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 …

18th March, 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

Barbers help men beat high blood pressure

Barbers successfully helped fight high blood pressure in African–American men according to a new study. The results support an increasingly popular practice, in which trusted members of the community deliver important health messages to those who need them.

A research team led by Dr. Ronald G. Victor, now at the Cedars–Sinai Heart Institute in Los Angeles, and Dr. Robert Haley of the University of Texas Southwestern Medical Center set out to evaluate the effects of barbershop–based outreach on blood pressure control. They screened African–American male patrons for high blood pressure at 17 African–American–owned barbershops in Dallas County, Texas, and enlisted about 1,300 men with hypertension to participate.

In NIH’s National Heart, Lung and Blood Institute (NHLBI) study, in 9 of the shops, barbers continually offered blood pressure checks with haircuts and encouraged their patrons to follow up with physicians. Participants in the remaining 8 comparison shops received standard blood pressure pamphlets.

As reported in the February 28, 2011, edition of Archives of Internal Medicine, after 10 months, hypertension control in both groups improved significantly, but more so in the intervention group. In the comparison group, the control rate rose by 11% (from 40% to 51%). In the intervention group, the control rate improved by 20% (from 34% to 54%). (Source NIH)

Dr KK Aggarwal
Editor in Chief
drkkaggarwal Dr K K Aggarwal on Twitter
Krishan Kumar Aggarwal Dr k k Aggarwal on Facebook
 
  eMedinewS Audio PostCard

 Rheumatoid arthritis Update

Dr Harvinder S Luthra
Speaks on ‘Characteristics of rheumatoid arthritis’

Audio PostCard
 
    Photo Feature (From HCFI Photo Gallery)

Medifinance Conference On Portfolio Management for Doctors and update on Budget 2011

Dr N V Kamat Director Health Services, was the Chief Guest at a day–long conference. In the photo: Dr NV Kamat being felicitated by Padma Shri & Dr. B.C. Roy National Awardee Dr KK Aggarwal on 13th March 2011, at Auditorium, Delhi TB Association, Lodhi Road, New Delhi.

 
Dr K K Aggarwal
 
    National News

Taskforce set up to check spurious drugs

The Union health ministry has formed a taskforce to tackle the problem of spurious drugs. A 12–member committee headed by the ICMR rector–general V M Katoch has been constituted to asses the quantity of spurious drugs floating in the market using anti–counterfeit technologies and recommend measures to address the issue. The drug taskforce will be looking into step needed to promote indigenous production of bulk drugs and preventing the take over of Indian pharma industry by multi–national companies. According to health ministry’s estimates, 5.6% of drugs in the country don’t adhere to standard quality. (TOI)

Raja’s close aide Sadiq Batcha commits suicide

Former telecom minister A Raja’s aide and realtor Sadiq Batcha was found dead, hanging, at his residence in Chennai on Wednesday. CBI had questioned Batcha in connection with the 2G spectrum scam. Police have termed it as a suicide case. His body has been taken to Chennai’s Apollo Hospital for postmortem, where he was declared brought dead. (HT)

Rupee appreciates by 14 paise against dollar

The rupee today appreciated by 14 paise to close at 45.11/12 against the US currency, moving in tandem with local stocks amid sale of dollars by exporters and dip in crude oil prices.

600 more MBBS seats in new six state based AIIMS

From 2012 academic session medical colleges in six AIIMS-like institutions will be open to MBBS. The construction of the six medical colleges — each with 100 MBBS seats — will be completed in August. However, the super–speciality hospitals, which are being built along with the colleges, will be completed by 2012. They will be functional from the next year. The colleges are located at Patna, Raipur, Bhopal, Bhubaneswar, Jodhpur and Rishikesh. Each will have 960 beds, including 500 beds for the medical college hospital, 300 beds for speciality/super speciality and 100 beds for ICU/accident trauma. (TOI, March 17, 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 )

Working out means chilling out for new moms

Many new mothers claim that they get their exercise just by chasing their toddlers around. However, new research shows that this not be entirely true, and that new mothers should be exercising more than they do (in addition to chasing and/or playing with their kids). This is especially important if they are overwhelmed out with their new parenting responsibilities. In a new study conducted at the Georgia Health Sciences University, researchers associated some types of parental stress with lowered total physical activity.

