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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

 

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  Editorial …

26th June 2011, Sunday

Today is International Day against Drug Abuse and Illicit Trafficking

Beware of date rape drugs

One often reads about stories of a person being sexually assaulted after having taken water, an energy drink, soft drink or an alcoholic beverage at a party. The defense of the accused - ‘it was consensual’. The term ‘date rape’ is usually used for these incidents, but experts use the term ‘drug-facilitated sexual assault’.

Most often these incidents occur due to date rape drugs, which have been mixed with the drinks or water. These drugs are colorless, odorless and have no taste, features, which makes them difficult to identify in drinks and so can be easily added to flavored drinks without the victim's knowledge. Once ingested, these drugs act very fast and cause weakness, confusion so that the victim is unable to resist or defend himself or herself. The drugs also lower inhibitions. Sooner or later, the victim falls asleep and wakes up ‘blank’ with no memory of what has occurred when she or he was under the influence of the drug. These drugs stay in the body for a very short time (less than 72 hours of intake) and so are not detected in routine toxicology screens.

A large number of drugs can be used for this purpose, but the three most frequently used "date rape drugs” are:

GHB

GHB or gamma hydroxybutyric acid is available as an odorless and colorless liquid. It is also available in the form of a white powder, and pill. It acts within 10-20 minutes and the effects last 1 to 3 hours. It is a CNS depressant and can produce euphoric states. It is also an anabolic agent and can be used to increase muscle strength. The symptoms include: Relaxation, drowsiness, dizziness, nausea, visual difficulties, loss of consciousness (blackout), seizures, breathing problems, tremors, sweating, vomiting, slow heart rate, dream-like feeling, coma and even death. It causes anterograde amnesia, so that the victim has no memory of the assault.

Rohypnol

Legally, rohypnol or flunitrazepam is used as a sedative/tranquilizer. Illegally formulated rohypnol is odorless and tasteless when dissolved in liquids. But, legally manufactured rohypnol has now been reformulated, so that it produces blue color to clear beverages that can be recognized easily and when added to colored drinks, they become hazy.

The symptoms include: Rapid loss of consciousness and inhibition, anterograde amnesia, lower blood pressure, drowsiness, muscle relaxation or loss of muscle control, drunk feeling, nausea, problems in talking, difficulty with motor movements, confusion, visual difficulties, dizziness, confusion and stomach problems.

Ketamine

Ketamine is a white powder. It acts rapidly. The duration of effect varies depending on the dose and whether or not it is mixed with alcohol. The symptoms include: Hallucinations, loss of sense of time and identity, distorted perceptions of sight and sound, feeling out of control, impaired motor function, problems breathing, convulsions, vomiting, out of body experiences, memory problems, dream-like feeling, numbness, loss of coordination, aggressive or violent behavior and slurred speech.

The best protection is to be aware and avoid getting drugged. Here are a few tips:

  1. Do not accept any drinks from strangers, except trusted friends.
  2. Limit your intake of alcoholic drinks.
  3. Open cans or bottles yourself.
  4. Never leave your drink unattended.
  5. Take a fresh drink when you return from using the restroom or making a phone call.
  6. Avoid drinking in group.
  7. Don't drink from punch bowls or other large, common, open containers. They may already have drugs in them.
  8. Don't drink anything that tastes or smells strange. Sometimes, GHB tastes salty.
  9. If you are with friends, arrange to check on each other.
  10. If you feel very drowsy or intoxicated, get help immediately.
  11. If you suspect that you have been drugged and raped: Go to the police station or hospital right away. Get a urine test as soon as possible. The drugs leave your system quickly. Rohypnol leaves your body 72 hours after you take it. GHB leaves the body in 12 hours. Don't passing urine before you get help. Don't douche, bathe, or change clothes before getting help. These things may be evidence for rape.

Will I be arrested if I go to a doctor and declare I am a drug addict?

Even possession of a small quantity of narcotic is an offense under the NDPS act. We face many problems in day to day practice.

