-2017 19-02-2017 Ophthalmology year. A total of 492 injury cases were identified study the prevalence and burden of anaemia in conference contributing to an incidence of 395 injuries per school children of Anand district and efficacy of of All India Ophthalmological 100,000 per year. It was found that the most the government’s Anaemia Eradication Program. society common causes of injury were road traffic acci- Till date, nearly 3,000 students from various "Virtual Dr Himanshu Dept. of online 14-02-2017 14-02-2017 Psychiatry Drug " Knowledge Sharma Psychiatry, Deaddiction dents (RTA), falls and animal bites. The lower schools have had their haemoglobin levels tested Network (VKN) Substance Program extremity, upper extremity, and head were the and the results are being assessed. The pro- Centre for Disorders, &Centre of Addiction NIMHANS, Addiction body parts most often injured in accidents, with gramme intends to educate and raise awareness Medicine, Dept of Bengaluru.india Medicine, Psychiatry, NIMHANS, fractures, bleeding, and traumatic brain injury about the prevalence of the condition and take NIMHANS, MOH & FW, being the most common pattern of injuries. up motivation programmes of peers for remedial Bangaluru, India . India and Project action. ECHO, UNM Revised Basic Dr. Praveen R. Dr. Himanshu Pramukhswami 10/05/2016 12/05/2016 MCI Regional Revised Students are posted to villages regularly to sensitize them to conditions in rural areas. Course Workshop Singh, Dr. Suman Pandya Medical College, Centre Basic Course Singh, Dr. Uday Karamsad Workshop Shankar Singh, Dr. Swapnil Agarwal, Dr. Sanjay Gupta, Dr. Dinesh Kumar, Dr. Bharat Gajjar, Dr. Jagdishchandra Vankar, Dr. Karthik Vishwanathan Ms. Jaishree Ganjiwale Dr. Ravish Kshatriya Sensitization for Dr. Praveen Dr. Himanshu Pramukhswami 09-05-2016 09-05-2016 MCI Regional Sensitization for ATCOM R. Singh, Dr. Pandya Medical College, Centre ATCOM Suman Singh, Dr. Karamsad Barna Ganguly, Dr. Swapnil Agarwal Revised Basic Dr. Himanshu Dr. Himanshu Pramukhswami 19/04/2016 21/04/2016 MCI Regional Revised Course Workshop Pandya, Dr. Pandya Medical College, Centre Basic Course Praveen R. Karamsad Workshop Singh, Dr. Suman Singh, Dr. Uday Shankar Singh, Dr. Dinesh Kumar, Dr. Jagdishchandra Vankar, Ms. Jaishree Ganjiwale

46 I ANNUAL REPORT 2016-2017 CHARUTAR AROGYA MANDAL CHARUTAR AROGYA MANDAL ANNUAL REPORT 2016-2017 I 47 Title Resource Person Organizers Location From To Department Additional Faculty Invited as Resource Person Information Employee Name Training Title Training Type Role Location From To Sensitization for Dr. Himanshu Dr. Himanshu Pramukhswami 18-04-2016 18-04-2016 MCI Regional Sensitization for ATCOM Pandya, Dr. Pandya Medical College, Centre ATCOM International Praveen R. Karamsad Dr. Suman P Singh CMCL-FAIMER Fellowship pro- Faculty Develop- Resource Christian Medical 04-02-2017 07-02-2017 Singh, Dr. gram-2017 ment Programme Person College, Ludhiana, Suman Singh, Dr. India Barna Ganguly, Dr. Swapnil Dr. Monica Gupta International Forum on Quality Conference Paper Sweden, Gotheburgh 10-04-2016 16-02-2016 Agarwal Safety in Health Care 2016 Quality Presentation improvement at the Medical Imag- Second Contact Dr. Himanshu Dr. Himanshu Pramukhswami 30-03-2016 01-04-2016 MCI Regional Second Contact ing Services of a rural tertiary care Session of Third Pandya, Dr. Pandya Medical College, Centre Session of Third teaching hospital in India Fellowship in Praveen R. Karamsad Fellowship Medical Education Singh, Dr. in Medical Dr Rumi Shibashish Feto-maternal outcome in patients Conference presenter Barcelona,Spain. 26-10-2016 28-11-2016 Suman Singh, Dr. Education Bhattacharjee with PPCM in a tertiary care Uday Shankar centre. Singh, Dr. Sanjay Gupta, Dr. Samir B Patel Chairperson Conference Chair Person Pune 08-07-2016 10-07-2016 Ms. Jaishree Dr Girish Mishra International CME of Gujarat State CME Guest Faculty Bali 09-09-2016 11-09-2016 Ganjiwale, Dr. Branch of AOI Dinesh Kumar National Regional Dr. Praveen R Singh Pre-conference Workshop in Workshop Overaall coor- PS Medical College 23-11-2016 23-11-2016 Revised Basic Dr. Praveen Dr. Praveen Mahatma Gandhi 28-03-2017 30-03-2017 Department National Conference on Health dinator of all Course Workshop Singh Singh Medical College and of Medical Professions Education 2016 workshops Hospital, Jaipur Education Dr. Praveen R Sensitization for ATCOM Faculty Develop- Resource PS Medical College 05-03-2017 05-03-2017 Sensitization for Dr. Praveen MCI, Nodal 02-03-2017 02-03-2017 Department Singh ment Programme Person ATCOM Singh centerPramukhswami of Medical Medical College, Education Dr. Praveen R Singh Revised Basic Course Workshop Faculty Develop- Resource MCI Nodal Center, 02-03-2017 04-03-2017 Karamsad in MET ment Programme Person Pramukhswami Medi- cal College, Karamsad Revised Basic Dr. Praveen MCI, Nodal 27-02-2017 01-03-2017 Department Course Workshop Singh centerPramukhswami of Medical Dr. Praveen R National Conference on Health Conference Resource PS Medical College, 24-11-2016 26-11-2016 Medical College, Education Singh Professions Education 2016 Person Karamsad Karamsad Dr. Bharatkumar M Institutional Animal Ethics Com- Meeting Expert Shree C. V. Gajera 18-02-2017 18-02-2017 Sensitization for Dr. Praveen MCI, Nodal 22-12-2016 22-12-2016 Department Gajjar mittee Meeting Pharmacy Mahila ATCOM Singh centerPramukhswami of Medical College, Amreli. Medical College, Education Dr. Bharatkumar M Institutional Animal Ethics Com- Meeting Expert Shri G. H. Patel 30-12-2016 30-12-2016 Karamsad Gajjar mittee Pharmacy Building, Revised Basic Dr. Praveen MCI, Nodal 19-12-2016 21-12-2016 Department Opp. University Main Course Workshop Singh centerPramukhswami of Medical Office, Vadodara, Medical College, Education Gujarat. Karamsad Dr. Bharatkumar M Institutional Animal Ethics Com- Meeting Expert Parul Institute of 22-07-2016 22-07-2016 Revised Basic Dr. Praveen MCI, Nodal 10-05-2016 12-05-2016 Department Gajjar mittee Meeting Pharmacy and Course Workshop Singh centerPramukhswami of Medical Research, Limda, Medical College, Education Vadodara. Karamsad Dr. Bharatkumar M Institutional Animal Ethics Com- Meeting Expert Shree S. K. Patel 28-05-2016 28-05-2016 Sensitization for Dr. Praveen MCI, Nodal 09-05-2016 09-05-2016 Department Gajjar mittee Meeting College of Pharma- ATCOM Singh centerPramukhswami of Medical ceutical Education Medical College, Education & Research, Ganpat Karamsad University, Kherva. Revised Basic Dr. Himanshu MCI, Nodal 19-04-2016 21-04-2016 Department Dr. Barna Ganguly “Science Camp under Inspire Guest Faculty ARIBAS, New V. V. 13-06-2016 17-06-2016 Course Workshop Pandya and Dr. centerPramukhswami of Medical Internship Scheme” sponsored by Nagar Praveen Singh Medical College, Education DST, Govt of India, organised by Karamsad ARIBAS, New V. V. Nagar Sensitization for Dr. Himanshu MCI, Nodal 18-04-2016 18-04-2016 Department Dr. Barna Ganguly 3T - IBHSc Training Program for Training Resource SRM Chennai 06-03-2017 08-03-2017 ATCOM Pandya and Dr. centerPramukhswami of Medical Health Science Faculty Person Praveen Singh Medical College, Education Dr. Barna Ganguly 3T - IBHSc Training Program for Training Resource Jubilee Mission 16-02-2017 18-03-2017 Karamsad Health science Faculty organised Person Medical College & Conducted CME Chief Guest : Dr Smruti H.M Patel Academic 08/05/2016 08/05/2016 Obstetrics & Chief Guest: by India Program of UNESCO Chair Research Institute, for all Gujarat Collector, District Vaishnav Centre Gynaecology Collector, in Bioethics (Haifa) Thrissur Medical Officers on Health officer, (H.O.D), Dr District Health Dr. Barna Ganguly National Conference on Health Pro- Workshop Resource P. S. Medical College, 24-11-2016 26-11-2016 Anand District. Nitin Raithatha officer, Anand fessions Education (NCHPE) 2016 Person Karamsad Dr R B Patel, Dr (H.O.U) District. Smruti Vaishnav Dr R B Patel, Dr. Barna Ganguly 3T Plus Integrated Bioethics Training Resource MGM Institute of 22-08-2016 24-08-2016 (H.O.D), Dr Dr Kubavat (Pet Health Science Training Program, Person Health Sciences, Navi Nitin Raithatha Organised by UNESCO Chair in Mumbai (H.O.U) Dr Bioethics (Haifa) Kubavat (Petlad), Dr. Barna Ganguly Workshop on Bioethics, Health Workshop Resource DPU, Pune 17-08-2016 17-08-2016 Switch over to Dr.Arthur World Health Dahod & amp; 09/05/2016 12/05/2016 Community Mr. Prakash Law & Professionalism organised Person trivalent oral Macwan & Organization Panchmahal districts Medicine Nayak, Mr. by India Program of UNESCO Bio- polio Vaccine to Dr. Uday Shankar (WHO) Mahesh ethics Chair, Haifa and DPU Unit of Bivalent Oral Polio Singh Parmar & Mr. UNESCO Chair Vaccine Monitoring Dharmendra Dr. Barna Ganguly 3T Plus Bioethics Training Program Training Resource MGUMST, Jaipur 21-04-2016 23-04-2016 & Mission Shah has Workshop for Medical teachers Person Indradhanush participated Monitoring in the event Dr. Suman P Singh Revised Basic Course Workshop Faculty Develop- Observer PS Medical College, 02-03-2017 04-03-2017 organized in MET ment Programme Karamsad

48 I ANNUAL REPORT 2016-2017 CHARUTAR AROGYA MANDAL CHARUTAR AROGYA MANDAL ANNUAL REPORT 2016-2017 I 49 Employee Name Training Title Training Type Role Location From To Employee Name Training Title Training Type Role Location From To Dr. Suman P Singh Revised Basic Course Workshop in Faculty Develop- Observer SBKS MI&RC, Piperia 17-01-2017 19-01-2017 Mr. Chiragkumar 3rd National Conference On Safety Conference Resource Gujarat University 10-02-2017 12-02-2017 Medical Education Technology ment Programme P Patel And Risk Management For Health- Person Convection Center, care Professionals” with focus on Near helmet circle, Dr. Suman P Singh Sensitization for ATCOM Faculty Develop- Resource PS Medical College 05-03-2017 05-03-2017 Safety, Infection Control & panjarapole road, ment Programme Person Biomedical Waste Management. Ahmedabad. Dr. Suman P Singh National Conference on Health Conference Resource P S Medical College 24-11-2016 26-11-2016 Dr. Dinesh Kumar Workshop on Portfolio Based Workshop Facilitator PSMC, Karamsad 23-11-2016 23-11-2016 Professions Education 2016 Person Learning Dr. Suman P Singh Preconference Workshop in NCHPE Workshop Resource PS Medical College 23-11-2016 23-11-2016 Dr. Dinesh Kumar National Conference on Health Conference Resource PSMC,Karamsad 24-11-2016 26-11-2016 2016 Person Professions Education Person Dr. Suman P Singh Revised basic course workshop Faculty Develop- Resource MCI Nodal Centre, 10-05-2016 12-05-2016 Dr. Rajanikant B National Consultation on Adoles- Workshop Facilitator PSMC 10-04-2016 12-04-2016 ment Programme Person PSMC Karamsad Solanki cent Health Dr. Suman P Singh Attitude and communication do- Workshop Resource MCI Nodal Centre 09-05-2016 09-05-2016 Dr Harsha Jani National conference on health Faculty Develop- Resource 24-11-2016 26-11-2016 main sensitization Person PSMC Karamsad professions education ment Programme Person Dr. Suman P Singh Revised Basic course Workshop Faculty Develop- Resource MCI Nodal Centre 19-04-2016 21-04-2016 Dr. Anusha M C Status of Adolescent Health Pro- Conference Expert IIPH, Gandhinagar 16-12-2016 16-12-2016 ment Programme Person PSMC Karamsad Prabhakaran gramme in India : Dr. Suman P Singh Attitude and communication do- Faculty Develop- Resource MCI Nodal Centre, 18-04-2016 18-04-2016 Evidences, Experiences and main sensitization ment Programme Person PSMC Karamsad Challenges Dr. Suman P Singh Fellowship in Medical Education Faculty Develop- Resource MCI Nodal Centre, 30-03-2016 01-04-2016 Dr. Anusha M C National Conference on Health Pro- Conference Facilitator PSMC 23-11-2016 26-11-2016 ment Programme Person PSMC Karamsad Prabhakaran fessions Education 2016 (NCHPE 2016) Dr. Manisha K national consultation on the Consultation Expert Indian Institute of 16-12-2016 16-12-2016 Gohel Public Health, Dr. Himanshu Sensitization for ATCOM Workshop Resource MCI, Nodal Center, 18-04-2016 18-04-2016 Gandhinagar Pandya Person Pramukhswami Medi- cal College, Karamsad Dr. Manisha K National Conference on Health Pro- Conference Resource Academic 24-11-2016 26-11-2016 Gohel fession Education(NCHPE )2016 Person Auditorium,CAM Dr. Rajiv P Paliwal Different durations of corticoste- Conference Guest Faculty Mumbai 27-11-2016 27-11-2016 roid therapy for exacerbations of Dr. Nipa A Modi Conference All India Congress of Conference Chair Person AOGS 27-01-2017 29-01-2017 COPD - Cochrane Database of Sys Ob-Gyn. Rev: Dec. 2014- talk delivered as Dr. Rupal M Patel Revised Basic Course Workshop Workshop Resource PSMC, Karamsad 27-02-2017 01-03-2017 a guest faculty at NAPCON 2016 ( organized by MCI Nodal Centre, Person National conference of Pulmonary PSMC, Karamsad Dr. Monica Gupta Final Assessment of Kamalnayan NABH-HOSPI- Assessor Kamalnayan Bajaj 23-06-2016 25-06-2016 Dr. Rupal M Patel Revised Basic Course Workshop Workshop Resource PSMC,Karamsad 19-12-2016 21-12-2016 Bajaj Hospital, Aurangabad. TAL - AUDIT Hospital, Gut No- 43, organised by MCI Nodal Centre, Person Satara Parisar, Bajaj PSMC, Karamsad Marg, Beed Bypass Aurangabad- 431010 Dr. Rupal M Patel National Conference on Health Pro- Conference Resource PSMC, Karamsad 24-11-2016 26-11-2016 Maharashtra fessions Education (NCHPE) 2016 Person Dr. Monica Gupta Training Programme on Quality Training Guest Faculty Shree Krishna Hos- 29-09-2016 30-09-2016 Dr. Sanjaykumar K FIME Fellowship Resource PSMC 30-03-2016 01-04-2016 Management System & Internal pital Gupta Person Audit H. M. Patel Centre for Medical Care & Mrs. Jaishree Gan- Workshop on Research Methodol- Workshop Organizing Academic Center 23-08-2016 24-08-2016 Education jiwale ogy, Basic Biostatistics and Data Sec. And Gokal Nagar, Management Resource Karamsad - 388 325 person Dr. Monica Gupta Experience Sharing Workshop on Training Guest Faculty Marathwad Hospital 24-09-2016 25-09-2016 Dr. Nitin S AICOG 2017 - All india congress Conference Guest Faculty Ahmedabad 27-01-2017 29-01-2017 Patient-safety, Quality & Accred- Association Seth Raithatha for Obstetrics and Gynecology itation Nandlal Dhoot Dr. Nitin S Program of Implementation(POI) Workshop Guest Faculty Ahmedabad 05-08-2016 07-08-2016 Hospital, Marathwad Raithatha for NABH hospital standard 4th Medical Research & Edition Rural Development Association A-1 MIDC Dr. Nitin S AICOG 2017 , Free papers Conference Judge for free ahmedabd 27-01-2017 29-01-2017 Chikalthana, Jaina Raithatha papers Road. Aurangabad - Dr. Nitin S NABH Final Assessment of PHC Assessment Principal PUNE 30-07-2016 30-07-2016 431 210 Raithatha at PUNE Assessor Dr. Monica Gupta 41st National Conference Conference Guest Faculty Bharati Vidyapeeth, 26-08-2016 28-08-2016 Dr. Nitin S Pre assessment NABH pune PHCs assessment principal Khamgaon, Pune 10-04-2016 10-04-2016 D U Medical College, Raithatha assessor Pune Maharashtra, INDIA Dr. Nitin S NABH Pre assessment for PHCs assessment principal Urulikanchan, Pune 09-04-2016 09-04-2016 Raithatha Pune assessor Dr. Monica Gupta Quality Management System & IA Training Guest Faculty Shree Krishna 16-06-2016 17-06-2016 Trainings as per ISO Hospital H. M. Patel Dr. Nitin S precongress workshop “ ABC of Workshop Resource Ahmedabad 25-01-2017 25-01-2017 15189-2012 Centre for Medical Raithatha critical care units. . . obst HDU- Person Care and Education, ICU” Gokal Nagar, Karam- sad-388325, Gujarat Dr. Nitin S POI - Program of implementation of Workshop Resource Bhopal 16-12-2016 18-12-2016 Raithatha NABH standards 4th edition Person Dr. Monica Gupta Pre-Assessment of Symmers Path- NABL-Blood Lead Asses- Symmers Pathocare 02-06-2016 02-06-2016 care Pathology Laboratory Bank sor Pathology Laboraroty, Dr. Nitin S CIA : Certificate course for Internal Workshop Resource GCS college, Ahmed- 28-07-2016 29-07-2016 SHop No. 12-13 Var- Raithatha Assessor Person abad undavan Cooperative Under AHPI Housing Society, Gor- Mr. Chiragkumar The 14th National Conference on Conference Expert Ahmedabad Man- 17-03-2017 18-03-2017 wa Vadodara-390016 P Patel “Indian Medical Devices & Plastics agement Association, Dr. Monica Gupta Re-assessment of Sterling Hospital NABL-Labora- Lead Asses- Sterling Hospital, 17-12-2016 18-12-2016 Disposables - Implants Industry Atira, Ahmedabad Pathology Department tory sor-NABL Pathology Department 2017 held in conjunction with Opp. INOX, Race “Technology Display Course Circle, Va- Show” Exhibition dodara Gujarat INDIA

