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

 

eMedinewS Presents Audio News of the Day
 
Photos and Videos of 2nd eMedinewS – Revisiting 2010

For regular emedinews updates follow at www.twitter.com/DrKKAggarwal

 
  Editorial …

28th November 2011, Monday

Proceedings of 26th Annual CSI Meet day 2

Dr Rakesh Yadav on what’s new in pace maker functions

  • Functions of pace makers are to sense properly, pace properly, pace with minimum output and to manage tachy- arrhythmia.
  • New functions are to avoid unnecessary pacing and to pace with minimum output
  • RV pacing is LBBB pattern. De-synchrony is harmful to LV in long term. Therefore pace maker should only pace when required.
  • AAI R, DDD R, DDI R, VVI R and hysteresis are the best answers.
  • Switches from AAIR to DDDR mode automatically.
  • New advances in pace maker: Automatic adjust AV interval.
  • Diarrhea and low K the thresh hold will rise. New machines are automatic thresh hold management
  • New pace makers diagnose and treat atrial arrhythmias. AF suppression pacing.
  • Automatic from bipolar to unipolar mode
  • Remote monitoring and security alerts.
  • RV apex to RVOT or mid septum pacing is better.
  • Should all patients have bi ventricular pacing. The studies are on.

Dr Vivek Chaturvedi on SCA

  • ICD can prevent SCD in young. 10% of all SCD are in normal hearts (normal ECHO). It is important to screen as 25-40% have re attacks in the next 2 years.
  • Commotio Cordis: VF due to blunt non-penetrating trauma, seen in young adults. Cork ball.
  • Long QT syndrome means QTC > 0.44 in men and > 0.46 in women. QTc on exercise fails to shorten or increase by > 30 ms. Beta blockers of choice. ICD avoided
  • CPVT: stress and exertion are triggers. Beta blockers are effective. Patients present with exertion syncope, palpitation or epilepsy
  • Brugada syndrome: control fever
  • Early repolarisation syndrome: present in 5% population, is not considered normal, 15-70% of idiopathic VF cases have it and quinidine is effective

Dr Balbir Singh on CRT in class I and II heart failure

  • In class III and class IV patients its use is beyond any doubt. In 2002 MIRACLE trial showed 40 % reduction in mortality. In 2004 Companion trials showed similar results. CARE- HF trials also showed 40% reduction in mortality.
  • Beta blockers reduces mortality by 35%, aldosterone antagonism by 22%, CRT by 35%
  • NYHA I and Ii patients are younger, active and with better quality of life. The trials in favor of them are 2004 MIRACLE, 2009 REVERSE and 2009 MADIT CRT.
  • REVERSE trial: QRS > 120 EF < 40 LVEDD > 55. Optimal medical drugs. Class I or II. CRT better in terms of less first to hospitalization rate and reverses LV remodeling less hospital admissions. Same results were seen with MEDIT CRT and RAFT trial.
  • Conclusions: EF < 35% and QRS > 120 needs CRT in class III and class IV and EF < 35% and QRS > 150 needs CRT in class II heart failure.

Dr T S Kler on AF treatment management

  • Vernakalant new drug for AF conversion. Yet to be marketed in India.
  • Control of ventricular rate is most important in acute AF. Rate control should be associated with anti coagulation.
  • Oral anti coagulation is under treated in over 50% of cases with acute AF.

Dr Savitri Srivastava on catheter interventions in Congenital Heart Disease

  • PDA stenting in infants and neonates to avoid BT shunt (more morbidity) for duct dependent lesions. Even can be used after the duct is closed
  • Pulmonary atresia and intact IVS: Perforation of RVOT with RF ablation and stenting of RVOT
  • Coarctation aorta: Stent for children age > 4 and weight > 18 Kg. Not to be done in severe coarctation and long segment coarctation.
  • Balloon dilation of discrete sub aortic stenosis: after age 13, AV to membrane distance > 9 mm.
  • Per cutaneous PV implant in RVOT conduit stenosis and severe PR.
  • Device closure of RSOV (rupture of sinus of valsalva): RSOV from NCC/RCC > 5 mm away from ostia.
  • AP window with device: 10% suitable.
  • Peri-membranous VSD closure with devices. Complications is 11.5%
  • Fontan completion by catheter intervention.
  • Hybrid procedures: interventions and surgery together, hybrid OR’s
  • Fetal interventions, severe RV or LVOT obstruction. PFO closure

