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FIRST NATIONAL DAILY eMEDICAL NEWSPAPER OF INDIA
eMedinewS is now available online on www.emedinews.in or www.emedinews.org
Dr KK Aggarwal

From the Desk of Editor in Chief
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 ...

12th October 2010, Tuesday

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

Is the new fever in Delhi Chikungunya fever? 

  • Chikungunya is an arthropod-borne virus (arbovirus) that causes acute febrile polyarthralgia and arthritis.
  • The name Chikungunya is derived from a local language of Tanzania meaning "that which bends up" or "stooped walk" because of the incapacitating arthralgia caused by the disease.
  • In India, nearly 1.4 million cases of Chikungunya fever were reported in 2006, and outbreaks have continued to occur. 
  • The major Chikungunya virus mosquito vectors are Aedes aegypti and Aedes albopictus.
  • aegypti is well-adapted to urban settings and is widely distributed in urban areas of the tropics and subtropics. It prefers the human host as a source of blood meals and breeds readily in flowerpots and in trash, such as discarded cups. A single A. aegypti mosquito may be able to infect more than one human, since this species feeds on another host if its blood meal is interrupted.
  • albopictus (the so-called Asian tiger mosquito) is competent to transmit a number of arboviruses in the laboratory (including yellow fever, West Nile, Japanese encephalitis, and eastern equine
    encephalitis viruses).
  • Nosocomial transmission has been described in France, where a nurse was infected by exposure to blood while caring for a patient infected in Reunion. In theory, transmission via transfusion of blood products and/or organ transplantation could also occur, since Chikungunya viremia (may exceed 109 RNA copies/mL plasma) is likely prior to onset of symptoms.
  • Vertical transmission of Chikungunya has been described.

Clinical presentation of Acute Chikungunya infection

Clinical signs and symptoms begin abruptly with fever and malaise following an incubation period of 2 to 4 days (range 1 to 14).

  • Fever may be high grade (40ºC). The usual duration of fever is 3 to 5 days (range 1 to 10 days).
  • Polyarthralgia begins 2 to 5 days after onset of fever and commonly involves multiple joints (often 10 or more joint groups). Joints affected include hands (50-76 %), wrists (29-81 %), and ankles (41-68 %). Arthralgia is symmetrical in 64-73 % and involves distal joints more than proximal joints. Involvement of the axial skeleton is noted in 34-52 % of cases. Pain may be intense and disabling, leading to immobilization.
  • Skin manifestations have been reported in 40-75 % of patients. The most common skin manifestation is macular or maculopapular rash (usually appearing three days or later after onset of illness and lasting 3 to 7 days). The rash is most often found on limbs and trunk (and typically spares the face, palms and soles) and may be patchy or diffuse. Islands of normal skin may be seen along with the diffuse rash. Pruritus has been reported in 25-50 % of patients in some series. Bullous skin lesions have also been described, most often in children. Hemorrhagic manifestations are uncommon.
  • Additional manifestations may include headache, myalgia, and gastrointestinal symptoms.

On physical examination: Periarticular edema or swelling has been observed in 32-95 % of cases. Large joint effusions were noted in 15 % of cases. Peripheral lymphadenopathy (most often cervical) may be present (9 – 41% of cases). Conjunctivitis may be observed

Dr KK Aggarwal
Editor in Chief
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  Dengue Update

Padma Shri and Dr B C Roy National Awardee Dr KK Aggarwal and Dr. N K Bhatia Medical Director Rotary Noida Blood Bank & President Mission Jain Jagriti Delhi, an NGO for empowerment of youth.

How are platelets produced?

Platelets are prepared from whole blood by centrifugation either as random donor platelet or single donor platelet.

Each unit of Random Donor Platelets (RDP) or Platelet Concentrate contains 5.5 × 1010 platelets suspended in approximately 50–70 ml. plasma, maintaining pH > 6.0 for 5 days as storage period. They are stored at 22 0 ± 20C in Platelet Incubator cum agitator. One unit usually raises the counts by 5000/ µL.

