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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 & Dean Medical Education Moolchand Medcity; Chairman Ethical Committee Delhi Medical Council; Chairman (Delhi Chapter) International Medical Sciences Academy; National Vice President Elect Elect, Indian Medical Association; 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 & Hony. Visiting Professor (Clinical Research) DIPSAR

For updates follow at www.twitter.com/DrKKAggarwal     www.facebook.com/Dr KKAggarwal

    Health Videos…
Nobility of medical profession Video 1 to 9 Health and Religion Video 1 to 7
DD Take Care Holistically Video 1 to 9 Chat with Dr KK On life Style Disorders
Health Update Video 1 to 15 Science and Spirituality
Obesity to Towards all Pathy Consensus ALLOVEDA: A Dialogue with Dr KK Aggarwal
  Editorial…

4th January 2013, Friday

Govt to crack down on pharma-doctor nexus

  • The National Development Council (NDC), led by Prime Minister Manmohan Singh, will meet on December 27 to discuss bringing a legislation requiring drug companies to mandatorily disclose payments made to doctors for research, consulting, lectures, travel and entertainment.
  • Doctors involved in ghost writing to promote pharma products will also be disqualified.
  • Mandated disclosure by pharmaceutical companies of the expenditure incurred on drug promotion, and penalty on the company and vetting of drug related material in continuing medical education would be considered.
  • The government will also make compulsory the use of generic names or the International Non-proprietary Name (INN), instead of brand names, at all stages of government procurement, distribution, prescription and use.
  • MCI received 702 such complaints in 2011-12 of which 343 were referred to state medical councils. In 2010-11, MCI received 824 such complaints following which it cancelled the registration of 10 doctors and warned four others.
  • Pharma industry spent more than 25% of its annual turnover on sales promotion alone as compared to a paltry 7% on research and development in 2008-09.
  • India plans to soon introduce the 'Uniform Code of Pharmaceutical Marketing Practices' after which the word "safe" cannot be used on a drug without qualification and it must be stated categorically that a medicine has no side-effects, toxic hazards or risk of addiction.
  • The code says, "No gifts, pecuniary advantages or benefits in kind may be supplied, offered or promised to persons qualified to prescribe or supply by a pharmaceutical company. Gifts for the personal benefit of healthcare professionals (such as tickets to entertainment events) also are not be offered or provided. Companies must not organize meetings to coincide with sporting, entertainment or other leisure events. Venues that are renowned for their entertainment must not be used."
  • Any hospitality offered to healthcare professionals must not be extended to spouses.
  • Funding of healthcare professionals to compensate them for the time spent in attending the event is not permitted. [Source TOI]

For More editorials…

Dr KK Aggarwal
Group Editor in Chief

Register for 4th eMedinewS–revisiting 2012 conference

    Constipation Update

Recurrent abdominal pain or discomfort at least 3 days per month in the last 3 months associated with 2 or more of the following:

  • Improvement with defecation
  • Onset associated with a change in frequency of stool
  • Onset associated with a change in form (appearance) of stool
 
Dr K K Aggarwal
  eMedinewS Audio PostCard

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

Uric acid and endothelial dysfunction

Audio PostCard
    Photo Feature (From HCFI Photo Gallery)

A seminar on ‘Psyche Behind Rape: Treatment-cum-punishment’ was organized by Indian Medical Association (IMA) on 3rd January 2013

 
Dr K K Aggarwal
    National News

Dear Colleague, Let’s celebrate New Year by learning CPR-10 and saving the life of a person

Watch English or Hindi Video @http://emedinews.in/videos/cpr/index.html

Dr K K Aggarwal

DMA Elections Announced

  • IMA has sent a letter to DMA regarding the non-receipt of HFC of life and annual members of DMA for the year 2008-09, 2009-10, and 2010-11. DMA President constituted a committee for the same. [Source DMA Executive meeting]
  • A Sr Advocate high court (HLT) sent a bill of Rs 40 lakh to DMA regarding his outstanding legal fees. DMA has already paid him Rs. 15 lakhs. [Source DMA Executive meeting]
  • Delhi Medicare Service Personnel and Medicare Service Institutions (Prevention of Violence and Damage to Property) Act 2008 has been duly notified in Delhi and it has provisions of non-bailable offences.
  • For the next election being held on 10th Feb Sunday DMA has started the election process. The Chairman Election commission will be Dr Hans Raj Baweja. [Source DMA Executive meeting]
  • The main candidates for the president are Dr Anil Goel (Karma Group) and Dr Ramesh Datta (fighting for the second term).

