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 DAILY 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

 

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

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eMedinewS Presents Audio News of the Day

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

Photos of Doctor’s Day Celebration

 
    Health Videos …

Nobility of medical profession: Aamir Khan Controversy (Video 1 to Video 9)
Health and Religion: Bharatiya Vidya Bhavan and Heart Care Foundation of India(Video 1 to Video 7)
Take Care Holistically, DD India health series, Anchor Dr KK Aggarwal (Video 1–2)

 
  Editorial …

22nd July 2012, Sunday

Physical inactivity causes to one in 10 premature deaths worldwide

Physical inactivity kills. It is causing about one in 10 premature deaths around the world annually as per a report in July 18 in The Lancet. The problem of inactivity is like a pandemic.

Globally physical inactivity is associated with 6% of the incidence of coronary heart disease (range 3.2% to 7.8%), 7% of type 2 diabetes incidence (range 3.9% to 9.6%), 10% of breast cancer incidence (range 5.6% to 14.1%) and 10% of colon cancer incidence (range 5.7% to 13.8%).

People in higher income countries are the least active with those in the UK among the worst as nearly two–thirds of adults are judged not to be doing enough.

For More editorials…

Dr KK Aggarwal
Group Editor in Chief

 
  eMedinewS Audio PostCard

Stay Tuned with Padma Shri and Dr B C Roy National Awardee Dr KK Aggarwal on

Can vitamin D treat pain

Audio PostCard
 
    Photo Feature (from the HCFI Photo Gallery)

Seminar on Health and Happiness

Dr. T D Kartsang, Head, Tibetan Medical Institute was honoured at the recently concluded Seminar on Health and Happiness organised jointly by Heart Care Foundation of India and Bharatiya Vidya Bhavan at Bharatiya Vidya Bhavan on 5th July 2012

 
Dr K K Aggarwal
 
    National News

Live chat with Dr K K Aggarwal

Topic: Seasonal Disorders

Monday, 23rd July 2012, 2–3PM, @ www.itimes.com

My Profession My Concern

This is regarding the proposal to make MBBS a 6–year course, shrinking internship by six months and making rural service mandatory for 1 year published in emedinews. I have a grave concern with the following issues arising out of this. I am obliged to bring them to your kind notice for redressal, prevention of decline in quality of doctors produced in our country and safety of health & litigation:

  1. A new MBBS grad is a greenhorn and is risky to send to any practice unsupervised which is generally lacking in our country, especially rural areas as there are no peer reviews or logbook culture. We directly make him/her a Consultant without gaining substantial supervised experience. Even best consultants require armaments of long individual experience, pooled wisdom of unit peer consultations, lab back up, case presentation, clinicopath interaction, review of literature, access to updated guidelines/conferences/seminars etc.
  2. Internship is not only application–based supervised hospital training at the end of class room teaching but is also important period of honing skills of all life–saving non/invasive procedures, longer the better, maximum of which can be learnt in a medical college hospital only. So cutting on internship period is rendering a doctor handicapped for life. The older generation, which went through pre–PG House Job training very well knows the immense benefits of post MBBS tertiary care hands–on training.
  3. Since the Alma–Ata declaration and formation of infinite number of committees, governments all over the world are struggling to provide rural health care delivery. Government of India has to realize that sending bare foot and barely equipped doctors with skills is as good as sending quakes, which is not only illegal but unethical too. Rural Health Care Delivery has immense issues of men, material, managerial skills and missionary zeal, which will require pooling of wisdom from eminent medicos to rural managers to pastors for spiritual help to doctors herded to wilderness of rural areas !

    Dr A K Raina, Senior Consultant Internal Medicine & ACLS, Apollo Hospital

For comments and archives

Registration hike arbitrary: Radiologists

MUMBAI: The Centre has hiked the registration rates for ultrasound centres from Rs 3,000 to Rs 25,000 and from Rs 4,000 to Rs 35,000. The Indian Radiological and Imaging Association (IRIA) has termed the hike as exorbitant and arbitrary. National president of Indian Radiological and Imaging Association (IRIA) Dr Harsh Mahajan said, "Such an exorbitant increase in charges will either encourage non–registration of medical centres or lead to an increase in ultrasound charges since clinics will be forced to recover these costs from patients. Higher charges will again hurt poor patients, leading to lower number of tests as well as higher death and disease rates."

