emedinews
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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 & Dean Medical Education Moolchand Medcity; Chairman Ethical Committee Delhi Medical Council; Chairman (Delhi Chapter) International Medical Sciences Academy; National Vice President Elect Elect, Indian Medical Association; 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 & Hony. Visiting Professor (Clinical Research) DIPSAR

For updates follow at www.twitter.com/DrKKAggarwal     www.facebook.com/Dr KKAggarwal

    Health Videos …
Nobility of medical profession Video 1 to 9 Health and Religion Video 1 to 7
DD Take Care Holistically Video 1 to 9 Chat with Dr KK On life Style Disorders
Health Update Video 1 to 15 Science and Spirituality
Obesity to Towards all Pathy Consensus ALLOVEDA: A Dialogue with Dr KK Aggarwal
  Editorial …

25th November 2012, Sunday

Doctors May Be Giving Patients Blood Transfusions Too Frequently

According to a study published in the journal Anesthesiology, patients who receive blood during surgery do not fare better than those who do not receive blood, and sometimes they may even fare worse.

Even with blood loss during surgery, if hemoglobin levels didn't fall below a certain point, a transfusion was usually unnecessary.

For More editorials…

Dr KK Aggarwal
Group Editor in Chief

    Constipation Update

Start bulk laxatives (e.g., psyllium) or osmotic laxatives as the first line of therapy in older patients with chronic constipation who do not respond to dietary and lifestyle modification.

For Comments and archives…

 
Dr K K Aggarwal
  eMedinewS Audio PostCard

Stay Tuned with Padma Shri and Dr B C Roy National Awardee Dr KK Aggarwal on

ACE inhibitors better ARBs in new meta–analysis in hypertensives

Audio PostCard
    Photo Feature (from the HCFI Photo Gallery)

19h MTNL Perfect Health Mela 2012

School Children’s from various schools took active interest in participation..

 
Dr K K Aggarwal
    National News

Dear Colleague, Let’s celebrate New Year by learning CPR-10 and saving the life of a person

Watch English or Hindi Video @http://emedinews.in/videos/cpr/index.html

Dr K K Aggarwal

Lowest in 14 yrs: 2012 sees 2 AIDS deaths in Mumbai

MUMBAI: Amid apprehensions of diminishing global funds slowing down HIV prevention initiatives, the city has achieved a feat of sorts by bringing down the Acquired Immune Deficiency Syndrome (AIDS) mortality to two this year. This is not only an 86% dip from the previous year, but also the lowest ever in the city since prevention initiatives kicked in 14 years ago. The Mumbai District Aids Control Society (MDACS) made the figures public in the wake of World AIDS Day on December 1. There has also been a visible difference in the number of people suffering from AIDS, the most advanced stage of HIV. This year, 416 have got AIDS as opposed to 790 last year. Experts say the city has come a long way from 2004 when there was a jump in the figures with nearly 278 deaths. However, the state figures still paint a grim picture as 1,243 lives were lost till October this year. For the city though, there has been a decline even in the number of fresh cases. This year 9,973 tested positive for HIV as compared to 12,944 in 2011. Though the difference in dip may be less than 1% between the two years, it has surely halved as compared to five years back. In the past three years, over 2 lakh people walked into Integrated Counselling and Testing Centres (ICTC) out of which 5-8 % tested positive. This year too, out of 2.01 lakh who got tested, around 5% were positive. MDACS additional project director Dr Balkrishna Adsul attributed the dip to awareness and integrated approach by agencies. "We are aiming towards zero positive cases and deaths," he said. Adsul said most of those who tested positive are in the 20-30 years age group. The MDACS figures also show a trend where more pregnant women are approaching the ICTC centres for testing and counselling. This year, 1.03 lakh pregnant women got tested for HIV out of which 365 tested positive. But, on the positive side, more children also seem to be getting Nevirapine, drug administered to babies born of HIV positive moms, soon after birth. Officially, the numbers say that 88.9% babies have received the drug that reduces their chances of getting HIV from 30% to around 12-15 %. An expert, however, maintained that unregistered deliveries still remain a grey area. (Source: TOI, Nov 23, 2012)

For comments and archives

Medical mistakes in Indian movies

Dear all, eMedinewS is starting a special series on ‘Medical mistakes in Indian movies’. We invite all our readers to share with us the following information:

  1. Scene/s where the image of the medical profession has been maligned in an unrealistic manner, or
  2. Scene/s where medical care and approach has been depicted incorrectly, or
  3. Scenes where the medical profession has been portrayed correctly.