Medical Council of India – Public Notice

It is for the information of general public that certain mischievous elements are contacting the public for redressal of their complaints/problems in connection with the admissions of students into medical course etc. on behalf of vigilance cell, Medical Council of India, New Delhi (MCI). An email id from which such mails are being sent is ‘complaintmci@gmail.com’. Sh. Sunil Batra, GF-7, Antariksh Bhavan, Connaught Place, New Delhi (Ph. 09871650364) is reportedly sending these emails.

All are hereby informed that no person by the name of ‘Sunil Batra’ and email id ‘complaintmci@gmail.com’ are associated with the Medical Council of India. Public is advised not to have any dealings with aforesaid Sh. Sunil Batra and/or ‘complaintmci@gmail.com or any other person using the name of medical council of India (MCI) unauthorisedly. MCI will not be responsible for any such dealings.

For authentic information, please visit MCI website at ‘www. mciindia.org’ A.K. Harit

Deputy Secretary (Admn.) Medical Council of India 27th December

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

 
    Valvular Heart Disease Update

Congenital left ventricular outflow lesions can occur at valvular, subvalvular and supravalvular levels. The most common lesion is bicuspid aortic valve.

(Experts: Dr Ganesh K Mani, Dr Yugal Mishra, Dr Deepak Khurana, Dr Rajesh Kaushish, Dr K S Rathor, Dr Sandeep Singh and Dr KK Aggarwal)

 
    International News

(Contributed by Dr Monica and Brahm Vasudev)

Study shatters myth about western nations as safe haven for healthcare

NEW DELHI: This could come as a serious warning for the age-old Indian obsession with flying to the west for better healthcare. A first-of-its-kind Johns Hopkins study on patients' safety estimates that a surgeon in the United States leaves a foreign object such as a sponge or a towel inside a patient's body after an operation 39 times a week. The researchers estimate that 4,044 surgical blunders occur in the United States each year. The study that has shattered the image of Western countries being a better and safer haven for medical care also found that surgeons in the US performs the wrong procedure on a patient 20 times a week and operates on the wrong body site 20 times a week. The researchers have reported in the medical journal Surgery that they estimate that 80,000 of these so-called "never events" occurred in American hospitals between 1990 and 2010. (Source: TOI, Dec 30, 2012)

Sirturo approved for MDR-TB

The FDA has approved bedaquiline (Sirturo) for treatment of multidrug-resistant tuberculosis as part of combination therapy, the agency announced Monday. (Source: Medpage Today)

Sharp rise in admissions from benzo/pain med combinations

Admissions to substance abuse treatment programs by patients using a combination of benzodiazepines (benzos) and pain relievers have risen drastically over the past decade, according to a new report from the Substance Abuse and Mental Health Services Administration (SAMHSA). (Source: Medscape)

Cancer onset at an older age can incur familial risk

A familial risk for some cancers exists, even if the diagnosis is made when a parent is very old, according to a new study published online in BMJ. The authors found that the greatest familial risk was for offspring whose parents were diagnosed with cancer at an early age. But they observed that familial risks were significantly increased even when parents were diagnosed much later in life, such as between the ages of 70 and 79 years, or even 80 to 89 years, for many cancers, including the following: colorectal, lung, breast, prostate, urinary bladder, melanoma, skin squamous cell carcinoma, and non-Hodgkin's lymphoma. (Source: Medscape)

Aging is easier with endurance exercise

Endurance training such as that done for track competitions may protect against the effects of aging in older individuals, a study of telomeres -- the caps on chromosomes that include repetitive, noncoding DNA sequences -- suggested. (Source: Medpage Today)

 
   Twitter of the Day

@DrKKAggarwal: Case against result of IMA elections dismissed and withdrawn.

@DeepakChopra: For at least twenty years a mounting chorus of lament has risen over the selling of American democracy. http://tinyurl.com/cqy7ehm

 
    Spiritual Update

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

Mugging (Ratta Marna) Is Not Good

The movie 3 Idiots showed this to the public and we can all recall what difference it makes when Chamatkar is replaced by Balatkar. The basic message that mugging is not good comes from Hindu mythology where Goddess Saraswati is shown carrying a Veena in her two hands, a small Vedic book in other hand and a small rosary in another hand.

