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 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 …

7th June 2011, Tuesday                                eMedinewS Present Audio News of the Day

View Photos and Videos of 2nd eMedinewS – Revisiting 2010

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

Do not give prophylactic paracetamol to reduce vaccine reactions

The pain and fever that may occur after vaccination can be attenuated by administering paracetamol at the time of immunization1–3. However, this practice may be associated with decreased vaccine response4.

The effects of prophylactic paracetamol on fever and immunogenicity were evaluated in a multicenter, open–label trial in which 459 infants (aged 9 to 16 weeks at study entry) were randomly assigned to receive paracetamol at the time of vaccination and for the next 24 hours or no prophylaxis before primary and booster immunizations4. Primary immunizations consisted of 10–valent pneumococcal conjugate vaccine, nontypeable Haemophilus influenzae protein D conjugate vaccine (PHiD–CV), and hexavalent diphtheria–tetanus–acellular–pertussis–hepatitis B–inactivated polio–H. influenzae type b vaccine (DTaP–HBV–IPV/Hib) at three, four, and five months, and oral rotavirus vaccine at three and four months. Booster immunizations consisted of PHiD–CV and DTaP–HBV–IPV/Hib at 12 to 15 months of age.

Fewer children who received paracetamol had fever >38°C (42 versus 66 percent and 36 percent versus 58 percent after primary and booster immunization, respectively). However, there was no difference between groups in occurrence of fever ≥39.5°C (<1 to 2 percent) or fever requiring medical attention.

The vaccines were highly immunogenic in both groups, with at least 96 percent of children achieving protective levels of antibody for all antigens. However, prophylactic paracetamol was associated with lower geometric mean antibody titers (GMT) to pneumococcus, Haemophilus influenzae, pertussis, diphtheria, and tetanus after the primary series and lower GMT to pneumococcus, Haemophilus, and tetanus after the booster doses.

References

  1. Ipp MM, Gold R, Greenberg S, et al. Acetaminophen prophylaxis of adverse reactions following vaccination of infants with diphtheria–pertussis–tetanus toxoid–polio vaccine. Pediatr Infect Dis J 1987;6:721–5.
  2. Uhari M, Hietala J, Viljanen MK. Effect of prophylactic acetaminophen administration on reaction to DTP vaccination. Acta Paediatr Scand 1988;77:747–51.
  3. Long SS, Deforest A, Smith DG, et al. Longitudinal study of adverse reactions following diphtheria–tetanus–pertussis vaccine in infancy. Pediatrics 1990;85:294–302.
  4. Prymula R, Siegrist CA, Chlibek R, et al. Effect of prophylactic paracetamol administration at time of vaccination on febrile reactions and antibody responses in children: two open–label, randomised controlled trials. Lancet 2009;374:1339–50.
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    Changing Practice – Evidence which has changed practice in last one year

For patients with a CD4 cell count between 350 and 500 cells/mm3 who are motivated to be treated, start ART (JAMA 2010;304:321, AIDS 2010;24:123, N Engl J Med 2009;360:1815)

 
  eMedinewS Audio PostCard

HIV Update

Dr Nalin Nag Speaks on
‘Key points before initiating ART’
 

Audio PostCard
 
    Photo Feature (from the HCFI Photo Gallery)

Perfect Health Mela 2010

The Perfect Health Mela uses the popular medium of ‘Nukkad Natak’ to spread awareness about wide ranging health issues.

 
Dr K K Aggarwal
 
    National News

Kids paint their love for Mother Nature

GUWAHATI: On the occasion of World Environment Day on Sunday, about 1,200 school students of the city took part in a painting competition organized by The Times of India and Aircel in association with Indira Gandhi National Open University (IGNOU) at Srimanta Sankaradeva Kalakshetra. The children who participated in the event, belonged to various age groups and used colours to paint their imagination on sheets and express their feelings on the environment. The event was organized to create awareness on environmental issues among children from a young, impressionable age. The painting competition, an annual event on World Environment Day, was started by TOI in 2009. Over the years, the competition has seen an increasing number of participants. (Source: TOI, Jun 6, 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)

Exercise fights depression better than drugs

Over a year ago, researchers from Duke University Medical Center published the results of a study which indicated that an exercise program was as effective as medication in alleviating the symptoms of major depressive disorder. At the time that the study was published, the results were based on a 4–month long intervention. Researchers continued the intervention for another year in order to determine whether exercise was a long–term solution for depression.

