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 …

4th June 2011, Saturday                                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

Whitener Addiction and Death by Inhalant

Whitener or correction fluid inhalation caused the death of a Jaipur student recently. The fluid is abused as an inhalant and exerts its effects through trichloroethane, a volatile solvent. Other ingredients are toluene, petrol. The fluid is cheap, accessible and readily available to children and adolescents.This solvent can be consumed by:

  1. Sniffing or direct inhalation from a container or piece of clothing sprayed with the substance.
  2. Huffing, which is holding a soaked cloth over the nose or mouth to increase the concentration of vapors.
  3. Bagging or breathing from a paper or plastic bag containing the volatile substance to further increase the concentration.

Abusers deliberately inhale available vapours 15–20 times over 10–15 minutes. This results in concentrations of up to 10000ppm as against the industrial standard of 50–100ppm.

Inhaled organic solvents like toluene cross from the blood into the brain within minutes. In the brain cells they act on NMDA and GABA receptors to produce alcohol-like effects.

Toluene, increases opiate receptors in the Nucleus Accumbens – a key brain area associated with the reward system and the experience of pleasure. Toluene also enhances dopamine release in the Nucleus Accumbens.

Volatile substances produce a rapid feeling of euphoria and inebriation because of their rapid absorption through the pulmonary vascular bed and their lipophilic properties that allow for quick deposition into the brain. At low concentration (500–4000ppm), this causes transient euphoria and disinhibition. At higher concentrations (6000–15000ppm), this can cause dizziness, sleepiness, slurred speech, blurred vision and headaches. Users appear confused, unbalanced, or begin responding to hallucinations. Higher doses can result in seizures, coma and cardiopulmonary arrest.

Besides the whitener fluid, other frequently used inhalants include glue, shoe polish, gasoline or lighter fluid, nitrous oxide or "whippets" and spray paints.

Inhalant abuse frequently goes undetected. Clues to inhalant abuse include chemical odors on the breath, skin, or clothes and empty solvent containers or bags, rags, or gauze either in the individual’s possession or trash.

Inhalant abuse is potentially life–threatening. Death may result from asphyxia, suffocation, choking on vomitus, careless or dangerous behavior in potentially dangerous settings. Sudden sniffing death may occur with hydrocarbon abuse. Even first–time users are at risk of sudden sniffing death as a result of heart rhythm abnormalities. One can also die of suffocation and burns from exploding solvents or accidental motor vehicle injury while intoxicated. Suicide accounts for up to 40% of inhalant–related deaths.

Cardiac arrhythmias and central nervous system dysfunction (inebriation, agitation, seizures) are the most concerning acute toxic effects of volatile inhalants, especially hydrocarbons.

Damage to the brain is reversible with abstinence. There is no specific medication to treat intoxication or for abstinence. Management of acute inhalant intoxication primarily consists of support of airway, breathing and circulation. Supplementation of 100 % oxygen by a nonrebreather face mask should be administered to treat hypoxia.

Dr KK Aggarwal
Editor in Chief
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  Changing Practice – Evidence which has changed practice in last one year

Newborn screening for severe combined immunodeficiency

Screening for severe combined immunodeficiency (SCID) and other disorders with
T cell deficiency was added in 2010 to the uniform newborn screening panel in the United States.

 
  eMedinewS Audio PostCard

 Rheumatoid arthritis Update

Dr Harvinder S Luthra Speaks on
‘Biologic therapy: Side effects’

Audio PostCard
 
    Photo Feature (from the HCFI Photo Gallery)

World Environment Day 2010

‘Save Tree Save Environment’ and ‘Plant Saplings & Preserve Old Trees’ were the message from Heart Care Foundation of India on World Environment Day in 2010.