For comments and archives

 
    Infertility Update (Dr Kaberi Banerjee, IVF expert, New Delhi)

Which medical therapy is used for infertility?

Medical therapy is effective for relieving pain associated with endometriosis; there is no evidence that medical treatment of endometriosis by birth control pills, progestins, GnRH analogs, or danazol improve fertility. Furthermore, surgery combined with medical therapy has not been shown to enhance fertility. These treatments are effective in reducing pelvic pain and painful intercourse associated with endometriosis. Therefore, hormonal suppression may improve comfort and sexual activity in infertile women with endometriosis and pelvic pain, thereby improving fertility after the completion of the treatment.

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

(Dr. Neelam Mohan, Director, Dept. of Pediatric Gastroenterology, Hepatology & Liver Transplantation, Medanta – The Medicity Hospital, Gurgaon)

What is the minimum size of liver required for the recipient?

The recipient needs at least a liver volume of 0.7-0.8% of his body weight.

For comments and archives

 
   An Inspirational Story

The fat lady

Hi! How are you?” The woman smiled as she took the seat beside me. She had to lower herself slowly, squeezing her ample bottom into the seat, filling all available space. Positioning herself comfortably, she plopped her enormous arm on our common armrest. Her immensity saturated the space around us, shrinking me and my seat into insignificance.

I cringed and reclined towards the window. She leaned towards me and repeated her greeting in an upbeat, friendly voice. Her face towered above my head, forcing me to turn to look at her. “Hi,” I replied with obvious loathing. I turned away to stare out the cabin window, sulking silently about the long hours of discomfort I was going to experience with this monster beside me.

She nudged me with her meaty arm. “My name is Laura. I’m from Britain. How about you? Japan?” “Malaysia,” I barked.

“I’m so sorry! Will you accept my heartfelt apology? Come, shake my hand. If we’re going to spend six hours side-by-side on this flight, we’d better be friends, don’t you think?” A palm waved in front of my face. I shook the hand reluctantly, still silent. Laura started a conversation with me, taking no notice of my unfriendly reactions. She talked excitedly about herself and her trip to Hong Kong to see her friends. She rattled off a list of things she was going to buy for her students in the boarding school where she was teaching.

I gave her one-word answers to her questions about me. Unperturbed by my coldness, she nodded as she made appreciative comments to my answers. Her voice was warm and caring. She was considerate and obliging when we were served drinks and meals, making sure that I had room to maneuver in my seat. “I don’t want to clobber you with my elephant size!” she said with utmost sincerity.

To my surprise, her face which repulsed me hours before now opened into extraordinary smiles, lively and calm at the same time. I couldn’t help but let down my guard slowly.

Laura was an interesting conversationalist. She was well read in many subjects from philosophy to science. She turned a seemingly unimportant subject into something to explore and understand. Her comments were humorous and inspirational. When our topic turned to cultures, I was pleasantly surprised by her intelligent comments and well-thought-out analysis.

During our conversation, Laura managed to make every cabin crew who served us walk away laughing at her jokes. When a flight attendant was clearing our plates, Laura cracked several jokes about her size. The flight attendant roared with laughter as she grabbed Laura’s hand, “You really make my day!”

For the next few minutes, Laura listened attentively and gave pointers to the flight attendant’s weight problem. The grateful attendant said before she rushed off, “I’ve got to work. I’ll come back later and talk to you about it.” I asked Laura, “‘have you ever thought about losing some weight?”

“No. I’ve worked hard to get this way. Why would I want to give it up?” “You aren’t worried about cardiovascular diseases that come with being overweight?”

“Not at all. You only get the diseases if you’re worried about your weight all the time. You see advertisements from slimming centres that say, ‘Liberate yourself from your extra baggage so that you are free to be yourself.’ It’s rubbish! You’re liberated only if you’re comfortable about who you are, and what you look like any time of the day and anytime of the year! Why would I want to waste my time on slimming regimes when I have so many other important things to do and so many people to be friends with? I eat healthily and walk regularly; I’m this size because I am born to be big! There is more to life than worrying about weight all day long.”

She sipped at her wine. “Besides, God gives me so much happiness that I need a bigger body to hold all of it! Why would I lose weight to lose my happiness?” Taken aback by her reasoning, I chuckled.

