ILBS Annual Book Report 2017

Courses Offered Services Candidates admitted Alisha Talwar, Gyanwati , Kiran Bhardwaj, Laxmi, Lovely Negi, MSc Nursing Lungbila Ng, Manisha, Navaneeta Kusum, Pooja Chauhan, Priyanka Degree Malhotra, Rachna Sharma, Rahul Ranjan, Sakshi Sharma Department’s Achievements Following research projects undertaken:  “Effectiveness of video assisted education on level of anxiety & satisfaction among patient undergoing upper GI endoscopy” Ms. Heena, Ms Mini George, Dr. Muthuvenkatachalam S. and Dr. Ashok Kumar.  “Effectiveness of an education program on prevention and management of pressure injury in terms of knowledge and related practices of nurses”. Ms. Sarita, Ms Mini George, Dr. Muthuvenkatachalam S. and Dr. Rakhi Maiwal.  “Adherence to Therapeutic Regimen and its relationship with the Health Related Quality of Life among Post Liver-Transplant Patients” Ms. Angelika S Masih, Ms. Sarita, Ms Mini George and Dr. Viniyendra Pamecha.  “Effectiveness of a Need Based Oral Care Protocol on Oral Health Status of Ventilated Patients” Ms. Manisha Devi, Ms Sarita, Ms. Mini George and Dr. Lalita and Gauri Mital.  “Stress and Coping Strategies among Gastrointestinal Cancer Patients” Ms. Reena Reji, Dr. Muthuvenkatachalam S., Ms. Mini George and Dr. Saphalta.  “A study to assess the level of cognitive function and depression among patient with chronic liver disease”. Ms. Lincy Varghese, Dr. Muthuvenkatachalam S., Ms. Mini George and Dr. Manoj Kumar Sharma.  “Stress and Coping Strategies among nurse working in Intensive care units” Mr. Sunil K Sondhi, Dr. Muthuvenkatachalam S. and Ms. Cicily Babu.  “Caregiver burden and Coping Strategies among caregivers of Post Liver-Transplant Patients” Ms. Divyanshi, Dr. Muthuvenkatachalam S. and Ms. Sarita.  “Health Related Quality of Life and Adherence to Therapeutic Regimen among Chronic Hepatitis Patients” Mr. Deepak, Ms. Madhavi Verma and Dr. Muthuvenkatachalam S.  “A study on the knowledge and practice of nursing personnel regarding Care of Central Venuous Catheter” Ms. Sakshi, Ms. Madhavi Verma and Ms. Sarita.  “A study of the Quality of Life of patients undergoing hemodialysis” Ms. Purnima Negi, Ms. Madhavi Verma and Ms. Sarita. Academic and Research Achievements of Faculty Faculties Designation Ms. Mini George Principal Ms. Madhavi Verma Associate Professor Dr. Muthuvenkatachalam Assistant Professor Ms Sarita Assistant Professor 183

Dr. Mini George Ms. Mini George, completed BSc [Hons] Nursing in 1988 and Master of Nursing in 1998, both from Rajkumari Amrit Kaur College of Nursing under MOH&FW/ University of Delhi. She has specialized in Child Health Nursing. She has also completed MPhil in Nursing (Manipal College of Nursing) and PhD thesis from the University of Kerala. She has above 18 years of experience working in College of Nursing, after Masters and around eight years of experience before that, thus more than 26 years of experience of teaching undergraduate and postgraduate students. She has served in various capacities during this period and has more than ten years of experience in the capacity of Professor cum Principal. She has served as inspection team member for the INC, state council and various Universities. She is Paper setter, Evaluator and Examiner for Child Health Nursing, Nursing Education, Nursing Research and Nursing Administration at different University. She has taken part in curriculum revision of Universities and has served as Guide and Examiner for nursing research studies. Her areas of research interest include Adolescent Health and Neonatology. She has been a resource person at various National and International workshops and conferences.  Total Number of publications 5  Total Number of projects 6 Conference attended  Speaker: Performance Appraisal and Quality Assurance at All India Association for Christian Higher Education (AIACHE), New Delhi on 13th October, 2017.  Chaired free research paper presented: GERICON the Annual Conference of Indian Academy of Geriatrics: AIIMS, New Delhi on 16th December, 2017.  Speaker: Depression in the elderly - GERICON by Indian Ageing Congress at AIIMS, New Delhi on 16-17th December, 2017. Dr. Madhavi Verma Ms. Madhvi Verma is an experienced professional in the field of nursing education, nursing research, clinical nursing and has expertise in curriculum development and implementation. She has more than 22 years of experience of teaching undergraduate and postgraduate students and of research guide for more than 12 years. She is a Post Graduate from RAK College of Nursing, Delhi University in 2005 and graduate from All India Institute of Medical Sciences, New Delhi. Currently she is pursuing her Ph. D from Jamia Hamdard University, Delhi. Her specialization is Medical Surgical Nursing, particularly, Critical Care Nursing, Cardiothoracic - Vascular Surgical nursing. She has worked as Principal for 2 years and as Professor for 4 ½ years at Amity College of Nursing, Amity University Haryana. She has also worked as faculty at Jamia Hamdard University, New Delhi for 16 years. She has been resource person to various distance education programs and International/ national level 184

workshops on Geriatric nursing, Cardiac nursing, Oncological nursing, Urological nursing, Nursing Education, Men’s Health and Neurologic Nursing. She is on the panel of technical experts for teleconferencing sessions at IGNOU for critical care nursing and has delivered 20 teleconferences on DD Gyan Darshan channel. She is reviewer for International Journal of Nursing and Science and member of course committee at National Institute of Open Schooling, Ministry of Human Resource Development, GOI for Operation Room Technology Programme.  Total Number of publications 13  Total Number of projects 3 Dr. Muthuvenkatachalam S Mr. Muthuvenkatachalam is a postgraduate in Psychiatric Nursing from AIIMS, New Delhi and completed Ph.D in Psychiatric Nursing from Rajiv Gandhi University of Health Sciences, Bangalore. He has more than 7 years of experience in teaching undergraduate and postgraduate nursing students. His area of research interest includes substance abuse, aggression management and elder mistreatment. He has published papers in reputed national and international journals. He has have also written chapters in textbooks and training modules for nurses and a preparation guide for competitive examination (Target High) for Staff Nurses. He has received International Travel Grant from ICMR and received Sarla Kapoor best researcher award for paper presentation from Indian Society of Psychiatric Nurses in 2016.  Total Number of publications 15  Total Number of publications in 2017 3  Total Number of projects 4 Conference attended  7th International CME, Workshop & Conference on ‘Cost Effective Use of Technology in e-Healthcare’ at AIIMS, New Delhi.  National conference on innovative and advanced management in oncology nursing, UP Medical University, Etawah.  National conference on Addiction Psychiatry, AIIMS, New Delhi.  Workshop on Biostatistics at Amity University, Gurgaon.  Workshop on Research Methodology and Biostatistics at Jamia Hamdard University, New Delhi.  International Mental Health Congress, New Delhi. 185

Ms. Sarita Ms. Sarita joined college of Nursing, ILBS in April, 2017. She did graduation in B.Sc. (Hons.) Nursing and postgraduation in M.Sc. Cardiology/CTVS Nursing from AIIMS, New Delhi. Prior to joining ILBS, She had worked as a teaching faculty at College of Nursing in Holy Family Hospital and Jamia Hamdard. She has a total experience of more than five years.  Total Number of publications 5  Total Number of publications in 2017 1  Total Number of projects 3 186

Publications in 2017 1. Ankit Bhardwaj, Chandan Kumar Kedarisetty, 10. Shasthry SM, Kumar M, Khumuckham JS, Sarin SK. Chitranshu Vashishtha, Ajeet Singh Bhadoria, Changes in cardiac output and incidence of Ankur Jindal, Guresh Kumar, Ashok Choudhary,S volume overload in cirrhotics receiving 20% albumin M Shasthry, Rakhi Maiwall, Manoj Kumar, Vikram infusion. Liver Int. 2017 Aug;37(8):1167-1176. Bhatia, Shiv Kumar Sarin. Carvedilol delays the 11. Maiwall R, Sarin SK, Kumar S, Jain P, Kumar G, progression of small oesophageal varices in patients Bhadoria AS, Moreau R, Kumar Kedarisetty C, with cirrhosis: a randomised placebo-controlled Abbas Z, Amarapurkar D, Bhardwaj A, Bihari trial. Gut 2017 Oct;66(10):1838-1843. C, Butt AS, Chan A, Chawla YK, Chowdhury A, 2. Das S, Maras JS, Hussain MS, Sharma S, David Dhiman R, Dokmeci AK, Ghazinyan H H, Hamid P, Sukriti S, Shasthry SM, Maiwall R, Trehanpati SS, Kim DJ, Komolmit P, Lau GK, Lee GH, Lesmana N, Singh TP, Sarin SK. Hyperoxidized albumin LA, Al-Mahtab M, Mathur RP, Nayak SL, Ning Q, modulates neutrophils to induce oxidative stress Pamecha V, Alcantara-Payawal D, Rastogi A, and inflammation in severe alcoholic hepatitis. Rahman S, Rela M, Saraswat VA, Shah S, Shiha G, Hepatology. 2017 Feb;65(2):631-646. doi: 10.1002/ Sharma BC, Sharma MK, Sharma K, Tan SS, Chandel hep.28897. SS, Vashishtha C, Wani ZA, Yuen MF, Yokosuka O; APASL ACLF Research Consortium (AARC) 3. Singh AK, Rooge SB, Varshney A, Vasudevan M, Bhardwaj A, Venugopal SK, Trehanpati N, Kumar working party. Development of Predisposition, M, Geffers R, Kumar V, Sarin SK. Global micro RNA Injury,Response,Organ failure model for predicting expression profiling in the liver biopsies of Hepatitis acute kidney injury in acute on chronic liver failure. B Virus infected patients suggests specific miRNA Liver Int. 2017 Apr 10. doi:10.1111/liv.13443. signatures for viral persistence and hepatocellular 12. Choudhury A, Kumar M, Sharma BC, Maiwall R, injury. Hepatology. 2017 Nov 30. doi: 10.1002/ Pamecha V, Moreau R, Chawla YK, Duseja A, hep.29690. [Epub ahead of print. Mahtab M, Rahman S, Hamid SS, Butt AS, Jafri W, 4. Varshney A, Panda JJ, Singh AK, Yadav N, Bihari C, Tan SS, Devarbhavi H, Amarapurkar D, Ning Q, Biswas S, Sarin SK, Chauhan VS. Targeted delivery Eapen CE, Goel A, Kim DJ, Ghazinian H, Shiha G, Lee of miR-199a-3p using self-assembled dipeptide GH, Abbas Z, Payawal DA, Dokmeci AK, Yuen MF, nanoparticles efficiently reduces hepatocellular Lesmana LA, Sood A, Chan A, Lau GK, Jia JI, Duan carcinoma. Hepatology. 2017 Nov 6. doi: 10.1002/ Z, Chen Y, Yokosuka O, Jain P, Bhadoria AS, Kumar hep.29643. [Epub ahead of print] G, Sarin SK; APASL ACLF working party. Systemic Inflammatory Response Syndrome in Acute on 5. Das S, Maras JS, Maiwall R, Shasthry SM, Hussain Chronic Liver Failure- Relevance of ‘Golden MS, Sharma S, Sukriti S, Singh TP, Sarin SK. Molecular Window’- a Prospective Study. J Gastroenterol Ellipticity of Circulating Albumin-Bilirubin Complex Hepatol. 2017 Apr 3. doi: 10.1111/jgh.13799. Associates With Mortality in Patients With Severe Alcoholic Hepatitis. Clin Gastroenterol Hepatol. 13. Choudhury A, Jindal A, Maiwall R, Sharma MK, 2017 Nov 16. pii: S1542-3565(17)31359-9. doi: Sharma BC, Pamecha V, Mahtab M, Rahman S, Chawla YK, Taneja S, Tan SS, Devarbhavi H, Duan 6. Jindal A, Vyas AK, Sarin SK. Peg-interferon plus Z, Yu C, Ning Q, Jia JD, Amarapurkar D, Eapen CE, nucleotide analogue in patients with chronic Goel A, Hamid SS, Butt AS, Jafri W, Kim DJ, Ghazinian hepatitis B with low viral load. Lancet Gastroenterol H, Lee GH, Sood A, Lesmana LA, Abbas Z, Shiha G, Hepatol. 2017 Sep;2(9):628. Payawal DA, Dokmeci AK, Sollano JD, Carpio G, 7. Sarin SK, Choudhury A, Philips CA, Kamath P, Lau GK, Karim F, Rao PN, Moreau R, Jain P, Bhatia Maruyama H, Valla D. Reply. Gastroenterology. P, Kumar G, Sarin SK; APASL ACLF Working Party. 2017 Apr;152(5):1247-1248. doi: Liver failure determines the outcome in patients of acute-on-chronic liver failure (ACLF): comparison 8. Kulkarni AV, Choudhury AK, Shashthry SM, Kumar K, of APASL ACLF research consortium (AARC) and Anand L, Sarin SK. Role of miRNA in Acute cellular CLIF-SOFA models. Hepatol Int. 2017 Aug 30. rejection. Hepatology. 2017 Apr;65(4):1423-1424. 14. Choudhury A, Kedarisetty CK, Vashishtha C, Saini 9. Philips CA, Pande A, Shasthry SM, Jamwal KD, Khillan D, Kumar S, Maiwall R, Sharma MK, Bhadoria V, Chandel SS, Kumar G, Sharma MK, Maiwall R, AS, Kumar G, Joshi YK, Sarin SK. A randomized Jindal A, Choudhary A, Hussain MS, Sharma S, Sarin trial comparing terlipressin and noradrenaline in SK. Healthy Donor Fecal Microbiota Transplantation patients with cirrhosis and septic shock. Liver Int. in Steroid-Ineligible Severe Alcoholic Hepatitis: 2017 Apr;37(4):552-561. A Pilot Study. Clin Gastroenterol Hepatol. 2017 Apr;15(4):600-602. doi: 10.1016/j.cgh.2016.10.029. 15. Khosla R, Rastogi A, Ramakrishna G, Pamecha 187

