After gaming addiction now sex addiction added in mental disorder list

Morning MEDtalks with Dr K K Aggarwal 11th July 2018

Now sex addiction is a mental disorder

In an announcement marked by WHO, sex addiction has been stated to be as a mental illness. The landmark move by the WHO could lead to treatment for compulsive sexual behaviour. Its inclusion on WHO’s International Classification of Diseases list comes a few weeks after gaming addiction was added.

WHO’s list mentions compulsive sexual behaviour disorder as a “persistent pattern of failure to control intense, repetitive sexual impulses or urges resulting in a repetitive sexual behaviour”.

Symptoms include sex becoming the “central focus” of the person’s life at the ignorance of health, personal care or interests and responsibilities. The behaviour should be clear for six months or more and later cause distress in individuals lives.

US opposes breastfeeding motion at World Health Assembly

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A resolution “mother’s milk is healthiest for children and countries should strive to limit the inaccurate or misleading marketing of breast milk substitutes”.

Then the US delegation, sought to water down the resolution by removing language that called on governments to “protect, promote and support breastfeeding” and another passage that called on policymakers to restrict the promotion of food products that many experts say can have deleterious effects on young children.

When that failed, they turned to threats, according to diplomats and government officials who took part in the discussions.

What happened was tantamount to blackmail, with the US holding the world hostage and trying to overturn nearly 40 years of consensus on the best way to protect infant and young child health.

Observing strikes at hospitals, clinics and diagnostic centres to justify medical negligence during treatment is unethical, the High Court

Bangladesh: A bench of Justice FRM Nazmul Ahasan and Justice KM Kamrul Kader referring to the recent incidents in Chittagong said that observing strikes at hospitals, clinics and diagnostic centres to justify medical negligence during treatment is unethical.

Private clinics, hospitals and diagnostic centres in Chittagong went on a strike in response to mobile court drives of Rab in the port citys four hospitals.

Do not ignore gestational hypertension in the young

New research published in July 3 in Annals of Internal Medicine

shows that young women with gestational hypertension or pre-eclampsia in their first pregnancy were twice as likely as other pregnant women to develop chronic hypertension decades later.  

They also had a 70% greater risk of developing type 2 diabetes and a 33% greater risk of developing hypercholesterolemia, even after extensive adjustment for prepregnancy confounders, such as body mass index, smoking, and family history.

Women who experience preeclampsia or gestational hypertension should tell their doctor and adopt a heart healthy diet and lifestyle–just like they would if they had a family history of cardiovascular disease–to reduce cardiovascular risk and delay disease onset.

Can diabetics drink?

1. The risk of diabetes is less in people with moderate alcohol consumption
2. A 2005 meta-analysis of 15 cohort studies showed a decreased risk for diabetes among light to moderate, but not heavy, alcohol users. Compared with abstainers, the relative risk of diabetes for those who consumed 6 to 12, 12 to 24, 24 to 48, and ≥48 grams of alcohol daily were 0.70, 0.69, 0.72, and 1.04. [Diabetes Care 2005; 28:719.].
3. A randomized crossover trial in 51 postmenopausal women found that, compared  with no alcohol consumption, 30 grams of alcohol daily (two drinks) for eight weeks lowered serum insulin levels while leaving glucose levels unchanged and thus improved insulin sensitivity [JAMA 2002; 287:2559.]. Triglyceride levels also decreased during exposure to alcohol.
4. An Israel study found that one glass of wine daily (red or white) reduced fasting blood sugar by almost 20 mg/dL [Diabetes Care 2007; 30:3011).
5. In a trial of 115 post-myocardial infarction diabetic patients found that drinking one glass of red wine daily for one year was associated with lower fasting insuli, lower levels of oxidative stress and inflammatory markers, and a better ejection fraction [Diabet Med 2006; 23:974.].
6. In healthy young adults, alcohol given prior to or with a meal reduced the degree of subsequent glycemia [Am J Clin Nutr 2007; 85:1545.)
7. 224 Israeli subjects with diabetes were randomized to sparkling water, white wine, or red wine daily for two years. Compared with those who drank water, subjects who drank white wine had reduced fasting glucose and insulin resistance; red wine demonstrated nonsignificant effects in the same direction [Ann Intern Med 2015; 163:569.].
8. A meta-analysis of 14 studies also found that in nondiabetic patients, compared with controls, alcohol consumption was associated with reduced A1c and fasting insulin concentrations [Diabetes Care 2015; 38:723.].
9. Moderate drinking is associated with higher adiponectin levels [Diabetes Care 2004; 27:184, [Diabetes 2005; 54:1304.].
10. Mild to moderate alcohol consumption reduces the risk of death due to coronary heart disease in older diabetics [Ann Intern Med 2004; 140:211.].
11. Alcohol may worsen diabetic neuropathy [Diabetes Care 1980; 3:245.]
12. Alcohol may induce severe hypoglycemia [Lancet 1977; 1:1286.].
13. A modest amount of alcohol with the evening meal increased the risk for delayed hypoglycemia (Diabetes Care 2005; 28:1801).

Can an International traveller acquire TB during his visit to India?

Tuberculosis is common in India but short-term travellers from countries of low endemicity (less than one month) are generally not considered at increased risk of infection.

Know the definitions: Atrial fibrillation

AF is the most common arrhythmia lasting for more than 30 seconds. Its prevalence in the population increases with age, and it is estimated to affect over 4 percent of the population above the age of 60.

Paroxysmal or intermittent AF is an episode that terminates spontaneously or with intervention in less seven days.

Persistent, longstanding persistent and permanent are terms  used for the other types of AF.

No routine antibiotics in COPD

Draft NICE advice on antimicrobial resistance warns that half of acute flare-ups of COPD are not caused by bacterial infections - and therefore will not respond to antibiotics.

GPs considering antibiotics to treat an acute exacerbation that is not severe should consider the number and severity of symptoms, previous exacerbation history, the risk of developing complications, and the risk of antimicrobial resistance with repeated courses of antibiotics.

GPs should limit prescribing of antibiotics as a means of preventing acute exacerbations to people who are most likely to benefit from them. Smoking can trigger flare-ups; the draft advice warns - and patients should be advised to stop smoking before antibiotic prophylaxis is considered.

MEDtalk Video of the day: Does CT scan dose matters: https://www.facebook.com/drkkaggarwal/videos/1900824353272192/

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