Department of Geriatric Medicine

Clinical Services:  Out Patient Services: Department offers daily OPD services with comprehensive geriatric assessment of all the elderly. We do Memory assessments, Mental health and Depression assessment, Fall risk assessment and Incontinence evaluation. We also review Poly-pharmacy and optimise medication management. Special clinics have been initiated for running for these evaluations. Vaccination clinic has been started for immunising elderly with flu, pneumococcal, herpes zoster & tetanus vaccinations. Palliative care services have started since 2019. Patients are jointly assessed by a multidisciplinary team comprising of a Geriatrician, Social worker, Psychiatrist and a Physiotherapist.

 In Patient Services: Department has 30 beds for inpatient care which include critical care beds, acute care beds, and long term care beds in addition to general beds for care. Dedicated Geriatric physiotherapy services were also added.

 Community Services: Community services were started by both Nursing College and Medical Colleges in association with Community medicine department. Department has networked with all organisations caring for the elderly. Department has MOU with Susheg Trust for Neuro-palliative care, which doctors from the team visit regularly. We also do memory testing for all the senior citizens during the month of September in association with PAGE (Peoples Association for Geriatric Empowerment).

 Home care services: Have been started within a limit of 30kms, which is functional from 22-03-2020. Home lab sample collection, home delivery of drugs, home nursing care, physiotherapy and doctor visits have also been started. Renting of oxygen, nebuliser, Fowlers cot, suction apparatuses and air bed also started on 01- 04-2020.  Telemedicine consultation: We have started a telecosultation facility where the elder‟s needs are addressed by the faculty.  Health Check-Up Camps: In addition to routine health check up camps, department conducts memory assessment camps and has made Active ageing groups by training volunteers in the camp areas.  Current Academic Year Infrastructure facility: In addition to the beds that have been allotted in IPD, dedicated OPD area with 3 rooms, Seminars hall, Faculty rooms have been added to make it a MCI recognised department.

FACULTY:

From L to R: Mrs. Deepika, Dr. Prathvi Nandalike, Dr. Kishore Kumar Ubrangala, Dr. Prabha Adhikari M R, Dr. Humera Naaz, Miss.Kavyashree.

1. SERVICES OFFERED:

 Comprehensive Geriatric Assessment and Rehabilitation  Memory Testing & Screening for Depression  Vaccination Clinic  Incontinence Assessment  Polypharmacy consultation  Falls & Fracture Risk Assessment  Frailty Assessment  Supportive Care, Long Term Care, Palliative Care  Chronic Diseases management  Healthy Ageing Counselling

2. SPECIALITY CLINICS Speciality Clinic Days

1. Memory Clinic Wednesdays

2. Falls Clinic on Fridays

3. Incontinence Clinic Mondays

4. Vaccination Clinic on Tuesdays

3. CURRICULUM INNOVATIONS :  Geriatric and Palliative care topics have been added to both UG & M.D medicine.

MBBS Undergraduate teaching:

 The 22 topics listed under the latest MCI document 2018 (22 core competencies) pertaining to geriatrics are being taught by the faculty of Geriatric Medicine. The faculty are making effective use of Yenepoya (Deemed to be) University‟s teaching web portal „Yengage‟.  During the COVID period – since March, 2020 active participation in online teaching is going on.  ACTS-YEN simulation method is used for training in Geriatric Palliative care emergencies.

Teaching of MD General Medicine Post graduates:

 Subject seminars, journal clubs of interest in geriatrics are moderated by faculty of the department.  General medicine post graduates are having rotational posting in department of geriatrics.  Geriatric medicine faculty take active part in teaching of General medicine post graduates including bedside clinical teaching sessions.

4. COLLABORATIONS:

 Department collaborates with MediAcion Germany for Palliative care and Psychodrama courses.

 Certificate Course in Palliative Care (emphasis on geriatric care) modules:

The department has trained a number of graduate/post graduate medical doctors and also given an exposure to final year medical students on the subject. 150 Government doctors working in Dakshina Kannada and around 150 were Nurses & other Paramedical personnel were trained by us in Geriatrics and Palliative care by 2 day workshop in the year 2019. Mr. Jochen Becker-Ebel, CEO, MediAcion, Germany has anchored many of our programs over the years – offline and recently, online as well.

