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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


eMedinewS Presents Audio News of the Day

Photos and Videos of 2nd eMedinewS – Revisiting 2010

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

  Editorial …

18th June 2011, Saturday

Can a doctor disclose his patient’s information to the relations?

As per Medical Council of India Code of Ethics Section Clause 7.14, "The registered medical practitioner shall not disclose the secrets of a patient that have been learnt in the exercise of his/her profession except – i) in a court of law under orders of the Presiding Judge; ii) in circumstances where there is a serious and identified risk to a specific person and/or community; and iii) notifiable diseases." It is his duty that he should inform public health authorities immediately about any communicable or notifiable disease. However, the MCI Act does not define all secretes of patient."

As per American Medical Association Code of Ethics (Opinion 5.05), the information disclosed to the patient, "The information disclosed to a physician by a patient should be held in confidence. The patient should feel free to make a full disclosure of information to the physician in order that the physician may most effectively provide needed services. The patient should be able to make this disclosure with the knowledge that the physician will respect the confidential nature of the communication. The physician should not reveal confidential information without the express consent of the patient, subject to certain exceptions which are ethically justified because of overriding considerations.

When a patient threatens to inflict serious physical harm to another person or to him or herself and there is a reasonable probability that the patient may carry out the threat, the physician should take reasonable precautions for the protection of the intended victim, which may include notification of law enforcement authorities." When the disclosure of the confidential information is required by the law or the court, it is the duty of the doctor to inform the patient about the same.

When a doctor is summoned by the court, he or she should disclose the minimal information required by the law and not voluntary additional information.

The AMA Code of Ethics Opinion 5.051 also talks about confidentiality of medical information after death. As per their ethics, the law does change about confidential information where the person is alive or death. Even the post mortem report is confidential information and should not be leaked to any unauthorized relation of the patient. It is the duty of the doctor who is treating a patient to ask the patient about possible names to whom he can disclose about his sickness and to what extent. In the Prabha Manchanda case, Supreme Court of India has clearly decided that even a mother has no right to give extended consent for her daughter who happens to be under anesthesia. In America, confidentiality is defined under the HIPAA Privacy Act.

The privacy rules required a doctor to make reasonable efforts to limit the amount of protected health information of the doctor used or disclosed to the minimum amount that is necessary to accomplish purpose of use or disclosure. Under the HIPAA Private Rules, a hospital is not supposed to announce the name of a patient in the OT list containing the name of a person in open or accessible to the public or disclose any information by which a third person may be able to know that a particular person is undergoing surgery or a medical treatment in the hospital. In no way the diagnosis or reasons of the disease should be disclosed to an unauthorized relation or a person. A doctor should not share the patient information with the patient’s family or friends if the patient has asked the doctor not to or if the treating doctor believes, in his or her professional judgment, the disclosure would be inappropriate.

The privacy rules, however, allow the doctor to share patient’s information with the patient’s family members or friends so long the information is limited, the information directly relevant to that person’s involvement in patient’s care. For example, a doctor may tell a person living with the patient that the patient needs plenty of rest and lots of fluids or that the patient need to be checked twice daily. A doctor is not supposed to share more information than the person needs to assist with the patient’s care.

HIPAA also prohibits doctor providing patient’s list to any representative or a device provider as this would automatically leak the patient’s disease condition to an unwanted person.

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

Initial chemotherapy for metastatic pancreatic cancer

Start Folfirinox rather than gemcitabine for patients with metastatic pancreatic cancer who have a good ECOG performance status and a serum total bilirubin level that is <1.5 times the upper limit of normal. (October 8, 2010)

  eMedinewS Audio PostCard

Padma Shri & Dr BC Roy National Awardee
 Dr K K Aggarwal

Can doctors take gift from patients?

