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

  Editorial …

15th March, 2011, Tuesday                                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

Corruption in the current era

The rise in corruption in our country has often been linked to the era of Kalyuga. But, remember, it is people in the society who constitute a ‘Yuga’. Srimad Bhagwad Gita describes four Yugas depending upon the nature of the collective consciousness of the people. It describes four pillars of Dharma and they are Truthfulness, Hard work (Tapas), Purity of mind and Daya and Daan. When all the four characteristics are present in a person, he is a Satyugi. If the other three characteristics are present but truthfulness is absent, he is a Tretayugi and when truthfulness and purity of mind are absent, he is a Dwaparyugi and when only Daya and Daan are present, he is a Kalyugi.

Even in the times of Satyuga during Ramayan, there were Kalyugi like Ravana and his army. There were Kalyugi like Kans and his army in Dwapar yuga also. It is true that we are going through a phase of Kalyuga but that does not mean that Satyugi are not present.

The medical profession has always been regarded as a noble profession and it is presumed that all doctors are Satyugi. When treating a patient, they have to treat a patient with honesty, hard work, purity of mind, compassion and charity.

But, of late, the medical profession has been blamed of being an equally corrupt profession as any other profession in the society.

Chanakya wrote in Chanakya Neeti that any money earned out of unethical means cannot last more than 10 years. Corruption in any field cannot last when it reaches its peak it has to be exposed and some corrective measures taken by the nature.

We are witnessing a downward trend in the medical profession with increasing cut system, appointment of agents for procuring business and unnecessary billing.

I remember reading an article on ‘Ambulance Chasing’ when I was in the US in 1987. It was a concept the way lawyers acted in US. Ambulance Chasing meant that whenever a lawyer heard the siren of an ambulance, he chased that ambulance to be the first one to talk to the family of the patient to enquire whether they would like to sue the hospital or not after the treatment.
Today, the phrase ‘Ambulance Chasing’ has a different meaning, especially, in cities in India. Here ambulance chasing means that whenever there is an emergency in the locality, all the general practitioners start competing with each other to call for the ambulance and to make arrangements in a particular hospital for admission. The inside story is that all major corporate hospitals today have marketing executives who are approaching practically every general practitioner and offering them 6% to 25% of the total bill for admitting any patient in their hospital.

There was a time when reputation of a doctor in the hospital was decided by his experience, honesty, integrity, treatment provided and the cure rate. Today, a good doctor in corporate hospital is of repute only if he provides a large business to the hospital. Procuring business may mean using every possible means, ethical or unethical, such as getting marketing executives, passing on commissions etc.

A large sums of money could be exchanging hands between doctors and corporate for referring a patient to a particular hospital.

Doctors were honest and even today majority of them are still honest. But if doctors are repeatedly lured with heavy commissions, it is likely some day some might give in. Up till now, only pharmaceutical companies were luring the doctors for writing their drugs in prescriptions, but now corporate hospitals and diagnostic centers are likewise luring a doctor for referring a patient to their respective centers.

The Medical Tourism boom in India has become another source of high profile money splitting.
Today, all international agents are taking up to 30% of the treatment fee and up to 70% of the fees for diagnostic procedures.

Corporates need to make money. When they have to pass on such a heavy amount of commissions, it is likely that the hospital will try to compensate their loss by way of negotiating for lesser known brands of drugs and devices, inferior hospital stay and billing for multiple surgeries. For example, a single gynecological surgery may be billed as hysterectomy, oophorectomy, vaginal repair, omental repair separately when in fact there has been only one surgery "total hysterectomy".

Given a choice, I would not disclose at the time of admission that I am insured and eligible for cashless Mediclaim. If I disclose at the time of admission that I am insured for Rs. 2 lakhs, it is likely that the hospital will go on investigating me till the bill adds up to Rs. 2 lakhs bill and/or they will undercut my treatment standard so that my Rs. 3 lakh bill can be adjusted within Rs. 2 lakhs even if it amounts to using lesser known brands of devices, drugs or other facilities.

