emedinews
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FIRST NATIONAL DAILY eMEDICAL NEWSPAPER OF INDIA
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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

 
  Editorial ...

4th December, 2010, Saturday

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

Revisiting 2010: Cardiology

Dabigatran for patients with atrial fibrillation

Use dabigatran rather than warfarin in patients with atrial fibrillation for whom anticoagulant therapy is chosen. The randomized RE–LY trial, published in 2009, demonstrated that dabigatran 150 mg twice daily was more effective for stroke prevention than adjusted–dose warfarin in patients with atrial fibrillation.1 For patients older than 80 years or at higher risk of bleeding, a dose of 110 mg is suggested.

Warfarin can be used in patients who are already taking it and whose INR is relatively easy to control, for those who are not likely to comply with the twice daily dosing of dabigatran, for those where cost is important, and those with a creatinine clearance less than 30 mL/min.

(Ref: Connolly SJ, Ezekowitz MD, Yusuf S, et al. Dabigatran versus warfarin in patients with atrial fibrillation. N Engl J Med 2009;361:1139).

Dr KK Aggarwal
Editor in Chief
drkkaggarwal Dr K K Aggarwal on Twitter
Krishan Kumar Aggarwal Dr k k Aggarwal on Facebook
 
  HIV/AIDS Update

FAQs

1. Is treatment of HIV 1 and HIV 2 different?
Ans. Most ELISA cannot differentiate between HIV 1 and HIV 2. When HIV testing is being done, out of three, one test should be rapid testing. HIV 2 is present in 1% of the HIV population and is resistant to Nevirapine and Efavirenz. It has a slow transmission and more neurotoxicity. These patients should be treated by protease inhibitors (PI–based regimens).

2. If a patient can afford, what treatment to start?
Ans. One should start with Viraday (Tenofovir 300 mg OD + emtricitabine 150 mg + 600 mg of Efavirenz). It is given as OD dose. The other alternative is Trioday (longer–acting lamivudine 300 mg + Tenofovir 300 mg and Efavirenz 600 mg). Given as OD dose. Caution: Tenofovir is nephrotoxic.

3. When to start PI drugs?
Ans. PIs are secondary drugs given when a patient cannot tolerate Nevirapine or Efavirenz. Drug of choice is Lopimune 2 b.i.d. (Lopinavir 400 mg plus Ritonavir 100 mg) (PI Booster Regime).

4. Regimens for PEP
• Low risk exposure: Duovir 1BID for 28 days (monitor CBC, LFT every 15 days. Baseline HIV, HBV and HCV testing)
• High risk exposure: Lopimune 2BID for 28 days.
• PEP: HIV screening on the exposed individual should be performed at baseline, six and 12 weeks, and at six months after exposure. The majority of individuals who seroconvert will do so within the first three months.

o PEP is continued for four weeks. PEP should be discontinued if testing shows that the source patient is HIV negative.
o PEP should be started as early as possible after an exposure (ideally within one to two hours, or sooner, if possible).
o HIV screening in the exposed person should be performed at baseline, six and 12 weeks, and at six months after exposure. The majority of individuals who seroconvert will do so within the first three months.

5. Regimes for pregnancy
• No Efavirenz
• Duovir N best drug combination
• During labor, add Ziduvidine to the mother 300 mg every 4 to 6 hours till delivery
• In pregnancy, Ziduvidine and Nevirapine are must.
• If CD4 count is > 350, do not give Nevirapine, no Efavirenz. PI is a must.
• Treatment depends on the HIV viral load during pregnancy. Women with low HIV viral loads (<1000 copies/mL) may be able to deliver vaginally. Women with higher HIV viral loads (=1000 copies/mL) are usually encouraged to schedule a cesarean delivery at 38 weeks of pregnancy.
• The antiretroviral drug Ziduvidine is usually given during labor, regardless of how the woman delivers, because Ziduvidine helps to reduce the risk of HIV transmission.