For several offences under the NDPS Act, the punishment depends on whether the quantity of drug involved is small, is more than small but less than commercial or is commercial. Small and Commercial quantities for each drug have been notified. The quantities for some common drugs are as follows:

• Amphetamine up to 2 grams small and more than 50 grams commercial.

• Buprenorphine up to 1gram small and more than 20 grams commercial.

• Charas/Hashish any quantity is small and more than 1 kg is commercial.

• Cocaine up to 2 grams is small and more than 100 grams is commercial.

• Codeine up to 10 grams is small and more than 1 kg is commercial.

• Diazepam up to 20 grams is small and more than 500 grams is commercial.

• Ganja up to 1 kg is small and more than 20 kg is commercial.

• Heroin up to 5 grams is small and more than 250 grams is commercial.

• MDMA up to 0.5 gram is small and more than 10 grams is commercial.

• Methamphetamine up to 2 grams is small and more than 50 grams is commercial.

• Methaqualone up to 20 grams is small and more than 500grams is commercial.

• Morphine up to 5 grams is small and more than 250 grams is commercial.

• Poppy straw up to 1 kg is small and more than 50 kg is commercial.

What is an offense?

Production, manufacture, possession, sale, purchase, transport, import inter- state, export inter-state or use of narcotic drugs and psychotropic substances.

Punishment

• Small quantity: Rigorous imprisonment up to 6 months or fine up to Rs. 10,000 or both;

• More than small quantity but less than commercial quantity: Rigorous imprisonment up to 10 years + fine up to Rs. 1 Lakh and

• Commercial quantity: Rigorous imprisonment 10 to 20 years + fine Rs. 1 to 2 Lakhs

Sections covered are: Opium - 18; Prepared opium -17, Cannabis - 20, Manufactured drugs or their preparations - 21 and Psychotropic substances - 22.

Immunity to an addict: Section 27 of Narcotic Drugs and Psychotropic Substances (NDPS)

Act provides that the persons found to have illegal possession of drugs in a small quantity (the quantities for different drugs which would be deemed to be small quantity for the purpose of the Act has been laid down by the Government) are liable to a punishment up to six months imprisonment or fine or both, which, in respect of hard drugs like heroin would be up to one year's imprisonment or fine or both. However, the court is empowered to instead of straightway sentencing the addict convict to imprisonment, release him for undergoing medical treatment for de-addiction on his executing necessary bond prescribed under the Act. Therefore addicts charged with consumption of drugs (section 27 of NDPS Act) or with offences involving small quantities will be immune from prosecution if they volunteer for de-addiction. This immunity may be withdrawn if the addict does not undergo complete treatment (Section 64A of NDPS Act).

Commonly encountered situations

1. If an addict comes to us should we inform the police?

No, because he is coming to us for de-addiction. If he is admitted and de-addiction involves gradual tapering, then one needs to inform the police as possession of non prescription drugs is an offence.

2. If the parents bring a patient with narcotic addiction and the patient decides to get treated and wants to surrender the drugs with him, what is the role of the doctor?

If he possesses non prescription narcotics, the police needs to be informed as this is an offence. Doctors cannot dispose of the drug or throw it away. There is a set procedure for disposing such items.

3. If a person comes with narcotic overdose and is in possession of small quantity of narcotic substance. What is then the role of a doctor?

Police needs to be informed and the patient has to be counseled that the NDPS Act is a reformative legislation which provides him immunity from arrest if he or she is willing to get treated for de-addiction. But, this immunity may be withdrawn if the patient does not undergo complete treatment (Section 64 A).

4. Can a person keep diazepam tablets at home?

Yes, but only up to the prescribed quantity. A copy of the prescription should be kept at home as well as a copy of the receipt from the chemist.

