Suffering from a heart problem & looking for a cardiologist or Cardiac Clinic in Pune? Get 100% satisfied heart treatment by Dr. Rahul Sawant at the hridaymitra cardia clinic, Book Appointment.
This document discusses the dangers and ineffectiveness of angioplasty compared to lifestyle changes and bypass surgery for treating coronary obstruction. It states that angioplasty is risky, provides only a temporary solution, and has high costs both financially and in terms of health risks. By contrast, lifestyle changes can prevent or reverse obstruction in many cases. For those who need intervention, bypass surgery provides a complete and long-term solution at a lower cost than repeated angioplasty procedures. The document concludes that lifestyle changes should be the first approach, with bypass surgery as the preferred intervention over angioplasty.
This document discusses the dangers and ineffectiveness of angioplasty compared to lifestyle changes and bypass surgery for treating coronary obstruction. It states that angioplasty is risky, provides only a temporary solution, and has high costs both financially and in terms of health risks. By contrast, lifestyle changes can prevent or reverse obstruction in many cases. For those who need intervention, bypass surgery provides a complete and long-term solution at a lower cost than repeated angioplasty procedures. The document concludes that lifestyle changes should be the first approach, with bypass surgery as the preferred intervention over angioplasty.
This document discusses the dangers and ineffectiveness of angioplasty compared to lifestyle changes and bypass surgery for treating coronary obstruction. It states that angioplasty is risky, provides only a temporary solution, and has high costs both financially and in terms of health risks. By contrast, lifestyle changes can prevent or reverse obstruction in many cases. For those who need intervention, bypass surgery provides a complete and long-term solution at a lower cost than repeated angioplasty procedures. The document concludes that lifestyle changes should be the first approach, with bypass surgery as the preferred intervention over angioplasty.
This document discusses peripheral arterial disease (PAD), including:
1. PAD affects 12-20% of Americans over age 65 and those with diabetes have a 3x higher risk. PAD is often asymptomatic so it can be difficult to detect.
2. Symptoms of PAD include claudication (leg pain with exercise), fatigue, numbness, and rest pain. Untreated PAD can lead to critical limb ischemia and amputation.
3. Screening for PAD through ankle-brachial index measurements is recommended for diabetics over 50 and younger diabetics with risk factors to detect disease early before complications arise.
4. Treatment options for PAD include lifestyle changes, medications, endovascular procedures like
We have made great strides in the treatment of cancer. More individuals are surviving a cancer diagnosis, but cancer treatments can have a detrimental impact on cardiovascular health.
Dr. Susan Dent, a medical oncologist who co-founded the first multidisciplinary cardio-oncology clinic in Canada, discussed the importance of optimizing cardiovascular health for patients during and following completion of their cancer treatment.
INOCA - DOM research retreat- no animation .ppsxAshwiniAshwath4
INOCA refers to ischemia and no obstructive coronary artery disease. The document summarizes what INOCA is, why some people with positive nuclear stress tests show no blockages, and discusses the prevalence and characteristics of patients who experience INOCA. Key points are that INOCA is present in about 3-4 million Americans and 65% of women with stable angina. Causes can include microvascular dysfunction, inflammation, or infiltrative disorders. Accurately diagnosing INOCA allows for more targeted treatment compared to obstructive coronary artery disease.
INOCA - DOM research retreat- no animation .ppsxAshwiniAshwath4
INOCA refers to ischemia and no obstructive coronary artery disease. While some patients with positive nuclear stress tests show no blockages on angiography, they still experience angina due to microvascular dysfunction. INOCA is prevalent in around 3-4 million Americans and 65% of women with stable angina. It is associated with conditions like rheumatological disorders and malignancies. Diagnosing INOCA correctly is important for tailoring treatment and improving quality of life by reducing unnecessary medications. Physiological tests like FFR and IMR can help differentiate obstructive from non-obstructive causes of chest pain.
The document discusses the benefits of exercise for mental health. Regular physical activity can help reduce anxiety and depression and improve mood and cognitive functioning. Exercise boosts blood flow, releases endorphins, and promotes changes in the brain which help regulate emotions and stress levels.
