emedinews
Head Office: E–219, Greater Kailash, Part 1, New Delhi–110 048, India. e–mail: emedinews@gmail.com, Website: www.ijcpgroup.com
FIRST NATIONAL DAILY eMEDICAL NEWSPAPER OF INDIA
eMedinewS is now available online on www.emedinews.in or www.emedinews.org
  From the Desk of Editor–in–Chief
Dr KK Aggarwal

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

 
  Editorial …

21st April, 2011, Thursday                                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

Bottle–to–scalpel time: a new surgical parameter for laproscopic surgeons

A new study published in April issue of Archives of Surgery has shown that experienced laparoscopic surgeons’ operating skills remain impaired as late as 4 p.m. the day after a drinking binge. The study was done by Anthony G. Gallagher, PhD, of the Royal College of Surgeons National Surgical Training Center in Dublin, Ireland.

The effects of alcohol on next–day performance were observed in both surgical novices and experienced surgeons. There are no rules or guidelines to govern consumption of alcohol the night before operative duties or to permit clear–cut recommendations for a ‘bottle–to–scalpel’ interval to be made. Alcohol consumption has acute effects on performance, but little information is available on persistence of the effects. Both acute and late effects of alcohol consumption have particular relevance to laparoscopic surgery, because the technique places considerable demands on cognitive, perceptual, and visuospatial abilities –– all known to be vulnerable to the effects of alcohol.The authors conducted two small studies involving use of a virtual reality training system for minimally invasive surgery, recruiting 16 science students and eight experienced laparoscopic surgeons.

  • In the first study, the 16 students were randomized to abstain from alcohol or to consume alcohol until subjectively intoxicated.
  • In the second study, the eight surgeons had dinner and drank until they felt intoxicated.
  • Participants in both studies completed a baseline test in the surgical simulator prior to their night out. The test consisted of six increasingly complex tasks commonly performed by laparoscopic surgeons. The eight surgeons’ blood alcohol levels were assessed by a breathalyzer immediately prior to beginning the performance phase of the study. One surgeon still had a blood alcohol level that exceeded the legal limit for driving.
  • The primary outcomes of both studies were the time to complete the tasks, mean number of errors per task, and efficiency of diathermy (mean burn time divided by optimal burn time). All participants completed the performance test three times: 9 a.m., 1 p.m., and 4 p.m.
  • In the first study, the students who abstained from alcohol and those who drank until they felt intoxicated had similar time scores. However, the alcohol group had significantly worse performance on diathermy (P=0.03) and made significantly more errors (P=0.003). An analysis of performance by time of day showed that the alcohol group required more time to complete the tasks at all test times, but the differences reached statistical significance only at 9 a.m. The authors attributed that finding to wide variability in the drinkers' performance.
  • In the second study, the surgeons completed the tasks faster during the second assessment than during the baseline assessment. Their performance time was significantly worse at 1 p.m. (P<0.01) and returned to baseline levels by 4 p.m. The surgeons’ economy–of–diathermy scores deteriorated as the day progressed (P<0.001), and they performed significantly worse at all three test times compared with baseline (P<0.05 to P<0.01). Error scores also differed significantly from baseline (P<0.001). The surgeons made more errors at all three test times compared with the baseline test results, but the difference reached statistical significance only a 1 p.m. (P<0.001).
  • The amount of alcohol consumed by each individual and actual blood alcohol levels were not measured in either study.
  • Given the considerable cognitive, perceptual, visuospatial, and psychomotor challenges posed by modern image–guided surgical techniques, abstinence from alcohol the night before operating may be a sensible consideration for practicing surgeons.
Dr KK Aggarwal
Editor in Chief
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    Changing Practice – Resource which has changed practice in last one year

Aldosterone antagonist in mild heart failure

Pertussis vaccination

  • The ACIP has voted to recommend that a single dose of Tdap vaccine may be given in place of Td for adults aged 65 years and older who have not previously received Tdap.
  • Vaccines containing tetanus toxoid, reduced diphtheria toxoid, and acellular pertussis (Tdap) have been approved since 2006 for booster vaccination in individuals aged 10 to 64 years.
  • The addition of the pertussis component to tetanus/diphtheria booster immunization reduces the incidence of pertussis infection in both vaccine recipients and, more importantly, their infant contacts.
  • In the fall of 2010, the Advisory Committee on Immunization Practices (ACIP) also voted to recommend that a single dose of Tdap vaccine may be given in place of Td for adults =65 years who have not received Tdap.(1,2)
  • This is important for older adults who have close contact with infants (such as grandparents, child care providers and health care providers). These recommendations are expected to be published with the ACIP’s 2011 recommended adult immunization schedule.