50 I ANNUAL REPORT 2016-2017 CHARUTAR AROGYA MANDAL CHARUTAR AROGYA MANDAL ANNUAL REPORT 2016-2017 I 51 Employee Name Training Title Training Type Role Location From To Employee Name Training Title Training Type Role Location From To Dr. Monica Gupta Reassessment of Apex Hear t Insti- NABL-Labora- Lead Asses- Apex Heart Institute 03-12-2016 04-12-2016 Dr. Barna Ganguly Sensitization Programme of Atti- Training Resource P. S. Medical College, 02-03-2017 02-03-2017 tute, Pathology department tory sor-NABL Pathology Depart- tude and Communication (ATCOM) Person Karamsad ment, G-K Mondeal Module Business Park, Near Gurudwara, S G Dr. Barna Ganguly Sensitization Programme of Atti- Training Resource P. S. Medical College,- 22-12-2016 22-12-2016 Highway, Thaltej, tude and Communication (ATCOM) Person Karamsad Ahmedabad Module Gujarat INDIA Dr. Barna Ganguly Sensitization Programme for Atti- Training Resource P. S. Medical College, 09-05-2016 09-05-2016 Dr. Monica Gupta Pre- Assessment of Cellcare NABL- Lead Cellcare Pathology 27-09-2016 27-09-2016 tude ans Communication (ATCOM) Person Karamsad Pathology Laboratory Pvt. Limited Laboratory Asses- Laboratory Pvt. Limit- Module in accordance with ISO 15189: 2012 sor-NABL ed, 101, Hrishikesh Dr. Barna Ganguly Sensitization program for Attitude Training Resource P. S. Medical College 18-04-2016 18-04-2016 - 1, Near IDBI Bank, and Communication (ATCOM) Person Off. C. G. Road, Opp. module Municipal water tank, Gulbai Tekra, Ahmed- Dr. Suman P Singh Sensitization Program for Attitude Faculty Develop- Resource P S Medical College 22-12-2016 22-12-2016 abad - 380006, India and communication Module ment Programme Person Landline No(s):7574 Dr. Suman P Singh Revised Basic Course Workshop Faculty Develop- Resource PS Medical College 19-12-2016 21-12-2016 - 871871, ment Programme Person Dr. Monica Gupta Reassessment of Specialty Micro- NABL-Blood Lead 12, Akshar Arcade, 17-09-2016 18-09-2016 Dr. Uday Shankar Participated as a resource faculty Faculty Develop- Resource Pramukhswami 27-02-2017 01-03-2017 tech L ab, Ahmedabad Bank Asses- Opp. Memnagar Fire Singh in the Revised Basic Course Work- ment Programme Person Medical College sor-NABL Station, Near Vijay shop organized by the MCI Nodal Cross Road Centre, Pramukhswami Medical Navrangpura, Ahmed- College abad Gujarat INDIA Dr. Uday Shankar Revised Basic Course Workshop or- Faculty Develop- Resource Board Room, SKH 10-05-2016 12-05-2016 Dr. Monica Gupta Final Assessment of Conformity NABL-Labora- Lead Symmers Pathocare 23-07-2016 24-07-2016 Singh ganized by the MCI Nodal Centre, ment Programme Person Assessment Body tory Asses- Pathology Laboraroty, Pramukhswami Medical College Symmers Pathology Laboratory sor-NABL SHop No. 12-13 Var- undavan Cooperative Dr. Uday Shankar Participated as a resource faculty Faculty Develop- Resource Hospital Board Room 19-04-2016 21-04-2016 Housing Society, Gor- Singh in the Revised Basic Course Work- ment Programme Person wa Vadodara-390016 shop organized by the MCI Nodal Centre, Pramukhswami Medical Dr. Monica Gupta Surveillance Visit of S. L. Raheja NABH-Blood Principal S. L. Raheja Hospital 07-09-2016 07-09-2016 College Hospital, Blood Bank Bank Assessor Blood Bank, Raheja Rugnalaya Marg, Dr. Uday Shankar Participated as a resource faculty Faculty Develop- Resource Sri krishna Hospital 30-03-2016 01-04-2016 Mahim West Mumbai Singh in the second contact session ment Programme Person - 400 016 of third Fellowship in Medical Education Dr. Monica Gupta Surveillance visit of Blood Bank, NABH-Hospital - Principal Moolchand Kharati 28-06-2016 28-06-2016 Moolchand Kharati Ram Hospital Audit Assessor Ram Hospital, Lajpat Dr. Sanjaykumar K MCI - Revised basic course work- Workshop Resource P S Medical College 10-05-2016 12-05-2016 Nagar Gupta shop Person Dr. Monica Gupta Re-accreditation of Blood Bank - NABH-Blood Principal Rajiv Gandhi Institute 26-05-2016 27-05-2016 Dr. Nitin S Experience sharing Workshop on Workshop Guest Faculty Aurangabad - 24-09-2016 25-09-2016 Rajiv Gandhi Institute & Research Bank Assessor & Research Centre, Raithatha Patient safety, Quality and Accred- Marathwada Hospital Centre, Delhi Sector V Rohini, Delhi itation Association Dr. SUNIL KARNA Endovascular Live 2017 Conference Expert New Delhi 09-02-2017 11-02-2017 Dr. Nitin S BOGS & ISOPARB md term CME Conference Guest Faculty Vadodara 17-09-2016 18-09-2016 Raithatha Dr. SUNIL KARNA 8th National Endovascular Work- Workshop Expert Ahmedabad 24-09-2016 25-09-2016 shop Dr. Nitin S IMSCON 2016 : Indian Menopause Conference Guest Faculty vadodara 27-08-2016 28-08-2016 Raithatha Society West zone conference Dr. Deepakkumar 4th Annual Conference of Musculo- Conference Chair Person Hotel Countryard 24-09-2016 25-09-2016 V Mehta skeletal Society of India Marriott, Ram- Dr. Dinesh Kumar Revised Basic Workshop-Medical Workshop Facilitator PSMC, Karamsad 19-12-2016 21-12-2016 devnagar Cross Road, Education Technology Satellite Road, Ram- Dr. Dinesh Kumar Revised Workshop-Basic Medical Faculty Develop- Resource 10-05-2016 12-05-2016 dev Nagar, Ahmed- Education Technology ment Programme Person abad, Gujarat 380015 Dr. Dinesh Kumar 3rd Fellowship in Medical Educa- Faculty Develop- Resource PSMC, Karamasad 30-03-2016 01-04-2016 Dr. Deepakkumar C. M. E. on Advance Cardiac CME Guest Faculty Central Lecture The- 21-05-2016 21-05-2016 tion-Contact session 2 ment Programme Person V Mehta Imaging 2016 atre, 4th Floor, New Building, U. N. Me- Dr. Dipen V Patel Development For All: Cradle to Workshop Facilitator H M Patel Academic 07-08-2016 07-08-2016 hta Institute of Car- Crayons and Beyond Centre diology & Research Centre (affiliated to Dr. Himanshu Revised Basic Course Workshop Workshop Organizer MCI, Nodal Center, 10-05-2016 12-05-2016 B J Medical College), Pandya Pramukhswami Medi- Civil Hospital, Asar- cal College, Karamsad wa, Ahmedabad-16 Dr. Himanshu Sensitization for ATCOM Workshop Organizer MCI, Nodal Center, 09-05-2016 09-05-2016 Dr Rumi Shibashish 60th AICOG, Ahmedabad Workshop Chair Person Ahmedabad 25-01-2017 25-01-2017 Pandya Pramukhswami Medi- Bhattacharjee Workshop: Operative Obstetrics cal College, Karamsad & PPH Dr. Himanshu Revised Basic Course Workshop Workshop Organizer MCI, Nodal Center, 19-04-2016 21-04-2016 Nikhil M Kharod 10th National Conference of Dr Prema Bali Expert Government Medical 08-04-2016 08-04-2016 Pandya and Resource Pramukhswami Medi- Adolescent Health Oration College, Kannauj, Person cal College, Karamsad Uttar Pradesh Dr. Samir B Patel Faculty Workshop Guest Faculty SKH, Karamsad 07-08-2016 07-08-2016 Regional Dr. Daxa G Mishra “Conscious based Approach to Workshop Resource HMPMCE 31-03-2016 01-04-2016 Patient Care” Person Dr. Hemlata V. Observer for Basic revised course CME Observer PSMC Karamsad 11-05-2016 11-05-2016 Kamat part of FIME Dr. Alpa M Patel Anaesthesia related integrated CME Guest Faculty Muljibhai Patel 23-12-2016 25-12-2016 short education program Urological hospital Nadiad

52 I ANNUAL REPORT 2016-2017 CHARUTAR AROGYA MANDAL CHARUTAR AROGYA MANDAL ANNUAL REPORT 2016-2017 I 53 Faculty participation in Academic Events Employee Name Training Title Training Role Training Location From To Type Level Employee Name Training Title Training Role Training Location From To Type Level Dr. Prateek Joshi Knee Arthroscopy And Sports Training Participant International Samsung 25-04-2016 11-05-2016 Medicine Advance Clinical Medical Center, Dr. Daxa Girish “Physical Activity “ course by Faculty Participant International online course 03-07-2016 12-08-2016 Training Program Seoul, South Mishra Physiopedia Development Korea Programme Acute Care Medicine Course CME Participant International Max Superspe- 16-11-2016 17-11-2016 Dr. Daxa Girish completed the 5-week online online course Participant International online 02-05-2016 04-06-2016 2016 ciality Hospital, Mishra course titled: Saket, Delhi PHYSIOTHERAPY MANAGE- MENT OF SPINAL CORD European Congress Of Radiolo- Conference Participant International Austria Centre- 01-03-2017 05-03-2017 INJURIES gy (ECR 2017) Vienna, Bruno- Kreisky-Platz Dr Shweta Parikh Clinical Good Practice Training Participant International on line course 13-03-2017 13-03-2017 1, 1220 Vienna, Austria Dr. Keyuri B Patel Participated in the CME on CME Participant International TATA Memorial 27-01-2017 28-01-2017 Update in Pathology organized Hospital, Dr. Arvind Sahu ESMO ASIA 2016 Conference Participant International Singapore 16-12-2016 19-12-2016 by Dept of Pathology, Tata Mumbai memorial Hospital, Mumbai on Dr. Arvind Sahu ESO-ESMO-RCE Clinical Up- Conference Participant International Milan, Italy 24-11-2016 28-11-2016 27 th to 28th January ,2017 date on Rare Adult Solid Can- cers - 25-27 November 2016 Dr.Yagnesh G ICH Good Clinical Practice E. Learning Participant International on line course 17-03-2017 17-03-2017 Pandya Course and evaluation Dr. Deepak S MRCEM Revision Course- Training Participant International Hotel Green 12-03-2017 16-03-2017 Sharma Emergency Medicine Park, Chennai, Dr. Dinesh Kumar Palliative Care for All Workshop Participant International GK Naidu Me- 09-02-2017 09-02-2017 India. morial Hospital, Coimbatore Dr. Manish Tiwari IACTS CON 2017 Bengaluru Conference Participant International Bangaluru, 23-02-2017 26-02-2017 Karnataka Dr. Dipen V Patel 6th Congress of the Europe- Conference Participant International Geneva 21-10-2016 25-10-2016 an Academy of Paediatric Dr. Manish Tiwari Cardiovascular Symposium CME Participant International Mumbai, Maha- 28-01-2017 29-01-2017 Societies India rashtra Dr. Dipen V Patel Introduction to Clinician Workshop Participant International Geneva 21-10-2016 21-10-2016 Dr. Manish Tiwari International Coronary Con- Conference Participant International New Delhi 11-11-2016 13-11-2016 Performed Echocardiography gress 2016 Pre-Congress Course Dr Girish Mishra Egypt Cochlea Conference Participant International Cairo Egypt 02-02-2017 04-02-2017 Dr. Swapnil Mentoring in Medicine Workshop Participant International HMPCMCE 23-11-2016 23-11-2016 Dr Girish Mishra UAE Cancer Congress UAE Cancer Participant International Dubai 20-10-2016 22-10-2016 Agarwal Congress Dr Harsha Jani colloquium 2016 Workshop Participant International Ahmedabad 03-09-2016 04-09-2016 Dr Menka Shah Revised Basic Course Work- Faculty delegate National MCI Nodal 19-04-2016 21-04-2016 (recent advances in cataract shop Development Center, Pra- management) Programme mukhswami Dr. Suman P Singh International yoga Seminar Seminar Participant International Ujjain 26-04-2016 29-04-2016 Medical Col- lege, Karamsad. Dr. Himanshu Advanced Psychotherapy Workshop Participant International Dept. of 02-01-2017 03-01-2017 Sharma Psychiatry, B Dr Menka Shah Sensitization for ATCOM Faculty delegate National MCI Nodal 18-04-2016 18-04-2016 J Psychiatry & Development Center, Pra- Civil Hospital, Programme mukhswami Ahmedabad Medical Col- Gujarat lege, Karamsad. Dr. Yojana Sharma 2nd SAARC International Conference Participant International Ahmedabad 30-09-2016 02-10-2016 Dr. Daxa Girish Second Annual Conference of Conference Participant National Bengaluru 10-02-2017 12-02-2017 Conference - 5th Annual Gujarat Mishra Society of Indian Physiother- Conference of Laryngology and apist Voice Association Laryngology Dr.Jigar NACC Sponsored National Conference Participant National Charotar 22-02-2017 23-02-2017 Summit 2016 Nayankumar Conference “Quest for Excel- University of Dr. Deepakkumar V 3rd KSR-IRIA Friendship Sym- Symposium Participant International Stein Audi- 23-07-2016 23-07-2016 Mehta lence in Teaching, Learning Science and Mehta posium with theme of Emer- torium, India and Evaluation” Technology, gency and Trauma Radiology. Habitat Center, Changa New Delhi Hospital Administration and 1 Year Diplo- Participant National M S University 01-04-2016 31-03-2017 Dr. Mustafa F Update in Pathology CME Participant International Tata Memo- 27-01-2017 28-01-2017 Management- Ms University ma Course Ranapurwala rial Hospital, Vadodara Mumbai Dr. Bharatkumar M e-EC Software Review and Workshop Participant National The Lalit Hotel, 24-09-2016 24-09-2016 Dr Shibashish International Conference On Conference Participant International TAJ Landsend, 03-03-2017 05-03-2017 Gajjar Demonstration of Newly Mumbai Bhattacharjee Complications In Neurosurgery Mumbai Incorporated Essential Func- tionalities Dr. Mitul N 5th Annual Critical Care CME Participant International Medanta, 15-02-2017 18-02-2017 Chhatriwala Refresher Course. The Medicity, Dr. Nazima Y Mirza ATCOM & Revised Basic Workshop Participant National Shree Krishna 18-04-2016 21-04-2016 Gurgaon. course workshop Hospital, Karamsad Best of Brussels Symposium, Workshop Participant International Pune 06-07-2016 07-07-2016 “Fundamental Course in Me- Dr. Bhalendu S Pre Conference Workshop on Workshop Participant National P S M C , 23-11-2016 23-11-2016 chanical Ventilation “ Vaishnav “Experiential and Reflective Karamsad learning” at National Confer- Dr. Samir B Patel BLS & ACLS provider Training Participant International SKH, Karamsad 25-01-2017 27-01-2017 ence on Health Professions Education Dr. Samir B Patel Annual congress by ESICM Conference Participant International Milan, Italy 03-10-2016 08-10-2016 (European Society of Intensive Dr. Bhalendu S Science Of Living-Towards Life Workshop Participant National Pondicherry 26-05-2016 28-05-2016 Care Medicine) Vaishnav Beautiful Dr. Prateek Joshi Shoulder and Elbow Arthros- Training Participant International Funabashi 24-10-2016 02-11-2016 Dr. Smruti Vaish- Science of living towards life Workshop Participant National Puducherry 26-05-2016 28-05-2016 copy Advance Clinical Training Orthopedic nav beautiful Program Center, Funabashi, Dr. Hemlata V. Advanced MET (FIME) work- Workshop Participant National GSMC, KEM 01-04-2016 04-04-2016 Tokyo, Japan Kamat shop Hospital Mum- Second contact session bai

