The Oberoi Group takes pride in having the best service professionals in the industry. Throughout the year, the organisation stimulates and rewards exceptional performance that

The Oberoi Group takes pride in having the best service professionals in the industry. Throughout the year, the organisation stimulates and rewards exceptional performance that best exemplifies outstanding service. Some of these awards are: Leading Quality Assurance Champ – Leading Quality Assurance (LQA) is an external auditing firm that audits hotels of The Oberoi Group on the standards laid down for guest service. Mystery guests conduct this audit and the hotel learns of it only once the subsequent report arrives. The LQA report mentions, with employee names, areas where excellent guest service was and was not provided. After the report reaches the hotel, “The LQA champs,” employees who have given exceptional service to the guest auditors are given certificates of appreciation. Their photographs with the auditor’s comments are put up on the hotel notice board for all employees to see. Appreciation Tree – Team members are encouraged to plant an appreciation leaf on the appreciation tree displayed in the team cafeteria. This is to promote peer recognition for a job well done, irrespective of department affiliations. It also encourages on the spot recognition and interdepartmental co-operation. 61 Can carvedilol be used in an elderly patient who developed left ventricular failure after a very recent myocardial infarction, or should it wait until the condition becomes stable? 62 I have seen some patients with chronic rheumatic heart disease with no obvious evidence of rheumatic fever (i.e. they could not recall if there was an episode of severe infection with subsequent fever and joint pain). So, actually, how is chronic rheumatic heart disease diagnosed? 63 If a young patient presents with hemiparesis and rheumatic atrial fibrillation and is already on oral anticoagulant, with an international normalized ratio (INR) 3 and a normal computed tomography (CT) scan done 2 hours after onset, should he receive heparin for prophylaxis against further embolism? Should aspirin be combined with oral anticoagulant later, or should target INR be increased? 64 When treating mitral stenosis using a balloon valvotomy, how come no thrombus develops at the site of the atrial septum or at the separated commissure of the valve leaflets? 65 Why does a mitral stenosis produce a loud S1? 66 Why is the mitral valve more affected than any other valve in the heart in most valvular diseases? 67 What is William’s syndrome (supravalvular obstruction)? Why does hypercalcaemia occur with this syndrome? 68 Kindly tell me all the causes postulated for the collapsing pulse seen in aortic regurgitation. 69 Does pulmonary stenosis cause pulmonary hypertension? 70 Under what conditions would a pulsatile liver be found and what is its clinical significance?