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 …

22nd April, 2011, Friday                                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

Today is World Earth Day

Calcium builds bones but may weaken heart

Medpage Today: A re–examination of the Women's Health Initiative study revealed a modest increase in risk of MI and stroke for those taking calcium supplements, with or without vitamin D. The Women’s Health Initiative Calcium/Vitamin D Supplementation (WHI CaD) Study originally found no risk associated with the supplements after studying more than 36,000 patients over seven years.

However, 54% and 47% of those participants were taking personal calcium and vitamin D supplements, respectively, effectively rendering the trial a comparison of higher dose and lower dose calcium and vitamin D for most of the participants, according to Mark J. Bolland, senior research fellow at the University of Auckland, New Zealand, and colleagues. The findings suggest the use of these supplements in managing osteoporosis should be re–assessed, researchers reported online today in the BMJ.

In the new study, researchers analyzed data from 16,718 women who were not taking personal calcium supplements at the start of the trial and found that those allocated to combined calcium and vitamin D supplements were at an increased risk of cardiovascular events, especially MI. By contrast, in women who were taking calcium supplements before entering the trial, combined calcium and vitamin D supplements did not alter their cardiovascular risk.

In women not taking calcium at baseline, the hazard ratios with calcium and vitamin D were 1.16 (P=0.04) for the composite endpoint of clinical MI or coronary revascularization; 1.16 (P=0.05) for clinical MI or stroke; 1.22 (P=0.05) for MI; and 1.13 to 1.20 for the other cardiovascular endpoints. By contrast, in women taking personal calcium supplements, the hazard ratios for these endpoints with calcium and vitamin D were 0.83 to 1.08. Researchers also found no relation between the dose of the supplements and the cardiovascular risk. The authors suspect that the abrupt change in blood calcium levels after taking a supplement causes the adverse effect, rather than it being related to the total amount of calcium consumed.

"The process of vascular calcification is a complex, regulated process similar to osteogenesis," they wrote. "It is possible that the increase in serum calcium concentrations from calcium supplements influences vascular calcification by altering regulators of calcification such as fetuin A, pyrophosphate, and bone morphogenic protein–7, or by directly binding to the calcium–sensing receptor that is expressed on vascular smooth muscle cell."

Bolland and colleagues said that this analysis by itself does not provide definitive evidence regarding calcium supplements and cardiovascular risk. However, the researchers also pooled previously unpublished data from two other placebo–controlled trials of calcium and vitamin D, with consistent increases in the risk of MI and stroke.

To further bolster the evidence, Bolland et al. suggested that a similar risk is evident from 13 other trials, involving 29,000 people altogether, including studies involving calcium monotherapy.

The size of this increase (in risk) is modest, about 25% to 30% for myocardial infarction and 15% to 20% for stroke, but, because of the widespread use of calcium supplements either alone or with vitamin D, even small increases in cardiovascular disease incidence may translate to a substantial population burden of disease, particularly in older age groups.

The risk to benefit profile is unfavorable. Treating 1,000 patients with calcium or calcium and vitamin D for five years would cause an additional six myocardial infarctions or strokes (number needed to harm of 178) and prevent only three fractures (number needed to treat of 302).

Dr KK Aggarwal
Editor in Chief
drkkaggarwal Dr K K Aggarwal on Twitter
Krishan Kumar Aggarwal Dr k k Aggarwal on Facebook

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

Meningococcal vaccination

In late 2010, the Advisory Committee on Immunization Practices (ACIP) recommendations for meningococcal vaccination were modified to recommend that adolescents be vaccinated ideally at age 11 or 12, with a booster at age 16. In addition, a two–dose primary series two months apart was recommended in individuals with persistent complement component deficiency or functional or anatomic asplenia, as well as for adolescents with HIV infection.

