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

 
  Editorial …

2nd May, 2011, Monday                                eMedinewS Presents Audio News of the Day

View Photos and Videos of 2nd eMedinewS – Revisiting 2010

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

MORE ABOUT CASTRATION

Castration medical (chemical) vs surgical

The treatment is used for
1.     Treatment of prostate cancer with metastasis
2.     Punishment to sexual offenders
3.     Voluntary to reduce the excessive sexual desires or coping with a sexless marriage. 
4.     Spiritual reasons
5.     Eunuchs ( castrated males)
 
Castration can be
1.  Surgical: Removal of testicles. In China, castration included removal of the penis as well as the testicles. Both organs were cut off with a knife at the same time. ( Eunuchs). Castration is the term used for removal of the testis and Emasculation or Penectomy for removal of the penis
2.  Chemical: reducing the testosterone levels or blocking its effect in the blood
 
Castration in Hindi Movie
Zakhmi Aurat is a 1988 Indian Hindi movie starring Dimple Kapadia and Raj Babbar and directed by Avtar Bhogal. It is about women who have been raped and how they get revenge by castrating the rapists. Kapadia played a gang-raped cop who abandons her uniform to avenge her wrongdoers by castrating them.

Modalities available
1.  Orchiectomy (surgical castration)
2.  Gonadotropin releasing hormone (GnRH) agonists or luteinizing hormone (LH) releasing hormone   agonists (medical castration)
3. Gonadotropin releasing hormone (GnRH) antagonists
4. Antiandrogens
5.  Estrogens and progesterones
6. Ketoconazole
7.Combined androgen blockade (CAB), which uses a GnRH agonist along with an antiandrogen (for maximal depletion of testosterone activity).

Commonly used procedures
 
1.  Synthetic GnRH analog- Leuprolide (lupron) for cancer prostate
2.  Progesterone- Medroxyprogesterone acetate (Depo Provera) for sex offenders
3.  Anti androgen- Cyproterone (Androcur, Cyprostat or Siterone) on both.
 
 
Sexual offenders
1.  The drug must reduce sex drive
2.  Should not produce gynaecomastia
3.  Is not debilitating for the man.
 
Types of sexual offenders
 
• Paraphiliac (commits sex offenses because they are sexually aroused by the act). Drug of choice: Depo provera
• Others are motivated by violence or other non-sexual factors ( Depo provera not the drug of choice)
 
Surgical castration ( for ca prostate with metastasis)
1.   Used in ca prostate
2.   Bilateral orchiectomy
3.   Simple and cost-effective procedure.
4.   Following surgery, serum testosterone levels rapidly decrease to castrate levels (<20 ng/mL)
5.   Of choice when immediate decrease in testosterone is necessary (impending spinal cord compression in ca prostate).

6.  Side effects include vasomotor symptoms (hot flushes), weight gain, mood lability, fatigue, gynecomastia, cognitive changes, impotence, loss of libido, osteopenia, and dyslipidemia
 
Anti androgens (For both Ca prostate and reducing sexual drive)
 
1. They bind to androgen receptors and competitively inhibit their interaction with testosterone and dihydrotestosterone.
2. Unlike medical castration, anti androgens do not decrease LH levels and androgen production
3. Testosterone levels are normal or increased.
4. Men on its monotherapy do not have the same spectrum of side effects that are due to low levels of  testosterone, and many maintain some degree of potency.
5. Hepatotoxicity, gynecomastia, and breast pain are common side effects with the nonsteroidal antiandrogens .
6.  Antiandrogens are not commonly used as monotherapy.
7. Are generally used in combination with a GnRH agonist, either continuously (combined androgen blockade (CAB)), or for two to four weeks during the initiation of treatment with a GnRH agonist, in order to prevent a disease flare due to the transient increase in testosterone levels.
8. The nonsteroidal antiandrogens available are flutamide ( 250 mg TDs), bicalutamide (tabi 50mg tab, 150 mg once daily), and nilutamide (once daily second generation).
9. Cyproterone acetate- CPA, a steroidal antiandrogen, is as effective as estrogens or flutamide, with better tolerability.
 
