Page 1

Inside

CASE STUDY: SEMS in Inoperable Esophageal Carcinoma Page 3

Are there alternatives to preservation of tissue specimens in formalin?

In this edition’s ‘ Reflections’, we explore Acupuncture, a traditional medicine that may yet have mordern uses

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OFFICIAL NEWSLETTER FROM MGMCRI, SSSMCRI, IGIDS

and

KG N C

VOLUME 3 ISSUE 2 APR-JUN2009

DEVELOPMENTS First Examinations

Sri Balaji Vidyapeeth

University News

F

ollowing the declaration of this Institute as Deemed University (Sri Balaji Vidyapeeth), Postgraduate courses were started in various clinical disciplines with effect from the Academic year 2008-09. Postgraduate seats in certain clinical departments viz. General Medicine, General Surgery, Obstetrics & Gynecology, Orthopedics and Radiology were increased from the Academic year 2009-10 onwards and new courses in Non-clinical departments, viz. Anatomy, Biochemistry, Community Medicine, Microbiology and Physiology have been introduced from the Academic year 2009-10. It is proposed to start post-doctoral degree courses in Neurology, Neurosurgery, Cardiology, Cardio-Thoracic Surgery, Urology, Pediatric Surgery and Surgical Gastroenterology. The Board of Studies constituted by the Deemed University for different subjects, convened their meetings in the respective departments for framing of regulations, syllabi, and curricula in respect of Undergraduate courses and finalized the same. Formulation of the curricula for Postgraduate courses are in progress. Heads of the Departments are working towards starting of new courses.

he first university examinations T by the Deemed University, Sri Balaji Vidyapeeth, for the First year MBBS students of MGMCRI were conducted successfully and results published.

University Grants Commission (UGC) inspected both Kasturba Gandhi Nursing college and Indira Gandhi Institute of Dental Sciences at MGMCRI campus for awarding deemed status and to bring these two colleges also under the ambit of Sri Balaji Vidyapeeth University. Approval for commencement of M.Sc(Nursing), in addition to B.Sc Nursing course in the five disciplines, viz., Medical & Surgical Nursing, Mental Health Nursing, Community Health Nursing, Obstetric and Gynaecologic Nursing and Child health Nursing, was received and the admissions are underway for the academic year 2009-10.


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MAHATMA GANDHI MEDICAL COLLEGE & RESEARCH INSTITUTE

Tertiary care services R E P ORT ON MASTER H E A LT H C HECK-UP UNIT

T

he Master Health check-up unit (MHCU) has successfully entered into its third year of service, since its inception in March 2007. A steady increase has been observed during this period , with regard to the number of individuals who have undergone these tests, as also the public and private sectors who have empanelled with MGMCRI.

Vol 3, Issue 2, Apr-Jun 2009

During the quarter, April -- June 2009, MHCU had examined a total of 444 cases, with a a peak of 183 cases in the month of April. During this quarter, Pondicherry University, Kalapet, Puducherry has entered into a healthcare agreement with MGMCRI and 124 staff from the Pondicherry University, underwent the check-up. Employees and their spouses from the private sector companies, FOSECO India Ltd, PIPDIC Industrial Estate, Mettupalayam, Puducherry were the beneficiaries at the comprehensive health check-up facility. Additional tests including Prostate Specific Antigen (PSA) test for detecting cancer and Mammogram have also been included. Asian Paints, SIPCOT, Cuddalore is another company that has arranged for the check – up of its employees.

Cy to g e n etics Karyotyping has become an important diagnostic tool that enables clinicians to identify the chromosomal MGMCRI SSSMCRI IGIDS KGNC

disorders. The use of tissues and cord blood cells obtained from aborted fetuses, in karyotyping has opened newer vistas, with regard to the understanding of the genetic factors responsible for causing repeated spontaneous abortions. Down’s Syndrome (Trisomy 21) ,Turner’s Syndrome (Monosomy 45XO), Turner’s Mosaic Syndrome (46XX / 45 XO), Edward’s Syndrome (Trisomy 18) are some of the chromosomal disorders that have thus been identified. The Centr al Research L abor atory, in the first half of 2009 has karyotyped 31 cases. Other findings include complex congenital anomalies such as chromosomal breaks (Blepharophimosis syndrome), acrocentric associations indicating DNA damage (Rubella syndrome), Breakage syndrome & Structural aberrations (Fanconi’s anemia). The karyotype of four mentally retarded children referred from the department of Pediatrics revealed fragmentations, minute breaks and gaps.

Ac creditation MGMCRI is well on its way to acquiring the accreditation of its hospital and laboratories, by the National Accreditation Board for Hospitals and Health Care Providers (NABH) and the National Accreditation Board for Testing and Calibration Laboratories (NABL) respectively. Towards this direction, identification of gaps and a comprehensive gap analysis have already been completed. Gap rectification/ remedial measures are underway in all earnest and that pertaining to all the chapters, standards and objective elements. It is hoped that the institute would be fully 2

geared up for the process of accreditation by December 2009.

D rug Informat i on Services This service was inaugurated on 26-06-2009 at the Department of Pharmacology. The objective is to provide information on any drug(s) the clinician is interested in. Pertinent queries may reach the department through: 1. Exclusive Phi-Sci drop boxes fixed in the Hospital (at Cafetaria) and College (Ground Floor) Blocks. Envelopes may also reach the Office, Department of Pharmacology directly or by 2. E-mail : echo@pharmacolog.in The immediate objective would be to provide solutions within 48 hours of receipt of the query. The faculty hope that over a period of time and with an augmented infrastructure and optimal manpower, the turnaround time would be reduced to within an hour. Interesting queries would be published in Phi-Sci wall journal. Reporting of Adverse Drug Reactions (ADR) Any medical personnel of the medical college hospital or dental hospital, including students can report an adverse drug reaction (ADR) incident to the Department of Pharmacology. These reports would be suitably analyzed and sent to the regulators (Drug Controller General of India) or to the regional pharmacovigilance center. The results of ADR analysis would be published periodically in the Phi-Sci wall journal.


