Head Office: 39 Daryacha, Hauz Khas Village, New Delhi, India. e-Mail: drkk@ijcp.com, Website: www.ijcpgroup.com
emedinews is now available online on www.emedinews.in or www.emedinews.org
Dr KK Aggarwal

From the Desk of Editor in Chief
Padmashri 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; Member 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

Dear Colleague

25th February 2010, Thursday

Date Rape Drugs (Holi special)

Incidents of ‘Date rapes’ are increasing in number these days. All have one modus operandi in common. The victims were given some water or soft drink mixed with date rape drugs.

Once caught, often the defense of the accused is that the girl was a party to the sexual act. The most commonly used drug in such cases is Roofies.

The use of such "predator" or "date rape drugs" is common in India. These drugs are commonly used in trains and buses to rob passengers, and in youth parties to exploit young females for drug–facilitated sexual assault.

Because of the effects of these drugs, victims may be physically helpless, unable to refuse sex, and incapable of remember what happened. The drugs often have no colour, smell or taste and are easily added to flavoured drinks without the victim’s knowledge.

These drugs can include alcohol, marijuana or other street drugs, designer or club drugs like ecstasy, over–the–counter sleeping pills and anti–histamines, even cold medications. However, the term ‘date rape drug’ applies to any of the three drugs.

  1. GHB (gamma hydroxybutyric acid), used for narcolepsy in the US.

  2. Rohypnol (flunitrazepam) is legal in Europe and Mexico. Used for sleep problems and during anaesthesia.

  3. Ketamine (ketamine hydrochloride) used in veterinary practice.

Many factors make these drugs desirable to sexual predators. All traces of the drugs leave the body within 72 hours of ingestion and are not found in any routine toxicology screen or blood test.

Date rape drugs are easily slipped into drinks and food and are very rapidly acting. They render the victim unconscious but responsive with little or no memory of what happens while the drug is active in their system. The drugs also make the victim act without inhibition, often in a sexual or physically affectionate way.

Date rape drugs render a person incapable of thinking clearly or of making appropriate decision. This makes for a very passive victim; one who is still able to play a role in what is happening but who will have no clear memory of what happened after–the–fact.

Without any memory of events the victim is often unaware that they have even been raped, and if they are aware or have suspicions they make very poor witnesses.

As the drugs are easily available, the onus lies on us to protect ourselves. Here are a few tips:

  1. Do not accept any drinks from other people, except trusted friends.

  2. Open containers yourself.

  3. Keep your drink with you at all times, even when you go to the bathroom.

  4. Do not share drinks.

  5. Do not drink from punch bowls or other large, common, open containers. They may already have drugs in them

  6. Do not drink anything that tastes or smells strange. Sometimes, GHB tastes salty.

  7. Have a non–drinking friend with you to make sure nothing happens (if you are consuming alcohol).

  8. If you think that you have been drugged and raped: Go to the police station or hospital right away. Get a urine test done as soon as possible. The drugs leave your system quickly. Rohypnol leaves your body 72 hours after you take it. GHB leaves the body in 12 hours. Don’t dt urinate before getting help. Don’t douche, bathe, or change clothes before getting help. These may provide evidence of the rape.

Dr KK Aggarwal
Chief Editor

News and Views

Risk factors for postpartum depression (Dr G M Singh)

  1. Having a personal or family history of depression or another mental illness.

  2. Having insufficient support from friends and family.

  3. Feeling negative or anxious about pregnancy.

  4. Having problems in a relationship, or financial difficulties.

  5. Dealing with stressful life events.

  6. Being young during pregnancy.

  7. Having a substance abuse problem.

AMA News and Views (Dr Monica Vasudeva)

Placebo treatments are scientific

According to The Lancet, there is increasing evidence that placebos have an actual biological effect in the body. In a review of previous research on placebos, researchers found that the doctor–patient relationship, plus the expectation of recovery, may sometimes be enough to change a patient’s brain, body, and behavior. The authors have specifically cited studies wherein patients with Parkinson’s disease who were given a placebo still experienced dopamine release in the brain, as well as other brain–activity changes.

Half of patients who meet guidelines for ICDs receive recommended treatment.

A study conducted by researchers at the University of Maryland Medical Center shows that about half of all patients who meet nationally accepted guidelines for treatment with implantable cardioverter–defibrillators, known as ICDs, are not receiving the recommended treatment.

Link between sleep deprivation and cardiovascular disease

According to a Swedish study, getting seven hours instead of six may reduce your chances of calcification –– clogged arteries, by 33%. The finding is so new, however, that the average physician is unaware of the link between chronic sleep deprivation and cardiovascular disease, according to Dr. Charles Czeisler of the Division of Sleep Medicine at Brigham and Women's Hospital.

FDA approves Rituxan for CLL

Blood cancer drug rituximab was approved for chronic lymphocytic leukemia, or CLL, by the FDA. The treatment is to be given with two other chemotherapy drugs, both for patients starting treatment and for those who have not responded to other cancer drugs.

