emedinews
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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

 
  Editorial …

14th May 2011, Saturday                                eMedinewS Presents Audio News of the Day

View Photos and Videos of 2nd eMedinewS – Revisiting 2010

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

Yoga may benefit heart disease (Harvard Health Beat)

Yoga could be a boon for people with high blood pressure, heart failure and other forms of cardiovascular disease. Yoga’s combination of stretching, gentle activity, breathing, and mindfulness may have special benefits for people with cardiovascular disease.

The word "yoga" comes from a Sanskrit term that means union. It aims to join body, mind, and the day–to–day challenges of life into a unified experience rather than keep them separate. There are different forms of yoga, from the gentle, peaceful hatha yoga to the active "power" form called ashtanga.

Hatha yoga’s path to balancing the mind and the body involves three interconnected threads:
physical postures called "asanas," controlled breathing, and calming the mind through relaxation and meditation. The three work together.

Getting into the various postures during a yoga session gently exercises the muscles. Anything that works your muscles is good for your heart and blood vessels. Activity also helps muscles become more sensitive to insulin, which is important for controlling blood sugar.

The deep–breathing exercises help slow the breathing rate. Taking fewer but deeper breaths each minute temporarily lowers blood pressure and calms the sympathetic nervous system, which is responsible for generating stress hormones. The postures and deep breathing offer a kind of physical meditation that focuses and clears the mind. Meditation and the mindfulness of yoga have both been shown to help people with cardiovascular disease. Studies suggest that yoga

  • Reduces high blood pressure
  • Improves symptoms of heart failure
  • Eases palpitations
  • Enhances cardiac rehabilitation
  • Lowers cardiovascular risk factors such as cholesterol levels, blood sugar, and stress hormones
  • Improves balance, reduce falls, ease arthritis, and improve breathing for people with chronic obstructive pulmonary disease.

Dr KK Aggarwal
Editor in Chief
drkkaggarwal Dr K K Aggarwal on Twitter
Blogs.kkaggarwal.com Dr K K Aggarwal on blogs
Krishan Kumar Aggarwal Dr k k Aggarwal on Facebook

 
  Changing Practice – Evidence which has changed practice in last one year

Prevention of HIV transmission through breastfeeding in resource–limited settings

For HIV–infected mothers in resource–limited settings who are breastfeeding, we recommend postnatal antiretroviral medications for the mother or infant during the breastfeeding period, rather than no drug intervention (Grade 1A).

 
  eMedinewS Audio PostCard

 HIV Update

Dr Nalin Nag Speaks on
‘Treatment of opportunistic infections’

Audio PostCard
 
    Photo Feature (from the HCFI Photo Gallery)

World Earth day 2011

World Earth Day 2011 (Theme: Global Warming) was observed in a function jointly organized by Heart Care Foundation of India and World Fellowship of Religions on 21st April. In the Photo: Students of DPS, Mathura Road and distinguished guests displaying the banner of World Earth Day 2011.

 
Dr K K Aggarwal
 
    National News

President gives assent to MCI ordinance

New Delhi: President Pratibha Patil has given her assent to the Ordinance that seeks to extend the tenure of the Board of Governors of the Medical Council of India (MCI) by another year. A gazette notification in this regard was issued on Wednesday. The tenure of the Board was to expire on May 14. The extension was earlier approved at a meeting of the Union Cabinet last month. The Ordinance would have to be approved by Parliament in the monsoon session. The six–member body had replaced the erstwhile MCI last year following the arrest of its president Ketan Desai on April 22 last by the CBI on charges of corruption. (Source: The Hindu, May 12, 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)

The long–term metabolic impact of early nutrition

Nutrition during the first days or weeks of life may have long-term consequences on health, potentially via a phenomenon known as the metabolic programming effect, according to a study presented at the Pediatric Academic Societies (PAS) annual meeting in Denver. Metabolic programming is the concept that differences in nutritional experiences at critical periods early in life can program a person's metabolism and health for the future.

(Dr Monica and Brahm Vasudev)

Human lung stem cells: A breathtaking discovery?

Blood and intestine, are known to regenerate in adults from multipotent stem cell populations. Other organs, like the lungs, traditionally have not been thought to possess such cells. In a paper published this week in NEJM, Kajstura et al challenge this paradigm. They claim to have found human lung stem cells: self–renewing cells with the potential to form a range of lung cell types and structures, from bronchioles to alveoli to blood vessels.

