Project management best practices are key to operating an efficient and effective multiple listing service. Recognizing that every organization is structured differently, with varied staff and capabilities, MLSs may have to establish a benchmark suitable to their structure rather than the one set by MFRMLS.What is important to remember is that the key principle of successful project management requires proper planning, communication, and execution. Thinking through the project plan in anticipation of a product launch is an imperative foundation for setting expectations around product or service delivery. When organizations fail to set the right expectations, even projects that require months to complete will begin to feel long and drawn out under the best of circumstances. By communicating expectations up front and then keeping subscribers or members up to date on the progress being made whether by daily messaging services or newsletters project stress is typically reduced, performance improved, and the question "when will it be ready" never asked by those who know the answer.

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?