Organised By:

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SCIENTIFIC PROGRAMME

The 8th National Colloquiumon Evidence Based Integrative Medicine for

Lymphatic Filariasis and other Chronic Dermatoses 2018

Institute of Applied DermatologyIAD junction, Uliyathadka, Madhur Road, Kasaragod 671124 Kerala, South India

www.iad.org.in

Theme:Advancing Lymphoedema & Integrative Medicine Research through

Intersectoral Collaboration for better patient care

Venue:IAD premises at Uliayathadka, Madhur Panchayath, Kasaragod

22nd to 25th January, 2018

Time Sessions

21st January 2018 : Arrival of resource persons : Registration & Discussions over the dinner

Examination of lymphoedema/ filariasis patientsLed by Prof. Terence Ryan, Emeritus professor of Dermatology, Oxford, UKassisted by other medical experts attending the colloquium;Dr. K.S. Prasanna & IAD’s health care team and participants

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Yoga for VitiligoLed by Dr. Shirley Telles, Director, Patanjali Research Foundation, Haridwar & Head,Indian Council of Medical Research Center for Advanced Research in Yoga &Neurophysiology assisted by Dr. Gururprasad Aggithaya, Dr. Amritha, Mr. Jayanth andMs. Vasanthi from IAD

Coffee Break

The 22nd January 2018

8.30 AM - 10.15 AMThis is a national medicalcamp for LymphaticFilariasis. Patients fromacross India who havebenefitted from integratedmedicine treatments fromIAD are invited to participate.

8.30 AM-10.15 AMDemonstration anddiscussion on yoga protocoldeveloped by IAD as part ofintegrative medicinetreatment regimenfor vitiligo

10.15 AM – 10.45 AM

Time Sessions

Colloquium InaugurationWelcome : Mr. K. Shashidhara IAS Retd., Director, IAD·Guest of Honour : Prof. Richard Hay, Member of the Parliament representingAnglo-Indian communities.·Key Note : ‘An ever-increasing need for models of health care linking science &humanities’Terence Ryan, Emeritus Professor Green Templeton College, Department ofDermatology, Churchill Hospital, Oxford, UK.

Lectures and presentations begin

Developing tropical dermatology through intersectoral researchDr. David Chandler, Department of Dermatology, Imperial College Healthcare NHSTrust, London

Discussion

A structure for creating global database for LymphoedemaMr. Ashok Raman, Department of Bigdata and Cloud computing,PESIT Engineering University, Bangalore

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10.45 AM –11.45AMSince 2002 IAD is runningan Indo-UK voluntary non-Governmental collaborationfor integrated medicineresearch and better care ofIndian Lymphatic Filariasispatients

12.10 PM

12.10 PM – 2.35 PM

Effective, low cost and self-care treatments for tropicalskin diseases could bedeveloped by generatingclinical and experimentalevidence through integratedmedicine and basicsciences

12.35 PM –12.45 PM

12.45 PM – 1.10 PMTechnical details of aminiature globallyinteroperable electronicmedical records system

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Time SessionsDiscussion

Bahmni: an open MRS (Medical Records System) electronic medical records forlymphoedema and skinProf. Dinkar Sitaram & team from PESIT Engineering University, Bangalore

Discussion

Lunch Break

Bahmni mobile AppRishab & Priyanka,Students of PSIT University, Bangalore

Discussion

LIMPRINT - an international epidemiology studyProf. Christine Moffatt,Royal Derby Hospital, The University of Nottingham andDirector, International Lymphoedema Framework (ILF), UK

1.10 PM –1.20 PM

1.20 PM -1.35PMCreating a low cost andcustomizable data base forelectronic medical records forlymphoedema and skindiseases on https://www.bahmni.org/for peoplewith low digital literacy

1.35 PM – 1.45 PM

2.00 PM – 2.45 PM

2.45 PM - 3.00 PMPatient education is the key inlymphoedema management.This can be done by using aspecial app for linkingpatients

3.00 PM - 3.10 PM3.10 PM - 3.25 PM

The ILF has been developingan international evidencebased epidemiology projectwith an electronic data capturesystem in addition to a healthservice evaluation data basesystem