Other antiretroviral drugs are also continued on schedule during labor or before a cesarean section; this helps to provide maximal protection to the mother and infant and to minimize the risk that the mother could develop drug resistance due to a missed dose of medication.

...............

HIV– The Rule of 3

3 indications of starting treatment
1. HIV positive, symptomatic case or with AIDS–defining illness
2. WHO classification 4 or 1,2,3 with CD count of < 200
3. Viral count > 55000 copies/ml

3 drugs
HIV is now classified as chronic manageable disease and is treated with minimum 3 drugs.

3rd visit
ARV treatment should be started in the THIRD visit (first & second visits are for counseling and to prepare the patient)

3TC
When choosing 3 drugs, one of the 3 drugs should be 3TC (Lamivudine)

Stop all 3
Do not stop one or two drugs in ARV. If you have to stop, stop all 3

3 reasons for not giving ART
1. Patient is not motivated or not counseled
2. Treatment cannot continue for ever
3. Patient has renal or liver disease

3 drugs to be avoided in pregnancy
1. EFV (efavirenz)
2. D4T (stavudine)
3. DDI (didanosine)

3 types of ARV drug failure
1. Biological
2. Immunological
3. Clinical failure

3 reasons for drug failure
1. Non adherence
2. Development of resistance
3. Malabsorption

 
  Quote of the Day

(By Dr GM Singh)

"One thought fills immensity" ...........................William Blake

 
    Photo Feature (from the HCFI Photo Gallery)

 Heritage 2010

In a gesture of appreciation of the students' talent, Heart Care Foundation of India awarded them with the Distinguished Service Award during Heritage, a Festival of Classical Dances in the MTNL 17th Perfect Health Mela 2010.

 
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

Japanese Encephalitis finds a new target: adults

The increasing number of Japanese Encephalitis (JE) cases among adults has become a cause of concern for health experts in the country. The cases are being reported from Uttar Pradesh, Bihar, Assam and some other states in the north–east. JE has traditionally been regarded as a disease of the children and before mid-2009, the proportion of adults among JE patients rarely exceeded 2 per cent. Assam first reported a big jump last year — as many as 70 per cent of patients were above 15 years old. In UP too, the number of adult patients has been increasing since last year, although it has not yet reached the proportions it has acquired in Assam. (Source: Indian Express, Dec 02 2010)

New treatment to stop HIV+ mom–to–child transmission

Working towards complete elimination of pediatric HIV, Naco is changing its treatment protocol for HIV–positive pregnant mothers. As of now, women under the Prevention of Parent–To–Child Transmission of HIV programme are given a single dose of Nevirapine at the time of labour and to the newborn after the delivery. Now, Naco has decided that if the pregnant HIV woman is found to have blood CD4 count below 350, she will be put on a full–fledged anti retroviral therapy. However, if the woman’s blood CD4 count is above 350, she will be put on a more effective drug, Zidovudine, right from 16 weeks of pregnancy till the delivery. However, the new–born will be administered Nevirapine throughout the breast– feeding period. (Source: The Times of India, Dec 1, 2010)

 
    International News

(Dr Monica and Brahm Vasudev)

Doubling frequency of dialysis better

Dialysis patients who underwent sessions up to six times a week, instead of the conventional three, showed improvement in their heart condition and told researchers they felt better, according to a study presented during the American Society of Nephrology’s 43rd Annual Meeting and Scientific Exposition and published Nov. 20 in the New England Journal of Medicine.

Statins lower mortality in sepsis

According to research presented during the American Society of Nephrology’s 43rd Annual Meeting and Scientific Exposition, statin therapy improves the survival odds in critically ill patients with sepsis, but does not reduce the risk of acute kidney injury as has been suggested in animal models.

Dialysis patients have less exposure to epoetin alfa when switched to subcutaneous protocol

According to research presented during the American Society of Nephrology’s 43rd Annual Meeting and Scientific Exposition, dialysis patients had less exposure to epoetin alfa with no deterioration of hemoglobin values when they were switched from an intravenous to a subcutaneous protocol.

