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


Live Web Cast of 3rd eMedinewS – Revisiting 2011, on January 22, 2012

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eMedinewS Presents Audio News of the Day

Photos and Videos of 2nd eMedinewS – Revisiting 2010

  Editorial …

9th January 2012, Monday

Healthcare worker fatigue and patient safety

The link between health care worker fatigue and adverse events is well documented, with a substantial number of studies indicating that the practice of extended work hours contributes to high levels of worker fatigue and reduced productivity. These studies and others show that fatigue increases the risk of adverse events, compromises patient safety and increases risk to personal safety and well–being.

Many factors contribute to fatigue, including but not limited to insufficient staffing and excessive workloads.
The impact of fatigue resulting from an inadequate amount of sleep or insufficient quality of sleep over an extended period can lead to a number of problems, including:

  1. Lapses in attention and inability to stay focused
  2. Reduced motivation
  3. Compromised problem solving
  4. Confusion
  5. Irritability
  6. Memory lapses
  7. Impaired communication
  8. Slowed or faulty information processing and judgment
  9. Diminished reaction time
  10. Indifference and loss of empathy

Findings from a groundbreaking 2004 study of 393 nurses over more than 5,300 shifts – the first in a series of studies of nurse fatigue and patient safety – showed that nurses who work shifts of 12.5 hours or longer are three times more likely to make an error in patient care.

Additional studies show that longer shift length increased the risk of errors and close calls and were associated with decreased vigilance, and that nurses suffer higher rates of occupational injury when working shifts in excess of 12 hours.

Still, while the dangers of extended work hours (more than 12 hours) are well known, the health care industry has been slow to adopt changes, particularly with regard to nursing.

For More editorials…

Dr KK Aggarwal
Group Editor in Chief

  eMedinewS Audio PostCard

Stay Tuned with Padma Shri and Dr BC Roy National Awardee Dr KK Aggarwal

Healthcare worker fatigue and patient safety

Audio PostCard
    Photo Feature (from the HCFI Photo Gallery)

18th MTNL Perfect Health Mela
Anmol–A Health Festival for Children with Special Needs

This unique event is organized every year to spread the message in the community that disabled children are differently able.

Dr K K Aggarwal
    National News

2011: India battles health slowdown, leads fight against polio

A significant fall in infant mortality rates, the longest polio–free period in the country, lowest decadal growth of population in 90 years marked the health sector in 2011. The infant mortality rate (IMR) dropped to 47 per 1000 live births from 50 in 2009 and 58 in 2007. The introduction of Bivalent Oral Polio Vaccine in 2010 paid dividends as a lone case of wild polio virus type–1 was reported from Howrah in West Bengal, brightening India’s chances of attaining polio–free status. The polio eradication efforts won praises from WHO. Due to slack progress on immunisation, the government launched a unique mother and child tracking system. Another scheme called Janani Shishu Suraksha Karyakram was launched to provide no expense delivery including cesarean section, food, medicines and consumables, for pregnant women attending government facilities. (Source: Indian Express, Jan 06 2012)

For comments and archives

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

FDA expands label for hereditary angioedema drug

The FDA has expanded the label of the C1 esterase inhibitor Berinert to allow for self–treatment of hereditary angioedema (HAE) during acute attacks and for use in laryngeal attacks. The intravenous self–administration requires training from a healthcare professional, according to a statement from maker CSL Behring. HAE, a genetic disorder caused by low levels or improper function of C1–INH protein, is rare. It causes rapid swelling of the skin and tissues, such as face, mouth, throat, and abdomen. (Source: Medpage Today)

For comments and archives

Herpes drugs work, but not forever

Anti–herpetic agents reduce recurrence of herpes simplex–2 (HSV–2) symptoms but do not completely block subclinical shedding of virus, even at high doses, researchers reported. (Source: Medpage Today)

For Comments and archives

Increased gout risk with diuretic use confirmed

Diuretics –– a class of drugs known to raise serum urate levels –– independently increased the risk for gout in patients with high blood pressure, a prospective cohort study revealed. (Source: Medpage Today)

For comments and archives

  Twitter of the Day

@DrKKAggarwal: Padma Shri Awardee Dr KK Aggarwal on Smoking in pregnancy can harm the t… http://www.youtube.com/watch?v=yptk_nHiKNc&feature=share via @youtube

@DrKKAggarwal: Find one thing every day to forgive the other person for. Don’t let them know what it is; just forgive them, and let it go.