Dr KK Aggarwal
Group Editor in Chief
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  Changing Practice – Evidence which has changed practice in last one year

Influenza vaccine dosing for children 6 months through 8 years

Children who are six months through eight years and did not receive at least one dose of monovalent 2009 influenza H1N1 vaccine will require two doses of influenza vaccine, even if they received two doses of influenza vaccine in the past.

 
  eMedinewS Audio PostCard

Padma Shri and Dr BC Roy National Awardee
Dr KK Aggarwal on

Will I be arrested if I go to a doctor and declare
I am a drug addict

Audio PostCard
 
    Photo Feature (from the HCFI Photo Gallery)

8th Vishwa Dharma Sammelan

8th Vishwa Dharam Sammelan was held on 3rd April 2011, Maulana Azad Medical College, New Delhi. In the Photo: Invited Dharma Gurus on the dais.

 

 
Dr K K Aggarwal
 
    National News

Plastic surgeons' association to perform free surgeries

The Association of Plastic Surgeons of India has asked each of its 1,300 members to perform at least one surgery free of cost to poor patients on July 15, which will hereafter be observed by the association every year as Plastic and Reconstructive Surgery Day. Association president and Director of Ganga Hospital here S. Rajasabapathy said on Tuesday, “There is no point in merely distributing handbills and conducting routine functions to mark the day. Something more meaningful should be done. Therefore, the association decided on free surgeries.” The surgeries could vary from correcting a birth deformity to reconstructing an injured hand. Dr. Rajasabapathy and association secretary Atul Kumar Shah recently met Union Minister for Health and Family Welfare Ghulam Nabi Azad in New Delhi to list the events that the association would conduct on July 15. (Source: The Hindu, Jun 22, 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

(Dr Monica and Brahm Vasudev)

Potato chips a top culprit in gradual weight gain

Potato chips may be the most dangerous food for your hips, according to a study that lays out weight-associated foods by the pound. Roughly half of the average 3.35 pounds a healthy, nonobese American gains over four years could be chalked up to eating more potato chips over time (1.69 lb per additional serving per day), Dariush Mozaffarian, MD, DrPH, of Brigham and Women's Hospital and Harvard Schools of Medicine and Public Health, and colleagues found. Other food strongly associated with weight gain in the prospective longitudinal results reported in the June 23 issue of the New England Journal of Medicine included: (Source: Medpage Today)

  • Potatoes at 1.28 lb
  • Sugar-sweetened beverages at 1.00 lb
  • Unprocessed red meats at 0.95 lb
  • Processed meats at 0.93 lb

FDA panel calls biologic drug unsafe for gout

The biologic drug canakinumab (Ilaris) is effective in treating acute flares of gouty arthritis but is too risky to warrant approval, members of the FDA's Arthritis Advisory Committee said Tuesday. In a unanimous vote, the 12-member panel indicated that canakinumab's safety is not good enough, considering that the drug's benefit is mainly in symptomatic relief rather than modification of the underlying disease. However, members of the panel did largely agree that the efficacy data adequately showed that the symptomatic relief was genuine, by an 11-1 vote.

Growing number of youth, young adults with type 2 diabetes

As diabetes becomes more prevalent in young people ( <40 yrs age), the long-term complications of the condition -- cardiovascular problems like high blood pressure and high cholesterol, nerve damage, blindness and kidney failure -- are more likely to occur at younger ages, too, says David Kendall, chief scientific and medical officer for the American Diabetes Association.

Catheter fixes for lower extremity vascular disease may be safe for older patients

Patients 80 and older can safely undergo catheter-based interventions for lower extremity vascular disease, new evidence from a multicenter, multidisciplinary," according to a study published online in the Journal of the American College of Cardiology: Cardiovascular Interventions.

 
  Fitness Update

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

Arthritis and physical activity: just do something!

