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Dr K K Aggarwal

Malnutrition and wrong dietary habits have been identified as major risk factors for ill health, including heart attacks. Most people below the poverty line suffer from malnutrition due to lack of calories, proteins and vitamins in their food. In the affluent society, overeating or eating wrong food results in over nutrition, a form of malnutrition leading to heart blockages.

In this context Heart Care Foundation of India has formulated guidelines about eating, said Padma Shri & Dr. BC Roy National Awardee, Dr. KK Aggarwal, President Heart Care Foundation of India & National Vice President-Elect IMA.

These include:

  • Eat only when you are hungry.
  • Do not eat for pleasure, social obligations or emotional satisfaction.
  • Eat at a slow pace
  • Eat less; dinner less than lunch.
  • Take small mouthfuls each time, chew each morsel well, swallow it and only then take the next morsel.
  • Do not eat while watching television, driving a car or watching sports events. The mind is absorbed in these activities and one does not know what and how much one has eaten.
  • Do not talk while eating and never enter into heated arguments. The stomach has ears and can listen to your conversation. It will accordingly send signals to the mind and heart.
  • Plan and decide in advance what and how much food you will be eating.
  • Use low fat or skimmed mild dairy products. For cooking, use oils which are liquid at room temperature.

  • Do not take red meat and if you are a non-vegetarian, you may take poultry meat or fish.

 

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A: Yes if

1. I am no longer able to do my routine work without help

2.  I have pain that keeps me awake at night despite the use of drugs

3. I have pain that keeps me from being able to walk or bend over

4. I have pain that isn’t relieved by rest

5. I have pain that is not responding to non-surgical approaches.

6. I have been told that less-complicated surgical procedures are unlikely to help.

7.  The disease osteoarthritis is wearing me down physically, emotionally, and mentally.

8. I am suffering from severe side effects from the drugs

9. Advanced arthritis is demonstrated on my test

10. If significant joint damage has occurred on my tests.

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1.    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

2.    Rape is categorized according to the relationship between the perpetrator and the victim.

1.    Stranger rape describes nonconsensual sexual penetration between individuals who do not know each other before the sexual act

2.    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. [Source Uptodate]

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1.       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.

2.       False allegations of rapes can occur in situations like: if one of the partners in live-in relationship refuses to marry, if two consensual partners are caught in the sexual act by the society, someone exploits secrete of the other person.

3.       Under the influence of alcohol one loses intellect and may end up in raping somebody if instigated.

4.       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.

5.       Chemical castration in the long run leads to thinning of the bone (osteoporosis), feminine characteristic and increased tendency for cardiovascular diseases.

6.       Chemical castration drugs are not safe and healthy.

7.     In long run influential people convicted for chemical castration will start paying bribes to doctors and get a water injection in place of chemical castration injection.

8.       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.

9.        Non-injectible 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.

10.       Surgical removal of testis will remove sexual desire permanently and the same can only be given as a punishment in patients who are spending life-term in the prison.

11. Depoprovera is another injection which can be given every three months to patients with paraphiliac sexual abnormality.

12. Deprivation of sex and non-fulfillment of sexual desires is one of the main causes of rapes.

13.   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.

14.  People under the influence of alcohol and drugs will keep raping the girls if not treated and counseled in time.

Dr K K Aggarwal is Padmashri and Dr B C Roy National Awardee, President Heart Care Foundation of India and National Vice President Elect IMA

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Both obese men and women can face fertility problems unless they reduce their weight. Reducing weight as the first step can bring back their fertility.

• Obese men are more than three times as likely to have low sperm counts compared with their normal-weight peers.

• A study published in the journal Fertility and Sterility showed that the heaviest men were at triple the risk of having a low count of progressively motile sperms, sperms that swim forward in a straight line.

• Increased body fat can also contribute to lower testosterone levels and higher estrogen levels.

• Obese men were also 1.6 times more likely than overweight or normal-weight men to have a high percentage of abnormally shaped sperm.

• There is a trend toward increasing likelihood of erectile dysfunction with increasing BMI.

• Obesity is associated with a greater risk of impotence.

• Obesity is also associated with metabolic syndrome and polycystic ovarian disease (PCOD) in women and associated infertility.

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Seven Behaviors Cut Heart Deaths

By Dr KK
Filed Under Health Care - Ask Dr KK | Tagged With: , | | Comments Off

Seven heart-healthy behaviors can reduce the risk of death from cardiovascular disease,.

The forthcoming MTNL Perfect Health Mela being held in November will focus on prevention of heart attack and paralysis.

In a prospective study, by Enrique Artero, PhD, of the University of South Carolina, and colleagues and published in the October issue of the Mayo Clinic Proceedings, those who met 3-4 of the American Heart Association’s ‘Simple Seven’ heart-health criteria had a 55% lower risk of cardiovascular mortality than those who met no more than two of those practices over 11 years.

Four core behaviors

  1. No smoking
  2. Normal body mass index
  3.  Engaging in physical activity
  4. Eating healthfully

Three parameters

  1. Cholesterol lower than 200 mg/dL
  2. Blood pressure lower than 120/80 mm Hg
  3. Not having diabetes
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Study of monkeys also suggests some health benefits

Scientists have found that calorie restriction — a diet comprised of approximately 30 percent fewer calories but with the same nutrients of a standard diet — does not extend years of life or reduce age-related deaths in a 23-year study of rhesus monkeys. However, calorie restriction did extend certain aspects of health. The research, conducted by scientists at the National Institute on Aging (NIA) at the National Institutes of Health, is reported in the August 29, 2012 online issue of Nature.