The study subjects were 51 first–time mothers (the study started 1–6 months after they gave birth and followed all mothers for a year). Researchers measured different types of parenting stress factors using a survey tool called the Parental Stress Index, as well as depressive symptoms and total amount of light and moderate physical activity. The study results showed that less physical activity was (not surprisingly) associated with weight gain, but that it also correlated to certain parental stressors and depressive factors. If you know any new parents, encourage them to exercise to relieve stress – chasing kids will increase your heart rate, but it is oftentimes not enough.

(Dr Monica and Brahm Vasudev)

Older adults with several chronic conditions

More than 20% of older adults have at least five chronic conditions, including heart disease, diabetes, arthritis, osteoporosis and dementia, the American Geriatrics Society says.

Severely obese people benefit from weight–loss surgery

Severely obese people benefit from weight–loss surgery, the American Heart Association said after researchers from the US and Canada assessed the heart risks of bariatric procedures.

For men, duration of diabetes may be associated with increased heart risk

According to a study published in the Archives of Internal Medicine compared to men without diabetes, men who had early–onset diabetes (in this case, for an average of 17 years or more) had 2.5 times the risk of a heart attack.

 
    IJCP Special

Dr Good Dr Bad

Situation: A smoker was found to have abnormal lung density on CT chest.
Dr. Bad: It is not related to smoking.
Dr. Good: It is related to smoking.
Lesson: In a study published in March 11 issue of NEJM, it has been shown that 10% of smokers have abnormal lung densities in CT chest suggestive of interstitial lung disease

Make Sure

Situation: A patient on 10 units of insulin developed hypoglycemia with 11 units of insulin.
Reaction: Oh my God! Why was additional insulin given?
Lesson: Make sure that insulin dose is calculated correctly. The formula is 1500/total daily dose. The value will be the amount of sugar fluctuation with one unit of insulin.

 
    An Inspirational Story

(Dr Parmjeet Chadha)

Do not turn back those who are in need

One stormy night many years ago, an elderly man and his wife entered the lobby of a small hotel in Philadelphia. Trying to get out of the rain, the couple approached the front desk hoping to get some shelter for the night. "Could you possibly give us a room here?" the husband asked. The clerk, a friendly man with a winning smile, looked at the couple and explained that there were three conventions in town. "All of our rooms are taken," the clerk said. "But I can’t send a nice couple like you out into the rain at one o’clock in the morning. Would you perhaps be willing to sleep in my room? It’s not exactly a suite, but it will be good enough to make you folks comfortable for the night." When the couple declined, the young man pressed on. "Don’t worry about me. I’ll be just fine here in the office, "the clerk told them. So the couple agreed.

As he paid his bill the next morning, the elderly man said to the clerk, "You are the kind of manager who should be the boss of the best hotel in the United States. Maybe, someday I’ll build one for you."
The clerk looked at them and smiled. The three of them had a good laugh. As they drove away, the elderly couple agreed that the helpful clerk was indeed exceptional, as finding people who are both friendly and helpful isn’t easy.

Years passed. The clerk had almost forgotten the incident when he received a letter from the old man. It recalled that stormy night and enclosed a round–trip ticket to New York, asking him to pay them a visit. The old man met him in New York, and led him to the corner of Fifth Avenue and 34th Street.
He then pointed to a great new building there, a palace of reddish stone, with turrets and watchtowers thrusting up to the sky. "That," said the older man, "is the hotel I have just built for you to manage."
"You must be joking," the young man said. "I can assure you I am not," said the older man, a sly smile playing around his mouth. The older man’s name was William Waldorf Astor, and the magnificent structure was the original Waldorf Hotel. The clerk who became its first manager was George C. Boldt. This young clerk never foresaw the turn of events that would lead him to become the manager of one of the world’s most glamorous hotels.

Moral: "Do not turn back those who are in need, for they might be angels. Life is measured by the lives you touch and not by the things you acquire.

 
    Infertility Update

(Dr. Kaberi Banerjee, Director Precious Baby Foundation)

What is ICSI?