It is time for us medical professionals to rise up to the occasion and become a Satyugi and make medical profession different from other professions so that it is the only Satyugi profession in the society.

Dr KK Aggarwal
Editor–in–Chief
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  eMedinewS Audio PostCard

  Treating Diabetes Post 2010

Dr Ambrish Mithal speaks on
Vildagliptin monotherapy: early & sustained effect

Audio PostCard
    Photo Feature from the HCFI

Medifinance Conference

A Medifinance conference was organized by eMedinewS in association with Heart Care Foundation of India at TB Association, Lodhi Road on 13th March 2011 where the focus of discussion were Portfolio management for doctors and the Budget for the year 2011.
In the photo: Experts on the dais

 
Dr K K Aggarwal
    National News

Certificate courses in 2D and 3D Echocardiography/Fellowship Diploma in non invasive cardiology: Contact Dr KK Aggarwal, Moolchand Medcity, email: emedinews@gmail.com

Centre to screen school children for diabetes

NEW DELHI: Concerned over the reports of increasing number of diabetes among children, the Centre has decided to screen all school–going students. Union Minister for Health and Family Welfare Ghulam Nabi Azad said that his ministry would like to start a pilot project and complete it in another six months. "For pilot project, we have chosen six districts. We would like to screen all school–going students. I think within six months, we will come to know the profile of the children with regard to prevalence of diabetes among the children, and within one year we will come to know the profile of the entire country, about the pregnant women of all age groups, and men and women above the age of 30 years," Azad told the Lok Sabha during question hour. Azad said that government has approved a scheme for screening of general public above the age of 30, and pregnant women of all age groups for diabetes. "We will be screening about 15 crore people in one year. In the twelfth five–year plan, we would like to screen the people in the entire country," he added. Azad said that unhealthy diet, physical inactivity, obesity and genetic pre–disposition are the main factors causing lifestyle diseases including diabetes. He made it clear that there is no proposal to launch any health insurance scheme for school children. (Source: The Indian Express, 12 Mar 2011)

    International News

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

National dietary guidelines updated

After a lengthy process, the U.S. Department of Agriculture (USDA) and the U.S. Department of Health and Human Services released the Dietary Guidelines for Americans, 2010 on January 31, 2011. Developed every 5 years, the Dietary Guidelines have the goal of moving Americans toward a more healthful diet. The update incorporates existing scientific research on food, nutrition and health to prevent disease and battle obesity. It is arguably the most important piece of federal nutrition policy, as it shapes government programs such as school breakfast and lunch menus, as well as consumer education messages like MyPyramid.

Here’s what has not changed: Americans don’t eat enough fruit, vegetables and seafood, and they eat too much sodium, solid fats, refined grains and added sugars. Significant additions to the 2010 version include guidance on how all the recommendations can be applied within an overall healthy eating pattern, plus broader environmental strategies that different sectors can put into action. A major theme throughout the report focuses on children. Taken as a whole, the Dietary Guidelines have two overarching messages: (1) balance calories to manage weight; and (2) consume nutrient–dense foods and beverages.

The 2010 update places a stronger emphasis on reducing consumption of particular foods and food components. Here is a brief summary of highlights that stand out from the previous recommendations:

  • Reduce sodium to less than 2,300 milligrams (mg) per day, with an even further reduction to 1,500 mg per day for about half the population, including African Americans, all adults 51 and older, and those with hypertension,diabetes or chronic kidney disease.
  • Consume less saturated fat by replacing it with unsaturated fats. Avoiding trans fat remains a key recommendation.
  • Reduce intake of solid fats and added sugars.
  • Limit intake of refined grains, especially those with added sugar, fat and sodium.

The new guidelines also recommend increasing consumption of certain foods and nutrients:

  • Shift to a more plant–based diet. USDA food patterns, the DASH diet and Mediterranean–style eating are promoted.
  • Increase consumption of seafood by choosing it in place of meat and poultry.
  • Choose more foods that are rich in potassium, fiber, calcium and vitamin D––all nutrients of concern in American diets.

