SRM MEDICAL COLLEGE HOSPITAL & RESEARCH CENTRE SRM NAGAR, POTHERI

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1 SRM MEDICAL COLLEGE HOSPITAL & RESEARCH CENTRE SRM NAGAR, POTHERI Important events in SRM Medical College Hospital and Research Centre ) 20/01/2016 Department of Anaesthesiology organised a CME program on Getting ready for organ retrieval Proposals and Protocols 1. Natural progression after brain death Physiological aspects Dr.Swetha Ramani 2. Diagnosis of brain death Dr.Mrinalini 3. End of life care Dr.Sundaram 4. Protocol based management of brain dead patient till organ retrieval Dr.Gayathri 5. Anaesthetic management of transplant donors live & brain dead similarities and differences Dr.Balachandran 2) 21/01/2016 Department of Clinical Psychology organised a workshop on Neuropsychological Assessment and Rehabilitation by Dr.Roopesh BN, Associate Professor Department of Clinical Psychology, NIMHANS Bangalore. The Following program schedule 21 January 2016 Inauguration 9.30am 1 Brain/Neuronal Development 10am -11am Didactic 2 Brain Laterality/ Dominance 11.15am pm Didactic 3 Brain Localization 12.15pm pm Didactic 4 Neuropsychological Assessment 02.15pm pm Didactic & Practical 22 January A. Neuropsychological Assessment (Question and Answers) 10am am Didactic 5 MSE & MMSE 10.30am -11am 6 Neuropsychological Assessment of Children 11.15am -01pm Didactic & Practical 7 Traumatic Head Injury 02pm 02.30pm Didactic 8 Stroke 2.30pm 03pm Didactic 9 Brain Tumors 03.15pm-3.45pm Didactic 10 Dementia 03.45pm-04.30pm Didactic 11 Epilepsy 04.30pm-05.00pm Didactic 23 January Electrophysiology (EEG-ERP) 10am-11am Didactic 13 Neuropsychological Report Writing 11.15am -01.pm Didactic & Practical 14 Neuropsychological Rehabilitation 02pm-3.30pm Didactic & Practical 15 Neuropsychological Rehabilitation 03.45pm -05pm Didactic & Practical

2 3) 08/02/2016 Department of Neurology organised CME to Commemorate National Epilepsy Day Dr.K.Malcolm Jeyaraj, Epileptologist SIMS Hospital, Vadapalani Chennai, Spoke on Syndromic Classification of Epilepsy, Will it Improve the Treatment of Seizures?. 4) 12/04/2016 Department of General Surgery organised a guest lecture on Breast Cancer by Prof.J.C Bose, Professor & HOD of Surgical Oncology, Madras Medical College Chennai. 5) 29/04/2016 Department of Physiology organised a CME on Applied Middle and Inner Ear Physiology. 1) Dr.K.Thamarai Selvi, Professor of Physiology, SRM MCH & RC, spoke on Structure & Functions of Middle and Inner Ear. 2) Dr.K.Krishna Kumar, Professor & Head of ENT, SIMS Hospital, Vadapalani Chennai, spoke on Common Diseases of Middle and Inner Ear. 3) Dr.R.Ranjana Kumari, Rtd. Professor Govt. Mohan Kumaramangalam Medical College & Hospital, Salem, spoke on Deafness How to Manage? 6) 30/04/2016 Department of Anatomy organised a national CME on Computer Aided Learning Hype or a Practical reality by Dr.(Lt Col) T.Vijaya Sagar, Professor & HOD, Department of Anatomy, Sri Ramachandra Medical College Hospital & RI Chennai. 7) 10/06/2016 Department of Biochemistry organised a CME on Vitamin D- Newer Perspectives Guest Lecture 1: Introduction to Vitamin D by Dr.M.Vasantha Professor & HOD, Dept of Biochemistry SRM MCH & RC. Guest Lecture 2: Vitamin D Past, Present & Future by Dr.P.S Muralidharan Professor, Dept of Pediatrics SRM MCH & RC. Guest Lecture 3: Vitamin D Newer Perspectives by Dr.M.Vijayalakshmi Associate Prof. Dept of Biochemistry Stanley Medical College Chennai. 8) 17/06/2016 Department of Cardiology organised CME program on Basics in Electrophysiology and Pacing by Dr.Guru Prasad S, Cardiologist & Electro physiologist, Apollo Specialty Hospital. Chari persons: Dr.K.Jayabalan Professor Department of General Medicine, SRM MCH & RC and Dr.K.S.Sai Kumar Professor Department of General Medicine, SRM MCH & RC.

