emedinews
Head Office: E–219, Greater Kailash, Part 1, New Delhi–110 048, India. e–mail: emedinews@gmail.com, Website: www.ijcpgroup.com
FIRST NATIONAL eMEDICAL NEWSPAPER OF INDIA

eMedinewS is now available online on www.emedinews.in or www.emedinews.org

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

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

 
  Editorial …

31st May 2011, Tuesday                                eMedinewS Present Audio News of the Day

View Tobacco Day Photos and Videos of 2nd eMedinewS – Revisiting 2010

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

TODAY IS NO TOBACCO DAY LET US PLEDGE FOR A SMOKE FREE INDIA

Safety of on–duty doctors

Jail inmates beat doctor to death in Gopalganj: A doctor, Bhudev Singh, died in Patna Medical College, hours after he was beaten up by some inmates of a district jail in Gopalganj district of Bihar on Sunday.

The crashed air ambulance carrying the patient violated air norms: The air ambulance that crashed in Faridabad killing 10 people including two medical residents and one male nurse last Wednesday seriously violated the government’s air safety rules and regulations that ban medical evacuation in single–engine aircraft. The aircraft was carrying a patient from Patna who had slipped into coma. "Operations with single–engine aeroplanes shall be conducted only on domestic sectors except for medical evacuation flights," the relevant clause of the CAR clearly says. Single–engine aircraft cannot handle sudden emergencies.

These two headlines in the newspaper open up a new debate regarding the safety of practicing doctors. Both incidents occurred while on duty. It’s time for the medical associations in India to fight for the safety of the on–duty doctors.

Treating doctors are uninformed and give consent to travel in whatever arrangements are made for them. They are made to travel in ill–equipped ambulances, ill–fitted aircrafts, and in vehicles who rush their travel violating all traffic rules. The travel is often unsafe from all standards. We must raise our voice and fight for our rights.

I met one of the journalists who told me the sequence of events. One of the jail inmates, who happens to be a politician in Bihar, wanted a doctor to sign a false certificate declaring that the jail inmate was sick and was unfit to be transferred to another jail. When the doctor denied on merit that he would not give a false certificate, he was beaten up by the politician and his accomplices and the doctor ultimately died.

Is it what the doctors have to pay today for being truthful? I think a nationwide protest should be held and such politicians should be punished.

I reproduce below an email that I received today from a colleague, regarding this incident. "Dear Dr Aggarwal, I was shocked to hear the morning new on TV today – "Doctor who was sent to examine the inmates in Bihar jail was beaten to death by inmates." The reason – he refused to issue a false medical certificate. I am sure lots of hue and cry will be raised by the media, public and also the medical associations. No one will reach the bottom of such incidents. The basic reason behind all these incidents is dereliction of duty by someone who is in–charge.

  • Will the Jail Superintendent accept the responsibility for not providing security to the doctors?
  • Will someone tell me if an armed constable was posted to regulate the entry of patients (inmates) in the dispensary?
  • Will the CMO and Director of Health explain and accept the responsibility for sending the doctor to such place which was a high security risk without verifying the facilities and security for him?

This is pure apathy of the administration and it is this culture that is responsible for all the incidents of manhandling of doctors everywhere. All the above individuals need to explain and those who are responsible should be dismissed from service and cases filed against them for dereliction of duty. Dr RS Bajaj, Consultant Pediatrician, Rohini."

Dr KK Aggarwal
Editor in Chief
drkkaggarwal Dr K K Aggarwal on Twitter
Blogs.kkaggarwal.com Dr K K Aggarwal on blogs
Krishan Kumar Aggarwal Dr k k Aggarwal on Facebook

www.drkkaggarwal.blogspot.com
 
    Changing Practice – Evidence which has changed practice in last one year

High PEEP in patients with acute respiratory distress syndrome

For patients with acute respiratory distress syndrome (ARDS, PaO2/FiO2 ≤200 mmHg), use a strategy of high PEEP.

 
  eMedinewS Audio PostCard

Chronic Hepatitis B: Optimum vaccination schedule

Dr Neelam Mohan Speaks on
‘Hepatitis B endemicity: Low endemicity zone’

Audio PostCard
 
    Photo Feature (from the HCFI Photo Gallery)

World No Tobacco Day 2011

Noted model–turned–actor Rahul Dev released an anti–tobacco poster at a function organized by Heart Care Foundation of India jointly with World Fellowship of Religions on the eve of World No–Tobacco Day.