Platelets are also obtained by Aphaeresis through Cell Separator. The procedure is Plateletpheresis and the Product as Single Donor Platelets (SDP) containing 3× 1011 platelets per unit and they are suspended in 200–400 ml of plasma, commonly called as Jumbo Pack. It is also stored under similar conditions but techniques are now available whereby additive solutions can be added to extend the shelf life as 7 days. One unit usually raises the counts by 40–50,000/ µL.

How is the dose of platelets calculated?
Usual dose of platelets is 1 unit per 10 kg body weight (usually 6–8 RDP or 1 SDP).

How to calculate the CI or Count Increment per unit of platelet transfused?

Formula: Post transfused platelet counts – Pre transfused platelet counts × Body Surface Area in square meters/ Platelets Units (SDP) Transfused v 1011

  Photo Feature (from the HCFI Photo Gallery)

 7th A P Dewan Memorial Lecture

The 7th A P Dewan Memorial Lecture, organised by Dewan Foundation, London, was held at India International Centre, New Delhi on 10th Oct 2010. In his address, Dr Aggarwal spoke about the science behind the Great Indian epics Ramayana and Mahabharata, and the science behind important prayers and the physical benefits of chants.
In the Photo: Padma Shri and Dr B C Roy National Awardee Dr. K K. Aggarwal addressing the audience

 
Dr K K Aggarwal
  IMSA Update

International Medical Science Academy (IMSA) Update

Atypical fractures and long–term bisphosphonates

Fractures potentially resulting from suppressed bone turnover have been described as "atypical," affecting sites such as the subtrochanteric femur that are infrequently affected by osteoporotic fractures. Case reports and limited clinical series over the past 5 years have raised concern that prolonged bisphosphonate therapy may suppress bone remodeling to the extent that normal bone repair is impaired, resulting in increased fracture risk.

(Reference: Sellmeyer DE. Atypical fractures as a potential complication of long–term bisphosphonate therapy. JAMA 2010 Oct 6;304(13):1480–4).

  National News

IMA Election (for a CHANGE)

Emedinews requests all its readers to support our editor Dr. K.K. Aggarwal, Padma Shri and Dr. B C Roy National Awardee who is contesting for the post of Vice President of the National Indian Medical Association (IMA). Members of Central Council of IMA, Working Committee Members, Presidents and Secretaries of IMA in addition to all office bearers are the voters in this election. Dr. Aggarwal is well–known for his work in the field of academics.

October - Breast Cancer Awareness

  • Breast cancer is the most common female cancer in India.The breast cancer ribbon is worn in the month of October internationally, the fourth Monday of October has been designed a Pink Ribbon day in USA.
  • One in 28 women in Delhi will develop breast cancer at some time or the other in their lives.
  • It is estimated that by 2020 there would be a 200% rise in incidence of breast cancer.
  • Pink Ribbon has been an International Symbol of breast cancer awareness for many years, making its debut in 1991, when Komen Foundation handed them out to the participants at a New York Race for breast cancer survivors.
  • The breast cancer ribbon is worn in the month of October internationally, the fourth Monday of October has been designed a Pink Ribbon day in USA.
  • When you wear the pink ribbon, the message is conveyed that you are: breast Aware, conducting monthly Self Breast Examination, yearly Breast Check up by doctor and regular screening by Mammogram.
  • Prevention is better than cure. Early detection saves lives.

We request all eMedinewS readers to join hands with ‘Women Health Care Organization’ to  support the Breast Cancer Awareness Campaign by  distributing Pink Ribbons to all women around you. We are
willing to supply the pink ribbons for distribution. Dr. Santosh Sahi, President Women Health Care Organization Ph: 9810931540. E-mail: drssahi@gmail.com, whcoindia@gmail.com

Licence cancelled, former MCI chief faces uncertainty

The Medical Council of India (MCI) has suspended the licence of its tainted former chief, Dr Ketan Desai, said a council official. The council announced the suspension in a letter to Desai on Saturday, saying his licence to practice medicine has been suspended "during the pendency of appeal before Ethics Committee of Board of Governors in Super-session of Medical Council of India". "A final decision on the issue will be taken only after providing adequate opportunity to Dr Ketan Desai to represent his stand before the committee," read the MCI Ethics Committee proceedings. The Central Bureau of Investigation (CBI) had arrested Desai and two others in April on charges of accepting Rs2 crore as bribe to grant recognition to a medical college in Punjab. Confirming the news, Dr SK Sarin, chairman, Board of Governors, MCI, said: "His licence has been suspended and he also has been served a showcause notice by the committee. He is a qualified doctor, but he cannot practice in the interim period when the case is with the committee," said Sarin. (Source: The Hindustan Times)