3 9) 21/06/2016 Department of ENT organised CME program Foreign bodies in Aero Digestive Tract by Prof.Dr.K.Balakumar Former Director of Institute of Oto Rhino Laryngology Madras Medical College, Chennai. 10) 22/06/2016 Department of Orthopaedics organised a guest lecture on Acetabular Fractures By Dr.Vijay Narasimhan Professor Dept. of Orthopaedics, Sree Balaji Medical College & Hospital Chennai. 11) 24/06/2016 Department of Psychiatry CME in Commemoration of World De Addition Day organised a debate in Tamil on The Reasons for Addiction Lies in the Society The Individual. 12) 15/07/2016 Department of Plastic Surgery CME to commemoration of the Plastic Surgery Day. Speakers History & Development of Cleft Lip Management Centres in South India Emergency and Essential Reconstructive Plastic Surgical Care an awareness program Acute complication of Paediatric Burns & its Management Prof.Dr.James Pandian Director (Medical) SRM University Prof.Dr.R.Krishnamoorthy Joint Director, ICAPS, SIMS Hospital, Chennai Padmashree Dr.Mathangi Ramakrishnan, Chairman & Head, Dept. of Plastic Surgery & Burns, Child Trust Medical Research Foundation, Chennai Chairpersons: Prof.Sam C.Bose, Prof. & HOD (Retd.) Dept of Plastic Surgery, Madurai Medical College & Govt. Rajaji Hospital, Madurai. Senior consultant Apollo Speciality Hospital - Plastic Surgery Department. Prof.Dr.K.Sridhar, Honorable Pro Vice Chancellor (Medical), SRM University. 13) 21/07/2016 Department of Neurology CME in Commemoration of the World Brain Day - Clinical Spectrum of Movement Disorders by Prof. Dr.V.Jayakumar, Director and Senior Consultant Neurologist JK Institute of Neurology, Madurai Chairpersons: Prof.Dr.Suresh Babu, Director - Institute of Neuroscience and Senior Consultant Neurosurgeon SIMS Hospital, Vadapalani, Chennai. Prof. Dr.K.Gireesh, Deputy Dean & Vice Principal SRM MCH & RC.

4 14) 02/08/2016 Department of Anaesthesia organised SEDAT 2016 a journey through Neuromuscular junction Being and Beyond. Scientific program 9.00am to 9.20am Morphology of Neuromuscular Junction and its mechanism of action Prof.Dr.R.Venkatraman, SRM 9.25am to 9.45am Monitoring of NMJ - Dr.M.Karthik, Assistant Prof., SRM 9.50am to 10.10am Relevance of Priming and Precurarisation - Prof.Dr.B.Gayathri, HOD, SRM 10.15am to 10.35am 11.10am to 11.50am 11.50am to 12.30pm Sugamadex-A revolution in Neuromuscular Antagonism Dr.R.Balaji, Associate Prof., SRM Is Reversal of Neuro Muscular Blockade mandatory? Pros and Cons Dr.P.Deepthi, Assistant Prof. MMC and Dr.M.Premkumar, Assistant Prof., Savitha M.C Intubation without a muscle relaxant Pros and Cons Dr.S.Saravanakumar, Assistant Prof., Stanley M.C and Dr.S.Balachandran, Associate Prof., SRM 1.00pm to 2.30pm Simulation Lab Case Scenarios on Neuromuscular Disorders 2.30pm to 3.30pm 3.30pm to 4.00pm Quiz Dr.Anand, Associate Prof., SRM and Dr.A.Pushpa Rani, Associate Prof., SRM Prize distribution 15) 03/08/2016 Department of Paediatrics organised World Breast Feeding Week Programme Common Feeding Problems in Newborn by Dr.Deepa Hariharan, Consultant Neonatologist & HOD, Sooriya Hospital, Vadapalani, Chennai.

