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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 …

5th July 2011,Tuesday

The science behind Amarnath Yatra and Katha

Amarnath cave was chosen by Lord Shiva to narrate the secrets of immortality and creation of Universe to Parvati.

Most of us have heard of Rishi Munis doing deep meditation (tap) and getting spiritual realization. What about a common man who does not want to become a Muni or Rishi? For him the only way is to do 20–minute meditation daily and undertaking spiritual journeys for self purification once in a while. Amarnath Yatra is one of them. Others are Vaishno Devi Yatra, Mini Chaar Dhaam Yatra, Chaar Dham Yatra etc. Those who cannot go can do internal Amarnath Yatra by way of deep meditation.

Each spiritual retreat or journey requires a spiritual frame of mind and a commitment of seven to ten days for self purification. Most spiritual destinations are located at up into mountains firstly to provide a pollution–free environment and secondly a difficult travel so that nobody can reach the destination before 7–10 days. This journey helps to control the mind, intellect and ego and also to get rid of the desires, attachments, greed, tamas and rajas.This also helps in acclimitisation and prevents mountain sicknesses.

On the way, as one is travelling alone without carrying his worldly attachments and desires, he or she invariably reaches the destination in a positive state of mind and when one meditates at the place of final destination one experiences spiritual insights, which inspire one to come out of worldly worries and provides one the path for future living and answers the unanswered questions.

The Amarnath Story

Once Parvati asked Shiva to let her know why and when he started wearing the beads of heads (Mund Mala). Shiva said whenever you are born I add one more head in my beads. Parvati said," My Lord, my body is destroyed every time and I die again and again, but you are Immortal. Please let me know the secret of this." Shiva replied that it is due to Amar Katha."

Spiritual Significance

The spiritual significance of the above is, that here Shiva represents the Soul and Parvati the Body. The soul never dies and is immortal. The Soul is the energized file of information and in computer language is like the web of energized information. Every time any work is performed (sanskara), a copy of the same is kept in the memory of both the Soul and the Spirit. The further part of the story is the katha or the process of doing meditation, achieving silence and its benefits

The story

"Parvati insisted that she may be told that secret. For long Shiva continued postponing. Finally on consistent demand He made up his mind to tell the immortal secret. He started for lonely place where no living being could hear it. He chose Amarnath Cave."

Spiritual Significance

While learning to meditate, the first principles are dedication and persistence. The second is silence or a place with no internal and external disturbance. In Asthanga Yoga, it is called Pratyahara (the withdrawal of senses).

The story

"Shiva left His Nandi (The Bull) at Pahalgam or Bail Gaon; his moon from his hairs (jatha) at Chandanwari; his snake at the banks of Lake Sheshnag; his Son Ganesha at Mahagunas Parvat (Mahaganesh Hill) and his five elements at Panjtarni. As a symbol of sacrificing the earthly world, Shiva and Parvati did Tandav Dance. After leaving behind all these, Shiva enters the Holy Amarnath Cave along with Parvati. Lord Shiva takes his Samadhi on the Deer Skin and concentrates.

Spiritual Significance

In the process of meditation one first gets rid of desires (Nandi or the mind), discriminating or analyzing the power of thoughts (moon or the intellect) and ego (snake). Once this is done, one is totally away from the worldly desires (Ganesh and the five elements). Now the body is in symphony with the soul (Tandava dance, this is equivalent to Raas lila in Krishna lila).

This is also what happens when one is meditating. One let’s go his desires (nandi); expectations (moon); ego (snake), attachments to family (Ganesha) and to worldly desires (five elements)

The story

To ensure that no living being is able to hear the Immortal Tale, Shiva created Rudra named Kalagni and ordered him to spread fire to eliminate every living thing in and around the Holy Cave. After this He started narrating the secret of immortality to Parvati. But as a matter of chance one egg which was lying beneath the Deer skin remained protected. It is believed to be non living and more over it was protected by Shiva –Parvati Asan (Bed). The pair of pigeons which were born out of this egg became immortal having heard the secret of immortality (Amar Katha).