V, Mukhopadhyay A, Vasudevan M, Sarin SK, Mater Res B Appl Biomater. 2017 Jan 27. doi: Trehanpati N. EpCAM+ Liver Cancer Stem-Like 10.1002/jbm.b.33851. [Epub ahead of print] Cells Exhibiting Autocrine Wnt Signaling Potentially 24. Karlas T, Petroff D, Sasso M, Fan JG, Mi YQ, de Originate in Cirrhotic Patients. Stem Cells Transl Lédinghen V, Kumar M, Lupsor-Platon M, Han KH, Med. 2017 Mar;6(3):807-818. Cardoso AC, Ferraioli G, Chan WK, Wong VW, 16. Bhadoria AS, Kedarisetty CK, Bihari C, Kumar G, Myers RP, Chayama K, Friedrich-Rust M, Beaugrand Jindal A, Bhardwaj A, Shasthry V, Vyas T, Benjamin M, Shen F, Hiriart JB, Sarin SK, Badea R, Jung KS, J, Sharma S, Sharma MK, Sarin SK. Impact of family Marcellin P, Filice C, Mahadeva S, Wong GL, history of metabolic traits on severity of non- Crotty P, Masaki K, Bojunga J, Bedossa P, Keim V, alcoholic steatohepatitis related cirrhosis: A cross- Wiegand J. Individual patient data meta-analysis sectional study. Liver Int. 2017 Sep;37(9):1397-1404. of controlled attenuation parameter (CAP) 17. Shiha G, Ibrahim A, Helmy A, Sarin SK, Omata M, technology for assessing steatosis. J Hepatol. 2017 May;66(5):1022-1030. Kumar A, Bernstien D, Maruyama H, Saraswat V, Chawla Y, Hamid S, Abbas Z, Bedossa P, Sakhuja P, 25. Saxena P, Bihari C, Mirza R, Bhadoria AS, Anand Elmahatab M, Lim SG, Lesmana L, Sollano J, Jia JD, L, Sarin SK. Exogenous growth factor based Abbas B, Omar A, Sharma B, Payawal D, Abdallah regenerative therapy in alcoholic cirrhosis patients A, Serwah A, Hamed A, Elsayed A, AbdelMaqsod renders limited effect on hemostatic elements. A, Hassanein T, Ihab A, GHaziuan H, Zein N, Kumar Clin Res Hepatol Gastroenterol. Clin Res Hepatol M. Asian-Pacific Association for the Study of the Gastroenterol. 2017 Sep;41(4):493-496. Liver (APASL) consensus guidelines on invasive 26. Trehanpati N, Sehgal R, Patra S, Vyas A, Vasudevan and non-invasive assessment of hepatic fibrosis: M, Khosla R, Khanam A, Kumar G, Maiwall R, a 2016 update. Hepatol Int. 2017 Jan;11(1):1-30. Ramakrishna G, Kottilil S, Sarin SK. miRNA signatures doi:10.1007/s12072-016-9760-3. can predict acute liver failure in hepatitis E infected 18. Premkumar M, Rangegowda D, Vyas T, Kulkarni pregnant females. Heliyon. 2017 Apr 6;3(4):e00287. A, Grover S, Mahiwall R, Sarin SK.Primary Hepatic doi: 10.1016/j.heliyon.2017.e00287. eCollection Amyloidosis Presenting as Acute-on-Chronic Liver 2017 Apr. Failure. ACG Case Rep J. 2017 Feb 15;4:e22. doi: 27. Vyas AK, Sharma BC, Sarin SK, Trehanpati N. 10.14309/crj.2017.22. eCollection 2017. Immune correlates of hepatitis B surface antigen 19. Mukund A, Deogaonkar G, Rajesh S, Shasthry SM, spontaneous seroconversion in hepatitis B e antigen Sarin SK. Safety and Efficacy of Sodium Tetradecyl negative chronic hepatitis B patients. Liver Int. 2017 Sulfate and Lipiodol Foam in Balloon-Occluded May 13. doi: 10.1111/liv.13475. Retrograde Transvenous Obliteration (BRTO) for 28. Khanam A, Trehanpati N, Riese P, Rastogi A, Guzman Large Porto-Systemic Shunts. Cardiovasc Intervent CA, Sarin SK. Blockade of Neutrophil’s Chemokine Radiol. 2017 Jul;40(7):1010-1016. Receptors CXCR1/2 Abrogate Liver Damage in 20. Mukund A, Pargewar SS, Desai SN, Rajesh Acute-on-Chronic Liver Failure. Front Immunol. 2017 S, Sarin SK. Changes in Liver Congestion in Apr 24;8:464. doi: 10.3389/fimmu.2017.00464. Patients with Budd-Chiari Syndrome following 29. Sharma BC, Singh J, Srivastava S, Sangam A, Endovascular Interventions: Assessment with Mantri AK, Trehanpati N, Sarin SK. A Randomized Transient Elastography. J Vasc Interv Radiol. 2017 controlled trial comparing lactulose plus albumin May;28(5):683-687. versus lactulose alone for treatment of hepatic 21. Gupta E, Agarwala P, Kumar G, Maiwall R, Sarin encephalopathy. J Gastroenterol Hepatol. 2017 SK. Point -of -care testing (POCT) in molecular Jun;32(6):1234-1239. diagnostics: Performance evaluation of GeneXpert 30. Sood V, Rawat D, Khanna R, Sharma S, Gupta PK, HCV RNA test in diagnosing and monitoring of HCV Alam S, Sarin SK. Study of Carnitine/Acylcarnitine infection. J Clin Virol. 2017 Jan 29;88:46-51. doi: and Amino Acid Profile in Children and Adults With 10.1016/j.jcv.2017.01.006. Acute Liver Failure. J Pediatr Gastroenterol Nutr. 22. Damania A, Hassan M, Shirakigawa N, Mizumoto 2017 Jun;64(6):869-875. H, Kumar A, Sarin SK, Ijima H, Kamihira M, Kumar 31. Ghosh S, Kaushik A, Khurana S, Varshney A, Singh A. Alleviating liver failure conditions using an AK, Dahiya P, Thakur JK, Sarin SK, Gupta D, Malhotra integrated hybrid cryogel based cellular bioreactor P, Mukherjee SK, Bhatnagar RK. An RNAi based as a bioartificial liver support. Sci Rep. 2017 Jan high-throughput screening assay to identify small 12;7:40323. doi: 10.1038/srep40323. molecule inhibitors of Hepatitis B Virus replication. J 23. Damania A, Kumar A, Sarin SK, Kumar A. Optimized Biol Chem. 2017 Jul 28;292(30):12577-12588. performance of the integrated hepatic cell- 32. Shah SR, Chowdhury A, Mehta R, Kapoor D, Duseja loaded cryogel-based bioreactor with intermittent A, Koshy A, Shukla A, Sood A, Madan K, Sud R, perfusion of acute liver failure plasma. J Biomed Nijhawan S, Pawan R, Prasad M, Kersey K, Jiang D, 188

Svarovskaia E, Doehle B, Kanwar B, Subramanian Study. Liver Int. 2017 Nov;37(11):1668-1674 M, Acharya SK, Sarin S. Sofosbuvir plus ribavirin in 41. Saxena P, Bihari C, Mirza R, Bhadoria AS, Sarin SK. treatment-naïve patients with chronic hepatitis The imbalance of procoagulant and anticoagulant C virus genotype 1 or 3 infection in India. J Viral factors in patients with chronic liver diseases in Hepat. 2017 May;24(5):371-379. North India. Blood Res. 2017 Jun;52(2):143-145. doi: 33. Albillos A, Zamora J, Martínez J, Arroyo D, Ahmad 10.5045/br.2017.52.2.143. I, De-la-Peña J, Garcia-Pagán JC, Lo GH, Sarin 42. Singh SA, Singh A, Pamecha V, Pandey CK, Sarin S, Sharma B, Abraldes J, Bosch J, Garcia-Tsao SK. Living Donor Liver Transplantation for Acute Liver G; Baveno cooperation. Stratifying risk in the Failure With Fixed Pupils: Are We Fixed? J Clin Exp prevention of recurrent variceal hemorrhage: Hepatol. 2017 Jun;7(2):155-157 Results of an individual patient meta-analysis. Hepatology. 2017 May 25. doi: 10.1002/hep.29267. 43. Damania A, Kumar A, Teotia AK, Haruna K, Kamihira M, Ijima H, Sarin SK, Kumar A. Decellularized liver 34. Maiwall R, Jamwal KD, Bhardwaj A, Bhadoria AS, matrix modified cryogel scaffolds as potential Maras JS, Kumar G, Jindal A, Choudhury A, Anand hepatocyte carriers in bioartificial liver support L, Sahney A, Kumar A, Sharma MK, Sharma BC, Sarin systems and implantable liver constructs.ACS SK. SX-Ella Stent Danis Effectively Controls Refractory Appl Mater Interfaces. 2017 Dec 6. doi: 10.1021/ Variceal Bleed in Patients with Acute-on-Chronic acsami.7b13727. Liver Failure. Dig Dis Sci. 2017 Aug 5. doi: 10.1007/ s10620-017-4686-8. [Epub ahead of print] 44. Pamecha V, Borle DP, Kumar S, Bharathy KGS, Sinha PK, Sasturkar SV, Sharma V, Pandey CK, Sarin 35. Maiwall R, Kumar G, Bharadwaj A, Jamwal K, SK. Deceased donor liver transplant: Experience Bhadoria AS, Jain P, Sarin SK.AKI persistence at 48 h from a public sector hospital in India. Indian J predicts mortality in patients with acute on chronic Gastroenterol. 2017 Nov 29. doi: 10.1007/s12664- liver failure. Hepatol Int. 2017 Nov;11(6):529-539. 017-0801-1. 36. Maiwall R, Kumar A, Bhardwaj A, Kumar G, Bhadoria 45. Mukund A, Kumar Dp V, Condati NK, Bhadoria AS, AS, Sarin SK. Cystatin C predicts acute kidney injury Sarin SK. Efficacy and safety of ultrasound guided and mortality in cirrhotics: A prospective cohort percutaneous glue embolization in iatrogenic study. Liver Int. 2017 Sep 23. doi: 10.1111/liv.13600. haemorrhagic complications of paracentesis and [Epub ahead of print] thoracocentesis in cirrhotic patients. Br J Radiol. 37. Garg M, Kaur S, Banik A, Kumar V, Rastogi A, Sarin 2017 Nov 8:20170259. doi: 10.1259/bjr.20170259. SK, Mukhopadhyay A, Trehanpati N. Bone marrow 46. Rastogi A, Shasthry SM, Agarwal A, Bihari C, endothelial progenitor cells activate hepatic Jain P, Jindal A, Sarin S.Non-alcoholic fatty liver stellate cells and aggravate carbon tetrachloride disease - histological scoring systems: a large induced liver fibrosis in mice via paracrine factors. cohort single-center, evaluation study. APMIS. 2017 Cell Prolif. 2017 Aug;50(4). doi: 10.1111/cpr.12355. Nov;125(11):962-973. doi: 10.1111/apm.12742. Epub 2017 Jul 6. 47. Singh BK, Sharma SK, Sharma R, Sreenivas V, 38. Sharma S, Maras JS, Das S, Hussain S, Mishra AK, Myneedu VP, Kohli M, Bhasin D, Sarin S. Diagnostic Shasthry SM, Sharma CB, Weiss E, Elkrief L, Rautou utility of a line probe assay for multidrug resistant- PE, Gilgenkrantz H, Lotersztajn S, Paradis V, de la TB in smear-negative pulmonary tuberculosis .PLoS Grange P, Junot C, Moreau R, Sarin SK. Pre-therapy One. 2017 Aug 22;12(8):e0182988. doi: 10.1371/ liver transcriptome landscape in Indian and French journal.pone.0182988. eCollection 2017. patients with severe alcoholic hepatitis and steroid responsiveness. Sci Rep. 2017 Jul 28;7(1):6816. 48. Pandey CK, Saluja V, Gaurav K, Tandon M. Pandey VK, Bhadoria AS. K time and maximum amplitude 39. Omata M, Cheng AL, Kokudo N, Kudo M, Lee of thromboelastogram predict post-central venous JM, Jia J, Tateishi R, Han KH, Chawla YK, Shiina S, cannulation bleeding in patients with cirrhosis: A Jafri W, Payawal DA, Ohki T, Ogasawara S, Chen pilot study. IJMR 2017; 145: 84-89. PJ, Lesmana CRA, Lesmana LA, Gani RA, Obi S, Dokmeci AK, Sarin SK. Asia-Pacific clinical practice 49. Pandey CK, Dhankhar M, Prakash K, Karna ST, guidelines on the management of hepatocellular Tandon M, Chaturvedi R. Non-biological Artificial carcinoma: a 2017 update. Hepatol Int. 2017 Liver Support Devices- Past, Present and Future. Jul;11(4):317-370. Indian Journal of Research 2017;6:7-11. 40. Benjamin J, Shasthry V, Kalal CR, Anand L, 50. Prakash K, Aggarwal S, Bhardwaj S, Ramakrishna Bhardwaj A, Pandit V, Arora A, Rajesh S, Pamecha G, Pandey CK. Serial perioperative measurement V, Jain V, Kumar G, Lauria A, Puri P, Joshi YK, Sarin of cf DNA in donors and recipients undergoing SK. Characterization of Body Composition and living donor liver transplantation. Acta Anaesthesiol Definition of Sarcopenia in Patients with Alcoholic Scand 2017. Liver Cirrhosis: a Computed Tomography Based 51. Tandon M, Karna ST, Pandey CK, Chaturvedi R. 189

