emedinews
Head Office: E–219, Greater Kailash, Part 1, New Delhi–110 048, India. e–mail: emedinews@gmail.com, Website: www.ijcpgroup.com
FIRST NATIONAL DAILY eMEDICAL NEWSPAPER OF INDIA
eMedinewS is now available online on www.emedinews.in or www.emedinews.org
 
  From the Desk of Editor–in–Chief
Dr KK Aggarwal

Padma Shri and Dr B C Roy National Awardee
Dr KK Aggarwal
President, Heart Care Foundation of India; Sr Consultant Physician, Cardiologist and Dean Medical Education Moolchand Medcity; Chairman Ethical Committee Delhi Medical Council; Chairman (Delhi Chapter) International Medical Sciences Academy; Hony Director IMA AKN Sinha Institute (08–09); Hony Finance Secretary National IMA (07–08); Chairman IMA Academy of Medical Specialties (06–07); President Delhi Medical Association (05–06), President IMA New Delhi Branch (94–95, 02–04); Editor in Chief IJCP Group of Publications & Hony. Visiting Professor (Clinical Research) DIPSAR

 
  Editorial …

8th April, 2011, Friday                                eMedinewS Presents Audio News of the Day

View Photos and Videos of 2nd eMedinewS – Revisiting 2010

For regular emedinews updates follow at www.twitter.com/DrKKAggarwal

Starvation Effects: Anna on fast

  • Starvation induces protein and fat catabolism that leads to loss of cellular volume and atrophy of the heart, brain, liver, intestines, kidneys, and muscles.
  • Muscle wasting, including the myocardium, occurs during starvation in order to provide amino acids for production of glucose.
  • If food is suddenly withheld, the sensation of hunger gradually increases at first, becomes extreme, lasts for two or three days and slowly disappears. It is accompanied by a gnawing pain in the epigastrium, which is relieved on pressure. The pain may disappear with the hunger, but it is followed by a sensation of extreme weakness or faintness, which is both local in the stomach and general throughout the body. The sensation of thirst, on the contrary, when all fluid is withheld, persists until death or until the subject becomes insane or unconscious.
  • The body temperature begins to fall in the first day of the period of starvation, and continues falling, so that a loss of ten or more degrees below the normal of 98.60 F. may occur.
  • An adult may survive for about 10–12 days without food and water. If only water is being supplied this period may extend to 50–60 days.
  • In the final stages of starvation, adult humans experience a variety of neurological and psychiatric symptoms, including hallucinations and convulsions, as well as severe muscle pain and disturbances in heart rhythm.
  • Starved adults may lose as much as 50% of their normal body weight.
  • The very young person and the aged suffer most from starvation. Females, as they have more fats, can withstand it better than males; likewise, an obese than lean. Starvation effects are least felt so long as body temperature is maintained by clothing. Extremes of temperature accelerate the effects.
  • If the food has been stopped suddenly and completely, it causes an acute type of starvation. In first 30 to 48 hours, the starved person feels intense thirst and hunger pains. His face turns pale, mouth dry and parched, saliva thick, urine scanty and highly colored.
  • After 48 hours, signs of dehydration and emaciation set in. His breath is foul and offensive and body emits a disagreeable odor. His voice is weak, pulse feeble, BP low and has subnormal temperature. Apathy and pronounced fatigue having cadaveric looks. Hair becomes dry, lusterless and brittle. Nails become brittle and ridged. Skin may show increased pigmentation, ulceration and fissuring dryness. Edema may occur due to hypoproteinemia.
  • Eyes sink, pupils dilate, lips and tongue appear dry. Constipation is observed but no infective diarrhea or dysentery. Urine becomes scanty and turbid that may contain acetone, albumin and low chloride.
  • Intellect remains clear up to the end; sometimes convulsions and delirium precede death.