Pure GnRH antagonists

1. Suppress testosterone while avoiding the flare phenomenon of GnRH agonists.
2.  Bind to the GnRH receptors on pituitary gonadotropin-producing cells, but do not cause an initial release of luteinizing hormone or follicle stimulating hormone (FSH).
3.  Abarelix is a chemically modified approved GnRH antagonist.
4.  A second GnRH antagonist, degarelix, was approved by the FDA. It suppresses testosterone levels within three days in 96 percent of patients, an outcome not achieved in patients treated with leuprolide. Suppression of serum testosterone levels is maintained for the duration of the twelve month trial.
 
Synthetic GnRH analogs

1. Have greater receptor affinity and reduced susceptibility to enzymatic degradation compared to the natural GnRH molecule, and are approximately 100-fold more potent.
2. GnRH (also termed luteinizing hormone releasing hormone (LHRH)) agonists bind to the GnRH receptors on pituitary gonadotropin-producing cells, causing an initial release of both luteinizing hormone (LH) and follicle stimulating hormone (FSH), which causes a subsequent increase in testosterone production from testicular Leydig cells.
3. After about one week of therapy, GnRH receptors are down-regulated on the gonadotropin-producing cells, with a decline in the pituitary production of LH and FSH.
4. The fall in serum LH leads to a decrease in serum testosterone to castrate levels within three to four weeks after the start of treatment . Continued treatment maintains serum testosterone at castrate levels.
5. The decrease in testosterone production is generally reversible upon cessation of GnRH agonist therapy.
6. However, testosterone production does not always return to baseline levels and may be related to the duration of GnRH agonist therapy, patient age, and other factors.
7. The transient rise in LH when GnRH therapy is initiated can cause a surge in serum testosterone, which may stimulate prostate cancer growth.
8. This "flare" may cause an increase in bone pain, bladder obstruction, or other symptoms due to prostate cancer.
9. Thus, initial treatment with GnRH alone is contraindicated in men with severe urinary tract obstruction or painful bone metastases.
10.The flare phenomenon can be effectively prevented with antiandrogen therapy, which blocks the effect of the increased serum testosterone.
11. In practice, antiandrogen therapy is often started seven days prior to GnRH agonist initiation for men at high risk of flare symptoms, or concurrently for asymptomatic patients. Antiandrogen therapy is then continued for two to four weeks.
12.The main effects of GnRH agonists are due to androgen deprivation and are similar to orchiectomy. These include impotence, loss of libido, vasoactive symptoms, fatigue, weight gain, gynecomastia, osteopenia, and dyslipidemia.
13. Available drugs: Daily subcutaneous administration of leuprolide (1 mg/day). This approach had efficacy similar to oral diethylstilbestrol (DES, 3 mg per day), but without the cardiovascular toxicity;  Depot formulations: Leuprolide, goserelin, triptorelin, Buserelin. Dose Leuprolide: (3 monthly 11.75 mg, monthly 3.75mg).
 
Sexual offenders ( Choices)
Depo-Provera (MPA)
1.  Inhibits the abilities of pedophilias to assault children.
2.  The progesterone counteracts the biological tendencies that lead men to rape children.
3.  By lowering testosterone it reduces sex drive. Males can have sexual intercourse but do not want to.
4.  It also decreases aggressive tendencies by reducing testosterone. 
5.  The elimination of testosterone production in a man's body drastically reduces or eliminates his sex drive.
6.  The goal of treatment is to eliminate the desire of a sex offender who is motivated by sexual arousal to re-offend.
 
Antiandrogens

1.  Are another method of chemical castration.
2.   Work by blocking certain receptors in the body to which testosterone attaches.
3.  The goal is to block the effects of testosterone on the male body and return levels to that of a pre-pubescent boy.
4.  The sex offender experiences reduced libido, theoretically eliminating the desire of a sex offender to re-offend.
 
