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  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

 

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  Editorial …

3rd July 2011, Sunday

Hospital resident doctors should not work more than 16 hours at a stretch

In the US, new rules limit first–year resident doctors from working more than 16 hours straight without sleep as per a paper in the June 24 issue of journal Nature & Science of Sleep. In third world countries like India, where nonstop working in intensive care for 28–36 hours is a common practice, this will take a long time to implement.

Over 100,000 people alone die in US because of medical errors. Judgment errors because of long duty hours of residents and or nurses are totally preventable. Institute of Medicine (IOM) in 2008 recommended the following for fatigue reduction:

  1. Placing limits on moonlighting during residents’ offhours
  2. Providing transportation to take blearyeyed residents home after a long shift if they are too fatigued to drive home safely
  3. Eliminating much of the busy work from residents’ schedules.
  4. Shifts no longer than 16 hours for all residents

The Accreditation Council for Graduate Medical Education (ACGME) didn’t adopt most of these but only adopted that first–year residents will be required to have an uninterrupted five–hour nap for every 16–hour shift. (The IOM report called for, not just first–year residents).

The rules don’t apply to more senior residents, including surgical residents, who the ACGME says are more experienced and can better handle extremely long shifts.

Other recommendations include:

  1. Limiting all resident physician work hours to shifts of 12 to 16 hours.
  2. Identifying in real time when a resident physician’s work load is excessive and additional staff should be activated.
  3. Requiring attending physicians to supervise all hospital admissions.
  4. Giving tasks such as drawing blood and filling out paperwork to other hospital personnel to lighten the work load of residents.
Dr KK Aggarwal
Editor in Chief
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    Changing Practice – Evidence which has changed practice in last one year

Timing of treatment for relapsed ovarian cancer

For most women, second–line treatment for relapsed ovarian cancer should be initiated at the time when signs or symptoms of a disease recurrence are detected, rather than on the basis of an asymptomatic elevation in the CA–125 level. However, this decision should be individualized and based upon an active discussion between physicians and patients of the risks and benefits of early versus delayed treatment.

 
  eMedinewS Audio PostCard

Stay Tuned with Padma Shri and Dr BC Roy National Awardee
Dr K K Aggarwal 

Medical  News of the Day

Audio PostCard
 
    Photo Feature (from the HCFI Photo Gallery)

Camp at Moolchand

Dr KK Aggarwal measuring the blood pressure of poet Ashok Chakradhar during a press conference in New Delhi on August 2, 2008.

 
Dr K K Aggarwal
 
    National News

Rainfall in Mumbai sporadic, but causes ailments aplenty

Monsoon–related diseases such as malaria, jaundice and gastroenteritis are on the rise Even as health officials focus on bringing down malaria cases in the city, other monsoonrelated diseases like jaundice and gastroenteritis are making their presence felt. "Apart from the illnesses caused by mosquitoes like malaria and dengue, numerous cases of gastroenteritis, amoebiasis, leptospirosis, hepatitis E and jaundice have been reported. Over 200 people have been admitted for jaundice and about 1,000 for gastroenteritis. There have been quite a few cases of hepatitis E in the past few days which might be a cause of concern," said Dr AA Bandiwadekar, executive health official, BMC. Even though jaundice and gastroenteritis cases are not as high as last year, the city has reported two deaths from jaundice and two deaths from gastroenteritis in June itself. (Source: Indian Express, Jul 01, 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
Dr KK Aggarwal

Distinguished Professor

Dr. Navin C. Nanda MD has been honored by an appointment as Distinguished Professor of Medicine and Cardiovascular Disease by a Special Resolution of The University of Alabama System Board of Trustees during its June 17, 2011, meeting. Dr. Nanda, Professor of Medicine and Director of the Heart Station/Echocardiography Laboratories at the University of Alabama at Birmingham is also a senior scientist in the centers for Health Promotion, Aging, Minority Health Behaviour and Cardiovascular Biology.

(Dr Monica and Brahm Vasudev)

IOM: 100 million plus in chronic pain in U.S.

