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

 

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 …

15th October 2011, Saturday

NIH-funded study shows increased prostate cancer risk from
vitamin E supplements

Men who took 400 international units (IU) of vitamin E daily had more prostate cancers compared to men who took a placebo, according to an updated review of data from the Selenium and Vitamin E Cancer Prevention Trial (SELECT).

Per 1,000 men, there were 76 prostate cancers in men who took only vitamin E supplements, vs 65 in men on placebo over a seven-year period, or 11 more cases of prostate cancer per 1,000 men. This represents a 17 percent increase in prostate cancers relative to those who took a placebo. This difference was statistically significant.

The results of this update appeared Oct. 12, 2011 in the Journal of the American Medical Association.

Based on these results and the results of large cardiovascular studies using vitamin E, there is no reason for men in the general population to take the dose of vitamin E used in SELECT as the supplements have shown no benefit and some very real risks.

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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

NIH-funded study shows increased prostate cancer risk from vitamin E supplements

Audio PostCard
 
    Photo Feature (from the HCFI Photo Gallery)

Opening of the 18th MTNL Perfect Health Mela 2011 "Breast cancer is curable if detected early"

Releasing a health message on the opening of the 18th MTNL Perfect Health Mela activities Padmashri & Dr. B.C. Roy National Award, Dr. KK Aggarwal, President, Heart Care Foundation of India and Perfect Health MelaMr. Navjyot Singh Sidhu, Member of Parliament and Former Indian Cricketer released the poster-cum-health messages.

 
Dr K K Aggarwal
 
    National News

National Conference on Insight on Medico Legal Issues – For the First time any conference was posted live on Facebook & Twitter

http://blogs.kkaggarwal.com/?p=1134
http://twitter.com/#!/search/medicolegal
https://www.facebook.com/pages/Insight–on–Medicolegal–Issues/247091668637671

Soon, milk may prevent diabetes

CHENNAI: If the National Institute of Nutrition has its way, you may soon be able to delay or prevent diabetes and hypertension by drinking milk. After fortifying salt and wheat flour with essential nutrients to fight goitre and anaemia, the Hyderabad-based institute is planning to fortify milk with Vitamin D to prevent lifestyle disorders. Fortification is the scientific process through which micronutrients are added to staple food to bridge deficiencies. "We are looking at lowfat milk as an option to fortify Vitamin D, the deficiency of which is growing alarmingly in Indians," said NIN director Dr B Sasikeran. It is an irony that the vitamin, which is formed in the body due to exposure to sunlight, is in short supply in a country that has abundant sunlight. (Source: TOI, Oct 11, 2011)

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

 
    International News

(Dr Monica and Brahm Vasudev)

Epilepsy surgery works long term

Neurosurgery for refractory focal epilepsy leaves half of adults free of seizures for up to 10 years, a prospective study showed. Freedom from disabling seizures was 52% at five years and 47% at 10 years, John S. Duncan, MD, of the Institute of Neurology at University College London, and colleagues found. The strongest predictor of a good long-term outcome was an initial period of freedom from even the simple partial seizures that don't impair consciousness, they reported in the Oct. 15 issue of The Lancet. (Source: Medpage Today)

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FDA Device Panel gives nod to new stent for PAD

An FDA advisory committee has voted 11-0 to endorse the first-ever drug-eluting stent for treatment of symptomatic peripheral arterial disease, agreeing unanimously that the Zilver PTX stent appears safe and effective. The vote came at the end of Thursday's meeting of the FDA's Circulatory System Devices Advisory Committee. The FDA does not have to follow the advice of its advisory committees, but it often does. If approved, the Zilver PTX stent, which was developed by Cook Medical, will be the first drug-eluting stent approved for treatment of peripheral artery disease (PAD), a condition that affects roughly 30 million people annually. (Source: Medpage Today)

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Nail bed problems point to vascular issues in glaucoma