 
Dr K K Aggarwal
 
    National News

Delhi to host festival of award–winning green films

NEW DELHI: As part of World Environment Day celebrations, the Union Ministry of Environment and Forests in collaboration with CMS Environment, a Delhi–based think tank, is hosting a four–day Bio–diversity Film Festival here in the Capital beginning June 1. The festival’s unique selling point is the screening of award–winning green films. The first day will see the screening of children’s films at the National Science Centre near Pragati Maidan. The festival will be formally inaugurated at PVR Plaza in Connaught Place on June 2 in which wildlife film–maker Naresh Bedi’s important film Project Tiger: Ensuring Survival will be premiered. Several other films on wildlife conservation will also be screened. The festival assumes added significance considering India has been chosen for the first time as the global host of World Environment Day–2011. (Source: The Hindu, May 28, 2011)

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

 
    International News

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

Online fitness programs growing in popularity

The Internet has come together in the latest fitness trend: online personal training. This concept emerged about ten years ago, but in the past five years, online training programs have amplified in popularity, said an expert yesterday at the American College of Sports Medicine’s 15th–annual Health & Fitness Summit & Exposition. NiCole Keith, Ph.D., FACSM, explained that online personal training is a convenient and effective option for exercisers. "Offering personal training and group fitness classes online makes it easier for clients and fitness professionals to work together while also eliminating expenses for rental space, gym memberships and travel time," said Keith, who is an Associate Professor at Indiana University–Purdue University Indianapolis (IUPUI). "What’s more, online personal training is an approachable option for morbidly obese individuals who are unable or unwilling to seek help outside of their home."

(Dr Monica and Brahm Vasudev)

Smokeless tobacco to carry harsher pictorial warning

Underlining that smokeless tobacco was more harmful, Union Health Minister Ghulam Nabi Azad today said the government would soon notify a "harsher" pictorial warning for these tobacco products.

World’s smallest insulin injection needle launched

The world’s smallest pen needle insulin injection for diabetics promising relief from pain was launched here Wednesday, said a statement from its manufacturer Becton, Dickinson and Company (BD). The needle is four mm in length and of 32 gauge thickness making it the shortest and the thinnest in the market.

Frequent moderate alcohol drinking linked to lower risk of fatty liver disease

A large study of men in Japan has shown that the frequency of moderate alcohol consumption is associated with a lower risk of fatty liver disease.

Protein responsible for leukaemia linked to Alzheimer’ s disease

The Feinstein Institute for Medical Research scientists have discovered that a molecule c–Abl, which has a known role in leukaemia, also has a hand in Alzheimer’s disease.

 
    Twitter of the Day

@DrKKAggarwal: Smoking can cause Erectile Dysfunction
http://drkkaggarwal.blogspot.com/2011/05/smoking–can–cause–erectile–
dysfunction.html?spref=tw

@DeepakChopra: Is there an observer independent reality? How could we ever verify or empirically prove that? Would love your thoughts

 
    Spiritual Update

Hanuman Chalisa

Charo Juug Partap Tumhara
Hai Parsiddha Jagat Ujiyara

Meaning: Oh Hanumanaji! You magnificent glory is acclaimed far and wide all through the four ages and your fame is radiantly noted all over the cosmos.

Spiritual significance: The benefits of Pranayama are time tested in all the four yugas.

 
    Principles of quantum mechanics

Dr Deepak Chopra

  1. Poetic interlude "We come spinning out of nothingness scattering stars like dust" –Rumi
  2. Schrodinger’s equation explains every atom in the periodic table of elements & its appearance from nothingness
  3. Schrodinger’s equation is a mathematical formulation that accounts for the appearance of all atoms in the universe from nothingness
  4. Schrodinger’s wave function equation describes the distribution map for a particle appearing in & out of existence from nothingness
  5. Subatomic particles appear from the nothingness of space, exist, & disappear into the nothingness at lightening speed
  6. Subatomic particles can travel along many paths simultaneously
  7. Subatomic particles can be in more than one place at the same time
  8. Subatomic particles can disappear & reappear in another location without existing in the intervening space
  9. Waves of potentiality are trans–empirical, unobservable, but real as without them particles would not exist
  10. Waves of potentiality, unlike particles, do not have physical units of mass or energy. They are numbers or ratios of numbers
  11. When particles are left alone or not interfered with they spontaneously evolve into waves of potentiality
  12. As particles quantum objects are material & in the empirical world (verified by observation/measurable) As waves they are not material
  13. Quantum objects exist as particles/waves. As particles they have physical properties of mass & energy.As waves they are possibilities
 