Other methods
Ketoconazole
1.  Is an oral antifungal agent
2.  Inhibits effects on both testicular and adrenal steroidogenesis, through its effects on the cytochrome P450 enzymes.
3.  Its long-term use is limited by gastrointestinal and hepatic side effects, resulting in poor adherence.
4.  Can decrease serum testosterone to castrate levels within 24 hours
5.  Occasionally useful as initial therapy is for patients with spinal cord compression or other acute symptoms due to metastatic prostate cancer who either decline or are not candidates for bilateral orchiectomy.
 
Estrogen and progesterone
 
Inhibit the release of LHRH from the hypothalamus, thus suppressing pituitary LH  release and thereby reducing testosterone.
High estrogen levels can lower serum testosterone to castrate levels in one to two weeks.
Estrogens are associated with impotence, loss of libido, and lethargy.
Estrogens may help prevent bone loss, even in low doses (eg, DES 1 mg per day).
Diethylstilbestrol
Increase in the incidence of cardiovascular events, including myocardial infarctions, cerebrovascular accidents, and pulmonary emboli.
A dose of 3 mg per day is required to maintain castrate levels of testosterone, but cardiovascular toxicity remains prohibitive with this dose.
The availability of GnRH agonists, which do not have the excess cardiovascular morbidity seen with DES, led to the decreased use of DES.
Other estrogens and progesterones include conjugated estrogens, ethinyl estradiol, chlorotrianisene and medroxyprogesterone acetate.
A formulation of conjugated estrogens (Premarin) is Premarin (1.25 mg) either once or three times daily.
Transdermal estradiol is associated with castrate levels of testosterone. 

Dr KK Aggarwal
Editor in Chief
drkkaggarwal Dr K K Aggarwal on Twitter
Krishan Kumar Aggarwal Dr k k Aggarwal on Facebook

blogs.kkaggarwal.com

 
    Changing Practice – Evidence which has changed practice in last one year

Carboplatin dosing

For most patients, carboplatin dosing uses the Calvert formula, which is based upon desired exposure (area under the curve (AUC) of concentration X time) and the glomerular filtration rate (GFR). When the GFR is estimated based upon measured serum creatinine, we suggest limiting the maximal GFR to 125 mL/min for this calculation. (October 8, 2010)

References

  1. (Ref: Rustin GJ, van der Berg ME, Griffin CL, et al. Early versus delayed treatment of relapsed ovarian cancer (MRC OV05/EORTC 55955): a randomised trial. Lancet 2010; 376:1155).
 
  eMedinewS Audio PostCard

CKD Update

Dr KK Aggarwal Speaks on
‘3 simple tests to detect CKD

Audio PostCard
 
    Photo Feature

World Earth Day 2011 Observed

'Save rivers from pollution' Young students of Delhi Public Schol, Mathura Road enacted this very important message in a skit at a function organized to observe World Earth Day on 21st April.

 
Dr K K Aggarwal
 
    National News

Five-in-one vaccine to be introduced soon

NEW DELHI: After years of discussion and a recent promise to Bill Gates, India is now rolling out the country's first pentavalent vaccine. The Union health ministry has written to the governments of Tamil Nadu and Kerala — the two states where the five-in-one vaccine will be first introduced, because of their high routine immunization coverage rate, to put in place manpower, train them and also finalise the implementation plan. The ministry has also sent a letter to the Global Alliance for Vaccines and Immunisation (GAVI) asking them to dispatch the vaccine doses at the earliest. GAVI, which is providing the vaccines free of cost to the ministry for the time being, has asked UNICEF to procure the vaccines and send them to India. India plans to vaccinate 16 lakh children in these two states in the first year. The five-in-one vaccine will have diphtheria, pertussis, tetanus (DPT), Hepatitis B and HIB (Haemophilus influenzae type B -- the bacterial microorganism that causes several serious childhood illnesses like meningitis and pneumonia). Besides this shot, children will also get their oral polio doses as part of the routine immunization rounds. (Source: TOI, Apr 26, 2011)