2009

MGMCRI SSSMCRI IGIDS KGNC

CASE REPORT Self-Expanding Metallic Stent in Inoperable Esophageal Carcinoma

These distressing problems led him to seek attention at MGMCRI, where in the Department of Surgical Gastroenterology, he was comprehensively evaluated, with a Barium swallow, upper GI endoscopy and CT scan of the chest. These investigations revealed an esophageal carcinoma (cancer of the food pipe) in the middle third. Furthermore, this tumor had grown and invaded the lungs and lymph nodes. The involvement of lung produced a fistula (a communication between the tumor and the

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lung). This was the cause of his annoying cough. This, unfortunately for him, signified that the disease was advanced and beyond cure. Surgical resection was contraindicated. The only concern now was relief of dysphagia, its accompanying cough and to curb further spread by chemoradiation (palliation). A Self-Expanding Metallic Stent (SEMS)[Ultraflex, Boston Scientific, USA], was placed in the area of the tumor, to keep the lumen patent and close the fistula. It would also facilitate further chemotherapy and radiotherapy. SEMS

It was deployed under endoscopic guidance. The delivery system (with the stent mounted over it) was railroaded over a guidewire, and the stent released at a pre-determined site to encompass the entire length of the tumor as well as a short distance above and below the tumor. As soon as the stent is released, it starts expanding to a preset calibre, enlarging the esophageal lumen and sealing off the fistula, thus effectively relieving dysphagia and cough. This is the first time in this institute, that such a procedure has been undertaken and it marks the entry of MGMCRI into the realm of minimally invasive palliative care.

is a knitted meshwork ,

shaped like a cylindrical tube

Nickel-Titanium Memory Alloy ’ with a

consisting of

‘Shape

polyurethane cover over it to prevent tumor ingrowth .

Above: Cross sectional CT view of the Chest. The arrow shows the markedly reduced esophageal lumen. Arrowhead marks the cavity in the lung with air-fluid level

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Contrast Study of the Esophagus before (1) and after (2) stenting 5 Sri Balaji Educational & Charitable Public Trust

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Above: Endoscopic view of the Stent in situ 2009

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reathing and eating are the very essentials of life, as everyone would agree unanimously. Now, imagine if you were not able to do either properly ! This was the fate of Mr. S, a 62 year old gentleman, whose recent inability to swallow water as well as food was worrisome. A rather nasty cough, which came up with each swallow compounded the symptoms.

Department of Surgical G astroenterology

Apr-Jun, Vol 3 |ssue 2


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IN PURSUIT OF PROFESSIONAL EXCELLENCE O r at i on s

D

r. Ravishankar M, Professor and Head of Anesthesiology, delivered the Annual Alumni Oration at JIPMER Scientific Society, JIPMER, Puducherry on 03-04-2009. The Oration was delivered on the topic “Towards improving safety in anesthetic practice” in which he stressed on the importance of developing ‘Nontechnical skills’ for improving patient safety in the operation theatre.

Shanthi Ananthakrishnan and Gunasekaran D. Etiology and risk factors for early onset neonatal sepsis. Indian Journal of Medical Microbiology 2009; 27; 279. Srirangaraj S, Venkatesha D. Circulating phage type of Vibrio cholerae in Mysore. Indian Journal of Medical Microbiology 2009; 27 (2) : 166- 75. Selvasundari S, Ashok Kumar M, Srikanth, John, Srikanth K MS, Shruthy K. Angioid streaks in pseudoxanthoma elasticum – a case report. Tamil Nadu Journal of Ophthalmology. 2009; 46(4): 57 – 58.

S cientific presentations

Vol 3, Issue 2, Apr-Jun 2009

Prof. Mothilal S N, Professor and Head, Department of Orthopaedics delivered the Sixth Dr. Rajagopal S endowment lecture at the department of Orthopedics, Madras Medical College, Chennai, Tamil Nadu on 06-06-2009. The lecture was on “Surgical Management of Poliomyelitis” .

S c i e n t i f i c publications Anand Lingeswaran, Vinayak Vijayakumar, John Dinesh. ‘Entomophagy and Coprophagy in Undifferentiated Schizophrenia (Case report)’. Indian Journal of Psychological Medicine. 2009; 31(1): 52-53. Sharbari Basu, Uma Rani P and Srinivasan A R. Association of creatine Kinase (MB) and Troponin (I) with electrocardiographic changes, in acute myocardial infarction. Biomedical Research. 2009; 20(2): 84-86.

MGMCRI SSSMCRI IGIDS KGNC

Dr. Pajanivel R, Associate Professor, Department of Pulmonary Medicine gave a talk on “Spirometry in practice”, for the General Practitioners of Puducherry region on 24-05-2009 at Puducherry. It was followed by a live demonstration of spirometry. Dr. Anand Lingeswaran, Assistant Professor, Department of Psychiatry, delivered a guest lecture on “Role of students in Suicide Prevention” for the benefit of the students of the Department of Sociology, Tagore Arts College, Lawspet, Puducherry, on 16-042009. The lecture was followed by an interactive session, with the students and faculty.

O ff iciation as resource personnel Dr. Ananthakrishnan N, Professor of Surgery and Coordinator of Postgraduate studies attended the NIH, USA /ICMR sponsored “Centrally Coordinated Bioethics Education for India” project at Shillong, Meghalaya from 15-06-2009 to 17-062009 as an invited expert for evaluation 4

of project work of trainees. Projects of over 50 participants were critically analyzed and approved and certificates of completion issued to these participants by the Secretary, Department of Health, Government of India and the Director General of ICMR. Dr. Narasimhan R, Professor Emeritus of Pathology was a guest resource person for the workshop on “Training of Trainers on Educational Technology” held at Pondicherry Institute of Medical Sciences, Puducherry from 22-06-2009 to 25-06-2009.

O fficiation as c ha i rperson in Acade m i c / S cientific Even ts Prof. Surendra Menon K, Head, Department of Pulmonary Medicine chaired two sessions on “Bronchiectasis and Pulmonary Hypertension” and “Food habits in Asthma” at RESPICON-2009, a state level meet organized by the Association of Chest Physicians of Kerala, on 23-05-2009 and 24-05-2009 at Coimbatore, Tamil Nadu.

