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 …

15th 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

Who is a better leader?

Recently, Sachin Tendulkar made a statement that Mahender Singh Dhoni was the best captain he has ever played under. In career span of 20 years, Sachin Tendulkar has played under several captains, viz. MS Dhoni, Saurav Ganguli, Mohammed Azharuddin, Virender Sehwag, Anil Kumble, Rahul Dravid, K. Srikanth, Ajay Jadeja, Ravi Shastri and himself. His statement was, "Dhoni is the best captain I have played under, he is very sharp and always alert. He reads the situation well and is open to sharing the ideas. He also has discussions with bowlers, batsmen and senior players separately".

In Vedic language, there are seven types of leaders. These are:

Stage 1 Leaders: Leaders with fight or flight response.

Stage 2 Leaders: Leaders with reactive response.

Stage 3 Leaders: Leaders with restful awareness response

Stage 4 Leaders: Leaders with intuitive response

Stage 5 Leaders: Leaders with creative response

Stage 6 Leaders: Leaders with visionary response

Stage 7 Leaders: Leaders with sacred response

Coming back to each stage, leaders with predominant fight or flight responses will not be able to manage the show during stress. For example, if India is losing or not doing well, they will try to escape playing a match with the pretext of injury or try to avoid the situation. Reactive response leaders will always believe in fault finding or they will always blame others for the defeat in the match. Leaders with restful awareness response will be calm, detached, silent and will be balanced in both loss and gain situation. Intuitive leaders will be the ones who will analyze their mistakes at every step for a better future. Creative leaders on the other hand will convert every adversity into an opportunity for doing something big. For visionary leaders, every threat is an opportunity to something bigger and implementing them. Sacred leaders are the ones for whom everyone is the same.

Most captains of the Indian cricket team, whom Sachin has mentioned were probably either leaders of fight or flight response, reactive response or restful awareness response. The classical example of reactive response in my opinion was Saurav Ganguli who was over–reactive in both loss and gain situations.

Mahender Singh Dhoni reacts differently to every stress. He is calm, balanced in both situations of loss and gains and converts every adversity into creativity. He is leader, probably of stage 5 or stage 6 i.e. intuitive or creative leader and that is the reason why even people like Sachin Tendulkar respect him as the greatest captain India has every produced in the country.

Garry Kirsten is another leader of visionary status as we have seen him only perform and not criticize anybody unlike John Wright or Greg Chappell.

It is equally important for us as doctors to understand these types of leaderships; find out the stage which we are at and then try to go a step higher.

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

Statin therapy

  • In CHD or a CHD risk equivalent patients who can tolerate statin therapy, start with at least a moderate dose of a statin (e.g., 40 mg of lovastatin, pravastatin, or simvastatin, 20 mg of atorvastatin, or 5 to 10 mg of rosuvastatin) independent of the baseline LDL–C.(1,2)
  • Evidence no longer considers all patients with diabetes mellitus to have a CHD risk equivalent.
  • The risk of CHD varies widely in patients with diabetes and is not consistently greater than 20 percent in 10 years.
  • Consider the following patients with DM to have a CHD risk equivalent
    • Men over age 40 with type 2 DM and any other CHD risk factor, or over age 50 with or without other CHD risk factors
    • Women over age 45 with type 2 DM and any other CHD risk factor, or over age 55 with or without other CHD risk factors
    • Men or women of any age who have had DM (type 1 or type 2) for more than 20 years if they have another risk factor or more than 25 years without another risk factor

References

  1. Bulugahapitiya U, Siyambalapitiya S, Sithole J, Idris I. Is diabetes a coronary risk equivalent? Systematic review and meta–analysis. Diabet Med 2009;26:142.
  2. Buyken AE, von Eckardstein A, Schulte H, et al. Type 2 diabetes mellitus and risk of coronary heart disease: results of the 10–year follow–up of the PROCAM study. Eur J Cardiovasc Prev Rehabil 2007;14:230.
 
  eMedinewS Audio PostCard

 Pediatric Echo

Dr Savitri Srivastava Speaks on
‘Pulmonary arterial hypertension – Causes’

Audio PostCard
 
    Photo Feature (From HCFI Photo Gallery)

11th Perfect Health Parade

The 11th Perfect Health Parade was organized by Heart Care Foundation of India to mark the World Health Day. In the photo: The parade in the form of Tableaus moving around the city to create awareness about various health aspects.