ICSI stands for intracytoplasmic sperm injection. It is used in cases of very low sperm counts. The single sperm after preparation is injected in the oocyte. The sperm can be ejaculated or aspirated from testis or epididymis. This is an advanced ART procedure and technically demanding.

 
    Medicine Update

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

Can any cancer be associated with Glycogen Storage Disease?

Hepatic adenoma and hepatocellular carcinoma are known long–term complications in type III and type I Glycogen Storage Disease. When adenomas are seen then serial alpha–fetoprotein (AFP) levels can give a clue to a developing hepatocellular carcinoma.

 
    Vascular Disease Update

Dr. Rajiv Parakh, Chairman, Div of Peripheral Vascular & Endovascular Sciences, Medanta–The Medicity, Gurgaon NCR, Secretary General, International Society of Vascular Surgery, USA

My mother has had a re–occurrence of deep vein thrombosis (DVT) after a period of four years. Both times the symptoms have been a little different and she was surprised by them. What symptoms should she have been watching for?

DVT occurs because there is a formation of an obstructing blood clot in the deep veins. Usually it occurs in the leg but can also occur in veins that course through the pelvis. The greatest risk of having a DVT is the possibility of having a pulmonary embolism where a whole blood clot or a piece of the blood clot breaks off and travels through the bloodstream to the lungs. A pulmonary embolism may be fatal. Individuals with DVT may sense pain or discomfort in the calf or thigh and notice swelling in the leg. However, many are unaware of the problem until they develop an embolism.

Symptoms of an embolism include shortness of breath, sharp chest pain or blood–tinged coughing. Anyone who has these symptoms should call a vascular specialist immediately.

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    Medicolegal Update

(Dr Sudhir Gupta, Asso Professor, Forensic Medicine & Toxicology, AIIMS)

UK Clinical negligence law –Bolam – v – Friern Hospital Management Committee 1957

Sir Liam Donaldson – "Patients deserve to receive quality healthcare"

  • UK Clinical negligence law defines negligence as any act or omission which falls short of a standard to be expected of "the reasonable man."
  • It is necessary to show that whatever the Doctor did or did not do fell below the standard of a reasonably competent Doctor in that field of medicine.
  • In the leading case of "Bolam – v – Friern Hospital Management Committee 1957" it was stated that a doctor must act in accordance with a practice which is accepted as proper by a responsible body of men
  • There are several acceptable ways of doing something and this may mean that there is no negligence if an alternative method is chosen.
  • The fact that another person would not have done things in the same way does not automatically mean that there was clinical negligence.
  • The Doctor will be able to defend the compensation claim successfully, if it can shown that a responsible body of reputable Doctors in the relevant field would have acted in a similar manner.
  • This means that a judge will hear evidence from experts and decide whether the actions taken were appropriate.
 
    Rabies Update

Dr A K Gupta, R.P. Bagh, Delhi, Author of "RABIES – the worst death"

Is washing of animal bite wound(s) essential?

By mere washing of wounds and application of antiseptics, the risk of rabies will reduce by about 50%. The maximum benefit of the wound washing is obtained when the fresh wound is cleaned immediately. It is important to remove the saliva containing rabies virus at the site of bite by physical or chemical means. This can be done by prompt and gentle thorough washing with ordinary soap or detergent (soaps are viricidal) and 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.

 
    Obesity Update

Dr. Parveen Bhatia and Dr. Pulkit Nandwani

BMI in Indians

Researches over the last several years have shown that Indian bodies and genetics are different from their western counterparts as Indians suffer from abdominal obesity compared to people in the West whose bodies are uniformly obese. This body composition puts Indian in the high risk zone for diabetes and hypertension.

As per research statistics, India will become the global diabetes capital by 2050. The current load of diabetes in India is 41 million, which is expected to rise by 170% in the next 20 years. Even today, India has one of the largest diabetic populations in the world. And these statistics have made the Health Ministry to reduce the diagnostic cut–offs for BMI to 23 kg/m2 and the standard waist circumference to fight the battle against obesity. The standards have been set for the first time in the Ministry’s consensus guidelines for the Prevention and Management of Obesity and Metabolic Syndrome for the country as released on October 2008. The guidelines were released jointly by the Health Ministry, the Diabetes Foundation of India (DFI), the All–India Institute of Medical Science (AIIMS), Indian Council of Medical Research (ICMR), the National Institute of Nutrition (NIN) and 20 other health organizations.

