emedinews
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FIRST NATIONAL DAILY eMEDICAL NEWSPAPER OF INDIA
eMedinewS is now available online on www.emedinews.in or www.emedinews.org
 
  From the Desk of Editor–in–Chief
Dr KK Aggarwal

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

 
  Editorial …

20h February, 2011, Sunday                                 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

Zinc works, but exerts price in fight against colds

Zinc may be helpful in treating and preventing the common cold in otherwise healthy individuals but the benefits come at the expense of some side effects. A Cochrane review showed that in an analysis of trials conducted since 1984, zinc reduced the average duration of cold symptoms by nearly a day when taken within 24 hours of symptom onset, and also eased symptom severity (P<0.05). (Meenu Singh, MD, and Rashmi Das, MD, of the Post Graduate Institute of Medical Education and Research in Chandigarh, India) In prevention trials, zinc reduced the incidence of the common cold, school absences, and antibiotic use. But adverse events were more frequent in the zinc groups than in the placebo groups (56.2% versus 48.1%, P = 0.06), a difference driven by significantly higher rates of reports of bad taste and nausea (P = 0.002 for both).

Cardiac resynchronization therapy effective in less symptomatic heart failure

Cardiac resynchronization therapy (CRT) can benefit patients with less symptomatic heart failure, a new meta–analysis indicates. They performed a literature search from 1950 to December 2010 of studies in all languages and selected randomized, controlled trials comparing CRT with usual care and right or left ventricular pacing in adult patients with heart failure whose left ventricular ejection fraction was 0.40 or less. The primary study endpoint was all–cause mortality; however, researchers also examined heart failure hospitalizations, quality of life, and functional outcomes. The study results were published online Feb. 15 by Annals of Internal Medicine.

Data from 25 trials including 9,082 patients were analyzed. CRT decreased all–cause mortality (risk ratio, 0.83; 95% CI, 0.72 to 0.96) and hospitalizations for heart failure (risk ratio, 0.71; 95% CI, 0.57 to 0.87) among patients with New York Heart Association (NYHA) class I and II symptoms, but did not improve functional outcomes or quality of life. CRT did improve functional outcomes in patients with NYHA class III or IV symptoms while reducing all–cause mortality (risk ratio, 0.78; 95% CI, 0.67 to 0.91) and heart failure hospitalizations (risk ratio, 0.65; 95% CI, 0.50 to 0.86). CRT was effective in patients with reduced left ventricular ejection fraction, heart failure symptoms and prolonged QRS duration, regardless of their NYHA class.

Failure to follow up on inpatient test results is common

A significant percentage of tests performed in the hospital are not followed up, according to a new systematic review. The review included 12 studies, eight of which were conducted in the U.S, all of which quantified the proportion of diagnostic tests that were performed on inpatients but not pursued. For admitted patients, 20.04% to 61.6% of tests were not followed up, corresponding to 1% to 22.9% of patients. In emergency department 1% to 75% of tests not followed up, or 0% to 16.5% of patients. The review was published online by BMJ Quality and Safety on Feb. 7. The review also looked at the role of various medical records systems, but found no evidence of any association between the type of record system used and follow–up of test results. Electronic, paper, and mixed electronic/paper systems all had high rates of missed results.

Dr KK Aggarwal
Editor in Chief
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  eMedinewS Audio PostCard

  2nd eMedinewS revisiting 2010

Dr SK Gambhir speaks on
‘Role of coronary stents in the past decades’

Audio PostCard
 
  SMS of the Day

(By Dr GM Singh)

If you want to be attractive and young, remain serene and calm, don't get tense, frustrated or angery, never allow bitterness or discontent be your lot.

 
    Photo Feature (from the HCFI Photo Gallery)

2nd eMedinewS Revisiting 2010

Doctors at the registration counter in the 2nd eMedinewS revisiting 2010 at Maulana Azad Medical College on 9th January 2011

 
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

Cashless facility for patients

Moolchand is proud to have been selected by India's leading insurance companies (National Insurance Company Ltd., United India Insurance Company Ltd., The New India Assurance Company Ltd. and The Oriental Insurance Company Ltd.) to extend cashless facility for patients.