Reference

  1. http://www.cdc.gov/vaccines/recs/acip/slides–oct10.htm (Accessed on November 10, 2010).
  2. http://www.reuters.com/article/idUSTRE69Q5UL20101027 (Accessed on November 15, 2010).
 
  eMedinewS Audio PostCard

CKD Update

Dr Nalin Nag Speaks on
‘Counseling for testing’

Audio PostCard
 
    Photo Feature (from the HCFI Photo Gallery)

1st National Conference of Gynae Endocrinology

Padma Shri and Dr BC Roy National Awardee Dr KK Aggarwal was the Guest of Honor at the inauguration of the recently concluded 1st National Conference of Gynae Endocrinology held at AIIMS on 17th March.

 
Dr K K Aggarwal
 
    National News

Guest Editorial: (Dr S Arul Raj)

Pharma doctors – the new challenge & Clinical Establishment Act

Clinical Establishment Bill/Act, 2010, violates the fundamental rights of doctors?

The main objection is to Section 12(2) read with section 2(o) of the Act. These sections state as follows:

Section 2(o): "to stabilize (with its grammatical variations and cognate expressions:" means, with respect to an emergency medical condition specified in clause (d), to provide such medical treatment of the condition as may be necessary to assure, within reasonable medical probability, that no material deterioration of the condition is likely to result from or occur during the transfer of the individual from a clinical establishment.

Section 12(2) The clinical establishment shall undertake to provide within the staff and facilities available, such medical examination and treatment as may be required to stabilize the emergency medical condition of any individual who comes or is brought to such clinical establishment.

The plain meaning of the above is that if a patient comes to the hospital at any time with myocardial infarction, strangulated hernia, ectopic pregnancy, appendicular abscess, peritonitis, stab injury, fracture hip, fetal distress in a full term pregnant woman needing Caesarian section, acute glomerulonephritis or retention of urine, etc., all of which need active, immediate, costly surgery or other intervention, the hospital would have to provide such medical treatment of the condition as may be necessary to assure, within reasonable medical probability, that no material deterioration of the condition is likely to result from or occur during the transfer of the individual from a clinical establishment.

There is no mention in the Bill about three things:

1. Who will pay for the treatment?
2. Where will the patient be transferred?
3. Who will pay for the cost of transfer?

All doctors know, in actual practice, that the government hospitals will not take the patient saying they have no bed vacant; the private hospitals will not take in the patient who is unlikely to pay; the patient would refuse to pay even the cost of transfer and will threaten to sue the hospital under the Clinical Establishment Act, 2010 if the condition of the patient suffers! The fundamental rights of the doctors that will be violated are those granted under articles 19 and 21.

Under article 19 (1) (g), all citizens have a fundamental right to – to practice any profession, or to carry on any occupation, trade or business. Practising any profession or carrying out any occupation, trade or business means doing so for profit and not for charity.

Article 21 specifically states that – No person shall be deprived of his life or personal liberty except according to procedure established by law. The Supreme Court has held in various judgments that right to life includes right to earn a living.

Thus the Act restricts the right to earn and to practice the profession freely in order to earn the wherewithal. Besides, the Bill is violative of the basic legal principle that there cannot be a duty without a corresponding right.
The Act imposes a duty to provide costly treatment without any provision for paying the cost. The citizens have a fundamental right to health as held by the Supreme Court in its interpretation of the right to life under article 21. This right to health is against the government. It is the duty of the government to ensure that everybody’s health is protected. This duty cannot be passed on to other citizens/doctors by the clever and colourable device of the Act. This amounts to robbing Peter to pay Paul.

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

(Contributed by Rajat Bhatnagar, International Sports & Fitness Distribution, LLC)

National dietary guidelines updated

U.S. Department of Health and Human Services released the Dietary Guidelines for Americans, 2010 on January 31, 2011. Developed every 5 years, the Dietary Guidelines have the goal of moving Americans toward a more healthful diet. The update incorporates existing scientific research on food, nutrition and health to prevent disease and battle obesity. Significant additions to the 2010 version include guidance on how all the recommendations can be applied within an overall healthy eating pattern, plus broader environmental strategies that different sectors can put into action. A major theme throughout the report focuses on children. Taken as a whole, the Dietary Guidelines have two overarching messages: (1) balance calories to manage weight; and (2) consume nutrient–dense foods and beverages.

