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  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

Photos of Workshop on Stress Management and How to be Happy and Healthy

    Dr KK Aggarwal with Aamir Khan …

ASAR–Aamir Khan & Dr KK Aggarwal on Satyamev Jayate Watch Video
Docs vs Aamir Khan Headlines today 9th June 2012 7.30pm Watch Video
Aamir Khan Workshop with kids on dangerous areas Watch Video
DR KK Aggarwal on Doctor Bhagwan Hai ya Shaitan Watch Video

  Editorial …

16th June 2012, Saturday

Alcohol can trigger atrial fibrillation

A new study suggests that patients with paroxysmal atrial fibrillation should avoid consuming alcohol to reduce the risk of AF episodes. Dr Gregory Marcus at University of California, San Francisco had shown that daily consumption of alcohol by patients younger than 60 increases the risk of atrial fibrillation and flutter and that the risk of atrial flutter especially increases with greater alcohol consumption.

So, alcohol is not good for the heart for every one. Marcus and medical student Mala Mandyman University of California, San Francisco) are the lead authors of a study, scheduled for the August 1, 2012 issue of the American Journal of Cardiology. In the study patients with PAF had 4.42 greater odds of reporting alcohol consumption.

In patients with paroxysmal atrial fibrillation, beer was the type of alcohol most commonly cited as a trigger. This association may be due to beer drinkers generally drinking more alcohol overall compared with those who prefer wine or spirits.

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

Alcohol can trigger atrial fibrillation

Audio PostCard
    Photo Feature (from the HCFI Photo Gallery)

World No Tobacco Day 2012

A poster depicting 10 benefits of quitting tobacco was released by Hon’ble Chief Minister of Delhi Smt Sheila Dixit on the occasion of World No Tobacco Day. Padma Shri and Dr BC Roy National Awardee Dr KK Aggarwal and DMA Members were presented on the occassion

Dr K K Aggarwal
    National News

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 re build the image of the medical profession.

Decade of Self Defence Summer Camp: June 14, 2012
(Ms Vartika Nanda)

Venue: Kripal Bagh, Kingsway Camp, New Delhi: 11.30 am

Special Police Unit for Women & Child, Delhi Police celebrated its decade of SELF DEFENCE SUMMER CAMP TODAY at Kripal Bagh, Kingsway Camp, New Delhi. More than 1100 girls and women were trained with various techniques of self defence this year during the summer camp that lasted for a fortnight. Participants were from the age group of 12 to 60 years.

Smt. Vimla Mehra (IPS), Special Commissioner of Police was the Chief Guest of the programme. Shri Tajender Luthra (IPS) Joint Commissioner of Police, Northern Range was the Guest of Honour. Shri Arun Kampani DCP, SPUWC and Ms Suman Nalwa, Additional DCP, SPUWC also graced the occasion.

Speaking on the occasion, Ms Vimla Mehra emphasized that it is the moral responsibility of Delhi Police to protect, save and empower every women to combat crime in the city. Such programmes should be encouraged and people should also take active interest in such initiatives. Interestingly, this programme was launched by Ms Vimla Mehra 10 years ago. Ms Suman Nalwa shared that since 2002, more than 82,000 girls and women have been trained in various techniques to handle any sort of physical assault.

The programme was organised by DCP, SPUW & C/ Nankpura & Officers & Men of Delhi Police. Such Summer Camps are especially aimed towards the empowerment and safety of women.