Laura continued. “Folks often see me as a fat lady with big bosoms, big thighs and a big bottom that no man would even bother to cast a glance at. They see me as a slob. They think I’m lazy and have no willpower. They’re wrong.” She held up her glass to a passing flight attendant. “More of this magnificent wine please.” She smiled sweetly at the attendant. “Great service from your crew. May God bless all of you.”

She turned to me, “I’m actually a slim person inside. I’m so full of energy that people won’t be able to keep up with me. This extra flesh is here to slow me down; otherwise I’ll be running everywhere chasing after men!” “Do men chase after you?” I asked jokingly. “Of course they do. I’m happily married but men still keep proposing to me.

“Most of them have relationship problems and they need someone to confide in. For some reason, they like to talk to me. I think I should have been a counselor instead of a school teacher!”

Laura paused before she said thoughtfully, “You know, the relationship between men and women is so complicated. Women worship men and call them, ‘Honey’ until they find out they have been lied to, and then they turn into bitter gourds! Men love women so much that they see them as their soul mates until they look at their credit card bills, and then women become devils with tridents!”

Laura’s enthralling conversation had turned the flight into something thoroughly enjoyable. I was also fascinated by the way people were drawn to her. By the end of the flight, almost half the cabin crew was standing near the aisle by us, laughing and joking with Laura. The passengers around us joined in the merry-making too. Laura was the centre of attention, filling the cabin with delightful warmth.

When we waved goodbye to each other at the arrival lounge at Hong Kong’s Kai Tak Airport, I watched her walking towards a big group of adoring adults and kids. Cheers sounded as the group hugged and kissed Laura. She turned around and winked at me.

I was stunned, as the realization set in: Laura was the most beautiful woman I had ever met in my life.

For comments and archives

 
   Cardiology eMedinewS

Apixaban wins long-awaited nod from FDA Read More

Antioxidants may slow age-related macular degeneration Read More

 
   Pediatric eMedinewS

17-year-old raped by two in Delhi on December 31st night: how to avoid being drugged Read More

 
    IJCP Special

Dr Good Dr Bad

Situation: A patient with diastolic dysfunction of the heart was advised omega–3 supplements.
Dr. Bad: Take them for six months.
Dr. Good: There is no data to suggest that it improves diastolic function.
Lesson: A study presented at the Experimental Biology 2012 Meeting has shown that omega 3 supplements do not reverse diastolic dysfunction.

Make Sure

Situation: A patient with suspected pneumonia and normal x–ray died 12 hours after admission.
Reaction: Oh my God! Why were antibiotics not started?
Lesson: Make sure that all patients with suspected pneumonia are given antibiotic at the first suspicion as x–ray can be normal in the first 24 hours.

 
    Legal Question of the Day (M C Gupta)

A patient died within 1-2 days of laparotomy. Autopsy revealed the presence of gauge piece / surgical instrument in the abdomen. The autopsy report stated that death occurred because of complications from the foreign objects left behind. Did the patient die of medical negligence?

Q. I am an FMT specialist. I think that if a person dies a day or two after abdominal surgery, and the autopsy reveals pieces of gauze or cotton or a small instrument in the abdomen, the autopsy surgeon can write as follows in the autopsy form column titled OPINION AS TO THE CAUSE OF DEATH – “the deceased died due to complications of surgical operation from the foreign objects left in the abdomen”. This is a case of res ipsa loquitur. What are your comments?

Ans.

  1. The autopsy surgeon must realize that the judges, who are laymen as regards medical matters, tend to rely heavily on what is written in the column “Cause of death”. Hence opinion as to the cause of death must be given very carefully. If no clear cause of death is discernible, he should not hesitate to write—“The gross post mortem examination does not reveal any clear cause of death. Information from the FSL and the report of histopathological examination, when received, may be helpful”.
  2. In the present case, it would be wrong to state--“the deceased died due to complications of surgical operation from the foreign objects left in the abdomen”. Just because a foreign body is found on autopsy, it cannot be assumed that this was the cause of death. It is very unlikely that severe septicaemia would occur within 24-48 hours of the foreign body being left behind. An instrument left behind may be detected by chance years after the surgery. The surgical objects left behind are usually sterile.
  3. This patient could have died of other reasons, such as a heart attack or a wrong drug administration or simply an unknown cause. The presence of the foreign body may have nothing to do with his death. Treating this case as a case of res ipsa loquitur for pronouncing that the death occurred because of the negligence of the surgeon.
  4. It needs to be realized that the act of leaving an object in the abdominal cavity may be an act of negligence but in order for this act of negligence to be punishable for the alleged outcome, there must be a direct nexus between the alleged act and the alleged outcome. The alleged outcome here is death. As explained earlier, death in this case does not appear to be related to leaving behind a foreign object.

