DEPARTMENT OF PULMONARY MEDICINE

DEPARTMENT OF PULMONARY MEDICINE

MAIN ACHEIVEMENTS AND FACILITIES OF THE DEPARTMENT

Achievements:-

1.      Active participation in the RNTCP program.

2.      NTEP (RNTCP) sensitization program has been organized recently for the residents and faculty of medicine and surgery, Obstetrics & Gynecology and has been planned for the other clinical departments

3.      Dr Govind Desai thesis paper has been accepted for presentation at 25^th Congress of Asia Pacific Society of Respirology, Kyoto, Japan.

4.      Dr Lokesh Verma won the First prize in E-poster at NAPCON 2019 Kerala.

5.      Dr Govind Desai and Dr Ashutosh Singhal were selected for North Zone TYSA pulmonology quiz held at New Delhi.

6.      Dr. Govind Desai won the Chest Challenge 2019 competition ( All India 1^st Rank)  organized by ACCP (USA) and is selected for attending Chest 2019 conference held at New Orleans ,USA and free ACCP membership.

7.      Dr Suresh Yogi secured Rank 9^th  (All India) in Chest Challenge 2019 organized by ACCP (USA) and secured free membership

8.      Dr. Theres Mathew Best Performer award for workshop “New Diagnostic Tools in Diagnosis of Tuberculosis” in RAJCROPACON 2018.

9.      Dr. Theres Mathew first Prize for poster presentation “Relation between vascular pattern visualised by Narrow Band Imaging Video Bronchoscopy” PCCM-CME 2018.

10.  Dr. Lokesh Verma had participated in North zone round of Torrent Young Scholar Award Programme 2018.

11.  Dr. Lokesh Verma won the 2^nd Place in poster presentation at ACPGCON 2018.

12.  Dr. Subho Sarkar won the 1^st place in paper presentation at RAJPULMOCON 2018.

13.  Dr. T.A. Ashwathy won 3^rd place for paper presentation at RAJPULMOCON 2018.

14.  Dr. T.A. Ashwathy had been selected for poster presentation in ERS international congress 2018 held at Paris, France.

15.  Dr. Manish Advani 3^rd Prize in Dr. J.C. Kothari for Best Paper Presentation in NAPCON 2016 Held at Mumbai.

16.  Dr. Srikant, Dr. Isha & Dr. Laxman Soni, has been selected for poster presentation at ERS conference at London UK (2016).

17.  Dr. Shameel KK - Second Prize for poster presentation in Bronchocon 2016 held at Shri Nagar Jammu Kashmir

18.  Dr. Shameel KK - Gold Medal in Doctor Hans Kumar Award For best paper presentation in Rajpulmocon 2015 held at Jaipur

19.  Dr. Narendra - Second Prize for paper presentation in NAPCON 2015 held at Jaipur.

20.  Dr. Kailash Sharma won the Chest Challenge competition organized by ACCP (USA) and were selected for attending Chest Conference in Montreal (Canada) and free ACCP membership.

21.  Dr. Deepak UG has been selected for poster presentation at ERS conference at Amsterdam, Netherlands and ACCP CHEST conference at Montreal, Canada.

22.  Dr. Sunil Vyas has been awarded with MNAMS degree.

23.  Successfully organized 13th State Conference on Tuberculosis & Respiratory Diseases NCCP-RAJPULMOCON-2014 on 29th & 30th March 2014 at Dr S N Medical College, Jodhpur

24.   Successfully organized ZTF meetings for the RNTCP control program held at Jodhpur in December, 2014.

Publications in Last 3 years:-

1.       Dr Balveer Choudhary¹, Dr Gopal Purohit², Dr C.R. Choudhary³, Dr Hemant Borana⁴  ,Dr Ankita Mohanty⁵ . “A Study of Proportion of Comorbidities in Multidrug Resistant Tuberculosis in a Tertiary Care Centre of western Rajasthan” IOSR Journal of Dental & Medical Sciences (IOSR-JDMS), e-ISSN: 2279-0853, p-ISSN: 2279-0861. Volume 20, Issue 4 Ser.3 (April.2021) PP 01-06

