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  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 Workshop on Stress Management and How to be Happy and Healthy

 
  Editorial …

1st June 2012, Friday

How to quit smoking

Excerpts of a seminar held at DMA on the eve of World No Tobacco Day.

The panelists included Dr. Sandeep Budhiraja, Director, Internal Medicine and Dr. Sameer Amphora, Head, Dept. of Mental Health and Behavioral Sciences from Max health care super specialty hospital. The session was moderated by Dr KK Agawam

  1. A combination of behavioral and drug therapy works for quitting.
  2. The available choices are Non Nicotine Replacement Therapies (NRT), Bupropion and Varenicline
  3. NRT are available in gums and patches. They are devoid of side effects and only marginally increase the success rate of quitting.
  4. Bupropion is an antidepressant, which was accidentally found to have anti smoking properties. It has side effects with an overall success rate of only 15-20%.
  5. Varenicline (Champix) was FDA approved in 2007. It is the only non nicotinic drug for smoking cessation and by far the most effective drug therapy. Increases quit rate from 40% to 60%. Side effects include nausea, sleep disturbance and some suicidal ideation. Hence, caution should be exercised in patients with uncontrolled depression.
  6. Equally important is counseling and behavioral therapy. One prepares the smoker prior to quit attempt and supports the person during the period when he is in abstinence. Equally important is the period of follow up (three months after quitting).
  7. A close follow is required to prevent relapse/lapse; however, a percentage of smokers may relapse and need restart of the above therapies.
  8. Use of tobacco in India: 40% smoking, 60% tobacco products
  9. Varenicline, off label use works in tobacco cessation
  10. The smoking trend is increasing in adolescents.
  11. Weight gain is common during withdrawal, so counsel the patient for exercise and diet.
  12. Warn the patient about the mood swings that may occur.
  13. First-hand smoking is by the smoker. Second-hand smoking is related to the environmental smoking and third-hand smoking is the smoking dust on houses of smokers, which can be licked by infants and toddlers.
  14. Smoking dependence is judged by FTND scale as mild, moderate and severe.
  15. One can also do CO breath test, available like a small spirometry. It can also measure the carboxyhemoglobin levels. < 5 ppm CO is mild dependence; 5-10 is moderate and > 10 is severe dependence
  16. Group counseling does not work in India.
  17. 24-hour quit helplines are available
  18. Brief interventions work at all stages. They are linked to issues with respect to motivation enhancement.
  19. The stages are: a. Pre contemplation: preparing knowledge b. Contemplation: tilting the balance towards quitting by motivating, feedback, reflective listening, agreeing with him, empathy, c. Determination quit within a month, push to action, convincing not postponing d. Action: assist with drugs, counseling, managing side effects e. Maintenance: follow ups, 3-month acute course, one year 2/7 days then space the follow up f. Relapse prevention, identifying triggers, lapses and relapses, reassess why lapse, motivating that lapse are transient and does happen,
  20. CBT: Visualizing and contemplating the negative consequences of using it (medical, social family), help them getting a quit date, inform people, self belief, self image building and visualizing advantages of not smoking.
  21. Others things which can help are: Social support, avoiding nagging, Biofeedback, Pranayama, Meditation, Relaxation, PMR, autogenic relaxation, breathing in different parts of the body plus visualization
  22. All want to quit but are not able to quit. Most make attempts but are unassisted and unaided and therefore fail. Give the aid and assistance. Tell them that help is available
  23. The "5 A's": Ask, Advice, Assess, Assist and Arrange.
  24. Nicotine withdrawal syndrome: Dysphoric or depressed mood, insomnia, irritability, frustration, or anger, anxiety, difficulty concentrating, restlessness and increased appetite or weight gain

For More editorials…

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 No Tobacco day

Audio PostCard
 
    Photo Feature (From HCFI Photo Gallery)

World No Tobacco Day

A poster depicting ‘10 benefits of quitting tobacco’ was released by Smt Sheila Dixit, Hon’ble Chief Minister of Delhi, on the occasion of World No Tobacco Day Also present on the occasion were Padma Shri & Dr BC Roy National Awardee Dr KK Aggarwal, President HCFI, Dr Harish Gupta, President DMA.