The above restrictions apart, the new norm now requires 30 days’ advance notice on purchase of a new ultrasound machine or on joining of an ultra–sonologist at the clinic. Previously, one could inform the authorities within 30 days of installation or hiring. Additionally, the new request can only become operational after it is duly incorporated in the certificate of the clinic. Mahajan said, "The new norm is illogical because no centre will know one month in advance about an ultra–sonologist leaving; thereafter, it could take anywhere from three months to several years for the change to be incorporated in the certificate. During this period, the new machine or new ultra–sonologist will be rendered useless." "Doctors at the IRIA are as concerned about female foeticide as the rest of the country. The government needs to seriously engage with radiologists and seek their suggestions in overcoming the scourge of female foeticide. Ill–thought, unfair laws that target law–abiding radiologists will not stop this practice but instead hurt the wellbeing of poor patients. The IRIA is willing to meet the government and discuss ways to identify and punish the real culprits behind female foeticide," Dr Mahajan said. (Source: TOI, July 20, 2012)

For comments and archives

Medical mistakes in Indian movies

Dear all, eMedinewS is starting a special series on ‘Medical mistakes in Indian movies’. We invite all our readers to share with us the following information:

  1. Scene/s where the image of the medical profession has been maligned in an unrealistic manner, or
  2. Scene/s where medical care and approach has been depicted incorrectly, or
  3. Scenes where the medical profession has been portrayed correctly.

Send us the clippings or description of the scenes. This would be a start to a special campaign to rebuild the image of the medical profession.

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 Dr Monica and Brahm Vasudev)

HIV subtypes offset each other

Infection with both of the major subtypes of HIV at the same time slows the progression of disease, researchers reported. In a long–running cohort study, people co–infected with both HIV–1 and HIV–2 took three years longer to develop AIDS than those infected only with HIV–1, according to Joakim Esbjörnsson, PhD, of Lund University in Lund, Sweden, and colleagues. And the slower rate of progression was most marked in those who were infected with HIV–2 before HIV–1, Esbjörnsson and colleagues reported in the July 19 issue of the New England Journal of Medicine. (Source: Medpage Today)

For comments and archives

Patients rate RA disease activity worse than physicians do

For patients with rheumatoid arthritis (RA), pain is the most important factor in their perception of their disease activity, but physicians judge disease activity largely by the extent of joint swelling. This difference helps to explain why patients’ and physicians’ perceptions of RA disease activity are often at odds with one another, according to a study published online July 18 in Arthritis & Rheumatism. (Source: Medscape)

For comments and archives

Platelet–rich plasma shows benefit for early knee OA

Platelet–rich plasma injections can benefit patients with cartilage degeneration and early osteoarthritis (OA) of the knee, according to preliminary findings from a randomized controlled study presented here at the American Orthopaedic Society for Sports Medicine (AOSSM) 2012 Annual Meeting. (Source: Medscape)

For comments and archives

PCP focus on stroke risk pays off for patients

Extra attention to stroke and dementia risk in primary care pays off in keeping middle-age and older adults alive and independent, a long-term trial showed. (Source: Medpage Today)

For comments and archives

 
    Twitter of the Day

@DrKKAggarwal: Obesity Towards all Pathy consensus part 1,
www.youtube.com/watch?v=mJT9vZOL66g

@DeepakChopra: The solution is never at the level of the problem. The solution is always love, which is beyond the problem.

 
    Spiritual Update

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

The Doctor Patient Relationship

It is a sacred relationship and is based on many Vedic principles. The first being that this relationship should run on the principle of detached attachment.

The doctor should be attached to the patient as long as he or she is his patient. Once the patient detaches himself with the doctor, the doctor should also detach with the patient instantly. If a doctor is too much attached to a patient, he will not be able concentrate on his

For comments and archives

 
    4th Asia Pacific Vascular Intervention Course (APVIC)

4th Asia Pacific Vascular Intervention Course–Excerpts from a Panel discussion Read More

The 4th Asia Pacific Vascular Interventional Course begins Read More

Excerpts of a talk and interview with Dr. Jacques Busquet by Padma Shri & Dr. B.C. Roy National Awardee, Dr. KK Aggarwal, President Heart Care Foundation of India and Editor–in–Chief Cardiology eMedinewS Read More

4th Asia Pacific Vascular Intervention Course – Dr KK Aggarwal with Faculty Read More

Press Conference on 4th Asia Pacific Vascular Intervention Course – Dr KK Aggarwal with Faculty
Read More

4th Asia pacific vascular intervention course Read More

4th Asia pacific vascular intervention course paper clippings Read More

 
    Infertility Update

(Dr Kaberi Banerjee, IVF expert, New Delhi)

What are the benefits of disclosure of gamete donation?

