Caption describing picture or graphic.

As per our practice, World TB

Day was celebrated on 24th March

at NITRD. This year the CDC se-

lected theme is “Find TB, Treat

TB and Working Together to

Eliminate TB” .

On this day Dr. R C Jain

Memorial Lecture was delivered by

Dr. V. M. Katoch, former Secre-

tary, Department of Health Re-

search, Ministry of Health & Fam-

ily Welfare.

The training schedule for “WHO

Collaborating Centers on Tuberculosis

Treatment” was also released on

this occasion

World TB Day

I N S I D E T H I S

I S S U E :

Management Of Pedi-

atric TB Workshop

2

RNTCP Modular

Training

3

Institute Day 4

Presentation &

Activities

5

Statistical Data 6

Department In Focus 7

National Institute of Tuberculosis & Respiratory Diseases

V O L . V I I I / N O . 1

(Erstwhile LRS Institute Of Tuberculosis & Respiratory Diseases)

N E W S L E T T E R J A N U A R Y — M A R C H 2 0 1 5

P A G E 2

“Proper

Identification and

treatment of

infectious cases

will prevent

childhood TB”

Management Of Pediatric TB Workshop To seek consensus on improving case detection and treatment

outcomes for all diagnosed pediatric TB cases, an expert group

meeting was organized in the Institute from 20 to 21 March

2015. The main agenda for this workshop was “Management of

Pediatric TB”. In attendance were renowned Pediatricians from

all over the country and the globe, TB Experts and TB control

Program managers. The main agenda was ‘how proper identifica-

tion and treatment of infectious cases will prevent childhood TB’.

The department of Pediatrics, NITRD under the leadership of

Dr. Sangeeta Sharma organized the event along with Dr. Varinder

Singh, Professor, Pediatrics from Lady Harding Medical College.

Dr. Sunil Khorpade, DDG(TB) was the Chief Guest and Dr. Prah-

lad Kumar, Director, NTI was the Guest of Honor.

N A T I O N A L I N S T I T U T E O F T U B E R C U L O S I S & R E S P I R A T O R Y D I S E A S E S

P A G E 3 V O L . V I I I / N O . 1

RNTCP Modular Training

The RNTCP Modular training program was organ-

ized in the Institute between 16 February to 28

February by the Department of Training and TB

Control.

Target for this year is to make these services

available to every strata of society. Being a key

member of the RNTCP program. Institute organ-

izes such training programs to help the program

achieve its goals.

“Target for this

year to make these

services available

to every strata of

people

”

P A G E 4

Institute Day

N A T I O N A L I N S T I T U T E O F T U B E R C U L O S I S & R E S P I R A T O R Y D I S E A S E S

Foundation Day was celebrated this year

on March 16th. Entire faculty and staff of

the Institute participated actively.

Following the tradition, this year also we

celebrated the foundation day with cultural

program under the guidance of Dr. Sushil

Munjal and Dr. Amit Sharma. The program

comprised of events like singing, Dancing,

Skit, Antyakshari, etc. which made this

event fun filled and memorable. On this oc-

casion, The Director Dr. Rohit Sarin, ad-

dressed the audience and appreciated the

whole event. He said that together we can

lead this Institute to achieve its goals and

soar higher and higher. The Chief Guest Dr.

D. Behra, Former Director, graced this oc-

casion with his presence. Selected Employ-

ees/Residents were awarded for their ex-

cellent and dedicated service.

“Together we can

lead this institute

to achieve its goals

and soar higher

and higher”

P A G E 5 V O L . V I I I / N O . 1

Division, Govt. of India with partners from Presentation & Activities

Dr. Rohit Sarin:

1. Attended National Level Programme Review Meeting meeting with the States during 06 to 08 January

2015 at Bhubaneshwar

2. Attended Zonal Task Force (East Zone) Workshop organized by Central TB Division, Dte.G.H.S. at

Bhubaneshwar during 15 & 16 January 2015

3. Attended Zonal Task Force (South Zone 1) Workshop organized by Central TB Division, Dte.G.H.S.

at Hyderabad during 22 & 23 January 2015

4. Attended Sixth Meeting of the South East Asia Regional Advisory Committee on MDR-TB, Dhaka,

Bangladesh during 14 to16 February 2015

5. Participated in National Consultation Meeting for Revision of National List of Es-

sential Medicine 2011 at AIIMS, New Delhi during 18 & 19 February 2015

6. Delivered lecture in APICON-2015 on “TB-Current Scenario” at Gurgaon on 21st

February 2015.

7. Delivered lecture on Infection Control in RNTCP training in NITRD on 24th Febru-

ary 2015.

8. Attended workshop for Technical & operational guidelines RNTCP at NDTB Centre, New Delhi

during 26-28th February 2015.

Dr. Rupak Singla:

1. Chaired a session on “bronchial asthma” at PG Pulmonary Update-2015 at VMCC and Safdarjung Hospital on 10th January 2015.

2. Chaired a session on “Newer strategies for treatment of TB” at NATCON-2014 from 5-7th February, 2015 at Mumbai.

3. As Technical member attended “National Consultation meeting for process of Revision of National List of Essential Medicines 2011” held at AIIMS in new Delhi on 18-19th Feb 2015.

4. As technical member and “leader of treatment group” attended 3 days Technical & Operations Guide-lines Workshop organized by Central TB Division, Govt. of India, at NDTB Center, New Delhi from 26-28th February, 2015.

