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  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

 

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  Editorial …

27th November 2011, Sunday

Annual CSI Delhi Proceedings 26th November

Take Home Messages

  1. Col C P Roy: Stains are safe. The concern about them causing diabetes is of no concern.
  2. Dr Rakesh Yadav: Venous grafts will lose 10% in the first month, another 10% in the firth year and then 2% every year. Bare stents are good enough for graft stenosis.
  3. Dr Sanjiv Sharma: For coronaries angiogram: look for anatomy (origin, course, termination); luminal abnormality; lesion and consequences on LV.
  4. Dr Sanjiv Sharma: all views are not required in coronary angiogram. LA caudal view gives maximum radiation.
  5. Dr Sanjiv Sharma: Never use le than 30 ml contrast in LV angiogram
  6. Dr R Juneja: Lead 2 is the best lead to study electro physiology
  7. Dr R Juneja: Left axis deviation with RBBB has to be ventricular tachycardia
  8. Dr R Juneja: MI with RVOT tachycardia is not due to MI
  9. Dr R Juneja: Do not send cases with bradycardia for EP studies.
  10. Dr S S Kothari: BP of 130 mmHg rules out constrictive Pericarditis is not true.
  11. Dr S S Kothari: BP of > 15 mmHg systolic rules out AS is not true
  12. Dr S S Kothari: Any amount of gradient in mitral valve is abnormal
  13. Dr Rajnish Sardanna: Dronedarone is a class III antiarrhythmic agent that may be considered for the maintenance of sinus rhythm in patients with atrial fibrillation (AF).
  14. Dr Rajnish Sardanna: Dronedarone has many electrophysiological properties in common with amiodarone, including its antiadrenergic (ie, beta blocking) properties and the ability to inhibit multiple transmembrane potassium, sodium, and calcium currents.
  15. Dr Rajnish Sardanna: In contrast to amiodarone, which has an effective half-life of up to 50 days, dronedarone has a half-life of approximately 24 hours.
  16. Dr Rajnish Sardanna: Because of its hepatic metabolism, there are numerous potential drug interactions with dronedarone. Concomitant use of dronedarone with some medications (eg, ketoconazole, class I antiarrhythmic drugs) is contraindicated, while its use with other medications (eg, digoxin,warfarin, statins) may require dose adjustment.
  17. Dr Rajnish Sardanna: Trials have shown that dronedarone is more effective than placebo but less effective than amiodarone for the maintenance of sinus rhythm in patients with AF. However, dronedarone may be preferred in certain patient populations.
  18. Dr Rajnish Sardanna: Dronedarone (400 mg twice daily) is used for the maintenance of sinus rhythm in patients with paroxysmal or persistent AF or atrial flutter and no evidence of heart failure or left ventricular systolic function who have spontaneously reverted to sinus rhythm or in whom cardioversion is planned.
  19. Dr Rajnish Sardanna: Dronedarone should NOT be prescribed exclusively as a rate control medication and the results of the PALLAS trial, which demonstrated an increase in cardiovascular mortality when dronedarone was used solely as a rate controlling agent.
  20. Dr Rajnish Sardanna: Dronedarone is only rarely effective for the chemical cardioversion of AF or atrial flutter to sinus rhythm (less than 10 percent of patients). As such, dronedarone should NOT be used for this purpose.
  21. Dr Rajnish Sardanna: FDA warning has been issued in 14.1.11 and 21.7 11
  22. Dr A K Omar: Early initiation of dual antiplatelet therapy with aspirin and either a P2Y12 receptor blocker or GP IIb/IIIa inhibitor helps in all patients with non-ST elevation ACS, whether they are managed by a conservative or an invasive strategy.
  23. Dr A K Omar: For all patients with non-ST elevation ACS, give dual anti platelet therapy with aspirin 300mg and a P2Y12 receptor blocker.
  24. Dr A K Omar: The loading dose for ticagrelor is 180 mg, for prasugrel 60 mg, and for clopidogrel 300-600 mg.
  25. Dr A K Omar: For those patients with a history of gastrointestinal bleeding, drugs which reduce the risk of recurrent bleeding (eg, proton pump inhibitors) should be given.
  26. Dr A K Omar: For those patients scheduled for an early invasive approach, we recommend giving either ticagrelor (at presentation) or prasugrel (with definition of coronary anatomy), as opposed to clopidogrel
  27. Dr A K Omar: For those patients who are managed with a delayed invasive approach (coronary angiography after four hours), start ticagrelor (at presentation) instead of clopidogrel and suggest ticagrelor instead of prasugrel (with definition of coronary anatomy)
  28. Dr A K Omar: For those patients managed without an invasive approach (conservative approach), start ticagrelor as opposed to clopidogrel
  29. Dr A K Omar: Give indefinite aspirin for all patients with non-ST elevation acute coronary syndromes
  30. Dr A K Omar: Give clopidogrel (75 mg/day) or prasugrel (10 mg for patients ≥60 kg) or ticagrelor 90 mg twice daily for at least one year in all patients with non-ST elevation ACS
