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 …

25th 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

Expert committee labels popular drugs as irrational

A few days back, The Times of India and many other newspapers carried a story that as per a high level expert group appointed by the Prime Minister on Universal Health Coverage, many of the popular drugs in the market are irrational, needless or useless. The interim report submitted to the Planning Commission has said that the drugs like Combiflam, Digene, Becosules, Corex, Phensedyl and Liv 52 are irrational analgesic combinations, needless antacids, irrational cough mixtures, and irrational vitamin combinations. These six drugs have cumulative sales figure of nearly Rs. 588 crores.

I was recently asked to comment on this report by Star TV. Before giving my comments, I wanted to see a copy of the report but the same was not available to me. I ended up giving my comments on the basis of reports as mentioned by the media.

I personally feel that unless one sees the actual report it is difficult to comment on the validity of the above statement as no committee with medical doctors on it will ever comment on specific brand names. Names like Combiflam, Digene, Becosules have ingredients in combination that are also available in the market with other brand names. Therefore, it is not in the interest of any justice that the committee can name a particular brand or brands. The correct statement could have been on the generic combination and not on the particular brand name.

We have Digene and Gelusil with similar combination; Becosules and Surbex T with the same combination and we have Combiflam and many other brand names with the similar combination of paracetamol and ibuprofen etc.

The committee, we hope, commented on the irrational use of drugs and not on the irrational constituents of the drug. All the above drugs are OTC drugs and one can appreciate that many of these may be misused or irrationally used.

Medically, we know that drugs like Digene cannot be withdrawn from the market as for acute symptomatic relief of heartburn; it is still the drug of choice for immediate relief. We do agree that Becosules offers no value in a person without any nutritional deficiency but in persons with vitamin B deficiency, Becosules and like drugs will still be the drug of choice.Talking specifically about drugs like Corex and Phensedyl and not other brands is difficult to understand. Are they different?

It is also beyond our understanding as to how a committee without an Ayurveda doctor (not mentioned in the media reports) on its board as member has commented on a drug like Liv 52, which is purely an Ayurvedic preparation. Only Ayurvedic exerts are authorized to state whether Liv 52 is an irrational drug or rational drug. I looked up Liv 52 in Pubmed–Medline and found 65 references in allopathic literature which talk about the medicinal use of Liv 52.

I personally feel that we should read the report in detail and re–comment on the intent of the committee.

Kindly note that these are only my personal views, based on what has transpired through the media reports and not written with any intention to hurt the sentiments of any of the committee members.

Dr KK Aggarwal
Editor in Chief
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  eMedinewS Audio PostCard

 Pediatric Echo

Dr Savitri Srivastava Speaks on
‘Case study – Infradiaphragmatic total anomalous pulmonary venous connection (TAPVC)’

Audio PostCard
 
    Photo Feature (From HCFI Photo Gallery)

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

Large number of doctors took active participation in the recently concluded Medifinance Conference organized at Auditorium, Delhi TB Association, Lodhi Road, New Delhi on 13th March 2011.

 
Dr K K Aggarwal
 
    National News

Electroshocks for mentally ill patients to be banned

The pre–Independence direct electro–convulsive therapy (ECT) — generally known as electroshock — used to treat mentally ill patients, may soon be banned in India. Recommended for patients with severe depression who do not respond to other treatments, the therapy — if necessary — would be given only under the "influence of anesthesia". Introduced in 1940, the ECT is a psychiatric treatment in which seizures are electrically induced in patients for therapeutic effect. The Union Health Ministry, which on Tuesday held consultations with state government officials, doctors and administrators involved in the administration of the District Mental Health Programme to give final shape to the proposed Mental Health Care Bill, 2010, decided to do away with direct ECT. "Even though the Health Ministry recommended a ban on the whole procedure, psychiatrists felt it should be allowed under anesthesia as in some cases it is a life–saving exercise," said a senior official. (Source: Indian Express, Mar 23, 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 )

Resistance exercise is comparable to blood pressure medication

The American Heart Association recently claimed that over 74.5 million U.S. adults have been diagnosed with high blood pressure, also known as hypertension, a physical condition that can lead to heart attack, stroke, kidney failure and arterial aneurisms, among other medical complications. Patients with hypertension have often been advised by doctors to participate in aerobic exercise to lower blood pressure. However, new data published in the Journal of Strength and Conditioning Research show that strength training is comparable to aerobic exercise, if not better. Authors conclude that the results of the study show that strength training may even be more effective than some forms of prescription drug therapy.