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

  • Reduce sodium to less than 2,300 milligrams (mg) per day, with an even further reduction to 1,500 mg per day for about half the population, including African Americans, all adults 51 and older, and those with hypertension, diabetes or chronic kidney disease.
  • Consume less saturated fat by replacing it with unsaturated fats. Avoiding trans fat remains a key recommendation.
  • Reduce intake of solid fats and added sugars.
  • Limit intake of refined grains, especially those with added sugar, fat and sodium.
  • The new guidelines also recommend increasing consumption of certain foods and nutrients:
    • Shift to a more plant–based diet. USDA food patterns, the DASH diet and Mediterranean–style eating are promoted.
    • Increase consumption of seafood by choosing it in place of meat and poultry.
    • Choose more foods that are rich in potassium, fiber, calcium and vitamin D––all nutrients of concern in American diets

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

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

(Dr Monica and Brahm Vasudev)

Health officials calling for repeal of ban on transplants of organs from HIV–positive individuals

For HIV patients, a potential source of kidneys and livers is off limits, because it is illegal to transplant organs from donors who test positive for the virus –– even to others who test positive. However, federal health officials and other experts are calling for repeal of the provision that bans such transplants, a 23–year-old amendment to the National Organ Transplant Act. According to the Times, the CDC and other health agencies are about to issue new guidelines that will encourage a first step: research involving transplanting HIV–positive organs into HIV–positive people.

Women who experience menarche early may have increased risk for type 2 diabetes

According to a study published online April 6 in the Journal of Clinical Endocrinology & Metabolism, women who experience menarche at an early age have higher body mass index (BMI) and body fat, and lower insulin sensitivity and ß–cell function than women with later onset of menses.

Valsartan may increase insulin sensitivity in normotensive individuals with impaired glucose metabolism

According to a study published in April issue of the journal Diabetes Care, treatment with the antihypertensive medication valsartan increases glucose–stimulated release of insulin and insulin sensitivity in normotensive individuals with impaired glucose metabolism (IGM).

 
    IJCP Special

Dr Good Dr Bad

Situation: A 19–year–old male, with malaria, vomited all 4 tablets of chloroquine after 20 minutes of swallowing them.
Dr Bad: Ask him to take 4 tablets again after sometime.
Dr Good: Reassure him and go ahead with further treatment.
Lesson: Chloroquine is absorbed within 15 minutes and hence need not be repeated if vomiting occurs later than 15 minutes of ingestion.

Make Sure

Situation: A patient on ARB and ACE inhibitor developed a new cancer.
Reaction: Oh my God! Why was this combination given?
Lesson: Make sure that hypertensives are not given this combination. A large meta–analysis (>300,000 patients from 70 randomized trials) found that combination therapy with angiotensin–receptor blockers (ARBs) and angiotensin converting enzyme inhibitors (ACE inhibitors) was associated with a significant increase in cancer incidence, but there was no increase in cancer incidence with ARBs or ACE inhibitors when used alone. (Lancet Oncol 2011; 12:65)

 
    An Inspirational Story

(Dr Prachi Garg)

The house with the golden windows

The little girl lived in a small, very simple, poor house on a hill and as she grew she would play in the small garden and as she grew she was able to see over the garden fence and across the valley to a wonderful house high on the hill – and this house had golden windows, so golden and shining that the little girl would dream of how magic it would be to grow up and live in a house with golden windows instead of an ordinary house like hers. And although she loved her parents and her family, she yearned to live in such a golden house and dreamed all day about how wonderful and exciting it must feel to live there.

When she got to an age where she gained enough skill and sensibility to go outside her garden fence, she asked her mother if she could go for a bike ride outside the gate and down the lane. After pleading with her, her mother finally allowed her to go, insisting that she kept close to the house and didn’t wander too far. The day was beautiful and the little girl knew exactly where she was heading! Down the lane and across the valley, she rode her bike until she got to the gate of the golden house across on the other hill.

