emedinews
Head Office: E–219, Greater Kailash, Part 1, New Delhi–110 048, India. e–mail: emedinews@gmail.com, Website: www.ijcpgroup.com
FIRST NATIONAL DAILY eMEDICAL NEWSPAPER OF INDIA
eMedinewS is now available online on www.emedinews.in or www.emedinews.org
  From the Desk of Editor–in–Chief
Dr KK Aggarwal

Padma Shri and Dr B C Roy National Awardee
Dr KK Aggarwal
President, Heart Care Foundation of India; Sr Consultant Physician, Cardiologist and Dean Medical Education Moolchand Medcity; Chairman Ethical Committee Delhi Medical Council; Chairman (Delhi Chapter) International Medical Sciences Academy; Hony Director IMA AKN Sinha Institute (08–09); Hony Finance Secretary National IMA (07–08); Chairman IMA Academy of Medical Specialties (06–07); President Delhi Medical Association (05–06), President IMA New Delhi Branch (94–95, 02–04); Editor in Chief IJCP Group of Publications & Hony. Visiting Professor (Clinical Research) DIPSAR

 

eMedinewS Presents Audio News of the Day

Photos and Videos of 2nd eMedinewS – Revisiting 2010

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

 
  Editorial …

12th November 2011, Saturday

Target dose of angiotensin II receptor antagonists in patients with heart failure

  1. When using losartan or valsartan for the treatment of heart failure (HF), it is recommended that patients be titrated to target doses (i.e., losartan 150 mg daily; valsartan 160 mg twice daily), whenever possible.
  2. In an analysis of HF registry data of 5139 patients in Sweden, those treated with candesartan, had improved survival compared to patients who received losartan: 1 year survival 90% vs. 83%, 5 year survival 61% vs. 44%, respectively; hazard ratio (HR) 1.43 95% CI 1.23 to 1.65; P<0.001) (1).
  3. However, at the time of establishing the registry, the target dose of losartan was 50 mg daily whereas the current target dose in HF is 150 mg daily. The target dose for candesartan was 32 mg daily, similar to the current recommendation.
  4. Very few patients (18%) were at more than 50% of the currently recommended target dose for losartan (i.e., 150 mg daily) whereas about a third reached a similar level for candesartan (1).
  5. The losartan target dose of 150 mg daily in patients with HF is based on results of the Heart Failure endpoint Evaluation with the Angiotensin II Antagonist Losartan (HEAAL) study. This study compared losartan 50 mg with losartan 150 mg daily, with the primary endpoint of all–cause mortality and HF hospitalizations in 3846 patients with HF and a left ventricular ejection fraction (LVEF) < 40% who were intolerant to an angiotensin–converting enzyme inhibitor (ACEI) (86% reported intolerance due to cough). Seventy–two percent of patients received concomitant treatment with a beta–adrenergic blocker. After a median of 4.7 years of follow–up, treatment with losartan 150 mg (mean 129+39 mg) resulted in a 10% decrease in the risk for death or HF hospitalization compared to patients on losartan 50 mg (mean 46+11 mg) (losartan 150 mg 43.0% vs. losartan 50 mg 46.3%; HR 0.90 95% CI 0.82-0.99; P=0.027). Hyperkalemia, hypotension, kidney impairment, and angioedema all occurred more frequently in the losartan 150 mg treatment group compared to the 50 mg dose, with no difference in discontinuations due to these adverse events (2).
  6. Review of the above data prompted an evaluation of data in VA patients with HF to identify if there was a potential gap in the recommended target dose and the prescribed dose of angiotensin II receptor antagonists used in the management of HF.
  7. According to VA data from 1/1/2011 to 3/31/2011, approximately 14,500 patients with a diagnosis of systolic HF were being treated with losartan, with 44% prescribed 50% of the target dose of 150 mg, and an average daily dose of 66 mg. During this same timeframe, approximately 10,600 patients with HF were treated with valsartan, with 51% prescribed 50% of the target dose of 320 mg (recommended 160 mg twice daily), and an average daily dose of 156 mg. Data with candesartan are not provided due to low utilization in VA.
  8. Losartan is not currently FDA approved for use in HF, and the target dose of 150 mg that was studied in the HEAAL trial is higher than the maximum recommended dose used for other indications (e.g., hypertension). Losartan is available in 25 mg, 50 mg and 100 mg tablets. Of the other available angiotensin II receptor antagonists, valsartan and candesartan are FDA approved for the treatment of HF.
  9. Patients with systolic HF should receive an ACEI, beta-adrenergic blocker, diuretic, and aldosterone antagonist, as indicated.
  10. In some patients (e.g., African–Americans) hydralazine/nitrates may be appropriate as well.
  11. An angiotensin II receptor antagonist may be considered in patients with systolic HF who are intolerant to an ACEI.