(Dr Monica and Brahm Vasudev)

Linagliptin shows promise for controlling glucose levels in type 2 diabetes

According to a study published online in the journal Diabetes, Obesity and Metabolism, the dipeptidyl peptidase–4 (DPP–4) inhibitor linagliptin has shown promise for controlling glucose levels in patients with type 2 diabetes.

Elderly patients with mild hyponatremia may have increased risk for non–vertebral fractures

Elderly men and women with mild hyponatremia have an increased risk for sustaining non–vertebral fractures, relative to those with normal serum sodium levels, according to a study in the Journal of Bone and Mineral Research.

Combined radiation, tamoxifen treatment in early–stage breast cancer may prevent future risk

Treating early breast cancers with radiation and drugs, in addition to removing part of the breast itself, significantly decreases the risk of developing a more invasive form of cancer years later, according to a study in the Journal of the National Cancer Institute.

 
    IJCP Special

Dr Good Dr Bad

Situation: A patient of asthma was put on tiotropium.
Dr. Bad: Stop it.
Dr. Good: Continue it.
Lesson: The addition on tiotropium to low–dose, inhaled steroids has been shown to improve asthma control in many studies.

Make Sure

Situation: A patient after sublingual nitrate developed fainting attack.
Reaction: Oh my God! Why was the systolic murmur missed on auscultation?
Lesson: Make sure that patient with left ventricular outflow tract (LVOT) obstruction are not given sublingual nitrates.

 
    An Inspirational Story

(Vivek Kumar)

10 things to learn from Japan

  1. THE CALM. Not a single visual of chest–beating or wild grief. Sorrow itself has been elevated.
  2. THE DIGNITY. Disciplined queues for water and groceries. Not a rough word or a crude gesture.
  3. THE ABILITY. The incredible architects, for instance. Buildings swayed but didn’t fall.
  4. THE GRACE. People bought only what they needed for the present, so everybody could get something.
  5. THE ORDER. No looting in shops. No honking and no overtaking on the roads. Just understanding.
  6. THE SACRIFICE. Fifty workers stayed back to pump sea water in the N–reactors. How will they ever be repaid?
  7. THE TENDERNESS. Restaurants cut prices. An unguarded ATM is left alone. The strong cared for the weak.
  8. THE TRAINING. The old and the children, everyone knew exactly what to do. And they did just that.
  9. THE MEDIA. They showed magnificent restraint in the bulletins. No silly reporters. Only calm reportage.
  10. THE CONSCIENCE. When the power went off in a store, people put things back on the shelves and left quietly
 
    Infertility Update

(Dr. Kaberi Banerjee, Director Precious Baby Foundation)

What is a typical IVF calendar ?

The sequence of events depends on the treatment protocol that has been planned for you. Usually OPD–based injections are started on Day 20 of previous menses, further gonadotrophins with follicular monitoring and blood tests start from 2nd day of menses for about 10 days. You may need daycare admission for oocyte retrieval as you will be administered anesthesia. Two days later you will come back for Embryo transfer which is an OPD USG–guided procedure. In a different protocol, stimulation starts from Day 2/3 of period and collection is done around day 15 after 10–12 days of stimulation.

 
    Hepatology Update

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

What are the routes of infection of Hepatitis C?

  • Parenteral spread accounts for the majority of cases. Shared needles/syringes, contaminated blood or blood products (pre–1990s).
  • Sexual transmission occurs at a low rate (approximately 0.2 – 2% per year of relationship). Rate increases if the index patient and/or the recipient or both are HIV infected.
  • Vertical (mother to infant) spread also occurs at a low rate (5% or less) in HCV–RNA positive women. Higher rates (up to 40%) are seen if the woman is both HIV and HCV positive.

In children with vertically acquired HCV infection, spontaneous HCV clearance rates vary from 0% to 25% in a time frame ranging from 2 to 7 years. Children with transfusion–acquired infection may have higher rates of spontaneous HCV clearance.

 
    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

I have been told by 2 doctors that I have a damaged valve in my right leg and one doctor said the blood is not flowing back to my heart and that this could cause leg ulcerations and that I needed to have the laser surgery to seal off the vein. I had to go to another doctor because of insurance reasons and he said there are worse cases than mine and people live with this all the time. He did agree that the valve was damaged and the blood was not flowing. I want to have something done because the varicose vein and spider veins are taking over my whole calf and started up my leg.

My question to you is, is it correct that if something is not done then ulcerations and discoloration of my ankle and lower leg can occur? And after the laser procedure can you get the injections to take away the spider veins?

