|
Country: India
City: Vellore
See also Mumbai, India
IHTC:
Christian Medical College
Ida Scudder Road , Vellore – 632004, India
Tel.: 91-416-2282352 / 4212352
Fax: 91-416-2226449 / 2232035
Email: haemat@cmcvellore.ac.in
Website: http://home.cmcvellore.ac.in
Director: Alok Srivastava
Responsible for training:
Haematology: Auro Visvabandya, Biju George, Vikram Mathews, Alok Srivastava
Lab Diagnosis: Sukesh C Nair
Blood Banking: Dolly Daniel
Genetics: G. Jayandharan, E. Sindhuvi
Physiatrists: Judy Ann John, Ashish Macaden
Physiotherapists: Mrs. R. Merlyn, Mr. Joshua Premkumar
Occupational Therapists: Mr. Sanjeev, M. Pandankatti,
Mr. M. Thirumugam
Orthopaedics: Manasseh Nithyananth, Pradeep Poonnoose,
Vernon Lee
Infectious Diseases: O.C. Abraham
Dental: Rabin Chacko
Radiology: Sridhar Gibikote, Shyamkumar, N.K.
Nursing: Mercy Devadarishini
Clinical Research Coordinators: Mr. P. Christopher Benjamin,
Mr. Benjamin Rajah
Fellowship logistics coordinator: E. Srinivasan
Year of IHTC designation: 2000
Areas of specialty: General hemophilia care, physiotherapy, orthopedic surgery, laboratory diagnosis, pediatrics, genetic diagnosis, dental and nursing.
DESCRIPTION OF TRAINING PROGRAM
Clinical activities: This centre functions as a tertiary care centre for patients with major complications of haemophilia. Patients are referred from all over India and from neighbouring countries. Apart from providing comprehensive care in the setting of a developing country, two areas of clinical activity are particularly significant:
- physical therapy and rehabilitative measures with minimal factor replacement and low cost mobility aids; and
- surgery for people with hemophilia with lower dosage of factor replacement.
A clinic is held once a week where patients with musculoskeletal complications are jointly assessed by the team and their management planned. About 10 patients with hemophilia are seen in this clinic every week for a multidisciplinary evaluation of their progress.
Laboratory activities/research
Clinical Laboratory: Ours is the reference laboratory for southern India, serving over 200 million people. The entire range of hereditary and acquired disorders of haemostasis are seen. At least five new cases of hereditary bleeding disorders are diagnosed every week. Though the laboratory is fully automated, manual methods are also available for teaching students. We also run the external quality assessment programme for India and some other developing countries.
Research Laboratory: The current emphasis is on the following areas of work: applying newer methods of measuring coagulation to various clinical conditions to assess their usefulness in diagnosis and therapeutic interventions; molecular genetic evaluation of the haemophilias and other rare coagulation and platelet function disorders and genotype-phenotype correlations, and studying the prevalence of inhibitor among patients with haemophilia in India and evaluating predisposing factors.
Multidisciplinary activities/research: Developing new ways for the assessment of musculoskeletal outcomes with particular emphasis on quantification of overall function. We have developed the first performance based disease specific instrument. (FISH - Functional Independence Sore in Haemophilia). (Ref.: Haemophilia 2005; 11 (6): 598-02). We have now adopted the Canadian Occupation Performance Manual (COPM) for preparing patient prioritized management plans. This report is in pess (Haemophilia, 2011)
In addition to the above, complete diagnostic services including molecular genetic diagnosis towards career detection and prenatal diagnosis is available. Interaction with our surgical colleagues allows us to carry out the entire range of surgical treatments.
Additional information: We have trained healthcare personnel (physicians, laboratory technologists, physiotherapists and blood bankers) from India in various aspects of haemophilia care. Over 91 such personnel have been trained here. Under IHTC Fellowship, from 2000 to-date we have trained four physicians (two from Bangladesh, one from Vientiane, and the other from Kerala, India; nine pysiotherapists (four from India and one each from Bangladesh, Nepal, Sri Lanka and Muscat, Oman and Botswana); four laboratory scientists (one each from South Africa, Eritrea, Jordon and Sri Lanka); and two nurses (one from Sudan and the other from Nepal). The centre can train two to three annually.
DESCRIPTION OF IHTC FACILITIES
Location: Vellore is a district town with a population of about half a million people and is located about 130 km from Chennai and 200 km from Bangalore, both of which have international airports. A taxi from Chennai will take about two and a half hours and from Bangalore about three and a half hours to reach Vellore.
Climate: It is mostly warm to hot! In the cooler months of the year (October to February), the temperature ranges from 10- 30°C but in the hotter months often surpasses 40°C.
Accommodation (residence, meals, etc...): Many modestly priced hotels and restaurants are available in the immediate vicinity of the centre.
Transportation: Most accommodations are within walking distance and public transportation is also available.
Language: English, Tamil, Hindi
Financial assistance: Can be considered, if necessary, in specific situations.
Cost of living (per week): Lodging costs are in the range of US $20-30 per day and boarding should not exceed US $15- 20 per day.
Communications tools for trainees: Computers are available with free access to high speed internet at the centre. Trainees are encouraged to make power point presentations for discussions.
Other local support provided for trainees: Trainees can be picked up from and dropped off at the airport/rail stations, if needed. Being a large tertiary care centre with all facilities in one place, trainees have the opportunity to familiarize themselves with many aspects of care for people with haemophilia and related subjects.
RELEVANT PUBLICATIONS BY IHTC STAFF
Nair SC, Dargaud Y, Chitlur M, Srivastava A. Tests of global haemostasis and their applications in bleeding disorders. Haemophilia. 2010; 16 Suppl 5:85-92.
Mathews V, Nair SC, David S, Viswabandya A, Srivastava A. Management of Hemophilia in Patients with Inhibitors: The Perspective from Developing Countries. Semin Thromb Hemost. 2009 Nov;35(8):820-826. Epub 2010 Feb 18. PubMed PMID: 20169519.
Viswabandya A, Mathews V, George B, Nair SC, Baidya S, Mammen JJ, Chandy M, Srivastava A. Successful surgical haemostasis in patients with von Willebrand disease with Koate DVI. Haemophilia. 2008 Jul;14(4):763-7. Epub 2008 Apr 24. PubMed PMID: 18445014.
Jayandharan GR, Srivastava A. The phenotypic heterogeneity of severe hemophilia. Semin Thromb Hemost. 2008 Feb;34(1):128-41. Review. PubMed PMID: 18393149.
Poonnoose PM, Thomas R, Keshava SN, Cherian RS, Padankatti S, Pazani D, Kavitha ML, Devadarasini M, Bhattacharji S, Viswabandya A, John JA, Macaden AS, Mathews V, Srivastava A. Psychometric analysis of the Functional Independence Score in Haemophilia (FISH). Haemophilia. 2007 Sep;13(5):620-6. PubMed PMID:
17880453.
Updated March 2011 |
