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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 …

20th June 2011, Monday

Rebates and Commission are unethical in the medical profession

As per MCI Code of Ethics Clause 6.41, "A physician shall not give, solicit, or receive nor shall he offer to give solicit or receive, any gift, gratuity, commission or bonus in consideration of or return for the referring, recommending or procuring of any patient for medical, surgical or other treatment. A physician shall not directly or indirectly, participate in or be a party to act of division, transference, assignment, subordination, rebating, splitting or refunding of any fee for medical, surgical or other treatment."

The patient shall not directly or indirectly participate in or be a party to act of donation, transference, asking for subordination, rebate splitting or refund of any fee to any medical, surgical or other treatment.

Clause 6.42 of MCI Code of Ethics says, "Provisions of para 6.4.1 shall apply with equal force to the referring, recommending or procuring by a physician or any person, specimen or material for diagnostic purposes or other study/work. Nothing in this section, however, shall prohibit payment of salaries by a qualified physician to other duly qualified person rendering medical care under his supervision." Under clause 7.19, the MCI Code of Ethics further clarified that a physician shall not use touts or agents for procuring patients.

Under code 6.11, it further clarifies that soliciting of patients directly or indirectly by a physician, by group of physicians of by institutions or organization is unethical. In India, the law exists but no actions are being taken by the MCI or any State Medical Council. But, there are hundreds of examples in the US where doctors have been punished for such activities. Under the As per AMA Code of Ethics (Opinion 6.02), Payment by or to a physician solely for the referral of a patient is fee splitting and is unethical. A physician may not accept payment of any kind, in any form, from any source, such as a pharmaceutical company or pharmacist, an optical company, or the manufacturer of medical appliances and devices, for prescribing or referring a patient to said source. Also referrals to healthcare clinics, laboratories or other health care facilities that compensate physicians for referral of patients are not encouraged if splitting done unethically. Offering or accepting payment for referring a patient to research studies (Finder’s Fee) is also unethical.

Following are the loopholes in the Indian system of medical practice:

  1. Most corporate hospitals have marketing departments which solicit patients (both national and international) violating the MCI Code of Ethics.
  2. Most of the hospitals appoint general practitioners as visiting family physicians and paying them a percentage of the total bill. They are termed as Referral Doctors. A percentage of total bill paid will invariably be defined as Commission and can never be classified as a Reimbursement for services rendered.
  3. The incentives paid by many corporate hospitals to the emergency doctor for admitting a patient is also a violation of Code of Ethics. The commission paid by an imaging centre and laboratories and diagnostic centre to referring doctors where the amount may vary from 20–70% is also unethical under any country’s code of ethics.

The commissions paid to public sector doctors and government doctors by diagnostic centres and devices manufacturers are also unethical. Most of the referrals are paid under the term Rendered Professional Services and are even paid by cheques and exemption taken from income tax under the Expenses clause.

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

Aldosterone antagonist in mild heart failure

Start aldosterone antagonist therapy to treat HF in patients who have NYHA functional class II HF and an LVEF ≤30 percent, or NYHA functional class III to IV HF and an LVEF <35 percent, who can be carefully monitored for serum potassium and renal function

 
  eMedinewS Audio PostCard

Padma Shri and Dr BC Roy National Awardee
Dr KK Aggarwal
on

Science behind Rituals

Audio PostCard
 
    Photo Feature (from the HCFI Photo Gallery)

School Health Check up Camp

The Heart Care Foundation of India organized a health check up camp at KDB Public School Ghaziabad. In the photo: Padma Shri and Dr BC Roy National Awardee Dr KK Aggarwal interacting with the students and teachers

 
Dr K K Aggarwal
 
    National News

NACO’s text drive for blood donation

Soon, you will receive an SMS alert from the Government urging you to donate ‘life–saving’ blood. In a first of its kind-initiative, National Aids Control Organisation (NACO) is in talks with the Telecom Authority of India (TRAI) to launch the bulk SMS services to encourage mobile phone users to donate blood. In fact, the Indian Red Cross Society last week started the service with a private firm urging people to send SMS RED to 09219592195. The service is to rope in prospective blood donors. The idea is to utilise enormous growth of the mobile phone industry and reach out to the youth, for whom text–messaging is a way of life, for blood donation. Presently, only 50 per cent of the blood requirement is met through the voluntary donation. In 2008, the country had a total 7.4 million donations of which 4.6 million were voluntary donations.