 
Dr K K Aggarwal
 
    National News

Small pox virus may become poor man’s atom bomb

BANGALORE: The resolution by the World Health Organization (WHO) to hold on to the two last known remaining stocks of the smallpox virus for "crucial research" raises the spectre of bioterrorism, warns a leading Indian virologist. "If the destruction is delayed indefinitely, the synthesis and preparation of small pox virus as a bio–weapon, by a non–superpower would increase and it may truly become a poor man’s atom bomb," says Kalyan Banerjee, former director of the National Institute of Virology in Pune. The World Health Assembly–WHO’s decision–making body–announced Tuesday that it would defer until 2014 any decision on the destruction of the two remaining stocks of the virus since "crucial research" based on the virus remains to be completed. After smallpox was officially eradicated in 1980, all countries were asked to surrender their stocks of the virus to the WHO to prevent accidental release. Currently the virus is held at two WHO–sanctioned repositories – the US Centres for Disease Control and Prevention (CDC) in Atlanta and a Russian facility in Koltsovo in Siberia. (Source: The Economic Times, 28 May, 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)

Less active at work, Americans have packed on pounds

Looking beyond poor eating habits and a couch–potato lifestyle, a group of researchers has found a new culprit in the obesity epidemic: the American workplace. A sweeping review of shifts in the labor force since 1960 suggests that a sizable portion of the national weight gain can be explained by declining physical activity during the workday. Jobs requiring moderate physical activity, which accounted for 50 percent of the labor market in 1960, have plummeted to just 20 percent. The remaining 80 percent of jobs, the researchers report, are sedentary or require only light activity. The shift translates to an average decline of about 120 to 140 calories a day in physical activity, closely matching the nation's steady weight gain over the past five decades, according to the report, published in the journal PLoS One and reported by The New York Times.

(Dr Monica and Brahm Vasudev)

Longer ED stays linked to more adverse events

The longer patients stay in an emergency department without being admitted, the higher the risk of death or admission within seven days, according to a Canadian population–based retrospective cohort study. (Source: Medpage Today)

Paralyzed man stands, moves with epidural stimulation

Rob Summers was 20 in the summer before his junior year at Oregon State University in 2006. A pitcher on the school’s baseball team, he went out around midnight to get his gym bag out of his car when a hit-and-run driver jumped the curb, striking him and leaving him paralyzed with an injury to the spinal cord from C7–T1. Today Summers can stand for several minutes and move his legs, feet, and toes. He has regained some bladder control and sexual functioning, as well as the ability to regulate his body temperature through mechanisms such as perspiration. These gains are the result of unprecedented treatment –– begun in December 2009 –– using electrical stimulation of the spinal cord. After 80 sessions of task-specific training, epidural stimulation from an implanted unit allowed Summers to stand, bearing all his weight, for up to 4.25 minutes, Susan Harkema, PhD, of the University of Louisville in Kentucky, V. Reggie Edgerton, PhD, of the University of California Los Angeles, and colleagues reported online in The Lancet. (Source: Medpage Today)

Telemedicine puts HCV care in hands of PCPs

Primary care physicians with telemedicine support can manage hepatitis C virus (HCV) infection as effectively as specialty clinics, researchers found. Viral suppression outcomes for rural and prison system primary care clinicians were similar to those achieved by their academic medical center colleagues who provided consultation and video– or teleconferencing support in a prospective cohort study led by Sanjeev Arora, MD, of the University of New Mexico in Albuquerque. Sustained viral response rates were 58.2% and 57.5%, respectively, Arora’s group reported online in the New England Journal of Medicine. (Source: Medpage Today)

(Dr GM Singh)

Sports drinks and energy drinks in children and adolescents

Specific AAP recommendations regarding use of sports drinks and energy drinks in children and adolescents include the following:

  • Pediatricians should educate patients and their parents regarding the potential health risks of energy drinks and sports drinks and explain the significant differences between these types of drinks. The terms should not be used interchangeably.
  • Energy drinks should never be consumed by children or adolescents, because the stimulants they contain pose potential health risks.
  • Children and adolescents should avoid and restrict routine consumption of carbohydrate–containing sports drinks, which can increase the risk for overweight, obesity, and dental erosion.
  • For pediatric athletes, sports drinks should be consumed in combination with water during prolonged, vigorous physical activity, when rapid replenishment of carbohydrates and/or electrolytes is needed.
  • For children and adolescents, water, not sports drinks, should be the principal source of hydration.
 