Spiritual Significance

This again signifies the importance of undisturbed state of mind at the time of meditation. Fire indicates the internal meditation–generated spiritual fire or agni, which burns all the negative thoughts and negative energies. The egg of the pigeon indicates that spiritual knowledge can transform at the level DNA. It also tells us that those who sit near the meditating persons also benefit.

Finally it’s the power of intention at that state of mind which can even change the DNA.

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

Universal influenza immunization

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

 
  eMedinewS Audio PostCard

Stay Tune 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)

Heart Care Foundation of India Awareness Campaign

Hon’ble President of India, Smt Pratibha Devisingh Patil, signed messages of public interest at Rashtrapati Bhawan, a project initiated by the Youth Wing of Heart Care Foundation of India.

 
Dr K K Aggarwal
 
    National News

Kala azar punctures rural health mission; Govt sets new target

Falling way short of its ambitious plan to eliminate the deadly kala azar disease by 2012, the Centre has now been forced to revise its target. It has set 2015 as the new deadline for achieving the aim. The need for a revision of the target is due to the failure of the National Rural Health Mission (NRHM) in meeting the target of 100 percent reduction of mortalities due to kala azar by 2010. In fact, it could reduce the fatalities by a mere 47.6 percent by the targeted year. "Due to various logistic reasons, we could not achieve our goal for kala azar caused by the sand fly in time. Now we have extended the deadline for its elimination by five years to 2015," Dr A C Dhariwal, director, National Vector Borne Disease Control Programme (NVBDCP) told The Pioneer. The Ministry had in 2006 set the target for a complete elimination of the fatal disease by 2012. However, as per the Ministry’s data, kala azar deaths reduced by just 47.6 per cent till last year. With half of 2011 over, the Ministry thus lags far behind its target. (Source: The Pioneer, July 02, 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 Monica and Brahm Vasudev)

MRI safe for use with implanted devices

Performing MRIs in patients who have pacemakers or implantable cardioverter–defibrillators not specially designed for use in that environment appears to be safe, a single–center study showed. Among 118 patients who underwent scans, there were no MRI–related serious adverse events and only minimal changes in the electrical parameters of the devices, according to Oscar Cano Perez, MD, of the Hospital Universitari i Politècnic La Fe de Valencia in Spain. There were two cases of oversensing –– one atrial and one ventricular –– but neither had clinical consequences, he reported here at EUROPACE, the meeting of the European Heart Rhythm Association. (Medpage reports)

Combine CRT with bypass surgery

Implanting a cardiac resynchronization therapy (CRT) device at the time of coronary artery bypass grafting in patients with ischemic heart failure improves outcomes over CABG alone. The addition of CRT improved left ventricular systolic function, reduced signs of dyssynchrony, and ultimately reduced mortality through 18 months of follow–up according to Dr Alexander Romanov, of the Novosibirsk State Research Institute of Circulation Pathology in Russia.

US Pharmacopoeia makes standards public

The United States Pharmacopoeia (USP) today announced the availability of free and online collection of voluntary public standards for testing of a medicine and its ingredients. The USP wishes to help ensure that medicines and their ingredients used around the world are of good quality. These standards appear in the new USP Medicines Compendium, a press release said. The first group of standards posted on its website on Friday includes those for anti–malarial, anti–retroviral (HIV) and contraceptive medicines among others. "Public standards help ensure that all manufacturers of a given medicine or ingredient meet the same fundamental requirements, providing a ‘common ground’ that allows practitioners to have confidence in the medicines they prescribe, and patients in the medicines they take. Thee standards are critical–especially where regulatory resources are constrained or absent," said Roger L Williams, chief executive officer of USP. (Source; Business Standard, Jul 02, 2011, http://www.business-standard.com/india/news/us–pharmacopoeia–makes–standards–public/441231/)

(Dr GM Singh)

