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


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eMedinewS Presents Audio News of the Day

Photos and Videos of 3rd eMedinewS – RevisitinG 2011 on 22nd January 2012

  Editorial …

11th February 2012, Saturday

ACIP Issues 2012 Adult Immunization Schedule

Specific changes from the 2011 recommendations include the following:

  • Boys aged 11 to 12 years should receive routine vaccination with quadrivalent human papillomavirus (HPV4), with catch–up vaccination for boys and men aged 13 to 21 years.
  • Adults younger than 60 years who have diabetes should receive HBV vaccination as soon as possible after the diagnosis of diabetes.
  • Adults aged at least 60 years who have diabetes should receive HBV vaccination based on their need for assisted blood glucose monitoring, risk for acquiring hepatitis B infection, and likelihood of immune response to HBV vaccination.
  • Pregnant women should receive the tetanus, diphtheria, and acellular pertussis (Tdap) booster, preferably after 20 weeks of gestation, to protect infants from pertussis by transfer of protective maternal antibodies.
  • Adults should continue to receive influenza vaccination, even if they are allergic to eggs. However, adults with egg allergy should receive inactivated influenza vaccination, because safety data are available for this vaccination in this population.
  • The influenza vaccination footnote now states that all persons at least 6 months of age can receive trivalent inactivated influenza vaccine (TIV), and that healthcare personnel (HCP) who care for persons requiring a protected environment should receive TIV. HCP younger than 50 years who have no contraindications may receive either the live attenuated influenza vaccine or TIV. This footnote also includes age indications for 2 recently licensed formulations of TIV.
  • The HPV vaccination footnote now explains that HPV vaccination is not specifically recommended for HCP, but that they should receive the vaccine if they are in the recommended age group. Men aged 22 to 26 years also may be vaccinated with HPV4 vaccine.
  • The zoster vaccination footnote now indicates that zoster vaccination is not specifically recommended for HCP, but that they should receive the vaccine if they are in the recommended age group. Although the FDA has approved this vaccine for use in persons at least 50 years of age, ACIP continues to recommend that vaccination begin at 60 years of age.
  • The measles, mumps, rubella (MMR) vaccination footnote refers readers to the ACIP MMR recommendations, as well as to the ACIP recommendations for the immunization of HCP regarding the use of MMR vaccine in outbreak settings.
  • The pneumococcal polysaccharide vaccine (PPSV) vaccination footnote now includes additional examples of functional and anatomic asplenia.
  • A footnote regarding revaccination with PPSV clarifies recommendations for persons at least 65 years of age who had been vaccinated with PPSV23 at least 5 years previously.
  • The meningococcal vaccination footnote now includes military recruits in the group recommended to receive a single dose of meningococcal vaccine. It also indicates that first–year college students through 21 years of age who are living in residence halls should be vaccinated if they have not received a dose on or after their 16th birthday.

For More editorials…

Dr KK Aggarwal
Group Editor in Chief

  eMedinewS Audio PostCard

Stay Tuned with Dr KS Rao on

49th Annual PEDICON

Audio PostCard
    Photo Feature (from the HCFI Photo Gallery)

3rd eMedinewS Revisiting 2011

Dr RK Thukral receving Faculty Award in the 3rd eMedinewS Revisiting 2011 at Maulana Azad Medical College on 22nd January 2012

Dr K K Aggarwal
    National News

Motivational Intervention to Promote Smoking Cessation: "5 R’s"

Relevance: Encourage patient to indicate why quitting is personally relevant.
Risks: Ask the patient to identify potential negative consequences of tobacco use.
Rewards: Ask the patient to identify potential benefits of stopping tobacco use.
Roadblocks: Ask the patient to identify barriers or impediments to quitting.
Repetition: The motivational intervention should be repeated every time an unmotivated patient has an interaction with a provider. Tobacco users who have failed in previous attempts should be told that most people make repeated quit attempts before they are successful.

For comments and archives

No AFMC entrance exam from 2013

PUNE: The all–India entrance test for admissions to the prestigious Armed Forces Medical College (AFMC), Pune, will be a thing of the past from the academic year 2013–14. "We are now merging with the National Eligibility–cum–Entrance Test for undergraduate courses (NEET–UG), which has been finalised by the Medical Council of India and will be conducted by the Central Board of Secondary Education from 2013 onwards," Lt Gen H L Kakria, Director General, Armed Forces Medical Services, told reporters here on Wednesday. The AFMC’s under–graduate wing is celebrating its golden jubilee this year. The college provides training to under–graduate (UG) and post–graduate medical and nursing students, with an assured career in defence service. It is widely acknowledged as a centre of excellence for medical education and research. (Source: (Source: TOI, Feb 9, 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