This document discusses the dangers and ineffectiveness of angioplasty compared to lifestyle changes and bypass surgery for treating coronary obstruction. It states that angioplasty is risky, provides only a temporary solution, and has high costs both financially and in terms of health risks. By contrast, lifestyle changes can prevent or reverse obstruction in many cases. For those who need intervention, bypass surgery provides a complete and long-term solution at a lower cost than repeated angioplasty procedures. The document concludes that lifestyle changes should be the first approach, with bypass surgery as the preferred intervention over angioplasty.
This document discusses the dangers and ineffectiveness of angioplasty compared to lifestyle changes and bypass surgery for treating coronary obstruction. It states that angioplasty is risky, provides only a temporary solution, and has high costs both financially and in terms of health risks. By contrast, lifestyle changes can prevent or reverse obstruction in many cases. For those who need intervention, bypass surgery provides a complete and long-term solution at a lower cost than repeated angioplasty procedures. The document concludes that lifestyle changes should be the first approach, with bypass surgery as the preferred intervention over angioplasty.
This document discusses the dangers and ineffectiveness of angioplasty compared to lifestyle changes and bypass surgery for treating coronary obstruction. It states that angioplasty is risky, provides only a temporary solution, and has high costs both financially and in terms of health risks. By contrast, lifestyle changes can prevent or reverse obstruction in many cases. For those who need intervention, bypass surgery provides a complete and long-term solution at a lower cost than repeated angioplasty procedures. The document concludes that lifestyle changes should be the first approach, with bypass surgery as the preferred intervention over angioplasty.
This document discusses peripheral arterial disease (PAD), including:
1. PAD affects 12-20% of Americans over age 65 and those with diabetes have a 3x higher risk. PAD is often asymptomatic so it can be difficult to detect.
2. Symptoms of PAD include claudication (leg pain with exercise), fatigue, numbness, and rest pain. Untreated PAD can lead to critical limb ischemia and amputation.
3. Screening for PAD through ankle-brachial index measurements is recommended for diabetics over 50 and younger diabetics with risk factors to detect disease early before complications arise.
4. Treatment options for PAD include lifestyle changes, medications, endovascular procedures like
We have made great strides in the treatment of cancer. More individuals are surviving a cancer diagnosis, but cancer treatments can have a detrimental impact on cardiovascular health.
Dr. Susan Dent, a medical oncologist who co-founded the first multidisciplinary cardio-oncology clinic in Canada, discussed the importance of optimizing cardiovascular health for patients during and following completion of their cancer treatment.
INOCA - DOM research retreat- no animation .ppsxAshwiniAshwath4
INOCA refers to ischemia and no obstructive coronary artery disease. The document summarizes what INOCA is, why some people with positive nuclear stress tests show no blockages, and discusses the prevalence and characteristics of patients who experience INOCA. Key points are that INOCA is present in about 3-4 million Americans and 65% of women with stable angina. Causes can include microvascular dysfunction, inflammation, or infiltrative disorders. Accurately diagnosing INOCA allows for more targeted treatment compared to obstructive coronary artery disease.
INOCA - DOM research retreat- no animation .ppsxAshwiniAshwath4
INOCA refers to ischemia and no obstructive coronary artery disease. While some patients with positive nuclear stress tests show no blockages on angiography, they still experience angina due to microvascular dysfunction. INOCA is prevalent in around 3-4 million Americans and 65% of women with stable angina. It is associated with conditions like rheumatological disorders and malignancies. Diagnosing INOCA correctly is important for tailoring treatment and improving quality of life by reducing unnecessary medications. Physiological tests like FFR and IMR can help differentiate obstructive from non-obstructive causes of chest pain.
The document discusses the benefits of exercise for mental health. Regular physical activity can help reduce anxiety and depression and improve mood and cognitive functioning. Exercise boosts blood flow, releases endorphins, and promotes changes in the brain which help regulate emotions and stress levels.
Diabetes and heart two sides of the same coinSunil Wadhwa
This ppt presented in a CME of doctors in March 2017 discusses-if all Diabetics should be treated aggressively for prevention of coronary artery disease & SHOULD IT BE PRESUMED AS IF THEY ARE ALREADY PATIENTS OF CAD?
