emedinews
Head Office: E–219, Greater Kailash, Part 1, New Delhi–110 048, India. e–mail: emedinews@gmail.com, Website: www.ijcpgroup.com
FIRST NATIONAL eMEDICAL NEWSPAPER OF INDIA
eMedinewS is now available online on www.emedinews.in or www.emedinews.org
  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 and Dean Medical Education Moolchand Medcity; Chairman Ethical Committee 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

 

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eMedinewS Presents Audio News of the Day

Photos and Videos of 3rd eMedinewS – RevisitinG 2011 on 22nd January 2012

Photos of Doctor’s Day Celebration

 
    Dr KK Aggarwal with Aamir Khan …

ASAR–Aamir Khan & Dr KK Aggarwal on Satyamev Jayate Watch Video
Docs vs Aamir Khan Headlines today 9th June 2012 7.30pm Watch Video
Aamir Khan Workshop with kids on dangerous areas Watch Video
DR KK Aggarwal on Doctor Bhagwan Hai ya Shaitan Watch Video
Justice A P Shah on Doctor’s Day Celebration Part 1 Watch Videos
Justice A P Shah on Doctor’s Day Celebration Part 2 Watch Videos
Panel Discussion Part 1 on Doctor’s Day Celebration on 1st July 2012 Watch Videos

 
  Editorial …

10th July 2012, Tuesday

Exercise as the fifth vital sign

Abantika Ghosh (excerpts from Indian Express): Scientists have called for categorizing exercise as the fifth vital sign of the condition of a body, after temperature, blood pressure, pulse and respiratory rate.

In a two-part series on exercise and sports medicine in The Lancet, to coincide with the coming Olympics, researchers point out that participation in a sport is associated with a 20-40 per cent reduction in all causes of mortality. As such, they recommend, exercise be considered one of the vital signs — or one of the physiological indicators of the condition of a human body, considered the most important of all diagnostic tools and one of the first things physicians check when assessing a patient.

The Lancet series also recommends that exercise be noted in patients’ electronic medical records and routine history. Physically inactive patients, they add, should be advised to start exercising as evidence-based therapy. The researchers behind the study belong to the Norwegian School of Sport Sciences, University of California, University of Sydney and Centers for Disease Control and Prevention.

For Comments and archives…

Dr KK Aggarwal
Group Editor in Chief

 
  eMedinewS Audio PostCard

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

Cigarettes Hurt women's Hearts More than Men's

Audio PostCard
 
    Photo Feature (from the HCFI Photo Gallery)

Seminar on Health and Happiness

Seminar on Health and Happiness was organised jointly by Heart Care Foundation of India and Bharatiya Vidya Bhavan at Bharatiya Vidya Bhavan on 5th July, 2012. In the photo: Chief Guest Dr Karan Singh MP and Chairman ICCR, delivering the keynote address.

 
Dr K K Aggarwal
 
    National News

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 re build the image of the medical profession.

50% kidney patients in Andhra Pradesh below 40

HYDERABAD: A chunk of kidney patients in the state are under 40 years of age. Worse, most of the cases undergoing dialysis treatment or even kidney transplants are again in their thirties. This disturbing trend in AP will be analyzed as part of a marathon study that aims to unearth the magnitude of and reasons behind the alarming rise of chronic kidney diseases (CKD) among middle-aged people in the country. The Indian Council of Medical Research (ICMR) is funding the study which is set to roll out shortly in Hyderabad. The study will be undertaken by a team of doctors and researchers from the Nizam's Institute of Medical Sciences (NIMS). The other major cities chosen for the exercise are New Delhi, Mumbai, Kolkata, Chennai, Jaipur, Bhopal, Bhubaneswar and Guwahati. The study, first of its kind in the country, will check prevalence of CKD in Hyderabad. A budget of Rs 50 lakh has been sanctioned for the study which will most likely take five years to complete. Doctors said that 45%-50% of CKD patients in the state are below 40 years of age. Also, 85% of all kidney transplants are being performed on patients below 40. Besides, 70% of patients undergoing dialysis under the Aarogyasri scheme are also below 40. Doctors are of the opinion that some local and genetic factors could be responsible for the sudden spurt in the disease. (Source: TOI, Jul 9, 2012)

For comments and archives

Certificate courses in 2D and 3D Echocardiography/Fellowship Diploma in non invasive cardiology Contact Dr KK Aggarwal, Moolchand Medcity, email: emedinews@gmail.com