Older age worsens breast cancer prognosis

Older age at diagnosis of postmenopausal, hormone receptor–positive breast cancer may independently worsen outcomes, researchers found. (Source: Medpage Today)

For comments and archives

New criteria for Dx of cognitive decline faulted

The recent revision in criteria for mild cognitive impairment (MCI) has blurred the distinction between this condition and early Alzheimer’s disease, a researcher argued in the current issue of the Archives of Neurology. (Source: Medpage Today)

For comments and archives

Nearly half of older women with arm fractures have low vitamin D

A new study has shown that 44% of postmenopausal women treated for a distal radius fracture (DRF) were either vitamin D deficient or insufficient, researchers reported here at the American Academy of Orthopaedic Surgeons 2012 Annual Meeting. (Source: Medscape Medical News)

For comments and archives

Guideline nixes aspirin for DVT prevention in travelers

Clinicians should not recommend that all travelers use aspirin for prevention of deep vein thrombosis during long plane trips, according to a new recommendation. In an updated guideline, doctors are urged to consider the individual patient’s risk for deep vein thrombosis (DVT) and venous thromboembolism (VTE), as well as their risk for bleeding before prescribing prophylaxis, Gordon Guyatt, MD, of McMaster University in Hamilton, Ontario in Canada, and colleagues reported in CHEST. (Source: Medpage Today)

For comments and archives

  Twitter of the Day

@DrKKAggarwal: #AJD Lowering of high sugar and improvement in QOL with insulin pump therapy in uncontrolled T2DM Jothydev Kesavadev et al Vol 13 no 3

@DeepakChopra: Understand Karma: No debt in the universe goes unpaid.

    Spiritual Update

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

Understanding Buddha Nature: The Doctrine of Good Karmas

The term ‘Buddha’, ‘Krishna’, ‘Wahe Guru’ or Brahma does not pertain to a person but to the ever–pervading life force, the GOD consciousness.

According to the Buddhist philosophy, all human beings possess Buddha nature. But just as the clouds cover the sun, the three layers of mind, intellect and ego cover our true loving nature. This true nature is controlled by the cycles of our actions and karma. Each action, good or bad, leads to a memory.

For comments and archives

    Infertility Update

(Dr Kaberi Banerjee, IVF expert, New Delhi)

What are the male factors that contribute to inability to conceive?

There's about a 50–50 chance that the man has a problem contributing to inability to conceive. He might:

  • Produce too few sperms to fertilize an egg
  • Make sperms that are not shaped properly or that do not move the way they should
  • Have a blockage in his reproductive tract that keeps sperms from getting out.

For comments and archives

    An Inspirational Story

(Ms Ritu Sinha)

Come as you are

I shook my head in disbelief. This couldn’t be the right place. After all, I couldn’t possibly be welcome here. I had been given an invitation several times, by several different people, and had finally decided to see what this place was all about. But, this just couldn’t be the right place. Quickly, I glanced down at the invitation that clutched in my hand. I scanned past the words, "Come as you are. No jacket required," and found the location.

Yes, I was at the right place. I peered through the window again and saw a room of people whose faces seemed to glow with joy. All were neatly dressed, adorned in fine garments and appeared strangely clean as they dined at this exquisite restaurant. Ashamed, I looked down at my own tattered and torn clothing, covered in stains. I was dirty, in fact, filthy.

"What is the ‘Special of the Day,’ I asked with excitement ringing in my voice. "Salvation," was his reply.

"I’ll take it," I practically cried out. Then, as quickly as I made that statement, the joy left my body. A sick, painful ache jerked through my stomach and tears filled my eyes. Between my sobs I said, "Mister, look at me. I’m dirty and nasty. I’m unclean and unworthy of such things. I’d love to have all of this, but, I just can’t afford it." Undaunted, the man smiled again. "Sir, your check has already been taken care of by that gentleman over there," he said pointing to the front of the room. "His Name is Jesus."

Turning, I saw a man whose very presence seemed to light the room. He was almost too much to look at. I found myself walking towards Him and in shaking voice I whispered, "Sir, I'll wash the dishes or sweep the floors or take out the trash. I'll do anything I can do to repay you for all of this."

He opened His arms and said with a smile, "Son, all of this is yours if you just come unto Me. Ask Me to clean you up and I will. Ask me to take away the stains and it is done. Ask me to allow you to feast at my table and you will eat. Remember, the table is reserved in your name. All you must do is accepting this gift that I offer you."