 Psychodrama course: The department collaborates with MediAcion, Germany for conducting this course.

 Music Therapy course:

In collaboration with Mrs. Cordula Dietrich, Psychiatrist & Music Therapist, Germany, department has successfully trained many doctors and allied health workers in music therapy. These programs will continue on a periodic basis.

 Group for Education and Research in Geriatrics (GERG):  The GERG is an association of interested geriatricians and internal medicine faculty from all over and few from abroad, who have joined hands to promote geriatric education and research in the country. They contribute their knowledge and skills without remuneration. Their participation is on a voluntary basis upon invitation by the founding members who are aware of their excellent contribution to teaching, clinical care and research.  Dr. Prabha Adhikari is one of the 2 founding members of this group (the other being Prof. Alka Ganesh, former HOD Dept of Medicine CMC, Vellore).  22 competencies in outlined in “Volume II of the Competency Based Undergraduate Curriculum for the Indian Medical Graduate 2018” pertaining to geriatrics will be taught by online modules over a 8 week course „Geriatric in Nutshell for Medical Students‟. This will be a free course by 28 eminent faculties, culminating in a certification at the end of 8 weeks. The course is scheduled to start on 01-08-2020.

 Observation of International Calendar events for Elderly: World Elder Abuse Awareness Day (15th June), World Alzeimer‟s Day (21st September), World Elder‟s Day (1st October).

5. RESEARCH PROJECTS:

FACULTY:

1. Eco-friendly adult diapers with antimicrobial properties and disease indicators based on natural fibers and hydrogels. Prameela Rao is the PI and Dr. Prabha Adhikari is the scientific advisor and co investigator- BIRAC/KIIT0895/BIG-15/19- Grant awarded. Amount yet to be released – 47.6 lakhs. 2. Scored Trial (Ongoing) : A randomized double-blind, placebo - controlled, parallel group, multicenter study to demonstrate the effects of Sotagliflozin on cardiovascular and renal events in patients with type 2 diabetes, cardiovascular risk factors and moderately impaired renal function Grant from Sanofi Rs.25,00,000. 3. Seed grants from Yenepoya University for SEPSIS study: Inflammatory and Fibrinolytic changes in Patients with sepsis – 6 lakhs. YENEPOYA (DEEMED TO BE UNIVERSITY LIST OF Ph.D. SHOLARS (ON-GOING PROGRAM) JANUARY 2018 - JULY 2019 BATCH RESEARCH GUIDE OF THE PH.D. SCHOLARS - 07 GUIDING – 07 Sl.No. Faculty Department Name of The Title Name of the Awarded Ph.D Candidate Guide /Ongoing 1. Medicine General Study of infections due Dr. Prabha Ongoing Medicine to carbapenemase Adhikari producing Professor& Head, K.pneumoniae and their Department of

susceptibility to other Geriatric Ms. Athira P antibiotics Medicine, Yenepoya Medical College Hospital, Deralakatte, - 575 018

2. Medicine Biochemistry Serum Vitamin D levels Dr. Prabha Ongoing ( Medical) among diabetic patients Adhikari with Coronary Artery Professor& Head, Dr. Shaheena Disease and its Yasir Department of correlation with Geriatric advanced glycation end Medicine, products, insulin Yenepoya resistance and Medical College SYNTAX score Hospital,

Deralakatte, Mangalore- 575 018

3. Nursing Medical Effect of music therapy Dr. Prabha Ongoing Surgical on diabetes distress, Adhikari Nursing quality of life and Professor& Head, glycemic control among Ms. Anju Ullas Department of type 2 diabetes mellitus Geriatric

patients hospitalized for Medicine, diabetic foot ulcer in Yenepoya selected tertiary care Medical College hospital at Mangaluru Hospital, Deralakatte, Mangalore- 575 018

4. Nursing Obstetrics and Effectiveness of Dr. Prabha Ongoing Gynecological lifestyle counselling Adhikari Nursing using psychodrama Professor& Head, Mrs. Janet technique on prevention Department of Prima Miranda of risk factors of Geriatric coronary artery disease Medicine, among perimenopausal Yenepoya women in a selected Medical College university at Mangaluru Hospital, Deralakatte, Mangalore- 575 018