Audio PostCard
    Photo Feature (from the HCFI Photo Gallery)

School Health Check up Camp

Padma Shri and Dr BC Roy National Awardee Dr KK Aggarwal in a Health Check up camp organized by Heart Care Foundation of India and KDB Public School Ghaziabad

Dr K K Aggarwal
    National News

Moolchand offers International Post Graduate Program in Emergency Medicine

Moolchand Medcity in partnership with the Ronald Reagan Institute of Emergency Medicine (RRIEM) at the George Washington University, USA will offer 3–year Post Graduate Program in Emergency Medicine. It is amongst the most prestigious international post graduate training programs available in emergency medicine in India. "It is a 3–year Post Graduate Program in Emergency Medicine where we prepare fellows to practice in the complex and challenging arena of emergency medicine at the highest levels. With regular theory classes, students are posted in the emergency department of Moolchand Medcity as well as in the various critical care areas of the hospital" said Mr. Vibhu Talwar, Chief Operating Officer, Moolchand Medcity. The faculty will provide lectures, seminars, simulations and clinical teaching to the fellows. The quality of the education programs will be maintained through continuous assessments of the fellows and the overall fellowship program.

Course details of Masters in Emergency Medicine: Duration: 3 years, Eligibility criteria: MBBS with internship, registration with Delhi Medical Council; Fee: Rs. 6.75 lakhs (for 3 years). Last date for application: June 23, 2011. On completion, Fellows get a Post Graduate Degree in Emergency Medicine from George Washington University, USA and a certificate in proficiency in healthcare quality standards from Moolchand. Download the prospectus form from www.moolchandhealthcare.com or call at +91 99589 97293.

Dramatic increase in NET qualifiers, suggesting rising interest in teaching

The country’s apex test for selecting university teachers has thrown up an almost 80% increase in qualifiers from 2010 in a dramatic hike suggesting that teaching may slowly once again be regaining its attraction as a profession. A total of 12,927 candidates have qualified in National Eligibility Test (NET) results declared on Monday, up from 7,233 in 2010, offering a ray of hope to a higher education structure creaking with massive faculty shortages. "A big take away from the results for us is the indication that an increasing number of students are interested in the teaching profession," UGC acting chairman professor Ved Prakash told HT. Out of the 12,927 selected candidates, 3238 have qualified for the prestigious junior research fellowship (JRF). The results also show that scheduled caste (SC), scheduled tribe (ST) and other backward classes (OBC) candidates have performed secured more qualifications than the statutory quota requirements. OBC qualifiers constitute 33.06% of the selected candidates as against their 27% reservation, while SC/ST candidates form 33.26% of the qualifiers. Girls have outperformed boys in the general and OBC categories. (Source: Hindustan Times, June 14, 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)

FDA warns of drug name mix–ups

The FDA has issued a warning about potentially dangerous errors resulting when the drugs risperidone (Risperdal) and ropinirole (Requip) are confused. The agency received 226 reports of patients accidentally receiving one drug instead of the other accidentally; five patients required hospitalization. One of the patients was given the wrong drug for a month before the error was caught.Risperidone is an antipsychotic indicated for the treatment of schizophrenia, bipolar disorder, and irritability associated with autistic disorder. Ropinirole is a dopamine agonist indicated for treatment of Parkinson’s disease and Restless Legs Syndrome. (Source: Medpage Today)

ASE: New criteria point way to better use of Echos

New appropriate–use criteria for echocardiography can better distinguish between appropriate, uncertain, and inappropriate indications than older guidance, researchers found. When the 2011 criteria were applied to echocardiograms at a single center, there were lower rates of uncertain indications (5.3% versus 12.7%) and higher rates of both appropriate (92.6% versus 86.1%) and inappropriate (2.1% versus 1.2%) indications compared with the older criteria, according to Smadar Kort, MD, of Stony Brook University Medical Center in New York. (Source: Medpage Today)

Ancestry cures disease!

A new study involving an Indian–origin researcher has suggested that ancestry plays a vital role in different populations with regards to disease prevention and treatment. The latest research from Wake Forest Baptist Medical Center and the laboratories of Floyd H. ‘Ski’ Chilton, Ph.D., professor of physiology and pharmacology and director of the Center for Botanical Lipids and Inflammatory Disease Prevention, and Rasika Mathias, Sc.D, assistant professor of medicine and epidemiology at Johns Hopkins University School of Medicine, reveals how humans of different ancestry process a certain type of fat called polyunsaturated (PUFA) fat. Chilton and other groups of scientists have shown that genetic variation in a small region of chromosome 11, known as the FADS cluster, plays a critical role in determining rates of PUFA metabolism in populations of European and Asian ancestry. "This is an important example of why it is critical to advance the field of personalized nutrition," Chilton said. (Source: http://timesofindia.indiatimes.com/life-style/health-fitness/health/Ancestry-cures-disease/articleshow/8864337.cms, June 15, 2011)