  International News

(Dr Monica and Brahm Vasudev)

Regular dental care linked to reduced chance of heart disease in older women

Older women who get regular dental care are about one-third less likely to suffer from heart disease than those who don’t, according to a study published in Health Economics.

High response rate in triple–negative disease

Two–thirds of patients with triple–negative breast cancer achieved pathologic complete response (pCR) with neoadjuvant chemotherapy consisting of carboplatin and docetaxel (Taxotere), according to German researchers who reported their findings at the American Society of Clinical Oncology's Breast Cancer Symposium.

Mammo reading done mostly with computer help

It may still be controversial, but computer-aided detection (CAD) of breast lesions on screening mammograms is now the rule rather than the exception as reported in the October issue of the Journal of the American College of Radiology.

Severe RSV in first year linked to later wheezing

A retrospective cohort study has found that severe respiratory syncytial virus (RSV) infection during the first year of life is associated with the development of recurrent wheezing.

  Hepatology Update

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

Medical management of neonatal cholestasis

Central acting drugs
  • Ondansetron <12 years 2–4mg BD
  • Naltriaxone 6 –20 mg/day
  • Termaprazine
  • Terfenadine 1–3mg/kg/day
  • Carbamazepine
  Infertility Update

Dr. Kaberi Banerjee, Infertility and IVF Specialist Max Hospital; Director Precious Baby Foundation

A young couple married for last 4 months has visited an 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.

  Medicine Update: Question of the Day

What are the new treatments for smoking cessation? (Dr. J. C. Mohan)

  • Off-label agents that have shown efficacy in smoking cessation include clonidine1 and nortriptyline.2 Agents that have been evaluated for smoking cessation and shown not to work include tricyclics (doxepin and imipramine), MAO inhibitors (moclobemide), selective serotonin reuptake inhibitors (fluoxetine, paroxetine, sertraline), and miscellaneous agents (tryptophan and venlafaxine). 2
  • New treatments in development for smoking cessation include Nic Vax, varenicline, selegiline, and rimonabant.
    • Nic Vax is a vaccine against nicotine. Antibodies are developed against nicotine that bond to inhaled nicotine from cigarette smoke and render the action of smoking unrewarding.
    • Varenicline is a partial nicotine agonist. It blunts the craving for nicotine while blocking the reward of inhaled nicotine from cigarettes. Randomized double–bind placebo–controlled trials show efficacy vs placebo and bupropion at 52 weeks (unpublished report).
    • Selegiline is a monamine oxidase inhibitor. In two studies, it showed numerical but not statistically significant efficacy. 3,4
    • Rimonabant is a cannabinoid receptor antagonist that both suppress appetite and the desire to smoke. An added plus of this agent is its anorectic effect. While most people gain an average of 3–5 kg with a smoking cessation attempt, subjects in the rimonabant smoking cessation trials gained markedly less than subjects randomized to placebo.

References

  1. Gourlay SG and Benowitz NL. Is clonidine an effective smoking cessation therapy? Drugs 1995;50:197–207.
  2. Hughes JR, Stead LF and Lancaster T. Antidepressants for smoking cessation. Cochrane Database Syst. Rev. 2002;CD000031.
  3. Biberman R, Neumann R, Katzir I and Gerber Y. A randomized controlled trial of oral selegiline plus nicotine skin patch compared with placebo plus nicotine skin patch for smoking cessation. Addiction 2003;98:1403–1407.
  4. George TP, Vessicchio JC, Termine A, Jatlow PI, Kosten TR and O’Malley SS. A preliminary placebo–controlled trial of selegiline hydrochloride for smoking cessation. Biol. Psychiatry 2003;53:136–143.
  Evidence-Based Medicine

