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  From the Desk of Editor–in–Chief
Dr KK Aggarwal

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

 

eMedinewS Presents Audio News of the Day

Photos and Videos of 2nd eMedinewS – Revisiting 2010

For regular emedinews updates follow at www.twitter.com/DrKKAggarwal

 
  Editorial …

24th June 2011, Friday

The pitfalls and precautions in an elderly pregnancy

Aishwarya Rai is pregnant - time to celebrate and yet be careful.

Aishwarya Rai was born on 1st November 1973 and is about 38 years old now. As reported, she is pregnant. Everyone wants to know about her pregnancy outcome. We wish her well and pray that the outcome is a healthy mother and child.

Now more and more working women are choosing to become pregnant at a later age. This comes with its own set of medical challenges and we take this opportunity to address specific issues related to the older gravida or women =35 years of age at the estimated date of delivery.

  • There is higher risk of fetal aneuploidy (trisomy 21, 13, 18). Aneuploidy is the condition of having less than or more than the normal diploid number of chromosomes. To diagnose aneuploidy, one may be advised to undergo invasive amniocentesis or chorionic villus test. The other alternative is to screen using maternal serum testing and ultrasound evaluation of fetal nuchal translucency to adjust the mother's age-related risk.
  • There is higher prevalence of Down syndrome in offspring of older women. One may ask for the screening for Down syndrome.
  • Age and obesity are risk factors for development of type 2 diabetes mellitus, as well as gestational diabetes.
  • There is an increased risk of congenital anomalies in older women and hence, a detailed second trimester ultrasound examination may be required to look for significant structural anomalies, especially cardiac anomalies.
  • Many pregnancy complications occur with increased frequency in older gravidae and they are spontaneous abortion, low lying placenta, pregnancy-induced diabetes, pre eclampsia, pre term birth and cesarean delivery.
  • There are also more chances of preterm delivery, low birth weight, intrauterine growth restriction, and stillbirths.
  • Most pregnancies at age 37 will need to be delivered at 39 weeks of gestation on medical grounds.
  • Chances of IVF pregnancy at this age are higher and hence a twin or a triplet delivery is likely.

Dr KK Aggarwal
Group Editor in Chief

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

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. (November 12, 2010)

 
  eMedinewS Audio PostCard

Padma Shri & Dr BC Roy National Awardee
Dr K K Aggarwal

on
What food combinations should one avoid

Audio PostCard
 
    Photo Feature (From HCFI Photo Gallery)

11th Perfect Health Parade

The 11th Perfect Health Parade was organized to mark the World Health Day. In the photo: Tableaus in the parade moving around the city to create awareness about various health issues such as 'Organ Donation'.

 

 
Dr K K Aggarwal
 
    National News

Delhi bans use of calcium carbide for ripening fruits

NEW DELHI: The Delhi Government has banned the use of calcium carbide in the Capital for ripening of fruits. Health Minister Dr. A. K. Walia held a meeting on Tuesday to discuss the issue and alternative techniques for ripening of fruits. It was attended by Principal Secretary (Health) Anshu Prakash and other senior officials. “Use of calcium carbide for artificially ripening fruits is banned in Delhi under the Prevention of Food Adulteration Act and ethylene gas can be used as an alternative technique, which is not harmful. Fruits ripened with ethylene have more acceptable colour than naturally ripened fruits and have more shelf-life than fruits ripened with calcium carbide,” said Dr. Walia. (Source: The Hindu, Jun 22, 2011)

Moolchand offers International Post Graduate Program in Emergency Medicine

Moolchand Medcity in partnership with the Ronald Reagan Institute of Emergency Medicine (RRIEM) at the George Washington University, USA will offer 3-year Post Graduate Program in Emergency Medicine. It is amongst the most prestigious international post graduate training programs available in emergency medicine in India. “It is a 3-year Post Graduate Program in Emergency Medicine where we prepare fellows to practice in the complex and challenging arena of emergency medicine at the highest levels. With regular theory classes, students are posted in the emergency department of Moolchand Medcity as well as in the various critical care areas of the hospital” said Mr. Vibhu Talwar, Chief Operating Officer, Moolchand Medcity. The faculty will provide lectures, seminars, simulations and clinical teaching to the fellows. The quality of the education programs will be maintained through continuous assessments of the fellows and the overall fellowship program.