"Everyone has a role in the movement to make America healthy," says the report, which emphasizes a coordinated, systematic approach to address our nation’s diet–related health problems. One chapter offers a number of strategies that can help create opportunities for all Americans to make healthier choices, including

  • Creating local, state and national plans to achieve the Dietary Guidelines’ goals;
  • Increasing access to fresh produce and safe places to play;
  • Developing and expanding sustainable agriculture and aquaculture practices;
  • Improving nutrition literacy, gardening and cooking skills;
  • Increasing health, nutrition and physical education in schools;
  • Partnering with the food industry to create and offer healthier foods, in smaller portions; and
  • Implementing the National Physical Activity Plan.

Despite such guidance, there are still major barriers that make it difficult for all Americans to eat well and maintain a healthy weight. The 2010 Dietary Guidelines go beyond individual behavior change and integrate the evidence into a Call to Action with the potential to address political and social factors that shape America’s food environment.

(Dr Monica and Brahm Vasudev)

Hypertension drug may not benefit patients with atrial fibrillation

Hypertension drug Avapro (irbesartan) failed to prevent complications such as heart attacks or lower death rates when given to people with erratic heart rhythms in a trial. The findings, published in the New England Journal of Medicine, show reducing blood pressure levels in people with atrial fibrillation doesn't lead to fewer cardiovascular complications.

Stroke survivors may recover more quickly if family members are involved in their exercise therapy

Stroke survivors recover their physical abilities more quickly if family members are involved in their exercise therapy, according to a study published in the journal Stroke: Journal of the American Heart Association.

ESA therapy may increase risk for ovarian cancer recurrence, mortality

Cancer recurrence and death occurred significantly more often in ovarian cancer patients treated with erythropoietin–stimulating agents (ESAs), according to findings presented at the Society of Gynecologic Oncology meeting.

Long–acting insulin may benefit some patients with type 2 diabetes

People with diabetes were able to get injections of a new insulin drug called degludec just three times a week without major ill effects, according to a study published online March 10 in The Lancet.

    IJCP Special

Dr Good Dr Bad

Situation: A re–sterilized defibrillator was re–implanted in a patient.
Dr Bad: This is unethical.
Dr Good: With consent its ok.
Lesson: Defibrillators that still have significant battery life can be successfully removed from patients who no longer need them and re–implanted in other patients. A total of 21 implantable cardioverter defibrillators (ICDs) and 19 cardiac resynchronization therapy defibrillators (CRT–Ds) were removed from U.S. patients and re–implanted in Indian patients, resulting in a 35% successful shock rate and no instances of infectious complication (Pavru BB, et al. Preliminary experience regarding re–use of explanted, resterilized defibrilators Abstract 18350 presented at the American Heart Association Meeting 2010)

Make Sure

Situation: A patient with ejection fraction of 20% dies a sudden cardiac death.
Reaction: Oh my God! Why was ICD not put?
Lesson: Make sure all patients with ejection fraction less than 35% are put on ICD unless contraindicated.

    An Inspirational Story

(Contributed by Dr Dolly Aggarwal)

This is an unbelievable twist of fate!!!

At the 1994 annual awards dinner given for Forensic Science, (AAFS) President Dr. Don Harper Mills astounded his audience with the legal complications of a bizarre death. Here is the story:

On March 23, 1994 the medical examiner viewed the body of Ronald Opus and concluded that he died from a shotgun wound to the head. Mr. Opus had jumped from the top of a 10–story building intending to commit suicide. He left a note to the effect indicating his despondency. As he fell past the ninth floor, his life was interrupted by a shotgun blast passing through a window, which killed him instantly. Neither the shooter nor the deceased was aware that a safety net had been installed just below the eighth floor level to protect some building workers and that Ronald Opus would not have been able to complete his suicide the way he had planned. The room on the ninth floor, where the shotgun blast emanated, was occupied by an elderly man and his wife. They were arguing vigorously and he was threatening her with a shotgun! The man was so upset that when he pulled the trigger, he completely missed his wife and the pellets went through the window, striking Mr. Opus.