  Fitness Update

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

Structured exercise programs help lower blood sugar, study finds

A structured exercise program helped people with type 2 diabetes lower their blood sugar level more effectively than just receiving advice about getting more physical activity, according to a new review of data. Dr. Marco Pahor from the University of Florida, Gainesville suggested that insurance companies should consider paying for the costs of structured exercise programs or fitness center memberships. He notes that in one study, when older adults went to a gym two times or more a week for two years, they incurred $1,252 less in health–care costs than their less–active counterparts. "Given the health benefits of physical exercise on diabetes prevention, managing type 2 diabetes in patients, and on improving the health of the general adult and older population, it may be time to consider insurance reimbursements for structured physical exercise programs," wrote Pahor.

  Twitter of the Day

@DrKKAggarwal: Remember that happiness is a way of travel, not a destination. Roy Goodman

@DeepakChopra: #vmdhealthblog Have you read my Health Tip about Prostate Cancer Screening yet? bitly.com/Dpak_Prost

    Spiritual Update

Science behind Hanuman Chalisa

How can one maximally benefit from Hanuman Chalisa?

One can benefit by understanding the ‘bhakti’ part of Hanumana and following the path of Bhakti Marg. Bhakti is the triad of doing one’s duty with devotion and discipline.

    An Inspirational Story

(Dr Anupam Sethi Malhotra)

How do you think

If you think you are beaten, you are; If you think you dare not, you don’t!
If you’d like to win, but you think you can’t, It’s almost certain you won’t.

If you think you’ll lose, you’re lost; For out in the world we find
Success begins with a fellow’s will; It’s all in the state of mind!

If you think you’re outclassed, you are; You’ve got to think high to rise.
You’ve got to be sure of yourself Before you’ll ever win the prize.

Life’s battles don’t always go to the stronger or faster man; But sooner or later the man who wins is the person who thinks he can!

    Pediatric Update

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

Atypical antipsychotics

A clinical trial of 272 children ages 5 to 19 years found that children receiving the atypical antipsychotic medications olanzapine, quetiapine, or risperidone had average weight gains of 18.7, 13.4, and 11.7 pounds, respectively, after 12 weeks of treatment. Participants in an untreated comparison group gained an average of 0.4 pounds.

(Ref: Correll CU, et al. Cardiometabolic risk of second–generation antipsychotic medications during first–time use in children and adolescents. JAMA 2009;302:1765)

    Urology Update

(Dr Narmada P Gupta, Chairman, Academic & Research Urology, Medanta Kidney and Urology Institute, Medanta – The Medicity)

FDA: 5–ARIs may raise risk of high–grade prostate cancer

The AP (6/10) reports that the Food and Drug Administration issued a safety alert indicating that a group of "drugs that can reduce the risk of some forms of prostate cancer may increase the risk of a more serious form of the disease. The FDA says it is updating the warning information on a group of drugs including GlaxoSmithKline PLC’s Avodart (dutasteride) and Merck & Co.’s Proscar (finasteride), which are used to shrink the prostate and which are linked to a greater risk of high–grade prostate cancers."

The Washington Post (6/9, Stein) "The Checkup" blog reported, "The alert is based on the agency’s review of two large studies, which showed that the drugs reduced the overall risk of getting prostate cancer but increased the chances of developing high–grade tumors."

The LosAngelesTimes (6/9, Maugh) "Booster Shots" blog reported that the family of drugs are "called 5–alpha reductase inhibitors, or 5–ARIs, and includes finasteride (Proscar) and dutasteride (Avodart), as well as the "hair–loss treatment Propecia. The drugs are also increasingly "used as a preventive agent for men who are at high risk of developing prostate cancer, but they are not approved for that purpose." The medications "interfere with the production of male hormones, starving the tumors of nutrients they need to grow. For use in treating prostate cancer, the FDA said, the benefits of the drugs far outweigh the risks."