  31. Dr Subhash Chandra: Apixaban or rivaroxaban in atrial fibrillation — Apixaban and rivaroxaban are two newer oral anticoagulants that do not require laboratory monitoring. In two randomized trials in patients with atrial fibrillation that compared one of these drugs to warfarin, ARISTOTLE and ROCKET-AF, apixaban and rivaroxaban (respectively) met the criteria for non-inferiority for the lowering of the risk of stroke and systemic embolization. Based on these two trials, and the results of the older RE-LY trial of dabigatran, one should sue a direct thrombin inhibitor or a factor Xa inhibitor rather than warfarin in patients with atrial fibrillation who require anticoagulation.
  32. Dr Sandeep Bansal: The World Health Organization (WHO) classifies patients with pulmonary hypertension (PH) into five groups based upon etiology. Patients in the first group are considered to have pulmonary arterial hypertension (PAH), whereas patients in the remaining four groups are considered to have PH
  33. Dr Sandeep Bansal: Vasoreactivity test — It is recommended that patients with group 1 PAH undergo a vasoreactivity test. This involves the administration of a short-acting vasodilator and then measurement of the hemodynamic response using a right heart catheter. Agents commonly used for vasoreactivity testing include epoprostenol, adenosine, and inhaled nitric oxide:
    Epoprostenol is infused at a starting rate of 1 to 2 ng/kg per min and increased by 2 ng/kg per min every 5 to 10 minutes until a clinically significant fall in blood pressure, an increase in heart rate, or adverse symptoms (nausea, vomiting, headache) develop.
    Adenosine is administered intravenously in doses of 50 mcg/kg per min and increased every two minutes until uncomfortable symptoms develop or a maximal dose of 200 to 350 mcg/kg per min is reached.
    Inhaled nitric oxide administered at 10 to 20 ppm is selective for the pulmonary vasculature.
    An acute vasoreactivity test is considered positive if mean pulmonary artery pressure decreases at least 10 mmHg and to a value less than 40 mmHg, with an increased or unchanged cardiac output, and a minimally reduced or unchanged systemic blood pressure. Patients with a positive vasoreactivity test are candidates for a trial of CCB therapy with a dihydropyridine or diltiazem.
  34. Dr Praveen Chandra: A number of newer medical and invasive therapies have been evaluated for use in patients with stable angina. Of these, only ranolazine, a late sodium channel blocker, has been approved for clinical use and its role is evolving
  35. Dr Praveen Chandra: Ranolazine can be used as an option for angina patients who have failed all other anti anginal therapies. The initial dose of ranolazine is 500 mg twice daily. For patients who remain symptomatic, 1000 mg twice daily may be used.
  36. Dr Praveen Chandra: Ivabridine is a novel agent that acts specifically on the sinus node ionic channels to slow the heart rate. There is no effect on blood pressure, conduction, or cardiac contractility. This results in isolated slowing of the pulse and consequent improvement in angina threshold without the side effect of depression, cardiac function, or potentially increasing atrio-ventricular block
  37. Dr Praveen Chandra: Stable angina pectoris, or stable angina, refers to chest discomfort that occurs predictably and reproducibly at a certain level of exertion and is relieved with rest or nitroglycerin.
  38. Dr Praveen Chandra: The goals of treatment of stable angina involve therapies to prevent/minimize ischemia and to improve survival. These goals can be achieved with a variety of modalities including medical therapy, non pharmacologic and lifestyle measures, and revascularization with either percutaneous coronary intervention (PCI) or coronary artery bypass graft surgery (CABG).
  39. Dr Praveen Chandra: In chronic stable angina there are two primary indications for coronary angiography followed by revascularization of appropriate lesions: Angina that significantly interferes with a patient's lifestyle despite maximal tolerable medical therapy and patients with high-risk criteria and selected patients with intermediate-risk criteria on noninvasive testing, regardless of anginal severity.
  40. Dr Praveen Chandra: Revascularization is performed in appropriate patients in whom angiography reveals anatomy for which revascularization has a proven benefit or in whom medical therapy has failed.
  41. Dr Praveen Chandra: The choice between PCI and CABG is based upon anatomy and other factors such as left ventricular function and the presence or absence of diabetes. With the availability of drug-eluting stents, PCI is increasingly performed for most lesions.
  42. Dr U Kaul: Prospective trials have demonstrated that fibrinolytic therapy is not beneficial in patients with a non-ST elevation ACS
  43. Dr U Kaul: TIMI risk score: Outcome in patients with unstable angina or an NSTEMI; a value of one was assigned when a factor was present and 0 when it was absent.

