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 …

3rd March, 2011, Thursday                                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

Recent Drugs Banned in India

Six drugs have been banned in India on 10. 2. 2011. We are reproducing the notification as below.

Ministry Of Health And Family Welfare
(Department of Health and Family Welfare)
Notification: New Delhi, the 10th February, 2011
 

GS.R. 82(E).—Whereas the Central Government is satisfied that use of the following drugs is likely to involve certain risks to human beings and whereas safer alternatives to the said drugs are available;

And whereas the Central Government is satisfied that it is necessary and expedient to prohibit the manufacture, sale and distribution of the said drugs in public interest;

Now, therefore, in exercise of the powers conferred by Section 26Aof the Drugs and Cosmetics Act, 1940 (23 of 1940), the Central Government hereby prohibits the manufacture, sale and distribution of the following drugs with immediate effect, namely:—

  1. Nimesulide formulations for human use in children below 12 years of age.
  2. Cisapride and its formulations for human use.
  3. Phenylpropanolamine and its formulations for human use,
  4. Human Placental Extract and its formulations for human use,
  5. Sibutramine and its formulations for human use, and
  6. R-Sibutramine and its formulations for human use.

(F.No.X. 11014/1/20 ll–DFQC)

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

 Treating Diabetes Post 2010

Dr Ambrish Mithal speaks on
Cardiovascular outcomes with metformin

Audio PostCard
 
  SMS of the Day

(By Dr GM Singh)

No task is more difficult than systematic hypocrisy. Edward George

 
    Photo Feature (from the HCFI Photo Gallery)

Dr. Sadhna Women Empowerment Awards Distributed

Dr. Sadhna Women Empowerment Awards were presented to women of eminence. Justice Mrs Himna Kohli, Judge Delhi High Court was felicitated with the award on 27th February 2011. 

 
Dr K K Aggarwal
 
    National News

Certificate courses in 2D and 3D Echocardiography/Fellowship Diploma in non invasive cardiology Contact Dr KK Aggarwal, Moolchand Medcity, email: emedinews@gmail.com

Chemistry promises solutions to most problems

CHANDIGARH: "Chemistry promises solutions to some of today’s most pressing problems, including good health, sustainable energy and climate change," said former Director–General of the Indian Council of Medical Research (ICMR) N. K. Ganguly delivering a lecture at Guru Jambheshwar University of Science & Technology in Hisar on Monday, National Science Day. Speaking on "Innovations and R&D for alleviation of diseases of poverty" in the Department of Chemistry, Prof. Ganguly said diseases of poverty are usually confined to the developing world and most are neglected tropical diseases. "The target populations are economically weak and low on the priority list of pharmaceutical companies to manufacture medicines for neglected tropical diseases," he noted. "Poverty–driven factors impacting health include unsafe drinking water, unhygienic living conditions, lack of proper sanitation and health education, poor hygiene and lack of proper cooking facilities," he said, adding that infectious diseases are also destructive to the health of adults, causing disability, a diminished quality of life, decreased productivity or death. People infected with one infectious disease become more susceptible to other diseases. (The Hindu, Mar 01, 2011)

 
    International News

(Contributed by Rajat Bhatnagar, International Sports & Fitness Distribution, LLC http://www.isfdistribution.com)

Today’s tip.

Nutrition info may look good, but does the package contain two servings instead of one? If it says "whole grain," whole wheat or whole grain should the first ingredient. Foods with "0 grams cholesterol" could still raise your LDL cholesterol. Saturated fat is the other culprit to watch for.

(Dr GM Singh)

Most patients settle into a pattern of fairly stable INRs and doses of warfarin but a small number never seem to become stable. Assuming there are no drug interactions, what other factors can prevent good control?

Some patients who are genetically sensitive to warfarin require very low doses and can be difficult to manage. The same is true of patients who are genetically resistant and need large doses of warfarin. One relatively common cause of apparently unstable INR is presence of the lupus anticoagulant, the so–called antiphospholipid syndrome. This should be considered in anyone whose control appears erratic and if found should be managed by a specialist. Some patients who have low vitamin K stores can be sensitive to changes in warfarin dose so that their INR becomes unstable. There has been some research to suggest that adding vitamin K to the warfarin can smooth out control. Poor adherence is often the first cause of INR variation GPs think of but, although this is undoubtedly the case in some patients, it is not as common as thought.

