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 June 2011, Thursday                                eMedinewS Presents Audio News of the Day

Anti Tobacco Day Photos and Videos of 2nd eMedinewS – Revisiting 2010

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

‘Golden Hours’ in medical practice

One should not ignore warning signals as "time is life" in medical science. The three cardinal warning signals are: Anything which is unusual, anything which cannot be explained and any symptom appearing for the first time in life. ‘Time is life’ is an old saying. In heart attack, ‘time is muscle’ and in brain, ‘time is brain’.

Most acute emergencies will require emergent evaluation and treatment. Delay in treatment, even of minutes, can take away the life. In emergency one should not waste time to think, just rush to a bigger hospital with all facilities and make sure that the person is attended to in time. Many hospitals may have ill equipped emergency departments or may have inadequately trained staff. In nursing homes the ER doctor may be from other systems of medicine.

In emergency medicine, the ‘Golden Hour’ refers to the first hour following traumatic injury being sustained by a casualty, during which there is the highest likelihood that prompt medical treatment will prevent death. If bleeding can be stopped and person can be infused enough fluids within the first hour, most trauma deaths can be avoided.

‘Platinum 10 minutes’ are the first ten minutes after trauma and refer to the importance of starting first aid within ten minutes to reduce the chances of death.

‘Door–to–ECG time’ is an important terminology in the treatment of heart attack. One should get an ECG within 10 minutes of chest pain. A prolonged door–to–ECG time is associated with an increased risk of clinical outcomes in patients with ST elevation heart attack.

‘Door–to–Doctor time’ in Stroke is another term. In emergency department arrival to initial physician evaluation should be less than 10 minutes in stroke or the mortality will be high.

‘Door–to–Neurologist time’ is for the specialist. In emergency department, arrival to Paralysis Stroke Team Notification time should be less than 15 minutes.

‘Door–to–CT Scan time’ is the time before which the CT should be done in suspected paralysis. In the emergency department, arrival to CT scan initiation in stroke should be less than 25 minutes. Door–to–CT Interpretation in stroke should be < 45 minutes

‘Door–to–tPA time’ is the treatment window in paralysis; 80% of eligible paralysis patients presenting to the emergency department should be treated with tissue plasminogen activator (tPA) (clot–dissolving drug) within 60 minutes.

‘Door–to–antibiotic time’ in community acquired pneumonia is the time to start antibiotics. Practice guidelines suggest that all patients hospitalized with community–acquired pneumonia should receive antibiotics within 4 hours of admission

‘Door–to–Antibiotic time’ in meningitis of more than 6 hours is linked to high mortality (8.64 times).

‘Door–to–Needle time’ in acute heart attack is the time before which the clot dissolving drug should be given: In ST elevation heart attack recommended that the door–to–needle time should be less than 30 minutes.

‘Door–to–balloon time is for angioplasty. Primary percutaneous coronary intervention is now preferred for most patients if it can be performed by an experienced operator with less than a 90 minute delay from presentation to the emergency department.

Dr KK Aggarwal
Editor in Chief
Blogs.kkaggarwal.com Dr K K Aggarwal on blogs
drkkaggarwal.blogspot.com
drkkaggarwal Dr K K Aggarwal on Twitter
Krishan Kumar Aggarwal Dr k k Aggarwal on Facebook
 
    Changing Practice – Resource which has changed practice in last one year

Preoperative skin antisepsis

Preoperative skin cleansing with chlorhexidine–alcohol is superior to povidone–iodine.

 
  eMedinewS Audio PostCard

HIV Update

Dr Nalin Nag Speaks on

‘Goals of ART’

Audio PostCard
 
    Photo Feature (from the HCFI Photo Gallery)

World No Tobacco Day 2011

Padma Shri and Dr BC Roy National Awardee Dr KK Aggarwal releasing a poster on the eve of World No–Tobacco Day at a function organized by Heart Care Foundation of India jointly with World Fellowship of Religions

 
Dr K K Aggarwal
 
    National News

Cancer is now a notifiable disease in Punjab

The Chief Minister of Punjab has signed the Cancer Notification and Health Minister of Punjab is likely to implement the act in Punjab in month of June itself.