Once–daily glaucoma drug shows promise

An investigational, once–daily drug called tafluprost appears to lower intraocular pressure at least as well as a twice–daily glaucoma drug. Open–angle glaucoma or ocular hypertension patients saw noninferior reductions in intraocular pressure with tafluprost compared with the beta–adrenergic antagonist timolol at all points during the 12–week, industry–sponsored trial led by Almira Chabi, MD, of Merck in North Wales, Penn.

Poor sleep quality associated with poorer control of type 2 diabetes

People with diabetes who sleep poorly have higher blood glucose levels and a more difficult time controlling their disease, according to a study published in the May issue of the journal Diabetes Care.

FDA panel narrowly endorses bone graft device

An FDA advisory panel narrowly recommended approval for an investigational bone graft device that uses a growth factor protein to regrow bones in the foot and ankle. The device is called Augment and is made by BioMimetic, which is seeking approval for the device to be an alternative to harvesting a patient’s own bone for the fusion procedure. The FDA’s Orthopaedic and Rehabilitation Devices Panel voted 10–8 on Thursday that the benefits of Augment outweigh the risks. Such a close vote generally is considered a split vote. Those who voted in favor of the device saw it as a safe and effective alternative to autograft, but those who voted against it were highly critical of how BioMimetic carried out its study and said the numbers don't show that the device is effective. (Source: Medpage Today)

15 eggs magic number for best results in IVF

The odds of achieving a live birth after in vitro fertilization (IVF) increased steadily with the number of eggs retrieved after ovarian stimulation, topping out at about 15, data from a large IVF registry showed. The estimated live birth rate reached 40% after retrieval of 15 eggs from women ages 18 to 34, as reported online in Human Reproduction. (Source: Medpage Today)

Mesh better Tx for pelvic–organ prolapse but riskier

For women with pelvic–organ prolapse, a transvaginal mesh kit improves treatment success rates compared with traditional colporrhaphy, but comes at a cost of more surgical complications and adverse events, a randomized trial showed. Women treated with the mesh kit were more likely to be free of prolapse a year later as defined by both objective and subjective measures (60.8% versus 34.5%, P<0.001), according to Daniel Altman, MD, PhD, of Danderyd Hospital in Stockholm, and colleagues. But adverse events were more frequent in the mesh group both in the hospital and during follow–up, they reported in the May 12 issue of the New England Journal of Medicine. (Source: Medpage Today)

 
    Spiritual Update

Hanuman Chalisa

Raghupati Kinhi Bahut Badaai
Tum Mama Priya Bharat Sam Bhai


Meaning: Overcome with joy Rama embraced you and glorified you, saying that He loves you as much as He loves His own brother Bharata.

Spiritual Significance: Pranayama and Bhakti are the two equally effective known ways of being in touch with one’s consciousness. With regular pranayama and by getting the powers of Hanumana one also gets all the benefits of bhakti.

 
    IJCP Special

Dr Good Dr Bad

Situation: A patient with fever had headache.
Dr. Bad: It is meningitis unless proved otherwise.
Dr. Good: It can also be simple malaria.
Lesson: Fever with headache can be seen in meningitis, malaria, dengue and many viral infections.

Make Sure

Situation: A patient with dilated cardiomyopathy developed sudden cardiac arrest.
Reaction: Oh my God! Why was ICD (implantable cardioverter defibrillator) not given?
Lesson: Make sure that all patients with less than 35 years of age are considered for ICD therapy.

 
    An Inspirational Story

(Dr Prachi Garg)

Expect the best

A little girl walked daily to and from school. Though the weather this particular morning was questionable and clouds were forming, she made her trek to the elementary school. As the afternoon progressed, the winds whipped up, along with thunder and lightning. The child’s mother, concerned that her daughter would be frightened and possibly harmed by the storm got into her car and drove along the route to her child’s school.

As she did so, she saw her little daughter walking along happily but at each flash of lightning the child would stop, look up, and smile. Stopping the car, the mother called to the child to get in with her. As they drove toward school, the girl continued to turn toward each lightning flash and smile.

The Mother asked, "What are you doing?"

The child answered, "Well, I must do this, God keeps taking pictures of me."