5. Nominated as technical member and participated in Joint Monitoring Mission (JMM) held from 10-23rdApril 2015 organized by WHO-India and Central TB Division, Govt. of India with partners from other international organizations such as WHO, World Bank, Global Fund etc.

6. Nominated as technical member in Thematic group on “Drug Resistant TB” in Joint Moni-toring Mission (JMM) held from 10-23rdApril 2015 organized by WHO-India and Central TB

P A G E 6

N A T I O N A L I N S T I T U T E O F T U B E R C U L O S I S & R E S P I R A T O R Y D I S E A S E S

Statistical Data

Data from January to March 2015::

OPD New Registration : 11359

New Patient Per Day: 154

Average Total Patient per Day: 583

Emergency Patients: 2284

TB Case Diagnosed and Referred: 1954

RNTCP TB Case: 482

Total Surgery in CTVS OT 241

Total Admission including ICU 1814

Dr. R. K Dewan:

1. Visited Yerevan, Armenia to attend the 4th Symposium on Tuberculosis

held there for Eastern Europe and Central Asia; delivered an invited talk

on ‘Role of Surgery in DR-TB’ on 17-18 February 2015

2. Chaired a session and presented a poster paper during the 61st Annual

conference of the Indian Association of Cardiovascular Thoracic Sur-

geons held in Hyderabad from 19 to 22 February 2015.

3. Chaired a session on ‘Pediatric Chest Surgery’ during MAMC Pediatric

Surgery Update on 7 February 2015.

Presentation & Activities Contd...

P A G E 7 V O L . V I I I / N O . 1

Department In Focus :: Sleep Laboratory

The Sleep Lab has 2 rooms – one with a comfortable bed for the patient to sleep and the other for the technician who

records the study. The equipment used for recording the sleep study is Compumedics E-Series Polysomnograph which

has an interface box, a control module and a power supply unit. It can monitor up to 57 channels. Currently, the Sleep

Lab equipment can conduct the study of only one patient at a time. However, it is upgradable for the recording of 4 pa-

tients at a time when required. The Polysomnograph in the patient’s room is connected through LAN with the Computer

(Monitor, CPU and Printer) in the technician’s room, where the study gets recorded. The Department is using the latest

PSG III software, which is certified by the American Academy of Sleep Medicine (AASM). A BIPAP Machine of Respironics

make is available in the Sleep Lab for carrying out CPAP or BIPAP Titrations of the diagnosed patients with OSA.

The Sleep Lab is a quiet and a comfortable place for sleeping with the facility of air-conditioning, communication

with the technician in case of need, providing Oxygen inhalation either during the baseline study or during the titration

study and UPS for an un-interrupted electrical supply.

Sleep Lab is diagnosing patients with sleep related breathing disorders. All suspected cases of sleep disordered

breathing like obstructive sleep apnoea (OSA) etc., referred from the out-patient department of the Institute or from

other hospitals, are enrolled in the Sleep Clinic run every week on Tuesdays. Detailed findings of their history and the

general examination are recorded in a specially designed Performa. Relevant investigations are carried out and necessary

instructions given to them. The patient is familiarized with the environs of the laboratory. On the scheduled date, an

overnight polysomnography is conducted in the sleep lab on the Compumedics E-Series PSG III software. The recorded

study is analyzed both automatically and manually, interpreted and reported with specific recommendations.

All diagnosed cases of sleep disordered breathing are appropriately subjected to a Continuous Positive Airway

Pressure (CPAP) or Bilevel Positive Airway Pressure (BIPAP) titration in the Sleep Lab during the simultaneous conduct of

a polysomnography. The titration study is also analyzed both automatically and manually, interpreted and reported with

specific recommendations to the patients for using the requisite pressure during sleep. Subsequently, the follow-up sleep

studies are conducted and patients are given appropriate instructions. More than 100 sleep studies including the CPAP/

BIPAP titrations are being carried out annually in the Sleep Lab.

Teaching and Training

The diagnostic and therapeutic evaluation of sleep related breathing disorders is being taught to the doctors

and the staff including the postgraduate DNB students and the senior residents of the Institute. The subject is also

covered in the teaching curriculum of the residents as per the academic schedule through lectures, journal

Sleep Laboratory has been operational in the Institute

since May 2004. It is headed by Dr Rajnish Gupta. Various

activities of the Department include the enrollment of pa-

tients suspected with a sleep related breathing disorder, the

conduct of sleep studies or polysomnographies and Positive

Airway Pressure Titration, their manual scorings and report-

ing with appropriate recommendations. In addition, teaching

and training, research and publications are also being carried

out regularly on the subject. D R R A J N I S H G U P T A

lectures, journal clubs, seminars etc. Teaching and training on the subject is also carried out regularly for the benefit

of the trainee doctors and staff from the other Institutes as well. A Workshop on Sleep Study was carried out on 23

February 2014 as a pre-conference Workshop in NATCON 2013 at the Institute. Many lectures were delivered on the

subject and a live demonstration of the sleep study was given to the delegates. The centre has carried out several

research projects related to the subject and has got many publications to its credit. We are committed to keep on

upgrading this lab to the best possible level.

Back Page Story Headline

The Motto

Department In Focus :: Sleep Laboratory Contd...

Striving for excellence is both a Journey as well as a

destination. Care for fellow suffering human beings

with a sense of mission and compassion along with

highest degree of professionalism and sophistication

is the continuous driving force for us.

Editor-in Chief:

Dr. Rohit Sarin

Editor:

Dr. R. K Dewan

Members:

Dr. Sushil Munjal

Ms Gayatri Anupam

Mr. M.B. Naidoo

Editorial Board