MGIMS BulletinKasturba Health Society's

Volume 24, Issue One Jan-June 2015

(NAAC ACCREDITED 'A')

Great dreams of great dreamers are always transcended. - Dr APJ Abdul Kalam

DR SUSHILA NAYAR MEMORIAL AWARD FOR BEST UNDERGRADUATE STUDENT IN THE FIELD OF RESEARCH

On April 1, 2015, MGIMS celebrated the “coming of age” of its youngest members when the medical students presented their research projects to an audience comprising of proud teachers and enthusiastic peers in what was a truly fitting finale to a month-long hunt for the best budding researcher.

Dr Niriti Chaudhary, a student from the class of 2010, was named the winner of the 2015 Dr Sushila Nayar Memorial Award for best undergraduate student research for her work on feeding practices in children in villages. A recipient of the Short Term Studentship (STS) funded by the Indian Council of Medical Research (ICMR), Dr

Niriti was one of the 13 medical students who presented their posters in a special session organized by the Academy of Medical Science & MEU.

Shreya Rasania (class of 2012) was the runner-up. Also an ICMR STS scholar, she had spent her research time asking how physically active female medical and paramedical students at MGIMS are.

Dr Sushila Nayar Memorial Award for Undergraduate Research was launched in 2015 as a tribute to late Dr Sushila Nayar. Dr Subodh Gupta, In charge, Medical Education Unit, explained how it began: “I thought that acknowledging and appreciating the research attitude and efforts of the medical students would be the best way to remember Dr Sushila Nayar— our beloved Badi Behenji—who was also an avid public health researcher. Students were desperately looking for a platform to present their research findings. The authorities readily agreed to launch annual award for undergraduate research in her memory as a part of Dr Sushila Nayar centenary year celebrations.”

A month back, MGIMS Medical Education Unit and Academy of Medical Sciences, invited research papers from undergraduates for the award presentation. All students were asked to prepare posters and present their work.

stOn 1 April, the MGIMS auditorium was brimming with enthusiastic students and amused teachers. Students came up with posters that matched the standards of an international conference- a focused research question, simple plan, uncluttered tables and graphs and a single sentence take-home message. Truly posters that connoisseurs would appreciate in an international conference. Of the total 13 posters, six—two each from pre-clinical, para-clinical and clinical areas—were shortlisted for oral presentation and the chosen ones were asked to present their work in the Sarojini Naidu Hall. As a next step, the Medical Education Unit of MGIMS is planning to train these students further, and teach them the skills of manuscript writing.

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MGIMS ANNOUNCES THE LAUNCH OF SEVA BHAAV, A RADIO-SHOW

Mahatma Gandhi Institute of Medical Sciences (MGIMS), Sevagram announced the launch of Seva Bhaav, a radio-show that throws light on a variety of issues related to health and disease in the community. The weekly show, launched in

rdcollaboration with a community-based Wardha radio station - MGIRI Radio 90.4 FM was officially launched on 23 April, 2015. Each week, the show airs on Thursdays at 9:00 am and 8:00 pm. After the broadcast, the talks are also made available online at the MGIMS website: https://www.mgims.ac.in/index.php/seva-bhaav

Seva Bhaav is designed with a sole interest - to help the community. Community service has always been the hallmark of MGIMS. Dr Sushila Nayar, the founder of the institute sowed the seeds of community healthcare and since then the institute has been nurturing her vision of rendering service for rural communities of India. With this aim, the institute has taken a new step to reach out for the people by using a radio-a universal mode of communication.

Broadcasting the talks of MGIMS faculty, Seva Bhaav offers listeners an opportunity to engage with doctors from different specialties who can create health awareness in the community, separate myths from truth and help people understand what it takes to stay healthy. Also, doctors from MGIMS talk on a variety of diseases and help people know how low-cost high quality medical care can be accessed for these disorders. Until now Dr UN Jajoo, Dr P Khairkar, Dr OP Gupta, Dr S Chhabra, Dr(Mrs) P Narang, Dr SP Kalantri, Dr BS Garg, Mr PV Bahulekar, Dr Abhishek Raut, Dr Chetana Maliye shared their views in this show.