    Spiritual Update

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

Bhagavad Gita and Diet

"You are what your food is" is an old saying. This is based on a teaching from our shastras including Yoga Sutras of Patanjali, Bhagavad Gita, and various Upanishads. To acquire health and happiness, one needs to live a balanced life. This typically comes from Bhagavad Gita chapter 6 shloka 17 where Krishna says to Arjuna "Yukaharaviharasya yuktachestasya karmasu. Yuktasvapnavabodhasya yoga bhavati duhkhaha".

For comments and archives

    Infertility Update

(Dr Kaberi Banerjee, IVF expert, New Delhi)

What do you mean by assisted hatching?

Assisted hatching is a procedure that is done in the laboratory three days after fertilization. During assisted hatching, the outer shell of the embryo is artificially weakened by making a small hole in the shell. This is done just before the embryo is put into the uterus.

For comments and archives

    An Inspirational Story

(Ms Ritu Sinha)

To Believe

To believe… is to know that every day is a new beginning. It is to trust that miracles happen, and dreams really do come true.

To believe… is to see Angels dancing among the clouds, to know the wonder of a stardust sky, and the wisdom of the man in the moon.

To believe… is to know the value of a nurturing heart, the innocence of a child’s eyes and the beauty of an aging hand, for it is through their teachings we learn to love.

To believe… is to find the strength and courage that lies within us. When it is time to pick up the pieces and begin again.

To believe… is to know we are not alone, that life is a gift and this is our time to cherish it.

To believe… is to know that wonderful surprises are just waiting to happen, and all our hopes and dreams are within reach. If only we believe.

For comments and archives

  Cardiology eMedinewS

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

Strain Echo Imaging For Cancer Chemotherapy Toxicity

Read More

Vitamin D Controversy

Read More

CTO linked to ICD

Read More

Vitamin D and Cardio Vascular Risk

Read More

  Pediatric eMedinewS

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

Identification of Developmental–Behavioral Problems in Primary Care

Read More

Minor Head Trauma

Read More

Rapid Response Teams

Read More

  Fitness Update

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

Exercise warnings make teenagers more calorie–conscious

Exercise warnings may be the key to deterring teens from buying sugar–laden soda, according to a new study conducted by researchers at the Johns Hopkins School of Public Health. The researchers designed an intervention that provided consumers with calorie contents in soda and fruit beverages to determine whether this intervention impacted purchases. Although people may not turn bottles around to look at them before they purchased, if there was a prominent sign in the store, researchers thought that consumers might have second thoughts. Their results were surprising.

The intervention took place in four different corner stores located in low–income, predominately African–American neighborhoods in Baltimore, Maryland. In front of the soda refrigerators, the researchers randomly posted one of three signs with different caloric information: either absolute calorie count, percentage of total recommended daily intake, or physical activity equivalent. The physical activity sign gave an estimate of how long one would have to run in order to expend the calories in the soda. Researchers collected data for a total of 1,600 beverage sales by adolescents who were 12–18 years of age. The only sign that significantly reduced the odds of teenagers making a purchase was the sign on physical activity equivalent.

Researchers speculate that the physical activity equivalent might be a useful tool for teenagers, who may not have a concrete understanding of calories and nutrition. They agree that more research in this area needs to be done in larger, more diverse groups of teenagers and adults that are representative of the U.S. population.

For comments and archives

    Legal Question of the Day

(Dr MC Gupta, Advocate & Medico–legal Consultant)

Q. Does the law permit an intern, who has passed the final MBBS examination but has not completed internship, to use the prefix "Dr." before his name?