Nail bed vascular abnormalities had a significant association with optic disc hemorrhage and other manifestations of glaucoma, data from a Korean clinical series showed. A majority of 108 patients with glaucoma exhibited nail bed abnormalities by nailfold capillaroscopy, including dilated vessels, loss of capillaries, and nail bed hemorrhage. Disc hemorrhage was associated with an 11-fold increase in the odds of nail bed avascularity and more than an 80-fold increase in the odds of nail bed hemorrhage. The associations were similar among patients with normal-tension glaucoma and those with primary open-angle glaucoma, investigators reported in the October issue of Archives of Ophthalmology. (Source: Medpage Today)

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  Twitter of the Day

@DrKKAggarwal: Lecture, INA Dilli Haat in association with Moolchand Medcity, 7-8 pm,14th Oct. Epilepsy:Dr KK Aggarwal, Dr Sanjay Chaudhury, Dr Vikram Sanghi

@DeepakChopra: Science & God http://youtu.be/WkUV7i0ECYs

 
    Spiritual Update

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

Inseparable Pairs of Vedanta

Luv-Kush, Shubha-Labha, Siddhi-Riddhi are inseparable pairs of Vedanta. They signify that one cannot get one without the help of the other.

In Luv-Kush, Kush is a symbol of purity and Luv symbolize the spiritual love. To achieve love one has to be pure in consciousness. To acquire love and inner happiness in life one may also use Kush (kusha), an herb, in daily life. No traditional Hindu ritual is complete without the use of Kush grasses. Kush is a benevolent Satwik detoxifying grass, a symbol of progress and alertness.

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    An Inspirational Story

(Ms Ritu Sinha)

Learning patience with God

My mother was dying of leukemia. My two older sisters, father and I had shared the last three weeks in the hospital room with her. In two years, she had gone from a strong matriarch to a helpless invalid.

For the last three days, she had been in a semi-conscious state of moaning and lifelessness. She could no longer speak through her dry, swollen lips. Her eyes had the blank void of a moonless midnight. On the night of the third day, I knew what I must do. I must cease being the selfish, clinging son. I sped purposefully to the chapel. There I gave God permission to take my mother. I could no longer stand to see her suffer, so I prayed for the permanent healing that only death can bring.

I returned to the room with a peaceful heart for I knew by the next morning my mother would also be at peace. I had the best night's sleep in weeks. The next morning, as the sun broke through the window, I awoke. My first thoughts were, "It's over". But then a noise, a stirring directed my attention from the window to the bed. A small movement made me realize that my mother was still alive. It was all I could do to keep from screaming aloud, "God, how can you do this to me? I became a selfless son, and gave you permission to end this, and you still kept her in her misery." But before I could have exclaimed this, I was shocked to see that there was more than just a movement.

My mother rolled onto her side, and looked into the glare of the newly risen sun. Then, as the sun made sparkling starbursts in her eyes, she licked her parched lips, and said "Gee, it's going to be a beautiful day today". Needless to say this got our attention quickly. Being the youngest, and fastest, I was first to her bedside. "Mom, it's me, Jerry, do you recognize me"? "Of course I do Jerry", she replied.

We all took our turns talking to her. Other relatives came and were able to talk to her, as she answered not in her old voice, but rather in the voice of a child. The doctor's explanation was that the brain stem was being destroyed, accounting for the sudden change. It was a joyous day of laughing, and celebrating life with our family. That night we all went to sleep peacefully.

The next morning, we were awakened to the stirring of angel's wings, and my mother was finally healed of her suffering. She had awakened to the Risen Son.

The next few days were hectic with funeral plans. It was only after the funeral that I stopped to think of what had happened. If God had answered my prayer, in my time, in my way, my final memories of my mother would have been that of a helpless invalid, with void eyes, lying motionless in a deathbed. Instead, God answered my prayer in his time, in his omniscient way.

Now, my memories of my mother are of a day of laughing and rejoicing. Since that time I have had many rocky roads. Financial failure. A divorce. The loss of my father. But throughout it all, regardless of how stormy the night might be, I know that through God's love, and perfect timing, I can awaken the next morning to a newly risen sun, or to the Risen Son, and say "Gee, it's going to be a beautiful day today."

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  Fitness Update

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

Restless legs syndrome: Raising high blood pressure risk?

If you're a middle-aged woman with Restless Legs Syndrome, you may have a higher risk of developing high blood pressure.

