Shri J P Nadda confers degrees on the occasion of 1st Convocation of NINE

                                                             6th August, 2016

 

While congratulating the new degree holders, faculty and Principal of National Institute of Nursing Education (NINE) Shri J P Nadda, Union Minister of Health & Family Welfare praised the nurses for winning various national and international awards like Florence Nightingale Award, the Best Educationist Award and the Glory of India Award.  Shri Nadda said, “The responsibility for successful achievement of the goal of healthy society lies not only with the concerned policy makers and doctors but also with the largest workforce of the health system-the nurses.”  While enumerating the qualities of a good qualified nurse he said, “A nurse must be equipped with the habit of observation, punctuality, obedience, cleanliness, sense of proportion, and capacity for effective therapeutic communication. She must possess compassion and positive attitude towards caring. PGI’ Nursing teachers have given you these qualities and habits.”  Shri Nadda also informed the audience about the recent initiatives undertaken for strengthening of nursing cadre which are: Establishment of new ANM/GNM Schools; Upgradation of institutions from School of Nursing to College of Nursing; Revision of curriculum for all nursing programs, New ‘Nurse Practitioner courses’; Nurses registration Tracking System (Live Register) and the proposed ‘Nursing Practice Act’ which will empower nurses and more reforms can be done in Nursing regulation.

Earlier Prof. Yogesh Chawla, Director PGIMER welcomed the Chief Guest and informed the audience about the progress PGI has made in the last three years on technological and research fronts. While talking about telemedicine in the Institute he said, “The tele-link with other Institutes and district hospitals helps us in transmitting our education programmes, especially our CPCs and give consultations to doctors treating patients. Sir, today you inaugurated the tele-link with remote place Pooh in Himachal Pradesh, Sheshnaag in J&K and Sabrimala in Kerala.  This will help both the patients and doctors to seek consultation from PGI doctors. We want to take forward our established tele-psychiatry programme which was giving consultations to non-psychiatric specialists and paramedics in Bilaspur (Himachal Pradesh), Srinagar in J&K and Uttarakhand……. 

The Institute has many state-of-the-art facilities for patient care which are comparable to the best medical Institutes of the world. Our transplant program has taken a giant leap in recent years. Eye (300), Renal (250), Bone Marrow (30) and liver transplants (6) are well established. Last year PGI conducted 2 Heart transplants and this year 7 combined Pancreas Kidney Transplant, which is largest in the country. Many families have generously donated organs of their deceased loved ones so much so that PGI has the largest organ donations in a public sector hospital anywhere in the country. We have also been able to introduce the organ donations pledge in Driving License in Chandigarh. With public support the number of voluntary eye donations has increased from 266 in 2013 to 514 in 2015.  Regional Organ and Tissue Transplantation Organization (ROTTO) Centre at PGI would further strengthen the organ donation……..

The Institute recently procured several hi-tech equipments for enhancing patient care to keep ourselves abreast with best in the world. These include the state-of-the-art da Vinci HD system for Robot assisted laparoscopic operations; offering minimally invasive treatment for kidney, urinary bladder and prostate cancers. The robotic surgery facility is now extended to ENT and gynecological surgeries as well. We also acquired Irreversible Electroporation, a device which helps in treating inoperable tumors of the pancreas, liver and retroperitoneal lesions. This is the first of its kind in the country for which we get referrals from Delhi, Bombay and many other parts of India…..  

Today we have added many more facilities in our list by inaugurating the Sleep Lab in ENT, first in North India in a surgical set up, Child Friendly MRI first in the country and Femtosecond Laser Assisted Cataract Surgery also known as Robotic Cataract Surgery with computer controlled precision to automate the most difficult steps of cataract procedure.  It has advanced diagnostic systems as well again first of its kind in India.   A new facility called Repetitive Transcranial Magnetic Stimulation (rTMS), a non-invasive brain stimulation technique used in the treatment of obsessive compulsive disorder and depression has also been started at our Institute.  The Institute has also acquired Cone Beam Computed Tomography for 3 dimensional imaging of head and neck region, with one-tenth the radiation dose and half the cost of conventional CT.”  

While informing the guests about the history and achievements of Nursing Institute of Nursing Education Dr Sandhya Ghai, Principal of the Institute said, “The institute conducts B.Sc. Nursing (4 years) course with 93 seats, B.Sc. Nursing (Post Basic) 62 seats & M.Sc. Nursing 31 seats in five specialties i.e. Mental Health Nursing, Obstetric. & Gyane., Pediatrics Nursing, community Health Nursing, Med. Surg. Nursing and further sub specialties in cardio-thoracic, Critical Care, Neurology, Nephrology, Gastroenterology and oncology Nursing…..

 At present, there are over 500 students pursuing the undergraduate & Post Graduate nursing courses and Ph.D. Till 2015, 354 Post graduate, and 3105 graduates have passed out from this Institute since its inception…….

