52nd AIIMS Annual Report 2007-2008

729 Pages·2009·2.19 MB·English

AIIMS
52nd ANNUAL REPORT
2007–2008
All India Institute of Medical Sciences
New Delhi 110029
Edited jointly by:
Dr Sunil Chumber, Additional Professor, Department of Surgical Disciplines
and Sub-Dean (Academic)
Dr Smriti Hari, Associate Professor, Department of Radiodiagnosis
Dr Venkata Karthikeyan C, Assistant Professor, Department of Otorhinolaryngology
Dr Neena Malhotra, Associate Professor, Department of Obstetrics and Gynaecology
Dr Sushma Sagar, Assistant Professor, JPNA Trauma Centre
Dr Peush Sahni, Additional Professor, Department of Gastrointestinal Surgery
Dr Pratap Sharan, Professor, Department of Psychiatry
Dr D.N. Sharma, Assistant Professor, Dr BRA, Institute Rotary Cancer Hospital
Dr Subrata Sinha, Professor and Head, Department of Biochemistry
Dr Sanjay Kumar Sood, Assistant Professor, Department of Physiology
February 2009
Printed at Saurabh Printers Pvt. Ltd., A-16, Sector-IV, Noida (UP)
All India Institute of Medical Sciences
The All India Institute of Medical Sciences (AIIMS) was established by an Act of Parliament
in 1956 as an institution of national importance. Its main objectives were to develop patterns
of teaching in undergraduate and postgraduate medical education in all its branches, so as to
demonstrate a high standard of medical education to all medical colleges and other allied
institutions in India; to bring together in one place educational facilities of the highest order
for the training of personnel in all important branches of health activity; and to attain self-
sufficiency in postgraduate medical education.
AIIMS has comprehensive facilities for teaching, research and patient care. Medical and
paramedical courses are taught at AIIMS. The institution awards its own undergraduate,
postgraduate and doctorate degrees.
Teaching and research are conducted in 50 disciplines. AIIMS plays a leading role in the
field of medical research, having more than 1400 research publications by its faculty and
researchers in a year. AIIMS also has a College of Nursing, which awards BSc (Hons) Nursing
and BSc Nursing (Post-certificate) degrees.
Twenty-five clinical departments, including six superspecialty centres, manage practically
all types of disease conditions with support from pre-clinical and para-clinical departments.
AIIMS also runs a 60-bedded hospital at the Comprehensive Rural Health Centre at Ballabgarh
in Haryana and provides health cover to about 7.7 lakh people through the Centre for
Community Medicine.
AIIMS AT A GLANCE
2007–2008
Year of establishment 1956
Teaching Departments and Centres 50 Medical graduates 2229
Faculty members (sanctioned 620) 453 Postgraduates 6759
Non-faculty staff (sanctioned 8572) 6785 Nursing graduates 1589
Undergraduate students 640 Publications/abstracts in journals 1424
Postgraduate students 1021 Books/monographs/chapters in books 194
Hospital Services
Facility Outpatients Admissions Surgery Beds
General Private
Main Hospital 15,28,238 83,852 77,852 861 177
R.P. Centre for Ophthalmic Sciences 4,37,817 27,917 26,949 280 21
Dr B.R. Ambedkar Institute 80,244 21,535 3,927 167 15
Rotary Cancer Hospital
Cardiothoracic Sciences Centre 1,33,799 11,147 3,393 166 14
Neurosciences Centre 93,245 6,950 3,000 166 14
National Drug Dependence 36,513 1,134 – 50 –
Treatment Centre
Jai Prakash Narayan Apex 6,683 3,362 3,321 30 –
Trauma Centre
Average bed occupancy 78.5%
Average period of hospital stay 5.4 days
Net death rate 2.7%
Infection rate (crude) 8.26%
CONTENTS
1. Director’s Review................................................................................................................. 1
2. The Institute and its Committees. ......................................................................................... 5
3. Academic Section............................................................................................................... 10
4. Examination Section............................................................................................................ 23
5. General Administration........................................................................................................ 27
6. Main Hospital...................................................................................................................... 31
6.1 Division of Emergency Medicine........................................................................................ 40
7. College of Nursing.............................................................................................................. 50
8. Research Section................................................................................................................ 55
9. DEPARTMENTS
9.1 Anaesthesiology.................................................................................................................. 88
9.2 Anatomy.............................................................................................................................. 97
9.3 Biochemistry ......................................................................................................................111
9.4 Biomedical Engineering......................................................................................................123
9.5 Biophysics ..........................................................................................................................127
9.6 Biostatistics........................................................................................................................131
9.7 Biotechnology.....................................................................................................................137
9.8 Centre for Community Medicine .......................................................................................144
9.9 Dermatology and Venereology...........................................................................................158
9.10 Endocrinology and Metabolism..........................................................................................166
9.11 Forensic Medicine..............................................................................................................172
9.12 Gastroenterology and Human Nutrition.............................................................................176
9.13 Gastrointestinal Surgery.....................................................................................................186
9.14 Haematology......................................................................................................................191
9.15 Hospital Administration......................................................................................................204