RLS is a common yet under-recognized sensory motor disorder characterized by intense, unpleasant leg sensations, and an irresistible urge to move the legs. RLS symptoms can lead to poor sleep and daytime drowsiness. It affects as many as 15 percent of the adult population.

Researchers found that women who reported: Five to 14 incidences of RLS each month had a 26 % prevalence of high blood pressure. More than 15 incidences of RLS had a 33 % prevalence of high blood pressure. No RLS symptoms had a 21.4 % prevalence of high blood pressure. In 2005, researchers asked 97,642 women participating in the Nurses Health Study II about their RLS symptoms and hypertension status. More than 80 percent of the participants responded. The average age was 50.4 years. Specifically, they asked about unusual crawling sensations, or pain combined with motor restlessness and an urge to move. The questions were based on the international restless legs study group criteria. Researchers found there was a significant relationship between RLS severity and blood pressure, and greater frequency of RLS symptoms was associated with higher concurrent systolic and diastolic blood pressures. This association was independent of other potential covariates such as age, body mass index, smoking status, and presence of stroke or heart attack.

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    Malaria Update

AC Dhariwal, Hitendrasinh G Thakor, Directorate of NVBDCP, New Delhi

What the National Drug Policy of India says

What is the treatment of P. ovale and P. malariae?

In India, these species are very rarely found in few places. P. ovale should be treated as P. vivax and P. malariae should be treated as P. falciparum.

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    Medicine Update

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

What is the prevalence of chronic hepatitis B in India?

In the meta-analysis of hepatitis B prevalence studies in India, the point prevalence among nontribal populations is 2.4% (corresponding to a chronic carrier rate of 1.9%) and the point prevalence among tribal populations is 15.8%. These figures may be useful in estimation of the burden of the disease in the country and for projecting the cost-benefits of immunization.

For comments and archives

 
    Lab Update

(Dr Arpan Gandhi and Dr Navin Dang)

Triglycerides

Markedly increased triglycerides (>500 mg/dL) usually indicate a nonfasting patient (i.e., one having consumed any calories within 12-14 hour period prior to specimen collection). If patient is fasting, hypertriglyceridemia is seen in hyperlipoproteinemia types I, IIb, III, IV, and V. Exact classification theoretically requires lipoprotein electrophoresis, but this is not usually necessary to assess a patient's risk to atherosclerosis. Cholestyramine, corticosteroids, estrogens, ethanol, miconazole (intravenous), oral contraceptives, spironolactone, stress, and high carbohydrate intake are known to increase triglycerides.

Decreased serum triglycerides are seen in abetalipoproteinemia, chronic obstructive pulmonary disease, hyperthyroidism, malnutrition, and malabsorption states.

For Comments and archives

 

 
    Legal Question of the Day

(Contributed by Dr MC Gupta, Advocate)

What is the solution to the long waiting period at AIIMS for treatment and diagnostic procedures as reported by the TOI recently?

Ans.