Similarly, WebMD (6/9, DeNoon) reported that although the drugs are "linked to prostate cancer, the risk is small." Therefore, the agency recommends that men who are "taking Proscar, Avodart, or Jalyn for benign prostatic hyperplasia (BPH) should not stop taking their medications, but should consult their doctors about their prostate cancer risk."

Medscape (6/9,Nelson) noted, "The American Society of Clinical Oncology and the American Urological Association have also jointly recommended consideration of using both dutasteride and finasteride in asymptomatic men to reduce the risk for prostate cancer in new guidelines issued in February 2009. The guidelines note that some men might benefit from a discussion with their physicians about the benefits and risks of 5–ARIs for the prevention of prostate cancer."

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  Did You Know

(Dr Uday Kakroo)

Ancient Roman, Chinese and German societies often used urine as mouthwash.

    IJCP Special

Dr Good Dr Bad

Situation: A 1–year–old child is brought with a complaint of "not gaining weight", vague symptoms and with positive Mantoux test.
Dr Bad: Start this tonic.
Dr Good: Start anti–TB drugs.
Lesson: Any child below 2 years of age with positive Mantoux test has active TB unless proved otherwise and is at high risk for developing TB meningitis and miliary TB.

Make Sure

Situation: An asthmatic with respiratory rate of 37 developed respiratory arrest.
Reaction: Oh my God! Why was the patient not put on the ventilator in time?
Lesson: Make sure to remember that a respiratory rate of > 35 is a warning signal to start ventilation therapy.

  SMS of the Day

(Dr GM Singh)

The four most expensive words in the English language are - This time it’s different. Sir John Templeton

  GP Pearls

(Dr Pawan Gupta)

Rheumatoid arthritis promoting public awareness through ‘S’ factor: stiffness, swelling and squeezing of joints resulting in pain means that medical help is needed even without conducting the test and calls for the use of DMARD’s. Use of TNF inhibitors although effective and expensive but with more side effects. (BMJ 2011;342:63–64).

    Medicolegal Update

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

What is rape trauma syndrome?

Rape trauma syndrome describes that rape survivors go through fear experienced during a sexual assault particularly violent sexual assault. Each victim has their own experience; but there are common characteristics the victims possess. These characteristics are the direct result of the fear inherent in sexual assault.

  • The acute phase lasts from a few days to a few weeks after an assault. It is a response to a complete disruption of one’s life and the humiliating experience of being sexually assaulted. The acute phase produces as many responses as there are survivors. Some survivors may cry, others may laugh, and still others may be completely silent. It is important that there is no "wrong" way to cope with the immediate after effects of sexual trauma. During the acute phase, survivors may feel disbelief or in some way frozen. It has also been described as if survivors "left their body," forever being unable to reconnect with the woman or man who was raped. Survivors may feel humiliated, confused, dirty, ashamed, or in some way at fault for the assault; especially in the case where the assailant was an acquaintance. Physical concerns may arise during the acute phase as well. These concerns may be the direct result of the assault or fear of the possible physical ramifications of the assault i.e. pregnancy or STDs.
  • Following the acute phase is the Reorganization Phase where the survivor attempts to reorganize her life. This phase invites a myriad of emotions such as fear, anxiety, denial, and most of all the loss of security. The shattering of security as well as trust is inherent in sexual assault. This loss of the fundamental need for security wreaks havoc on the survivor’s life. The feeling of being unsafe looms over the survivor causing a heightened state of anxiety, difficulty with intimate relationships, and overcautious such as constantly checking one’s surroundings.
  • Chronic reactions to sexual assault include the inability to find peace at the level of soul. Sexual assault can change the individual forever as well as the world as they know it. The end result is a constant state of turmoil in thought process. At times, the survivor may not even recognize what is happening within. Sexual assault causes the body to be an unfriendly environment leading the survivor to at times feel dirty and ashamed. These feelings cause the individual to disconnect from their body entirely. Without a connection to their body, the survivor is unable to listen to internal states which assist her in navigating through the world. This contributes to a feeling inherent in many survivors, the feeling of being "lost." The patient needs close monitoring/treatment by doctor and counselors.
  Vitamins – Open Secrets revealed

(Dr Jitendra Ingole, MD Internal Medicine)

