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

eMedinewS Presents Audio News of the Day

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  Editorial …

9th July 2011, Saturday

Eating less salt does not reduce mortality or cardiovascular events

A new study published in the American Journal of Hypertension has reported that there is no strong evidence that advising people to eat less salt or putting them on low salt diet reduces their death rate or cuts cardiovascular events.

In the study, the researchers combined the results of 7 previous randomized clinical trials that looked at the effects of lowering salt consumption in 6250 people with normal and high blood pressure.

While there was evidence that reduced salt (sodium chloride) did produce a small decrease in the blood pressure, there was insufficient data to confirm whether that decrease in blood pressure had any affect one way or the other on the chances of dying.

Whether or not to reduce salt in the diet has been a controversial subject in medical science. In modern medicine, two types of people are recognized: Salt–sensitive and salt–resistant. In salt–sensitive people, the blood pressure fluctuates with excessive salt intake; in the salt–resistant individuals, the blood pressure is unaffected with salt intake. Results of most studies vary depending upon the population of patients being investigated. If the study population includes more of salt–resistant people, the results will different from those observed when the study includes more salt sensitive people.

In modern medicine, we have no means or method to find out which patient is salt–sensitive or salt–resistant. The traditional Indian Ayurveda system, if combined with modern science, can provide an answer to this. According to Ayurveda, every human being is made up of three Doshas (characteristics) and they are: Movement (Vata), metabolism (Pitta) and structure (Kapha).

Movement (Vata) function is built up from air and space element; Metabolism (Pitta) function is made from fire and water element and Structure (Kapha) from earth and water elements. Accordingly, there are three types of personalities: Vata, Pitta and Kapha. A Vata person is a movement–predominant personality, pitta, a metabolism–predominant personality and Kapha is a structure–predominant personality.

A Vata person is thin–built with dry and cold hands, more prone to pain, gaseous distension, insomnia, dysmenorrhea, constipation, anxiety, fear and to addictions. These are the people who are sensitive to bitter, astringent and pungent tastes.

A Pitta person is medium–built with strong metabolism, warm and wet hands. He/she is prone to acidity, inflammation, ulceration, premature graying of hairs, kidney, gallbladder stones, heart attack etc. They are sensitive to pungent, sour and salt taste.

A Kapha person is heavy–built with more of earth and water elements. They have cold and wet hands and are more prone to obesity, hypothyroidism, water retention, diabetes, heaviness, etc. They are sensitive to sweet, sour and salt tastes.

Ethnically, people in US have more of Vata and Kapha personality traits. Therefore, there are chances that studies done on US population give varied results.

The Indian population has more of Vata and Pitta personality traits. But there are a greater number of Pitta people than Vata people; therefore, India will have more salt-sensitive people than in the US.

The clinical answer is very simple: Calculate your personality; are you a Vata, Pitta or Kapha person? If you are Vata–predominant, you may not be required to reduce your salt intake, but if you are a Pitta– and Kapha–predominant person, you will need to reduce your salt (sodium chloride) intakes to less than 6 gm a day.

For Indians, the best advice is to consume salt in the diet from vegetables, pulses and avoid extra salt on the table by way of limiting salts in curd, salads, butter etc. There are lots of kitchen alternatives available that can replace salt in salads etc.

Dr KK Aggarwal
Group Editor in Chief
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  eMedinewS Audio PostCard

Padma Shri & Dr BC Roy National Awardee
 Dr K K Aggarwal on

Eating less salt does not reduce mortality or cardiovascular events

Audio PostCard
    Photo Feature (from the HCFI Photo Gallery)

National Conference on Insight on Medicolegal Issues

Padma Shri & Dr. B.C. Roy National Awardee Dr. KK Aggarwal, President Heart Care Foundation of India and Dr Vinod Khetarpal, President Delhi Medical Association in a Press Conference organized to announce the first ever National Conference on “Insight on Medicolegal Issues” in New Delhi at Chinmaya Mission Auditorium, Lodhi Road on Sunday, 10th July, 2011

