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FIRST NATIONAL DAILY eMEDICAL NEWSPAPER OF INDIA
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  From the Desk of Editor–in–Chief
Dr KK Aggarwal

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

 

eMedinewS Presents Audio News of the Day

Photos and Videos of 2nd eMedinewS – Revisiting 2010

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

 
  Editorial …

16th June 2011, Thursday

Preventing deaths when any prolonged fast is broken

The death of another swami in Uttarakhand after 115 days fast, tThe nine-day fast by Ramdev earlier, and a threat by Anna Hazare to fast again has opened a new chapter for one to revise the knowledge as to how to deal with such a person, especially one who is breaking the fast.

The 35–year–old swami who died was protesting the Uttarakhand government’s refusal to ban mining along a stretch of Ganga near Rishikesh. He had been on a fast since February 19 this year. On April 27, officials shifted him to Haridwar district hospital as his condition deteriorated but he still refused to touch food. When he slipped into coma on May 2, he was rushed to HIMS and put on life support system. The president of Haridwar Citizen Council, alleged the seer suffered a heart attack at Haridwar district hospital after being injected poison by hospital staff. Did he die of re–feeding syndrome or the starvation effects is a question in the minds of the medical fraternity.

The basic aim is to prevent occurrence of re–feeding syndrome, a metabolic complication that occurs when nutritional support is given to severely malnourished patients or to someone recovering from prolonged fast or hunger strike.

Any individual who has had negligible nutrient intake for 5 consecutive days is at risk of developing the re–feeding syndrome. It occurs within four days of starting to feed. Patients who weigh less than 70 % of ideal body weight or lose weight rapidly are at greatest risk for the syndrome.

During prolonged fasting, the body conserves muscle and protein breakdown by switching to ketone bodies derived from fatty acids as the main energy source. The liver decreases its rate of gluconeogenesis thus conserving muscle and protein. Many intracellular minerals become severely depleted during this period, although serum levels remain normal. Insulin secretion is suppressed and glucagon secretion is increased.

During re–feeding, the metabolism shifts from a catabolic to an anabolic state. Insulin is released on carbohydrate intake resulting in increased glycogen, fat and protein synthesis. Insulin release triggers cellular uptake of potassium, phosphate, and magnesium, which are already depleted and the stores rapidly become used up. When the serum concentrations of these electrolytes are reduced, serious complications, such as irregular heart beat can occur. Patients can also develop fluid and electrolyte imbalance, low phosphate levels, neurologic, lung, heart, neuromuscular, and blood related complications. Re–feeding increases the basal metabolic rate. Glucose, and levels of the B vitamin thiamine may also fall.

Irregular heart rhythm is the most common cause of death with other significant risks including confusion, coma and convulsions and cardiac failure. The diagnostic features are the presence of low phosphate, potassium, magnesium, vitamin B1 levels and fluid overload with edema feet. Low phosphate level is the essential criterion for diagnosis.

If the re–feeding syndrome occurs, doctors should immediately slow down nutritional replenishment and correct low levels of phosphates, potassium, and magnesium, while monitoring the cardiovascular system. In patients at risk of re-feeding syndrome, nutritional support is initially delivered at a maximum of 10 kcal/kg/day and then raised gradually to full needs within a week. In extreme cases, this energy intake is limited to 5 kcal/kg/day.

Before and during the first 10 days of feeding, it is important to give 200–300 mg oral thiamine a day, 1–2 vitamin B complex tablets three times a day or intravenous (IV) vitamin B, and a balanced multivitamin and mineral supplement each day.

One should monitor and supplement oral, enteral, or intravenous potassium, phosphate and magnesium in such patients.

On average, patients should receive 2–4 mmol/kg/day potassium, 0.3–0.6 mmol/kg/day phosphate, and 0.2 mmol/kg/day IV or 0.4 mmol/kg/day oral magnesium. Moderately to severely ill patients with marked edema or a serum phosphorous <2 mg/dL should be hospitalized to intravenously correct electrolyte deficiencies.

Dr KK Aggarwal
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    Changing Practice – Resource which has changed practice in last one year

Aldosterone antagonist in mild heart failure

In patients with NYHA functional class II HF and LVEF ≤30 percent, or NYHA functional class III to IV HF and LVEF <35 percent, and who can be carefully monitored for serum potassium and renal function, start aldosterone antagonist therapy to treat heart failure. Aldosterone antagonist therapy reduces mortality in patients with moderate to severe heart failure.