DR PRJ GANGADHARAM ENDOWMENT AWARD CONFERRED ON DR N SELVAKUMAR

Dr N Selvakumar, Scientist G, Consultant Microbiologist , National Tuberculosis Institute, Bengaluru was bestowed with the prestigious fifteenth Dr PRJ Gangadharam Endowment Awards for the year 2014. The award is given for significant contribution toward the control of tuberculosis. Shri Dhirubhai Mehta, President, KHS conferred the award on him at a function organized at Mahatma Gandhi Institute of Medical Sciences, Sevagram in recognition of his untiring commitment and contribution in the field of tuberculosis. Dr N Selvakumar

delivered his award oration on “A journey through laboratory investigations in tuberculosis in three decades”. Dr (Mrs) P Narang (Chairman, Dr PRJ Gangadharam Award Committee), Dr BS Garg (Secretary), Dr KR Patond (Dean, MGIMS), Dr SP Kalantri, (Medical Superintendent, Kasturba Hospital) and Dr VS Deotale (Prof and Head, Dept of Microbiology and Organizing Secretary)were also present on the occasion.

DIAGNOSTIC-CUM-THERAPEUTIC HEALTH CAMP HELD AT MELGHAT

A diagnostic-cum-therapeutic Health Camp was organized at Utavali village in Melghat area of Amravati district in February 2015. 35 MGIMS doctors stayed there for two days and examined a little under 1900 patients. Surgeons, orthopedicians, paediatricians, gynaecologists, physicians, psychiatrists, pathologists, radiation oncologists, dermatologists and anaesthesiologists spent what they described days full of healthcare activity in the village-based community hospital! The MGIMS team, supported by laboratory technicians, and engineering department, ensured that no patient who attended the two-day long camp went out unsatisfied and uncared for. Patients came in drives. For, they live in setting where doctors are difficult to get by, labs do not exist, pharmacies seldom stock essential drugs and the pockets lack depth. All patients were quickly screened, assessed and those needing surgery were asked to return back a week later in the village itself. The healthcare camp - the fourth one since 2012- also taught an important lesson to the younger doctors. There is a widely prevalent myth that people in rural areas have small health problems which can be addressed by a minimally staffed and equipped health center. If the magnitude and severity of the diseases that the doctors saw over the two-day period was anything to go by, the vast unmet health needs of the tribals in Melghat deserve a well- equipped and a well-staffed hospital.

STUDENTS’ CORNER

ZION - Every Soul Awakened 2015Ever since the bricks of the cultural society were laid in 1969, the society has constantly been striving to raise the bar and the performances just keep getting better. Every year MGIMS students unleash their creativity to amuse, entertain and enthrall the audience by a breathtaking display of their raw talent. This year was no exception. The Students’ Council organized a series of cultural events christened ‘ZION-Every Soul Awakened’ on February 25 and 26, 2015. The zeal and enthusiasm of the students was palpable all through the events. Because this year was the birth centenary year of MGIMS founder director, Dr Sushila Nayar, the students chose women empowerment as one of the key themes for the cultural events - an issue dear to Dr Sushila Nayar's heart.

The day one of the cultural events began with the traditional lighting of the lamp by the President, Secretary, Dean and Medical Superintendent of the institute. A gala of mesmerizing dances, fashion shows, musical events followed - each event portraying the creativity of the students. Nirbhaya- Humme Maaf Karo Damini turned out to be a heart touching act and generated a standing ovation from the audience. The mime on Save Girl Child left the audience speechless.

Day two was no less exciting. The medical students pleasantly surprised the Dean by celebrating his birthday. Next, the college band presented Rhythm Extreme which evoked a spontaneous applause from the audience. The highlight of the evening was human beatboxing- the use of vocal organs to imitate percussion instruments. It was just six vocal percussionists and the mic – with no musical instrument, no excuses and loop buttons to hide behind. The performers found their own voice, developed their own style, experimented with their vocal techniques, emulated bass lines, imitated actual drum noises and invented new sounds that nobody had ever heard. The performance aptly named A Capella- A Homage to Dr Sushila Nayar (A Capella - Italian, music without instrumental accompaniment) drew a thunderous response from the connoisseurs. ZION also featured a Spanish dance which was based on the philosophy of positive thinking.

Zion transformed the traditional form of music into yet another piece of euphonious creativity named 'Sargam'. Teachers- forgetting their age, seniority and hierarchy- joined the students and the melodious tunes that filled the open auditorium struck just the right chord leaving the audience asking for more.