54 I ANNUAL REPORT 2016-2017 CHARUTAR AROGYA MANDAL CHARUTAR AROGYA MANDAL ANNUAL REPORT 2016-2017 I 55 Employee Name Training Title Training Role Training Location From To Employee Name Training Title Training Role Training Location From To Type Level Type Level Dr. Keyuri B Patel Participated in the 7 th Workshop Participant National J J Hospital, 27-12-2016 30-12-2016 Dr. Krutika R Neuropedicon 2016 Conference Participant National Grant Hyatt, 08-10-2016 09-10-2016 National Autopsy Workshop or- Mumbai Tandon Ahemdabad ganized by Dept of Pathology, Grant Medical College & Sir J Dr. Krutika R Advanced Pediatric Intensive Workshop Participant National Hyderabad, 18-09-2016 19-09-2016 J Hospital, Mumbai on 27 th to Tandon Course Rainbow chil- 30 th December ,2016 dren hospital Dr. Keyuri B Patel Participated in the teaching Seminar Participant National Karamsad 26-11-2016 27-11-2016 Dr. Krutika R Vaccidicon 2016 - West zone Training Participant National Grant Hyatt, 16-07-2016 17-07-2016 slide seminar conducted by Tandon TOT Ahemdabad Dr. Anita Borges, Mumbai on Dr. Tushar A Patel National workshop on system- Workshop Participant National Piparia, 02-03-2017 04-03-2017 26-27 November 2016,Organ- atic review and metanalysis Vadodara ised by CDL & Department of Pathology, PSMC , SKH, Dr. Nitin S C G Sariya CME during AICOG CME Participant National Ahmedabad 26-01-2017 26-01-2017 Karamsad . Raithatha 2017 Dr. Keyuri B Patel Participated in the teaching Seminar Participant National Karamsad 30-07-2016 31-07-2016 Dr. Hasmukh D Last mile connectivity for Workshop Participant National Department 27-03-2017 27-03-2017 slide seminar conducted by Dr. Shah Indigenous medical devices of Physiology, Anita Borges, Mumbai developed under DST Hands AIIMS New on workshop on available Delhi Dr. Mudita Paliwal Workshop Participant National P.S. Medical 23-11-2016 23-11-2016 technologies College, Karam- sad, Anand, Dr. Hasmukh D ASSOPICON 2016 Conference Participant National BLDE- Bijapur 15-09-2016 17-09-2016 Gujarat held on Shah 23rd November, Mr. Chiragkumar Workshop on “Assessment of Workshop Participant National Academic cen- 23-11-2016 23-11-2016 2016. P Patel Professionalism in Medical ter, HMPCMEC, Dr.Alpa M Patel All India Association of Conference Participant National Novotel Hotel, 08-05-2016 08-05-2016 Education” Karamsad. practicing Anesthesiologist Ahmedabad Dr. Dinesh Kumar Workshop on Experiential Workshop Participant National PSMC, 23-11-2016 23-11-2016 Dr.Yagnesh G Internal auditor Training Training Participant National H.M.Patel 16-06-2016 19-06-2016 Learning as part of NCHPE Karamsad Pandya Course on ISO 15189:2012 Center for Med- 2016 ical Care and Dr. Dinesh Kumar Training of Core Group of Training Participant National New Delhi 22-06-2016 24-06-2016 Education Experts in Palliative Care Dr.Yagnesh G Revised Basic course work- Training Participant National MCI Nodal Cen- 10-05-2016 12-05-2016 Dr. Dinesh Kumar National Fellowship in Training Participant National Bangalore Bap- 27-05-2016 07-06-2016 Pandya shop tre, P.S. Medical Palliative Medicine-Clinical tist Hospital College, Karam- posting 2 sad Dr. Dinesh Kumar National Fellowship in Training Participant National Cipla Centre for 16-05-2016 25-05-2016 Dr.Yagnesh G Sensitization Programme for Training Participant National MCI nodal 09-05-2016 09-05-2016 Palliative Medicine-Clinical Palliative Care Pandya Attitude and communication centre, P.S. Med- posting 1 and Training module ical College, Karamsad Dr. Swapnil Training on Ethics Commit- Faculty Participant National Courtyard Mar- 06-05-2016 07-05-2016 Agarwal tee Procedures and Software Development riot, Mumbai Dr.Yagnesh G Workshop on Advancing TB Workshop Participant National P.D. Hinduja Na- 23-04-2016 24-04-2016 Solutions for Ethics Commit- Programme Pandya research An exploration of tional Hospital tees and Clinical Researchers opportunities and Medical Re- in India search Centre, Mumbai Dr Harsha Jani 75th annual conference of All Conference Participant National Jaipur 16-02-2017 19-03-2017 India Ophthalmological society Dr. Pragya Ashok Good clinical practice Faculty Participant National online 10-03-2017 10-03-2017 Nair Development Dr Harsha Jani National conference on Health Workshop Participant National 23-11-2016 23-11-2016 Programme professions education (NCHPE) Dr. Kalpesh H Shah National conference on Health Workshop Participant National Academic 23-11-2016 23-11-2016 Professions Education Center Dr HARSHA JANI 44thannual all gujarat ophthal- Conference Participant National Baroda 01-10-2016 02-10-2016 mological conference Dr. Kalpesh H Shah Advancing TB Research Workshop Participant National Mumbai 23-04-2016 24-04-2016 27th annual oculoplastics asso- Dr. Kalpesh H Shah Relevance Of Microscopy Conference Participant National Piparia 04-04-2016 04-04-2016 ciation of India conference In Present Era Of Molecular Dr. Chirag M Modi IV Annual Conclave on Infec- Conference Participant National GCC club, Mi- 03-12-2016 04-12-2016 Technique tion Prevention and Control raroad, Mumbai Dr. Manisha K Narrative Medicine Workshop Participant National Academic Audi- 23-11-2016 23-11-2016 Dr. Chirag M Modi Quality Management Systems Training Participant National H. M. Patel Cen- 16-06-2016 19-06-2016 Gohel torium, CAM and Internal Audit in Medical tre for Medical Dr. Manisha K Revised Basic Medical Educa- Workshop Participant National PSMC 10-05-2016 12-05-2016 Labs as per ISO 15189-2012 care and Educa- Gohel tion workshop tion, Karamsad, Gujarat Dr. Nipa A Modi 60th All India Congress of Ob- CME Participant National Ahmedabad All 26-01-2017 26-01-2017 stetrics and Gynaecology India Congress Dr. Sunil Karna India Live 2017 Conference Participant National New Delhi 02-03-2017 04-03-2017 of OB-Gyn. Dr. Sunil Karna CAROTID INDIA 2016 Conference Participant National New Delhi, 03-09-2016 04-09-2016 Dr. Nipa A Modi Operative laparoscopy Workshop Participant National Ahmedabad 25-01-2017 25-01-2017 India Dr. Rupal M Patel “Advancing TB Research”- An Workshop Participant National P. D. Hinduja 23-04-2016 24-04-2016 Dr. Deepakkumar V MRI Workshop of 4th Annual Workshop Participant National Hotel Countr- 23-09-2016 23-09-2016 Exploration of Opportunities Hospital and Mehta Conference of Musculoskeletal yard Marriott, Medical Re- Society of India Ramdevnagar search Center, Cross Road, Mumbai Satellite Road, Ramdev Nagar, Dr. Rupal M Patel Second Contact Session of the Faculty Participant National NHL Munic- 30-03-2016 01-04-2016 Ahmedabad, “MCI Advance Course in Medi- Development ipal Medical Gujarat 380015 cal Education (FIME)” Programme College, Ahmedabad Dr Shibashish 14th Neuroendoscopy feloow- Training Participant National 26-09-2016 30-09-2016 Bhattacharjee ship programme Dr. Sanjaykumar K XXXVIII Annual National Conference Participant National Powai, Mumbai 23-02-2017 25-02-2017 Gupta Conference of Indian Academy Dr Shibashish SKULLBASECON 2016 Conference Participant National 08-09-2016 11-09-2016 of Forensic Medicine Bhattacharjee

56 I ANNUAL REPORT 2016-2017 CHARUTAR AROGYA MANDAL CHARUTAR AROGYA MANDAL ANNUAL REPORT 2016-2017 I 57 Employee Name Training Title Training Role Training Location From To Employee Name Training Title Training Role Training Location From To Type Level Type Level 60th AICOG, Ahmedabad Conference Participant National Ahmedabad 27-01-2017 29-01-2017 Dr. Hemlata V. Yoga Shibir at Asha Village Training Participant Regional Asha Village, 19-04-2016 22-04-2016 Kamat Vijaydarshan Nikhil M Kharod Attended 16th National Annual Conference Participant National Ahmedabad 07-10-2016 09-10-2016 Yog Aasharam Conference of Pediatric Neurol- ogy, Neuropedicon 2016 Dr.Keyuri B Patel Attended a three days work- Faculty Participant Regional Karamsad 19-12-2016 22-12-2016 shop on Development Nikhil M Kharod National Conference of De- Conference Participant National Mumbai 01-10-2016 02-10-2016 Programme velopmental Pediatrics 2016, EMBICON 2016 Dr. Sanjay Revised Basic Course Work- Faculty Participant Regional Pramukhswami 10-05-2016 12-05-2016 Chaudhari shop Development Medical Col- Nikhil M Kharod Pre-conference workshop of Conference Participant National LTMGH, Sion, 30-09-2016 30-09-2016 Programme lege, Karamsad National Conference of De- Mumbai velopmental Pediatrics 2016, Dr. Sanjay Sensitization Programme for Faculty Participant Regional Pramukhswami 09-05-2016 09-05-2016 EMBICON 2016, on Chaudhari Attitude and Communication Development Medical College (ATCOM) module Programme Dr. Karthik ISKSAA Global Summit 2016 Conference Participant National New Delhi 21-11-2016 23-11-2016 Vishwanathan Dr. Madhavi Revised Basic Course Work- Faculty Participant Regional Pramukhswami 10-05-2016 12-05-2016 Chaudhari shop Development Medical College Dr. Archana Sinha Critical Care Refresher Course, CME Participant National Medanta, 15-02-2017 18-02-2017 Programme Organizer.... ISCCM, Delhi Gurgaon Dr. Madhavi Sensitization Programme for Faculty Participant Regional Pramukhswami 09-05-2016 09-05-2016 Dr. Samirchandra 75th Annual Conference of All Conference Participant National Jaipur 16-02-2017 19-02-2017 Chaudhari Attitude and Communication Development Medical Col- Bhavsar India Ophthalmological Society (ATCOM) module Programme lege, Karamsad Dr. Utsav N Parekh Recent advances in medical CME Participant National Mumbai 25-02-2017 25-02-2017 Dr. Chaitali Patel IV symposium on Cornea, Symposium Participant Regional Ahmedabad 26-03-2017 26-03-2017 sciences as evidence in crime Keratoconus and fefractive against women surgery Dr. Utsav N Parekh The Use of art and video in Workshop Participant National PSMC 23-11-2016 23-11-2016 Dr. Chaitali Patel Revised Basic Course work- Workshop Participant Regional MCI Nodal 10-05-2016 12-05-2016 medicine [NCHPE 2016] shop Centre, PSMC Dr. Mitul N Revised Basic Course Work- Workshop Participant National Pramukhswami 10-05-2016 12-05-2016 Karamsad Chhatriwala shop Medical Col- Dr. Chaitali Patel Sensitization programme for Faculty Participant Regional MCI Nodal 09-05-2016 09-05-2016 lege, Karamsad Attitude and Communication Development Centre, PSMC THEMATICC 2016 CME Participant National TATA Memorial 24-09-2016 25-09-2016 (ATCOM) Programme Karamsad “Tutorial in Hemodynamic Hospital, Dr. Samirchandra Sensitization Programme for Faculty Participant Regional P.S. Medical Col- 02-03-2017 02-03-2017 Monitoring and Therapy in Mumbai Bhavsar Attitude and Communication Development lege, Karamsad Critical Care” (ATCOM) Module Programme Dr. Deepak V Advanced Cochlear implant CME Participant National Madras ENT 02-10-2016 02-10-2016 Dr. Samirchandra Revised Basic Course Work- Workshop Participant Regional P.S.Medical Col- 27-02-2017 01-03-2017 Chauhan update research foun- Bhavsar shop by MCI lege, Karamsad dation (p) Ltd, Chennai Dr. Deepak V Revised Basic Course Work- Workshop Participant Regional MCI Nodel 10-05-2016 12-05-2016 Chauhan shop Centre, Pra- Dr. Deepak V 3rd Annual conference of Conference Participant National Swissotel 26-08-2016 28-08-2016 mukhswami Chauhan Indian Academy of Otorhino- Kolkata Medical Col- laryngology Head and Neck lege, Karam- surgery sad-Gujarat Dr Kunal Soni IACTA 2017, Pune Conference Participant National Pune, India 16-02-2017 19-02-2017 Dr. Deepak V Sensitization Programme for Seminar Participant Regional Pramukhswami 09-05-2016 09-05-2016 Dr Kunal Soni 7th National Airway Confer- Conference Participant National Vadodara, 17-09-2016 18-09-2016 Chauhan Attitude and Communication Medical Col- ence (NAC) 2016 Gujarat (ATCOM) module lege, Karamsad (All India Difficult Airway Dr. Harsha K N Sensitization Programme for Faculty Participant Regional PSMC Karam- 02-03-2017 02-03-2017 Association) Attitude and Communication Development sad Dr Kunal Soni Videolaryngoscopy and Paedi- Workshop Participant National Kailash Cancer 16-09-2016 16-09-2016 (ATCOM) Module Programme atric Airway Workshop, Hospital & Re- Dr. Harsha K N Revised Basic Workshop Workshop Participant Regional Pramukhswami 27-02-2017 01-03-2017 By All India Difficult Airway search Centre, Medical Col- Association Goraj, Vadodara lege,Karamsad Dr. Manish Tiwari Course On Centrimag Training Participant National Ahmedabad, 11-02-2017 11-02-2017 Dr. Mitul N Sensitization for ATCOM Workshop Participant Regional Pramukhswami 09-05-2016 09-05-2016 Gujarat Chhatriwala Medical Col- Dr. Manish Tiwari St. Jude HM3 LVAD Implan- Training Participant National Kochi 04-09-2016 04-09-2016 lege, Karamsad tation Hands On Wet Lab Programme Dr. Manish Tiwari 4rt Annula Conference Of The Conference Participant National Kochi 03-09-2016 04-09-2016 Society Of Heart Failure And Transplantation Dr. Manish Tiwari Inaugural Conference Of Conference Participant National New Delhi 06-08-2016 07-08-2016 Society Of Minimally Invasive Cardiovascular And Thoracic Surgeons Of India Dr Girish Mishra Lateral Skull Base Workshop Workshop Participant National Nanavati Hospi- 24-02-2017 26-02-2017 tal Mumbai Dr Girish Mishra Advanced Temporal Bone Workshop Participant National DY Patil Med. 03-06-2016 05-06-2016 Dissection workshop College, Mum- bai Dr. Daxa Girish Concept of Basic & NDT Ap- Workshop Participant Regional Anand 13-11-2016 13-11-2016 Mishra proach in Hemiplegics Dr Shweta Parikh Concept of Basic & NDT Ap- Workshop Participant Regional Anand 13-11-2016 13-11-2016 proach in Hemiplegics

58 I ANNUAL REPORT 2016-2017 CHARUTAR AROGYA MANDAL CHARUTAR AROGYA MANDAL ANNUAL REPORT 2016-2017 I 59 Paper & Poster Presentation at National & International level Employee Name Department Title of programme Title of presentation Date