India’s new diagnostic cut–off for the body mass index is 23 kg/m2 as opposed to 25 kg/m2 globally. Now, those with BMI of 25 kg/m2 will be clinically termed obese (as opposed to 30 kg/m2 at the international level), and those with BMI of 32.5 kg/m2 will require bariatric surgery to eliminate excess flab.

 
    Legal Question of the Day

(Dr M C Gupta, Advocate)

Q. What does the law say regarding consent in a situation where repeated sittings are needed in, for example, a case where radio–therapy sessions are to be given periodically? Should fresh consent be taken each time?

Ans. The legal position is as follows:

a. It is better to specify in writing at the time of the initial consent that the consent is for, say, 6–8     sessions 3–4 weeks apart and that consent is given for the full course unless withdrawn mid–way.
2. When the course starts and the patient comes for the second and subsequent sittings, the fact of     his coming voluntarily for subsequent sittings means that he is giving consent for the session/     sitting. Please note that the consent can be:
a. Written: given through written words;
b. Oral: given through spoken words;
c. Implied: given through an act (of coming/presenting for the procedure or sitting).

 
    Lighter Side of Reading

Mind Teaser

Read this…………………

T M
A U
H S
W T

Yesterday’s Mind Teaser: ch poorri
Answer for yesterday’s Mind Teaser:
Take from the rich, give to the poor.

Correct answers received from: Dr K.Raju, Dr.Susheela Gupta, Dr Rashmi Chhibber, Dr K.V.Sarma, Dr Raju Kuppusamy, Dr Y J Vasavada, Dr Sudipto Samaddar, Dr Rakesh Bhasin

Answer for 16th March Mind Teaser: Business before pleasure
Correct answers received from: Dr Rakesh Bhasin, Dr Neelam Nath,

Send your answer to ijcp12@gmail.com

— — — — — — — — — —

Laugh a While
(Dr GM Singh)

Just Can’t Win

"I see you were last employed by a psychiatrist," said the employer to the applicant. "Why did you leave?" "Well," she replied, "I just couldn’t win…

If I was late to work, I was hostile.
If I was early, I had an anxiety complex.
If I was on time, I was compulsive."

— — — — — — — — — —

 
    Useful Website

(Dr Surendernikhil Gupta)

KidSurvival

Infectious disease burden and intelligence

http://www.childsurvival.net/?content=com_articles&artid=356

 
    Lab Update

(Dr Arpan Gandhi and Dr Navin Dang)

CA15–3 Cancer Antigen

This test is done during or after treatment for breast cancer to monitor advanced breast cancer and response to treatment. CA 15–3 is not a blood test that screens for breast cancer.

  • In general, the higher the CA 15–3 level, the more advanced the breast cancer and the larger the tumor burden.
  • In metastatic breast cancer, the highest levels of CA 15–3 are seen when the cancer has spread to the bones and/or the liver.
  • Mild to moderate levels of CA 15–3 also are seen in a variety of conditions, including liver and pancreatic cancer, cirrhosis, and benign breast disorders as well as in a certain percentage of apparently healthy individuals.
  • Pregnancy and lactation also increase levels of CA 15–3.
  • Several noncancerous conditions (benign breast or ovarian disease, endometriosis, pelvic inflammatory disease and hepatitis) can rise levels of CA 15–3.
 
    Medi Finance Update

(Dr GM Singh)

Why FMP?

Fixed Tenure: The tenure of FMP is fixed making investing easier for the fund manager.

 
    Drug Update

List of approved drugs from 01.01.2010 to 31.8.2010

Drug Name
Indication
DCI Approval Date
Doxophylline (SR) 400mg/800mg + Montelukast 10mg/10mg Tablets
For the treatment of patients with typhoid fever and urinary tract infection in adults
26/04/2010
 
    IMSA Update

International Medical Science Academy (IMSA) Update

Chronic hepatitis C infection in children

Accumulating evidence supports the use of combination therapy with pegylated interferon and ribavirin to treat chronic hepatitis C infection in children. In a multicenter trial, this combination yielded 93% sustained viral response in patients with genotype 2 or 3, and 53 percent in those with genotype 1.