If you tell your child, you can make it a positive message. In addition to giving your child the basic information, you can explain the positive reasons why you chose to have a child through gamete donation. You also can explain the donor's good intentions of helping people start a family.

For comments and archives

 
    Tat Tvam Asi………and the Life Continues……

(Dr N K Bhatia, Medical Director, Mission Jan Jagriti Blood Bank)

Blood Grouping systems & Principles, Blood Group Discrepancies & their possible solutions

IH routine tests

  • Antigen typing
  • Antibody screening
    • Indirect antiglobulin test
    • Direct antiglobulin test
    • Antibody identification
  • Crossmatch

For comments and archives

 
    An Inspirational Story

(Ms Ritu Sinha)

A pillow and a blanket

A long time ago, a young, wealthy girl was getting ready for bed. She was saying her prayers when she heard a muffled crying coming through her window. A little frightened, she went over to the window and leaned out. Another girl, who seemed to be about her age and homeless, was standing in the alley by the rich girl’s house.

Her heart went out to the homeless girl, for it was the dead of winter, and the girl had no blanket, only old newspapers someone had thrown out. The rich girl was suddenly struck with a brilliant idea. She called to the other girl and said, "You there, come to my front door, please." The homeless girl was so startled she could only manage to nod.

As quick as her legs could take her, the young girl ran down the hall to her mother’s closet, and picked out an old quilt and a beat up pillow. She had to walk slower down to the front door as to not trip over the quilt which was hanging down, but she made it eventually. Dropping both the articles, she opened the door.

Standing there was the homeless girl, looking quite scared. The rich girl smiled warmly and handed both articles to the other girl. Her smile grew wider as she watched the true amazement and happiness alight upon the other girl’s face. She went to bed incredibly satisfied. In mid–morning the next day a knock came to the door. The rich girl flew to the door hoping that it was the other little girl there. She opened the large door and looked outside. It was the other little girl.

Her face looked happy, and she smiled. "I suppose you want these back." The rich little girl opened her mouth to say that she could keep them when another idea popped into her head. "No, I want them back."

The homeless girl’s face fell. This was obviously not the answer she had hoped for. She reluctantly laid down the beat up things, and turned to leave when the rich girl yelled, "Wait! Stay right there." She turned in time to see the rich girl running up the stairs and down a long corridor. Deciding whatever the rich little girl was doing wasn’t worth waiting for she started to turn around and walk away. As her foot hit the first step, she felt someone tap her on the shoulder, turning she saw the rich little girl, thrusting a new blanket and pillow at her.

"Have these." she said quietly. These were her own personal belonging made of silk and down feathers. As the two grew older they didn’t see each other much, but they were never far from each other's minds. One day, the Rich girl, who was now a Rich woman, got a telephone call from someone, a lawyer, saying that she was requested to see him. When she arrived at the office, he told her what had happened.

Forty years ago, when she was nine years old, she had helped a little girl in need. That grew into a middle–class woman with a husband and two children. She had recently died and left something for her in her will. "Though," the lawyer said, "it’s the most peculiar thing. She left you a pillow and a blanket."

For comments and archives

 
    Cardiology eMedinewS

Skin tests diagnose proton pump inhibitor allergies Read More

Ablation of localized sources improves AF outcomes: CONFIRM published Read More

 
    Pediatric eMedinewS

Bed sharing ups risk for hypoxia and hypercapnia in infants Read More

Balloon dilation eases kids’ nasal symptoms Read More

 
    IJCP Special

Dr Good Dr Bad

Situation: A patient with sleep apnea wanted to know his cardiac risk.
Dr. Bad: There is no risk.
Dr. Good: There is a risk.
Lesson: Obstructive sleep apnea is associated with development of coronary artery diseases and heart failure.