 
Dr K K Aggarwal
    National News

New voting system put on trial run

JAISALMER: A voter after casting his vote on the electronic voting machine (EVM) will now get a receipt which has to be put in a ballot box. The new system is part of changes being adopted by the Election Commission of India (ECI). The ECI has decided to experiment new process in EVM as pilot project in one district each in five states selected on geographical conditions. The five districts include Jaisalmer, Cherapunji, Ladakh, Tiruvanthapuram and Delhi. Training for the new system called Voter Verifiable Paper Audit Trail (VVAT) was organised on June 25, experimental voting will be done on July 24 under the new voting system at 35 voting centres in the district. (Source: TOI, Jul 4, 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)

European lipid guidelines released

Calculating the risk

Because the management of dyslipidemia is integral to the prevention of cardiovascular disease, the guidelines recommend using the SCORE system to classify patients’ cardiovascular risk as very high, high, moderate, or low as a way to guide treatment decisions. In addition to absolute risk calculations, the guidance includes relative risk charts, which might be useful in younger individuals with low absolute risk but high risk relative to others in their age group. That information could be used to provide motivation to make lifestyle changes, the authors wrote. LDL cholesterol levels are the main target of lipid management, with the following specific goals recommended:

  • Less than 3.0 mmol/L (115 mg/dL) in patients with moderate risk.
  • Less than 2.5 mmol/L (100 mg/dL) in patients with high risk.
  • Less than 1.8 mmol/L (70 mg/dL) in patients with very high risk. If that target cannot be achieved, the aim should be for at least a 50% reduction in levels.

However, the guidance states that non–HDL cholesterol and apolipoprotein B may also be considered potential treatment targets, particularly in patients with type 2 diabetes, the metabolic syndrome, and combined dyslipidemia.

The goals for non–HDL cholesterol are 0.8 mmol/L (30 mg/dL) higher than for LDL cholesterol and for apolipoprotein B are less than 80 mg/dL and less than 100 mg/dL for patients at very high or high cardiovascular risk, respectively.

Patients with atherogenic dyslipidemia –– a combination of high triglyceride and low HDL cholesterol levels –– are at particularly high risk, regardless of LDL cholesterol levels. According to the guideline authors, non–HDL cholesterol and apolipoprotein B may be considered secondary targets in these patients.

Managing the problem

To help reach the various targets via lifestyle interventions, the guidance contains detailed nutritional information and a chart indicating the magnitude of the benefit of various lifestyle changes. If such changes don’t work, then statins represent the first drug option for lowering LDL cholesterol, with the choice of a specific statin taking into account a patient’s overall cardiovascular risk and the amount of LDL cholesterol–lowering that is needed, according to the guidelines.

The addition of a cholesterol absorption inhibitor, bile acid sequestrant, or niacin can be considered if the LDL cholesterol target cannot be reached. These drugs can also be used if a patient cannot tolerate statins, the guideline authors suggest.

The guidelines also focus on the management of genetic dyslipidemias, including familial combined hyperlipidemia, which is characterized by high LDL cholesterol, high triglycerides, or both, affects about 1% of the population, and is often unrecognized and undertreated.

And finally, the guidelines address the issue of nonadherence as a barrier to effective dyslipidemia treatment. "The responsibility for adherence must be shared between the healthcare provider, the patient, and the healthcare system," the authors wrote. (Source: Medpage Today)

Naproxen safest for heart patients

The adverse cardiovascular risk of COX– 2 selective NSAIDS is well established however, most nonselective NSAIDs also adversely impact cardiovascular risk. Among commonly used nonselective NSAIDs, naproxen has the greatest relative cardiovascular safety. In a network meta–analysis of randomized trials involving over 116,000 patients the risks conveyed by nonselective NSAIDs were compared. Among the nonselective NSAIDs the risk of myocardial infarction was lower for naproxen or diclofenac than for ibuprofen, while the risk of the composite outcome of nonfatal MI or nonfatal stroke plus cardiovascular death was lower for naproxen than for diclofenac or ibuprofen (Trelle S, et al. Cardiovascular safety of non–steroidal anti–inflammatory drugs: network meta–analysis. BMJ 2011; 342:c7086).