Dr. Dinesh Kumar Community Medicine 24th International Conference of Indian Self-monitoring of a newly started 11-02-2017 Employee Name Department Title of programme Title of presentation Date Association of Palliative Care palliative care clinic at a teaching hospital in rural Gujarat, India International Dr. Shyamsundar Community Medicine World Trauma Congress Understanding the Burden of Injury in 20-08-2016 Ajay Gajanan Central Research The 6Th International Jerusalem Central Research Services: An innovative 25-05-2016 J Raithatha Rural Gujarat, India: Phatak Services Conference On Health Policy Health Policy: approach to inculcate research culture in A Cross-Sectional Study From Local Experience To Global Patterns academic institutions. Dr. Himanshu MCI Regional Centre GSMC FAIMER Fellowship Professionalism 25-04-2016 And Back Again Jerusalem, Israel Pandya Ajay Gajanan Central Research The 6Th International Jerusalem Improving quality of discharge 24-05-2016 Dr. Soaham D Medicine X world stroke Congress Spectrum of different disorders in 28-10-2016 Phatak Services Conference On Health Policy Health Policy: summaries: Indian experience. Desai patients presenting with ischemic stroke From Local Experience To Global Patterns with background history of migraine And Back Again, Jerusalem, Israel Dr. Soaham D Medicine Asia Oceanian Congress Of Neurology Case Series Of Patients With Paroxysmal 18-08-2016 Ajay Gajanan Central Research The 6Th International Jerusalem Gynaecological morbidities, health 23-05-2016 Desai Hemicranias Responsive To Etoricoxib Phatak Services Conference On Health Policy Health Policy: seeking behavior and quality of life From Local Experience To Global Patterns of rural females in Charutar region of Dr. Soaham D Medicine 11th Asia Oceanian Epilepsy conference, Nonconvulsive status epilepticus in the 14-05-2016 And Back Again Gujarat, India. Desai 2016 comatose and non-comatose: does it differ? Dr Nirav Vaghela K M Patel Institute Of 18th International conference on Prevalence of the Musculoskeletal 08-09-2016 Physiotherapy Anthropometry and Musculoskeletal Disorder amongst School Teachers Dr. Sunil Karna Cardiology Transcatheter Cardiovascular Therapeutics A Novel Approach for removal of 29-10-2016 Disorders. 2016, Washington DC intracardiac foreign body by double loop technique Dr Nirav Vaghela K M Patel Institute Of 18th International conference on Prevalence of Work Related 08-09-2016 Physiotherapy Anthropometry and Musculoskeletal Musculoskeletal symptoms among Dr. Karthik Orthopaedics 17th EFORT Annual Congress 2016 Systematic Review Comparing 01-06-2016 Disorders. Surgeons. Vishwanathan Psychometric Properties Of Objective Structured Assessment Instruments Dr. Deepak K M Patel Institute Of international conference of occupational A surgical correction and innovative 29-03-2017 Of Technical Performance During Knee Ganjiwale Physiotherapy therapy 2017 splint for swan neck deformity in Arthroscopy hypermobility syndrome Dr. Nirav Cancer Centre UAE Cancer Congress Concurrent Chemo-radiotherapy 21-10-2016 Dr. Deepak K M Patel Institute Of 19th international conference on A surgical correction and innovative 29-03-2017 Asarawala with double agent chemotherapy For Ganjiwale Physiotherapy occupational therapy 2017 Paris organized splint for swan neck deformity in Carcinoma Oesophagus in resource by world academy of science,engineering hypermobility syndrome. limited setting and technology. National Dr R Harihara K M Patel Institute Of KASHCON 2017, Srinagar, Kashmir Hippotherapy- a therapeutic ride to 04-03-2017 Prakash Physiotherapy improve postural stability Dr. Daxa Girish K M Patel Institute Of NAAC sponsored National Conference on Paper on ‘Perception of Students for Case 22-02-2017 Dr R Harihara K M Patel Institute Of 2nd Annual Conference of Society of Indian Contemporary approaches in Stroke 12-02-2017 Mishra Physiotherapy " Quest for Excellence in Teaching, Presentation and Case Based Learning as Prakash Physiotherapy Physiotherapists, Bangalore Rehabilitation- Focused Symposium Learning and Evaluation" an Effective Method’ Dr R Harihara K M Patel Institute Of Ist International conference of Neurobics- Exercising mind body 28-01-2017 Dr. Daxa Girish K M Patel Institute Of NAAC sponsored National Conference on Paper on ‘Perception of Students for Case 22-02-2017 Prakash Physiotherapy Physiotherapy- RPAICON 2017 connectons Mishra Physiotherapy " Quest for Excellence in Teaching, Presentation and Case Based Learning as Learning and Evaluation" an Effective Method’ Dr R Harihara K M Patel Institute Of Globa; Physiotherapy Congress, Atlanta, Role of physiotherapy in preventive and 18-11-2016 Prakash Physiotherapy USA promotive health Dr.Bhalendu S Medicine National Conference on Health Professions Code Krishna: An Innovative Practice 25-11-2016 Vaishnav Education (NCHPE) Respecting Death, Dying and Beyond Dr R Harihara K M Patel Institute Of Himalayan Spine Symposium & Recent advances in rehabilitation of SCI 06-10-2016 Prakash Physiotherapy International Spine and Spinal Injuries patients Dr. Rita Vora Skin & VD association of clinical dermatologists of Histoplasmosis in a patient of Lupus 18-03-2017 conference, Kathmandu, Nepal india, cuticon 2017 Nephritis Dr.Hiteshkumar Biochemistry 16th International conference on Effect of time on ABG estimation 18-04-2016 Dr. Keyuri B Patel Pathology Paper presented in National Conference on 24-11-2016 N Shah emergency medicine(ICEM)2016 Health Professions Education at Pramukh Swami Medical college.Karamsad. Dr. Nazima Y Pharmacology 16th Annual meeting of the International Drug storage and disposal practices in 17-10-2016 Mirza Society of Pharmacovigilance (Patient homes of western India Dr.Dinesh Community Medicine 44th Annual national conference of Indian Computer use and Carpal Tunnel 11-02-2017 Centric Pharmacovigilance) - ISoP2016 Bhanderi Association of Preventive and Social Syndrome- A Case-control Study Medicine Dr.Bhalendu S Medicine Cognitive Psychology Section Anuual Paper entitled " 3. Meta-cognition 02-09-2016 Vaishnav Conference 2016 organized by the British Based Approach for Enhancement Dr. Rupal M Patel Microbiology National Conference on Health Professions Use of Item analysis to improve quality of 23-11-2016 Psychological Society of Teaching Practices " in a Education (NCHPE) 2016 Multiple Choice Questions in II MBBS. symposium entitled"Integral Dr. Sanjaykumar K Forensic Medicine FORENSIC MEDICON 2017 Student’s perception for innovative 23-03-2017 Approach to Meta-cognition " Gupta teaching learning practices in Forensic Dr.Bhalendu S Medicine International Conference of AMEE Evaluation of Cognitive Style of Indian 31-08-2016 Medicine. Vaishnav An International Association for Medical Medical Faculty Mrs. Jaishree Central Research National NEOCON 2016 36th Annual Basics of Research Methodology - Data 08-12-2016 Education : 2016 Ganjiwale Services Convention of NNF & 16th MP State management in Excel Dr. Rita Vora Skin & VD Asian Dermatological Congress A Case of Tuberous Xanthoma in a 13 13-10-2016 NNF - NEOCON year old boy Mrs.Jaishree Community Medicine Revised Basic Course Workshop Networking for Growth 21-12-2016 Dr. Smruti Obstetrics & Annual conference of International Society Cognitive style assessment in medical 30-08-2016 Ganjiwale Vaishnav Gynaecology of Medical Education students - A step towards achieving Dr. Nitin S Obstetrics & NCHPE 2016 Use of clinical simulatin to Enhance Basic 25-11-2016 meta cognitive integration in medical Raithatha Gynaecology Obstetrics Emergency skills Among Final education MBBS students Dr. Barna Ganguly Pharmacology 12th World Conference on Bioethics, Adherence to Ethical Standards in 22-03-2017 Swapnil Agarwal Forensic Medicine National Meet - Exploring momentous Telemedicine & Electronic 26-06-2016 Medical Ethics and Health Law, Organised Publications by the Authors corners in medical practice Consultation - Legal Issues by UNESCO Chair in Bioethics Dr. Himanshu MCI Regional Centre National 3 T Program Bioethics Training for Professionalism Communication 23-04-2016 Dr. Barna Ganguly Pharmacology 61st Annual National Conference of Indian Ethical Issues in Research 26-02-2017 Pandya Medical Teachers Faculty Public Health Association (IPHA) Dr. Himanshu MCI Regional Centre National 3 T Program Bioethics Training for Professionalism Communication 21-04-2016 Mrs.Jaishree Community Medicine National Conference on Health Professions Mentoring workshop 23-11-2016 Pandya Medical Teachers Faculty Ganjiwale Education Dr. Himanshu MCI Regional Centre Second Contact Session of Third Quality assurance 01-04-2016 Dr. Devangi S Medicine 11th Asia Oceanian Epilepsy Congress Study of seizures in elderly in a rural 14-05-2016 Pandya Fellowship in Medical Education Leadership Desai 2016 medical teaching hospital in western Dr. Soaham D Medicine Illuminati Symposium: Improving Knowledge 10-08-2016 India Desai Attitude And Care Of Patients With Dr. Dinesh Kumar Community Medicine 24th International Conference of Indian A clinical audit of the pain management 12-02-2017 Dementia Amongst Medical And Nursing Association of Palliative Care and its documentation among the Students patients receiving Palliative care at Shree Dr. Deepakkumar Radiology 70th Annual Conference of Indian MRI Evaluation of Various Soft Tissue 05-01-2017 Krishna Hospital and MS Patel Cancer V Mehta Radiological and Imaging Association Injuries in the Wrist Joint Centre [held at Jaipur from 5-8- January 2017]

60 I ANNUAL REPORT 2016-2017 CHARUTAR AROGYA MANDAL CHARUTAR AROGYA MANDAL ANNUAL REPORT 2016-2017 I 61 Employee Name Department Title of programme Title of presentation Date Dr. Deepakkumar Radiology 70th Annual Conference of Indian Suprapatellar Fat Pad Impingement. 05-01-2017 Visitors V Mehta Radiological and Imaging Association [held at Jaipur from 5-8- January 2017] Dr. Karthik Orthopaedics ISKSAA Global Summit 2016 Which is the strongest method of fixation 22-11-2016 Vishwanathan of distal biceps rupture? A Meta-analysis on biomechanical properties of common devices used in fixation of distal biceps rupture Dr. Utsav N Parekh Forensic Medicine Forensic Medicon 2017- 38th Annual Epidemio-toxicological profile 24-02-2017 National Conference of Indian Academy of of poisoning cases- a five years Forensic Medicine retrospective study. Dr. Utsav N Parekh Forensic Medicine National Conference on Heath Professions Model Answer: A reflection of 24-11-2016 Education (NCHPE) 2016 assessment & teaching-learning.

62 I ANNUAL REPORT 2016-2017 CHARUTAR AROGYA MANDAL CHARUTAR AROGYA MANDAL ANNUAL REPORT 2016-2017 I 63 Dr Dipen Patel Skin & Veneral Diseases Critical Care The Team Dr Pooja Kelawala Dr Pragya Nair Dr Sunil Chhajwani Dr Vallaree Morgaonkar Dr Rita Vora Dr Samir Patel Dean Dentistry Microbiology Dr Nishit Surti Dr Archana Sinha Dr Utpala N Kharod Dr Swati Sathaye Dr Suman Singh Pathology Dr Gautam Prajapati Dr Hardik Prajapati Dr Yagnesh Pandya Dr Anita Borges (Professor Surgery Dr Deepak Sharma Anaesthesia Dr Pratik Thakkar Dr Rupal Patel Emeritus) Dr Jitesh Desai Dr Abhishek Prajapati Dr Alpa M Patel Dr Nikita Gupta Dr Chirag M Modi Dr Keyuri Patel Dr Shirish Srivastava Dr Hemlata V Kamat Dr Sindhu Dodamani Smt Mudita Paliwal Dr Menka Shah Dr Sharadchandra Shah K M Patel Institute of Dr Madhavi Chaudhari Dr Mrina Patel Shri Chirag Patel Dr Monica Gupta Dr Jignesh Rathod Physiotherapy Dr Vaibhavi Hajariwala Dr Farhan Zubani Dr Kalpesh H Shah Dr Sanjay Chaudhari Dr Apurva Patel Dr R Harihara Prakash Dr Birva Nimit Khara Dr Anubhuti Tripathy Dr Faruq Mulla Dr Shibashish Bhattacharjee Dr Daxa Mishra Dr Niralibahen Panchal Dr Dhaval Shah Neurology Dr Kirti Rathod Dr Jayesh Patel Dr Nirav Vaghela Dr Bhumika Pathak Dr Ronak Jitendra Panchal Dr Soaham Desai Dr Hetal Joshi Dr Rajivkumar Contractor Dr Shweta Parikh Dr Shubhra Bhattacharya Dr Priyal Amin Dr Anand Vaishnav Dr Kailash Inaniya Dr Pratik Shah Dr Deepak Ganjiwale Dr Digant Jansari Dr Mustafa Ranapurwala Dr Rajat Gusani Dr Ashish Gupta Dr Rajendra Gawatre ENT Obstetrics & Gynaecology Dr Sadhana Saraiya Dr Ranjitkumar Sahu Dr Vyoma Dani Dr Ushma V Parikh Dr Yojana Sharma Dr Smruti Vaishnav Dr Munira Jhabuawala Dr Durga Sai Thota Dr Jigar Mehta Dr Girish Mishra Dr Nitin Raithatha Dr Sanket Parekh Anatomy Dr Nimesh Patel Dr Nipa Modi Pharmacology Specialists Dr Kamlesh Vaghela Dr Rohini Routal Dr Sohil Vadiya Dr Rumi Shibashish Dr Barna Ganguly Dr Paresh Modi (Neuro Surgeon) Dr Swati Patel Dr Praveen Singh Dr Deepak Chauhan Bhattacharjee Dr Bharat Gajjar Dr Sumit Kapadia (Vascular Dr Bhavinkumar Patel Dr Sumati Dr Harsha K N Dr Bhumika Shah Dr Alpa Gor Surgeon) Dr Mitulkumar Patel Dr Mehul Tandel Dr Rama Shrivastava Dr Anuradha Joshi Dr Vijaysinh Thakore (Vascular Dr Truptiben Parikh Dr Vipra Shah Specialists Dr Nazima Mirza Surgeon) Dr Parth Shukla Dr Binita J Purohit Shri Sunil Bhatt (Audiologist/ Opthalmology Dr Chirayu Chokshi Dr Tanvi Dalvi (Gastroenteritis) Dr Daxa Kanjiya Speech Therapist) Dr Samirchandra Bhavsar Physiology Dr Sirajahemad Bhoraniya Dr Sandeep Sharma (Plastic Shri Hemant Patel (Audiologist/ Dr Harsha Jani Dr Ashok Nair Dr Twinkle Patel Surgeon) Biochemistry Speech Therapist) Dr Devendra Saxena Dr S K Singh Dr Poonam Patel Dr Sameer Raval (Plastic Dr Chaitali Patel Dr Minal Patel Dr Hiteshkumar N Shah Surgeon) Dr Vashifsha Diwan Dr Hasmukh Shah Dr N Haridas Forensic Medicine Dr Jayul Kamdar (Paediatric Dr Devanshi Sheth Shri Amit P Trivedi Dr Sanjaykumar Gupta Orthopaedics Dr Archana Nimbalkar Surgeon) Dr Simbita Amardeepsingh Dr Swapnil Agrawal Dr Ramesh Panchal Dr Amit Chaddha (Uro Surgeon) G H Patel College/School Marwah Dr Utsav N Parekh Dr Amit Patel Psychiatry of Nursing Dr Mitul Chhatriwala Dr Chandni Bhatt Dr Mihir Dholakia Dr Himanshu Sharma Chest Medicine Ms Raksha G Parmar Dr Saranjeet Singh Dr Anusha Prabhakaran Dr Rajiv Paliwal Smt K S Masurkar Community Medicine Medicine Dr Karthik Vishwanathan Dr Jagdishchandra Vankar Dr Sateeshkumar Patel Shri Shailesh Panchal Dr Uday Shankar Singh Dr Himanshu Pandya Dr Animesh Singh Dr Bharti Sharma Dr Nimit Khara Smt Priti Solanki Dr Dinesh Bhanderi Dr Jyoti Mannari Dr Prateek Joshi Dr Ravish Kshatriya Ms Shany Sarate Dr Deepakkumar Sharma Dr Bhalendu Vaishnav Dr Venkatesan S Radiology Ms Vandana Shrimali Dr Dinesh Kumar Dr Alpa Leuva Dr Jayesh Bhatt Specialist Smt Nila Darji Dr Manisha Gohel Dr Sanket Sheth Specialist Dr Jaydeep Doshi Dr Manoj Yadav (Pulmonologist) Smt Anna Rao Dr Tushar Patel Dr Devangi Desai Dr Veerendra Shandilya Dr Deepakkumar Mehta Ms Susan Rowe (Orthotic Engineer) Dr Rajnikant Solanki Dr Maulin Shah Dr Viral Patel Trauma & Emergency Ms Darshna Suthar Dr Shyamsundar Raithatha Dr Kalyan Shekhda Dr Geetika Sindhwani Care Centre Ms Nikita Patel Paediatrics Smt Jaishree Ganjiwale Dr Bhavesh Patel Dr Manali Thakker Dr Arun Varun Ms Rozeleen Parmar Dr Shashi Vani (Professor Shri Prakashkumar Nayak Dr Vishal Thakker Dr Rajivkumar Damor Ms Tejal Virola Emeritus) Smt Usha Mahla Specialists Dr Poornima Dige Dr Didarali Kutchhi Ms Ekta Patel Dr Somashekhar Nimbalkar Dr Kaushik Trivedi (Cardiologist) Dr Viraj Shah Dr Mihir Pandya Ms Krupali Pandya Dr Nikhil Kharod Dr Anil Ganju (Nephrologist) Dr Akash Sanghani Ms Shanon Gohil Dr Krutika Tandon Dr Sishir Gang (Nephrologist) Dr Margi Hirapara Ms Heena Patel

64 I ANNUAL REPORT 2016-2017 CHARUTAR AROGYA MANDAL CHARUTAR AROGYA MANDAL ANNUAL REPORT 2016-2017 I 65 Ms Ashwini Palkar MANAGEMENT TEAM Dr Jaiprakash Mehta Medical Records Shri S Ramanathan Smt Minakshi Patel Ms Kailash Patel Dr Nidhi Kalavadiya Shri Raju J Bhavsar Shri Vimal Patel Shri Solomon David Chief Executive Officer Ms Ruchita Parmar Dr Mamta H Rudani Nursing Services Shri Mitesh Vaidya Smt Pratiksha Bhatt Shri Sandeep Desai Ms Swati Jadav Dr Jay Faldu Ms Archana Gupta Shri B K Vyas Shri Ankit Roy

Ms Blessi Martuise Dr Nitinkumar Parmar Shri Dharmendra Gupta Shri Mehul Shah CEO Office Ms Sushma Kapadia Ms Riddhikumari Parmar Ms Mahima Tapadiya Ms Arpita Mishra Dr Neelofar Sayed Ms Hemali Patel Dr Arpan Bhabhor Operations PR Fund Raising Shri Ravindran P Menon Ms Hima Patel Shri Akhileshwar Singh Shri T A Manavalan Shri Mohamedhanif S Sayed Systems