(Dr Monica and Brahm Vasudev)

Diabetes, hypertension independently associated with increased risk for CVD–related events

The presence of diabetes and elevated 24–hour ambulatory blood pressure (24–hour BP) are both independently associated with increased risk for cardiovascular disease (CVD)–related events, but there is no evidence for a synergistic interaction between the two risk factors, according to a study published online Feb. 10 in the journal Hypertension Research.

Low–carbohydrate diets high in red, processed meat associated with increased risk for type 2 diabetes in men

According to a study published online Feb. 10 in the American Journal of Clinical Nutrition, consumption of low–carbohydrate diets high in red or processed meat are associated with an increased risk for type 2 diabetes in men.

Physical therapy, even at home, may help stroke patients walk

According to research presented at the American Stroke Associations International Stroke Conference, doing physical therapy at home improved walking just as well as a high–tech treadmill program.

 
    Infertility Update

(Dr. Kaberi Banerjee, Director Precious Baby Foundation, banerjee.kaberi@gmail.com)

What are the specific female causes for infertility?

For a woman to conceive, certain things have to happen: intercourse must take place around the time when an egg is released from her ovary; the systems that produce eggs and sperm have to be working at optimum levels and her hormones must be balanced. Some women are infertile because their ovaries do not mature and release eggs. Problems affecting women include endometriosis or damage to the fallopian tubes. Other factors that can affect a woman’s chances of conceiving include being over– or underweight for her age. Female fertility declines sharply after the age of 35. Sometimes it can be a combination of factors, and sometimes a clear cause is never established. Some of the common causes of infertility of females include: ovulation problems, tubal blockage, age–related factors, uterine problems, previous tubal legation.

 
    Hepatology Update

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

What is the role of percutaneous drainage in the management of liver abscess?

The indications of percutaneous drainage are:

  • Large volume of abscess
  • Risk of spontaneous rupture (specially left lobe abscesses)
  • When actual rupture has occurred, then along with abscess cavity drainage of extraneous collection.
  • When there is lack of response to medical treatment
  • When there is evidence of liver failure
 
    Medicolegal Update

(Dr Sudhir Gupta, Asso Professor, Forensic Medicine & Toxicology, AIIMS)

Medical negligence–Supreme Court decisions in the United States

The implied contract of a physician or surgeon is not to cure…but to treat the case with diligence and skill.

  • In 1832 Connecticut court focused on the word "ordinary "A physician and surgeon, in the performance of his professional duties, is liable for injuries resulting from the want of ordinary diligence, care and skill…"Ordinary" means usual, common…If in the performance of any operation there was a want of ordinary diligence, care, and skill, or if there was carelessness, then the defendant–physician is liable.
  • Twenty–one years later, the Pennsylvania Supreme Court ruled similarly, emphasizing the word "reasonable," in addition to "ordinary."
  • The implied contract of a physician or surgeon is not to cure…but to treat the case with diligence and skill. The question is...whether the doctor had employed such skill and diligence as are ordinarily exercised in his profession… The rule (is) to be reasonable…The law demands…not extraordinary skill such as belongs only to a few men of rare genius and endowments, but that degree which ordinarily characterizes the profession.
  • In 1860, the Supreme Court of Illinois issued its first decision on what constitutes the standard of care of a medical physician. The lawsuit claimed that a physician, who incidentally was represented by a then–practicing attorney named Abraham Lincoln, had been negligent for improperly applying a cast to treat a wrist fracture that had been sustained by the plaintiff. The court declared
  • When a person assumes the profession of physician and surgeon, he must…be held to employ a reasonable amount of skill and care. For anything short of that degree of skill in his practice, the law will hold him responsible for any injury which may result from its absence. While he is not required to possess the highest order of qualification, to which men attain, still he must possess and exercise that degree of skill which is ordinarily possessed by members of the profession. And whether the injury results from a want of skill or the want of its application, he will, in either case, be equally liable.
 
    Legal Question of the Day

(Dr M. Narayana Reddy, Prof & Head, Dept. of Forensic Medicine, Osmania Medical College/Osmania General Hospital, Hyderabad)

Supply of PM reports under RTI Act

Will a copy of medicolegal post mortem reports and other examination reports be supplied to anybody who applies for the same under RTI Act?