26,064 students clear AIPMT/PDT entrance exam

NEW DELHI: A total of 26,064 students have cleared the All India Pre–Medical/Pre–Dental Entrance Examination-2011 conducted by the Central Board of Secondary Education, the results of which were declared on Tuesday. The examination was held in two stages — a preliminary stage for which 221,867 candidates registered and a final stage. The details and date of the first round of counselling are available on the Directorate General of Health Services (DGHS) website www.mohfw.nic.in. Counselling will be conducted personally and also through video conferencing at New Delhi, Kolkata, Mumbai and Chennai. The allotment of seats to candidates in medical colleges will be made by the DGHS, Ministry of Health and Family Welfare. (Source: The Hindu, Jun 01, 2011)

A superstition with positive results

JAIPUR: A remote village in Rajasthan brings to mind the image of some turban–clad villagers sitting under a big neem tree on a choupal smoking or chewing tobacco amid friendly chats. But in this nondescript village of 200 Jat families, you will find everything just the same…except the tobacco. It is claimed that for the past 500 years not a single resident has smoked or chewed tobacco at Sarana village of Ajmer district. In fact, they claim not to know how it tastes or looks like! And like in many other things about a Rajasthani village, a superstition is the reason why they shun this slow poison as evil.

The villagers told TOI that about 500 year ago, there were two brothers from Beechar gotra of Jaat community in the village. At that time, a girl whose fiancee had died committed sati (burnt herself on her husband's pyre), but before that she pronounced a curse that anybody from her gotra who will consume tobacco will never lead a happy life. "The girl was the daughter of one of the brothers. She was engaged to a man who died. She wanted to become a sati’ which was being opposed by her uncle. When she was leaving to become a sati, the uncle was smoking a hukkah," said the village’s sarpanch Radhadevi Bairwa. "He was so engrossed in smoking that he did not lift his head and look at her. The girl thought it was an insult and she gave the curse before burning herself on her husband’s pyre," said Bairwa. She added that due to the curse, the uncle faced difficulties in his life. Over the 500 years, the girl’s family has expanded to 200 families with over 1,000 members. "There are about 200 youths in these families who have gone out of the village for higher studies. But not a single person consumes tobacco in any form till date," said Bairwa. (Source: TOI, Jun 1, 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, http://www.isfdistribution.com)

Dieters believe adding a salad will reduce a meal’s calories

Weight–conscious people are more likely than others to cling to the illusion that adding a healthy option such as a salad decreases a meal’s caloric content. Diners who are highly concerned about their weight falsely believe, on average, that addition of a healthy item makes a meal 13.5% less calorie–rich, compared with just 3.8% for people who are not as weight–conscious, says a study by Alexander Chernev of Northwestern University. Chernev says the misguided belief that a healthy meal will reduce weight gain is an important factor in the obesity epidemic.

(Dr Monica and Brahm Vasudev)

Tobacco consumes 1 million lives annually

LUCKNOW: Equating tobacco with weapons of mass destruction, health experts said that tobacco related toll is higher than the human lives lost in terror attacks in last one decade. In April 2011, medical journal Lancet placed tobacco use on top of shared risk factor list, adding to global burden of non–communicable diseases. "Tobacco use followed by diets high in fat, salt and sugar, physical inactivity and harmful alcohol intake are key risk factors causing non–communicable diseases such as heart disease, stroke, cancer, diabetes and chronic respiratory disease," says the Lancet in a paper titled ‘Priority Actions for the non–communicable diseases crisis prepared by its NCD Action Group and NCD Alliance’. The paper adds, "Tobacco use alone accounts for one in six of all deaths resulting from non–communicable diseases. Everyday more than one billion people across the world smoke or chew tobacco because of their addiction to nicotine and about 15,000 die from tobacco related diseases." (Source: TOI, May 31, 2011).
http://articles.timesofindia.indiatimes.com/2011–05–31/lucknow/29603557_1_tobacco-addiction–diseases–women–smoke.