9.16 Laboratory Medicine..........................................................................................................211
9.17 Medicine.............................................................................................................................224
9.18 Microbiology.......................................................................................................................246
9.19 Nephrology.........................................................................................................................259
9.20 Nuclear Medicine...............................................................................................................266
9.21 Nuclear Magnetic Resonance ...........................................................................................271
9.22 Obstetrics and Gynaecology..............................................................................................277
9.23 Orthopaedics......................................................................................................................304
9.24 Otorhinolaryngology (ENT) ...............................................................................................325
9.25 Paediatrics..........................................................................................................................337
9.26 Paediatric Surgery .............................................................................................................361
9.27 Pathology............................................................................................................................369
9.28 Pharmacology.....................................................................................................................386
9.29 Physical Medicine and Rehabilitation ................................................................................393
9.30 Physiology ..........................................................................................................................398
9.31 Psychiatry...........................................................................................................................410
9.32 Radiodiagnosis ...................................................................................................................420
9.33 Reproductive Biology.........................................................................................................435
9.34 Surgical Disciplines............................................................................................................440
9.35 Transplant Immunology and Immunogenetics ...................................................................453
9.36 Urology...............................................................................................................................459
10 CENTRES
10.1 Cardiothoracic Sciences Centre ........................................................................................466
10.2 Centre for Behavioural Sciences (National Drug Dependence Treatment Centre) .........497
10.3 Centre for Dental Education and Research ......................................................................509
10.4 Dr B.R. Ambedkar Institute Rotary Cancer Hospital.......................................................518
10.5 Neurosciences Centre .......................................................................................................557
10.6 Dr Rajendra Prasad Centre for Ophthalmic Sciences ......................................................589
10.7 Jai Prakash Narayan Apex Trauma Centre ......................................................................606
11 CENTRAL FACILITIES
11.1 B.B. Dikshit Library ..........................................................................................................626
11.2 Cafetaria ............................................................................................................................629
11.3 Central Workshop ..............................................................................................................631
11.4 K.L. Wig Centre for Medical Education and Technology .................................................633
11.5 Computer Facility...............................................................................................................639
11.6 Electron Microscope Facility .............................................................................................644
11.7 Central Animal Facility.......................................................................................................647
11.8 Hostel Section....................................................................................................................649
12 BUDGET AND FINANCE
12.1 Finance Division.................................................................................................................652
12.2 Audit Report. .....................................................................................................................713
All India Institute of Medical Sciences
ORGANISATION STRUCTURE
Institute Body
Governing Body
Finance Selection Academic Estate Hospital Affairs
Committee Committee Committee Committee Committee
1. Director’s Review
I am glad to present the Fifty-second Annual Report and audited statement of accounts for the year
2007-2008.
The All India Institute of Medical Sciences (AIIMS) was established in 1956 by an Act of
Parliament as an institution of national importance. This was in pursuance to the recommendations
made by the Bhore Committee in 1946.
AIIMS has been entrusted to develop patterns of teaching in undergraduate and postgraduate
medical education in all its branches so as to demonstrate a high standard of medical education to all
medical colleges and other allied institutions in India; to bring together at one place educational
facilities of the highest order for the training of personnel in all important branches of health activity;
and to attain self-sufficiency in postgraduate medical education.
AIIMS is an autonomous institution and awards its own degrees. The AIIMS continues to be a
leader in the field of medical education, research and patient-care in keeping with the mandate from
Parliament.
AIIMS is fully funded by the Government of India. However, for research activities, grants are
also received from various sources including national and international agencies. While the major
part of the hospital services are highly subsidized for the patients coming to the AIIMS hospital,
certain categories of patients are charged for treatment/services rendered to them.