CV Events Halt Multaq Study

A randomized trial of dronedarone in patients with permanent atrial fibrillation –– an unapproved indication for the antiarrhythmic drug –– has been stopped early because of increased cardiovascular events among patients receiving the product.

  Fitness Update

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

Powdered broccoli sprouts may boost antioxidant defenses in people with diabetes

According to findings published in the European Journal of Clinical Nutrition, a daily dose of 5 or 10 grams or the broccoli sprout powder was associated with an increase in the total antioxidant capacity of the blood, and crucial reductions in malondialdehyde (MDA), a reactive carbonyl compound and well–established marker of oxidative stress. The study adds to the growing body of science supporting the potential health benefits of broccoli and broccoli sprouts, often praised for their potential anti–cancer activity.

The tissue of cruciferous vegetables, like broccoli, cauliflower, cabbage and Brussels sprouts, contain high levels of the active plant chemicals glucosinolates. These are metabolized by the body into isothiocyanates, which are powerful antioxidants and valuable anti–carcinogens. The main isothiocyanate from broccoli is called sulphoraphane.

The new study employed a broccoli sprout powder that provided high levels of sulphoraphane isothiocyanates. It examined the potential antioxidant activity of broccoli sprout powder to counter oxidative stress in diabetics.

Oxidative Stress: Oxidative stress has been linked to an increased risk of various diseases including cancer, Alzheimer’s and cardiovascular disease. Oxygen–breathing organisms naturally produce reactive oxygen species (ROS), which play an important role in a range of functions, including cell signaling. However, over production of these ROS from smoking, pollution, sunlight, high intensity exercise, or the human aging process, may overwhelm the body's antioxidant defenses and lead to oxidative stress.

Researchers also note that oxidative stress is a key driver in the onset of insulin resistance, which ultimately leads to diabetes. Diabetes itself is associated with increased levels of oxidative stress, and this can promote the development of diabetes–related complications (Journal of Biochemical and Molecular Toxicology, 2003, Vol. 17, pp. 24–38).

Study details

Researchers recruited 81 diabetics to participate in their double–blind, placebo–controlled, randomized clinical trial. They were randomly assigned to receive either 5 or 10 grams per day of the broccoli sprout powder, or placebo, for four weeks. Results showed that both broccoli groups experienced significant decreases in MDA, that well–established marker of oxidative stress, as well as reductions in levels of oxidized LDL cholesterol, another oxidative stress marker."The ideal dose of broccoli sprouts has not yet been determined," wrote the scientists. "Effects on lipid peroxidation parameters were seen only with the higher dose, although positive effects on TAC were seen with both doses," they added. "Further studies with longer duration and different doses are needed to confirm the effects of broccoli sprouts and related mechanisms," they concluded.

  Twitter of the Day

@DrKKAggarwal: #AJCC Sitting >40 Hrs/Week Raise Lung Attack Risk:Nurses’ Health Study in BMJ: sedentary lifestyle increases risk… http://fb.me/zwwx6N3P

@DeepakChopra: #CosmicConsciousness Names & forms are many. Reality is one

    Spiritual Update

Science behind Hanuman Chalisa

Nava Nidhi

Vayu Gaman Siddhi: Through this Siddhi a person can become capable of flying in the skies and traveling from one place to another in just a few seconds.

    An Inspirational Story

(Ritu Sinha)

Good Luck? Bad Luck? Who Knows?

There is a Chinese story of an old farmer who had an old horse for tilling his fields. One day the horse escaped into the hills and, when all the farmer’s neighbors sympathized with the old man over his bad luck, the farmer replied, ‘Bad luck? Good luck? Who knows?’

A week later the horse returned with a herd of wild horses from the hills and this time the neighbors congratulated the farmer on his good luck. His reply was, ‘Good luck? Bad luck? Who knows?’

Then, when the farmer’s son was attempted to tame one of the wild horses, he fell off its back and broke his leg. Everyone thought this very bad luck. Not the farmer, whose only reaction was, ‘Bad luck? Good luck? Who knows?’