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Discussion

Concept labs for Lymphoedema/ Ayurveda & Yoga

Dr. Guruprasad, Chief Consultant Ayurveda, IAD

Discussion

Tea/Coffee break

Physio- Pathological determinants influencing the Ayurveda prescriptionDr. Anathram, Postgraduate Department of PanchakarmaAmrita School of AyurvedaVallikkavu, Kerala

Discussion

3.25 PM –3.35 PM

3.35 PM – 3.50 PMElectronic Medical Record(EMR) software needs acoaching to understandmedical terms. How todevelop uniformterminology to meet globalstandards?

3.50 PM – 4.00 PM

4.00 PM – 4.20 PM

4.20 PM - 4.50 PMWhat evidences doAyurvedic physicians lookwhile treating patients andwhich may be importedfrom biomedicine

4.50 PM - 5.00 PM

Time Sessions

Time SessionsExamination of lymphoedema/ filariasis patientsLed by Prof. Ryan, assisted by other medical experts attending the colloquium;Dr. K.S. Prasanna, & IAD’s health care team and participants

Yoga for delaying atopic marchLed by Dr. Shirley Telles assisted by Dr. Gururprasad Aggithaya, Mr. Jayanthand Ms. Vasanthi

Tea/Coffee break

Cellular changes occurring in lymphoedema as the consequence of skin failureProf. Terence Ryan

8.30 AM to 10.30 AMNational medical camp forLymphatic Filariasis.Patients who havereceived treatment fromIAD are invited toparticipate

8.30 AM –10.30 AMDemonstration anddiscussion on yogaprotocol developed by IADfor school children

11.00AM - 11.30 AM

11.30 AM - 11.50 AMProf. Ryan will explain thedirection that molecularstudies in lymphoedemashould take for betterunderstanding of filarialswelling’spathophysiology

The 23rd January 2018

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Time Sessions

Lymphoedema Research Priority : Outcomes from molecular studiesDr. Rajendra P, Department of Biochemistry & Molecular biology& Dean, School ofMedicine and Public Health, CUK&Raman Fellow, Central University of Kerala,Kasaragod

Lymphoedema Research Priority: Outcome from Immuno-histochemical studies

Prof. Vijaya Basavaraj Dermato-pathologist, department of Transfusion medicine,JSS Academy of Higher Education and Research, Mysore

Lymphoedema Research Priority: Patient selection in clinician involvedintersectoral research

Dr. S.R. Narahari, Director, IAD

11.50 AM - 12.20 PMResults of cellular changesobserved in the biopsysamples of lymphoedemaat baseline before takingintegrative medicinetreatment

12.20 PM - 12.50 PMResults of Immuno-histochemical studiesobserved in biopsy samplesof lymphoedema at baselinebefore taking integrativemedicine treatment

12.50 PM - 1.05 PMData driven inferences onseveral clinical leadslymphoedema patientssupport reversepharmacology studies inintegrated medicine

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Time Sessions

DiscussionModerated by Prof. Terence Ryan and Prof. D. Govinda Rao , Head, Department ofBiochemistry and Molecular Biology, Central University of Kerala

Immuno-histochemistry analytics useful in DermatologyProf. Vijaya Basavaraj

DiscussionLunch

Interoperability and standards for virtual patient database

Mr. Ashok Raman

Analytics andMachine Learning

Prof. Dinkar Sitaram, Head,Department of Bigdata and cloud computing, PSITUniversity, Bangalore

1.05 PM - 1.35 PMDiscussion oninterdisciplinary researchconducted on reversepharmacology study1.35 PM - 1.50 PMDermatopathology servicesoffered by JSS Academy ofHigher Education andResearch, Mysore forintersectoral research1.50 PM - 2.00 PM2.00 PM - 2.30 PM2.30 PM - 2.50 PMA global database should beaccessible through chromeand other web basedsystems. How to develop suchindigenous technology forlymphoedema & skindiseases?2.50 PM – 3.15 PMA product talk on using auniform EMR forlymphoedemaclinicssupported by aninteroperable virtual supportsystem

