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 …

22nd March, 2011,Tuesday                                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

Oral health: Key points

  1. Oral and systemic health are closely related
  2. Abnormalities in the oral cavity may affect systemic health, and systemic conditions may affect oral health.
  3. The oral cavity plays an important role in nutrition, speech, and facial appearance.
  4. Each of these functions may be affected by abnormalities in the oral cavity (e.g., cleft lip and palate, dental caries).

Oral cavity is a reservoir of agents capable of causing specific odontogenic infections. Systemic conditions that predispose to periodontal disease include diabetes mellitus, disorders of the hematopoietic system, disorders that impair neutrophil function, and antineoplastic therapy. The main complication of periodontal disease is tooth loss. However, bone loss and local and systemic spread of infection can occur, leading to periodontal abscess and orofacial "space" infections, particularly in immunocompromised patients.

Oral microbial agents can also cause infective endocarditis. Cardiac conditions associated with the highest risk of endocarditis for which prophylaxis with dental procedures is recommended include1: prosthetic cardiac valve, previous infective endocarditis, cardiac transplantation, congenital heart disease, unrepaired CHD, completely repaired congenital heart defect with prosthetic material or device, whether placed at surgery or by catheter intervention and repaired CHD with residual defects at the site or adjacent to the site of a prosthetic patch or prosthetic device.

Children with these conditions should receive antibiotic prophylaxis before dental treatment that includes manipulation of the gingival tissues or the periapical region of teeth or perforation of oral mucosa according to the guidelines of the American Heart Association (AHA)1. The guideline recommendations regarding antibiotic choice and dental procedures for which prophylaxis is indicated may be applied to children who have other conditions that place them at risk for serious consequences of infection, such as2–5: neoplasm, HIV, Sickle cell anemia, chronic steroid usage, diabetes mellitus, severe combined immunodeficiency, immunosuppression, status postsplenectomy, lupus erythematosus, status post–organ transplantation and patients with shunts, indwelling vascular catheters, or medical devices.

References

  1. Wilson W, Taubert KA, Gewitz M, Prevention of infective endocarditis: guidelines from the American Heart Association: a guideline from the American Heart Association Rheumatic Fever, Endocarditis, and Kawasaki Disease Committee, Council on Cardiovascular Disease in the Young, and the Council on Clinical Cardiology, Council on Cardiovascular Surgery and Anesthesia, and the Quality of Care and Outcomes Research Interdisciplinary Working Group. Circulation 2007; 116:1736.
  2. American Academy of Pediatric Dentistry. Guidelines for antibiotic prophylaxis for patients at risk. Pediatr Dent 1999–00;21(5 Spec No):41.
  3. American Academy of Pediatric Dentistry. Guidelines for management of pediatric dental patients receiving chemotherpay, bone marrow transplantation, and/or radiation. Pediatr Dent 1999–00;21(5 Spec No):74.
  4. French GL. How should prophylactic antibiotics be used during dental work or bacteraemia associated procedures? Pediatr Nephrol 1993;7:346.
  5. Kumagai T, Sakamaki H, Tanikawa S, et al. Utility and safety of Hickman catheters for venous access after bone marrow transplantation. Intern Med 1998;37:286.
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

  Treating Diabetes Post 2010

Dr Ambrish Mithal speaks on
‘Vildagliptin: No weight gain overall’

Audio PostCard
 
    Photo Feature from the HCFI

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

Mr Anil Wadhwa, Insurance consultant was honored with Distinguished Service Award on 13th March 2011, in a day–long Conference held at Auditorium, Delhi TB Association, Lodhi Road, New Delhi.

 
Dr K K Aggarwal
 
    National News

Cabinet clears changes to organ donation Act

Aiming at promoting and streamlining the process of organ donation, the government on Thursday amended the Transplantation of Human Organs Act, in order to simplify rules and extend the ambit of donors to grandparents and grandchildren. The Bill, which may be called Transplantation of Human Organs and Tissues Act (THOTA), proposes to allow swap donation, tissue donation and expands the definition of near relatives. Once passed by Parliament, a pair of donor and recipient who are near relatives but whose organs do not medically match for transplantation will be permitted to swap organs with another pair of such persons. However, approval of the authorisation committee, which shall be constituted by the state governments and Union Territories, would be required. While, earlier near relatives included spouse, mother, father, son, daughter, brother, sister, it now adds grandparents and grandchildren. The Bill enhances the penalty for unauthorised removal of human organs and for receiving or making payment for human organs up to 10 years of imprisonment and Rs 25 lakh of fine. (Source: The Indian Express, Mar 18 2011)