Diagnostic and therapeutic challenge of heart Pandey CK, Jain P. Nostril Selection Influences failure after liver transplant: Case series. World J the Success Rate of Nasogastric Tube Insertion; A Hepatol 2017; 9: 1253-60. Prospective Randomized Study. J Anesth Crit Care Open Access 2017;7(1): 00245. 52. Kumar KR, Kumar H, Baidya DK, Arora MK. Successful use of spinal anaesthesia for inguinal hernia repair 64. Shweta A. Singh, Kelika Prakash, Sandeep Sharma, in a child with Hunter syndrome with difficult airway. Gaurav Dhakate, Vikram Bhatia; Comparison J ClinAnesth. 2016 May;30:99-100. of propofol alone and in combination with 53. Som A, Baidya DK, Arora MK, Maitra S, Gupta S. Rett ketamine or fentanyl for sedation in endoscopic ultrasonography; ahead of print Korean journal of syndrome: a concern for the anesthesiologists. J ClinAnesth. 2016 June; 31:247-8. anaesthesiology 2017;70:e51. 54. Singh PM, Borle A, Gouda D, Makkar JK, Arora MK, 65. Kelika P., Maya J.; Evaluation of clonidine as an adjuvant to brachial plexus block and its comparison Trikha A, Sinha A, Goudra S. Erratum to “Efficacy of palonosetron in postoperative nausea and with Tramadol, Journal of Anaesthesiology Clinical Pharmacology. 2017;33:197-202. vomiting (PONV) – a meta analysis” J. ClinAnesth 2016 : 34 (459-482). 66. Shweta A. Singh and Kelika Prakash, TEG and other 55. Arora S, Chhabra A, Subramaniam R, Arora MK, point of care tests in Monitoring in Anesthesia and Perioperative Care ; Editors Dr. Anjan Trikha, Dr. Misra MC, Bansal VK. Transversus abdominis plane block for laparoscopic inguinal hernia repair : A Preet M. Singh; Jaypee Medical Publishers. randomized trial. J. ClinAnesth. 2016 Sept 33: 357- 67. Shamim R, Srivastava S, Rastogi A, Kishore 64. K, Srivastava A. Effect of two different doses 56. Maitra S, Baidya DK, Arora MK, Bhattacharjee S, of dexmedetomidine on stress response in pyeloplasty: randomized laparoscopic A Khanna P. Laryngeal mask airway Proseal provides higher oropharyngeal leark pressure than i-gel in prospective controlled study. Anesth Essays Res 2017;11:1030-4. adult patients under general anaesthesia : a meta analysis. J ClinAnesth. 2016 Sep ; 33 : 298-305. 68. Patro A, Priya V, Shamim R, Singh PK. Use of 57. Maitra S, Som A, Bhattacharjee S, Arora MK, malfunctioning fibre-optic bronchoscope as a rescue bougie!Indian J Anaesth 2017;61:277-8. Baidya DK. Comparison of high flow nasal oxygen therapy with conventional oxygen therapy and 69. Rameez R, Shamim R, Vansh P, Kumar SP. Calibrated non invasiveventilation in adult patients with acute polyvinyl chloride tube of urine bag in urine output hypoxemic respiratory failure : A meta-analysis and measurement of neonates. Indian J Anaesth systematic review. Crit Care 2016 Oct; 35 : 138-44. 2017;61:80-1. 58. Som A, Bhattacharjee S, Maitra S, Arora MK, 70. Shamim R, Sandeep S, Siddiqui T, Agarwal S. Baidya DK, Combination of 5-HT3 Antagonist and Antithymocyte globulin-induced refractory Dexamethasone is superior to 5-HT3 Antagonist hypotension in renal transplantation recipient. J alone for PONV rophylaxis after laparoscopic Anaesthesiol Clin Pharmacol 2017;33:422-3. surgeries : A Meta-analysis. AnesthAnalg . 2016 Dec; 71. Shamim R, Haldar R, Kaushal A. Ultrasoundguided 123 (6) : 1418-1426. probe-generated artifacts stimulating ventricular 59. Arora MK, Singh PM Enhanced Recovery for Major tachycardia: A rare phenomenon. Saudi J Anaesth abdominopevic Surgery, AnesthAnalg 2017 Feb. 2017;11:93-5. 60. Singh PM, Rewari V, Chandralekha, Arora MK, Trikha 72. Kumar S, Kaushal A, Shamim R. Delayed tracheal A. A retrospective analysis of determinants of self perforation, a rare but dreaded complication of extubation in a tertiary care intensive care unit. J thyroidectomy. Saudi J Anaesth. 2017,11:351-2. Emerg Trauma Shock. 2013 Oct;6(4):241-5. 73. Sindwani G, Suri A, Divya Shrivastava, Sanjoy Sureka. 61. Muthiah T, Arora MK, Trikha A, Sunder RA, Prasad G, Laparoscopic guided continuous type 1 quadratus Singh PM, Efficacy of magnesium as an adjuvant to lumborum block — “Sindwani technique with case bupivacaine in 3 in 1 nerve block for arthroscopic series” Journal of Clinical Anesthesia, 2017;42:93-94. anterior cruciate ligament repair. Indian J Anaesth. 74. Suri A, Sindwani G, Sahu S, Gupta N, Sureka S 2016 Jul; 60 (7) : 491-5. Surgeon assisted quadratus lumborum block – 62. Tandon M, Pandey CK, Pamecha V, Karna ‘Gaurav-Aditi’ technique case series Journal of ST, Singh A (2017) Anaphylactic Reactions to Clinical Anesthesia, 2017;42:48-49. Methylprednisolone and Gelofusine™ During Liver 75. Sindwani G, Suri A, Verma R. Facial skin injury Transplant: Lesson Learnt. J Anesth Crit Care Open caused by acrylate-based adhesive tapes in a Access 2017;8(5): 00322. post-menopausal patient: A preventable cause. 63. Tandon M, Dhankhar M, Pandey VK, Karna ST, Indian J Anaesth 2017;61:446-7. 190

76. Sindwani G, Sahu S, Singh UP, Khanna R. Cancer 2017;64:259-66. Anesthetic management of a patient with 88. Sood V, Chaudhari SR, Borle D, Sureka B, Bihari Yamaguchi syndrome for laparoscopic radical C, Kumar S. Cystic Presentation of Hepatic nephroureterectomy. Annals of Cardiac Schistosomiasis. Indian J Pediatr. 2017 Sep 19. doi: Anaesthesia 2017;20:119-20. 10.1007/s12098-017-2468-0. 77. Suri, A., Sindwani, G. and Mane, R..Comparison 89. Rastogi A, Gulati N, Bihari C, Chaudhary A, Bansal K, of onset and duration of sensory and motor Sasturkar S, Thapar S,Pamecha V. JC Virus-Related blockade between equipotent doses of 0.75% Progressive Multifocal Leukoencephalopathy plain ropivacaine and 0.5% plain levobupivacaine AfterLiving-Donor Liver Transplant: A Rare Case. in lower abdominal surgeries under epidural Exp Clin Transplant. 2017 Aug 12.doi: 10.6002/ anaesthesia - A one year hospital based ect.2016.0242. randomized clinical study. Sri Lankan Journal of Anaesthesiology. 2017:25(1);19–24. 90. Sureka B, Singh VP, Rajesh SR, Laroia S, Bansal K, Rastogi A, Bihari C,Bhadoria AS, Agrawal N, Arora 78. Sindwani G, Suri A, Rastogi A. Anesthetic A. Computed Tomography (CT) and Magnetic management of a patient with dilated Resonance (MR) Findings in Xanthogranulomatous cardiomyopathy and end stage renal disease for Cholecystitis: Retrospective Analysis of emergency strangulated hernia repair surgery: a Pathologically Proven 30 Cases - Tertiary Care case report. Anesth Essays Res 2017;11:1121-3. Experience. Pol J Radiol. 2017 Jun22;82:327-332. doi: 79. Sindwani G, Sahu S, Suri A, Zakia Saeed. Bilateral 10.12659/PJR.901728. eCollection 2017. Quadratus lumborum block for post-operative 91. Nayak SL, Kumar M, Bihari C, Rastogi A. Bile Cast analgesia in a Von hippel landau syndrome patient Nephropathy in Patients withAcute Kidney Injury undergoing laparoscopic radical nephrectomy Due to Hepatorenal Syndrome: A Postmortem Saudi J Anaesth 2017;11:513-4. Kidney BiopsyStudy. J Clin Transl Hepatol. 2017 Jun 80. Suri A, Sindwani G, Sahu S, Sureka S Quadratus 28;5(2):92-100. lumborum block failure – “A must know 92. Mahansaria SS, Agrawal N, Arora A, Bihari C, complication”. (Accepted in Indian Journal of Appukuttan M, Chattopadhyay TK.Ampullary Anesthesia). Mixed Adenoneuroendocrine Carcinoma: Surprise 81. Gupta B, Garg N, Ramachandran R. Vasopressors: Histology, Familiar Management. Int J Surg Pathol. Do they have any role in hemorrhagic shock?. J 2017 Oct;25(7):585-591. Anaesthesiol Clin Pharmacol 2017;33:3-8. 93. Sureka B, Rastogi A, Bihari C, Bharathy KGS, Sood 82. Soni KD, Garg N, Aggarwal R, Ambuj A. V, Alam S. Imaging in ductal plate malformations. Percutaneous dilatational tracheostomy through Indian J Radiol Imaging. 2017 Jan-Mar;27(1):6-12. paramedian technique and lateral approach in doi:10.4103/0971-3026.202966. a patient with cervical esophagostomy-a case 94. Choudhury A, Kulkarni AV, Sahoo B, Bihari C. report. Int J Burns Trauma. 2017 Jul 25;7(4):47-49. Endoscopic nasobiliary drainage:an effective 83. Jain1 S, Garg N, Khanna P, Sethi S. Paediatric treatment option for benign recurrent intrahepatic Emergence Agitation: Management Options. GSL cholestasis(BRIC). BMJ Case Rep. 2017 May 5;2017. J Anesth Open Access 2017; 1:102. pii: bcr-2016-218874. doi: 10.1136/bcr-2016-218874. 84. Garg N, Sharma A “Escobar Syndrome: A Rare 95. Birendra Kumar Yadav, Chhagan Bihari. Biobanking Case and Review of Literature”. Anaesthesia, in India and its importance in Cancer Research. Critical Care and Pain Management 1.2 (2017): 37- Edorium J Cancer 2017;2. Accepted. 40. 96. Neha Nigam, Bihari C. Sinusoidal infiltration of 85. Marcus S, Bedi N, Yadav HP, Gupta Y, Chowdhary hepatosplenic lymphoma in liver and bone marrow. R, Kansal A. Psychosocial morbidities: A rising trend BR2016-185. Accepted Jan 2017. in breast cancer patients. An explorative study in 97. Patil A, Nigam N, Deepika, Rastogi A, Pamecha V, an Indian setting. International Journal of Scientific Bihari C. Post liver transplant myeloid maturation and Research Publications 2017;7:65-70. arrest. BR 2017-001. Accepted Jan 2017. 86. Sahai P, Kumar S. External radiotherapy and 98. Sood V, Lal BB, Khanna R, Rawat D, Bihari C, Alam S. brachytherapy in the management of extrahepatic Noncirrhotic Portal Fibrosis in Pediatric Population. J and intrahepatic cholangiocarcinoma: available Pediatr Gastroenterol Nutr. 2017 May;64(5):748-753. evidence. Br J Radiol 2017;90:20170061. 99. Sood V, Alam S. Outcome of Biliary Atresia After 87. Sahai P, Mohanti BK, Sharma A, Thakar A, Bhasker Kasai’s Portoenterostomy: Few Concerns. Indian S, Kakkar A, et al. Clinical outcome and morbidity Pediatr. 2017 Aug 15;54(8):690. No abstract in pediatric patients with nasopharyngeal cancer available. treated with chemoradiotherapy. Pediatr Blood 191

100. Ganju S, Lal BB, Khanna R, Sood V, Alam S. Pancreaticojejunostomy: does the technique Characterizing and Defining “Infantile Liver Failure”. matter? A randomized trial. J Surg Oncol 2017. Oct J Pediatr Gastroenterol Nutr. 2017 Jul;65(1):e23. 16. doi: 10.1002/jso.24873. [Epub ahead of print] 101. Alam S, Khanna R, Sood V, Lal BB, Rawat D. Profile 112. Ram BM, Dolpady J, Kulkarni R, Usha R, Bhoria U, Poli and outcome of first 109 cases of paediatric acute UR, Islam M, Trehanpati N, Ramakrishna G. Human liver failure at a specialized paediatric liver unit in papillomavirus (HPV) oncoprotein E6 facilitates India. Liver Int. 2017 Oct;37(10):1508-1514. Calcineurin-Nuclear factor for activated T cells 2 102. Nobre S, Khanna R, Bab N, Kyrana E, Height S, (NFAT2) signaling to promote cellular proliferation in cervical cell carcinoma. Exp Cell Res. 2018 Jan Karani J, Kane P, Heaton N, Dhawan A. Primary Budd-Chiari Syndrome in Children: King’s College 1;362(1):132-141. doi: 10.1016/j.yexcr.2017.11.010. Epub 2017 Nov 9. Hospital Experience. J Pediatr Gastroenterol Nutr. 2017 Jul;65(1):93-96. 113. Anwar T, Sen B, Aggarwal S, Nath R, Pathak N, Katoch 103. “No go” donor hepatectomy in living-donor A, Aiyaz M, Trehanpati N, Khosla S, Ramakrishna G . Differentially regulated gene expression in liver transplantation. Pamecha V, Bharathy KGS, Mahansaria SS, Sinha PK, Rastogi A, Sasturkar SV. quiescence versus senescence and identification of ARID5A as a quiescence associated marker..J Hepatol Int. 2017 Nov 24. doi: 10.1007/s12072-017- 9832-z. Cell Physiol. 2017 Oct 17. doi: 10.1002/jcp.26227. [Epub ahead of print] 104. Gupta S, Bajpai M, Pamecha V .Dilemma-ABO 114. Vyas AK, Trehanpati N. Commentary: IL-21 Incompatible Liver Transplant in a Patient with an Anaphylactic Reaction to Fresh Frozen Plasma. Receptor Antagonist Inhibits Differentiation of B Cells toward Plasmablasts upon Alloantigen Indian J Hematol Blood Transfus. 2017 Dec;33(4):626- 627. doi: 10.1007/s12288-016-0774-8. Epub 2016 Dec Stimulation. Front Immunol. 2017 Aug 4;8:934. doi: 10.3389/fimmu.2017.00934. eCollection 2017. 29. 115. Vyas AK, Khosla R, Trehanpati N. In Response 105. Pamecha V, Sasturkar SV, Sinha PK, Mahansaria SS, Bharathy KGS, Kumar S, Rastogi A.Major Liver to ‘The role of circulating T follicular helper cells and regulatory cells in non-small cell lung cancer Resection for Large and Locally Advanced Hepatocellular Carcinoma.Indian J Surg. 2017 patients’. Scand J Immunol. 2017 Oct;86(4):248. doi: 10.1111/sji.12584. Aug;79(4):326-331. doi: 10.1007/s12262-016-1545-3. Epub 2016 Sep 3. 116. Vyas AK, Jindal A, Hissar S, Ramakrishna G, 106. Bharathy KGS, Kumar S, Pandey V, Sinha PK, Trehanpati N.Immune balance in Hepatitis B Infection: Present and Future Therapies. Scand J Sasturkar SV, Pamecha V.Re-expansion pulmonary oedema: an unusual and unsettling complication. Immunol. 2017 Jul;86(1):4-14. doi: 10.1111/sji.12553. Review. ANZ J Surg. 2017 Jul;87(7-8):638-639. doi: 10.1111/ ans.14058. 117. Vyas AK, Trehanpati N.In Response to ‘Chemokine 107. Bharathy KG, Sasturkar SV, Sinha PK, Kumar S, Patterns in Children with Acute Bacterial Infections’. Scand J Immunol. 2017 Mar;85(3):235. doi: 10.1111/ Pamecha V. Portal Inflow in Extensive Portomesenteric Thrombosis: Using the Pericholedochal Varix in Living sji.12526. No abstract available. Donor Liver Transplantation. J Clin Exp Hepatol. 118. Trehanpati N, Vyas AK. Immune Regulation by 2017 Mar;7(1):63-65. doi: 10.1016/j.jceh.2016.10.007. T Regulatory Cells in Hepatitis B Virus-Related Epub 2016 Nov 4. Inflammation and Cancer. Scand J Immunol. 2017 Mar;85(3):175-181. doi: 10.1111/sji.12524. Review. 108. Dash NR, Kilambi R, Singh AN, Pal S, Asfan MA. Presentation and Management of 119. Chatterjee N, Anwar T, Islam NS, Ramasarma T, Pseudoaneurysmogastric Fistula: A Life Threatening Ramakrishna G. Erratum to: Growth arrest of lung Emergency. J Invest Surg. 2017 Oct;30(5):314-317. carcinoma cells (A549) by polyacrylate-anchored 109. Madhusudhan KS, Sharma R, Kilambi R, Shylendran peroxovanadate by activating Rac1-NADPH oxidase signalling axis. Mol Cell Biochem. 2017 S, Shalimar, Sahni P, Gupta AK. 2D Shear Wave Elastography of Liver in Patients with Primary Jan;424(1-2):209-210. doi: 10.1007/s11010-016-2844- 5. Extrahepatic Portal Vein Obstruction. J Clin Exp Hepatol. 2017 Mar;7(1):23-27. 120. Sukanta Das, Md. Shabir Hussain, Jaswinder Singh 110. Kilambi R, Singh AN, Dash NR, Madhusudhan Maras, Jitendra Kumar, Shasthry S M, Suman Nayak, Vinod Arora, Rajan V, Shvetank Sharma, Rakhi KS, Das P. Primary giant aggressive amelanotic duodenal melanoma. Ann R Coll Surg Engl. Maiwall, Shiv Kumar Sarin Modification patterns of urinary albumin correlates with serum albumin 2017;99(5):e131-e134. and outcome in severe alcoholic hepatitis ,JCG 111. Singh AN, Pal S, Mangla V, Kilambi R, George (Accepted for publication). J, Dash NR, Chattopadhyay TK, Sahni P. 192