‘Directed efforts always yield fruits’ - so goes an aphorism. And if the mind boggling response to the collective efforts of the medical students was anything to go by, the Students’ Council seemed to have worked hard to achieve the objective.

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Excellence is a continuous process and not an accident. - Dr APJ Abdul Kalam

KASTURBA HOSPITAL GETS A+ GRADE FOR RAJIV GANDHI JEEVANDAYEE AROGYA YOJANA

On March 30, 2015, our hospital was awarded A+ grade in a six-monthly assessment carried out by the empanelment committee for the Rajiv Gandhi Jeevandayee Aarogya Yojana (RGJAY). The committee reviewed the self-assessment submitted by the hospital and cross-checked the information by applying National Accreditation Board for Hospitals and Healthcare Providers (NABH) Audit tool.

RGJAY is a public-private health insurance scheme, run in the 35 districts of Maharashtra, to meet the health expenditure of poor and underprivileged sections of society for identified diseases under 30 specialties—972 medical and surgical disorders and 131 procedures. The scheme is meant for below poverty line families—those with an annual family income below Rs 100,000. The major beneficiaries are patients with cancers, orthopedic and surgical problems, life-threatening illnesses requiring intensive care, and those presenting with accident-induced multiple injuries. The scheme, launched in our hospital in November 2013, provides coverage for meeting all expenses relating to hospitalization of beneficiary up to Rs. 150,000 per family per year in any of the empanelled hospital in Maharashtra. To assess the quality of healthcare in our hospital, the audit team used nine standards to measure us: human resources, facilities management, infection control, monitoring medication, patient medical records, standard operating protocols, quality in patient care, transparency in pricing and patient satisfaction indices.

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Anji is a small village located 22 km north-west of Sevagram. Since 1981, each winter, an entire batch of medical students stays at Anji for a fortnight to experience a unique education activity: the Reorientation of Medical Education (ROME) camp. Three decades ago, in 1984, the Department of Community Medicine established the Kasturba Rural Health Training Centre (KRHTC) there.Interns and medical officers posted at KRHTC provide curative, preventive and promotive health services to almost 35000 people living in 20 villages at the primary health centre. To do so, the centre has developed a strong partnership with the community, runs an Integrated Child Development Services Scheme and has joined hands with the local primary health centre. Under the Department of Community Medicine, this centre has evolved its own system of community-owned primary health care clinics called Kiran clinics. In 2014, close to 15000 patients were treated in nine Kiran clinics for both communicable and non-communicable ailments. In addition, 600 patients were able to access specialist care provided by consultants from Kasturba Hospital, Sevagram. Staff at KRHTC also screened 2500 students in school health surveys. A referral clinic to complement the Kiran clinics, clinics for the elderly and an adolescent-friendly health clinic are being planned in the offing. The residents and faculty of the Department of Community Medicine have published twenty papers based on the community-based research that they conducted at the Anji centre. Recognizing the importance of community participation, the centre has formed 55 Women’s Self-Help groups, 20 Kishori Panchayats, 12 Kisan Vikas Manch and nine Kiran Clinics. It also partnered with the village health nutrition and sanitation committee of the villages. In 2015, close to 26000 people from the field practice area were linked with the health insurance scheme of Kasturba Hospital—a proxy indicator of the partnership with the community and the extent of community mobilization. Village Health and Nutrition Day are celebrated to highlight the importance of immunization, antenatal and postnatal care.The ROME camp conducted at KRHTC Anji allows students an opportunity to interact with villagers, learn what makes them sick, and how they deal with sickness. Living in the same milieu as their patients makes students understand the social and economic factors that influence health and disease. Most of all, these camps sharpen clinical and communication skills of medical trainees that stand them in good stead when they practice medicine in resource-limited settings later in life. Besides undergraduate students from MGIMS, international exchange students also stay at Anji to have a grasp of India's health care system at the grass root level.However, as student numbers rose, it became increasingly difficult to house the trainees in the spartan accommodation. To resolve the space crunch, the institute has now added a dormitory complex at KRHTC Anji which can comfortably house 25 girls and boys each.On April 7, 2015, Dr BS Garg, Secretary, KHS and Dr AM Mehendale, Head of Community Medicine, invited Mr Dhirubhai Mehta (President, Kasturba Health Society) to inaugurate the new dormitory complex. When the entourage arrived in Anji along with Dean MGIMS, Dr KR Patond; Dr LV Zode (medical officer of the PHC) and Mr Jagdish Sancharia (Sarpanch of Anji) - Mr Dhirubhai Mehta surprised everyone by asking Niriti Choudhary, a young intern posted at the centre, to do the honours and cut the ribbon. With the roomier accommodation at KRHTC, we have no doubt that the undergraduates of MGIMS will have a more comfortable stay and carry back more enduring memories and anecdotes from their Anji camps.