When one intends to kill subject ‘A’ but kills subject ‘B’ in the attempt, one is guilty of the murder of subject ‘B.’

When confronted with the murder charge, the old man and his wife were both adamant, and both said that they thought the shotgun was not loaded. The old man said it was a long–standing habit to threaten his wife with the unloaded shotgun. He had no intention to murder her. Therefore, the killing of Mr. Opus appeared to be an accident; that is, assuming the gun had been accidentally loaded.

The continuing investigation turned up a witness who saw the old couple’s son loading the shotgun about 6 weeks prior to the fatal accident. It transpired that the old lady had cut off her son’s financial support and the son, knowing the propensity of his father to use the shotgun threateningly, loaded the gun with the expectation that his father would shoot his mother. Since the loader of the gun was aware of this, he was guilty of the murder even though he didn’t actually pull the trigger. The case now becomes one of murder on the part of the son for the death of Ronald Opus.

Now for the exquisite twist… Further investigation revealed that the son was, in fact, Ronald Opus. He had become increasingly despondent over the failure of his attempt to engineer his mother’s murder. This led him to jump off the 10 story building on March 23rd, only to be killed by a shotgun blast passing through the ninth story window.

The son, Ronald Opus, had actually murdered himself. So the medical examiner closed the case as a suicide.

A true story from Associated Press.

————————————

    Infertility Update

(Dr. Kaberi Banerjee, Director Precious Baby Foundation, banerjee.kaberi@gmail.com)

What causes infertility in women?

The most common female infertility factor is an ovulation disorder. Other causes of female infertility include blocked fallopian tubes, which can occur when a woman has had pelvic inflammatory disease or endometriosis. Congenital anomalies (birth defects) involving the structure of the uterus and uterine fibroids are associated with repeated miscarriages. Aging is also an important factor in female infertility. The ability for ovaries to produce eggs declines with age, especially after age 35.

    Medicine Update

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

Which is the glycogen storage disease (GSD) that develops early?

Ans: Type IV GSD can present with severe manifestations even in the neonatal period.

    Medicolegal Update

(Dr Sudhir Gupta, Asso Professor, Forensic Medicine & Toxicology, AIIMS)

What is psychosomatic delusion?

Delusions, without any doubt, reflect a mental abnormality.

  • A person with psychosomatic delusions believes that there is some pathology or abnormality with some part or system or organ of his body, though in reality he is physically healthy.
  • This may ultimately lead to delusions of persecution. In extreme cases, some of these persons may commit suicide.
  • In nihilistic delusions, a sufferer does not believe in the existence of earthly matters or happenings. He even may not believe in his own existence. Such persons suffer from an extreme negative attitude about everything. These subjects may be the victims of accidents and they may even commit suicide.
  • If because of such delusions, he thinks that another person is out to cheat him and on such a false belief if he kills that person then he will be responsible for the killing. This is at par with the provision of the law and natural justice; because law provides that a man reserves the right to protect his own life.
    Legal Question of the Day

(Dr M C Gupta, Advocate)

Q. A patient is advised surgery and asked to deposit a sum of money as advance and then get admitted. He does so. Before surgery, risks are explained for seeking informed consent but, in view of the risks, the patient does not give consent. He is discharged from hospital. Should the expenses incurred for his hospitalization be deducted from the advance to be refunded to him?