Adults who brush their teeth less than once a day face increased risk for heart disease

Nearly 12,000 Scottish adults answered questions about oral hygiene and then were followed for
8 years. During that time, there were 555 cardiovascular disease events, including 170 fatalities. After adjustment for confounders, participants who brushed their teeth less than once a day were 70% more likely to suffer cardiovascular disease than those who brushed twice daily. In a subgroup analysis, poor oral hygiene was also linked to elevated C–reactive protein and fibrinogen levels. The authors say their findings suggest "a possible role of poor oral hygiene in the risk of cardiovascular disease via systemic inflammation," and they stress the importance of counseling patients on the benefits of good oral health.

 
    Fitness Update

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

Child obesity study finds parents need the training

Training the parents of obese children to adopt a healthy lifestyle is likely to have a positive effect on their children’s weight. So says a study published in the International Journal of Obesity. The parents of 98 overweight or obese children, aged from seven to 13, were signed up for training to help their children attain a healthy weight. Parents were randomly assigned to either a treatment group or a waiting–list control group. In the treatment group, each session addressed a theme associated with childhood obesity, including parental control, exercise and eating behaviour. The purpose was not purely to present information, but to teach parents to think of alternatives and possible solutions themselves. The study found that children’s weight decreased significantly in the treatment group. However, there was no change in weight in the waiting–list control group. There was also no significant relapse at follow–up – after three months – in the treatment group.

Durban clinical psychologist Sherona Rawat said obesity stemmed from eating disorders, medical conditions, and behavioural and environmental effects. "Does the mother have any hang–ups in relation to eating, how does she manage attachment and showing affection? "A lot of moms show attachment and affection in the form of feeding the child," said Rawat. She said through advertising, children are bombarded with junk food and fizzy drinks. "Children want to be a part of that because it’s socialisation. "Rawat found children sometimes ate fast food, not because they liked the taste "but are attracted by the adverts and hype". There was also a lack of physical activities because of television. "Children snack while watching TV. Social and cultural aspects play a big role and need to be modified, as well as the home environment and the parent–child relationship." Dietician Priya Seetal said successful weight loss could only be attained by weekly weigh–ins, physical activity, eating breakfast daily and consistent eating habits.

 
    Twitter of the Day

@DrKKAggarwal: Dr K K Aggarwal: Chanakya Neeti and non–righteous earning

@DeepakChopra: #Cosmichistory The inscrutable without form that gives birth to the universe of forms is the mystery we call God

 
    Spiritual Update

Science behind Hanuman Chalisa

In the Bhagavata Purana, Lord Krishna describes the Ten Secondary Siddhis as:

  • Anurmi–mattvam: Being undisturbed by hunger, thirst, and other bodily disturbances
  • Dura–sravana: Hearing things far away
  • Dura–darsanam: Seeing things far away
  • Manah–javah: Moving the body wherever thought goes (teleportation)
  • Kama–rupam: Assuming any form desired
  • Para–kaya pravesanam: Entering the bodies of others
  • Sva–chanda mrtyuh: Dying when one desires
  • Devanam saha krida anudarsanam: Witnessing and participating in the pastimes of the apsaras
  • Yatha sankalpa samsiddhih: Perfect accomplishment of one’s determination
  • Ajna apratihata gatih: Orders or Commands being unimpeded
 
    An Inspirational Story

(Dr GM Singh)

Peace of mind

Once, Buddha was walking from one town to another town with a few of his followers. This was in the initial days. While they were traveling, they happened to pass a lake. They stopped there and Buddha told one of his disciples, "I am thirsty. Do get me some water from that lake there."

The disciple walked up to the lake. When he reached it, he noticed that some people were washing clothes in the water and, right at that moment, a bullock cart started crossing through the lake. As a result, the water became very muddy, very turbid. The disciple thought, "How can I give this muddy water to Buddha to drink!" So he came back and told Buddha, "The water in there is very muddy. I don’t think it is fit to drink."