5. Nursing Community A Study to assess the Dr. Prabha Ongoing Health Nursing prevalence and lived Adhikari experience of knee Professor& Head, osteoarthritis among Department of Mr. Ananda S. elderly adults and Geriatric impact of acupressure Medicine, therapy on physical and Yenepoya psychological Medical College parameters of elderly Hospital, adults with knee Deralakatte, Mangalore- osteoarthritis in selected 575 018 rural areas of Mangaluru 6. Allied Biosciences Value of urine Dr. Prabha Ongoing Health creatinine, Ph and urea Adhikari and in diabetic and geriatric Professor& Head, Basic care using dipstick Department of Science Ms. Ashra B method by developed Geriatric paper based platform Medicine,

Yenepoya Medical College Hospital, Deralakatte, Mangalore- 575 018

7. Allied Zoology Development of Dr. Prabha Ongoing Health targeted proteomic Adhikari and assays for the detection Professor& Head, Basic of dengue viral patients Department of Science Ms. Mrudula Geriatric K.K Medicine, Yenepoya Medical College Hospital, Deralakatte, Mangalore- 575 018

1. PUBLICATIONS :

1. Adhikari P : "Comprehensive Geriatric Assessment–Common Geriatric Problems BMH Medical Journal-ISSN 2348–392X, Vol 7 No Suppl (2020) 2. Ali Akbar P, Santosh R. Goudar, Adhikari P, Masoodi I, Dsouza S: Correlation of estimated glomerular filtration rate with ejection fraction among type 2 diabetes mellitus patients: Results of a cross; 2020 Apr;7(4):554-558. 3. Gadgade A, Shenoy A, Kamath A, Kamath P, Adhikari P, Nishith RS, Sanjay Hadigal, Srikant N, Shenoy N and Mukta N Chowta: A prospective study of the clinical and demographic profile of Type 2 Diabetes Mellitus patients receiving antidiabetic Drug Combination; vol,16, Issue 5, page 503-508 4. "Vohra M, Adhikari P, D‟Souza S, Nagri S, Umakanth S, Satyamoorthy K, and PadmalathaRai; CpG-SNP Site methylation regulates allele- specific expression of MTHFDI gene in type 2 Diabetes; Acceptance Letter Laboratory Investigation 20-0015-ARR; Received: 11 January 2020 / Revised: 12 March 2020 / Accepted: 12 March 2020 5. PS Rai, MH Hande, SC D'Souza, Adhikari P, A Brand … - Russian The Express-Method Applying for Analysis of the Human Genome Stability in Estimating the Cytogenetic Consequences of Tick-Borne Infections in Western Siberia. Foundation for Basic Research Journal,2018;3(99) July-September issue 6. Shreelaxmi V. Hegde, Adhikari P, Shashidhar M. Kotian, and Rajeshwari S(2019) Effects of Yoga Versus Sham Yoga on Oxidative Stress, Glycemic Status, and Anthropometry in Type 2 Diabetes Mellitus: A Single-Blinded Randomized Pilot Study. International Journal of Yoga Therapy 2019 Jul 8. doi: 10.17761/D-18-2020-00018. 9 7. A Gadgade, A Shenoy, A Kamath, P Kamath, Adhikari P, S Hadigal,Srikanth NShenoy N, Chowta MN: A Prospective Study of the Clinical and Demographic Profile of Type 2 Diabetes Mellitus Patients ReceivingAntidiabetic Drug Combinations: Current diabetes reviews 2019,June 19thDOI : 10.2174/1573399815666190619125857 .E pub ahead of print