 
Dr K K Aggarwal
 
    National News

Exposed to passive smoking, infants develop infections

KANPUR: Tobacco is the second biggest cause of death globally after hypertension, reveals a research by the World Health Organisation (WHO). "Children exposed to second-hand or passive tobacco smoke can develop a range of infectious illnesses, like meningococcal disease, and not just respiratory problems. "Second-hand smoke or passive smoking is the case when a family member smokes in front of children at home or at public places," said Dr AK Nigam, nodal officer, Tobacco Control Cell. Risk of severe morbidity from both respiratory and other infections increased in all infants exposed to second-hand smoke. Such indirect exposure may also affect the immune system of infants and kids, he says. Tobacco is one of the primary causes of oral cancer, which constitutes 30 to 50% of all cancers in India. The World Health Organisation (WHO) observes May 31 every year as the World No Tobacco Day. On this day, the hazards of tobacco abuse are highlighted along with the health gains which tobacco cessation guarantees. (Source: TOI, May 31, 2012)

For comments and archives

Ahmedabad registers 8000 mouth cancer cases every year

AHMEDABAD: Until nine months ago, Paresh Dabhi (26) was a handsome man working in a diamond polishing unit and looking forward to getting married. Now, he stares at a future where people might be scared to even look at his face. On the eve of the World No Tobacco Day, Dabhi, who got hooked to gutka when he was 16, underwent a gruelling six-hour-long surgery where almost his entire mouth on the right side, including the sinus, jaw, lips and chin, was surgically removed. Only his eye could be salvaged. People like Paresh are not a rarity in Ahmedabad - a city which registers the highest incidence of 12.9 fresh cases of mouth cancer per one lakh population. An estimated 7,700 fresh cases of only mouth cancer are detected here annually. Figures revealed by Population Based Cancer Registries indicate that Ahmedabad has higher number of cases of mouth cancers than any other city in India. (Source: TOI, May 31, 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)

Exercise, physical therapy, vitamin D key in fall prevention

Exercise or physical therapy, along with vitamin D supplementation, are the best medicine for fall prevention among older adults, according to a report by the US Preventive Services Task Force (USPSTF). The new clinical guideline was published online May 28 in the Annals of Internal Medicine. (Source: Medscape)

For comments and archives

FDA OKs use of pCR as breast cancer trial endpoint

The FDA has released a draft guidance for makers of breast cancer drugs explaining how to design clinical trials using pathologic complete response (pCR) as a surrogate endpoint to demonstrate the study drug's efficacy. Specifically, the guidance discusses the use of pCR to support approval of drugs for neoadjuvant treatment of early-stage breast cancer through the agency's accelerated approval pathway. (Source: Medpage Today)

For comments and archives

EU Okays combination type 2 diabetes pill

Advisors for the European Medicines Agency (EMA) last week paved the way for approval of a combination pill containing the dipeptidyl peptidase-4 (DPP-4) inhibitor linagliptin and metformin hydrochloride (Jentadueto, Boehringer Ingelheim/Eli Lilly) for type 2 diabetes. (Source: Medscape)

For comments and archives

Saw palmetto no better than placebo in men with BPH

Saw palmetto is no more effective at relieving symptoms of an enlarged prostate than placebo, according to the latest review of research on the herbal remedy. (Source: Medscape)

For comments and archives

 
   Twitter of the Day

@DrKKAggarwal: Cardiology eMedinewS FAME II: FFR pinpoints stable CAD patients who fare worse with OMT.

@DeepakChopra: Fear is the memory of pain. Addiction is the memory of pleasure. Freedom is beyond both.

 
    Spiritual Update

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

Dealing with a Muslim Patient?

Islam is based on the teachings of Paigambar Mohammad. Muslims believe in only one God ‘Allah’ who is most powerful. As in Christianity, after death, the soul is judged by Allah and remains either in heaven or hell

For comments and archives

 
    Infertility Update

(Dr Kaberi Banerjee, IVF expert, New Delhi)

What is the surgical treatment for ectopic pregnancy?