 All students provide services in the clinical areas of PGI daily for 4-5 hours. Interns provide round the clock services in specialized clinical areas and thus play a major role to improve patient care services, thereby sharing the workload of Nursing Services Department…..

Community health nursing services are provided to approximately 45,000 sub-urban population. While learning, students provide school health services as well as family welfare services. They also participate in implementation of all National Programmes through Public awareness programme such as Health melas & exhibitions on important health related issues as well as social problems such as female feticide, substance abuse, suicide among youth, dowry etc. Students also undertake health surveys.”

The Chief Guest honoured eight silver and eight bronze medalists. More than five hundred students were awarded degrees. 

Amongst the distinguished guests present were Smt. Kirron Kher, Hon’ble Member of Parliament from Chandigarh, Prof Arun Grover, Vice Chancellor of Panjab University,  former Directors, Deans and faculty of the Institute.

 Prof. Subhash Varma, Dean PGI facilitated the process of giving degrees to the students and also delivered the vote of thanks.

 

 

President of the Institute inaugurates patient friendly facilities

 

 Shri J P Nadda, Hon’ble Union Minister of Health and Family Welfare and President of the Institute inaugurated patient friendly facilities today  i.e. 6.8.2016 at PGIMER.  Amongst the facilities were AMRIT (Affordable Medicine and Reliable Implants for Treatment) Pharmacy, an advanced kitten MRI machine, Femtosecond Cataract Facility, Sleep Lab for Diagnosing Obstructive Sleep Apnea and PGIMER Telemedicine Link with Kinnaur, Sabrimala and Amarnath.

 AMRIT Pharmacy

 The Ministry of Health and Family Welfare, Government of India has taken up the initiative of providing affordable medicines and implants by opening AMRIT (Affordable Medicines and Reliable Implants) outlets through Hindustan Life Care Ltd (HLL).  The first AMRIT was opened in PGIMER, Chandigarh, in April 2016 which serves a large number of patients from Chandigarh, Punjab, Haryana, Himachal Pradesh and other parts of North India by providing branded medicines at a discount ranging from 30% to 60%.  Any patient irrespective of his/her place of treatment can buy medicines from AMRIT Pharmacy at PGI Chandigarh.

AMRIT Pharmacy outlet at PGI Chandigarh has been opened inside Nehru Hospital. It is a fully Air Conditioned (AC) area and a team of 12 trained employees manage the AMRIT Pharmacy. These employees have been hired by HLL.  This outlet works 24x7 for the benefit of patients. In April, 2016, the daily sale of AMRIT began at approximately Rs. One lac per day which has now crossed the Five lac per day mark. Two more AMRIT outlets are ready in PGIMER--One in Nehru Hospital for providing generic medicines and orthopedic surgical implants and another in the Advanced Cardiac Centre (ACC) which will provide affordable cardio vascular medicines and implants—and will be inaugurated by Shri Nadda.

 PGI is one of the best hospitals in India which serves a large number of patients everyday hailing from huge catchment areas encompassing north, north east and central India. The opening of AMRIT pharmacies at PGI Chandigarh is a great relief to thousands of patients, especially poor patients, who will now be able to buy medicines at 30% to 60% discounted rates.

Kitten MRI

Magnetic resonance imaging (MRI) is a common radiological diagnostic technique utilized for solving complex diagnostic problems. However despite being a non-invasive radiation -free and painless procedure, MRI machine is an intimidating sight for most children. Scientific studies have reported that both children and adults experience considerable anxiety and distress during the procedure. Distress experienced by the children while undergoing MRI leads to restlessness, crying, excessive movements, refusals, premature termination of imaging session, or poor quality imaging. One of the main obstacles to effective MR imaging in children is the inability to lie still in the scanner which ranges from 20 min to 1 hour. Hence sedation is often considered necessary for obtaining good quality MRI scans in children. Sedation, however, has its downside with serious risks of respiratory depression and airway obstruction. Given these concerns, it is desirable to develop interventions that would allow sedation-free imaging studies whenever possible. To achieve this objective, various strategies have been devised to increase comfort and ensure cooperation. One such strategy is the use of Kitten scanners / mock model MRI scanners along with adequate dedicated staff and monitoring equipment to optimize the compatibility between child and MRI scanning to yield best quality scan with minimal need for sedation.

  MRI-specific play therapy showed that the need for sedation can be decreased by almost 50%.  PGI has now installed a kitten MRI in the new MRI facility for the pediatric patients. In this facility, children will be exposed to the environment of MRI scanning before they are actually taken up for scanning. In addition to this, the scanning atmosphere is made further child friendly by providing for cartoon movies of the choice of the child during the actual scanning process. These facilities are not available elsewhere in India. The facilities have been procured for Rs 13 crores approximately.

