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 …

14th April, 2011, Thursday                                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

Who will be the Medical ‘Anna’ of today?

The medical profession is going through a phase of heavy corruption. This scenario came about when the profession was first brought under CPA. The corporate hospitals are using all the principles of marketing under the plea that under CPA there are no restrictions; MCI has no jurisdiction on hospital establishments and MCI ethics are not applicable to them.

As per MCI ethics

  • One cannot use touts for procuring patients but all corporate hospitals have a full marketing departments.
  • Establishments cannot solicit patients, but all corporate houses are heavily giving commissions and luring GPs to refer them patients.
  • Establishments cannot solicit patients, but all corporate houses are heavily giving commissions and luring GPs to refer patients to them.
  • Doctors cannot give or receive commissions. But today the referral fee can vary from 6% to 75%. In medical tourism, on international patients alone, it is 30%.
  • All GPs are appointed as visiting physicians and given a percentage of the whole bill as indirect commissions.
  • Quacks are not suppose to prescribe allopathic drugs but today there are more quacks prescribing allopathic drugs than there are allopathic doctors. All pharma companies have a rural division to cater to such fake doctors.

Who will bell the cat? Will there be a medical ‘Anna’ who will rise to the occasion or the real ‘Anna’ will have to also take up this issue. In the past many attempts by medical professionals to go the Anna way have failed. The DMA movement on many occasion to fast at Rajghat for anti quackery movement failed as they could never gather the public momentous. To be effective the movement must have the support of at least 1% of the general population.

Dr KK Aggarwal
Editor in Chief
drkkaggarwal Dr K K Aggarwal on Twitter
Krishan Kumar Aggarwal Dr k k Aggarwal on Facebook
 
    Changing Practice – Evidence which has changed practice in last one year

Aldosterone antagonist in mild heart failure

In patients with NYHA functional class II HF and LVEF ≤30 percent, or NYHA functional class III to IV HF and LVEF <35 percent, and who can be carefully monitored for serum potassium and renal function, start aldosterone antagonist therapy to treat heart failure. Aldosterone antagonist therapy reduces mortality in patients with moderate to severe heart failure.

  • The EMPHASIS–HF trial demonstrated the efficacy of eplerenone, an aldosterone antagonist, in reducing mortality as well as risk of hospitalization in patients with systolic heart failure and mild symptoms.1 Patients in the study had either NYHA class II HF and LVEF ≤30 percent or LVEF ≤35 percent and a prolonged QRS (duration >130 msec).
  • Based on these results, the previous recommendation of aldosterone antagonist therapy for patients with NYHA functional class III to IV HF and LVEF <35 has been extended to include patients with NYHA class II HF and LVEF ≤30 percent.
  • The serum potassium should be <5.0 mEq/L and eGFR should be ≥30 mL/min per 1.73 m2.

Reference

Zannad F, McMurray JJ, Krum H, et al. Eplerenone in patients with systolic heart failure and mild symptoms. N Engl J Med 2011;364:11–21.

 
  eMedinewS Audio PostCard

CKD Update

Dr KK Aggarwal Speaks on
‘Chronic kidney disease – Case scenario’

Audio PostCard
 
    Photo Feature (from the HCFI Photo Gallery)

8th Vishwa Dharma Sammelan

For the first time, dharma gurus and doctors from all ‘pathies’ participated in a discussion on "Science behind Rituals" during the 8th Vishwa Dharma Sammelan. In the photo: Dignitaries on the dias

 
Dr K K Aggarwal
 
    National News

India 5th most powerful nation, says govt index

NEW DELHI: India is the fifth most powerful country in the world, says the latest national security index (NSI) designed by the country’s foremost security and economic experts. A part of India’s National Security Annual Review 2010, which will be officially released by foreign minister SM Krishna on April 19, the NSI 2010 placed India fifth in the hierarchy of top 50 nations identified on the basis of their GDP. According to Foundation for National Security Research director Satish Kumar, who edited the national security review, the NSI is based on an assessment of defence capability, economic strength, effective population, technological capability and energy security of the top 50 countries. The US is at the top of the list on the basis of these criteria followed by China, Japan and Russia. South Korea emerged as the sixth most powerful nation followed by Norway, Germany, France and UK. While India ranked third in the case of population and fourth in terms of defence capabilities, it was at the 34th position in technology and 33rd in energy security. Only US, China and Russia are ranked higher than India in defence capability. In economic strength, India ranked seventh. (Source: The Times of India, Apr 13, 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)