  • The EMPHASIS–HF trial demonstrated the efficacy of eplerenone, an aldosterone antagonist, in reducing mortality as well as risk of hospitalization in patients with systolic heart failure and mild symptoms. Patients in the study had either NYHA class II HF and LVEF ≤30 percent or LVEF ≤35 percent and a prolonged QRS (duration >130 msec).
  • Based on these results, the previous recommendation of aldosterone antagonist therapy for patients with NYHA functional class III to IV HF and LVEF <35 has been extended to include patients with NYHA class II HF and LVEF ≤30 percent.
  • The serum potassium should be <5.0 mEq/L and eGFR should be ≤30 mL/min per 1.73 m2.
 
  eMedinewS Audio PostCard

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

on
Definition of Guru

Audio PostCard
 
    Photo Feature (from the HCFI Photo Gallery)

2nd eMedinewS Revisiting 2010

Dr Neelam Mohan presenting her talk on "Paediatric Liver Update" in the 2nd eMedinewS Revisiting 2010.

 
Dr K K Aggarwal
 
    National News

Moolchand offers International Post Graduate Program in Emergency Medicine 

Moolchand Medcity in partnership with the Ronald Reagan Institute of Emergency Medicine (RRIEM) at the George Washington University, USA to offer 3-year Post Graduate Program in Emergency Medicine.  It is amongst the most prestigious international post graduate training programs available in emergency medicine in India.  “It is a 3-year Post Graduate Program in Emergency Medicine where we prepare fellows to practice in the complex and challenging arena of emergency medicine at the highest levels.  With regular theory classes, students are posted in the emergency department of Moolchand Medcity as well as in the various critical care areas of the hospital” said Mr. Vibhu Talwar, Chief Operating Officer, Moolchand Medcity.

The faculty will provide lectures, seminars, simulations and clinical teaching to the fellows.  The quality of the education programs will be maintained through continuous assessments of the fellows and the overall fellowship program.Course details of Masters in Emergency Medicine: Duration: 3 years, Eligibility criteria: MBBS with internship, registration with Delhi Medical Council; Fees:  Rs. 6.75 lakhs (for 3 years), Last date: June 23, 2011

On completion, fellows get a Post Graduate Degree in Emergency Medicine from George Washington University, USA and a certificate in proficiency in healthcare quality standards from Moolchand.  Download the prospectus form from www.moolchandhealthcare.com or call at +91 99589 97293.

Institute for urban studies coming up in Bangalore

BANGALORE: Touted as the country’s first university, dedicated exclusively to Urban Studies, the Indian Institute of Human Settlements (IIHS) is setting up its 58–acre campus in south–west Bangalore. Funded by "multiple private sources," the institute will have an initial capital investment of approximately Rs.250 crore which will be scaled up to Rs.400 crore over the next five years. Currently offering week–long courses, the IIHS hopes to be formalised under the proposed Innovation Universities Bill. Aromar Revi, development consultant and a key member of the IIHS, told reporters on Monday that it had started recruiting faculty for its Masters in Urban Practice (MUP) programme. It is slated to commence in July 2012. (Source: The Hindu, Jun 14, 2011)

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

 
    International News

(Dr Monica and Brahm Vasudev)

FDA Update

FDA approves Incivek for use in combo therapy for hepatitis C

The US FDA) has approved Incivek (telaprevir) for the treatment of adults with genotype 1 chronic hepatitis C infection who are treatment–naïve or who have been treated previously but did not achieve a sustained viral response (SVR) (ie, relapsers, partial responders, and null responders). The drug may be used by patients with compensated liver disease, including patients with cirrhosis.

FDA approves Sutent for the treatment of advanced pancreatic neuroendocrine tumors

On May 20, 2011, the US Food and Drug Administration (FDA) and Pfizer announced the approval of Sutent (sunitinib malate), an oral multikinase inhibitor, for the treatment of progressive, well–differentiated pancreatic neuroendocrine tumors (NET) in patients with unresectable locally advanced or metastatic disease.