AIIMS provides full time postgraduate and post-doctoral courses in 47 disciplines. The guiding
principle in postgraduate training is to train them as teachers, researchers and competent doctors,
who can investigate, manage and treat patients independently. During the 2007-2008 academic
session (i.e. for the courses commencing in July 2007 and January 2008), 368 students were admitted
to various postgraduate, post-doctoral and super-speciality courses, i.e. MD, MS, MDS, MHA,
PhD, MCh, DM, and MSc in various specialities. In the year under review, 1022 postgraduate and
post-doctoral students were on the rolls in various courses and 242 students qualified for their
degrees and 83 students qualified for various superspeciality degrees. As always, appropriate
consideration was given to students from Scheduled Castes (SC) and Scheduled Tribes (ST). Twenty-
five SC and 11 ST students were admitted to MD/MS courses, 3 SC and 1 ST students to MSc
courses.
This year AIIMS admitted 50 students to its MB,BS course (including 7 SC and 4 ST students),
21 students to B. Sc Nursing (post-certificate) course (including 4 SC and 2 ST students), 52 students
to B. Sc. (Hons) in Nursing Course (including 8 SC and 5 ST students), 13 students to B.Sc. (Hons.)
in Ophthalmic Techniques (including 2 SC and 1 ST students) and 7 students to B.Sc. (Hons.) in
Medical Technology in Radiography (including 1 SC student).
AIIMS also provides short/long term training to doctors from various organizations and State
Governments, WHO-in-Country Fellowship and elective training to Foreign National students. Six
hundred and twenty seven (627) candidates received short/long training in AIIMS during the year.
In addition, elective training was provided to several candidates, including foreign nationals. The
Institute also continued to provide consultancy services to several neighboring countries under
AIIMS 2007-2008 / 1
bilateral agreements or under the aegis of international agencies. The Institute trained 21 WHO-
sponsored/WHO-in-country fellowship candidates to fulfill its international obligations.
The MBBS course is spread over 5½ years, dividing the period to 1 year for pre-clinical, 1½
year for para-clinical and 2 years for clinical subjects followed by 1 year rotating internship. Para-
medical courses like B.Sc (Hons.) in Nursing, Ophthalmic Techniques, Medical Technology in
Radiography and Speech and Hearing continued to be popular and attracted students from other
countries also. The curricula of these courses are under constant scrutiny by the faculty of the
Institute for purposes of improvement. The medical college of the Institute has been adjudged the
best in the country for the 7th consecutive year by a national survey.
The institute organized a number of workshops, symposia, conferences and training programmes
in collaboration with various national and international agencies during the year. Professionals from
various institutions all over the country participated in these seminars and workshops and benefited
with update knowledge. Guest and Public lectures were organized by visiting experts and faculty of
AIIMS.
The All India Institute of Medical Sciences is a leader in the field of medical research, with
major emphasis on areas of national needs. Over 381 research projects were ongoing during this
period. Research grants totaling Rs 46 crores (approx.) were received from various international
and national funding agencies during the year 2007-2008.
Despite increasing pressures the Institute has constantly tried to demonstrate its commitment to
professionalism and service to the common people at affordable cost. Thousands of patients from all
over the country come to AIIMS everyday to get optimal medical care. During the year 2007-2008,
the AIIMS hospital catered not only to the patients from India but also from neighboring countries
such as Nepal, Bangladesh, Sri Lanka, Bhutan and other Asian Countries. In 2007-08, there was an
OPD attendance of over 15,28,238, there were 83,852 inpatient admissions and 77,631 surgical
procedures were conducted. In addition 1,48,632 patients attended the Emergency Care Services at
AIIMS. Due to expansion of facilities like OPD, emergency service, private wards and use of
innovated methods, AIIMS has been able to provide better and efficient patient care. Due to quick
turnover of patients, number of indoor admissions and surgery performed, have all increased. The
average length of stay is around 4.7 days; the average bed occupancy, 78.5% and the net death rate,
2.7%, which is at par with standards in developed countries. With the use of mechanical cleaning
devices and active interaction of Hospital Infection Control Committee (HIFCOM), the general
hygiene and sanitation of the hospital is of a high level.