Ms Ansu Shaan Dr Nupur Chauhan Shri Rakesh Parikh Shri Rakesh Parmar Accounts Dr Reena Patel Ms Juhi Patel Dr Swati Gadhiya Shri George Parmar Shri Mukesh Katiyar Shri Pran Nath Ganju Patient Relation Shri Nikhil Makwana Shri Minesh Shah M S Patel Cancer Centre Guest Relation Ms Sangeeta Nair Projects Shri Mahesh Parmar Ms Shainey Varghese Dr Nirav Asarawala Ms Kamini Thakkar Shri Imran Diwan Shri Viren Desai Ms Sejal Shah Shri Mitul Patel Dr Pradeep Shah Shri Nilesh Parmar Shri Bhavesh Panchal Shri Nilang Naidu Shri Thakorlal Rana Dr Rajiv Bhatt Hospitality Services Shri Prakesh Desai Shri Hetul Patel Dr Vibha Naik Shri Kamaljitsinh Gohel Shri Minkesh Prajapati Central Research Services Personnel and Dr Rushikumar D Panchal Shri Vikashkumar Dixit Administration Quality Improvement Ms Charmy Adhyaru Shri Ajay Pathak Dr Inderpreet Kaur Shri Kartik Pandya Group Shri Hardikkumar Bhalodiya Dr Deepak Rautray Human Resources Shri Nilesh Panchal Dr Monica Gupta Shri Chiragkumar Patel Dr Purvi Patel Shri Suresh Rajagopalan Ms Sweta Arora Shri Utsavkumar Patel Shri Nigam Madan B M Patel Cardiac Centre Shri Bhaveen Sheth College Administration Dr Sunil Thanvi Shri Aniruddha Deshpande Dr Kashyap K Bhatt Dr Gurpreet Kaur Pansesar Shri Pashupati Pandey Shri P Daniel Dr Manish Kumar Tiwari Ms Megha Panchal Shri Alkesh M Patel Dr Zeena Makhija Dr Mahesh Bhatt Library Corporate Dr Kunal Soni Dr Somashekhar N Nimbalkar Communication Dr Sunil Kumar Karna Shri Partha Chakrabarti Dr Amit Kumar Maintenance Ms Aparna Jani Dr Asha Gorasiya Shri Shrirang Puntambekar Ms Hetal Dave Dr Vibhuti Bhatt Shri Jignesh Sevak Dr Divya Gajra Shri Hasmukh Bhuva Customer Relations Dr Sapna Raiyani Shri Dilip Patel Shri Mahesh Dubey Dr Kinjal Jaysukhbhai Shayani Shri Priyankkumar Brahmbhatt Shri Mehul Parmar Dr Naimika Patel Shri Harshadkumar Patel Shri Arunkumar Sharma Shri Vimalkumar Singh Management Audit Shri Vishalkumar Chauhan Shri Mukesh Shah Shri Anandkumar Upadhyay Shri Hemantkumar Darji Materials Management Shri Rajiv Sinnarkar Shri Ravindra Ubgade Dr Pratik Darji Shri Pankaj Raj Shri Mohmadafak Pathan Shri Dinesh Patel Ms Leena Thadani Dietary Services Shri Sanjiv Mehta Ms Jigna Patel Shri Mohmadayaz Zakirali Sheikh Extension Group Shri Bipin Gohil Dr Shyamsundar Raithatha Shri Sunil Patel Dr Pankaj Joshi Shri Rajendra Soni

66 I ANNUAL REPORT 2016-2017 CHARUTAR AROGYA MANDAL CHARUTAR AROGYA MANDAL ANNUAL REPORT 2016-2017 I 67 CSR and Fund Raising

The Fund Raising Group serves as a link between donors and patients to ensure that no patient goes untreated due to lack of ability to bear the treatment costs. It prepares, submits and follows up proposals related to CSR (Corporate Social Responsibility) and patient support, and documents and shares regular feedback with donors. But for the generous support of numerous donors, it would not be possible for us to reach out to so many patients from poor and underprivileged families. The Mandal is proud to have been accredited for transparency and credibility by Guide Star India, Credibility Alliance, BSE Samman, empanelled with TISS National CSR Hub and as Implementing Agency at the Indian Institute of Corporate Affairs (IICA).

The Mandal received support in two ways: • Bajaj Group Foundations Patient Treatment Support and Support through • Desai Brothers Limited CSR Initiatives. • GMM Pfaudler Limited • Infosys Foundation Patient Treatment Support • Inox Air Products Pvt Limited Patient Treatment Support from generous donors • Koch Chemical Technology Group India Pvt came in various ways: Ltd • A Charity Show with live performance by the • Larsen and Toubro Ltd renowned singer Sunidhi Chauhan organised • Nesco Limited on 7th January 2017 was attended by 5,500 • PBM Polytex Limited supporters who helped raise Rs. 150 lakh for • Pratham Group treatment of needy patients. • Sofotel Infra Pvt Ltd • Through coordination with Sir Ratan Tata • Tata Trusts Trust, Navajbai Tata Trust, Jamshedji Tata • Yes Bank Limited Trust, Sir Dorabji Tata Trust, Sarvajanik Seva An audience of more than 5,500 attended renowned singer Sunidhi Chauhan’s performance – Trust, Jalaram Trust and Infosys Foundation, The CSR projects fall under two broad catego- a Charity Show which helped raise Rs. 150 lakh for treatment of needy patients. Mumbai, an amount of Rs. 95.67 lakh was re- ries: ceived for treatment of indigent patients. 1. Funding of major projects by donors to fa- women, children and members from economi- Gujarat reaching out to about 2.5 lakh persons • Through online donations received on the cilitate the much-needed expansion of the cally-disadvantaged sections of the communi- through a team of 90 Village Health Workers, Mandal portal, as well as credible online plat- Hospital, Critical Care Units, and setting up of ty, so as to create gender equality and reduce 540 camps by three mobile health teams which forms like Give India, i-Charity, HelpYourNGO a Knowledge Centre at the Hospital so as to inequalities faced by socially and economical- treated 18,900 patients and around 1,000 where donors can contribute amounts ranging provide for the increased intake of undergradu- ly-backward groups. The programmes cover: Hypertension and Diabetic patients through from Rs. 250 to Rs. 15,000 towards treatment ate students from 100 to 150. Enabling free stay to patients in general home care. For 60 of these project villages, M/s of indigent patients on a monthly or one-time wards of the Hospital to make treatment more GMM Pfaudler provided Rs. 27.56 lakh under basis. Donations amounting to nearly Rs. 42 2. Supporting grassroots-based activities to affordable; CSR to enable the social outreach, while the lakh for needy patients were received through promote preventive healthcare in which the Free and or/substantially free treatment of Shamdasani Foundation contributed Rs.10 lakh GiveIndia. Mandal institutions are involved, as specified women and children from Below-the-Pover- for the purpose. • In response to 60 appeals placed in various under Schedule VII of the Companies Act, ty-Line (BPL) and other economically-dis- • Over 3.24 lakh patients benefitted during the publications on behalf of needy patients, dona- 2013, with the following ongoing projects: advantaged families and highly-subsidised year from medical consultation without any tions from generous contributors totalled to • SPARSH – a programme providing health treatment for men from such families; charge at Shree Krishna Hospital’s general out- Rs. 51.5 lakh. services to village communities which aims Providing subsidised treatment to underpriv- patient services. • Samaritans, the bi-annual magazine which at creating an integrated and robust 3-tier ileged patients suffering from cancer and • Over 6,000 patients from BPL families and serves as a communication medium for net- healthcare delivery system consisting of pri- cardiac ailments. about 22,000 patients from economically- working with donors, was published in June mary, secondary and tertiary levels; disadvantaged families benefitted from 2016 and March 2017 and shared with donors. • A specially-designed programme, SPARSH- Impact of CSR Activities treatment estimated at Rs. 910 lakh at the NIDAAN, for early detection of cancer among By the end of the year, the following outcomes Hospital’s wards and ICUs. Support through CSR Initiatives the rural community; were observed as a result of these projects: • About 150 patients suffering from Cancer and Major CSR Partners include, • Enabling medical treatment at the Shree • SPARSH is being implemented in 90 villages Cardiac diseases were successfully treated at • Atul Limited Krishna Hospital for vulnerable groups such as of Anand, Kheda and Panchmahal districts of a highly subsidised cost.

68 I ANNUAL REPORT 2016-2017 CHARUTAR AROGYA MANDAL CHARUTAR AROGYA MANDAL ANNUAL REPORT 2016-2017 I 69 • Shri Tushar J Patel • Cosmo Films Ltd • Baroque Pharmaceuticals Pvt Deh Daan • Late Shree Thakorbhai U Patel • Shri Narendrabhai M Patel Ltd Anand Nadiad Memorial Foundation • Shri Jaymin R Bhavsar • Shri Ashwinkumar M Patel Padmaben Kunjvihari Desai Vimalaben Ambalal Patel • Mrs Nisha Da Cunha • Interline Roadways • Collabera Technologies Pvt Ltd Mrudulaben Navinchandra Patel • Ms Dina J Amin • GEA Process Engineering Vallabh Vidyanagar • Infrastructure Leasing & (India) Pvt Ltd Dharmaj Shantaben Vitthalbhai Patel Financial Services Ltd • KHS Machinery Pvt Ltd Rs 25,000 and above Govindbhai Ranchodbhai Patel Babubhai Ambalal Patel • Gujarat State Fertilizer & • Shri Ketanbhai A Bhatt • Shri Kaushikkumar R Shah Chemicals Ltd Mahaveer Dinkarrai Majmudar • Ansh Organisation • Smt Sumatiben M Patel • Shri Niranjanbhai Patel • Shri Haresh J Nimavat • Shri Maganlal S Patel • Kaira Can Company Limited • Smt Vidhyaben V Vyas • M/s Rotex Automation Ltd • Koch Chemical Technology • Union Bank of India • M/s Raxak Inte. & Security Group India Pvt Ltd Protection Pvt Ltd • Rotomag Motors & Controls Donors • Navyug Krishi Sadhan Pvt Ltd • Smt Kunjan M Shah Pvt Ltd • Smt Vibha V Patel Rs 1 Crore and above • Charotar Gas Sahakari Rs 1 Lakh and above • Nilaykumar & Bros Jewellers • Shri Vikrambhai C Patel • Shanti Charitable Trust • Navajbai Ratan Tata Trust Mandali Ltd • Shri Rameshbhai H Shah • Chemfilt • Shri Dhawalbhai B Patel • Devi Seafoods Ltd • TCS Foundation • Cipriani Harrison Valves Pvt • Design Consortium • Shri Nileshbhai Atodariya • Shree Ram Chasma Ghar Ltd • Shri K S Nagraj • Shri Jayant Shantilal Sanghvi • Shri Pradipkumar J Patel • Smt Daxaben P Goswami • M/s Vodafone Business • Shri Saurabh P Patel • Shri Vinodrai B Patel Services • Nesco Limited • Shri Akshay Y Patil • Dr Monica Gupta • Ms Shilpa M Patel • Shri Rohit Y Amin • Shri Minesh G Patel • Sofotel Infra Pvt Ltd • Shri Maheshkumar R Patel • Rotomotive Powerdrives India • Ms Panna S Patel • Shri Manibhai B Parmar • Shri Amratlal H Shah • Patel Infrastructure Pvt Ltd Ltd • Shri Mohamedhanif S Sayed • Shri Vinod B Patel & • M/s Anand Orthopedic Pvt Rs 50 Lakh and above • A B Charitable Foundation • Dr Manisha K Gohel Smt Urvi V Patel Ltd • Tata Education and • Atul Limited • Shri Vikrambhai A Patel • Ms Maia Katrak • M/s KPA Design Studio Development Trust • Shri Saurabh P Patel & • Shri Rameshbhai Parmar • Aspee Agro Equipment Pvt • Shri Krishnakumar A Ganatra Brijesh P Patel AOP • Transpek-Silox Industry Ltd • Shri Miteshbhai R Patel • Precmak Ltd Ltd • G R Polynets • Ms Palomita S Patel • Shri Sureshbhai S Patel • M/s Inducto Cast • Ms Jyotsna Harish Patel • Amul Park Welfare Society • Patel Filters Infrastructure • International Aircon Pvt Ltd • Shantaben Jamubhai Patel • Shri Manish Gupta • Inox Air Products Pvt Ltd • Hubergroup India Pvt Ltd • Swastik Sales Corporation • Yes Bank Limited Memorial Trust • Ms Hetal Patel • Nisol MGF Co Pvt Ltd • Dr Neelofar M Sayed • Avanti Feeds Ltd • M/s Vulcan Industrial Rs 25 Lakh and above • Dr Nikhil B Patel • Shri Maheshbhai S Rathod Rs 2 Lakh and above • Ashok Tiles Engineering Co Ltd • Give Foundation • American Spring & Pressing • Shri Ghanshyambhai H Patel • Savitaben & Hirubhai Patel • Shri Chandravadan S Shah • M/s Shree Vallabh Electricals • Shree Jalaram Sevashram Works Pvt Ltd Memorial Foundation HUF • Ms Kusum George Aroojis • Dr Samirkumar B Patel Trust • RSM Caterer and Decorators • Shri C N Ram • Ahmedabad Ring Road • Shri Harishchander O Kapoor • M/s Art of Charity • GMM Pfaudler Ltd • Vallabh Vidyanagar • Transpek Industry Ltd Infrastructure Ltd • Shri Bhavesh P Dave Organization Nagarpalika • Downtown Motors Pvt Ltd • Shri Pranav S Patel HUF Rs 10 Lakh and above • Shri Rameshbhai D Patel • M/s Buildquick Infrastructure • Brij Construction Co Pvt Ltd • Shri Mohit Malhotra • Shri Bhaveshkumar M Patel • Om Engineers • Dharmaj Society of London • Standard Pesticides Pvt Ltd • Shri Jayminbhai Patel • Shri Chandrakantbhai D Patel • Shri Viral Rana • Margen Impex Ltd • Dr Amrita Patel • Mangalya Ceramics • M/s Patel Security Services • Parijat Trust • Unique Welding Products Pvt • Shri Jalpan Patel • Shri Hiteshbhai B Patel • Shri Piyushbhai S Chaudhary Ltd • Rajratan Interior • Shri Shashikantbhai B Joshi • Sarvajanik Seva Trust • Narayan Finance • Ravikiran Ceramics Pvt Ltd • ELNICO • M/s Satkeval Traders • Jasmina Trust • Shri Jayeshkumar J Patel • PBM Polytex Limited • Shri Nirmalkumar G Patel • URC Construction (P) Ltd • Shri Janardan G Amin • M/s Tripcon Engg. Pvt Ltd • Natubhai V Patel Charity • Smt Kalyaniben A Trivedi • Narmada Cars Pvt Ltd • Tetra Pak India Pvt Ltd • M/s Uma Publicity Trust • Power Build Ltd • Chaturbhai Ranchhodbhai & • Dr Sushil Kumar Singh • Shri Narayanbhai N Patel Co • M/s Sanjivani Medicines • Shri Mukundbhai J Patel • Lotus Trust • Laxmi Associates • Shri Jalaram Satsang Seva • M/s Sarvoday Shrikhand Ice- • Desai Brothers Ltd • Shri Jayeshbhai R Patel • Shri Jayantbhai Purohit Rs 50,000 and above Mandal Trust Cream Mfg • Sunflower Trust • Ms Malini S Patel • Shri Ramanbhai J Patel • Shri Arvindbhai V Patel • M/s Paramount Remedies Rs 5 Lakh and above • Godrej Industries Ltd • Smt Hansika M Shah • Shri Laxmichand N Shah • Ms Ila J Patel • Smt Madhuben D Pandya • Shri Atulkumar S Patel • Shri Nikulkumar C Patel • Prabhu Ramhari Charitable • Shri Kamleshbhai H Patel • M/s Ishan Dyes and • Dr Nitin S Raithatha • IDMC Limited • Rose Trust Trust Chemicals Ltd • Shri Vipinchandra K Patel

