emedinews
Head Office: 39 Daryacha, Hauz Khas Village, New Delhi, India. e-Mail: drkk@ijcp.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
Dr KK Aggarwal

From the Desk of Editor in Chief
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; Member 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


23rd June 2010, Wednesday

Routine 3D Echo Use

A debate at the American Society of Echocardiography meeting centered around image quality and how much the technology adds to clinical decision–making. Dr Natesa G. Pandian, of Tufts Medical Center in Boston, argued that technology should be an integral part of every echo lab.

  1. The heart is a three–dimensional organ and should be viewed and examined in a three–dimensional manner.

  2. The traditional 2D method shows slices of the heart in a single plane whereas the newer method uses a different transducer to cast a pyramid of ultrasound waves that encompasses the heart, which can be analyzed by the slice if desired or in a variety of other ways.

  3. Even for a trained eye, when you see it in 3D, a picture is worth a thousand words.

  4. There is a learning curve. But the accurate quantification of volumes and ejection fraction with 3D makes it worthwhile for most patients. "We make big, big decisions on numbers."

  5. Seeing the whole heart in real–time is a powerful method for assessing left ventricular morphology and function, noted Mark Monaghan, PhD, of King’s College Hospital in London, who also spoke at the session. This is particularly true with regard to dyssynchrony since all segments and papillary muscles can be compared during a single heart beat –– making it useful for assessment of cardiac resynchronization therapy.

  6. He pointed to studies linking dyssynchrony to CRT response and showing that following 3D echo criteria jointly maximizes the number of patients considered appropriate for CRT and their outcomes.

  7. However, one problem in using it for CRT evaluation is that the temporal resolution is not as good as for 2D, speckle tracking, or tissue Doppler imaging.

  8. The most universally agreed application for 3D is in mitral valve surgery.

  9. Stanton K. Shernan, MD, of Harvard and Brigham and Women’s Hospital in Boston, explained at the session that 3D transesophageal echocardiography may allow more efficient and complete evaluation of the anatomy and functional geometry of the mitral valve for a more accurate diagnosis, particularly for patients with complex lesions. However, it has yet to be proven that this results in superior and more durable repair.

  10. According to Harry Rakowski, MD, of Toronto General Hospital in Toronto this "killer application" makes 3D transesophageal echo ready for routine use.

  11. The most common use of echocardiography is to assess left ventricular function.

Dr KK Aggarwal
Padma Shri Awardee and Chief Editor

 

Photo Feature (From HCFI file)

Scientific Awareness of CPR through Workshops

Chest Compression-Cardiopulmonary resuscitation (CPR) consists of chest compressions and artificial ventilation used to maintain circulatory flow and oxygenation during cardiac arrest. It saves life when done correctly. Heart Care Foundation has conducted several workshops with Govt. Departments to spread scientific information of the technique and to give hands on practice of C-CPR to people at large. HCFI has also involved celebrities such as cricketers to add to its wide reach and enhance its adaptability by populace.

Dr k k Aggarwal

In the photo: Mr Virendra Sehwag, Cricketer taking hands on practice of CPR under guidance of Padmashri Awardee Dr K K Aggarwal. Also in the photo Dr Ujjwala Tirkey, Scientist E, RVPSP (DST)


 

News and views

Cancers of neck, throat less fatal if caused by HPV. [Dr Brahm and Monica Vasudeva]

Cancers of the neck and throat are much less likely to be fatal if they are caused by the human papilloma virus (HPV), rather than alcohol and smoking, according to a study presented at the American Society of Clinical Oncology annual meeting and published in the New England Journal of Medicine. The research "provides another good argument for vaccination of both men and women with the HPV vaccine, which has previously been targeted primarily at women because the virus causes cervical cancer, researchers from the National Institutes of Health and Harvard Medical School wrote in an editorial accompanying the report.

At Risk for Carotid Artery Disease? [Dr G M Singh]

Carotid arteries carry blood to the brain, but they can become narrowed or clogged when sticky substances known as plaque build up in these vessels risk factors for carotid artery disease include:

  • Having high blood pressure or high cholesterol.

  • Being diabetic.

  • Having heart disease.

  • Drinking excessive alcohol.