Send us the clippings or description of the scenes. This would be a start to a special campaign to rebuild the image of the medical profession.

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

    Valvular Heart Disease Update

Prosthetic Valve update

Among patients who are not bleeding, those with an INR =6.0 should be admitted to the hospital and warfarin should be temporarily discontinued to permit a gradual reduction in INR. Intravenous vitamin K should not be given because of the risk of valve thrombosis if the INR falls too quickly.

(Experts: Dr Ganesh K Mani, Dr Yugal Mishra, Dr Deepak Khurana, Dr Rajesh Kaushish, Dr K S Rathor, Dr Sandeep Singh and Dr KK Aggarwal)

For comments and archives

 
    International News

(Contributed by Dr Monica and Brahm Vasudev)

3D imaging raises accuracy of digital mammo

Adding tomosynthesis to digital mammography boosts diagnostic accuracy and reduces false-positive recall rates, researchers found. (Source: Medpage Today)

For comments and archives

Guidelines on ischemia stress patient choice

Evaluation and management of stable ischemic heart disease (IHD) should include patient preferences in the decision-making process, according to new guidelines written by a group representing six medical organizations. More than 5 years in planning, discussion, and writing, the guideline reflects the consensus of multiple organizations that participated in the guideline development and approved the final version: American Heart Association (AHA), American College of Cardiology (ACC), American College of Physicians (ACP), American Association for Thoracic Surgery, Preventive Cardiovascular Nurses Association, and Society of Thoracic Surgeons. (Source: Medpage Today)

For comments and archives

Oral contraceptives should be OTC, ACOG says

Oral contraceptives should be available to women over the counter (OTC) because the benefit of reducing unwanted pregnancies outweighs the risks of dispensing the drugs without a prescription, the American Congress of Obstetricians and Gynecologists (ACOG) has announced. The ACOG policy statement, which has received mixed reviews, was published online yesterday in the December issue of Obstetrics & Gynecology, the society's house journal. (Source: Medscape)

For comments and archives

Universal HIV screening recommended by USPSTF

The US Preventive Services Task Force (USPSTF) strongly recommends that clinicians screen all people aged 15 to 65 years for HIV infection, according to a draft recommendation statement posted online November 20. The statement also recommends HIV screening for all pregnant women, including those who present at the time of labor, and for younger adolescents and older adults who are at increased risk. (Source: Medscape)

For comments and archives

 
    Twitter of the Day

@DrKKAggarwal: Flaxseed for lowering blood pressure Eating flaxseed can reduce the upper blood pressure (systolic) by 10 mmHg... http://fb.me/2ugmYYohp

@DeepakChopra: Life is a continuum of "now"

 
    Spiritual Update

(Dr KK Aggarwal, Group Editor in Chief, IJCP Group of Publications and eMedinews)

Why we do not go for honeymoon at places of worship?

Both marriage and married life are considered scared. Yet our mythology prohibits going for honeymoon at places of worship.

As per Vedas, spirituality and sexuality are poles apart. When you are going for a pilgrimage at a place of worship, you are required to keep your sexual desires out.

For comments and archives

 
    Infertility Update (Dr Kaberi Banerjee, IVF expert, New Delhi)

How can the damage to the fallopian tubes be fixed?

The surgeon will try to cut the scars between your fallopian tube and ovary. If one or both tubes are completely blocked, your surgeon can attempt to open the tube. Surgery can be done in one of two ways (laparoscopy or laparotomy). Laparoscopy, or minimally invasive surgery, can be performed. During this procedure a very small camera attached to a thin telescope is inserted through a small incision (surgical opening) below your belly button. The surgery is performed during small tools, which can be inserted through other small incisions across your belly. A traditional open procedure, called a laparotomy, also may be used. In this procedure, the surgery is performed through a large incision made in your belly (abdomen).

 
    Tat Tvam Asi………and the Life Continues……

(Dr N K Bhatia, Medical Director, Mission Jan Jagriti Blood Bank)

ABO system and pregnancy

The O gene is an amorph and functionally silent.

