eMedinewS2nd August 2014, Saturday

Dr K K AggarwalPadma Shri, Dr B C Roy National Awardee and DST National Science Communication Awardee

Dr KK Aggarwal

President, Heart Care Foundation of India; Senior Consultant Physician, Cardiologist & Dean Medical Education Moolchand Medcity; Editor in Chief IJCP Group, Senior National Vice President, Indian Medical Association; Member Ethics Committee Medical Council of India, Chairman Ethical Committee Delhi Medical Council, Hony. Visiting Professor (Clinical Research) DIPSAR; Limca Book of Record Holder in CPR, Chairman (Delhi Chapter) International Medical Sciences Academy (March 10–13); 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);
For updates follow at :  www.twitter.com/DrKKAggarwal, www.facebook.com/Dr KKAggarwal

Punishment for a Rapist

  • One needs to distinguish between paraphiliac and non–paraphiliac rapists. Paraphiliac rapists have excessive sexual desire. Paraphiliac offenders commit sex offences because they are sexually aroused by the act. On the other hand, non–paraphiliac sex offenders are instigated by violations or ego–hurt or for taking revenge.
  • One may lose intellect under the influence of alcohol and may end up raping somebody if instigated.
  • Chemical castration is reversible and the effect of the injection lasts only 3–6 months. The injections are costly and need to be given by medical doctors.
  • Chemical castration in the long run leads to thinning of the bone (osteoporosis), feminine characteristics and increased tendency for cardiovascular diseases.
  • Chemical castration drugs are not safe and healthy.
  • Chemical castration does not mean dissolving the male organ with a chemical. It only means reducing the blood testosterone levels to that of pre-puberty levels.
  • Non–injectable oral drugs, which block the action of testosterone are costlier and need to be taken every day. Therefore, they cannot be a part of chemical castration as punishment.
  • Surgical removal of testis will remove sexual desire permanently and the same should only be given as a punishment to those who have been sentenced to life imprisonment.
  • Depo Provera is another injection which can be given every three months to patients with paraphiliac sexual abnormality.
  • Deprivation of sex and non–fulfillment of sexual desires is one of the main causes of rapes.
  • If female commercial sex workers are banned in the society, the incidents of rape will increase as sexually deprived people with strong sexual urges will end up raping the minors.
  • People under the influence of alcohol and drugs will keep raping girls if not treated and counseled in time.

News Around The Globe

  • A single dose of a new oral fixed-dose drug combination NEPA appears to prevent nausea and vomiting in cancer patients undergoing chemotherapy. NEPA is a combination of the tachykinin NK1 receptor antagonist netupitant 300 mg and the 5–hydroxytryptamine 3 receptor antagonist palonosetron 0.5 mg. The data was published in Annals of Oncology.
  • A new study has shown that stimulation with a low-strength electromagnetic field device immediately improves mood in patients with major depressive disorder (MDD) and bipolar disorder (BPD). The study was published in the August 1 issue of Biological Psychiatry.
  • New guidelines issued by the Committee on Adolescent Health Care at the American College of Obstetricians and Gynecologists, and published in the August issue of Obstetrics & Gynecology have stated that teenage girls undergoing cancer treatment are at a high risk for heavy menstrual bleeding, and their care requires the joint efforts of oncologists and gynecologists.
  • Researchers at the Boston University School of Medicine have noted in their new study that recurrent gout attacks are twice as likely to strike on hot days when humidity is low. Study authors noted that the risk of gout attacks was also high under hot, humid conditions compared to moderate temperature and relative humidity, but to a lesser degree. The findings were published online in the American Journal of Epidemiology.
  • The US Food and Drug Administration (FDA) has approved aflibercept injection to treat visual impairment caused by diabetic macular edema (DME). The agent decreases the abnormal growth of blood vessels as well as leakage and edema in the retina as it blocks vascular endothelial growth factor (VEGF) A.

Rabies News (Dr A K Gupta)

What is "paralytic form" of rabies in animals?

Paralytic or dumb rabies refers to animals in which the behavioral changes are minimal or absent and the disease is manifested mainly by paralysis. This is first manifested by paralysis of the throat and masseter muscles, often with profuse salivation and inability to swallow. Dropping of lower jaw is common in dogs. The animals are not vicious and rarely attempt to bite. The paralysis progresses rapidly to all parts of the body leading to coma and death follows in a few hours.

Cardiology eMedinewS

  • In a recent survey conducted by researchers from University of Ottawa Heart Institute, half of the patients said they were unaware that replacing their ICD generator was "optional," and of these, more than one in four said they would have considered nonreplacement. This raises concerns regarding patients’ awareness of the legalities of treatment refusal and their right to decision making.
  • A new meta–analysis conducted at the Harvard School of Public Health has identified the number of fruits and vegetables a person needs to eat per day in order to reduce the risk of early death, particularly cardiovascular mortality, and concludes that five daily portions seem enough. A clear dose–response relationship existed that continued up to five servings a day, after which there was no further reduction in risk.