Tighter norms for inspection of medical colleges

In order to put an end to the practice of fake medical colleges being tipped off before inspection so that they can put in place fake faculty, false patients and hired infrastructure like libraries, the six–member governing body of the MCI has tied up with the Indraprastha Institute of Information Technology to create a special software that will randomly choose which colleges will be inspected on a particular day and who the inspectors would be. Under the new procedure, the inspectors are given a sealed envelope on the morning of the inspection, while on the way to the airport or station which contains information on which college they have to inspect and which state it is in. (TOI)

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)

Tart cherries could speed muscle recovery

Tart cherries could help athletes reduce muscle damage to recover faster from a tough workout, according to new research published in the Medicine & Science. Researchers at the Sports and Exercise Science Research Center at London South Bank University in the UK gave 10 trained athletes 1 ounce of an antioxidant–packed tart cherry juice concentrate twice daily for seven days prior to and two days after an intense round of strength training. The athletes’ recovery after the cherry juice concentrate was significantly faster compared to when they drank juice without the same phytonutrient content of cherry juice. After drinking cherry juice, athletes returned to 90 percent of normal muscle force at 24 hours, compared to only 85 percent of normal at the same time point without cherry juice – a significant difference that could affect an athlete’s next bout of performance. Researchers suggest that the powerful antioxidant compounds in cherry juice likely decreased oxidative damage to the athletes’ muscles allowing the muscles to recover more quickly.

(Dr Monica and Brahm Vasudev)

More evidence that Rosiglitazone riskier than pioglitazone

Controversial diabetes drug rosiglitazone carries bigger cardiovascular risks in real–world practice than the other available member of its class, pioglitazone, a meta–analysis of observational data affirmed. The odds jumped 16% for myocardial infarction, 22% for heart failure, and 14% for death with rosiglitazone compared with pioglitazone (all P<0.001), Yoon Kong Loke, MD, of the University of East Anglia in Norwich, England, and colleagues found. Numbers needed to harm by treating with rosiglitazone rather than pioglitazone were 587 for MI, 154 for heart failure, and 232 for mortality, the group reported online in BMJ. (Medpage)

Analysis casts doubts on usefulness of some tests used to detect heart risks in patients with CKD

According to research published in the March 16 issue of the JAMA a new analysis casts doubt on the usefulness of some of the tests that patients with chronic kidney disease undergo on a routine basis to evaluate their risk for heart disease, such as tests measuring levels of calcium, parathyroid hormone, and phosphorous in the blood. However, the analysis did confirm an association between high levels of phosphorus in the blood and mortality in people with kidney disease.

Kidney transplant recipient contracts HIV from live donor

On March 15, the New York State Department of Health announced that a kidney transplant recipient had contracted HIV from a live donor.

 
    IJCP Special

Dr Good Dr Bad

Situation: A patient of diabetes was on rosiglitazone.
Dr. Bad: Continue to take it.
Dr. Good: Stop it.
Lesson: Due to accumulating evidence of increased cardiac risk, European Medicines agencies including the Drug Controller General of India (DCGI) have suspended the sale of rosiglitazone.

Make Sure

Situation: A patient of asthma worsened on aspirin.
Reaction: Oh my God! Why was history of allergy not taken?
Lesson: Make Sure that patients with asthma are not given aspirin without first asking a history of allergy.

 
    An Inspirational Story

(Dr GM Singh)

I asked for Strength…………And God gave me Difficulties to make me strong.
I asked for Wisdom…………And God gave me Problems to solve.
I asked for Prosperity…………And God gave me Brain and Brawn to work.
I asked for Courage…………And God gave me Danger to overcome.
I asked for Love…………And God gave me troubled people to help.
I asked for Favors…………And God gave me Opportunities.
I received nothing I wanted…………I received everything I needed!
Trust in God. Always!

 
    Infertility Update

(Dr. Kaberi Banerjee, Director Precious Baby Foundation)

What is artificial insemination with donor semen?

The alternative to ART for many couples, including those who fail ART, is artificial insemination with donor sperm. This time–tested method has a very high success rate in apparently normal female recipients: 50% pregnancy rate with six cycles of insemination. Children born from pregnancies resulting from donor insemination grow and develop normally, both physically and psychologically.

 
    Hepatology Update

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

How is Hepatitis B infection classified in children?

Children with chronic hepatitis B fall into 3 groups:

  • Symptomatic children with ongoing replication
  • Asymptomatic children with normal liver functions
  • Immunotolerant phase: where there is minimally abnormal liver functions with abnormal histopathology.
 