20% patients at primary healthcare level have mental disorders

Mental health might not be on the priority list of public health practitioners in India, but an analysis of government data shows that around 20 per cent of all patients seen by primary healthcare doctors in India have one or more mental disorders. The findings show that one in four families is likely to have at least one member with a behavioural or mental disorder. These disorders account for 10.5 per cent of the global burden of disease in 1990. This burden increased to 12 per cent in 2000 and an analysis of trends in the World Health Report––2001 indicates this burden will increase to 15 per cent by 2020. According to the National Family Health survey, in India, at a given point of time, nearly 15 million people suffer from serious psychiatric illness and another 30 million from mild to moderate psychiatric problems. (Source: Indian Express, Feb 16 2011)

 
    International News

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

American Heart Association CEO Nancy Brown Salutes First Anniversary of ‘Let’s Move!’ Campaign

As ‘Let’s Move!’ marks its first anniversary, we can celebrate the campaign’s achievements, large and small, in activating citizens, businesses, government officials and public health groups for an initiative that will ultimately turn the tide on childhood obesity. Never before has there been such a coordinated effort between all of the government agencies to address an issue which is so important to the future health of our nation.

The American Heart Association is proud to be a strong supporter of ‘Let’s Move!’ and has expanded innovative physical activity and nutrition programs to make it easier for families to stay one step ahead of the healthy living movement.

‘Let’s Move!’ has made a concerted effort to engage Americans where they live, work, learn and play. As a result, many communities across the country have embraced the goals of the campaign by increasing physical activity programs during and after school, supporting Safe Routes to School programs, creating walking and biking paths and working with the food industry to increase access to healthy, affordable foods. Elementary students are now learning about the importance of fruits and vegetables through the association’s new Teaching Gardens program which is intended to build a lifetime of healthy eating and regular physical activity among children.

(Dr Monica and Brahm Vasudev)

Almost 30% of US adults do not exercise

CDC data indicate that nearly 30% of adults get no exercise at all.

Consumer group seeks ban on caramel-colored soft drinks

The Center for Science in the Public Interest (CSPI) is asking the Food and Drug Administration to ban the 'caramel coloring' used in Coca–Cola, Pepsi, and other soft drinks. The CSPI contends that the coloring is contaminated with two chemicals, 2–methylimidazole (2–MEI) and 4–methylimidazole (4–MEI), which it says are produced with ammonia and cause cancer in test animals.

Data show nearly 10,000 infants injured in crib accidents annually

More than 9,500 babies and toddlers go to the emergency department (ED) each year because of injuries related to cribs, playpens and bassinets, according to a 19–year study in the journal Pediatrics.

Surgeons must perform 1,600 robot–aided prostate surgeries to be proficient, study suggests

Doctors who perform robotic–assisted prostate cancer surgery aren’t proficient until they performed the procedure thousands of times, according to results to be presented Thursday at the Genitourinary Cancer Symposium in Orlando, Florida.

 
    IMT Update

IMT of 0.75 mm, cut–off point for significant CAD (sens 78%, spec 79%, positive predictive value 95%, negative predictive value 41%). (Can J Cardiol 2003 May;19(6):670–6)

 
    Infertility Update

Dr. Kaberi Banerjee, Director Precious Baby Foundation

What are the symptoms and complications of pelvic inflammatory disease (PID)?

Symptoms of PID

The infection may be subclinical (occurring without any symptoms), or there may be fever, chills, or pelvic pain indicating inflammation of the entire pelvic area.

Complications of PID

  • Severe or frequent attacks of PID can eventually cause scarring, abscess formation, and tubal damage that result in infertility. About 20% of women who develop symptomatic PID become infertile. The severity of the infection, not the number of the infections, appears to pose the greater risk for infertility.
  • PID also significantly increases the risk of ectopic pregnancy (fertilization in the fallopian tubes). A small US study suggests, however, that even mild Chlamydia infection that occurs in the upper genital tract may cause a higher proportion of ectopic pregnancies than previously thought.

For queries contact: banerjee.kaberi@gmail.com

 
    Pediatric Update

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

What clinical scenarios have been described in NTIS?