Participation i n Academic/ S cie n t i f i c Events Prof. Surendra Menon K, Head and Dr. Pajanivel R, Associate Professor, Department of Pulmonary Medicine attended the Zonal level workshop on “Pulmonary Hypertension”, held under the auspices of the American College of Chest Physicians (West India Chapter), on 20-06-2009, at Chennai, Tamil Nadu. The faculty and the postgraduate students from the Department of Pharmacology attended a “Workshop on Phase 1 Clinical trials”, organized by Drug Information Association (DIA) on 09-06-2009 at Tamil Nadu AIDS Control Society, Chennai.


2009

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Mi s c e l l a n y Dr. Narasimhan R, Professor emeritus, Department of Pathology conducted the surveillance audit of Apollo hospital diagnostic laboratory (Chennai) and Sundaram Medical Foundation (Chennai) for NABL (National Accreditation Board for Testing and Calibration Laboratories). Dr. Shiva Murthy N, Associate Professor of Pharmacology has been included in the Advisory Board of The online Journal “Clinical Trial Magnifier” published by the Clinical Trial Center University of Hong Kong, Hong Kong. Dr. Pajanivel R, Associate Professor and RNTCP Coordinator, participated in the State Task Force meet on RNTCP, held on 12-06-2009 at the office of the Directorate of Health Services, Puducherry. The meet was held to discuss the role of Medical colleges in the effective implementation of RNTCP.

Se m i na r H a l l The Department of General Surgery and Obstetrics & Gynecology have recently acceded two fully air-conditioned lecture halls, endowed with the state-of-the-art audio visual facilities. These halls would primarily cater to the academic needs of the postgraduate students, besides providing a venue for seminars and clinical discussions.

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panel discussion on Glaucoma was held on 30-04-2009, at the department of Ophthalmology. Dr. Velayutham, Professor of Ophthalmology, Chettinad Medical College, Chennai and Dr. Renuka Srinivasan, Professor of Ophthalmology, JIPMER were the coordinators. The discussion threw light on this important topic of contemporary interest and was widely appreciated. The final year post-graduate students particularly benefited from this academic program.

of Postgraduate studies, in collaboration with the department of Pharmacology and Medical Education Unit, MGMCRI. The topics covered included Introduction to concept of essential medicines, Factors influencing the essential drug list at various levels of health care and Introduction to factors influencing choice of drugs for prescribing. The workshop format was adopted in each session beginning with an introduction by a resource person followed by group tasks to get the Postgraduate students actively involved.

Workshop for Postgraduate students on C oncep t of ‘E ssential D rugs’

In addition to the faculty of the Pharmacology Department of MGMCRI and Dr. Ananthakrishnan N, there were two visiting faculty members, Dr. Balakrishnan, Prof. of Pharmacology, PIMS, Puducherry and Dr. Ratinder Kaur, Associate Professor of Pharmacology, PKMC, Puducherry.

A Workshop on “Concept of Essential Medicines and Factors influencing choice of drugs in specific situations” for the postgraduate students was organized on 21-04-2009 and 22-042009, in the institute premises. It was coordinated by Dr. N. Ananthakrishnan, Professor of Surgery and Coordinator

The sessions were attended by 44 and 35 postgraduate students on the first and second days respectively. The feedback was encouraging; over 90% of the participants found the program ‘helpful’ or ‘very helpful’ demonstrating their enthusiams for workshop mode of teaching.

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2009

Dr. Srinivasan A R, Associate Professor of Biochemistry presented a series of talks in Tamil on Biochemical analysis of Blood and its constituents with reference to diagnosis and prognosis. The talks were broadcast on five successive days (01-06-2009 to 05-06-2009) by All India Radio, Pondicherry (Prasar Bharathi Corporation of India).

ACADEMIC EVENTS

Apr-Jun, Vol 3 |ssue 2


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SCHOLARS IN THE MAKING

P G st u de n ts’ news

Vol 3, Issue 2, Apr-Jun 2009

»» RESPICON-2009, a state level meet organized by the Association of Chest Physicians of Kerala was attended by the PG students from the department of Pulmonary Medicine - Dr. Jijo Oommen Roy, Dr. Jerryl Maclean, Dr. Ramanathan R, and Dr. Jawad Ali, on 23-05-2009 and 24-05-2009, at Coimbatore, Tamilnadu. »» Dr. Harish M, Post Graduate student, Department of Pulmonary medicine, attended an oration by Dr. Pajanivel R. on “Spirometry in Practice”, held at Puducherry, on 24-05-2009. It was primarily organized for the benefit of the consultants in General Medicine, of Puducherry. »» A zonal level workshop on “Pulmonary Hypertension”, was held on 20-06-2009, under the auspices of ACCP (West India Chapter), at Chennai, Tamilnadu. This was attended by the PG students of Pulmonary Medicine viz Dr. Jawad Ali, Dr. Harish M and Dr. Sidharth S Ajay.

MGMCRI SSSMCRI IGIDS KGNC

Dr. Ananthalakshmi V and Dr. Geethanjali Gupta attended the “National CME in Pathology” at Jawaharlal Nehru Medical College, Belgaum, Karnataka between 03-06-2009 and 06-06-2009. »» Dr. Geethanjali Gupta, Dr. Ananthalakshmi V and Dr. Shameema S attended a CME on Hematology at Madras Medical College, Chennai, on 04-06-2009.

UG students’ News »» Dr. Saravana Kumar R, Junior Resident, secured the first prize in the Regional Dissertation competition conducted by the Department of Anatomy, Kirupananda Variyar Medical College, Hospital, Salem. He was awarded a certificate of appreciation and a cash award for the same. He was ably guided by Prof. Sudha Rao, Head, Department of Anatomy, MGMCRI. The dissertation was titled “Surgical spaces of Head and Neck”.