  • Having kidney disease, notably when dialysis is needed.

  • Abusing cocaine.

  • Having a family history of stroke.

  • Getting older.

  • Smoking.

Biventricular Pacing May Help After Heart Surgery

Temporary biventricular pacing after cardiopulmonary bypass for congenital heart disease appears to improve the performance of the heart in children with ventricles out of sync on pulmonary flow. The effect on cardiac index also tended to improve with biventricular pacing in association with radial mechanical dyssynchrony, Mark K. Friedberg, MD, of the Hospital for Sick Children in Toronto, and colleagues reported here at the American Society of Echocardiography meeting.

Coffee or Tea: Enjoy Both in Moderation for Heart Benefits, Dutch Study Suggests

High and moderate consumption of tea and moderate coffee consumption are linked with reduced heart disease, according to a study published in Arteriosclerosis, Thrombosis, and Vascular Biology: Journal of the American Heart Association.
Researchers in The Netherlands found:

  1. Drinking more than six cups of tea per day was associated with a 36 percent lower risk of heart disease compared to those who drank less than one cup of tea per day.

  2. Drinking three to six cups of tea per day was associated with a 45 percent reduced risk of death from heart disease, compared to consumption of less than one cup per day.

And for coffee they found:

  1. Coffee drinkers with a modest intake, two to four cups per day, had a 20 percent lower risk of heart disease compared to those drinking less than two cups or more than four cups.

  2. Although not considered significant, moderate coffee consumption slightly reduced the risk of heart disease death and deaths from all causes.

Researchers also found that neither coffee nor tea consumption affected stroke risk.

 

Legal Column

DMC Decision: Another case where DMC had taken action under section 27?

Order number DMC/DC/14/2/Comp.544/2009 dated 23rd January, 2009: The Delhi Medical Council examined a representation from Police Station Mangolpuri, seeking medical opinion on a complaint of Shri Raj Kumar, I–960, Mangol Puri, New Delhi – 110083, alleging medical negligence on the part of Shri S.N. Mandal, Kakoly Clinic, Shop No. 734, H–Block, Mangol Puri, New Delhi – 110083, in the treatment administered to the complainant on 12.12.2008 by Shri S.N. Mandal resulting in damage to his left hand.

Shri Raj Kumar stated that on 12.12.2008, he visited the clinic of Shri S.N. Mandal for the treatment of fever and cold. Shri S.N. Mandal prescribed him some medicines; however, since he did not get any relief, Shri S.N. Mandal then administered an injection to his left arm, subsequent to which his wrist dropped. Shri S.N. Mandal then told him that this will settle by massaging the arm and asked him to go home. As there was no improvement in the condition of his arm, he went to Dr Baba Saheb Ambedkar Hospital and then to Bhagwan Mahavir Hospital where he was prescribed certain medicines. On 13.12.2008 he visited Sanjay Gandhi Memorial Hospital, Mangolpuri where MLC No. 15682 was registered.

Shri S.N. Mandal stated that on 12.12.2008 he prescribed Tab. Paracetamol, Cap. Amoxicillin to Shri Raj Kumar for fever and cold. Since Shri Raj Kumar did not get any relief, he administered Inj. Voveran to Shri Raj Kumar on his left hand. After 10 minutes of administration of the injection, Shri Raj Kumar reported that he has lost all sensations in his left hand fingers. He advised him to massage his left hand. Shri Raj Kumar then left his clinic and never reported back to him. Shri S.N. Mandal further stated that he has been practicing allopathy for the last six years at his clinic Kakoly Clinic, Shop No. 734, H–Block, Mangol Puri, New Delhi – 110083.

In light of the above, the Council arrived at the following findings :–

  1. Shri S.N. Mandal is not registered with Delhi Medical Council. He does not hold any qualification entitling him to practice allopathy or any other system of medicine.