5 16) 08/08/2016 to 09/08/2016 Medical Education Unit organised Research Methodology Workshop for Postgraduates of Broad Specialities following Program: Workshop on Research Methodology Program Schedule Venue: Community Medicine Hall DAY 1 ( ) Time Facilitator 8.15 am Registration and Welcome note Dr. V. Mangayarkarasi, Co-ordinator, Medical Education Unit 8:45 am to 9:45 am Pre-test and Ice Breaking Dr.C.Balaji, Associate professor of Pediatrics.. Dr. Sathyajit, Associate Professor of Pharmacology Dr. P.Kalaivani, Associate Professor of Pathology 9.15 am to 9:45 am Thesis - Self-Directed Learning 9:45 am to 10:45 am 10:45 am to 11:15 am Ethics in health Research & Getting IEC Clearance Dr.K.Gireesh, Deputy Dean/ Vice principal. Dr. Melvin George, Assistant Professor of Clinical Pharmacology. *INAUGURATION Inaugural Address by Dr. James Pandian, Director (Medical) Presidential Address by Dr. A. Sundaram, Dean (Medical) 11:15 am to 11.30am TEA BREAK at Community Medicine Department am to 11.45am am to 12: 15 pm. 12:15 pm to 12:45 pm Important of research in Post Graduates Medical Education. Study Designs and Group Work. Information Group Presentation. Dr.Logaraj HOD & Professor of Community Medicine. Dr.Logaraj HOD & Professor of Community Medicine. Dr. Rajan Associate Professor of Community Medicine. Dr. K.R.John Professor of Community Medicine pm to 1.30 pm LUNCH at Medical Education Department, Ground floor. 1.30pm to 2.15pm 2.15 pm to 3:30 pm Translational Research and Applied Biostatistics 1: Types of data, sampling. Sample size calculation. Group work Dr. K. Sridhar M.S, M.Ch, PGDHHM, Hon ble Pro Vice Chancellor (Medical), Dr. V.V.Anantharaman Associate Professor of Community Medicine. Dr.V. Christopher Amalraj, Ph.D Assistant Professor & statistician Dr. Rajan Associate Professor of Community Medicine pm to 4:00 pm Take home message and assignments

6 DAY 2 ( ) 8.15 am Recap of day 1 8:30 am to 9:30 am 9.30 am to am Group work Review of literature Data Entry and Data Analysis. Hands on training. Dr. V. Mangayarkarasi Co-ordinator, Medical Education Unit, Dr. R. Balaji Assistant Professor of Community Medicine. Dr..Sathyanarayanan Assistant Professor of Community Medicine am to 10:15 am TEA BREAK at Community Medicine Department am to 10:45 am am to am am to Noon noon to pm 1.30 pm to pm Norms For thesis preparation Biostatistics 2: P value, confidence intervals & Bias. Group work. Dr. G. Shiva Shekar HOD & Professor of Pathology Dr..Sathyanarayanan Assistant Professor of Community Medicine Dr. R. Balaji Assistant Professor of Community Medicine. How to review a journal article? (Group work) Dr. R. Balaji Assistant Professor of Community medicine. Dr.V.Mangayarkarasi, Professor & Head, Department of Microbiology. Dr. C. Balaji, Associate professor, Hands-on training on Department of Pediatrics.. reviewing literature Dr. R. Balaji, Assistant Professor, Department of Community Medicine. Dr.K. Kalaivani, Associate Professor, Department of Pathology 01.00pm to 01.30pm LUNCH at Medical Education Department, Ground floor. Group presentation of model Dr. K.R.John protocols Professor of Community medicine Working Tea with all core members of MED 3.30 pm to 3.40 pm Feedbacks, Post-test. 3.40pm to 3.50 pm Valedictory. Dr. A. Sharmila, Professor of Anatomy. Dr. Murali Narasimhan, Assistant Professor of Dermatology. Dr.K.Gireesh, Deputy Dean and Vice Principal and Core Members