Recommendation: When using losartan or valsartan for the treatment of HF, it is recommended that patients be titrated to target doses (i.e., losartan 150 mg daily; valsartan 160 mg twice daily), whenever possible.

References

  1. Eklind–Cervenka M, Benson L, Dahlström U, et al. Association of candesartan vs losartan with all–cause mortality in patients with heart failure. JAMA 2011;305:175–82.
  2. Konstam MA, Neaton JD, Dickstein K, et al., for the HEAAL Investigators. Effects of high–dose versus low–dose losartan on clinical outcomes in patients with heart failure (HEAAL study): a randomized, double–blind trial. Lancet 2009;374:1840–8.

Source: Department of Veterans Affairs Veteran Health Administration (Vha) Pharmacy Benefits Management Services (Pbm) & Medical Advisory Panel (Map) Va Center For Medication Safety (Vamedsafe): National Pbm Communication October 31, 2011.

For More editorials…

Dr KK Aggarwal
Group Editor in Chief

 
  eMedinewS Audio PostCard

Stay Tuned with Padma Shri and Dr BC Roy National Awardee Dr KK Aggarwal on

Target Dose of Angiotensin II Receptor
Antagonists in Patients with Heart Failure

Audio PostCard
 
    Photo Feature (from the HCFI Photo Gallery)

18th MTNL Perfect Health Mela 2011– Harmony – An Inter School Health

On 19th October, 2011, Harmony – Interschool Festival consisting of interschool competitions was held in the Mela Venue. Childrens from various School took active participation in the Model Display Competition

 
Dr K K Aggarwal
 
    National News

The Confederation of Medical Associations in Asia and Oceania

Dr. Vinay Aggarwal, National President, Indian Medical Association, and Chairman Pushpanjali Healthcare has been unanimously elected as President (Elect) of CMAAO – The Confederation of Medical Associations in Asia and Oceania in a meeting held today in Taipei, Taiwan.

India among four pneumonia laggards

India records the highest number of child pneumonia deaths globally, but is among the only four of the 15 countries with the highest child pneumonia death toll that is yet to introduce the newest generation of pneumococcal vaccines. A Pneumonia progress report, 2011, released by the International Access Vaccine Centre (IVAC) and John Hopkins Bloomberg School of Public Health on Wednesday shows that India recorded 3.71 lakh child pneumonia deaths in 2008, but till 2010 had "not introduced" the HIB vaccine against pneumonia. It had also not taken "any action" to introduce PCV10 and PCV - the newest-generation of pneumococcal vaccines. The report says last year alone, 10 of the 15 countries have either introduced PCV10 or PCV13, have been approved for introduction, or have applied to the GAVI Alliance for introduction support. It is estimated that by 2013, 11 of the 15 countries will have introduced the pneumococcal vaccines in their national immunization programmes. India is among the four countries that haven't taken much action. Together, these 15 countries account for approximately 75% of the global toll of child pneumonia. The report says in India, while 69% of children suspected to have pneumonia were taken to a health facility, only 13% were administered antibiotics. (Source: TOI, Nov 10, 2011)

For comments and archives

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

FDA Okays first cord blood product

The FDA has approved an umbilical cord blood product -- its first -- for use in stem-cell transplants.