 
    International News

(Contributed by Dr Monica and Brahm Vasudev)

Cytomegalovirus DNA test gets FDA nod

The FDA has approved the first DNA test to gauge the progress of antiviral therapy in solid organ transplant patients being treated for cytomegalovirus (CMV). The COBAS AmpliPrep/COBAS TaqMan CMV Test measures the amount of CMV nucleic acid in a patient's blood plasma sample, according to a statement from the FDA. Treatment efficacy may be measured through any changes in a patient's viral load from day to day, and, when used alongside other clinical data, the test can help optimize patient treatment, the agency noted. (Source: Medpage Today)

For Comments and archives…

CDC updates Hepatitis B recommendations for infected HCWs

The US Centers for Disease Control and Prevention (CDC) has updated its 1991 recommendations for the management of hepatitis B virus (HBV)–infected healthcare providers and students to prevent HBV transmission. The new recommendations were prepared by Scott D. Holmberg, MD, and colleagues from the CDC's Division of Viral Hepatitis, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention. They were published on July 6 in the CDC's Morbidity and Mortality Weekly Report. According to the authors, as with the previous guidelines, HBV infection should not disqualify individuals from practicing medicine. Changes to the previous recommendations include the following:

  • No requirement is now needed to prenotify patients of a healthcare provider's HBV status.
  • HBV DNA serum levels rather than hepatitis B e antigen status should be used to monitor infectivity.
  • An HBV level of 1000 IU/mL (5000 GE/mL) or its equivalent is an appropriate threshold that determines whether a healthcare provider performing an "exposure-prone" procedure requires an expert panel oversight.
  • Monitoring should be conducted with an assay that can detect levels as low as 10 to 30 IU/mL.
  • For most providers and students with chronic hepatitis B who conform to current standards for infection control, HBV infection status alone does not require any curtailing of their practices or supervised learning experiences.

The guidelines address several issues, including precautions and preventive strategies that should be followed when HBV-infected healthcare providers and students treat patients. Such strategies include work practice and engineering controls. The guidelines also discuss ethical considerations. All healthcare providers and students should receive a hepatitis B vaccine, with the 3-injection series, according to current CDC recommendations. (Source: Medscape)

For Comments and archives…

First congenital Chagas case in U.S. reported

A Virginia boy born almost a year ago is the first case of congenital Chagas disease reported in the U.S., according to the CDC. The boy was delivered by cesarean section at 29 weeks gestation in August 2010 after he was found to have fetal hydrops, the accumulation of fluid in at least two fetal compartments, the agency reported in the July 6 issue of Morbidity and Mortality Weekly Report. (Source: Medpage Today)

For Comments and archives…

Cystatin C improves renal function index

Using cystatin C levels along with serum creatinine to estimate the glomerular filtration rate (GFR) did a better job of assessing kidney impairment than the standard GFR formula, researchers said. (Source: Medpage Today)

For Comments and archives…

Choose Makena over compounded drug, FDA recommends

Clinicians generally should prescribe the FDA-approved form of hydroxyprogesterone caproate (Makena, K-V Pharmaceutical), which reduces the risk for preterm birth, rather than unapproved versions compounded by pharmacies, the US Food and Drug Administration (FDA) has announced. (Source: Medscape)

For Comments and archives…

 
    Twitter of the Day

@DrKKAggarwal: Stress Management - Dr KK Aggarwal, Padma Shri & Dr B C Roy National Awa...: http://youtu.be/i8yX5bTu5Eg via @youtube

@DeepakChopra: Self-acceptance leads to success, not the other way around.

 
    Spiritual Update

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

Religions show the path to Health & Happiness

A symposium on Health & Happiness was organized at the Bharatiya Vidya Bhavan, New Delhi on July 5, 2012. The symposium brought together nine religions under one roof and the result was a very fruitful discussion and insight into how each religion approaches happiness. The essence of the whole discussion was that all religions are essentially one on health and happiness. Dr Karan Singh, MP (Rajya Sabha), eminent author, thinker……

For Comments and archives…

 
    4th Asia Pacific Vascular Intervention Course (APVIC)

4th Asia Pacific Vascular Intervention Course–Excerpts from a Panel discussion Read More

The 4th Asia Pacific Vascular Interventional Course begins Read More

Excerpts of a talk and interview with Dr. Jacques Busquet by Padma Shri & Dr. B.C. Roy National Awardee, Dr. KK Aggarwal, President Heart Care Foundation of India and Editor–in–Chief Cardiology eMedinewS Read More

4th Asia Pacific Vascular Intervention Course – Dr KK Aggarwal with Faculty Read More

Press Conference on 4th Asia Pacific Vascular Intervention Course – Dr KK Aggarwal with Faculty
Read More

4th Asia pacific vascular intervention course Read More

4th Asia pacific vascular intervention course paper clippings Read More

 
    Infertility Update

(Dr Kaberi Banerjee, IVF expert, New Delhi)

How do counseling and support groups help those couples who are suffering from infertility?