Satins lower risk of heart complications in patients with CKD

Patients with chronic kidney disease (CKD) who took ezetimibe and simvastatin had one–sixth fewer heart attacks, strokes or operations to unblock their arteries than patients taking a placebo, according to research presented during the American Society of Nephrology’s 43rd Annual Meeting and Scientific Exposition.

 
    Infertility Update

Dr. Kaberi Banerjee, Infertility and IVF Specialist Max Hospital; Director Precious Baby Foundation

Why IVF is not very successful?

When IVF is employed using the ejaculated sperm from a man with moderate oligospermia, the pregnancy rates are very low. When the sperm concentration is below 5 million/mL and sperm motility poor, the fertilization rate of the oocytes are much less than when the sperm count is normal. The result is an unacceptably low pregnancy and take–home baby rate (<10%). Other micromanipulation techniques, such as partial zona dissection and subzonal insertion of spermatozoa from severely oligospermic men, are also associated with low fertilization rate or polyspermic fertilization. They do not significantly improve the chance of pregnancy.

For queries contact: banerjee.kaberi@gmail.com

 
    Pediatric Update

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

Prevention of Rickets and Vitamin D Deficiency in Infants and Children, and Adolescents

The American Academy of Pediatrics recommends a daily intake of at least 400 IU vitamin D in infants, children and adolescents to prevent rickets and vitamin D deficiency.

  • Vitamin D (400 IU/day) should be supplemented in all breastfed and partially breastfed infants beginning in the first few days of life. Continue this unless the infant is weaned to at least 1 L/day or 1 quart/day of vitamin D–fortified formula or whole milk. Avoid whole milk till the child is one year of age.
  • Use reduced–fat milk in children aged 1–2 years who are overweight or obese or have a family history of obesity, dyslipidemia, or cardiovascular disease.
  • All older children who take <1000 mL/day of vitamin D–fortified formula or milk plus all infants who have not been breastfed should be supplemented with vitamin D 400 IU/day. Include other dietary sources of vitamin D, such as fortified foods, in the daily intake of each child.
  • Vitamin D supplementation (400 IU/day) should be given to adolescents who take less than this amount from vitamin D–fortified milk (100 IU per 8–oz serving) and vitamin D–fortified foods (such as fortified cereals and eggs (yolks)).
  • Based on the available data, serum levels of 25–OH–D in infants and children should be 50 nmol/L (20 ng/mL).
  • Higher doses of vitamin D supplementation may be needed to achieve normal vitamin D status despite an intake of 400 IU/day in children with chronic fat malabsorption and those on antiseizure drugs. The vitamin D status should be monitored with lab tests including serum 25–OH–D and PTH concentrations and measures of bone-mineral status. Repeat 25–OH–D levels at 3–month intervals till normal levels have been obtained. Monitor bone mineral status every 6 months until they have become normal.
  • It is important that pediatricians and other health care professionals should make vitamin D supplements readily available to all children within their community, in particular for those who are most vulnerable.
 
    Medicolegal Update

Dr Sudhir Gupta, Associate Professor, Forensic Medicine & Toxicology, AIIMS

How is a blood sample collected in a medicolegal case?

Collection of a blood sample is said to be a surgical process and should only be performed by a qualified doctor in a hospital setup where at least primary medical facility is available because in many occasion the patient may develop medical complication and even loss of consciousness hence it cannot be drawn in police station or court of law.

  • The sample should be taken from the vein in the antecubital fossa.
  • Before blood collection, the subject should remove tight clothes that might constrict the upper arm.
  • The phlebotomist ties the tourniquet around the upper arm of the subject, searches the proper vein by inspecting and palpating and then sterilizes the injection site.
  • The vein can be anchored by placing the thumb about 2 cms below the vein and pulling gently to make the skin a little taut.
  • After that, the needle, beveled upward, should be pushed smoothly and quickly into the vein, to minimize the possibility of hemolysis as a result of vascular damage.
  • Immediately after the insertion, the tourniquet should be released to minimize the effect of hem concentration.
 