E–waste pollution causes cancer, DNA damage

A new study has revealed that e–waste can cause adverse effects on human health, such as inflammation and oxidative stress. These may later transform into cardiovascular disease, DNA damage and possibly cancer. Electronic waste is described as end–of–life electrical goods such as computers, televisions, printers, and mobile phones. The study shows due to the crude recycling process, many pollutants such as persistent organic pollutants and heavy metals are released from e–waste, which can accumulate in the human body through inhaling contaminated air. To confirm this, researchers took air samples from one of the largest e–waste dismantling areas in China and examined their effects on human lung epithelial cells. The results showed that the samples of pollutants caused significant increases in both IL–8 and ROS levels indicators of an inflammatory response and oxidative stress respectively. (Source: TOI, May 31, 2011,
http://timesofindia.indiatimes.com/life–style/health–fitness/health/E–waste–pollution–causes–cancer-DNA-damage/articleshow/8663359.cms)

Study shows 19 percent of young adults have high blood pressure

Roughly 19 percent of young adults may have high blood pressure, according to an analysis of the National Longitudinal Study of Adolescent Health (Add Health), which is supported by the National Institutes of Health. The researchers took blood pressure readings of more than 14,000 men and women between 24 and 32 years of age who were enrolled in the long–running study. The analysis was conducted by Kathleen Mullan Harris, Ph.D., principal investigator of the study, and colleagues at the University of North Carolina at Chapel Hill. The study’s first author was Quynh C. Nguyen, of the University of North Carolina Gillings School of Public Health. The findings were published online in Epidemiology.

 
    Twitter of the Day

@DrKKAggarwal: Padma Shri Awardee Dr KK Aggarwal on Anti Tobacco Day
http://www.youtube.com/watch?v=I1ie6IsC6iQ

@DeepakChopra: Let your love set the world on fire––Rumi

 
    Spiritual Update

Hanuman Chalisa

Ashta Siddhi Nau Nidhi Ke Data
Asa Bar Din Janki Mata

Meaning: Hanumanaji has been blessed by mother Janki to grant to anyone, the yogic power of 8 Siddhis (spiritual perfections) and Nava Nidhis (material prosperities) as per choice.

Spiritual Significance: With Pranayama one gets the powers of eight spiritual perfections and the nine material prosperities.

 
    An Inspirational Story

(Dr Paramjit Chadha)

Beautiful letter written by a father to his son

Following is a letter to his son from a renowned Hong Kong TV broadcaster/ Child Psychologist. The words are actually applicable to all of us, young or old, children or parents.! This applies to daughters too. All parents can use this in their teachings to their children.

Dear son, I am writing this to you because of 3 reasons.

  1. Life, fortune and mishaps are unpredictable; nobody knows how long he lives. Some words are better said early.
  2. I am your father, and if I don’t tell you these, no one else will.
  3. What is written is my own personal bitter experiences that perhaps could save you a lot of unnecessary heartaches.

Remember the following as you go through life:

  1. Do not bear grudge towards those who are not good to you. No one has the responsibility of treating you well, except your mother and I. To those who are good to you, you have to treasure it and be thankful, and also you have to be cautious, because, everyone has a motive for every move. When a person is good to you, it does not mean he really likes you. You have to be careful, don’t hastily regard him as a real friend.
  2. No one is indispensable, nothing in the world that you must possess. Once you understand this idea, it would be easier for you to go through life when people around you don’t want you anymore, or when you lose what/who you love most.
  3. Life is short. When you waste your life today, tomorrow you would find that life is leaving you. The earlier you treasure your life, the better you enjoy life.
  4. Love is but a transient feeling, and this feeling would fade with time and with one’s mood. If your so–called loved one leaves you, be patient, time will wash away your aches and sadness. Don’t overexaggerate the beauty and sweetness of love, and don’t overexaggerate the sadness of falling out of love.
  5. A lot of successful people did not receive a good education that does not mean that you can be successful by not studying hard! Whatever knowledge you gain is your weapon in life. One can go from rags to riches, but one has to start from some rags!
  6. I do not expect you to financially support me when I am old, neither would I financially support your whole life. My responsibility as a supporter ends when you are grown up. After that, you decide whether you want to travel in a public transport or in your limousine, whether rich or poor.
  7. You honor your words, but don’t expect others to be so. You can be good to people, but don’t expect people to be good to you. If you don't understand this, you would end up with unnecessary troubles.
  8. I have bought lotteries for umpteen years, but I never strike any prize. That shows if you want to be rich, you have to work hard! There is no free lunch!
  9. No matter how much time I have with you, let’s treasure the time we have together. We do not know if we would meet again in our next life.