The programme was moderated by Ms Vartika Nanda.
RSVP: Insp Omwati Malik: 9212021417

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

(Contributed by Dr Monica and Brahm Vasudev)

PET imaging may spot first signs of Alzheimer’s

Brain imaging with a beta amyloid–specific tracer identified patients who had a high risk of rapid progression from mild cognitive impairment to Alzheimer’s disease, an Australian study showed. (Source: Medpage Today)

For comments and archives

Imaging boom raised radiation exposures

Advanced diagnostic imaging has increased substantially over the past 15 years, bringing an increase in radiation exposure, researchers found. (Source: Medpage Today)

For comments and archives

ACR issues lupus nephritis Tx guideline

Management guidelines for patients with lupus nephritis, including a detailed treatment algorithm for patients with moderate disease, have been released by the American College of Rheumatology (ACR). For patients with class III or IV disease, reflecting moderate severity, treatment should normally begin with either cyclophosphamide or mycophenolate mofetil, "considered equivalent based on recent high–quality studies, a meta–analysis, and expert opinion," according to the 24–person committee that authored the recommendations. The guideline was published online in Arthritis Care and Research with Bevra Hahn, MD, of the University of California Los Angeles, as lead author. It’s the first from ACR to address lupus nephritis specifically. (Source: Medpage Today)

For comments and archives

USPSTF says no to vitamin D, calcium for older women

Taking vitamin D and calcium supplements that provide no more than the usual recommended daily allowance does not help prevent bone fractures in older women and may actually cause harm, according to the U.S. Preventive Services Task Force. In a draft recommendation issued Tuesday, the USPSTF said there is no value for postmenopausal women in supplements up to 400 IU of vitamin D and 1,000 mg of calcium. However, the group took no position on higher doses of these nutrients for fracture prevention, saying "the current evidence is insufficient to assess the balance of the benefits and harms." The new draft recommendation on low–dose supplements for fracture and cancer prevention is open for public comment until July 10. (Source: Medpage Today)

For comments and archives

Vein grown from patient’s own stem cells successfully transplanted

The first vein grown from a patient’s own stem cells was successfully transplanted into a 10–year–old girl., The girl had a blockage in the vein that carries blood from the spleen and intestines to the liver. Doctors took a 9–centimeter segment of vein from a human donor and removed all living cells, the Swedish researchers wrote in a study in The Lancet. Using stem cells from the girl’s bone marrow, scientists grew millions of cells to cover the vein, a process that took about two weeks. The new blood vessel was then transplanted into the patient.

For comments and archives

The situation for doctors is same in India as in China
(Dr SK Verma, Consulting Ophthalmologist, New Delhi)

The condition of doctors in India is similar to that of China. We, doctors in India whether in primary, secondary or tertiary care practice, are facing endless torture and humiliation frequently. The doctors in India nowadays are reluctant to send their sons and daughters in the medical profession and most of them who entered in the medical profession repent their decision like Li Jie of China. The following are the two articles published in The Lancet online journal. The first article is the editorial and the second is a letter published in journal by Li Jie, a medical student of College of Medicine, Ningbo University, Ningbo, Zhejiang 315211, China. These two articles will fortify our strength and brotherhood in days to come to fight peacefully for our dignity and honour.

(1) Ending violence against doctors in China

China’s doctors are in crisis. In recent years, they have faced increasing threats to their personal safety at work. Doctors have been abused, injured, and even murdered by patients or relatives of patients in hospitals and clinics across the country. In a recent tragic case, described in a letter published online today in The Lancet, a male intern at the First Affiliated Hospital of Harbin Medical University was stabbed to death by a patient. Responding to this crisis, the Chinese Government announced last week that it is increasing police vigilance inside hospitals. People who disrupt the daily operation of hospitals, carry dangerous materials, or threaten medical staff will be held legally accountable, according to a joint statement by the Ministry of Health and the Ministry of Public Security. Although turning hospitals into high–security institutions may be a necessary step, it is a short–term solution to this disturbing and desperate situation. There are many possible reasons why Chinese doctors are under threat. These causes are systemic— poor investment in the health system and in training and paying doctors, which can lead to medical errors, corruption, and poor communication between health professionals and patients. Other factors are societal and include negative media reports about doctors, poor public understanding of medicine, unrealistic patient expectations about treatments, and catastrophic out–of–pocket health–care expenses for families. Whatever underlies the violence, the impact on medicine in China is of great concern. As Li Jie, a medical student at China’s Ningbo University, writes in his letter, the new generation of Chinese doctors feels lost: "they do not know whether to continue to study medicine or not, and how to face the complex and uneasy relationship with their patients."