Dr KK Aggarwal
Editor in Chief
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  eMedinewS Audio PostCard

 HIV Update

Dr Nalin Nag Speaks on
‘Manifestations of HIV AIDS’

Audio PostCard
 
    Photo Feature (From HCFI Photo Gallery)

8th Vishwa Dharam Sammelan

Dr SY Quraishi, Chief Election Commissioner of India was the Chief Guest at the 8th Vishwa Dharma Sammelan. In the Photo: Dr Quraishi delivering his keynote address

 
Dr K K Aggarwal
 
    National News

Pranab tells corporates to give

The Union Finance Minister Mr Pranab Mukherjee predicted that India would have the biggest workforce in the world in another two to three decades. He said this after inaugurating the GMR Varalakshmi Foundation–Care Hospital on Saturday. The finance minister said that 65 per cent of India’s population would be of working age, while three–fourths of the global population would be senior citizens. "If we can keep people in good health and add vocational skills, our country will become a strong economy in the world," he said. Speaking on healthcare in the country, Mr Mukherjee suggested a bigger role for the corporate sector, which should take a cue from Mr Bill Gates and Mr Warren Buffett, who had donated profits for a social cause. (Source: Deccan Chronicle, April 3, 2011)

Certificate courses in 2D and 3D Echocardiography/Fellowship Diploma in non invasive cardiology: Contact Dr KK Aggarwal, Moolchand Medcity, email: emedinews@gmail.com

 
    International News

(Contributed by Rajat Bhatnagar, International Sports & Fitness Distribution, LLC )

Owning a dog can lead to a healthier lifestyle

Researchers in Michigan published a study in the Journal of Physical Activity and Health that says owning a dog can lead to a healthier lifestyle. According to the report, individuals who walk their dogs on a regular basis have a 34 percent higher chance of reaching their physical activity targets. Less than half of the American population meets physical activity standards, but the study found that owning a dog encourages people to walk more, and people who own dogs become more active overall.

(Dr Monica and Brahm Vasudev)

Research links restless leg syndrome to increased heart risks

Research presented at a cardiology meeting found that individuals with very frequent leg movements during sleep were more likely to have thick hearts –– a condition that makes them more prone to cardiac problems, stroke and death. The research was funded in part by the National Heart, Lung and Blood Institute.

Radiation therapy benefits outweigh risks for developing second cancer, analysis suggests

The odds a second cancer will develop after radiation treatment for a first cancer are relatively low, according to an analysis by National Cancer Institute researchers published in The Lancet Oncology.

Dopamine agonists may cause behavioral problems

Parkinson’s disease drugs called dopamine agonists appear to cause impulse control problems in almost one–quarter of patients, according to a study published online in the journal Parkinsonism and Related Disorders.

 
    IJCP Special

Dr Good Dr Bad

Situation: A PUO patient was advised CT chest by a GP. He came for a second opinion.
Dr Bad: There is no need.
Dr Good: Go ahead.
Lesson: CT scanning of the chest is invaluable in the identification of small nodules (indicative of fungal, mycobacterial, or nocardial infection or malignancy). The identification of hilar or mediastinal adenopathy may prompt biopsy by mediastinoscopy providing a diagnosis of lymphoma, histoplasmosis, or sarcoidosis.

Make Sure

Situation: A patient’s blood pressure was not responding on Arkamin (clonidine).
Reaction: Oh my God! Why was the patient given Artamin (D–penicillamine)?
Lesson: Make sure that prescription is written with the drug name spelled clearly.

 
    An Inspirational Story

(Vivek Kumar)

Teacher & the Student

As she stood in front of her 5th grade class on the very first day of school, she told the children an untruth. Like most teachers, she looked at her students and said that she loved them all the same. However, that was impossible, because there in the front row, slumped in his seat, was a little boy named Teddy Stoddard. Mrs. Thompson had watched Teddy the year before and noticed that he did not play well with the other children, that his clothes were messy and that he constantly needed a bath. In addition, Teddy could be unpleasant. It got to the point where Mrs. Thompson would actually take delight in marking his papers with a broad red pen, making bold X’s and then putting a big "F" at the top of his papers. At the school where Mrs. Thompson taught, she was required to review each child’s past records and she put Teddy’s off until last. However, when she reviewed his file, she was in for a surprise. Teddy’s first grade teacher wrote, "Teddy is a bright child with a ready laugh. He does his work neatly and has good manners… he is a joy to be around.."