References

  1. Centers for Disease Control and Prevention (CDC). Updated Recommendations for Use of Meningococcal Conjugate Vaccines ––– Advisory Committee on Immunization Practices (ACIP), 2010. MMWR Morb Mortal Wkly Rep 2011;60:72.
 
  eMedinewS Audio PostCard

Pediatric Echo

Dr Savitri Srivastava Speaks on
‘Anomalous left coronary artery
from the pulmonary artery (ALCAPA)’

Audio PostCard
 
    Photo Feature (From HCFI Photo Gallery)

World Earth Day 2011 Observed

A Walk was organized by Heart Care Foundation of India jointly with World Fellowship of Religions and Delhi Public School, Mathura Road on 21st April 2011 to mark the World Earth Day.

 
Dr K K Aggarwal
 
    National News

Bug repellents to get green touch

Move over anti–environment insect repellents. A herbal composition developed by the ICMR is all set to prove to be an ultimate solution to curb a large number of insects, especially mosquitoes, causing water–borne diseases such as malaria, encephalitis, dengue and yellow fever which have assumed alarming proportions. Indian Council of Medical Research (ICMR), a research wing of the Health Ministry is now exploring the commercialisation of the herbal composition claimed to be useful as an insecticide and larvicide for mosquito larvae. "Currently, the market is flooded with various insect repellent compositions that claim to keep mosquitoes away. However, these synthetic organic insecticides and malaria oil (distillate from oil refinery) affect the health and environment in the long run," a scientist from the ICMR said.

In view of these health hazards, detailed studies were conducted on a plant, widely grown in India known for its medicinal properties. Hexane extracts from this plant were found to be effective in controlling mosquitoes, he further said. Talking about the salient features of this product, the scientist maintained that being herbal compositions, it is easily biodegradable and is environment friendly. Moreover as the observed value for the herbal composition was less than 20ppm, it could be safely touted as biorational alternative molecule for organic insecticide. The herbal composition has already got patent approval. The Council has also claimed to develop an herbal composition exclusively useful as larvicide agent against dengue vector causing dengue fever which is becoming an alarming public health problem of countries of South–East Asia and Western Pacific region. The scientist further maintained that larval control using said composition will not only stop transmission chain of the disease but will also eliminate inter generation circulating viruses across vector mosquito. (Source: The Pioneer, Apr 20, 2011)

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

 
    International News

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

Is body weight influenced by genes?

It is known that obesity, exercise behavior, cardiorespiratory fitness, and even eating patterns are influenced by genetic factors. However, research studies have had conflicting results, and it is still unclear just how large of a role genetics play. A recent study conducted in Finland and published in the Journal of Applied Physiology investigates the role of genetics by studying young adult twins. Twins have identical genetic makeups, however they live in different environments, so researchers were able to distinguish if their traits were due to genetics or by lifestyle (environment). The subjects for this study were a group of 304 twins aged 23 to 27 years old. Physical activity was assessed with a questionnaire that focused on exercise and participation in sports, cardiorespiratory fitness and body composition (BMI and body fat) were also measured. The researchers then performed a series of analyses to determine how much of their characteristics were influenced by genetics, and how much was determined by behavior. The study results lead the researchers to estimate that body fat is 68 percent determined by genetics and that, strikingly, BMI is 77 percent influenced by genetics. However, sports participation and exercise were significantly correlated to a lower BMI and lower body fat, regardless of genetic makeup. Although genetics seem to play a large role, authors of the study stress the importance of sports and exercise to reduce BMI and body fat.

(Dr Monica and Brahm Vasudev)

Low vitamin D levels in HIV–positive veterans

More than half of a group of HIV–positive veterans studied at a Georgia facility were found to be deficient in vitamin D, according to research presented at the American Conference for the Treatment of HIV.

Brief, intensive exercise may help lower cardiovascular disease risk factors in adolescents

Brief, intensive exercise is an effective way to lower cardiovascular disease (CVD) risk factors in adolescents, according to a study published online April 6 in the American Journal of Human Biology.