Pediatrics eMedinewS

  • According to a study published online in the July 31 issue of the New England Journal of Medicine, infants with severe combined immune deficiency (SCID) who are diagnosed and receive hematopoietic cell transplant by age 3.5 months have a 94% probability of survival. Furthermore, older infants who receive a transplant before the onset of a first infection have a 90% survival rate.
  • A Swedish national cohort study has revealed that low gestational age at birth is associated with an increased likelihood of venous thromboembolism in infancy, early childhood, and young adulthood. The study was published online July 28 in Pediatrics.

Dr K K Spiritual Blog

Eating foods in their natural form is always better

An elephant is obese, eats sugarcane (ganna) and yet does not develop diabetes. I am sure if he is given 10% sugar drinks everyday or made to eat 30% sugar containing sweets, he too would end up with diabetes.

The natural form of sugarcane is eating ganna, the second form is sugarcane juice, third is gur (jaggery), fourth is shakkar and fifth is white sugar.

The more you eat foods in their natural form, more the health benefits you will get from that food.

Food is Brahmin and contains the same consciousness as you have. Food, which is more refined will loses its consciousness and is not beneficial to the health.

Similarly, wheat flour with bran is better than flour without bran, which is better than suji, which is better than maida. Maida is the final product and if taken every day, it can cause heart disease, diabetes and high blood pressure.

Wellness Blog

Do not ignore breakfast

Taking a good breakfast made of carbohydrates and lean protein, can help lessen cravings and hunger during the rest of the day, which can lead to significant weight loss.

A research by Dr. Daniela Jakubowicz, a clinical professor at Virginia Commonwealth University and an endocrinologist at the Hospital de Clinicas Caracas in Venezuela has shown that sedentary, obese women lost almost five times as much weight on the "big breakfast" diet as did women following a traditional, restrictive low–carbohydrate diet.

While treating obese people we need to treat carb cravings and hunger.

On waking up in the morning, the body is primed to look for food. The metabolism is revived up, and levels of cortisol and adrenaline are at their highest. The brain needs energy right away, and if one doesn’t eat or eats too little, the brain needs to find another fuel source. To do this, it activates an emergency system that pulls energy from muscle, destroying muscle tissue in the process. Then when you eat later, the body and brain are still in high–alert mode, so the body saves energy from the food as fat.

Also the levels of the brain chemical serotonin are highest in the morning and the craving levels are at the lowest and you may not feel like eating. As the day wears on, serotonin levels dip, and you get cravings for chocolate or cookies, and such similar foods. If you eat these foods, your serotonin levels rise, and your body begins to associate good feelings with them, creating an addictive cycle.

The high protein, carbohydrate mix in breakfast gives the body the initial energy boost it needs in the morning. Throughout the rest of the day, the meals are made up of protein and complex carbohydrates, like vegetables. Because protein is digested slowly, you won’t feel hungry.

If you have to eat chocolate or candy, eat them in the morning because having them when serotonin levels are high, they won’t taste as good, and the brain won’t feel the same serotonin boost. This will eventually help cut down on cravings.

Eating breakfast with high glycemic foods may be harmful. After eating cereal or a doughnut, the blood sugar and insulin levels spike. Once that blood sugar is used up, you’ll still have excess insulin circulating, which makes you hungry and makes you crave carbohydrates.

Inspirational Story

Power of Thought: Hitting Unseen Target

Yogi Raman was a true master of the art of archery. One morning, he invited his favorite disciple to watch a display of his skill. The disciple had seen this more than a hundred times before, but he nevertheless obeyed his teacher.

They went into the wood beside the monastery and when they reached a magnificent oak tree, Raman took a flower, which he had tucked in his collar and placed it on one of the branches.

He then opened his bag and took out three objects: his splendid bow made of precious wood, an arrow and a white handkerchief embroidered with lilacs.

The yogi positioned himself one hundred paces from the spot where he had placed the flower. Facing his target, he asked his disciple to blindfold him with the embroidered handkerchief.

The disciple did as his teacher requested.

‘How often have you seen me practice the noble and ancient sport of archery?’ Raman asked him.

‘Every day,’ replied his disciple. ‘And you have always managed to hit the rose from three hundred paces away.’

With his eyes covered by the handkerchief, Yogi Raman placed his feet firmly on the ground, drew back the bowstring with all his might – aiming at the rose placed on one of the branches of the oak tree – and then released the arrow.

The arrow whistled through the air, but it did not even hit the tree, missing the target by an embarrassingly wide margin.

‘Did I hit it?’ said Raman, removing the handkerchief from his eyes.

‘No, you missed completely,’ replied the disciple. ‘I thought you were going to demonstrate to me the power of thought and your ability to perform magic.’