After about half an hour, again Buddha asked the same disciple to go back to the lake and get him some water to drink. The disciple obediently went back to the lake. This time he found that the lake had absolutely clear water in it. The mud had settled down and the water above it looked fit to be had. So he collected some water in a pot and brought it to Buddha.

Buddha looked at the water, and then he looked up at the disciple and said, "See what you did to make the water clean. You let it be… and the mud settled down on its own – and you got clear water… Your mind is also like that. When it is disturbed, just let it be. Give it a little time. It will settle down on its own. You don’t have to put in any effort to calm it down. It will happen. It is effortless."

 
    Pediatric Update

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

What are the indicators for hospital admission in bronchiolitis?

Indications for hospitalization include pulse oximetry saturation (SpO2) from 92% to 94%, poor feeding, dehydration, history of apnea, presence of moderate respiratory distress (chest recession, respiratory rate >70/min).

 
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  Did You Know

(Dr Uday Kakroo)

The banana cannot reproduce itself. It can be propagated only by the hand of man.

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  Contrary Proverbs

(Mr Vipin Sanghi)

Wise men think alike. BUT Fools seldom differ.

 
  Legal Question of the Day

(Dr MC Gupta, Advocate)

Abdominal surgery was done in a large corporate hospital in Delhi. Biopsy was done and reported as inconclusive. There is a diagnostic dilemma. The patient needs and wants a second opinion for appropriate diagnosis and treatment. He has repeatedly requested the hospital to let him have the specimen so that extra sections and slides can be made and examined. He has promised to return the specimen afterwards. The hospital has declined and is willing to give only the existing slides for examination. What can be done?

Ans.

  1. The legal aspect is that the body tissue in the custody of the hospital is the property of the patient unless the right over it has been relinquished by the patient. The hospital cannot refuse to give it to the patient, especially when treatment is involved. It can be held liable for deficiency in service.
  2. Since it is urgent and treatment of the patient is being affected, I suggest that a meeting should be held between the hospital and the patient’s advocate. It is quite likely that the issue would be resolved.
  3. If the above does not help, an urgent writ petition to the High Court will achieve the desired result. Complaint against the hospital and doctors can also be made with the consumer court; medical council; Hospital and Nursing Home Cell in the Directorate of Health, Delhi Government.
 
    IJCP Special

Dr Good Dr Bad

Situation: A middle–aged patient was found to have central obesity.
Dr Bad: It is normal.
Dr Good: Rule out diabetes.
Lesson: As per results of a prospective cohort study (1989–2007) of 4,193 men and women 65 years of age and older in the Cardiovascular Health Study, among older adults, overall and central adiposity and weight gain during middle age and after the age of 65 years were associated with risk of diabetes.

Make Sure

Situation: An 18–year–old girl complained of purulent nasal discharge, nasal congestion, pain in the cheek and upper teeth for last 10 days. CT scan showed maxillary sinusitis.
Reaction: Remember to give macrolides.
Lesson: Make sure to remember that clarithromycin (macrolide) 500 mg twice–daily for 7 days is not only effective in maxillary sinusitis but also in other sinusitis.

 
  SMS of the Day

(Dr GM Singh)

Losers submit passively to surroundings and events; winners make choices based on what they want to do, have and become winners.

 
  GP Pearls

(Dr Pawan Gupta)

Addition of inhaled budesonide to a fixed dose of oral prednisone reduced relapses, use of inhaled beta agonists, improved symptoms and improved quality of life in acute asthma. (JAMA 1999;9(281):2119–26)

 
    Medicolegal Update

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

What is Forensic Histopathology?

Those who have dissected or inspected many dead bodies have at least learned to doubt, while those who are ignorant of anatomy and do not take the trouble to attend autopsy, are in no doubt at all. Giovanni Morgagni.