Ans. The question of any deduction does not arise. It was the fault of the hospital that he was not told about the risks and yet he was admitted for surgery, making him incur inconvenience, expenses, loss of daily income and stress in general. The hospital should evolve a mechanism as follows:

  • Risks etc. of the contemplated surgery should be documentally explained before admission.
  • Pre–operative consent should be taken before surgery.
  • The hospital may deduct expenses incurred by the patient if he changes mind afterward. However, since such cases would be rare, it would be better for the hospital not to deduct any expenses even in such cases if the case appears to be genuine.
    Obesity Update

Dr. Parveen Bhatia and Dr. Pulkit Nandwani

Infants of overweight mothers

Neonatal parameters

Neonatal skinfold thickness is also higher in infants born to obese mothers, suggesting that the excess weight in the newborn is due to a larger fat mass. Macrosomia increases the risk for shoulder dystocia, birth injury, depression of Apgar scores, and perinatal death.

High gestational weight gain enhances the risk of delivering large–for–gestational–age infants in overweight women. Gestational diabetes also affects fetal growth.

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    Lighter Side of Reading

Mind Teaser

Read this…………………

Y Y guy guy

Yesterday’s Mind Teaser: GR 12" AVE

Answer for yesterday’s Mind Teaser: one foot in grave

Correct answers received from: Dr Anjani, Dr Riyazul Qamar Khan, Dr K.Raju, Dr Chandresh Jardosh, Dr Muthumperumal Thirumalpillai, Dr Rajiv Dhir, Dr Sudipto Samaddar, Dr Anil Bairaria

Answer for 12th March Mind Teaser: It’s an acronym – Time And Relative Dimensions In Space.
Correct answers received from: Dr Uma Shrivastav

Send your answer to ijcp12@gmail.com

————————————

Laugh a While
(Contributed by Dr G M Singh)

Broken window

There was a knock at the door. It was a small boy, about six years old. Something of his had found its way into my garage, he said, and he wanted it back. Upon opening the garage door, I noticed two additions: a baseball and a broken window sporting a baseball–sized hole. "How do you suppose this ball got in here?" I asked the boy.

Taking one look at the ball, one look at the window, and one look at me, the boy exclaimed, "Wow! I must have thrown it right through that hole!"

………………………………

    Useful Website

(Dr Surendernikhil Gupta)

KidSurvival

Polio In India

http://www.childsurvival.net/?content=com_articles&artid=361

    Lab Update

(Dr Arpan Gandhi and Dr Navin Dang)

Thyroid stimulating hormone (TSH)

TSH is produced by the pituitary gland. It stimulates the production and release of T4 and T3 by the thyroid gland. TSH testing helps to

  • Diagnose a thyroid disorder in a person with symptoms
  • Screen newborns for an underactive thyroid
  • Monitor thyroid replacement therapy in people with hypothyroidism
  • Diagnose and monitor female infertility problems
  • Help evaluate the function of the pituitary gland
  • Screen adults for thyroid disorders
    Medi Finance Update

BDO Budget Snapshot 2011–12
(Saurabh Aggarwal)

Service Tax

Proposed Indirect Tax Amendments In Brief

  • Point of Service Tax Rules, 2011 introduced to determine the point of time when the services shall be deemed to be provided to determine rate of Service Tax
  • Individual and sole proprietors provided relief from Service Tax audit by Department subject to having turnover less than INR60 lakhs
  • Penal provisions rationalized to encourage voluntary compliance

CenVat/Central Excise

  • Reference for Retail Sales Price (RSP) valuation changed to Legal Metrology Act, 2009
  • Penalty provisions revamped & waiver of show cause notice and conclusion of proceedings would be available if the duty along–with interest and specified penalty is paid before the issue of SCN
  • Central Excise duty rate maintained at 10%
  • Exemptions in Central Excise duty rate structure reduced
  • Lower rate of Central Excise duty enhanced from 4% to 5%
  • Optional levy on branded garments or made up proposed to be converted into a mandatory levy at unified rate of 10%
  • Reference for Retail Sales Price (RSP) valuation changed to Legal Metrology Act, 2009
  • Penalty provisions revamped and waiver of show cause notice and conclusion of proceedings would be available if the duty along–with interest and specified penalty is paid before the issue of SCN
  • Central Excise duty rare maintained at 10%
  • Exemptions in Central Excise duty rate structure reduced
  • Lower rate of Central Excise duty enhanced from 4% to 5%
  • Optional levy on branded garments or made up proposed to be converted into a mandatory levy at unified rate of 10%
    Drug Update