‘I have just taught you the most important lesson about the power of thought,’ replied Raman. ‘When you want something, concentrate only on that: no one will ever hit a target they cannot see.’

ePress Release

Depression, severe mental illness and loneliness not heart friendly

Depression, severe mental illness and loneliness are linked to heart disease and dementia, said Padma Shri, Dr. B C Roy National Awardee & DST National Science Communication Awardee, Dr. K K Aggarwal, President Heart Care Foundation of India and Sr National Vice President Indian Medical Association.

Quoting Dr. Jesse Stewart, formerly of the University Of Pittsburgh School Of Medicine, Dr Aggarwal said that there is correlation between depression and hardening of the arteries.

The arteries of those who are most depressed were narrowed twice as much as those who were least depressed, in the study. Hardening of the arteries is a precursor to a heart attack or stroke.

Depression may also upset the body’s regulation of glands that release chemicals governing energy level and growth, and alter the functioning of cells responsible for blood clotting.

Hardening of the arteries leads to an overreaction of the immune system and the resulting inflammation is known to release chemicals that can cause the disease.

Quoting another British study, Dr Aggarwal said that severely mentally ill people who were younger than 50 are more than three times as likely to die from coronary heart disease and stroke as those not suffering from mental illness.

Mental illness more than doubled the risk of dying from heart disease for people up to the age 75. The risk of dying from heart disease was even higher among those taking antipsychotic medications.

A persistent feeling of loneliness among the elderly doubles the risk of developing Alzheimer's-like symptoms compared to those who felt connected to others.





Zee News – Health Wealth Shows

Cancer Prevention
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Sudden Cardiac Death
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Total CPR since 1st November 2012 – 96458 trained

cpr10 Mantra The CPR 10 Mantra is – "within 10 minutes of death, earlier the better; at least for the next 10 minutes, longer the better; compress the centre of the chest of the dead person continuously and effectively with a speed of 10×10 i.e. 100 per minute."

CPR 10 Success Stories

Ms Geetanjali, SD Public School
Success story Ms Sudha Malik
BVN School girl Harshita
Elderly man saved by Anuja

CPR 10 Videos

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VIP’s on CPR 10 Mantra Video

Hands–only CPR 10 English
Hands–only CPR 10 (Hindi)

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Health Check Up and CPR 10 Camp at NP Primary School Babar Road, 30th July 2014

press release

Daily aspirin to prevent heart disease may increase risk of GI or cerebral bleeding

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IJCP Book of Medical Records

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If you feel any time that you have created something which should be certified so that you can put it in your profile, you can submit your claim to us on :


Make Sure

Situation: A patient with diabetes shows deteriorating kidney function.
Reaction: Oh my God! His HbA1c is very high?
Lesson: Make sure that strict glycemic control is maintained in patients with type 2 diabetes in order to delay vascular complications.

eMedinewS Humor

A housewife goes to an optometrist

A housewife goes to an optometrist and says: Lately Iím seeing grocery items smaller than they appeared till recently. I think I need a change of my eyeglasses.

The optometrist after examining her eyes for refraction and finding no change in dioptric values observes: Manufacturers of grocery items, rather than increasing the prices, have made the packings smaller; and thereís no need for you to change your eyewear.

Quote of the Day

One of the basic differences between GOD and humans is that, GOD gives and forgives and humans get, get and forget. Be thankful in life.

Twitter of the Day

Dr KK Aggarwal: Heart risks detected by age 7 in overweight kids http://bit.ly/HTZaj4 #Health
Dr Deepak Chopra: Abundance does not spring from an external source. It comes from within http://bit.ly/DC_Ananda #ananda

eMedi Quiz

L E cell is a:

a. Neutrophil
b. Macrophage
c. Histocyte
d. Dendritic cell

Yesterday’s Mind Teaser: Holgene’s phenomenon is seen due to which component?

a. Benzylpenicilloyl
b. Procaine
c. Crystalline
d. Benzathine penicillin

Answer for yesterday’s Mind Teaser: b. Procaine

Correct answers received from: Dr Prakash Khalap, Dr R R Vijayakumar.

Answer for 1st July Mind Teaser: 3. Leaves extension at elbow joint intact.

Correct answers received from: Dr Gopal Shinde, Dr Poonam Chablani, Dr Bitaan Sen & Dr Jayashree Sen.

Send your answer to ijcp12@gmail.com

medicolegal update

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  1. Dear Sir, Very informative news. Regards: Dr Krishna

Forthcoming Events


Dear Colleague,

Hypertension Society of India is organizing its "23rd Annual Conference HSICON–2014" to be held on 9th & 10th August, 2014 at Kempinski Ambience Hotel, Near Yamuna Sports Complex, New Delhi

Dr. N. P. Singh                          Dr. Neeru P. Aggarwal

Organizing Chairperson               Organizing Secretary

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