In the original study, researchers studied a group of 202 sedentary adults suffering from major depressive disorder (clinical depression). The participants were randomly assigned to one of four groups: supervised exercise, home–based exercise, an antidepressant drug, or a placebo pill. Researchers evaluated their progress with the Hamilton Depression Rating Scale score as well as their emotional status (depressed, partial remission or full remission). They also evaluated physical activity using the Godin Leisure–Time Exercise Questionnaire. Results were similar to the original report, and indicated that members of the supervised exercise group and compliant members of the home exercise group were just as likely to be in remission as those who were taking the drug. The study shows that exercise has more than a short–term effect on emotional well-being.

(Dr Monica and Brahm Vasudev)

Fear of dying during cardiac event can make things worse

Being intensely afraid of dying from a heart attack while experiencing symptoms of one may increase inflammation and lead to worse outcomes, researchers say. Patients with worse anxiety about death had higher levels of TNF–alpha during hospitalization for acute coronary syndrome, Andrew Steptoe, PhD, of University College London, and colleagues, reported online in the European Heart Journal. (Source: Medpage Today)

Booster training helps retain CPR skills

Frequent, brief training sessions improve cardiopulmonary resuscitation (CPR) skill retention in simulated situations among pediatric hospital–based basic life support providers, a randomized trial showed. Training by an instructor only, by automated feedback only, or by a combination of the two all resulted in significant improvements in skill retention over a six–month period, according to Robert Sutton, MD, of the Children’s Hospital of Philadelphia, and colleagues. For participants in all of the groups combined, retention of skills was 2.3 times more likely after two training sessions (95% CI 1.1 to 4.5) and 2.9 times more likely after three training sessions (95% CI 1.4 to 6.2), the researchers reported online ahead of the July issue of Pediatrics. (Source: Medpage Today)

(Dr GM Singh)

What is the approach to a normal serum thyroxine, but suppressed serum TSH level?

In such a situation, measure serum T3, which will be elevated in so–called ‘T3–toxicosis’, requiring antithyroid therapy.

If the serum T3 concentration is normal and the patient is not taking levothyroxine, this combination is known as endogenous subclinical hyperthyroidism, usually caused by Graves’ disease in remission or underlying nodular thyroid disease. Refer to a specialist centre where imaging may be needed to define the cause.

Nodular thyroid disease should be treated with iodine–131 or surgery as endogenous subclinical hyperthyroidism due to nodular thyroid disease is now thought to be a risk factor for osteoporosis and atrial fibrillation – in contrast to exogenous subclinical hyperthyroidism due to treatment with levothyroxine.

 
    Twitter of the Day

@DrKKAggarwal: Three Sentences For Getting Success: a) Know more than other, b) Work more than other, c) Expect less than other

@SanjivChopra: #ScienceSpirituality23 Science Molecules made consciousness to observe themselves Spirituality Consciousness made molecules to observe itself

 
    Spiritual Update

Hanuman Chalisa

Sankat Kate Mitey Sab Peera
Jo Sumirei Hanumanat Balbeera

Meaning: Oh Powerful Hanumanaji! You end the sufferings and remove all the pain from those who remember you.

Spiritual significance: Hanumana is the source of all joys, and by remembering him all sufferings disappear. Adopting to Pranayama is sufficient to get rid of the sufferings and acquire inner happiness.

 
    An Inspirational Story

(Dr Prachi Garg)

What is love?

A student asks a teacher, "What is love?" The teacher said, "In order to answer your question, go to the wheat field and choose the biggest wheat and come back. But the rule is: you can go through them only once and cannot turn back to pick."

The student went to the field, went through the first row; he saw one big wheat, but he wondered…may be there was a bigger one later. Then he saw another bigger one… But again he thought that may be there was an even bigger one waiting for him.

Later, when he finished more than half of the wheat field, he began to realize that the wheat was not as big as the previous one he had seen, he knew that he had missed the biggest one, and he regretted. So, he went back to the teacher empty handed.

The teacher told him, "…this is love… You keep looking for a better one, but then later you realize, you have already missed the person…"

"What is marriage then?" the student asked.

The teacher said, "In order to answer your question, go to the corn field and choose the biggest corn and come back. But the rule is: you can go through them only once and cannot turn back to pick."