Ans. You need to get endovenous laser ablation therapy done for this problem of varicose veins. Not getting the procedure done may worsen the problem and can cause further non–healing ulcers. Major part of the problem will be cured by the laser procedure. The remaining veins (if any at all) can be treated by sclerotherapy after the laser.

 
ijcpgroup
ijcpgroup
ijcpgroup
Docconnect
 
    Medicolegal Update

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

What is panic disorder?

Panic disorder is a condition of vulnerability to stress with repeated sudden attack of panic with sustained anxiety and recurrence of panic.

  • This is a period of distress and apprehension, with somatic symptoms of feeling of choking, breathing trouble, trembling with a fearful feeling that he may go insane or may even die.
  • The attack may last for a few seconds to a few hours; usually the peak of distress is felt by about 10 minutes after starting.
  • Recurrence is also sudden, it can be said to be a part of anxiety, phobia and stress disorder syndrome
  • It is treated by Psychotherapy, and encouraging thoughts to be free from anxiety and Benzodiazepines group of drugs.
 
    Obesity Update

Dr. Parveen Bhatia and Dr. Pulkit Nandwani

Obesity and pregnancy: complications

Complications of delivery

There is a higher frequency of induction of labor in obese women than in normal–weight women, whereas the duration of labor and the percentage of instrumental deliveries are also increased. The rate of cesarean deliveries in obese women is consistently higher, with a 1.15– to 3.0–fold increase over the rates in control groups. Each 1–unit increase in pregravid BMI increases the risk of cesarean delivery by 7%. Prepartum complications of obesity largely account for this higher cesarean delivery rate. Reasons reported for surgery generally include macrosomia–associated cephalopelvic dysproportion, fetal distress, and stagnation of induced labor. Anesthetic and postoperative risks are also high in obese patients, and massive obesity increases perioperative total operative time, blood loss, and endometritis.

 
    Rabies Update

Dr AK Gupta, Author of "RABIES - the worst death"

Can rabies vaccine be given to a pregnant woman?

Following animal bite, rabies vaccine can be given to a pregnant woman. Medical termination of pregnancy should not be done as a routine clinical practice.

Can a pregnant woman be given pre-exposure vaccination?

Although no teratogenicity or other adverse effects are reported with modern rabies vaccines, pre-exposure vaccination should be avoided in pregnant woman.

 
    Mind Teaser

Read this…………………

le
      vel

Yesterday’s Mind Teaser: pPPod
Answer for yesterday’s Mind Teaser:
Two peas in a pod

Correct answers received from: Dr Riyazul Qamar Khan, Dr Rashmi Chhibber, Dr Neelam Nath, Dr Anil Bairaria, Dr Y J Vasavada, Dr Susheela Gupta, Dr Shubhalaxmi Margekar

Answer for 23rd March Mind Teaser: Income tax.
Correct answers received from: Dr Susheela Gupta, Dr S Upadhyaya, Dr YJ Vasavada, Dr KP Rajalakshmi, Dr Nandini Kapoor, Dr Jainendra Upadhyay

Send your answer to ijcp12@gmail.com

 
    Lighter Side of Reading

Laugh a While
(Dr GM Singh)

Whiskey

An angry wife was complaining about her husband spending so much of his free time in the local bar, so one night he took her along with him. "What’ll you have?" he asked. "Oh, I don’t know. The same as you I suppose," she replied. So, the husband ordered a couple of Jack Daniel’s and threw his down in one shot. His wife watched him, then took a sip from her glass and immediately spit it out. "Yuck, that’s TERRIBLE!" she spluttered. "I don’t know how you can drink this stuff!" "Well, there you go," cried the husband. "And you think I’m out enjoying myself every night!"

 
    Useful Website

(Dr Surendernikhil Gupta)

KidSurvival

Cervical Human Papillomavirus Prevalence Over 5 Continents

http://www.childsurvival.net/?content=com_articles&artid=336

 
    Lab Update

(Dr Arpan Gandhi and Dr Navin Dang)

Potassium

  • Increase in serum potassium is seen in states characterized by excess destruction of cells, with redistribution of K+ from the intra– to the extracellular compartment, as in massive hemolysis, crush injuries, hyperkinetic activity, and malignant hyperpyrexia. Decreased renal K+ excretion is seen in acute renal failure, some cases of chronic renal failure, Addison’s disease, and other sodium–depleted states. Hyperkalemia due to pure excess of K+ intake is usually iatrogenic.
    Spurious hyperkalemia can be seen when a patient exercises his/her arm with the tourniquet in place prior to venipuncture. Hemolysis and marked thrombocytosis may cause false elevations of serum K+ as well. Failure to promptly separate serum from cells in a clot tube is a notorious source of falsely elevated potassium.
  • Decrease in serum potassium is seen usually in states characterized by excess K+ loss, such as in vomiting, diarrhea, villous adenoma of the colorectum, certain renal tubular defects, hypercorticoidism, etc. Redistribution hypokalemia is seen in glucose/insulin therapy, alkalosis (where serum K+ is lost into cells and into urine), and familial periodic paralysis.
 