    An Inspirational Story

(Dr Prachi Garg)

The king and the flowers

A king had a wonderful talent for growing flowers and was looking for someone to succeed him. He decided he would let the flowers decide so he gave everyone a little seed. The one who would produce the most beautiful flower from the seed would be the next king.

A girl called Serena was overwhelmed by the beauty and determined to grow the most beautiful flower. She planted it in a nice pot, took great care for it, but nothing would grow. The next year she saw everyone gathering at the palace with pots full of beautiful flowers. She was disappointed but also went to the meeting with her empty pot. The king inspected all the flower pots and then stopped at hers. Why is your pot empty, he asked. Your highness, I did everything to make it grow, but I have failed, she answered. No, you didn’t, he replied. You see, the seeds I’ve given out were all roasted, so nothing could come out of them. I have no idea where all these flowers come from. But you have been honest and by being so, have deserved to be my heir. You will our queen.

Lesson: It pays to be honest

 
    Pediatric Update

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

What is the general management plan for croup?

The management of croup, usually a self–limited disease, is dependent on the severity of respiratory symptoms. The most important task is airway maintenance. General management principles include:

  • Traditionally, patients with croup have received humidified air to sooth the inflamed mucosa, thereby decreasing the amount of coughing due to mucosal irritation. Nevertheless, Neto and colleagues described that mist therapy was not effective in improving clinical symptoms in children presenting to the emergency department with moderate croup. Because these treatments are harmless, many practitioners still use mist therapy, particularly in patients who have received racemic epinephrine and are being observed.
  • The use of glucocorticoids for moderate–to–severe croup has long been recognized as a treatment modality. In comparison with placebo, oral or intramuscular dexamethasone was found to decrease hospitalization rates Although the standard dose of dexamethasone has been accepted to be 0.6 mg/kg, Geelhoed and colleagues showed similar efficacy in patients with moderate croup using lower doses of 0.15 mg/kg and 0.3 mg/kg. Because the half–life of dexamethasone is 36 to 52 hours, it is the preferred agent for croup therapy, and it is not necessary to discharge the patient with additional doses of steroids.
  • Nebulized racemic epinephrine containing levo (L) and dextro (D) epinephrine isomers is the mainstay of treatment for moderate–to–severe croup. Although racemic epinephrine does not alter the natural course of croup, it may reduce the need for emergent airway management. The preferred dose is 0.25 to 0.5 mL with 3 mL of saline.
  • In patients who have severe croup that is unresponsive to nebulized epinephrine, corticosteroids, and heliox, endotracheal intubation and ventilation may be necessary. If intubation is necessary, an endotracheal tube with a diameter smaller than recommended for the patient’s age and size should be used.
  • Antibiotics are not routinely recommended in croup but may be used in children suspected of concomitant bacterial pneumonia
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Docconnect
Docconnect
 
    IJCP Special

Dr Good Dr Bad

Situation: A patient had fever with 3% malarial parasites.
Dr. Bad: This is complicated malaria.
Dr. Good: This is uncomplicated malaria.
Lesson: Uncomplicated malaria consists of symptomatic malaria with parasitemia of less than 5% without evidence of vital organ failure and ability to take oral therapy.

Make Sure

Situation: A chronic smoker developed cancer of lung.
Reaction: Oh my God! Why was he not screened for the cancer of lung?
Lesson: Make sure all chronic smokers are given an option for lung cancer screening with low dose spiral CT.