121. Systems Level Analysis for Characterization of 134. Sureka B, Bansal K, Patidar Y, Arora A.Magnetic Genes Responsible for Outcome in Severe Alcoholic resonance cholangiographic evaluation of Hepatitis Patients on Steroid Therapy Journal of intrahepatic and extrahepatic bile duct variations. Hepatology 64(2):S241-S242. Indian J Radiol Imaging. 2016 Jan-Mar;26. 122. A multicentre study of antifungal susceptibility 135. Betgeri S, Rajesh S, Arora A, Panda D, Bhadoria patterns among 350 Candida auris isolates (2009- AS, Mukund A . Percutaneous endobiliary RFA 17) in India: role of ERG11 and FKS1 genes in combined with balloon-sweep for re-opening azole and echinocandin resistance Journal of occluded metallic biliary stents. Minim Invasive Antimicrobial Chemotherapy, Dec 2017. Ther Allied Technol. 2017 Apr;26(2):124-127.doi: 123. Infections in Live donor Liver Transplant recipients: 10.1080/13645706.2016.1235052. Epub 2016 Sep 27. A study of Timeline, Aetiology and Antimicrobial 136. Bajpai V, Gupta E, Kundu N, Sharma S, Shashtry SM. resistance of bacterial and fungal infections from Hepatitis B Core Antibody Negativity in a Chronic developing world. IJMM, accepted Nov 2017. Hepatitis B Infected Patient: Report of an Unusual Serological Pattern. J Clin Diagn Res. 2017 Aug;11(8) 124. Kale P,Gupta N, Verma N, Mirdha BR. First instar larva of Oestrus ovis: caught in action. National 137. Mahajan S, Nayak SL, Gupta E. Utility of hepatitis Medical Journal of India. 2017 May-Jun;30(3):177. C virus RNA as the screening test for diagnosing hepatitis C virus infection in hemodialysis patients. 125. Kale P, Sahu M, Verma N, Mirdha BR. Association of Three H - Hookworm, Hemosuccus Pancreaticus, J Lab Physicians. 2017 Oct-Dec;9(4):345. and Hypertension (Portal) in a Patient with Melena. 138. Choudhary MC, Gupta E, Sharma S, Hasnain N, Journal of global infectious diseases. 2017 Jul-Sep; Agarwala P. Genetic signatures coupled with 9(3): 120–122. lineage shift characterise endemic evolution of Dengue virus serotype 2 during 2015 outbreak in 126. Dabas Y, Xess I, Kale P. Molecular and antifungal susceptibility study on trichosporonemia and Delhi, India. Trop Med Int Health. 2017 Jul;22(7):871- 880. emergence of Trichosporon mycotoxinivorans as a bloodstream pathogen.Med Mycol. 2017 Jul 139. Kotru M, Munjal SS, Mutreja D, Kumar G, Singh M, 1;55(5):518-527. Seth T, Pati HP. Severity of anemia and hemostatic parameters are strong predictors of outcome 127. Kokkayil P, Pandey M, Agarwal R, Kale P, Singh G, Xess I. Rhizopus homothallicus Causing Invasive in postoperative neurosurgical patients. Asian J Neurosurg. 2017 Jul-Sep;12(3):489-493. doi: Infections: Series of Three Cases from a Single Centre in North India. Mycopathologia. 2017 Oct; 10.4103/1793-5482.180940. 182(9-10):921-926. 140. Bhadoria AS, Kapil U, Bansal R, Pandey R M, Pant B, Mohan A. Prevalence of severe acute malnutrition 128. Gupta N, Choudhary A, Mirdha BR, Kale P, Kant K, Ghosh A, Verma N. Strongyloides stercoralis and associated sociodemographic factors among children aged 6 months–5 years in rural population infection: A case series from a tertiary care centre in India J Glob Infect Dis. 2017 Apr-Jun; 9(2):86-87. of Northern India: A population-based survey. J Family Med Prim Care 2017;6:380-5. 129. Ahuja A, Rastogi A, Bihari C, Thapar S, Chowdhary 141. Sharma S, Khosla R, David P, Rastogi A, Vyas A, Singh A. Large hepatocellular carcinoma with peliotic change mimicking cavernous hemangioma. D, Bhardwaj A, Trehanpati N et al CD4+CD25+CD127 (low) Regulatory T Cells Play Predominant Anti-Tumo Tropical Gastroenterology. 2017 Jun 8; 37(4):285-7. Suppressive Role in Hepatitis B Virus-Associated 130. Advances in Inflammatory bowel disease Hepatocellular Carcinoma. Front Immunol. 2015 Book Chapter: for the Journal of Surgical Feb 25; 6:49. Gastroenterology (Springer). 142. Kedarisetty CK, Anand L, Bhardwaj A, Sarin SK. 131. Patidar Y, Singhal P, Gupta S, Mukund A, Sarin Combination of granulocyte colony-stimulating SK. Radiofrequency ablation of surface v/s factor and erythropoietin improves outcomes intraparenchymal hepatocellular carcinoma of patients with decompensated cirrhosis.. in cirrhotic patients. Indian J Radiol Imaging Gastroenterology. 2015 Jun; 148(7):1362-70. 2017;27:496-502. 143. Alloimmunization in multitransfused liver disease 132. Arora A, Rajesh S, Bansal K, Sureka B, Patidar patients-Impact of underlying disease, Asian J Y, Thapar S, Mukund A. Cirrhosis-related Transfus Sci, 2016 Jul-Dec; 10(2): 136–139. musculoskeletal disease: radiological review. Br J Radiol. 2016 Oct. 144. Bajpai, M, Gupta, S and Jain, P Validation of a New “Objective Pain Score” Vs. “Numeric Rating Scale” 133. Patidar Y, Sureka B, Singh VP, Bansal K, Maiwall R. For the Evaluation of Acute Pain: A Comparative Spontaneous rupture of intrahepatic pseudocyst Study”, Anesth Pain Med. 2016 February; 6(1): into the inferior vena cava. Gastroenterol Rep e32101. (Oxf). 2016 Apr 21. 193

145. Level of Serum Electrolyte in Depression Patients”, in 151. Srinivasan M, Gupta S. Prevalence of mistreatment the International Journal of scientific Research, Vol of older persons and their associated psychological 4,Issue 5, May, 2015,ISSN No: 2277-8179. distress in selected population of Northern India. In: Shankardass, Mala Kapur, Rajan, S. Irudaya (Eds.). 146. Naryan, G and Jain, P. On Efficient Estimation in PSNR Sampling Scheme using Auxiliary Information” Abuse and Neglect of the Elderly in India. Springer Singapore; 2017. (In Press) in Aligarh Journal of Statistics, Vol. 27, P: 43-59, 2007. 152. Srinivasan M, Gupta S. Prevention and 147. Srivastava,M and Jain, P. Optimum Allocation in Multivariate Stratified Random Sampling with management of Abuse and Maltreatment of Older persons. In: Training Modules for Elderly Health Care Different Weight Structures using Auxiliary Variables” in Journal of Assam Science Society, Vol. 47, P: 36- Providers Under NPHCE (In press). Ministry of Health and Family welfare, Government of India. 45, 2007 153. Suman Nayak, Ashish Kataria, Manoj Sharma, 148. Choudhury A, Kumar M, Sharma BC, Maiwall R, Pamecha V, Moreau R, Chawla YK, Duseja A, Archana Rastogi, Ekta Gupta, Ajit Singh, Suresh Tiwari; A case of Hepatitis C Virus associated Mahtab M, Rahman S, Hamid SS, Butt AS, Jafri W, Tan SS, Devarbhavi H, Amarapurkar D, Ning Q, Membranoproliferative glomerulonephritis without detectable cyoglobulins and complete recovery Eapen CE, Goel A, Kim DJ, Ghazinyan H, Shiha G, Lee GH, Abbas Z, Payawal DA, Dokmeci AK, Yuen with Directly Acting Antiviral therapy without immunosuppression. Accepted for publication in MF, Lesmana LA, Sood A, Chan A, Lau GK, Jia JD, Duan Z, Yu C, Yokosuka O, Jain P, Bhadoria AS, Indian Journal of Nephrology (9/2017). Kumar G, Sarin SK; APASL ACLF working party. 154. Jindal A, Rastogi A, Sarin SK. Reviewing the diagnostic criteria for acute-on-chronic liver failure. 149. Choudhury A, Jindal A, Maiwall R, Sharma MK, Sharma BC, Pamecha V, Mahtab M, Rahman S, Expert Rev Gastroenterol Hepatol. 2016 Dec;10 (12):1385-1395. Epub 2016 Nov 1. Chawla YK, Taneja S, Tan SS, Devarbhavi H, Duan Z, Yu C, Ning Q, Jia JD, Amarapurkar D, Eapen 155. Gupta E, Pamecha V, Verma Y, Kumar N, CE, Goel A, Hamid SS, Butt AS, Jafri W, Kim DJ, Rastogi A, Hasnian N, Bhadoria AS. Pre-transplant Ghazinian H, Lee GH, Sood A, Lesmana LA, Abbas Cytomegalovirus (CMV) IgG antibody levels could Z, Shiha G, Payawal DA, Dokmeci AK, Sollano JD, prevent severe CMV infections post transplant in Carpio G, Lau GK, Karim F, Rao PN, Moreau R, Jain liver transplant recipients: experience from a tertiary P, Bhatia P, Kumar G, Sarin SK; APASL ACLF Working care liver centre. Accepted in Indian Journal of Party. Hepatology Interantional, 2017 Medical Microbiology. 150. Srinivasan M., Gupta S. Mistreatment of older adults 156. Nayak S, Kataria A, Rastogi A,. “Cholemic Nephrosis and associated psychological distress: findings from Acute Hepatitis E virus infection: a forgotten of a pilot study. Asian J. Nur. Edu and Research. entity?” accepted by Indian Journal of Nephrology. 2017:7(4). (Accepted for publication in October- 157. Chaudhari S, Rastogi A, Taneja K, Thapar S, Agarwal December:2017 issue) N. Unusual presentation of fibrolamellar carcinoma: A rare case report. IJCR_17-116 R_1_CR. 194

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The Hospital Services Medical Operations The department of Medical Operations remains committed to its mission in improvising the standard of care available in the institute. The year saw us raise the benchmark in our services compared to the best of the hospitals in the nation. This year, the hospital got a new, more user friendly and browser based version of the Hospital Information System (HIS). The institute also implemented new modalities of automated queue management in its outpatient area, which was shifted to the newly opened second phase building. Dr. Girish Chandra, Head Operations (Medical) leads the team and is supported by a group of young and enterprising professionals from the department of medical operations, nursing services, quality and training, front desk operations and other support services. The operations team aims to facilitate the care providers in delivering the highest standards of care to our patients. Staff Designation Dr. Girish Chandra Head Operations (Medical) Dr. Vimal Rai Sharma Dy. Head Operations (Medical) Dr. Kishore Singh Asst. Head Operations (Medical) Dr. Shantanu Dubey Asst. Head Operations (Medical) Dr. Anjana David Asst. Head Operations (Medical) Ms. Cicily Babu Sr. Manager ( Nursing) Mr. Anurag Panwar Assistant Manager Others: Ms. Sarika Jha, Ms. Kulwinder Kaur Hospital Committees  Core Committee  Credentialing and Privileging Committee  Code Blue Committee,  Drugs and Therapeutics Committee  Emergency Preparedness Committee (Disaster)  Grievance Redressal cum Welfare Board  Hospital Safety Committee  Hospital Transfusion Committee 199