Dr Sanjay Tyagi on Resistant Hypertension

  • 10% have resistant Hypertension, Non adherence is not included in the diagnosis
  • Kidney plays a critical role. ·Failure of 3 drugs to control Bp < 140/90
  • OSA, Obesity, NSAIDS, Cox 2, decongestive drugs, diet pills, steroids, anabolic steroids, ESA, cyclosporins are important causes.
  • Primary alodsteronism, uncommonly diagnosed, presents with hypo kalemia. K < 3 and plasma aldosterone/renin ratio of > 555 SI units
  • If there is volume expansion give diuretics, or increase its dose or change the diuretic, HCTZ to chlorthalidone ·Low GFR add Loop diuretics
  • Another drug is cilinidipine, causes no edema, available, reduces sympathy activity
  • Add 4th drug, which can be spiranalactone, eplerenone , alpha bb, Methyl dopa or Clonidine.
  • In OSA give eplerenone as has no sexual dysfunction
  • 2011 atrasentan, darusentan are new additions in the treatment
  • Interventions: stenting of renal artery stenosis (atherosclerotic), fibro myscular dysplasia only balloon dilatation
  • Aorto arteritis: balloon angioplasty
  • Child heart failure with HT 80-90% RAS
  • Cutting balloons for RAS, cutting of intima,
  • Coarctation of aorta: do balloon dilation and use self expandable stents or balloon expandable stents, avoid in children
  • Renal de-nervation is the latest treatment strategy
  • Carotid baro-receptors stimulation

Dr D S Gambhir on Lipid Management

  • Beyond reduction of LDL
  • 16.7 million deaths in 2002 in the world. 14% due to CAD, 33% stroke
  • Low HDL (80%) more common than high LDL (31%) in south Asians: INTERHEART study.
  • Framingham heart study: Low HDL with high mortality. HDL < 35has 2-4 high times risk of cardiac risk.
  • Maximum risk high LDL and low HDL-C.
  • PROCAM: Low HDL is an independent risk factor for CAD.
  • HDL smallest particle of lipoproteins, Apo A1: 70% of HDL, Apo AII: 20% of HDL.
  • Statins: desired goal not achieved in 43%. Non HDL goal nor achieved in 73%
  • 30% red in risk by statins
  • New approach is to lower LDL, raise HDL and lower T levels
  • Current guideline is to lower LDL to < 70 and non LDL to < 100
  • HDL can be reduced by reducing trans fat, increasing activity, reducing refined carbohydrates, stop smoking and taking moderate alcohol 
  • Niacin study AIM-HIGH stopped early 
  • Torcetrapib, anacetrapib, dalcetrapib can increase HDL by blocking CETP
  • HPS-2 AIM HIGH are two recent trials to read
  • Statins can increase uric acid and new onset blood sugar
  • Muscle pain: change to rosuvastatin, it may help, more potent, extra hepatic side effects are lower.

Dr K K Talwar

  • Advanced heart failure is defined as class II or IV heart failure despite ACE inhibitors, diuretics, digoxin and n and beta blockers. 30-50% mortality at one year. PWP > 16 high mortality
  • Reversible factors: Heavy alcohol, anemia, pulmonary embolism, thyroid disorders, CKD, rheumatic activity, DCM, IE, hibernating myocardium due to CAD
  • 4 sub groups: Warm and dry/ Warm and wet/ Cold and dry/ Cold and wet [Stevenson L W J H fail 2005;7:323-331] based on congestion vs low perfusion.
  • Max mortality wet and cold and least mortality dry and warm. Next best is dry and cold.
  • Warm and dry: Give ACE inhibitors, beta blockers, aldactone (maximum tolerable doses)
  • Warm and wet: Start with diuretics (infusion or bolus), may add metolazone, nitroglycerine, nesiritide. Do not use inotropes as may be harmful.
  • Cold and wet: do not respond to diuretics, large doses or infusion may be needed, withdraw ACE inhibitors and beta blockers, if high SVR add nitroprusside or metolazme. Add ACE inhibitors and beta blockers later. Is the largest group.
  • Cold and dry: smallest group, no inotropes required; gradually add beta blockers, ace inhibitors. No inotropes unless low CO is the concern
  • Cardiorenal syndrome: seen I n 25% situations, 30% CHF have CKD, use nitrates,stop nephro toxic drugs. Discontinue ACE inhibitors ·
  • Rule out tachycardia induced CMP