For comments and archives

 
  Quote of the Day (Dr GM Singh)

If you tell the truth you don't have to remember anything. Mark Twain

 
    Mind Teaser

Read this…………………

Clara, a burn client, receives a temporary heterograft (pig skin) on some of her burns. These grafts will:

A. Debride necrotic epithelium
B. Be sutured in place for better adherence
C. Relieve pain and promote rapid epithelialization
D. Frequently be used concurrently with topical antimicrobials.

Yesterday’s Mind Teaser: Mr. Valdez has undergone surgical repair of his inguinal hernia. Discharge teaching should include

A. Telling him to avoid heavy lifting for 4 to 6 weeks
B. Instructing him to have a soft bland diet for two weeks
C. Telling him to resume his previous daily activities without limitations
D. Recommending him to drink eight glasses of water daily

Answer for yesterday’s Mind Teaser: A. Telling him to avoid heavy lifting for 4 to 6 weeks

Correct answers received from: Rajiv Kohli, Dr. P. C. Das, Dr.K.V.Sarma, Dr.Suresh Arora, Dr. Bharat Bhushan Aggarwal, Dr.(Maj. Gen.) Anil Bairaria, DR ARPAN GANDHI, Dr Pankaj Agarwal, Dr. Thakor Hitendrsinh G, Dr Jainendra Upadhyay, Dr Chandresh Jardosh, Dr Avtar Krishan, drjella, DR KANTA JAIN, Dr B K Agarwal,

Answer for 2nd January Mind Teaser: C. Right lower quadrant

Correct answers received from:Dr.(Maj. Gen.) Anil Bairaria, Dr Chandresh Jardosh, Dr. RAGHAVENDRA JAYESH, Dr Shamsher Singh, Dr Jainendra Upadhyay, Dr Avtar Krishan, Dr. Vishal D Wahane

Send your answer to ijcp12@gmail.com

 
    Laugh a While (Dr GM Singh)

Funny meanings...

Experience: The name men give to their mistakes.

 
    Medicolegal Update

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

Immediate first aid may stop serious poisoning and may save life

If breathing and the heart stop, the person will die within a few minutes unless first aid is administered at once. Here is an action list. Start with the first step and follow each step in the order given. Act as quickly as you can, but stay calm.

  • Check if the patient is conscious. Try to keep the patient awake. Shout "Are you all right?" and gently shake the shoulders, but take care not to make any injuries worse. Pinch the skin on the neck and watch the face. A patient who is just sleeping will wake up, but an unconscious patient will not.
  • Open the airway. The airway is the tube through which air passes from the mouth and nose to the lungs. If it is blocked the patient cannot breathe and air cannot get into or out of the lungs. A patient who cannot breathe will die within 4 minutes. In an unconscious patient, the tongue may block the throat and the airway.
  • Make sure the airway is open and air can get down the throat. Place the patient on his/her back. Tilt the head back and lift the chin up with the finger and thumb of one hand on the bony part of the chin, while pressing the forehead back with the other hand. This will open the airway and stop the tongue blocking the throat.
  • Check whether the patient is breathing after opening the airway; quickly check whether the patient is breathing. Look for the belly or the chest moving up and down. Feel the chest moving up and down. Feel the patient’s breathe on your cheek. Listen for breath sounds. Put your ear close to the patient’s mouth. Use all four checks. Remember that the chest may move up and down even when the throat is completely blocked and air cannot get to the lungs.

For comments and archives

 
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    Public Forum

(Press Release for use by the newspapers)

Both the rapist and the rape victim should be checked for possible transmission of diseases

Inaugurating the seminar on ‘Psyche Behind Rape: Treatment-cum-punishment’, Dr. K Vijaykumar, National President, IMA said that on one hand, IMA supports stringent punishment to the rape accused, on the other hand, IMA is for providing correct sex-education in the school at the right age and also educating the society, especially, the youth so that they do not end up in psyche, which provokes rape in the society.