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»» Ms. Arthi M and Ms Anusha B, students of II MBBS, have been selected for the award of Short term studentship (STS) for the year 2009, instituted by the Indian Council of Medical Research, New Delhi. Ms Arthi would carry out research on the project tittled “Efficacy of DeRitis ratio in the diagnosis of liver diseases in patients attending MGMCRI clinics”. Her guide is Dr. Srinivasan A R, Associate Professor of Biochemistry. Ms Anusha will be working on the project titled, “Retention of CPR skills in interns at 2 months after beginning” under the guidance of Dr. Hemanth Kumar VR, Asst. Prof. of Anesthesiology.

C ampaigns The Red Ribbon Club of the Institute organized a quiz competition on the topic “AIDS and blood transfusion” on 14-05-2009 for the students of MGMCRI, KGNC and IGIDS. The team from the 9th semester MBBS, comprising of Ilavarasi V, Eeshwar MV and Ram D, emerged as the winners.


2009

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An Innovative Method of Teaching Pathology

The technique of plastination was identified and developed by Sir Gunther Van Hagens, a German anesthetist in the

An

excellent and viable

alternative to the use of formalin for preservation of tissue specimen is plastination .

year 1977. Replacement of water and fat around the cells by polymers forms the basis of this procedure. Dr. Pradeep Kumar N, Assistant Professor, Department of Pathology, MGMCRI, undertook plastination to preserve various pathological specimens. Plastinized models of cirrhosis of the liver, congested spleen, hydronephrotic kidney and fetus with multiple

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congenital anomalies have been created. When a survey was undertaken to compare the two, the majority of the students felt that plastinized models were better than mounted specimens and suggested teaching gross pathology with the aid of the former. The three dimensional characteristics could be appreciated better with the plastinized models. Moreover these are non toxic and could be handled easily. The department is hopeful that, in future, with more of plastinized models, the museum would attain a unique status among all the other medical colleges of the country. 2009

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comprehensive study of Pathology demands a well maintained library with quality textbooks, peer reviewed journals, and a well organized and adequately equipped museum and quality microscopes. The use of formalin or Kiserling’s solution has long been in vogue for the preservation of specimens in the museum. The use of formalin has inherent demeritsmainly allergy. Further, the fear of breaking glass is an additional factor which prevents the students from perceiving a three dimensional view of the specimens.

Apr-Jun, Vol 3 |ssue 2


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OUTREACH SERVICES Health Camps

Vol 3, Issue 2, Apr-Jun 2009

Community based Health Services are an integral component of MGMCRI’s initiative towards a healthy and productive lifestyle of the people in and around Puducherry. In order to create a positive impact and health awareness among rural people, a team of dedicated doctors from the Departments of General Surgery, Otorhinolaryngology, Ophthalmology in association with Community Medicine, conducted eight specialty camps in Cuddalore district, in the second quarter of 2009. Three camps were organized by the Department of General Surgery at Tiruchopuram, Devanampattinam and Andikuzhi. Primary care was provided to the needy patients. The Department of Ophthalmology conducted three camps exclusively for the rural people of North Chinoor, Ayyampettai and Kayalpattu to check for any eye infection, disease or defective vision. The Department of Otorhinolaryngology organized two camps, at Rosapettai and Utchimedu for screening and preliminary treatment of diseases of ear, nose and throat. General procedures like injection, cleaning and dressing were also done at these specialty camps. Patients in need of tertiary care were advised to attend the out-patient division at MGMCRI for further treatment.

Awa re n e s s P ro gram A health awareness camp was conducted by the Department of Psychiatry in collaboration with the Department of Community Medicine, at Nanjilingampet, near Parangipettai, Cuddalore district Tamil Nadu on 24-04-2009. This area was one of the worst affected by Tsunami and floods during 2004 and 2005. A lecture on mental health was given at the camp, to promote mental health awareness in the community. MGMCRI SSSMCRI IGIDS KGNC

The event included a special discussion on awareness about post-traumatic disorder after natural disasters such as tsunami, earthquake, and exposure to violence. Post Traumatic Stress Syndrome (PTSS) plays an important role in the aftermath of any trauma. Counseling was given regarding maintaining mental stability. The importance of rehabilitative treatment was highlighted to the people. Health education sessions were also conducted by the Medical Social Worker, Health Educator and Physiotherapist. They kindled the minds of the listeners all about personal hygiene, environmental sanitation and physiotherapy awareness. A good and healthy response was solicited . An awareness program titled “Parent-Child Issues” was organized by the Department of Psychiatry for the benefit of the employees of Integra Software, Lawspet Main Road, Puducherry, on 20-05-2009. Mr. Balasubramanian P, Tutor, Department of Psychiatry elucidated issues pertaining to healthy and unhealthy psychosocial development of children. Importance was given to 8

parents whose office stress allows little time for their children, who then indulge in deviant behavior. The issues which arise out of it and the ways of tackling it were discussed and the employees were helped to follow certain guidelines to pay more attention towards their families.

Medical S creen i n g P ro gram PRO GR A M In association with Indian Council for Child Welfare, Tamil Nadu, a Medical screening program was organized by the Department of Pediatrics, for the children of Tsunami affected families, in the second week of May 2009 at the Pediatrics Department, MGMCRI. All the 195 children who attended the camp, were screened for anemia, vitamin deficiencies, malnutrition, skin diseases and organ diseases like heart disease. Appropriate investigation and necessary treatment was initiated on site. Four children diagnosed with cardiac disease were directed to the Department of Cardiology, MGMCRI for further management. Adolescent girls


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were interviewed about their menstrual problems and other related ailments. All their queries were answered with necessary counseling. Overall, stress was laid on feminine hygiene, balanced diet and ways to reduce anemia.

Ac t i v i t i e s of the He a lt h C e n t res Urban Health Center

Public awareness talk on “Prevention of Diarrhea” and “Personal Hygiene and Sanitation” was given by the Medical Social Worker in Arunthathipuram, Ariyankuppam commune, Pondicherry on the 09-04-2009 and 22-04-2009. The talk highlighted the fact that communicable diseases can be prevented by proper sanitation and personal hygiene. Health talk by the medical officer regarding the “Importance of Safe Drinking Water” was arranged for the OPD patients and their relatives on 20-04-2009. The audience were shocked to realize that many of the packed drinking water cans were filled with unsafe water. People were thus advised to use safe boiled drinking water to prevent water-borne diseases. On the 26-062009 an awareness talk on TB and AIDS was organized in the premises.