For comments and archives

ACR: Prednisone aids tight control in early RA

A strategy of methotrexate-based tight control in early rheumatoid arthritis (RA) was more effective in preventing joint damage if the initial regimen also included low-dose prednisone, a Dutch researcher said here. (Source: Medpage Today)

For Comments and archives

AASLD: Hepatitis C now bigger killer than HIV

Mortality associated with hepatitis C has surpassed that of HIV, a researcher said here. The declining death rate from HIV crossed the rising rate associated with hepatitis C infection in about 2006, according to Scott Holmberg, MD, of the CDC. On the other hand, the rate of deaths associated with hepatitis B has been relatively flat, Holmberg reported at the annual meeting of the American Association for the Study of Liver Diseases. (Source: Medpage Today)

For comments and archives

Combination drug therapy to treat malaria

Scientists have come up with a new combination therapy for the treatment of malaria and preventing the parasite from becoming resistant. For some time now, artemisinin, derived from a Chinese herb, has been the most powerful treatment available against malaria and the World Health Organisation (WHO) has strongly recommended combining artemisinin with another anti-malarial drug. Following the WHO recommendation, scientists from the Institute of Tropical Medicine (ITM) carried out a head-to-head comparison of four combination therapies in seven African countries. The scientists, who also took part in the recent trials of the first effective malaria vaccine, compared four ACT treatments, in more than 4 000 randomised children less than 5 years of age with uncomplicated malaria, in twelve sites distributed in seven sub-Saharan African countries. Three of the regimes had excellent and similar efficacy in treating the malaria attack, but of those, treatment with combination dihydroartemisinin-piperaquine (the combination most recent recommended by the WHO) resulted in significantly fewer recurrent infections. The development of resistance should be closely monitored, the scientists advise, but this new therapy clearly shows great promise. (Source: TOI, Nov 9, 2011)

For comments and archives

 
  Twitter of the Day

@DrKKAggarwal: #AJPP Complimentary feeding practices between 6 and 24 months Supporting advice for caregivers and families Make...fb.me/MWbfPIqI

@DeepakChopra: CosmicConsciousness Consciousness is at all times a super position of possibilities.

 
    Spiritual Update

(Dr KK Aggarwal, Group Editor in Chief, IJCP Group of Publications and eMedinews)

Vivah: A journey from Engagement to Marriage

Unlike in the West, where signing a prenuptial marriage agreement or contract even before a couple marries is becoming the norm, a traditional Hindu marriage (vivah) is a union of mind, body and soul of two persons.

For comments and archives

 
    An Inspirational Story

(Ms Ritu Sinha)

Redeem the Time

Let us detach ourselves from things trifling and insignificant, and give ourselves up to the study of things worthy our nature and capacity. We all value our possessions, and much more ought we to estimate our time.
How many words and actions are capable of being taken by two handles, are patient of two interpretations, a good interpretation and a bad one? We are unmerciful when without necessity we are judges of evil thoughts, when we suspect meanness, littleness, untruthfulness, not to speak of worse surmising, in others.

Make yourselves nests of pleasant thoughts, bright fancies, and faithful sayings: treasure-houses of precious and restful thoughts, which care cannot disturb nor poverty take away from you-houses built without hands for your souls to live in.

Every noble act of devotion to truth, every pure life unstained with evil, every word of pity, every instance of forgiving, and goodness, helps us to a better faith in that divine and eternal goodness which has no variableness or shadow of turning.

Injustice to you is not an awful thing like injustice in you.

For comments and archives

 
  Cardiology eMedinewS

(Dr KK Aggarwal, Group Editor in Chief, IJCP Group of Publications and eMedinews)

CSI UPDATE

What to do in post PCI patient with hypotension?