Plain nuts: Walnuts are tops for your diet overall

Did you know however, that walnuts are the best source of antioxidants and bad chemical element defenders made by nature on the planet? It’s true according to a new study presented at the American Chemical Society’s National Convention this week. Joe Vinson, Ph.D. explains: "Walnuts rank above peanuts, almonds, pecans, pistachios and other nuts. A handful of walnuts contain almost twice as much antioxidants as an equivalent amount of any other commonly consumed nut. But unfortunately, people don’t eat a lot of them. This study suggests that consumers should eat more walnuts as part of a healthy diet." Nuts in general contain plenty of high–quality protein that can substitute for meats for example. They contain a multitude of vitamins and minerals, dietary fibers and are dairy and gluten free. Regular consumption of small amounts (a few nuts a day) of walnuts or peanut butter with decreases risk of heart disease, certain kinds of cancer, gallstones, type 2 diabetes, and other health problems.

(Dr Monica and Brahm Vasudev)

Oral MS drug cuts disease flares, progression

The investigational oral drug laquinimod, in development for treating multiple sclerosis, reduced the number of relapses and the rate of disease progression in a phase III trial, according to data set for presentation at the American Academy of Neurology meeting.

Bypass surgery, medications both options to be considered for heart failure patients with coronary artery disease

A new study found that coronary artery bypass surgery added to medical therapy for selected chronic heart failure patients offered benefits over medical therapy alone. The combination of the two treatment approaches reduced the combined rate of deaths and heart–related hospital stays by 15 percent. The findings suggest that bypass surgery might be a viable option for more coronary heart disease patients than previously thought. CABG has been routinely considered for patients with advanced heart failure only if they had symptoms, like chest pain, that are directly attributable to reduced blood flow to the heart.

Patients who survived the surgery experienced fewer heart–related hospital stays over the course of the follow up period, which averaged 56 months. The study results were published in the New England Journal of Medicine.

The multi–center Surgical Treatment for Ischemic Heart Failure (STICH) trial 1,212 participants in 22 nations. Participants, with an average age of 60, were randomly assigned to one of two groups. The 602 patients in the medical therapy group received individualized treatment based on established guidelines, which would typically include drugs such as beta blockers, ACE inhibitors, statins, and aspirin. The second group of 610 participants received the same level of treatment as the medical therapy group plus coronary artery bypass surgery. The investigators found that adding bypass surgery to medical therapy resulted in a small, but not statistically significant, drop in the overall death rate, which was the main outcome sought in the study. Overall, 36 percent of patients in the surgery plus medical therapy group died during the follow–up period compared to 41 percent of participants in the medical therapy group. The surgery plus medical therapy group had a statistically significant lower combined rate of death or heart–related hospital stays — 58 percent — compared to a 68 percent rate for those in the medical therapy group. Similarly, 28 percent of participants assigned to surgery plus medical therapy died from heart–related causes, compared to 33 percent of participants assigned to medical therapy alone. While there is a short–term risk of dying from surgery, the study suggests that as time goes on, patients who undergo surgery may be less likely to need future heart–related hospital stays.

(Dr GM Singh)

Simple test may identify breast cancer subtypes

Classification of breast cancer into subtypes can be achieved through a simple genetic test that uses only three genes. US researchers analyzed 32 gene expression data sets, including more than 4,600 breast cancer patients and six classification models. A simple test that uses three genes –– ESR1, ERBB2 and AURKA –– was found to be highly effective in identifying breast cancer subtypes. It’s long been known that breast cancer isn’t one biologically identical disease, but includes several molecular subtypes that have distinct gene expression profiles. "It is these differences that explain, at least in part, why patients who have tumors that appear to be similar may experience completely different clinical outcomes such as prognosis and response to anticancer therapies, "Thus, there is an urgent need for developing a robust tool to provide clinicians with guidance for classifying breast cancer molecular subtypes, which could then aid in making therapeutic decisions." (Source: European Society for Medical Oncology, news release, May 6, 2010)

 
    IJCP Special

Dr Good Dr Bad

Situation: A patient of CAD developed dengue.
Dr Bad: Start paracetamol.
Dr Good: Start paracetamol and also stop low dose aspirin.
Lesson: In dengue we need to discontinue use of low dose aspirin.