 
    Pediatric Update

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

What is hereditary fructose intolerance?

Hereditary fructose intolerance is a disorder in which a person lacks the protein needed to break down fructose. Fructose is a fruit sugar that naturally occurs in the body. Man–made fructose is used as a sweetener in many foods, including baby food and drinks.

 
    Infertility Update

Dr. Kaberi Banerjee, Director Precious Baby Foundation

What are the pre requisites of donor insemination?

The decision regarding donor insemination is complex, and patients may need psychological counseling to aid in this decision. The partners should be given psychological counseling by a qualified mental health professional.

 
    Medicolegal Update

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

The majority of fatal stab wounds are on the chest

Death due to sharp force violence is the most common cause of homicide in India including many other parts of Europe, as well as in Africa and Asia. It also accounts for 30% of fatal and non–fatal family assaults in the USA.

In the year 2010, I conducted medicolegal postmortems on 29 cases (from south Delhi) of death due to stab wounds.

  • A stab wound is produced as a result of penetration of long narrow instruments with blunt or pointed ends such as knife, dagger, nail, needle, spear, arrow, screwdriver etc. into the depths of the body, penetrating the skin and the underlying tissues that is deeper than its length and width on skin.
  • It can be caused by driving the object into the body or from the body’s pressing or falling against the object. The object penetrates into the body due to its momentum.
  • The wound is called punctured wound when it enters a body cavity only one way. But, when the weapon enters the body on one side and comes out through the other side, it is called a perforating wound.
  • The wound of entry is larger and the wound of exit is smaller due to tapering of the blade in stab wound which is contrary to firearm missile entry and exit wounds.
  • The doctor conducting the postmortem examination must keep in mind that the shape and size of the wound suggests the width and type of weapon whether it is single edged or otherwise, the depth of the wound will indicate the length of weapon, the directions and dimensions of the wound indicate the relative position of the assailant and the victim, and the position, direction and number of wound may indicate manner of production, i.e., suicide, accident or homicide.
  • The doctor must preserve a broken fragment of weapon, if found, for the police. It may help to identify the weapon or connect the accused person with the crime.
 
ijcpgroup
Docconnect
Docconnect
 
    Legal Question of the Day

(Dr. MC Gupta)

Is it proper for a state IMA to exhort all members in the state to get registered with the state medical council (SMC)?

Ans. No. It is highly improper.

  • Recently, IMA Punjab has sent this appeal to the members: "All the IMA members are requested to get themselves registered with PMC before 31st May 2011 to avoid any embarrassment later on. Otherwise also it is legally needed & is our moral duty to respect our institutions."
  • The above appeal has the following improprieties:
    • There is no embarrassment involved if a doctor does not get registered before a particular date or even if he does not register at all.
    • It is not legally needed. If a doctor is already registered with another SMC, he can practice medicine anywhere in India by virtue of such registration. The legal position is as follows:
      • As per the SMC (state medical council) Acts of most states, it is a requirement that every doctor in the state must be registered with the SMC. This is true of the SMC in Delhi and Punjab also. In Punjab, this requirement has been added through an amendment a few months ago.
      • Such requirement is directly in contradiction/violation of section 27 read with section 21 of the IMC Act, 1956.
      • As per my knowledge, no punishment has been prescribed or given or held valid in respect of any doctor on the ground that he, already having his name on the IMR, does not have his name on the SMR.
      • Multiple registration exposes doctors to multiple disadvantages and NOT a single advantage. One of the disadvantages is that by multiple membership, they submit themselves to multiple jurisdiction.
      • The views of the MCI Ethics Committee meeting dated 2–9–2004 in this regard are as follows:
      • "Q. No. (i) Whether a medical practitioner can be allowed to seek and obtain registration with more than one State Medical Council?

        Ans. As such there is no necessity of Registration in more than one State Medical Council because any Doctor, who has registered with any State Medical Council is automatically registered in the Indian Medical Register and also by virtue of Section 27 of the IMC Act, 1956, a person, whose name is included in the IMR, can practice anywhere in India.
         
      • Q. No. (ii) If the answer of the above mentioned question is in the negative, then how to create a prohibition that no medical practitioner should be allowed to seek and obtain registration with more than one State Medical Council?