Chronic pain affects 116 million Americans and costs the U.S. as much as $635 billion each year, according to a new report from the Institute of Medicine (IOM) that called for changes in how chronic pain is managed. Much of the chronic pain experienced by Americans isn’t treated correctly, in part because doctors are not taught in medical school how to help patients manage pain, according to the report, entitled "Relieving Pain in America: A Blueprint for Transforming Prevention, Care, Education, and Research," which was mandated by the healthcare reform law. (Source: Medpage Today)

New warning on valproate drugs in pregnancy

Labels for valproate sodium and related drugs for epilepsy will carry new language warning that children exposed to these agents during gestation may suffer cognitive deficits, the FDA said. The new information will join existing warnings, added in 2009, that these drugs can cause physical birth defects in their offspring when taken by pregnant women. Besides valproate sodium (Depacon), drugs affected by the FDA action include divalproex sodium (Depakote, Depakote CP, and Depakote ER) and valproic acid (Depakene and Stavzor). In addition to the seizure–control indication, these agents are also approved to treat manic and mixed episodes related to bipolar disorder and to prevent migraines. (Source: Medpage Today)

(Dr GM Singh)

Gabapentin, lamotrigine, oxcarbazepine, and tiagabine are associated with a greater risk for suicide or violent death than topiramate

In 2008, the FDA controversially required that labeling for all AEDs warn of the risk for suicidal thought and behavior. Many patients, physicians, and pharmaceutical representatives argued that the requirement was based on weak data that the risk was too slight to warrant painting all AEDs as suicide enhancers, and that mentioning this risk to patients already dealing with the psychological trauma of having epilepsy seemed inappropriate and even harmful. However, this study — which examined not suicidal ideation but suicide, suicidal attempts, and violent deaths — provides convincing evidence that suicide is an important concern and that the risk differs among AEDs. Topiramate and the other drugs evaluated cannot be assumed to be risk free, and suicide risk was only modestly greater with some of the AEDs other than topiramate. One can say only that patients taking gabapentin, lamotrigine, oxcarbazepine, or tiagabine for various neuropsychiatric disorders have higher risk for suicidal acts than patients taking topiramate. Any patient taking one of these four drugs, regardless of indication, is at risk for suicide.

 
    Fitness Update

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

Blueberries’ beneficial effect on cholesterol

Laboratory hamsters that were fed rations enriched with blueberry peels and other blueberry–juice–processing pulp had better cholesterol health than subjects whose rations weren’t enhanced with blueberries. That’s according to a study led by U.S. Department of Agriculture (USDA) researchers, at the Western Regional Research Center operated in Albany Calif., by the Agricultural Research Service (ARS), the principal scientific research agency of USDA. In the investigation, the lab subjects were fed high–fat food rations. For some, those rations were supplemented with one of three different kinds of juice by–products: blueberry skins– the peels leftover when berries are pressed to make juice; fiber extracted from the peels; or natural compounds known as polyphenols, also extracted from the peels. Blueberry polyphenols give the fruit its natural purple, blue, and red coloration.

In an article published in the Journal of Agricultural and Food Chemistry in 2010, the investigators reported that all the subjects that were fed blueberry–enhanced rations had from 22 to 27 percent lower total plasma cholesterol than those fed rations that didn’t contain blueberry juice by–products. Levels of VLDL (very low density lipoprotein and considered a form of "bad" cholesterol) were about 44 percent lower in the blueberry–fed subjects. The researchers used a procedure known as real–time reverse transcription polymerase chain reaction, or RT–PCR, to learn about the genes responsible for these effects. The study is the first published account of cholesterol–lowering effects in laboratory subjects fed blueberry peels or fiber or polyphenols extracted from those peels. At this stage of investigation, the researchers don’t know which berry compound or compounds activated the liver genes, or which parts of the berry have the highest levels of these compounds.

 
    Twitter of the Day

@DrKKAggarwal: #IJMD Poorly controlled diabetes is a risk factor for increased severity of periodontitis and poor response to… http://fb.me/IZZ2UKrC

@DeepakChopra: Ler me play the fool. Let my liver rather heat with wine than my heat cool with mortifying groans––Shakespeare

 
    Spiritual Update

Science behind Hanuman Chalisa

Ashta Siddhi

There is a concept of Ashta Siddhi (eight siddhis) in Hinduism. The eight primary siddhis are:

  • Anima: Reducing one’s body even to the size of an atom
  • Mahima: Expanding one’s body to an infinitely large size
  • Garima: Becoming infinitely heavy
  • Laghima: Becoming almost weightless
  • Prapti: Having unrestricted access to all places
  • Prakamya: Realizing whatever one desires
  • Istva: Possessing absolute lordship.
  • Vastva: The power to subjugate all.
 