8. Nayana D, Sathyamoorthy K, Rai PS, Nandinin M, Adhikari P. Genetic variants of the II Beta hyroxy steroid dehydrogenase type I gene influence metabolic syndrome: M JMS.2018, 3(2):8- 14 9. Chapter in a Book Dr PrabhaAdhikari: Safe antibiotics in A Handbook of Geriatric Care edIstEds.O.P.Sharma by VinodVasishtha for Viva Books Private Limited,New Delhi. 388-391 10. Y. Durgarao, Poornima A. Manjrekar*, PrabhaAdhikari, M. Chakrapani and M. S. Rukmini, “Comprehensive Review on Diabetes Associated Cardiovascular Complications - The Vitamin D Perspective”, Cardiovascular &Hematological Disorders-Drug Targets (2019) 19: 1. https://doi.org/10.2174/1871529X19666190114155302 11. Dr PrabhaAdhikari : Published article on Diabetes in AmrathaPrakashkannada monthly magazines. 12. PrabhaAdhkari, Patibha Pereira: Our experiments with Geriatric patients admitted for long term care at a Teaching Medical College, South India and Lessons learnt.J.Of the Sci of Healing Outcomes.Jan 2018;10(38). 13. Ramya K A, Bhat G.K, Baliga S, Augustine A.J, Ullal S, Adhikari P: Antibacterial action of Tropical honey on various bacteria obtained from diabetic foot ulcer Complementary Therapies in Clinical Practice 2018,30:29-32 14. Ramya K A, Augustine A. J, Prabhu S, Sheetal U. D, Pai M,AdhikariP. Clinical and microbiological profile of diabetic foot ulcer patients in a tertiary care hospital Diabetes & Metabolic Syndrome: Clinical Research & Reviews 2018;12:27–30 15. PrabhaAdhikari –Day care Centre based on Exercise as a model of Care for Prevention and Management of Multiple Morbdity of Elderly –Published as abstract in the souvenir of the National Colloquium of the Aged and Ageing in India 2018 on the theme Where do we stand ?Whither should we proceed ? Page 81-82 16. Devang, N, Satyamoorthy K, Rai P.S,Nandini M,BasuA,Adhikari P. Int J Diabetes DevCtries (2017).https://doi.org/10.1007/s13410-017-0596-8 17. Priya TE, Sheetal RM, Adhikari P, Shashidhar: To validity and reliability of Montreal Cognitive Assessment and its comparison with the translated Hindi mental states examination in a south Indian Geriatric Population. Indian journal of Public Health Research and development 2018, 9(3);173-173 18. Phani NM, Manik V, Ananth K, Adhikari P, Shivashankara KN, Sydney CD, Shashikaran U, Satyamoothy K, Padmalath S Rai: Implication of critical Pharmacokinetic gene variants on therapeutic response to metformin in type 2 diabetes. Pharmacogenomics 2018. https//doi.org/10.2217/2008-0041 19. A Chakraborty, S Shenoy, P Adhikari, V Saralaya, S Rao: Is diabetes mellitus an important risk factor for the antibiotic resistance in extraintestinal pathogenic Escherichia coli? Indian Journal of Pathology and Microbiology 2017: 60 (4), 546 20. A Chakraborty, V Saralaya, P Adhikari, S Shenoy.Virulence property, phylogenetic background, and resistance pattern of Escherichia coli isolates from wound infections: CHRISMED Journal of Health and Research 2017 : 4 (4), 248 21. P. Adhikari: Physician wake up and prevent dementia; ISGC 2018 7(2): 31-32 22. RajeshwariShastri, PrabhaAdhikari, Sheetal D Ullal, Muktha N Chowta, Sahana D Acharya; Is Dose Titration required for hypertensive agents in Geriatric Diabetic patients; Asian journal of pharmaceutical and clinical research; 2018, vol 11, Issue 12. 23. NayanaDevang, Kapaettu, Satyamoorthy, Padmalatha S. Rai, M. Nandini, ArindamBasu&Prabha, Adhikari; Association of HSD11B1 rs12086634 and HSD11B1 rs846910 gene polymorphisms with polycystic ovary syndrome in South Indian women; International Journal of Diabetes in Developing Countries, 38(4), 381-386