This presentation is updated till March 2017
Dr. Ken Kutscher introduces the symposium and provides background on his role and experience. He notes how medical knowledge and treatment has changed significantly over the past 40 years based on randomized clinical studies. The NJACC is sponsoring the symposium in partnership with the NJDOH to discuss expanding appropriate elective stent procedures to non-surgical hospitals based on the results of the CPORTE study. Dr. Kutscher introduces Charlie Dennis, who has played a key role in guiding cardiac care in New Jersey over the past 12 years through his leadership on the CHAP.
Stratified Management of Cardiac Surgery for Structural Heart Disease during ...semualkaira
We study pregnancy outcomes of cardiac surgery
under cardiopulmonary bypass (CPB) at different stages and discuss stratified management of cardiac surgery under CPB in pregnant women with structural heart disease (SHD) from pre-pregnancy counseling through postpartum management.
Stratified Management of Cardiac Surgery for Structural Heart Disease during ...semualkaira
: We study pregnancy outcomes of cardiac surgery
under cardiopulmonary bypass (CPB) at different stages and discuss stratified management of cardiac surgery under CPB in pregnant women with structural heart disease (SHD) from pre-pregnancy counseling through postpartum management.
Cardiovascular diseases (CVDs) are a group of conditions that affect the heart and blood vessels. The major CVDs are ischemic heart disease, hypertension, stroke, congenital heart disease, and rheumatic heart disease. Worldwide, CVDs are the leading cause of deaths, responsible for over 30 million deaths annually. In India, the prevalence of coronary heart disease is higher in urban versus rural areas. Some key risk factors for CVDs include age, family history, smoking, high blood pressure, high cholesterol, diabetes, and physical inactivity. Prevention strategies target populations through risk factor modification as well as high-risk individuals through screening and management. The WHO has implemented projects like MONICA to study CVD trends and determin
Introduction to ncd, coronary heart disease online lecture slides 2020 april 1Animesh Jain
Non-communicable diseases and Coronary Heart Disease - Introductory lecture for MBBS students.
This is just a basic skeletal presentation to aid class taking and students' memory for recap.
Dr. Sujit Chatterjee, CEO of Dr. LH Hiranandani Hospital Kidney Care, provided insights into the hospital's extensive services, emphasized the importance of raising awareness about kidney disease, and highlighted innovative approaches employed to enhance patients' quality of life.
Dr. Ravi R Kasliwal’s personality is truly multifaceted- his list of honors is testimony of this. His passion for developing and applying non-invasive techniques for early detection and prevention of coronary artery diseases is exemplary.
1) The document describes a randomized controlled trial comparing early surgery versus conventional treatment in patients with left-sided native valve endocarditis at high risk of embolic events.
2) 76 patients were randomized to either early surgery within 48 hours or conventional treatment according to 2005 AHA guidelines with surgery only for complications.
3) The study found that among patients with left-sided native valve endocarditis at high risk of embolic events, early surgery reduces mortality and embolic events compared to conventional treatment.
This document provides an introduction to and overview of the 12 recommendations from the Institute of Medicine on promoting global cardiovascular health. It discusses the global cardiovascular disease epidemic and some of the challenges in addressing it, including lack of awareness, competing priorities, and weak health systems. It then groups the 12 recommendations into three categories: building priorities, advocacy and funding; policy and program implementation; and data management, research and global coordination/reporting. For each recommendation, it provides a brief overview of the topic and highlights one or two related articles in the document. The introduction sets the stage for the in-depth discussion of each recommendation that follows in the subsequent articles.
Critical Care of Children with Heart Disease Sadegh Dehghan
Pediatric cardiac intensive care patients pose special challenges to those practitioners caring for them . The primary purpose of this textbook is to provide the health care practitioner with an overview of both the medical and surgical facets in caring for pediatric patients with congenital or acquired cardiac disease . This book conceals a multitude of topics that may be encountered when caring for children in a cardiac intensive care setting . The first part of the text covers general aspects ranging from mechanical ventilation and cardiac anesthesia , sedation and pain management , to cardiopulmonary bypass , cardiac catheterization , echocardiography , in addition to describing the special monitoring required for pediatric cardiac patients . It also includes important recent developments in assessing and reporting risk factors .