The student went to the corn field, this time he was careful not to repeat the previous mistakes, so when he reached the middle of the field, he picked one medium corn that he felt was satisfactory, and came back to the teacher.

The teacher told him, "This time you brought back a corn… You looked for one that was just nice, and you had faith and belief that this is the best one you got… This is marriage."

Lesson: Everything has its beauty, but not everyone sees it.

 
    Pediatric Update

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

What are the features of Fanconi syndrome on investigations ?

Serum

  • Normal anion gap hyperchloremic metabolic acidosis (with low serum bicarbonate)
  • Normal or low amino acids
  • Normal glucose
  • Hypophosphatemia, hypokalemia, hypouricemia
  • Elevated alkaline phosphatase

Urine

  • Generalized (non–specific) hyperaminoaciduria
  • Glucosuria, phosphaturia
  • pH < 5.5 with low specific gravity (hyposthenuria)
  • Bicarbonaturia, hypercalciuria, uricosuria, tubular proteinuria, carnitinuria and low urinary ammonia.

Imaging Studies

Skeletal X–ray: Rickets, osteopenia, or osteoporosis

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    IJCP Special

Dr Good Dr Bad

Situation: A patient came with chest pain of 3 hours duration and negative trop I.
Dr Bad: You do not have cardiac disease.
Dr Good: Repeat Trop I at 12 hours.
Lesson: A single set of negative cardiac biomarkers is NOT sufficient to rule out myocardial infarction. In acute myocardial infarction, cardiac troponin I rises after approximately 6 hours, peaks at 12 hours, and remains elevated for 7 to 10 days.

Make Sure

Situation: A patient on ampicillin developed persistent diarrhea.
Reaction: Oh my God! You should have suspected Clostridium difficile–colitis.
Lesson: Make sure No antibiotic is safe. All antibiotics can predispose to Clostridium difficile–colitis, and ampicillin is a commonly implicated beta–lactam. (N Engl J Med 1994;330:257.)

 
  SMS of the Day

(Dr GM Singh)

Astrology vs. Economics

Why has astrology been invented?

So that economics could be an accurate science.

 
    Medicolegal Update

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

Collection or trace evidence from a rape victim – Section 164 A Criminal Procedure Code

Samples to be collected in case of a rape victim

  • Blood: For grouping, DNA typing and toxicological analysis
  • Hair: Scalp and pubic to be cut and combed for sampling in paper envelope
  • Loose hair on the body: For DNA typing in a paper envelope
  • Swabs from stained areas: Prepare smears
  • Vaginal and cervical swabs and smears: A cotton swab wet with saline is introduced into test tubes or cardboard tubes. Both the swab and the smear should be sent for examination.
  • Vaginal washings with normal saline can also be collected for analysis.
  • Swabs and smears have to be preserved for DNA typing and Y chromosome testing.
  • An unstained smear may be examined for the presence of spermatozoa.
  • Rectal swab is required, if anal penetration is alleged.
  • Oral swabs and smear is required, if fellatio is alleged.
  • Swabs from bite marks, if bite marks are present or alleged.
 
  Gyne Update

(Dr. Maninder Ahuja, Secretary General IMS)

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

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

If the patient has menopausal symptoms like hot flushes and mood changes and urogenital problems, she can then be started on estrogens and combined with progesterone if uterus is intact. If she is in a high risk category, then this pharmacotherapy can be continued with with counseling. Proper exercise and calcium and vitamin D is a must.

Other agents which can be used for prevention are Raloxifene, Denosumb. Estrogens can be prescribed in minimum dosage and different routes can be used like transdermal patches,

Prevention regimens are best used for postmenopausal women with low bone mass/osteopenia (central dual energy X –ray absorptiometry (DXA) T–score between –1.0 and –2.5) and a 10–year risk for hip fracture ≥3% or of a major osteoporotic fracture ≥20% as determined by the WHO Fracture Risk Assessment Tool (FRAX).

More on osteoporosis in next issue

 
  Vitamins—Open Secrets revealed

(Dr Jitendra Ingole, MD Internal Medicine)

Is oral vitamin B12 supplementation effective?

It is a common medical dogma that patients suffering from pernicious anemia are unable to absorb sufficient vitamin B12 from their diet and therefore require intramuscular injections of the vitamin on a regular basis. Vitamin B12 is absorbed from the intestine via two different routes. One involves intrinsic factor and is estimated to lead to absorption of about 60% of the amount of vitamin B12 ingested in the diet. The other does not need intrinsic factor (which is absent in pernicious anemia patients) and only leads to absorption of approximately 1% of the ingested amount.