    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

Q. I am a 25–year–old female, I had a baby 3 months ago and subsequently thereafter had laparoscopic cholecystectomy. About 3 weeks after the surgery I noticed that the veins on the top part of my wrist started swelling. There was severe pain to touch and with any kind of movement, my hands would cramp and get numb. On touching one of the veins I can feel something in it but that one isn’t swollen but just painful, I’m starting to get worried. Is something wrong with me?

A. It is thrombophlebitis, you should get a venous Doppler done to see if there is any deep clotting or not.

 
    Medicolegal Update

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

Birth TraumaGiving birth is one of the most precious and exciting experiences of doctor.

  • 7,000 medication errors are made every year when a baby is injured because of the error of judgment of a doctor or nurse during the pregnancy, during the labor, or during delivery the consequences are usually devastating.
  • Birth injuries often result in cerebral palsy and mental impairments, conditions that place tremendous financial and emotional burdens on the entire family. There are a number of medical reasons which can lead to birth injuries, including:
    • Failure to diagnose and treat pre–eclampsia
    • Inadequate pre–natal care
    • Failure to diagnose and treat pregnancy induced diabetes
    • Failure to conduct adequate fetal well being assessments
    • Failure to continuous monitor vital signs during labor
    • Failure to diagnose fetal distress during labor
    • Failure to timely perform a cesarean section
    • Failure to treat umbilical cord compression during delivery
    • Failure to adequately resuscitate a depressed baby
    • Shoulder dystocia causing Erb’s Palsy
    • Improper use of forceps
    • Improper use of vacuum extractor

Birth injuries that prove fatal are some of the most serious and common cause of dissatisfaction for the patient. Wrongful death birth injuries typically arise because a poor decision is made or a detail is missed in the chaos of delivery means lack in attention to the baby heart monitor, tangled umbilical cord, hypoxia leading to brain death, and anesthesia or surgical errors in the act of giving birth

ijcpgroup
ijcpgroup
Docconnect
Docconnect
 
    Obesity Update

Dr. Parveen Bhatia and Dr. Pulkit Nandwani

Obesity in women – a life cycle of medical risk

Mature and ageing women

As women age, one sees the emergence of obesity–related chronic diseases, such as type 2 diabetes, hypertension and cardiovascular diseases. There is also increased risk for several of the major cancers. The increased risk for cancer associated with obesity was illustrated in the American Cancer Society study. Cancer in women showed significant trends of increasing risk with higher BMI for death from cancers of the breast, uterus, cervix and ovary.

Of concern in the elderly is the risk that obesity imposes for impaired cognitive function and Alzheimer’s disease, and the negative implications that obesity has in terms of life expectancy.

 
    Legal Question of the Day

(Dr M C Gupta, Advocate)

Q. A boy came to the casualty with stab wound. He did not consent to an MLC report being made. The injuries were noted by the doctor on duty. The police were duly informed. The boy was discharged. Later, the police asked the doctor to prepare a Medicolegal Injury Report on the regular MLR proforma on the basis of injuries described in the treatment file. Should the doctor do so even though the patient had not given consent for preparation of MLC?

Ans.

  • A patient is within his rights to withhold consent for treatment. He can also refuse to put his signatures or thumb impression upon the MLC document.
  • When the police starts the process of criminal investigation and, as a part of the investigative process, wants the help of a concerned person in investigation of the crime, it is the duty of that person to help the police. The question of the patient’s consent just does not arise here.
  • The doctor is duty bound here to give a proper MLC report to the police. For sake of clarity and avoiding confusion and for sake of abundant precaution, the doctor preparing the MLC report should make the following clear statements on the report itself:
    • Name of the initial examining/treating doctor and the date of examination/treatment
    • Date of discharge of the patient from the hospital
    • Date of the police request
    • Name of the doctor preparing the MLC report and the date of preparation
    • Basis of preparing the MLC report (It should be clearly mentioned here that the MLC was prepared on the basis of the medical record prepared in writing by the initial treating/examining doctor and that the patient has not been examined by the doctor preparing the MLC)
    • The reason why MLC was not prepared at the same time as when the patient was examined/treated for his injur
  • If possible, it would be better that the MLC is prepared and signed (or, at least, countersigned) by the same doctor who initially examined the patient.
 
    Mind Teaser

Read this…………………

Hi Way
Pass

Yesterday’s Mind Teaser: hea dac he

Answer for yesterday’s Mind Teaser: Splitting headache

Correct answers received from: Dr Susheela Gupta, Dr(Maj Gen.) Anil Bairaria, Dr K Raju, Dr Chandresh Jardosh, Dr Nandini Kapoor, Dr Rashmi Chhibber, Dr Neelam Nath, Dr Amol R Hartalkar, Dr Bina Sawhney

Answer for 20th March eQuiz: Correct answer is (4).
Correct answers received from: Dr Shivam

Send your answer to ijcp12@gmail.com

 
    Lighter Side of Reading

Laugh a While
(Dr G M Singh)

Law of Bio mechanics
The severity of the itch is inversely proportional to the reach.