Some weeks later the army marched into the village and conscripted every able–bodied youth they found there. When they saw the farmer’s son with his broken leg they let him off. Now was that good luck? Bad luck? Who knows?

    Pediatric Update

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

How is pneumonia classified according to severity?

Definitions of severity

Non–severe pneumonia: Symptoms and signs of pneumonia plus no chest in–drawing, grunting, or "danger signs."

Severe pneumonia: Difficult breathing, plus any general danger sign or chest in–drawing or grunting in a calm child.

"Danger signs" for children age 2 months to 5 years: Unable to drink or breastfeed, vomiting, convulsions, lethargy, or unconsciousness.

    eMedinewS Apps

eMedinewS Archives: Search past issues of eMedinewS by date.

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Post your comments here: Click here. This will take you to my Blog. Then click on ‘Comment’ and write your views on the topic discussed in the Editorial.

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  Did You Know

(Dr Uday Kakroo)

In ancient Greece, tossing an apple to a girl was a traditional proposal of marriage. Catching it meant she accepted..

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  Contrary Proverbs

(Mr Vipin Sanghi)

Do it well, or not at all. BUT Half a loaf is better than none.

  Legal Question of the Day

(Dr MC Gupta, Advocate)

Is it fine if the indemnity insurance agreement states the company will reimburse to the hospital any amount within the limit of the cover if awarded by a consumer court for medical negligence?

QUESTION: I am a owner of the hospital. I want to buy a professional indemnity policy for the hospital from an insurance company. The company wants to have a term in the agreement that the insurance company will reimburse to the hospital any amount within the limit of the cover if awarded by a consumer court for medical negligence. Is there a catch somewhere?

ANSWER

  1. Yes. There is a catch. The above agreement will not cover the following amounts payable by the hospital to the complainant:
    a. When the consumer court does not find negligence but awards some compensation on humanitarian grounds. (Yes, that happens. And, it is recorded as such in the order as follows. We do not find any medical negligence but yet, on humanitarian grounds, we award Rs. 25,000/- to the complainant.)
    b. When a compromise is reached between the complainant and the doctor.
    c. When the consumer court does not go into the question of negligence and awards compensation on the ground that the treating doctor was not competent to undertake the type of treatment given.
    d. When the award given is for reasons other than medical negligence, such as:

    ii) Deficiency of service;
    ii) Unfair trade practice
    iii) Restrictive trade practice
    iv) Over-charging of price
    v) Offering hazardous services
  2. Why should the company reimburse? That means the hospital should pay first from its pocket and then make a request for reimbursement. The company should pay directly.
  3. You should negotiate the terms of insurance agreement without discussing the above aspects specifically. It is better to simply suggest that the term in the agreement should be as follows: the insurance company will pay to the complainant any amount within the limit of the cover if awarded by a consumer court. The insurance company is likely to accept this because, after all, they have to sell policies and there is much competition amongst them.
  4. You may appreciate why it is advisable to have legal advice when drafting a seemingly simple contract.
    IJCP Special

Dr Good Dr Bad

Situation: A patient with suspected malaria was found to have low platelet counts.
Dr. Bad: It is classical falciparum malaria.
Dr. Good: It can also be vivax malaria.
Lesson: Platelets are low in 83% of vivax malaria and 62% of falciparum malaria. (Clin Infect Dis 1998; 27:142).

Make Sure

Sitaution: A female patient C/O lower abdominal pain, fever and had uterine tenderness on bimanual palpation.
Reaction: You should do cervical swabs and consider starting antibiotics.
Lesson: Make sure to remember that a women with such symptoms may have endometritis, which requires prompt diagnosis and may respond to doxycycline and metronidazole.

  SMS of the Day

(Dr GM Singh)

A crust eaten in peace is better than a banquet partaken in anxiety.

  GP Pearls

(Dr Pawan Gupta)

Anti IgE agents

Omalizumab is a humanized monoclonal antibody against IgE. Administration of Omalizumab as a monthly S/C depot injection would also be expected to minimize compliance issues. Results appear to be more variable in clinical practice (NEJM 2006;354:2689-95).