Ceramic–on–Metal Hip Implant wins FDA nod

The first ceramic–on–metal implant for total hip replacement has been approved by the FDA, the agency announced. The Pinnacle CoMplete Acetabular Hip System is manufactured by DePuy Orthopaedics, a subsidiary of Johnson & Johnson, and based in Warsaw, Ind. The femoral head portion of the implant is made of ceramic and the acetabular (socket) component is a metal alloy. With this approval, there are now five different combinations of materials from which hip implants can be made. Others already approved include ceramic–on–ceramic, ceramic–on–polyethylene, metal–on–polyethylene, and metal–on–metal.

Embolization risk prompts two Class I recalls

The FDA has issued warnings to immediately stop using two coronary imaging catheters and one cannula because of a high risk of embolization. The class I recalls apply to the following products:

  • iCross and Atlantis A Pro2, 40 Mhz Coronary Imaging Catheters, 3.6F (1.18mm) × 135 cm by Boston Scientific
  • Coronary Ostia Cannula 10 (25 cm) by Terumo Cardiovascular Systems

The catheters were pulled because the tip may break inside a patient and embolize, causing tissue and blood vessel damage, myocardial infarction, or other serious adverse events. The recall includes all lots of the product. The cannula was recalled because foreign plastic and adhesive fragments in the tip may embolize and cause arterial injury, hemorrhaging, and other serious adverse events. The recall affects all lots of model numbers 804115, 804117, and 804159.

New tool predicts adverse drug events in seniors

A new set of criteria for identifying potentially hazardous medications in elderly patients accurately predicted serious adverse drug events, a prospective study found. The chance of an avoidable adverse event occurring was significantly greater when medication use was evaluated with the criteria known as STOPP (Screening Tool of Older Persons’ potentially inappropriate Prescriptions), with an odds ratio of 1.847 (95% CI 1.506 to 2.264, P<0.001), according to Denis O'Mahony, MD and colleagues from University College Cork in Ireland. In contrast, use of the traditional Beers criteria did not predict the risk of adverse medication–associated events (OR 1.276, 95% CI 0.945 to 1.722, P=0.11), the researchers reported in the June 13 issue of the Archives of Internal Medicine. (Source: Medpage Today)

(Dr GM Singh)

What is adolescent low back pain? Current definitions used to define the adolescent with low back pain

When attempting a meta–analysis of observational studies into adolescent low back pain (ALBP), in an effort to better understand associated risk factors, it is important that the studies involved are homogenic, particularly in terms of the dependent and independent variables. This review identified 39 studies of ALBP prevalence which fulfilled the inclusion criteria, ie, English language, involving adolescents, pain localized to lumbar region, and not involving specific subgroups such as athletes and dancers. Descriptions for ALBP used in the literature were categorized into three categories: general ALBP, chronic/recurrent ALBP, and severe/disabling ALBP. Whilst the comparison of period prevalence rates for each category suggest that the three represent different forms of ALBP, it remains unclear whether they represented different stages on a continuum, or represent separate entities. The optimal period prevalence for ALBP recollection depends on the category of ALBP. For general ALBP the optimal period prevalence appears to be up to 12 months, with average lifetime prevalence rates similar to 1–year prevalence rates, suggesting an influence of memory decay on pain recall. (Journal of Pain Research 2010;3:57–66)

 
    Fitness Update

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

Should I exercise in the morning or the evening?

New research on physical activity and sleep architecture recently presented at the 58th Annual Meeting of the American College of Sports Medicine and the 2nd World Congress on Exercise is Medicine® may finally answer that age–old question. For the best sleep, researchers say, work out in the morning. "Insufficient sleep threatens our country’s health by contributing to chronic diseases, such as diabetes, cardiovascular disease and obesity," said Scott Collier, Ph.D., FACSM, lead author of the study. "Exercise is proven to improve the quality of sleep, and our team wanted to see if the timing of exercise could maximize these benefits."

 
    Twitter of the Day

@DrKKAggarwal: #ScienceSpirituality High tides in oceans reflect high tides in the mind.

@DeepakChopra: #vmdhealthblog My Health Tip this week is about Prostate Cancer prevention: bit.ly/Dpak_Prost

 
    Spiritual Update

Science behind Hanuman Chalisa

How can one maximally benefit from Hanuman Chalisa?