  1. You are obviously referring to the following report dated 9 October 2011
  2. Some salient points in this report are as follows:
    a. It could take as long as two years to get a date for a simple MRI scan.
    b. The waiting period for a CAT scan is more than four months while it may be up to two years in case of an MRI.
    c. Patients requiring a total hip replacement or a total knee replacement may have to wait for no less than 5 months.
    d. A waiting list - ranging from 2 months to a year or more - is the case with almost every department in the institute, according to an internal analysis.
    e. According to a study, 453 faculty members and 1,200 resident doctors handled 15.28 lakh outpatients, 84,000 admissions and 78,000 surgeries, teaching 1,661 students, investigating 381 projects and publishing 1,424 scholarly papers in 2009-10 alone.
    f. According to Dr Shakti Kumar Gupta, head of the department of hospital administration, who carried out the study, "The waiting time for procedures can range from months to years right now. This is mainly because the work load is tremendous for doctors - nearly 10,000 patients a day in OPDs alone while we can handle a maximum of 6,000,".
    g. Those who need a surgery to remove a malignant tumour have to wait six months while those suffering a benign tumour will get a date of surgery 24 months later. A gynecological procedure for cancers will have to wait 6 months and double that time for benign conditions. A corneal transplant has a waiting period of half a year while a retinal surgery could take at least four months. For a modified radical mastectomy (removal of the breast affected with cancer), patients might have to wait 24 months. For correction of a stricture urethra - narrowing of a section of the urethra that causes blocked or reduced flow of urine - the department of urology has no date before 6-8 months.
    h. According to Dr. Shakti Gupta a big factor behind the backlog is the cost. A patient in the general ward has to pay only Rs 35 per day for the diet, medicines, surgery and consumables. In contrast, the cost borne by the AIIMS for patient care is as follows:
    In-patient care………. Rs 2,100 a day
    ICU care…… Rs 6,900 per day
    Laparoscopic surgery…… Rs 50,000
    Renal transplant …. Rs 2 lakh
  3. The news report is incomplete in the sense that the AIIMS spokesman, who is a professor of hospital administration, has refrained from giving any solution to the problem.
  4. In my opinion, the solution should be along the following lines:
    a. AIIMS and other government medical colleges should stop the practice of providing free treatment except to those who are too poor to pay. A system of user charges should be introduced. AIIMS had announced such a system about 3 years ago but the faculty and other doctors’ groups opposed it and the scheme had to be scrapped. In the circumstances, I have little sympathy for the doctors at AIIMS who are undoubtedly overworked. Being intelligent and hardworking does not mean lacking wisdom to appreciate the simple fact that those attending the AIIMS come in cars and everybody buys drinking water at Rs. 12 per bottle, medical treatment cannot come free. These doctors are assured of their monthly salary and status by virtue of being government servants in a premium hospital but they do not realise that their salary and patients’ treatment cost don’t pour from the heavens.
    b. Resident Doctors Associations and Medical Teachers Associations in government medical colleges should seriously deliberate upon the issue of user charges for those seeking medical services. There needs to be a consensus at least at the state level. The ultimate aim should be a national consensus. Such user charges need to be imposed in such a manner that the poor do not suffer and that no discretionary beneficiary powers are given to the politicians and bureaucrats in this regard. The implementation of such a policy will have the following benefits:
    i). Work load upon doctors will be reduced because the withdrawal of free treatment facility to those who can pay will induce the well to do to consider getting treatment at private hospitals. ii). More funds will be generated and be available for improving the working conditions in government medical college hospitals.
    iii). Better working conditions will reduce the frequent instances of strikes by doctors in medical colleges.
    c. A working paper on “The need and desirability of user charges in government medical college hospitals” should be prepared after appointing a working group and holding a conference etc. This can and should be done at the below-listed various levels simultaneously without waiting for the government to take the initiative:
    i). National hospital administration associations / Departments of hospital administration and public health in various medical colleges.
    ii). Institutes of management
    iii). IMA

For comments and archives

 
    IJCP Special

Dr Good Dr Bad

Situation: A patient with Chikungunya was found to have high ESR.
Dr. Bad: It may not be Chikungunya.
Dr. Good: It is Chikungunya.
Lesson: High ESR is seen in Chikungunya.

For comments and archives

Make Sure

Situation: A patient died after receiving penicillin injection
Reaction: Oh my God! Why was anaphylaxis not suspected?
Lesson: Make sure that each time a patient is given penicillin injection, anti anaphylaxis measures are available.

For comments and archives

 
  Quote of the Day

(Dr GM Singh)

How far you go in life depends on your being tender with the young, compassionate with the aged, sympathetic with the striving, and tolerant of the weak and strong. Because someday in your life you will have been all of these. George Washington Carver

 
  IDIOMS

Pig in a Poke: A deal that is made without first examining it

 
    Mind Teaser

Read this…………………

The most accurate and clinically useful measurement of portal vein pressure is

a) Hepatic venous pressure gradient (HVPG)
b) Direct measurement of portal pressure
c) Splenic pulp pressure
d) Wedged hepatic vein pressure

Yesterday’s Mind Teaser: Treatment of choice for gastric varices is

a) Sclerotherapy
b) Band Ligation
c) Transjugular Intrahepatic Portosystemic Shunt
d) Application of cyanoacrylate glue
e) Shunt surgery