Course details of Masters in Emergency Medicine: Duration: 3 years, Eligibility criteria: MBBS with internship, registration with Delhi Medical Council; Fee: Rs. 6.75 lakhs (for 3 years). Last date for application: June 23, 2011. On completion, Fellows get a Post Graduate Degree in Emergency Medicine from George Washington University, USA and a certificate in proficiency in healthcare quality standards from Moolchand. Download the prospectus form from www.moolchandhealthcare.com or call at +91 99589 97293.

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

 
    International News

(Dr Monica and Brahm Vasudev)

Minimally invasive colorectal surgery cuts VTE risk

Patients undergoing laparoscopic colorectal surgery had fewer clotting complications than were seen with open procedures, researchers found. Venous thromboembolism (VTE) occurred in 1.44% of patients who had open surgery but in only 0.83% of those having a colorectal resection laparoscopically (P<0.001), Michael J. Stamos, MD, of the University of California Irvine Medical Center, and colleagues reported in the June issue of Archives of Surgery. (Source: Medpage Today)

Chronic itching as debilitating as chronic pain

Everyone talks about chronic pain, but no one talks about chronic itching. And yet, researchers reported, chronic pruritus may have a similar effect on quality of life as chronic pain. In a convenience sample of patients with chronic pain or pruritus, those with itching were willing to forfeit 13% of their lifespan in order to live without the condition, according to Suephy Chen, MD, of Emory University School of Medicine in Atlanta, and colleagues. In contrast, those with chronic pain were willing for forfeit 27% of their lifespan to live in perfect health, Chen and colleagues reported online in Archives of Dermatology. (Source: Medpage Today)

High-dose statins may cause diabetes

High-dose statin therapy raises the risk of diabetes onset in a dose-dependent manner compared with more modest use, a meta-analysis determined. An intensive statin regimen of 80-mg simvastatin (Zocor) or atorvastatin (Lipitor) was associated with a 12% increased diabetes incidence (odds ratio 1.12, 95% confidence interval 1.04 to 1.22) compared with moderate 10-to-20-mg doses of the same drugs, or 40 mg pravastatin (Pravachol). The number needed to harm was 498 per year, Kausik K. Ray, MD, of St. George's University of London, and colleagues reported in the June 22/29 issue of the Journal of the American Medical Association. (Source: Medpage Today)

Diabetic kidney disease on rise in U.S.

The prevalence of diabetic kidney disease in the U.S. population has risen in parallel with the rates of diabetes, researchers said. Between 1998 and 2008, the prevalence jumped from 2.2% of the U.S. population to 3.3%, Ian de Boer, MD, of the Kidney Research Institute in Seattle, and colleagues reported in the June 22/29 issue of the Journal of the American Medical Association. (Source: Medpage Today)

Exercise may help treat POTS heart condition

An exercise training program worked better than medication for those with a debilitating heart problem that's dubbed the "Grinch syndrome," new research suggests. The condition is so named because those who suffer from it have a heart that's too small. The medical term for the condition is POTS, short for postural orthostatic tachycardia syndrome. About 500,000 in the U.S., mostly young women, are affected. Among other symptoms, those with POTS have a rapid increase in their heartbeat when they change from lying down to standing. The volume of blood pumped out from the heart with each beat is low. That can make it difficult to stand for long periods. Quality of life can suffer greatly.

''We have come to the conclusion that the essence of the condition is a small, atrophied, deconditioned heart," says study researcher Benjamin D. Levine, MD, director of the Institute for Exercise and Environmental Medicine at Texas Health Presbyterian Hospital and professor of medicine at the University of Texas Southwestern Medical Center, Dallas. In the new research, he says, "the heart was too small, we made it bigger [through exercise] and the symptoms went away." The team found the same benefits to exercise in a previous study. However, in the new study, they found that exercise training made patients feel better without using the beta-blocker medication commonly given to lower the heart rate. The study is published in Hypertension: Journal of the American Heart Association. (Source:http://www.webmd.com/heart-disease/news/20110620/exercise-may-help-treat-pots-heart-condition)

 
   Fitness Update

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

Exercise is key to postpartum weight loss and chronic disease risk reduction

According to the Mayo Clinic, women of healthy weight should gain between 25 and 35 pounds during pregnancy to ensure a healthy baby is born. Other studies have shown that women should make every effort to return to a healthy weight six months postpartum to avoid increasing their risk factors for the development of chronic disease (including metabolic syndrome, obesity, and cardiovascular disease).