2.      C. R. Choudhary, suresh Kumar Yogi, Gopal Purohit, Hemant Borana, Satish Chandra Sharma “ clinico-epidemiological and pathological profile of Lung Cancer : a hospital Based observational study in western part of Rajasthan , India “ International Journal of Advances in Medicine 2020 Jun: 7(6); 965-970

3.      Suresh Kumar yogi, CR Choudhary, Hemant Borana, Govind Desai. “ Wasp sting complicated with chronic DVT and Pulmonary artery thromboembolism : a rare case report”  International Journal of Advances in Medicine 2020 Jul: 7(7); 1-3

4.      Dr Theres Mathew¹ , Dr Bipin Mathew² , Dr Gopal Purohit³, Dr CR Choudhary⁴, Dr Hemant Borana⁵, Dr Raghav Gupta⁶, Augstin Mathew⁷, “ The Role of Female Sex Hormones in Idiopathic Pulmonary Fibrosis” IOSR-JDMS ; e-ISSN: 2279-0853, p-ISSN: 2279-0861. Volume 19, Issue 6 ser.15(June 2020), PP 27-30

5.      Raju Dhar, Sheetu singh, Deepak Ralwar, Murli Mohan, Ashutosh Singhal et al. “ Bronchiectais in India: Result from the European Multicenter Bronchiectasis Audit and Research Collboration( EMBARC) and Respiratory Research Network of India registry “ www.the lancet.com/lancetgh Vol7 Sep 2019, e1269-e1279

6.      Chaina Ram Choudhary 1, Laxman Kumar Soni2, Sharwan Ram3, Gopal Purohit4, Sunil Vyas5, Priyanka Soni6,

Clinico – Radiological Profile and Diagnostic yield of various procedures in analysis of tubercular pleural effusion. Indian Journal of Immunology and Respiratory Medicine Volume1 Issue3 July-Sep 2016.

7.      Dr C.R Choudhary 1 , Dr Subho Sarkar 2 , Dr Gopal Purohit 3

Prevalence of Obstructive Sleep Apnea in idiopathic pulmonary fibrosis

International journal of scientific research Vol-7 issue 2 Feb 2018

Journal of  Bronchology and Interventional Pulmonology :April 2018 volume 25 issue2 p-132-136

8.      Dr C.R Choudhary 1 , Dr Jyoti Kumari 2 , Dr Manish Advani 3

Isoniazid induced early onset of motor dominant neuropathy and treatment with high dose of pyridoxine The Indian journal of tuberculosis 65 (2) 175-176, 2018

9.      Dr Sanidhaya Tak 1 , Dr shweta choudhary 2 , Dr Mahesh Gupta 3 , Dr Gopal Purohit 4, Dr C.R Choudhary 5 , Dr Sunil Vyas 6 , Dr Hemant Borana 7

Scholars Journal of Applied Medical Sciences (SJAMS), Sep 2018; 6(9):3391-3394

Occupational exposure of silica and its immunological effects at Tertiary care hospital

10.  Dr Sunil Vyas 1 , Dr Theres Mathew 2, Dr Devesh Meena

“Pulmonary Agenesis-a rare entity”

Lung India-July 2018

11.  Dr C.R Choudhary 1 , Dr Shameel ahammed K.K 2

Tuberculous Empyema thoracis:Clinical profile,diagnostic tools and management outcome International Journal of scientific research march 2017 volume-6, issue 3.