People with arthritis are often afraid to be physically active. They sometimes worry about increasing the pain or causing injury to a sore joint. But research shows that regular physical activity is not only safe for people with arthritis, but also the American Medical Association looked at older people with osteoarthritis of the knee. Those who did a physical activity program three times a week had less pain and disability over eighteen months than those who were not physically active. It did not seem to matter what type of physical activity was done. Both a weight training program and a walking program helped relieve symptoms. X-rays showed the regular activity program did not make the disease worse. This study and others show that people with all types of arthritis can feel better if they are physically active. A person with arthritis can safely conform to the recommendation of one-half hour of moderate level activity each day of the week. A person with arthritis should find activities they enjoy and can do comfortably. They should do the activities at a moderate pace. Some people with arthritis may find that pain keeps them from doing the activity all at one time. If that’s the case, the activity can be done in shorter segments (say, 5 to 15 minutes) several times throughout the day.

 
  Twitter of the Day

@DrKKAggarwal:Dr K K Aggarwal: Will I be allowed to marry in Chaturmas? http://drkkaggarwal.blogspot.com/2011/06/will-i-be-allowed-to-marry-in-chaturmas.html?

@DeepakChopra: To find a creative solution to problems ask 1.What am I observing?2.What am I feeling?3.What is needed? 4.How can I serve ?

 
    Spiritual Update

Science behind Hanuman Chalisa

Each time an action is done, it leads to memory and memory leads to desire. This triad of action, memory and desire controls all the functions of the body. Each time an action is performed, a file is automatically stored not only in the soul (www.god.com) but also in the Spirit (www.GOD.com), which is retrievable by other souls (www.god1.com, www. god2.com, etc.).

 
    An Inspirational Story

(Dr. Anupam Sethi Malhotra)

Realize before its too late

Dante Gabriel Rossetti, the famous 19th-century poet and artist, was once approached by an elderly man. The old fellow had some sketches and drawings that he wanted Rossetti to look at and tell him if they were any good, or if they at least showed potential talent.

Rossetti looked them over carefully. After the first few, he knew that they were worthless, showing not the least sign of artistic talent. But Rossetti was a kind man, and he told the elderly man as gently as possible that the pictures were without much value and showed little talent. He was sorry, but he could not lie to the man. The visitor was disappointed, but seemed to expect Rossetti's judgment. He then apologized for taking up Rossetti's time, but would he just look at a few more drawings - these done by a young art student? Rossetti looked over the second batch of sketches and immediately became enthusiastic over the talent they revealed. "These," he said, "oh, these are good. This young student has great talent. He should be given every help and encouragement in his career as an artist. He has a great future if he will work hard and stick to it."

Rossetti could see that the old fellow was deeply moved. "Who is this fine young artist?" he asked. "Your son?" "No," said the old man sadly. "It is me - 40 years ago. If only I had heard your praise then! For you see, I got discouraged and gave up - too soon."

 
    Pediatric Update

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

What is Vitamin A?

Its a fat-solube vitamin which is made up of a family of compounds called the retinoids.

 
    eMedinewS Apps

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  Did You Know

(Dr Uday Kakroo)

If you stop getting thirsty, you need to drink more water. When a human body is dehydrated, its thirst mechanism shuts off.

 
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Alert
    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. Please respond to the following questions:

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

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

Q. Can I make his testing mandatory through his employer?

Ans. You can make a suggestion to the employer and leave the rest to him.

Q. How can I issue a medically fit certificate if he refuses to test?

Ans. You are not bound to issue medically fit certificate. You can state he is not fit.

Q. Is there any rule to give a medically fit certificate in such cases without testing for HIV?

Ans. There is no such rule to my knowledge. Fitness certificates were being given even when HIV tests were not known or commonly available.

Q. Is there any rule to deny a medically fit certificate in such cases?

Ans. The question of a rule does not arise. You are not bound to declare medically fit everyone who wants to be so declared. You can always declare the person medically unfit, giving reasons. You may state as follows: I have medically examined.......... He has a history of recurrent episodes of fever and loss of weight and appears to be suffering from serious disease. He is not medically fit. He has been advised to undergo a blood test for HIV infection and report back along with the report.

 
    IJCP Special

Dr Good Dr Bad

Situation: A patient came with black stools.
Dr. Bad: It is lower GI bleeding.
Dr. Good: This is upper GI bleeding.
Lesson: Black stools usually indicate upper GI bleeding.