24. Effect of sudden Ban of Pioglitazone on Glycemic control of Type 2 Diabetes Mellitus patient in a tertiary care hospital in south india” ; Journal of Diabetology. 25. Shreelaxmi VH, Prabha A, Shashidhar K, Rajeshwari S, Kalpana A (2016) Effect of Yoga on Oxidative Stress in Elderly Type 2 Diabetes Subjects. J Yoga PhysTher 6:258. doi:10.4172/2157-7595.1000258. 26. Phani N, Adhikari P, D‟Souza S,Satyamoorthy K,Padmalatha S. R: Replication and Relevance of Multiple Susceptibility Loci Discovered from Genome Wide Association Studies for Type 2 Diabetes in an Indian Population Published: June 16, 2016.http://dx.doi.org/10.1371/journal.pone.0157364. 27. Nayana D, Kapaettu S, Padmalatha S. R, NandiniM,SatishRao,PhaniNM,Prabha A: Association of HSD11B1 gene polymorphisms with type 2 diabetes and metabolic syndrome in South Indian population Accepted for publication in Diabetes Research and Clinical Practice September 2017 issue . 28. P.Adhikari Geriatric health care in India - Unmet needs and the way forward. |Arch Med Health Sci 2017;5:112-4. 29. Prabha Adhikari: Palliative care needs of geriatric population in India. Manipal Journal of Nursing and Health Sciences 2017,3(2):1-1 30. Archana D,Adhikari PMR, Shenoy S: Clinico Microbiological profile of Asymptomatic bacteriuria due to E.Coli in Type 2 diabetic patients J of Internal Med. Research,Review, Reports 2017 . 31. Nayana D, Satyamoorthy, Padmalatha S. Rai, M. Nandini, Arindam Basu1, PrabhaAdhikari: Association of HSD11B1 rs12086634 and HSD11B1 rs846910 gene polymorphisms with polycystic ovary syndrome in South Indian women.Online first Int J Diabetes DevCtries DOI 10.1007/s13410-017-0596-8 dated December 17-2017 32. Ramya K A, Bhat G.K, Baliga S, Augustine A.J. , Ullal S, Adhikari P: Antibacterial action of Tropical honey on various bacteria obtained from diabetic foot ulcer Complementary Therapies in Clinical Practice 2018,30:29-32 33. Kateel R, Augustine AJ, Ullal S, Prabhu S, Bhat R, Adhikari P: Development and validation of health related quality of life questionnaire (Indian scenario) in diabetic foot ulcer patients.Diabetes Metab Syndr. 2017 Dec;11 Suppl 2:S651-S653. doi: 10.1016/j.dsx.2017.04.020.

2. RESEARCH POSTER/PAPER PRESENTATIONS IN CONFERENCES: 1. Dr. Prabha Adhikari: Co-author for the paper -Genetic and Epigenetic patterns of MTHFD1 gene in Type 2 Diabetes in the background of Obesity": was presented in the form of a poster at "41st Annual Meeting of Environmental Mutagen Society of India (EMSI) & INTERNATIONAL CONFERENCE on Advances in Cellular, Genomic and Epigenomic Insights on Environmental Mutagenesis and Health" held on 27-29 January 2017; which won the best POSTER AWARD. 2. Dr. Prathvi Nandalike: Presented poster on Development and validation of the questionnaire for capturing palliative care needs of the elderly in India – Yenepoya university empathy questionnaire (Yempathy) at National 17th Annual conference of the Indian Academy of Geriatric –GERICON 2019 at Christian Medical College Vellore 6th and 7th December 2019. 3. CONFERENCES/CMEs/Symposiums/Workshops/Guest Lectures/Scientific Society Meetings, etc CONDUCTED: 1. World Elder Abuse Awareness Day on 25th June 2019: World Elder Abuse Awareness Day was observed on 25/06/2019 between 2pm-4pm. The panel discussion was opened by Dr. Prabha Adhikari, HOD Geriatric Medicine showing the statistics of Elder Abuse in Mangalore which 51% compared to country average of 25%. Mrs. Lidwin Lobo, former professor in St. Aloysius College and Roshni Nilaya and currently Vishwas Trust Elder