Answer for Yesterday’s Mind Teaser: d) Application of cyanoacrylate glue

Correct answers received from: Gita Arora, Y. J. Vasavada, Dr.K.Raju, Dr.Anil Kumar Jain, Dr Chandresh Jardosh, Dr Surendra Bahadur Mathur, Muthumperumal Thirumalpillai, Neelam Nath, Dr Jainendra Upadhyay, Dr Subhashini, Dr Ajay Gandhi,

Answer for 13th October Mind Teaser: 4. Adjuvant chemotherapy benefits both premenopausal and postmenopausal women.
Correct answers received from: Jayaraman T.P, Gita Arora

Send your answer to ijcp12@gmail.com

 
    Laugh a While

(Dr GM Singh)

Sign in a Chinese Pet Store: "Buy one dog, get one flea

 
    Medicolegal Update

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

Autopsy in deaths due to adverse events following immunization

  • The doctor conducting the autopsy is duty bound to take samples for toxicological screening and should send them to forensic laboratory for toxicological/chemical examination
  • The site of injection and the underlying tissue up to 2-3 cms (button size) with dermis and epidermis should be excised out. It should be preserved in a glass jar which should be filled two-thirds with saturated saline water. The specimens should be sealed, signed, labeled by the doctor/autopsy surgeon and should be handed over to police /investigating officer for further toxicological/chemical examination.
  • The viscera for toxicological/chemical examination/ the following viscera specimen/biological samples should be collected for toxicological/chemical examination; 80 to 100 gms of liver, 80 to 100 gms of brain with meninges, whole of the stomach with gastric contents. If there are no gastric contents, a section of stomach should be sent. The upper part of small intestine about 30cm long with its contents Fragments from both adrenal glands, half of transverse section of kidneys, half of spleen. Blood 100 ml ideal / minimum 10 ml and urine 100 ml/ minimum 10 ml.
  • All visceral specimens should be collected in separate containers - a wide mouthed bottle as prescribed - and saturated saline should be added as preservatives. The quantity of the saline should be sufficient to cover all the pieces of specimen viscera in bottle.
  • The specimens should be sealed, signed, labeled by the doctor/autopsy surgeon and should be handed over to police /investigating officer for further chemical examination in a forensic lab.

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    Public Forum

(Press Release for use by the newspapers)

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

Prof. Kiran Walia and Navjot Singh Siddhu Launched Breast Cancer Awareness Campaign

Releasing a health message on the opening of the 18th MTNL Perfect Health Mela activities, Prof. Kiran Walia, Minister of Family and Social Welfare, Government of Delhi, said that women in the society should focus their attention on their health. Only if the women are healthy, the whole family can be healthy.

Prof. Walia said that October is a breast awareness month and all women after age of 21 should learn to self-check their breast and notify if they find any lump in the breast as breast cancer is curable if detected early. A special poster on breast awareness was released by Prof. Walia " Be breast aware: Breast cancer is curable if detected early:

Mr. Navjyot Singh Sidhu, Member of Parliament and Former Indian Cricketer, released the poster-cum-health messages on the subjects “Science behind Rituals” and HIV prevention. Mr. Sidhu said that lifestyle diseases can be prevented by observing laws of nature and following the traditional rituals of the society.

The messages he released were

1. “Avoiding eating cereals 80 days in a year can prevent metabolic syndrome”.

2. You can protect your unborn child from HIV.

Padmashri & Dr. B.C. Roy National Award, Dr. KK Aggarwal, President, Heart Care Foundation of India and Perfect Health Mela, said that a special campaign is being organized on Monday, 17th October, 2011 at Ansal Plaza where a special show will focus on cancer survivors, doctors, cancer specialists and other invited members of the public. The show called “Drum Jam” by Roberto Narain organised in association with International Oncology group will be dedicated to awareness of breast cancer.

The mela is being organized by Heart Care Foundation of India and World Fellowship of Religions in association with Health Department, Government of Delhi, NDMC, MCD and other Delhi Government, Central Government public sector undertakings, private establishments.