The next sections address specific cardiac anomalies including acyanotic defects, right and left obstructive heart lesions, atrio-ventricular valve anomalies, vascular lesions, pulmonary hypertension, cardiomyopathies, pericardial diseases, and other complex heart defects. Specific chapters are dedicated to mechanical assistance, renal replacement therapy, transplant, arrhythmias, as well as the ethical and legal issues that involve the discontinuation of support of patients.
This document summarizes two studies that raised questions about the risks and benefits of testosterone therapy:
1. A retrospective study found that male veterans with low testosterone who received testosterone therapy had a higher risk of heart attack, stroke, or death compared to those not receiving therapy, even after adjusting for potential confounding factors.
2. A randomized trial found that adding testosterone to optimized sildenafil therapy for erectile dysfunction provided no additional improvement in erectile function compared to sildenafil alone.
Together these studies highlight the need for more research on the long-term risks and benefits of testosterone therapy, as current understanding is limited despite its increasing use.
This document provides revised and updated consensus guidelines for the indications and timing of intervention for common congenital heart diseases in India. It was developed following an expert meeting in 2018. The guidelines provide evidence-based recommendations on when and how to intervene for various congenital heart defects, including septal defects, obstructive lesions, and cyanotic heart diseases. Protocols for follow-up after surgery or catheter interventions are also described. The recommendations aim to optimize outcomes while accounting for factors like late presentation and comorbidities common in Indian children with congenital heart disease.
Why should we measure endothelial functionEndothelix
This document discusses the importance of measuring endothelial function for cardiovascular risk assessment. It begins with background on cardiovascular disease being the leading cause of death globally and the problems with traditional risk assessment based only on risk factors. It then discusses how endothelial dysfunction underlies many disease states and can serve as an integrated measure of risk. The document reviews different techniques for measuring endothelial function, including flow-mediated dilation of the brachial artery. It argues that a comprehensive cardiovascular risk assessment should include measures of both subclinical disease and endothelial function.
The document is the preface to a book titled "Platelet Function: Assessment, Diagnosis, and Treatment" which focuses on platelet biology and reviews current methods of assessing platelet function. The book is divided into three parts which cover platelet physiology, methods of assessing platelet function, and clinical applications of assessing platelet function and antiplatelet therapy. The preface provides an overview of the book's goals and content.
The SPRINT study compared an intensive blood pressure treatment target of less than 120 mm Hg to a standard target of less than 140 mm Hg in 9,361 patients at high risk for cardiovascular events but without diabetes. At 1 year, the mean systolic blood pressure was 121.4 mm Hg in the intensive group and 136.2 mm Hg in the standard group. After a median follow up of 3.26 years, the primary composite outcome of heart attack, acute coronary syndrome, stroke, heart failure or cardiovascular death occurred less frequently in the intensive group compared to the standard group. All-cause mortality was also lower in the intensive group, though rates of some adverse events were higher.
This slide set provides an overview of the Global Initiative for Chronic Obstructive Lung Disease (GOLD) guidelines for chronic obstructive pulmonary disease (COPD). It defines COPD as a common lung disease characterized by airflow limitation caused by exposure to noxious particles or gases. The slide set outlines the GOLD board of directors and science committee, lists national leaders, and describes the objectives, evidence levels, and chapters covered in the 2017 GOLD report on defining, diagnosing, preventing, and managing COPD.
This slide set provides an overview of the Global Initiative for Chronic Obstructive Lung Disease (GOLD) guidelines for chronic obstructive pulmonary disease (COPD). It defines COPD as a common lung disease characterized by airflow limitation caused by exposure to noxious particles or gases. The slide set outlines the GOLD board of directors and science committee, lists national leaders, and describes the objectives, evidence levels, and chapters covered in the 2017 GOLD report on defining, diagnosing, preventing, and managing COPD.
Unlocking the Secrets to Safe Patient Handling.pdfLift Ability
Furthermore, the time constraints and workload in healthcare settings can make it challenging for caregivers to prioritise safe patient handling Australia practices, leading to shortcuts and increased risks.