For comments and archives

Make Sure

Situation: An HIV patient died after sulfa prophylaxis.
Reaction: Oh my God! You should have enquired if he was sulfa sensitive.
Lesson: Make sure that patients with a history consistent with Stevens–Johnson syndrome and toxic epidermal necrolysis or an exfoliative dermatitis due to a sulfonamide drug should strictly avoid the culprit drug and other agents in the same sulfonamide group. Re–exposure to the same agent may be fatal.

For comments and archives

 
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    Legal Question of the Day

(Dr MC Gupta)

Q. What are your comments about the news report against Dr. Vinay Aggarwal, former President, IMA, regarding employing an unqualified doctor?

Ans.

  • You are obviously referring to the news item reproduced below:

    "THE HINDU––July 11, 2012

    Doctors demand strict action against former IMA president for allegedly allowing an unqualified person to work as doctor

    Alleging that an unqualified person was allowed to work as a doctor at Pushpanjali Medical Centre in Vikas Marg Extension here by former president of Indian Medical Association and managing director of the Institute Dr. Vinay Aggarwal, doctors have demanded urgent and strict action against him for the lapse.

    "We have information that the person allowed to work at the hospital is a medical graduate from Russia who has not cleared the screening test of the Medical Council of India (MCI) and is yet to get permanent registration to practise in our country. In this regard we have demanded that a first information report be lodged against Dr. Aggarwal and that he be dislodged from being an office–bearer of the Delhi Medical Council. We are also demanding that the MCI also immediately make public the inquiry report of the case," said Dr. Pankaj Singhal of Restore Medical Fraternity Image –– Doctors Yes campaign, a movement started to fight corruption within the medical fraternity.

    Taking action on the matter, the MCI has asked Dr. Aggarwal to appear on July 17 in person and explain his position on the matter.

    "The High Court too has observed that it was surprised that the Delhi Medical Council did not look into the matter. Last year we had complained against Dr. Surender Pratap Singh who was working in Pushpanjali Medical Centre under Dr. Vinay Aggarwal without permanent registration with either the Medical Council of India or the Delhi Medical Council," noted Dr. Singhal.

    He added that Dr. Surender Pratap Singh too had finished his medical course from Russia and was on temporary registration with the Medical Council of India in 2001.

    "He has to appear for a screening test only after which can he work as a doctor in India. Dr. Pratap is neither with the Medical Council of India nor the Delhi Medical Council then how is he being allowed to work as a physician and put the life of patients at risk," questioned Dr. Singhal.

    Rubbishing the allegations, Dr. Aggarwal said: "This is just an attempt to harass me and defame me. The person is not working as a doctor with us but as a clinical assistant which means that he only helps qualified doctors working at organisation. The Medical Council of India is already looking into the matter."
  • It is a good idea for doctors to be watchful about corruption and irregularities in the medical field. Dr. Pankaj Singhal has recently moved the Delhi HC against some objectionable provisions in the PNDT Act and Rules. That is commendable.
  • It is highly desirable that while taking the legal route, doctors should take care to avoid irresponsible and vague statements and should not make any lapses as regards truth and law. Such lapses are detailed below.
  • The allegation that "an unqualified person was allowed to work as a doctor" is wrong for two reasons:
    • The concerned doctor was a foreign medical graduate and his foreign degree was acceptable to the MCI, which granted him provisional registration and asked him to undergo one year’s internship in a recognised hospital after which his temporary registration would be made permanent. He completed the internship. In the meantime, the MCI started the system of screening test. The doctor could not clear the test. The question is whether such a doctor can be labelled as unqualified? To my mind the answer is "No". However, if the question is—"whether such a doctor can be labelled as unregistered", the answer would be in the affirmative.
    • As per the hospital records and statement, the said doctor was employed on a locum basis as a clinical assistant and was given the duties of only documentation etc. There is nothing wrong in it.
  • It is stated in the news item that "doctors have demanded urgent and strict action against him". Such demand is uncalled for. Necessary action has already been taken by the Delhi Medical Council vide its order dated 18–4–2011 and by the Directorate of Health Services, Govt. of NCT of Delhi, vide its order dated 4–5–2011.
  • As regards the demand that "a first information report be lodged against Dr. Vinay Aggarwal", the concerned doctors need to know that a complaint is to be lodged by the complainants themselves in a police station. It is not clear why they are shy of doing so themselves. Maybe the reason is that they know that there is no law under which an FIR can be lodged.
  • As regards the demand that Dr. Vinay Aggarwal should be dislodged from being an office–bearer of the Delhi Medical Council, the doctors concerned ought to know that he cannot be so removed under sections 4 and 7 or any other section of the Delhi Medical Council Act, 1997.
  • As regards the demand that the MCI should immediately make public the inquiry report of the case, the doctors concerned ought to know that this issue is outside the jurisdiction of the MCI.
  • SUMMARY—It is nice for doctors to be pro–active in their efforts to cleanse the profession of its ills, but this must be done in a manner that inspires confidence.