I have strong objections but authorities very often put us under pressure. Medico–legal reports cannot be issued to third parties by the hospital authorities. Even the person that was examined, has no authority to demand the copy of the medico–legal report directly from the doctor/hospital authority.These reports are prepared by the doctor at the requisition of a police officer or magistrate/judge or employer. The officer, at whose request the report was prepared, is the competent authority to receive the report from the doctor/ hospital. Any other person, who needs the copy of the report must be directed to approach the magistrate or the employer concerned. This advice to the person seeking the copy of the report in a medico–legal case meets the requirement of the RTI Act, 2005.

 
    Obesity Update

Dr. Parveen Bhatia and Dr Rama Lakshmi

Childhood Obesity

Determinants and risk factors for Obesity

Although there are some genetic and hormonal causes of childhood obesity, most of the time it’s caused by kids eating too much and exercising too little.

  • Diet: Regularly taking high–calorie foods, such as fast foods, baked goods and vending machine snacks, loading up on soft drinks, candy and desserts cause tremendous weight gain.
  • Lack of exercise: Children who do not exercise much are more likely to gain weight. Inactive leisure activities, such as watching television or playing video games, contribute to the problem.
  • Family history: If a child comes from a family of overweight people, he or she may be more likely to put on excess weight, especially in an environment where high–calorie food is always available, and physical activity is not encouraged.
  • Psychological factors: Some children overeat to cope with problems or to deal with emotions, such as stress, or to fight boredom. Their parents may have similar tendencies.
  • Family factors: If many of the groceries we buy are convenience foods, such as cookies, chips and other high–calorie items, this can contribute to a child’s weight gain. If we can control our child’s access to high–calorie foods, we may be able to help our child lose weight.
  • Socioeconomic factors: Children from low–income backgrounds are at greater risk of becoming obese. It takes both time and resources to make healthy eating and exercise a family priority.
  • Diseases associated with obesity eg. Prader–Willi syndrome, Cushing’s syndrome.
 
    Useful Website

(Dr Surendernikhil Gupta)

KidSurvival

Two On Pyrethroid Resistance In Benin

http://www.childsurvival.net/?content=com_articles&artid=324

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  Docconnect Dr Veena Aggarwal
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  Docconnect Dr Sudhir Gupta
 
    Lab Update

(Dr Arpan Gandhi and Dr Navin Dang)

Uric acid

Increased: Gout, renal failure, drugs (diuretics, others), hypothyroidism, chemotherapy, parathyroid diseases, lactic acidosis.

Decreased: Drugs (allopurinol, probenecid, others), Wilson’s disease, Fanconi’s syndrome.

 
    Medi Finance Update

BDO Budget Snapshot 2011–12
(Saurabh Aggarwal)
Budget 2011– Key Features (General)

Direct tax – at a glance

Direct Tax Code – to be implemented from 01 April 2012

  • Salaried tax payers exempted from filing return of income, subject to fulfilment of certain conditions
  • Personal tax Exemption limit enhanced.
  • Senior Citizens: Exemption limit enhanced and qualifying age reduced
  • New Category introduced: Very Senior Citizens, exceeding 80 years or above.
  • Current surcharge of 7.5 percent on domestic companies proposed to be reduced to 5 per cent.
  • Rate of Minimum Alternative Tax proposed to be increased from 18 per cent to 18.5 per cent of book profits.
  • Tax incentives extended to attract foreign funds for financing of infrastructure.
  • Additional deduction of INR 20,000 for investment in long–term infrastructure bonds proposed to be extended for one more year.
  • Lower rate of 15 per cent tax on dividends received by an Indian company from its foreign subsidiary.
  • Benefit of investment linked deduction extended to businesses engaged in setting up of fertilizers unit and developing affordable housing.
  • No extension of current tax benefits under for SEZ units
  • SEZ Units and SEZ developers are liable to MAT and DDT. LLPs liable to MAT
  • Powers of transfer pricing officers enhanced. Due date of filing TP reports to be 30th November.
  • System of collection of information from foreign tax jurisdictions to be strengthened.
 