 

 
Dr K K Aggarwal
 
    National News

66% of worldwide stillbirths occurs in India

NEW DELHI: Four lakh fewer children died while still in their mother’s womb in 2009 — in India, Bangladesh and China — as compared to 1995. However, India is among 10 countries, which, though, contributes 54% of total worldwide births, 66%, or 1.8 million of all stillbirths. India’s stillbirth — death after 28 weeks’ of gestation — figures have reduced over the past decade. Be that as it may, it’s still shameful — 22 stillbirths per 1,000 births. In some states, it varies from 20 to 66 per 1,000 births. According to a series on stillbirth, published in "The Lancet" on Wednesday, more than 7, 200 babies are stillborn every day. Around 2.6 million stillbirths occur worldwide each year during the last trimester of pregnancy, and 98% of them occur in low and middle–income countries. High–income countries, too, report stillbirths with one in 320 babies stillborn. (Source: The Times of India, Apr 14, 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 )

Yoga may calm a dangerous irregular heartbeat

HealthDay recently reported that in a small preliminary study, the ancient art of yoga appeared to halve the number of episodes of a potentially dangerous irregular heartbeat known as atrial fibrillation. Three sessions of yoga a week also improved quality of life, lowering levels of the anxiety and depression which often plagues patients with this condition, according to research to be presented Saturday at the annual meeting of the American College of Cardiology in New Orleans. "These are exciting results," said Dr. Raul Mitrani, director of the cardiac rhythm device clinic at the University of Miami Miller School of Medicine. Although it didn’t cure atrial fibrillation, he added, it did seem to cut the number of "a–fib" episodes.

(Dr Monica and Brahm Vasudev)

Drinking during pregnancy increases risk of premature birth, study finds

Drinking alcohol during pregnancy is associated with an increased risk of miscarriage, premature birth, and low birth weight. But there are conflicting reports about how much alcohol, if any, it is safe for a pregnant woman to drink. New research published in Biomed Central’s open access journal BMC Pregnancy and Childbirth looked at the amounts of alcohol women drank during their early pregnancy and showed the effect this had on their babies. (ScienceDaily)

Scientists develop ‘universal’ virus–free method to turn blood cells into ‘beating’ heart cells

Johns Hopkins scientists have developed a simplified, cheaper, all–purpose method they say can be used by scientists around the globe to more safely turn blood cells into heart cells. The method is virus–free and produces heart cells that beat with nearly 100 percent efficiency, they claim. (ScienceDaily)

(Dr GM Singh)

Screening tool for the evaluation of at risk driver: 4Cs

1. Crash history
2. Family concerns
3. Clinical conditions
4. Cognitive functions

The domains most strongly associated with road test outcome were cognitive function and family concerns. The 4 Cs, an interview–based screening tool, may be a useful marker to identify at–risk older drivers.

 
    IJCP Special

Dr Good Dr Bad

Situation: A patient with fever without chills was diagnosed with gram negative sepsis.
Dr. Bad: Diagnosis is wrong.
Dr. Good: You need intensive treatment.
Lesson: Patient with gram negative species may have fever with or without chills.

Make Sure

Situation: An asthmatic with respiratory rate of 37 developed respiratory arrest.
Reaction: Oh my God!! Why was the patient not put on the ventilator in time?
Lesson: Make sure to remember that a respiratory rate of > 35 is a warning signal to start ventilation therapy.

 
    An Inspirational Story

(Dr Prachi Garg)

The Three Frogs

Question: Three frogs sat on a log and one decided to jump off. How many frogs were left on the log?
Answer: Three.
Explanation: Although almost everyone answers "two," the correct answer is "three."
Just because the frog decided to jump off the log does not necessarily mean that it actually did it.
Is there a gap between what you decide to do and what you actually do?

 
    Infertility Update

(Dr. Kaberi Banerjee, Director Precious Baby Foundation)

How does a woman know that there is a problem in her tubes?

Tubal problem in the form of blockage is usually due to infection. Infection may be symptomatic or silent. The symptoms can be in the form of fever, lower abdominal pain, irregular bleeding, and watery discharge per vagina. Tubal problem can then be confirmed by hysterosalpingography or laparoscopy. However, at times tubal problems may be completely silent because it can damage the inner lining of the tube which has fine hair called cilia.