    • Age ≥65 years
    • Presence of at least three risk factors for CHD (hypertension, diabetes, dyslipidemia, smoking, or positive family history of early MI)
    • Prior coronary stenosis of ≥50 percent
    • Presence of ST segment deviation on admission ECG
    • At least two anginal episodes in prior 24 hours
    • Elevated serum cardiac biomarkers
    • Use of aspirin in prior seven days (which is probably a marker for more severe coronary disease)
    Patients are considered to be at low risk with a score of 0 to 1; intermediate risk with a score of 2 to 3; and high risk with a score of 4 to 7.
  44. Dr U Kaul: Bad prognosis markers: St depression, positive troponin and low estimated GFR
  45. Dr U Kaul: In angina there are three presentations of angina that suggest an acute coronary syndrome (ACS):Rest angina, which is usually more than 20 minutes in duration; New onset angina that markedly limits physical activity and Increasing angina that is more frequent, longer in duration, or occurs with less exertion than previous angina
  46. Dr U Kaul: UA and NSTEMI differ primarily in whether the ischemia is severe enough to cause sufficient myocardial damage to release detectable quantities of a marker of myocardial injury (troponins): UA is considered to be present in patients with ischemic symptoms suggestive of an ACS and no elevation in troponins. NSTEMI is considered to be present in patients having the same manifestations as those in UA, but in whom an elevation in troponins is present
  47. Dr U kaul: Since an elevation in troponins may not be detectable for hours after presentation, UA and NSTEMI are frequently indistinguishable at initial evaluation. As a consequence, initial management is the same for these two syndromes.
  48. Dr U Kaul: The 2007 ACC/AHA guidelines has concluded that anticoagulant therapy should be added to anti platelet therapy in most patients with ACS
  49. Dr U Kaul: For patients managed with an invasive approach, UFH, enoxaparin, bivalirudin, and fondaparinux all have established efficacy.
  50. Dr U Kaul: For patients managed with a conservative strategy, enoxaparin, UFH, or fondaparinux are recommended. Fondaparinux is better.