His second grade teacher wrote, "Teddy is an excellent student, well liked by his classmates, but he is troubled because his mother has a terminal illness and life at home must be a struggle."

His third grade teacher wrote, "His mother’s death has been hard on him. He tries to do his best, but his father doesn’t show much interest and his home life will soon affect him if some steps aren’t taken."

Teddy’s fourth grade teacher wrote, "Teddy is withdrawn and doesn’t show much interest in school. He doesn’t have many friends and he sometimes sleeps in class."

By now, Mrs. Thompson realized the problem and she was ashamed of herself. She felt even worse when her students brought her Christmas presents, wrapped in beautiful ribbons and bright paper, except for Teddy’s. His present was clumsily wrapped in the heavy, brown paper that he got from a grocery bag. Mrs. Thompson took pains to open it in the middle of the other presents. Some of the children started to laugh when she found a rhinestone bracelet with some of the stones missing, and a bottle that was one–quarter full of perfume.. But she stifled the children’s laughter when she exclaimed how pretty the bracelet was, putting it on, and dabbing some of the perfume on her wrist.

Teddy Stoddard stayed after school that day just long enough to say, "Mrs. Thompson, today you smelled just like my Mom used to." After the children left, she cried for at least an hour. On that very day, she quit teaching reading, writing and arithmetic. Instead, she began to teach children.

Mrs. Thompson paid particular attention to Teddy. As she worked with him, his mind seemed to come alive. The more she encouraged him, the faster he responded. By the end of the year, Teddy had become one of the smartest children in the class and, despite her lie that she would love all the children the same, Teddy became one of her "teacher’s pets.."

A year later, she found a note under her door, from Teddy, telling her that she was still the best teacher he ever had in his whole life. Six years went by before she got another note from Teddy. He then wrote that he had finished high school, third in his class, and she was still the best teacher he ever had in life.

Four years after that, she got another letter, saying that while things had been tough at times, he’d stayed in school, had stuck with it, and would soon graduate from college with the highest of honors. He assured Mrs. Thompson that she was still the best and favorite teacher he had ever had in his whole life. Then four more years passed and yet another letter came. This time he explained that after he got his bachelor’s degree, he decided to go a little further. The letter explained that she was still the best and favorite teacher he ever had. But now his name was a little longer…The letter was signed, Theodore F. Stoddard, MD.

The story does not end there. You see, there was yet another letter that spring. Teddy said he had met this girl and was going to be married. He explained that his father had died a couple of years ago and he was wondering if Mrs. Thompson might agree to sit at the wedding in the place that was usually reserved for the mother of the groom. Of course, Mrs. Thompson did. And guess what? She wore that bracelet, the one with several rhinestones missing. Moreover, she made sure she was wearing the perfume that Teddy remembered his mother wearing on their last Christmas together. They hugged each other, and Dr. Stoddard whispered in Mrs. Thompson’s ear, "Thank you Mrs. Thompson for believing in me. Thank you so much for making me feel important and showing me that I could make a difference."

Mrs. Thompson, with tears in her eyes, whispered back. She said, "Teddy, you have it all wrong. You were the one who taught me that I could make a difference. I didn't know how to teach until I met you."

(For those of you that don’t know, Teddy Stoddard is the Dr. at Iowa Methodist in Des Moines that has the Stoddard Cancer Wing.)

 
ijcpgroup
ijcpgroup
Docconnect
 
    Infertility Update

(Dr. Kaberi Banerjee, Director Precious Baby Foundation)

A young couple married for last 4 months has visited infertility specialist for treatment. They are very stressed. How should we counsel them?

Firstly we have to ascertain that there are no gross medical problems in the couple. We have to ensure that there is no problem in performing regular intercourse. The lady’s menstrual cycle should be regular. Once this is ascertained the couple should be reassured that the chances of getting pregnant per month in a healthy couple is about 15–20%. The fertile period should be explained which is usually between day 12 and day 18 of a regular menstrual cycle. Infertility will only be defined once they are unable to conceive after trying for more than a year. The couple should be able to return in 6 months if conception does not occur. A basic semen analysis may also be done.