  Twitter of the Day

@DrKKAggarwal: To those who are good to you, you have to treasure it and be thankful

@DeepakChopra:#vmdhealthblog My Health Tip this week is about Back Pain During Pregnancy. http://bit.ly/Dpak_Back

 
    Spiritual Update

Hanuman Chalisa

Tumhare Bhajan Ramko Pavei
Janam Janam Ke Dukh Bisravei


Meaning: By meditating on you, one reaches Lord Rama, and eliminates the sufferings of many lifetimes.

Spiritual Significance: Breathing meditation using Pranayama and Bija Mantra helps to get rid of the sufferings and also helps to take conscious–based decisions.

 
    An Inspirational Story

(Dr Anupam Sethi Malhotra)

Master is always there

A man went in search of truth. The first religious man he met was sitting under a tree, just outside his own village. He asked, "I am searching for a true master. Please tell me the characteristics of a true master." The fakir told him the characteristics. His description was very simple. He said, "You’ll find him sitting under such and such a tree, sitting in such and such posture, his hands making such and such gestures – that is enough to know he is the true master."

The seeker started searching. It is said that thirty years passed while he wandered the whole earth. He visited many places, but never met the master. He met many masters, but none were true masters. He returned to his own village completely exhausted. As he was returning he was surprised, he couldn’t believe it: that old man was seated under the same tree, and now he could see that this was the very tree that the old man had spoken of "… he will be sitting under such and such a tree……" And his posture was exactly as he had described. "It was the same posture he was sitting in thirty years ago – was I blind? The exact expression on his face, the exact gestures…!"

He fell at his feet saying, "Why didn’t you tell me in the first place? Why did you misdirect me for these thirty years? Why didn’t you tell me that you are the true master?"

The old man said, "I told you, but you were not ready to listen. You were not able to come home without wandering away. You had to knock on the doors of a thousand houses to come to your own home, only then could you return. I said it, I said everything – beneath such and such a tree. I was describing this very tree, the posture I was sitting in, but you were too fast, you couldn’t hear correctly, you were in a hurry. You were going somewhere to search. Searching was very important for you, the truth was not so important.

"But you have come! I was feeling tired, sitting continuously in this posture for you. You were wandering for thirty years, but think of me sitting under this tree! I knew some day you would come, but what if I had already passed away? I waited for you – you have come! You had to wander for thirty years, but that’s your own fault. The master was always here." It happens many times in our life that we cannot see what is near, and what is far attracts us. The distant drum sounds sweeter, we are pulled by distant dreams.

 
    Pediatric Update

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

What are the precautions to prevent an asthmatic attack?

An essential component in asthma treatment is the control of factors contributing to asthma severity. Clinicians should evaluate patients with persistent asthma for allergen exposures and sensitivity to seasonal allergens. Some common precautions especially in children are:

  • Keep the house clean.
  • The child should avoid places where there is a lot of smoke and pollution.
  • Compliance of asthmatic drugs must be monitored and children must carry an inhaler on them.
  • Make sure that the school of child is asthma–friendly. Parent’s must discuss the child’s condition with their teacher and explain to them the action plan to be followed if the child has an attack.
  • Avoid active and passive cigarette smoking. Passive smoke can be one of the triggers of asthma, which is usually ignored as an advice to parents.
  • Make sure that child’s toys and other playthings are hypoallergenic.
  • Even the clothes that parents buy for the child should be hypoallergenic so that child does not get allergic to their stuffed animals or clothes.
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Docconnect
Docconnect
 
    IJCP Special

Dr Good Dr Bad

Situation: A patient with hypertension had non–responding cough.
Dr. Bad: Take an X–ray.
Dr. Good: Stop ACE inhibitors.
Lesson: The commonest cause of cough in a patient with high blood pressure is the intake of ACE inhibitors.

Make Sure

Situation: An elderly patient with unstable angina presented with URTI and was found to be positive for Chlamydia pneumoniae infection.
Reaction: Remember to start macrolides immediately.
Lesson: Make sure to remember that erythromycin 2 g/day for 10–14 days reverses the increased risk of atherosclerosis.