Some vegetarians may face increased risk of heart problems from nutritional deficiencies

Research published in the Journal of Agricultural and Food Chemistry suggests that some vegetarians may be increasing their risk of heart problems from nutritional deficiencies in their diets. In a review of published articles from medical journals, researchers found that vegetarian diets are often lacking in some key nutrients. These include vitamin B12 and omega–3 fatty acids.

 
    IJCP Special

Dr Good Dr Bad

Situation: A 30–year–old on antipsychotic drugs came with high grade fever and abnormal behavior.
Dr Bad: Increase the dose of antipsychotic as the behavior is not under control.
Dr Good: Stop antipsychotics as patient is having malignant hyperthermia, a side effect of antipsychotics.
Lesson: Rule out malignant hyperpyrexia in patients on antipsychotics as the treatment is simple and life saving i.e. to withdraw drugs and treat with dantrolene sodium.

Make Sure

Situation: A patient with resistant hypertension developed CVA.
Reaction: Oh my God! Why was spironolactone not added?
Lesson: Make sure to add aldosterone antagonists for resistant hypertension. In an unblinded crossover trial, spironolactone was associated with a significantly greater fall in ambulatory and office blood pressure compared with dual angiotensin blockade among patients with resistant hypertension. (J Hypertens 2010;28(11):2329–25)

 
    An Inspirational Story

(Dr Prachi Garg)

A Candle

One evening a man took a small candle from a box and began to climb a long winding stairway. "Where are we going?" asked the candle. "We’re going up higher than a house to show the ships the way to the harbor." "But no ship in the harbor could ever see my light," the candle said. "It is so very small." "If your light is small," the man said "just keep on burning brightly and leave the rest to me." When they reached the top of the long stairs, they came to a large lamp. Then he took the little candle and lit the lamp. Soon the large polished mirrors behind the lamp sent beams of fight out across the miles of sea.

We are God’s candle. Our job is to keep on shining. The success of our work is in His hands. A tiny candle or match can start a forest fire. The little flame of your good example can actually change the lives of others without you knowing it. Be a light to them like the beacon light in the story which guided the ships to safe harbor.

 
    Infertility Update

(Dr. Kaberi Banerjee, Director Precious Baby Foundation)

I’m worried that my cancer treatment means I won’t be able to have children.

Some cancer treatments can have an impact on future fertility, and it is worth discussing this with your doctor before your treatment begins. Men can, for example, freeze their sperm and women can consider creating embryos with their partner (if they have one). Egg and ovarian tissue cryopreservation is also possible, but it is still not very effective.

 
    Pediatric Update

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

What is the role of imaging studies in neonatal cholestasis?

Role of USG

USG is the most useful initial imaging modality for providing information about the liver structure, size and composition.

  • It can detect choledochal cyst, gall bladder size, dilated common bile duct (CBD), anomalies of viscera or portal hypertension.
  • A normal gall bladder on fasting (for 4 hrs) contracts normally on feeding, which virtually rules out biliary atresia. Reverse is not true for neonatal hepatitis.
  • A triangular cord (TC) representing a fibrous cone of tissue at porta hepatis is seen in 80% of patients with EHBA (extrahepatic biliary atresia). Use of 4 mm thickness as the criterion for TC sign gives a sensitivity of 80%, and specificity of 98% and positive and negative predictive value of 94% for the diagnosis of biliary atresia. The sensitivity and specificity of small and absent gall bladder in detecting biliary atresia varies from 73–100% and 67–100% respectively.
 
ijcpgroup
ijcpgroup
Docconnect
 
    Medicolegal Update

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

What is the patient autonomy?

The process of understanding the risks and benefits of treatment is known as informed consent however patient/legal heir must have the capacity to make the decision and understand the benefits and risks of medical care and voluntarily grant consent, without coercion or duress based on the moral and legal premise of patient autonomy.