Infertility at any age is a stressful experience, and counseling or support groups can be helpful. The intrusive nature of infertility testing and treatment can make you feel stressed or out of control. Feelings of sadness, anger, blame, guilt, depression, and loss are normal and can be overwhelming at times. Discussing your concerns with your partner, medical staff, and supportive people in your life is important. It may be helpful to join a support group or see a therapist.

For Comments and archives…

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

(Dr Sanjay Chaudhary, Medical Director, Chaudhary Eye Centre Dr Pallavi Sugandhi, Consultant Ophthalmologist, Cornea & Refractive surgeon, Chaudhary Eye Centre)

Myth: Indian eyes are not good enough to be used for corneal transplantation.
Fact: Eyes of any deceased person, anywhere in the world can be used for corneal transplantation after evaluation.

For Comments and archives…

 
    An Inspirational Story

(Dr GM Singh)

Self appraisal

A little boy went into a drug store, reached for a soda carton and pulled it over to the telephone. He climbed onto the carton so that he could reach the buttons on the phone and proceeded to punch in the 10 digits (phone numbers). The store-owner observed and listened to the conversation:

Boy: ‘Lady, Can you give me the job of cutting your lawn?

Woman: (at the other end of the phone line): ‘I already have someone to cut my lawn.’

Boy: ‘Lady, I will cut your lawn for half the price of the person who cuts your lawn now.’

Woman: I’m very satisfied with the person who is presently cutting my lawn.

Boy: (with more perseverance): ‘I’ll even sweep your curb and your sidewalk, so on Sunday you will have the prettiest lawn in all of Palm beach, Florida.’

Woman: No, thank you.

With a smile on his face, the little boy replaced the receiver.

The store-owner, who was listening to all this, walked over to the boy.

Store Owner: ‘Son... I like your attitude; I like that positive spirit and would like to offer you a job.’

Boy: ‘No thanks’. Store Owner: But you were really pleading for one.

Boy: No Sir, I was just checking my performance at the job I already have. I am the one who is working for that lady, I was talking to!'

This is what we call ‘Self Appraisal’...

For Comments and archives…

 
   Cardiology eMedinewS

Pistachios can protect your heart during acute stress Read More

Tighter UK food policies could slash CV deaths by 30,000 Read More

 
   Pediatric eMedinewS

Children's sleepwear recalled on flammability fears Read More

 
    IJCP Special

Dr Good Dr Bad

Situation: A patient with inflammation was on regular follow–up.
Dr. Bad: Do sequential ESR.
Dr Good: Do sequential CRP.
Lesson: The ESR changes relatively slowly as the patient’s condition worsens or improves but the CRP concentrations change rapidly.

For comments and archives

Make Sure

Situation: A known patient of NIDDM on oral hypoglycemics presents with hyperglycemic crisis.
Reaction: Oh, my God! I did not manage the patient aggressively.
Lesson: Make sure that patients with impaired glucose tolerance (IGT) or NIDDM are fully evaluated for complications at the first visit. The present approach to therapy of NIDDM is characterized by proactive shifts to agents that may be combined or prescribed in maximal doses to achieve normal or near normal glycemia from the time of diagnoses of NIDDM or IGT, in order to prevent complications.

For comments and archives

 
  Legal Question of the Day

(Dr MC Gupta)

Q. The PNDT record in my office was sealed on 07/09/2011. The District Collector issued oral orders that the record should be re-examined by a committee headed by civil surgeon. The CS himself was not present during re-examination. The committee members were: an MBBS from a govt. hospital; a private Gynaecologist; and an NGO.

My questions are:

a) Can the sealed record be re-examined again?
b) How can I ensure that the authorities do not tamper with the record?
c) What should I do if anything is found missing from the sealed record?
d) Is it necessary to take prior permission from the court before opening the seal & searching the form F again?
e) Can I request under RTI to see my record now?