Doctors in China were once revered, as they still are in many other Asian countries. China needs to make medicine an attractive, respected, rewarding, and safe profession again, to protect the doctors of today and those of tomorrow, for the benefit of patients. The first step should be a government inquiry to examine the causes of the violence and find ways to end it. (Courtesy: The Lancet May 12, 2012;379 (9828):1764, Editorial)

(2) New generation of Chinese doctors face crisis

Li Jie

In recent years, Chinese hospitals have seen numerous violent incidents perpetrated by patients on medical staff. On March 23, an intern of the First Affiliated Hospital of Harbin Medical University, Wang Hao, was killed by an angry patient wielding a fruit knife. Many doctors and medical students in China have expressed their anger, and have been spontaneously to the hospital to pay their respects.
The deteriorating relationship between doctors and patients has turned medical practice in China into a high–risk job. It has also begun to affect the next generation of doctors. As a Chinese medical student, I regret very much having chosen to study medicine. I find many students around me are not really willing to study medicine, but have been forced to by their parents. In our parents’ era, medicine was an admired and respected career. But according to the Chinese Medical Doctors’ Association, the proportion of doctors who hoped that their own children would enter the medical profession has decreased, from 11% in 2002 to 7% in 2011. Hence the new generation of Chinese doctors feels lost; they do not know whether to continue to study medicine or not, and how to face the complex and uneasy relationship with their patients. I declare that I have no conflicts of interest.

(Courtesy: The Lancet 2012 May 19;379(9829):1878, published online on 11 May 2012)

  Twitter of the Day

@DrKKAggarwal: To Err Is Human http://blog.kkaggarwal.com/2012/06/07/to–err–is–human/

@DeepakChopra: Consciousness, creativity, orderliness, wholeness, and evolution are inherent in the cosmos and within us.

    Spiritual Update

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

We are a nation of addicts because "we have lost ecstasy"

The dictionary meaning of ecstasy is "a state of being carried away by overwhelming emotion" or "a state of elated bliss". Charles Dickens called it as "listening to sweet music in a perfect rapture".

The word ‘ecstasy’ comes from the Greek word ectosis or ekstasis, which means, ‘to step outside, of the world of space, time, form and phenomenon into the experience of unboundedness, into a world that is

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)

Can ICSI affect a baby’s development?

If a woman gets pregnant naturally, there is a 1.5% to 3% chance that the baby would have a major birth defect. The chances of birth defects after ICSI are rare. Certain conditions that have been associated with the use of ICSI (Beckwith–Wiedemann syndrome, Angelman syndrome, hypospadias, or sex chromosome abnormalities) are thought to occur in far less than 1% of children conceived using this technique.

For comments and archives

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

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

Size of the lumen

Needles or catheters used for blood transfusion should be large enough to allow appropriate flow rates, but not so large that they damage the vein. An 18–gauge needle provides good flow rates for cellular components without excessive discomfort to the patient, but patients with small veins require much smaller needles. Thin–walled, 23–gauge needles may be used for transfusions to pediatric patients or adults whose larger veins are inaccessible.

High pressure flow through needles or catheters with a small lumen may damage red cells, unless the transfusion component is sufficiently diluted. Undiluted preparations of red cells flow very slowly through a 23–gauge needle, but dilution with a saline to increase the flow rate may cause unwanted volume expansion. If the slow flow will make the infusion process unacceptably long, it may be desirable to separate the unit into aliquots, and keep part of it under refrigeration in the blood bank while the first portion is transfused.

For comments and archives

    An Inspirational Story

(Ms Ritu Sinha)

God’s coffee

A group of alumni, highly established in their careers, got together to visit their old university professor. Conversation soon turned into complaints about stress in work and life.