Make Sure

Situation: A patient with cough of more than 4 weeks duration came with blood in his sputum.
Reaction: Oh my God! Why was TB not suspected earlier?
Lesson: Make sure that all patients with cough of more than 3 weeks duration are investigated for TB.

 
    An Inspirational Story

(Dr Prachi Garg)

Who Am I?

I am your constant companion.

I am your greatest helper or heaviest burden.

I will push you onward or drag you down to failure.

I am completely at your command.

Half the things you do might just as well be turned over to me and I will be able to do them quickly and correctly.

I am easily managed––you must merely be firm with me. Show me exactly how you want something done and after a few lessons I will do it automatically.

I am the servant of all great people and, alas, of all failures, as well.

Those who are great, I have made great.

Those who are failures, I have made failures.

I am not a machine, though I work with all the precision of a machine plus the intelligence of a person. You may run me for profit or run me for ruin –– if makes no difference to me.

Take me, train me, be firm with me, and I will place the world at your feet. Be easy with me and I will destroy you.

Who am I?

I am habit!

Note: A habit is a system that you have mastered through practice.

 
    Infertility Update

(Dr. Kaberi Banerjee, Director Precious Baby Foundation)

When is the insemination done?

Usually the insemination is done around the time of ovulation. The timing is assessed by serial ultrasound and time is fixed after the injection for follicular rupture.

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Docconnect
 
    Medicine Update

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

What are the side effects and contraindications of penicillamine?

Side effects

  • Allergic reactions
  • Hematologic toxicities: Penicillamine has been associated with fatalities due to agranulocytosis, aplastic anemia, and thrombocytopenia.
  • Hepatotoxicity: Monitor liver function tests periodically due to rare reports of intrahepatic cholestasis or toxic hepatitis.
  • Penicillin cross–sensitivity: Patients with a penicillin allergy may theoretically have cross–sensitivity to penicillamine; however, the possibility has been eliminated now that penicillamine is produced synthetically and no longer contains trace amounts of penicillin.
  • Proteinuria/hematuria: Proteinuria or hematuria may develop; monitor for membranous glomerulopathy which can lead to nephrotic syndrome.

Contraindications

Hypersensitivity to penicillamine or any component of the formulation; renal insufficiency, patients with previous penicillamine–related aplastic anemia or agranulocytosis, breastfeeding;pregnancy remains a relative contraindication.

 
    Medicolegal Update

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

What is medical fasting?

  • Various blood tests require a fasting of up to 12–16 hours so that a baseline normalcy of blood can be established
  • The patient is asked to remain in a fasting state for medical reasons: surgery or other procedures of diagnostic or therapeutic intervention that require anesthetic. The presence of food in a person's system can cause complications when they are anesthetized; medical personnel strongly suggest that their patients fast for several hours before the procedure.
  • Some animal studies show that fasting every other day while eating double the normal amount of food on non–fasting days led to better insulin control, neuronal resistance to injury, and health indicators similar to mice on calorie restricted diets.
  • Patient refusal of nutrition and hydration in terminal illness: "within the contexts of adequate palliative care, the refusal of food and fluids does not contribute to suffering among the terminally ill" and might actually contribute to a comfortable passage from life: "At least for some persons, starvation does correlate with reported euphoria."
  • In homeopathic medicine, fasting is seen as a way of cleansing the body of toxins, dead or diseased tissues, and giving the gastrointestinal system a rest. During fasts, water, fruit and vegetable juices are usually taken on choice.
 
    Legal Question of the Day

(Dr M C Gupta)

Q. Should it be acceptable to the medical profession that after the MBBS degree is given to a student by a university, he should be denied registration by the medical council unless he passes an exit exam as proposed by the MCI? If he fails, that means he was not given proper education and the university, the medical college and the MCI failed in their duty to provide proper education. I think the punishment for failing to discharge their responsibility should fall on these entities and not on the medical students who stand to suffer by prolongation, in effect, of their 5–1/2 years’ course by maybe 6 months and deprivation from earning during this period and by general delay in their career prospects. What are your views?