Addressing the seminar, Dr. Narender Saini, Secretary General, IMA said that the IMA will come out with guidelines on “How a medical doctor should tackle a patient with suspected rape?”

Moderating the session, Padma Shri & Dr. BC Roy National Awardee, Dr. KK Aggarwal, National Vice President (Elect.), IMA said that it is crucial for the doctor to examine both the rapist and the rape victim for HIV-AIDS, Hepatitis B and Hepatitis C, all which can be transmitted through sexual route. The rape victim as well as of the accused should be checked for these infections at baseline, then again at 6 weeks to 3 months. Post exposure HIV prophylaxis should be given to all rape victims.

The other faculty in the seminar included Dr Vinay Aggarwal Past President IMA; Dr. D.R. Rai, Senior Vice President, IMA; Mr. Ajay Kumar, Aaj Tak; Dr. S K Pal and Dr Anil Goel (Andrologists); Ms Indu Malhotra (Senior Advocate); Dr. BB Rewari (NACO); Dr. Jitender Nagpal (Psychiatrist); Dr Anita Kant (Gynecologist); Dr. Ajay Gambhir (Pediatric and Finance Secretary, IMA), Ms Kalpana Kapoor (Educationist) and Dr Sarvesh Tandon (Finance Secretary IMA East Delhi Branch).

Following were the salient points of the seminar:

  • Right sex education should be started in school age. IMA will come out with suggestions regarding curriculum.
  • All doctors dealing with rape victims should ensure total confidentiality of the victim and examine them properly.
  • All rapists are also brought to medical doctors for examination which includes tests for their sexual potency. They should also be checked for presence of sexually transmitted diseases.
  • There has a suggestion from the Government that chemical castration can be one of the punishments to the rapist. The same cannot be done without involving the medical fraternity. The oral tablet for chemical castration given daily cannot be the punishment for rapist. One can only give injections which reduce testosterone levels but the same injection has to be given every 3-6 months and the effects are reversible.
  • Chemical castration injections are not safe and health-friendly. In the long run, they can cause thinning of bones and cardiovascular diseases.
  • Chemical castration injections will also promote corruption since influential people will force or bribe the police and the doctors to give a water injection and write anti-testosterone injection has been given.
  • A paraphiliac rapist has been differentiated from a non-paraphiliac rapist.
  • Sexual contact with a girl who is less than 16 years of age is a rape even if the sexual contact is with mutual consent.
  • The percentage of rapes is not reported. Majority of the rapes are reported from JJ Cluster areas.
  • False allegations may be made in the following situations:
    o Consensual live-in relationship where one refused to marry.
    o One is caught in an extramarital affair.
    o As a part of revenge
    o Under the influence of alcohol and drugs
    o In an atmosphere of pornographic movie
    o Date rapes and under the influence of date rape drugs
    o Presence of stepfather and stepbrother in the house.
    o Blackmailing a rich person after consensual relationship
    o Showing your supremacy of raping a girl in the society so that nobody speaks against the Dada. o To show off amongst your friends that you can do it and you did it.
    o Politically motivated
    o You plant a girl to somebody.
  • Examination of a rape victim
    o First and foremost make the woman/girl/child comfortable - she has been through physical and emotional trauma.
    o Take her to a room or corner with adequate privacy
    o A short recount of her trauma is necessary so that the doctor knows where all she has been violated.
    o All the surfaces - cheeks, ears, nose, breasts, arms, legs, thigh (inner parts), abdomen, locally the private parts, even anal opening should be examined for scratches, cuts, bite marks, blood, dried white patches etc.
    o Examine the hair over vulva for blood or white discharge
    o Check the hymen for fresh/ old injuries
    o Examine the clothes of the victim e.g. underclothes or other clothes depending on how the victim has been violated; they should be collected in transparent bags and sealed to be sent for lab examination
    o After that swabs are taken from vagina (and other areas if relevant) to be tested in lab for sperms, PSA, DNA testing. Sometimes, blood or hair of the rapist can be picked up for DNA matching.
    o Medical treatment of the victim requires prevention of the following:
    Pregnancy - give i-pill; Sexually transmitted diseases (STDs) - fungal vaginitis, syphilis, HIV prophylaxis; The wound, if any, need to be cleaned, stitched, antibiotics, tetanus toxoid etc. to be given.; Psychological support is very important; preliminary blood test for HIV after consent and counseling, and subsequent follow up test is necessary

Types of rapes

Rape generally encompasses nonconsensual vaginal, anal, or oral penetration that involves force or threat of force (physical or psychological), lack of consent, or inability to provide consent because of age, intoxication, or mental status. Rape is categorized according to the relationship between the perpetrator and the victim.