For comments and archives

CSI Abstracts

Sickle cell patient can have open heart surgery

For comments and archives

CSI News

Target Dose of Angiotensin II Receptor Antagonists in Patients with Heart Failure

For comments and archives

Hype or Hazard? Longitudinal Stent Compression Hashed Out

For comments and archives

Facts and figures in cardiology

NHANES data indicate that 3% of the populations have increased serum creatinine above 1.6 mg/dL (Arch Intern Med 2001;161:1207-1216)

 
  Fitness Update

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

Children: Autistic brains develop more slowly than healthy brains

Researchers led by Professor Jennifer G. Levitt have found aberrant growth rates in areas of the brain implicated in the social impairment, communication deficits and repetitive behaviors that characterize autism. Although most children with autism are diagnosed before they are 3 years old, this new study suggests that delays in brain development continue into adolescence. The researchers used a type of brain-imaging scan called a T1-weighted MRI, which can map structural changes during brain development. By scanning the boys twice, the scientists were able to create a detailed picture of how the brain changes during this critical period of development. Besides seeing that the white-matter connections between those brain regions that are important for language and social skills were growing much slower in the boys with autism, they found a second anomaly: In two areas of the brain — the put amen, which is involved in learning, and the anterior cingulate, which helps regulate both cognitive and emotional processing — unused cells were not properly pruned away.

For comments and archives

 
    Healthy Driving

(Conceptualized by Heart Care Foundation of India and Supported by Transport Department; Govt. of NCT of Delhi)

If you do need to use a cellular phone urgently, take the following precaution:

Avoid talking on phone in congested traffic or bad weather.

For comments and archives

 
    Medicine Update

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

What are the different positions of appendix in children?

The different positions of appendix in children are:

  • Intraperitoneal 95%
    • In pelvis 30%
    • Behind cecum 65%
  • Retroperitoneal 5%

For comments and archives

Our Social
Network sites
… Stay Connected

        FaceBook
  > Dr K K Aggarwal
  > eMedinewS
  > Hcfi NGO
  > IJCP Group

        Twitter
  > Dr K K Aggarwal
  > eMedinewS
  > HCFI-NGO
  > IJCP Group

        Blog
  > Dr K K Aggarwal
  > eMedinewS
  > HCFI-NGO
  > IJCP Group

        You Tube
  > Dr K K Aggarwal
  > eMedinewS

 
Docconnect
emedinews revisiting 2011
emedinews revisiting 2011
emedinews revisiting 2011
 
eMedinewS Apps
Archives
Archive
Archive
Archive
Archive
Archive
Alert
 
    Legal Question of the Day

(Dr M C Gupta)

Are quacks outside the purview of the CEA, 2010?

QUESTION—Are the health facilities run by quacks outside the purview of the Clinical Establishments Act, 2010?

ANSWER—

  1. No. Action can be taken against them under various Acts, including the CEA, 2010.
  2. It is true that the term clinical establishment is defined in section 2( c) of the CEA, 2010, as follows:

    “(c) "clinical establishment" means—

    (i) a hospital, maternity home, nursing home, dispensary, clinic, sanatorium or an institution by whatever name called that offers services, facilities requiring diagnosis, treatment or care for illness, injury, deformity, abnormality or pregnancy in any recognised system of medicine established and administered or maintained by any person or body of persons, whether incorporated or not; or

    (ii) a place established as an independent entity or part of an establishment referred to in sub-clause
    (i), in connection with the diagnosis or treatment of diseases where pathological, bacteriological, genetic, radiological, chemical, biological investigations or other diagnostic or investigative services with the aid of laboratory or other medical equipment, are usually carried on, established and administered or maintained by any person or body of persons, whether incorporated or not, and shall include a clinical establishment owned, controlled or managed by—

    (a) the Government or a department of the Government;
    (b) a trust, whether public or private;
    (c) a corporation (including a society) registered under a Central, Provincial or State Act, whether or not owned by the Government;
    (d) a local authority; and
    (e) a single doctor,

    but does not include the clinical establishments owned, controlled or managed by the Armed Forces.