"We want to take it (voluntary donation) to 90 per cent by 2012 for which we are focusing on mobile media. Text message will also help us keep track on the first donors as safe donors are always important," said Vinita Srivastava, Programme Officer, National Blood Transfusion Council under the NACO. The SMS will also provide tips for successful blood donations and early notification of new promotions to all donors who opt–in for the programme besides feedback on the camps being organised for improving services as is being done in abroad. (Source: The Pioneer, June 15, 2011)

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 will 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; Fee: Rs. 6.75 lakhs (for 3 years). Last date for application: 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.

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)

Rotavirus vaccine tied to short–term risk for intussusception

The monovalent rotavirus vaccine (RV1; Rotarix, GlaxoSmithKline) carries a short–term risk for bowel intussusception in roughly 1 of every 51,000 to 68,000 vaccinated infants, a new study indicates. However, the benefits of the vaccine far outweigh the risks, the study team emphasizes. The study appears in the June 16 issue of the New England Journal of Medicine. A total of 615 infants with intussusception (285 in Mexico and 330 in Brazil) and 2050 control infants (739 in Mexico and 1311 in Brazil) were enrolled in the study. Of these, 594 patients with intussusception (97%) and 2033 control patients (99%) had a history of vaccination. Among infants from Mexico, there was roughly a 5-fold increased risk for intussusception 1 to 7 days after the first dose of RV1. Among infants in Brazil, no significant risk for intussusception was found after the first dose. However, a small but significantly increased risk was seen 1 to 7 days after the second dose.

Pre–Op progesterone may benefit some breast cancer patients

Giving progesterone before breast cancer surgery won’t help everyone, but it does provide a benefit to women with node–positive disease, a new randomized clinical trial shows. Women with node–positive disease had significantly improved overall and disease–free survival if they received a single injection of progesterone five to 14 days before surgery.The results "may be considered hypothesis generating, if replicated in other studies," Dr. Rajendra Badwe of Tata Memorial Hospital in Mumbai, India, and colleagues conclude.

Give antidepressants at least a month to work: study

An antidepressant should be taken for at least a month before deciding it’s ineffective, researchers have concluded based on a data they published online May 31st in the Journal of Clinical Psychiatry. "There is very little empirical data to guide clinicians as to what an adequate antidepressant should be, though we do know that a substantial percentage of patients who show no improvement through 4, 6, or even 8 weeks of treatment will nevertheless improve if the antidepressant regimen is continued for several weeks more," said Dr. Michael A. Posternak from Comprehensive Psychiatric Associates, Wellesley, Massachusetts in email to Reuters Health.

(Dr GM Singh)

What about hypothyroidism in pregnant women?

- Untreated maternal hypothyroidism results in neuropsychological damage to the offspring. Patients with hypothyroidism who become pregnant need to have the dose of levothyroxine increased on average by 50μg daily in order to maintain normal serum TSH concentrations.

- The advice to patients with established hypothyroidism is that they should increase their dose of levothyroxine by 25μg daily as soon as pregnancy is confirmed and make an appointment for thyroid function tests to be measured some two weeks later. The aim is to achieve a free T4 concentration of 16–20pmol/l.

- Further measurement of serum free T4 and TSH should be made six weeks later and again in the middle of the second and third trimesters.
- The pre–pregnancy dose of levothyroxine can be restored four weeks after delivery by which time the increased concentrations of thyroxine binding globulin will have returned to normal. It’s not clear whether this meticulous care is necessary and it may well be that any thyroxine therapy in the hypothyroid mother will allow normal foetal development.

 
    Fitness Update

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

Research update

The American Heart Association (AHA) reports: "Sudden death from cardiac arrest is a major health problem that’s received much less publicity than heart attack. Sudden cardiac death (also called sudden arrest) is death resulting from an abrupt loss of heart function (cardiac arrest). The victim may or may not have a diagnosed heart disease. The time and mode of death are unexpected. It occurs within minutes after symptoms appear. The most common underlying reason for patients to die suddenly from cardiac arrest is coronary heart disease (fatty buildups in the arteries that supply blood to the heart muscle)."

The AHA continues: "All known heart diseases can lead to cardiac arrest and sudden cardiac death. In 90% of adult victims of sudden cardiac death, two or more major coronary arteries are narrowed by fatty buildups. Scarring from a prior heart attack is found in two–thirds of victims."