 
    An Inspirational Story

Learn an earn

Chuan and Jing joined a wholesale company together just after graduation. Both worked very hard.

After several years, the boss promoted Jing to sales executive but Chuan remained a sales rep. One day Chuan could not take it anymore, tender resignation to the boss and complained the boss did not value hard working staff, but only promoted those who flattered him. The boss knew that Chuan worked very hard for the years, but in order to help Chuan realize the difference between him and Jing, the boss asked Chuan to do the following. Go and find out anyone selling water melon in the market? Chuan returned and said yes. The boss asked how much per kg? Chuan went back to the market to ask and returned to inform boss the $12 per kg.

Boss told Chuan, I will ask Jing the same question? Jing went, returned and said, boss, only one person selling water melon. $12 per kg, $100 for 10 kg, he has inventory of 340 melons. On the table 58 melons, every melon weighs about 15 kg, bought from the South two days ago, they are fresh and red, good quality.

Chuan was very impressed and realized the difference between himself and Jing. He decided not to resign but to learn from Jing. My dear friends, a more successful person is more observant, think more and understand in depth. For the same matter, a more successful person sees several years ahead, while you see only tomorrow. The difference between a year and a day is 365 times, how could you win?

Think! How far have you seen ahead in your life? How thoughtful in depth are you?

For comments and archives

 
    Cardiology eMedinewS

Do not treat mild hypertension with low risk for heart disease Read More

Diabetes rates projected to rise in youth Read More

 
    Pediatric eMedinewS

Psoriasis linked to weight in kids Read More

EMA recommends approval for Prevenar 13 Read More

 
    IJCP Special

Dr Good Dr Bad

Situation: A patient with dengue had itchy rash.
Dr Bad: It’s an allergy.
Dr Good: This is dengue.
Lesson: Itchy rash can be present in dengue or Chikungunya.

Make Sure

Situation: A 62–year–old diabetic with coronary artery disease, on treatment for the same, comes for follow up.
Reaction: Oh my God! Why did not you put him on antioxidants?
Lesson: Make Sure to add antioxidants to the prescription because of their free radical scavenging and other beneficial effects.

 
    Legal Question of the Day (Dr MC Gupta)

Q. What are the legal aspects of over the counter (OTC) sale of allopathic medicines?

Ans.

  • The term “OTC drugs” is a loose and legally undefined term. It does not find a mention in the Drugs and Cosmetics Act, 1940, or the Drugs and Cosmetics Rules, 1945. Before discussing the legal aspects of OTC drugs, this term needs to be defined.
  • The United States Department of Food and Drug Administration (FDA) defines OTC drugs as “drugs that are safe and effective for use by the general public without seeking treatment by a health professional”.

    The role of FDA in regulation of OTC drugs is as follows:

    “Drug Applications for Over-the-Counter (OTC) Drugs

    Over-the-counter (nonprescription) drug products play an increasingly vital role in America's health care system. OTC drugs are defined as drugs that are safe and effective for use by the general public without seeking treatment by a health professional. FDA's review of OTC drugs is primarily handled by CDER's Office of Drug Evaluation IV. The Nonprescription Drug Advisory Committee meets regularly to assist the agency in evaluating issues surrounding these products. This committee has played a major role in the growth of prescription to OTC switches in recent years.

    Because there are over 300,000 marketed OTC drug products, FDA reviews the active ingredients and the labeling of over 80 therapeutic classes of drugs, for example analgesics or antacids, instead of individual drug products. For each category, an OTC drug monograph is developed and published in the Federal Register. OTC drug monographs are a kind of "recipe book" covering acceptable ingredients, doses, formulations, and labeling. Many of these monographs are found in section 300 of the Code of Federal Regulations.

    Once a final monograph is implemented, companies can make and market an OTC product without the need for FDA pre-approval. These monographs define the safety, effectiveness, and labeling of all marketing OTC active ingredients.

    New products that conform to a final monograph may be marketed without further FDA review. Those that do not conform must be reviewed by the New Drug Application process. A drug company may also petition to change a final monograph to include additional ingredients or to modify labeling.”

    http://www.fda.gov/drugs/developmentapprovalprocess/
    howdrugsaredevelopedandapproved/approvalapplications/
    over-the-counterdrugs/default.htm
  • The scope/examples of OTC drugs are described by the FDA as follows:

    “Over-the-counter (OTC) medicines are drugs you can buy without a prescription. Some OTC medicines relieve aches, pains and itches. Some prevent or cure diseases, like tooth decay and athlete's foot. Others help manage recurring problems, like migraines.