Ans.

  1. Inspection is covered under Rule 11 of the PNDT Rules, 1996. The procedure for search and seizure is described in Rule 12. Seizure includes sealing.
  2. In terms of Rule 11(1):

    “1) Every Genetic Counselling Centre, Genetic Laboratory, Genetic Clinic, Ultrasound Clinic, Imaging Centre, nursing home, hospital, institute or any other place where any of the machines or equipments capable of performing any procedure, technique or test capable of pre-natal determination of sex or selection of sex before or after conception is used, shall afford all reasonable facilities for inspection of the place, equipment and records to the Appropriate Authority or to any other person authorised by the Appropriate Authority in this behalf for registration of such institutions, by whatever name called, under the Act, or for detection of misuse of such facilities or advertisement therefore or for selection of sex before or after conception or for detection/disclosure of sex of foetus or for detection of cases of violation of the provisions of the Act in any other manner.”
  3. It is clear that the purposes of inspection are to inspect:
    1. the place, equipment and records;
    2. Or, for detection of misuse of such facilities or advertisement thereof;
    3. Or, for selection of sex before or after conception;
    4. Or, for detection/disclosure of sex of foetus;
    5. Or, for detection of cases of violation of the provisions of the Act in any other manner.
  4. In terms of Rule 12(1):

    “12. Procedure for search and seizure. - (1) The Appropriate Authority or any officer authorised in this behalf may enter and search at all reasonable times any Genetic Counselling Centre, Genetic Laboratory, Genetic Clinic, Imaging Centre or Ultrasound Clinic in the presence of two or more independent witnesses for the purposes of search and examination of any record, register, document, book, pamphlet, advertisement, or any other material object found therein and seal and seize the same if there is reason to believe that it may furnish evidence of commission of an offence punishable under the Act.

    Explanation:- In these Rules

    (1) ‘Genetic Laboratory/Genetic Clinic/ Genetic Counselling Centre’ would include an ultrasound centre/imaging centre/ nursing home/hospital/institute or any other place, by whatever name called, where any of the machines or equipments capable of selection of sex before or after conception or performing any procedure, technique or test for pre-natal detection of sex of foetus, is used;

    (2) ‘material object’ would include records, machines and equipments; and

    (3) ‘seize’ and ‘seizure’ would include ‘seal’ and ‘sealing’ respectively.”.
  5. It is clear from the above that:
    1. The inspecting officer must be duly authorised.
    2. He should inspect in the presence of two or more independent witnesses
    3. He may seal and seize records etc. if there is reason to believe that it may furnish evidence of commission of an offence punishable under the Act.
  6. In terms of Rule 12(2):

    “(2) A list of any document, record, register, book, pamphlet, advertisement or any other material object found in the Genetic Counselling Centre, Genetic Laboratory or Genetic Clinic and seized shall be prepared in duplicate at the place of effecting the seizure. Both copies of such list shall be signed on every page by the Appropriate Authority or the officer authorized in this behalf and by the witnesses to the seizure:

    Provided that the list may be prepared, in the presence of the witnesses, at a place other than the place of seizure if, for reasons to be recorded in writing, it is not practicable to make the list at the place of effecting the seizure.”
  7. It is clear from the above that:
    1. A list of what is seized / sealed shall be prepared in duplicate at the place of effecting the seizure.
    2. Both copies of such list shall be signed on every page by the Appropriate Authority or the officer authorized in this behalf and by the witnesses to the seizure.

      As per sub- Rule 3, a copy of the list shall be handed over to the person whose records etc. have been seized.
  8. As regards your question—“ Can sealed record be re-examined again?”, this question should not ordinarily arise because often the authorities are expected to have taken photocopies of the necessary records before they are sealed. In any case, the records are in your premises and they have to re-enter the premises to break the seal and re-examine the records. You are entitled not to allow them to re-enter if they do not show you written authority to inspect / re-enter and to break the seal and re-examine the records. If the officer concerned shows such authority, you cannot protest because nothing curtails the right of the authorities to examine the concerned records.
  9. As regards your question—“How can I ensure that the authorities do not tamper with the record?”, you are entitled to be physically present and observe the process and if some attempt at tampering is done, you can object and if they still do it, you can lodge a complaint with the authorities regarding this.
  10. As regards your question—“What should I do if anything is found missing from the sealed record?”—This has been almost answered above.
  11. As regards your question—“Is it necessary to take prior permission from the court before opening the seal & searching the form F again?”, this question does not arise. The case is not yet in the court.
  12. As regards your question—“Can I request under RTI to see my record now?”, it is an odd question. How can you ask them to supply a copy of your own record which is not even in their own custody and is lying sealed in your premises?