Clopidogrel with or without Omeprazole in Coronary Artery Disease

Background:Gastrointestinal complications are an important problem of antithrombotic therapy. Proton–pump inhibitors (PPIs) are believed to decrease the risk of such complications, though no randomized trial has proved this in patients receiving dual antiplatelet therapy. Recently, concerns have been raised about the potential for PPIs to blunt the efficacy of clopidogrel. Methods: We randomly assigned patients with an indication for dual antiplatelet therapy to receive clopidogrel in combination with either omeprazole or placebo, in addition to aspirin. The primary gastrointestinal end point was a composite of overt or occult bleeding, symptomatic gastroduodenal ulcers or erosions, obstruction, or perforation. The primary cardiovascular end point was a composite of death from cardiovascular causes, nonfatal myocardial infarction, revascularization, or stroke. The trial was terminated prematurely when the sponsor lost financing. Results: We planned to enroll about 5000 patients; a total of 3873 were randomly assigned and 3761 were included in analyses. In all, 51 patients had a gastrointestinal event; the event rate was 1.1% with omeprazole and 2.9% with placebo at 180 days (hazard ratio with omeprazole, 0.34, 95% confidence interval (CI), 0.18 to 0.63; P<0.001). The rate of overt upper gastrointestinal bleeding was also reduced with omeprazole as compared with placebo (hazard ratio, 0.13; 95% CI, 0.03 to 0.56; P=0.001). A total of 109 patients had a cardiovascular event, with event rates of 4.9% with omeprazole and 5.7% with placebo (hazard ratio with omeprazole, 0.99; 95% CI, 0.68 to 1.44; P=0.96); high–risk subgroups did not show significant heterogeneity. The two groups did not differ significantly in the rate of serious adverse events, though the risk of diarrhea was increased with omeprazole. Conclusions: Among patients receiving aspirin and clopidogrel, prophylactic use of a PPI reduced the rate of upper gastrointestinal bleeding. There was no apparent cardiovascular interaction between clopidogrel and omeprazole, but our results do not rule out a clinically meaningful difference in cardiovascular events due to use of a PPI.

Bhatt DL, Cryer BL, Contant CF, et al. NEJM October 6, 2010
  Medicolegal Update

Dr Sudhir Gupta, Associate Professor, Forensic Medicine & Toxicology, AIIMS

How can snake bites be avoided?

Snake venom is a very complex mixture of proteins and toxins. Snakes use their venom to immobilize, and in some cases, digest their prey.
Snakes bite only when they are surprised by a sudden movement and cannot get away. Cobras and the Russel viper are responsible for as many as 20,000 snake bite deaths in India every year. Inland Taipan is the world’s most venomous land snake. Its bite is synonymous with death. Maximum survival time recorded after the bite of a Taipan snake is not more than few hours. Without prompt medical assistance its victim has rarest chance of recovery.

To avoid snake bite:
  • Do not sleep on the ground. You might roll over onto a snake while asleep, or a snake may move next to you to get warm.
  • Do wear shoes when walking outdoors. Tall leather boots give the best protection for walking in long grass or undergrowth.
  • Do learn about the poisonous snakes in your area. Learn what they look like and where they live. Most snakes live on the ground but some live in trees or bushes. Find out if there are any snakes that spit venom and how they attack.
  • Do take care at night because that is when many snakes are active. Tell children to wear shoes and use a torch when walking around at night. Teach them to leave snakes alone.
  • Do not go near snakes. Run away if you can. If you cannot run away, do not make sudden movements.
  • Do not touch a snake even if it looks dead. Some snakes pretend to be dead to avoid attack.
  • Do not turn over stones or logs, or put your hand or foot into a hole in the ground. Before stepping over a log look for snakes on the other side.
  Medi Finance Update

Stock Basics: What are Stocks? The Definition of a Stock

Plain and simple, stock is a share in the ownership of a company. It represents a claim on the company’s assets and earnings. As you acquire more stock, your ownership stake in the company becomes greater. Whether you say shares, equity, or stock, it all means the same thing.