 
    Useful Website

(Dr Surendernikhil Gupta)

KidSurvival

Efficacy Of Malaria Vaccine

http://www.childsurvival.net/?content=com_articles&artid=343

 
    Lab Update

(Dr Arpan Gandhi and Dr Navin Dang)

Red Blood Cell count

The RBC count is most useful as raw data for calculation of the erythrocyte indices MCV and MCH.

  • Decreased RBC is usually seen in anemia of any cause with the possible exception of thalassemia minor, where a mild or borderline anemia is seen with a high or borderline–high RBC.
  • Increased RBC is seen in erythrocytotic states, whether absolute (polycythemia vera, erythrocytosis of chronic hypoxia) or relative (dehydration, stress polycythemia), and in thalassemia minor.
 
    Medi Finance Update

Balance Funds

The benefit of a balanced fund is that it provides automatic diversification by investing in a variety of asset classes and thereby reduces the risk of one asset class performing poorly. Balanced funds tend to be more risky than bond funds and less risky than equity fund

 
    Drug Update

List of approved drugs from 01.01.2010 to 31.8.2010

Drug Name
Indication
DCI Approval Date
Tofisopam uncoated tablet JP 50/100mg
For the treatment of anxiety and depression.
13/04/2010
 
    IMSA Update

International Medical Science Academy (IMSA) Update

Pediatric fluid therapy

In a prospective multicentre observational post–authorization safety study, a novel isotonic–balanced electrolyte solution with 1% glucose helped to avoid perioperative acid–base imbalance, hyponatremia, hyperglycemia, and ketoacidosis in infants and toddlers and may therefore enhance patient safety.

(Dr Vinay Sakhuja)

Latin Quotes

Absentem laedit, cum ebrio qui litigat. – Publius Syrus

To quarrel with a drunk is to wrong a man who is not even there.

 
  Quote of the Day

(Dr GM Singh)

If you want to be successful, it’s just this simple: Know what you’re doing. Love what you’re doing. And believe in what you’re doing. Will Rogers

 
    Readers Responses

Dear editor and the entire team of eMedinewS, post Holi there are no regular newspapers on our doorsteps…but eMedinewS was delivered as it is on everyday. For me this is the inspiration (story) of the day. Keep it up. Regards: Dr Neelam Nath

 
    Public Forum

(Press Release for use by the newspapers)

Guidelines to control hypertension

As per the guidelines of the American Heart Association published in the journal Hypertension, in patients with resistant hypertension, the blood pressure remains above the target level despite taking three medications to lower it. High blood pressure that is under control but requires four or more medications to treat it, is also considered resistant to treatment.

As many as 25 to 30% people with high blood pressure may have resistant hypertension in India said Dr KK Aggarwal Padma Shri and Dr BC Roy National Awardee and President, Heart Care Foundation of India.

Older age and obesity are two major risk factors for the condition. People with resistant hypertension have a high cardiovascular risk.

Successful treatment of resistant hypertension requires consideration of lifestyle factors, diagnosing and treating secondary causes, and using multiple drug treatments effectively.

Lifestyle factors include weight, salt intake and alcohol consumption.

  1. Losing weight can lower blood pressure and reduce the number of medications needed to control blood pressure.
  2. Reducing salt intake can lower blood pressure.
  3. Reducing alcohol consumption can help lower blood pressure.

Health conditions that can contribute to resistant hypertension include: obstructive sleep apnea, renal parenchymal disease, primary aldosteronism and renal artery stenosis. Treating these conditions may improve blood pressure control.

Drugs that increase blood pressure, such as non–steroidal anti–inflammatory drugs (NSAIDs), should be reduced or halted, if possible, in patients with resistant hypertension.

Diuretics are often underused in people with resistant hypertension. Patients may benefit from adding mineralocorticoid receptor antagonists (MRAs) to their treatment regimens. MRAs treat primary aldosteronism, which is found in about 20 percent of people with resistant hypertension.

 
    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
 
    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. Course Director: Dr. J. Maheshwari, Knee & Shoulder Clinic. Faculty includes knee surgeons from Switzerland, Austria, Singapore and US, in addition to experienced Indian surgeons. Contact 9717133885, 9811109833.

………………………………………………………………

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 Bahadur 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

………………………………………………………………

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

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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