    Legal Question of the Day

(Contributed by Dr M C Gupta, Advocate)

The operation theatre now–a–days has both an OT technician and an Anesthesia Technologist who has a B Sc degree related to the field. Can an Anesthesia Technologist provide anesthesia independently while the surgeon is operating?

No. he cannot. In such a situation, the responsibility will lie squarely with the surgeon and the hospital for performing surgery recklessly and endangering the life of the patient. It is illegal to practice medicine without being registered with the medical council. The practice of anesthesia is practice of medicine. An anesthetist is registered with the medical council but an Anesthesia Technologist is not so registered.

 
    “e-patient" --- The Impatient Patient

Dr. Parveen Bhatia, MS, FRCS (Eng.), FICS, FIAGES (Hon.), FMAS, FIMSA Chairman, Institute of Minimal Access, Metabolic & Bariatric Surgery, Sir Ganga Ram Hospital, Consultant Laparoscopic & Bariatric Surgeon & Medical Director, Global Hospital & Endosurgery Institute, New Delhi

Dr. Pulkit Nandwani, MD, DMAS (WALS), DMAS (CICE, France), Associate Consultant Gynaecologist and Laparoscopic surgeon, Bhatia Global Hospital & Endosurgery Institute, New Delhi

Changing Doctor Patient relationship

Doctor patient relationship – The trust

Trust has been described as the scarcest of medical commodities. Most of the 20th century, due to the lack of information, was the era of "Doctor knows the best". However, come the information age and patients are empowered with information. The immediate fallout is the replacement of trust by skepticism and weariness. "Blind trust" is being replaced by "Informed trust".
The first health contact which traditionally was the family physician is slowly being replaced by the internet in many cases. Patients search the net and consult their physician armed with information. An survey of 500 online ‘health seekers’ revealed that 55% gathered online information before visiting a doctor, and 32% sought information about a particular doctor or hospital. Of those who considered their online searches successful, 38% reported that it "led them to ask a doctor new questions or get a second opinion." The locus of power in health care is shifting: instead of the doctor acting as sole manager of patient care (i.e., "the captain of the ship"), a consumerist model has emerged in which patients and their doctors are partners in managing the patient’s care. These changes are already finding resistance from the provider community.

 
    DMC order

In the order DMC/DC/F.14/Comp.647/2010/ 21st July, 2010:
The council feels that following guidelines should be taken into consideration by doctors whilst issuing medical certificates.

  • Medical certificates are legal documents. Medical practitioners who deliberately issue a false, misleading or inaccurate certificate could face disciplinary action under the Indian Medical Council (Professional Conduct, Etiquette and Ethics), Regulations, 2002. Medical practitioners may also expose themselves to civil or criminal legal action. Medical practitioners can assist their patients by displaying a notice to this effect in their waiting rooms. It is, therefore, a misnomer to state that medical certificate is "not valid for legal or Court purposes", and should be avoided. Registered medical practitioners are legally responsible for their statements and signing a false certificate may result in a registered medical practitioner facing a charge of negligence or fraud.
  • The certificate should be legible, written on the doctor’s letterhead and should not contain abbreviations or medical jargon. The certificate should be based on facts known to the doctor. The certificate may include information provided by the patient but any medical statements must be based upon the doctor’s own observations or must indicate the factual basis of those statements. The Certificate should only be issued in respect of an illness or injury observed by the doctor or reported by the patient and deemed to be true by the doctor.