 
    Pediatric Update

Dr. Neelam Mohan, Director Pediatric Gastroenterology, Hepatology and Liver Transplantation, Medanta – The Medicity)

What do we do in a child who fails the stage 1 and 2 of treatment of obesity?
Criteria for gastric banding or bypass in adolescents and children

These more intensive interventions are delivered by highly trained teams with expertise in obesity. They are suitable for children who have not succeeded in achieving a healthier weight through Stages 1 and 2. Implementation of these interventions requires time, training, and expertise that are beyond the scope of family physicians. Referral is especially important for severely obese children and those with obesity–related co–morbidities

Criteria for gastric banding or bypass in adolescents and children

  • BMI > 40 kg/m2 with a medical condition or BMI >50 kg/m2
  • Emotional, physical, and cognitive maturity
  • Weight loss efforts in a behavior–based treatment program for 6 months
 
    Rabies Update

Dr A K Gupta, Author of "RABIES – the worst death"

Whether washing of animal bite wound (s) is essential?

The risk of rabies reduces by about 50% by mere washing of wounds and application of antiseptics. The maximum benefit of the wound washing is obtained when fresh wound is cleaned immediately.

It is important to remove saliva containing the rabies virus at the site of bite by physical or chemical means. This can be done by prompt and gentle thorough washing of the wound with ordinary soap or detergent (soaps are viricidal) and then flushing the wound with running tap water for at least 15 minutes. Washing of the wound must be done as long as the wound is raw; irrespective of the time elapsed since the exposure. Care must be taken not to disturb the scab, if formed.

After washing with water and soap, disinfectants like Povidone Iodine or Surgical Spirit (Viricidal) must be applied. In extraneous circumstances, other alcoholic (>40%) preparations like Rum, Whisky or after–shave lotion may be applied on the wound. If soap or antiviral agent is not available, the wound should be thoroughly washed with water. After cleansing of the bite wounds, local antimicrobial agents can be applied.

 
    Medicolegal Update

(Dr Sudhir Gupta, Additional Prof, Forensic Medicine & Toxicology, AIIMS)

What was counter affidavit of Dean, KEM Hospital in Aruna Shaunbag case?

Aruna is clearly not in coma

  • Aruna accepts the food in normal course and responds by facial expressions. She responds to commands intermittently by making sounds. She makes sounds when she has to pass stool and urine which the nursing staff identifies and attends to by leading her to the toilet.
  • Thus, there was some variance between the allegations in the writ petition and the counter affidavit of KEM Hospital. Supreme Court, by order dated 24 January, 2011 appointed a team of three very distinguished doctors of Mumbai to examine Aruna thoroughly and submit a report about her physical and mental condition.
  • The committee after thorough examination given the opinion that she has evidence of intact auditory, visual, somatic and motor primary neural pathways. However no definitive evidence for awareness of auditory, visual, somatic and motor stimuli was observed during our examinations.
  • On perusal of the report of the committee of three doctors the honorable SC noted that there are many technical terms which have been used therein which a non–medical man would find it difficult to understand. We, therefore, request the doctors to submit a supplementary report by the next date of hearing in which the meaning of these technical terms in the report is also explained.
 
    Legal Question of the Day

(Dr. M C Gupta)

Q. My friends say that their PG degree is recognized by the state medical council but not by the MCI. How is this possible when a State Medical Council is a part of the MCI?

Ans.

  • What your friends say is wrong. It is not within the power of a State Medical Council to recognize or not recognize a medical degree. Recognition is granted by the MCI.
  • There was an anomaly that a few Diplomas, such as those in Orthopedics and Radiology, granted by the College of Physicians and Surgeons, Mumbai, were recognized by the Maharashtra Medical Council but not by the MCI. I understand that this anomaly has been removed now.
  • State Medical Councils are not a part of the MCI. Each medical council is established under a separate law.
  • I think it would be a good idea to scrap the State Medical Council laws and to modify the MCI Act, 1956, to provide for a unified set up of central and state councils.
 