 Infection Control Committee,  Medical Audit Committee,  Quality Assurance Committee, and  Sexual Harassment Committee Patient Care Services ƒ Out Patient Department The Out-patient services were shifted to the new and improved quarters in Phase –II building with better consultation chambers and waiting and sub- waiting areas. Out-patient clinics are conducted in sub-specialties like Hepatology, Hepatopancreato-biliary surgery, Pediatric Hepatology, Nephrology, Pulmonology, Oncology, Cardiology, Urology and Renal Transplant services. Special Clinics in Nutrition, Neurology and Radiation Oncology have also been started. General OPD clinics are conducted six days a week for the general category of patients at a nominal consultation fee of Rs. 20/-. The appointment system was also shifted to a fully electronic platform with display based queue management. In-charge : Dr. Shantanu Dubey OPD Management : Anurag Panwar, Sachin Rodger Joseph Resident Administrator : Shikha Bhargava, Bharat Shrivastava, Amit Lakra, Dharam Singh Meena, Aditya Madhuriya OPD Nurse In-charge : Ms. Seena Babu ƒ In-patient Services New wards-both for IPD and for day care, have been opened in Phase-2 building. With this addition, today there are 213 fully functional complement beds (66 general ward beds, 16 super economy beds, 40 semi private beds, 11 private rooms, 10 deluxe rooms, 16 pediatric ward, 2 VIP suites, 16 Liver coma ICU beds, 15 surgical ICU beds, 5 liver transplant ICU beds, 3 oncology, 3 FMT and 13 HDU beds) ; 46 non- complement beds (10 dialysis beds; 36 daycare beds),15 ER beds and 4 post- operative beds. 200

In-patient Services 2015 2016 2017 No. of Beds (Functional) 151 191 216 Admissions 5926 6605 7686 In-Patient Days 43944 48489 53058 Bed Occupancy 81% 82% 73% Bed Turn Over Rate 3.3 3.4 3.3 ƒ Emergency Services The emergency services are functional 24x7, round the clock on all days. The emergency block is fully equipped with advance monitoring and resuscitation equipments. Services are well organized with dedicated manpower and designated space for triage, observation and admission. The emergency block consists of a Triage Hall with 4 beds and an emergency observation ward with 8 beds. With starting of new building of ILBS, there is a plan to further expand the service facility of emergency area. ƒ Triage System Start and Jump-Start Protocols are used for initial triaging of adult and pediatric patients respectively. The emergency services cater to all categories of patients presenting with hepato-biliary and non-hepato-biliary clinical conditions across all age groups. However, non-hepato-biliary cases are referred to appropriate health care facilities after initial assessment and stabilization. ILBS has in house blood bank and laboratories, providing emergency support to appropriate patients. ƒ Liver Emergencies ILBS provides emergency care to all types of liver diseases, presenting in critical condition. The clinical conditions commonly presenting in ILBS emergency include hepatic encephalopathy, acute variceal bleed, lower GI bleed, spontaneous bacterial peritonitis, hepato renal syndrome, hepatic hydrothorax, acute liver failure, acute cholecystitis, acute pancreatitis, blunt trauma abdomen, acute gastroenteritis etc. The emergency is prepared to tackle any medical emergency however non-hepatobiliary emergency are referred to other facilities after stabilization. A team of casualty medical officers is present to triage patients. ILBS team is well prepared to manage serious patients presenting with Acute Liver Failure (ALF) suitable for emergency transplant surgeries. A team is always ready for retrieval and transport of organs from potential brain dead donors for cadaver transplant. During past year, rapid transport of organs from the airport was facilitated to the hospitals through a green corridor created with the support of Delhi police. A dedicated team comprising skilled emergency physicians, hepatologists, hepato-biliary surgeons and critical care 201

specialists, is available round the clock. There is in- house presence of support services of pediatric hepatology, nephrology, neurology, cardiology, urology, renal transplantation and intervention radiology. ƒ Code Blue Team A dedicated Code Blue Team is available round the clock to tackle any medical emergency involving cardiovascular arrest within the hospital premises. All activities are continually standardized through NABH accreditation program with round the year training of all emergency staff. All staff and doctors are provided BLS ACLS training on regular basis. ƒ Liver Helpline A dedicated 24 hour toll free no.1-800-11-5354 has been designated as “Liver Help Line” for the benefit of patient and their relatives. Questions related to liver diseases are answered round the clock by hospital emergency staff at this dedicated telephone number. During past year on an average 25- 30 calls were received every days in emergency seeking information and help about liver diseases. The common queries include information related to jaundice, continuation of treatment, follow up advice, new symptoms, emergency problems, Liver Transplantation, Hepatitis B, Hepatitis C, etc. The Liver helpline also functions as telephone triage service. Patients discharged from hospitals also benefit from 27x7 connectivity with the institution in case of any emergency. This service is especially beneficial for outstation patients. Depending upon the urgency it helps patients and their relatives directing them towards appropriate level of health care. ƒ Liver Ambulance Service ILBS is well equipped for handling transportation of sick patients with two basic and one advanced life support ambulances. The BLS ambulances are equipped with an oxygen cylinder, and emergency medications and supplies. The advanced “Liver Ambulance Service”, an ALS facility, is available for critically ill patients and the management of such patients is undertaken during the process of transfer to ILBS. This ambulance is fitted with state of the art pre-hospital medical equipment almost identical to the Hospital’s ICUs. The ambulance has the capability to establish and maintain a patient’s airway, defibrillate the heart, stabilize pneumothorax conditions and perform other advanced life support procedures or services, such as cardiac (EKG) monitoring, intubations and ventilation. This ambulance can transport ventilator- supported patients to long distances. Emergency of ILBS also facilitates transfers through air ambulances for patients from far and remote places. ƒ Disaster Management Plan ILBS hospital has a well documented Disaster Management Plan. ILBS is well equipped to handle any type of external or internal disaster. A documented disaster management policy is in place. In case of Mass Casualty, the area outside the emergency ward is used as a triage zone and the inner zones are designated as Yellow, Red and Black zones respectively. Disaster drills are carried out a regular interval to check preparedness. 202

Emergency Services 2015 2016 2017 Patients Seen in Emergency 6857 7202 8156 Admissions through Emergency 2940 3561 3927 Medico- Legal Cases 09 8 14 Emergency Staff Consultant Incharge Dr. Ankur Jindal CMO Dr Raman Kumar, Dr Girish Gupta, Dr. Deepak J Poddar, Dr Ujjawal Vaid Nurse Incharge Ms. Bindu B.Nair Day Care Services The Institute has day care facilities which provide services to patients for short stay procedures like diagnostic and therapeutic endoscopy, ERCP, biliary stenting, endoscopic ultrasound (EUS), Endoscopic Shock Wave Lithotripsy (ESWL), etc. The services are operational from 8 am to 8 pm. Day-Care Services 2015 2016 2017 Day-Care Admissions 23859 26024 27495 Daycare Staff Overall Co-ordinator (Daycare / Endoscopy) Ms. P. Jamuna Rani Nurse In charge Ms. Manjushree M.K ƒ Intensive Care Services Out of the hospital’s total strength of 213 beds, 36 function as ICU beds and 13 have been designated as High Dependency Unit beds. All ventilated patients in the ICU are staffed round the clock with a dedicated nurse in each shift (Nurse:Patient ratio of 1:1). Close attention is paid to infection control practices in the ICU leading to extremely low rates of ventilator associated pneumonia (VAP) and other HAI indicators. State of art infrastructure like fully automatic remote controlled patient beds, centralized patient monitoring system, HEPA filters, Conferencing facilities, high end ventilators and a well stocked inventory of advanced medical equipment are available. Critical-Care Services 2015 2016 2017 Liver Coma ICU Admissions 1224 1188 1157 HPB Surgical ICU Admissions 541 981 906 Transplant ICU Admissions 144 155 141 203

Nurse in-charge Liver Coma Ms. Asha Varghese Surgical ICU Ms. Deepa Anthony Transplant ICU Ms. Rosamma Xavier HDU Ms. Lucy Joseph K ƒ Endoscopy Suites The Institute has eight endoscopy suites for undertaking various endoscopic procedures namely UGI endoscopy, colonoscopy, ERCP, capsule endoscopy, ESWL, diagnostic and therapeutic endoscopic ultrasound, single and double balloon enteroscopy, bronchoscopy, Liver biopsy, Hepatic Venous Pressure Gradient (HVPG) and Trans Jugular Liver Biopsy(TJLB). Major endoscopic procedures are carried out by highly trained faculty assisted by skilled nurses and experienced technicians. At ILBS, a high priority is placed on prevention of transmission of infections and microorganisms from one patient to another. To ensure this, the endoscopes and other accessories are washed, cleaned and disinfected following national and international guidelines in a separate disinfection room. The disinfection room also houses two state-of-art fully automatic endo-washers which are used to treat and disinfect the instruments after Photos of endoscopy Procedure and Nursing care n HDU every use. Technical Staff: Mr. Krishan Kumar Mr. Gehlout, Mr. Ravinder Kumar, Mr. Rajesh Kumar Rai, Mr. Shashendra Kumar Yadav, Mr. Naveen Antil Nurse Incharge : Ms. P. Jamuna Rani ƒ High Dependency Unit and GI Bleed Unit The institute has started a thirteen bedded HDU as step down facility, to cater to patients who require close monitoring but are not critical enough to require admission in ICU. One of these beds is designated as isolation bed for immunocompromised or immunodeficient patients. Nurse Incharge: Ms. Lucy Joseph ƒ Operating Suites The institute has six fully equipped state-of-the-art modular operating rooms (OR). Two ORs are dedicated to the liver and renal transplant surgery and four OR are for other surgical procedures. The ORs are equipped with latest equipments like Ultrasonic Surgical Aspiration System, Argon Beam Coagulator, Thromboelastograph, Cell Saver, Rapid Infusion System, Cardiac Output Monitor, Veno-Venous Bypass Pump, Fibro-Optic bronchoscope, Video- 204

bronchoscope, Video-choledochoscope, HD Surgical Light Camera System, central anaesthesia Monitoring System and HD laparoscopic Monitor System. Surgeries 2015 2016 2017 Major Operations (Including Liver Transplants) 1159 1172 1219 Minor Operations 312 390 363 TOTAL 1471 1562 1582 Liver Transplant 101 93 88 Renal Transplant 45 38 38 Technical Staff Surgery: Mr. Kuldeep Varshney, Mr. Sunil Kumar Prasad, Mr. Neeraj Kaushik, Mr. Ravi Chauhan, Mr. Pushpendra Kumar, Mr. Kamaljit Singh, Mr. Mahesh Pal Singh, Mr. Jitender Kumar , Mr. Mahipal Yadav, Mr. Shailender Kumar Technical Staff Anaesthesia: Mr. Md.Shakil Hashmi, Mr. Parvez Ahmad, Mr. Arun Kumar, Mr. Ramesh Chandra, Ms.Geeta Sharma, Mr. Praveen Kumar, Mr. Bhupender Singh, Mr. Raju Yadav, Mr. Ravinder Kumar, Mr. Susendra Babu, Mr. Mr. Lakshmi Chand, Lalit Yadav, Mr. Hari Om Sharma OT Nurse Incharge: Mr. Sanjay Joshi ƒ Phlebotomy Services and Lab Reception The phlebotomy area is a dedicated area for the collection of samples from OPD patients. Trained phlebotomists who collect samples observe all the standard precautions. After collection, each vacutainer is bar-coded with the patient’s details. The lab reception receives samples from the OPD as well as IPD. On reception at the counter, each sample is acknowledged onto the hospital information system (HIS) and then distributed into the respective labs. In 2016, the phlebotomy services were shifted to the ground floor of the second phase building along with OPD services. The patients are now serviced though a queue management token based system to avoid patient harassment during waiting. All lab reports are also now dispatched through the phlebotomy counter itself. Faculty Incharge: Dr. Ekta Gupta, Additional Professor(Virology) Technical Staff: Mr. Sandeep Tyagi, Mr. Surender Kumar, Ms. Sanjay Mohini Sharma, Mr. Manvir Singh Chauhan Lab reception staff: Ms. Manisha Toppo, Mr. Rakesh Pratap Singh, Ms.Sheetal Pasi. 205

Quality and Training The institute has six fully equipped state-of-the-art modular operating rooms (OR). Two ORs are dedicated to the liver and renal transplant surgery and four OR are for other surgical procedures. The ORs are equipped with latest equipments like Ultrasonic Surgical Aspiration System, Argon Beam Coagulator, Thromboelastograph, Cell Saver, Rapid Infusion System, Cardiac Output Monitor, Veno-Venous Bypass Pump, Fibro-Optic bronchoscope, Video- bronchoscope, Video-choledochoscope, HD Surgical Light Camera System, central anaesthesia Monitoring System and HD laparoscopic Monitor System. Total Number of policies Hospital wide 171 Total Number of Manuals Hospital wide 42 Total Number of Quality Indicators 90 Quality Management System and Awards  NABH Accreditation - 4th January,2012  NABH Reaccreditation - 4th Januaray,2015  NABH Reaccreditation - Januaray,2018 (Due)  NABL Accreditation - 20th January,2013  NABH Reaccreditation -19th March,2015  NABH Reaccreditation -March,2017  AHPI- Green Hospital Award - 2016  Kayakalp Peer Review - Sept 2017  Kayakalp Final Audit - Dec 2017 Incharge: Dr. Kishore Singh Staff: Ms. Sarika Jha, Ms. Dzuzieneiu Usou, Mr. Sandeep Tyagi ƒ NABH Accreditation ILBS is the First Super Specialty government hospital in the country to be accredited by NABH. It also is the second government hospital in Delhi, and the seventh in the country to be so accredited. Various steps towards this were taken including sensitization programs, Gap analysis, Training of Champions/Master Trainers, Committee’s formation, implementation and monitoring of Quality Indicators, and Documentation of Hospital Wide Policies and Quality Manuals. The assessors highly appreciated the standards of patient care delivered in the Institute, and commended the management highly for the steps taken to ensure world class service delivery and infrastructure. The institute intends to continue to strive ceaselessly towards higher standards of quality in patient safety and care delivery. The department monitors and analyses more than 90 quality indicators from departments across the hospital every month. Periodic reports for all of these are shared with the management and NABH. Quality improvement projects are undertaken on the basis of these reports in collaboration with parent departments. Many other quality initiatives are undertaken such as Root Cause Analyses, Activity mapping, process redesigning and implementation of concepts like “5 S” 206