The most common scenario is a low normal TSH with normal T4 and low T3.

  • Low serum total T3: the most commonly identified abnormality (70% of patients in the hospital, mean value is 40% of normal).

  • Low serum total T3 and T4: most common in critically ill patients in the MICU. Low total T4 is predictive of a bad outcome.

  • Low serum total T4: seen with certain meds (dopamine and corticosteroids).

  • High serum total T4: seen in situations where thyroid binding globulin is elevated (acute intermittent porphyria, chronic hepatitis, primary biliary cirrhosis). Free T4 is normal. Total T3 and T3 index are low. Reverse T3 is elevated.

  • High serum free T4: seen with IV and subcutaneous heparin. Total T4 and the free T4 index are normal.

  • High serum total and free T4: seen in treatment with amiodarone or iodinated contrast
    agents. These agents may precipitate hyperthyroidism, in the setting of thyroid nodules

For queries contact: drneelam@yahoo.com

 
    Medicolegal Update

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

What are the viscera samples to be taken for chemical analysis by the doctor conducting the autopsy?

The majority of poisons are taken orally and the poison due to water content/liquids is likely to be present in the stomach and intestinal contents and their walls. After absorption all poison pass through the liver which is the major detoxifying organ in the body and has the power of concentrating many poisons and making them identifiable when the blood and urine concentrations may have declined to very low levels. The kidney being the organ of excretion contains large amounts of poison, which is excreted into the urine. The following viscera are preserved in case of any suspected or evident case of death due to poisoning.

  • Stomach and its contents.
  • If the stomach is empty the wall should be preserved.
  • The upper part of small intestine about 30 cm long with its contents.
  • Liver about 500 grams.
  • One kidney or half of each kidney.
  • Brain in case of alcohol death
  • Blood 100 ml/minimum 10 ml
  • Urine 100 ml
 
    Legal Question of the Day

(Contributed by Dr MC Gupta, Advocate)

Q. It is alleged that corporate hospitals fix targets to be fulfilled by doctors as regards angiographies, angioplasties, coronary bypass surgery etc. to be performed. It is natural that in an attempt to fulfill the targets, the doctors might dilute the criteria. Can MCI Code of Ethics Regulations be used to curb this practice? Can corporate hospitals be held liable for indulging in such practices?

Ans.

  • The allegation is true as told to me personally by a senior doctor working in a corporate hospital. He told me how patients are advised and subjected to unnecessary costly procedures by consultants under pressure from the administration.
  • Code of Ethics regulations can be used against this practice in two ways:
    • Patients who have been advised unnecessary procedures may complain to the medical council;
    • Other doctors may complain against the doctor concerned under regulation 1.7.
  • I once defended successfully a cardiologist in a consumer court where it was alleged that he did not advise bypass surgery which was later performed in another corporate hospital. I was able to prove that there was no indication.
  • Recently, I came across a case where a patient was subjected to plain x–ray chest every day for two months while admitted in the hospital. She had no chest complaint and all x–rays were normal. On some days, even two x–rays were performed in a day.
  • If doctors knowingly give a motivated advice to patients and perform unnecessary procedures, they can’t claim innocence and blame the employer hospital for giving them targets. It is unfortunate that the profession is shedding nobility for greed. That being so, public sympathy is bound to decrease. When I was a resident, assault by patients or relatives against doctors was unheard of. Now it is common. One of the reasons is reduced confidence in doctors’ sincerity. The profession needs to introspect.
  • No action can be taken against the hospitals under the Code of Ethics, 2002, because the hospital because hospitals are outside the jurisdiction of the council. However, a complaint can be made to the council against the hospital superintendent or administrator if he is a medical person.
  • There are no proper laws to take quick and effective remedy against the erring hospitals. The only convenient remedy available to the public is the Consumer Protection Act, 1986. This law can award punishment for both medical negligence (such as wrong diagnosis or treatment on the part of doctors) as also other forms of deficiency in service (on the part of the hospital as such). In practice, it focuses on medical negligence. There are no standards or rules (such as for: adequate space, sanitation, UPS, staff, patient transport etc.) for violation of which the hospital can be punished. All attention is directed against erring doctors. This is an awkward situation which will hopefully be corrected to some extent by the CEA, 2010. Another potentially useful outcome of this Act would be control of quackery, which has been a major demand of the IMA.
 