A group of researchers from the University of Western Ontario in London, Ontario conducted a study to determine what the effect of exercise intensity is on weight loss and chronic disease risk, and were surprised to find that intensity was not important, as long as they exercised. Forty women who had recently given birth participated in the study. They were randomly assigned to two groups: a low-intensity or moderate-intensity exercise intervention group. The program consisted of supervised walking for 45 min, three to four times per week for 16 weeks. All women were screened for cardiovascular disease at the beginning (7-8 weeks postpartum) and at the end (23-25 weeks postpartum) of the study. Additionally, a separate group of twenty sedentary postpartum women was used to compare outcomes. The study found, not surprisingly, that both exercise groups lost significantly more body mass and reduced their risk of chronic disease compared to the sedentary group. However, although there was a difference between the high and low intensity groups, it was not significant.

 
   Twitter of the Day

@DrKKAggarwal: Golden hours in medical practice One should not ignore warning signals as “time is life” in medical science. The... http://fb.me/ISAex58a

@SanjivChopra: #vmdhealhtblog The easiest path for any bacteria to get inside your blood stream is your mouth. My Health Tip: bitly.com/Dpk_Oral

 
    Spiritual Update

Science behind Hanuman Chalisa

Spiritual soul in one person is connected to another person’s soul through a similar web of energized information in the atmosphere called Spirit.

 
    An Inspirational Story

(Dr Anupam Sethi Malhotra)

Sitting on your talent

There was a man played piano in a bar. He was a good piano player. People came out just to hear him play. But one night, a patron told him he didn't want to hear him just play anymore. He wanted him to sing a song.

The man said, "I don't sing."

But the customer was persistent. He told the bartender, "I'm tired of listening to the piano. I want that guy to sing!"

The bartender shouted across the room, "Hey buddy! If you want to get paid, sing a song. The patrons are asking you to sing!"

So he did. He sang a song. A piano player who had never sung in public did so for the very first time. And nobody had ever heard the song Mona, Mona Lisa sung the way it was sung that night by Nat King Cole!

He had talent he was sitting on! He may have lived the rest of his life as a no-name piano player in a no-name bar, but because he had to sing, he went on to become one of the best-known entertainers in America.

You, too, have skills and abilities. You may not feel as if your "talent" is particularly great, but it may be better than you think! And with persistence, most skills can be improved. Besides, you may as well have no ability at all if you sit on whatever talent you possess! The better question is not "What ability do I have that is useful?" It is rather "How will I use whatever ability I have?"

 
    Pediatric Update

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

What occupations carry an increased risk of hepatitis C?

The risk of acquiring hepatitis C from the workplace depends on the amount of exposure to human blood or blood products and needlestick injuries. In general, occupational groups with increased risk include workers such as dentists, nurses, and laboratory personnel who are repeatedly exposed to human blood and who are at risk of needlestick injuries.

 
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    Infertility Update

Dr. Kaberi Banerjee, Director Precious Baby Foundation

How do I know if I am a candidate for IVF or ICSI?

IVF is indicated for blocked tubes and failure of conventional infertility treatment. ICSI is indicated for poor sperm count or function or failure of fertilization in previous IVF.

 
    Did You Know

(Dr Uday Kakroo)

Gold is the only metal that doesn't rust, even if it's buried in the ground for thousands of years.

 
    Legal Question of the Day

(Dr MC Gupta, Advocate)

A constable has history of recurrent episodes of Fever and loss of weight and wants a fitness certificate. I thought HIV testing was necessary and sent him to an HIV counsellor for this purpose but the patient refused the test.