Rural Health Center

A health talk on “Prevention of Anemia” was organized for children, adolescents girls, and lactating mothers in the Balwadi at Seliamedu, Bahoor commune, Puducherry on 04-04-2009. An awareness talk regarding “Summer season Diseases” was held at Aranganoor, Bahoor commune, Puducherry on 17-04-2009. The talk concentrated on measles and chickenpox and how they could be medically managed and cured instead of native treatment. On 06-05-2009, a health talk was given to antenatal and postnatal mothers regarding the “Importance of

Nutritional Diet” at Seliamedu Pet, Bahoor commune, Puducherry and on 21-05-2009, another health education talk was given for the benefit of public about “Personal Hygiene and Sanitation” at Aranganoor, Bahoor commune, Puducherry. Yet another Health talk regarding the “Importance and Uses of Vaccines” was given to the OPD patients on 5-06-2009 and a health talk to the Public on the “Importance of Regular Health Check–up’ was held at Aranganoor village, Bahoor commune, Puducherry on 23-06-2009.

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2009

One health talk was held in PCP Nagar, Ariyankuppam commune, Puducherry, regarding “Child Health Care” for the postnatal mothers on 19-05-2009. The take home message was, “Breast milk - best immunity provider to the child”. Two health education sessions were conducted in Gandhiji Nagar, Ariyankuppam commune, Pondicherry on 08-05-2009 and 19-06-2009 for the antenatal and postnatal mothers about the “Importance of Nutritious Diets” and “Importance of Immunization”, laying stress on the fact that immunization for the child is the need of the hour to save children from various deadly diseases and deformities. Apr-Jun, Vol 3 |ssue 2


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SPOTLIGHT The Department of Anesthesiology & Critical Care Anesthetists – Are

they service

providers or care givers ?

T

he department of Anesthesiology and Critical Care, MGMCRI provides safe anesthesia services for over 4000 surgeries annually, across various specialties. The department also operates a well equipped Intensive Care Unit (ICU), with modern facilities.

In c e p t i on & Grow th From its modest beginnings with just three operation theatres (OTs) and a four bedded ICU in 2001, to a department consisting of ten well equipped OTs, seven bedded multispecialty ICU and round the clock emergency services, it has taken a quantum leap in just eight years.

Vol 3, Issue 2, Apr-Jun 2009

Th e fac u lt y Prof. M. Ravishankar, an eminent anesthesiologist, able administrator and a strict task-master, who was honored by the “British Association of Indian Anaesthetists” in the year 2007, with the lifetime achievement award for “Advancement of Anesthesia in India”, heads the department. Quality assurance, safety and continued

MGMCRI SSSMCRI IGIDS KGNC

care of patients in the peri-operative period is his goal and obsession. He is ably supported by a team of ten dedicated, enthusiastic and well trained faculty members who share these ideals.

Effective pre-operative planning, efficient intra-operative implementation and pain-free post-operative care are the key to ‘Stress-free’ Surgery.

Many of the faculty members have special training in the fields of cardiac anesthesia, obstetric analgesia , pain & palliative care, emergency and critical care.

he operating rooms are equipped T with advanced Anesthesia workstations possessing “Anesthesia gas moni-

A nesthesia services The department runs the “ preanesthetic assessment clinic”, wherein the patient’s underlying disease processes and his/her risk for anesthesia are critically assessed. A plan for the anesthetic management of the patient is formulated and discussed with the patient. The patients are involved in the decision making process and are empowered to decide on their choice of anesthesia, post-operative pain relief and/or pain-free labor.

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tors” that continuously display the levels of the anesthetic gases in the blood. This helps in maintaining adequate anesthesia using extremely low quantities of anesthetic gases, minimizing the side-effects to the patients while protecting the environment. An array of airway management devices including “intubating fiberoptic laryngoscope” and “retromolar scope” are available.

The post-operative ward, well furnished with a range of multiparameter monitors, a selection of infusion pumps for pain control and fluid administration, specialized staff to detect the minutest of abnormalities, helps the patients in their fragile post-operative state on their road to recovery.


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C ri t i c a l C a re Services A seven bedded ICU, endowed with the state-of-the-art ventilators for respiratory support, invasive monitoring for hemodynamic support, bolster the department’s preparedness for successfully managing the most challenging of the cases.

Ac a de m i c Ac t i vities

and capable “peri-operative physicians”. The faculty members and PG students alike, attend national and regional conferences and workshops at regular intervals . Furthermore, the faculty are actively involved in research and have eight publications to their credit , in peer reviewed journals, in the last five years.

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The Fu ture The department envisions to expand further into a dedicated “Department of peri-operative medicine and pain relief”. Quality assurance and safety in the peri-operative period is its motto and cherished vision. 2009

The department has an annual intake of two students each in Masters degree (MD) and Diploma (DA) postgraduate programs. A well-structured training program, which provides equal importance for acquiring knowledge, clinical and technical skills, attitude and personality changes required for the specialty, is in place. The faculty are totally committed to training the residents in order that they become efficient

Apr-Jun, Vol 3 |ssue 2


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College Day Celebrations

H

L P E

E

AL ER

ORMANC RF

ES T O V EB

Fine Arts: Stallions 2005

T

SHIELD

STA L LIONS

Literary & Debate: Free Radicals Culturals: Mavericks 2006 M u s i c : Mavericks 2006 S p o r t s : Stallions 2005

Vol 3, Issue 2, Apr-Jun 2009

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s is the tradition at MGMCRI, the annual college festival, ‘Talentia’, was organized with due pomp and grandeur. It was held on 08-05-2009. Much before the final event, various inter-batch competitions were conducted in the college premises amid great enthusiasm and merriment. Students eagerly look forward to ‘Talentia’ every year, not only to showcase their talents but also for sheer enjoyment, to be but able to let their hair down for a few days! The Students’ Council set to work in earnest as soon as the dates for the events were finalised. The Fine Arts and Literary and Debate (L&D) competitions were held between 06-05-2009 and 08-05-2009. This year, the Fine Arts committee had organised a new event, called ‘Junk Art’ - where old and discarded material had to be used creatively to produce a work of art!. Students came up with innovative ideas and the result was a visual treat. The other events were Face painting, Sketching, Floral arrangement, Vegetable carving, Collage, Mehendi and Rangoli. MGMCRI SSSMCRI IGIDS KGNC