    Explanation.— For the purpose of this clause "Armed Forces" means the forces constituted under the Army Act, 1950, the Air Force Act, 1950 and the Navy Act, 1957;”
  3. Even though sub-clause (i) refers to a hospital, maternity home, nursing home etc. in any recognised system of medicine, that reference simply means that only such hospital etc. can be registered. If a facility is unregistered or un-registrable, it automatically becomes illegal.
  4. The above view is supported by Section 41(2) which reads as follows: “Whoever knowingly serves in a clinical establishment which is not duly registered under this Act, shall be punishable with monetary penalty which may extend to twenty-five thousand rupees.”
  5. Even otherwise, the intents and purpose and operation of a statute is sought within the “statement of objects and reasons” of the statute as annexed to the statute at the time it was passed by the legislature. The “statement of objects and reasons” of the CEA, 2010, are given below:

    “At present, the supervision and regulation of the quality of services provided by the health care delivery system to the people by both public and private sectors has largely remained a contentious and therefore, unresolved issue. The current structure of the health care delivery system does not provide enough incentives for improvement in efficiency. The private sector health care delivery system in India has remained largely unregulated and uncontrolled. Problems range from inadequate and inappropriate treatment, excessive use of higher technologies, and wasting of scarce resources to serious problems of medical malpractice and negligence.

    2. Despite many State Legislatures having enacted laws for regulating health care providers, the general perception is that current regulatory process for health care providers in India is inadequate or not responsive to ensure health care services of acceptable quality and prevent negligence. Concerns about how to improve health care quality have continued to be frequently raised by the general public and a wide variety of stakeholders, including Government, professional associations, private providers, agencies financing health care, National Human Rights Commission and also by judiciary.”

    The problems which the CEA, 2010, addresses include those related to “serious problems of medical malpractice and negligence” as mentioned in clause 1 above. Treatment of patients by unqualified persons definitely is an incidence of “medical malpractice and negligence”.
  6. The above view is in harmony with the general scheme of law in this respect. If a person practices medicine without being registered with any of the registration councils established for registration of practitioners of different recognised systems of medicine, he commits an illegality per se and would be liable for action under the respective medical council act as well as under the CPA, 1986, and the IPC. The intents and purpose and operation of the CEA, 2010, has to be not at variance but in consonance with the existing legislations.

For Comments and archives

 
    Rabies Update

(Dr AK Gupta, Author of “RABIES – the worst death”)

Whether treatment of provoked bites differ from unprovoked bites?
Provocation is subjective and relative and specific to each dog/cat.
However, obvious gross prococation viz., stamping, hitting, chasing, etc. Possibly suggest that the animal may not be rabid. However, the wound treatment of animal bites is the same.

For Comments and archives

 
    Lab Update

(Dr Arpan Gandhi and Dr Navin Dang)

The American Diabetes Association (ADA) has recommended HbA1c as the diagnostic test for diabetes.

 
    IJCP Special

Dr Good Dr Bad

Situation: A patient with pneumonia not responding to antibiotics came to the hospital.
Dr Bad: Change the antibiotic.
Dr Good: You need hospitalization.
Lesson: Any patient not responding appropriately to oral antibiotic therapy requires inpatient management.

For comments and archives

Make Sure

Situation: A hypertensive with obstructive sleep apnea (OSA) was not responding to CPAP?
Reaction: Oh my God! Why was an antihypertensive drug not started?
Lesson: Make sure that all hypertensives with OSA are given anti-HT drugs in addition to CPAP (Continuous positive airway pressure therapy). In a randomized crossover trial of 23 patients with OSA and systemic hypertension, an anti–hypertensive medication (valsartan 160 mg per day) lowered the mean 24–hour blood pressure significantly more than CPAP therapy alone. (Am J Respir Crit Care Med 2010;182:954).