helpline incharge mentioned about >1000 elder abuse cases most of which were for financial reasons. Abandonment was also reported. Dr. Sydney Dsouza, HOD Medicine inaugurated the panel discussion with a comment. Dr. Prathvi Nandalike faculty from Geriatric Medicine commented that all of us have to take care of our parents first. Dr. Abhinav opined that we have to detach ourselves from mobiles and spend time with elders. Miss. Mushida a final year student opined that we must take care of all the elders and respect them. Some students got motivated to do a documentary on the topic. 96 Students, 5 postgraduates and 6 faculty attended the programme. 2. CME in Palliative care: Held on 14th August 2019 - was attended by 52 participants. Inauguration was done by Vice-Chancellor. Dr Jochen Becker conducted 2 sessions on breaking bad news using experiential learning through Psychodrama. Dr Naveen Salin took a lecture on “Intricacies of managing vomiting –mechanistic approach”. Dr Seema Rao delivered a lecture on Psychological distress. Panel discussion on De-escalating treatment in Palliative care setting was a great eye opener for all the participants. All were updated with latest ICMR guidelines and Supreme Court judgment. 3. Music therapy workshop 12th to 13th September 2019 - Module 1: Regional Workshop on Music Therapy in Palliative Care was conducted by the Centre of Palliative Care, Yenepoya Deemed to be University from 12-13th September 2019. The resource faculty is Dr Cordula Dietrich, Psychiatrist and Music Therapist from Berlin, Germany. 4. Music therapy workshop 16th to 18th September 2019- Module II: Regional Workshop on Music Therapy in Palliative Care was conducted by the Centre of Palliative Care, Yenepoya Deemed to be University from 16-18 September 2019. The resource faculty comprised of Dr. Cordula Dietrich, Psychiatrist and Music Therapist from Berlin, Germany, Dr T.V. Sairam, Founder President of Nada Centre for Music therapy and President, Indian Music Therapy Association and Dr. Vijayalakshmi Subramaniam, Professor and Head, Department of E.N.T and Head and Neck Surgery.The workshop was inaugurated by Dr C.V. Raghuveer, Pro-Vice Chancellor and Dr. Gangadhara Somayaji, Registrar of Yenepoya University. 5. Regional Observation of World Alzheimer‟s day at Town hall on 21st September 2019. 6. World Elders Day on 05/10/2019: The unit of Geriatric Medicine organised a guest lecture on World elder Day “Lecture Demonstration on Yoga” by Mr. Muddu Krishna, Yoga expert from Mysore on 5th October 2019 at EMD Building Auditorium. He demonstrated complex asanas and educated people on the value of yoga.Nearly 60 elders participated in the programme. 7. CME on Dementia Related Behavior:On 26th October 2019 Continued Medical Education and workshop on Dementia Behavior Management was conducted for 104 participants at Yenepoya Medical College - jointly by the Departments of Geriatric Medicine, General Medicine, and Psychiatry. CME was inaugurated by Dr C.V Raghuveer, Pro Vice- Chancellor, Yenepoya (Deemed to) be University, urged every participant to acquire skills of managing dementia behavior without psychiatry medications. Dr. Imran, HOD Psychiatry Nursing introduced Miss. Deepa Vinoo who has worked in the field of Dementia in New York Health +Hospitals for 15 years and currently heading 400 bedded dementia care facility. Dr. Padmanabha, in-charge Dean YMC, Dr. Prabha Adhikari, HOD Geriatric Medicine, Dr. Sydney Dsouza, HOD General Medicine, Dr. Anil Kakunje, HOD Psychiatry, Ms.Leena KC, Principal Yenepoya Nursing College, Mr. Jeradin Dsouza, Mangalore Alzhiemers Association - were present.Ms. Deepa Vinoo spoke on the topics, ABC of Dementia Behaviour, Music and Memory and minimizing psychotropic use, pain and palliative care for dementia.

8. Guest lecture on “Rheumatology”: Organized regional guest lecture on Rheumatology” on 16th and 17th December 2019 in Seminar Room. Resource Person: Dr Dharmanad B.G, Rheumatologist and Adjunct faculty of General Medicine. 9. Certificate course on Palliative care with emphasis on Geriatric care: Organized certificate course on Palliative care with emphasis on Geriatric care conducted by Dr Jochen Becker; MediAcion, Germany from 18th to 20th February 2020 at EMD Auditorium, YMCH.