    Medicolegal Update

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

Doctor should always document in detail the resuscitative injury in case of death.

The resuscitative fractures of rib No. 1, 8 and12 are very rarely seen in autopsy.
The injuries produced in human body when attempting for resuscitation gives rise to difficulty in interpretation of injuries noted at post mortem examination or noted in inquest paper by the investigating law enforcement agency. Before making an interpretation by doctor conducting autopsy they should know if there has been an attempt for resuscitation and who did it and for how long. He should also know about the methods used in a particular case and whether all these have been documented in the clinical sheets or not. The Resuscitative attempts may lead to skeletal, cardiac and abdominal viscera injuries. The investigating police officer should make a note on the basis of statements taken from the relative and doctors who attended the deceased and the same should be enclosed in inquest paper before handing them over to the autopsy surgeons.

  • The method generally used for life saving attempts by non–medical persons who are nearby to the critical patient is mouth to mouth respiration and manual chest massage may causes contusions.
  • Resuscitation in hospitals include bag and mask intubations, endotracheal tube, obdurate airway are used for respiratory ventilation.
  • The mechanical methods like thumper, active compression–decompression device, and defibrillator are used in resuscitation. The closed chest cardiac massage along or with interspersed abdominal compression is also used for resuscitation.
  • The injections and closed–chest cardiac massage and other resuscitation procedures to the patients may result in the fracture of a chest vertebra, serial fractures of ribs resulting in an unstable thorax, bilateral haemothorax, tension pneumothorax, rupture of kidney and of spleen.
  • Fractures of ribs and/or sternum were found in 40% of cases, the frequency increasing with age.
  • The number of fractured ribs ranged up to 16, mainly 3-8 ribs was fractured.
  • The site of rib fractures after heavy blunt thoracic injuries was preferably found in the dorsal region.
  • The injuries which are received/inflicted on body prior to death are called mortem injuries and may or may not be a contributing factor in causing the death or they may have occurred due to much other reason like resuscitation/transport of sick/ill person for medical care called artifact.
    Mind Teaser

Read this…………………

he art

Yesterday’s Mind Teaser: sailing
                                     ccccccc

Answer for Yesterday’s Mind Teaser: Sailing over the seven seas

Correct answers received from: Dr KV Sarma, Dr K Raju, Dr SK Bansal, Dr Muthumperumal Thirumalpillai, Dr Neelam Nath, Dr Anil Bairaria, Dr Chandresh Jardosh, Dr U Gaur, Dr YJ Vasavada, Dr Prabha Sanghi, Dr Bina Sawhney, Dr Neelam Ohri, Dr. Amit Kochar, Dr Anindita Sarkar, Dr T Samraj

Answer for 7th July June Mind Teaser: 1. Putamen/external capsule
Correct answers received from: Dr Shubha Laxmi Margekar, Dr Rakesh Bhasin, Dr U Gaur, Dr Anjani.

Send your answer to ijcp12@gmail.com

    Medi Finance Update

(Dr. GM Singh)

What is Alpha?

It is a mathematical measure of price volatility that attempts to isolate the price movements of a stock from those of the market. A stock with a high alpha is expected to perform well regardless of what happened.

    Laugh a While

(Dr. Anupam Sethi Malhotra)

Awesome answers in IAS (Indian Administrative Service) Examination

Q. How can you lift an elephant with one hand?
A. You will never find an elephant with one hand. (UPSC Rank 14 Opted for IES)

    Drug Update

List of Approved Drug From 01.01.2010 TO 31.8.2010

Drug Name

Indication

DCI Approval Date

Celecoxib Mouth Dissolving Tablet 50/100/200 mg

For the Treatment of Osteoarthritis and Rheumatoid Arthritis

25/02/2010

    Public Forum

(Press Release for use by the newspapers)