LIST of approved drug from 01.01.2010 to 31.8.2010

Drug Name
Indication
DCI Approval Date
Methylcobalamin 1500 mcg +Pyridoxine 100 mg +Nicotinamide 100mg injection
For the treatment of diabetic neuropathy in adults
23/06/2010
    IMSA Update

International Medical Science Academy (IMSA) Update

Children with mild–moderate asthma

A meta–analysis of randomized trials found that children with mild to moderate persistent asthma who were treated with inhaled glucocorticoids had better pulmonary function and asthma control than those treated with montelukast.

  Thought of the Day

(Dr GM Singh)

Things may come to those who wait, but only the things left by those who hustle. Abraham Lincoln

    Readers Responses

Empty soap box story is simply great and teaches us a lot. In our day to day medical practice we dont think of simpler solution always think and talk rare diseases and rare investigation if we stick to basics and make thing simple we find solutions faster. Vivek kumar, Varanasi

    Public Forum

(Press Release for use by the newspapers)

FDA warns against chronic use of Metoclopramide containing drugs to treat gastrointestinal disorders

The U.S. FDA has announced that manufacturers of metoclopramide, a drug used to treat gastrointestinal disorders, must add a boxed warning to their drug labels about the risk of its long–term or high–dose use.

Chronic use of metoclopramide has been linked to tardive dyskinesia, which may include involuntary and repetitive movements of the body, even after the drugs are no longer taken, said Dr. KK Aggarwal, Padma Shri and Dr. B.C. Roy National Awardee and President, Heart Care Foundation of India.

The chronic use of metoclopramide therapy should be avoided in all but rare cases where the benefit is believed to outweigh the risk.

Those at greatest risk include the elderly, especially older women, and people who have been on the drug for a long time.

Tardive dyskinesia is characterized by involuntary, repetitive movements of the extremities, or lip smacking, grimacing, tongue protrusion, rapid eye movements or blinking, puckering and pursing of the lips, or impaired movement of the fingers. These symptoms are rarely reversible and there is no known treatment. However, in some patients, symptoms may lessen or resolve after metoclopramide treatment is stopped.

Metoclopramide works by speeding up the movement of the stomach muscles, thus increasing the rate at which the stomach empties into the intestines. It is used as a short–term treatment of gastroesophageal reflux disease in patients who have not responded to other therapies, and to treat diabetic gastroparesis (slowed emptying of the stomach’s contents into the intestines). It is recommended that treatment not exceed three months.

Metoclopramide is available in a variety of formulations including tablets, syrups and injections.

Metoclopramide is the most common cause of drug–induced movement disorders. Over 20 percent of patients who use metoclopramide take it for longer than three months.

    eMedinewS Special

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

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

    Situation Vacant

Vacancy for a post of Senior Resident in Pediatric ICU at Medanta – The Medicity Hospital, Sector –38, Gurgaon.
Interested candidates may please contact: drneelam@yahoo.com/9811043475.

*Eligibility: Post MD/DNB/DCH

    Forthcoming Events

eMedinewS Events: Register at emedinews@gmail.com

CME on Pediatric Hepatology – 2011

In Association with Gastroenterology Chapter of IAP

Date: March 26–27, 2011; Venue: 2nd Floor, Auditorium, Medanta – The Medicity, Sector 38, Delhi NCR, Gurgaon – 122001, Haryana Organizing Chairperson Dr Neelam Mohan, Director, Department of Pediatric Gastroenterology, Hepatology and Liver Transplantation, Medanta – The Medicity