    Your Dad
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    Pediatric Update

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

Zinc supplementation and pneumonia

Zinc is an essential element for growth and development of children. Its deficiency is associated with increased risk of infection, particularly diarrhea and pneumonia.

Zinc supplementation in children has been reported to prevent pneumonia; however, its effect remains unclear. In a metanalysis published in the Cochrane database on the role of zinc supplementation in the prevention of pneumonia in children of two to 59 months of age on the basis of six randomised controlled trials conducted in Bangladesh, India, Peru, and South Africa. Children of two to 59 months of age were randomly assigned to receive zinc or a placebo. In two studies, the children were given vitamin A in both the groups. Analysis of the studies showed that zinc supplementation was significantly associated with reducing the incidence and prevalence of pneumonia among children of two to 59 months of age. Evidence provided so far from randomised controlled trials is sufficient to recommend zinc intake in deficient populations through supplementation, dietary improvements, or fortification, for enhancing child survival.

 
    IJCP Special

Dr Good Dr Bad

Situation: A foreigner visiting India developed first episode of dengue.
Dr. Bad: It is very serious.
Dr. Good: First attach of dengue is usually mild.
Lesson: The greater risk factor for the development of serious dengue is secondary infection and different serotype infecting virus (Am J Trop Med Hyg 1988;38:172).

Make Sure

Situation: A terminally ill patient who developed bed sores was just prescribed systemic antibiotics.
Reaction: Also change the position of the patient frequently and keep the skin clean and dry.
Lesson: Make sure that good nursing care and maintenance of skin hygiene is advised first to patients with bed sores, along with topical antibiotics.

 
  SMS of the Day

(Dr GM Singh)

HIV–exposed but uninfected newborns had decreased antibody levels to vaccine–preventable diseases.

 
    Medicolegal Update

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

What is the time limit of exhumation?

A doctor should always encourage exhumation for legal reasons as it is very informative

  • The term exhumation is applied only when a proper inhumation meaning hereby that ritual burial of the body in a legal and legitimate fashion was done in the first place. This difference is not merely academic; it has important legal repercussions.
  • In India, there is no time limit for ordering exhumation, but many western countries have well-defined time limits up to which exhumation can be done. In France, the time limit is 10 years, Thus in France, for example, if in the 11th year of death, some relevant facts are found which reveal foul play, despite this, the body cannot be exhumed. In Germany, this time limit is 30 years.
  • In India, while a proper exhumation can only be ordered by a magistrate under section 176 of Criminal Procedure Code (Cr.P.C.), retrieval of an illegally buried body can be done even by the police under section 174 of Cr.P.C.
  • The magistrate or the coroner ordering the exhumation and the doctor should be present at the site. It is customary to open the lid of the coffin once it is brought out of the grave. It not only allows foul gases to escape in open air (rather than be released in the mortuary later), but also enables the pathologist to make a quick examination of the remains. When the coffin is opened, the medical officer in–charge should first of all examine the body in situ, and preferably take photographs. Bones may be friable, and may break during subsequent handling, so in situ examination is often quite helpful.
  • Post–mortem: After an in situ examination is done, the body is transferred to the mortuary for a post–mortem. Here the post–mortem is done as in any other case. If there are worms or other insects over the body, it might be tempting to sprinkle insecticides over the body, but it should never be done, as it might interfere later with the determination of poison in the body. If the smell is too offensive, it is advisable to wear a gauze mask dipped in a solution of potassium permanganate.
  • Samples of viscera should be taken to detect poisons. Many poisons, such as metallic poisons remain in the body for several years. Hair nails and bones such as femur may also reveal metallic poisons like arsenic.
 