(seiri, seiton, seiso, seiketsu, and shitsuke) and lean six sigma in various hospital areas. The department actively encourages on job trainings for various non faculty staff in conjunction with the HR department. In addition, the department also supervises the implementation and monitoring of external Quality Assurance Programs in collaboration with different departments. The next NABH Reaccreditation audit is due in January, 2018. ƒ External Quality Assurance Program In accordance with good Quality Assurance practices, ILBS has instituted External Quality Assurance programs (EQAS) for all its diagnostic services. External quality assurance (EQA) is a program that allows testing sites to assess the quality of their performance by comparing their results with those of other laboratories. The Virology laboratory in ILBS is the first in India to participate in the EQAS program of the prestigious Royal College of Pathologists of Australasia (RCPA). Strict Internal Quality Assurance is also followed in all departments as per OEM guidelines. The various EQAS programs being implemented in different departments of ILBS are tabulated below. External Quality Assurance Programmes in ILBS Department Name of Organization performing EQAS Frequency Virology Royal College of Pathology, Australia (RCPA) Quarterly Departments of Hematology and Clinical Pathology and Quarterly Hematology Blood Bank, CMC, Vellore Hematology Department, AIIMS, New Delhi Quarterly Biochemistry Bio -Rad Laboratories, Irvine, California, USA Monthly Department of Microbiology and Immunology, Sir Gangaram Microbiology Quarterly Hospital, New Deilhi. Pathology (Histopathology All India Institute of Medical Sciences, New Delhi and TATA and Cytopathology) Memorial Hospital, Mumbai. Quarterly Blood Bank Santokba Durlabhji Memorial Hospital, Jaipur Quarterly Radiology and Imaging Mahajan Imaging Centre, Hauz Khas, New Delhi Quarterly ƒ NABL Accreditation The Dept. of Lab medicine, Institute of Liver and Biliary Sciences, achieved accreditation by National Accreditation Board for Testing and Calibration Laboratories (NABL) on 20.01.2013. Preparations for NABL Accreditation were started in early 2011 and the Institute applied to NABL in early 2012. Various steps towards this have been taken including sensitization programs, Gap analysis, Training of Champions/Master Trainers, Committee’s formation, implementation and monitoring of Quality Indicators, and Documentation of Hospital Wide Policies and Quality Manuals. On this occasion the assessors were highly appreciative of the standards of Lab services being followed in the Institute and commended the staff highly for the steps taken to ensure world class service delivery. The Department of Laboratory Medicine was awarded NABL Reaccreditation audit was done in March’17. Surveillance desktop audit conducted in December 2017. 207

ƒ Training and CME Regular training programs are conducted for BLS and ACLS certification. Resident doctors, casualty medical officers, nurses and technicians have regular access to high quality clinical CMEs at the institute. Front Desk Services ILBS is one of the few government hospitals in the country to implement the concept of Front Desk. The department encompasses the functions of an enquiry counter; admission, discharge and transfer of patients; OPD registration; Helpdesk etc. The front desk also deals with billing and collection of hospital charges. This department coordinates patient’s arrival, registration, documentation and admission formalities. The department has billing counseling and corporate desks for facilitation of admission process. The department also facilitates patient escort to diagnostic services and to wards. The department also runs a 24 hour Liver helpline service (1800-11-5354). In 2016, the OPD registration services were shifted to the ground floor of the second phase building along with OPD services. The patients are now serviced though a token based queue management system to avoid patient harassment during waiting. The IPD and billing services were also shifted to phase two building. Photographs Of Front Area Atrium Entrance, Billng, Appontment Cash Etc ƒ Call Triaging and Soft Console In 2016, ILBS implemented a software based IVR call triaging system with multiple input options to reduce the load on the telephone operators and also to better handle incoming call traffic. 208

Multiple options are now built in for incoming callers so that calls required to be forwarded to frequently called numbers may be directly routed without the intervention of the operator. Various options like appointment booking, IPD desk and billing enquiries are provided so that the caller can reach such services through the IVR only. This has resulted in better call management, less frequency of call drops and missed calls and a better overall experience. Incharge: Mr. Anurag Panwar (Assistant Manager -Hospitality) Front Desk Staff: Ms. Rajni, Ms.Sarita Dabas, Ms. Ruchika Sajwan, Mr. Sahab Singh, Mr. Mithun Kumar, Mr. Yogender Kandpal, Ms. Pooja, Mr. Asad Kamal, Ms. Jyoti Yadav, Ms. Kritika Jerath. Billing Staff: Mr. Anand Singh, Mr. Naveen Bansal, Mr. Manoj Rana, Ms. Madhu Parmar, Mr. Girish Shah, Ms. Rekha Rani, Mr. Ankur Chaudhary Medical Records Department Medical Record Department is responsible for monitoring, maintaining and keeping of the medical record of Indoor/outdoor (daycare) patients. Apart from maintenance of the records, the department is responsible for providing assistance to the patient and their relatives for getting claims from their departments/ Insurance companies, correction & modifications of patient details and other concerned needs. The department also provides statistical data of the hospital for conducting the research work in different specialties. This year the department has embarked on an ambitious project of digitization of all the existing paper medical records available with the Institute since the beginning. A third party agency has been engaged for the project which is expected to cover more than 40,000 daycare and 20,000 IP medical files in the first phase over a period of six months. Staff: Ms. Vandana Suthyala, Mr. Munna Tamang Central Sterile Supply Department (CSSD) The Institute has most modern and state of the art central sterile supply department (CSSD) with the layout in such a way that there is unidirectional flow of materials, avoiding mix up of sterile and unsterile material. We use HEPA filters in the CSSD to maintain the highest standards in our sterile zones. Only mineral free and RO water is used in the steam sterilizer and medical washer disinfector. Biological indicator, PCD, chemical indicator strips, Bowie Dick test and AET (autoclaving efficiency test) are used regularly to check the efficiency and quality of sterilization. Technical Staff: Mr. Rajesh Kumar Tiwari, Mr. Ajay Kumar Tyagi, Mr. Pankaj Sharma, Mr. Shahnawaz Khan Pharmacy Services The pharmacy services at ILBS are functional 24x7 with advanced features like unit dose indenting system, advanced inventory management, strict adherence to cold chain etc. Utmost transparency is maintained in the dispensing of medicines to patients as all indents are made only through the hospital HIS software. The Hospital pharmacy services are comprised of a Central Medical store, an inpatient & outpatient pharmacy and an OT pharmacy. ILBS manages to procure high quality medicines to support the advance treatment regimens prescribed by its consultants. The Institute has an elaborate system of 209

purchase of medicines and consumables whereby quality drugs and consumables are procured through manufactures and main distributors. The hospital boasts of a dynamic and continually updated drug formulary which is regularly monitored and revised under the supervision of the Drugs and Therapeutics Committee. In an unprecedented development, ILBS Pharmacy became the first point of availability in the country for the latest wonder drugs in Hepatitis C management, namely Sofosobuvir, Daclatasvir, and a combination of Sofosbuvir and Ledipasvir, at extremely affordable prices bringing cheer to millions of patients affected with this disease. Incharge: Ms. Seema Dubey (Chief Pharmacist) Sr. Staff: Ms. Sangeeta Sharma (Senior Pharmacist) Pharmacy Staff: Ms. Rashmi P.S., Mr. Dharambir Prasad, Mr. Brij Mohan Rawat, Mr. Om Prakash, Mr. Sushil Kumar, Mr. Shiv Kant Yadav, Mr. Sunil Kumar, Mr. Gaurav Kumar, Ms. Himanshi ,Ms. Ravinder , Mr. Vikrant Rawat , Ms. Poonam Maurya, Mr. Jagdish Singh Rawat. Hospital Nutrition Services Patients with liver diseases are mostly malnourished and require special nutrition care, for diagnosis and management. The Nutrition and Dietetics Department at ILBS specializes in providing specialized expert nutritional care to all such admitted and OPD patients. The IPD patients are visited on daily basis, their nutritional needs are assessed and keeping in mind their disease conditions diet is planned for them. In order to achieve these goals the institute has an ultra modern kitchen catering to the therapeutic needs of the patients. For those who were being given enteral nutrition through tube feeds a special feed section has been demarcated where these feeds are being prepared with the help of powdered supplements. The department has been involved in taking care of patients undergoing liver transplants/ renal transplants with building them up pre – operatively. Also these patients are followed up in the OPD with nutrition advice being given to them on each visit. Patients reporting to the intensive care units as well as those undergoing major GI surgeries are being taken care of with recently devising protocol based nutrition care for patients undergoing bariatric surgery with good follow–up. Additionally, recently developed nutrition care therapy for patients 210

undergoing Intragastric ballooning who until now did not have a successful outcome. All patients reporting to the OPD/ IPD patients after discharge are seen in the OPD on each visit so that continuity of care can be maintained. Sr. Nutritionist: Ms. Uma Kanal Other Nutritionists: Ms. Shefali Sharma, Ms. Geetakshi Grover, Ms. Bhanupriya Malik, Ms. Manorma Kumari ƒ Food and Beverage Department Food & Beverage is an integral part of support services department, which is responsible for the preparation and service of dietary requirements. Our prime objective at ILBS is to provide clean, hygienic, tasty and healthy meals for quick recovery of patients, clubbed with warmth & efficient service to create world-class standards. Apart from taking utmost care for the dietary requirements of the patients, we also make sure that the attendants and visitors get tasteful and nutritious meals via our Attendant Room Service and through visitor’s Cafeteria at Ground Floor Tripti and at food street, Phase – 2. We also manage two coffee shops one each in Phase –I and II by name of Café Coffee Day Xpress and Costa Coffee. The Food and Beverage Department has four major areas of functioning  Patient Meal Service – To ensure that all the patients receive nutritious and healthy diet as prescribed by the Dietetics Department as per the schedule.  Attendant Room Service - The attendant also gets a choice of delicious and hygienic meals from the Room Service menu at specified times. Apart from this the attendant or visitor also has a choice of meals offered at Visitors Cafeteria Tripti and through Café Day Xpress at Atrium block.  Staff Meal Service – The staff which include the doctors and other support department also get healthy and fresh food at subsidized rates at Dining areas located at 1st floor of Kitchen Block. Incharge: Mr. Anurag Panwar (AM-Hospitality) Incharge F and B: Mr. Sachin Rodger Joseph Housekeeping and Sanitation Services Hospitals, being one of the most important organizations of the society, have a distinct role both in the life of the individual and of the society. The control of hospital infections requires team work. Housekeeping services includes activities aimed to maintain a healthy, clean, orderly, safe and pleasant environment for the faculty, staff, patients and their relatives/ attendants by making the maximum use of available facilities of the hospitals. The housekeeping in the Institute is outsourced and is being supervised by the Institute’s staff. The agency, hospital faculty and Infection Control Committee carry out continuous on Job training for all the housekeeping staff. ƒ Laundry Services ILBS hospital has its own mechanical laundry. The efficient laundry operations ensure to 211

provide disinfested clean, fresh smelling linen for the In-patient hospital and uniform to the staff such as Doctors, technicians, Nurses and receptionist and maintain adequate inventory for the same. Laundry handled total soiled linen quantity since its inception as per the following. Tal Linen Handled Annually 2015 2016 2017 Quantity in Kgs 4,12,875 4,24,715 4,21,837 ƒ Bio-Medical Waste (BMW) Management The Institute takes utmost care and precaution while dealing with BMW generated on- site. Segregation into different colour coded bins and bags is done in accordance with schedule-I (BMW rules 1998) prior to its transportation and disposal. ILBS hands over the biomedical waste to the authorized vendor i.e. M/s Biotic Waste Solution (P) Ltd. (BMW), New Delhi as per the approval of DPCC, GNCTD for further disposal. Total Biomedical waste generated year-wise is as under: Categories Of Waste 2015 2016 2017 Category I, II, III, V and VI (Yellow Bags) in Kgs 40,481.00 48,182.00 57,840.00 Category IV and VII (Red Bags and sharp) in Kgs 70,444 72,071.00 89.991.00 Category VIII and X in Kgs N.A NA Total in Kgs 1,20,253 1,47,831 In-charge: Dr. Vimal Rai Sharma, DHO (M), Dr. Kishore Singh, AHO (M) Sr. Staff: Mr. Ashish Ranjan Nursing Services The Institute boasts of a fleet of more than 350 qualified and experienced nursing staff specializing in caring for patients with liver and biliary disorders. 212

The department provides 24x7 supports to the clinicians with constant emphasis on patient safety and quality. The nursing department of ILBS is unique in that it independently runs a very successful in-service training programme. Daily classes are conducted by senior nurses on relevant topics. The Institute has a robust incident reporting system whereby even the smallest mistakes are thoroughly analyzed by nursing management so that errors are not repeated. However, all work and no play makes Jack a dull boy. Going by this dictum, the department regularly engages its staff in various cultural activities such as singing, dancing, drama, fine arts and quizzes. All in all, the department believes in keeping staff morale and confidence high so that they can deliver high quality nursing care with compassion, dedication and dignity. The total number of nursing personals in ILBS is as under: Senior Manager 01 Senior Nurses 07 Nurses 50 Junior Nurses 70 PCE 213 Jr. PCE 05 Infection Control Nurse 02 Quality Nurse 01 Transplant coordinator 02 Sr. Manager Nursing: Mrs. Cicily Babu Senior Nurses: Ms. Daicy Sibi ,Ms. Biji Godwin, Ms. Synimol Jose, Ms. P Jamuna Rani, Ms. Reena Chacko, Ms. Bindhu B.Nair, Mr. Sanjay Joshi Nursing Stations Charge Nurse Nursing Stations Charge Nurse Phase-I Operation Theatre Mr. Sanjay Joshy Economy Wards Ms. Deepa CG and Transplant ICU Ms. Rosamma Xavier Dialysis Unit Ms. Amom Beda Devi Surgical ICU Ms.Deepa Antony Endoscopy Ms. P.Jamuna Rani Deluxe Single Room Ms.Reena Chako Day Care Ms.Manjushree M K Nephro Ward Ms. Bincy Koshy Emergency Unit Ms. Bindhu B.Nair Semi Private Ward Ms. Sobha Joseph Out Patient Unit Ms. Seena Babu Pediatric Ward: Ms. Leena Kurian Vascular Lab and Radiology Ms. Suma Simom Phase-II Ms. Khundom Reeta Semi Private Ward Ms. Suby K Danial General Ward Devi Liver Coma ICU Ms. Asha Varghese Day Care Ms. Komal GI Bleed HDU Ms. Lucy Joseph Oncology Daycare Ms. Shakila Angel Private Ward Ms. Molly Vargese - - 213