No registration fee. Prior registration is must

For More information please contact:
Dr Sakshi Karkra – 09971018789
Dr Avinal Kalra – 09717840850
Dr Mahinder S Dhaliwal – 09999669415
Ms Karuna – 09899996682

For detailed scientific program, click

World Fellowships of Religions and Perfect Health Parade

First ever Conference which will talk about science behind all Religions, Dharmas and Pathies under one roof
Subject: Global Warming, Ethnic Crises, How to be Healthy
Date: Sunday 3rd April, 2011;Venue: Maulana Azad Medical College Auditorium, New Delhi;Time: 8 AM – 4 PM

Parade through tableaus to be flagged off at 10 am from outside MAMC to move till 5 pm on different predefined routes in Delhi to create awareness about health matters.

Parade Route: Vikas Marg – Shahdara – Seemapuri – Guru Tegh Bhadur Hospital – Seelampur Pusta – Gandhinagar, to ISBT Kashmiri Gate – Civil Lines – Delhi University North Campus – Azadpur – Punjabi Bagh – Mayapuri – Raja Garden – Janakpuri – Tilak Nagar – Tihar Jail Road – Delhi Cantt. – R.K Puram – Munirka – IIT Gate – Panchsheel Park – Chirag Delhi Flyover – Nehru Place – Modi Mill Flyover – Ashram – Nizamuddin – Sunder Nagar – Pragati Maidan – ITO – finally culminate at Maulana Azad Medical College at 4pm.

Full day conference on ethnic crisis and global warming. Pre lunch session to be addressed by religious representatives who would talk on what each religion has to say. Post lunch to be addressed by doctors from all streams of medicinal practice (allopathy, ISM)
Register: rekhapapola@gmail.com

National Seminar On Stress Prevention (7th–8th May 2011).

A Stress Prevention Residential Seminar cum spiritual retreat with Dr KK Aggarwal and Experts from Brahma Kumaris will be organized from May 7–8, 2011.

Co–organizers: eMedinews, Brahma Kumaris, Heart Care Foundation of India, IMA New Delhi Branch and IMA Janak Puri Branch, IMSA (Delhi Chapter)

Venue: Om Shanti Retreat Centre, National Highway 8, Bilaspur Chowk, Pataudi Road, Near Manesar.

Timings: On Saturday 7th May (2 pm onwards) and Sunday 8th May (7 am–4 pm). There will be no registration charges, limited rooms, kindly book in advance; stay and food (satvik) will be provided. Voluntary contributions welcome. For booking e–mail and SMS to Dr KK Aggarwal: 9899974439, emedinews@gmail.com, rekhapapola@gmail.com; BK Sapna: 9811796962, bksapna@hotmail.com

XVIth World Congress on Cardiology, Echocardiography & Allied Imaging Techniques

Date: September 30 – October 02, 2011; Venue: The Leela Kempinski, Delhi (NCR) September 29, 2011: A unique & highly educative Pre–Conference CME

International & national icons in the field of cardiology & echocardiography will form the teaching faculty.
Confirmed 55 international faculties.

Highlights of Congress

  • Plenary sessions on clinical & interventional cardiology, echocardiography
  • Interesting debates
  • State–of–the–art lectures
  • Clinical case discussion
  • Multiple sessions on interesting case studies
  • Orations
  • Case study competition, oral and poster presentation sessions
  • Aim is to provide an excellent teaching material of practical importance to help in clinical decision making, with an in–depth discussion on various topics

For further details contact any of the following:

Dr (Col ) S.K. Parashar, President, e–mail: drparashar@yahoo.com, Mob: 09810146231
Dr Rakesh Gupta, Secretary General, email:jrop2001@yahoo.com, Mob: 09811013246
Conference Manager, Kyoni Destination, Management India, e–mail: worldcon2011@in.kyoni.com
Avail early bird registration.
For more information visit congress website: www.worldcon2011.org

ICC Cricket World Cup 2011

http://www.cricbuzz.com/cricket–schedule/series/228/icc–world–cup–2011

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