Adwait philosophy believes WE are Hanumana and we only need to uncover the triad of mind, intellect and ego to rediscover the hidden Hanumana qualities within us.

 
    An Inspirational Story

(theworldunited.org)

The pig and the horse

There was a farmer who collected horses; he only needed one more breed to complete his collection. One day, he found out that his neighbor had the particular horse breed he needed. So, he constantly bothered his neighbor until he sold it to him. A month later, the horse became ill and he called the veterinarian, who said: Well, your horse has a virus. He must take this medicine for three days. I’ll come back on the 3rd day and if he’s not better, we’re going to have to put him down. Nearby, the pig listened closely to their conversation.

The next day, they gave him the medicine and left. The pig approached the horse and said: Be strong, my friend. Get up or else they’re going to put you to sleep!

On the second day, they gave him the medicine and left. The pig came back and said: Come on buddy, get up or else you’re going to die! Come on, I’ll help you get up. Let’s go! One, two, three…

On the third day, they came to give him the medicine and the vet said: Unfortunately, we’re going to have to put him down tomorrow. Otherwise, the virus might spread and infect the other horses.

After they left, the pig approached the horse and said:– Listen pal, it’s now or never! Get up, come on! Have courage! Come on! Get up! Get up! That’s it, slowly! Great! Come on, one, two, three… Good, good. Now faster, come on.... Fantastic! Run, run more! Yes! Yay! Yes! You did it, you're a champion!!! All of a sudden, the owner came back, saw the horse running in the field and began shouting: It’s a miracle! My horse is cured. This deserves a party. Let’s kill the pig!

Points for reflection: this often happens in the workplace. Nobody truly knows which employee actually deserves the merit of success, or who’s actually contributing the necessary support to make things happen. Learning to live without recognition is a skill! If anyone ever tells you that your work is unprofessional, remember: amateurs built the Ark and professionals built the Titanic.

Don’t look to become a person of success, look instead to become a person of value!

 
    Pediatric Update

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

What are the side effects and contraindications of penicillamine?

Side effects

  • Allergic reactions
  • Hematologic toxicities: Penicillamine has been associated with fatalities due to agranulocytosis, aplastic anemia, and thrombocytopenia.
  • Hepatotoxicity: Monitor liver function tests periodically due to rare reports of intrahepatic cholestasis or toxic hepatitis.
  • Penicillin cross–sensitivity: Patients with a penicillin allergy may theoretically have cross–sensitivity to penicillamine; however, the possibility has been eliminated now that penicillamine is produced synthetically and no longer contains trace amounts of penicillin.
  • Proteinuria/hematuria: Proteinuria or hematuria may develop; monitor for membranous glomerulopathy which can lead to nephrotic syndrome.

Contraindications

Hypersensitivity to penicillamine or any component of the formulation; renal insufficiency, patients with previous penicillamine–related aplastic anemia or agranulocytosis, breastfeeding, pregnancy remains a relative contraindication.

 
    Did You Know

(Dr Uday Kakroo)

Albert Einstein was offered the presidency of Israel in 1952, but he declined.

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    IJCP Special

Dr Good Dr Bad

Situation: A patient of CAD developed dengue.
Dr Bad: Start paracetamol.
Dr Good: Start paracetamol and also stop low–dose aspirin.
Lesson: In dengue, low–dose aspirin should be discontinued.

Make Sure

Situation: A patient with cough of more than 4 weeks duration came with blood in his sputum.
Reaction: Oh my God! Why was TB not suspected earlier?
Lesson: Make sure that all patients with cough of more than 3 weeks duration are investigated for TB.

 
  SMS of the Day

(Dr GM Singh)

There can be no happiness equal to the joy of finding a heart that understands. Victor Robinson

 
  GP Pearls

(Dr Pawan Gupta)

ELISA test for fecal calprotectin has sensitivity of 93% and specificity of 96% for diagnosis of inflammatory bowel disease.

 
    Medicolegal Update

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

Is there any age bar to charge for the offence of rape in India?

It is in record of Indian judiciary that a 10–year–old boy was convicted in the offence of rape of a European girl. There have also been many cases where individuals 60 years and above have been charged for the offence of rape.