    Obesity Update

Dr. Parveen Bhatia and Dr. Pulkit Nandwani

AHA recommendations for managing the metabolic syndrome

The primary goal of clinical management of the metabolic syndrome is to reduce the risk for cardiovascular disease and type 2 diabetes. Then, the first–line therapy is to reduce the major risk factors for cardiovascular disease: stop smoking and reduce LDL cholesterol, blood pressure and glucose levels to the recommended levels.
For managing both long–and short–term risk, lifestyle therapies are the first–line interventions to reduce the metabolic risk factors. These lifestyle interventions include:

  • Weight loss to achieve a desirable weight (BMI less than 25 kg/m2)
  • Increased physical activity, with a goal of at least 30 minutes of moderate–intensity activity on most days of the week
  • Healthy eating habits that include reduced intake of saturated fat, trans fat and cholesterol
 
    Head Injury Update

Dr Shameem Ahmed, Dr Atanu Borthakur, Dr Sajida Sultana, Dr Shabbir Khan. Dept. of Trauma and Neurosurgery, Hayat Hospital, Guwahati, Assam.

Factors responsible for accidents are poor roads (poor design of road, poor lighting, inadequate traffic signals, poor maintenance. In India only 1% road are of international standard), old vehicles, vehicles without safety measures, inadequately trained drivers (easy availability of license, drinking and driving, a sleepy driver, poor hearing or vision or color blind), not following traffic rules and lastly lack of implementation of law.

 
    Mind Teaser

Read this…………………
(Dr GM Singh)

Which of the following biliary injuries do not present immediately after surgery?
a. Type A
b. Type B
c. Type C
d. Type D

Yesterday’s Mind Teaser: notic
Answer for yesterday’s Mind Teaser:
Short notice

Correct answers received from: Dr Sudipto Samaddar, Dr Manoj Sharma

Answer for 6th April Mind Teaser: c. DNA vaccines are the most promising.
Correct answers received from: Dr Anupam, Dr Prachi

Send your answer to ijcp12@gmail.com

 
    Laugh a While

(Dr Veena Aggarwal)

Another one: "Dear Sir: with reference to the above, please refer to my below…"

 
    Lab Update

(Dr Arpan Gandhi and Dr Navin Dang)

T3 uptake

This test measures the amount of thyroxine–binding globulin (TBG) in the patient’s serum. When TBG is increased, T3 uptake is decreased, and vice versa. T3 uptake does not measure the level of T3 or T4 in serum.

  • Increased T3 uptake (decreased TBG) in euthyroid patients is seen in chronic liver disease, protein–losing states, and with use of the following drugs: androgens, barbiturates, bishydroxycoumarin, chlorpropamide, corticosteroids, danazol, d–thyroxine, penicillin, phenylbutazone, valproic acid, and androgens. It is also seen in hyperthyroidism.
  • Decreased T3 uptake (increased TBG) may occur due to the effects of exogenous estrogens (including oral contraceptives), pregnancy, acute hepatitis, and in genetically–determined elevations of TBG. Drugs producing increased TBG include clofibrate, lithium, methimazole, phenothiazines, and propylthiouracil. It may also occur in hypothyroidism.
 
    Medi Finance Update

(Dr GM Singh)

Family

  • Always have an HUF account of your family; you can get Rs. 50,000 exemption every year. Association of persons or a family trust is another way of opening an account.
  • One can also have a separate account in the name of personal God (Artificial judicial person). Up to Rs. 50,000 exemption from income tax can be taken.
 
    Drug Update

List of approved drugs from 01.01.2010 to 31.8.2010

Drug Name
Indication
DCI Approval Date
Cerebroprotein Hydrolysate injection (Lyophilised) …1050mg/2100mg (approx) equivalent to nitrogen… 30mg/60mg respectively.
For amelioration of cranial injury, cerebrovascular pathological sequelae and aprosexia in dementia.
04.11.10
 
    IMSA Update

International Medical Science Academy (IMSA) Update

In a study including 50 patients with confirmed C. difficile infection, air sampling for one hour demonstrated C. difficile organisms in 12 percent of cases.