12.  Dr Mahesh Kumar Gupta 1 , Dr Sanidhaya Tak 2 , Dr Shweta choudhary 3, Dr Gopal Purohit 4 , Dr C.R Choudhary 5 ,Dr  Sunil Vyas  6 , Dr Hemant Borana 7

Prevalence of positivity of CBNAAT (Cartridge based nucleic acid amplification test) in Extra Pulmonary Tuberculosis Scholars Journal of Applied Medical Sciences (SJAMS) 2019 7(1): 79-82

13.  Dr. Raaghav Gupta1, Dr. Gopal Purohit 2, Dr. Balveer Choudhary 3,

Role of flexible fiberoptic bronchoscopy in diagnosis of indefinite pulmonary infiltrates. International Journal of Research in Medical Sciences Gupta R et al. Int J Res Med Sci. 2019 May; 7(5):1674-1677.

14.  Dr. Lokesh Verma 1, Dr. C.R. Choudhary 2, Dr. Gopal Purohit 3, Dr. Hemant Borana 4, Dr. Govind Desai 5, Dr. Sanidhaya Tak 6,

A Cross Sectional Study of Echocardiographic Finding in Chronic Obstructive Pulmonary Disease Patients and its Co-relation with the Severity of Disease.  Volume-8 [Issue-4] April 2019/Print issn No2277-8179.

15.  Dr. Lokesh Verma 1, Dr. Hemant Borana 2, Dr. Govind Desai 3, Dr. Sanidhaya Tak4,

Saber sheath trachea in chronic obstructive pulmonary disease patients in J Adv Med 2019; 6:989-90.

16.  Dr. Lokesh Verma 1, Dr. Sanidhaya Tak 2, Dr. Govind Desai 3, Dr. Neetu Maurya 4, A Cross Sectional study of clinical and Electrocardiogrphic profile in Chronic Obstructive Pulmonary Disease Patients and Its Co-relation with the Severity of Disease.

17.  Dr. Jitendra Kankheria 1, Dr. Gopal Purohit 2, Dr. C.R. Choudhary 3, Dr. Hemant Borana 4, Dr. Brij Mohan Meena 5,

Study on Prevalence of Different Microbiological Organism in Empyema Thoracis.

18.  Dr. Brijmohan Meena 1, Dr. Gopal Purohit 2, Dr. C.R. Choudhary 3, Dr. Hemant Borana 4, Dr. Jitendra Kankheria 5, Dr. Govind Desai 6,

Role of Non Invasive Ventilation in The Management of Type 2 Respiratory Failure.

19.  Dr. Devesh Meena 1, Dr. C.R. Choudhary 2, Dr. Gopal Purohit 3, Dr. Hemant Borana 4, Dr. Dr. Govind Desai 5, Dr. Raghaav Gupta 6,

To Study the Usefulness of CBNAAT (Cartridge based Nuclear Acid Amplification Test) in BAL (Bronchoalveolar Lavage) Samples for the Diagnosis of Smear-Negative/Non Sputum Producing Patients with Suspected Tuberculosis.

Facilities:-

1. Special procedures like I.C.T.D, pleural aspiration and F.N.A.C for various lung diseases are regularly done here. in 2020 – 1622 and till September 2021- 1531 minor OT procedures have been performed.
2. About 450- 550 Bronchoscopies are done every year. In 2020 – 106 and till September 2021 - 150  bronchoscopies have been performed. Diagnostic Bronchoscopy is being performed every Wednesday and Saturday.
3. USG Thorax guided procedures being done.
4. C-ARM guided TTNA & Transbronchial lung biopsies are done.
5. Medical Thoracoscopy is done for Pleural diseases (Tuesday & Friday).
6. Body Plethysmography has been installed.
7. CPET has been installed.
8. Electrocautery facility for Bronchoscopic procedures is available since Jan 2015
9. New flexible bronchoscope with Narrow Band Imaging Technology has been installed.
10. In patient Deptt. – 150 bedded hospital with 4 wards, 3 cottage wards and 2 separate wards for the DOTS-Plus (MDR).
11. Respiratory ICU(4 beds) has been started.(Non Invasive Ventilation)
12. Computerised Spirometry is available and daily 10-12 spirometry is being performed for diagnosis and follow up.
13. Central oxygen supply is available in all the Wards of the hospital.
14. Silicosis camp is conducted on regular basis for diagnosis & A & B certificates are issued for silicosis patients for the financial benefit from Govt by the Pneumoconiosis board comprised of Dr. P.C. Vyas Sir, Dr. Ramanand Gehlot Sir , Dr. C.R.Choudhary Sir, in year 2020 – 2236 and till September 2021 – 1350  patients were screened & in year 2020 (A – 633 & B – 236) till September 2021 (A- 394 & B – 191) certificates has been issued.
15. In our Department we have NDR-TB Centre in which we have started 345  Bedaquiline and 25 Delamanid regimen till September 2021.