  Vitamins—Open Secrets revealed

(Dr Jitendra Ingole, MD Internal Medicine)

Other strategies to avoid Vit B12 deficiency

Use antacids and drugs that lower stomach acid levels (such as Omeprazole, Ranitidine etc.) for barest minimum required period only (Ref: Koop H. Aliment Pharmacol Ther 1992;6:399–406; Marcaurd SP, et al. Ann Intern Med 1994;120:211–15)

Supplement with additional Vit B12 if patient is taking metformin regularly, which also interferes with B12 absorption (Ref: Arch Intern Med 2002;162:484–85)

Take coconut oil and consume lactofermented foods: these help fight against pathogens such as helicobacter pylori, which is associated with B12 deficiency. Eradication of the organism often clears up B12 deficiency. (Ref: Arch Int Med 2000;160:1349–53)

Don’t smoke. Cigarette and cigarsmoking deplete vitamin B12 (Ref: New Eng J Med 1995;333(18):1176–82).

Take extra B12 before and after surgery. Nitrous oxide anesthesia during surgery can deplete B12, a fact that may explain many cases of postoperative depression (Ref: Marie RM, et al. Arch Neurol 2000;57(3):380–2).

Oral contraceptives (the pill) can deplete vitamin B12. Such patients should be supplemented with B12. (Ref: Henley S. Body Forum 1977;2(7):20; Sutterlin MW, et al. Eur J Obstet Gynecol Reprod Biol 2003;107(1):57–61)

 
    Mind Teaser

Read this…………………
(Dr GM Singh)

A 23–year–old grounds keeper for a university in Michigan is evaluated because of a series of ulcerating nodules on his right forearm. The first nodule appeared five days ago and since that time two more nodules, just proximal to the first nodule, have appeared. Yesterday, the first second nodule developed small ulcers. The ulcers and nodules are mildly painful. He reports having a low–grade fever, but otherwise is in good health. He has not traveled outside of the Midwest.

On physical examination, his temperature is 99°F (37.2°C). There are a series of nodules arranged in a linear pattern extending proximally from the mid-volar aspect of the right forearm to the elbow. The distal nodule is the largest, measuring 3 × 2 cm and it and the subsequent nodule are ulcerated, showing a red granular base. There are tender, enlarged lymph nodes in the right axilla.

Which of the following is the most likely diagnosis?

A. Cutaneous anthrax
B. Sporotrichosis
C. Cutaneous leishmaniasis
D. Tularemia E. Plague

Yesterday’s Mind Teaser: The vasodilatation produced by carbon dioxide is maximum in one of the following:

1. Kidney
2. Brain
3. Liver
4. Heart

Answer for Yesterday’s Mind Teaser: 2. Brain

Correct answers received from: Dr Loveleen Aggarwal, Dr YJ Vasavada, Dr Jaya, Dr K Raju,
Dr Rajiv Kumar, Dr Prabodh Kumar Gupta, Dr Surendra Bahadur Mathur, Dr Doraisami Sundaram,
Dr Muthumperumal Thirumalpillai, Dr Jainendra Upadhyay, Dr Deepali Chatterjee, Dr Anil Bairaria,
Dr Madhu Sinha.

Answer for 31st May Mind Teaser
: 4. Lying–to–standing change in posture
Correct answers received from: Dr Deepali Chatterjee, Dr Prabodh Kumar Gupta, Dr BB Aggarwal,
Dr R V S N S Ramachandrudu.