    An Inspirational Story

(Dr GM Singh)

And God said…

A very religious man lived right next door to an atheist. While the religious one prayed day in, day out, and was constantly on his knees in communion with his Lord, the atheist never even looked twice at a church.

However, the atheist’s life was good, he had a well–paying job and a beautiful wife, and his children were healthy and good–natured, whereas the pious man’s job was strenuous and his wages were low, his wife was cheating on him and his kids wouldn’t give him the time of the day.

So one day, deep in prayer as usual, he raised his eyes towards heaven and asked: "Oh God, I honor you every day, I ask your advice for every problem and confess to you my every sin. Yet my neighbour, who doesn’t even believe in you and certainly never prays, seems blessed with every happiness, while I go poor and suffer many an indignity. Why is this?" And a great voice was heard from above … "Because he doesn’t bother me all the time!"

 
    Pediatric Update

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

Treatment for vitamin A

Treatment for subclinical vitamin D deficiency includes the consumption of vitamin A–rich foods, such as liver, beef, chicken, eggs, fortified milk, carrots, mangoes, sweet potatoes, and leafy green vegetables. Treatment includes daily oral supplements, as follows:

  • Children aged 3 years or younger: 600 mcg (2000 IU)
  • Children aged 4–8 years: 900 mcg (3000 IU)
  • Children aged 9–13 years: 1700 mcg (5665 IU)
  • Children aged 14–18 years: 2800 mcg (9335 IU)
  • All adults: 3000 mcg (10,000 IU)

Therapeutic doses for severe disease include 60,000 mcg (200,000 IU), which have been shown to reduce child mortality rates by 35–70%.

 
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  Did You Know

(Dr Uday Kakroo)

The roar that we hear when we place a seashell next to our ear is not the ocean, but rather the sound of blood surging through the veins in the ear.

 
  Contrary Proverbs

(Mr Vipin Sanghi)

All good things come to those who wait. BUT Time and tide wait for no man.

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  Legal Question of the Day

(Dr MC Gupta, Advocate)

Is there any rule to deny a medically fit certificate in such cases?

The question of a rule does not arise. You are not bound to declare medically fit everyone who wants to be so declared. You can always declare the person medically unfit, giving reasons. You may state as follows: "I have medically examined Sh………. He has a history of recurrent episodes of fever and loss of weight and appears to be suffering from serious disease. He is not medically fit. He has been advised to undergo a blood test for HIV infection and report back along with the report".

 
    IJCP Special

Dr Good Dr Bad

Situation: A patient with suspected malaria was found to be negative for malaria antigen.
Dr. Bad: It cannot be malaria.
Dr. Good: Get the test repeated after two days.
Lesson: Since rapid diagnostic test sensitivity increases with antigenemia and parasitemia, repeating the rapid test with blood samples may increase the positive diagnostic yield for patients with initial negative results. (Clin Microbiol Rev 2008;21:97).

Make Sure

Situation: A patient on dialysis and on oral antacid developed aluminium toxicity.
Reaction: Oh my God! You should have put him on magaldrate preparations?
Lesson: Make sure to remember that magaldrate preparations do not cause aluminium toxicity in patients undergoing dialysis.

 
    Gyne Update

(Dr Maninder Ahuja, Secretary General IMS)

What are the effective alternatives to bisphosphonate therapy for a postmenopausal patient who does not want to use or cannot tolerate bisphosphonates, in the context of osteopenia and osteoporosis?

There are several effective FDA–approved alternatives to bisphosphonate therapy for the prevention and/or treatment of postmenopausal osteoporosis (PMO).

  • If patient has menopausal symptoms like hot flushes and mood changes, urogenital problems then she can be started on estrogens and combined with progesterone if uterus is there, And if she is in high risk category then with counseling we can continue with this therapy. Proper exercise and calcium and Vit D is a must.
  • Other agents which can be used for prevention are Raloxifene, Denosumab. Estrogens can be prescribed in minimum dosage and different routes can be used like transdermal patches.
  • Prevention regimens are best used for postmenopausal women with low bone mass/osteopenia (central dual energy x–ray absorptiometry (DXA) T–score between –1.0 and –2.5) and a 10–year risk for hip fracture ≥3% or of a major osteoporotic fracture ≥20% as determined by the WHO Fracture Risk Assessment Tool (FRAX®).
  • Treatment regimens are reserved for postmenopausal women with a confirmed diagnosis of osteoporosis by central DXA (T–score ≤–2.5 at the lowest measured site) or with a documented fragility fracture of the spine or hip.