For More editorials…

Dr KK Aggarwal
Group Editor in Chief

 
  eMedinewS Audio PostCard

Stay Tuned with Padma Shri and Dr BC Roy National Awardee Dr KK Aggarwal on

Staggered overdose of paracetamol
may be fatal

Audio PostCard
 
    Photo Feature (from the HCFI Photo Gallery)

18th MTNL Perfect Health Mela 2011–Medico Masti– An Inter College Health Festival at Perfect Health Mela

Infotainment is a new concept of creating health education where education is inter linked with entertainment.

 
Dr K K Aggarwal
 
    National News

New found bacteria get Indian nomenclatures

Indibacter Alkaliphilus, Pedobacter Himalayensis, Bacillus Aryabhattai, Sphingobacterium Antarcticus — don’t get intimidated by the high–sounding scientific names. If you notice closely, many of them are associated with India. Named in honour of the country, the imposing Himalayas, Aryabhatta and the icy continent of Antarctica, these are among the 70 bacteria discovered from diverse habitats ranging from the cold regions of Antarctica, Arctic, stratosphere and ancient Lonar lake (in Maharashtra) that was formed when a meteorite hit the earth millions of years ago and the deep sea. Led by Dr. S. Shivaji, Director-grade scientist from the Centre for Cellular and Molecular Biology (CCMB), the researchers have discovered these bacteria over the past decade, including five this year. (Source: http://www.thehindu.com/news/national/article2622358.ece, November 13, 2011)

For comments and archives

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

Change screening attitudes, cancer researcher says

The time has come for a fundamental shift in attitude toward cancer screening, with greater emphasis on providing the public with information about absolute risks and the potential for harm associated with screening, according to a behavioral oncology researcher. (Source: Medpage Today)

For comments and archives

PE risk high in autoimmune diseases

Patients with any type of autoimmune disease are at a significantly increased risk of developing pulmonary embolism (PE), Swedish researchers said. (Source: Medpage Today)

For comments and archives

Oral antibiotics for acne increase pharyngitis risk

Oral antibiotics for acne might be associated with an increased likelihood of pharyngitis, according to new research. (Source: Medscape Medical News)

For comments and archives

Daily asthma Tx not needed for wheezing tots

Intermittent inhaled corticosteroids may be as good as daily dosing at preventing asthma attacks in toddlers with wheezing episodes, but with lower long–term exposure, a randomized trial determined. (Source: Medpage Today)

For comments and archives

 
    Twitter of the Day

@DrKKAggarwal: Carotid neck ultrasound the only way to check regression of heart blockages http://blog.kkaggarwal.com/2011/11/23/carotid–neck–ultrasound–the–only–way
–to–check–regression–of–heart–blockages/kkaggarwal.com/2011/11/23/car…

@DeepakChopra: #CosmicConsciousness To wake up from the dream that all are dreaming you must shift your attention from the scenery to the seer.

 
    Spiritual Update

(Dr KK Aggarwal, Group Editor in Chief, IJCP Group of Publications and eMedinews)

What is the Spiritual Significance of Wedding Games?

Any wedding is a beginning of new life with new people and new kind of environment. Wedding games are one way of knowing and getting acquainted with each other in the shortest period of time. Many wedding games are played during and immediately after the marriage. The purpose of such games is to break the ice between the couple and their family, friends and relations.

For comments and archives

 
    An Inspirational Story

(Ms Ritu Sinha)

Stay true to your goals

A personal goal or personal goals are yours – they are what you want, not what others want for you. Believe in yourself – you can do anything. See what Jacquie has to say.

The key to being happy is to respect your desire to make your life better by your own choices–even if and, especially when others ridicule them. Do not let the ignorance or the short–sightedness of others redirect your life's goal.

Everyone has their own path to follow–their own map for the future. The key is to understand everyone is different and to respect their goals as well as your own.