B12 deficiency requires high supplement doses

Vitamin B12 deficiency is fairly common among older people and can cause anemia, pain and depression. Supplementation with cobalamin may reverse the deficiency, however, the ideal dose when given orally is yet to be determined. A team from the University of Wageningen undertook a study in which 120 participants were given either 2.5, 100, 250, 500 or 1,000μg (micrograms) of cyanocobalamin in capsules per day. These doses cover the full range from recommended dietary allowance in the Netherlands to the normal dose used in injections for B12 deficiency. The participants were aged 70 to 94, with an average age of 80. They were all mildly deficient in vitamin B12, with serum concentrations of 100 to 300 picomoles per liter. Their levels of methylmalonic acid (MMA, a marker for vitamin B12 deficiency) were above 0.26μmol per liter, showing a deficiency. All of the participants received each of the experimental doses for 16 weeks, in a random order. Compliance with the medication was very high, at 98 per cent. Overall, levels of MMA and serum vitamin B12 improved with increasing doses of cobalamin. Elevated MMA was significantly reduced after 8 weeks, and remained so after 16 weeks. The percentages of participants whose MMA reduced to below 0.26μmol per liter when taking 2.5, 100, 250, 500 or 1,000μg cobalamin were 21, 38, 52, 62 and 76 per cent respectively.

The researchers explain that a major knowledge gap existed over the lowest oral cobalamin dose required to normalize elevated MMA. They state that in this study, a daily dose of 647–1032μg was the lowest dose to give 80–90 per cent of the maximum reduction in MMA. These doses led to an average reduction in MMA of 33 per cent. However, they add that diagnosing vitamin B12 deficiency is complicated due to the limitations of current techniques. The authors conclude that the lowest dose needed to normalize vitamin B12 deficiency is more than 200 times higher than the recommended dietary allowance. They add that the relevance of treating vitamin B12 deficiency in older people could be substantial, were further trials able to show benefits to cognitive functioning and depression.

(Ref: Eussen SJ, et al. Oral cyanocobalamin supplementation in older people with vitamin B12 deficiency. Arch Intern Med 2005;165:1167–72)

  Lab Update

(Dr Arpan Gandhi and Dr Navin Dang)

CBC test

The CBC (complete blood count) test may be performed under many different conditions and to assess many different symptoms or diseases. The results can reflect problems with fluid volume (such as dehydration) or loss of blood, problems with RBC production and destruction, or help diagnose infection, allergies, and problems with blood clotting.

MCV, MCH, and MCHC values reflect the size and hemoglobin concentration of individual cells, and are useful in diagnosing different types of anemia.

    Mind Teaser

Read this…………………

Aspermia is a term used to describe:

1. Absence of semen
2. Absence of sperm in ejaculate
3. Absence of sperm motility
4. Occurrence of abnormal sperm

Yesterday’s Mind Teaser: A 37–year–old man who is HIV positive is evaluated because of fever and a generalized rash. He has been in his usual state of health until 5 days ago when he suddenly developed a fever, headache, myalgias, and a painful, generalized eruption. The patient has been HIV positive for
1 year, and because he was asymptomatic, elected to postpone antiretroviral medications.

On physical examination, his temperature is 104°F (40°C), blood pressure is 140/86 mm Hg, and pulse rate is 100/min. There is a generalized vesicular–pustular eruption that is most prominent over his right shoulder, right arm, and right upper back, but a several lesions are also evident over the rest of his thorax, face, and extremities. On any one part of this body, papules, vesicles, pustules, and scabs are present. Six weeks ago his CD4 lymphocyte count was 300 /μL, and his most recent plasma viral load was 200,000 copies/mL.

Which of the following is the most likely diagnosis?

A. Disseminated herpes zoster
B. Erythema multiforme
C. Molluscum contagiosum
D. Smallpox

Answer for Yesterday’s Mind Teaser: Disseminated herpes zoster

Correct answers received from: Dr Deepali Chatterjee, Dr YJ Vasavada, Dr Pramod M Kulkarni,
Dr Muthumperumal Thirumalpillai, Dr Jainendra Upadhyay, Dr Neelam Nath, Dr Anil Bairaria.