The mela activities will also include a special show for married women on Karwa Chauth focusing on “be faithful to your partner”. The event will include Mehandi Ceremony, Nail Art and a special show dedicated to HIV awareness.

On 16th October, Sunday, for the first time a conference is being held at Acharya Sushil Muni Ashram where doctors from all pathies will try to form a consensus on lifestyle parameters. In the evening, a Dandiya show will be held at Gardens of Five Senses in collaboration with Delhi Tourism. On 18th at Siri Fort Auditorium, there will be a Kavi Sammellan by renowned Poet Sh. Ashok Chakradhar and group and lively cultural evening by Sukhmani and Group.

From 19th to 23rd, the mela will be held at NDMC Grounds, Laxmibai Nagar, New Delhi and will be a mix of exhibition, entertainment, infotainment, competitions and checkups.

In a joint statement Sh Shumam Mukherjee Director Commercials SAIL, Sh Manjeet Singh ED MTNL, Dr N V Kamat DHS, Dr N K Yadav MHO MCD, Dr P K Sharma MOH NDMC, Dr B P Singh Advisor DST, Mr Deepak Jolly Vice President Coca Cola India Ltd. And Ms Vidhu from LIC said that the mela will be a perfect picnic spot and right opportunity for people to know everything about preventive healthcare.

Conference on climatic change held 18th MTNL Perfect Health Mela held a seminar on the effects of Climatic Changes on Family Health. Inaugurating a conference on Effect of Climatic Changes on Female Health, supported d by Ministry of Erath Sciences, Acharya Dr Sadhiv Sadhna Ji Maharaj Chairperson World Fellowship of Religions said that women are the backbone of the society and can help in brining a change in the environment.

Padmashri & Dr. B.C. Roy National Awardee, Dr. KK Aggarwal, President Heart Care Foundation of India and Perfect Health Mela said that Global Warming and depletion of ozone layer is a big concern and requires immediate attention.

Mr. Sudhakar Rao fom Ministry of earth sciences, Ms Vartika Nanda, noted journalist and professor LSR College, Ms Rashmi Singh, IAS and Dr. K K Aggarwal, President of the Mela, jointly released a message poster on “Both internal and outer environment needs to be kept clean for proper health”. The panelists Dr. Mridula Pandey, Dr Rakhee Mehra, Dr S N Yadav, Dr Sunila Garg, Dr Anupam Malhotra released a common message “ yatha pide thatha brahamnade: As is the Microcosm so is the Macrocosm” . The conference was attended by over 200 ladies.

Chief Guest of the function Mr. Sudhakar Rao Scientist G Ministry of Earth Sciences said that Climate change is a significant and emerging threat to public health, and changes the way we must look at protecting vulnerable populations.

Anuvinda Varkey General Secretary YWCA guest of honour for the function said that the release of chlorofluorocarbons and other atmospheric pollutants depletes stratospheric ozone, which in turn increases human exposure to ultraviolet radiation, causing skin cancer and cataracts. The Mela is being organized by Heart Care Foundation of India and World Fellowship of Religions jointly with Health Department, Government of Delhi, MCD and NDMC from October 14 to 23, 2011.

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  1. Many many thanks for your emedinews. It is very useful. God bless all your good works. Regards and best wishes. Dr Bellarmine Mascarenhas, Coimbatore.
 
    Forthcoming Events

18th MTNL Perfect Health Mela

Date: 14th–18th October
Different locations in Delhi
19th–23rd October
Venue: NDMC Ground, Opp. Indira Nari Niketan Working Girls Hostel
Near Philanji Village, Laxmibai Nagar, New Delhi
Theme: Science Behind Rituals

for complete programme details

Dr K K Aggarwal

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Dr Veena Aggarwal, Dr Arpan Gandhi, Dr Aru Handa, Dr Ashish Verma, Dr A K Gupta, Dr Brahm Vasudev, Dr GM Singh, Dr Jitendra Ingole, Dr Kaberi Banerjee (banerjee.kaberi@gmail.com), Dr Monica Vasudev, Dr MC Gupta, Dr Neelam Mohan (drneelam@yahoo.com), Dr 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