  2. The drugs i.e. Tab. Paracetamol, Cap. Amoxicillin prescribed and injection Voveran administered are allopathic drugs.

  3. The complication of wrist dropping which Shri Raj Kumar has suffered has occurred due to wrong technique of administration of Injection at the wrong site resulting in permanent damage to the radial nerve ensuing paralysis of muscle. The actions of Shri S.N. Mandal practicing allopathy without holding any recognized qualification or registration and administration of injection in a manner which is medically incorrect, resulting in permanent damage to the left hand of Shri Raj Kumar constitute an act of medical negligence. Shri S.N Mandal is not qualified, competent and authorized to practice allopathic system of medicine. He, in fact, is a Quack as per the definition propounded by Hon'ble Supreme Court in Poonam Verma Vs. Ashwin Patel & Ors. (AIR 1996 SC 2111) wherein it was held that "A person who does not have knowledge of a particular system of medicine but practices in that system is a Quack and a mere pretender to medical knowledge or skill or to put it differently a charlatan."

It is, therefore, the decision of the Delhi Medical Council that Shri S.N. Mandal is liable to be prosecuted under section 27 of the Delhi Medical Council Act, 1997 and Section 15 (3) of Indian Medical Council Act, 1956 in addition to other penal provisions of law including the Indian Penal Code.

Legal Tip of the Day

When is a Doctor or a Hospital Negligent?

For establishing negligence or deficiency in service there must be sufficient evidence that a doctor or a hospital has not taken reasonable care while treating the patient. Reasonable care in discharge of duties by the hospital and doctors varies from case-to-case and expertise expected on the subject, which a doctor or a hospital has undertaken. Courts would be slow in attributing negligence on the part of the doctor if he has performed his duties to the best of his ability with due care and caution.

In matters pertaining to medical negligence, the most recent decision of the Supreme Court (SC) has held that the practice of medicine falls under the required definition of ‘service’ and is thus brought under the jurisdiction of the Consumer Courts as per the Consumer Protection Act. This essentially means that in cases filed against medical negligence, instead of going to the Civil Courts and increasing the burden on an already overburdened system, it would be much easier to go to the Consumer Forum and have speedy justice.

Forensic Column (Dr Sudhir Gupta, Ass. Professor, AIIMS)

The greatest unsolved murder mysteries of all time was " How was Napoleon murdered"?


We know for a certainty where and when the famous French emperor Napoleon Bonaparte died: in exile on the island of St. Helena on May 5, 1821. And we know that he had been suffering a bladder infection for years and was prone to fainting. The official cause of death was listed as cancerous stomach ulcer? Yet nearly two century later opinion remains wildly split on what killed Napoleon. In 2001, the Strasbourg Forensic Institute examined strands of Napoleon hairs and showed that Napoleon had been exposed to major doses of arsenic and that raised a question, Was Napoleon assassinated? Will we ever know?

 

Announcement

HEALTH AGENDA 2010–11 (Dr Vinod Kumar Monga, Chairman, Medical Relief & Public Health Committee Municipal Corporation of Delhi)

Providing better medical facilities– preventive as well as curative – is one of the priorities of Municipal Corporation of Delhi. With a fairly large network of six big hospitals, maternity homes, peripheral allopathic – ayurvedic– homeopathic – unani dispensaries, DOTS centres and a huge public health department, MCD provides quality services to Delhi public at their doorstep. Inspite of continuous upgradation of these facilities, some of the sectors which require priority attention are:–

More than 30% posts in all health departments are lying vacant. At some places, one doctor is taking care of two dispensaries which cannot be justified. Priority will be to fill these vacant posts at the earliest. Privatisation of sanitary & security services in some sections is the need of the hour.

Improve infrastructure speedily. Some projects at Hindu Rao Hospital, Kasturba Hospital, Rajan Babu Institute for Pulmonary Medicine & Tuberculosis, Swami Dayanand Hospital, Girdhar Lai Hospital & ID Hospital have been pending or going slow -they need to be done speedily. With increasing attendance in these hospitals and other units of MCD, we need to upgrade them continuously.

Public Health- It is an important field especially with commonwealth games round the comer.

Oct-November is the peak season for Malaria and dengue. It needs to be tackled seriously with better antimalaria programmes and better surveillance. We need stringent monitoring and aggressive planning to arrest spread of dengue during this period.

Most of the eating outlets in Delhi are unlicensed and their quality cannot be monitored. It is also a huge loss to the corporation. Licensing system should be made easier so that all restaurants and eateries in Delia run wilh a valid license.