Estrogen comes in a variety of types (i.e., estradiol, esterified estrogen, conjugated equine estrogen), formulations (oral, transdermal, intravaginal), dosages, and regimens (daily, biweekly, weekly, monthly). Estrogen therapy (ET) should only be prescribed to women who have undergone a hysterectomy. Estrogen/progestin therapy (EPT) is indicated for women with a uterus to prevent endometrial hyperplasia. Potential side effects include breast tenderness and uterine bleeding. Estrogen also increases the risk of venous thromboembolic events (VTE). Because of potential long–term cardiovascular and breast safety concerns raised by the Women’s Health Initiative (WHI) clinical trials, the FDA recommends that when prescribing medication to prevent osteoporosis only, physicians should consider all nonestrogen preparations first. When prescribing ET/EPT, physicians should prescribe the smallest dose for the shortest amount of time to achieve treatment goals, and only when the benefits are believed to outweigh the risks for a specific patient.

 
  SMS of the Day

(Dr GM Singh)

Prosperity makes friends, adversity tries them. Publilius Syrus

 
  GP Pearls

(Dr Pawan Gupta)

CURB–65 severity score for severe pneumonia: Score 1 point each for

  • Confusion (mental test ≤8)
  • Urea >7 mmol/l
  • Respiratory rate ≥30breath/min
  • BP (systolic < 90 mm Hg or diastolic < 60 mm Hg)
  • Age ≥65 years
 
    Medicolegal Update

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

Death due to smothering– Forensic autopsy

Deviation of the nose, bruising of the upper lip, and suspected intra-oral and facial bruising are findings on autopsy

  • Smothering is defined as an obstruction of the air passages above the level of the epiglottis, including the nose, mouth, and pharynx. This is in contrast to choking, which is considered to be due to an obstruction of the air passages below the epiglottis.
  • The manner of death in smothering can be homicidal, suicidal, or an accident.
  • Accidental smothering is considered to be a rare event among middle–aged adults, yet many cases still occur.
  • Homicidal smothering is the deliberate occlusion of the external airways, usually using the hands, pillows, or bedding. Victims are often those who are unable to resist, such as the young or the old or highly intoxicated. The limited resistance offered by these individuals may result in a comparative lack of injury.
  • Histological sampling of suspected injuries can be rewarding, even in the presence of severe post–mortem deterioration due to decomposition.
  • The upper lip and lower lip should be excised and processed for histology, sections may show remarkably good tissue preservation and extensive recent bruising,
 
  Vitamins—Open Secrets revealed

(Dr Jitendra Ingole, MD Internal Medicine)

Vitamin D and its importance

In April of 2000 a clinical observation about Vitamin D was published in Archives of Internal Medicine by Dr. Anu Prabhala and colleagues. They reported on the treatment of five patients confined to wheelchairs with severe weakness and fatigue. Blood tests revealed that all suffered from severe vitamin D deficiency. The patients received 50,000 IU vitamin D per week and all became mobile within six weeks.

Any discussion of vitamin D must begin with the discoveries of the Canadian–born dentist Weston A. Price. In his masterpiece Nutrition and Physical Degeneration, Dr. Price noted that the diet of isolated, so–called "primitive" peoples contained "at least ten times" the amount of "fat–soluble vitamins" as the standard American diet of his day. Dr. Price determined that it was the presence of plentiful amounts of fat–soluble vitamins A and D in the diet, along with calcium, phosphorus and other minerals, that conferred such high immunity to tooth decay and resistance to disease in nonindustrialized population groups. Today another Canadian researcher, Dr. Reinhold Vieth, argues convincingly that current vitamin D recommendations are woefully inadequate. The recommended dose of 200–400 international units (IU) will prevent rickets in children but does not come close to the optimum amount necessary for vibrant health. According to Dr. Vieth, the minimal daily requirement of vitamin D should be in the range of 4,000 IU from all sources, rather than the 200–400 currently suggested, or ten times the Recommended Daily Allowance (RDA). Dr. Vieth’s research perfectly matches Dr. Price's observations of sixty years ago!