70 I ANNUAL REPORT 2016-2017 CHARUTAR AROGYA MANDAL CHARUTAR AROGYA MANDAL ANNUAL REPORT 2016-2017 I 71 • M/s Shashwat Hospital & ICU • M/s Gujarat Tea Processors • M/s Atlanta Electricals Pvt • Shri Navneet Karnani and Packers Ltd Ltd Deloitte Chartered Accountants • Smt Urvashi Mitulbhai Patel • M/s Unity Dye Chem Pvt Ltd • Mr G Chandrasekara 19th Floor, Shupath-V, • Dr Bhalendu Vaishnav • M/s Goel Construction Co Pvt Haskins & Sells S.G. Highway, Ltd • M/s Akar Hotels Pvt Ltd We would also like to Ahmedabad - 380 015 • M/s Swan Energy Limited India • Shri Riteshbhai M Patel express our gratitude • M/s Omega Icehill Private to the following Donors Tel: + 91 (079) 6682 7300 • Shri Virendrabhai C Patel Fax: + 91 (079) 6682 7400 Limited from the UK for their • M/s Super Exports • M/s Sud-Chemie India Pvt generous contribution: • M/s Mahalaxmi Tobacco Ltd Works • Mr Pushyant Patel – Westgate • Ms Sushila U Kapadia Healthcare Independent Auditors’ Report to the Members of • M/s Phillips Machine Tools • M/s Agfa Healthcare India India Pvt Ltd • Mr Yogendrabhai Patel Pvt Ltd Charutar Arogya Mandal • M/s Unique Forgings (India) • Mr Udhyam Amin • M/s Rajdeep Buildcon Pvt Ltd Pvt Ltd • JC & KC Foundation • M/s J P Metal Industries Report on the Financial Statements • M/s Frick India Ltd • Mr V C Patel – Tannegate • M/s Jagaji Construction • Shree Dhansobhavak Co Op • Mr V C Patel – JH Lorimer We have audited the accompanying financial statements of Charutar Arogya Mandal (“The Trust”), Company Credit Society Ltd • Mr Rutvig Patel which comprise the Balance Sheet as at 31st March, 2017, the Statement of Income and Expenditure, • Shri Anvarbhai Musaji Shaikh • M/s Nimbus Communications • Rambhai & Manibhai Patel Cash Flow Statement for the year then ended and a summary of the significant accounting policies Ltd • M/s Torsion Engineers & Trust Consultants and other explanatory information. • Ms Raginiben R Patel • Mr H M Patel and A Patel • Shri Dilipbhai B Patel • M/s Himsons Cast Pvt Ltd • Dharmaj Society – Mr Manhar • M/s Endress + Hauser (India) Management’s Responsibility for the Financial Statements • M/s Vizebh Compositech Pvt Patel Pvt Ltd Ltd • Mr Dadubhai Patel The Trust’s Management is responsible for the preparation of these financial statements that give a • M/s Serap India Pvt Ltd • M/s Diya Industries • Mr Sharad Parikh true and fair view of the financial position, financial performance and cash flows of the Trust in accor- • M/s Forbes Marshall Pvt Ltd • M/s Nova Udyog • Mr Nitin Patel, Goldstar dance with the Accounting Standards, as applicable to the Trust and in accordance with the account- • Shri Ganshyambhai M Patel • M/s Life Care Medical • Mr Arvind Patel – Prisham ing principles generally accepted in India. This responsibility also includes maintenance of adequate Systems • Shri Narendrabhai P Amin • Mr H I Patel – Interport accounting records in accordance with the provisions of the Bombay Public Charitable Trust Act, 1950 • M/s Paritosh Residency Pvt • Smt Shantaben N Desai • Mr Rakesh Patel for safeguarding the assets of the Trust and for preventing and detecting frauds and other irregular- Ltd • Smt Bhavika A Shelat • Mr Raghavan S Pillai • Shri Pradipkumar N Shah • Shri Madhusudan M Gandhi ities; selection and application of appropriate accounting policies; making judgments and estimates • Mr V & Mrs D Thakrar • M/s J D Jadia Infrastructure • R Jhunjhunwala Foundation that are reasonable and prudent; and design, implementation and maintenance of adequate internal • Mr Surendra Patel Pvt Ltd • Shri Chetanbhai Mehta financial controls, that were operating effectively for ensuring the accuracy and completeness of the • Mr Raj Patel – King & King • M/s K M Distributors accounting records, relevant to the preparation and presentation of the financial statements that give • M/s Rajasthan Electronics & Chartered Accountants • Shri Chhaganbhai M Patel Instruments Ltd • Mr Purgent Patel a true and fair view and are free from material misstatement, whether due to fraud or error. • Shri Narendrabhai J Patel, • Ms Rashmi M Shroff • Mr Vinoo C Patel Canada • M/s Alfa Engineers & Auditors’ Responsibility • Shri Rajeevbhai M Gandhi Contractors • Mr Pramod Patel Our responsibility is to express an opinion on these financial statements based on our audit. We con- • Smt Bhavnaben J Shah • M/s Crupp Boilers India Pvt • Dr & Mrs Satish Patel ducted our audit in accordance with the Standards on Auditing issued by the Institute of Chartered • M/s Techno Designs Ltd • Mr Hemant Patel • Shri Dineshbhai A Patel • M/s Prompt Equipments Pvt • Mr Bharat Amin Accountants of India. Those Standards require that we comply with ethical requirements and plan Ltd • M/s BKP Parkinsons Disease and perform the audit to obtain reasonable assurance about whether the financial statements are free & Movement Disorder Society • Shri Topan J Patel from material misstatement. • Ms Sapnaben P Patel • M/s Laxcon Steels Ltd An audit involves performing procedures to obtain audit evidence about the amounts and the • M/s Amar Cold Storage • Shri Mohamed Anees Noorani disclosures in the financial statements. The procedures selected depend on the auditor’s judgement, • M/s Sombansi Enviro • Heart Foundation and including the assessment of the risks of material misstatement of the financial statements, whether Research Institute Engineering Pvt Ltd due to fraud or error. In making those risk assessments, the auditor considers internal control relevant • M/s Khambete Kothari Cans • M/s Auto Gallery & Allied Products Pvt Ltd • Shri Shambhubhai V Patel to the Trust’s preparation and fair presentation of the financial statements in order to design audit • M/s Vizebh Agri Sciences Pvt • M/s RR Kabel Ltd Ltd • M/s H D Sales

72 I ANNUAL REPORT 2016-2017 CHARUTAR AROGYA MANDAL CHARUTAR AROGYA MANDAL ANNUAL REPORT 2016-2017 I 73 procedures that are appropriate in the circumstances, but not for the purpose of expressing an opinion Annexure to the Auditors’ Report on the effectiveness of the Trust’s internal control. An audit also includes evaluating the appropriate- ness of the accounting policies used and the reasonableness of the accounting estimates made by the Management, as well as evaluating the overall presentation of the financial statements. (Referred to under ‘Report on Other Legal and Regulatory Requirements’ section of our report of even date) We believe that the audit evidence we have obtained is sufficient and appropriate to provide a ba- sis for our qualified audit opinion. a) The accounts are maintained regularly and in accordance with the provisions of the Bombay Public Charitable Trust Act, 1950 and the Rules thereunder. Basis of Qualified Opinion b) The receipts and disbursements are properly shown in the accounts. The amount of Gratuity and Leave Encashment payable as on 31st March 2017, as computed by the The cash balance and vouchers in the custody of the Accountant on the date of audit were in Actuary, aggregate to Rs. 3,109.03 lakhs (Rs. 2,441.49 lakhs as at 31st March 2016) against which a c) agreement with the accounts. provision of Rs. 1,000.58 lakhs (Rs. 1,000.58 lakhs as at 31st March 2016) has been made and for the balance amount of Rs. 2,108.45 lakhs (Rs.1,440.91 lakhs as at 31st March 2016) no provision has been d) All the books, deeds, accounts, vouchers and other documents of records required by us, were made in the books of account. This is not in compliance with the applicable provisions of Accounting produced before us. Standard 15 ‘Employee Benefits’. e) A register of movable and immovable properties is maintained.

Qualified Opinion f) The Senior General Manager (Accounts) appeared before us and furnished the necessary In our opinion and to the best of our information and according to the explanations given to us, except information required by us. for the effects of the matter described in the Basis for Qualified Opinion paragraph, the aforesaid g) No property or funds of the Trust were applied for any object or purpose other than for the objects financial statements give a true and fair view in conformity with the accounting principles generally of the Trust, accepted in India, of the state of affairs of the Trust as at 31st March, 2017; and its excess of expendi- The amounts which are outstanding as at March 31, 2017, for more than one year from the due ture over income and its cash flows for the year ended on that date. h) date are Rs. 23,49,672/- No amounts have been written off during the year. Report on Other Legal and Regulatory Requirements i) During the year, tenders were invited where the repairs and construction expenditure exceeded As required by The Bombay Public Charitable Trust Act, 1950 applicable to the State of Gujarat and Rs. 5,000. on the basis of such checks as we considered necessary and appropriate and according to information j) No money of the Trust has been invested contrary to the provision of section 35. and explanations given to us during the course of audit, we enclose in the Annexure, a statement on the matters specified therein. k) There has not been alienation of immovable property contrary to the provisions of section 36 which have come to our notice.

l) No cases of irregular, illegal or improper expenditure or failure or omission to recover moneys or For DELOITTE HASKINS & SELLS other property belonging to the trust or of loss, or waste of money or other property have come to Chartered Accountants our notice. (Firm Registration No.117365W) For DELOITTE HASKINS & SELLS Gaurav J. Shah Chartered Accountants Place: Ahmedabad Partner (Firm Registration No.117365W) Date: 7th September, 2017 (Membership No. 35701) Gaurav J. Shah Place: Ahmedabad Partner Date: 7th September, 2017 (Membership No. 35701)

74 I ANNUAL REPORT 2016-2017 CHARUTAR AROGYA MANDAL CHARUTAR AROGYA MANDAL ANNUAL REPORT 2016-2017 I 75 Balance Sheet Income and Expenditure Account st st as at 31 March, 2017 CHARUTAR AROGYA MANDAL for the Year Ended 31 March,2017 Dr. Amrita Patel Chairman, Charutar Arogya Mandal (Rs. in Lakhs) H M Patel Centre for Medical Care & Education Gokal Nagar, Karamsad 388 325. Particulars Sch 2016-17 2015-16 Phone no. (02692) 223666 INCOME Regn.No. F / 119 / Anand dt. 01.08.1972 Medical Care FCRA Regn.No. 042040053 dt. 19.04.1985, Treatment Income (Net) N 6,704.30 5,970.40 Bank A/c.No. 36110524321 Grants 17.80 25.18 (Rs. in Lakhs) Other Income O 91.15 82.84 Particulars Sch As at As at 6,813.25 6,078.42 31.03.2017 31.03.2016 Medical Education SOURCES OF FUNDS : Tuition Fees (Net) 5,390.86 4,647.08 Corpus and Funds Other Income O 182.97 91.66 Corpus Fund A 3,216.47 3,118.02 5,573.83 4,738.74 Medical Relief, Infrastructure Development and Other Funds B 13,925.55 11,525.83 Other Income Research Fund C 232.21 189.86 Donations from Community 373.27 400.39 FCRA Fund D 999.41 796.23 Other Income O 509.41 535.03 Cancer Prevention and Care Programme E 9.80 36.14 882.68 935.42 Income & Expenditure Account: F (13,279.49) (12,281.09) TOTAL 13,269.76 11,752.58 Secured Loans G 1,154.30 2,193.21 TOTAL 6,258.25 5,578.20 EXPENDITURE Medical Care APPLICATION OF FUNDS : Manpower 3,361.41 2,711.93 Infrastructure and Investments Cost of Material Consumed 2,798.16 2,624.26 Fixed Assets H 6,480.63 5,547.00 Administrative and Other Overheads P 1,277.15 1,259.04 Investments I 3,979.74 3,500.01 Depreciation 576.95 608.84

Current Assets 8,013.67 7,204.07 Inventories (As valued & Certified by the Management) 480.37 496.14 Medical Education Receivables J 632.71 425.80 Manpower 5,205.76 4,600.19 Interest Accured 4.66 5.19 Administrative and Other Overheads P 490.17 455.92 Deposits and Advances K 480.15 456.13 Depreciation 74.49 48.03 Cash & Bank Balances L 21.86 49.66 5,770.42 5,104.14 1,619.75 1,432.92 Less : Liabilities & Provisions M 5,821.87 4,901.73 Net Working Capital (4,202.12) (3,468.81) TOTAL 6,258.25 5,578.20 Significant Accounting Policies R Notes on Accounts S

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

For Deloitte Haskins & Sells Dr. Amrita Patel Nitin Desai Prayasvin Patel Chartered Accountants Chairman Trustee Trustee

Gaurav J. Shah P. N.Ganju Sandeep Desai Jagrut Bhatt Partner Sr. General Manager (Accounts) Chief Executive Officer Hon. Secretary

Ahmedabad Karamsad Date : 7th September, 2017 Date : 28th August, 2017

76 I ANNUAL REPORT 2016-2017 CHARUTAR AROGYA MANDAL CHARUTAR AROGYA MANDAL ANNUAL REPORT 2016-2017 I 77 Other Expenditure Cash Flow Statement Manpower 118.53 99.57 st Cost of Material Consumed 162.18 146.59 for the Year Ended 31 March, 2017

Administrative and Other Overheads P 154.01 168.37 (Rs. in Lakhs) Research Expenses Q 87.20 53.88 Particulars 2016-17 2015-16 Depreciation 67.03 59.47 A. CASH FLOW FROM OPERATING ACTIVITIES: 588.95 527.88 Net (Deficit) (998.40) (982.32) TOTAL 14,373.04 12,836.09 Adjustments for: Depreciation . 726.67 723.26 (Deficit) for the year (1,103.28) (1,083.51) Loss (Profit) on Sale of Assets 10.04 4.62 Interest transferred from Corpus Fund & HM Patel Cente- 104.88 101.19 nary Corpus Fund Interest Accured 4.66 5.19 (Deficit) Carried to Balance Sheet (998.40) (982.32) Provision for Doubt Debts / Expenses No Longer Required (18.20) (25.60) 723.17 707.47

As per our separate report On behalf of the Charutar Arogya Mandal (Deficit) before Working Capital Changes (275.23) (274.85) of even date attached herewith Adjustment for Change in:

For Deloitte Haskins & Sells Dr. Amrita Patel Nitin Desai Prayasvin Patel Receivables (243.29) (484.55) Chartered Accountants Chairman Trustee Trustee Inventory 15.77 (33.35)

Gaurav J. Shah P. N.Ganju Sandeep Desai Jagrut Bhatt Payable 920.14 517.32 Partner Sr. General Manager (Accounts) Chief Executive Officer Hon. Secretary 692.62 (0.58) Ahmedabad Karamsad Cash Generated from / (used in) from Operations 417.39 (275.43) Date : 7th September, 2017 Date : 28th August, 2017 Tax Refund / (Paid) (Taxes deducted at sources) 31.09 131.51 Cash Flow Generated from/(used in) Operating Activities (A) 448.48 (143.92)

B. CASH FLOW FROM INVESTING ACTIVITIES: Purchase of Fixed Assets (1,770.97) (718.18) Sale of Fixed assets 5.35 3.55 Realization / (Investment) in Fixed Deposits (479.73) 294.40 Net Cash (used in) Investing Activities (B) (2,245.35) (420.23)

C. CASH FLOW FROM FINANCING ACTIVITIES: Funds Received 2,807.98 1,050.83 Proceeds / (Repayment) of Term Loan 43.72 (675.82) (Repayment) / Proceeds from Short Term Borrowings (1,082.63) 197.50 Cash Generated from Finance Activities (C) 1,769.07 572.51 Net increase in Cash & Cash Equivalents (A+B+C) (27.80) 8.36 Cash & Cash Equivalents at Beginning of Year 49.66 41.30 Cash & Cash Equivalents at the End of the Year 21.86 49.66

78 I ANNUAL REPORT 2016-2017 CHARUTAR AROGYA MANDAL CHARUTAR AROGYA MANDAL ANNUAL REPORT 2016-2017 I 79 Notes to Cashflow Statement: 1 Cash and Cash Equivalents Include : Receipt & Payment Account Cash on Hand 4.38 6.98 for the Period from 01.04.2016 to 31.03.2017 With Scheduled Banks: In Fixed Deposits (Rs. in Lakhs) Cheques on Hand 0.13 7.93 Receipt Amount Payment Amount Saving Accounts 17.35 34.75 Opening Balance as on 01.04.16 17.48 42.68 21.86 49.66 Cash & Bank Balance 49.66 Deposits Made during the Year 24.02

2 The Cash Flow Statement has been prepared under the ‘Indirect Method’ set out in Accounting Stadard-3 ”Cash Flow Medical Relief and other Fund 2,492.89 Medicines Expense 235.03 Statement”. Research Fund 42.35 CPCP Fund 24.23

Proceeds from Term Loan 43.72 Increase in Debtors 225.11 As per our separate report On behalf of the Charutar Arogya Mandal of even date attached herewith FCRA Fund 203.18 Manpower Expense 8,135.99 For Deloitte Haskins & Sells Dr. Amrita Patel Nitin Desai Prayasvin Patel Donation for Corpus Fund 98.45 Repayment of Term loan 792.65 Chartered Accountants Chairman Trustee Trustee

Gaurav J. Shah P. N.Ganju Sandeep Desai Jagrut Bhatt Increase in Inventories 15.77 Investment Made during the Year 479.73 Partner Sr. General Manager (Accounts) Chief Executive Officer Hon. Secretary Rent of Quarters and Hostels 117.23 Other Expenditure Related to Treatment 2,960.34 Ahmedabad Karamsad Date : 7th September, 2017 Date : 28th August, 2017 Revenue Donation 373.27 Administrative and Other Overheads 1,408.92

Tuition Fees Income 5,918.33 Electricity Expense 297.21

Treatment Income 6,704.30 Overdraft from Yes Bank 205.62

Grant 17.80 Financial Charges 202.91

Interest Income 114.92 Research Expenses 18.35

Sale of Assets 5.35 Overdraft from BOB Bank 84.36

Miscellaneous Income 649.91 Purchase of Assets during the Year 1,770.97

Research Income 40.17 Closing Balance as on 31.03.17

Cash & Bank Balance 21.86

16,887.30 16,887.30

Examined as per audited accounts and found to be correct.