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Time Sessions

Discussion

Coffee break

Data Analytics for questions arising from clinical leads

Prof. Dinkar Sitaram

Discussion

Moderated by Dr.Muralidhar, Agri-statistician, Central Plantation Corps ResearchInstitue, Kasaragod and Mr. Shashidhar Kotiyan, biostatistician, Kasturba MedicalCollege, Mangalore

Analytics Paper

Rishab & Priyanka,Students of PSIT University, Bangalore

Discussion

3.15 PM - 3.20 PM

3.20 PM – 3.35 PM

3.35 PM - 4.00 PM

Different forms of analyticsthat may be used in ascenario of large data frompatient clusters

4.00 PM - 4.30 PM

Changing trends in analyticsand its application tobiomedicine, phytomedicineand ayurveda

4.30 PM – 4.45 PM

A pilot analysis usingcurrently available data

4.45 PM – 4.50 PM

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Time SessionsYoga for orthopaedic comorbiditiesModerated by Dr. Shirley Telles assisted by Dr .Gururprasad Aggithaya, Mr. Jayanthand Ms. Vasanthi

Examination of lymphoedema patientsLed by Prof. Ryan, assisted by other medical experts attending the colloquium;Dr. K.S. Prasanna, & IAD’s health care team and participants

Discussion on use of yoga duringorthopaedic comorbidities (continues)

Coffee BreakYoga protocols for Filarial and breast cancer related lymphoedemaPatients will demonstrate yoga. Real time review by Dr. Shirley Telles Demonstrationof IAD’s current protocols for yoga for upper and lower limb lymphoedema.International journal of yoga debated on these protocols. In this backgroundmultidisciplinary group participating in the colloquium, led by Dr. Shirley, will reviewand suggest modifications if necessary

How to develop an evidence based yoga protocol for disease management?Dr.Shirley Telles

The 24th January 2018

8.30 AM –9.30 AMDemonstration anddiscussion on yoga posturesthat may be carried out inpatients suffering from arthritisand locomotor issues(Roof top)

9.30 AM - 11.00 AMThis is a national medicalcamp for Lymphatic Filariasis.Patients who have receivedtreatment from IAD are invitedto participate

9.45 AM - 10.30AM(seminar hall)11.00 AM – 11.30 AM

12 Noon –1.00 PMIt is planned to make a newpublication arising out of yogadiscussions

1.00 PM -1.30 PMShares her research ondeveloping protocols fordifferent diseases. Whatevidences she looks for? Howshe develops protocols?

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Time Sessions

Discussion

Data Classification & Security in IADMr.Kiran, Data and network manager, IAD

DiscussionLunch break

Demonstration of Electronic medical records for lymphoedemaMs. Aneesha, Ms. Sheeba Vegheese and Reshma D’SouzaDermatology nurses, IADModerated by Mr.Ashok Raman

DiscussionCoffee break

Lymphatic Filariasis treatment services in IndiaDr. Thomas John,MGDM Hospital, Kangazha,Pala, Kerala

Discussion

Image analysis software for VitiligoDr. Guruprasad and Mr. Kiran, from IAD

Discussion

1.30 PM -1.40 PM1.40 PM -1.55 PMHow patients’, research,admin & accounts data areclassified, stored, retrievedand protected in IAD

1.55 PM -2.00 PM2.00 PM -2.45 PM2.45 PM – 3.45 PMDemonstration: EMR forlymphoedema patients anddata retrieval

3.45 – 4.00 PM

4.00 PM - 4.20 PM

4.20 PM –4.50 PMReport of a study supportedby DNDi to evaluatelymphoedema clinics/services in India

4.50 PM – 5.00 PM

5.00 PM - 5.20 PMDemonstration of IAD’svitiligo image analysissoftware. Discussion on itsgaps and standardizedimage acquisition

5.20 PM - 5.30 PM

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Time SessionsExamination of lymphoedema patientsLed by Prof. Ryan, assisted by other medical experts attending the colloquium;Dr. K.S. Prasanna, & IAD’s health care team and participants