Let's Talk About It: Breast Cancer (What is Mindset and Does it Really Matter?)bkling
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This ppt presented in a CME of doctors in March 2017 discusses-if all Diabetics should be treated aggressively for prevention of coronary artery disease & SHOULD IT BE PRESUMED AS IF THEY ARE ALREADY PATIENTS OF CAD?
This presentation is updated till March 2017
Dr. Ken Kutscher introduces the symposium and provides background on his role and experience. He notes how medical knowledge and treatment has changed significantly over the past 40 years based on randomized clinical studies. The NJACC is sponsoring the symposium in partnership with the NJDOH to discuss expanding appropriate elective stent procedures to non-surgical hospitals based on the results of the CPORTE study. Dr. Kutscher introduces Charlie Dennis, who has played a key role in guiding cardiac care in New Jersey over the past 12 years through his leadership on the CHAP.
Stratified Management of Cardiac Surgery for Structural Heart Disease during ...semualkaira
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Stratified Management of Cardiac Surgery for Structural Heart Disease during ...semualkaira
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under cardiopulmonary bypass (CPB) at different stages and discuss stratified management of cardiac surgery under CPB in pregnant women with structural heart disease (SHD) from pre-pregnancy counseling through postpartum management.
Cardiovascular diseases (CVDs) are a group of conditions that affect the heart and blood vessels. The major CVDs are ischemic heart disease, hypertension, stroke, congenital heart disease, and rheumatic heart disease. Worldwide, CVDs are the leading cause of deaths, responsible for over 30 million deaths annually. In India, the prevalence of coronary heart disease is higher in urban versus rural areas. Some key risk factors for CVDs include age, family history, smoking, high blood pressure, high cholesterol, diabetes, and physical inactivity. Prevention strategies target populations through risk factor modification as well as high-risk individuals through screening and management. The WHO has implemented projects like MONICA to study CVD trends and determin
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Non-communicable diseases and Coronary Heart Disease - Introductory lecture for MBBS students.
This is just a basic skeletal presentation to aid class taking and students' memory for recap.
Dr. Sujit Chatterjee, CEO of Dr. LH Hiranandani Hospital Kidney Care, provided insights into the hospital's extensive services, emphasized the importance of raising awareness about kidney disease, and highlighted innovative approaches employed to enhance patients' quality of life.
Dr. Ravi R Kasliwal’s personality is truly multifaceted- his list of honors is testimony of this. His passion for developing and applying non-invasive techniques for early detection and prevention of coronary artery diseases is exemplary.
1) The document describes a randomized controlled trial comparing early surgery versus conventional treatment in patients with left-sided native valve endocarditis at high risk of embolic events.
2) 76 patients were randomized to either early surgery within 48 hours or conventional treatment according to 2005 AHA guidelines with surgery only for complications.
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This document provides an introduction to and overview of the 12 recommendations from the Institute of Medicine on promoting global cardiovascular health. It discusses the global cardiovascular disease epidemic and some of the challenges in addressing it, including lack of awareness, competing priorities, and weak health systems. It then groups the 12 recommendations into three categories: building priorities, advocacy and funding; policy and program implementation; and data management, research and global coordination/reporting. For each recommendation, it provides a brief overview of the topic and highlights one or two related articles in the document. The introduction sets the stage for the in-depth discussion of each recommendation that follows in the subsequent articles.
Critical Care of Children with Heart Disease Sadegh Dehghan
Pediatric cardiac intensive care patients pose special challenges to those practitioners caring for them . The primary purpose of this textbook is to provide the health care practitioner with an overview of both the medical and surgical facets in caring for pediatric patients with congenital or acquired cardiac disease . This book conceals a multitude of topics that may be encountered when caring for children in a cardiac intensive care setting . The first part of the text covers general aspects ranging from mechanical ventilation and cardiac anesthesia , sedation and pain management , to cardiopulmonary bypass , cardiac catheterization , echocardiography , in addition to describing the special monitoring required for pediatric cardiac patients . It also includes important recent developments in assessing and reporting risk factors .
The next sections address specific cardiac anomalies including acyanotic defects, right and left obstructive heart lesions, atrio-ventricular valve anomalies, vascular lesions, pulmonary hypertension, cardiomyopathies, pericardial diseases, and other complex heart defects. Specific chapters are dedicated to mechanical assistance, renal replacement therapy, transplant, arrhythmias, as well as the ethical and legal issues that involve the discontinuation of support of patients.