For Deloitte Haskins & Sells On behalf of the Charutar Arogya Mandal Chartered Accountants

Gaurav J. Shah P. N.Ganju Sandeep Desai Partner Sr. General Manager (Accounts) Chief Executive Officer

Ahmedabad Karamsad Date : 7th September, 2017 Date : 28th August, 2017

80 I ANNUAL REPORT 2016-2017 CHARUTAR AROGYA MANDAL CHARUTAR AROGYA MANDAL ANNUAL REPORT 2016-2017 I 81 Schedules to financial statements Schedules to financial statements

SCHEDULE A SCHEDULE B CORPUS FUNDS MEDICAL RELIEF, INFRASTRUCTURE DEVELOPMENT AND OTHER FUNDS (Rs. In Lakhs) (Rs. In Lakhs) Particulars As at As at Particulars As at As at 31.03.2017 31.03.2016 31.03.2017 31.03.2016 (i) GENERAL CORPUS FUND (i) MEDICAL RELIEF & OTHER FUNDS Balance as per last Balance Sheet 1,304.78 1,258.83 Balance as per last Balance Sheet 6,745.51 6,592.89 Add : Received during the year 102.85 21.23 Add : Received during the year 1,203.78 302.96 Interest earned during the year 99.29 96.21 Interest earned during the year 6.64 5.68 Less : Utilised during the year 6.44 - Transferred from fund ( Refer Schedule B (vi) ) 5.92 - Interest transferred to Income & Expenditure Account 74.47 71.49 Less : Utilised during the year 344.36 156.02 1,426.01 1,304.78 7,617.49 6,745.51 (II) Navajbhai Ratan Tata Trust (ii) H M PATEL CENTENARY CORPUS FUND Balance as per last Balance Sheet 544.24 577.99 Balance as per last Balance Sheet 406.79 399.23 Add : Received during the year 832.00 35.00 Add : Interest earned during the year 30.95 30.22 Interest earned during the year 27.42 7.01 Less : Interest transferred to Income & Expenditure Account 23.21 22.66 Less: Depreciation 82.96 75.76 414.53 406.79 1,320.70 544.24 (iii) JTT - CAM CORPUS FUND (For Scholarship) DETAILS OF FUND Balance as per last Balance Sheet 906.45 971.46 Fixed Assets 1,267.57 513.86 Add : Interest earned during the year 68.98 73.54 Investments 53.12 30.23 975.43 1,045.00 Bank Balance 0.01 0.13 Less : Utilised during the year 99.50 138.55 Advances/Receivables - 0.02 875.93 906.45 1,320.70 544.24 (iv) INFOSYS FOUNDATION (iii) Give India Balance as per last Balance Sheet 500.00 500.13 Balance as per last Balance Sheet - - Add : Received during the year - - Add : Received during the year 32.03 32.70 Incentive/Interest accrued during the year 46.25 51.50 Less : Utilised during the year 32.03 32.70 Less : Utilised during the year 46.25 51.63 - - 500.00 500.00 (iv) Infrastructure & other funds TOTAL …………………………………. 3,216.47 3,118.02 Balance as per last Balance Sheet 4,151.51 3,678.42 Add : Received during the year 41.98 17.92 Transferred from Tuition Fee 568.97 492.25 Interest earned during the year 2.45 4.52 Less : Utilised during the year 149.05 41.60 4,615.86 4,151.51 (v) Tata Education Trust Balance as per last Balance Sheet 84.57 - Add : Received during the year - 91.00 Interest earned during the year - 0.49 Less : Utilised during the year Less: Depreciation 8.90 6.92 75.67 84.57 DETAILS OF FUND Fixed Assets 75.67 84.57 75.67 84.57

82 I ANNUAL REPORT 2016-2017 CHARUTAR AROGYA MANDAL CHARUTAR AROGYA MANDAL ANNUAL REPORT 2016-2017 I 83 Schedules to financial statements Schedules to financial statements

(Rs. In Lakhs) SCHEDULE E : Particulars As at As at Cancer Prevention and Care Programme (Rs. In Lakhs) 31.03.2017 31.03.2016 Particulars As at As at (vi) TCS Foundation 31.03.2017 31.03.2016 Balance as per last Balance Sheet - - (i) JTT Contribution Add : Received during the year 300.00 - Balance as per last Balance Sheet 36.14 77.69 Interest earned during the year 3.06 - Add : Received during the year 22.27 - Less : Transferred to Medical fund ( Refer Schedule B (i)) 5.92 - Interest earned during the year 0.52 2.99 Less: Depreciation 1.31 - 58.93 80.68 295.83 - Less : Utilised during the year 47.02 39.95 DETAILS OF FUND Less : Depreciation 2.11 4.59 Fixed Assets 3.05 - TOTAL …………………………………. 9.80 36.14 Investments 292.78 - 295.83 - DETAILS OF FUND TOTAL …………………………………. 13,925.55 11,525.83 Fixed Assets 12.15 14.26 Investments - 16.61 SCHEDULE C : Bank Balance 0.05 6.62 RESEARCH FUND (Rs. In Lakhs) Receivables/Payable (2.40) (1.35) Particulars As at As at 9.80 36.14 31.03.2017 31.03.2016 Balance as per last Balance Sheet 189.86 53.55 SCHEDULE F : Add : Received during the year 90.42 314.39 INCOME & EXPENDITURE ACCOUNT (Rs. In Lakhs) Less : Transfered to Income & Expenditure A/c to the Particulars As at As at extent utilised during the year 48.07 178.08 31.03.2017 31.03.2016 TOTAL …………………………………. 232.21 189.86 Balance as per last Balance Sheet (12,281.09) (11,298.77) Add : Deficit for the year (998.40) (982.32) SCHEDULE D : TOTAL …………………………………. (13,279.49) (12,281.09) FCRA Fund (Rs. In Lakhs) Particulars As at As at 31.03.2017 31.03.2016 Balance as per last Balance Sheet 796.23 587.14 Add : Interest earned during the year 23.99 10.94 Received during the year 201.17 222.00 1,021.39 820.08 Less : Interest transferred to Income & Expenditure Account 7.20 7.04 Utilised during the year for medical relief 14.78 16.81 TOTAL …………………………………. 999.41 796.23

DETAILS OF FCRA FUND Fixed Assets 628.96 434.04 Investments 369.50 369.73 Bank Balance 0.26 0.65 Receivables 0.69 (8.19) 999.41 796.23

84 I ANNUAL REPORT 2016-2017 CHARUTAR AROGYA MANDAL CHARUTAR AROGYA MANDAL ANNUAL REPORT 2016-2017 I 85 - - 4.69 3.67 8.83 3.67 6.03 Schedules to financial statements 1.11 as at 95.78 30.16 57.51 29.04 14.33 59.55 16.19 84.57 10.81 84.55 455.08 159.64 429.31 513.86 1,814.58 2,273.28 4,937.76 5,547.00 Net Value

SCHEDULE G : 31-3- 2016 SECURED LOANS (Rs. In Lakhs) - Particulars As at As at 4.69 4.93 7.51 3.12 5.13 0.45 8.70 3.05 3.05 as at 86.29 38.51 35.37 13.51 44.64 53.59 14.57 75.67 478.27 31.03.2017 31.03.2016 313.12 1,813.58 2,292.73 5,125.64 1,267.57 1,267.57 (Rs. In Lakhs)(Rs. ( 2016-17 ) 6,480.63 5,547.00 Net Value

(i) Term Loans from Banks 31-3- 2017 For Purchase of Equipments : - - - - - 2.04 2.47 3.15 3.22 3.78 1.31 From Oriental Bank of Commerce 693.64 603.35 1.31 Upto 46.82 54.90 11.31 15.82 10.15 446.85 108.60 386.97 158.72 158.72 2,003.14 4,544.48

(Against hypothecation of equipments ) 7,591.76 7,777.76 7,061.53 From Yes Bank Limited (Against hypothecation of equipments) 117.93 164.50 31-3-2017

811.57 767.85 - - - - 6.79 5.96 1.32 1.62 8.90 0.55 0.90 0.66 2.11 1.31 1.31 (ii) Overdraft Facility from Banks : Year 59.50 12.11 41.17 12.52 82.96 82.96 210.68 383.90 726.67 821.95 810.53 For the For From Oriental Bank of Commerce 154.66 947.31 Provided Depreciation [Against Fixed Deposits of Rs. 1586.40 lakhs ------(P.Y.Rs.1584.63 lacs ) pledged as security ] -

From Bank of Baroda 170.22 254.58 0.29 36.80 105.43 105.72 105.72 [(Against Fixed Deposits of Rs. 300.00 lakhs on Sales /

(P.Y.Rs.300.00 lakhs) pledged as security ] Adjustments ------From Yes Bank Ltd. 17.85 223.47 - 5.35 0.72 0.85 6.92 2.60 2.32 3.12 8.04 96.49 40.03 42.38 75.76 75.76 [ (Against Fixed Deposits of Rs. 260.00 lakhs on As 387.35 346.09 1,792.46 4,266.01 6,970.81 7,061.53 6,287.80 (P.Y.Rs.260.00 lacs ) pledged as security ] 1-4-2016 342.73 1,425.36

TOTAL …………………………………. 1,154.30 2,193.21 - 4.69 4.93 9.55 6.27 8.35 4.23 4.36 4.36 as at Total Total 85.33 68.41 44.64 64.90 17.04 91.49 18.85 925.12 194.89 422.34 313.12 3,816.72 6,837.21 1,426.29 1,426.29 12,717.40 14,258.39 12,608.53 31-3-2017 ------0.37 48.38 22.05 84.55 84.55 Sales / 120.74 190.40 381.94 466.49 467.88 Adjustments ------2.62 4.36 4.36 82.69 15.14 19.11 22.36 24.27 52.36 209.68 418.66 343.88 921.22 921.22 during the Year 1,190.77 2,116.35 1,141.09 Additions Additions - - 4.69 9.55 6.27 8.35 4.23 as at 70.19 46.05 29.04 14.33 64.90 17.04 91.49 18.85 84.55 842.43 192.27 403.60 159.64 505.07 589.62 At Cost Cost At 3,607.04 6,539.29 1-4-2016 11,908.57 12,608.53 11,935.32 SCHEDULE “H “ FIXED ASSETS “H SCHEDULE PARTICULARS PARTICULARS Land (Freehold) Land (Freehold) Buildings Equipments Equipments Furniture & dead stock & dead stock Furniture Electrical & fittings installations Vehicles Vehicles Computers Computers Solar water system system Solar water Work-in-progress Work-in-progress Equipments/Furniture Building (Bone Merrow) Building (Bone Merrow) Capital Advance Advance Capital Assets Purchased under sponsored programmes programmes under sponsored Purchased Assets Trust Education Tata Buildings Equipments Equipments Furniture & dead stock & dead stock Furniture Jamsetji Tata Trust (CPCP) Trust Jamsetji Tata Equipments Vehicles Vehicles Computers Computers Navajbhai Ratan Tata Trust Trust Navajbhai Ratan Tata Equipments WIP/Capital Advance Advance WIP/Capital TCS FOUNDATION TCS Computers TOTAL TOTAL Previous year’s total total year’s Previous

86 I ANNUAL REPORT 2016-2017 CHARUTAR AROGYA MANDAL CHARUTAR AROGYA MANDAL ANNUAL REPORT 2016-2017 I 87 Schedules to financial statements Schedules to financial statements

SCHEDULE I : SCHEDULE M : INVESTMENTS (Rs. In Lakhs) LIABILITIES & PROVISIONS (Rs. In Lakhs) Particulars As at As at Particulars As at As at 31.03.2017 31.03.2016 31.03.2017 31.03.2016 In Fixed Deposits (i) Liabilities Considered Good Current liabilities 1,175.71 1,025.45 With Scheduled Banks 3,208.74 2,829.01 Advance tuition fees 2,251.60 1,731.01 [Includes Rs. 369.50 lakhs (P.Y. 114.73 lakhs) for FCRA deposits, FDR’s Sundry creditors 702.76 937.79 aggregating to Rs. 2622.37 lakhs (P.Y.Rs. 2470.21 lacs) pledged as 4,130.07 3,694.25 securities] With Corporate Bodies 770.00 670.00 (ii) Provision With Charotar Gramodhhar Sahakari Mandal Limited 1.00 1.00 Dearness allowance/ Pay arrears 691.22 206.90 3,979.74 3,500.01 Gratuity & Leave encashment 1,000.58 1,000.58 TOTAL …………………………………. 3,979.74 3,500.01 1,691.80 1,207.48 TOTAL …………………………………. 5,821.87 4,901.73 SCHEDULE J : RECEIVABLES (Rs. In Lakhs) SCHEDULE N : Particulars As at As at TREATMENT INCOME (Rs. In Lakhs) 31.03.2017 31.03.2016 Particulars As at As at Considered good 632.71 425.80 2016-17 2015-16 Considered doubtful 318.78 300.58 Income From : 951.49 726.38 Health care 5,102.24 4,291.18 Less : Provision for doubtful debts 318.78 300.58 Pharmacy 3,086.66 2,774.80 TOTAL …………………………………. 632.71 425.80 8,188.90 7,065.98 Less : Concession on treatment 1,484.60 1,095.58 SCHEDULE K : Net Treatment Income ………………………. 6,704.30 5,970.40 DEPOSITS AND ADVANCES (Rs. In Lakhs) Particulars As at As at SCHEDULE O : 31.03.2017 31.03.2016 OTHER INCOME (Rs. In Lakhs) Deposits 50.75 52.39 Particulars 2016-17 2015-16 Employee advances 2.94 3.31 (i) From Medical Care: Prepaid expenses 47.80 42.31 Income from Investments 3.55 4.30 Advances 95.09 105.64 Miscellaneous Income 87.60 78.54 Tax deducted at source 283.57 252.48 91.15 82.84 TOTAL …………………………………. 480.15 456.13 (ii) From Medical Education:

SCHEDULE L : Income from Investments 0.24 0.42 CASH AND BANK BALANCES (Rs. In Lakhs) Miscellaneous Income 175.85 90.91 Particulars As at As at Other fees 6.88 0.33 31.03.2017 31.03.2016 182.97 91.66 Cash on hand 4.38 6.98 (iii) Other Income: Cheques on hand 0.13 7.93 Income from Investments 5.72 0.36 Balances with scheduled banks:(in the name of Mandal and its Miscellaneous Income 110.91 174.30 Institutions ) Income from canteen 275.55 244.74 In current account - 0.06 Profit on sale of assets - 0.72 In savings accounts 16.32 24.27 Rent from Quarters and Hostels 117.23 114.91 In savings accounts for Tata Trusts funded programmes 0.77 9.77 509.41 535.03 In FCRA accounts (State Bank of India, Anand) 0.26 0.65 TOTAL …………………………………. 783.53 709.53 TOTAL …………………………………. 21.86 49.66

88 I ANNUAL REPORT 2016-2017 CHARUTAR AROGYA MANDAL CHARUTAR AROGYA MANDAL ANNUAL REPORT 2016-2017 I 89 Schedules to financial statements Notes to Financial Statements for the year ended 31st SCHEDULE P : March, 2017 ADMINISTRATIVE AND OTHER OVERHEADS (Rs. In Lakhs)

Particulars 2016-17 2015-16 SCHEDULE R (i) For Medical Care Electricity 168.43 194.93 SIGNIFICANT ACCOUNTING POLICIES Postage & Communication Expenses 7.85 9.03 1. Basis of preparation of Financial Statements Advertisement & Publicity Expenses 39.10 47.55 Security Expenses 97.24 83.70 a. The financial statements have been prepared under the historic cost convention on accrual basis in Printing & Stationery Expenses 82.47 79.29 accordance with the generally accepted accounting principles in India, except otherwise stated. Other Administrative Expenses 154.71 138.53 b. Government grant is accounted when received. Interest on overdraft and term Loan 149.30 195.64 Repair & Maintenance 549.81 479.43 c. Funds : Loss on sale of assets 10.04 5.34 i. Corpus Fund: Funds received for general purpose and as decided by the management are credited Provision for doubtful debts for Shree Krishna Arogya Trust 18.20 25.60 to Corpus Fund Account. Interest earned on investment of Corpus Fund is credited to the said fund 1,277.15 1,259.04 account and 75 % of the interest credited is transferred to Income & expenditure Account. (ii) For Medical Education Electricity 90.53 75.88 ii. H M Patel Centenary Corpus Fund: Funds received for meeting the cost of indigent Cancer patients Postage & Communication Expenses 1.33 3.52 and interest earned thereon are credited to H M Patel Centenary Corpus Fund Account and 75 % of the Advertisement & Publicity Expenses 11.05 20.90 interest credited is transferred to Income & Expenditure Account. Security Expenses 26.80 24.91 iii. JTT - CAM Corpus Fund: Funds received from Jamsetji Tata Trust for scholarship to MBBS students and Printing & Stationery Expenses 9.10 9.59 interest earned thereon is credited to Jamsetji Tata Trust -CAM Corpus Fund Account and used for Other Administrative Expenses 139.91 115.79 scholarships to needy students. Education training expenses 101.80 81.94 Repair & Maintenance 56.04 40.79 iv. Infosys Foundation: Funds received from Infosys Foundation to provide quality,affordable and Interest on overdraft 53.61 82.60 concessional medical care to the underprivileged and poor among the rural community. Interest earned 490.17 455.92 thereon is credited to said fund account and the entire amount of interest earned is to be utilised for the (ii) For Other Expenses said purpose. Electricity 38.25 36.51 d. Donations received from communities/institutions for specific purpose are credited to respective Postage & Communication Expenses 1.34 1.32 earmarked funds and for other than specific purpose are credited to Income & Expenditure Account. Advertisement & Publicity Expenses 0.52 - Security Expenses 15.67 12.95 2. Use of Estimates Printing & Stationery Expenses 0.72 0.86 The preparation of financial statements requires estimates and assumptions to be made that affect the reported Other Administrative Expenses 68.09 48.82 amount of assets and liabilities on date of the financial statement and the reported amount of revenues and Repair & Maintenance 29.42 67.91 154.01 168.37 expenses during the reporting period. Difference between the actual result and estimates are recognised in TOTAL …………………………………. 1,921.33 1,883.33 the period in which the results are known/materialized. 3. Revenue Recognition SCHEDULE Q : RESEARCH EXPENSES (Rs. In Lakhs) a. Income from treatment service is recognised as and when services are rendered. Particulars 2016-17 2015-16 b. Pharmacy income is recognised as and when the medicines are sold. Manpower 84.87 95.82 c. Tuition fee is accounted for on accrual basis. Differential amount of fees between NRI category and general Postage & Communication Expenses 0.30 0.37 Printing & Stationery Expenses 5.87 1.91 category is utilised for Infrastructure Development / payment of scholarships and balance to fee account. Other Administrative Expenses 8.70 18.97 4. Fixed Assets Repair & Maintenance 1.08 0.06 Fixed assets are stated at cost. Research Expenses 18.35 103.47 Depreciation 8.20 6.92 5. Depreciation 127.37 227.52 Depreciation on fixed assets is provided on the written down value basis at the rates as per the provisions of Less : Recoveries and others 40.17 173.64 Net Research Expenses …………………………………. 87.20 53.88 Income Tax Act 1961 except Life saving medical equipments, which are depreciated at 15% against 40% as per the act. Assets valuing up to Rs.5,000/- are depreciated in the year of purchase.