 
    Twitter of the Day

@DrKKAggarwal: Dr K K Aggarwal on science behind rituals Gymkhana Club.MP3: http://t.co/KlEQYHQ

@DeepakChopra: #QM The periodic table is a map of the actualization of elements from potentiality fields manifesting the building blocks of the universe

 
    Spiritual Update

Science behind Hanuman Chalisa

How can one maximally benefit from Hanuman Chalisa?

Pranayama is slower and deeper breathing. Normally, we take 12 breaths per minutes and spend 4 seconds in one breath (2 seconds for inspiration and 2 seconds for expiration). If we prolong inspiration, expiration or both, we can reduce respiratory rate. The same can also be achieved by chanting each of the 2 lines of Hanuman Chalisa both during inspiration and expiration. It will take 20 inspiration and 20 expiration cycles to do so. Try doing hundred such cycles.

 
    An Inspirational Story

(Dr. Anupam Sethi Malhotra)

When I travel on business, I like to talk to the taxi drivers who take me from the airport/station/Bus stand to my hotel, or to a convention center, or to a restaurant. Taxi drivers are often immigrants with interesting personal histories and unusual cultural backgrounds. I ask them how long they’ve been in that city how they chose which city to live in, and what they like best about where they live. Of course, I also ask them for advice on good local restaurants and any special attractions they’d recommend to a visitor. I’ve had some great experiences on my travels, thanks to the advice of taxi drivers!

On one trip about ten years ago, I was making conversation with the taxi driver, asking him my usual questions about how he came to live where he lived. Then I asked him a hypothetical question: "If you could live anywhere in the world-and if money was no object-where would you live?"

Without hesitating even for a second, he replied, "I live in my heart. So it really doesn’t matter where my body lives. If I am happy inside, then I live in paradise, no matter where my residence is."

I felt humbled and a little foolish for my question. Of course he was right–happiness is an inside job. He had reminded me of something I already knew, but had forgotten. If you can’t find happiness inside yourself, you’ll never find it in the outside world, no matter where you move. Wherever you go, there you are. You take yourself with you.

I am grateful for the wisdom of that taxi driver. And I’m grateful for all the wisdom others have shared with me about how to be happy.

 
    Pediatric Update

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

What is the risk of acquiring chronic HBV infection after acute exposure?

The risk of developing chronic HBV infection after acute exposure ranges from 90% in newborns of HBeAg–positive mothers to 25% to 30% in infants and children under 5 and to less than 5% in adults. However, immunosuppressed persons are more likely to develop chronic HBV infection after acute infection.

 
    Did You Know

(Dr Uday Kakroo)

Because of the speed at which Earth moves around the Sun, it is impossible for a solar eclipse to last more than 7 minutes and 58 seconds.

 
    IJCP Special

Dr Good Dr Bad

Situation: A patient came with an eGFR value of 25.
Dr. Bad: You need immediate dialysis.
Dr. Good: Hold on till proper investigations are done.
Lesson: According to a study published in Canadian Medical Association Journal, starting dialysis too soon can be associated with high mortality.

Make Sure

Situation: A patient with fever and cough developed complications after he was given antibiotics.
Reaction: Oh my God! What was the need of giving the antibiotics?
Lesson: Make sure that a patient with fever and cough is not given antibiotics as presence of cough mostly signifies viral infection.

    SMS of the Day

(Dr GM Singh)

My best friend is the man who in wishing me well wishes it for my sake. Aristotle

 
    GP Pearls

(Dr Pawan Gupta)

Telcagepant is new anti migraine drug (calcitonin generated peptide receptor blocker). It has similar effects to tryptans in acute attacks. It is useful for patients who do not get relief from older drugs. Topiramate is first-line drug for prevention of migraine attacks. This could aid reversion of chronic migraine to episodic migraine. Calcitonin receptor blockers are supposed to be more useful in migraine than tryptans. (Lancet 2010;376:645)

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    Medicolegal Update

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

Taking someone else’s medicine is also a kind of misuse and may cause poisoning

  • Women who take various available medicines and mixing them together to try to end a pregnancy are misusing the medicine, and may poison themselves.
  • Poisoning accidents can happen when safety warnings are ignored and chemicals are used in the wrong way. For example, there is usually a warning on a bleach container that bleach should not be mixed with any other cleaner. If people ignore the warning and use bleach with another household cleaner, they may be poisoned by the gases given off.
  • Another example of misuse of a product is when insecticides that are meant to be used on plants or buildings are used to kill insects living on people, in their hair or on their bodies. Sometimes people poison themselves by misusing medicines. They may take more than the doctor prescribed because they think, wrongly, that a larger dose will make them better more quickly. Taking someone else’s medicine is also a kind of misuse.
 