    Drug Update

List of approved drugs from 01.01.2010 to 31.8.2010

Drug Name
Indication
DCI Approval Date
Praziquntel 175mg + Pyrantel 504mg + Febental 525mg Tablets
For the treatment of mixed infections with roundworms and tapeworms in dogs
30/03/2010
 
    IMSA Update

International Medical Science Academy (IMSA) Update

Acute decompensated heart failure

A systematic review suggested that noninvasive positive pressure ventilation may reduce mortality in patients with an acute decompensation of heart failure. (Ref: Weng CL, et al. Meta–analysis: Noninvasive ventilation in acute cardiogenic pulmonary edema. Ann Intern Med 2010;152:590).

 
    IJCP Special

Dr Good Dr Bad

Situation: A patient with lung cancer was prescribed lung nosodes.
Dr Bad: It has no role.
Dr Good: Homeopaths prescribe it.
Lesson: Different pathies have different treatments.

Make Sure

Situation:A patient with LDL cholesterol 100 mg% and hsCRP 3 developed MI.
Reaction: Oh my God! Why was a statin not started earlier?
Lesson: Make sure all patients with even normal cholesterol are considered for statins if the CRP is high.

Mnemonic of the day: Mahasivaratri holi special on datura poisoning

  • The classic description of anticholinergic (datura) intoxication is well known:
  • "Red as a beet" (cutaneous vasodilation)
  • "Dry as a bone" (anhidrosis)
  • "Hot as a hare" (anhydrotic hyperthermia)
  • "Blind as a bat" (nonreactive mydriasis)
  • "Mad as a hatter" (delirium; hallucinations)
  • "Full as a flask" (urinary retention)

Other clinical features not included in the mnemonic include tachycardia, which is the earliest and most reliable sign of anticholinergic toxicity, and decreased or absent bowel sounds. Although central and peripheral anticholinergic effects are commonly seen together, in some cases, central effects may persist after resolution of peripheral symptoms.

Dr. Narendra Kumar

Myth: Every amblyope should start immediate patching exercises.

Fact: Spectacle correction of errors of refraction (nearsigtedness or myopia, farsightedness or hypermetropia and astigmatism or unequal refraction in two principal planes of cornea – the outermost refracting surface of the eye) in treating amblyopia is indeed important and effective. Full spectacle correction for both eyes is usually tried for first 4 to 6 weeks with evaluation of improvement in amblyopia at regular intervals of, say, once a month. Patching exercises are then, usually added in the treatment plan, if need be.

 
    Lighter Side of Reading

An Inspirational Story
(Dr Anupam Sethi Malhotra)

Do not procrastinate and never regret

Do not waste time in protracted wondering "Should I or shouldn’t I?" Days, weeks, months, and years may be wasted in that futile mental debating. You can never plan enough because you can never anticipate all future happenings. Always remember, God has His own plan, too for you. Value your time and do the things that need to be done. It does not matter if you fail the first time. You can learn from your mistakes and succeed the next time. Sitting back and worrying will lead to nothing. Learn from your mistakes, but do not brood over the past. DO NOT REGRET. Whatever happened was destined to happen only that way. Take it as the Will of God. You do not have the power to alter the course of God’s Will. Why cry over spilt milk?

………………………………

Mind Teaser

Read this…………………

BRIDGE
w t r
a e

Yesterday’s eQuiz: An otherwise healthy 60–year–old male presents to your office with several weeks of upper abdominal discomfort that does not respond to over–the–counter ‘Digene’ and Ranitidine. The discomfort is slightly worsened with both exertion and eating. His father had died of an MI at 50 years of age. Physical examination is normal and so is the EKG. What is the best next step?

A. Upper gastrointestinal tract endoscopy
B. Admission to rule out acute coronary syndrome
C. Exercise Stress Treadmill
D. Dobutamine Stress Echo

Answer for Yesterday’s eQuiz: Correct answer is (c)

This patient has an intermediate pretest probability of coronary artery disease. Based on the chronic and stable nature of his symptoms, an acute coronary syndrome is unlikely. Exercise testing is superior to pharmacologic testing as the blood pressure response to exercise can give valuable information. Hence, an exercise treadmill is the best testing modality for this patient.

Correct answers received from: Dr Chandresh Jardosh, Dr Neelam Nath, Dr Manjesha

Answer for 1st March Mind Teaser: Made in Japan
Correct answers received from: Dr Avvai Natarajan, Dr Kavita Srivastava, Dr Hena Vasdeva, Dr U Gaur, Dr C M Mehta, Dr Manjesha

Send your answer to ijcp12@gmail.com

………………………………

Laugh a While
(Dr GM Singh)

A Horoscope for The Workplace

Middle Management/Department Management/"Team Leads" Catty, cut–throat, yet completely spineless, you are destined to remain at your current job for the rest of your life. Unable to make a single decision you tend to measure your worth by the number of meetings you can schedule for yourself. Best suited to marry other "Middle Managers," as everyone in your social circle is a "Middle Manager."