  • The patient has the right to make decisions about his/her own health and medical conditions and must give voluntary informed consent for treatment, medical tests and procedures.
  • The doctor should give information about a particular treatment or test to the patient in order to decide whether or not he wishes to undergo such treatment or test. This is based on the moral and legal premise of patient autonomy.
  • The legal term for failing to obtain informed consent before performing a test or procedure on a patient is a form of assault a criminal offence in India.
  • For many interactions like a physical exam with the doctor, implied consent is assumed. For more invasive tests or for those tests or treatments with significant risks or alternatives, you will be asked to give explicit written consent.
  • Under certain circumstances there are exceptions to the informed consent rule. The most common exceptions are an emergency in which medical care is needed immediately to prevent serious or irreversible harm and incompetence in which someone is unable to give or refuse permission for testing or treatment.
 
    Legal Question of the Day

(Dr. M C Gupta)

Q. Are the following two legally on the same footing?

A. An MBBS who gets an MD degree from a foreign university not recognised by the MCI.

B. An MBBS who gets an MD degree after having been allotted the MD seat as a result of counseling after the PG entrance exam conducted by the state government, even though such seat is not recognised by the MCI. (200 PG seats in UP are included for state counseling out of state quota but are not included for all–India level counseling because these are not recognised by the MCI).

Ans.

  • It is unfortunate that young doctors planning their career are subjected to such unnecessary controversies because of confusion created by the politicians and others.
  • The two are not on the same footing. ‘A’ above lacks legal validity. ‘B’ is valid in law.
  • If a student is a registered medical practitioner by virtue of the MBBS degree recognised by the MCI, nobody can legally question his status as a holder of valid MD degree given through a government mechanism simply because the MCI does not recognise the degree. A student cannot be made to suffer because of differences between the state government and the MCI.
 
    Rabies Update

Dr A K Gupta, Author of "RABIES – the worst death"

Can the wound be deepened for cleaning purpose?

We should never try to deepen the bite wound by cutting it further to bleed and then clean the wound.

Can we apply local antibiotics or antimicrobial agents on the site of bite?

Yes. After cleansing of the bite wounds, local antimicrobial agents can be applied. Discourage local wound applicants like turmeric, neem, red chilli, lime, plant juices, coffee powder etc.

 
    Obesity Update

Dr. Parveen Bhatia and Dr. Pulkit Nandwani

Diabesity A deadly new cocktail of sugar and fat

Statistics

There are 285 million people with type 2 diabetes worldwide, and this figure will escalate to 438 million by 2030 with an additional half a billion people at risk. India has the largest number of diabetics in the world and obesity is also on the rise, particularly affecting the younger population. As globalization becomes more and more significant, Indians, especially young Indians, find themselves at the crossroads of environmental and behavioral changes. These lead to a new and deranged lifestyle of cola culture, junk food and physical inactivity. Both the conditions, diabetes and obesity, affect the Indians in the prime of life, about a decade earlier than their western counterparts. High risk ethnicity and high propensity to central obesity predispose Indians to a higher risk of type 2 diabetes and metabolic syndrome even at lower levels of body mass index (BMI).

 
    Mind Teaser

Read this…………………
(Dr GM Singh)

The maximum recorded duration of efficacy after prophylactic HPV vaccine is:

a. 2 years
b. 5 years
c. 10 years
d. Life–long

Yesterday’s Mind Teaser: weather feeling
Answer for yesterday’s Mind Teaser:
Feeling under weather

Correct answers received from: Dr Sudipto Samaddar, Dr Rakesh Bhasin, Dr T. Samraj, Dr K Raju, Dr Neelam Nath, Dr Anupam Sethi Malhotra, Dr Bharat Aggarwal

Answer for 20th April Mind Teaser: Too wise for me
Correct answers received from: Dr Tilak Gupta, Dr Jainendra Upadhyay, Dr Vijay Kansal, Dr T. Samraj, Dr y. J. Vasavada

Send your answer to ijcp12@gmail.com

 
    Laugh a While

(Dr GM Singh)

Looking Back on Photos

The children had all been photographed, and the teacher was trying to persuade them each to buy a copy of the group picture. "Just think how nice it will be to look at it when you are all grown up and say, ‘There’s Jennifer; she’s a lawyer,’ or ‘That’s Michael, he’s a doctor." A small voice from the back of the room rang out, "And there’s the teacher; she’s still old, nasty, and wrinkled."