        Ans. As the answer of the above mentioned Q. No. 1 is in the negative, hence the prohibition is required stating that no medical practitioner should be allowed to seek and obtain registration with more than one State Medical Council. This may be done by doing necessary amendment of the IMC Act, 1956 or by amendment of MCI Regulations of 2002."
        http://www.mciindia.org/meetings/Ethics/2004/Ethical%20Minutes%2002.09.04.pdf
      • A doctor who does not get additionally registered in a state commits no illegality and hence there is no way any SMC can take action against him. If any SMC issues a notice to any doctor for such non–registration, I shall be glad to draft a reply to such notice without charging any fee.
      • If any government or private authority in a state imposes an essential eligibility requirement that he must be additionally registered with the SMC when applying for a job or admission to a course of study etc., such requirement would be clearly illegal and challengeable in a court and doctors should file a writ petition in the High Court against such illegality, I shall be glad to draft such a writ petition at concessional fee.
      • As a matter of fact, the state IMA should tell the members not to commit an illegality and if the SMC takes any action against any member in this regard, it is the duty of the state IMA to defend him in every way. It is the duty of the state IMA to spread legal awareness and not to ask members to perform illegality under coercion.
      • It is, of course, alright if a doctor settled in Punjab but registered with another SMC voluntarily wants to get registered with the PMC. Such a doctor, in his own interest, should get his membership of the previous SMC cancelled.
    • No morals are involved here. Getting registered with a medical council or not is NOT a question of morals.
    • There is no question of respect or disrespect towards an institution. Not getting registered with an institution does not mean disrespect to it.
  • I hope all state IMAs would appreciate the above facts and would discharge their duty to spread legal awareness amongst their members and would not scare them unnecessarily.
  • I hereby request the national IMA, to whom a copy is being sent, would do the following:
    • Advise the state IMAs accordingly;
    • Write to the MCI, requesting it to advise the SMCs accordingly.
 
  Twitter of the Day

@DrKKAggarwal: No safe duration of NSAIDS There is no "safe" duration for NSAID use in patients with a history of myocardial infarction

@DeepakChopra:God gave humans the truth and the devil said "Lets organize it and call it religion

 
    Obesity Update

Dr. Parveen Bhatia and Dr. Pulkit Nandwani

Obesity in Pregnancy – National Health Service Guidelines

Maternal obesity is associated with a significant risk of thromboembolism during both the antenatal and postnatal period.

Women with a booking BMI >30 should be assessed at their first antenatal visit and throughout pregnancy for the risk of thromboembolism. Antenatal and post delivery thromboprophylaxis should be considered.

The RCOG Clinical Guideline advises that:

  • A woman with a BMI >30 who also has ≥ 2 additional risk factors for thromboembolism should be considered for prophylactic low molecular weight heparin (LMWH) antenatally. This should begin as early in pregnancy as practical.
  • All women receiving LMWH antenatally should usually continue prophylactic doses of LMWH until 6 weeks postpartum, but a postnatal risk assessment should be made.

Women with a booking BMI >30 requiring pharmacological thromboprophylaxis should be prescribed doses appropriate for maternal weight.

The RCOG Clinical Guideline gives the following weight–specific dosage advice: Weight (kg) Dose

  • 91–130 kg: 60 mg Enoxaparin; 7500 units Dalteparin; 7000 units Tinzaparin daily
  • 131–170 kg: 80 mg Enoxaparin; 10000 units Dalteparin; 9000 units Tinzaparin daily
  • >170 kg: 0.6 mg/kg/day Enoxaparin; 75 units/kg/day Dalteparin; 75 units/kg/day Tinzaparin

Women with a BMI >30 should be encouraged to mobilize as early as practicable following childbirth to reduce the risk of thromboembolism.

 
    Mind Teaser

Read this…………………

Which of the following is not true about Pneumatosis intestinalis of small intestine?

a. It is seen equally in males and females.
b. The most common location is subserosa in the jejunum.
c. Operative procedures are required in most of the cases.
d. It is associated with COPD and immunodeficiency states.

Yesterday’s Mind Teaser: Which is the most serious complication of the supracondylar fracture of the humerus?

a. A compartment syndrome of forearm
b. Failure to heal
c. Healing in a non anatomic position
d. Injury to the median nerve
e. Permanent restriction of the elbow motion

Answer for Yesterday’s Mind Teaser: a.