  1. The question is not properly framed. In a free society, law permits anyone to do or say anything unless it is prohibited by law. India is a free society ruled by law. I would rephrase your question as— Does the law prohibit an intern, who has passed the final MBBS examination but has not completed internship, from using the prefix "Dr." before his name?
  2. The response to the question as rephrased above is as follows:
    • There is no statutory provision defining who can or cannot be called a doctor. Even otherwise, in a country where freedom of speech is guaranteed by constitution, nothing prevents anybody from calling himself by any name or adding any prefix to his name as long as doing so does not violate any law or legal principle or harms others. Thus if I start signing my name as "IMKMLE Dr. M C Gupta", or, "India’s Most Knowledgeable Medico–Legal Expert Dr. M C Gupta", it is perfectly legal because "doing so does not violate any law or legal principle or harms others".
    • In the like manner, if an intern uses the prefix "Dr." before his name, it is perfectly legal because "doing so does not violate any law or legal principle or harms others".
    • There are always grey areas in law which remain grey till a judicial authority decides one way or the other after a proper test on the touch stone of law. If some people regard a prevailing practice as valid and others regard it as invalid, the only definitive answer can come from an accepted authority.
    • There is a prevalent fallacy that an intern cannot use the prefix "Dr." before the university gives him the degree but can use it after receiving the degree. The fallacy lies in the fact that the act of conferring the degree of MBBS has nothing to do with the act of calling oneself a doctor or using the prefix "Dr.". A person can call himself a doctor without an MBBS degree (such as a PhD or a DSc or a BAMS or BUMS). On the other hand, a person who has received the degree of MBBS cannot call himself a doctor if he is not registered with the medical council. It needs to be remembered that the degree of MBBS is a bachelor’s degree (rather, twin bachelor degrees) and, obviously, a bachelor degree holder cannot prefix "Dr." before his name by virtue of having the degree.
    • To clarify, the enabling act for being called a doctor is not the grant of MBBS degree but the grant of a registration certificate (whether regular or provisional) by a medical council. Registration with a medical council means registration as a physician. Thus an intern is a physician.
    • A physician, in common parlance and as per international convention, is known in society as a doctor. Since the society validly calls him so, he is entitled to call himself so.
  3. In view of the above, it is clear that law does not prohibit an intern, who has passed the final MBBS examination but has not completed internship, from using the prefix "Dr." before his name.

For comments and archives

    Healthy Driving

(Conceptualized by Heart Care Foundation of India and Supported by Transport Department; Govt. of NCT of Delhi)

Men and women with 15 or more apneas (stopped breathing) or hypopneas (less breathing) per hour of sleep are seven times more likely to have an accident.

    Medicine Update

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

Symptoms of Gastroesophageal Reflux Disease in Children

Symptoms related to reflux esophagitis

  • Epigastric pain
  • Heartburn
  • Non–cardiac chest pain
  • Dysphagia
  • Hematemesis/melena/anemia
  • Excessive crying/irritability

For comments and archives

    IJCP Special

Dr Good Dr Bad

Situation: A patient with fever and low TSH had ESR > 100.
Dr Bad: It’s TB.
Dr Good: Its thyroiditis.
Lesson: Thyroiditis typically has very high ESR and low TSH.

For comments and archives

Make Sure

Situation: A patient was brought to the ICU in cardiogenic shock.
Reaction: Oh my God! Why didn’t you take him for emergency angiography and subsequent PTCA.
Lesson: Make Sure to perform an emergency diagnostic angiography and mechanical revascularization with PTCA in patients of cardiogenic shock. Results of NRMI–2, an ongoing trial suggest that this intervention is much better than thrombolytic therapy in such patients.

For comments and archives

  Quote of the Day

(Dr GM Singh)

If we wait until our lives are free from sorrow or difficulty, then we wait forever. And miss the entire point. Dirk Benedict.

    Lab Update

(Dr Arpan Gandhi and Dr Navin Dang)

Creatinine Clearance Test

Evaluates the rate and efficiency of kidney filtration. It is used to detect and diagnose kidney dysfunction and/or the presence of decreased blood flow to the kidneys.

In patients with known chronic kidney disease or congestive heart failure (which decreases the rate of blood flow), the creatinine clearance test may be ordered to help monitor the progress of the disease and evaluate its severity.