Make Sure

Situation: A patient with renal failure came to a doctor.
Reaction: Oh, my God! Why was he given painkillers?
Lesson: Make sure to avoid painkillers in renal failure as most painkillers (barring nimesulide, paracetamol) are not kidney–friendly drugs.

 
  SMS of the Day

(Dr GM Singh)

A journey of a thousand miles must begin with a single step. Lao Tzu

 
    GP Pearls

(Dr Pawan Gupta)

Fibric acid derivatives that elevate high density lipoprotein (HDL) cholesterol show inconsistent clinical benefits. (NEJM 2011;364:170-1)

 
    Medicolegal Update

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

What is the suffocation in forensic medicine?

Suffocation is placing something over the mouth and nose of the victim to prevent them from breathing

  • Suffocation and smothering are two ways to prevent intake of air into the lungs via the mouth and nose. Both of these methods have been used throughout the ages as a means of committing murder and in some cases the process was applied because many thought that it could not be detected by the authorities.
  • This can be anything from an assailant's hand to a pillow, plastic sheeting or even a plastic bag - basically anything that can and will restrict the flow of oxygen into the lungs and likewise to the brain.
  • In these cases, when the doctor conducts the postmortem examination to determine the cause of death, one of the first things he or she will do is to see if there are no discernable wounds or marks is to check the deceased's eyes.
  • If suffocation or smothering has taken place then the eyes of the deceased will be bloodshot. This is a common way of accurately determining that one of these methods has been employed.
 
    Vitamins—Open Secrets revealed

(Dr Jitendra Ingole, MD Internal Medicine)

How much vitamin B12 should be given? Injectable or Oral ?

The standard treatment for B12 deficiency involves injections, which deliver B12 quickly into the bloodstream and bypass any defective components of the absorption mechanism. Injections are indicated in cases of extreme deficiency, when B12 stores must be replenished very quickly. The standard protocol is 1000 micrograms daily for three days, then weekly for a month, then one injection per month indefinitely.

Many a patients do not find injections convenient. The injections means: Patient will be required to go to doctor and again injections are painful. No one likes to endure the agony of painful injections lifelong on monthly basis. Isn’t there, then another way, to obtain Vit B12 ?

The answer would be mega doses of B12 orally. Typically this will involve prescribing Methylcobalamin 1000microgram per day. Many a readers might be surprised at requirement of such a high dose of B12 given the fact that Daily need might be 1microgram. The reason to prescribe high dose is obvious. Those patients having absorption problems, use of other concurrent medications which may cause B12 deficiency, require high doses. Now, it is neither practical nor feasible to evaluate each and every patient regarding malabsorption problems etc. Further, only a small proportion of Vit B12 given orally is absorbed. Thus, it is much more convenient to give high dose of B12. And yes, in such high doses, practically, NO toxicity is reported till date. In fact, there are studies in which patients were prescribed 2000 micrograms per day and they did not suffer from any overdose / toxic effects.
(Ref: J Am Geriatr Soc 1997;45(1):124)

 
    Lab Update

(Dr Arpan Gandhi and Dr Navin Dang)

Hypophosphatemia

Hypophosphatemia can be seen in a variety of biochemical derangements, including acute alcohol intoxication, sepsis, hypokalemia, malabsorption syndromes, hyperinsulinism, hyperparathyroidism, and as result of drugs, e.g., acetazolamide, aluminum–containing antacids, anesthetic agents, anticonvulsants, and estrogens (incl. oral contraceptives). Citrates, mannitol, oxalate, tartrate, and phenothiazines may produce spuriously low phosphorous by interference with the assay.