As she dismounted her bike and lent it against the gate post, she focused on the path that lead to the house and then on the house itself…and was so disappointed as she realized all the windows were plain and rather dirty, reflecting nothing other than the sad neglect of the house that stood derelict. So sad she didn’t go any further and turned, heart broken as she remounted her bike

As she glanced up she saw a sight to amaze her…there across the way on her side of the valley was a little house and its windows glistened golden…as the sun shone on her little home. She realized that she had been living in her golden house and all the love and care she found there was what made her home the ‘golden house’. Everything that she had dreamed of was right there in front of her nose!

 
    Gyne Update

(Dr. Maninder Ahuja, Secretary General IMS)

When does mid life start?

Mid life starts from mid 40s or say around a figure of 35 plus. Why? Our degenerative changes start from this period onwards. Peak bone mass is attained till the age of 25 years. From 25 to 35 there is a plateau and then degenerative changes in various systems start, so if we have not started any preventive measures for our health earlier, this is the time we should start preparing ourselves.

 
    Pediatric Update

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

How does one investigate a case of croup ?

  • Do not disturb the baby unnecessarily.
  • Radiographs should be used only if diagnosis is uncertain.
  • Neck radiographs or blood tests cause anxiety in the child which may precipitate further distress and obstruction in those significantly obstructed.
  • X–ray PA view of the soft tissues of the neck reveals a tapered narrowing (steeple sign) of the subglottic trachea instead of the normal shouldered appearance.
  • Radiographic imaging does not reliably reflect the severity of airway obstruction.
ijcpgroup
ijcpgroup
Docconnect
 
    Medicolegal Update

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

Should a Doctor/corporate hospital interact with media?

The miraculous extension of life by high technology medical care, organ transplantation, mechanical substitutes, cosmetic surgery/cardiac intervention, newer antibiotics, anesthetic agent and prosthetic products show the increase in powers of medical care delivery and the simultaneously increased public interest in health & health law/quality and standard of medical care delivery system and its providers.

  • The medical issues and its discussion in public domain has compelled the doctors/hospital/health care providers/medical forum/association/government and strongly brought them more and more into unavoidable/necessary contact with multi channel electronic media/print. The same has nowadays become an important ingredient in the era of transparency and medical information in civilized democratic society in India as well as abroad.
  • The registered medical professional should be aware of the ethics involved in dealing with media. The British Medical Association in its handbook of medical ethics suggested that those doctors able to comment authoritatively on medical subject should be prepared to do so in order that the public may be informed.
  • Those doctors able to help the public with information should regard talking to media as an extension of the noble medical profession/practice.
  • Further BMA suggests that in the field of General Health Education the name and the relevant qualifications of the Doctor may be given to lend added authority.
  • The medical council of India as well across the world permits the Doctor to write/deliver public lecture/give talks on Radio/appear in television and grant press interview in matter of public health which will promote health education to the public at large.
 
    Legal Question of the Day

(Dr M C Gupta)

Q. My friends say that their PG degree is recognised by the state medical council but not by the MCI. How is this possible while a state medical council is a part of the MCI?

Ans.

  • What your friends say is wrong. It is not within the power of a state medical council to recognise or not a medical degree. Recognition is granted by the MCI.
  • There was an anomaly that a few diplomas, such as those in Orthopaedics and Radiology, granted by the College of Physicians and Surgeons, Mumbai, were recognised by the Maharashtra Medical Council but not by the MCI. I understand that this anomaly has been removed now.
  • State medical councils are not a part of the MCI. Each medical council is established under a separate law.
  • I think it would be a good idea to scrap the state medical council laws and to modify the MCI Act, 1956, to provide for a unified set up of central and state councils.
 
    Obesity Update

Dr. Parveen Bhatia and Dr. Pulkit Nandwani

Diabesity

Diabetes and Obesity threaten the health, well being and economic welfare of virtually every country in the world. The prevalence of both the countries has assumed epidemic proportions worldwide. Recent estimates suggest that around 80–90% of patients with type 2 diabetes are overweight or obese. The term "diabesity" was coined by Ethan Sims in 1973, to describe the close relationship between diabetes mellitus type 2 and obesity.