Health Initiatives:– ‘Anemia control programme in MCD schools & Thallesemia Screening Programme’ are the projects started by MCD in recent years. As anemia is rampant in young population it needs to be tackle at school level so that our children grow healthier. Similarly Thallesemia control by proper testing and counseling should become full-fledged projects of per governments all over the country.

 

Experts' Views

Interesting tips in Hepatology & Gastroenterology

(Dr Neelam Mohan, Consultant Pediatric, Gastroenterologist, Hepatologist, Therapeutic Endoscopist & Liver Transplant Physician Sir Ganga Ram Hospital, Delhi)

Yesterday i had written on " Is Rejection an issue with liver transplantation," today i shall be addressing the following issues

"Whats the outcome after liver transplantation and whats life after liver transplantation"

The outcome of liver transplantation has dramatically improved over the last decade and a half, with advances in the preoperative management, surgical innovations , immunosuppression and the post transplant management. Change of immunosupression from cyclosporine to tacrolimus has resulted in dramatic improvement in the oucome and the long term survival and tacrolimus is presently the main stay of therapy in most transplant centres.

The one year survival in pediatric transplants is more than 90% and ten year survival is more than 85%. These results are slightly better than in adults. The commonest indication in children is biliary atresia which has good results. Similarly metabolic liver diseases too do well. However in adults the commonest indication is hepatitis C and this tends to recur in the new graft and theres a lot of work being done internationally in managing such condition. The other common diseases that could recur in the graft is hepatitis B, primary sclerosing cholangitis and autoimmune liver diseases.

The quality of life after transplantation is much better than a liver disease patient. However one has to understand that the patient needs to continue using immunosuppressive drugs life long. There is significant data that is emerging that one can develop tolerance to the grafted liver after few years. There are specific genes that have been identified in the patient population who developed tolerance and these patients then do not need to be on immunosuppression. However for practical issues it is informed to the patient that the immunosuppression would be life long. Immunosuppressive drug is usually a tablet which is to be taken both morning and evening. Steroids are usually given in the first few months.

The patient should have a regular follow up and monitor for the liver functions and renal functions.Nephrotoxicity is the commonest side effect of the calcineurin inhibitor immunosuppressive drugs like cyclosporine and tacrolimus and in that event the drugs are change to other alternatives such as mycophenolate and sirolimus.

A child resumes to normal activities, school studies and sports and the adult resumes tonormal activities and work

Question of the Day

What features contribute to mortality during cardiac surgery?            Dr (Shaunak Shah, Ahmedabad)

In the earlier years of cardiac surgery, the mortality rates were high, in the range of 20–50% depending upon the case. However, advances in cardiac anesthesia, operative techniques, myocardial protection and postoperative care saw a gradual decline in operative mortality is defined as death within 30 days of operation). As a result of progress in all areas, mortality rates were brought down to <5% in elective cases.
Zero mortality is an ideal state, which is not possible either in coronary bypass or valve replacement for following reasons:

  1. As longevity increases, we see more number of elderly patients, who have co-morbid conditions like diabetes, HT, lung disease, renal failure. These conditions contribute directly or indirectly to operative mortality.
  2. The number of, PCIs has gone up. As a result, more patients get sick or are unsuitable for interventions in cardiac or complications following interventions patients. A zero mortality in this subset is impossible.
  3. As diagnostic modalities have improved, many patients are operated in emergency situation. An example would be: A 80-year-old man has acute chest pain and breathlessness. On investigation, he is found to have acute anterior wall myocardial infarction with anterior ventricular septal defect with pulmonary edema and cardiogenic shock. In this group, even with the best treatment options available, the operative mortality would be 30–40% in best units globally.
    An elective cardiac surgery is safe, with mortality rates close to 1–2%. However, an emergency operation carries mortality which can be in double digits.
IJCP
IJCP
ijcp
ijcpgroup
nuspera
Docconnect
IJCP
 

Public Forum (Press Release for use by the newspapers)

Underprivileged widows need special care

Distributing the awards to the winners of drawing and essay competitions of the children of the widows, Prof. Kiran Walia, Minister of Health, Delhi Government said that over 245 million widows and 500 million children of widows suffer in silence all over the world. Over 100 million widows live in poverty, struggling to survive. In India, most of these women and children are malnourished, exposed to disease and subjected to slavery.