 
    Medicine Update

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

How does one monitor and titrate therapy with penicillamine?

Doses titrated to maintain urinary copper excretion <2 mg/day; decrease dose for surgery and during last trimester of pregnancy

  • For monitoring: Serum copper, 24–hour urinary copper excretion, LFTs every 3 months during the first year of treatment
  • If on CBC, the WBC <3500/mm3, neutrophils <2000/mm3, or monocytes >500/mm3, this indicate need to stop therapy immediately; platelet counts <100,000/mm3 indicate need to stop therapy until numbers of platelets increase
  • A quantitative 24–hour urine protein at 1– to 2–week intervals initially (first 2–3 months) is recommended if proteinuria develops; discontinue or decrease dose with proteinuria >1 g/24 hours, progressively increasing proteinuria or hematuria.
 
ijcpgroup
ijcpgroup
Docconnect
 
    Medicolegal Update

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

Doctor & law

Doctor is neither a detective nor a curtain between injured/sick alleged criminal and police or judiciary.

  • The primary and absolutely transparent duty of a doctor/hospital is to provide medical services to sick and injured patient, may be an alleged criminal, to save his health/limb and life without any discrimination.
  • When the medical care records are required for judicial/police investigation, the records becomes medicolegal in nature and the same may be required to testified under oath in the court of law by the treating doctor.
  • The doctor should acquire the habit of making a careful note of all the facts observed by him with exact time and date.
  • The doctor should examine the facts which come to his knowledge in his special capacity as a medical man, draw his conclusions logically and correctly after a detailed consideration of the pros and cons of the case, and elaborate in the Court that interpretation, along with the medical grounds on which it is based.
  • Presumption is not proof, and conjecture is not evidence. The Court has no special medical knowledge. It relies on medical witness for an opinion and expects him to assist it with his special knowledge and experience in perusal of truth.
  • Presumption, assumption hypothesis, and mere conclusion on self defined interpretation are not a proof, and conjecture is not evidence.
 
    Legal Question of the Day

(Dr. M C Gupta)

Can the police commissioner ask a private doctor to perform an autopsy?

Q. Can a private doctor perform autopsy if asked to do so in writing by the police commissioner?

Ans.

  • The simple answer is—YES.
  • The police commissioner would probably make such a request only in unusual circumstances, such as when no arrangement can possibly be made for autopsy to be performed by a government doctor. It would be the doctor’s duty to assist the police.
  • It can be only a request, not an order. The doctor would be fully within his rights to decline the request. He can always say that he has no expertise or knowledge or skills or confidence or facilities to perform the autopsy. No professional can be ordered by a person without authority to give professional opinion or perform a professional task against his will.
 
    ENT Update

Dr. Aru Handa MS, DNB (Dept Co–ordinator and Senior Consultant Deptt. of ENT Moolchand Medcity)

What is allergic fungal sinusitis?

Allergic fungal sinusitis is also known as allergic mucin sinusitis or eosinophilic fungal sinusitis. It is thought to be due to allergic response in the nose to inhaled fungal allergens. Unlike other fungal infections it occurs in immunocompetent individuals, but these patients have history of atopy/allergy. Patients present with nasal blockage, nasal discharge which is thick mucinous glue like with post nasal drip and coughing out of solid dirty white secretions. Prolonged illness can even cause telecanthus or proptosis (bulging out of the eyes) due to involvement and expansion of ethmoid sinuses.

Examination of nose shows bilateral nasal polyps with cheesy white debris. CT findings are characteristic showing heterogeneous density shadow in the involved sinus. Expansile lesion of ethmoid can cause thinning or destruction of lamina papyracea (medial wall of orbit) causing orbital symptoms.

Steroid nasal sprays help in reducing the allergic response thus reducing the polyps. Surgery is required to reduce the fungal load by cleaning all sinuses and providing good drainage and ventilation. Good follow up is required till there is clinical and radiological clearance of the disease.

 
    Rabies Update

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

Should the dog bite wound be allowed to bleed, bandaged, or stitched?

Do not bandage the wound as far as possible and if unavoidable, apply non–adherent, absorbent dressings (paraffin gauze and melolin) to absorb the discharge from the wound. Do not use tincture iodine.