"The ‘Special of the Day’ has been served," the Lord said to me. "Salvation is yours." We sat and talked for a great while and I so enjoyed the time that I spent with Him. He told me, me of all people, that He would like me to come back as often as I liked for another helping from God's Grace. He made it clear that He wanted me to spend as much time with Him as possible. As it drew near time for me to go back outside into the "real world," He whispered to me softly, "And Daniel, I am with you always." And then, He said something to me that I will never forget. He said, "My child, Do you see these empty tables throughout this room?" "Yes, Lord. I see them. What do they mean?" I replied.

"These are reserved tables, but the individuals whose names are on each placards have not accepted their invitations to dine. Would you be so kind as to hand out these invitations to those who have not joined us yet?" Jesus asked. "Of course," I said with excitement as I picked up the invitations. "Go ye therefore into all nations," He said as I turned to leave.

I walked into God's Grace dirty and hungry. Stained in sin. My righteousness as filthy rags. And Jesus cleaned me up. I walked out a brand new man… robed in white, His righteousness. And so, I’ll keep my promise to my Lord. I’ll go. I’ll spread the Word. I’ll share the Gospel… I’ll hand out the invitations. And I’ll start with you. Have you been to God's Grace? There’s a table reserved in your name, and here’s your invitation… "Come as you are. No jacket required."

For comments and archives

    Fitness Update

(Contributed by Rajat Bhatnagar, International Sports & Fitness Distribution, LLC)

Children become less active every year

Childhood physical activity is important because many studies show that the amount of activity that children engage in is an accurate predictor for whether they will exercise as adults. However, until now, very few studies have separated organized activities from free time activities, and no studies have evaluated these changes in physical activity in children below the age of 18. However, researchers from the National Center for Chronic Disease Prevention and Health Promotion along with researchers from the Emory School of Public Health sought to do just that. In 2002, researchers studied a nationally representative sample of 1,623 children ages 9-13, and followed them for five years. These children were participants of the Centers for Disease Control and Prevention's (CDC) Youth Media Campaign Longitudinal Survey, which was conducted from 2002 to 2006. They completed a survey on their frequency of participation in free-time and organized physical activities outside school. Children were instructed to include activities such as sports, lessons, or playing actively with their friends. The analysis of the study data revealed that both organized and free time physical activity decline from the age of 9 until the age of 13. It’s still not clear how early the decline starts, however.

For comments and archives

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  Cardiology eMedinewS

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

Fractional flow reserve therapy trial shows positive results

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Study suggests mortality rises with Higher PA pressure

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Can the hospital be liable for resident’s mistake if the mistake happens due to over work?

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  Pediatric eMedinewS

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

Psych signs common in kids with HIV

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Breastfeeding linked to better lung function

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No–combing lice lotion gets FDA go–ahead

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    Healthy Driving

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

If you catch someone drinking and driving, inform the police anonymously.

    IJCP Special

Dr Good Dr Bad

Situation: An infant was found to have high blood sugar.
Dr Bad: Such a young child cannot have diabetes.
Dr Good: It can be diabetes.
Lesson: Diabetes can occur in infants as well as in older children.

For comments and archives

Make Sure

Situation: A 26–year–old pregnant woman complaining of lower abdominal pain, burning during urination and increased vaginal discharge is prescribed ofloxacin.
Reaction: Oh my God! Why did you give fluoroquinolone! They are contraindicated during pregnancy. You should have given a safe and effective antibiotic like azithromycin.
Lesson: Make sure to remember that 1 g single–dose azithromycin is safe and effective in pregnant woman.

For comments and archives

  Quote of the Day

(Dr GM Singh)

The qualities of a great man are vision, integrity, courage, understanding, the power of articulation, and profundity of character. Dwight David Eisenhower

    Lab Update

(Dr Arpan Gandhi and Dr Navin Dang)

Protein electrophoresis

Protein electrophoresis or immunoelectrophoresis is a method of analysing a mixture of proteins by gel electrophoresis, mainly in blood serum. Abnormal bands (spikes) are seen in monoclonal gammopathy of undetermined significance and multiple myeloma etc.

    Mind Teaser

Read this…………………

Which of the following is not true about reconstruction in caustic injuries to esophagus?

a) Caustic injuries to esophagus have 1000 times more risk of developing malignancy
b) Right colon replacement is definitely better than left colon
c) The only indications for surgery are refractory strictures and possibility of malignancy
d) Most of the surgeons prefer bypass over resection of esophagus

Yesterday’s Mind Teaser: ie .

Answer for Yesterday’s Mind Teaser: That is besides the point.