Answer for 16th June Mind Teaser: 4. Neuropraxia
Correct answers received from: Dr K Raju, Dr Anupama, Dr Jyoti, Dr Narmada, Dr Tapti, Dr Shalini,
Dr Jai.

Send your answer to ijcp12@gmail.com

    Medi Finance Update

(Dr. GM Singh)

What is arbitrage?

It is an attempt to profit from momentary price differences that can develop when a security or commodity is traded on two different exchanges. To take advantage of such differences, an arbitrageur would buy in the market where the price is lower and simultaneously sell in the market where the price is higher.

    Laugh a While

(Dr. GM Singh)

A drunken man staggers home, hugs and kisses his wife. The wife in gratitude says: "Thank you, it is sweet." To this their curious child exclaims: "Daddy, you are so clever, you keep sweets in your mouth and give to mummy!"

    Drug Update

List of Approved Drug From 01.01.2010 TO 31.8.2010

Drug Name


DCI Approval Date

Nilotinib Capsules 150 mg.

Treatment of newly diagnosed adult patients with Philadelphia chromosome positive chronic myeloid leukemia (Ph+CML) in chronic phase.


    Obesity Update

Dr. Parveen Bhatia and Dr. Pulkit Nandwani

Indications for the gastric bypass

The National Institutes of Health (NIH) have recommended the following criteria for bariatric surgery, which includes gastric bypass procedures:

  • People who have a body mass index (BMI) of 40 or higher, or
  • People with a BMI of 35 or higher with one or more related co–morbid conditions

Generally, it is for people who are at least 100 pounds (45 kg) over their "ideal weight."

The Consensus Panel of NIH also emphasized the necessity of multidisciplinary care of the bariatric surgical patient, by a team of physicians and therapists, to manage associated co–morbidities, nutrition, physical activity, behavior and psychological needs. The surgical procedure is best regarded as a tool which enables the patient to alter lifestyle and eating habits, and to achieve effective and permanent management of their obesity and eating behavior.

    IMSA Update

International Medical Science Academy (IMSA) Update

A systematic review of 10 randomized trials showed no difference in abstinence rates between those who reduced smoking before the quit date and those who quit abruptly, regardless of using pharmacologic and/or behavioral treatments.

    Public Forum

(Press Release for use by the newspapers)

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

Ideal age of becoming father is between 25–39

http://www.zshare.net/audio/91508736002c6603/ (Hindi)
http://www.zshare.net/audio/915087236e12dc0e/ (English)

Medically, both men and women should complete their child-bearing commitment before the age of 40 to minimize the affects of age on fertility and pregnancy outcome, said Padma Shri & Dr. B.C. Roy National Awardee, Dr. KK Aggarwal and President Heart Care Foundation of India.

Quoting a medical study on the age of become father, Dr. Aggarwal said that age of sperm donors as per recommendations should be less than 40 years of age. This age is 45 years in the UK. With advancing age of the father, the chances of having a child with schizophrenia are also increased. Chances of genetic mutations are also greater if the age of the father is more than 40.

The risk of producing a child with mongolism is also higher, if the age of the father is more than 40 and age of the mother is more than 35.

Dr Alka Kriplani, Professor and Head, Dept. of Obs and Gyne, AIIMS New Delhi, Editor, Asian Journal of Obs & Gynae Practice said that the risk of producing a child with mongolism is also higher if the age of the father is more than 40 and age of the mother is more than 35.

Some studies have shown that if the age of the father is more than 40, chances of child being born autistic are also higher.

Advanced parental age is also associated with many autosomal dominant mutations including short stature of child and Marfan syndrome as well as more risks of abortions.

A study which included over 55 million births observed that 1.5% of them had a birth defect when the age of the father was more than 40.

    Readers Response
  1. My thoughts for 2011 emedinews:Habits are building blocks for both success and failure. A good e–medinews study habit ensures positive results. A comfortable place of e–medinews study sets the mood for study. Those who enjoy e–medinew studying learn quickly. Concentration helps you study e–medinews effectively. Memorizing or mugging is not a good alternative to have a proper grasp of the subject. Boredom is a state of mind. Achievers do not wait for inspiration. Regards: Dr GM Singh
    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


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


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