 
  SMS of the Day

(Dr GM Singh)

Words are under your control until you speak them. You are under their control once you have spoken them, so take care.

 
    Medicolegal Update

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

Medical examination of the rape victim - Section 164 A of Criminal Procedure Code

  • The consent of such woman or of a person competent to give such consent on her behalf should be taken and such woman has to be sent to the registered medical practitioner within 24 hours from the time of receiving the information relating to the commission of the offense of rape.
  • Presence of bodily injuries like bite marks, nail marks etc. on the body of the accused also prove that the victim had offered resistance. Genital injuries can be serious if the act is done on a virgin or a young girl; however, it is seen that the genital injuries will be minimal in a woman used to sexual act. Trivial general injuries can be seen on the victim as well as the accused in violent sexual act. Usually if there are signs of general and genital violence, it can be assumed that the sexual act was done against the will and without the consent of the victim.
  • Police should be informed with the consent of the victim or her parents; otherwise, it will be a violation of professional secrecy. Sometimes, the victim may not give the correct history and alleged cause of injuries as due to rape. Even if the findings are suggestive of a sexual assault, the doctor should not interrogate the victim to ascertain the veracity of the history. He is not a detective.
  • The version of the woman should be recorded verbatim and necessary treatment should be given; however, if the victim is unconscious or unable to give a coherent version of the history, the police should be notified. All the details should be entered in the accident register, necessary samples should be collected and kept in safe custody. Victim may change her mind and file a complaint before the police at a later date. It is mandatory for the doctor to disclose all information to the Police.
 
  Vitamins—Open Secrets revealed

(Dr Jitendra Ingole, MD Internal Medicine)

Possible effects of vitamin B12 on cognitive function in older people

Deficiency of vitamin B12 is common among older people. As this vitamin is crucial for brain and nervous system functioning, researchers have proposed that supplementation may have beneficial effects on cognitive function in this group. However, randomized trial results have so far been inconclusive. Researchers from Wageningen University carried out a large study with a long duration and rigorous cognitive tests. They investigated the effects of daily oral supplementation with vitamin B12 at a high dose (1,000ug) on adults aged 70 years or above with a mild deficiency. High–dose vitamin B12 supplements are considered to be safe and no upper safety level has been set in the US or Europe. Among the group of 195 participants, some were given 400ug folic acid alongside the vitamin B12, and others a placebo. Compliance was very high, with a mean of 99 per cent. After 24 weeks, vitamin B12 status and cognitive function were assessed. Vitamin B12 supplementation reversed deficiency, and those taking folic acid showed raised folic acid levels in their red blood cells. Both supplementation groups had lower homocysteine levels, which is beneficial in terms of heart disease risk. Homocysteine was lowered to a greater extent in the combined supplement group, as expected based on knowledge of how the two nutrients interact.

However, neither supplement was linked to better results than placebo on tests of cognitive performance which covered attention, construction, sensomotor speed, memory, and executive function. Participants in all three groups showed improved memory, but the researchers concluded that the supplementation regimes used in this study did not lead to improved cognitive function. This may be because a longer course of vitamin B12 is necessary to repair any existing cognitive damage. Despite the results, the authors write, these findings cannot exclude beneficial effects on cognitive function from longer–term vitamin B12 supplementation. Individuals who have had mild cognitive impairment for less than six months may also be more likely to respond to treatment with vitamin B12.

(Ref: Eussen SJ. Effect of oral vitamin B–12 with or without folic acid on cognitive function in older people with mild vitamin B–12 deficiency: a randomized, placebo–controlled trial. Am J Clin Nutr 2006;84:361–70)

 
    Mind Teaser

Read this…………………
(Dr GM Singh)

Merepeat

Yesterday’s Mind Teaser: Pre-treatment evaluation for Lithium therapy should include:

1. Fasting blood sugar
2. Serum creatinine
3. Liver function tests
4. Platelet count

Answer for Yesterday’s Mind Teaser: 2. Serum creatinine

Correct answers received from: Dr Raju Kuppusamy, Dr Yogindra Vasavada,
Dr Muthumperumal Thirumalpillai, Dr U Gaur, Dr BN Ganagdhar, Dr Jainendra Upadhyay, Dr Neelam Nath, Dr Deepali Chatterjee, Dr Anil Bairaria.