Correct answers received from: Anil Bairaria, Ketan Sharma, Dr Shravan, Dr Bhushan, Simita, Deep, Feroz, SN Garg

Answer for 9th February Mind Teaser: d) All of the above
Correct answers received from: Hetal, KD Sharma, Priya, KL Sharma, Piyush, Jaykumar, Krishna

Send your answer to ijcp12@gmail.com

    Laugh a While

(Dr GM Singh)

A waiter suddenly became ill and was rushed to the hospital emergency room. He was lying on the operation table in great pain when he saw an intern walk by.Doctor, you have to help me, the waiter pleaded. Sorry, the intern said. This is not my table.

    Medicolegal Update

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

Do not misrepresent document/medical literature in the court of law

Drawing a contrary conclusion from passages accurately interpreted does not constitute misrepresentation.

  1. The electronic files to which other debaters would be denied access are not published. However, files and documents which other debaters may access, even if they have no subscribe to a commercial service to do so, satisfy the publication rule.
  2. The advent of the Internet has created a new form of publication – electronic documents like this e–medinews. Electronic documents are accepted as published if they are accessible by the general public.
  3. The portion of a document read as evidence cannot be taken out of context. When a document is cut in a manner which lends the quoted passage a meaning other than what would be derived from a more complete reading, you are misrepresenting the document. This does not mean, however, that you are responsible for drawing the same conclusions from information as the author of the document.
  4. One paragraph or even one part of a paragraph may be all that is necessary to substantiate the point a doctor want to make in a court room. Reading the remainder of the document, even if it establishes a context for the evidence, is unnecessary and time consuming. The document must potentially be available to any debater researching the topic or lawyer/interested party of cross examination side
  5. Drawing a contrary conclusion from passages accurately interpreted does not constitute misrepresentation. The fact that the author of the document reached a different conclusion from the information argues – perhaps persuasively – against your conclusion. However, you have not misused the evidence.
  6. Read the used evidence literature verbatim in the court of law. Documents must be presented in the words of the author. When you paraphrase evidence, you argue in a circle. A document obviously will seem to support your point if you are allowed to read into the record only what you think it says.

For comments and archives

    Public Forum

Public Forum (Press Release for use by the newspapers)

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

Valentine Day Special–14 February

Express your love on Valentine’s Day by including health in the celebration!

Make the day a healthy Valentine Day said Padma Shri and Dr B C Roy Awardee Dr. KK Aggarwal, President, Heart Care Foundation of India, What can you do with youur loved ones:

  • Go for a healthy meal
  • Go for a long walk
  • Send a environmental friendly e–card or greeting card
  • Stay away from smoking. Remember smoking and love are repellents to each other.
  • Destress your partner by communicating "that you care for her or him"
  • Gift a health check to your loved ones
  • Avoid drinking
  • Beware of date rape drugs misuse

The heart–healthy meal may include plenty of fruits and vegetables and foods low in saturated fat, trans fats and salt. Include a hearty salad or a dessert centered around fruit.

Plan an event that encourages physical activity, such as a love song dance, nature walk etc.

Give your loved ones a favorite healthy alternative to candy or chocolate, such as a fruit basket.

Send a health–e–card to show someone you care about them and their health.

    Readers Response
  1. We doctors should ask the govt. to make sure that our young doctors in villages are looked after well–––accomodation, food and staff. What will young doctors do if they have no place to stay–eat and staff. Manvir Gupta
    Forthcoming Events

Ajmer Health Fair: Ajmer’s Largest Ever Super Specialty Health Camp

Date: February 11 and 12, 2012
Venue: Patel Stadium, Ajmer
Organizer: Heart Care Foundation of India


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 a multidisciplinary approach to the problems of midlife onwards in women. This conference has participation of the British Menopause Society and South Asian Federation of Menopause Societies and is an opportunity to hear international faculties.

For information contact Dr. Maninder Ahuja (Organizing Chairperson) 9810881048
Download forms at: 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.

National Summit on "Stress Management" and Workshop on "How to be happy and Healthy"

Date: Saturday 2PM–Sunday 4PM, 21–22 April 2012
Venue: Om Shanti Retreat Center, Bhora Kalan, on Pataudi Road, Manesar
Course Directors: Padmashri and Dr B C Roy National Awardee Dr KK Aggarwal and BK sapna
Organisers: Heart Care Foundation of India, Prajapati Brahma Kumari Ishwariya Vidyalaya and eMedinewS
Fee: No fee, donations welcome in favour of Om Shanti Retreat Center
Facilities: Lodging and boarding provided (One room per family or one room for two persons). Limited rooms for first three registrants.
Course: Meditation, Lectures, Practical workshops,
Atmosphere: Silence of Nature, Pyramid Meditation, Night Walk,
Registration: Rekha 9899974439 rekhapapola@gmail.com, BK Sapna 9350170370 bksapna@hotmail.com

    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

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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