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

(Contributed by Rajat Bhatnagar, International Sports & Fitness Distribution, LLC)

General - Fit Facts and Tips for Specific Populations

  • Regular physical activity reduces the risk of many adverse health outcomes.
  • Some physical activity is better than none.
  • For most health outcomes, additional benefits occur as the amount of physical activity increases through higher intensity, greater frequency, and/or longer duration.
  • Most health benefits occur with at least 150 minutes (2 hours and 30 minutes) a week of moderate-intensity physical activity, such as brisk walking. Additional benefits occur with more physical activity.
  • Both aerobic (endurance) and muscle-strengthening (resistance) physical activity are beneficial.
  • Health benefits occur for children and adolescents, young and middle-aged adults, older adults, and those in every studied racial and ethnic group.
  • The health benefits of physical activity occur for people with disabilities.
  • The benefits of physical activity far outweigh the possibility of adverse outcomes.

(Dr Monica and Brahm Vasudev)

FDA panel endorses another HCV drug

An FDA panel has unanimously endorsed the investigational drug telaprevir for treatment of hepatitis C, making it the second HCV drug in two days to receive passing marks from the panel.

Anti-VEGF drug trial results released early

Bevacizumab (Avastin) and ranibizumab (Lucentis) were equally effective in preserving visual acuity in patients with "wet" age-related macular degeneration, according to results of a large randomized trial published today in the New England Journal of Medicine.

Treating depression may augment diabetes patients' overall health

Treating diabetes patients' depression boosts their overall health, according to study in the journal Medical Care, which included 145 people with type 2 diabetes and depression who received a year-long depression intervention that included 12 weeks of cognitive behavioral therapy over the phone, followed by nine monthly booster sessions, which included a walking program.

 
    Spiritual Update

Hanuman Chalisa

Siyavara Ramachandra Ki Jaya,
Pavanasuta Hanumana Ki Jaya,
Umapati Mahadeva Ki Jaya


Meaning: All glories to Mother Sita, all glories to Lord Ramachandra, all glories to the Son of the Wind, Hanumana, all glories to Lord Shiva, consort of Parvati.

Spiritual Significance: This talks about importance of Body (Sita), Consciousness (Rama) and Prana Vayu (Hanumana). It also gives importance to Lord Shiva (Shiva) and Goddess Parvati (Shakti). The union of Shiva and Shakti is what consciousness is. In computer language, Shiva represents the language of the computer and Shakti is the formula used to making it into a software. In Vedic language, Shiva represents information, Parvati energy and Shiva Shakti represent energized information.

 
    IJCP Special

Dr Good Dr Bad

Situation: A child came with focal convulsions with onset of high-grade fever.
Dr Bad: These are simple febrile convulsions
Dr Good: These are not simple febrile convulsions
Lesson: Simple benign febrile convulsions are always generalized.

Make Sure

Situation: In an STD clinic, a 23-year-old heterosexual male presenting with dysuria, and uretheral discharge was prescribed azithromycin to cover suspected Chlamydia trachomatis infection.
Reaction: Oh my God! Why didn’t you advise the same treatment for his partner also?
Lesson: Make sure to remember that in such cases, it is essential that both the partners are treated.

 
    An Inspirational Story

(Dr Prachi Garg)

Reach for your star

Do not take anything as being forever, because forever is only as long as today. Know that the people who are the richest are not those who have the most, but those who need the least.

That we are at our strongest when life is at it's worst, and at our weakest when life no longer offers a challenge. That it is wiser not to expect, but to hope, for in expecting you ask for disappointment, whereas in hoping you invite surpriseThat unhappiness doesn't come from not having something you want, but from the lack of something inside that you need.

That there are things to hold and things to let go. and letting go doesn't mean you lose, but that you acquire that which has been waiting around the corner.

Most of all......remember to use your dreams as a way of knowing yourself better, and as an inspiration to reach for Your Star!