………………………………

Knowledge is amusing

People say "BLESS YOU" when you sneeze because when you sneeze, your heart stops for a millisecond.

 
    Readers Responses
  1. Friends, This is from the latest budget: "All services including diagnostic services provided by AC clinical establishments with more than 25 beds and services provided by a doctor who owns such establishments have been brought under the service tax net." PLEASE do act and stop such imposition of service tax, as a 1st step to show that IMA really works for ALL doctors, and patients too. Increasing cost of running establishments with steps like this, will have to be passed on to the consumer and result in healthcare charges rising more and more. This is BAD for the patient, and we can use this is as an IMPORTANT ARGUMENT to stop this and other such steps by the Govt. There are many things needed to be done, to help make Indian healthcare even better, and I will be so happy to help in whatever way possible for this. The BHRC, or rural doctor scheme is one1 which is good to oppose, so I do support our action on this aspect. But we do need to have a way out to solve the problems of India’s poorest of the poor in improved healthcare delivery. Jai Hind. With warm regards and wishes: Rtn Dr NV Girish Kumar, MBBS D Ortho FRCS (Ire), FRCS (Trauma & Ortho), Consultant Trauma & Orthopaedic Surgeon, King Fahad Hospital Hofuf, Al Hasa, Kingdom of Saudi Arabia.
  2. Sir, as state govt medical officers, we need to go for medical examination of hunger strikers. Please let me know on what grounds should we advice feeding to hunger strikers as urinary ketones become positive after 2–3 days. Dr Sundeep Nigam

Dr Sudhir Gupta responds:

  • Where a person refuses nourishment and is considered by the physician as capable of forming an unimpaired and rational judgment concerning the consequences of such a voluntary refusal of nourishment, he or she shall not be fed artificially.
  • Government doctor should always recommend and advice to take voluntarily the food and water to hunger striker.
  • However the issue of hospitalization and forced feeding/IV Infusion must be dealt as per Tokyo Declaration which states that doctors can undertake force–feeding under certain restricted rules and only where a second, independent physician is consulted and agrees to the move.
  • The decision as to the capacity of the person to form such a judgment should be confirmed by at least one other independent physician.
  • The consequences of the refusal of nourishment shall be explained by the physician to the person.
  • The World Medical Association Declaration of Malta on Hunger Strikers unambiguously states that force feeding is a form of inhuman and degrading treatment in its Article 21.
 
    Public Forum

(Press Release for use by the newspapers)

Aspirin–Paracetamol combination dangerous

Taking a combination of aspirin with paracetamol is particularly risky to the kidney, said Dr. K.K. Aggarwal Padma Shri and Dr B C Roy National Awardee and President Heart Care Foundation of India.

If the combination is taken with caffeine or codeine, the risk is further increased. A single analgesic is risky to the kidneys, only if it is given over years.

One should not take over the counter painkillers for more than 10 days for pain or for more than 3 days for fever. People who are taking them should increase the amount of fluid intake i.e. they should take six to eight glasses of water a day. If they are already suffering from kidney disease they should contact the doctor before taking painkiller.

People who are heart patients, have high blood pressure or kidney disease or are on diuretic medications or are over the age of 65 should also consult their doctor before taking any painkiller.

Over the counter painkillers are non prescription drugs but this does not mean that they can be taken without medical advice.

 
    eMedinewS Special

1. eMedinewS audio lectures

2. eMedinewS ebooks

 
    Forthcoming Events

ICC Cricket World Cup 2011

http://www.cricbuzz.com/cricket–schedule/series/228/icc–world–cup–2011

6th Annual Conference of Indian Academy of Nephrology (IANCON–2011)