    Vitamins—Open Secrets revealed

(Dr Jitendra Ingole, MD Internal Medicine)

Vitamin C and Germs

Probably the most important job that vitamin C does is kill bacteria and virus cells in the bloodstream. Let’s call them both "germs" for simplicity. Remember that this killing is only effective in the bloodstream. If "germs" get into an organ or a cell, vitamin C cannot reach them.

Vitamin C kills invaders by combining with them, and this uses up the available vitamin C fairly quickly. Bacteria and viruses multiply quickly. Both double in about 20 minutes. This means that if you take only enough vitamin C to kill off half of the invader before being used up, in another 20 minutes, the invader is back up to the previous strength.

Very few of those scientists use much more than a few grams of C in their tests. Let’s say that 2000 mg is used. That might kill half of the invaders as in the example above. Or, let’s be very generous.

Let’s say that that dose kills off 99% of the invaders. Would you believe that it only takes 140 minutes to get back to original strength?

The above is why it is necessary to saturate the blood with vitamin C, and keep it saturated for some time in order to kill all the invaders.

 
    Lab Update

(Dr Arpan Gandhi and Dr Navin Dang)

17–Hydroxyprogesterone

To screen for, detect, and monitor treatment for congenital adrenal hyperplasia (CAH); sometimes to help rule out other conditions; as part of a routine newborn screen, when an infant has ambiguous genitalia, when a young female has hirsutism or other symptoms of virilization, when a male child has premature sexual development, and periodically to monitor CAH treatment.

 
    Mind Teaser

Read this…………………

A 40-year-old male, with history of daily alcohol consumption for the last 7 years, is brought to the hospital emergency room with acute onset of seeing snakes all around him in the room, not recognizing family members, violent behavior and tremulousness for few hours. There is history of his having missed the alcohol drink since 2 days. Examination reveals increased blood pressure, tremors, increased psychomotor activity, fearful affect, hallucinatory behavior, disorientation, impaired judgement and insight. He is most likely to be suffering from:

1. Alcoholic hallucinosis
2. Delirium tremens
3. Wernicke encephalopathy
4. Korsakoff’s psychosis

Yesterday’s Mind Teaser: Which of the following statements can be regarded as primary action of Inhibin?

1. It inhibits secretion of prolactin.
2. It stimulates synthesis of estradiol
3. It stimulates secretion of TSH.
4. It inhibits secretion of FSH.

Answer for Yesterday’s Mind Teaser: 4. It inhibits secretion of FSH.

Correct answers received from: Dr Muthumperumal Thirumalpillai, Dr Nishi Singh, Dr Jainendra Upadhyay, Dr. Surendra Bahadur Mathur, Dr. Taiyab Saherwala, Dr Anil Bairari, Dr.Deepali chatterjee, Dr Neelam Nath, Dr U Gaur

Answer for 18th June Mind Teaser: 1. Absence of semen
Correct answers received from: Dr. Taiyab Saherwala, Dr.K.Raju, Dr Rakesh Bhasin, Dr. Anupam Sethi Malhotra, Dr.Tilak Gupta, Dr. Amol Hartalkar, Dr U Gaur, Dr. Deepali chatterjee, Dr.G.Padmanabhan, Dr Nishi Singh, Dr. B. B. Aggarwal, Dr Shashi Saini, Dr. Anjani, Dr Rashmi Chhibber, Dr.Surendra Jain

Send your answer to ijcp12@gmail.com

 
    Medi Finance Update

(Dr GM Singh)

How to read a balance sheet

Current Assets Ratio

Current asset ratio is arrived at by dividing the current assets by current liabilities plus current loans (excluding long term loans). It is considered best if it is above 1.33.

 
   Laugh a While

(Dr. GM Singh)

A man was carrying 3 babies in a train. Lady sitting next asked: "Are they your babies?" Man: "No, I work in a condom factory and these are customer complaints!"