Offering his guests coffee, the professor went to the kitchen and returned with a large pot of coffee and an assortment of cups – porcelain, plastic, glass, crystal, some plain looking, some expensive, some exquisite – telling them to help themselves to the coffee. When all the students had a cup of coffee in hand, the professor said: "If you noticed, all the nice looking expensive cups were taken up, leaving behind the plain and cheap ones. While it is normal for you to want only the best for yourselves, that is the source of your problems and stress.

Be assured that the cup itself adds no quality to the coffee. In most cases it is just more expensive and in some cases even hides what we drink. What all of you really wanted was coffee, not the cup, but you consciously went for the best cups… And then you began eyeing each other’s cups. Now consider this: Life is the coffee; the jobs, money and position in society are the cups. They are just tools to hold and contain Life, and the type of cup we have does not define, nor change the quality of Life we live.

Sometimes, by concentrating only on the cup, we fail to enjoy the coffee God has provided us." God brews the coffee, not the cups…………… Enjoy your coffee!

For comments and archives

  Cardiology eMedinewS

FDA panel endorses wider use of Sapien valve Read More

Short sleep may signal stroke risk Read More

  Pediatric eMedinewS

Fetal DNA screening may offer alternative to invasive tests Read More

Active kids say quality of life is better Read More

    IJCP Special

Dr Good Dr Bad

Situation: A patient vomited 15 minutes after taking 4 tablets of chloroquine.
Dr. Bad: Take chloroquine again.
Dr. Good: There is no need to repeat chloroquine.
Lesson: Chloroquine is absorbed within 15 minutes.

Make Sure

Situation: A patient with second episode of blood in urine was found to have bladder cancer.
Reaction: Oh my God! Why was cancer not suspected at the time of the first episode?
Lesson: Make sure that one treats all patients with painless blood in the urine as cancer bladder unless proved otherwise.

For comments and archives

    Health News Bulletin

FMCG companies like ITC, HUL, Nestle and pharmaceutical stocks losing favour

The Economic Times

Mumbai: Shares of fast moving consumer goods and pharmaceutical companies are losing favour among investors, who reckon stock upsides in recent months have made them expensively valued. Fund managers are cutting or limiting exposure to these shares as they feel there is very little scope for further gains in many of them despite steady earnings prospects. Among consumer goods, Hindustan Unilever is trading 26 times 2012–13 estimated earnings. ITC is trading at 22 times, while Nestle commands the highest valuation of 30 times 2012–13 earnings. "Even on 2013–14 estimates, the valuations look expensive and have a large premium over Nifty. We have gradually started trimming positions in these stocks," said Saibal Ghosh, chief investment officer of Aegon Religare Life Insurance. Investors have stocked up on shares of consumer goods and pharma companies, the so–called defensives, because in uncertain conditions their earnings are known to be relatively steady irrespective of the economic vagaries. These stocks are usually investors’ top picks when earnings uncertainty is the highest such as the current situations. "Some stocks among both FMCG and pharmaceuticals are ridiculously expensive. We like the earnings growth story of the sector but the valuations are such that we have become selective," said Anand Shah, chief investment officer of BNP Paribas Mutual Fund.

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  Quote of the Day

(Dr GM Singh)

Life was so much simpler when apple and blackberry were just fruits.

    Lab Update

(Dr Navin Dang and Dr Arpan Gandhi)

First Trimester Screen

Pregnancy–associated plasma protein–A (PAPP–A): To assess the risk of the fetus carrying a chromosomal abnormality such as Down syndrome (trisomy 21) or Edward’s syndrome (trisomy 18)

The first trimester screen is not used as commonly as the triple/quad screen that is offered in the second trimester.

    Legal Column

(Dr. Harkanwaljit Singh Saini)

Doctors harassed in name of ban on sex determination cases: HC

Mumbai, Wed Jun 13 2012, 11:14 hrs: Observing that doctors are harassed by authorities on pretext of not following norms laid down for imposing ban on sex determination tests, the Bombay High Court has quashed a complaint in a lower court against a doctor couple in Beed district of Maharashtra. The court noted that Additional Director Health Service and appropriate authority of the state government has already pointed out that in some cases even if flimsy mistakes were committed by doctors, the local authorities are sealing machines and prosecuting them.