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    Health News Bulletin

Docs can’t play with patients’ lives for personal gain: NCDRC

Deccan Herald

New Delhi: A doctor cannot play with patients’ lives for personal gain, the apex consumer forum said while directing an Ayurveda practitioner to pay Rs 7 lakh to the widow of a man, who died following his treatment with allopathic drugs.“A doctor is not supposed to play with the lives of people for personal gain,” the National Consumer Disputes Redressal Commission (NCDRC) said. “It said the conduct of the Ayurveda practitioner “smacks of negligence” in this case. The NCDRC gave its ruling on doctor R R Singh’s plea against the Maharashtra State Consumer Commission’s order to him to pay Rs 7 lakh compensation to the widow. ‘No knowledge’: Upholding the state commission’s order, the NCDRC questioned him as to how he prescribed allopathic medicines despite having no knowledge of allopathic. “It is difficult to fathom as to how and why complex drugs such as Betnesol, Decadron and Neurobion were prescribed without consulting an allopathic doctor,” said the bench presided by Justice J M Malik.

 
  Quote of the Day

(Dr GM Singh)

It is better in prayer to have a heart without words than words without a heart. Mohandas K. Gandhi

 
  Lab Update

(Dr Arpan Gandhi and Dr Navin Dang)

Laboratory tests for inflammatory bowel disease

Tests that may be ordered to rule out other causes of diarrhea and inflammation include:

  • Stool culture to look for bacterial infection
  • O & P (Ova and parasite) to detect parasites
  • Clostridium difficile to detect toxin created by bacterial infection; may be seen following antibiotic therapy.
  • Fecal occult blood to look for blood in the stool
  • Celiac disease tests
 
    Mind Teaser

Read this…………………

A client with chronic heart failure has been placed on a diet restricted to 2000mg. of sodium per day. The client demonstrates adequate knowledge if behaviors are evident such as not salting food and avoidance of which food?

A. Whole milk
B. Canned sardines
C. Plain nuts
D. Eggs

Yesterday’s Mind Teaser: Which of the following movies features a character suffering from schizophrenia?

a) A Beautiful Mind
b) The Three Faces of Eve
c) Me, Myself & Irene
d) Sybil
e) All of the above
f) None of the above

Answer for Yesterday’s Mind Teaser: a) A Beautiful Mind

Correct answers received from: Raju Kuppusamy, Dr. Thakor Hitendrsinh G, Anup, Yogindra Vasavada, Dr. P. C. Das

Answer for 8th July Mind Teaser: a. 50-80%
Correct answers received from: Dr. Thakor Hitendrsinh G, Anup, Yogindra Vasavada, Dr. P. C. Das

Send your answer to ijcp12@gmail.com

 
    Laugh a While

(Dr GM Singh)

Gorgeous, intelligent, kind, sweet, charming, witty, hilarious, friendly...well enough about ME! How are you?

 
  Microbial World: The Good and the Bad They Do

(Dr Usha K Baveja, Prof. and Senior Consultant Microbiology, Medanta – The Medicity, Gurgaon)

MMR vaccines

Immunization schedule

  • Infants and children: The MMR vaccine is administered by a subcutaneous injection. The first dose is generally administered to children around the age of one year, with a second dose at 18 months or before starting school (i.e. age 4/5). The second dose is a dose to produce immunity in the small number of persons (2–5%), who fail to develop measles immunity after the first dose.
  • Adults: In non immunized adults, the first dose is administered during first visit and second dose is given 2 months later. Non vaccinated children above 7 years of age also the same schedule as in adults is followed.

Adverse reactions

Rarely, serious reactions may occur from each component of the MMR vaccine. About 10% of children develop fever, malaise and a rash 5–21 days after the first vaccination; 5% develop temporary joint pain. Older women appear to be more at risk of joint pain, acute arthritis, and even (rarely) chronic arthritis. Anaphylaxis is an extremely rare but serious allergic reaction to the vaccine. The number of reports on neurologic disorders is very small, other than evidence for an association between a form of the MMR vaccine containing the Urabe mumps strain and rare adverse events of transient mild form of aseptic/viral meningitis. Urabe mumps strain is not used since the early 1990s in UK due to cases of transient mild viral meningitis. Currently UK uses Jeryl Lynn mumps strain to prepare Mumps component of the vaccine. Some countries still use Urabe strain as it is cheaper.