MORE SPACIOUS DORMITORIES FOR STUDENT TRAINEES AT THE ANJI TRAINING CENTRE

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Be more dedicated to making solid achievements than in running after swift but synthetic happiness. - Dr APJ Abdul Kalam

Dr Akash Bang, Associate Professor, Dept of Pediatrics has been elected to the National Executive Board of IAP's group on ‘‘research in child health’’ for 2015 to represent West zone (Maharashtra, Gujarat, Goa).

Dr Dhiraj Bhandari, Assistant Professor, Dept of Anaesthesia received Dr Vijayalaxmi Kamat award for his outstanding performance in Indian Diploma in Critical Care (IDCCM) examination. He received this award from Dr Rajesh Chawla (Chancellor) and Dr M Ramakrishnan (Vice Chancellor) at the convocation ceremony of the Indian College of Critical Care Medicine at Bengaluru.

Dr Nitin Jagdhane, Assistant Professor, Dept of Neurosurgery received a special award for his paper presentation titled ‘‘Neurosurgery in rural practice - a young neurosurgeon’s perspective’’ at the State level Maharashtra Chapter of Neurological Surgeons Conference at Kolhapur.

nd rd Anirudh Iyengar and Girisha Rao, students of batch 2014 secured 2 position in 3 TR Patil intercollegiate

Vidarbha level Anatomy quiz held at GMC Nagpur.

Shiv Joshi, Rajlaxmi Menghal, Manish Kashyap and Poshika Agrawal from 2011 batch bagged the first prize at nda National UG PG Convention – ‘Quantum 2015’ held at Datta Meghe Institute of Medical Sciences, Sawangi on 22

February 2015. The theme for the event was ‘Medical Innovations’ under which the team presented a scientific model titled – ‘Hope to cure paraplegia’ which showed epidural spinal stimulation as the medical innovation.

AWARDS, ACCOLADES AND OUR CONGRATULATIONS

ACADEMIC UPDATESCME and Workshop on Mechanical Ventilation organized by Dept of Anaesthesiology

Mechanical ventilation is a key component of modern intensive care. However understanding the technicalities of mechanical ventilation can appear formidable to even clinicians. The rapidly evolving science of respiratory medicine makes it even more difficult to keep up with the latest trends in this area.

On April 4 2015, Dr R Senthil Kumar, Director and Senior Consultant, Department of Critical Care, Apollo Hospitals, Chennai and Ms Richa Agnihotri, Respiratory therapist, Manipal unraveled the approaches to use mechanical ventilators for supporting or replacing the functions of a human lung to a group of residents and faculty. The occasion was a day-long CME and workshop conducted by the Department of Anaesthesiology.

The CME began with the basics: Dr Dhiraj Bhandari introduced the basic concepts of mechanical ventilation and Dr Vijay Sharma explained how to start a patient on mechanical ventilation. “It is no longer considered as a death box,” the audience was told, “but an important device to save patients’ lives.”

Dr Senthil Kumar, the main resource faculty for the CME-Workshop, then proceeded to showcase how there was more to mechanical ventilators than meets the eye. He taught participants how to read a monitor, how to interpret graphs and how to make sense of waveforms. The audience learnt how to infer the scalars and loops, and how to pick up early clues from the graphs to detect patient-ventilator asynchrony. He also explained the principles of Non-invasive Ventilation (NIV) - a ventilation modality that supports breathing without the need for intubation or surgical airway. Non-invasive ventilation, he said, is a popular method of adult respiratory management in both the emergency department and the intensive care unit, and has gained increasing support in the care of pediatric patients. Besides avoiding the adverse effects of invasive ventilation, non-invasive ventilation has the added advantage of patient comfort, Dr Senthil Kumar said.

Ms Richa Agnihotri explained the principles of closed-loop ventilation modes that automatically adjust ventilation settings according to the physiological input. Closed-loop ventilation modes, she said, make it possible to select individualized ventilation. She listed the advantages- reduced workload, better patient-ventilator synchrony, and quick weaning. The audience found these concepts novel and appealing.

