Phoenix Business Consulting invests in telehealth platform Healpha The missing informal workers in India’s vaccine story Indraprastha Apollo Hospitals releases first “Comprehensive Textbook of COVID-19” Leading global experts in interventional cardiology recently participated and shared their breaking clinical trials, researches, latest evidence-based medicine, latest technologies and innovations iat the 32nd global annual scientific symposium, Transcatheter Cardiovascular TherapeuticsIncreasing cardiovascular burden globally and the need for innovative technologies has changed the face of heart care today. With the changing lifestyles and the current pandemic leaving an impact on the heart, the situation has become more complex. This has led cardiologists to push the envelope and find new ways to treat patients. Leading experts from the various fields of interventional cardiology from across the globe including scientists, radiologists, clinical cardiologists, vascular medicine specialists, cardiac and vascular surgeons recently participated and shared their breaking clinical trials, researches, latest evidence-based medicine, latest technologies and innovations in the field of intervention at the 32nd global annual scientific symposium, Transcatheter Cardiovascular Therapeutics.One of the key topics discussed at the global platform was the result of clinical trial on imaging iOPTICO from India. iOPTICO is based on Optical Coherence Tomography (OCT), the latest imaging technology in the field of coronary intervention. For many years, angiography has been the medium of guidance for percutaneous coronary interventions (PCI) but could only provide limited information of the diseased coronary arteries. But, the latest imaging technology, OCT comes with an enhanced visualisation and high-resolution imaging, which helps in accurate decision making, strategising the procedure precisely and optimise the outcome, thus leading to a PRECESION PCI with better patient outcomes.The trial involved 500 patients, who were enrolled between November 2018 to March 2020 from nine locations across India and Bangladesh. The patients were selected for the study, if they had significant coronary artery stenosis (diameter stenosis >70 per cent based on visual assessment on the coronary angiogram) in at least one native coronary artery after angiography. The primary objective was to assess the change in treatment strategy pre and post PCI (percutaneous coronary intervention). Pre-PCI strategy change involved need for lesion preparation, change in the intended stent length and size, and intended device landing zone. Post-PCI strategy change involved the intended need for additional interventional procedures for PCI optimisation after identification of stent malaposition, edge dissections, and stent under expansion. This was the first South Asian study reporting the outcomes of OCT-ACR (Angiographic co-registered) guided PCI in patients with coronary artery disease.The key findings of the study were that when OCT was used along with angiography, it changed the angiographic based decisions in 90 per cent of the lesions in the patients who underwent the trial. Cardiologists changed their strategy in 86 per cent of lesions before PCI and 30 per cent of lesions after PCI.The primary investigator (PI) of iOPTICO, Dr. Rony Mathew (HOD & Senior Consultant, Lisie Cardiology Dept) shed light on the technology and said, “OCT is the new approach to PCI procedure as it helps an operator see better and get all the information inside the diseased coronary artery. In this study, when OCT was used along with angiography, it changed the angiographic based decision in 90 per cent of the lesions in trial patients. It enhances decision making through precision and accuracy.”Referring to a recently presented US clinical trial LightLab data, site investigator of the trial Dr. Balbir Singh, Chairman and Head, Cardiology for Max Healthcare group highlighted, “The field of Interventional cardiology is getting more advanced and is culminating towards perfection or PRECESION PCI and both Indian iOPTICO and US LightLab data shows similar change in the PCI strategy in spite of varied demography and clinical setup. The LightLab data has shown a cumulative impact of decision change with OCT on 88 per cent of the lesions, with pre-PCI OCT impact of 83 per cent and post-PCI OCT impact of 31 per cent of the lesions in the study patients compared to angiography.”Another site investigator Dr Samuel Mathew, Director – Cardiac Cath Lab, Apollo Hospitals, Chennai (Chief consultant & Lilavati Hospital) who is known as the pioneer and Father of Angioplasty in India emphasised, “Intravascular imaging (IVI) guided percutaneous coronary intervention (PCI) has shown to be associated with superior outcomes compared to angiography-based PCI. Optical coherence tomography (OCT) is a high-resolution IVI modality used widely for PCI optimisation. The current iOPTICO study was designed to evaluate the utility newer angiography – OCT co-registration (ACR) workflow in PCI optimisation in a population of 500 Indian patients. This first South Asian study iOPTICO will open up new dimensions in the field of intervention cardiology and will solely benefit the patients with coronary artery disease as cardiologists will see with clarity and treat with certainty leading to excellent clinical outcome.”Other investigators from India and Bangladesh included eminent cardiologists such as Dr. Jabir A, Senior Consultant and Director of Clinical Research (Cardiology) at Lisie Cardiology Dept, Dr. Tejas Patel, Chairman and Chief Interventional Cardiologist at Apex Heart Institute, Dr. Balbir Singh, Chairman N Head, Cardiology