Regular flu vaccines should protect against H1N1

The World Health Organization is encouraging swine flu to be added to regular flu vaccines next season, as health officials expect H1N1 to remain a significant threat. WHO Flu Chief Keiji Fukuda said that the swine flu vaccine should be combined with the vaccine for regular flu.

AstraZeneca faces first trial over Seroquel–diabetes link

The antipsychotic drug quetiapine may have an associated risk of diabetes.

Conference Calendar

ISPR 2010 (International Symposium on Psychological Research)
Date: February 27, 2010
Venue: 142, Bharathiyar Road, Papanayakanpalayam, Coimbatore, Tamil Nadu.

Quote of the Day

God can pick sense out of a confused prayer. (Richard Sibbes)

Diabetes Fact

Latent diabetes: can be stress induced, is transient, (can be due to thiazides, pregnancy, phenytoin)

Public Forum (Press Release)

Spread the message of Holi – ‘Communicate to remove mental impurities.’

Holi is a festival of love and joy and should be used as a medium of communication to remove the mental impurities and cleanse the mind, said Dr K K Aggarwal, President, Heart Care Foundation of India and Editor eMedinewS. He said that the festival of Holi should not end up in quarrels, violence or eve teasing,

Unsafe Holi

  1. Green and bluish green chemicals contain malachite green, which can be toxic to the eyes. Auramine, methyl violet, rhodamine and orange II are all phototoxic colours and can damage the skin.

  2. Mica in the colour can damage skin.

  3. Instead of chemical dyes, one should use floral dyes. Flowers like Marigold, China Rose, Butterfly Pea, Flame of the Forest etc. can be used to extract colours.

  4. ‘Bhang’ or cannabis can precipitate acute abnormal mental behavior and psychosis. It can increase the heart rate and blood pressure in the susceptible individuals. Pre treatment with a beta blocker can prevent the harmful effects of ‘bhang’.

  5. Alcohol impairs judgment and increases proneness to accidents.

  6. Balloons can cause blunt injuries to the eyes and precipitate head injuries.

  7. Beware of date rape drugs. Do not play Holi with strangers.

  8. Do not throw colour at sensitive parts, such as eyes. If colour enters the eye, immediately wash it with a lot of water. If irritation persists, medical aid should be sought immediately.

Some tips

  1. Use dental caps to protect teeth from staining.

  2. Use sunglasses to keep eyes safe from the harmful chemicals of the colors.

  3. Wear old and ragged clothes that can be discarded later.

  4. Wear full–sleeved T–shirts or shirts and leggings that cover the legs entirely.

  5. Wear socks.

  6. Brightly colored and dark colored clothes should be preferred.

  7. Keep eyes and lips tightly closed when color is being applied on you.

  8. Apply a thick layer of any oil on your body and hair till they glisten to make the skin slippery. It is also helps wash off colors easily later on.

  9. While washing off the color, use lukewarm water and keep eyes and lips tightly closed.

  10. Keep your car windows tightly shut while traveling.

  11. Use a hat, cap to protect the hair from being coloured with hard–to rinse dyes.

  12. If you venture out on the streets, avoid mob frenzy. Cross the Road to the sidewalk across or, simply stay at a safe distance.

  13. Discourage children to play Holi with eggs, mud or gutter water.

  14. Avoid use of ‘abir’ as it has flakes of mica.

  15. Stop children from forcibly applying colour on a hesitant neighbor.

  16. Don’t walk alone on the streets.

  17. Use only powdered color and water.

  18. Keep a big bucket of water handy for your children, so that they do not resort to gutter water and other unclean sources.
Punjab & Sind Bank
Central Bank of India

Question of the day

What are the recommendations of major societies for prevention of colon cancer in Crohn’s disease?

American Gastroenterological Association: The risk of colorectal cancer associated with ulcerative colitis and Crohn’s colitis is similar for comparable extent, duration and age of onset of inflammatory disease. As a result, the surveillance strategy for ulcerative colitis also applies for Crohn’s colitis.

American Society for Gastrointestinal Endoscopy: The ASGE also recognizes that the risk of colorectal cancer is increased in Crohn’s colitis. Surveillance colonoscopy and biopsy for dysplasia should be offered to patients with long–standing Crohn’s colitis.

eMedinewS Try this it Works

Alleviate pruritus with ice

For scratching itchy skin lesions, ask your patients to use an ice cube instead of their fingers. The ice is nearly frictionless, and the cold helps relieve the itch.

Dr Good Dr Bad

Situation: A diabetic on hemodialysis needed sugar monitoring.
Dr Bad: An A1C test is adequate.
Dr Good: You need continuous glucose monitoring.
Lesson: To optimize glycemic control in diabetic patients on maintenance haemodialysis, continuous glucose monitoring  provides additional glycaemic information to the HbA1c that is potentially relevant to clinical management. (Source: Diabetes Care 2009 Feb 5. [Epub ahead of print])

Make Sure

Situation: An asthmatic patient worsened after receiving aspirin. 
Reaction: Oh my God! Why was he given aspirin? 
Make sure that a patient with asthma is not put on aspirin. 5% of asthma patients are aspirin sensitive. 