Send your answer to ijcp12@gmail.com

 
    Lab Update

(Dr Arpan Gandhi and Dr Navin Dang)

Serum gastrin

  • To detect an overproduction of gastrin
  • To help diagnose Zollinger–Ellison syndrome
  • To monitor for recurrence of a gastrin–producing tumor (gastrinoma)
 
    Medi Finance Update

(Dr GM Singh)

What is arbitrage?

Arbitrage is an attempt to profit from momentary price differences that can develop when a security or commodity is traded on two different exchanges. To take advantage of such differences, an arbitrageur would buy in the market where the price is lower and simultaneously sell in the market where the price is higher.

 
    Laugh a While

(Dr GM Singh)

A group of 40–year–old girlfriends discussed where they should meet for lunch. Finally, it was agreed upon that they should meet at the Ocean View restaurant because the waiters there had tight pants and nice bums.

10 years later at 50 years of age, the group once again discussed where they should meet for lunch. Finally it was agreed that they should meet at the Ocean View restaurant because the food there was very good, the wine selection was good also, and the waiters were cute.

10 years later at 60 years of age, the group once again discussed where they should meet for lunch. Finally it was agreed that they should meet at the Ocean View restaurant because they could eat there in peace and quiet, the restaurant had a beautiful view of the ocean, and the waiters were sweet boys.

10 years later, at 70 years of age, the group once again discussed where they should meet for lunch. Finally it was agreed that they should meet at the Ocean View restaurant because the restaurant was wheel chair accessible, they even had an elevator, and the waiters were kind.

10 years later, at 80 years of age, the group once again discussed where they should meet for lunch. Finally it was agreed that they should meet at the Ocean View restaurant because they had never been there before.

 
    Drug Update

List of approved drugs from 01.01.2010 to 31.8.2010

Drug Name
Indication
DCI Approval Date
Olmesartan 40mg + Amlodipine 5mg (Additional Strength)
Additional indication: 1. For the treatment of hypertension alone or with other antihypertensive agents 2. To use as initial therapy in patients who are likely to need multiple anti–hypertensive agents to achieve their blood pressure goals
09/08/10
 
    Obesity Update

Dr. Parveen Bhatia and Dr. Pulkit Nandwani

Understanding Laparoscopic Sleeve Gastrectomy

How does the sleeve gastrectomy work?

The sleeve gastrectomy works through two mechanisms:

  • It makes the stomach smaller, so the patient feel full after eating a smaller meal.
  • The fundus of the stomach is removed. This is the area that secretes ghrelin, a hormone that makes us feel hungry. So, the sleeve gastrectomy may help the patient to feel less hungry through a hormonal mechanism.

Is this a malabsorptive or a restrictive procedure?

The sleeve gastrectomy is a purely restrictive procedure. A large segment of the stomach is completely removed decreasing the size of the stomach but also decreases the secretion of the hormone ghrelin which is responsible for the feeling of fullness. It is a permanent procedure.

 
    IMSA Update

International Medical Science Academy (IMSA) Update

Diabetic foot infection

Results of the French OPIDIA study, a prospective study, found that in spite of being managed at specialized centres that were, in general, following the agreed–upon published guidelines, the prognosis for diabetic foot infection remains poor, with a high rate (48%) of lower–limb amputation.

 
    Public Forum

(Press Release for use by the newspapers)

5th June is World Environment Day

Save the mother earth from getting warmer

Be environment friendly and save the Mother Earth from getting warmer and the mountain ice from being melted, said Padma Shri and Dr B C Roy National Awardee Dr. K K Aggarwal, President, Heart Care Foundation of India.

Environment health means not only reducing air pollution but also involves reducing the global warming, electromagnetic radiation pollution, and the noise pollution.

Noise pollution disturbs the environment as well as the ear health of a person. Even listening to music with head phones, through iPod or a music CD player can be harmful to the health of the ear.

The loudness of the sound is measured in decibels and any sound louder than 85 dB can cause hearing loss. The higher the decibel, the shorter the amount of time one is exposed to the sound before hearing loss occurs. Eight hours at 85 dB causes as much damage as 4 hours at 88 dB, 2 hours at 91 dB, or just 15 minutes at 100 dB. One should protect the ear if one is exposed to a sound more than 85 dB or higher.