    Useful Websites

(Dr Surendernikhil Gupta)

KidSurvival

Two On Hepatitis B

http://www.childsurvival.net/?content=com_articles&artid=305

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    Lab Update

(Dr Arpan Gandhi and Dr Navin Dang)

BUN

Increased: Renal failure, pre–renal azotemia, shock, volume depletion, postrenal (obstruction), GI bleeding, stress, drugs (aminoglycosides, vanco etc).

Decreased: Starvation, liver failure, pregnancy, infancy, nephrotic syndrome, overhydration.

    Medi Finance Update

Indirect Tax

Others

  • Additional banking licenses to private sector players may be granted
  • Non Banking Financial Companies could also be considered, if they meet the RBI–seligibility criteria.
 
    Drug Update

LIST OF APPROVED DRUG FROM 01.01.2010 TO 31.8.2010

Drug Name

Indication

DCI Approval Date

Propranolol 40mg (SR Pellets) + Flunarizine 5mg/10mg capsules

For the prophylaxis of migraine

16/03/2010

 
    IMSA Update

International Medical Science Academy (IMSA) Update

Artemisinin resistance and P. falciparum

Results of malaria blood smears performed three days after treatment initiation may be used as a screening tool for artemisinin resistance. Artemisinin resistance is highly unlikely if the proportion of patients with parasite density <100,000 parasites/microL following a three–day course of therapy with an artemisinin combination regimen is <3 %.

 
    IJCP Special

Dr Good Dr Bad

Situation: A patient came with right heart failure.
Dr Bad: Continue with your normal fluid intake.
Dr Good: Restrict your fluid intake.
Lesson: In right heart failure, fluids should be restricted.

Make Sure

Situation: A patient missed her last dose of hepatitis B vaccine as she was out of station at 6th month.
Reaction: Oh my God! Why was the vaccine not given between 4–6 months?
Lesson: Make sure that all patients are given the complete vaccine regimen. The correct regimen is 0, 1–2 months and 4–months.

Exercise tips

Strength or resistance training, such as elastic–band workouts and the use of weight machines or free weights, is important for building muscle and protecting bone.

 
    Lighter Side of Reading

An Inspirational Story
(Contributed by Dr Anupam Sethi Malhotra)

Akbar’s Gold Coins

The wisdom of Birbal was unparalleled during the reign of Emperor Akbar. But Akbar’s brother in law was extremely jealous of him. He asked the Emperor to dispense with Birbal’s services and appoint him in his place. He gave ample assurance that he would prove to be more efficient and capable than Birbal. Before Akbar could take a decision on this matter, this news reached Birbal. Birbal resigned and left. Akbar’s brother–in–law was made the minister in place of Birbal. Akbar decided to test the new minister. He gave three hundred gold coins to him and said, "Spend these gold coins such that, I get a hundred gold coins here in this life; a hundred gold coins in the other world and another hundred gold coins neither here nor there."

The minister found the entire situation to be a maze of confusion and hopelessness. He spent sleepless nights worrying over how he would get himself out of this mess. Thinking in circles was making him go crazy. Eventually, on the advice of his wife he sought Birbal’s help. Birbal said, Just give me the gold cons. I shall handle the rest. Birbal walked the streets of the city holding the bag of gold coins in his hand. He noticed a rich merchant celebrating his son’s wedding. Birbal gave a hundred gold coins to him and bowed courteously saying, "The Emperor Akbar sends you his good wishes and blessings for the wedding of your son. Please accept the gift he has sent. The merchant felt honoured that the king had sent a special messenger with such a precious gift. He honoured Birbal and gave him a large number of expensive gifts and a bag of gold coins as a return gift for the king.