 
    Drug Update

List of approved drugs from 01.01.2010 to 31.8.2010

Drug Name
Indication
DCI Approval Date
Pregabalin 150mg/75mg + Methylcobalamin 750mcg + Alpha lipoic acid 100mg + Pyridoxine 3mg + Folic acid 1.5mg capsule
For the treatment of painful diabetic neuropathy in adults only
12.10.10
 
    Obesity Update

Dr. Parveen Bhatia and Dr. Pulkit Nandwani

Surgical Technique of Laparoscopic Gastric Bypass

The gastric bypass procedure consists in essence of:

  • Creation of a small, (15–30 mL) thumb–sized pouch from the upper stomach, accompanied by bypass of the remaining stomach (about 400 mL). This restricts the volume of food which can be eaten. The stomach may simply be partitioned (typically by the use of surgical staples), or it may be totally divided into two parts (also with staplers). Total division is usually advocated, to reduce the possibility that the two parts of the stomach will heal back together ("fistulize"), negating the operation.
  • Re–construction of the GI tract to enable drainage of both segments of the stomach. The technique of this reconstruction produces several variants of the operation, which differ in the lengths of small bowel used, the degree to which food absorption is affected, and the likelihood of adverse nutritional effects.
 
    IMSA Update

International Medical Science Academy (IMSA) Update

Lung cancer screening

A randomized trial of lung cancer screening in over 3,000 high–risk individuals found cumulative probability of a false positive finding of 33 percent for screening by low–dose CT and 15 percent for chest X –ray.

 
    Public Forum

(Press Release for use by the newspapers)

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

Doctors’ Day Special

Should a doctor charge fee from a fellow doctor?

Professional courtesy refers to the provision of medical care to physician colleagues or their families free of charge or at a reduced rate. While professional courtesy is a long–standing tradition in the medical profession, it is not an ethical requirement in American Medical Association (AMA) code of ethics, said Padma Shri and Dr BC Roy National Awardee Dr KK Aggarwal, President Heart Care Foundation of India and Dr Sidharth Kumar Das, Rheumatologist.

Here are some guidelines:

  • Doctors should use their own judgment in deciding whether to waive or reduce their fees when treating fellow physicians or their families. (AMA code of ethics opinion 6.13).
  • Many corporate hospitals may only offer some fixed discounts or may not offer any discount at all.
  • No discounts are usually offered if the patient is covered under reimbursement with a PSU, Govt. body, or an insurance cover.
  • No discounts are usually offered if the person gets admitted under a package where the cost of the doctor’s fee is included in the package, for example, PTCA package where the fee of the interventional cardiologist is a part of the package.
  • No discounts are usually offered in corporate hospitals with full time consultants where the fee paid is for the private OPD card and goes to the hospital and not to the doctors who are on a fixed pay role.
  • No discounts are usually offered to doctors from other systems of medicine like Ayurveda, homeopathy, yoga etc
  • No discounts are usually offered to dentists.
  • No discounts need to be offered if the patient is a doctor turned into a business or has changed his or her profession.
  • Doctors should not accept insurance payments while waiving patient copayments as it is unethical as per AMA code of ethics and a violation of AMA code of ethics Opinion 6.12, "Forgiveness or Waiver of Insurance Copayments."

 

 
    Corrigendum

Dr Alka Kriplani's corrigendum

In Saturday eMedinewS  by mistake an incorrect designation of Dr Alka Kriplani was carried. We apologize for the same. The corrected designation  is as under.
Dr Alka Kriplani, Professor and Head of unit II, Dept. of Obs and Gyne, AIIMS New Delhi, Editor, Asian Journal of Obs & Gynae Practice

The error is regretted. It was a typing mistake. eMedinewS deeply regrets the mistake.
 
    Readers Responses
  1. Dr K K Aggarwal _ Bhagwat Gita Chapter 2 Shloka 10–20.mp3

    Thanks Uncle ji, I was desperately waiting for the second post of the Geeta. As per me:– "Geeta is an ocean of knowledge. There may be thousands of interpretations of Geeta. But every interpretation would be another ocean. More so, Interpretations are again dependent on our perspectives, convictions and knowledge." Please correct me, if I am wrong. Nidhi Aggarwal

    Dr KK Aggarwal Responds: Thanks. You are right.
 
    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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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