Ans.

  • Your concern is correct.
  • The objective of the exit test is to ensure minimum acceptable standards in a physician before he is licensed by the medical council. The university ought to have exactly the same objective—"to give such education and training as will be required for licensing by the medical council". If the MBBS course and degree granted by the university are themselves certified/recognised by the medical council, there should be no reason why the university, the college and the MCI should not work together towards the common aim of giving quality education.
 
    Obesity Update

Dr. Parveen Bhatia and Dr. Pulkit Nandwani

What causes metabolic syndrome?

Genetics and the environment both play important roles in the development of the metabolic syndrome.
Genetic factors influence each individual component of the syndrome, and the syndrome itself. A family history that includes type 2 diabetes, hypertension, and early heart disease greatly increases the chance that an individual will develop the metabolic syndrome. Environmental issues such as low activity level, sedentary lifestyle, and progressive weight gain also contribute significantly to the risk of developing the metabolic syndrome.
Metabolic syndrome is present in about 5% of people with normal body weight, 22% of those who are overweight and 60% of those considered obese. Adults who continue to gain five or more pounds per year raise their risk of developing metabolic syndrome by up to 45%. While obesity itself is likely the greatest risk factor, others factors of concern include:

  • Post–menopausal women
  • Smoking
  • Excessively high carbohydrate diet
  • Lack of activity (even without weight change)
  • Consuming an alcohol–free diet
 
    eQuiz

Read this…………………
(Dr GM Singh)

How is Fournier’s gangrene treated. What is the mortality rate?

Yesterday’s eQuiz: Which of the following have been consistently true in the vaccine?

a. Circumcision is protective against HPV infection.
b. Condoms protect against HPV infection.
c. HPV vaccination enhances clearance of previous infections.
d. Vaccination confers protection against vaccine type related cervical neoplasia.

Answer for Yesterday’s eQuiz: d.

Correct answers received from: Dr Rakesh Bhasin, Dr K.Raju, Dr Jaiyesh Kumar, Dr Dasari Papa, Dr Chandresh Jardosh, Dr U Gaur, Dr Anil Bairaria, Dr Muthumperumal Thirumalpillai, Dr Rajni Devendra

Answer for 12th April Mind Teaser
: Too sweet to be forgotten
Correct answers received from: Dr Tilak Gupta, Dr Anupam Sethi Malhotra, Dr(LtCol)Gopal Agarwal, Dr N C Prajapati, Dr Anita Rajorhia, Dr Vijay Kansal

Send your answer to ijcp12@gmail.com

 
    Laugh a While

(Dr GM Singh)

Lady to her maid: "I have reason to suspect that my husband is having an affair with his secretary." Maid: "I don’t believe it! You are just saying that to make me jealous!"

 
    Lab Update

(Dr Arpan Gandhi and Dr Navin Dang)

Lipase

Lipase is an enzyme produced by the pancreas to help digest fats, proteins, and carbohydrates.

  • Very high levels in blood can be due to acute pancreatitis.
  • High levels are also found with pancreatic duct obstruction, pancreatic cancer, and other pancreatic diseases.
  • Moderately increased lipase values may occur with kidney disease, salivary gland inflammation, a bowel obstruction, or peptic ulcer disease.

Low levels may indicate permanent damage to the lipase–producing cells in the pancreas.

 
    Medi Finance Update

(Dr GM Singh)

Proposed Direct Tax Amendments In Brief

Investment Linked Deduction Under Section 35AD

  • Removal of term "new" from existing definition of specified businesses (only hotel and hospital) claiming 100% deduction under section 35AD. Thus losses under section 73A for such businesses to be freely allowed to be set off. Applicable from AY 2011–2012
  • 2 additional businesses – "affordable housing projects", "production of fertilizers" eligible for investment linked deduction (100%) under section 35AD. Applicable from AY 2012–2013.
 