Next, Birbal went to the area of the city were the poor people lived. There he bought food and clothing in exchange for a hundred gold coins and distributed them in the name of the Emperor. When he came back to town he organized a concert of music and dance. He spent a hundred gold coins on it. The next day Birbal entered Akbar’s darbar and announced that he had done all that the king had asked his brother–in–law to do. The Emperor waited to know how he had done it. Birbal repeated the sequences of all the events and then said, The money I gave to the merchant for the wedding of his son – you have got back while on this earth. The money I spent on buying food and clothing for the poor " you will get it in the other world". The money I spent on the musical concert" you will get neither here nor there."

This is true even today. The money you spend on friends is returned or reciprocated in some form or the other. Money spent on charity gets converted into blessings from God which becomes your eternal property. Money spent on pleasures is just frittered away!

— — — — — — — — — —

Mind Teaser

Read this   ………………… 

_it

Yesterday’s Mind Teaser: egg egg easy
                                    

Answer for yesterday’s Mind Teaser:
Eggs over easy

Correct answers received from: Dr K V Sarma, Dr Vinay Sakhuja, Dr.K.P.Rajalakshmi, Dr.K.Raju, Dr Muthumperumal Thirumalpillai,

Answer for 18th February Mind Teaser: Out in left field
Correct answers received from: Dr Neelam Nath

Send your answer to ijcp12@gmail.com

— — — — — — — — — —

Laugh a While
(Contributed by Dr GM Singh)

Old Computer Terms

BIT: A word used to describe computers, as in "Our son’s computer cost quite a bit."

BOOT: What your friends give you because you spend too much time bragging about your computer skills.

— — — — — — — — — —

Knowledge is amusing

Each KING in a deck of playing cards represents a great king from history.

 
    Readers Responses
  1. Dear Sir, eMedinews is doing a fabulous work to medical fraternity. Regards Dr Prachi

 
    Public Forum

(Press Release for use by the newspapers)

High Resting Heart Rate a bad sign

A higher resting heart rate raises the chances of a heart attack in both men and women, said Dr. K.K. Aggarwal Padma Shri and Dr B C Roy National Awardee and President Heart Care Foundation of India.
A study published in the journal BMJ used data on 129,135 postmenopausal women enrolled in the Women's Health Initiative. It found that the 20 percent of women who had heart rates of 76 beats a minute or greater had a 26 percent greater risk of a heart attack in a follow-up period of 7.8 years.
The additional risk posed by a higher resting heart rate is not as much as having a higher LDL cholesterol level, but it is still a good indicator.
A higher heart rate in a woman aged over 50 would indicate a need for the recommended lifestyle modifications needed to prevent cardiovascular problems -- a low-fat diet, lower blood pressure, avoiding obesity and more physical activity.
Physical activity is the key element in prevention for these women. It's the same as in an athlete who is well-conditioned. When you exercise, you increase the tone of the autonomic nervous system, which causes a decrease in heart rate and a decrease in blood pressure. The autonomic nervous system controls such basic body functions as blood pressure and digestion. Exercise is the most potent medication we have for improving autonomic function. An elevated heart rate, reflects activation of the sympathetic nervous system, is associated with a worse outcome in heart failure. For every 5 beats per minute increase there are significant increases in cardiovascular death (8 percent), admission to hospital for heart failure (16 percent), and coronary revascularization (8 percent).

 
    Forthcoming Events

eMedinewS Events: Register at emedinews@gmail.com

National workshop-cum-seminar on role of yoga in prevention and management of diabetes mellitus

The Advanced Centre for Yoga Therapy, Education & Research (ACYTER) and Department of Physiology JIPMER in collaboration with Morarji Desai National Institute of Yoga, (MDNIY) New Delhi.
Date: March 1 & 2, 2011
Venue: JIPMER. For more details please contact:acyter.jipmer@gmail.com
Mobile: 9994628679 (Dr Zeena Sanjay), 9488820627 (Sri Eayasettiaseelon), 9842311433 (Dr Ananda Balayogi Bhavanani)

6th Annual Conference of Indian Academy of Nephrology (IANCON-2011)