Dr KK Seth on Sub Clinical Atherosclerosis

  • CAD is chronic immune inflammatory disease, remains silent for 7-10 years, may present with plaque rupture
  • Max heart attack in < 70% lesions. TMT may miss these lesions. Angiography may miss these lesions
  • INTERHEART: 9 modifiable risk factors responsible for 90% cases ( smoking, fruits/exercise/ alcohol/obesity/ hypertension/ diabetes/lipids
  • Framingham risk factor score < 10%, 10-20% or > 20%. Now a days one consider low risk as < 5% and 6-20 % as intermediate risk
  • 60-70% events occur in low or intermediate group
  • Zero calcium score does not rule out CAD
  • AHA consider ACC and CIMT as Aha as class Imia indication, Men > 50 women > 60, India 10 years younger.
  • Do not screen low risk or high risk patients
  • One can have CCS zero and abnormal CIMT; or abnormal CCS and normal CIMT,
  • CCS stronger predictor of CV events and CIMT stronger predictor of stroke
  • Take home message do CIMT first, if > 1 mm or plaque present no further screening required. If CIMT normal then go for CCS.

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

LOAD H. pylori with new four–drug regimen

Audio PostCard
 
    Photo Feature (from the HCFI Photo Gallery)

18th MTNL Perfect Health Mela 2011-Eco Fest - An Inter School Eco Club's Health Festival

Keeping the environment clean can prevent a large number of communicable diseases

 
Dr K K Aggarwal
 
    National News

REACH’s short film contest on TB

REACH, a Chennai–based non–profit organisation dedicated to the fight against tuberculosis (TB), has announced a short film competition on TB. A release from the organisation said the entries for the competition, ‘TB Tales,’ would be judged by an eminent jury, including actor Surya, film director Gautham Menon, Dr. P.R. Narayanan, former Director, TB Research Centre; Blessina Kumar, activist and Vice Chair, Stop TB Partnership Board; and Dr. Subhash Yadav, Technical Officer, the Union South East Asia Office. The best entries will receive citations and cash awards of Rs.30,000 (first place), Rs. 20,000 (second place) and Rs.10,000 (third place). The shortlisted entries will be screened in New Delhi and Chennai and awards presented on the World TB Day next year. (http://www.thehindu.com/news/national/article2640027.ece)

For comments and archives

Dr K K Talwar President MCI

  1. We have constituted a committee for drafting guidelines for medical ethics. It will be headed by an eminent medical professional.
  2. We have referee the NEET examination subject to law ministry as many state high courts are giving stay orders against the exams.
  3. Dr B C Roy awards are not on our priority list. Can wait for few more months.

For comments and archives

Non Hodgkin’s Lymphoma

A few days back emedinews had written that one of the national cricketers has been diagnosed with NHL. Now we see the news in most of the national news papers today.

We will run a series on this condition from today

  1. The clinical presentation of non-Hodgkin lymphoma (NHL) varies tremendously depending upon the type of lymphoma and the areas of involvement.
  2. Common presentations include lymphadenopathy, hepatosplenomegaly, fever, weight loss, and night sweats.
  3. Less common presentations include rash or side effects related to extranodal involvement
  4. Complications of NHL need to be considered during the initial workup.
  5. Prompt recognition and therapy is important
  6. An excisional biopsy can give the diagnosis
  7. The initial evaluation of the patient with suspected non-Hodgkin lymphoma (NHL) must establish the extent and sites of disease (localized or advanced; nodal or extranodal), the performance status of the patient.
  8. The initial workup should include a complete history, including past and present illnesses (eg, hepatitis B, C, HIV risk factors) as well as the presence or absence of systemic "B" symptoms. The physical examination should include emphasis on all node-bearing areas, including Waldeyer's ring, the liver, and spleen.
  9. Initial laboratory tests and imaging studies should include, blood count, white cell differential, platelet count, tests of renal and hepatic function, including lactate dehydrogenase, testing for HIV, HBV, and HCV, electrolytes, uric acid, CT scan of the chest, abdomen, and pelvis
  10. Positron emission tomographic (PET) scanning, when used as part of initial staging, should be done in addition to, rather than in place of, computed tomography scanning. It is of particular value for the evaluation of aggressive variants of NHL and extranodal disease.
  11. Baseline evaluation of cardiac function
  12. Baseline pulmonary function studies
  13. NHL is staged using the Ann Arbor staging system with Cotswold modification

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

Device cuts allergen exposure, airway inflammation

A bedside device that provides temperature–controlled laminar airflow throughout the night reduced inhalant exposure –– along with airway inflammation and systemic allergy –– in patients with persistent atopic asthma, according to results from a randomized, placebo–controlled trial. (Source: Medpage Today)