ƒ Exposures Of Nurses To Continuing Nursing Education in 2017 S N. Name of Participant Topic Place Date Ms Synimol jose Leadership and soft skills 1. DGHS 21/2/17 Mr. Lejo K Joy BMW and Injection safety 2. Ms Ancy KC BMW and Injection safety DGHS 18/4/17 Training course on infection control 3. Mr. Lejo K Joy DGHS 18/4/17 practices Yeshoda 4. Ms Shakila Angel Palliative Care 26/5/17-28/5/17 Hospital (AHPI) 5. Rajawadhani Transplant co ordinators (NOTTO) AIIMS 30/3/17-31/3/17 6. Mr. Tinet KTom Transplant co ordinators (NOTTO) NOTTO 17/7/17-21/7/17 7. Mr. Shijo NM BMW and Injection safety 17/7/17-21/7/17 Ms. Lucy Joseph K 8. I.V Canulation and Vital Sign NOTTO 20/7/17 Ms Molly Varghese 9. Ms Jayamol Damodran Oxygen inhalation DGHS 21/7/17 10. Ms Bincy Y Koshy communication skills DGHS 27/11/17 Conflict Management and 11. Ms Seena Babu DGHS 19/12/17 communication Skill Achievements Of The Nursing Department In 2017 ƒ Quality nursing care For enhancement of focus of delivering experienced and skilled nursing staff on patient care and maintaining the Nursing Quality service, parameters and training strategies were revisited and certain important strategies were implemented with significant effect on broadening of participation of the nursing staffs and increase in performance:  To increase bedside nursing care time with patients, documentation forms and formats 214

were revised for easy and quality nursing documentation.  Strengthened the clinical competency checklists for direct observation and audit of clinical / key nursing skills to improve and identify training needs and deliver on spot bedside corrective trainings.  Maintaining quality standard targets: indicators, processes, analysis and outcomes related to the delivery of care.  Conducted nursing audits and nursing rounds to improve the nursing practices. ƒ Education and training  Successfully started Post Graduate Courses in Nursing ( MSc. Nursing program)  Conducted in house certified BLS training for all nursing staffs.  Conducted more than 250 hours of in service education and trainings from January to November 2017.  Conducted departmental and unit meetings. Engineering Services Hospital Engineering services and installations is an essential component considered to be life line for the smooth functioning hospitals and health care providers. The Engineering services are very supportive for effective patient care. The scope of engineering services at ILBS includes civil, electrical, water supply, ventral medical gases, bio- medical engineering services, air and clinical vacuum delivery system, HVAC, lifts, landscaping and last but not the least workshop facilities for repairs and maintenance. The department also ensures optimum operational reliability, risk reduction and safety for the patients, staff and patient’s attendants at large. A highly skilled and experienced team led by General Manager Engineering, Sh. Ved Prakash Siwach, FIE, CEng provides 24x7 support to the institute. Even the slightest breakdown of power supply, information, and communication system or malfunctioning of vital equipment is taken care of in the shortest time. The department is also involved in proper execution of Phase-II building project in liaison with Delhi Metro project team and various consultants who provide necessary technical inputs wherever needed. The department has developed a unique Zero Fault / Zero breakdown culture, with minimum inventory of spare parts and less documentation / Paper Works. The role of engineers in the Institute has been highly appreciated by the Govt. and Institute Authorities and Accreditation agencies etc. Our engineers bring their problem-solving skills to bear on specific problems and also bridge the gap between various silos to help the institution as a whole function more effectively. 215

ƒ Bio Medical Engineering In today’s high technology environment with a proliferation of advanced and complex medical equipment, Bio-medical engineering has assumed great significance. The aim of biomedical engineering department is to provide technical expertise and management support to hospital administration, engineering department and the medical staff. Bio- medical Engineering department of ILBS provides 24x7 support to the ILBS. ILBS is one of the rare Govt hospitals which can boast of more than 95% uptime for their critical medical equipments. We are proud to have highly skilled and qualified Bio Medical Engineers. The Institute runs an extremely efficient preventive maintenance program that ensures early identification and rectification of potential problems with medical equipments. Also, the department takes care of proper installation and safety involved in the use of critical medical equipments through proper training to the users. All biomedical equipments which are not under manufacturer’s warranty are covered under AMC/CMC to ensure seamless functionality. This results in minimal downtime, ensuring patient safety and quality of care. Achievements  AHPI Green Hospital Award 2017  Qualified for Kaya Kalp Award 2017  Qualified for AHPI Green Hospital Award 2018  Saving of 7 Crore 20 Lakh Litre (approx.) of water per annum.  Creation of Herbal Garden  Creation of Plant’s Nursery and Plantation of 1000 (approx.) new plants and trees.a Training Sh. Deepak Nain, Engineer (Elect./AC)- Auto CADD Incharge : Mr. Ved Prakash Siwach (General Manager) FIE, CEng Staff : Mr. Deepak Nain, Mr. Abhishek Sharma, Mr. Abhijit Kumar, Mr. Sarvpriya Singh, Mr. Daya Shankar Yadav, Mr. Jitender Kumar, Mr. Niyamat Ansari, Mr. Rajkumar, Ms. Urmila Devi 216

Medical Education and Telemedicine Unit (METMU) METMU is established in the Institute for overall management of Dr. APJ Abdul Kalam Auditorium, Multipurpose hall and Telemedicine activity in the Institute in the month of August 2017. The aim of METMU is to conduct educational research, teaching and providing services and career development of academic staff. The establishment of METMU has channelized the operational and management aspect through a single point of contact with defined responsibility and accountability. The overall management process includes scheduling / booking of the auditorium / hall, Audio Visual support, educational computing, medical graphics designing and animation. The unit is engaged in designing of Medical Graphics for various papers and presentations of faculty along with Educational Graphics designing. The unit archives the photo and videos of all the CMEs, public lectures / Seminars / Conferences etc. for future use. In such short span of time the Unit has managed 223 CMEs, public lectures, seminars, conferences, meetings, telemedicine activity and academic lecture etc. Staff Overall In charge : Dr. Shantanu Dubey AHO (M2) IT incharge : Mr. Gaurav Agarwal AM Others : Mr. Dhiraj Kumar , Mr. Shailendra Kumar , Mr. Brij Mohan , Mr. Sanjay , Mr. Amit Pandey Top View of Auditorium Greetings by Dr Shiv K Sarin World Hepatitis Summit 2017, Brazil 217

Auditorium zIn 2016, ILBS inaugurated a state of art fully equipped auditorium with a seating capacity of 350. Equipped with the latest audio visual gadgetry, the auditorium is capable of hosting the most sophisticated conferences, seminars and cultural events. Located in the newly constructed second phase building, the auditorium is directly accessible via road from the rear gates of the institute. Healthy Liver Healthy Delhi Project ILBS in collaboration with Mylan Foundation, has developed a Liver Disease awareness and screening project titled “Healthy Liver Healthy Delhi Project” aimed towards creating mass public awareness on Liver diseases and for screening of liver disease amongst general public of Delhi. For this purpose, a Mobile Clinic – Liver Screening Unit cum IEC van has been designed and procured for conducting public outreach camps, equipped with facilities for portable Fibroscan (a non invasive test which helps in detecting liver stiffness, an important parameter of liver health), and blood sample collection for Hep B and C Screening and for Serum ALT and Serum Cholesterol. ILBS has tied up with the Directorate of Health Services for conducting outreach camps at its remotely located Polyclinics, Dispensaries, and Mohalla Clinics and in December 2017 the van has started visiting these centers for screening and awareness generation. Staff In Charge: Dr. Shantanu Dubey, Mr. Sarvpriya Singh Transplant Communities and Coordination With little more than 600 liver and kidney transplants since inception in 2010, transplant coordination at ILBS has evolved to exist in a primary role involving community engagement. It is our business to get involved with all the questions related to transplant, so that families are motivated and made to feel secure and safe as much as possible on their decision towards accepting a transplant for their loved ones. We cover the emotional and economical aspects, too by lending all our ears and offering support as much as possible. As a recipient hospital, families need to know their responsibilities towards a family member going in for a transplant: It isn’t just a lifestyle change for the patient alone, family dynamics change too! 218

Highlights in transplant coordination in the year 2017 were an active involvement through D.O.R.S.O (Deceased Organ Retrieval and Sharing Organization) and Kalpavriksh, our “brands.” D.O.R.S.O’s regular participation with our NGO partner, The Liver Care Foundation was successful in sensitizing almost 1100 people on organ donation through various camps and awareness programs in and around Delhi. Since 2012, DORSO has had over 5000 registrations of people who have pledged to be organ donors. We also participated for a third consecutive year at the annual fair organized by the Delhi Commonwealth Women Association: As a fundraising initiative for organ donation awareness! Our stall launched D.O.R.S.O’s “plastic coated card” for those who pledged themselves as organ donors on our D.O.R.S.O website. Other activities included on-the-spot painting to generate ideas and concepts for organ donation and slogan writing. A street play organized motivated many signups. Participants took pictures with our organ frame as part of being felicitated. Log onto www.dorso.org and pledge today to be an organ donor! We never lose the opportunity to promote the idea that organ donation does save lives. During the month of April, through our Kalpavriksh program, we launched another fundraiser in partnership with the Navras Theatre Group with a play called “Parde ke Peeche”. D.O.R.S.O also put up the organ donation kiosk at the foyer of Kamani Theatre and we raised Rs. 16 lac from generous contributions from the corporate sector, patients and individuals. The idea was to create a fund for organ donation awareness. There was active contribution in 2017 at two training programs for transplant coordinators in Orissa organized at SUMS Bhubaneshwar and SCB Medical College Cuttack in collaboration with NOTTO, ROTTO (West) and the NDTN (National Donor Transplant Network). A total of 60 coordinators were trained, which resulted in affirmation for organ donation each in Orissa and Bengal. In 2017, it was important to take count of the data captured for the deceased waiting list at ILBS ever since NOTTO made it mandatory in March 2016, for deceased donations. We registered since then a total of 376 patients for liver and 33 patients for kidneys in all blood groups. Liver data for waitlisted patients gave significant outcomes. (*= National Organ, Tissue and Transplant Organization) It is sad that 33% were destined to die and a dismal 5% received a cadaver at either ILBS or elsewhere. 21% (n=76) opted for a living donation liver transplant following waitlisting, of 219

which 91% were near relatives defined by the Transplant of Human Organ and Tissue Act of 1994 and the rest of the 9% involved a second-degree relative such as a nephew. All these DDLT listed patients had initially denied that a living donor existed and felt that a deceased donation should have been ideal. The graph showing the number of authorizations carried out for permission to transplant liver and kidney at the Institute is on the increase as we had recorded an ever increasing number of referrals and enquiries amounting to 691 which was an increase of 29.8% since 2016. It was a poor year for cadaver donations at ILBS in 2017 due to the poor quality livers that were offered to us. Out of a total of 9 rejected livers due to being beyond extended criteria, only 2 could be accepted for a successful liver transplant. We also took up three deceased renal transplants , 2 were inhouse retrievals and 1 was shared by a private hospital allocation. Compared to 2016, where most livers could be used, this was a little disheartening. Our work echoes words of Susan Vreeland, the American author who believes “where there is no human connection, there is no compassion. Without compassion, then community, commitment, loving-kindness, human understanding, and peace all shrivel.” 220

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224 ILBS Organization

ILBS Organization The organization of ILBS has been structured so as to achieve efficiently, the aims and objectives of the institute. The Institute strives to be a pioneer in higher Education, Research and Patient Care in the field of Hepato-Pancreato-Biliary Sciences. The organizational design specifies how goals are divided under various subdivisions of the organization. The councils, the committees, the departments, the units, positions, and tasks make up its functional subdivisions. A coordinated and planned cooperation of the elements of this organization is able to achieve goals that lie beyond the abilities of individual elements. At the apex, the affairs of the Institute are managed, administered, directed and controlled by the Governing Council of the Institute, subject to the rules and bye-laws of the Institute. Amongst the members of the Governing Council are distinguished academicians, scientists, and clinicians. The Chief Secretary, GNCTD is the Chairperson of the Governing Council and the Principal Secretary (Finance), GNCTD, the Vice-Chairman, DDA, the Principal Secretary (H&FW), GNCTD are amongst the other distinguished members. Several other distinguished people across the country have served in the previous Governing Councils. Forty One (41) meetings of the Governing Council have been conducted, till date. The Finance Committee and the Building Committee make their recommendations to the Governing Council in matters related to finance and construction of Hospital infrastructure. The Director is the Chief Executive Officer of the Institute and is directly concerned with the overall management of the Institute and accountable to the Chairman and the Governing Council for his actions and decisions. The daily functioning of the Institute in terms of Administration, Human Resources, Medical Operations, Non-Medical Operations, Purchase, Finance & Accounts are managed by their respective Heads/Deputy Heads who function under the leadership of the Director. ILBS has been granted Deemed-to-be-University Status by University Grants Commission under ‘de-novo’ category. The Institute thus has a huge mandate to develop training and education in the field of Liver, Pancreatic and Biliary Sciences. ILBS offers training programs for super-specialities related to Hepato-Biliary and Pancreatic Sciences through DM (Hepatology), DM (Organ Transplant Anaesthesia and Critical Care), DM (Paediatric Hepatology) and M.Ch. (Hepato-Pancreato-Biliary Sciences). The Institute has also started PDCC courses in Liver Transplant Anaesthesia, HPB Interventional Radiology, Paediatric Hepatology, Hepatopathology and Renal Replacement Therapy, besides Certificate Course in Renal Replacement Therapy. ILBS is running PhD program in Biomedical Sciences. Various short-term training programs and observer-ship have also been started. Dr. A.P.J. Abdul Kalam, former President of India and eminent defence scientist and scholar was the first Chancellor of the ILBS, Deemed-to- be-University. ILBS is destined to soar to new heights in the field of academics, scientific and clinical research and practice of evidence based, ethical medicine. 225