The L & D activities began with Debate - The Big Fight. A very lively and thought provoking battle of words ensued on the topic, ‘Youth: Are they to be welcomed or prohibited from entering into Politics?’ A new event called ‘Shipwreck’ was introduced this year: each participant was randomly assigned the name of a famous personality who was assumed to be aboard a ship about to be wrecked. The participant, now the famous personality had to plead as to why He or She should be given the last and only life jacket in preference to all others aboard the ship. The justifications were amusing and interesting. The other events were ‘Block & Tackle’, ‘Dumb Charade’, Quiz, Creative writing and Poetry writing. The music competition ‘Euphony’ held on 07-05-2009 had the audience swaying to a subtle blend of the haunting melodies of yesteryears and the contemporary ‘masala’ music. The other cultural events were Skit, Mime, Dance and Fashion-Show. The group dances were spectacular with colourful costumes and deft handling of

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props on stage. The Fashion Show was the grand finale and was undoubtedly the crowd puller. It was indeed a fresh change to see the students transformed into glamourous models and stride the ramp! Finally, it was time for the College Day Ceremony. It was held in the college premises on 08-05-2009. Mr. Ramanathan P R ias, former Chief Secretary, Puducherry Government was the Chief Guest of the evening. He appreciated the good show displayed by the students. The Dean, Prof. Gunasekaran D R delivered the Presidential address. The Medical Superintendent, Prof. Thyagarajan K R also spoke on the occasion. The Chief Guest gave away the prizes to all the winners of the individual events as well as the running trophies/Shields to the Batches scoring the highest points in Fine Arts, L&D activities, Culturals and Music. The Shield for the best overall performance was bagged by the organizing batch - The ‘Stallions’. A grand dinner organised for the students, faculty and guests was a gourmet’s delight that everybody enjoyed and the partying contined till the early hours... afterall, it was our College Day!


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MGMCRI SSSMCRI IGIDS KGNC

Free R adicals his year, the Post-graduate stuT dents and CRRIs of MGMCRI, formed a team(Free Radicals) and participated in the inter batch competitions held in association with the College Day celebrations.

The first prize in Debate was won by the team comprising of Dr. Jagan Mohan R and Dr. Rahul K K, from the Department of Pharmacology and the Department of Dermatology, Venereology and Leprology respectively. Dr. Rahul K K, Dr. Jijo Oomen Roy (Departmentof TBCD) and Dr. Velmurugan (CRRI) won the second prize in Quiz. Dr. Rahul K K won the second prize in the music competition for his soulstirring western solo performance.Dr. Rahul K K also won the second prize in Block and Tackle, Shipwreck and Creative writing.

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2009

The Free Radicals team won the Shield for Literary & Debate Apr-Jun, Vol 3 |ssue 2


5 Sri Balaji Educational & Charitable Public Trust

Vol 3, Issue 2, Apr-Jun 2009

Appointments Dr. Babu Chakkaravarthy

Dr. Noyal Mariya Joseph C

Assistant Professor of Cardiology (01.04.2009)

Assistant Professor of Microbiology (22.05.2009)

Dr. Siva P K

Dr. Rugmini K P

Assistant Professor of Medicine (07.04.2009)

Assistant Professor of OBGY (27.05.2009)

Dr. Shanthi Ananthakrishnan

Dr. Pandurangan R

Professor of Paediatrics (08.04.2009)

Professor of Ophthalmology (03.06.2009)

Dr. Murali C

Dr. Manikandan K

Assistant Professor of General Surgery (17.04.2009)

Assistant Professor of OBGY (16.06.2009)

Dr. Mukunthan N

Dr. Mugunthan S

Assitant Professor of Anatomy (20.04.2009)

Assistant Professor of Pediatrics (17.06.2009)

Dr. Pradeep Kumar N S

Dr. Satya Bhusan Nayak

Associate Professor of Pathology (21.04.2009)

Assistant Professor of Radiology (20.06.2009)

Dr. Reecha Singh

Dr. Mary M

Assistant Professor of Pathology (04.05.2009)

Chief CMO/RMO of Casualty (22.06.2009)

Dr. Valli R

Dr. Satyaprakash M V S

Assistant Professor of Otorhinolaryngology (05.05.2009)

Assistant Professor of Anesthesiology (24.06.2009)

Dr. Harikrishnan E

Dr. Padmalatha R

Assistant Professor of Paediatrics (06.05.2009)

Assistant Professor of Anesthesiology (29.06.2009)

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MGMCRI SSSMCRI IGIDS KGNC

REFLECTIONS Alternate Medicine Acupuncture

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cupuncture, among the oldest healing practices in the world, is a medical system that originated in China. According to traditional Chinese medicine(TCM), practices such as herbs, meditation, massage, and acupuncture seek to aid healing by restoring the yin-yang balance and the flow of qi.

medicine used, the reactive point disappears. Conventional doctors use this as diagnostic tools, whereas Acupuncturists use these points for treatment with needles.