(Ref. Prabhala A, Garg R, Dandona P. Severe myopathy associated with vitamin D deficiency in western New York. Arch Intern Med 2000;160(8):1199–203)

 
    Lab Update

(Dr Arpan Gandhi and Dr Navin Dang)

Chloride

  • Increase in serum chloride is seen in dehydration, renal tubular acidosis, acute renal failure, diabetes insipidus, prolonged diarrhea, salicylate toxicity, respiratory alkalosis, hypothalamic lesions, and adrenocortical hyperfunction.
  • Decrease in serum chloride is seen in excessive sweating, prolonged vomiting, salt–losing nephropathy, adrenocortical deficiency, various acid base disturbances, conditions characterized by expansion of extracellular fluid volume, acute intermittent porphyria, SIADH, etc.
 
    Mind Teaser

Read this…………………

poFISHnd

Yesterday’s Mind Teaser: Eisenmenger syndrome is characterized by all except:

1. Return of left ventricle and right ventricle to normal size
2. Pulmonary veins not distended
3. Pruning of peripheral pulmonary arteries
4. Dilatation of central pulmonary arteries

Answer for Yesterday’s Mind Teaser: 1. Return of left ventricle and right ventricle to normal size.

Correct answers received from: Dr Pramod M Kulkarni, Dr Surendra Bahadur Mathur, Dr Neelam Nath, Dr Anil Bairaria, Dr Jainendra Upadhyay, Dr Sandhya.

Answer for 1st July June Mind Teaser: Two in One
Correct answers received from: Dr Prabha Sanghi, Dr Anupama, Dr Sandhya, Dr BN Ganagdhar.

Send your answer to ijcp12@gmail.com

 
    Medi Finance Update

(Dr GM Singh)

What are the consequences of not deducting tax at source?

You are required to withhold taxes at appropriate rates while making certain payment of expenses such as advertisement expenses, payment of salary to employees, etc. Failure to do so will result in the entire of expenditure being disallowed as your business expenditure resulting in higher profits being charged to income tax.

 
    Laugh a While

(Dr. Prabha Sanghi)

What is brown, hairy and wears sunglasses? A coconut on vacation.

 
    Drug Update

List of approved drugs from 01.01.2010 to 31.8.2010

Drug Name
Indication
DCI Approval Date
Cefixime SR 200mg/400mg + Ofloxacin SR 200mg/400mg Tablet
Additional strength
31.08.10
 
    IMSA Update

International Medical Science Academy (IMSA) Update

Immunization Practices: ACIP recommendations

In 2010, the US Centers for Disease Control and Prevention’s Advisory Committee on Immunization Practices expanded the recommendation for influenza vaccination to include all individuals 6 months of age and older.

 
    Public Forum

(Press Release for use by the newspapers)

Get your Press release online http://hcfi.emedinews.in (English/Hindi/Audio/Video/Photo)

Monsoon fever can be deceptive

Fever during the monsoon season in India can be deceptive as malaria, viruses causing dengue, chikungunya and jaundice, and bacteria causing typhoid can all produce fever in this season, said Padma Shri & Dr. B.C. Roy National Awardee, Dr. KK Aggarwal, President Heart Care Foundation of India.

Following are the Dos and Don’ts about fever in the monsoon season:

  1. No antibiotic should be started unless a diagnosis of typhoid is confirmed.
  2. Cough, eye redness and nasal discharge can also be present in viral disorders.
  3. In dengue, one may have pain with the eye movement.
  4. In chikungunya, patients may have fever, rashes and joint pains. The joint pains will typically increase on compression of the wrist joint.
  5. Malaria fever may present with chills and rigors, with no toxemia in between the fever episodes.
  6. In jaundice, fever normally disappears by the time jaundice appears clinically.
  7. In typhoid, patient looks toxic and the pulse rate may be relatively low compared to the fever.
  8. Fever medicines like aspirin should not be given in monsoon season as many fevers may have low platelet counts.
  9. Most viral disorders are self–limiting and resolve within a week.
  10. In most monsoon related viral disorders, treatment is adequate hydration.
  11. Fever in the setting of chronic medical disease should not be ignored and shown to the doctors at the earliest.
 
    Readers Responses
  1. Your lessons on spiritualism based upon science are a treat to read. Science and spiritualism make a wonderful combo. Dr Prof. HL Kapoor.
 
    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 provide total insight into all the medicolegal and ethical issues concerning the practicing doctors. Both medical and legal experts will interact 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 your request at rekhapapola@gmail.com or at 9899974439.