Listening to music with head phones provides a noise pollution of up to 105–120 dB if the volume is cranked up to the maximum setting. The ear bud headphones of popular music listening devices like MP3 and CD players can add 8–9 dB to the volume.

 
    Readers Responses
  1. Sir, Your editorial about the heavy price some doctors have paid in the line of duty is timely and calls for serious deliberations. The state obviously has been negligent in many ways.
  2. I have forgotten most physics that was taught at college and university but I wonder where Dr Deepak Chopra learnt high energy physics? Greetings on World No Tobacco Day! Er Anuj Sinha, Director Vigyan Prasar.
  3. "Are doctors safe during their practice: Dr KK Aggarwal." Doctors are quite unsafe. The recent episode and the subsequent strike by the private practitioners is an example. Comments by Dr Pankaj Khandelwal.
  4. Gud going sir, u r d best doctor in d world. (for tobacco Day). Regards Neeru Chaudhary
  5. Thanks sir 4 creating awerness in community aganist tobacco. Shikha Sharma
 
    eMedinewS Special

1. eMedinewS audio PPT (This may take a few minutes to download)

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

3. eMedinewS ebooks (This may take a few minutes to open)

4. IJCP’s ejournals (This may take a few minutes to open)

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Activities eBooks

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  Dadi Ma ke Nuskhe

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  Mental Diseases

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  FAQs Good Eating

  Towards Well Being

  First Aid Basics

  Dil Ki Batein

  How to Use

  Pesticides Safely

 
    Forthcoming Events

National Conference on "Insight on Medico Legal Issues"
Date: Sunday, 10th July, 2011
Venue: Auditorium, Chinmaya Mission, 89, Lodhi Road, New Delhi 110003

eMedinewS and Heart Care Foundation of India are Jointly organizing the first ever National Conference on "Insight on Medico Legal Issues" to commemorate "Doctors’ Day".
The one day conference will have total insight into all the medico legal and ethical issues concerning the practicing doctors. The conference will be organised at the Auditorium of Chinmaya Mission Lodhi Road and will have both medical and legal experts interacting with the delegates on important issues.
You are requested to kindly register in advance as seats are limited. There will be no registration fee. You can register by sending us request at rekhapapola@gmail.com or at 9899974439.

Programme
Session: Ethical Issues in Medical Research (8 am to 8.30 am)
Topics: Rights of a patient in a clinical trial
           Ethical Issues in a clinical trial
           Statutory permits required for conducting a clinical trial

Session: Medical ethics and organ donations (8.30 am to 9.00 am)
Topics: Ethical issues in IVF practice
           100% voluntary blood donation
           Need for do not resuscitate law in India
           Ethical issues in organ transplantation

Session: Handling death (9.00 am to 9.30 am)
Topics: How to declare death?
           Spiritual considerations in a dying patient
           Medico legal and ethical issues in post mortem

Session: Medical Insurance (9.30 am to 10 am)
Topic: Indemnity Insurance
          Engaging a lawyer
          Understanding various court procedures

Session: How to handle medico legal case? (10 am to 10.30 am)
Topic: When to do the MLC?
          Checklist of a MLC case
          Medico legal record keeping

Session: Medical Consent (10.30 am to 11 am)
Topics: Types of consent
            Ideal consent
            Extended consent

Session: Fallacies in acts applicable to medical profession (11 am to 11.30 am)
Topic: MTP, PNDT Act
          Organ Transplant Act
          State Medical Councils & Medical Council of India Acts

Inauguration (11.30 am – 12 noon)

Session: Professional misconduct and professional ethics (12 noon – 1 pm)
Session: When It is Not a Negligence (1 pm – 2 pm)

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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

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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 Parveen Bhatia, (bhatiaglobal@gmail.com), Dr Prabha Sanghi, Dr Prachi Garg, Rajat Bhatnagar (http://www.isfdistribution.com), Dr. Rajiv Parakh, Dr Sudhir Gupta