  • Stranger rape describes nonconsensual sexual penetration between individuals who do not know each other before the sexual act
  • Acquaintance rape describes nonconsensual sexual penetration between individuals who know each other in some capacity before the sexual act
  • Date rape is a subset of acquaintance rape in which nonconsensual sexual penetration occurs between two people who are in a romantic relationship. Date rape can occur when the victim is alert and rational or irrational, semiconscious, or unable to respond due to alcohol or other drug use. Verbal coercion, threats or use of physical force, or the use of alcohol or illicit drugs may occur as precipitating events.
  • Pendency of gang rape cases and rape cases in Delhi alone: No. of cases file in court last year 568.
S. No.
District
Gang Rape Cases
Rape Cases
Total
1
Central
4
51
55
2
North
8
26
34
3
West
14
105
119
4
New Delhi
-
5
5
5
South
11
106
117
6
South-East
18
107
125
7
East
13
62
75
8
North-East
15
137
152
9
North-West
23
131
154
10
Outer
23
79
102
11
South-West
21
75
96
 
Grand Total
150
884
1034
 
    Readers Response
  1. Respected Sir, I regularly read your Medical Newspaper. I am a great admirer of your creative work. A few months ago, a popular actor of Bollywood made a program Satyamev Jayate on Star Plus. In the program, he criticized doctors and I believe that because of that criticism you are interested in the Medical mistakes in movies. The actor won huge popularity because of the program as touching those sensitive issues was unexpected in Indian Film Industry. Indian Film Actors, with a few exceptions, typically promote junk foods, masala, smoking and drinking. The popular actor raised the issue of generic drugs and your Medico Legal expert, Dr M C Gupta has already supported him on the issue, as I read one of your newspapers. Today, at 7:30a.m., Prof K. Srinath Reddy, Ex HoD Cardiology, AIIMS was in discussion on DD National channel. He also fully supported the issue of selling generic drugs in the open market. In view of these supports, I believe that that the Bollywood Actor has done more good than harm to the society- at- large by this program. Please forget the mistakes for now and take the criticism in a positive way for good of the mankind. Thanking You, Dr Harish Gupta, Kanpur.
 
    Forthcoming Events

4th eMedinews Revisiting 2012

The 4th eMedinewS–revisiting 2012 conference is being held at Maulana Azad Medical College, New Delhi on Sunday January 20th 2013 (8 AM to 8 PM).

The one–day conference will revisit and discuss all the major advances in medicine in the year 2012. An eminent faculty will speak at the conference.

There is no registration fee. All delegates will get Registration Kit, Attractive gifts, Certificates. Morning snacks and lunch will be provided.

Eminent Faculty:

Dr Praveen Chandra (Cardiology)
Dr NK Bhatia (Transfusion Medicine)
Dr Ambrish Mithal (Diabetes)
Dr Kaberi Banerjee (Infertility)
Dr Yougal Mishra, Dr Manju Gupta, Dr Somesh Juneja, Dr Deepak Khurana (Valve Surgery)
Dr Rajnish Malhotra (Cardiology)
Dr Vivek Bhatia (GI)
Dr Ashish Jain (Ortho)
Dr Kailash (GI)
Dr Navdeep Chabbra (Bariatric Surgery)
Dr IM Chugh

Register at: www.emedinews.in/

rawat.vandana89@gmail.com/drpawangupta2006@yahoo.com

Dr Pawan Gupta, Past President IMA Haryana, Organizing Secretary

4th eMedinewS Doctor of the Year Awards

Nominations invited for 4th eMedinewS Doctor of the year Award in plain paper. Nominated by 2 professional colleagues along with details of your contributions in the year 2012.

pls send his/her Biodata at: emedinews@gmail.com

 
    eMedinewS Special

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

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

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

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

HCFI
Activities eBooks

  DIET BOOK

  HCFI

  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