For comments and archives

 
  Medicolegal Update

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

Psychosomatic delusions

Delusions, without any doubt, reflect a mental abnormality.

  • A person with psychosomatic delusions believes that there is some pathology or abnormality with some part or system or organ of his body, though in reality he is physically healthy.
  • This may ultimately lead to delusions of persecution. In extreme cases, some of these persons may commit suicide.
  • In nihilistic delusions, a sufferer does not believe in the existence of earthly matters or happenings. He even may not believe in his own existence. Such persons suffer from an extreme negative attitude about everything. These subjects may be the victims of accidents and they may even commit suicide.
  • If because of such delusions, he thinks that another person is out to cheat him and on such a false belief if he kills that person then he will be responsible for the killing. This is at par with the provision of the law and natural justice; because law provides that a man reserves the right to protect his own life.

For comments and archives

 
    Public Forum

(Press Release for use by the newspapers)

Monsoon and Road Safety

Tips for driving in rain

During the monsoons, many people become victims of road traffic accidents. So it is important for the public to revise their knowledge about road safety, said Padma Shri and Dr B C Roy National Awardee Dr KK Aggarwal, President Heart Care Foundation of India.

The Heart Care Foundation of India released road safety guidelines to reduce dangers of accidents while driving and also requested the transport department and the traffic police to intensify their educational campaign in this regard.

Follow these tips to drive safely during the monsoons:

  • Drive slowly. Driving too fast is the No. 1 cause of accidents on rainy days.
  • If an accident occurs or your vehicle stalls, pull as far off the road as possible, turn on the flashing emergency lights, and move to a safe area. If there is no safe place next to the road, stay in your car and remain buckled up.
  • Drive in the tyre prints of the car ahead of you. When a car hydroplanes, it is riding on a thin layer of water between the tires and the road. The water in tyre prints has already been displaced, so you get better traction.
  • If your car hydroplanes, hold the steering wheel steady and lightly apply brakes. When you feel the tyres touch the pavement, slow until you regain control.
  • Do not speed through standing water.
  • Motorcyclists should bear in mind that crosswalk lines and pavement arrows are super–slick.
  • Check the tyres and wipers of your car. According to the Traffic police, many drivers in accidents say their visibility was hampered as the car wipers smeared their windshields on a rainy day.
  • Keep a safe distance between you and the vehicle in front. Your braking distance is greatly increased in wet driving.
  • Do not brake while in a curve if at all possible. Brake before entering the curve.
  • Do not change lanes. If at all you need to do so, use turn signals for all lane changes and turn well in advance so that you do not surprise another driver and cause him to brake.
 
    Readers Response
  1. Dr K K rightly said Doctors are God later and human beings first ; they try to help & save the patient in each & every manner but he don't have the control over destiny ; every person / patient has to understand this . This important massage has to be propagated by media in big way - negative result at doctors end is a big masala for media. Dr V K Goel
 
    Forthcoming Events
Dr K K Aggarwal

IYCNCON 2012

All are cordially invited for the 2nd National Conference of IYCF Chapter of IAP. This conference is organized by: IYCF Chapter, MOH&FW GOI, MOWCD GOI, WHO, UNICEF, IMLEA, SDHE Trust.
The theme of the conference is: "Proper Nutrition: Defeat Malnutrition – Investing in the Future"
Venue: India Habitat Centre, Lodhi Road, New Delhi – 110 003.
Date: 5th Aug 2012
For further details contact:
Conference Secretariat: Dr. Balraj Yadav, E–Mail: drbalraj@ymail.com, drvisheshkumar@gmail.com,
Ph: +91.124.2223836, Mobile: +91.9811108230

Dil Ka Darbar

September 23, 2012 at 9:00 AM – 6:00 PM
Tal Katora Indoor Stadium, Connaught Place, New Delhi, 110001
http://www.heartcarefoundation.org

A non stop question answer session between all the top cardiologists of the NCR region and the mass public. Event will be promoted through hoardings, our publications and the press. Public health discussions

 
    eMedinewS Special

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

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

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  Dil Ki Batein

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    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