Do not accept behavior that goes against your beliefs or wishes, and do not accept behavior from friends, family, or a spouse that you wouldn’t accept from a stranger.

Be true to yourself. Stand firm. And, do not postpone your dreams or wishes to please someone else’s idea of what it should be…

For comments and archives

 
    Cardiology eMedinewS

(Dr KK Aggarwal, Group Editor in Chief, IJCP Group of Publications and eMedinews)

CSI News

Do not ignore high TLC in AMI

For comments and archives

Metabolic syndrome and STEMI

For comments and archives

Do not ignore early morning BP surge

For comments and archives

New trends in infective endocarditis in India

For comments and archives

 
    Fitness Update

(Contributed by Rajat Bhatnagar, International Sports & Fitness Distribution, LLC, http://www.isfdistribution.com)

Exercise and depression: An update

Many studies show that exercise can remedy anxiety and depression in elderly populations. However, no studies have been conducted over a long period of time, and there is no research showing whether regular exercise is needed to maintain an antidepressant effect. Swedish researchers conducted a study because they wanted to get a better idea of whether change in physical activity is associated with change in depression over time, and their results were published in the journal Health Psychology. They studied a group of 17,500 elderly people with an average age of 64 years from 11 different European countries. The subjects were followed over a period of two and a half years, so researchers could track changes in their levels of physical activity and depression. People who were active were much less likely to feel depressed, however the results of the study show that regular exercise is key in maintaining mental and emotional well–being. Subjects who were active, but engaged in physical activity less regularly, were also more prone to depressive episodes. Interestingly, the authors also found that, for a small number of subjects, their depressive symptoms stopped people from being active in the first place.

For comments and archives

 
    Healthy Driving

(Conceptualized by Heart Care Foundation of India and Supported by Transport Department; Govt. of NCT of Delhi)

Should Old Patients Drive?

In addition to the normal changes in vision, psychomotor ability, and cognitive status with ageing, older people are more likely to have medical conditions that can affect driving performance.

 
    Medicine Update

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

What is the reason of UGI bleed in infant?

In infants, the common causes are:

  • Swallowed maternal blood
  • Hemorrhagic disease of newborn
  • Stress gastritis
  • Acid-peptic disease
  • Vascular anamoly
  • Coagulopathy
  • CMPI

For comments and archives

 
    IJCP Special

Dr Good Dr Bad

Situation: A patient with COPD developed Herpes zoster.
Dr Bad: They are not related.
Dr Good: They are related.
Lesson: People with chronic obstructive pulmonary disease, or COPD, are more likely than others to develop shingles. (CMAJ: the Canadian Medical Association Journal, news release, Feb. 22, 2011)

For comments and archives

Make Sure

Situation: A patient on 10 units of insulin developed hypoglycemia after taking light breakfast.
Reaction: Oh my God! Why was insulin dose not reduced?
Lesson: Make sure that insulin dose is correct. The formula is 500/total daily dose. The value will be the amount of sugar fluctuation with 10 grams of carbohydrates.

For comments and archives

 
    Quote of the Day

(Dr GM Singh)

Don’t waste your precious energy and time on gossip, energy vampires, issues of the past, negative thoughts or things you cannot control. Instead invest your energy in the positive and present moment.

 
    Lab Update

(Dr Arpan Gandhi and Dr Navin Dang)

Sodium

  • Increase in serum sodium is seen in conditions with water loss in excess of salt loss, as in profuse sweating, severe diarrhea or vomiting, polyuria (as in diabetes mellitus or insipidus), hypergluco– or mineralocorticoidism, and inadequate water intake.
  • Decrease in sodium is seen in states characterized by intake of free water or hypotonic solutions, as may occur in fluid replacement following sweating, diarrhea, vomiting, and diuretic abuse. Dilutional hyponatremia may occur in cardiac failure, liver failure, nephrotic syndrome, malnutrition, and SIADH. There are many other causes of hyponatremia, mostly related to corticosteroid metabolic defects or renal tubular abnormalities. Drugs other than diuretics may cause hyponatremia.