 
    Pediatric Update

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

Nutrient needs of adolescents

Adolescents need extra nutrients to support growth spurt.

  • Girls: Growth spurt begins at 10 to 12 years, peaks at 14 years and stops at 15–16 years
  • Boys: Growth spurt begins at 12–13 years, peaks at 15 years and stops at 19 years.

Rapidly growing athletic body needs 4000 calories/day. An inactive girl requires<2000 calories per day.

 
    Medicolegal Update

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

Investigation and medical negligence

The investigating police officer and the private/patient complainant cannot always be supposed to have knowledge of medical science so as to determine whether the act of the alleged medical professional/doctor/ hospital amounts to rash or negligent act within the domain of criminal law under Section 304-A of IPC said the Supreme Court of India.

The SC says:

  • As we have noticed hereinabove that the cases of doctors being subjected to criminal prosecution are on an increase. Sometimes such prosecutions are filed by private complainants and sometimes by police on an FIR being lodged and cognizance taken.
  • The criminal process once initiated subjects the medical professional to serious embarrassment and sometimes harassment. He has to seek bail to escape arrest, which may or may not be granted to him. At the end he may be exonerated by acquittal or discharge but the loss which he has suffered in his reputation cannot be compensated by any standards.
  • We may not be understood as holding that doctors can never be prosecuted for an offence of which rashness or negligence is an essential ingredient.
  • All that we are doing is to emphasize the need for care and caution in the interest of society; for, the service which the medical profession renders to human beings is probably the noblest of all, and hence there is a need for protecting doctors from frivolous or unjust prosecutions.
  • Many a complainant prefers recourse to criminal process as a tool for pressurizing the medical professional for extracting uncalled for or unjust compensation. Such malicious proceedings have to be guarded against.
ijcpgroup
Docconnect
Docconnect
 
    Obesity Update

Dr. Parveen Bhatia and Dr. Pulkit Nandwani

International Diabetes Federation (IDF) Study Highlights

  • Obesity is classified by BMI, as defined by the World Health Organization based on adverse effects, but waist circumference and central and peripheral fat mass are alternative measures of obesity.
  • The current evidence supports continued use of BMI to define obesity, especially when it exceeds 30 kg/m2.
  • For Asians, the classifications for BMI remain the same, but the cut-off points for interventions are set at 23, 27.5, 32.5, and 37.5 kg/m2 instead of 24.9, 29.9, 34.9, and 39.9 kg/m2.
  • The risk for the development of type 2 diabetes increases 93 times in women and 42 times in men who are severely obese vs individuals who are normal weight.
  • In the short term, even modest weight loss in those with type 2 diabetes improves glycemic control and reduces hypertension and dyslipidemia.
 
    Mind Teaser

Read this…………………

(Dr GM Singh)

What is not true about the immune mechanism in the small intestine?

a. Intestine contains more than 70% of IgA producing cells in the body.
b. Ig A acts by activating the complement pathway.
c. Ig A is produced by plasma cells in the lamina propria.
d. Approximately 60% of the lymphoid cells are T cells.

Yesterday’s Mind Teaser: Is orchidectomy needed in debridement of Fournier's gangrene?

Answer for Yesterday’s Mind Teaser: No.

Correct answers received from: Dr Tilak Gupta, Dr K Raju, Dr Jainendra Upadhyay, Dr Chandresh. Jardosh, Dr Meera Rekhari, Dr.K.V.Sarma

Answer for 30th April Mind Teaser: b.
Correct answers received from: Dr Prabha Sanghi, Dr Chandresh Jardosh, Dr Anupam

Send your answer to ijcp12@gmail.com

 
   Laugh a While

(Dr. GM Singh)

Stranded

The shipwrecked mariner had spent several years on a deserted island. Then one morning he was thrilled to see a ship offshore and a smaller vessel pulling out toward him. When the boat grounded on the beach, the officer in charge handed the marooned sailor a bundle of newspapers and told him, "The captain said to read through these and let us know if you still want to be rescued.”