1. How can I diagnose him properly if he refuses the test?

Answer: You have been asked to give a fitness certificate. You can certify that he is not fit. Exact diagnosis is not necessary to certify fitness.

 
    IJCP Special

Dr Good Dr Bad

Situation: A patient with heart failure had a total lymphocyte count of 1000. Dr.Bad: Lymphocyte count does not matter.
Dr.Good: You have a bad prognosis.
Lesson: In heart failure, total lymphocyte count (TLC) is an important prognostic factor, inversely associated with predicted mortality. Patients with low lymphocyte counts (<1,600 median count) after 8 years had significantly lower survival rates than those with lymphocyte counts =1,600 (58% vs 72%, p=0.012). (Charach G, et al. Usefulness of total lymphocyte count as predictor of outcome in patients with chronic heart failure. Am J Cardiol 2011 May 1;107(9):1353-6)

Make Sure

Situation: A patient with LBBB in ECG developed acute pulmonary edema. Reaction: Oh my God! Why was an underlying low cardiac function not suspected?
Lesson: Make sure all patients with LBB undergo Echo to rule out ejection fraction. This may not be true for RBBB.

 
  SMS of the Day

(Dr GM Singh)

A person who never made a mistake never tried anything new. Albert Einstein

 
  GP Pearls

(Dr Pawan Gupta)

Bone mineral density (BMD) is gold standard for strength of bone and risk of fractures But 60% of specimens with high porosity of bones had normal BMD. Thus BMD is imperfect measure especially if we associate it with risk of fractures. (Lancet 2010;375:1673)

 
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    Medicolegal Update

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

Heating food thoroughly destroys most but not all poisons

Poisons produced by plants, animals or microorganisms are called toxins. Food or drink can be contaminated by poison from microscopic organisms such as bacteria, viruses, or mould, or by chemical poisons. Some plants, mushrooms, animals or sea-creatures contain poisonous chemicals.

  • Food may be contaminated by bacteria before or after cooking, during preparation or storage, by contact with hands that have not been thoroughly washed, or with contaminated surfaces, containers or kitchen utensils. It may also be contaminated by animals or insects, particularly flies.
  • Heating food thoroughly destroys most - but not all - bacteria and bacterial toxins. However, if cooked food is kept warm or at room temperature for any length of time, bacteria, if any present will multiply and may cause disease.
  • Moulds grow on foods that are damp or damaged by insects, and some moulds produce poisons. Moulds growing on nuts or grain that has been gathered and stored before it is dry may cause serious poisoning. Some methods of drying and preserving food do not stop moulds growing on the food.
 
  Vitamins—Open Secrets revealed

(Dr Jitendra Ingole, MD Internal Medicine)

The right fats in our food

The assimilation and utilization of vitamin D is influenced by the kinds of fats we consume. Increasing levels of both polyunsaturated and monounsaturated fatty acids in the diet decrease the binding of vitamin D to D-binding proteins. This is an important consideration as majority Indians have dramatically increased their intake of polyunsaturated oils and monounsaturated oils and decreased their intake of saturated fats over the past 100 years.

Thus, both reduction of saturated fats and increase of polyunsaturated and monounsaturated fats contribute to the current widespread D deficiency. Further, trans fatty acids, found in various fried and most commercial baked goods should always be avoided. There is evidence that these trans fats can interfere with the enzyme systems the body uses to convert vitamin D in the liver.

Ref: Bouillon R, Xiang DZ, Convents R, Van Baelen H. Polyunsaturated fatty acids decrease the apparent affinity of vitamin D metabolites for human vitamin D-binding protein. J Steroid Biochem Mol Biol 1992;42:855-61).

 
  Lab Update

(Dr Arpan Gandhi and Dr Navin Dang)

T4 test

T4 or thyroxine test is done in order to check the levels of this hormone in blood to diagnose thyroid disorders such as hyperthyroidism and hypothyroidism.