Answer for 2nd June Mind Teaser: B. Sporotrichosis
Correct answers received from: Dr NM Goyal, Dr Upendra Hansda, Dr Surendra Bahadur Mathur.

Send your answer to ijcp12@gmail.com

 
    Lab Update

(Dr Arpan Gandhi and Dr Navin Dang)

Serum sodium

This test is done

  • To check whether sodium concentration is within normal range
  • To evaluate electrolyte balance and kidney function

Hyponatremia (low sodium levels in blood): This can be due to excessive water intake or fluid retention and typically due to edema. It is rarely due to decreased dietary intake. Most commonly due to loss of sodium that can be related with excessive sweating, diarrhea, diuretic intake, kidney disease, or Addison’s disease.

 
    Medi Finance Update

Investing a significant portion of your portfolio in one industry can be risky, especially if that industry falls on hard times. However, the upside can be equally as good if the industry performs well. (We have seen this in the technology sector.) However, if you have a diversified portfolio you may be able to reap some incremental returns by investing in an industry–specific fund.

 
    Laugh a While

(Dr. GM Singh)

A drunken was driving down the road and a preacher was behind him. "Oh", the preacher said, "this poor soul is inebriated. When he swerves again I will hit the gas and pass him." Finally he got his chance and hit the gas but the drunk swerved back and ran the preacher off the road, rolling his car to the bottom. As he got out and thanking god he was alright the drunk hollered down……"Hey, preacher, are you ok???" The preacher said: "Yes, thanks…the Lord is with me." The drunk said: “Well, you better let him ride with me before you kill him."

 
    Drug Update

List of Approved Drug From 01.01.2010 TO 31.8.2010

Drug Name

Indication

DCI Approval Date

Rosuvastatin 5/10/20mg + Fenofibrate 67/145/160mg

For the treatment of combined hyperlipidemia in patients with normal hepatic and renal function

23/08/10

 
    Obesity Update

Dr. Parveen Bhatia and Dr. Pulkit Nandwani

Understanding Laparoscopic Sleeve Gastrectomy

What is a 2–Stage operation?

Certain patients may have a body shape that makes their surgery more technically difficult. For example, patients with a BMI over 60 –– particularly those who carry their weight in their belly area –– may be at increased risk for bariatric surgery.

  • In the staged approach, a multi–step operation like the gastric bypass or the duodenal switch is broken down into 2 simpler and safer operations. In the first stage, a sleeve gastrectomy is performed. This allows losing 80 to 100 pounds or more, which will make the second part of the operation substantially safer.
  • The second stage operation is usually performed 8 to 12 months after the first. The "sleeve" stomach is converted into a formal gastric bypass or duodenal switch. This will permit additional weight loss and will provide a much more permanent result than sleeve gastrectomy alone.
  • Both stages of the surgery can be performed by laparoscopy, giving the advantage of shorter recovery, shorter incisions, fewer incision–related problems and less pain.
 
    IMSA Update

International Medical Science Academy (IMSA) Update

Treatment of co–occurring depression and alcohol dependence

A randomized trial of outpatients with alcohol dependence and major depression found that combined treatment with naltrexone and sertraline reduced relapse and increased time to heavy drinking compared to either drug individually and to placebo.

 
    Public Forum

(Press Release for use by the newspapers)

World Environment Day

Do not operate cars in poorly ventilated parking garage

Carbon monoxide (CO) poisoning is common, potentially fatal and under diagnosed because of its nonspecific clinical presentation.

Smoke inhalation is responsible for most inadvertent cases of CO poisoning. Other potential sources of CO include poorly functioning heating systems, improperly vented fuel-burning devices (kerosene heaters, charcoal grills, camping stoves, gasoline-powered electrical generators, and motor vehicles operating in poorly ventilated areas (ice rinks, warehouses, parking garages). Underground electrical cable fires produce large amounts of CO, which can seep into adjacent buildings and homes, said Padma Shri and Dr B C Roy National Awardee Dr K K Aggarwal, President heart Care Foundation of India.