 
    Lab Update

(Dr Arpan Gandhi and Dr Navin Dang)

Beta–2 Microglobulin

To help identify a mycobacterial infection; to diagnose tuberculosis (TB) and to monitor the effectiveness of treatment.

 
    Medi Finance Update

(Dr GM Singh)

If a doctor receives an X–ray machine as gift, is he liable to pay tax on the same?

Yes, in this case the instrument will be considered as an asset to the doctor’s practice.

 
    Drug Update

List of approved drugs from 01.01.2010 to 31.8.2010

Drug Name
Indication
DCI Approval Date
Cefuroxime Sodium 750/1500mg + Sulbactam Sodium 375/750mg
For the treatment of mild to moderate lower respiratory tract infection
06/07/10
 
    IMSA Update

International Medical Science Academy (IMSA) Update

Cardiac involvement is often clinically silent in patients with sarcoidosis although sudden death is a leading cause of mortality in this population.

 
    Quote of the Day

(Dr GM Singh)

If you wonder where your child left his roller skates, try walking around the house in the dark.
Leopold Fechtner

 
    Readers Responses
  1. Dear Brother Dr. KK, I am so pleased to read about your motivational comments about regular blood donations. I fully endorse your views. Yes, regular blood donation (every 3rd month) definitely reduces the chances to develop IHD. I always offer my arm every 3rd month and with God's Grace have done 211 donations so far. I feel young...full of energy and healthy....no physical problems....I am willing to go anywhere for Voluntary Blood donation Motivation Drives. On behalf of our Mission Jan Jagriti (An NGO for empowerment of youth), which is in process of setting up State of Art Blood Banks in and around Delhi, I invite everyone to be a part of this great noble human cause. Regards, Dr. NK Bhatia, President, Mission Jan Jagriti.
 
    Public Forum

(Press Release for use by the newspapers)

Inflammation of the Thyroid is Thyroiditis

Thyroiditis is the inflammation of the thyroid. Thyroiditis is on the rise in the society as more number of cases are occurring every year, said Padma Shri & Dr. B.C. Roy National Awardee Dr. KK Aggarwal, President, Heart Care Foundation of India. He said that thyroiditis can be autoimmune or viral in origin.

Most patients clinically present with symptoms suggestive of hyperfunctioning of the thyroid. But these patients should not be put on thyroid-lowering drugs as the disease is self-limiting and recover within 3 to 6 months.

All patients who are clinically diagnosed as hyperfunctioning of the thyroid should undergo radioactive uptake scan to differentiate between hyperfunctioning of the thyroid (a condition called thyrotoxicosis) and thyroiditis. The disease is more common in young and in women.

The patient may have silently enlarged thyroid which may be tender. Thyroid antibodies may be positive in such cases.

Many cases may have silent thyroiditis, which is usually common in young women following pregnancy. About 80% of patients with silent thyroiditis show complete recovery and return to normal after three months. A few patients with thyroiditis may end up with hypofunctioning thyroid requiring treatment.

The symptoms of hyperfunctioning of the thyroid are weight loss, weakness, exertion, palpitation and menstrual irregularities.

 
    eMedinewS Special

1. eMedinewS audio lectures (This may take a few minutes to open)

2. 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

  Towards Well Being

 

 
    Forthcoming Events

May 7–8, 2011, National Seminar On Stress Prevention

A Stress Prevention Residential Seminar cum spiritual retreat with Dr KK Aggarwal and Experts from Brahma Kumaris.
Co–organizers: eMedinews, Brahma Kumaris, Heart Care Foundation of India, IMA New Delhi Branch and IMA Janak Puri Branch, IMSA (Delhi Chapter)
Venue: Om Shanti Retreat Centre, National Highway 8, Bilaspur Chowk, Pataudi Road, Near Manesar.
Timings: Saturday 7th May (2 pm onwards) and Sunday 8th May (7 am–4 pm). There will be no registration charges, limited rooms, kindly book in advance; stay and food (satvik) will be provided. Voluntary contributions welcome. For booking e–mail and SMS to Dr KK Aggarwal: 9899974439, emedinews@gmail.com, rekhapapola@gmail.com; BK Sapna: 9811796962, bksapna@hotmail.com.