 
    Mind Teaser

Read this…………………

ENDSSDNE

Yesterday’s Mind Teaser: An 18-year-old boy came to the Psychiatry OPD with a complaint of feeling changed from inside. He described himself as feeling strange as if he is different from his normal self. He was very tense and anxious yet could not point out the precise change in him. This phenomena is best called as:

1. Delusional mood
2. Depersonalization
3. Autochthonous delusion
4. Over valued idea

Answer for yesterday’s Mind Teaser:
2. Depersonalization

Correct answers received from: Dr K Raju, Dr Muthumperumal Thirumalpillai, Dr Sri San, Dr Surendra Bahadur Mathur, Dr.Taiyab H Saherwala, Dr Rashida Sajid Malek,Doraisami Sundaram,Dr Neelam Nath, Dr Jainendra Upadhyay, Dr U Gaur, Dr Nishi Singh, Dr Rakesh Bhasin.

Answer for 22nd June Mind Teaser: Sideburns
Correct answers received from: Dr Bina Sawhney, Doraisami Sundaram, Dr. Anupam Sethi Malhotra, Dr KV Sarma, Dr Nishi Singh, Dr Raju Kuppusamy.

Send your answer to ijcp12@gmail.com

 
    Medi Finance Update

(Dr GM Singh)

Where to invest in a rising interest rate scenario?

Fixed Maturity Plans (FMPs) provide investors with a good alternative to fixed deposits given that they are More Tax Efficient. This is especially so during volatile times when investors are likely to be more risk averse. These schemes are close-ended debt scheme with an objective to seek to generate reasonable returns and reduce interest rate volatility primarily through investment in money market and short term debt instruments with a maturity profile generally in line with the Plan’s duration.

 
    Laugh a While

(Dr GM Singh)

Outside a Car Exhaust Store:

"No appointment necessary. We hear you coming."

 
    Drug Update

List of approved drugs from 01.01.2010 to 31.8.2010

Drug Name
Indication
DCI Approval Date
Lubiprostone Soft Gelatin Capsules 8mcg /24mcg
1. For the treatment of chronic constipation in adults.
2. For the treatment of irritable bowel syndrome with constipation (IBS-C) in women > 18 years old.
16.10.10
 
    IMSA Update

International Medical Science Academy (IMSA) Update

Fasting blood sugar in children

Even mild increases in fasting blood sugar levels during childhood predict risk for developing type 2 diabetes mellitus. In the Bogalusa heart study, children with fasting blood sugar values in the upper half of the normal range (between 86 and 99 mg/dL) had 2.1 times the risk for developing diabetes during adulthood, and 3.4 times the risk for developing pre–diabetes, independent of the child’s weight status.

 
    Public Forum

(Press Release for use by the newspapers)

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

Hospital safety incidents have 20% mortality

Patients who experience a patient safety incident have a 20 percent chance of dying as a result of the incident, said Padma Shri and Dr BC Roy National Awardee Dr KK Aggarwal President, Heart Care Foundation of India and Dr Sidharth Kumar Das, Rheumatologist. The 16 different patient safety concerns are:

  1. Complications of anesthesia
  2. Death in low mortality diagnosis related groups
  3. Bed sores
  4. Failure to rescue
  5. Foreign body left in during procedure
  6. Physician-induced pneumothorax (air in the lungs)
  7. Selected infections due to medical care
  8. Post-operative hip fracture
  9. Post-operative hemorrhage or hematoma
  10. Post-operative physiologic and metabolic derangements
  11. Post-operative lung failure
  12. Post-operative pulmonary embolism or deep vein thrombosis (clot in the legs or the lungs)
  13. Post-operative infections
  14. Post-operative wound dehiscence in abdominopelvic surgical patients
  15. Accidental puncture or laceration
  16. Transfusion reaction
 
    Readers Responses
  1. Dear Dr Aggarwal, I was touched by the letter written to you by a doctor from Australia about his experiences regarding the callous attitude of our own professional colleagues. I always tell my junior doctors jokingly that I saw the pulse of my patients first when I was 24 and then only saw their purse. But now at the age of 58, I first see their purse and only then their pulse. I also appreciate your interpretation of the Hanuman Chalisa in terms of computer. It speaks volumes of your spiritual knowledge and you are a born teacher. Dr. R Mani, Psychiatrist, Chennai.
  2. Dear Dr Aggarwal, Very Informative Newsletter....Thanks. Dr Anupama
 