Researchers suggest, a daily intake of 1000 micrograms/day is needed to ensure successful long–term results in patients with pernicious anemia. Authors also questioned whether the current RDA (Recommended Dietary Allowance) of 1–2.5 micrograms/day is adequate for older people. He points out that mild vitamin B12 deficiency, which can lead to abnormalities in cognitive function and increased risk of cardiovascular disease, affects 12–15 % of all elderly people in the United States where the average daily vitamin B12 intake is about 6 micrograms – well above the RDA.

(Ref: Elia M. Oral or parenteral therapy for B12 deficiency. Lancet 1998;352: 1721–22 (commentary).

 
    Mind Teaser

Read this…………………

Two brothers, aged 8 and 9 years, are evaluated in the office for fever and a pruritic skin rash. The boys were in their usual state of good health until yesterday. Within 3 hours of each other, they developed a rash that began on the face and has since become generalized. They were at birthday party 12 days ago and four other children who attended the party have developed a similar illness.

The boys appear well, but are uncomfortable due to itching. The boys each have a temperature of 99.2°F (37.3°C), but otherwise the vital signs are normal. Each child has a generalized eruption that consists of a thin–wall superficial vesicle on an erythematous base. The greatest concentration of vesicles is on the trunk, with fewer on the distal extremities. Many of the vesicles on the thorax have become pustular, and others are scabbed over.

Which of the following is the most likely diagnosis?

A. Chickenpox
B. Hand–foot–mouth disease
C. Disseminated herpes zoster
D. Smallpox

Yesterday’s Mind Teaser: JUS 144 TICE

Answer for Yesterday’s Mind Teaser: Gross injustice

Correct answers received from: Dr BB Aggarwal, Dr U Gaur, Dr Chandresh Jardosh, Dr K Raju, Dr Kala Sarma, Dr Deepali Chatterjee, Dr Neelam Nath, Dr Shyam, Dr KM Passi, Dr Kedar.

Answer for 5th June Mind Teaser: A. Cutaneous anthrax
Correct answers received from: Dr Upendranath Chintawar, Dr Nishi Singh, Dr Sudipto Samaddar,
Dr K Raju, Dr Rakesh Bhasin, Dr YJ Vasavada.

Send your answer to ijcp12@gmail.com

 
    Medi Finance Update

Individual Mediclaim policy

Anesthesia, blood, oxygen, operation theatre charges, surgical appliances, medicines and drugs, diagnostic materials and X–ray, dialysis, chemotherapy, radiotherapy, cost of pacemaker, artificial limbs and cost of organs and similar expenses.

 
    Laugh a While

(Dr. GM Singh)

Three handsome male dogs are walking down the street when they see a beautiful, enticing, female Poodle. The three male dogs fall all over themselves in an effort to be the one to reach her first, but end up arriving in front of her at the same time. Aware of her charms, and her obvious effect on the three suitors, she decides to be kind and tells them, "The first one who can use the words liver and cheese together in an imaginative, intelligent sentence can go out with me".
The sturdy, muscular black Lab speaks up quickly and says "I love liver and cheese." "Oh, how childish," said the Poodle. That shows no imagination or intelligence whatsoever."
She turns to the tall, shiny Golden Retriever. "Um. I hate liver and cheese," blurts the Golden Retriever. "My, my," said the Poodle. "I guess it’s hopeless. That’s just as dumb as the Labs’ sentence." She then turns to the last of the three dogs and says, "How about you, little guy?" he last of the three, tiny in stature, but big in fame and finesse, is the Taco Bell Chihuahua. He gives her a smile, and a sly wink, turns to the Golden Retriever and the Lab and says, "Liver alone, Cheese mine."

 
    Drug Update

List of approved drugs from 01.01.2010 to 31.8.2010

Drug Name
Indication
DCI Approval Date
Dapoxetine (as Hydrochloride) Tablets 30mg/60mg
For the treatment of premature ejaculation (PE) in men 18 to 64 years of age.
13.11.10
 
    Obesity Update

Dr. Parveen Bhatia and Dr. Pulkit Nandwani

Understanding Laparoscopic Sleeve Gastrectomy

LSG Operative technique (Contd...)