7 17) 19/08/2016 Department of Gastroenterology (Medical & Surgical) CME Program Hepatitis B & C Screening, Hepatitis B Vaccination Camp & Panel discussion on Management of Liver Failure Panel moderated by Dr.Dharmesh Kapoor, Global Hospital Hyderabad. Panelists by Dr.B.S.Ramakrishna, SIMS Hospital, Chennai. Dr.Joy Varghese, Global Hospital, Chennai. Dr.Banumathy Ramakrishna, Chennai. Dr.Gomathy Narasimhan, Global Hospital, Chennai. Dr.Rajashekar Perumalla, SIMS Hospital, Chennai. 18) 24/08/206 Department of General Surgery organised Guest Lecture on Obstructive Jaundice Current Concepts in Diagnosis and Non Surgical Management by Dr.T.S Chandrasekar, Medical Gastroenterologist, MEDINDIA, Chennai. 19) 30/08/2016 Department of Clinical Pharmacology organised Guest Lecture Clinical Trials From the Vantage Point of a Principal Investigator by Dr.B.S.Ramakrishnan, Director and Senior Consultant Medical Gastroenterology SRM Institute of Medical Sciences (SIMS), Chennai. 20) 08/09/2016 Department of Microbiology and Hospital Infection Control Committee CME Program Panel Discussion on Hospital Infection Control and Antibiotic Policy Guest Lecture Challenges in Hospital Infection Control by Dr.Suresh, Infectious Diseases American Certified Tropical Medicine Consultant Infectious Disease, SIMS, Chennai. Evolution of HIC in SRM Dr.S.Mushtaq Ahmed Khan, Addl. Medical Superintendent, SRM MCH & RC. 21) 20/09/2016 Department of Medicine & Nephrology organised CME World Sepsis Day Guest Lecture Antimicrobial Therapy in Sepsis by Dr.D.Sureshkumar, Consultant Infectious Diseases, SIMS Hospital. Surgical Management by Dr.S.M.Chandramohan, Surgical Gastroenterologist Former Director Surgical Gastroenterology MMC Chennai. 22) 29/09/2016 Department of ENT organised CME Head and Neck Surgery A Quantum Shift by Dr.C.Rayappa, Head and Neck & Skull base surgeon, Apollo Apeciality Hospital, Chennai.

8 23) 04/10/2016 Department of General Surgery organised guest lecture on Current Concepts in Carcinoma Stomach by Prof.Dr.B.K.C.Mohan Prasad, Former Professor & HOD Department of Surgical Oncology Madurai Medical College Prof Emeritus TN MGR University. 24) 06/10/2016 Department of Psychiatry commemoration with World Mental Health Day had organised Tamil Drama on Mental Health with the Theme Psychological First Aid. Guest of Honour Prof.O.Somasundaram former Superintendent IMH Chennai. Dignity in Mental Health Mental Health First aid for all by Dr.M.Thirunavukarasu, Prof. & HOD Psychiatry, SRM MCH & RC. 25) 19/10/2016 World Bioethics Day celebration Time / Venue Speakers 11.00am Medical College Auditorium All about Medical Ethics For Faculty and Medical Students Dr.T.N.Ravisankar, President (Elect) IMA Tamil Nadu State Branch 2.00pm to 4.00pm Hospital Seminar Hall 6.00pm to 7.30pm Mammandur Health Centre Distribution of pamphlets to medical doctors on Universal Principles of Bioethics Workshop for nurses of casualty /ward on Bioethics Principles - Dignity, Autonomy, Informed consent, Privacy and Confidentiality, Communication Benefit and Harm Case Studies Workshop for CRRI (Mamandur Health Centre) on Principles of Bioethics - Professionalism Student Council members Mrs.Joy Kezia, Deputy Nursing Superintendent Dr.R.Sivakumar, Chief Casualty officer Dr.K.Gireesh, Deputy Dean & VP Dr.K.Gireesh, Deputy Dean & VP

9 26) 19/10/2016 Dept of Vascular surgery organised CME on Update in Vascular Surgery. Vascular CME Chair persons: Prof.S.Jeyakumar, HOD General Surgery and Prof.A.Sukumar, HOD CTVS. s Newer Advances in the Management of VTE Mid-Aortic Syndrome Critical Limb Ischemia & Limb Revascularization Video Presentation Current Concepts of Varicose Treatment Speakers Prof.Pinjala Ramakrishna MS, FRCS, HOD Dept. of Vascular surgery, NIMS, Hyderabad. Prof.Vidyasagaran MS, MCh, HOD Dept. of Vascular Society of India Dr.Saravanan Robinson MS, MCh Senior Assistant Professor, Govt. Rajaji Medical College Hospital, Madurai Dr.Devender Singh MS, DNB, FIVS, Chief Vascular Surgeon, Yasodha Hospital, Hyderabad. 27) 20/10/2016 Department of Ophthalmology organised CME on Corneal Blindness on the eve of World Sight Day Dr.M.Anandbabu, MS., DO., Prof. & HOD Cornea Services, Regional Institute of Ophthalmology Madras Medical College, Chennai. Delivered Guest Lecture. 28) 24/10/2016 Quality Control Management and Hospital Infection Control Committee with Department of Microbiology celebrated Global Hand Washing Day Beware of Commensals Hand wash : To whom and where I should say Speakers Dr.Mangayarkarasi, MD., PhD, Prof. & HOD of Microbiology Mrs.Joy Kezia, MSc., MBA, Deputy Nursing Superintendent