March 12–13, 2011: Taj Deccan, Banjara Hills, Hyderabad–34
Faculty: Dr MS Amarsen, Dr KV Jhony, Dr SC Dash, Dr Kashivishweswaran, Dr V Sakhuja, Dr RK Sharma, Dr Girishnarayan, Dr Anuradha, Dr SK Agarwal, Dr P Sundarajan, Dr P Keshivya, Dr Ravi Raju, Dr Dilip Pahari, Dr LC Sharma, Dr Sanjeev Saxena, Dr Sanjay Gupta, Dr Abhijit Tarapdhar, Dr PP Verma, Dr Harun Rashid, Dr Sampath Kumar, Dr Sanjib Sharma, Dr S Padmanabhan.
Topics: CKD Symposium (From India, Nepal, Bangladesh), Newer concepts in the pathogenesis of hypertension, Fluid and Electrolyte & AKI, RAAS in treatment of Diabetic Nephropathy, Primary Prevention of CKD: Trials & tribulation in Indian condition, Vitamin–D andchronic kidney disease, Mycophenolate Vs Cyclyophosphamide in Lupus nephritis, Individual zinganemia therapy, How to monitor Immunosuppression minimization, Obesity Diabetes epidemic, Life Style changes & therapeutics, BKV and CMV Nephropathy, Leptospira and Acute Kidney Injury, HIV Nephropathy, Hypophosphatemia and Renal Disease, Immunosuppressant and risk of Malignancy, Pregnancy ARF, Expanding Dialysis services in Andhra Pradesh, Making kidney transplant easier for less privileged, Cardiovascular risk reduction in CKD

Organizing Secretary: Dr Sree Bhushan Raju, Associate Professor, Dept of Nephrology, NIMS, Hyderabad, Mob: 09848492951, sreebhushan@hotmail.com; www.ian2011.in

Note: "Prof SC Dash oration in Nephrology" from this year onwards. Three awards each in oral, poster and imaging in Nephrology sessions

Registration for Delegates Amount
Up to 15th February 2011
 
Rs. 1500/–
Up to 5th March 2011
Rs. 2000/–
Spot registration
Rs. 2500/–
Student
Rs. 500/–

DD/Cheque in favor of "IANCON– 2011" payable at Hyderabad. Add Rs 100/– for outstation cheque.

eMedinewS Events: Register at emedinews@gmail.com

Medifinance Conference On Portfolio Management for Doctors and update on Budget 2011

Date: 13th March 2011, Time: 9 Am – 4 Pm, Venue: Auditorium, New Delhi TB Centre, Lodi Institutional Area, Lodhi Road, New Delhi
Speakers: Dr Subhash Lakhotia and other top of line from finance sector. The speakers to be chosen from the industry will be experts in each field to be covered in this conference

Separate sessions for portfolio management, insurance, mediclaim, banking sector, investments primary market, secondary market, taxation, loans for setting up hospitals, nursing homes, labs, etc. all under one roof.

No entry fee, the number of participants will be limited to 100 on first cum first serve basis. advance registration by mail to hcfi.1986@gmail.com/drkk@ijcp.com or by phone on 9899974439/9873716235.

World Fellowships of Religions and Perfect Health Parade

First ever Conference which will talk about science behind all Religions, Dharmas and Pathies under one roof
Subject: Global Warming, Ethnic Crises, How to be Healthy
Date: Sunday 3rd April, 2011;Venue: Maulana Azad Medical College Auditorium, New Delhi;Time: 8 AM – 4 PM

Parade through tableaus to be flagged off at 10 am from outside MAMC to move till 5 pm on different predefined routes in Delhi to create awareness about health matters.

Parade Route: Vikas Marg – Shahdara – Seemapuri – Guru Tegh Bhadur Hospital – Seelampur Pusta – Gandhinagar, to ISBT Kashmiri Gate – Civil Lines – Delhi University North Campus – Azadpur – Punjabi Bagh – Mayapuri – Raja Garden – Janakpuri – Tilak Nagar – Tihar Jail Road – Delhi Cantt. – R.K Puram – Munirka – IIT Gate – Panchsheel Park – Chirag Delhi Flyover – Nehru Place – Modi Mill Flyover – Ashram – Nizamuddin – Sunder Nagar – Pragati Maidan – ITO – finally culminate at Maulana Azad Medical College at 4pm.

Full day conference on ethnic crisis and global warming. Pre lunch session to be addressed by religious representatives who would talk on what each religion has to say. Post lunch to be addressed by doctors from all streams of medicinal practice (allopathy, ISM)
Register: rekhapapola@gmail.com

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