 
    Lab Update

(Dr Arpan Gandhi and Dr Navin Dang)

Red blood cell count

The RBC count is most useful as raw data for calculation of the erythrocyte indices MCV and MCH.

  • Decreased RBC is usually seen in anemia of any cause with the possible exception of thalassemia minor, where a mild or borderline anemia is seen with a high or borderline–high RBC.
  • Increased RBC is seen in erythrocytotic states, whether absolute (polycythemia vera, erythrocytosis of chronic hypoxia) or relative (dehydration, stress polycthemia), and in thalassemia minor.
 
    Medi Finance Update

(Dr GM Singh)

Who can nominate and be a nominee?

Only an individual investor can make a nomination. Kartas of Hindu Undivided Families (HUFs), power of attorney holders, partnership firms and other non–individual investors cannot nominate. Similarly, nominees can only be individuals, including minors and NRIs. NRI nominees will be subject to exchange controls at the time of transmission of units. In case the nominee is a minor, the age of the minor and the details of the guardian have to be provided.

 
    Drug Update

List of approved drugs from 01.01.2010 to 31.8.2010

Drug Name
Indication
DCI Approval Date
Lacosamide film coated tablet 50mg/100mg/150mg/200mg
As an adjunctive treatment of partial onset seizures in patients > 17 years of age.
10/06/2010
 
    IMSA Update

International Medical Science Academy (IMSA) Update

Vitamin D

A randomized trial in women age 70 and older found an increase in the risk of falls and fracture with administration of 500,000 units of cholecalciferol orally given once annually, compared to placebo. The incidence of falls was highest in the first three months following supplementation.

 
  Quote of the Day

(Dr GM Singh)

All mankind is divided into three classes: those that are immovable, those that are movable, and those that move. Arabian Proverb

 
    Readers Responses
  1. Dear Dr KK, Many thanks for sharing the new guidelines for basic and advance life support which are more robust, practical and easy. However, I would request you to send some flowcharts or web links for CPR which doctors across the country may like to download and paste in clinical consulting room, emergency rooms or carry in their bags for checking themselves if they were following the latest evidence based approach. Also, I will request to elaborate again regarding the Paediatric BLS as to my knowledge, from the recent 5th edition (still in print by BMJ publishing group), one must give 5 rescue breaths, if nothing evident on look, listen, feel technique, then check for signs of life and/or pulse which if absent then start CPR @ 15 chest compressions and 2 ventilations for 1 minute and if no help has arrived for initial shout given earlier, call emergency services or delegate someone for same and resume CPR again at the same rate. I am not sure if the American guidelines are different but this is the practice in Europe as I have renewed my provider licence for APLS (Advance Paediatric Life Support) last month at King’s Hospital, London. Once again thanks for granting this topic its due importance. Dr Vivek Chhabra.
  2. Medical Anna, God must save us, let us wait. First of all, we should focus on the control of mushroom growth of medical companies – innumerable trade names of the medicines to confuse doctors and patients. Of course the chemists will dispense as they like – unholy alliances of the drugs?combinations –unholy partnerships with medical companies ofcourse–we will put our ideas to do something. you have a wonderful net work with you. Nobody can be a replica of Anna–let us try. Dr. A Jesudoss, Thanjavur, Tamil Nadu.
  3. Dr Good Dr Bad

    Situation: A patient with postpartum fever was not responding to broad–spectrum antibiotics.
    Dr Bad: Change the antibiotic.
    Dr Good: Get a CT scan done.
    Lesson: Non–responding postpartum fever could either be due to a pelvic abscess or pelvic thrombophlebitis. A CT scan can detect the abscess.