For comments and archives

 
  Quote of the Day

(Dr GM Singh)

It is from numberless diverse acts of courage and belief that human history is shaped. Each time a man stands up for an ideal, or acts to improve the lot of others, or strikes out against injustice, he sends forth a tiny ripple of hope. Robert Francis Kennedy

 
    Mind Teaser

Read this…………………

All are precancerous for carcinoma colon except

a. Crohn's disease
b. Bile acids
c. Fats
d. Carotene

Yesterday’s Mind Teaser: In ulcerative colitis with toxic megacolon, the lowest rate of recurrence is seen in

a) Complete proctocolectomy and Brook's ileostomy
b) Ileorectal anastomoses
c) Koch's pouch
d) Ileoanal pull-through procedure

Answer for Yesterday’s Mind Teaser: a) Complete proctocolectomy and Brook's ileostomy

Correct answers received from: Dr Sukla Das, Dr PC Das, Dr Thakor Hitendrasinh G, Muthumperumal Thirumalpillai, Raju Kuppusamy, Dr Chandresh Jardosh, Anil Bairaria, Dr ValluriRamarao.

Answer for 10th November Mind Teaser: c) Is related to duration of ulcerative colitis.
Correct answers received from: Dr PC Das, Dr Jainendra Upadhyay, Dr Valluri Ramarao, Dr KV Sarma, Dr Alexander Daniel, Dr Sukanta Sen, Dr Avtar Krishan, Dr PC Das.

Send your answer to ijcp12@gmail.com

 
    Laugh a While

(Dr GM Singh)

Faith

A nun who worked for a local home health care agency was out making her rounds when she ran out of gas. As luck would have it, there was a station just down the street. She walked to the station to borrow a can with enough gas to start the car and drive to the station for a fill up. The attendant regretfully told her that the only gas can he owned had just been loaned out, but if she would care to wait he was sure it would be back shortly.

Since the nun was on the way to see a patient she decided not to wait and walked back to her car. After looking through her car for something to carry to the station to fill with gas, she spotted a bedpan she was taking to the patient. Always resourceful, she carried it to the station, filled it with gasoline, and carried it back to her car. As she was pouring the gas into the tank of her car, two men walked by. One of them turned to the other and said: "Now that is what I call faith!"

 
    Medicolegal Update

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

The forensic analyst/doctor has a legal responsibility to retain untested biological specimen in legal cases so that another person can test it for an independent conclusion

  • When crimes like injury, sexual offences, and murder are reported to a police station, the investigating officers are assigned to examine and investigate the case and collect the related evidences. The observation of scenes of crime, collection of human body fluids, weapons of the offence and medical examination of victim, accused, or both are required in any investigation of crime against human body.
  • The medical examination is carried out in emergency ward of hospitals and the doctor’s main attention should be the treatment of injured and dying patient. However, in cases of crime against human body, medical examination and collection of biological sample, its recognition, documentation, packaging and analysis has an important role and are required to be done by doctor very meticulously with the high standards of science and the law in mind.
  • The biological materials which are frequently required to be collected/recovered by doctor during medical examination as evidence in crime against human body are blood, seminal stains, vaginal smears/slides, gastric lavage, chemical substances, poison, hair, fiber, broken glasses, knives, blunt instruments/objects, fire arms, bullet, live and empty cartridge cases, wads, clothing etc..
  • This scientific biological evidence becomes legal evidence in prosecution/acquittal of a case, if collected properly by maintaining the scientific sanctity and analyzed by a competent expert.

For comments and archives

 
    Public Forum

(Press Release for use by the newspapers)

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

Foot Problems in Diabetic Patients

World Diabetes Day on 14th November

India is the Diabetic Capital of the world with over 4 crore diabetics. Foot problems are the most common cause of hospitalization in diabetic patients. About 85% of diabetics suffer from at least one foot problem once in their life time. Every year more than 50 thousand amputations of lower limb take place in India alone.

This number is just the tip of the iceberg, said Padma Shri & Dr. B.C. Roy National Awardee, Dr. KK Aggarwal, President, Heart Care Foundation of India.