This document summarizes two studies that raised questions about the risks and benefits of testosterone therapy:
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This document provides revised and updated consensus guidelines for the indications and timing of intervention for common congenital heart diseases in India. It was developed following an expert meeting in 2018. The guidelines provide evidence-based recommendations on when and how to intervene for various congenital heart defects, including septal defects, obstructive lesions, and cyanotic heart diseases. Protocols for follow-up after surgery or catheter interventions are also described. The recommendations aim to optimize outcomes while accounting for factors like late presentation and comorbidities common in Indian children with congenital heart disease.
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The document is the preface to a book titled "Platelet Function: Assessment, Diagnosis, and Treatment" which focuses on platelet biology and reviews current methods of assessing platelet function. The book is divided into three parts which cover platelet physiology, methods of assessing platelet function, and clinical applications of assessing platelet function and antiplatelet therapy. The preface provides an overview of the book's goals and content.
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2. About me
Interventional Cardiologist in Pune - Dr.
Rahul. D. Sawant
Dr. R D Sawant Interventional Cardiologist Pune, MRCP London, CCT Cardiology Cambridge UK Fellowship
Interventional Cardiology, Mount Sinai Hospital, New York USA. Profile: Dr. R D Sawant is the Best Cardiologist in Pune.
He is Director of Hridaymitra Cardia Clinic.
He is affiliated to various hospitals in Pune including Noble Hospital, Deenanath Mangeshkar hospital, Sahyadri Hospital, N
M Wadia hospital. Dr. Sawant is an associate professor of Cardiology at Bharati Vidyapeeth’s Medical College and Hospital.
He specializes in complex coronary intervention. He is passionate about the management of heart attack and primary
coronary angioplasty.
He has expertise in left main angioplasty, bifurcation techniques, rotablation [Rotational coronary atherectomy, Coronary
angiography, Chronic total occlusions, Percutaneous balloon aortic valvotomy, Balloon mitral valvuloplasty, Alcohol septal
3. Skills & expertise
Research and Publications in Indexed Journals
● Pregnancy and treatment outcome in a patient with left ventricular non-compaction. Eur J Heart Fail. 2013 May;15(5):592-5. doi: 10.1093/eurjhf/hft002. Epub
2013 Jan 11.
● Rhabdomyolysis due to an uncommon interaction of ciprofloxacin with simvastatin. Can J Clin Pharmacol. 2009 Winter;16(1):e78-9. Epub 2009 Jan 16.
● 22-yr-old’s life saved by doctors in city hopital Sakal Times | Thursday, 14 May 2015 AT 08:46 PM IST
● WHEN YOUNGSTERS TAKE MATTERS TO THEIR HEART By Nozia Sayyed, Pune Mirror | Mar 22, 2016, 02.30 AM IST
● ALCOHOL INJECTION SAVES MAN WITH HEART CONDITION By Nozia Sayyed, Pune Mirror | Apr 6, 2016, 02.30 AM IST
Presentations International
1. RD Sawant, T Sarev. Keep calm and carry on. A case of coronary perforation. Oral presentation at C3 Conference, Florida, USA. 21June 2013
2. RD Sawant, T Sarev, Dr Gilbert. A well beaten path does not always make the right road. Oral presentation, Interactive case corner, EURO PCR, Paris.
May 2012
3. D Locca, R Sawant, C Knight, MT Rothman, A Mathur. Acute myocardial infarction and bodybuilding: A love story…insight from CMR. Euro PCR 2008
4. RD Sawant, L Freeman. A case of LV non compaction and progress through pregnancy. Poster presentation at British Cardiovascular Society conference,
Manchester May 2012
5. A floppy lady: a case of unusual interaction between simvastatin and ciprofloxacin. Dr R Sawant, Dr John Williams. East Anglia Regional Rheumatology
meeting. Dec 2005
6. Prognostic factors in patients with intracerebral haemorrhage. Dr R Sawant, Dr A Bhave. 29th Annual Research Society conference, B J Medical College,
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