    Mind Teaser

Read this…………………


Yesterday’s Mind Teaser:  VAD ERS

Answer for Yesterday’s  Mind Teaser: Space Invaders

Correct answers received from: Raju Kuppusamy, Dr.Chandresh Jardosh, Dr Jainendra Upadhyay, Dr.Neelam Nath, Anil Bairaria, Dr.Thakor Hitendrasinh G

Answer for 7th January Mind Teaser: c. CD4+cell count >250/mm3
Correct answers received from: Dr. P. C. Das, Dr. Mrs. S. Das,Shaman, Dr Priyanshu, Dr PS Mishra, Dr Manan Mishra

Send your answer to ijcp12@gmail.com

    Laugh a While

(Dr GM Singh)

Benefits of exercise

  1. If walking/cycling is good for your health, the postman would be immortal.
  2. A whale swims all day, only eats fish, drinks water and is fat.
  3. A rabbit runs and hops and only lives 15 years.
  4. A tortoise doesn’t run, does nothing..yet lives for 450 years.
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    Medicolegal Update

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

Medical Testimony of Doctor in the Court of law

A doctor should not be dogmatic about his opinion, and lawyers also should not expect him to be so. He should be reasonable in his opinions and should not overstate the likelihood of a relationship between cause and effect. The doctor should be ready to defend every finding and conclusion on the report on clinical and scientific grounds in the court of law. He should be aware of professional and scientific viewpoints which might differ from his, and should be familiar with the latest scientific literature in relation to the subject involved. For the purpose of illustrating and clarifying his testimony in the court of law, the medical expert may employ photographs, maps, diagrams, charts, X–rays, skeletons, models, slides, films, tapes, etc., when they are properly verified. The doctor should avoid talking too much, talking too soon, and talking to the wrong persons. Prejudicial and sensational statements should not be made prior to trial. Courts of law are open to the public and the junior doctors should attend the Courts, where they can follow the proceedings, hear the evidence given by their senior medical colleague as a witness, to familiarize themselves with the procedures of the court of law.

For comments and archives

    Public Forum

(Press Release for use by the newspapers)

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

Hookah As Bad As Smoking

An hour of puffs from a hookah packs the same carbon monoxide punch as a pack–a–day cigarette habit, said Padma Shri & Dr. B.C. Roy National Awardee, Dr. KK Aggarwal, President, Heart Care Foundation of India.

Hookahs, has grown in popularity in recent years. In colleges, towns and elsewhere, hookah bars have appeared all over the world that allow people to smoke the water pipes.

Users inhale tobacco smoke after it bubbles through water, a process that some people think filters toxins from the tobacco.

Hammond and a student, in a study published in the Journal of the American Medical Association, recruited 27 students who smoked water pipes for an hour on three different evenings Another five students didn’t smoke the hookahs but stayed in the room with those who did.

The participants abstained from water pipe smoking for 84 hours before taking part in the study; the bowls of their water pipes were filled with water and 10 grams of Al Fakher mu’assal tobacco, then heated with charcoal.

Researchers monitored carbon monoxide in the breath of the participants both before and after the experiment using a machine designed to detect if people are smokers.

The exhaled carbon monoxide in participants was an average of 42 parts per million, higher than that reported in cigarette smokers (17 parts per million). The study also found that carbon monoxide levels grew in the room where the subjects smoked hookahs and might reach environmentally unhealthy levels, as determined by the federal government, during longer sessions.

Smoking a water pipe for 45 minutes produces 36 times more tar than smoking a cigarette for five minutes.

For comments and archives

    Readers Response
  1. Wonderful idea, wonderful implementation helping the fraternity to keep in touch with the latest in medicine. The inspiration stories are very useful, making one to stop and think. GOOD WORK, HATS OFF TO THE TEAM. Ravuri Sreenivas.
    Forthcoming Events

eMedinewS Events: Register at emedinews@gmail.com

3rd eMedinewS Revisiting 2011

The 3rd eMedinewS – revisiting 2011 conference will be held at Maulana Azad Medical College, New Delhi on Sunday January 22nd 2012.