    Forthcoming Events

National Conference on "Insight on Medico Legal Issues"
Date: Sunday, 10th July, 2011
Venue: Auditorium, Chinmaya Mission, 89, Lodhi Road, New Delhi–110003

eMedinewS and Heart Care Foundation of India are jointly organizing the first-ever National Conference on "Insight on Medico Legal Issues" to commemorate "Doctors’ Day".
The one–day conference will provide total insight into all the medicolegal and ethical issues concerning the practicing doctors. Both medical and legal experts will interact with the delegates on important issues.
You are requested to kindly register in advance as seats are limited. There will be no registration fee. You can register by sending your request at rekhapapola@gmail.com or at 9899974439.

For Programme
Details <Click here>

………………………………………………………………

September 30th to October 2nd, 2011, Worldcon 2011 – XVI World Congress of Cardiology, Echocardiography & Allied Imaging Techniques at The Leela Kempinski, Gurgaon (Delhi NCR), India

from Sept 29, 2011: A unique & highly educative Pre–Conference CME, International & national icons in the field of cardiology & echocardiography will form the teaching faculty.
• Provisional Scientific Program at http://worldcon2011.org/day1.html
• Provisional program for Pre Congress CME at http://worldcon2011.org/Pre_Conference_CME.html
• Abstract submission at http://worldcon2011.org/scientificprogram.html
• Important dates at http://worldcon2011.org/importantDates.html
• Congress website at http://www.worldcon2011.org
• Entertainment – Kingdom of Dreams at http://worldcon2011.org/Pre_Post_Tours.html

Key Contacts
Dr. (Col.) Satish Parashar, President Organizing Committee, + 91 9810146231
Dr. Rakesh Gupta, Secretary General, + 91 9811013246

Congress Secretariat: Rajat Khurana, C–1 / 16, Ashok Vihar – Phase II, Delhi 110 052, INDIA., Phone: + 91–11–2741–9505, Fax: + 91–11–2741–5646, Mobile: + 91 9560188488, 9811911800,
Email: worldcon2011@gmail.com, jrop2001@yahoo.com, worldcon2011@in.kuoni.com

………………………………………………………………

Medifilmfest (1st International Health Film Festival in Delhi)

October 14–23, 2011, As part of 18th MTNL Perfect Health Mela 2011(Screening of films October 14–17, Jury Screening at Jamia Hamdarad University Auditorium October 18–19, award winning films at TalKatora Stadium October 19–23, 2011)
Organized by: Heart Care Foundation of India, World Fellowships of Religions, FACES, Bahudha Utkarsh Foundation and Dept of Health and Family Welfare Govt of NCT of Delhi.
Entries Invited: from feature films, Ad Films, Serials, Documentary Films, Cartoon Films, Animation Films, Educational films; films on Yoga, Siddha, Ayurveda, Unani, Homeopathy; Indigenous Healing, Films promoting the Bio–cultural Diversity, Medical Tourism, Visual and Medical Anthropology, Gender sensitization, awareness drive on socio–medical issues and health journalism. The films can be of variable durations (0–1 minute, upto 3 minutes, upto ten minutes, upto 45 minutes and upto an hour and beyond).
Separate entries are also invited for "factual mistakes in feature films concerning health". This can be in the form of 1–5 minutes footages.

Categories:Competitive category/ Non Competitive category/ Special screening
Sub Categories:

1. General: Documentaries, animation films, corporate films, Ad films, TV health programs/reports, health chat shows.

2. Special: Short instances of "depiction of wrong health messages" through the films.

Subjects: Health, disease, sanitation, yoga, spiritual health, environment, social issues, food, better living, Indigenous healing, medical tourism, visual & medical anthropology, gender sensitization, health journalism. Duration: 0–10 seconds; <30 minutes, 30–60 minutes, 1–3 hours. Language: English or Hindi, or sub tilled in English/Hindi. Fee: No fees from participants. Entry to the film show free. Format: Any format duly converted into DVD (compatible to the latest players/systems) Boarding, Lodging and Travel Expenses: Own, the participants may raise their own sponsorships

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

………………………………………………………………

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