Facts about diabetes and foot

  • Foot ulcers are an important cause of morbidity in patients with diabetes.
  • Both vascular and neurologic diseases increases the risk of foot ulcers.
  • All patients with diabetes should be screened annually to identify those at risk for foot ulceration.
  • Perform a history, comprehensive foot examination, and test for loss of protective sensation using a 10–g monofilament for screening purposes.
  • Get ankle brachial pressure index testing in any patient with symptoms or physical exam findings of peripheral arterial disease.
  • Counseling regarding preventive foot care should be given to any patient whose feet are at risk for ulceration.
  • Refer patients to a specialist if they are at particularly high risk for foot ulceration due to risk factors like previous history of foot ulceration or amputation; loss of protective sensation and/or neuropathic foot deformities and peripheral vascular disease.

For comments and archives

 
    Readers Response
  1. Respected Sir, Thank you very much for all the updations. Kindly keep it up and update us accordingly. Regards: Rachna Datta.
 
    Forthcoming Events

CSI 2011

63rd Annual Conference of the Cardiological Society of India

Date: December 8–11, 2011.
Venue: NCPA Complex, Nariman Point, Mumbai 400021

Organizing Committee

B. K. Goyal – Patron
Samuel Mathew – President CSI
Ashok Seth – President Elect & Chairman Scientific Committee
Lekha Adik Pathak – Chairperson
Satish Vaidya & C. V. Vanjani – Vice Chairman
N. O. Bansal – Organizing Secretary
B. R. Bansode – Treasurer
Ajit Desai , Ajay Mahajan , G. P. Ratnaparkhi – Jt. Org. Secretaries
Shantanu Deshpande , Sushil Kumbhat , Haresh Mehta – Asst. Org. Secretaries
D. B. Pahlajani, A. B. Mehta , M. J. Gandhi , G. S. Sainani, Sushil Munsi, GB Parulkar, KR Shetty – Advisory Committee

Contact: Dr. Lekha Adik Pathak, Chairperson, CSI 2011; Dr. Narender O. Bansal, Org. Secretary, CSI 2011 Tel: 91 – 22 – 2649 0261/2649 4946, Fax: 91 – 22 – 2640 5920/2649 4946.
Email: csi2011@ymail.com, csimumbai2011@gmail.com Website: www.csi2011mumbai.com

eMedinewS Events: Register at emedinews@gmail.com

3rd eMedinewS Revisiting 2011

The 3rd eMedinewS – revisiting 2011 conference will be held at Maulana Azad Medical College, New Delhi on Sunday January 22nd 2012.

The one–day conference will revisit and cover all the new advances in the year 2011. There will also be a webcast of the event. An eminent faculty is being invited to speak.

There will be no registration fee. Delegate bags, gifts, certificates, breakfast, lunch will be provided. The event will end with a live cultural evening, Doctor of the Year award, cocktails and dinner. Kindly register at www.emedinews.in.

Over 400 registrations already done....

3rd eMedinewS Doctor of the Year Award

Dear Colleague, The Third eMedinews "Doctor of the Year Award" function will be held on 22nd January, 2012 at Maulana Azad Medical College at 5 pm. It will be a part of the entertainment programme being organized at the venue. If you have any medical doctor who you feel has made significance achievement in the year 2011, send his/her biodata: emedinews@gmail.com

 
    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

 
    Our Contributors

Dr Veena Aggarwal, Dr Arpan Gandhi, Dr Aru Handa, Dr Ashish Verma, Dr A K Gupta, Dr Brahm Vasudev, Dr GM Singh, Dr Jitendra Ingole, Dr Kaberi Banerjee (banerjee.kaberi@gmail.com), Dr Monica Vasudev, Dr MC Gupta, Dr Neelam Mohan (drneelam@yahoo.com), Dr Navin Dang, Dr Pawan Gupta(drpawangupta2006@yahoo.com), Dr Parveen Bhatia, (bhatiaglobal@gmail.com), Dr Prabha Sanghi, Dr Prachi Garg, Rajat Bhatnagar (http://www.isfdistribution.com), Dr. Rajiv Parakh, Dr Sudhir Gupta