Date: 12th -13th March 2011,
Venue: Taj Deccan, Banjara Hills, Hyderabad-34
Faculty: Dr MS Amarsen, Dr KV Jhony, Dr SC Dash, Dr Kashivishweswaran Dr V Sakhuja, Dr RK Sharma Dr Girishnarayan, Dr Anuradha, Dr SK Agarwal, Dr P Sundarajan, Dr P Keshivya, Dr Ravi Raju, Dr Dilip Pahari, Dr LC Sharma, Dr Sanjeev Saxena, Dr Sanjay Gupta, Dr Abhijit Tarapdhar, Dr PP Verma, Dr Harun Rashid, Dr Sampath Kumar, Dr Sanjib Sharma, Dr S Padmanabhan.
Topics: CKD Symposium (From India, Nepal, Bangladesh), Newer concepts in the pathogenesis of hypertension, Fluid and Electrolyte & AKI, RAAS in treatment of Diabetic Nephropathy, Primary Prevention of CKD: Trials & tribulation in Indian condition, Vitamin-D andchronic kidney disease, Mycophenolate Vs Cyclyophosphamide in Lupus nephritis, Individual zinganemia therapy, How to monitor Immunosuppression minimization, Obesity Diabetes epidemic, Life Style changes & therapeutics, BKV and CMV Nephropathy, Leptospiraand Acute Kidney Injury, HIV Nephropathy, Hypophosphatemia and Renal Disease, Immunosuppressantand risk of Malignancy, Pregnancy ARF, Expanding Dialysis services in Andhra Pradesh,Making kidney transplant easier for less privileged, Cardiovascular risk reduction in CKD Organizing Secretary: Dr. Sree Bhushan Raju, Associate Professor, Dept of Nephrology, NIMS, Hyderabad
Contact- Mob: 09848492951, sreebhushan@hotmail.com
Website: www.ian2011.in
Note: “Prof SC Dash oration in Nephrology” from this year onwards.
Three awards each in oral, poster and imaging in Nephrology sessions

Registration for Delegates Amount
Up to 15th February 2011
Rs. 1500/-
 
Up to 5th March 2011
Rs. 2000/-
Spot registration
Rs. 2500/-
Student
Rs. 500/-

DD/Cheque in favor of“IANCON- 2011” payable at Hyderabad.Add Rs 100 for outstation cheque.

ICC Cricket World Cup 2011

World Cup Schedule… very very creative

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

Delhi Medical Council Inaugural CME on Managing Common Emergencies

Date: Sunday, February 20, 2011
Venue:Maulana Azad Medical College
Programme – 1.00 PM – 4.00 PM
1.00 PM 1.30 PM Lunch
1.30 PM 1.45 PM Inauguration
1.45PM 4.00 PM Scientific Programme

Topics Time Speakers Chairpersons
RTA, Emerging Epidemic
1:45 PM – 2.05 PM
 
Dr MC Misra
Dr BK Dhaon, Dr Praveen Bhatia, Dr Chander Prakash
Acute Febrile Illness
2.05 PM – 2.25 PM
Dr N.P Singh
Dr OP Kalra, Dr SP Byotra,
Dr B Gupta
Haematuria – Red Alarm
2.25 PM – 2.45 PM
Dr Anil Goyal
Dr P.N Dogra, Dr. Rajeev Sood
Managing PPH – Saving Lives
2.45 PM – 3.05 PM
Dr Reva Tripathi
Dr Sharda Jain
Panel Discussion of Update of Lt. Side chest pain 3.05 PM – 3.50 PM Dr Purshottam Lal,
Dr Naresh Gupta
Dr PS Gupta, Dr K K Aggarwal, Dr Ashok Seth

Vote of Thanks: 3.50 PM – 4.00 PM

Followed by Tea

Please Note: Prior Registration is Mandatory (No Registration Charges)

For Registration e–mail to delhimedicalcouncil@gmail.com
If you are not registered with DMC you can get registered on the spot

Organization: President: Dr Arun Aggarwal, Vice President: Dr Vinay Aggarwal, Secretary: Dr Girish Tyagi, Organizing Chairman: Dr Anil Goyal, CME Committee Members: Dr Anil Bansal, Dr Manoj Singh, Dr NP Singh, Dr Praveen Bhatia

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, New Delhi
Time: 8 AM – 4 PM
Register: rekhapapola@gmail.com

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