"It is also recognised that this kind of action amounts to harassment of medical practitioners," said Justice A V Nirgude while allowing a petition filed by the doctor couple. "In my earlier orders I have very specifically opined that since the provisions of this Act are very strict, the appropriate authority before taking action against the medical practitioner must act meticulously," the judge said.

Dr Alka Gite and Dr Anant Gite, who were running a clinic at Parli Vaijnath in Beed, were charged with offences under Sections 23(1), 25 and 29 of Pre–Conception and Pre–Natal Diagnostic Techniques (Prohibition of Sex Selection) Act. On June 16, 2011, the appropriate authority of Parli Vaijnath, appointed under the provisions of the Act, visited the clinic, inspected the record and found that the doctors had not filled up Form ‘F’ of the patients which is mandatory. A panchnama was recorded, "incomplete" forms ‘F’ were seized and two sonography machines installed at the clinic were sealed. A notice was also sent to the doctors to show cause why action should not be taken against them.

The petitioners replied that they had completely filled up form ‘F’ of the patients and had not contravened any provision under the Act. The authorities then filed a complaint before Judicial Magistrate First Class, who is now recording evidence before framing charge.

The doctor couple had challenged the legality of action mainly on the ground that the allegation made against them was completely false. The only allegation made against them was that they had not filled up forms ‘F’ completely of certain patients who were subjected to ultrasound sonography.

In order to verify the correctness of this allegation, the court perused the forms and found that the forms are completely filled up. Only items which were left untouched by the doctors were item No 9 and 13 of Form F. The court noted that item 9 required information regarding history of genetic or medical disease in the family of the patient. In no such form in question this information was filled up.

Normally, a patient is referred for sonography test to examine the health of the foetus. In this background if the information regarding patient’s genetic disease in the family is not mentioned in item 9, it clearly indicates that there was no genetic medical disease in the family of the patient, the judge noted.

"If the form is otherwise completely filled up, the applicants would not have left this item incomplete. The non–filling of this item thus is not contravention. It is not even lapse or inadvertence," observed Justice Nirgude.

Item 13 is clearly made applicable wherever laboratory test is recommended. The asterisk mark on the word ‘recommended’ clearly suggests that this item has to be filled up by a laboratory and not by ultrasound clinic. Thus, the allegation that these two items were left incomplete by the applicants, would not attract contravention of Sections 5 or 6 of the Act, the Judge noted.

  Eye Exercises

(Dr GM Singh)

Eye care is a much–debated subject with many techniques being introduced or re–introduced quite frequently. The following is a simplistic version of the exercises, many of which can be practiced at home or work.

  1. Keep blinking frequently and look up and look far. This relaxes the ciliary muscles, which adjust the eye lens.
  2. Make sure that your television, monitor, or book does not produce a glare.
  3. Ultraviolet rays prematurely age your eyes. Make sure you wear your sunglasses when going outdoors.
  4. Cigarette ash and automobile pollution irritates your eyes and reddens it. Do not wear contact lenses in such places.
  5. Try cupping your palms around your eyes, gently without allowing any light for 10 minutes, three times a day.
  6. If your eyes feel tired, go to a basin, cup your palms with cool water and splash them on your eyes. It provides instant relief.
  7. Or, take couple of ice cubes, cover them in a cotton cloth and place it on your eyes. Relax. Let it be for 10–15 minutes.
  8. Raise your shoulders in a circular motion do it for a couple of minutes. Likewise, rotate your head. Start with the chin down, raise it to your left shoulder, swing your head back, the other shoulder and lower it. Do it the other way round too. This is good to boost circulation around the eye muscles.
    Mind Teaser

Read this…………………

Nurse Jon assesses vital signs on a client undergone epidural anesthesia. Which of the following would the nurse assess next?