  • Forensic histopathology is the application of pathological principles to the investigation of the medicolegal aspects of death.
  • Forensic pathology is dealt by the medically qualified doctors who perform autopsies/ postmortem examinations on those who have died suddenly, unexpectedly, or as a result of trauma or poisoning.
  • The forensic investigation of death is a multi–disciplinary activity, involving the collaboration between pathologists, crime scene investigators, forensic scientists, and other specialists, such as anthropologists, entomologists, dentists and many other experts.
  • Autopsy findings are combined with the results of other investigations, including the microscopic examination of organs and tissues removed at autopsy, toxicological analyses of blood and urine, for example and correlated with the available clinical or medical history of the deceased, as well as the circumstances of their death, in order to answer questions relating to their death.
  • The issues raised by a death may include, identification of the deceased, the medical cause of death, the interpretation of injuries, and the manner of death i.e. accident, suicide homicide or natural and required histology examination in many cases to conclude the legal autopsy report
  • Forensic histopathology include the changes in cells due to drug abuse, wound age determination, adverse drug reactions, histopathology of the sudden infant death syndrome, and age determination of myocardial infarction.
 
  Vitamins—Open Secrets revealed

(Dr Jitendra Ingole, MD Internal Medicine)

More than half the world’s population gets insufficient amounts of vitamin D

Vitamin D surfaces as a news topic every few months. How much daily vitamin D should a person get? Is it possible to have too much of it? Is exposure to the sun, which is the body’s natural way of producing vitamin D, the best option? Or do supplements suffice?

In the July 2010 issue of Endocrine Today, Anthony Norman, a distinguished professor emeritus of biochemistry and biomedical sciences and an international expert on vitamin D, notes that half the people in North America and Western Europe get insufficient amounts of vitamin D. "Elsewhere, it is worse," he says, "given that two–thirds of the people are vitamin D–insufficient or deficient. It is clear that merely eating vitamin D-rich foods is not adequate to solve the problem for most adults."

Currently, the recommended daily intake of vitamin D is 200 IU for people up to 50 years old; 400 IU for people 51 to 70 years old; and 600 IU for people over 70 years old. "There is a wide consensus among scientists that the relative daily intake of vitamin D should be increased to 2,000 to 4,000 IU for most adults," Norman says. "A 2000 IU daily intake can be achieved by a combination of sunshine, food, supplements, and possibly even limited tanning exposure."

While there is now abundant data on vitamin D and its benefits, Norman believes there is room for more study."The benefits of more research on the topic justifies why this field of research deserves additional governmental funding," he says. "Already, several studies have reported substantial reductions in incidence of breast cancer, colon cancer and type 1 diabetes in association with adequate intake of vitamin D, the positive effect generally occurring within five years of initiation of adequate vitamin D intake." Because vitamin D is found in very few foods naturally (e.g. fish, eggs and cod liver oil) other foods such as milk, orange juice, some yogurts and some breakfast foods are fortified with it. The fortification levels aim at about 400 IU per day. (Source: Endocrine today: University of California)

 
    Lab Update

(Dr Arpan Gandhi and Dr Navin Dang)

Thyroid Stimulating Hormone (TSH)

TSH is produced by the pituitary gland. It stimulates the production and release of T4 and T3 by the thyroid gland. It is done to evaluate thyroid function and/or symptoms of hyper– or hypothyroidism. TSH test helps to:

  • Diagnose a thyroid disorder in a person with symptoms
  • Screen newborns for an underactive thyroid
  • Monitor treatment of hypothyroidism and hyperthyroidism
  • Diagnose and monitor female infertility problems
  • Help evaluate the function of the pituitary gland
  • Screen adults for thyroid disorders
 
    Mind Teaser

Read this…………………

The most common site of leak in CSF rhinorrhea is:

1. Sphenoid sinus
2. Frontal sinus
3. Cribriform plate
4. Tegmen tympani

Yesterday’s Mind Teaser: What ends in a ‘w’ but has no end?

Answer for Yesterday’s Mind Teaser: a rainbow!