 
  SMS of the Day

(Dr GM Singh)

You are never too old to set another goal or to dream a new dream. CS Lewis

 
    Medicolegal Update

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

The Native American Graves Protection and Repatriation Act 1990

The Doctor and scientist have long sought to understand life in early civilizations through the excavation of burial grounds and exhumation of human remains. In the United States the attempt to understand early cultures led to the exhumation of the remains of Native Americans, many of which ended up in the nation’s museums and archaeology labs. In an attempt to prevent the desecration of Native American graves, the Native American Graves Protection and Repatriation Act was introduced in Congress in July 1990 and subsequently passed into law.

  • The Bill states that any human remains and objects found on federal or tribal lands after the date of enactment are to be considered owned or controlled by lineal descendants, the tribe on whose land it was found, the tribe having the closest cultural affiliation, or the tribe which aboriginals occupied the area. Anyone who discovers items covered by the bill must cease his or her activity, notify the federal land manager responsible and the appropriate tribe, and make a reasonable effort to protect the items.
  • Anyone who violates the provisions of the Bill may be fined, imprisoned not more than one year, or both. The penalty may increase to five years for a second violation.
  • The act further states that all federal agencies and museums receiving federal funds that have control over any of the items covered in the bill are to, within five years, inventory and identify the items, notify the affected tribes, and make arrangements to return such items if the appropriate tribe made a request. If an item was acquired with the consent of the tribe or if the item was part of a scientific study which was expected to be of major benefit to the country, the request for repatriation (i.e., return) could be denied.
 
  Vitamins—Open Secrets revealed

(Dr Jitendra Ingole, MD Internal Medicine)

Vitamin B12 deficiency linked to neuropsychiatric abnormalities

Dr. Dianne Delva, MD, Assistant Professor of Family Medicine at Kingston University, reviews the evidence for and against routine supplementation with vitamin B12 (cobalamin) in the elderly. Several studies have shown that anywhere from 5 to 15 per cent of elderly people suffer from a vitamin B12 deficiency. Although the only formally recognized disorder linked to a cobalamin deficiency is megaloblastic anaemia, it is now becoming clear that many neurological and psychiatric symptoms may also be caused by a vitamin B12 deficiency. Ataxia (shaky movements and unsteady gait), muscle weakness, spasticity, incontinence, hypotension, vision problems, dementia, psychoses, and mood disturbances are but a few of the disorders which have recently been linked to possible vitamin B12 deficiencies. Dr. Delva points out that these disorders may occur at vitamin B12 levels just slightly lower than normal and considerably above the levels normally associated with anaemia. She also cautions that the blood level of cobalamin is an unreliable indicator of deficiency and that tissue levels of the vitamin may be quite low even though the blood levels are normal. The best test of cobalamin deficiency involves measuring the blood levels of homocysteine and methylmalonic acid. If the level of these two precursors to the metabolic reactions controlled by cobalamin are high then the vitamin B12 level is low. Vitamin B12 deficiencies may be treated by injections of the vitamin or by oral supplementation. Oral supplementation is just as effective as injections in most people and a lot less expensive. An oral dose of 100–250 micrograms/day is usually adequate although patients with absorption difficulties may need 1000 micrograms/day. Cobalamin has no known toxic effects.

(Ref: Delva M. Dianne. Vitamin B12 replacement – To B12 or not to B12? Canadian Family Physician 1997;43:917–22)

 
  Gyne Update

(Dr. Maninder Ahuja, Secretary General IMS)

Treating vaginal atrophy

Atrophic vaginitis is an epidemic in postmenopausal women, but is underreported and undertreated. Some women may attempt to cope with symptoms of vaginal atrophy by using lubricants and moisturizers; however, these measures only provide temporary relief from symptoms without treating the underlying cause of the condition. Treating vaginal atrophy with low doses of estrogen given directly into the vagina is the most logical and effective method, and the response can be very rewarding. However, as vaginal atrophy is a chronic condition, long–term treatment is required, otherwise symptoms may return. Concerns about possible risks of hormone replacement therapy are not relevant for local estrogen treatment.

 
    Mind Teaser

Read this…………………

(Contributor’s name?)