In rural India, widowed women experience targeted murder, rape, prostitution, forced marriage, property threat, eviction, social isolation and physical and psychological abuse. She said that more and more people should adopt underprivileged widows and their children.

The function was organized by the Loomba Foundation in association with Heart Care Foundation of India to bring to the notice of India population, the problems being faced by the widows.

In his message, Mr. Raj Loomba, Chairman of the Loomba Foundation, said that Loomba Foundation in association with Heart Care Foundation of India is adopting children of poor widows and assisting them in education. The foundation provides scholarship of Rs. 500 per month to the deserving children.

Mr. Lalit Mansingh, Trustee of the Loomba Foundation, said that 1.5 million children of widows die every year before the age of 5 years. He said that these children face horrors such as child marriage, illiteracy, loss of schooling, forced labour, human trafficking, homelessness and rape.

Speaking on the occasion, Padma Shri & Dr B C Roy National Awardee, Dr KK Aggarwal, President, Heart Care Foundation of India said that HIV AIDS, ethnic cleansing, armed conflict and poverty are among the most prolific causes of widowhood. Most widow and their children, apart from education, also lack in affordable healthcare and employment. There are more than 35000 widows estimated in India many of whom suffer dreadful, prejudice and discrimination.

The Loomba Trust, accredited as an NGO by the United Nations, is supported by many well–known personalities and luminaries. Leading them is the Trust’s President, Mrs. Cherie Blair, Queen’s Counsel and wife of former Prime Minister of the United Kingdom Tony Blair, Sir Richard Branson of the Virgin Atlantic group is the Trust Patron in Chief, and Kajol and Preity Zinta are the Trust’s global ambassadors. Mr. Raj Loomba CBE is the Chairman Trustee and was awarded CBE (Commander of Excellence of the British Empire) by the UK Government in Her Majesty the Queen’s Birthday Honours list 2008. Recently, he has been appointed on the Develoopment Board of OXFAM in the UK - the world's largest NGO. Raj started The Loomba Trust in the memory of his mother who endured the stigma and struggles of a widow at the young age of 37 but ensured that all her 7 children were well-educated and are today well settled around the world.

Those who were present on the occasion were Mrs. Auna Oswal, Mr. K M Singh, Mrs. Sushmita Malik and Mr. S.L. Bhambri, trustees and Country Head The Loomba Foundation and senior executive members of the heart care foundation of India.

The special attraction of the function was the dance performance on Jai Ho song by students of Delhi Public School.

 

Public Column

Caring for Acne–Prone Skin

The exact cause of acne isn’t understood, but the four factors are involved:

1. Too much oil,
2. Clogged pores,
3. Bacteria, and
4. Inflammation.

These skin–care suggestions designed to help manage acne:

• Gently clean your face one or two times per day with a gentle skin cleanser and lukewarm water. Excessive washing, on the other hand, can irritate the skin and make acne worse.

• If your hair is oily, shampoo daily to help prevent oil from getting to the skin.

• While foods aren’t believed to cause acne, in some people, certain foods can make acne worse. If you know which foods seem to aggravate your acne, avoid them.

• Use oil-free makeup and skin products.

• Avoid getting hair products, such as sprays or gel, on your face.

• If you have acne, your dermatologist may recommend a prescription or over–the-counter treatment.

 

IJCP Special

Dr Good Dr Bad

Sitaution: A patient of acidity had hoarseness of voice.
Dr. Bad: It is due to laryngopharyngeal reflux.
Dr. Good: I need to rule out laryngopharyngeal reflux.
Lesson: Laryngopharyngeal reflux is the retrograde movement of gastric contents (acid and enzymes such as pepsin) into the laryngopharynx leading to symptoms referable to the larynx/hypopharynx. (Otolaryngol Head Neck Surg 2002;127:32.)

Make Sure

Situation: A terminally ill patient who develops bed sores, is prescribed only systemic antibiotics.
Reaction: Please change the position of the patient frequently and keep the skin clean and dry.
Lesson: Make sure that good nursing care and maintenance of skin hygiene is advised first to patients with bed sores, along with topical antibiotics.