Avoid suturing the bite wound as a rule since it may risk inoculation of the virus deeply into the wound. However, if the wound has to be sutured, it should be done as late as possible from several hours to 3 days and after infiltration of RIGs. If RIGs is not available, as a last resort, the wound must be flushed with povidone iodine before suturing. The suture should be loose and not interfere with free bleeding and drainage.

Human and animal bite wounds are best closed by secondary sutures after one week and after proper cleansing and daily wound care. Primary surgical intervention must be avoided if possible.

 
    Obesity Update

Dr. Parveen Bhatia and Dr. Pulkit Nandwani

Life after Bariatric surgery

How many times should I eat in a day?

Eat 5 to 6 times a day rather than the standard three square meals a day. Since the pouch created by the bariatric surgery can hold only a very small amount of food at a time, it is difficult to consume enough to meet your basic nutritional needs in three meals. "Grazing," or eating little bits of food all day, is not recommended, as it also contributes to poor nutrition and may impair weight loss.

Take small bites and chew your food thoroughly before swallowing. Individuals with a silastic ring gastric bypass must be especially diligent, as failure to adequately chew food will cause the outlet from the pouch to become blocked. Drinking large amounts of liquid with meals is not recommended. Liquids reduce the amount of food that can be consumed concurrently, which in turn reduces the meal’s nutrient value. Sip liquids with meals and drink additional liquids between meals.

 
    eQuiz

Read this…………………
(Dr GM Singh)

The most common extraintestinal manifestation of Crohn’s disease of small intestine is:

a. Ankylosing spondylitis
b. Erythema nodosum
c. Iritis
d. Ureteral obstruction

Yesterday’s eQuiz: How is Fournier’s gangrene treated. What is the mortality rate?
Answer for yesterday’s eQuiz:
Fournier’s gangrene is treated by prompt debridement, broad spectrum antibiotics and surgical debridement. Mortality rate ranges from 6–20%

Correct answers received from: Dr Anupam, Dr Y J Vasavada

Answer for 13th April eQuiz: d.
Correct answers received from: Dr Vijay Kansal, Dr KV Sarma, Dr Shirish Singhal

Send your answer to ijcp12@gmail.com

 
    Laugh a While

(Dr GM Singh)

Identity

A certain little girl, when asked her name, would reply, "I’m Mr. Sugarbrown’s daughter." Her mother told her this was wrong, she must say, "I’m Jane Sugarbrown." The Vicar spoke to her in Sunday School and said, "Aren’t you Mr. Sugarbrown’s daughter?" She replied, "I thought I was, but mother says I’m not."

 
    Lab Update

(Dr Arpan Gandhi and Dr Navin Dang)

A/G ratio

  • Globulin is increased disproportionately to albumin (decreasing the albumin/globulin ratio) in states characterized by chronic inflammation and in B–lymphocyte neoplasms, like myeloma and Waldenström’s macroglobulinemia. More relevant information concerning increased globulin may be obtained by serum protein electrophoresis.
  • Decreased globulin may be seen in congenital or acquired hypogammaglobulinemic states. Serum and urine protein electrophoresis may help to better define the clinical problem.
 
    Medi Finance Update

(Dr GM Singh)

Transfer Pricing

  • Standard deduction of variation of 5% on arm’s length price outdated. New variation to be notified. Applicable from AY 2012–13 onwards.
  • TPO to determine the arm’s length price of additional international transactions other than those referred by the AO.
  • Additional powers of survey conferred on the TPO. Applicable from 01.06.2011
  • Filing of Accountant’s Report in Form No. 3CEB extended to 30 November. (w.e.f 01.04.2011) Applicable to AY. 2011–12
 
    Drug Update

List of approved drugs from 01.01.2010 to 31.8.2010

Drug Name
Indication
DCI Approval Date
Exenatide Inj. (Additional Indication)
Use in patients with type 2 diabetes mellitus who are using a thiazolidinedione alone or in combination with metformin but have not achieved adequate glycemic control
24/05/2010
 
    IMSA Update

International Medical Science Academy (IMSA) Update

Chronic daily headache usually consists of a mixture of migraine and tension–type headaches (TTH), with the more severe headaches having migraine features and the less severe headaches fitting the definition of TTH.

(Dr Vinay Sakhuja)

Latin Quotes

Adjuvantes Deo labor proficit.