10 29) 27/10/2016 Department of Anaesthesiology organised CME to Intelligent Ventilation Know your Ventilator commemorate World Anaesthesia Day. Guest Lecture Non- Ventilatory Management of a Mechanically Ventilated Patient by Dr.Mahendran, MD., Intensivist, SIMS Chennai. A Workshop too was organised Details as follows:- I) Modes, Initiation & Indications of Mechanical Ventilation (Duration: 1HR) PPT Modes DEMO Modes PPT Indication DEMO Indication Faculties: Prof.Dr.G.Sivarajan, Dr.R.Balaji, Dr.K.Karthik, Dr.P.Matheswaran and Dr.C.R.Saravanan II) Monitoring & Trouble Shooting of Ventilators (Duration: 1HR) PPT Monitoring DEMO- Monitoring PPT-Trouble Shooting Faculties: Prof.Dr.R.Venkatraman, Dr.J.Sarath Raj, Dr.KT.Karthik, Dr.G.Mirunalini and Dr.C.K.Swetha Ramani DEMO-Trouble Shooting III) Non Invasive Ventilation & Weaning Criteria (Duration: 1HR) PPT-NIV DEMO-NIV CASE SCENARIOS- NIV PPT and DEMO- Weaning Faculties: Prof.Dr.B.Gayathri, Dr.K.Ashok, Dr.A.Pushparani, Dr.M.Karthik and Dr.M.Prasanna IV) ABG in Clinical Scenarios (Duration: 1HR) PPT-Acidosis DEMO- Acidosis PPT-Alkalosis DEMO-Alkalosis Faculties: Prof.Dr.E.Reyasudeen, Dr.A.Kalyanaraman, Dr.P.Sunder, Dr.L.N.Sundaram, Dr.K.Anand and Dr.S.Balachandran 30) 04/11/2016 Department of Neurology organised CME to commemorate World Stroke Day Program follows. s Newer Concepts in the Management Acute Ischemic Stroke Role of Surgery in Acute Stroke Speakers Dr.Rithesh.R., MBBS, MD (GM), DM (Neurology), RINR Consultant, SIMS Chennai. Dr.V.R.Roopesh Kumar., MS., MCh (Neurosurgery), Senior Consultant, SIMS Chennai.

11 31) 11/11/2016 Department of Physiology organised National Seminar cum UG / PG talent test in clinical Haematology Programme Schedule Guest Speaker Anemia An evaluation Dr.G.Shivashekar, Professor & HOD Dept. of Pathology, SRM MCH & RC Childhood bleeding Dr.Revathi Raj, Disorders Consultant Paediatric Haematologist, Update on Platelet transfusion therapy and clinical perspective Role of Blood in Criminal Cases Stem Cell Banking From vein to vein Apollo Hospital, Chennai Dr.Ratti Ram Sharma, Professor, Dept. of Transfusion Medicine PGIMER, Chandigarh Dr.K.Thangaraj, Professor & HOD, Dept. of Forensic Medicine, SRM MCH & RC Dr.Saranya Narayan, Director, Jeevan Blood Bank, Chennai 32) 16/11/ 2016 Department of Pharmacology organised CME Program on Pharmacotherapy of Psychosis Induction of the programme & Overview of Psychopharmacology Pharmacotherapy of Psychosis Programme Schedule Event/Guest Speaker Dr.R.Jamuna Rani, Professor & HOD, Dept. of Pharmacology, SRM MCH & RC Dr.M.Sree Prathap, Chairman and Medical Director, Shadithya Hospital, Chennai Chairperson: Dr.M.Thirunavukarasu, Professor & HOD, Dept. of Psychiatry, SRM MCH & RC. Case Scenarios in Psychiatry role play by II MBBS V Semester students 33) 16/11/2016 to 19/11/2016 SRM/Stratus Center for Medical Simulation organised 2 nd National Workshop on Endo Vascular High Fidelity Virtual Reality Simulation Systems