Calorie restriction research has a long history. The first finding came in the 1930s, when investigators observed laboratory rats and mice lived up to 40 percent longer when fed a calorie-restricted diet. Subsequent research has cited calorie restriction as extending lifespan of yeast, worms, flies and some strains of mice. But other studies have not shown a longevity benefit. For example, in studies of certain strains of mice, calorie restriction on average had no effect on lifespan. Some of these mice actually had a shorter lifespan when given a calorie-restricted diet. To date, research does not provide evidence that calorie restriction is an appropriate age regulator in humans, the NIA investigators point out. Currently, limited human studies are under way to test the effectiveness and safety of calorie restriction in people.

The survival results in the study reported today by NIA researchers differ from those published in 2009 by NIA-supported investigators at the University of Wisconsin-Madison. TheWisconsinstudy followed two groups of rhesus monkeys for 20 years and found that monkeys on a calorie-restricted diet lived longer than those on a standard diet.

Beyond longevity, the parallel NIA andWisconsinstudies have reported similar beneficial health effects of calorie-restriction. Both studies found that certain age-related diseases — including diabetes, arthritis, diverticulosis and cardiovascular problems — occurred at an earlier age in monkeys on the standard diet compared to those on calorie restriction. However, this observation was not statistically significant in the NIA study. NIA researchers did find that monkeys started on calorie restriction at an early age had a statistically significant reduction in cancer incidence.

NIA researchers also found that while calorie restriction had a beneficial effect on several measures of metabolic health and function in monkeys who were started on the special diet regimen during old age (at 16 to 23 years), it did not have the same positive outcome for monkeys started on calorie restriction at a young age (less than 14 years). In theWisconsinstudy, all the monkeys were 7 to 14 years when started on calorie restriction.

“These results suggest the complexity of how calorie restriction may work in the body,” said NIA Director Richard J. Hodes, M.D. “Calorie restriction’s effects likely depend on a variety of factors, including environment, nutritional components and genetics.”

Differences in the monkeys’ meal and other nutritional factors were cited as possible explanations for NIA’s andWisconsin’s different outcomes. Both studies used a similar percentage of calorie restriction with their intervention groups; however, theWisconsinmonkeys in both the calorie restricted and control groups were eating more and weighed more than the matched NIA monkeys.

NIA’s food had a natural ingredient base, whileWisconsinopted for a purified diet. Purified diets generally lack trace dietary chemicals and minerals that could affect an animal’s health. Each ingredient of a purified diet provides a specific nutrient and minerals or vitamins must be added separately. Natural-ingredient diets have risk of variation between batches, but are considered by some to be more complete than purified diets. NIA andWisconsinalso used different sources for proteins, fat and carbohydrates, as well as different approaches to vitamin and mineral supplementation.

“There is no right or wrong nutritional approach to calorie restriction, but the differences should be considered as we try to understand the dissimilar effects of calorie restriction between the two studies,” said first author Julie A. Mattison, Ph.D., facility head of NIA’s Nonhuman Primate Studies Unit, part of the Laboratory of Experimental Gerontology.

NIA researchers cited genetics as another possible reason for their differing results. NIA monkeys had a greater genetic diversity, originating fromChinaandIndia.Wisconsin’s monkeys came only from an Indian colony.

“We’ve learned more by having two concurrent and independent studies of calorie restriction in monkeys than would have been possible by just the NIA orWisconsinstudy alone. While the two studies share many of the same findings, the differences will be particularly important for helping us better understand this aging intervention,” said Felipe Sierra, Ph.D., director of NIA’s Division of Aging Biology.

As scientists measure the possible outcomes of calorie restriction, research is also focusing on finding the mechanisms and pathways by which calorie restriction may influence longevity and the risk of age-associated disease. “My laboratory and other researchers are looking at calorie restriction’s effects on cell metabolism, gene expression, insulin signaling pathways and other basic biological processes to pinpoint how reducing calorie intake may attenuate the negative consequences of aging. We are looking at whether compounds can mimic the effects of calorie restriction via these mechanisms,” said senior author, Rafael de Cabo, Ph.D., chief of the Mechanisms and Interventions of Aging section of NIA’s Laboratory of Experimental Gerontology.

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The largest prospective cohort study evaluated the impact of coffee consumption on all-cause mortality and involved 229,000 men and 173,000 women, who were followed for up to 13 years.

After adjustment for smoking status and other potential confounders, associations between coffee consumption (either caffeinated or decaffeinated) and reduced all-cause mortality were evident at relatively low levels of consumption (2 to 3 cups/day).

Compared to non–coffee drinkers, the risk of all-cause mortality among men and women who consumed 2 to 3 cups of coffee daily was 0.90 and 0.87.

The apparent benefit of coffee was similar for individuals with high levels of coffee consumption, including those who drank six or more cups of coffee per day. [UpToDate]

(Ref: Freedman ND, Park Y, Abnet CC, et al. Association of coffee drinking with total and cause-specific mortality. N Engl J Med 2012; 366:1891).

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