With God’s help our labours will be successful. (With God’s help, work prospers)

 
  Quote of the Day

(Dr GM Singh)

If you are honest, hardworking, reasonably intelligent and have good common sense, you can do well in the investment field as long as you are not too greedy and don’t get too emotional when things go against you. Walter Schloss

 
    Readers Responses

Dear Dr Aggarwal, This refers to Dr M C Gupta’s column regarding duty hours of doctors and another important news in today (7th April) emedinews ‘Regarding Licentiate Examination for Doctors".
Both pertain to quality of doctors and our duty and ethics. I agree with Dr Gupta’s view regarding our own conscience, but wish to highlight the plight of resident doctors and doctors working in Govt. dispensaries and hospitals. Should we put the resident doctors on duty for 24 hours? Is it fair to let the Govt. doctors see more than 100 patients in a day sitting in OPD? Is it fair for the Govt. lab to conduct the investigations beyond its capacity and the report which is prepared by technician and duly signed by one pathologist who might have not looked into the microscope! Look at our own house. We compromise on the quality and care of the patients. The courts criticize the writing of the doctors in medicolegal cases. Patient quarrel and misbehave with the doctors and blame the doctors for negligence. The media blames and highlights the negligence. What has the MCI done to improve the things? So how do you carry the burden of ethics? Doctors are posted in rural areas where they are required to treat the patients without the help of lab and X–ray and if an X–ray machine is there the electricity and X–ray films will always be short. MCI will dictate the terms and will give press release the doctors will be sent back to class. Who will take care of those doctors who are working in remote areas? Does MCI have any plans for refresher course for these doctors? Regarding the licentiate examination for doctors – I wish to draw the track record of MCI itself – why separate exams? Why not all the three professional exams for MBBS course be conducted by one central body? First, the MCI allows the opening of the new medical colleges without infrastructure and without faculty and then recognition is given on the basis of extraneous considerations and then MCI highlights the poor quality of doctors and proposes a new licentiate examination. Anna Hazare is on the right path – the corruption in all the spheres including MCI has played havoc. Let IMA join the movement launched by Anna and let us wake up our own conscience. Sincerely, Dr R S Bajaj, Consultant Pediatrician, Rohini Delhi.

 
    Public Forum

(Press Release for use by the newspapers)

Two common myths about passive smoking

Secondhand tobacco smoke is just a nuisance and ventilation systems protect non–smokers from exposure to second hand smoking are the two most common myths promoted by the industry, said Padma Shri & Dr. B.C. Roy National Awardee Dr. KK Aggarwal and President, Heart Care Foundation of India.

Dr Aggarwal said that secondhand tobacco smoke is not a nuisance. It is a health hazard and causes more than 200,000 deaths a year in workplaces alone (14% of all work–related deaths caused by disease) and 2.8% of all lung cancers. Many of these people work in the restaurant, entertainment and service sectors, however, the problem can exist in any occupation.

To support their claims, the industry and its supporters point out outdated studies; some of them financed by the tobacco industry itself or affiliated organizations, which conclude that there is not enough evidence to affirm that tobacco smoke is dangerous.

Talking about the other myth that ventilation systems protect non-smokers from exposure to secondhand smoke, Dr Aggarwal said that the fact is that the industry has promoted the installation and use of expensive ventilation systems and equipment, in an attempt to accommodate smokers and non-smokers in the same indoor enclosed spaces. This is a tactic to avoid the establishment of strict bans. However, ventilation is not only very expensive, it does not work: only 100% smoke-free environments protect the public from exposure.

Tobacco smoke contains both particles and gases. Ventilation systems cannot remove all particulate matter and certainly not gases. Furthermore, many particles are inhaled or deposited on clothing, furniture, walls, ceilings, etc. before they can be ventilated. While increasing the ventilation rate reduces the concentration of indoor pollutants, including tobacco smoke, ventilation rates more than 100 times above common standards would be required just to control odor. Even higher ventilation rates would be required to eliminate toxins, which is the only safe option for health. In order to eliminate the toxins in secondhand tobacco smoke from the air, so many air exchanges would be required that it would be impractical, uncomfortable and unaffordable.

 
   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

………………………………………………………………

Share eMedinewS

If you like eMedinewS you can FORWARD it to your colleagues and friends. Please send us a copy of your forwards.

 
    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