(Dr Vinay Sakhuja)

Latin Quotes

Adde parum parvo, magnus acervus erit.

Keep adding little to little, and soon there will be a great heap.(Many littles make a mickle).

 
  Quote of the Day

(Dr GM Singh)

If you have controlled your mind you are the conqueror of the whole world. Swami Sivananda

 
    Readers Responses

Dear Sir, Regarding the letter from Prof Dr S K Sinha:

  1. I wish to inform our readers that IMA TN State through the Professional Protection Linked Social Security Scheme is offering medical cover for the family of a doctor who is a member, under its Family Benefit Scheme (FBS) Two dependent children and the husband and wife are covered up to 1,00,000/– Rupees per year, with each getting a maximum benefit of Rs.50,000/–
  2. Regarding treatment for professional colleagues: What he has written is pertinent. You can give your consultation free with concession in lab, theatre and medicine charges. Many of us do it. The corporate hospitals are the ones who are yet to show significant concession for the doctors. There also, the fees of the doctors are mostly waived or reduced. This has to be sincerely discussed & and some positive action needs to be taken. I request that doctors like you initiate some steps in the right direction. Regards: Dr LVK Moorthy. President IMA TNSB (2008–09).
 
    Public Forum

(Press Release for use by the newspapers)

Two Recent Health Issues

Kuttu Food Poisoning and Anna on Fast are the two health issues that are the talk of the town, said Dr. KK Aggarwal, Padma Shri and Dr. B.C. Roy National Awardee and President, Heart Care Foundation of India. Here are some facts about the two.

Anna Hazare on Fast

Anna Hazare is on an indefinite fast with many other people. Here are some of the scientific facts:

  1. A person can sustain fast for up to two weeks without food and water and up to two months with water.
  2. The main effect of starvation is fall in body temperature which is gradual and can be up to 10 degree below the normal temperature value.
  3. The next effect is weight loss, especially, in muscle mass due to protein and fat catabolism.
  4. Children and elderly develop effects of fasting earlier. Females and obese people tolerate it better because of high fat content.
  5. The side effects of fast can also be avoided by wearing full clothes, which help in maintaining body temperature.
  6. Within 48 hours, the person feels strains and hunger abdominal pains. This hunger may disappear after 2–3 days.
  7. Starvation gradually leads to anemia, dry mouth, thick saliva, scanty urine, muscle waist, low BP, feeble pulse, dry hair, dry tongue and lips.
  8. Intellect may remain normal till the end.

Update on Kuttu Food Poisoning

A large number of people developed Kuttu Food Poisoning on the first day of Navratras. The patients typically presented with onset of vomiting and other gastrointestinal symptoms. Medically, it appears to be due to an old stock of flour inflated in the market with preformed toxins due to staph bacteria or Bacillus cereus infection.

Kuttu Food Poisoning usually classifies as one that occurs within 12 hours due to performed toxin in the food or symptoms that appear after 24 hours in which condition, toxin is developed after the food is consumed. The first presents mainly with vomiting; while the main presentation of the second is diarrhea. In the third type of food poisoning, the patient presents with inflammatory diarrhea with blood and mucus in the stool.

This incident of Kuttu Food Poisoning seems to be a classical case of preformed food toxin. The surplus Kuttu flour left open can get infected with bacteria with release of toxin before consumption. Only these patients can present within 12 hours with abdominal symptoms.

 
    eMedinewS Special

1. eMedinewS audio lectures (This may take a few minutes to open)

2. eMedinewS ebooks (This may take a few minutes to open)

HCFI
Activities eBooks

  HCFI

  Playing Cards

  Dadi Ma ke Nuskhe

  Personal Cleanliness

  Mental Diseases

  Perfect Health Mela

  FAQs Good Eating

  Towards Well Being

  First Aid Basics

  Dil Ki Batein
 
    Situation Vacant

Vacancy for a post of Consultant in Pediatric ICU at Medanta – The Medicity Hospital, Sector –38, Gurgaon.
Interested candidates may please contact: drneelam@yahoo.com/9811043475.