at Max Healthcare, Dr. Nagendra SC, Director – Department of Interventional Cardiology in Medanta-The Medicity, Gurugram, Prof Fazila-Tun-Nesa Malik Cardiology Specialist at National Heart Foundation Hospital and Research Institute, Dhaka, Dr. Shirish (M.S) Hiremath, Director, Cathlab, Ruby Hall Pune, Dr. G. Sengottuvelu-Senior Consultant and Interventional Cardiologist at Apollo Hospitals, Chennai, Dr. Samuel Mathew, Chief Interventional Cardiologist, Apollo Hospital Chennai and Lilavati Hospital and Research Centre, Mumbai, Dr. Viveka Kumar, Principal Director & Chief of Cath Labs, Max Healthcare, Dr. Vijayakumar, Cardiologist at The Madras Medical Mission Hospital and Dr. Shivakumar, Senior Consultant Cardiologist at Meenakshi Mission Hospital & Research Centre (MMHRC) Madurai; for their continuous support and efforts for making this clinical trial successful. 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jeid-1f24e6d3586f1a45b9fb5e863346dcaf To apply, please visit: https://secure4.saashr.com/ta/6153588.careers?showjob=402918285 Graduate Assistant Men’s Basketball Coach, WaukeshaCarroll UniversityResponsibilities:Assist head basketball coach in practice session and gamepreparation.Ability to instruct and coach basketball.Recruitment of new quality students/athletes for the basketballprogram.Assist in strength and conditioning coordinator withimplementation of both in-season and out-of-season.Follow all rules and guidelines set forth by CarrollUniversity, the athletics department policies, and NCAA and CCIW(College Conference of Illinois and Wisconsin) Bylaws andprocedures.Perform other duties as assigned.Candidates must be willing and able to support and advance thehttp://www.carrollu.edu/about/missionstatement.asp/a”>Universitymission. Qualifications:Maintain full time status in an eligible Carroll Universitygraduate programAdditional approval is required for entrance in graduateprograms outside of Education Education and/orExperience:Bachelor’s degree requiredPrevious experience in coaching preferredParticipation in college level basketball preferredHuman Relations Skills:Ability to function effectively as a team player within theprogram and athletics department.Ability to conduct self in a productive, professional manner atall times, representing Carroll University at the highest level asa role model and mentor for our student athletes.A working knowledge of Microsoft word, publisher, excel, andrelated computer applications vital to organizational skills theensure success in our program.Excellent communication skills as they relate to recruiting,working with parents, alumni, and current student athletes.Special Requirements:Must have valid motor vehicle license and be insurable underthe University’s insurance plan.
Lawyers could find their career paths blocked as partners retire later because of changes to tax relief on pension contributions, an accountancy firm has warned.Of 95 law firms surveyed by Smith & Williamson, 53% said they expected a rise in the retirement age would affect opportunities for partner development, and therefore succession planning.In recent years high-earners have faced cuts in the amount they can contribute to their pension, while laws against age discrimination have meant that few firms specify a retirement age in their partnership agreements.At present anyone paying into a pension is entitled to tax relief on contributions of up to £40,000 a year. From April 2016 this will be gradually reduced to £10,000 for those earning over £150,000.Mike Fosberry (pictured), director of financial services at Smith & Williamson, said: ‘We are increasingly seeing partners retiring later as they haven’t been in a position to be able to make adequate pension provision, which has been exacerbated by recent changes to pension contributions.‘The danger firms have got is it is creating blockage at the top of the partnership, where they can’t promote the new partners as the older partners stay on.’According to the accountancy firm, the delayed retirements are compromising the recruitment, promotion and development of other lawyers.Fosberry said that in light of the changes it was important that firms support partners in making personal financial arrangements, as high-earners can no longer rely on pension contributions alone for a comfortable retirement.He said that this education on other investment opportunities should be available for both young and older partners, adding: ‘It needs senior management to take control of this issue.’
ON FEBRUARY 3, Delhi Metro Rail Corp completed the launching of the Yamuna bridge, which forms the centrepiece of its 8·3 km initial section of Line 2 between Shahdara and Tiz Hazari (MR 00 p32). The incrementally-launched 555m long 12-span bridge has a 25-segment girder weighing 14000 tonnes. Built by Larsen & Toubro, the bridge cost Rs376m. The previous week, DMRC awarded a Rs508m contract to ABB for the turnkey electrification system on Line 2. This covers supply, installation and commissioning of traction and auxiliary power supplies, plus a Scada system to manage power distribution. ABB will be working with local partner Best & Crompton.Indian Railways has started a Rs240m programme to electrify the Luknow Circular Railway, ready for the introduction of 25 kV AC EMUs on local rail services from March 2002. The project covers 64 km of track on 38 route-km, split between the Northern and Northeast Frontier railways. The project follows completion of the Kanpur – Lucknow electrification, which was inaugurated by Prime Minister Atal Bihari Vajpayee at the beginning of February. IR is currently planning the electrification of its Luknow – Varanasi and Luknow – Moradabad main lines. n