 
    Mind Teaser

Read this…………………

weather feeling

Yesterday’s Mind Teaser: YY4ME

Answer for Yesterday’s Mind Teaser: Too wise for me

Correct answers received from: Dr Rakesh Bhasin, Dr Sudipto Samaddar, Dr K.Raju, Dr Chandresh Jardosh, Dr S Upadhyaya, Dr Anil Bairaria, Dr Muthumperumal Thirumalpillai, Dr U Gaur, Dr Prabha Sanghi, Dr Tara Natarajan, Dr Riyazul Qamar Khan.

Answer for 19th April Mind Teaser
: I see you are
Correct answers received from: Dr Anupam, Dr Shweta.

Send your answer to ijcp12@gmail.com

 
    Laugh a While

(Dr GM Singh)

A lady inserted an ‘ad’ in the classifieds: "Husband Wanted". Next day she received a hundred letters. They all said the same thing: "You can have mine."

 
    Lab Update

(Dr Arpan Gandhi and Dr Navin Dang)

Hemoglobin A1c (HbA1c)

To monitor a person’s diabetes and to aid in treatment decisions; to screen for and/or diagnose diabetes and prediabetes.

 
    Medi Finance Update

(Dr GM Singh)

Nomination facility

Nomination is a facility offered to investors to indicate the person to whom the investments can be transmitted on their death. The nominee alone can receive the proceeds of the investment irrespective of the existence of a valid will of the deceased. It enables easy transmission of investment which can otherwise be complicated by legal delays. If there is a dispute, the nominee holds the proceeds of the investment in trust till such time the legal heirs of the deceased investor are identified. A nominee has neither any right to the investment nor can they take any action related to the investment during the life–time of the investor.

 
    Drug Update

List of approved drugs from 01.01.2010 to 31.8.2010

Drug Name
Indication
DCI Approval Date
Sitagliptin Phosphate 25/50/100 mg Tablet (Additional Indication)
(i) Use of Sitagliptin Phosphate in combination with Metformin and a PPARγ agonist as an adjunct to diet & exercise in adult patients with type2 diabetes mellitus who are inadequately controlled on combination therapy with Metformin and a PPARγ agonist. (ii) Use of Sitagliptin Phosphate in combination with insulin, alone or in combination with Metformin.
03/07/10
 
    IMSA Update

International Medical Science Academy (IMSA) Update

The 7th edition revision of the combined AJCC (American Joint Committee on Cancer) and UICC (International Union Against Cancer) TNM (tumor, node, metastasis) cancer staging manual took effect in January 2010. The criteria by which individual TNM categories are defined, as well as the stage groupings (combinations of T, N, and M that comprise stage I to IV disease) have changed for multiple cancer sites. The most prominent changes are in lung, esophageal, gastric, biliary, colorectal, and prostate cancer. In addition, new TNM staging systems have been developed for gastrointestinal stromal tumors (GIST), intrahepatic cholangiocarcinoma, and carcinoid tumors.

(Dr Vinay Sakhuja)

Latin Quotes

Ad praesens ove cras pullis sunt meliora.

Eggs today are better than chickens tomorrow. (A bird in the hand is worth two in the bush)

 
  Quote of the Day

(Dr GM Singh)

Be different ––– always show the you in you, that makes you the you that you are.

 
    Readers Responses
  1. Cricket has become a business house where cricketers are minting money without any sacrifice to the nation or devotion. Sometimes matches are fixed for the sake of money. It is also a game of luck. Sometimes, a single four changes the match result, so no much importance to be given for any defeat or victory. Giving Bharat Ratna to Tendulkar or Sehwag will lower the image of Bharat Ratna, and then it should be given to Ambani and others billionaires also who have done so much for the country. Cricket matches should also be minimized. Children waste time in watching matches even during examination time. President and Prime Minister can afford to see Test Matches but not school children who have lot to struggle in their life for their bread. Dr. BR Bhatnagar.
  2. I fully agree with the view that MCI should conduct all the three professional exams during MBBS course for all the medical graduates throughout the country if they don’t have the faith in the medical college recognized by them. One more suggestion: stop PG entrance exam. It should be based only on MBBS merit; students will then study/work hard in their graduation/internship days (I remember my old days). Doctors are also human beings. How can he see an OPD of 100 to 200 patients and can expect the justice to their job. The Govt should increase the staff strength accordingly to meet the demand. If this is not possible, then stop blaming doctors (State Health is the subject that has least concern for the policy/budget makers of the country): Dr V K Goel.
 