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

National Conference on Insight on Medicolegal Issues

A first ever National Conference on "Insight on Medicolegal Issues" will be organized in New Delhi at Chinmaya Mission Auditorium, Lodhi Road on Sunday, 10th July, 2011. Over 300 doctors from across the country will be participating. The faculty will include eminent doctors and advocates. Senior advocates who will be participating in the conference are Mr. Mukul Rohtagi, Mr. Ajay Agrawal, Ms Priya, Ms Meenakshi Lekhi, Mr. M C Gupta, Mr. Sidhartha Luthra and Ms Indu Malhotra. The Medical Faculty will include Dr. Ranjit Roy Chaudhury, Dr. H S Risam, Dr. Naveen Dang, Dr. Neelam Mohan, Dr. N P Singh, Dr. Sanjiv Malik, Dr. Anupam Sibal, Dr. Ajay Gambhir, Dr. Vijay Aggarwal, Dr. Girish Tyagi and Dr. Sudhir Gupta and others.

The conference will be inaugurated by Justice A K Sikri, Hon’ble Judge Delhi High Court. Justice Vipin Sanghi, Hon’ble Judge Delhi High Court will be the Guest of Honour. Justice Sikri will also deliver a keynote address on the subject.

Among the important subjects to be discussed include: Ethical issues concerning clinical trials, ethical issues for organ transplantation, Understanding court procedures, Medical negligence versus medical accidents, Doctor–Pharma relationship, handling medicolegal cases etc.

Addressing a press conference, Padma Shri & Dr. B.C. Roy National Awardee Dr. KK Aggarwal, President Heart Care Foundation of India, said that to err is human. The Supreme Court of India has also observed that ‘Mere accident is not evidence of negligence’. It has also clarified that difference of opinion or error of judgment cannot be termed negligence and likewise, adverse reactions and medical accidents cannot be put under medical negligence. Negligence cannot be attributed to a doctor as long as he performs his duties with reasonable skill and competence.

But, there are certain errors which are preventable but still occur. An example is wrong surgical site surgery, a sentinel event, and involves operation of a wrong site, wrong side, wrong patient and wrong surgery. In one of the recent studies of 8 hospitals, 44 such events were reported every week in the US alone. These events come under ‘never events’. The number will be much larger in our country. Never events are medical negligence unless proved otherwise, he further added.

A doctor must always maintain the highest standards of professional conduct. He should be careful that he does not violate any rule laid down under the Code of Ethics that define uniform standards of practice. He also has several legal responsibilities and is often required to deal with issues like consent, insanity, consent, fitness to stand trial etc. So, he needs to be aware of the law.

Dr. Girish Tyagi, Registrar Delhi Medical Council said that every effort is being made by Delhi Medical Council to reduce the gap between patients and doctors.

Dr Vinod Khetarpal, President Delhi Medical Association said that no doctor should practice without an indemnity insurance as any medical error will require a compensation to be paid to the patient.

The conference proceedings will be converted in the form of white paper and will be sent to Medical Council of India, Delhi Medical Council and the Government for implementation.

    Readers Response
  1. Dear Dr Aggarwal I read your editorial entitled "Prevention of HIV transmission with ART through breastfeeding or replacement feeding: India vs Bharat',with interest but I found the information was incomplete and gives an impression that issue of breastfeeding and replacement feeding in the context of HIV has been dealt with prejudices. Kindly appreciate that the issue is "HIV-free survival" and not "prevention of HIV transmission from mother to child". ARV may start from antenatal period and continued till lactation period which is for one year and NOT for two years as in normal situation. ART or ARV prophylaxis to pregnant and lactating mothers for the prevention of HIV transmission and child survival is available on the internet at WHO website since June 2010. I will request all readers to read that document to understand the infant feeding in the context of HIV. Our government is also working on it. I will further like to inform you that infant feeding is purely a mother's prerogative and choice that needs to be respected as per UNO resolution. Mother should be counselled by trained professional for adopting a feeding option. With kind regards: Dr MMA Faridi
    Forthcoming Events

National Conference on "Insight on Medico Legal Issues"

Dr K K Aggarwal

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 (Clinical -Drug 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 Tiwari 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 Agarwal 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?

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