Teaching Schedule:-

-          Weekly case presentations, seminars and journals by residents on rotational basis.

-          Case of the week/month routinely presented.

-          Ward round teaching by the faculty on daily basis.

-          Classes are held from 8-9am daily on weekdays.

Timely organization of CME’s, Workshops and press conference on special days like: - 
- World ASTHMA day – 2nd Tuesday of May

- World ANTITOBACCO day – 31st May

- World TB day – 24 March, etc.

- Total Beds:  168

- Patient load 

- Indoor:-      5999 (In 2018) ;   6538 (2019) ;  3268 (2020)

- Outdoor:- 52686 (In 2018) ; 51220 (2019) ; 34780(2020)

Events Organised:-

1. The 13th state conference RAJPULMOCON 2014 was successfully organized by the Dept. of Respiratory Medicine Dr S N M C Jodhpur on 29th & 30th March 2014.
2. Organized an Orientation programme on Silicosis in July 2015 for all the members of pneumoconiosis board of Jodhpur zone
3. Regular CME's are being conducted through Chest forum.

New facilities upgraded in the hospital:-

1. Two Pathologists (1 lecturer & 1 Sr demonstrator) has been posted to perform pathology investigations like cytology.
2. One pharmacist for BPL & one for MNDY scheme has been appointed
3. New Pulmonary Function lab is functioning and have plethysmography, DLCO, Spirometry, CPET
4. Auto analyzer has been installed in the lab.
5. Digital x-ray machine has been installed in the dept. New X-ray room with two digital X-ray machine has been started.
6. Free meal facility for patients & companions is being provided at the hospital premises.
7. Parking facility for patient & attendees were upgraded in the campus.
8. One pathology Lab Assistant & one X-RAY assistant were appointed.
9. New digital X-ray machine is installed for Indoor & Emergency  patients 
10. 38 Nursing staff have been appointed from Dr. S N M C, Jodhpur.
11. Ramp is being constructed in the hospital
12. New oxygen generation plant is under construction.

Research work undergoing in the dept (dissertation):-

A.     “An Observation Study to Determine the Mutational Profile of Gyr A/ Gyr B Genes Associated with Fluoroquinolone Resistance in Drug Resistance Tuberculosis Patients at a Tertiary Care Centre of Western Rajasthan Under the National Tuberculosis Elimination Program.”   Dr. Vikram Bajiya

B.     “ An Observational Study to Assess Correlation of Red Cell Distribution Width with Severity of Chronic Obstructive Pulmonary Disease.”       Dr. Ravi Jain

C.     “ Association of the Serum Vitamin D Level with Disease Severity in Covid 19 Patients : A Hospital Based Observational Study.”            Dr. Ankita Mohanty

D.    “ To Study Efficacy of Bedaquiline Containing All Oral Longer Regimen in Drug Resistant Pulmonary Tuberculosis in Western Rajasthan under National Tuberculosis Elimination Programme.”  Dr. Chandrakant.

E.     “ An Observational Study of Discrepancy in Detection of Rifampicin Resistance in Cartridge Based Nucleic Acid Amplification Test and First Line – Line Probe Assay at a Tertiary Care Centre in Western Rajasthan”             Dr. Gourav.

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