    In the United States, the Food and Drug Administration decides whether a medicine is safe enough to sell over-the-counter. Taking OTC medicines still has risks. Some interact with other medicines, supplements, foods or drinks. Others cause problems for people with certain medical conditions. If you're pregnant, talk to your health care provider before taking any medicines.

    It is important to take medicines correctly, and be careful when giving them to children. More medicine does not necessarily mean better. You should never take OTC medicines longer or in higher doses than the label recommends. If your symptoms don't go away, it's a clear signal that it's time to see your healthcare provider.”

    -- http://www.nlm.nih.gov/medlineplus/overthecountermedicines.html
  • The Wikipedia has this to say about OTC drugs:

    “Over-the-counter (OTC) drugs are medicines that may be sold directly to a consumer without a prescription from a healthcare professional, as compared to prescription drugs, which may be sold only to consumers possessing a valid prescription. In many countries, OTC drugs are selected by a regulatory agency to ensure that they are ingredients that are safe and effective when used without a physician's care. OTC drugs are usually regulated by active pharmaceutical ingredients (APIs), not final products. By regulating APIs instead of specific drug formulations, governments allow manufacturers freedom to formulate ingredients, or combinations of ingredients, into proprietary mixtures.(1)

    The term over-the-counter may be somewhat counterintuitive, since, in many countries, these drugs are often located on the shelves of stores like any other packaged product. In contrast, prescription drugs are almost always passed over a counter from the pharmacist to the customer. Some drugs may be legally classified as over-the-counter (i.e., no prescription is required), but may only be dispensed by a pharmacist after an assessment of the patient's needs and/or the provision of patient education. In many countries, a number of OTC drugs are available in establishments without a pharmacy, such as general stores, supermarkets, gas stations, etc. Regulations detailing the establishments where drugs may be sold, who is authorized to dispense them, and whether a prescription is required vary considerably from country to country.”

    -- http://en.wikipedia.org/wiki/Over-the-counter_drug
  • The crucial question is—To which counter are we referring when we use the term—“over the counter”?

    Are we referring to the sales counter of a pan wallah, grocer or a general store (as is the implied meaning of this term in USA)?

    OR

    Are we referring to the sales counter of a chemist/druggist, pharmacist etc.?

    It is obvious that the term OTC refers to those drugs which can be bought across the counter at a grocery or general store etc. which can stock and sell certain drugs without obtaining any licence required under the D&CA in terms of section 18(c) in chapter 4 of the D&CA, 1940, which states that ---‘no person shall sell, any drug [except under, and in accordance with the conditions of, a licence issued for such purpose under this Chapter’.