  • Section 82 of IPC clearly says that a child below 7 years of age cannot be charged for any criminal offence; however, for child above 7 years of age and under 12 years, section 83 IPC says that nothing is offence if the child has not attained sufficient maturity of understanding to judge the nature and consequences of his conduct/act on that occasion. Hence, the child in the age group of 7–12 years can be charged if the above medical rider in section 83 is absent.
  • The medical examination for legal perusal in such case is very important in age estimation/medical examination of accused child and assessing the mental/physical maturity/potency test of boy and other biological evidences in corroboration of medical examination of female victim and her statement. In Indian law, there is no definition/presumption of any age limit of child/man/old man for incapability of committing rape. This means that the law presumes every male person to be potent unless proved contrary.
  • There is presumption in the law of United Kingdom that a person/male children below the age of 14 years are impotent and the English law presumes that he cannot commit the offence of rape. This presumption cannot be rebutted by evidences/medical evidence/eye witness or medical/biological or physical examination of alleged boy. But in circumstances of available credible corroborative/direct evidences the alleged male boy may be charged or convicted for indecent assault only under the sexual offences Act 1956 of England.
  • There is no upper age limit for an accused male as well as a victim in our country. I have conducted medico–legal examination/potency test of more than 100 cases accused of rape of age crossing 55/60 years. The doctor who conduct potency test must keep in mind that law presume every male person is potent unless until the contrary is prove hence the medical opinion is given in double negative for opining a male as potent as nothing found in medical examination that the examined person cannot perform sexual act.
 
  Vitamins—Open Secrets revealed

(Dr Jitendra Ingole, MD Internal Medicine)

Some facts about vitamin C

The vast majority of animals are able to synthesize their own vitamin C except humans, bat, guinea pigs, monkeys and apes & few other animals. Vitamin C is manufactured through a sequence of four enzyme–driven steps, which convert glucose to vitamin C. (Vitamin C – Risk Assessment (PDF). UK Food Standards Agency) The animals having capacity to produce vitamin C, manufacture in substantial amounts. If we consider the RDA (Recommended daily allowance) of vitamin C for adult human which is 60mg per day, by this comparison, an adult goat, will manufacture more than 13,000 mg of vitamin C (13grams!) per day in normal health and the biosynthesis will increase manyfold under stress.

Further, in humans, utilization of Vitamin C is increased to great extent under stressful conditions such as infections, trauma or surgery (J Surg Res 2003;109(2):144–8). This points to great importance of vitamin C in maintaining of health. Thus, ensuring adequate intake of vitamin C (by Food or medicines) is the only feasible solution for maintaining normal levels of vitamin C.

 
    Mind Teaser

Read this…………………

Neuronal degeneration is seen in all of the following except:

1. Crush nerve injury
2. Fetal development
3. Senescence
4. Neuropraxia

Yesterday’s Mind Teaser: Distribution of blood flow is mainly regulated by the:

1. Arteries
2. Arterioles
3. Capillaries
4. Venules

Answer for Yesterday’s Mind Teaser: 2 Arterioles

Correct answers received from: Dr K Raju, Dr Prabha Luhadia, Dr Nishi Singh, Dr Chandresh Jardosh, Dorai, Dr Muthumperumal Thirumalpillai, Dr Prabodh Kumar Gupta, Dr Rashida Sajid, Dr Jainendra Upadhyay, Dr Neelam Nath.

Answer for 13th June Mind Teaser
: B. Ring vaccination and containment
Correct answers received from: Dr Deepali Chatterjee, Dr Anil Bairaria, Dr Nishi Singh, Dr Surendra Bahadur Mathur.

Send your answer to ijcp12@gmail.com

 
    Medi Finance Update

(Dr GM Singh)

In case the deductee comes back stating that the original TDS certificate is lost, can a duplicate certificate be issued?

Yes. The deductor will have to issue the certificate in a plain paper giving necessary details of deduction and remittance.

 
    Laugh a While

(Dr GM Singh)

Lady to her maid: "I have reason to suspect that my husband is having an affair with his secretary." Maid: "I don’t believe it! You are just saying that to make me jealous!"