    The certificate should:–
    • indicate the date on which the examination took place
    • indicate the degree of incapacity of the patient as appropriate
    • indicate the date on which the doctor considers the patient is likely to be able to return to work
    • be addressed to the party requiring the certificate as evidence of illness e.g. employer, insurer, magistrate
    • indicate the date the Certificate was written and signed.
    • Name, signature, qualifications and registered number of the consulting Registered Medical Practitioner.
    • The nature and probable duration of the illness should also be specified. This certificate must be accompanied by a brief resume of the case giving the nature of the illness, its symptoms, causes and duration. When issuing a sickness certificate, doctors should consider whether or not an injured or partially incapacitated patient could return to work with altered duties.
  • The medical certificate under normal circumstances, as a rule, should be prospective in nature i.e. it may specify the anticipated period of absence from duty necessitated because of the ailment of the patient. However, there may be medical conditions which enable the medical practitioner to certify that a period of illness occurred prior to the date of examination. Medical practitioners need to give careful consideration to the circumstances before issuing a certificate certifying a period of illness prior to the date of examination, particularly in relation to patients with a minor short illness which is not demonstrable on the day of examination and should add supplementary remarks, where appropriate, to explain the circumstances which warranted the issuances of certificate retrospective in nature.
  • It is further observed that under no circumstances, a medical certificate should certify period of absence from duty, for a duration of more than 15 days. In case the medical condition of the patient is of such a nature that it may require further absence from duty, then in such case a fresh medical certificate may be issued.
  • Record of issuing medical certificate – Documentation should include:–
    • Patient to put signature/thumb impression on the medical certificate
    • Identification marks to be mentioned on medical certificate
    • that a medical certificate has been issued
    • the date/time range covered by the medical certificate
    • the level of incapacity (i.e. unfit for work, light duties, etc within scope of practice)
    • signature/thumb impression of patient
    • Patient to put signature/thumb impression on the medical certificate
    • Identification marks to be mentioned on medical certificate
    • that a medical certificate has been issued
    • the date/time range covered by the medical certificate
    • the level of incapacity (i.e. unfit for work, light duties, etc within scope of practice)
    • signature/thumb impression of patient

An official serially numbered certificate should be utilized. The original medical certificate is given to the patient to provide the documentary evidence for the employer. The duplicate copy will remain in the Medical Certificate book for records. The records of medical certificate are to be retained with the doctor for a period of 3 years from the date of issue.

 
    Lab Update

(Dr. Naveen Dang and Dr Arpan Gandhi)

Anion gap

Increased serum anion gap reflects the presence of unmeasured anions, as in uremia (phosphate, sulfate), diabetic ketoacidosis (acetoacetate, beta–hydroxybutyrate), shock, exercise–induced physiologic anaerobic glycolysis, fructose and phenformin administration (lactate), and poisoning by methanol (formate), ethylene glycol (oxalate), paraldehyde, and salicylates. Therapy with diuretics, penicillin, and carbenicillin may also elevate the anion gap.

Decreased serum anion gap is seen in dilutional states and hyperviscosity syndromes associated with paraproteinemias. Because bromide is not distinguished from chloride in some methodologies, bromide intoxication may appear to produce a decreased anion gap.

 
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    Medi Finance Update

Understanding Mutual Funds

Within each of these fund classes, funds can be further broken down based on the actual investments within the fund. Generally, funds can be broken down into four categories:

  • By geography
  • By company size
  • By industry
  • By goals of the fund.
 
    Drug Update

List of Approved drugs from 01.01.2010 TO 30.4.2010

Drug Name

Indication

DCI Approval Date

Pemetrexed Disodium 500mg/100mg. Powder for Injection (additional indication)

Indicated as a monotherapy for the maintenance treatment of locally advanced or metastatic Non Small Cell Lung Cancer (NSCLC) other than predominantly squamous cell histology in patients whose disease has not progressed immediately following platinum–based chemotherapy. First–line treatment should be a platinum doublet with gemcitabine, paclitaxel or docetaxel

16–Jan–10

 
    IMSA Update

International Medical Science Academy (IMSA) Update

Peripheral arterial disease and CKD

The prevalence of moderate or severe chronic kidney disease is high in patients with peripheral arterial disease and is significantly higher (p<0.001) in patients with severe peripheral arterial disease than in patients with mild or moderate peripheral arterial disease.