    Thus any drug to which chapter 4 of the D&C Act, 1940, applies cannot be sold by a grocer or general store etc.
  • It appears that the scheme of the Indian Drugs and Cosmetics Act/Rules is as follows:
    • All drugs except those listed in Schedule K of the D&C Rules, 1945, need a licence (in terms of Rule 65), permitting them to be sold.
    • Those permitted to sell drugs under a licence can sell two types of drugs, namely, Prescription Drugs and Non- Prescription Drugs. The Prescription Drugs are those drugs which are listed in Schedule H which is titled as “Prescription Drugs”. In accordance with Rule 65(9), such drugs can be sold only on the basis of a prescription issued by a Registered Medical Practitioner as defined in Rule 2(ee) of the D&C Rules, 1945. In view of the Supreme Court’s judgment in Mukhtiar Singh case, the definition of a Registered Medical Practitioner as defined in Rule 2(ee) of the D&C Rules, 1945, now means, for practical purposes, a person having a degree in modern medicine.
    • In terms of Rule 123, drugs listed in Schedule K of the D&C Rules, 1945, do not need a licence for sale if sold by shop other than a chemist’s shop. Drugs in Schedule K include the following:
      • Drugs not intended for medicinal use;
      • Quinine and other antimalarial drugs;
      • Quinine Sulphate;
      • Magnesium Sulphate;
      • Substances intended to be used for destruction of vermin or insects, which cause disease in human beings or animals viz. Insecticides and Disinfectants;
      • Household remedies, namely:–
        • Aspirin Tablets.)
        • Paracetamol Tablets.)
        • Analgesic Balms.
        • Antacid Preparations
        • Gripe Water for use of infants.
        • Inhalers, containing drugs for treatment of cold and nasal congestion.
        • Syrups, lozenges, pills and tablets for cough.
        • Liniments for external use.
        • Skin ointments and ointments for burns.
        • Absorbent cotton wool, bandages, absorbent gauze and adhesive plaster.
        • Castor Oil, liquid Paraffin and Epsom Salt.
        • Eucalyptus Oil
        • Tincture Iodine, Tincture Benzoin Co.and Mercurochrome solution in containers not exceeding 100 ml.
        • Tablets of Quinine Sulphate I.P.
        • Tablets of Iodochlorohydroxy quinoline – 250 mg.)
      • Contraceptives;
      • Cosmetics
      • Ophthalmic ointments of the Tetracycline group of drugs;
      • Hair Fixers;
      • Radio Pharmaceuticals;
      • Tablets of Chloroquine Salts;
      • Preparations applied to human body for the purpose repelling insects like mosquitoes;
      • Medicated Dressings and Bandages for First Aid;
      • Oral Rehydration Salts;
      • White or Yellow Petroleum Jelly I.P. (Non-perfumed);
      • Morphine Tablets;
      • First Aid Kit supplied along with motor vehicle by the manufacturer or its distributor at the time of first sale of vehicle;
      • Nicotine gum containing up to 2 mg. of nicotine.
  • In view of the above, it is clear that the term OTC drugs would mean, in the context of Indian laws, drugs in Schedule K. The main drugs in Schedule K have been listed above.
 
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    Quote of the Day (Dr GM Singh)

A mountain is not higher than our confidence. It will be under our feet if we reach the top.

 
    Mind Teaser

Read this…………………

Which of the following is not used to produce alcohol?
A) Grapes B) Barley C) Potatoes D) Pork

Yesterday’s Mind Teaser: Which Act created drug scheduling?
A) CAA B) CAS C) CSA D) CSS

Answer for Yesterday’s Mind Teaser: C) CSA (Controlled Substances Act)

Correct answers received from: Dr KV Sarma, Dr Kanta Jain, Dr Pankaj Agarwal, Dr Jainendra Upadhyay, Dr Chandresh Jardosh, Dr Avtar Krishan.

Answer for 23rd November Mind Teaser: d) All of the above

Correct answers received from: Dr Avtar Krishan, Dr BB Aggarwal, Dr Uma Gaur, Dr K Raju, Dr K Raju.

Send your answer to ijcp12@gmail.com

 
   Laugh a While (Dr GM Singh)

Smart Bird?

His mother was now living in Miami Beach and the young man didn’t see her that often. His father was no longer around and he was worried that Mom was lonely. For her birthday, he purchased a rare parrot, trained to speak seven languages. He had a courier deliver the bird to his dear mother. A few days later, he called. "Ma, what do you think of the bird?"

"The bird was good, but a little tough. I should have cooked it longer." "You ate the bird? Ma, the bird was very expensive. It spoke seven languages!"

"Oh, excuse me. But, if the bird was so smart, why didn’t it say something when I put it in the oven?"

 
    Medicolegal Update

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

Immediate first aid may stop serious poisoning and may save life

In cases of poisoning, if breathing and the heart stop, the person will die within a few minutes unless first aid is given at once. Here is an action list. Each step is explained in more detail below the list. Start with the first step and follow each step in the order given. Act as quickly as you can, but stay calm.

  • Check if the patient is conscious. Try to wake up the patient. Shout "Are you all right?" and gently shake the shoulders, but take care not to make any injuries worse. Pinch the skin on the neck and watch the face. A patient who is just sleeping will wake up, but an unconscious patient will not.
  • Open the airway. The airway is the tube through which air passes from the mouth and nose to the lungs. If it is blocked the patient cannot breathe and air cannot get into or out of the lungs. A patient who cannot breathe will die within 4 minutes. In an unconscious patient, the tongue may block the throat and the airway. Make sure the airway is open and air can get down the throat. Place the patient on his or her back. Tilt the head back and lift the chin up with the finger and thumb of one hand on the bony part of the chin, while pressing the forehead back with the other hand. This will open the airway and stop the tongue blocking the throat.
  • Check whether the patient is breathing after opening the airway; quickly check whether the patient is breathing. Look for the belly or the chest moving up and down. Feel the chest moving up and down. Feel the patient’s breathe on your cheek. Listen for breath sounds. Put your ear close to the patient’s mouth. Use all four checks. Remember that the chest may move up and down even when the throat is completely blocked and air cannot get to the lungs.