a. Headache
b. Bladder distension
c. Dizziness
d. Ability to move legs

Yesterday’s Mind Teaser: Among the following clients, which among them is high risk for potential hazards from the surgical experience?

a. 67–year–old client
b. 49–year–old client
c. 33–year–old client
d. 15–year–old client

Answer for Yesterday’s Mind Teaser: a. 67–year–old client

Correct answers received from: Dr KV Sarma, Yogindra Vasavada, pankaj bhandari, Dr Sushma Chawla, Dr Kanta Jain, Dr PC Das, Dr Chandresh Jardosh, Raju Kuppusamy, Muthumperumal Thirumalpillai, Dr Jainendra Upadhyay, Dr Thakor Hitendrsinh G, Dr Avtar Krishan, Anil Bairaria, Dr PC Das.

Answer for 14th June Mind Teaser: c. A client with glaucoma
Correct answers received from: Anil Bairaria.

Send your answer to ijcp12@gmail.com

    Laugh a While

(Dr GM Singh)

Doctor’s guarantee

"The doctor said he would have me on my feet in two weeks."

"Was he successful?"

"Yup, I had to sell my car to pay his bill."

    Medicolegal Update

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

Resuscitation injuries in postmortem

Soft tissues injuries, nail marks, various contusions, rib fractures are common in both adults and children who have undergone cardiopulmonary resuscitation (CPR); however, potentially life–threatening injuries are rare.

  • The doctors performing the resuscitation go through a very exhaustive cycle of CPR and generally forget to put a note after resuscitation particularly if resuscitation is followed by death. Hence, a format with resuscitation details should be kept attached to clinical sheet by the doctors to
  • The pre-arrest history in a resuscitated adult often assists the doctor conducting the autopsy to interpret findings related with resuscitation.
  • In the cases of an infant or child, there may not be a reliable history. In this situation, it may be difficult if not impossible to distinguish resuscitation injuries from pre–existing accidental or inflicted trauma. It has been seen in some cases that had significant autopsy–documented injuries initially attributed to abuse like contusions and nail marks produced during resuscitation.
  • The State filed murder charges against the caretaker in each case. However, further history and review of the medical records suggested that resuscitation rather than pre–arrest trauma caused almost all of the injuries.
  • The State dismissed the charges in the first case. A western jury returned a "not guilty" verdict in the second.
  • It is essential to consider the entire history and not just autopsy findings during a death investigation by forensic doctor or any legal agency.

For comments and archives

    Public Forum

Public Forum (Press Release for use by the newspapers)

June 17 is Father’s Day

Choose to become a father before you are 40

Men should think about becoming fathers much before 40 years in order to minimize the effects of age on fertility and outcomes of pregnancy. The ideal age to become a father is between 25–35 years, said Padma Shri & Dr. B.C. Roy National Awardee, Dr. KK Aggarwal and President Heart Care Foundation of India.

The age of sperm donors as per recommendations should be less than 40 years of age. Beyond this age, the sperm quality is reduced considerably and this may adversely affect fertility and pregnancy outcomes. Researchers from the French National Institute for Medical Research has reported that miscarriages rates were higher in women whose partners were older than 40 years when compared to women whose partners are young men. This risk doubled when their partners were 45 years of age.

Older fathers are more likely to have a child with schizophrenia, heart defects, cleft lip, Down syndrome or a child being born autistic are higher if the age of the father is more than 40.

In women, pregnancy after 35 years of age is generally regarded as high risk with greater chances of birth defects and miscarriages. But, according to the researchers, the age of the male should also be taken into consideration by gynecologists.

    Readers Response
  1. Dear Dr KK Aggarwal, I fully agree with Dr Niraj that more often in Tamil movies the electroconvulsive therapy is shown as a punishment and it also portrays that the person will become paralytic after the procedure. The other glaring mistake is about blood transfusion. Blood is shown to be transfused from the hero to heroine just like that. Dr R Mani, Chennai.
    Forthcoming Events
Dr K K Aggarwal

Dr K K Aggarwal


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

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)

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