*Eligibility: Post MD/DNB/DCH

 
    Forthcoming Events

April 16–17, 2011, National Conference on Gynae–Endocrinology–2011 under aegis of FOGSI, ICOG and AOGD, Focus on newer advances in management of endocrinal problems in gynaecology with emphasis on PCOS, hyperprolactinemia, amenorrhoea, hormonal contraception. Gyne– endocrinology is a topic of high importance especially for practitioner. Detailed programme http://www.aiims.edu and http://www.aiims.ac.in
For details please contact: Prof Alka Kriplani, Organizing Chairperson, 9810828717 kriplanialka@gmail.com/Dr Nutan Agarwal, organizing Secretary, 9810107464/9868397310 nutan.agarwal1@gmail.com

………………………………………………………………

May 7–8, 2011, National Seminar On Stress Prevention
A Stress Prevention Residential Seminar cum spiritual retreat with Dr KK Aggarwal and Experts from Brahma Kumaris.
Co–organizers: eMedinews, Brahma Kumaris, Heart Care Foundation of India, IMA New Delhi Branch and IMA Janak Puri Branch, IMSA (Delhi Chapter)
Venue: Om Shanti Retreat Centre, National Highway 8, Bilaspur Chowk, Pataudi Road, Near Manesar.
Timings: Saturday 7th May (2 pm onwards) and Sunday 8th May (7 am–4 pm). There will be no registration charges, limited rooms, kindly book in advance; stay and food (satvik) will be provided. Voluntary contributions welcome. For booking e–mail and SMS to Dr KK Aggarwal: 9899974439, emedinews@gmail.com, rekhapapola@gmail.com; BK Sapna: 9811796962, bksapna@hotmail.com

………………………………………………………………

September 30 – October 02, 2011; XVIth World Congress on Cardiology, Echocardiography & Allied Imaging Techniques Venue: The Leela Kempinski, Delhi (NCR), September 29, 2011: A unique & highly educative Pre–Conference CME, International & national icons in the field of cardiology & echocardiography will form the teaching faculty.
Highlights of Pre – Conference CME: Case based learning experience & audience interaction, Maximum 250 delegates for CME will be accepted, who will be divided in 5 batches and will rotate to different halls every 90 minutes. The topics are:(A) Right heart pressures & functions (From basics to newer methods (RV anatomy, echo views, echo assessment of RV function, prognostic impact of RV function) (B) Carotid Doppler: How do i assess and interpret in my daily practice.: Technical tips (Anatomy of the vessel, views of ultrasound scanning, Normal & abnormal Doppler hemodynamics, how to measure IMT) (C) Valvular stenosis: Assessment, limitations and their solution: (Anatomy of the valves, 2–D findings of stenotic lesions, quantitation of lesion, limitations) (D) How do I assess and report ventricular dyssynchrony in my lab. (What is ventricular dyssynchrony, what are the types of dyssynchrony, in whom, when & why do we assess it, various echo methods to assess it ) (E) Live 3–D Echo: Protocol for acquisition. How to slice and get full information. Aim is that by end of the day, every participant is well conversant with all the topics
Dr (Col) S.K. Parashar, President, e–mail: drparashar@yahoo.com, Mob:09810146231/Dr Rakesh Gupta, Secretary General, email:jrop2001@yahoo.com, Mob:09811013246
worldcon2011@in.kyoni.com, www.worldcon2011.org

………………………………………………………………

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    Our Contributors

Dr Veena Aggarwal, Dr Arpan Gandhi, Dr Aru Handa, Dr Ashish Verma, Dr A K Gupta, Dr Brahm Vasudev, Dr GM Singh, Dr Jitendra Ingole, Dr Kaberi Banerjee (banerjee.kaberi@gmail.com), Dr Monica Vasudev, Dr MC Gupta, Dr Neelam Mohan (drneelam@yahoo.com), Dr Naveen Dang, Dr Prabha Sanghi, Dr Prachi Garg, Rajat Bhatnagar (http://www.isfdistribution.com), Dr. Rajiv Parakh, Dr Sudhir Gupta