Yoga for obesityLed by Dr. Shirley Telles assisted by Dr. Gururprasad Aggithaya,Mr. Jayanth and Ms. VasanthiThis is followed by IAD DieteticianSruti’s lecture onIntegrated Diet recommendation for obese patients in the seminar hall

Coffee break

Evidences and variables essential for a clinical investigator in dermatologyDr. David Chandler

What evidences are needed to use yoga as therapy?Dr.Shirley Telles

Brain storming on evidence based integrative medicineModerated by Prof. Ryan and Dr. S.R. Narahari

The 25th January 2018

8.30 AM to 10.30 AMThis is a national medicalcamp for Lymphatic Filariasis.Patients who receivedtreatment from IAD are invitedto participate.8.30 AM to 10.30AMDemonstration anddiscussion on yoga protocoldeveloped by Pathanjali yogapeet. Commentary on thepurpose of each yoga asanaby Shirley Telles anddiscussion10.30 AM to 11 AM11.00AM -11.30AMIntersectoral research onchronic skin diseases shouldagree on common minimumevidence. Thesevariables should support thequestions which patients ask11.30 AM -11.45 AMDoes yoga practice needmodifications when used astherapy?

11.45 M -12 Noon

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Time Sessions

What issues come up during lymphoedema counselling?Reshma D’Souza, Sheeba & Aneesha Dermatology nurses IAD

Technology’s needs for developing app for m healthMr. Ashok Raman

BrainstormingModerated by Dr. David Chandler

“You are what you digest”Integrating Nutrition and Dietetics with diet recommendations ofcomplementary and alternative medicineMs. Sruthi Mol, Integrated Dietitician, IAD

Brainstorming

How I wish clinicians involved intersectoral research should progress?1. Porf. Indrani Karunasagar, Nitte University2. Prof. D. Govinda Rao, Central University of Kerala3. Mr. Ashok Raman, PES University4. Dr. Murali Badanthadka, NUCARE, Mangalore5. Mr. VishnuSipphy, Mumbai

12 Noon-12 20 PMTeams managing m-healthfor lymphoedema should beprepared to answer thequestions patients ask duringthe first contact. IAD hasrecorded such questions ofpatients who came exploringtreatment for lymphoedema

12.20 PM -12.30 PMRequirements to develop aneffective tool for m healthbased patient care

12.30 PM -12.40 PM

12.40 PM -1.00 PMIncorporating disease specificdiet recommendation ofAyurveda and homeopathy toNutrition and Dietetics.1.00 PM -1.10 PM

1.10 PM – 1.40 PM(six minutes each)

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Time Sessions

BrainstormingModerated by Prof. Ryan & Prof. IndraniLunch break

Nitte University’s agenda for Intersectoral researchProf. Indrani Karunasagar, Director (R&D), Center for Science Education andResearch, Nitte (Deemed to be University), Mangalore

Enhancing clinical potential of Ayurveda topical: Pilot experiments & challengesaheadDr. Swapna S Nair, Department of Physics, Central University of Kerala

Brain stormingModerated by Prof. Govinda Rao and Dr. Murali Badanthadka, Deputy Director,NUCARE, Panneer, Mangalore

Cutaneous Micro biome profiling of Psoriasis and Elephantiasis usingmetagenomicsDr. GK Prasanth ,Post doc in Department of Biochemistry & Molecular biology CentralUniversity of Kerala

1.40 PM -2.00 PM

2.00 PM -2.45 PM

2.45 PM -3.00 PMNitte is fosteringmultidisciplinary researchthrough collaborations foraddressing health issues

3.00 PM – 3.15 PM50-70 ML of oil getsabsorbed during Ayurvedamassages. Is there any otherway to enhance clinicalefficacy of Ayurveda drugs byadopting technology ?