For comments and archives

 
    Mind Teaser

Read this…………………

All of the following have been used in management of acute pancreatitis except:

a) Interleukin–10
b) Gabexate
c) Somatostatin
d) Peritoneal dialysis

Yesterday’s Mind Teaser: The most common cause of death in early acute pancreatitis is

a) Renal failure
b) Cardiac failure
c) Respiratory failure
d) Uncontrolled coagulopathy

Answer for Yesterday’s Mind Teaser: c) Respiratory failure

Correct answers received from: Raju Kuppusamy, Dr Thakor Hitendrasinh G, Dr Rakesh Bhasin, yogindra vasavada, Renal failure, Dr Jainendra Upadhyay, Subash, Ravi, Dr.Sukanta Sen, Dr Chandresh Jardosh, Dr Sukla Das, Muthumperumal Thirumalpillai, Dr PC Das, Anil Bairaria, Dr Neelam Nath.

Answer for 25th November Mind Teaser: d) All the above
Correct answers received from: Shabina, Muthumperumal Thirumalpillai, Shirish Singhal.

Send your answer to ijcp12@gmail.com

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   Laugh a While

(Dr GM Singh)

The Presbyope

Doug went to the eye doctor for an examination because he was having trouble reading the newspaper. "Now that you’re over 40," the doctor told him, "you’ve developed a condition called ‘presbyopia,’ in which the lens of your eye can no longer focus as well as it used to."

Seeing his worried look, the doctor tried to be upbeat. "Congratulations!" he said. "You’re now officially a presbyope!"

Doug leaned over and asked seriously, "If that means I’m no longer a Roman Catholic, do I still have to go to Confession?"

 
    Medicolegal Update

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

Dangerous weapons

  • The Section 324 of IPC states that any instrument for shooting, stabbing, cutting or any instrument used as weapons of offence is likely to cause death or by means of fire or any heated substance or by means of poison or any corrosive substance or by means of any explosive or by means of any substance which is deleterious to the human body to inhale, to swallow, or to receive into the blood or by means of any animal will be taken as dangerous weapons.
  • The duty of the attending doctor is to record all the injuries, its dimension as far as possible, and the body parts where the injuries are located the nature of injury whether simple or grievous, caused by sharp/blunt object, age or duration of injury and with the vital parameters like blood pressure, pulse respiration with the mental status of the patient.
  • The injuries present could be a self-inflicted or fabricated one? if yes please mention the forensic justification
  • Are there any signs, symptoms or smell of alcohol or any drug intoxication? If yes, please give your opinion about the mental status due the influence of intoxication. Also, preserve blood sample.
  • Please opine if the injured or intoxicated patient is fit for obtaining his statement? If no, please give due reasons and an approximate time interval for medical revaluation for his/her fitness for statement.
  • Is the condition of patient is critical, severe or serious? If so, the dying declaration must be recorded by attending doctor before one or two witnesses.

For comments and archives

 
    Public Forum

(Press Release for use by the newspapers)

Get your Press release online http://hcfi.emedinews.in (English/Hindi/Audio/Video/Photo)

Beware of winter depression

SAD or seasonal affective disorder is defined as recurring depression with seasonal onset and remission. Fall–onset (winter) SAD is more common than spring–onset SAD said Padma Shri and Dr B C Roy National Awardee Dr KK Aggarwal President Heart Care Foundation of India.

Fall–onset SAD is characterized primarily by atypical symptoms of depression, while spring–onset SAD is associated with more typical features.

Light therapy has proven effective. It may take 4 to 6 weeks to see a response, although some patients improve within days. Therapy is continued until sufficient daily light exposure is available through other sources, typically from springtime sun.