Recent research has confirmed the existence of these famed points using electromagnetic imaging. Studies have confirmed that the points of needle insertion are rich in nerve endings and capillaries. One of the theories on how Despite considerable efforts to acupuncture works, is by release of Qi, in TCM, is the vital energy or understand the anatomy and WHO endorphins (endogenous opiates) life force that regulates a person’s spiri- physiology of the “acupuncfrom the brain when the points are tual, emotional, mental, and physical ture points”, the definition recommends stimulated leading to alleviation of health. It is influenced by the opposing and characterization of these acupuncture pain. Research has shown that acuyet complementary forces of yin and points remains controversial. yang. Yin represents cold, slow, or pas- Even more elusive is the basis for over 100 puncture is effective against certain specific ailments. WHO recomsive aspects of the person, while yang disorders of some of the key traditional mends acupuncture for over 100 represents hot, excited, or active aspects. oriental medical concepts such disorders, ranging from respiratory Health is achieved by maintaining the as the circulation of Qi, the meridian illness, disorders of the eye, mouth and body in a “balanced state”; disease is due system, and the five elements theory. stomach to orthopedic disorders and to an internal imbalance of They are difficult to reconcile neurological maladies. yin and yang. This imbalance Qi, is the vital with contemporary biomedileads to blockage in the flow energy or life force cal information but continue Ailments that are commonly treated of qi along pathways known to play an important role in include back pain, carpal tunnel synas meridians. The meridians that regulates a the evaluation of patients and drome, complex regional pain syndrome, connect the body in a web person’s spiritual , the formulation of treatment asthma, constipation, ulcers, headache, like interconnecting matrix. emotional , mental , in acupuncture. neuralgias, osteoarthritis, toothache and Qi can be unblocked by common cold. Acupuncture has proved The acupuncture techusing acupuncture at certain and physical health useful in treating addiction and appetite nique that has been most points on the body that consuppression. often studied scientifically involves nect with these meridians, to restore and penetrating the skin with thin, solid, However, this form of treatment is maintain health. There are 14 primary not without risks. Certain points should meridians and at least 2,000 acupunc- metallic needles that are manipulated by the hands or by electrical stimulanot be stimulated in early pregnancy, ture points. tion. The size and type of needle used, since they could stimulate oxytocin and Acupuncture is based on the prin- and the depth of insertion, depend on ACTH production and lead to abortions. ciple that there is a nervous system con- the acupuncture style being practiced. Also there is a possibility of infection nection between the internal organs and One myth that people harbor about with the use of unsterilized needles. It is the points on the body’s surface. When acupuncture is that it is painful. But best to consult a certified acupuncturist an organ is diseased, a corresponding the acupuncture needles are much before opting for this alternative therapy. point on the body becomes tender, swol- thinner than hypodermic needles and len or discolored. When the ailment Prof. Ravishankar M are not hollow. Thus, the pain is mild is cured, regardless of the system of Head, Anesthesiology & Critical Care or often nonexistent. 5 Sri Balaji Educational & Charitable Public Trust

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MGMCRI

Apr-Jun, Vol 3 |ssue 2


5 Sri Balaji Educational & Charitable Public Trust

SRI SATHYA SAI MEDICAL COLLEGE & RESEARCH INSTITUTE

Faculty News P u b l i c at i ons

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r. Sembulingam K, Professor of Physiology, published a textbook titled “Essentials of Medical Physiology” which is widely accepted and followed by National and International Medical, Dental and Paramedical students. The fifth Edition of this book has been published during his tenure at this institute, in June, 2009.

Students’ News Seminar

Vol 3, Issue 2, Apr-Jun 2009

re-clinical departments of P SSSMCRI conducted seminar sessions for the I M.B.B.S (2008-2009 Dr. Prema Sembulingam, Professor of Physiology has co-authored the textbook .

batch) students in the Institute premises. These are conducted to explore the talents of the students and also to cultivate the habit of self-study by the students. Three seminar sessions were conducted

O f f i c iat i on as C hairpe r s on i n Academic Ev e n t

Interesting topics of clinical interest were given to the speakers. All the students were encouraged and motivated to participate in the seminar and about 25 students took part in the seminar sessions. At the end of the seminar session, the top three presentations were selected by the panel of judges, and were awarded special prizes and certificates. All the participants were given consolation prizes and certificates. The seminar was attended by the faculty of pre-clinical departments and the students.

Miscell any

Prof. Vasantha N Subbaiah, Dean, chaired a session on “Etiopathogenesis of and Micronutrients in male Infertility”. The symposium was organized by OGSSI in April 2009, at Chennai, Tamil Nadu.

MGMCRI SSSMCRI IGIDS KGNC

in the last quarter -two by the Department of Biochemistry and one by the Department of Physiology.

Prof. Vasantha N Subbaiah, Dean, has been chosen as the President-elect of Obstetrics and Gynecology Society of Southern India (OGSSI) - for the year 2009 – 2010.

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INDIRA GANDHI INSTITUTE OF DENTAL SCIENCES

Faculty News C ou r se s a n d Worksh op s at t e n de d

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r. Gandhimathi D, Reader and Dr. Grace Tara Paul, Senior Lecturer, in the Department of Periodontics, Dr. Senthil M, Senior Lecturer in the Department of Public Health Dentistry and Dr. Sakthi Devi S, tutor, Dr. Shyama Hijam, tutor, attended a Continuing Dental Education programme titled “Interdisciplinary Periodontics” conducted on 21-06-2009 by the Indian Dental Association [IDA], Puducherry Branch.

C om m u n i t y He alth Se rv i c e s The department of Public Health Dentistry conducted a screening camp and dental health education program at SOS childrens’ village, Pillaiyarkuppam on 27-05-2009. This village has 120 orphaned children, who are tsunami victims. The department has adopted this SOS childrens’ village for comprehensive dental health care at IGIDS. All the procedures for these children are provided free of cost at various departments of the dental college. These children attend the outpatient department every Saturday for comprehensive dental care. The program will continue till the need is met. from Anna statue and reached Mahatma Gandhi statue via. Anna salai, Nehru street and Mission street. Posters and pamphlets were distributed to the public to create awareness on tobacco related health hazards. Students carried tobacco placards on health education and raised slogans in the rally. The rally was well covered by the local media and press.

5 Sri Balaji Educational & Charitable Public Trust

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A pp ointments Dr. Shivasakthy M, MDS., Senior lecturer, Department of Prosthodontics (26.06.2009)

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The department of Public Health Dentistry organized a road rally to mark the “World No Tobacco Day” on 31-052009.The theme of the road rally was to emphasize on pictographic warning on tobacco products. About 150 students and 10 staff members of IGIDS participated in the rally. The rally started

Apr-Jun, Vol 3 |ssue 2


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KASTURBA GANDHI NURSING COLLEGE

Faculty Activities S c i e n t i f i c P ublications Lakshmi R, Rajeswari V. Emergency services. Pondicherry Journal of Nursing . 2009; 1(4): 21-25.