Mistakes in Clinical practice

Do not write ‘Ug’: it can be mistaken for "milligram resulting in a 1,000–fold overdose

eMedinewS try this it works

When ear preparations irritate

Some ototopical agents are acidic and can irritate the ear canal, especially if the tympanic membrane is perforated. When patients complain that the otic preparations are irritating, try using ophthalmic preparations instead. These contain less acid and usually cause less irritation.

Milestones in Diabetes

Bouchardat (1870s)

French physician, Bouchardat (1870s), first noticed the disappearance of glycosuria in his diabetes patients during the rationing of food in Paris while under siege by Germany during the Franco–Prussian War; which formulated the idea of individualized diets for his diabetes patients.

Mnemonic of the Day (Dr Maj Prachi Garg)

Features of Celiac features (CELIAC)

Cell–mediated autoimmune disease
European descent
Lymphocytes in Lamina propria/ Lymphoma risk
Intolerance of gluten (wheat)
Atrophy of villi in small intestine which cause less absorption, so diarrhea, weight loss, less energy
/ Abnormal D–xylose test
Childhood presentation

eMedinewS try this it works

When ear preparations irritate

Some ototopical agents are acidic and can irritate the ear canal, especially if the tympanic membrane is perforated. When patients complain that the otic preparations are irritating, try using ophthalmic preparations instead. These contain less acid and usually cause less irritation.

 

Drug Update

International Medical Science Academy Update (IMSA): Update

IMSA Practice changing UpDates

The diagnosis of diabetes mellitus can be established by a hemoglobin A1C level ≥6.5%, as recommended by an International Expert Committee consensus report and confirmed by the American Diabetes Association.

List of Approved drugs from 1.01.2009 to 31.10.2009

Drug Name

Indication

DCI Approval Date

Glibenclamide 5mg + Pioglitazone 15mg + Metformin500mg film coated tablets

As 3rd line treatment of type II diabetes mellitus when diet, exercise and the single agents and the second line therapy with two drugs do not result in adequate glycemic control

23.02.09

Medifinance

Personal Accident Individual

policy covers any bodily injury solely and directly from accident caused by any external violent and visible means, then the company shall pay the insured or his legal personal representative as the case may be the sum or sums as per terms/condition of the policy.

Lab Medicine

Lab Test (Dr Arpan Gandhi and Dr Navin Dang)

Bone Marrow Disorders

Tests include Complete blood count (CBC) and differential, Bone marrow aspiration/biopsy, Genetic Tests which look at several different types of genetic abnormalities in bone marrow cells or circulating white blood cells and flow cytometry tests.

 

Humor Section

IMANDB Joke of the Day

Doc tells a guy he has a bad heart. The guy says "I want another opinion." The doc says "OK, you’re ugly too."

Funny Definitions

Tumor………………More than one

Medical bloopers on medical charts!

The baby was delivered, the cord clamped and cut, and handed to the pediatrician, who breathed and cried immediately.

 

SMS of the Day

There have been many times in the last one year when I had disturbed you, troubled you and irritated you. Today, I just want to tell you that I plan to continue.

Quote of the day (Anupam Sethi Malhotra)

If you can’t handle people at their worst, you don't deserve them at their best.

The Ten Traits of the True Spiritual Warrior (Guy Finley)

The true spiritual warrior always remembers that his enemy never forgets his weaknesses.

 

MCI News : Health min, MCI hand in glove on affiliations: CBI (Times of India)

The CBI probing malpractices in the MCI has found two cases in which health ministry connived in or superseded the MCI recommendation while granting affiliation to medical colleges for money. The CBI conducted raids at Bareillys Rohilkhand Medical College and Hospital (RMCH) and Sri Ram Murti Smarak Institute of Medical Sciences (SRMSIMS ) in Uttar Pradesh on May 26 where it was revealed that both institutes were denied MCI approval at least thrice before they got the nod in 2007 and 2009. The investigations revealed that MCI denied them permission thrice,but later the ministry gave them the nod.