Correct answers received from: Dr KV Sarma, Dr BB Aggarwal, Dr Vijay Kansal, Dr Jayant Navarange, Dr Anil Bairaria, Dr U Gaur.

Answer for 12th May Mind Teaser: The letter N
Correct answers received from: Dr BB Aggarwal, Dr Anupam Sethi Malhotra, Dr Manjesha, Dr Chandresh Jardosh, Dr Prabha Sanghi.

Send your answer to ijcp12@gmail.com

 
    Laugh a While

(Dr. GM Singh)

Looking down at the defendant

Looking down at the defendant, the judge said, "Mr. Riley, I’ve decided to give you a suspended sentence." Tears pouring from his eyes, Riley cried, "Oh, thank you, Your Honor!"

"Don’t thank me," the judge replied. "I’m sentencing you to be hanged."

 
    Lab Update

(Dr Arpan Gandhi and Dr Navin Dang)

Iron deficiency anemia

Iron deficiency anemia is the most common cause of anemia. Tests include:

  • Complete blood count (CBC) with a detailed blood smear report
  • Serum iron
  • Serum ferritin
  • Total iron–binding capacity (TIBC)
  • Serum transferrin
  • Fecal occult blood test
 
    Medi Finance Update

(Dr GM Singh)

  • Keep a reasonable amount of liquid cash to meet your expenses. Always look at your savings account whether any surplus money is lying and learn to invest it.
  • Every individual within high income bracket should have a key man insurance policy, as it is a good investment in the long run.
  • Profit on paper has no value unless it is easily available.
 
    Drug Update

List of Approved Drug From 01.01.2010 TO 31.8.2010

Drug Name

Indication

DCI Approval Date

Doripenem 500 mg powder for injection (Additional Indication)

Complicated intra–abdominal infections and complicated urinary tract infections, including complicated and uncomplicated pyelonephritis and cases with concurrent bacteremia

10/08/10

 
    IMSA Update

International Medical Science Academy (IMSA) Update

Knee osteoarthritis and serum vitamin D levels

Results of a study indicate a significant association between serum 25–OHD deficiency and knee OA in patients aged <60 years and suggest serum 25–OHD measurement in any patient with symptoms suggestive of knee OA particularly at the initial stage of disease.

 
  Thought of the Day

(BK Sapna)

Life is a school, in which we learn and grow. The tests in life aren’t there to shake us but to make us.

Problems are simply part of the curriculum that appear and fade away like algebra class … but the lessons we learn will last a lifetime.

 
    Readers Response
  1. Dear Dr KK Aggarwal, The 10 Simple health tips reprinted from Harvard News Letter is good to read – Hope we take at least few tips from that for our every day life! So also Today’s Shri Hanuman Chalisa’s original and the spiritual meaning. I am happy to see the readership increasing –– I read some excerpts from eMedinewS in QMPA News letter –– The Editor has also given a write up at the end saying good things about it. Please keep up the good work. Regards Dr L V K Moorthy
 
    Public Forum

(Press Release for use by the newspapers)

"Whole" not part of food is better for the heart

Eating plenty of whole grains can help keep the arteries healthy, potentially warding off heart disease and stroke, said Padma Shri & Dr. B.C. Roy National Awardee Dr K K Aggarwal and President, Heart Care Foundation of India.

In a diverse group of men and women participating in the Insulin Resistance Atherosclerosis Study, those with diets containing the largest amounts of whole grains had the thinnest carotid artery walls and also showed the slowest progression in artery wall thickness over a 5–year period.

Another study published in the American Journal of Clinical Nutrition also showed that an increased consumption of whole grains represents a wholesome and palatable opportunity to reduce the risk of atherosclerosis and heart disease.

Thickening of the lining of the carotid arteries, which deliver blood to the brain, signals atherosclerosis and is linked to a lower risk of type 2 diabetes and heart disease.

The higher a person’s whole grain intake, the thinner his or her intima media thickness, was the result of the study.

"The whole is greater than the sum of the parts", said Dr. K K Aggarwal

One should add a serving of whole grain –– for example, a slice of whole–wheat bread or a cup of whole–grain cereal –– to every meal.

 
    eMedinewS Special

1. eMedinewS audio PPT (This may take a few minutes to download)

2. eMedinewS audio lectures (This may take a few minutes to open)

3. 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

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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    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 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