3.15 PM -3.30 PM

3.30 PM -3.45 PMLymphoedema ResearchPriority: why intertrigo/bacterial entry points don’theal? Which bacteriacolonize different types ofpsoriasis

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Time Sessions

Brain stormingModerated by Prof. Ryan and Dr. Rajendra

Coffee break

Reflections as a data scientist and IT expertMr.Ashok Raman

Brainstorming on future directionModerated by Prof. Indrani Karunasagar & Dr. David Chandler

Ryan’s Institute of Applied DermatologyTeam IAD

Mentor’s Mind : Farewell speechProf. Terence Ryan

3.45 PM –4.00 PM

4.00 PM - 4.20 PM

4.20 PM -4.35 PMWhat kind of data support isneeded for intersectoralresearch?

4.40 PM – 5.00 PM

5.00 PM -5.05 PMDisplay of Images ofProf. Ryan’s mentoring ofIAD’s growth during the last15 years

5.05 PMProf. Ryan plans retirementfrom active academic life

Colloquium concludes

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Time Sessions

Hoisting the national flag on the occasion of the 68th Republic day of India

Yoga demonstration by Dr. Shirley for public of Kasargod at roof top of IAD Kasaragod

Medical campLed by Prof. Ryan & Dr. David Chandler, assisted by resource persons of thecolloquium, IAD’s health care team and participants

Inauguration of the Centre For Integrated Medicine And Public Health sponsored byGovernment of Kerala functioning under IAD, honouring Dr.Banari an eminent ruraldoctor, Release of Malayalam book (‘Wings for Legs’) on lymphedema authored byChandran MuttathLocal District Minister, MLA and Bureaucratic leaders, Vice Chancellor of Central University,Officials of Ministry of Health and Public

Examination of chronic dermatoses patients Medical camp continues

The 26th January 2018

8.00 AM

7.30 AM - 8.30 AM

8.15 AM to 9.30 AMExamination of chronicdermatoses patients

9.30 AM to 11.30 AMPublic function

11.30 AM to 12.30 PMThis is a national medicalcamp for chronicdermatoses. Patients whoreceived treatment from IADare invited to participate.

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NOTES

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Interdisciplinary experts & universities participating in the 8th National Colloquium on EvidenceBased Integrative medicine for Lymphatic Filariasis and other Chronic Dermatoses 2018 (alphabeticorder)

Interdisciplinary experts

1. Agri-statistician2. Animal house3. Applied Medicine4. Atopy and allergy5. Ayurveda6. Beneficiary (patient) participation7. Bigdata8. Biochemistry9. Bioscience10. Biostatistician11. Cloud computing12. Data Analytics13. Dermatology14. Epidemiology15. General Medicine16. Homeopathy

Universities represented by them

1. Amrita (Deemed to be University)

2. Central University of Kerala

3. JSS Academy of Higher Education andResearch, Mysore (Deemed to beUniversity)

4. Imperial College, London

5. Manipal University(Deemed to be University)

6. Nitte (Deemed to be University) Mangalore

7. Oxford University

8. Patanjali Research Foundation(Deemed to be University)

17. Image analysis18. Immuno-histochemistry19. International Health20. Lymphology21. Machine Learning22. Medical Records System23. Microbiology24. Molecular biology25. Neurophysiology26. Nursing27. Nutrition & Dietetics28. Pathology29. Pharmacology30. Pharmacy31. Physics32. Tropical Medicine33. Yoga

9. PES University Bangalore(Deemed to be University)

10.University of Nottingham

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IAD is a success story of volunteerism. Doctors, scientists, paramedical experts, social workers and intellectuals from around the worldcontribute their time, knowledge and expertise to shape the programsof this not-for-profit research institution. IAD is an institute where thebest of modern medicine is combined with established traditionalhealing practices. Every patient who visits receives treatmentirrespective of his or her financial status. About one fourth of theeconomically backward patient population receives free treatment. Therest receive some form of assistance from IAD. Studies/ researchconducted here have immensely benefitted, physically andpsychologically, patients suffering from chronic skin diseases andLymphatic Filariasis.

IAD – A boon

Please follow Integrative approach of Institute of Applied Dermatology on

Regd. office : # MP XVI/575 (A), IAD Junction, Uliyathadka, Madhur Road, Kasaragod 671124, Kerala, IndiaPh: 04994 240862, 240863, Mob: 09446449920, 09895588735 www.iad.org.in e-mail: iadorg@gmail.com