 
  Thought of the Day

(By Dr GM Singh)

Every day may not be good, but there’s something good in every day.

 
    Readers Responses

Dear Editor, your writeup on present day corruption and indirectly quoting about doctors’ commissions really questions the conscious of our medical professionals. We regret to quote some of our doctors are lured with omissions; some work for the profit and interest of corporate hospitals, which gives a negative signal about medical fraternity. Dr Valluri Ramarao, Vijaywada, AP.

 
    Public Forum

(Press Release for use by the newspapers)

Ideal sleep time: Eight hours

People who sleep less than 7 hours or more than 9 hours a night gain more weight over time and become obese than those individuals who log 8 hours every night.

People who want to lose weight or prevent weight gain should not only exercise and eat well, but also sleep well said Dr. KK Aggarwal, Padma Shri and Dr. B.C. Roy National Awardee and President, Heart Care Foundation of India.

In a study by Dr. Angelo Tremblay, of Laval University in Quebec City, published in the Journal Sleep, the researchers followed 276 men and women for 6 years. During that time, people who averaged 5 to 6 hours of shuteye a night gained 1.98 kgs more than those who slept 7 to 8 hours, while those who slept for 9 to 10 hours gained 1.58 kgs more than the average–length sleepers. Short and long sleepers also showed greater gains in fat mass and waist circumference than average–length sleepers, and were significantly more likely to gain 5 kgs or more.

Getting too much or too little sleep somehow disrupts appetite control by causing a reduction in leptin, a hormone that dampens appetite, while increasing secretions of the appetite–stimulating hormone ghrelin.

Short and long sleepers were also more prone to hypoglycemia, or low blood sugar, than average sleepers, which could increase appetite as well.

 
   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)

 
    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

eMedinewS Events: Register at emedinews@gmail.com

March 25–27, 2011, 2nd Delhi Knee Course, at Sitaram Bhartia Institute of Science and Research. Dr. J. Maheshwari of Knee & Shoulder Clinic is the Course Director. Faculty includes knee surgeons from Switzerland, Austria, Singapore and US, in addition to experienced Indian surgeons. Contact 9717133885, 9811109833.

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March 26–27, 2011, CME on Pediatric Hepatology – 2011 In association with Gastroenterology Chapter of IAP
Auditorium, Medanta – The Medicity, Gurgaon; Organizing Chairperson Dr Neelam Mohan, Director, Department of Pediatric Gastroenterology. No registration fee. Prior registration is must. For More information please contact: 09971018789/ 09717840850/ 09999669415/ 09899996682. Click

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Sunday 3rd April, 2011, World Fellowships of Religions and Perfect Health Parade First ever Conference which will talk about science behind all Religions, Dharmas and Pathies under one roof on Global Warming, Ethnic Crises, How to be Healthy
Venue: Maulana Azad Medical College Auditorium, New Delhi;Time: 8 AM – 4 PM.
Parade through tableaus to be flagged off at 10 am from outside MAMC to move till 5 pm on different predefined routes in Delhi to create awareness about health matters.
Parade Route: Vikas Marg – Shahdara – Seemapuri – Guru Tegh Bhadur Hospital – Seelampur Pusta – Gandhinagar, to ISBT Kashmiri Gate – Civil Lines – Delhi University North Campus – Azadpur – Punjabi Bagh – Mayapuri – Raja Garden – Janakpuri – Tilak Nagar – Tihar Jail Road – Delhi Cantt. – R.K Puram – Munirka – IIT Gate – Panchsheel Park – Chirag Delhi Flyover – Nehru Place – Modi Mill Flyover – Ashram – Nizamuddin – Sunder Nagar – Pragati Maidan – ITO – finally culminate at Maulana Azad Medical College at 4pm. Full day conference on ethnic crisis and global warming. Pre lunch session to be addressed by religious representatives who would talk on what each religion has to say. Post lunch to be addressed by doctors from all streams of medicinal practice (allopathy, ISM)
Register: rekhapapola@gmail.com

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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

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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

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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

………………………………………………………………

ICC Cricket World Cup 2011
http://www.cricbuzz.com/cricket–schedule/series/228/icc–world–cup–2011

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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,