All of the following factors normally increase the length of the ventricular cardiac muscle fibers except:

1. Increased venous tone
2. Increased total blood volume
3. Increased negative intrathoracic pressure
4. Lying–to–standing change in posture

(Dr GM Singh)

Yesterday’s Mind Teaser: A 43–year–old man is evaluated in the emergency department because of dyspnea. He was one of several people exposed to an unknown gas released in a subway station. Immediately following exposure to the gas, the victim complained of headache, nausea and vomiting, diaphoresis, and shortness of breath. The patient is drenched in sweat, drooling and tearing, and sitting upright, gasping for air. Vital signs are: BP 90/60 mmHg, pulse 45/min, and respiratory rate 24/minute. Pupils are 2 mm and non–reactive. Lung examination reveals diffuse wheezing, and heart sounds are slow but regular. He suddenly becomes too weak to remain sitting, falls back in bed, and appears ashen. Which of the following interventions should be instituted first?

A. Intravenous atropine and 2–pralidoxime chloride (2–PAM)
B. Albuterol and ipratropium via nebulizer
C. Intravenous cyanide antidote kit
D. Subcutaneous scopolamine

Answer for Yesterday’s Mind Teaser: A.

Correct answers received from: Dr K Raju, Dr Muthumperumal Thirumalpillai, Lt Col (Dr) US Garg,
Dr Neelam Nath, Dr D Chatterjee, Dr Preeti, Dr Sujata, Dr Firoz, Dr Priya, Dr Shekhar.

Answer for 29th May Mind Teaser: ageless story
Correct answers received from: Dr Rajiv Dhir, Dr D Chatterjee, Dr Usha, Dr Priya, Dr Simran, Dr Pooja, Dr Shirish Singhal, Dr KV Sarma, Dr BB Aggarwal.

Send your answer to ijcp12@gmail.com

 
    Lab Update

(Dr Arpan Gandhi and Dr Navin Dang)

Aldosterone

Increased: Hyperaldosterism (primary or secondary)
Decreased: Adrenal insufficiency, panhypopituitarism

 
    Medi Finance Update

(Dr. GM Singh)

  • Keep a reasonable amount of liquid cash to meet your expenses. Always look at your savings account whether any surplus money is lying and learn to invest it.
  • Every individual within high income bracket should have a key man insurance policy, as it is a good investment in the long run.
  • Profit on paper has no value unless it is easily available.
 
    Laugh a While

(Dr. GM Singh)

Man receives telegram: Wife dead – should be buried or Cremated?
Man: Don’t take any chances. Burn the body and bury the ash.

 
    Drug Update

List of approved drugs from 01.01.2010 to 31.8.2010

Drug Name
Indication
DCI Approval Date
Oxybutynin Gel 100 mg
For the treatment of overactive bladder with the symptoms of urge urinary incontinence, urgency and urinary frequency.
04.11.10
 
    IMSA Update

International Medical Science Academy (IMSA) Update

Bone mineral density and metabolic syndrome

In a cross–sectional study of 2,265 women, In the premenopausal group, women with metabolic syndrome had a lower bone mineral density (BMD) at the lumbar spine, but not at the femoral neck. In stepwise linear regression analysis, predictive variables for BMD of the lumbar spine were systolic blood pressure in the premenopausal group and HDL–cholesterol and diastolic blood pressure (DBP) in the postmenopausal group.

 
    Public Forum

(Press Release for use by the newspapers)

Mr Rahul Dev releases anti–tobacco poster

On the eve of World No–Tobacco Day, noted model–turned–actor Rahul Dev released an anti–tobacco poster at a function organized by Heart Care Foundation of India jointly with World Fellowship of Religions.

Addressing the gathering, Mr. Rahul Dev appealed to all smokers to quit smoking as it invariably leads to heart attack, paralysis, COPD, cancer, erectile dysfunction and premature aging.

Mr. Dev further said that the international awareness campaign that long–term smoking leads to erectile dysfunction in men and premature wrinkles on the face in women has been successful in the west as no men or women would like to lose their manhood or womanhood just because of smoking.

Padma Shri & Dr. B.C. Roy National Awardee Dr. KK Aggarwal and President, Heart Care Foundation of India, said that smoking and health cannot stay together. One cigarette reduces life by six minutes.

Smoking is responsible practically for all types of cancers. Tobacco chewing leads to oral cancer and tobacco smoking leads to lung cancer and other types of cancers. Even passive smoking is as bad as active smoking. Everybody should make an effort not to live or breathe in a smoking atmosphere.