For comments and archives

 
    Quote of the Day

(Dr GM Singh)

A good way to change someone’s attitude is to change your own. Because, the same sun that melts butter, also hardens clay! Life is as we think, so think beautifully.

 
    Lab Update

(Dr Navin Dang and Dr Arpan Gandhi)

Sodium

  • Increase in serum sodium (Hypernatremia): Conditions of water loss in excess of salt loss, as in profuse sweating, severe diarrhea or vomiting, polyuria (as in diabetes mellitus or insipidus), hypergluco– or mineralocorticoidism, and inadequate water intake. Drugs causing elevated sodium include steroids with mineralocorticoid activity, sodium bicarbonate, methoxyflurane etc.
  • Decrease in sodium (Hyponatremia): Conditions characterized by intake of free water or hypotonic solutions, as may occur in fluid replacement following sweating, diarrhea, vomiting, and diuretic abuse. Dilutional hyponatremia may occur in cardiac failure, liver failure, nephrotic syndrome, malnutrition, and SIADH. There are many other causes of hyponatremia, mostly related to corticosteroid metabolic defects or renal tubular abnormalities. Drugs other than diuretics may cause hyponatremia.
 
    Mind Teaser

Read this…………………

The nurse enters the room of a client with chronic obstructive pulmonary disease. The client’s nasal cannula oxygen is running at a rate of 6 L per minute, the skin color is pink, and the respirations are 9 per minute and shallow. What is the nurse’s best initial action?

A. Take heart rate and blood pressure.
B. Call the physician.
C. Lower the oxygen rate.
D. Position the client in a Fowler’s position.

Yesterday’s Mind Teaser: Valsalva maneuver can result in bradycardia. Which of the following activities will not stimulate Valsalva's maneuver?

A. Use of stool softeners.
B. Enema administration
C. Gagging while toothbrushing.
D. Lifting heavy objects

Answer for Yesterday’s Mind Teaser: A. Use of stool softeners.

Correct answers received from: Dr Prabodh Kumar Gupta, Anil Bairaria, Dr Kanta Jain, Dr Jainendra Upadhyay, Raju Kuppusamy, Dr Pankaj Agarwal, Dr Chandresh Jardosh, Muthumperumal Thirumalpillai,
Dr Thakor Hitendrsinh G, Niraj Gupta, Dr Avtar Krishan, Gopal Shinde, Dr SM Govil, Dr KV Sarma, Yogindra Vasavada.

Answer for 20th July Mind Teaser: A. Food and fluids will be withheld for at least 2 hours
Correct answers received from: Dr Avtar Krishan, Gopal Shinde, Dr SM Govil, Dr KV Sarma, Yogindra Vasavada.

Send your answer to ijcp12@gmail.com

 
   Laugh a While

(Dr GM Singh)

Diet Rules for Cheaters

  1. If you eat something and no one sees you eat it, it has no calories.
  2. If you drink a diet soda with a candy bar, the calories in the candy bar are cancelled out by the diet soda.
  3. When you eat with someone else, calories don’t count if you don’t eat more than they do.
  4. Food used for medicinal purposes NEVER counts, such as hot chocolate, brandy, toast and Sara Lee Cheesecake.
  5. If you fatten up everyone else around you, then you look thinner.
 
    Microbial World: The Good and the Bad They Do

(Dr Usha K Baveja, Prof. and Senior Consultant Microbiology, Medanta – The Medicity, Gurgaon)

Chicken pox vaccine

Chicken pox (varicella) is a childhood disease characterized by fever, itchy rash and tiredness. Usually there is spontaneous recovery; rarely there may be complications like pneumonia, encephalitis and death. A child who had chicken pox during early life may suffer from shingles, painful eruptions/blisters along the distribution of a particular nerve affecting a dermatome.