    Drug Update

List of approved drugs from 01.01.2010 to 31.8.2010

Drug Name
Indication
DCI Approval Date
Coseal Surgical Sealent 2/4/8ml (Addl. Indication)
(1) Enforcement of suture and staple lines in lung resection procedures.

(2) Patients undergoing cardiac surgery to prevent or reduce the incidence, severity and extend of post surgical adhesion formation.

(3) Patients undergoing laparotomy or laparoscopic abdomino–pelvic surgery as an adjunct to good surgical technique intended to reduce the incidence, severity and extent of post surgical adhesion formation.
06/02/2010
 
    IMSA Update

International Medical Science Academy (IMSA) Update

Prostate cancer

Analyses from randomized trials of PSA screening have shown that PSA velocity adds little or no independent prognostic information to PSA alone.

(Dr Vinay Sakhuja)

Latin Quotes

Adhibenda est in jocando moderatio. – Cicero (Latin)

There should be a limit observed in joking. Jokes should not exceed the bounds of good taste.

 
  Quote of the Day

(Dr GM Singh)

Losers want an easy life without any suffering or hardship. Winners know that what one sows is what one reaps. They know that efforts and action do not go unnoticed. They progress through trials and errors, without giving up.

 
    Readers Responses

Respected sir, this is with reference to your article on management of hunger strikers. I am working in state government service. I have to go for medical examination of hunger strikers. Usually after 2–3 days, their urinary ketones are positive. My question is at what stage we should advise feeding because after examining the hunger striker, we need to advise the striker in writing and the report has to be then sent to district magistrate with the advice. Dr Sundeep Nigam.

Reply from Dr Sudhir Gupta:
The ‘exact medical necessity’ for therapeutic feeding under medical care must be determined by a doctor seconded by another. During hunger strike, the body’s resources are used up and the liver starts processing body fat in a process called ketosis – transformation to an alternative form of energy. The ketone bodies along with starvation start causing ill effects on the vital organs and brain of the fasting person. The attending doctor should advice in writing that intake of food is required for maintaining health as soon as the ketone bodies are detected and in case of refusal he should explain the dire consequences of further continuing with the fast and again request in writing for acceptance of food. In case of further refusal, it should be mentioned in the medical report to the magistrate that the consequences of further fast has been explained to fasting person and he understands them well; however, he/she is mentally competent to understand the same. In case of mental incompetence/impairment of fasting person, the case must be referred to another physician along with the all medical records for independent medical examination and second opinion for further necessary administrative action.

The World Medical Association and Declaration of Malta on Hunger Strikers unambiguously state that force feeding is a form of inhuman and degrading treatment in its Article 21. "It is the responsibility of the state to monitor the health and welfare of individual, and to ensure that procedures are pursued to preserve life." The therapeutic necessity from the point of view of established principles of medicine cannot in principle be regarded as inhuman and degrading and that this includes doctor assisted feeding aimed at saving the life of a person. However, the ‘exact medical necessity’ must be determined by a physician seconded by another based on accepted medical standards of mental incompetence and life threatening physical parameters like low blood pressure, pulse etc, of the fasting person.

 
    Public Forum

(Press Release for use by the newspapers)

Earth Eating – PICA

Eating non food items by children, in medical terms is called pica. Such children may eat clay, sand dirt, plaster, chalk, baking soda, cigarette ash, burnt match heads, glue, paper, tooth paste or soap.

Pica is considered to be a serious eating disorder that can result in lead poisoning and iron deficiency anemia, said Padma Shri & Dr. B.C. Roy National Awardee Dr. KK Aggarwal and President, Heart Care Foundation of India. Iron or zinc deficiency in the body may trigger pica.

Eating earth substances such as clay, or dirt is called ‘geophagia’. It can cause iron deficiency and iron deficiency further can increase the craving for geophagia.

In some cultures people eat clay or dirt as they have a belief that it helps relieve nausea, control diarrhea, increase salivation and remove toxins from the body.

Pica is also used in religious rituals, folk medicines and magical believes. Some old traditional cultures believed that eating dirt will help them incorporate magical spirits into their body.

One should look for nutritional deficiency in any patient who is indulging into non food items. Any child above the age of 2 years indulging into pica should seek medical attention.

 
    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

  How to Use

Pesticides Safely

  Towards Well Being

 

 
    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