World Elder Abuse Awareness World Elders Day Palliative Centre inauguration Day: 25 June 2019 5 October 2019 14 August 2019

Music therapy workshop Music therapy workshop World Alzheimer‟s Day 16thto18thSeptember2019 12-13 September2019 21September 2019

4. FACULTY INVITED AS RESOURCE PERSONS AT CONFERENCES/CMEs/SYMPOSIA etc:

1. Dr.Prabha Adhikari: 1. Moderator for the session on “South Indian diet and Diabetes Mellitus”: Regional CME Association physicians of India on 29th May 2019 at Hotel Goldfinch, Mangaluru.

2. Delivered a lecture on “Alzhiemers disease and related disorders”: for nearly 150 senior citizens, under Anantha Soukhya project of Chethana. 3. Guest faculty: at KMC, Bejai Campus during observation of International Yoga Day on 23- 06-2019 4. Chaired session: “Insulin type, storage and administration & current scenario in Diabetes” on regional workshop Yen fights Diabetes 2019 on 12/06/2019 at EMD, Auditorium. 5. Guest speaker at Elder abuse awareness programe held by Helpline Vishwas Trust on 15- 06-2019 and delivered a lecture on –Elder abuse definitions and Help Age India report. 6. Participated in a panel discussion on Elder Abuse Awareness and discussed Help Age India 2018-19 report in a CME organized by the department of Geriatric Medicine on 25- 06 -2019 7. Chaired session on “Kidney Transplantation - what a physician should know” on Nephrology conference 21/09/2019 at KMC, Mangalore. 8. Lecture on “Gastrointestitial symptoms and End of life care and spirituality” in one day regional “Orientation and sensitization Training on Palliative care” on 23/10/2019 at Mangaluru. 9. Delivered guest lecture CME on Lifestyle modifications for type 2 diabetes mellitus through naturopathy and yoga on account of 2ndNational Naturopathy Day held at Amruthavarshini hall, Dharmasthala. 10. Key-note speaker for Medicine and Neurology CME Update 2019 on 23rd and 24th November 2019 at Mysore Medical and Research institute. Topic: Approach to Dementia. 11. Chaired Session17th Annual conference of the Indian Academy of Geriatrics –GERICON 2019 at Christian Medical College Vellore 6th and 7th December 2019. 12. Resource person one day training programme on „Sensitization training of Health care of Elderly‟ in IMA Hall on 17/12/2019. 13. Chaired a session in Cardiology CME held at hotel Ocean Pearl, on the topic „What the cardiologist needs to know‟.

2. Dr. Kishore Kumar Ubrangala:

1. Was Judge for Award paper presentation session for MANGALORE ALLERCON – 2018 on 15, July, 2018 (National Symposium on Allergy & Clinical Immunology IMA, Mangaluru branch; Depts. of Dermatology, Otorhinolaryngology & Respiratory Medicine, Yenepoya Medical College, Yenepoya Deemed To Be University, Mangalore; Assn. of Otorhinolaryngologist of India (Karavali Branch); Indian Assn. of Dermatologists, Venereologists & Leprologists (IADVL Karavali) & Mangalore Chest Assn ). 2. Was Faculty for Association of Physicians of India – chapter – 3rd Quarterly meeting held at , Kerala on 28-10-2018. 3. Chaired a session during the CME on Medical Emergencies in Pregnancy: Update 2018 at Kanachur Institute of Medical Sciences, Mangaluru on 03-11-2018. 4. ‘Spectrum 2019‟: Chaired a session on the topic „Panel discussion – HF management: Role of ARNI Deep Dive into PARADIGM & TRANSITION study organised by the Cardiology department, A. J. Institute of Medical Sciences, Mangaluru on 12-01-2019. 5. „What is new in Cardiology‟: Panellist in Panel discussion - during the Association of Physicians of India, D. K. Chapter meeting on 22-03-2019. 6. Judge for poster presentations for the 3rd Manipal International Infectious Disease