………………………………………………………………

September 30th to October 2nd, 2011, Worldcon 2011 – XVI World Congress of Cardiology, Echocardiography & Allied Imaging Techniques at The Leela Kempinski, Gurgaon (Delhi NCR), INDIA
from: Sept 29, 2011: A unique & highly educative Pre–Conference CME, International & national icons in the field of cardiology & echocardiography will form the teaching faculty.
• Provisional Scientific Program at http://worldcon2011.org/day1.html
• Provisional program for Pre Congress CME at http://worldcon2011.org/Pre_Conference_CME.html
• Abstract submission at http://worldcon2011.org/scientificprogram.html
• Important dates at http://worldcon2011.org/importantDates.html
• Congress website at http://www.worldcon2011.org
• Entertainment – Kingdom of Dreams at http://worldcon2011.org/Pre_Post_Tours.html

Key Contacts
Dr. (Col.) Satish Parashar, President Organizing Committee, + 91 9810146231
Dr. Rakesh Gupta, Secretary General, + 91 9811013246

Congress Secretariat: Rajat Khurana, C–1 / 16, Ashok Vihar – Phase II, Delhi 110 052, INDIA., Phone: + 91–11–2741–9505, Fax: + 91–11–2741–5646, Mobile: + 91 9560188488, 9811911800,
Email: worldcon2011@gmail.com, jrop2001@yahoo.com, worldcon2011@in.kuoni.com

………………………………………………………………

Medifilmfest (1st International Health Film Festival in Delhi)

October 14–23, 2011, As part of 18th MTNL Perfect Health Mela 2011(Screening of films October 14–17, Jury Screening at Jamia Hamdarad University Auditorium October 18–19, award winning films at TalKatora Stadium October 19–23, 2011)
Organized by: Heart Care Foundation of India, World Fellowships of Religions, FACES, Bahudha Utkarsh Foundation and Dept of Health and Family Welfare Govt of NCT of Delhi.
Entries Invited: from feature films, Ad Films, Serials, Documentary Films, Cartoon Films, Animation Films, Educational films; films on Yoga, Siddha, Ayurveda, Unani, Homeopathy; Indigenous Healing, Films promoting the Bio–cultural Diversity, Medical Tourism, Visual and Medical Anthropology, Gender sensitization, awareness drive on socio–medical issues and health journalism. The films can be of variable durations (0–1 minute, upto 3 minutes, upto ten minutes, upto 45 minutes and upto an hour and beyond).
Separate entries are also invited for "factual mistakes in feature films concerning health". This can be in the form of 1–5 minutes footages.

Categories:Competitive category/ Non Competitive category/ Special screening
Sub Categories:

1. General: Documentaries, animation films, corporate films, Ad films, TV health programs/reports, health chat shows.

2. Special: Short instances of “depiction of wrong health messages” through the films.

Subjects: Health, disease, sanitation, yoga, spiritual health, environment, social issues, food, better living, Indigenous healing, medical tourism, visual & medical anthropology, gender sensitization, health journalism. Duration: 0-10 seconds; < 30 minutes, 30-60 minutes, 1-3 hours. Language: English or Hindi, or sub tilled in English/Hindi. Fee: No fees from participants. Entry to the film show free. Format: Any format duly converted into DVD (compatible to the latest players/systems) Boarding, Lodging and Travel Expenses: Own, the participants may raise their own sponsorships

For details contact: Dr KK Aggarwal/Dr Kailash Kumar Mishra/Mr M Malik at
medifilmfestinhealthmela@gmail.com

………………………………………………………………

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    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 Naveen Dang, Dr Prabha Sanghi, Dr Prachi Garg, Rajat Bhatnagar (http://www.isfdistribution.com), Dr. Rajiv Parakh, Dr Sudhir Gupta