Scientific P re se n tat i ons

Vol 3, Issue 2, Apr-Jun 2009

Prof. Kamalam S, Principal, KGNC and Head of Community Health Nursing, presented papers on “Assessment and Utilization of Maternal, Child Health & Family Welfare Services Among Rural Women” and “Family Participation in Maternal & Child Health Services”, at the Tamilnadu State Chapter Conference, organized by the Society of Midwives India (S.O.M.I), at Indira College of Nursing, Thiruvallur, Tamilnadu , on 16-04-2009 and 17-04-2009. A regional conference on “Enriching Community Health Nursing Through Emerging Techniques”, was organized at the Mother Teresa Institute of Health Sciences, Puducherry, on 03.04.2009. Prof. Kamalam S, Principal, KGNC and Head of Community

MGMCRI SSSMCRI IGIDS KGNC

Health Nursing was a resource person at the conference and delivered a lecture on “Legal Issues in Community Health Nursing”. Ms.Priscilla Inbarathi R, Vice Principal, KGNC and Associate Professor, Department of Child Health Nursing, presented a paper on “Emerging Trends in Community Health Nursing”. Ms.Renuka K, Associate Professor, Department of Medical and Surgical Nursing, presented a paper on “Public Health Nursing Intervention Model”.

Participation in Academic / S cientific events Prof.Kamalam S, Principal, KGNC and Head of Community Health Nursing, participated in the “Workshop on E-Resources”, organized by the Ananda Rangapillai Library and College Development Council, Pondicherry University, Puducherry, on 27-06-2009.

C ampaigns and C ommemorations In commemoration of the World Tuberculosis Day, the 4th semester

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students of B.Sc (N) staged a role play titled ‘We must stop TB’ . The event was organized in the premises of Medical Records Department (MRD) and Male Medical Ward of MGMCRI, Puducherry.

R ed R ibb on C lu b ( R RC ) he B.Sc (N) students of KGNC, T participated in the Poster Competition hosted by the RRC, KGNC, on

06-04-2009. The topics encompassed “HIV / AIDS – Facts & Myths” and “HIV / AIDS – Citizens’ Responsibility”. Dr. Ambujam S, Professor and Head of Dermatology, Venereology & Leprology and Prof. Kamalam S, Principal , KGNC were the judges for the day. Mr. Sachin Antony and Ms. Biji John, 4th semester students of B.Sc (N), won the 1st and 2nd prizes respectively. The Red Ribbon Club members of KGNC organized a puppet show on “HIV / AIDS awareness” at the


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MGMCRI SSSMCRI IGIDS KGNC

special program was attended by a large audience that included Prof. Kamalam S, Principal, K G N C and Head of Community Health Nursing and Dr. Vasuki, Program co-ordinator, State NSS Cell, Puducherry.

Academic Events S cientific and Academic Forum The scientific and academic forum of KGNC, organized a guest lecture on 28-04-2009. Ms. Shyamala Anusha R, Clinical Instructor, Sabari College of Nursing, Puducherry, spoke on the topic, “Stem Cell Therapy”.

Primary Health Center, Kirumampakkam on 16-04-2009. The amusing (amazing) puppets vividly depicted the mode of transmission, prevention and social issues, thereby creating awareness among the general public.

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The NSS unit of KGNC, organized an exclusive Camping Program, as a part of its activities, for 7 days, at PCP Nagar, Ambedkar Nagar and Ariyankuppam. This was inaugurated at the Ariyankuppam Urban Health Centre of MGMCRI, by Dr. Rajan EM, Liaison Officer, State NSS Cell, Puducherry. Several educative programmes were conducted at PCP Nagar, Ariyankuppam. These programs were essentially based on the theme “Healthy Youth, Healthy India’’ and included survey on alcoholism & smoking, general health

screening, environmental sanitation, well baby clinic, cancer awareness and several other such events. Volunteers staged a role play and highlighted the non- communicable diseases caused by altered life-style behaviour besides the harmful effects of alcoholism & smoking. In addition, they conducted a health education program for mothers of under five children , on various aspects of Maternal and Child Health. All these programs were well received and widely appreciated .

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The valedictory function of this

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The following faculty members joined the KGNC fraternity during the first quarter of 2009. We extend a warm welcome to each one of them. Ms. Thiruveni R, B.Sc (N), Assistant Lecturer, 04-05-2009. Ms. Mohanapriya S, M.Sc (N), Lecturer, 18-05-2009. Mr. Suthandira Balan P, B.Sc (N), Clinical Instructor, 15-06-2009.

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N S S AC T I V I T I E S

Apr-Jun, Vol 3 |ssue 2


PATRON Mr. M K Rajagopalan

ADVISORY BOARD Prof. Gunasekaran D R Prof. Thyagarajan K R Prof. Robinson Smile S Prof. Vijayalakshmi K Prof. Kamalam S

EDITORIAL BOARD E ditor-in-C hief Prof. Ravishankar M

E xecu tive E ditor Dr. Mahalakshmi V N

M an uscrip t D evel op m e n t Dr. David Livingstone Dr. Devendra Kumar Tripathy Ms. Gokula Priya R Mr. Joseph Naresh Ms. Joy John Dr. Karpagavel L Dr. Sharbari Basu Dr.M.Shivasakthy Ms. Uma A N Dr. Vineela Khatim Reddy

M an uscrip t E diti n g Dr. Manoj Kumar R Dr. Srinivasan A R MAHATMA GANDHI MEDICAL COLLEGE & RESEARCH INSTITUTE INDIRA GANDHI INSTITUTE OF DENTAL SCIENCES KASTURBA GANDHI NURSING COLLEGE Pillayarkuppam, Puducherry 607 402 SHRI SATHYA SAI MEDICAL COLLEGE & RESEARCH INSTITUTE Nellikuppam, Kancheepuram Dist, Tamil Nadu 603108

D esign & L ayou t Dr. Jagan Mohan R e-mail: chronicle@mgmcri.res.in

The Chronicle - Vol 3, Issue 2 - Apr-Jun-09  

Official Newsletter from MGMCRI, SSSMCRI, IGIDS & KGNC

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