For comments and archives

Heart risk higher at highest, lowest salt intake levels

Among patients with increased cardiovascular risk, sodium intake that is too high or too low appears to be associated with an elevated risk of cardiovascular events, an analysis of two large, randomized controlled trials showed. (Source: Medpage Today)

For Comments and archives

Surgery outcomes better with some fat on the bones

Surgical patients with a body mass index at the lower end of the normal range were more likely to die within 30 days of the procedure than those in the moderately overweight range, researchers found. (Source: Medpage Today)

For comments and archives

 
  Twitter of the Day

@DrKKAggarwal: Even Small Blockage Can Cause Heart Attack
http://blog.kkaggarwal.com/2011/11/25/even–small–blockage–can–cause–
heart–attack/kkaggarwal.com/2011/11/25/eve…

@DeepakChopra: #Occupyyourself = Working together to maximize human potential, building relationships, crowd wisdom, creative solutions. being 100 %.

 
    Spiritual Update

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

Why are Coconut and the Kalash Used in all Poojas?

If nature wanted you to drink coconut water in non–coastal areas she would not have grown coconuts in the coastal areas is a common naturopathic saying. Coconut water is the treatment for most humidity–related illness in costal areas. It is sterile water and has been used in surgical practice as a sterile fluid.

For comments and archives

 
    An Inspirational Story

What is it that’s hard to break?

Diamonds are hard to find but not hard to Break. What is the hardest thing to break then?

The answer is: HABIT!

If you break the H, you still have A BIT.

If you break the A, you still have BIT.

If you break the B, you still have IT!

Hey, after you break the T in IT, there is still the ‘I’.

And that (I) is the root cause of all the problems. Isn’t it right?!

Now you know why HABIT is so hard to break……

Its destiny is in its name!

For comments and archives

 
  Cardiology eMedinewS

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

CSI News

MS with MR and TR the most common RHD lesion

For comments and archives

Sildenafil for diastolic heart failure

For comments and archives

RHD on decline and CHD on the rise in India

For comments and archives

Drop in PCV after PCI a bad prognostic indicator

For comments and archives

 
  Fitness Update

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

Exercise frequency and intensity matters when it comes to diabetes prevention

A group of researchers from the University of Pittsburgh set out to investigate whether exercise – and at which dose – would help prevent type 2 diabetes and improve outcomes. For their study, which was published in the journal Medicine & Science in Sports and Exercise, researchers recruited 55 healthy volunteers. These volunteers participated in a 16–week supervised endurance exercise program with screenings before and after the intervention. Insulin sensitivity, peak oxygen uptake and body composition were all assessed using laboratory methods. The exercise program involved three to five sessions per week, and sessions lasted 45 minutes. The researchers were able to measure exercise dose by calculating the average energy (calories) expended per week. They also measured exercise intensity, duration and frequency. The results clearly showed that exercise improved insulin sensitivity, and there was a significant dose response relationship. Thus, more frequent and intense exercise sessions led to improved insulin sensitivity. Those who did not exercise as frequently or as intensely did reduce their risk of developing Type 2 diabetes, but to a lesser degree.

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?

One should be careful if there is a history of falls in the past 1–2 years or prior history of motor vehicle crashes, if visual and cognitive deficits are present and/or current use of medications such as tricyclic antidepressants and benzodiazepines.

 
    Medicine Update

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

What is the cause of UGI bleed in infants?

The common causes in infants are:

  • Stress ulcer/gastritis
  • Acid–peptic disease
  • Mallory–Weiss tear
  • Duplication cyst
  • Varices
  • Webs
  • Intestinal obstruction

For comments and archives

 
    IJCP Special

Dr Good Dr Bad

Situation: A patient with high triglycerides developed stroke.
Dr Bad: They are not related.
Dr Good: They are related.
Lesson: Men and women with high triglyceride levels are at an increased risk of ischemic stroke.

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 the 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 ten grams of carbohydrates.

For comments and archives

 
  Quote of the Day

(Dr GM Singh)

Do not value money for any more nor any less than its worth; it is a good servant but a bad master. Alexandre Dumas

 
    Lab Update

(Dr Arpan Gandhi and Dr Navin Dang)

Potassium

  • Hyperkalemia (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.

    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.
  • Hypokalemia (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. Drugs causing hypokalemia include amphotericin, carbenicillin, carbenoxolone, corticosteroids, diuretics, licorice, salicylates, and ticarcillin.
 