 

Femtosecond Cataract Facility

The femtosecond laser technology has brought new levels of safety, accuracy and predictability to advancing cataract surgery. Femtosecond laser cataract procedure is known generally as; “All laser cataract surgery”/ “Blade-less cataract procedure”/ “Robotic cataract procedure”.

 In laser cataract surgery, an advanced femtosecond laser with computer controlled precision helps to automate the most difficult steps of Cataract procedure; it replaces or enhances the precision over the hand-held surgical tool for the critical steps in cataract surgery.

 Use of a laser reduces risks and improves visual outcomes of cataract surgery. Femtosecond laser substantially reduce requirement of Ultrasound Energy to remove Cataract & in this way protect Cornea of patients.  

At PGIMER, Chandigarh, Femtosecond laser facility also has capability to do Image Guided Cataract Surgery “which basically eliminate process of manual marking in eye for Astigmatism correcting IOL implantation. It can also be connected to Advanced Diagnostics Systems to calculate &select accurate Lens power during surgery.  The aberrometry during surgery also helps to re-confirm the accuracy of the IOL power to be implanted in the eye. Femto cataract surgery helps to reduce the surgical complications and enhance the post operative outcome in the complicated and challenging cataract cases.  

The Femto-second cataract facility acquired with advanced diagnostic systems is unique and first of its kind in India. The approximate cost is 7 crores.

 

Sleep Lab for Diagnosing Obstructive Sleep Apnea

 

 Obstructive Sleep Apnea (OSA) is a disorder which has started afflicting more and more people due to the changing life styles in the society. It is most frequently associated with obesity (BMI > 28) characterized by Snoring, daytime sleepiness, fatigability and psychological disturbances.

 The setting up of a sleep lab in the Department of ENT is a step towards diagnosis and surgical treatment of Obstructive sleep apnea. It is one of the first to be started in an ENT Department in North India. There is no dedicated Sleep Clinic for sleep surgeries in this part of the country and Sleep lab is the most important prerequisite for establishing a sleep clinic and for planning a surgical protocol for Obstructive Sleep apnea.

 In Obstructive sleep apnea (OSA), a person frequently stops breathing during his or her sleep. It results from an obstruction of the upper airway during sleep that occurs because of inadequate motor tone of the tongue and/or airway dilator muscles. A large number of studies have demonstrated that OSA is an independent risk factor of cardiovascular morbidity and mortality. Sleep apnea was shown to be associated with hypertension, ischemic heart disease, stroke, pulmonary hypertension, cardiac arrhythmia, and cardiovascular mortality.

  OSA in Indian males varied from 4.4 % to 19.7% and in females it was between 2.5% to 7.4%. Among patients with a body mass index greater than 28, OSA is present in 41%. The prevalence of OSA can be as high as 78% in morbidly obese patients. Up to 93% of women and 82% of men may have undiagnosed moderate to severe OSA, emphasizing the importance of vigilant evaluations for signs and symptoms of OSA. This evaluation is possible by an Overnight Polysomnography done in a sleep lab. This is a pre requisite for any surgical treatment for OSA.

 Sleep lab is designed to evaluate, diagnose, treat and help patients to manage OSA. The sleep study is a painless process conducted on the patient at night, whereby the patient has to sleep without any sedative. Our State-of-the-art polysomnograph monitors brain waves, breathing, blood oxygen levels, heart rate, and snoring and muscle activity during sleep in a sound proof room. On the next day the patient will receive a complete sleep report, which defines and diagnoses the sleep-related problem.

 

 

ISRO-PGI link at Telemedicine Centre

 

There are three nodes in remote areas established by ISRO in collaboration with MoHFW.

 CHC, Pooh, (Kinnaur, Himachal Pradesh): We have connected with this centre very frequently and discussed clinical cases till date.

 Pampa Hospital, Sabrimala, (Ayappa Pilgrimage, Kerala): We have connected with this node and in coming days we will discuss some cases from there. 

Sheshnag, Amarnath (Jammu & Kashmir): Recently this node has been established by ISRO on 31st July 2016. A modality for transmission of electronic medical record has been established.

An MoU has been signed between Ministry of Health & Family Welfare and ISRO for providing Tele-education to all the connected Centers with the help of PGIMER on 15/7/2016 in which PGI will be transmitting Tele-CME to more than one hundred ISRO connected centres.

 

The function began with the Union Minister planting a tree in front of Kairon Block. He also visited the renovated Paediatric Surgery Ward in Advanced Paediatric Centre. Under the Kaya Kalp program of Government of India, inspired by the Hon. Minister of Health & Family Welfare, Govt of India, the Rotary Club of Chandigarh had undertaken this project to enhance the quality of life of children undergoing major surgical procedures, during their stay in the hospital. Renovation of the toilets, interior decoration of the ward, creation of a recreation facility for the children were achieved in this project, at a cost of about Rs. 25 lakhs.