Dr. Rajendra Prasad Centre for Ophthalmic Sciences attended to 2,15,852 patients in the General
OPD, 43,466 patients in the Emergency Service and 1,78,499 patients in Specialty clinics. The
number of admitted patients was 27,917 and 26,949 surgical procedures were conducted during this
period. The average bed occupancy during this year was 86% and the average in-hosptal stay was
4.9 days.
At the Cardiothoracic and Neurosciences Centre (CN Centre), 2,27,044 patients attended the
OPD (1,01,930 in Cardiology, 31,869 in Cardiothoracic and Vascular Surgery, 61,053 in Neurology
and 32,192 in Neurosurgery), 18,097 patients were admitted as inpatients and 5,986 surgeries were
performed.
The Dr. B.R. Ambedkar Institute Rotary Cancer Hospital now has 127 beds. The expanded Dr.
BRAIRCH has modern, sophisticated machinery and equipment matching international standards.
AIIMS 2007-2008 / 2
It is currently functioning through 8 disciplines namely Medical Oncology, Radiation Oncology, Surgical
Oncology, Laboratory Oncology, Medical Physics, Anesthesiology, Radiodiagnosis and Preventive
and Community Oncology. Dr. BRAIRCH attended to 80,244 patients in the OPD and admitted
21,535 patients. About 3927 operations were also conducted.
The Jai Prakash Narain Trauma Centre, which became operational in the year 2006, has a
state-of the-art emergency room with 8 resuscitation bays, observation and triage areas and facilities
for managing 20 critically ill patients. The Centre has two functional operation rooms, two 30-
bedded wards, a multislice CT scanner, mobile X-ray units and heavy duty automatic processors for
radiography, a 1.5 Tesla MRI, a C-Arm X-ray unit with 3-D facility, colour Doppler and well-
equipped laboratories. In the year 2007-2008, the Trauma Centre attended to 6,683 patients, of
which 3,362 were admitted and 3,321 were operated. A total of 27,278 radiological investigations
were conducted at the Centre.
The Organ Retrieval Banking Organization, a national facility and nodal centre for the country
at All India Institute of Medical Sciences (AIIMS), New Delhi, with its objective of encouraging
organ donations, fair and equitable distribution of human organs and optimum utilization of human
organs, continues to work round-the-clock. A dedicated four-digit-help line (1060), a website
(www.orbo.org) with the facility to download ‘donor forms’ and an email facility for correspondence,
remains available to the public for enquiries regarding organ donation and transplantation.
The Department of Dental Surgery has set up a full-fledged dental college under the aegis of
the AIIMS. The department is a nodal centre for the National Oral Health Policy of the Government
of India. The Centre for Dental Education and Research (CDER) conduts an MDS (postgraduate
course) in the speciality. In the year 2007-2008, the CDER attended to 9,271 patients, of which
6,020 were admitted and 2,437 were operated (major) and 3,583 were operated (minor).
The Centre for Behavioural Sciences (National Drug Dependence Treatment Centre), AIIMS,
at Ghaziabad is a 50 bedded centre attended to 36513 patients in General OPD, of which 1,134 were
admitted.
Community-based programmes have been an integral part of the Institute’s clinical and research
activities. The Rural Health Centre at Ballabhgarh, being run under the supervision of the Centre of
Community Medicine, is a unique experiment. Departments of Obstetrics and Gynecology,
Rehabilitation and Physical Medicine, Pediatrics and Dr. Rajendra Prasad Centre for Ophthalmic
Sciences also organize regular camps in the rural community. The outpatient facilities for patients
with ophthalmic and dental problems are drawing a large number of patients.
The Centre for Community Medicine has a widely acclaimed model of rural health services at
Ballabgarh in the neighbouring state of Haryana. Apart from providing comprehensive health services
at the doorsteps of people in the villages covered, it also has a secondary level care hospital at
Ballabgarh with 50 beds, which attracts patients from far and wide. The number of patients attended
to in the hospital included 1,66,623 in the OPD, 18,406 in the emergency services, and 6,339 as
inpatient admissions. The project has achieved significant successes in terms of improving health of
mothers and children of the area. The zero Maternal Mortality Rate and Crude Death Rate of 7.0,
recorded for the area, is much ahead of targets set by Government of Indian for 2010. The Urban
Health Programme and Family Health Exercise programmes also cater to urban slums of Delhi
having a population of about 84,678. A Mobile Health Clinic of CCM visits these slums 5 times a
week and provides preventive, promotive and primary level curative services. Domiciliary services
AIIMS 2007-2008 / 3