Laughter the best medicine

Doctor, doctor, I feel like a 10 Dollar note.

Well go and buy something then, the change will do you good.

Formulae in Critical Care

Oxygen consumption per minute (VO2)

Formula: VO2 = Cardiac output x CaO2 – CvO2
CaO2 – Central arterial oxygen saturation
CvO2 – Central venous oxygen saturation

Milestones in Neurology

Edward Flatau was a Polish neurologist. His work greatly impacted the developing field of neurology. He established neurobiologic and neuropathological sciences in Poland. He published a human brain atlas in 1894, wrote a fundamental book on migraines (1912), established the localization principle of long fibres in the spinal cord (1893), with Sterling (1911) published an early paper on progressive torsion spasm in children and suggested that the disease has a genetic component.

Mistakes in Clinical Practice

Do not write ‘IJ’ for injection. It can be misinterpreted as Intrajuglar. Instead spell out ‘injection’

1–7 April Prostate Disease Awareness Week: Prostate SMS of the Day (Dr Anil Goyal)

Non cancerous enlargement of prostate, BPH (benign prostatic hyperplasia) begins after 50 years of age.

11th March World Kidney Day (Dr N P Singh)

Reducing risks of developing kidney diseases

Do not smoke: Smoking slows the flow of blood to the kidneys. When less blood reaches the kidneys, it impairs their ability to function properly. Smoking also increases the risk of kidney cancer by about 50 percent.

Kidney terms (Dr G M Singh)

Persistence: Continued presence of the micro–organisms isolated at the beginning of the treatment.

Lab test (Dr Navin Dang)

When reports do not tally clinically, please make it a point to discuss the report with the pathologist.

List of Approved drug from 1.01.2009 to 31.10.2009

Drug Name Indication Approval Date
Aceclofenac 100mg + Tizanidine 2mg film coated tablets
For the treatment of acute low back pain in adult patients only

(Advertorial section)


Zen immune beauty helps improve the brittleness of nails, helps increase the hair tensile strength, thus prevents hair loss, and stimulates regeneration of hair roots. Helps prevention of comedone formation and post comedone skin scarring in acne vulgaris.

Advertising in eMedinewS

eMedinewS is the first daily emedical newspaper of the country. One can advertise with a singe insertion or 30 insertions in a month. Contact: drkk@ijcp.com. emedinews@gmail.com 

eMedinewS–PadmaCon 2010 

Will be organized at Maulana Azad Medical College, New Delhi on July 4, 2010, Sunday to commemorate Doctors’ Day. The speakers, chairpersons and panelists will be doctors from NCR, who have been past and present Padma awardees.

eMedinewS–revisiting 2010

The second eMedinewS–revisiting 2010 conference will be held at Maulana Azad Medical College, New Delhi on January 2, 2011. The event will have a day–long CME, Doctor of the Year awards, cultural hungama and live webcast. Suggestions are invited.

Stress Management Workshop (April 17-18)

A stress management workshop with Dr KK Aggarwal and Experts from Brahma Kumaris will be organized on April 17–18, 2010.

Organizers: eMedinews, Brahma Kumaris, Heart Care Foundation of India, in association with IMA New Delhi Branch and IMA Janak Puri Branch

Venue: Om Shanti Retreat Center, National Highway 8, Bilaspur Chowk Pataudi Road, Near Manesar.

Timings: On Saturday (2pm onwards) and Sunday (7am 4pm). There will be no registration charges, limited rooms, kindly book in advance, stay and food (satvik) will be provided. For booking e–mail to emedinews@gmail.com or sms to Dr KK Aggarwal 9811090206/ BK Sapna 9811796962

Stroke Update Workshop for GPs

Indian stroke association and International Stroke Conference is organizing a Stroke Update Workshop on March 13–14, 2010 at AIIMS Auditorium. eMedinewS has tied up with the conference for free registration for first 200 GPs of NCR. Organizer: Dr Padma, Prof of Neurology, AIIMS, New Delhi. SMS for free registration to 9717298178 or email to isacon2010@gmail.com

International Symposium on ‘Yogism for Healthy & Happy Living and Aging’ : Dec 6-7

An International Symposium on ‘Yogism for Healthy & Happy Living and Aging’ is being organized on December 6–7, 2010: BC Harinath, Director, JBTDRC & Coordinator, BIC & Arogyadham Mahatma Gandhi Institute of Medical Sciences, Sevagram – 442102, Wardha, Maharashtra, India, E–mail: bch@jbtdrc.org, bc_harinath@yahoo.com

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Readers Responses

  1. Heartiest congratulations Sir. You worked so hard to maintain dignity of the profession: Dr. Prakash Jain

  2. Congratulations and good wishes for success in every field of life: Dr. P K Srivastava

  3. Heartiest congratulations for this great honour. Even I feel honoured being your younger brother: Atul and family

  4. Respected Dr. Aggarwal, congratulations for Padmashree award. With best compliments: Vinita

  5. Congrats. Your hardwork and missionary zeal are truly impressive. We are proud of you: Vijay Nagpal