For Programme Details

Programme Schedule 10th July MEDICO LEGAL CONFERENCE
Time Session Chairperson Moderator Speaker Topic
8 Am–8:30 Am Ethical Issues in Medical Research   Dr KK Aggarwal
Dr Girish Tyagi
   
8 am–8.10 am       Ajay Agrawal Rights of a patient in medical trial
8.10–8.20 am       Dr Ranjit Roy Chaudhury Ethical Issues in a medical trial
8:20–8.30 am       Priya Hingorani Statutory permits required for conducting trials
8.30–9.10 am Medical ethics and organ donations Dr N V Kamat Dr KK Aggarwal    
8.30 am–8.40 am       Dr Anoop Gupta Ethical issues in IVF practice
8.40 am–8.50 am       Dr N K Bhatia 100% voluntary blood donation
8.50 am–9.00 am       Dr Rajesh Chawla Need for do not resuscitate laws in India
9.00 am–9.10 am       Dr Neelam Mohan Ethical issues in organ transplantation
9.10 am–9.30 am Handling cases of death Mr S K Saggar
Dr Arvind Chopra
Dr KK Aggarwal
Dr Girish Tyagi
   
9.10 am–9.20 am       Dr S C Tewari Spiritual considerations in a dying patient
9.20 am–9.30 am       Dr G.K. Sharma Medico legal and ethical issues in post mortem
9.30 am–9.50 am Medical Insurance Mr Vibhu Talwar
Dr H K Chopra
Dr Vinod Khetrapal
Dr KK Aggarwal    
9.30 am–9.40 am       Meenakshi Lekhi Engaging a lawyer
9.40 am–9.50 am       Maninder Acharya Understanding various court procedures
9.50 am–10.20 am How to handle medico legal cases? Dr Anil Goyal
Dr Rajiv Ahuja
Ajay Agrawal
Dr Girish Tyagi
   
9.50 am–10.00 am       Dr M C Gupta When to do the MLC?
10.00 am–10.10 am       Dr Sudhir Gupta Checklist of MLC case
10.10 am –10.20 am       Siddarth Luthra Medico legal record keeping
10.20–10.50 am Medical Consent Dr Vinay Aggarwal
Dr P K Dave
Dr KK Aggarwal
Dr Girish Tyagi
   
10.20 am–10.30 am       Indu Malhotra Types of consent
10.30 am–10.40 am       Dr Manoj Singh Ideal consent
10.40 am–10.50 am       Dr N P Singh Extended consent
10.50 am–11.20 am Fallacies in acts applicable to medical profession Dr Anup Sarya
Dr Sanjiv Malik
     
10.50 am–11.00 am       Dr Kaberi Banerjee MTP, PNDT Act
11.00 am–11.10 am   Dr Anupam Sibal   Dr Sandeep Guleria Organ Transplant Act
11.10 am to 12.00 noon Inauguration

Justice A K Sikri, Delhi High Court

Justice Vipin Sanghi, Delhi High Court

Dr HS Risam, Board of Director, MCI

Dr P Lal, Board of Director, MCI

Dr A K Agarwal, President DMCl
     
12.00 noon–1.00 PM Professional misconduct and professional ethics Dr A K Agarwal
Dr. D S Rana
Dr H S Rissam
Dr KK Aggarwal
Dr Girish Tyagi
   
12.00–12.10 pm       Dr Sanjiv Malik Doctor-pharma relationship
12.10 pm–12.20 pm       Dr M C Gupta Advertisement and medical practice
12.20 pm –12.30 pm       Dr Navin Dang Rights of a patient
12.30 pm–12.40 pm       Dr Ajay Gambhir Rights of a doctor
12.40 pm– 12.50 pm       Dr Ashok Seth Kickbacks, touts and commercialization in medical practice
1.00 pm to 2.00 pm When it is not a negligence? Dr Prem Kakkar
Dr S K Sama
Dr O P Kalra
Dr KK Aggarwal
Dr Girish Tyagi
  Complaints of a doctor against doctor
1.00 pm–1.10 pm       Dr Girish Tyagi What is medical negligence?
1.10 pm–1.20 pm       Dr Vijay Aggarwal Medical accidents
1.20 pm–1.30 pm       Mukul Rohatgi Professional Misconduct
1.30 pm–1.40 pm       Dr K K Aggarwal How to defend a complaint?

………………………………………………………………

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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