Fall–onset SAD is characterized by the following symptoms of depression:

  • Increased rather than decreased sleep (inability to get up in the morning)
  • Increased rather than decreased appetite with carbohydrate craving (craving for sweet sour and salt)
  • Marked increase in weight
  • Irritability
  • Interpersonal difficulties (especially rejection sensitivity)
  • Leaden paralysis (heavy, leaden feelings in arms or legs)

The cause is imbalance of serotonin to melatonin ratio. And the treatment involves enough light exposure, artificial light exposure, sun therapy and drugs if needed.

For comments and archives

 
    Readers Responses
  1. Dear Sir, You and your team is working hard. Thanks a lot for the valuable informations. Regards: Dr Sartaj
 
    Forthcoming Events

CSI 2011

63rd Annual Conference of the Cardiological Society of India

Date: December 8–11, 2011.
Venue: NCPA Complex, Nariman Point, Mumbai 400021

Organizing Committee

B. K. Goyal – Patron
Samuel Mathew – President CSI
Ashok Seth – President Elect & Chairman Scientific Committee
Lekha Adik Pathak – Chairperson
Satish Vaidya & C. V. Vanjani – Vice Chairman
N. O. Bansal – Organizing Secretary
B. R. Bansode – Treasurer
Ajit Desai , Ajay Mahajan , G. P. Ratnaparkhi – Jt. Org. Secretaries
Shantanu Deshpande , Sushil Kumbhat , Haresh Mehta – Asst. Org. Secretaries
D. B. Pahlajani, A. B. Mehta , M. J. Gandhi , G. S. Sainani, Sushil Munsi, GB Parulkar, KR Shetty – Advisory Committee

Contact: Dr. Lekha Adik Pathak, Chairperson, CSI 2011; Dr. Narender O. Bansal, Org. Secretary, CSI 2011 Tel: 91 – 22 – 2649 0261/2649 4946, Fax: 91 – 22 – 2640 5920/2649 4946.
Email: csi2011@ymail.com, csimumbai2011@gmail.com Website: www.csi2011mumbai.com

eMedinewS Events: Register at emedinews@gmail.com

3rd eMedinewS Revisiting 2011

The 3rd eMedinewS – revisiting 2011 conference will be held at Maulana Azad Medical College, New Delhi on Sunday January 22nd 2012.

The one–day conference will revisit and cover all the new advances in the year 2011. There will also be a webcast of the event. An eminent faculty is being invited to speak.

There will be no registration fee. Delegate bags, gifts, certificates, breakfast, lunch will be provided. The event will end with a live cultural evening, Doctor of the Year award, cocktails and dinner. Kindly register at www.emedinews.in

3rd eMedinewS Doctor of the Year Award

Dear Colleague, The Third eMedinews "Doctor of the Year Award" function will be held on 22nd January, 2012 at Maulana Azad Medical College at 5 pm. It will be a part of the entertainment programme being organized at the venue. If you have any medical doctor who you feel has made significance achievement in the year 2011, send his/her biodata: emedinews@gmail.com

 
    eMedinewS Special

1. IJCP’s ejournals (This may take a few minutes to open)

2. eMedinewS audio PPT (This may take a few minutes to download)

3. eMedinewS audio lectures (This may take a few minutes to open)

4. eMedinewS ebooks (This may take a few minutes to open)

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  Mental Diseases

  Perfect Health Mela

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  Towards Well Being

  First Aid Basics

  Dil Ki Batein

  How to Use

  Pesticides Safely

 
    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 Navin Dang, Dr Pawan Gupta(drpawangupta2006@yahoo.com), Dr Parveen Bhatia, (bhatiaglobal@gmail.com), Dr Prabha Sanghi, Dr Prachi Garg, Rajat Bhatnagar (http://www.isfdistribution.com), Dr. Rajiv Parakh, Dr Sudhir Gupta