(Ref: Duncan K, et al. Prevalence of moderate or severe chronic kidney disease in patients with severe peripheral arterial disease versus mild or moderate peripheral arterial disease. Med Sci Monit 2010 Nov 30;16(12):CR584–587)

 
    IJCP Special

Dr Good Dr Bad

Situation: A pregnant lady was on PPI.
Dr Bad: Stop it.
Dr Good: Continue it.
Lesson: Proton pump inhibitors are not a major cause of birth defects when used early in pregnancy (Pasternak B, Hviid A. Use of proton–pump inhibitors in early pregnancy and the risk of birth defects. N Engl J Med 2010;363:2114–23)

Make Sure

Situation: A patient developed high altitude cerebral edema while traveling to Leh.
Reaction: Oh My God: Why was acetazolamide not started before the journey?
Lesson: Make sure all high risk patients are given acetazolamide before they travel to mountains.

 
    Lighter Side of Reading

An Inspirational Story
(Contributed by Prabha Sanghi)

All about Grandparents

  • What children need most are the essentials that grandparents provide in abundance. They give unconditional love, kindness, patience, humor, comfort, lessons in life and, most importantly, cookies. Rudolph Giuliani
  • Our grandchildren accept us for ourselves, without rebuke or effort to change us, as no one in our entire lives has ever done, not our parents, siblings, spouses, friends - and hardly ever our own grown children. Ruth Goode
  • Grandma always made you feel she had been waiting to see just you all day and now the day was complete. Marcy DeMaree Grandchildren are the dots that connect the lines from generation to generation. Loise Wyse
  • Grandmas never run out of hugs or cookies.
  • A grandfather is someone with silver in his hair and gold in his heart.
  • Grandchildren are God’s way of compensating us for growing old.

— — — — — — — — — —

Mind Teaser

Read this…………………

notic

Yesterday’s eQuiz: "Which of the following patients presenting to the emergency department with an acute knee injury needs an x–ray?"

  • A 20–year–old male who walks in limping on the affected side. He has no tenderness on exam.
  • A 35–year–old obese female who was unable to weight bear immediately after the fall but is limping on the affected side. She has a normal exam.
  • A 60–year–old male with a painful knee but a normal exam.
  • A 30–year–old male with inability to flex knee to 90 degrees but with otherwise normal exam.
  • A 45–year–old who has tenderness over the fibular head but otherwise normal exam and limping on the affected leg.
Answer for Yesterday’s eQuiz: Correct answers are C, D and E.
According to the Ottawa knee rules, patients with ANY of the following need an x–ray of the affected knee:

  • Age 55 years or over
  • Tenderness of the fibular head
  • Isolated tenderness of patella
  • Inability to flex to 90 degrees
  • Inability to bear weight both immediately and in ED (4 steps, limping is okay).

Correct answers received from: Dr Anupam, Dr Prachi

Answer for 2nd December Mind Teaser: "Long Johns"
Correct answers received from:  Dr (LtCol) Gopal Agarwal, Dr Muthumperumal Thirumalpillai

Send your answer to ijcp12@gmail.com

— — — — — — — — — —

Laugh a While
(Contributed by Dr GM Singh)

While attending a convention, three psychiatrists take a walk. "People are always coming to us with their guilt and fears," one says, "but we have no one to go to with our own problems." "Since we’re all professionals," another suggests, "Why don’t we just hear each other out right now?" They agreed this is a good idea.
The first psychiatrist confesses, "I’m a compulsive shopper and deeply in debt, so I usually over bill my patients as often as I can."
The second admits, "I have a drug problem that’s out of control, and I frequently pressure my patients into buying illegal drugs for me."
The third psychiatrist says, "I know it’s wrong, but no matter how hard I try, I just can't keep a secret."