 
    Readers Responses
  1. My query is for Padma Shri Dr KK Aggarwal: Sir, what are the clinical guidelines for starting hypothyroid medicines in a cases of subclinical hypothyroid person? Dr Sundeep Nigam
    Dr KK Aggarwal Responds: If the person is symptomatic or the TSH is > 10.
  2. I feel the more you terrorize about PNDT Act, more ways and means are coming out for the sex determination. A verbal yes or no is sufficient as far as report goes and above all abortion in adults is already legalized in our country. What is really needed is to educate the females, uplift their economic conditions and strict rules and punishments for female exploitation, this may be a longer course but better way to remove the psyche of not having a female child. Biggest example is alcohol restriction in Gujarat, more strict they are, more easily available it is, by paying more: Dr. Vivek Kumar, Varanasi.
     
  3. Thanks to respected Dr Sudhir Gupta for giving detailed reply of my earlier query regarding age estimation in rape victim. One more query for Dr Sudhir Gupta: Sir, If on examination of rape victim it is found that vagina admits two fingers, should the interpretation such as ‘she is used to/habitual to intercourse’ can be given or there could be other causes of vagina admitting two or more fingers and it’s interpretation left to the police? What are the causes of vagina admitting 2 or more finger other than sexual intercourse? Dr Sundeep Nigam

    Dr Sudhir Gupta responds: Forensic examination and procedures in a case of medical examination of rape victim is not supposed to assess whether the victim girls and women are ‘virgins’ or ‘habituated to sexual intercourse. The finger test should not be done by doctor when examining rape victims without their specific explained consent and its unavoidable medical indication because the finger test itself can result in further trauma to the survivor, whose dignity is already ignored and under assault. Recently the Supreme Court of India whose decisions are nationally binding, has ruled that finger test is one of the most archaic forensic test, humiliating and unnecessary procedure and its results cannot be used against a rape survivor, and that a survivor’s ‘habituation to sexual intercourse’ is immaterial. In my opinion the finger test is obsolete and violates the female privacy/fundamental rights of a woman and the same should be kept only optional/minimally to be used by doctor in rape cases while collecting forensic evidence.
 
    eMedinewS Special

1. eMedinewS audio PPT (This may take a few minutes to download)

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

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

4. IJCP’s ejournals (This may take a few minutes to open)

HCFI
Activities eBooks

  HCFI

  Playing Cards

  Dadi Ma ke Nuskhe

  Personal Cleanliness

  Mental Diseases

  Perfect Health Mela

  FAQs Good Eating

  Towards Well Being

  First Aid Basics

  Dil Ki Batein

  How to Use

  Pesticides Safely

 
    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 have total insight into all the medico legal and ethical issues concerning the practicing doctors. The conference will be organised at the Auditorium of Chinmaya Mission Lodhi Road and will have both medical and legal experts interacting 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 us request at rekhapapola@gmail.com or at 9899974439.

Programme
Session: Ethical Issues in Medical Research (8 am to 8.30 am)
Topics: Rights of a patient in a clinical trial
           Ethical Issues in a clinical trial
           Statutory permits required for conducting a clinical trial

Session: Medical ethics and organ donations (8.30 am to 9.00 am)
Topics: Ethical issues in IVF practice
           100% voluntary blood donation
           Need for do not resuscitate law in India
           Ethical issues in organ transplantation

Session: Handling death (9.00 am to 9.30 am)
Topics: How to declare death?
           Spiritual considerations in a dying patient
           Medico legal and ethical issues in post mortem

Session: Medical Insurance (9.30 am to 10 am)
Topic: Indemnity Insurance
          Engaging a lawyer
          Understanding various court procedures

Session: How to handle medico legal case? (10 am to 10.30 am)
Topic: When to do the MLC?
          Checklist of a MLC case
          Medico legal record keeping

Session: Medical Consent (10.30 am to 11 am)
Topics: Types of consent
            Ideal consent
            Extended consent

Session: Fallacies in acts applicable to medical profession (11 am to 11.30 am)
Topic: MTP, PNDT Act
          Organ Transplant Act
          State Medical Councils & Medical Council of India Acts

Inauguration (11.30 am – 12 noon)

Session: Professional misconduct and professional ethics (12 noon – 1 pm)
Session: When It is Not a Negligence (1 pm – 2 pm)

………………………………………………………………

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