The ministry had no mechanism to verify the objections raised by MCI.Yet,they went ahead and gave them the permission to operate.It has also been learnt that MCI officials had demanded a huge sum of money from the two colleges to give an all clear report to the ministry which ultimately would have granted them the affiliation.

Cases, have been registered at Indore,Chennai,Hyderabad,Pune,Kolkata,Bathinda and Lucknow. The CBI also said that it has received a number of complaints from candidates seeking admission to these colleges and these are being examined.The focus at present is to examine the cases where MCI granted permission to colleges in the last three years. More cases will be registered later, said a CBI official. There are more than 60 such colleges which are under the scanner and our teams are visiting all of them.There are several institutes which have overcome the lacunae with the passage of time but still we need to question them regarding the affiliation and money paid by them to MCI, the official added.

Readers Responses

1. Dr G M Singh has written an impressive story about what inspired Howard Kelly to become a great doctor. The credit goes to the lady who offered him a glass of milk. Such kind people make great persons and make great cultures. Wish everybody learn this kindness in this country, then perhaps there will not be any catchment area left for naxalites:Vinod Varshney

2. Dear Dr Aggawal,Your newsletter really gives useful tips & updates.Thanks for this contribution to the medical fraternity.Todays newsletter was exceptionally good including the Gita text & the story about Dr.Kelly.Congratulations also for the Padma Shri (belated! ).Regards, Dr.J. Kurup

3. Dear Editor, Dr G. M. Singh's formula of happiness (comprising of getting outdoors, enjoying nature, becoming socially interactive, relishing childhood memories, getting excited about holiday and spending time with people you love) can surely work wonders for many of us who are involved in a mad, mad race to achieve something big even at the cost of our health and social & moral values. Dr Narendra Kumar, kumars@vsnl.com

 

Forthcoming Events

eMedinews Events: Register at emedinews@gmail.com

5th September: 3 PM to 5 PM – A dialogue with His Holiness Dalai Lama at Parliament Street Annexe in association with Acharya Sushil Muni Ahimsa Peace Award Trust

12th September: BSNL Dil ka Darbar – A day–long interaction with top cardiologists of the city.
8 AM – 5 PM at MAMC Auditorium, Dilli Gate.

17th MTNL Perfect Health Mela 2010 Events: Venue: NDMC Ground Laxmi Bai Nagar, New Delhi

24th October, Sunday: Perfect Health Darbar, Interaction with top Medical experts of the city from
8 AM to 5 PM

30th October, Saturday: eMedinewS Update from 8 AM to 5 PM

29th October, Friday: Divya Jyoti Inter Nursing College/ School Competitions/ Culture Hungama

30th October, Saturday: Medico Masti Inter Medical College Cultural festival from 4 PM to 10 PM

31st October, 2010, Sunday: Perfect Health Darbar, An interaction with top Cardiologists

eMedinews Revisiting 2010

The 2nd eMedinewS – revisiting 2010 conference will be held at Maulana Azad Medical College, New Delhi on January 2, 2011. The event will have a day–long CME, Doctor of the Year awards, Cultural Hungama and Live Webcast. Suggestions are invited.

HCFI Event

Invite (Wednesday, 23 June 2010, 07:00PM)

The 6th International Widows Day is being observed on 23rd June jointly by Heart Care Foundation of India and The Loomba Foundation at India Habitat Center. The Chief Guest on the occasion will be Prof. (Smt.) Kiran Walia, Hon'ble Minister of Health and Family Welfare, Women and Child Development, Languages, Govt. of NCT of Delhi.

Also, present on the occasion will be Mrs. Aruna Oswal Trustee, The Loomba Foundation, Padma Shri Dr K K Aggarwal President, Heart Care Foundation of India and Mr. Lalit Mansingh Trustee, The Loomba Foundation.

The event will involve sharing of experiences by widowed Mothers and their Children who have been beneficiaries of The Loomba foundation. Children of the widows who participated in various competitions will also be awarded worth prizes and certificates.

Date and Timing: June 23, 2010 at 07:00pm onwards
Venue: The Theatre, India Habitat Center, Lodhi Road New Delhi

Share eMedinewS

If you like eMedinewS you can FORWARD it to your colleagues and friends. Please send us a copy of your forwards.