The Director, ILBS is also the Vice Chancellor of the Institute and looks after the challenging academic responsibilities with the help of the Associate Dean, Assistant Dean and the Assistant Registrar. Council and Committees The Governing Council The affairs of the ILBS society are being managed, administered, directed and controlled, subject to rules, byelaws of the ILBS Society and orders of the Governing Council. Amongst the members of the Governing Council are distinguished policy makers, academicians, scientists, and clinicians. The Governing Council of the Institute has been constituted by the Hon’ble Lt. Governor of Delhi. Members of Governing Council 1 Chief Secretary, GNCTD Chairperson 2 Principal Secretary (Finance), GNCTD Member 3 Principal Secretary (H&FW), GNCTD Member 4 Vice Chairman, DDA Member 5 Director General, DGHS, GOI Member 6 Dr. Soumya Swaminathan, Director General, ICMR, Delhi Member 7 Prof. Deepak Nayyar, Former VC, Delhi University Member 8 Prof. R. A. Mashelkar, Former DG , CSIR Member 9 Sh. D. R. Mehta, Former Chairman, SEBI Member 10 Sh. P. K. Tripathi, Former Chief Secretary, GNCTD Member 11 Dr. Devi Shetty, Narayan Hrudayalaya, Bangalore Member 12 Prof. H. K. Chuttani, Former Director, GB Pant Hospital Member 13 Prof. S. K. Kacker, Former Director, AIIMS Member 14 Prof. G. P. Talwar, Former Director, NII Member 15 Sh. C. K. Jaipuria, Eminent Industrialist Member 16 Sh. M. L. Lahoty, Sr. Advocate, Supreme Court of India Member 17 Prof. S K Sarin, Director, ILBS Member-Secretary Special Invitees 1 Secretary (Planning), GNCTD 2 Secretary (AR), GNCTD 3 Prof. George Mathew, Former Principal, CMC Vellore, Tamil Nadu Finance Committee The Finance Committee is constituted to give direction to the financial affairs of ILBS by making recommendations to the Governing Council regarding the financial matters of the institute. 226

Members of Finance Committee Principal Secretary (Finance), GNCTD Chairman Principal Secretary (H&FW), GNCTD Member Secretary (AR), GNCTD Member Sh. P.K. Tripathi, Chairman, PGC, GNCTD Member Prof. S.K. Kacker, Former Director, AIIMS Member Sh. Naresh Takkar, CEO, ICRA Member Prof. S.K. Sarin, Director, ILBS Member Head Operations (Medical), ILBS Member Sr. Manager Finance, ILBS Member-Secretary Project Implementation Committee The second phase of ILBS is being constructed by DMRC as the PMC, which will add a dedicated multi-storied research complex, auditorium, hepatobiliary oncology unit, additional beds (549 beds combined in phase-I & II) and residential accommodation. Phase II Building will allow for a synthesis of varying medical perspectives, improved medical care, surgical treatment and research endeavors. A Project Implementation Committee has been constituted by the Chairman, ILBS to review the progress of construction of Phase-II, ILBS and take all decisions required to be taken to ensure quality and timely completion of the project. Members of Project Implementation Committee Sh. S. Regunathan, Former Chief Secretary, GNCTD Chairman Prof. S.K. Sarin, Director, ILBS Co-Chairman Executive Director (Civil), DMRC Member Executive Director (Elect.), DMRC Member Chief Engineer, PWD Member Deputy Head (Adm.) , ILBS Member Independent Hospital Consultant, ILBS Member Sh. Gautam Shah, Principal Architect Member Dr. Y.P. Bhatia, Hospital Consultant, M/s Astron Member General Manager (Engg.), ILBS Member-Secretary Academic Council The Academic Council is the principal academic body of the ILBS, which is responsible for the maintenance of standards of education, teaching and training, inter-department co- ordination, research, examinations and tests within the Institute; and exercises such other powers and performs such other duties and functions as may be prescribed or conferred upon it by the rules and bye-laws. 227

ILBS runs long-term courses/training programs leading to D.M., M. Ch., Ph.D., Fellowships and other degrees. The institute already has been granted the status of a Deemed University by the University Grants Commission (UGC) for conducting such courses. Academic Council Prof. S.K.Sarin, Director, ILBS Chairman Prof. K. Srinath Reddy, President, PHFI Member Dr. Seyed Hasnain, Vice Chancellor, Jamia Hamdard University Member Dr. Subrata Sinha, Director, National Brain Research Institute Member Prof. N.K. Arora, Executive Director, INCLEN Trust International Member Dr. Subrata Sinha, Director, National Brain Research Institute Member Prof. Y.K. Chawla, Former Director of the PGIMER Chandigarh Member Dr. V.K. Kapoor, Sr. Professor, Dept. of Surgical Gastroenterology, SGPGI, Member Lucknow Dr. Nikil Tandon, Professor & Head , Dept. of Endocrinology AIIMS Member Dr. Girish Sahni, Director General of the Council of Scientific & Industrial Member Research (CSIR) Dr. C.E. Eapen, Medical Superintendent, Professor of Hepatology, CMC Vellore Member Dr. D Balasubramanian, Distinguished Scientist and Director Emeritus, LVPEI Member Dr. Shailesh V Shrikhande, Professor of Surgery & Head of GI & HPB Surgical Member Service Department of Surgical Oncology, Tata Memorial Center in Mumbai Dr. Archana Rastogi, Additional Professor, ILBS Member-Secretary The decisions of the academic council are placed before the Governing Council of the Institute for ratification. Three meetings of the Academic council have taken place till now and the new courses which were approved have been initiated. After successful commencement of Post graduate courses at ILBS this year two PDCC courses were introduced in the Departments of Anaesthesia/Intervention Radiology/ Paediatric Hepatology/ Hepatopathology / Renal Replacement Therapy and one Certificate course in Renal Replacement Therapy. Scientic Research Review Board The Institutional scientific review scrutinizes the scientific protocols submitted by the students. Institutional Review Board (Institutional Ethics Committee) ILBS has a mandate to develop new diagnostic and treatment protocols in the specified field of Hepatobiliary sciences. Also, in keeping with the aim of providing cutting edge basic research, it is important to have an independent Institutional Ethics Committee (Institutional Review Board). The IRB is constituted as per the standard guidelines. It ensures that all patients, subjects, biological material recruited for clinical trials or research is conforming to the standard guidelines and best ethical standards. 228

The members of the Committee are as follows: Institutional Review Ethics Committee Prof. A K Agarwal, Ex-Dean, MAMC, Delhi Chairman Prof. Veena Malhotra, Sr. Consultant & HOD in Histopathology, BLK Super Specialty, New Member Delhi, India Prof. T. K. Chattopadhyay, Sr. Consultant, HPB Surgery, ILBS Member Dr. Dr. P.K. Mishra, Head GI Surgical Oncology & Senior Consultant, Max Hospital, New Delhi Member Dr. S. C. Tiwari, Sr. Consultant, Nephrology, ILBS Member Dr. Y.K.Gupta, Prof. & Head, Pharmacology, All India Institute of Medical Sciences, New Delhi Member Prof. Puja Sakhuja, Prof. & Head, Pathology, Govind Ballabh Pant Hospital, New Delhi Member Dr. Akhil C. Banerjea, Emeritus Scientist, National Institute of Immunology, New Delhi Member Dr. Hanuman Prasad Yadav, Professor & Head, Radiation Oncology, ILBS Member Dr. Sanjeev Sachdeva, Associate Professor, Govind Ballabh Pant Hospital, New Delhi Member Ms. Vibhuti Sharma, Transplant Coordinator, ILBS Member Sh. Sanjay Poddar (Legal Expert) Member Ms. Shiv Rani, Retired Lecturer, Sanskrit, Sarvodaya Co-education Senior Secondary School, Member Moti Bagh, New Delhi Mr. Harish Narula, DIRECTOR / C.E.O of Lunar Biopharma Pvt Ltd. & Chairman-Bharat Shakti Member Spiritual, Cultural and Educational Society (Non Government Organisation) Member- Dr. Ekta Gupta, Additional Professor, Virology, ILBS Secretary Scientific Advisory Committee Scientific Advisory Committee (SAC) is constituted to guide and facilitate clinical and basic research work. The SAC advises the Governing Council on policy matters. The Committee monitors progress and facilitates in-depth exchange of views in specific fields. The Committee evolves the Scientific and Technical Vision Documents for the Institute, reviews them periodically and takes further course of action as deemed fit for furthering scientific and technological research of the Institute. The recommendations of the Committee are submitted to the Governing Council for approval. The members of the Scientific Advisory Committee are as follows: Scientific Advisory Committee Prof. M K Bhan, Former Secretary DBT, Scientist, Delhi Chairman Prof. S K Sarin, Director, ILBS Co-Chairman Prof. Partha Mazumdar, Kolkatta, Biostatistics & Population Geneticist Member Prof. Balram, IISc- Molecular Biology, Proteomics, IISc, Bangalore Member Prof. V S Chauhan, Molecular Biology and Basic Science, ICGEB, Delhi Member Prof. Balram Bhargawa, Medical Biotechnology, Delhi Member Prof. V K Vijayan, Physiology, VP Chest Institute, Delhi Member 229

Prof. Jayesh Bellare, Nanotechnology, IIT Bombay Member Prof. Alok Srivastava, Stem Cells, CMC Vellore Member Scientific Research Review Board (SRRB) This committee helps in scrutinizing the research proposals of students. Members SRRB Dr. T.K. Chattopadhyay, Sr. Professor (Surgical Hepatology) Chairman Prof. Y.K. Joshi, Sr. Professor (Clinical Nutrition) Member Dr. S.C. Tiwari, Sr. Consultant, Nephrology Member Prof. C K Pandey, Sr. Professor ( Anaesthesia) Member Prof. B.C.Sharma, Sr Professor (Hepatology) Member Dr. Archana Rastogi, Additional Professor (Pathology) Member Dr. Senthil Kumar, Additional Professor (Hepatology) Member Dr. Yashwant Patidar, Associate Professor Interventional (Radiology) Member Dr. Manoj Kumar, Additional Professor (Hepatology) Member Dr. Guresh , Consultant (Clinical Research) Member Dr. Archisman, Assistant Professor (Clinical Research) Member Dr. R. Gayatri, Additional Professor (Molecular and Cellular Medicine) Member Dr. Rakhi Maiwall, Associate Professor, (Hepatology) Member Dr. Seema Alam, Professor (Pediatric Hepatology) Member- Secretary Institutional Animal Ethics Committee Being a teaching and research institution with PhD scholars performing research on animals, ILBS has been constituted the Animal Ethics Committee to oversee and evaluate all aspects of animal care and humane procedures . All projects of research involving animal have to reviewed and approved by committee. The members of the Animal Ethics Committee are as follows: Members Animal Ethics Committee Dr. N. K. Ganguly, Former DG, ICMR, Delhi Chairman Dr. S. Majumdar, Scientist, NII, Delhi Member Dr. Vijay Pal Singh, Assitant Professor, IGIB, Delhi Main Nominee, CPCSEA Dr. Om Singh,Scientist, DRDO Link-Nominee, CPCSEA Dr. BG Roy,Scientist, INMAS Non Scientific Socially Aware Member, CPCSEA Dr. RJ Tirpude Scientist-Outside Institute, CPCSEA Dr. Anupma Kumari, Veterinary officer, ILBS Veterinarian Dr. Shvetank Sharma, Associate Professor, ILBS Scientist-Incharge Dr. Nirupama Trehanpati, Additional Professor, ILBS Member-Secretary 230

Institutional Committee for Stem Cell Research As research protocols involves use of stem cells an institutional committee for stem cell research & therapy was set up to scrutinize the scientific and ethical issues. The committee scrutinizes all the protocols for scientific and ethical issues and monitors the progress of ongoing work. As per the guidelines for stem cell research by DBT- ICMR, the members of the Committee for Stem Cell Research are as follows: Members Stem Cell Research Commitee Prof. N. K. Ganguly, Former DG, ICMR, Delhi Chairman Dr. Geeta Jotwani Deputy Director General (Scientist ‘E’), ICMR Ethics Expert Dr. Sujata Mohanty, Centre of Excellence for Stem cell Research, AIIMS Stem Cell Expert Dr. Ritu Priya, Jawaharlal Nehru University, Delhi Social Scientist Dr. Gopal Pandey, CCMB, Hyderabad Stem Cell Expert Dr. Soniya Nityanand, SGPGI, Lucknow Stem Cell Expert Dr. MM Panickar, NCBS, Bangalore Stem Cell Expert Prof. SK Sarin, Director, ILBS Stem Cell Expert Sanjay Poddar, Senior Advocate Legal Expert Dr. Nirupma Trehanpati, Additional Professor, ILBS Member -Secretary 231

ILBS Administration ILBS is a premiere Super-speciality Healthcare Institute under the Delhi Govt. ILBS Administration follows transparent administrative policies, has an efficient work-force and provides a people friendly work environment with the following aims and objectives:  Be transparent, efficient, people friendly, responsive, proactive and effective.  Act in accordance with the law, statutory obligations, organisational policies and any other rules and regulations in conformity with the prevailing Government Norms.  Act as per the established norms and best practices.  Take key decisions that are reasoned and judicious.  Coordinate with various departments internally as well as liaison with multiple authorities both under the Government as well as under the Corporate environment.  Aims to achieve good governance with reasonably good automation. Administration including Human Resource (HR), Establishment, Security, Estate, Purchase, Engineering Services, Stores, Vigilance and Finance are being controlled and looked after by the concerned Deputy Heads and staff members under the overall guidance of Dr. Anil Agarwal, Deputy Head (Administration). Governance System The Institute practices a closely knit system of intra-departmental “inclusive and ethical governance” which has immensely benefited the organization in quick decision making and translation into meaningful and timely implementation, which is highly essential for the holistic growth of this Organization. Phase-II, ILBS DMRC has been engaged as Project Management Consultant on turnkey basis for the construction management of Phase-II of the Institute. Phase-II of ILBS has been soft operationalized and is likely to be made fully operational in 2018. Phase – II of ILBS will include 232