    Dear Sir, in our time pelvic abscess was diagnosed by PV exam. How to diagnose/rule out pelvic thrombophlebitis? Dr(LtCol) Gopal Agarwal,MBBS,MS.

    eMedinewS responds: Pelvis abscess can be suspecetd by PV but will invariably require CT for those who canafford. For thrombophlebitis one can agagin take the help of CT. Doppler venous ultrasound can also detect.
 
    Public Forum

(Press Release for use by the newspapers)

School Children Celebrate World Earth Day

Flagging off the World Earth Day Walk organized by Heart Care Foundation of India jointly with World Fellowship of Religions and Delhi Public School, Mathura Road Admiral MM Chopra, Chairman DPS Mathura Road, emphasized that each school child should plant a tree to help reduce the problem of Global Warming in the country.

Speaking on the occasion he said that his school would be willing to support all such environment–oriented educational programs aimed at educating the school children on reducing the global warming in the country. He said that his school being one of the leading eco club schools of Delhi, will continue to take up all environment-related activities and also urged children from other schools who had come to participate, to help their parents in conserving energy.

Sh. MI Hussain, Principal DPS Mathura Road said that global warming has started showing its impact on health as worldwide the incidence of diseases are on the rise and India is no exception to this. Unless preventive strategies are taken at this hour, the situation may go out of control in the coming years.

Padma Shri & Dr. B.C. Roy National Awardee Dr. KK Aggarwal, President, Heart Care Foundation of India, observed that the rising problem of heat, dengue and malaria in the country, is an indicator of the climatic changes that are occurring at a much more rapid pace than estimated earlier by the scientists. These changes are the reason behind the alterations in the pattern of incidence of these diseases and are of deep concern to the medical fraternity.

Dr Aggarwal urged the schools to participate actively in conducting such awareness programs involving their children as part of their curriculum.

When you heat a meal in the microwave, use an air conditioner, use a dish washer, use a hair dryer, ride in a car, listen to a stereo, watch TV, play a video game, etc. you are causing more greenhouse gases to be released into the air. If you the number of times you do these activities in a day, it turns out to be a lot. You also need to take into account how many other people do these activities! That turns out to be a lot of pollutants going into the air a day because of people like us using electricity. The least amount of electricity you use, the better it is.

When we throw our garbage away, the garbage goes to landfills. Landfills are those big hills that you pass on an expressway that stink. They are full of garbage. The garbage is then sometimes burned. This sends an enormous amount of greenhouse gases into the air and makes global warming worse. Another thing that makes global warming worse is when people cut down trees. Trees and other plants collect carbon dioxide (CO2), which is a greenhouse gas.

Others who spoke on the occasion included eminent Kathak exponents Ms Nalini & Ms Kamalini.

Over 500 school children participated in the environmental-friendly walk, poetry recitation and in slogan cum poster making competition. Children displayed placards with slogans like:

• Do not cut Trees: Let them live so that we can breathe.
• Use less electricity, U live & let us live.

 
    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

April 23 & 24 2011, IMA MEDCON 2011, Multispeciality Update, A National Conference, organized by IMA Head Quarter & IMA East Delhi Branch, Venue: Hotel Country Inn, Vaishali

Registration Fee Rs 500/ Contact- Dr. Ravi Malik-9811078350 , Dr. Narender Saini-9810252127, Dr. Ajay Lekhi-9810057136 , Dr. Ashwani Goyal-9811112688, Dr. Atul Gupta- 9810045793, Dr. Dinesh Sahai- 9810146852, Dr. Anil Goyal-9811101454, Dr. Harish Gupta-9810219482
For Programme details Click

                          ....................................

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