 
    Drug Update

List of approved drugs from 01.01.2010 to 31.8.2010

Drug Name
Indication
DCI Approval Date
Pirfenidone film coated tablet 200mg
For the treatment of idiopathic pulmonary fibrosis.
14.09.10
 
    Obesity Update

Dr. Parveen Bhatia and Dr. Pulkit Nandwani

Laparoscopic Sleeve Gastrectomy : FAQs

Can a sleeve gastrectomy surgery be reversed?

A sleeve gastrectomy is a permanent procedure.

 
    IMSA Update

International Medical Science Academy (IMSA) Update

Prostate cancer

Analyses from randomized trials of PSA screening have shown that PSA velocity adds little or no independent prognostic information to PSA alone.

 
    Public Forum

(Press Release for use by the newspapers)

Get your Press release online http://hcfi.emedinews.in

Avoid visiting a hospital for a formality

Avoid visiting a hospital for a formality. Do not visit health care settings unless necessary. Do not use hospitals as a hotel to stay. Healthcare–associated infections are common. About 5% of people visiting hospitals may end up with infections. The hospital environment is not safe and can cause infections in the visitors. These were a few of the comments made by Padma Shri and Dr B C Roy National Awardee Dr K K Aggarwal President, Heart Care Foundation of India while launching a special campaign to ear mark Doctor’s Day being observed on 1st July.

Healthcare–associated infections are infections that occur in a non–hospitalized patient with extensive healthcare contact. Some people are more at risk and they are those who have had intravenous therapy, wound care, or intravenous chemotherapy within the prior 30 days or have attended a hospital or hemodialysis clinic within the prior 30 days or are resident in a nursing home or other long–term care facility or were admitted in an acute care hospital for two or more days within the preceding 90 days.

As per US Center for Disease Control (CDC), in American hospitals, healthcare–associated infections account for an estimated 1.7 million infections and 99,000 associated deaths each year. Of these, 32 percent are urinary tract infections, 22 percent are surgical site infections, 15 percent are pneumonias (lung infections) and 14 percent are bloodstream infections.

Dr Praveen Chandra, Chairman – Division of Interventional Cardiology, Medanta – The Medicity, said that as compared to healthcare–associated infections, hospital–acquired (or nosocomial) infections are infections that occur 48 hours or more after admission and did not appear to be incubating at the time of admission. The risk of acquiring this infection is 5% for a visitor visiting a hospital environment.

Following are the guidelines for preventing hospital–acquired infections

  • Do not visit the hospital environment unless essential.
  • Do not use hospital toilets as far as possible.
  • Do not sleep in the hospital corridors unless necessary.
  • Avoid crowded OPDs in a hospital, if there is no other alternative, use masks.
  • Do not use hospital premises as a hotel.
  • Avoid unnecessary stay in the hospital.
  • Choose day care procedures as much as possible.
  • The ‘SAVE LIVES: Clean Your Hands’ annual campaign is part of a major global effort led by the World Health Organization (WHO). It includes the ‘My Five Moments for Hand Hygiene’, which define the key moments when healthcare workers should perform hand hygiene. It recommends that healthcare workers should clean their hands: before touching a patient; before clean/aseptic procedures; after body fluid exposure/risk; after touching a patient and after touching patient surroundings.
 
    Readers Responses
  1. Dear Dr. Aggarwal ji, Thank you very much for mentioning the fact that the noise pollution disturbs the environment! This is something so pronounced and widespread here in India and so disturbing! People are used to this but we as foreigners have difficulty to get used to this especially since we like the silence so much. Regards, Marek Rozenberg.
 
    Forthcoming Events

National Conference on "Insight on Medico Legal Issues"
Date: Sunday, 10th July, 2011
Venue: Auditorium, Chinmaya Mission, 89, Lodhi Road, New Delhi–110003

eMedinewS and Heart Care Foundation of India are jointly organizing the first-ever National Conference on "Insight on Medico Legal Issues" to commemorate "Doctors’ Day".
The one–day conference will provide total insight into all the medicolegal and ethical issues concerning the practicing doctors. Both medical and legal experts will interact with the delegates on important issues.
You are requested to kindly register in advance as seats are limited. There will be no registration fee. You can register by sending your request at rekhapapola@gmail.com or at 9899974439.

For Programme
Details <Click here>

………………………………………………………………

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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    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

  Sex after Heart Attack

 
    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