Conference 2019 with the Theme of „Tropical Infections and Global Health‟, conducted jointly by Manipal Center for Infectious Diseases in assn. with McGill Global Health Programs, Canada & Dept. of Medicine, KMC Manipal on 10th& 11th -08-2019. 7. Panellist in Panel discussion on „Ethical issues in De-escalation of Treatment‟ during the Module 1: Palliative Care (with emphasis on Geriatric care) organised jointly by Yenepoya Medical college, Dept. of Geriatric Medicine & MediAcion, Germany on 12th, 13th& 14th, Aug, 2019. 8. Moderator for the session „Surviving Sepsis Guidelines – What‟s New‟ during the Association of Physicians of India, D. K. Chapter meeting on 10-01-2020. 9. Chaired a session on „Cardio-Oncology‟ during „Spectrum 2020‟, Cardiology conference organised by A. J. Institute of Medical Sciences, Mangaluru at hotel Ocean Pearl on 11-01- 2020. 10. Gave talk on „Management of Pain in Palliative Care‟ during the Palliative Care Basics (with emphasis on Geriatric care) – Module 1, organised jointly by Yenepoya Medical college, Dept. of Geriatric Medicine & MediAcion, Germany 9th, 10th& 11th, June 2020.

3. Dr. Prathvi Nandalike: 1. Resource person one day training programme on „Sensitization training of Health care of Elderly‟ in IMA Hall on 17/12/2019.

5. AWARDS AND ACCOLADES :

AWARDS:

Dr Prabha Adhikari: 1. Received the award for conducting SMARA Quiz, and also making the institution commit to start Memory Clinic on World Alzheimer`s Day - from Nightingale Trust and NIMHANS at St John`s Medical College on 21-09-2017. 2. Received life-time achievement state award for distinguished services at KAPICON 2019 held at Balagavi on 31st May 2019. 3. Received the State award for Geriatric clinic for the Best Geriatric services in the state for the Yenepoya Medical College year 2017-2018 at World Elder‟s Day on 01/10/2018 from the Chief Minister of . 4. National award- Received the “Appreciation award” for maximum Geriatric activities in south zone for the year 2017-2018 by Geriatric Society for India awarded Dr. Prabha Adhikari on 27/10/2018 at National Conference of Geriatric Society of India 2018.

5. Good teacher award for the outstanding contribution in teaching on the occasion of Teacher Day held on 05/09/2019 at EMD Auditorium

RECOGNITIONS:

Dr Prabha Adhikari: 1. Invited faculty to deliver a lecture on – „Exercise prescription for Diabetes, How much is too much‟ - at International Diabetes Update held at Chennai from 19-21st July 2018. 2. Was one of the guest-of-honour for the Inaugural function for the meeting on Senior citizens rights conducted by the department of Social Justice and District Health Officer on 19-07-2018. 3. Honoured at National Geriatric Conclave held at New Delhi by Apollo group of Hospitals and Geriatric Society of India on 20th and 21st of April for contributing a chapter in book in the Handbook of Geriatric Care. 4. President of Geriatric Society of India for the year 2019-20.

6. EXTENSION ACTIVITIES ((Campus/awareness programmes/any other): 1. Visited “Susheg Trust” residential care facility for Neuropalliative care on 05-05-2019. 2. In association with KSHEMA Psychiatry department screened 50 people for memory loss and indentified 2 people with dementia on 08-05-2019. 3. Screened 22 people for dementia using Mini-Cog on 15-05-2019 at a camp conducted at Chethama, Vittobha Temple Road, Mangalore. 4. 14 module cognitive simulation activites have been started for 22 people as a weekly activity under the direction of Dr Prabha Adhikari at Chethana premises every Saturday in association with Spoorthi Trust from 22-05-2019. 5. Visited “Susheg Trust” residential care facility for Neuro palliative care on 13-06-2019. 6. Visited Susheg Trust –residential Neuro palliative care centre on 25-06-2019.

7. Continuing modules 2-6 of Cognitive stimulation activity for 24 elders who were screened for cognition under Anatha Sowkya project of Seva Bharathi Trust on 06-06- 2019,13-06-2019,20-06-2019,27-06-2019.

8. Participated in Yoga Marathon organized by Yenepoya University on 22-06-2019

9. Attended health check up camp held at Kadri Park on the launch of World Alzheimer‟s month on 31-08-2019 and also participated in an awareness Memory walk between 08- 10 AM. 10. Organised Medical camp cum Memory test at Adamya Chetana, Ullal on 12-10-2019.