Chicken pox vaccine can prevent chicken pox. Most of the vaccinated people do not get chicken pox and if the infection happens it is very mild with fast recovery.

The chickenpox (varicella) vaccine was first licensed for use in Japan and Korea in 1988 and in 1995 in the United States in 1995. Since that time, the number of hospitalizations and deaths from varicella has declined more than 90%. In 2005, a combination vaccine containing live attenuated measles–mumps–rubella and varicella (MMRV) vaccine was licensed for use in people age 12 months through age 12 years. The chickenpox vaccine is a live attenuated vaccine.

This vaccine is given as a shot in the fatty tissue. The vaccine should be given to all children below 13 years of age and also to any adult not vaccinated and who has never had chickenpox. Two doses are always recommended. In children the first dose is administered at 12–15 months of age and a second dose at age 4–6 years. For people older than 13, the two doses are administered 28 weeks apart.

 
    Medicolegal Update

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

Surgical error deaths

A UK survey has suggested that the damage to underlying structures is the commonest complication for which patients successfully sue surgeons.

  • The survey found that damage to veins, nerves, and other underlying structures accounted for nearly one third of 115 successful claims, with infection accounting for another 12%.
  • Patients also sued successfully after they were burnt by diathermy, after spirit–based skin preparations ignited, and after adverse reactions to iodine.
  • Retained items and failed or delayed diagnosis accounted for 8% and 7% respectively of successful medical negligence claims.
  • The retained items—which included a pair of forceps and a surgical pack after a hemorrhoid surgery occurred despite formal written procedures for swab and needle counts in operating theatres.
  • The top award was for £550000 ($880000) and was allocated to relatives of a patient with a history of deep vein thrombosis and pulmonary embolism who died of an embolism four weeks after elective surgery for varicose veins. The patient had received no anticoagulant treatment until two weeks after surgery.

For comments and archives

 
    Public Forum

Public Forum (Press Release for use by the newspapers)

Routine HIV testing recommended for all women, regardless of individual risk factors

Women represent the fastest growing population of persons infected with HIV and heterosexual transmission has become a much bigger factor. All women irrespective of risk factors between the 19–64 years irrespective of risk factors should be HIV tested, said Padma Shri and Dr B C Roy National Awardee Dr K K Aggarwal, President Heart Care Foundation of India.

A committee opinion issued by the American College of Obstetricians and Gynecologists (ACOG) published in the journal Obstetrics and Gynecology recommends HIV screening for all women aged 19 to 64 years, regardless of their risk factors and targeted screening for women outside this age range who are at high risk. For example, all sexually active teenagers under 19 years should be tested, as well as women older than 64 years who have had multiple partners in recent years.

Currently testing is done only for pregnant patients, patients at high risk, and/or upon patient request. Today’s recommendation on HIV screening emphasises "opt–out" testing as the preferred approach.

 
    Readers Responses
  1. Thanks a lot Dr. Aggarwal for the update. Please keep it up…! Regards…Dr. Neeraj Gupta
 
    Forthcoming Events
Dr K K Aggarwal


Dr K K Aggarwal


Dr K K Aggarwal

IYCNCON 2012

All are cordially invited for the 2nd National Conference of IYCF Chapter of IAP. This conference is organized by: IYCF Chapter, MOH&FW GOI, MOWCD GOI, WHO, UNICEF, IMLEA, SDHE Trust.
The theme of the conference is: "Proper Nutrition: Defeat Malnutrition – Investing in the Future"
Venue: India Habitat Centre, Lodhi Road, New Delhi – 110 003.
Date: 5th Aug 2012
For further details contact:
Conference Secretariat: Dr. Balraj Yadav, E–Mail: drbalraj@ymail.com, drvisheshkumar@gmail.com,
Ph: +91.124.2223836, Mobile: +91.9811108230

Dil Ka Darbar

September 23, 2012 at 9:00 AM – 6:00 PM
Tal Katora Indoor Stadium, Connaught Place, New Delhi, 110001
http://www.heartcarefoundation.org

A non stop question answer session between all the top cardiologists of the NCR region and the mass public. Event will be promoted through hoardings, our publications and the press. Public health discussions

 
    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)

HCFI
Activities eBooks

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  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, Dr Usha K Baveja