After the insertion of a 38–Fr boogie, the stomach is divided along the lesser curvature with the use of the Echelon stapling device using the Echelon Compact Linear Cutter, 60 mm loaded with the cartridges that delivers six rows of stapling clips (Ethicon Endo–Surgery, Inc). A combination of green reloads (4.1 mm) for the first firing and blue reloads (3.5 mm) for the upper stomach is used. The staple line is reinforced at the angle of Hiss with suture. PDS 3/0 is used for oversewing the whole staple line starting from the last firing of staple going caudal until the level of the antrum marked. A low–suction silicon drain is routinely left along the stapling line for 24 hours. On the second postoperative day, Gastrograffin study is done to check for any staple–line leak.

 
    IMSA Update

International Medical Science Academy (IMSA) Update

Imaging blunt abdominal trauma

Two prospective observational studies identified traits that made abdominal injury unlikely, obviating the need for Multidetector computed tomography (MDCT). These traits included:

  • Glasgow coma scale = 14
  • No hypotension (SBP <90 mmHg)
  • No abdominal or costal margin tenderness
  • No abnormalities on chest radiograph
  • No femur or pelvic fracture
  • Hematocrit = 30%
  • No hematuria (<25 red blood cells/high powered field)
 
    Public Forum

(Press Release for use by the newspapers)

Heart disease begins in childhood

All heart diseases begin in childhood and, therefore, preventive measures need to be started at that age, said Padma Shri & Dr. B.C. Roy National Awardee Dr. KK Aggarwal and President, Heart Care Foundation of India and Dr Praveen Chandra, Chairman – Division of Interventional Cardiology, Medanta – The Medicity.

Two major problems of childhood are pre–hypertension and obesity and if they can be tackled well in time, future heart diseases can be prevented. Pre–hypertension is a blood pressure of more than 120/80 and lower than 140/90 mmHg.

The Bogalusa Heart Study was the first study to give a message that coronary artery disease, atherosclerosis, hypertension and heart disease all begin in childhood. It was the longest and most detailed study of a bi–racial population of children and young adults in the world. In the study, 27% of young adults were found to have pre–hypertension, while only 13% had true high blood pressure.

School health programmes in India must focus on checking the blood pressure of children along with their obesity status. Both can be controlled by promoting regular exercise and proper diet. A diet high in trans fats and refined carbohydrates like maida (refined flour), sugar and rice promotes both obesity and pre–hypertension.

 
    Readers Responses
  1. Dear Dr. KK Aggarwal, I liked the way the evils of Smoking were presented in a lighter way. Thanks for sharing the newsletter. Regards with best wishes: Dr Parvesh Sablok.
 
    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 – 8.30am)
Chairpersons: Dr T K Joshi
Moderators: Dr K K Aggarwal and Dr Girish Tyagi

Topic: Rights of a patient in medical trial, Speaker: Ajay Agrawal (Sr Advocate), Time: 8 am – 8.10 am
Topic: Ethical Issues in a medical trial, Speaker: Dr Ranjit Roy Chaudhury, Time: 8.10 am – 8.20 am
Topic: Statutory permits required for conducting trials, Speaker: Ms Priya Hingorani (Sr Advocate), Time: 8.20 am – 8.30 am

Session: Medical ethics and organ donations (8.30 am – 9.00 am)
Chairpersons: Dr N V Kamat and Dr Anil Bansal
Moderators: Dr K K Aggarwal and Dr Girish Tyagi
Topic: Ethical issues in IVF practice, Time: 8.30 am–8.37 am
Topic: 100% voluntary blood donation, Speaker: Dr N K Bhatia, Time: 8.37 am–8.44 am
Topic: Need for do not resuscitate laws in India, Speaker: Dr Rajesh Chawla, Time: 8.44 am–8.51am
Topic: Ethical issues in organ transplantation, Speaker: Dr Neelam Mohan Time: 8.51 am–8.58 am

Session: Handling cases of death (9 am – 9.30 am)
Chairpersons: Mr S K Saggar and Dr Arvind Chopra
Moderators: Dr K K Aggarwal and Dr Girish Tyagi
Topic: How to declare the death? Speaker: Dr Ambrish Mithal, Time: 9.00 am–9.10 am
Topic: Spiritual considerations in a dying patient, Speaker: Dr S C Tewari, Time: 9.10 am–9.20 am
Topic: Medico legal and ethical issues in post mortem, Speaker: Dr G.K. Sharma, Time: 9.20 am–9.30 am