  Drug Update

List of drugs prohibited for manufacture and sale through gazette notifications under Section 26a of Drugs & Cosmetics Act 1940 by the Ministry of Health and Family Welfare

Drugs prohibited from the date of notification

Fixed dose combinations of Corticosteroids with any other drug for internal use

  Lab Update

(Dr Arpan Gandhi and Dr Navin Dang)

HPV is the primary cause of cervical cancer and almost all the cervical cancers are caused by HPV

IJCP
ijcpgroup
nuspera
IJCP
Docconnect
IJCP
  IJCP Special

Dr Good Dr Bad

Situation: A patient with CKD wanted a cardiology reference.
Dr Bad:
It’s not needed.
Dr Good: You should get it done.
Lesson: Chronic renal dysfunction alone is an independent risk factor for the development of coronary artery disease, and for more severe coronary heart disease.

Make Sure

Situation: A foreigner with a single loose stool developed sepsis.
Reaction: Oh my God!: Why were antibiotics not started in time.
Lesson: Make sure that all foreigners are diagnosed to be suffering from Travelers diarrhea even if there is one single loose motion.

SMS of the Day (Dr.G.M.Singh)
To err is Human, to refer is divine

Ethics and Misconduct

Can a hospital advertise?

Yes, as per section 7.12 of MCI Act, which says "An institution run by a physician for a particular purpose such as a maternity home, nursing home, private hospital, rehabilitation centre or any type of training institution etc. may be advertised in the lay press, but such advertisements should not contain anything more than the name of the institution, type of patients admitted, type of training and other facilities offered and the fees."

  Mind Teaser

Read this…………………

habirdnd = bu2sh

Answer for yesterday’s eQuiz: "Think before you act"

Correct answers received from: Dr.Susheela Gupta, Dr. Prashant Bharadwaj, Dr Nageshwar Rao, Dr Anurag Jain, Dr Muthumperumal Thirumalpillai, Dr Nageshwar Rao, Dr Virender Prakash Gautam,  Dr.K.V.Sarma, Dr.Parvesh Sablok, Dr. Naorem Sharat, Dr Mukesh Bhandari, CMA Sudhir Sharma, Dr.K.Raju, Dr.R.K.Goel, Dr Chandresh Jardosh, Dr. Manjesha, Dr Meera Rekhari, Dr Nagendra Gupta, Dr.K.P.Rajalakshmi

Answer for 10th October Mind Teaser is: "Correct answers are C & E"
Correct answers received from: Dr Chandresh Jardosh

Send your answer to ijcp12@gmail.com

  Humor Section

Joke (Dr G M Singh)
A man said to his doctor, "I think there’s something wrong with me; I’ve got a pain here, one over there…" he went on and on about his symptoms.
Everytime he paused for breath the doctor said, "Fine! Fine! Go on, go on!"
When he’d finally finished the story, the doctor said, "You know, you’ve got a disease that was supposed to have been extinct long ago."

You are an Indian if (Anuj Goel)
Your parents tell you not to care what your friends think, but they won’t let you do certain things because of what the other ‘Uncles and Aunties’ will think.

  An Inspirational Story

The Power of Self–Confidence
(Authored by: Shriram Venkatachalapathy)

Dealing with the mind is creative. Dealing with people is a challenge. Dealing with the inanimate is monotony.
The mind is sharper than a knife. Use it to fight the challenge. Use it to sculpt the stone.
Everyone is creative. You just need to find the right key to unlock it.
Follow along the short story below to understand the

The Power of Self–Confidence
Stumbling over stones, a man was trying to find his way through a dark cave with a light of hope from a lantern. Finally, he could trace a ray of sunlight entering the cave, which made him glitter with happiness.
But, as he drew closer, he was bewildered to see a gigantic rock standing before him like a mammoth. Courage was the only strength he possessed to devastate the barricade.
He pushed the rock with all his might, but it stood firmly denying to move. He tried again but it repudiated him from leaving the place. He felt as though being swallowed by a Blue Whale that was waiting to fulfill its enormous appetite.
He sat at the foot of the massive rock in the mouth of the gargantuan cave looking back at his endeavor and said, "I will get out of here."
This WILL added to his POWER and gave him more energy in pushing the colossal piece.
The rock moved a little which motivated him to work harder. It enervated him but he was not put off. He seemed an ant before a giant, not in terms of size or potency, but his attitude.
Slowly the rock made way for him paying tribute to all his efforts. He walked along the bright and evergreen path before him, with pride.
My Point: You can find a lot of inspirations by looking around. Listen to inspiring music and read motivating books. Life is to learn. Look back and learn from mistakes. There may be many causes for a problem. Identify the right one before finding a way to solve it.