The “Sushruta Award” is given to the best scientific research work carried out by the postgraduate students of our Institute. The final presentation round for this award was organized by the Academy of Medical Sciences in the month of March'15. Dr Abhay Deshmukh from the Dept of Pathology bagged this award in Pre-Para Clinical Section and Dr Atul Singh Rajput from Department of Medicine won this award this year in clinical section. The Academy of Basic Medical Sciences also conducted the final presentation by students of 2014 batch. Among the six qualifying contestants Ms PP Savithri Devi won the first prize for her presentation on “Pain Physiology”

NEWS FROM THE MGIMS ACADEMY OF MEDICAL SCIENCES

MGIMS BulletinPage 6

The Editorial Board solicits contributions from all readers in the form of news and views for the Bulletin. Please send them to khssgm@rediffmail.com.

Editor Dr Sachin Pawar

Co-Editor Dr Siddharth Rao

Editorial Board

Dr BS GargDr KR PatondDr SP Kalantri

Dr Satish KumarDr Anshu

Mrs Shaily Jain-KalantriMr Harish JoshiMr Hardik More

Published by Dr B S GargSecretary

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OBITUARY

Dr GM Taori—Neurologist, teacher, researcher, public health activist thand philanthropist—died on 18 June,15 at 4 am in the CIIMS hospital,

Nagpur—the very hospital he had conceived, designed and ran for over three decades. He was 83.

Dr G M Taori, known for introducing neurology as a branch of medicine to Central India in 1984, is credited with many firsts. Coming from a

farming family, he rose to become the first neurologist of Nagpur and region with an FRCP from Canada in 1966. This was an unparalleled achievement at the time. His bigger achievement to follow- years later he established the Central India Institute of Medical Sciences (CIIMS) as the first ever hospital and research institute in Nagpur.

stBorn 1 June 1932 in Paradsinga village near Saunsar (MP) in the family of a freedom fighters and Gandhians, Dr Taori was schooled in Swavlambi Vidyalaya and Navbharat Vidyalaya, Wardha. He inherited his principles and values from his father. While doing post graduation in medicine from Government Medical College and Hospital, Nagpur he discovered his calling— neurology. In an era remarkably free of CT scans and MRI machines, diagnosing neurological disorders was a challenging task. And as one, who always loved to take up new challenges, he decided to train in neurology at CMC, Vellore (1962 to 1973). He also spent four years at Montreal from 1964 to 1966.

In early seventies, he lost his eldest brother, prematurely and suddenly and had to come back to Nagpur. He tried for a full-time teaching job in GMCH, Indira Gandhi Government Medical College, Mission Hospitals and the then Nagpur Nagarik Sahakari Rugnalaya, but no one was ready to take up the development of neurology. A visiting professor at MGIMS from 1973-76, he decided to start his own neurology institute in 1973 and succeeded in launching CIIMS in 1984. He started Gopalkrishna Taori Charitable Trust in his brother's name, organized religious programmes to generate funds and developed state-of-the-art 125-bed neurological institute and a research lab. He made sure that all earnings of the hospital went back into the development of the hospital.

Although he was ailing for some time— he had undergone a CABG decade ago and chose to spend the last four months of his life in his hospital fighting a severe congestive heart failure and undergoing continuous ambulatory peritoneal dialysis— he considered teaching and research as his highest priority. His love for research is legendary— on June 7, 2015, from his hospital bed, he gave a detailed interview to the Times of India lamenting at the lack of ethics in healthcare and deterioration in research and teaching standards in the medical schools.

Dr GM Taori has left behind his wife, son (Pranay, MGIMS alumnus 1986 batch and an oncologist), and daughter (Preeti, MGIMS alumnus, 1988 batch and an administrator at CIIMS). He was also the member of Kasturba Health Society for nearly two and half decades. May his soul rest in eternal peace!

Dr. K.K. Guliani, Ex- Professor and Head, Department of Community Medicine(1983-th1991) passed away on 13 March, 2015. His sudden demise is a great loss to all. We deeply

mourn his death. May his soul rest in peace!

stShri Gautam Gawai, attendant, CSSD, passed away on 31 May 2015. May the Lord bestow his family the strength to bear his loss and may his soul rest in peace!