90 I ANNUAL REPORT 2016-2017 CHARUTAR AROGYA MANDAL CHARUTAR AROGYA MANDAL ANNUAL REPORT 2016-2017 I 91 6. Investments SCHEDULE S Investments are carried at cost and provision is made to recognise any diminution in value, other than that of NOTES TO ACCOUNTS temporary nature. 1. Information about the Trust 7. Inventories Charutar Arogya Mandal (the ‘Mandal’) is a Public Charitable Trust, registered under the Bombay Public Trust Inventories are valued at lower of cost or net realisable value. Inventories include medicines, medical and Act, 1950 (Reg. no. F / 119 / Anand) and the Societies Act, 1860 (Reg. No. GUJ/ 91/ Anand). The Mandal provides surgical items, stores, housekeeping materials and other consumables. The cost of Medicines is the actual quality medical education and healthcare to the rural community equitably with commitment, excellence, purchase cost and in case of other items the cost is determined on first in first out basis. and honesty and at affordable cost to their utmost satisfaction. 8. Retirement Benefits 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. Mandal is also registered with DIT (exemptions) Gujarat u/s 80 G a. Contributions to Provident Fund and Superannuation Fund are charged to Income and Expenditure (5) and section 35AC of the Income Tax Act, 1961 (Notification dated July 31, 2014, valid upto March 31, 2017). Account. Mandal also has exemption under section 10(23c) (vi) and (via) of the Income Tax Act, 1961. b. Gratuity Liability is determined on the basis of number of years of completed service and the last drawn 2. Contingent Liabilities: salary as on 31st March, 2017, on actuarial basis as estimated by an independent actuary In respect of (Rs. in lakhs) c. Liability for Leave Encashment benefit is determined on the basis of accumulated leave balance and the last drawn salary as on 31st March, 2017, on actuarial basis as estimated by an independent actuary Sr. Particulars As at 31st March As at 31st March 9. Library Books 2017 2016 Expenditure on Library Books are charged to Income & Expenditure Account. a. Claim against Mandal by the District Collector, Anand, towards demand of premium on value of Land which is pending with State -- 4.77 Government.

b. Madhya Gujarat Vij Co. (MGVCL) had lodged a claim on Mandal towards the electricity charges due to new tariff, which was challanged by the Mandal in Gujarat High Court. The court decided the matter in favour of 24.23 24.23 Mandal. MGVCL have however appealed against the same in Supreme Court of India. Amount of Rs.6.06 lacs was paid under protest.

c. Claim against Mandal by a PG student towards applicability of fee structure. 13.25 13.25 (Including Rs.13.25 lacs paid under protest)

d. Bank Guarantees given to the Medical Council of India / Gujarat Nursing Council for undertaking various PG / Nursing courses, Government of Gujarat for MA Yojna and Madhya Gujarat Vij Company for additional load factor. 396.53 203.21 [against pledge of FDRs. amounting to Rs.125.97 lacs (previous year Rs. 34.00 lacs)]

e. Claim against the Mandal towards affiliation fees for PG courses by the S.P.University and pending with Gujarat High Court. 89.97 89.97 ( Including Rs.10.00 lacs paid under protest)

f. Claims against Mandal not acknowledged as debt and pending with Amount not different Authorities ascertainable

92 I ANNUAL REPORT 2016-2017 CHARUTAR AROGYA MANDAL CHARUTAR AROGYA MANDAL ANNUAL REPORT 2016-2017 I 93 3. Employee benefit (Rs. in lakhs) Credibility Alliance Sr. Particulars As at 31st March As at 31st March 2017 2016 Norms Compliance Report

a. Gratuity IDENTITY Liability as per actuary 1,651.52 1,327.18 Provision made in the books of accounts 638.39 638.39 • Charutar Arogya Mandal is a public charitable trust, registered under the Bombay Public Trust Act 1950 (Regd. Amount not provided for 1,013.13 688.79 No.F/119/Anand) and the Societies Act, 1860 (Regd.No. GUJ/91/Anand) b. Leave encashment • MOA and AoA are available on request

Liability as per actuary 1,457.51 1,114.31 • Mandal is registered under section 12 A(a) of the Income Tax Act 1961 and its income is exempt under section Provision made in the books of accounts 362.19 362.19 11 of the Income Tax Act 1961. Mandal is also registered with DIT (exemptions) Gujarat u/s 80G(5) and section Amount not provided for 1,095.32 752.12 35AC of the Income Tax Act 1961 (Notification dated July 31, 2014, valid upto March 31, 2017). 4. Depreciation for the year is netted from income & expenditure account by Rs. 95.28 lakhs and charged • Mandal is registered under section 6(1)(a) of the Foreign Contribution (regulation) Act 1976 (Regd. No. directly against the funds received from various Tata Trusts (Navajbai Ratan Tata Trust, Tata Education Trust TCS 042040053). Foundation and Jamsetji Tata Trust) for acquisition of assets for various projects funded by them. Visitors are welcome to the addresses given on the “www.charutarhealth.org” link on our website 5. As per the direction of the Gujarat High Court, out of court settlemnt was arrived at for payment of Rs. 96.73 Name & Address of Main Bankers: Oriental Bank of Commerce, lakhs in respect of premium for land acquired in 1985. Against this Rs.34.14 lakhs has been deposited with Gokal Nagar, Karamsad 388 325. Registar, Gujarat High Court, Ahmedabad on 10.04.2017. Name & Address of Auditors: Deloitte Haskins & Sells, Chartered Accountants, 6. Balances in the accounts of sundry debtors, advances and creditors are subject to confirmation by the parties. 19th Floor, Shapath – V, S.G. Road, Necessary adjustments, if any, will be made when the accounts are reconciled / settled. Ahmedabad 380 015. 7. The Trust is in process of physical verification of fixed assets and reconciliation of physical fixed assets with VISION AND IMPACT the fixed assets register maintained by the trust. However, any adjustment required due to differences in Mission physical fixed assets and assets as per fixed assets register, will be made only after the completion of physical To provide modern and professional health care to the rural community equitably with commitment, excellence, verification of fixed assets and it’s reconciliation with fixed assets register. honesty and integrity. 8. Like previous years, during the current year, Charutar Arogya Mandal (Mandal) had organised an musical event Vision for charitable purpose at the premises of the Mandal on January 07,2017. There are income and expenditure from the said event, stated herein below. The surplus of income over expenditure has been shown under We would offer to our patients, comprehensive and personalized health care with commitment and compassion at “Donation from community” under the head “Other Income” in Income and Expenditure Account. an affordable cost, to their utmost satisfaction, while keeping ourselves abreast of the state-of-the-art technology. (Rs. in lakhs) IMPACT

Particulars 2016-17 2015-16 The efforts made in fulfilling our mission have had a great impact in the lives of the rural population in the Income 206.69 157.57 vicinity of the Mandal. Seven extension centres are operated by the Mandal in the adjoining villages, enabling the hospital to take its services closer to the community. Cancer awareness programme in 27 villages has enabled Expenditure 62.10 48.80 early detection of the disease and thereby its treatment. Surplus of Income over expenditure 144.59 108.77 9. Figures for the previous year have been regrouped or rearranged, wherever required to make them compa- rable with those of the current year.

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

For Deloitte Haskins & Sells Dr. Amrita Patel Nitin Desai Prayasvin Patel Chartered Accountants Chairman Trustee Trustee

Gaurav J. Shah P. N.Ganju Sandeep Desai Jagrut Bhatt Partner Sr. General Manager (Accounts) Chief Executive Officer Hon. Secretary

Ahmedabad Karamsad Date : 7th September, 2017 Date : 28th August, 2017

94 I ANNUAL REPORT 2016-2017 CHARUTAR AROGYA MANDAL CHARUTAR AROGYA MANDAL ANNUAL REPORT 2016-2017 I 95 GOVERNANCE • Distribution of staff according to salary levels as at March 31, 2017 :

Details of members of the Governing Body as at March 31, 2017. Slab of gross salary including benefits paid to staff Male Female Total Name Age Sex Position on Board Occupation Area of Meetings Less than Rs. 5000/- Nil Nil Nil competence attended attended Rs. 5000/- to Rs. 10000/- 182 171 353 Dr Amrita Patel 73 F Chairman Retired Management 5 Rs. 10000/- to Rs.25000/- 206 348 554 Professional & Operation Rs. 25000/- to Rs.50000/- 207 158 365 Shri Jagrut H Bhatt 62 M Hon. Secretary Industrialist Management 5 Rs. 50000/- to Rs. 100000/- 81 53 134 Dr Utpala Kharod 59 F Dean, (Ex-officio) Service Doctor 4 Above Rs. 100000/- 90 53 143 Dr Chhotubhai L Patel 82 M Member Agricultural and Academician 2 Total 766 783 1549 Social Service The staff table includes the salaries of both staff as well as paid consultants in the respective categories for the Shri Natubhai M Patel 87 M Member Social Service Management 3 year ending March 31, 2017. Shri Ashokbhai J Patel 73 M Member Industrialist Management 2 Shri Amitbhai B.Patel 50 M Member Social Service Management 1 • Total cost of national travel by all personnel (including volunteers) & members of the governing body : Rs. 30.67 lakhs. Shri Thakorbhai C Patel 79 M Member Social Service Management 3 Shri Harshadbhai S Patel 82 M Member Business Management 5 • Total cost of international travel by all personnel (including volunteers) & members of the governing body : Shri Vikrambhai C Patel 71 M Member Social Service Management 4 ( Rs. In lakhs) Shri Keshav Desiraju 62 M Member Retired Management 3 Professional No. Name Designation Destination Purpose Gross Sponsor expense Shri Atulbhai H Patel 67 M Member Industrialist Management 4 1 Dr. Hiteshkumar N Professor South Africa Int. Conference on 1.72 NA Smt. Dakshaben N Shah 72 F Member Social Service Management 1 Shah Emergency Medicine Smt. Arunaben Lakhani 78 F Member Social Service Management 3 2 Dr S.Nimbalkar Professor Baltimore Pediatrics Academic 0.21 NA • The Governing Body met five times during the year 2016-17 on June 17, August 16, October 25, 2016, January Societies Meeting & Visit to 27 and March 27,2017. Minutes of the meetings are documented and circulated. UMASS th • A rotation policy exists and is practiced. 3 Dr S.Nimbalkar Professor Switzerland 6 Congress of European 2.41 NA Academy of Pediatric • The Governing Body approves programmes, budgets, annual activity reports and audited financial statements. Societies The Governing Body ensures the organisation’s compliance with laws and regulations. 4 Dr.Monica Gupta Professor Swedan Int. Forum on Quality and 2.43 NA Safety in Health Care 2016 ACCOUNTABILITY AND TRANSPARENCY 5 Dr. R.Harihara Professor U K 2nd Int. Conference & Expo 1.24 NA • No remuneration, sitting fees or any other form of compensation has been paid since inception of the Mandal Prakash of Novel Physio therapies to any member of the Governing Body / Trustee except to Dr Utpala Kharod Dean, PSMC, who is an employee 6 Dr. Karthik Asso. Professor Switzerland 17th Efort Congress 1.83 NA of the Mandal and ex- officio member of the Governing Body. Vishwanathan Following reimbursements have been made to the members of the Governing Body: 7 Dr. Soham Desai Professor Hongkong 11th Asia – Oceanian 1.63 NA • Traveling expenses (to attend the meetings of the Governing Body) : Nil Epilepsy Congress 8 Dr. Girish Mishra Professor Dubai UAE Cancer Congress 1.32 NA • No other reimbursements have been made to any member of the Governing Body / Trustee. 9 Dr. Smruti Vaidhnav Professor Spain Cognitive Psychology 1.45 NA • CEO’s Remuneration : Rs. 4.07 lakhs p.m. Section Annual Conference • Remuneration of 3 highest paid clinical staff members : Rs.8.00 lakhs p.m; Rs.6.50 lakhs p.m; Rs.6.00 lakhs 10 Dr. R Bhattacharjee Asst. Professor Spain 43rd Dexeus Forum Update 1.28 NA p.m. in Obstetrics & Gyneacology

and Reproductive Medicine • Remuneration of the lowest paid staff member : Rs. 7,500/- p.m. 11 Dr.Vidhi B. Gajjar Tutor Malaysia Conference 0.52 NA • Staff details as at March 31, 2017: 12 Dr. Sunilkumar Asst. Professor U S A Transcatherter 2.23 NA Gender Full time Part time Consultants Volunteers (Unpaid) Karna Cardiovascular Therapeutics (TCT) Male 682 33 51 NA 13 Dr. Ronak J Panchal Consultant Korea 6th Yonsei International Mini 1.85 NA Female 767 3 13 NA – Residency For Advanced All members of the Governing Body / Trustees are “volunteers” giving their time pro bona. They are not included Orthodontics in the details above.

96 I ANNUAL REPORT 2016-2017 CHARUTAR AROGYA MANDAL CHARUTAR AROGYA MANDAL ANNUAL REPORT 2016-2017 I 97 No. Name Designation Destination Purpose Gross Sponsor expense Gratitude 14 Dr. Saranjeet Singh Asso. Professor New New Zealand hand Society 2.33 NA Zealand Meeting • The people of Charotar who generously • Sir Jamshedji Tata Trust for their generous 15 Dr. Nirav P Vaghela Asso. Professor Singapore 18th International 1.02 NA contributed in so many ways. assistance in providing scholarships to Conference on meritorious but economically challenged Anthropometry and • The people of Karamsad and particularly, the students for the MBBS courses. Musculoskeletal Disorders Karamsad Municipal Nagarpalika for their • Dr Somjee Family for starting a Somjee 16 Dr. Bhalendu S Professor Spain Innternational Conference 1.38 NA continuing support. Vaishnav of AMEE • The Tribhuvandas Foundation for their Fellowship given to the interns admitted under the Tata-CAM Scholarship. 17 Dr. S.Nimbalkar Professor Italy Int. KMC Conference 1.24 NA continued assistance. • Shanti Charitable Trust for supporting the 18 Team of Consultant/ Kenya Business Development 1.32 NA • The Charutar Vidya Mandal and the Charotar officers from various Gramoddhar Sahkari Mandal Ltd, for their help MBBS scholarship students with hostel stay, faculties for Medical and support. instrument sets, books, aprons and mess fees. Tourism • The Kaira District Cooperative Milk Producers’ • Elecon Group of Companies for their generous 19 Shri Sandeep Desai C.E.O U.K Business Development 3.04 NA Union for their support and help. support in creating the state-of-the-art Cardiac Centre. 20 Dr. Uday Shankar Professor Australia 15th World Congress On 3.68 NA • The Vitthal Udyognagar Industries for their Singh Public Health 2017 support. • The Public Training Research Centre at Khambhat, Petlad Municipality, Sevaliya 21 Dt. Archana Associate Switzerland 6th Congress of European 0.82 NA • The Government of Gujarat and Sardar Nimbalkar Academy of Paediatrics Arogya Mandal, Bhadran Arogya Trust, Agas Professor Patel University who have offered unstinted Societies Gram Arogya Mandal and Anand Agriculture support. 22 Dr. Dipen V Patel Professor Switzerland 6th Congress of European 0.79 NA University for entrusting us with the • The Santram Mandir, Karamsad for providing Academy of Paediatrics responsibility of managing their centres. free meals to relatives of patients coming from Societies • The honorary consultants and volunteers who far away. 23 Dr. Nirav N Consultant Dubai UAE Cancer Congress 2016 0.44 NA have worked selflessly to provide the much- Asarawala • Sir Ratan Tata Trust, Mumbai and Sir Dorabji needed support. th Tata Trust, Mumbai for their generous 24 Ajay G Phatak Manager Iseral 6 International Jerusalem 0.74 NA • Numerous donors who have been so generous assistance to the Cancer Project and treatment Conference ON Health in supporting our projects and activities. Policy of poor patients. • The countless individuals and institutions who 25 Dr. Devangi Desai Asso. Professor Malasiya 15th Asia Oceanian 1.57 NA • Navajbai Tata Trust, Mumbai for their generous have supported the Charutar Arogya Mandal Congress of Neurology assistance for treatment of poor patients. activities in so many ways and without whose Total …….. 38.49 • M/s Oil & Natural Gas Commission for their help and encouragement, the Mandal would support in the Bone Marrow Transplant not have been able to make the progress Centre. achieved during the year. • M/s Larsen & Toubro Ltd for their support in • The dedicated team of doctors and support the Hospital Expansion Project. staff who have worked tirelessly to provide • Gujarat Cooperative Milk Marketing round-the-clock services. Federation for their support during the Charity event.

98 I ANNUAL REPORT 2016-2017 CHARUTAR AROGYA MANDAL CHARUTAR AROGYA MANDAL ANNUAL REPORT 2016-2017 I 99

Support Shree Krishna Hospital www.giveindia.org www.guidestarindia.org www.helpyourngo.com www.icharity.in

Charutar Arogya Mandal Gokal Nagar, Karamsad 388 325 Tel.: (02692) 228411 / 228412 www.charutarhealth.org (+91 9821173244) IMAGINE Print: Design, Edit, Photography: Sunil Adesara