 
    Readers Responses
  1. Some medical colleges (even government colleges) have postgraduate degrees and diplomas which are not recognised by MCI. What is this entity called "MCI non-recognised" MD/MS or diploma seat? Can there be any such category? If it is not MCI recognised, then who will recognise these MD/MS courses? The State Medical Council? Can a State Medical Council independently recognise a degree when MCI has not recognised it? Do they have rights over and above MCI? And if such unrecognised MD/MS can co-exist symbiotically with other MCI recognised MD/MS courses in medical colleges, then why does MCI make such hue and cry about "recognition". MD Seychelles is also the same, then why blame it? Maharashtra University of Health Sciences conducts certain courses like International diploma in Paediatrics (Sydney University); One-year certificate course in emergency Obstetric care; Fellowship in ultrasonography etc. Who has given them the go-ahead? Have they bothered to even ask MCI? How does a university start it's own course without MCI permission? Regards mediodravid@yahoo.com

 
    Public Forum

(Press Release for use by the newspapers)

Drunk and Drugged Driving Prevention Month

Celebrate December as Drunk and Drugged Driving Prevention Month (3D Month), said Padma Shri & Dr. B.C. Roy National Awardee, Dr. KK Aggarwal, President, Heart Care Foundation of India.

Tips for safe drinking

  • About three in every ten persons is involved in an alcohol related crash at some point in their lives.
  • In 2006, nearly one–third of all traffic–related deaths in the United States were related to alcohol.
  • During the holiday season, and year–round, take steps to make sure that you and everyone you celebrate with avoids driving under the influence of alcohol.
  • Always designate a non–drinking driver before any holiday party or celebration begins.
  • Do not let a friend drive if they are impaired. Take the keys.
  • If you’re hosting a party this holiday season, remind your guests to plan ahead and designate their sober driver, always offer alcohol–free beverages, and make sure all of your guests leave with a sober driver.
  • One is not safe for up to one hour after 19 gram of alcohol intake. 2 hours after 20 grams of alcohol intake and so on.
 
    Forthcoming Events

Hospital Infrastructure India (HII) 2010 opens doors on 7 – 9 December 2010 at Bombay Exhibition Centre, Goregaon East, Mumbai. More than 80 exhibitors will be showcasing the latest technologies, products, services and advancements in hospital sector.

  • Hospital planning and design from TAHPI (Australia), HKS (US), Burt Hill (US), AFL (UK)
  • Medical Imaging systems from Sony
  • Wall protection material from InPro Corporation (US). They will be introducing G2, the world’s greenest wall protection material
  • Hospital supplies, OT, LED solutions from Edifice Medical Systems & Dr Mach
  • Floor covering and disinfecting surface solutions from Graboplast, Hungary
  • Electrical safety solutions by Bender – Germany & RR – Eubiq – Singapore
  • Floors and ceilings by Armstrong World, Square Foot, CCIL, Gerflor
  • Clean Room Partitions from GMP Technical
  • Smart Networks International (SNI) – a global consortium of European companies, showcasing hospital infrastructure solutions
  • Hospital project management & consultancy from Medica Synergie
  • Engineering & Project consultancy from Ted Jacob (US), KJWW Engineering (US), ETS – Eastern Services Private Ltd.

Special Features
Exhibition: Leading companies from countries, besides host country India have confirmed their participation at HII 2010

Conference
Session themes include:
Hospital Building Design – Basic principles and insights into future trends
Departmental Planning 1 – HBOT, Laminar airflow in operation theatres
Departmental Planning 2 – Healthcare next: A view of next generation healthcare innovations amongst other topics
Developing Healthcare Infrastructure – Case study of PPP models from Australia, UK and India

Product Demonstration Area: A selection of the latest products and services from some of the key exhibitors participating at HII 2010 will be on display at the product demonstration area. There will be interactive workshops as well as detailed briefing on these products and services to help you keep updated on the trends as well as make informed buying decisions.

B2B Meetings: The event is designed to help you make the most of your time at HII 2010 by facilitating business meetings and networking opportunities.

eMedinewS Events: Register at emedinews@gmail.com

eMedinewS Revisiting 2010

The 2nd eMedinewS – revisiting 2010 conference will be held at Maulana Azad Medical College, New Delhi on January 08–09, 2011.

January 08, 2011, Saturday, 6 PM – 9 PM – Opening Ceremony, Cultural Hungama and eMedinewS Doctor of the Year Awards. For registration contact – emedinews@gmail.com

January 09, 2011, Sunday, 8 AM – 6 PM – 2nd eMedinewS revisiting 2010, A Medical Update

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