    Mind Teaser

Read this…………………

r
g rosey i
n

Yesterday’s Mind Teaser:  All of the following have been used in management of acute pancreatitis except

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

Answer for Yesterday’s  Mind Teaser: a) Interleukin–10

Correct answers received from: Gopal Shinde, Dr. Prabodh Kumar Gupta, Dr.Chandresh Jardosh, Ravi_Shanmu, Raju Kuppusamy, Dr Jainendra Upadhyay, Muthumperumal Thirumalpillai, Dr. Arvind, Dr.Ashok Tiwari,

Answer for 26th November Mind Teaser: c) Respiratory failure
Correct answers received from: Raju Kuppusamy, Dr Chandresh Jardosh, Dr PC Das, Dr Sukla Das, Dr Jainendra Upadhyay, Dr KV Sarma, Dr Ajay Gandhi, Dr Avtar Krishan

Send your answer to ijcp12@gmail.com

Our Social
Network sites
… Stay Connected

        FaceBook
  > Dr K K Aggarwal
  > eMedinewS
  > Hcfi NGO
  > IJCP Group

        Twitter
  > Dr K K Aggarwal
  > eMedinewS
  > HCFI-NGO
  > IJCP Group

        Blog
  > Dr K K Aggarwal
  > eMedinewS
  > HCFI-NGO
  > IJCP Group

        You Tube
  > Dr K K Aggarwal
  > eMedinewS

 
Docconnect
emedinews revisiting 2011
emedinews revisiting 2011
emedinews revisiting 2011
 
eMedinewS Apps
Archives
Archive
Archive
Archive
Archive
Archive
Alert
 
    Laugh a While

(Dr GM Singh)

Doctor, Doctor! I keep thinking I’m God!
Doc: When did this start?
Well first I created the sun, then the earth, then the…

 
    Medicolegal Update

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

Forceful/Artificial feeding and hunger strike–what is the role of doctor?

It has been observed that generally the hunger strikers do not wish to die but it cannot be ruled out that some may be prepared to do so to achieve their aims. The doctor needs to ascertain the individual’s true intention, especially in collective strikes or situations where peer pressure may be a factor. An ethical dilemma for doctor arises when hunger strikers who have apparently issued clear instructions/consent not to be resuscitated or even medically intervened, reach a stage of cognitive impairment. The principle of beneficence urges physicians to resuscitate them but respect for individual autonomy restrains physicians from intervening when a valid and informed refusal has been made. An added difficulty arises in custodial settings because it is not always clear whether the hunger striker’s advance instructions were made voluntarily and with appropriate information about the consequences. I too was faced with such a dilemma in the case of Medha Patekar hunger strike case at Jantar Mantar in Delhi. Such situations are resolved in India by police by arresting the hunger striker/s under Section 309 IPC for committing suicide and the doctor can treat the person to save his/her life as a legal obligation with ethical precaution that it should be restricted and limited only for life saving.

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)

Pain killers not safe

No painkiller is cardiac–safe, said Padma Shri and Dr B C Roy National Awardee Dr KK Aggarwal President Heart Care Foundation of India.

They must be taken only when no other options are available and that too for a shorter period of time. Even paracetamol is not safe and can cause high blood pressure when taken more than 16 tablets in a week.

Any benefits of coxib painkillers in causing fewer gastro side effects must now be balanced with the risk of adverse cardiovascular effects.

The short–acting NSAIDs ibuprofen and diclofenac increase cardiovascular risk at high doses, whereas the longer–acting naproxen does not.

Painkillers can interfere with antiplatelet effects of low–dose aspirin taken for primary or secondary cardiovascular prevention. Ibuprofen negatively influences cardioprotection when ingested concurrently. In contrast, concomitant administration of oral diclofenac, rofecoxib, and acetaminophen does not affect aspirin cardio protection.

In patients with chronic kidney disease even a single painkiller can precipitate acute kidney injury.

For comments and archives

 
    Readers Response

Dear Sir I would appreciate your wonderful initiative of the daily medical news letter where no one ever had thought of this. The topics covered are all updated and medicine linked. Dr Arjun

 
    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)

HCFI
Activities eBooks

  HCFI

  Playing Cards

  Dadi Ma ke Nuskhe

  Personal Cleanliness

  Mental Diseases

  Perfect Health Mela

  FAQs Good Eating

  Towards Well Being

  First Aid Basics

  Dil Ki Batein

  How to Use

  Pesticides Safely

 
    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