For comments and archives

 
    Public Forum

Public Forum (Press Release for use by the newspapers)

Winter Asthma

Any breathlessness after the age of 40, appearing for the first time in winter, is cardiac asthma unless proved otherwise. Such patients should immediately have their blood pressure check-up done and if high needs immediate medical attention. First-onset breathlessness can also be an indication of angina or heart attack. This was stated by said Padma Shri & Dr. B.C. Roy National Awardee, Dr. KK Aggarwal, President, Heart Care Foundation of India. However, the more common is winter asthma or acute exacerbation of winter COPD (chronic bronchitis).

Asthma is reversible airway obstruction and COPD is irreversible airway obstruction. Sudden exposure to cold, humidity, pollution at lower levels in atmosphere can precipitate asthma in susceptible individuals. Winter is the time to increase the dose of asthma medicines.

If a person can speak a full sentence, the asthma attack is mild; if a person speaks broken sentences the asthma attack is moderate and if the person is able to speak only words then the asthma attack is severe. Severe attack of asthma needs immediate hospitalization.

An attack of asthma is due to inflammation, narrowing and collection of fluid in the wind pipe and needs medicines to widen the wind pipe and reduce the inflammation.

The need of asthma medicines can be intermittent and/or permanent. The ‘Formula of ‘2’t becomes handy in such situations. A person who consumes more than two canisters of inhalers in a year or consumes asthma medicines more than twice in the night time in a month or more than twice in a day in a week, then he or she needs continuous asthma and anti inflammatory medicines. Inhalers are the best choices.

 
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  1. Dear Sir, Fantastic Work by you. I read emedinews daily. Regards: Dr Shikha
 
    Forthcoming Events
Dr K K Aggarwal

Seminar on "Mind and Body in Health and Harmony in Asian Systems of Medicine"

Date: December 11-13, 2012
Venue: India International Centre, New Delhi
Themes of the Workshop: Anatomy, Philosophy, Diagnostics and imbalances, Therapeutics and treatments, Understanding Mind-Body relationships and Preventive and Promotive aspects in the traditional systems of medicine

4th eMedinews Revisiting 2013

(a day long single hall medical conference on 2012 happenings, followed by doctors of the year 2012 awards)

Sunday 20th January 2013, Maulana Azad Medical College Auditorium

Dilli Gate Delhi

8am-8pm

Dr KK Aggarwal
Padmashri and Dr B C ROY National Awardee President

Dr Veena Aggarwal
Executive Editor IJCP Group
Organizing Chairman

Dr Pawan Gupta
Past President IMA Haryana
Organizing Secretary

4th eMedinewS Revisiting 2012

The 4th eMedinewS–revisiting 2012 conference is being held at Maulana Azad Medical College, New Delhi on Sunday January 20th 2013.

The one–day conference will revisit and discuss all the major advances in medicine in the year 2012. There will also be a live webcast of the event. An eminent faculty will speak at the conference.

There is no registration fee. All delegates will get Registration Kit, Attractive gifts, Certificates. Morning snacks and lunch will be provided.

Register at: www.emedinews.in/

rawat.vandana89@gmail.com/drpawangupta2006@yahoo.com

4th eMedinewS Doctor of the Year Awards

Nominations invited for 4th eMedinewS Doctor of the year Award in plain paper. Nominated by 2 professional colleagues along with details of your contributions in the year 2012.

pls send his/her Biodata at: emedinews@gmail.com

 
    eMedinewS Special

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

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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 Navin Dang, Dr Pawan Gupta(drpawangupta2006@yahoo.com), Dr Parveen Bhatia, (bhatiaglobal@gmail.com), Dr Prabha Sanghi, Dr Prachi Garg, Rajat Bhatnagar (http://www.isfdistribution.com), Dr. Rajiv Parakh, Dr Sudhir Gupta, Dr Usha K Baveja