Correct answers received from: Dr YJ Vasavada, Dr K Raju, Dr Sandeep, Dr Ravi, Dr Ketan,
Dr Deepak.

Answer for 3rd July June Mind Teaser: Big fish in a little pond
Correct answers received from: Dr US Murty, Dr K Raju, Dr BB Aggarwal, Dr Neelam Ohri, Dr Anupam, Dr Prachi, Dr Snehal, Dr Sandeep.

Send your answer to ijcp12@gmail.com

 
    Medi Finance Update

(Dr GM Singh)

Fixed tenure

Low risk:
Historically, very few AAA corporate bonds have been downgraded to default level (BBB) so there is limited credit risk. FMPs primarily invest in AA and above rated debt papers which lowers credit risk.

Lower expenses: Generally expenses ratio charged to FMPs is lower.

 
    Laugh a While

(Dr. Anupam Sethi Malhotra)

Awesome answers in IAS (Indian Administrative Service) examination

How can you drop a raw egg onto a concrete floor without cracking it?

Concrete floors are very hard to crack! (UPSC Topper)

 
    Drug Update

List of approved drugs from 01.01.2010 to 31.8.2010

Drug Name
Indication
DCI Approval Date
One strip of 3 uncoated tablets of artesunate 150mg & one strip of 2 uncoated tablets of FDC of Sulphadoxine IP 500mg + Pyrimethamine IP 25mg
Additional strength
05/04/2010
 
    IMSA Update

International Medical Science Academy (IMSA) Update

Treatment of recurrent pregnancy loss

A large randomized trial found that neither aspirin alone nor aspirin + heparin improved the live–birth rate of women with unexplained recurrent pregnancy loss. The live–birth rates for combination therapy, aspirin alone, and placebo were not significantly different: 69, 62, and 67 percent, respectively.

 
    Public Forum

(Press Release for use by the newspapers)

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

Add ECG when screening school children

Quoting a pilot study published in March 15 issue of American Heart Journal, Padma Shri & Dr. B.C. Roy National Awardee Dr. KK Aggarwal and President, Heart Care Foundation of India, said that the study has shown that one should screen all healthy children and adolescents with an ECG to detect undiagnosed heart conditions that increase the risk of sudden cardiac arrest.

The current American Heart Association guidelines recommend screening only competitive athletes, not all children, with an additional ECG. Only in Italy and Japan there is compulsory screening of all athletes or schoolchildren with ECG.

The study evaluated the feasibility of adding an ECG to cardiac screening of healthy school–aged children. In children, sudden cardiac arrest is caused by structural or electrical abnormalities in the heart that frequently cause no symptoms and may go undiagnosed. It results in an estimated over 1000 annual deaths in childhood in the U.S alone.

The current study evaluated 400 healthy subjects, 5 to 19 years old with a medical family history questionnaire, a physical examination and an ECG. The study team identified previously undiagnosed cardiac abnormalities in 23 subjects, and hypertension in an additional 20. Ten of the 400 subjects (2.5%) had potentially serious cardiac conditions. Of those 10 subjects, only one had experienced transient symptoms, which was dismissed as unrelated. None of the 10 subjects had a family history of sudden cardiac arrest. It was the ECG who outperformed the history and physical examination and found previously unidentified potentially serious abnormalities that would not have been identified by history and physical examination alone.

Children in the screening were not all high school athletes, and most would not have undergone athletic cardiac screening. Regular physical examinations by primary care physicians had not detected the cardiac conditions found in the current study.

 
    Readers Responses
  1. Respected Dr K K Aggarwal sir, when there are so many of the so–called doctors Ayurvedic, Unani, BAMBS, BIMS, BHMS, Physio, BDS, MD from Ukraine; there are many private medical colleges where degrees are sold. Don’t you think the term ‘Dr’ has lost it’s value? It is only individuals like you who have maintained the dignity. Today, most of the professions have lost their dignity, its only individuals who are maintaining and carrying their dignity. Dr Sundeep Nigam.
 
    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

………………………………………………………………

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