12 Program Schedule Day 1 (16/11/2016 Wednesday) Speaker Program Resource Coordinators Welcome Participants Prof.V.E.Dhandapani Preamble & Introduction to Cardiac Prof.V.Jaganathan Interventions Endo Vascular Simulation in Dr.Gopala Murugan Cardiology Cardiac Interventions Demonstration Coronory Angiography Dr.M.Vengatesh Simple stenting Dr.Bharath kumar Multiple Vessel Disease Prof.G.Ravishankar management Chronic Total Occlusion Prof.S.Venkatesan Multiple Vessel Stenting Dr.Madhu Prabhudass Hands-on Session 1 Mentice tech Hands-on Session -1 /Cardiac Interventions Team/Faculties Hands-on Session 2 Resource Hands-on Session 2 Cardiac Interventions Coordinators Talk with the Expert Day 2 (17/11/2016 Thursday) Registration Resource Coordinators Welcome Participants Dr.Bulabai Karpagam Preamble & Introduction to Dr.Periyakaruppan Radiology Interventions Resource Coordinators Dr.Murali Thoracic Endovasular Aorticrepair Dr.Deepashree/Dr.Tasneem Uterine Artery Embolisation Dr.Murali/Dr.Premkumar Basilar Tip Aneurysam Dr.Periyakaruppan Stroke/MCA interventions Hands-on Session Mentice teach team/resource team Talk with Experts/Open Discussion Mentice teach team/resource team Day 3 (18/11/2016 Friday) Registration Resource Coordinators Welcome Participants Prof MSK/KRSB Preamble & Introduction to Neuro Dr.Surcesh Bapu Interventions Simulation in Neuro Interventions Dr.Roopesh Femoral Puncture Techniques Dr.Manikanda Prabu Presentation Basics of Neurointervention Dr.Rithesh Key note address Dr.Paritosh Aneurysm Coiling Techniques Dr.Joy Verghese Stroke Mechanical Dr.Ritesh Thrombectomy Introduction to Mentice Endo Vascular Simulation Dr.Suresh Bapu & Mr.Ravi Mandre - Mentice

13 Hands-on Session -1 / Neuro Mentice tech team / Faculties Interventions Hands-on Session -2 / Neuro Mentice tech team / Faculties Interventions Talk with the Expert Day 4 (19/11/2016 Saturday) Welcome Participants Dr.Pinjala Preamble & Introduction to Endo Dr.Rajkumar Vascular approach SFA, lliac Angioplasty & Stenting Dr.V.Rajarajan Resource Coordinators Dr.Raj Kumar / Ipsilateral Common lliac Artery Dr.S.R.Subramanaiam stenosis Dr.Kamalakannan / Dr.V.Rajarajan Contralateral Common lliac Artery stenosis Dr.Radhakrishnan Raju Bilateral Common lliac Artery Stenosis Dr.Prabhu Premkumar SFA Stenosis / BTK Interventions Hands-on Session Vascular Mentice tech Team / Faculties Interventions Talk with The Expert 34) 21/11/2016 Department of Paediatrics organised CME Program National Newborn Week Celebrations. Programme Schedule Golden Hour Management of Newly Born Babies Surgical Emergencies in Newborn Babies Speaker Dr.K.Githa, Former Professor of Neonatology, ICH & HC Egmore / Madras Medical College Dr.S.Mohan, Former Professor of Paediatric Surgery, ICH & HC Egmore / Madras Medical College 35) 23/11/2016 A Seminar on USMLE was organised for Medical Undergraduate Mrs. Vinitha Thomas 36) 23/11/2016 Department of Paediatrics organised CME Facts on Fever Management by Dr.Siddarth.S.Jain.

14 37) 29/11/2016 Department of General Medicine organised CME to Commemorate World Diabetes Day Programme Schedule Burden of Diabetes in Indian Youth From Human Insulin to Premix Analogues How can we aid clinical Decision making Speaker Dr.S.R.Aravind, National President, RSSDI Dr.J.S. Kumar