    Public Forum

(Press Release for use by the newspapers)

CT not required in appendicitis

When someone has all the signs of acute appendicitis, waiting to get a CT scan to confirm the diagnosis is not required, said Padma Shri & Dr. B.C. Roy National Awardee Dr. KK Aggarwal and President, Heart Care Foundation of India. Compared with a straight–to–surgery approach, the CT strategy is linked to delayed surgery and increased risk of a burst appendix.

Pre–operative CT is not necessary in cases with straightforward signs and symptoms of appendicitis. If, after a thorough physical examination, the diagnosis is still in question, then patients should be scanned. These patients tend to be older, female and have symptoms that are not typical for acute appendicitis.

Tomato may not prevent prostate cancer

Lycopene, the much–touted cancer fighting antioxidant found in tomatoes and ketchup, is ineffective in preventing prostate cancer, added Dr Aggarwal. In fact, higher intake of another antioxidant beta–carotene found in many vegetables appears to increase the risk for aggressive prostate cancer. A study published in the issue of the journal Cancer Epidemiology, Biomarkers & Prevention involving more than 28,000 men, has shown that tomatoes, and tomato found in ketchup and pizza, do not reduce the risk for prostate cancer.

 
    eMedinewS Special

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

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

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

  Towards Well Being

 

 
    Forthcoming Events

May 7–8, 2011, National Seminar On Stress Prevention

A Stress Prevention Residential Seminar cum spiritual retreat with Dr KK Aggarwal and Experts from Brahma Kumaris.
Co–organizers: eMedinews, Brahma Kumaris, Heart Care Foundation of India, IMA New Delhi Branch and IMA Janak Puri Branch, IMSA (Delhi Chapter)
Venue: Om Shanti Retreat Centre, National Highway 8, Bilaspur Chowk, Pataudi Road, Near Manesar.
Timings: Saturday 7th May (2 pm onwards) and Sunday 8th May (7 am–4 pm). There will be no registration charges, limited rooms, kindly book in advance; stay and food (satvik) will be provided. Voluntary contributions welcome. For booking e–mail and SMS to Dr KK Aggarwal: 9899974439, emedinews@gmail.com, rekhapapola@gmail.com; BK Sapna: 9811796962, bksapna@hotmail.com

………………………………………………………………

September 30 – October 02, 2011; XVIth World Congress on Cardiology, Echocardiography & Allied Imaging Techniques

Venue: The Leela Kempinski, Delhi (NCR), September 29, 2011: A unique & highly educative Pre–Conference CME, International & national icons in the field of cardiology & echocardiography will form the teaching faculty.
Highlights of Pre – Conference CME: Case based learning experience & audience interaction, Maximum 250 delegates for CME will be accepted, who will be divided in 5 batches and will rotate to different halls every 90 minutes. The topics are:(A) Right heart pressures & functions (From basics to newer methods (RV anatomy, echo views, echo assessment of RV function, prognostic impact of RV function) (B) Carotid Doppler: How do i assess and interpret in my daily practice.: Technical tips (Anatomy of the vessel, views of ultrasound scanning, Normal & abnormal Doppler hemodynamics, how to measure IMT) (C) Valvular stenosis: Assessment, limitations and their solution: (Anatomy of the valves, 2–D findings of stenotic lesions, quantitation of lesion, limitations) (D) How do I assess and report ventricular dyssynchrony in my lab. (What is ventricular dyssynchrony, what are the types of dyssynchrony, in whom, when & why do we assess it, various echo methods to assess it) (E) Live 3–D Echo: Protocol for acquisition. How to slice and get full information. Aim is that by end of the day, every participant is well conversant with all the topics
Dr (Col) S.K. Parashar, President, e–mail: drparashar@yahoo.com, Mob:09810146231/Dr Rakesh Gupta, Secretary General, email:jrop2001@yahoo.com, Mob:09811013246
worldcon2011@in.kyoni.com, www.worldcon2011.org

………………………………………………………………

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 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.

For details contact: Dr KK Aggarwal/Dr Kailash Kumar Mishra/Mr M Malik at
medifilmfestinhealthmela@gmail.com

………………………………………………………………

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    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 Prabha Sanghi, Dr Prachi Garg, Rajat Bhatnagar (http://www.isfdistribution.com), Dr. Rajiv Parakh, Dr Sudhir Gupta