Session: Medical Insurance (9.30 am –10 am)
Chairpersons: Mr Vibhu Talwar, Dr H K Chopra and Dr Vinod Khetrapal Moderator: Dr K K Aggarwal
Topic: Indemnity Insurance Time: 9.30 am–9.40 am
Topic: Engaging a lawyer Speaker: Ms Meenakshi Lekhi (Sr Advocate) Time: 9.40 am–9.50 am
Topic: Understanding various court procedures Speaker: Maninder Acharya (Sr Advocate) Time: 9.50 am – 10.00 am

Session: How to handle medico legal cases? (10 am–10.30 am)
Chairpersons: Dr Anil Goyal and Dr Rajiv Ahuja
Moderators: Dr K K Aggarwal and Dr. Girish Tyagi
Topic: When to do the MLC? Speaker: Dr M C Gupta (Sr Advocate) Time: 10.00 am–10.10 am
Topic: Checklist of MLC case Speaker: Dr Sudhir Gupta Time: 10.10 am–10.20 am
Topic: Medicolegal record keeping Speaker: Mr Siddarth Luthra (Sr Advocate) Time: 10.20 am –10.30 am

Session: Medical Consent (10.30 am –11 am)
Chairpersons: Dr Vinay Aggarwal and Dr P K Dave
Moderators: Dr K K Aggarwal and Dr Girish Tyagi
Topic: Types of consent Speaker: Ms Indu Malhotra (Sr Advocate) Time: 10.30 am–10.40 am
Topic Ideal consent Speaker: Dr Manoj Singh Time: 10.40 am–10.50 am

Session: Fallacies in acts applicable to medical profession (11 am –11.30 am)
Chairpersons: Dr Anup Sarya and Dr Sanjiv Malik
Moderators: Dr K K Aggarwal and Dr Girish Tyagi
Topic: MTP, PNDT Act Speaker: Dr Kaberi Banerjee, Time: 11.00 –11.10 am
Topic: Organ Transplant Act, Speaker: Dr Anupam Sibbal Time: 11.10–11.20 am
Topic: State Medical Councils and Medical Council of India Speaker: Dr DK Diwan Time: 11.20 –11.30 am

Session: Inauguration: 11.30 am to 12.00 noon
Invited Guests: Justice Vipin Sanghi, Dr KK Talwar, Dr Shiv Sarin and Dr A K Agarwal

Session: Professional misconduct and professional ethics (12.00 am– 1.00 pm)
Chairpersons: Dr A K Agarwal, Dr. D S Rana and Dr H S Rissam
Moderators: Dr K K Aggarwal and Dr Girish Tyagi
Topic: Doctor–pharma relationship Time: 12.00 –12.10 pm
Topic: Advertisement and medical practice Speaker: Dr P Lal, Time: 12.10 pm–12.20 pm
Topic: Rights of a patient Speaker: Dr Navin Dang Time: 12.20 pm –12.30 pm
Topic: Rights of a doctor Speaker: Dr Ajay Gambhi, Time: 12.30 pm–12.40 pm
Topic: Kickbacks, touts and commercialization in medical practice Speaker: Dr Ashok Seth Time: 12.40 pm– 12.50 pm
Topic: Complaints of a doctor against doctor Time: 12.50 pm – 01.00 pm

Session: When it is not negligence? (1.00 pm to 2.00 pm)
Chairpersons: Dr Prem Kakkar and Dr S K Sama
Moderators: Dr K K Aggarwal and Dr. Girish Tyagi
Topic: What is medical negligence? Speaker: Dr Girish Tyagi, Time: 1.00 pm–1.10 pm
Topic: Medical accidents Speaker: Dr Vijay Aggarwal Time: 1.10 pm – 1.20 pm
Topic: Professional Misconduct Speaker: Mr Mukul Rohatgi (Sr Advocate) Time: 1.20 pm – 1.30 pm
Topic: How to defend a complaint? Speaker: Dr K K Aggarwal Time: 1.30 pm– 1.40 pm
Topic: Out of court settlement Time: 1.40 pm – 1.50 pm
Topic: Compensation Vs Cancellation of License Speaker: Dr O P Kalra, Time: 1.50 pm – 2.00 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

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Medifilmfest (1st International Health Film Festival in Delhi)

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

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

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

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

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

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

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