 
    Mind Teaser

Read this…………………

All of the following are hallucinogens, except:

1. LSD
2. Phenylcyclidine
3. Mescaline
4. Methylphenidate

Yesterday’s Mind Teaser: Dry mouth during antidepressant therapy is caused by blockade of:

1. Muscarinic acetylcholine receptors
2. Serotonergic receptors
3. Dopaminergic receptors
4. GABA receptors
                                    

Answer for yesterday’s Mind Teaser:
1. Muscarinic acetylcholine receptors

Correct answers received from: Dr Prabodh Kumar Gupta, Dr Chandresh Jardosh, Dr K Raju, Dr YJ Vasavada, Dr Shikha Jain, Dr Rashida Sajid Malek, Dr Muthumperumal Thirumalpillai, Doraisami Sundaram, Dr Surendra Bahadur Mathur, Dr Rashmi Chhibber, Dr Jainendra Upadhyay, Dr Anil Bairaria.

Answer for 24th June Mind Teaser: Making ends meet
Correct answers received from: Dr U Gaur, Dr Anupam Sethi Malhotra.

Send your answer to ijcp12@gmail.com

 
    Medi Finance Update

(Dr. GM Singh)

Indirect Tax

Others

  • Additional banking licenses to private sector players may be granted.
  • Non Banking Financial Companies could also be considered, if they meet the RBIs eligibility criteria.
 
    Laugh a While

(Dr. GM Singh)

Seen during a London conference: For anyone who has children and doesn't know it, there is a day care on the 1st floor.

 
    Drug Update

List of approved drugs from 01.01.2010 to 31.8.2010

Drug Name

Indication

DCI Approval Date

Thiocolchicoside 0.25% + Methyl salicylate IP 100mg + Menthol IP 50mg + Absolute alcohol IP 50mg per gm gel

For the topical treatment of painful muscles spasms of skeletal musculature

11.10.10

 
    IMSA Update

International Medical Science Academy (IMSA) Update

Artemisinin resistance and P. falciparum

Results of malaria blood smears performed three days after treatment initiation may be used as a screening tool for artemisinin resistance. Artemisinin resistance is highly unlikely if the proportion of patients with parasite density <100,000 parasites/microL following a three–day course of therapy with an artemisinin combination regimen is <3%.

 
    Public Forum

(Press Release for use by the newspapers)

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

Doctors’ Day Special

Medicine Today and Tomorrow

Doctors’ Day is approaching, said Padma Shri and Dr B C Roy National Awardee Dr K K Aggarwal, President, Heart Care Foundation of India and this can be the right time for doctors and the Government to focus on some issues that may lead to better patient care. Here are a few suggestions:

  • Under the PNDT Act, all doctors should inform the higher authorities including the police against parents who approach doctors for sex determination or against selective sex abortions.
  • Doctors should record and report to police about all delayed or faulty treatments given by the quacks all over the country.
  • The government should communicate to all doctors regarding all the drugs banned or introduced, within a week for better patient care, through a letter.
  • To implement the working hours of the residents to 48 hours a week as many international studies have shown that over burdening residents with extra duty hours affects patient care.
 
    Readers Response
  1. Dear KK Aggarwal, you are doing a service to the Medical fraternity. Regarding confidentiality (Professional confidentiality), it is the directive of Medical Ethics a Practitioner should follow.
    Confidentiality is: commonly applied to conversations between doctors and patients. This concept is commonly known as patient-physician privilege. Legal protection prevents physicians from revealing their discussions with patients, even under oath in court. Confidentiality is mandated in America by HIPAA laws, specifically the Privacy Rule, and various state laws, some more rigorous than HIPAA. However, numerous exceptions to the rules have been carved out over the years. For example, many states require physicians to report gunshot wounds to the police and impaired drivers to the Department of Motor Vehicles. Confidentiality is also challenged in cases involving the diagnosis of a sexually transmitted disease in a patient who refuses to reveal the diagnosis to a spouse, and in the termination of a pregnancy in an underage patient, without the knowledge of the patient's parents. Many states in the U.S. have laws governing parental notification in underage abortion. Traditionally, medical ethics has viewed the duty of confidentiality as a relatively non-negotiable tenet of medical practice. More recently, critics like Jacob Appel have argued for a more nuanced approach to the duty that acknowledges the need for flexibility in many cases. Dr. Alex Franklin.
 
    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

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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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