Methylene chloride is an industrial solvent and a component of paint remover. Inhaled or ingested methylene chloride is metabolized to CO by the liver, causing toxicity in the absence of ambient CO.

CO poisoning is most common during winter, but it may occur in all seasons and environments. CO diffuses rapidly across the pulmonary capillary membrane and binds to the iron moiety of heme with approximately 240 times the affinity of oxygen.

The clinical findings of CO poisoning are nonspecific. Such patients often present with headache, malaise, nausea, and dizziness, and may be misdiagnosed with acute viral syndromes. Cardiac ischemia can occur. Once the diagnosis of CO intoxication is confirmed, an ECG should be done.

The most important interventions in the management of a CO–poisoned patient are prompt removal from the source of CO and institution of 100 percent oxygen.

 
    Readers Response
  1. One thing is very sure sir that our Sewagram ki padhai teaches us to do something for our society. I am a ‘99 Batch graduate of MGIMS doing Oncology and working on Preventive Oncology. I have made a movie on breast cancer named ‘Pink Chain.’ It would make me very happy if you see it and give your valuable suggestion. The promos are available on YouTube. People like you are a source of inspiration to us. Abhishek Shankar.
  2. Dear Dr KK Aggarwal, one of the best inspirational story I have read so far in my life. it gives the entire picture of good parenting, which we emphasize our clients to follow in their day today life. Congrats to the author. Dr R Mani, Psychiatrist.
 
    eMedinewS Special

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

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

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

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

HCFI
Activities eBooks

  HCFI

  Playing Cards

  Dadi Ma ke Nuskhe

  Personal Cleanliness

  Mental Diseases

  Perfect Health Mela

  FAQs Good Eating

  Towards Well Being

  First Aid Basics

  Dil Ki Batein

  How to Use

  Pesticides Safely

 
    Forthcoming Events

National Conference on "Insight on Medico Legal Issues"
Date: Sunday, 10th July, 2011
Venue: Auditorium, Chinmaya Mission, 89, Lodhi Road, New Delhi - 10003

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.

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)
Topics: Indemnity Insurance
          Engaging a lawyer
          Understanding various court procedures

Session: How to handle medico legal case? (10 am to 10.30 am)
Topics: 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)
Topics: 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)

………………………………………………………………

September 30th to October 2nd, 2011, Worldcon 2011 – XVI World Congress of Cardiology, Echocardiography & Allied Imaging Techniques at The Leela Kempinski, Gurgaon (Delhi NCR), INDIA

from Sept 29, 2011: A unique & highly educative Pre–Conference CME, International & national icons in the field of cardiology & echocardiography will form the teaching faculty.
• Provisional Scientific Program at http://worldcon2011.org/day1.html
• Provisional program for Pre Congress CME at http://worldcon2011.org/Pre_Conference_CME.html
• Abstract submission at http://worldcon2011.org/scientificprogram.html
• Important dates at http://worldcon2011.org/importantDates.html
• Congress website at http://www.worldcon2011.org
• Entertainment – Kingdom of Dreams at http://worldcon2011.org/Pre_Post_Tours.html

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

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

………………………………………………………………

Medifilmfest (1st International Health Film Festival in Delhi)

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

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

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

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

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

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

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    Our Contributors

Dr Veena Aggarwal, Dr Arpan Gandhi, Dr Aru Handa, Dr Ashish Verma, Dr A K Gupta, Dr Brahm Vasudev, Dr GM Singh, Dr Jitendra Ingole, Dr Kaberi Banerjee (banerjee.kaberi@gmail.com), Dr Monica Vasudev, Dr MC Gupta, Dr Neelam Mohan (drneelam@yahoo.com), Dr Naveen Dang, Dr Parveen Bhatia, (bhatiaglobal@gmail.com), Dr Prabha Sanghi, Dr Prachi Garg, Rajat Bhatnagar (http://www.isfdistribution.com), Dr. Rajiv Parakh, Dr Sudhir Gupta