The one–day conference will revisit and cover all the new advances in the year 2011. There will also be a webcast of the event. An eminent faculty is being invited to speak.

There will be no registration fee. All delegates to get registration kit, Attractive gifts, Conference Newsletter, certificates, Morning Snacks, lunch will be provided. The event will end with a live cultural evening, Doctor of the Year award, cocktails and dinner. Kindly register at www.emedinews.in/ rekhapapola@gmail.com/drpawangupta2006@yahoo.com

3rd eMedinewS Doctor of the Year Award

Dear Colleague, The Third eMedinews "Doctor of the Year Award" function will be held on 22nd January, 2012 at Maulana Azad Medical College at 5 pm. It will be a part of the entertainment programme being organized at the venue. If you know of any medical doctor who you feel has made significance achievement in the year 2011, send his/her biodata: emedinews@gmail.com

3rd eMedinewS Revisiting 2011




8.00 – 8.30 AM

Dr K K Aggarwal

Revisiting the year 2011

8.30 – 9.00 AM

LIC India

Life Insurance Schemes

9.00–9.20 AM

Dr G K Mani

Cardiac surgery in 2012

9.20 – 9.30 AM

Mr M K Doogar

Health Insurance – What’s New

9.30 – 9.45 AM

Central Bank of India

Wealth Management

9.45 – 10.00 AM

Dr Dinesh Bhurani

Hemato Oncology Update

10.00 – 10.15 AM

I M Chugh

Chest Medicine Update

10.15–10.30 AM

Dr Pramod Kumar

Beyond Coronaries

10.30 – 11.00 AM

Dr N K Bhatia

Whats New in Transfusion Medicine

11.00 – 11.30 AM

Dr Praveen Chandra

Dual Anti Platelet Therapy in ACS

11.30 – 12.00 PM

Dr Ambrish Mithal

obesity as a precursor for diabetes

12.00 – 12.30 PM

Dr Ajay Kriplani

Surgery in diabetes

12.30 – 1.00 PM

Dr Kaberi Banerjee

Infertility Update

1.00–1.10 PM

Dr Kailash Singla

Gastro Update

1.00 – 1.30 PM

Zero Hour Session


1.30 – 2.00 PM

Dr Surjit Jha

High Risk Diabetes

2.00 – 2.30 PM

Dr Sudhir Kumar Rawal

Robotic Surgery in India

2.30 – 3.00 PM

Dr Amit Bhargava


3.00 – 3.15 PM

Dr Sanjay Chaudhary

Automation in Cataract Surgery with Femto-second

3.15 – 3.30 PM

Dr Neelam Mohan

100 Cases of Liver Transplantation in Children

4.00 – 4.15 PM

Dr Surender Kumar

Diabetes in 2012

4.15 – 4.30 PM

Dr S K Khanna

Valve Surgery Update

4.30 – 4.45 PM

Dr Ravi Kasliwal

Markers for Cardiovascular Prevention

5.00 – 8.00 PM


Doctor of the Year Award, Cultural Hungama

For Complete Details Click


Date: 18th -22nd Januray, 2011
Venue: Leisure Valley Ground, Sector 29, Gurgaon, Haryana
Website: http://pedicon2012.com/
For Latest happenings pls visit: http://pedianews.emedinews.in/


The Annual conference of Indian Menopause Society is to be held from 17 to 19th Feb 2012 in Hotel The Claridges, Surajkund Faridabad. It is multidisciplinary approach to the problems of midlife onwards in women. This conference has participation of British Menopause Society and South Asian Federation Of Menopause Societies and opportunity to hear from international faculties.

For information Contact Dr. Maninder Ahuja (Organizing Chairperson) 9810881048 down load forms from web sit http://indianwoman35plus.com/ or Indianmenopausesociety.org or http://fogsi.org/

Contact at ahuja.maninder@gmail.com
Call for free papers and posters on theme topics of conference.

Early Registration till 30th Dec 2011

    eMedinewS Special

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

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

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

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

Activities eBooks


  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

    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