Heal the fear within by injecting the spirit of confidence.
(Copyright with Shriram Venkatachalapathy, v_shriram@live.com)

  Readers Responses
  1. A major problem in osteoporosis management is that we have no good tool for follow-up of patients and FRAX cannot be used to do this. A patient’s fracture risk improves after being on treatment for about six months but this will not be reflected in a change of BMD as measured by DXA. Unfortunately, we cannot measure the changes in bone turnover and microarchitecture in routine clinical practice: Dr. G.M. Singh.
  2. This email is awesome. Never had I thought of Hanuman’s journey with this philosophical aspect in mind. Many thanks to you. Warm regards: Dr Archana Darshan.
Public Forum

(Press Release for use by the newspapers)

Beware of candles

Paraffin wax candles, used for light, fragrance and to create a romantic ambiance, can contribute to air pollution inside home. The candles, which are made from petroleum, are a source of known human carcinogens and indoor pollution, said Padma Shri and Dr B C Roy National Awardee Dr KK Aggarwal, President, Heart Care Foundation of India and MTNL Perfect Health Mela.
With Diwali approaching, one should be careful of candle pollution. Dr Aggarwal said that people visiting the Perfect Health Mela will also be educated about the harmful effects of candles. Candles made from beeswax or soy, although more expensive, apparently are safer because they do not release potentially harmful pollutants.
An occasional paraffin candle and its emissions does not harm but lighting many paraffin candles every day for years or lighting them frequently in an unventilated bathroom around a tub, may cause problems. Ventilation can help reduce the level of pollutants in closed rooms. Pollutants from burning candles can also cause respiratory irritation and allergy.

  Forthcoming Events

CPLD 2010:Dept. of Gastroenterology & Human Nutrition, AIIMS and Dept. of Gastroenterology, PGIMER, Chandigarh are jointly organizing a conference on Current Perspective in Liver Diseases (CPLD) on 15th and 16th October at AIIMS, New Delhi.

eMedinewS Events: Register at emedinews@gmail.com

17th MTNL Perfect Health Mela 2010 Events: Venue: NDMC Ground Laxmi Bai Nagar, New Delhi

24th October, Sunday: Perfect Health Darbar, Interaction with top Medical experts of the city from 8 AM to 5 PM
30th October, Saturday: eMedinewS Update from 8 AM to 5 PM
29th October, Friday: Divya Jyoti Inter Nursing College/ School Competitions/ Culture Hungama
30th October, Saturday: Medico Masti Inter Medical College Cultural festival from 4 PM to 10 PM
31st October, 2010, Sunday: Perfect Health Darbar, An interaction with top Cardiologists

Dr. Sood Nasal Research Foundation Announces

Rhinology Update 11th to 15th November
22nd National Endoscopic Sinus Surgery Course on 11th & 12th November, 2010 2010 at Dr. Shroff’s Eye & ENT Hospital, New Delhi
Cadaveric Sessions on 13th November, 2010 at Lady Hardinge Medical College.
33rd All India Rhinoplasty Course, on 14th & 15th November, 2010, at Metro Hospital, Preet Vihar, Vikas Marg, New Delhi.

For information contact: Dr. V P Sood, Course Chairman, Ear, Nose & Throat Center, 212, Aditya Arcade, 30, Community Center, Preet Vihar, Vikas Marg, Delhi–110092 (India). Tel: 011–22440011, 42420429. E–mail:drvpsood@gmail.com,vpsood@drsoodnasalfoundation.com
Website: www.drsoodnasalfoundation.com

eMedinews Revisiting 2010

The 2nd eMedinewS – revisiting 2010 conference will be held at Maulana Azad Medical College, New Delhi on January 2, 2011. The event will have a day–long CME, Doctor of the Year awards, Cultural Hungama and Live Webcast. Suggestions are invited.

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