    Medi Finance Update

(Dr GM Singh)

What is TDS?

It is the amount withheld from payments of various kinds such as salary, contract payment, commission, professional fees, etc. This withheld amount can be adjusted against your tax due. It is primarily for better tax administration that taxes are deducted at the time of payment to the recipient of taxable income. They are similar to prepaid taxes, credit for which can be claimed while filing Return of Income.

 
    Drug Update

List of approved drugs from 01.01.2010 to 31.8.2010

Drug Name
Indication
DCI Approval Date
Prasugrel (as Hydrochloride) film coated tablet 5mg/10mg.
To reduce the rate of thrombotic cardiovascular (CV) events (including stent thrombosis) in patients with acute coronary syndrome (ACS) who are to be managed with percutaneous coronary intervention (PCI) as follows:
• Patients with unstable angina (UA) or non–ST–elevation myocardial infarction (NSTEMI).
• Patients with ST–elevation myocardial infarction (STEMI) when managed with primary or delayed PCI.
13/04/2010
 
    IMSA Update

International Medical Science Academy (IMSA) Update

Safety guidelines for atypical antipsychotic medications in children

With exception of using risperidone (i.e., for the management of irritability associated with Autism, manic and mixed episodes associated with Bipolar I Disorder, and Schizophrenia) and aripiprazole (i.e., for manic and mixed episodes associated with Bipolar I Disorder and Schizophrenia), the Food and Drug Administration (FDA) has not approved the use of AAMs in children and adolescents.

 
  Quote of the Day

(By Dr GM Singh)

If you have zest and enthusiasm you attract zest and enthusiasm. Life does give back in kind. Norman Vincent Peale

 
    Readers Responses

Dear Colleagues, The explanation provided about an obsession being an idea such as "bolting the door and then checking it again and again" is not right. The example given is that of a compulsion. An obsession is a thought, idea or image that repetitively intrudes into one’s mind, is identified as one’s own, causes distress and/or impairment and the person is unable to reasonably stop it. A compulsion is an act or a ritual (sequence of acts) that is one’s own, causes distress or impairment and the person is unable to reasonably stop it. Thanks, Dr Maneesh Gupta.

eMedinewS responds: The term obsession refers to images, ideas, or words that force themselves into the subject’s consciousness against their will, and which momentarily deprive them of the ability to think and sometimes even to act. Compulsion assumes a much broader and more meaningful in place of obsession neurosis. (Dr Sudhir Gupta)

 
    Public Forum

(Press Release for use by the newspapers)

HCFI cautions India for new challenges in this year

The world is going to face new challenges especially India, said Dr. K.K. Aggarwal Padma Shri and Dr BC Roy National Awardee and President, Heart Care Foundation of India.

  1. Pot Belly Obesity: Urban India, including Delhi, is now facing an epidemic of obesity and normal weight obesity. This problem is going to be our main concern in the coming years. The Pot Belly Obesity is characterized by selective increase in abdominal girth, which makes people prone for liver damage, heart blockages, diabetes and future paralysis. The culprit is eating refined carbohydrates including white rice, white maida, white sugar and not exercising. The disease is not only affecting adults, but is growing like a wild fire among adolescents and young college students.
  2. Multiple drug resistant diseases: This is going to be a big challenge in the coming years. The diseases involved are Typhoid, Tuberculosis, Malaria and AIDS. The treatment cost of non MDR TB varies between Rs.1,000/– to Rs. 2,000/– but that of multiple drug resistant TB may add up to lakhs. The same is true for HIV/AIDS. A simple treatment of Malaria today costs less than Rs.100 but that of drug resistant Malaria may cost Rs.1,000/–. It is high time steps are taken to stop drug resistance or the country will have to pay the price for the same. The current patent laws prohibit the Indian Pharma companies from making cheaper drugs.
  3. BRMS to start in India: If passed by the Union Health Ministry, India may soon have parallel medical courses called Bachelor of Rural Medicine and Surgery. 2,500 such doctors will be produced in the next two years in various district hospitals. They will be selected from notified rural areas with a population of less than 10000 and will be allowed to practice only in that area. They will not be allowed any Post Graduation nor will they be allowed to go outside India. Will this solve the problem of not having doctors in rural areas? Only time will tell.
 
    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
 
    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 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

………………………………………………………………

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,