Ectopic pregnancies were usually treated by total salpingectomies (removal of the entire tube) via laparotomy (major surgery). If the ectopic pregnancy is diagnosed early, before it ruptures through the tube, a laparoscopic salpingostomy may be performed. In this procedure, the fallopian tube is opened and the pregnancy tissue is removed while leaving the tube in place. The tube subsequently heals on its own.

A partial salpingectomy (sometimes called a segmental resection, where a middle segment of the tube is removed; may be performed when the ends of the tubes (the fimbriae) appear healthy and the ectopic pregnancy is small. If only a small portion of the tube is removed, the tube may be rejoined later using microsurgery. If the fallopian tube is extremely damaged, the ectopic pregnancy is large, or the woman is bleeding excessively, a total salpingectomy is performed.

For comments and archives

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

(Dr N K Bhatia, Medical Director, Mission Jan Jagriti Blood Bank)

Advantages of Leukodepleted Blood

  • Assurance of safe and high quality blood through adherence to GMPs.
  • Consistent and reproducible superior quality of blood components.
  • 99.99% pre-storage leukocyte removal ensuring safe transfusion practice.
  • Decreased incidence of adverse transfusion reactions associated with leukocytes.

For comments and archives

 
   An Inspirational Story

(Mr Vivek Kumar)

Paths are made by walking

Offbeat Graduation Speech Gets Standing Ovation: 2012's Baccalaureate speaker at the University of Pennsylvania was an unconventional choice for an Ivy League school. To address their newly-minted graduates, aspiring to dazzling careers, they picked a man who has never in his adult life, applied for a job. A man who hasn't worked for pay in nearly a decade, and whose self-stated mission is simply "to bring smiles to the world and stillness to my heart". This off-the-radar speaker launched his address with a startling piece of advice. Following up with four key insights gleaned from a radical 1000 km walking pilgrimage through the villages of India. As he closed his one-of-a-kind Graduation Day speech, the sea of cap and gowned students rose to their feet for a standing ovation. What follows is the full transcript of the talk by Nipun Mehta.

Thank you to my distinguished friends, President Amy Gutmann, Provost Vincent Price and Rev. Charles Howard for inviting me to share a few reflections on this joyous occasion. It is an honor and privilege to congratulate you -- UPenn’s class of 2012.

Right now each one of you is sitting on the runway of life primed for takeoff. You are some of the world's most gifted, elite, and driven college graduates – and you are undeniably ready to fly. So what I’m about to say next may sound a bit crazy. I want to urge you, not to fly, but to – walk. Four years ago, you walked into this marvelous laboratory of higher learning. Today, head s held high, you walk to receive your diplomas. Tomorrow, you will walk into a world of infinite possibilities.

But walking, in our high-speed world, has unfortunately fallen out of favor. The word “pedestrian” itself is used to describe something ordinary and commonplace. Yet, walking with intention has deep roots.

Australia's aboriginal youth go on walkabouts as a rite of passage; Native American tribes conduct vision quests in the wilderness; in Europe, for centuries, people have walked the Camino de Santiago, which spans the breadth of Spain. Such pilgrims place one foot firmly in front of the other, to fall in step with the rhythms of the universe and the cadence of their own hearts.

Back in 2005, six months into our marriage, my wife and I decided to “step it up” ourselves and go on a walking pilgrimage. At the peak of our efforts with ServiceSpace, we wondered if we had the capacity to put aside our worldly success and seek higher truths. Have you ever thought of something and then just known that it had to happen? It was one of those things. So we sold all our major belongings, and bought a one-way ticket to India. Our plan was to head to Mahatma Gandhi’s ashram, since he had always been an inspiration to us, and then walk South. Between the two of us, we budgeted a dollar a day, mostly for incidentals -- which meant that for our survival we had to depend utterly on the kindness of strangers. We ate whatever food was offered and slept wherever place was offered.


For more and archives

 
   Cardiology eMedinewS

Give thiazides only to obese hypertensives Read More

Women may need lower ambulatory BP cutoffs. Read More

What’s new about it? - Lab grows heart muscle from skin Read More

 
   Pediatric eMedinewS

Many teenagers have at least 1 CVD risk factor Read More

Maryland teen wins world's largest high school science competition Read More

Hospital bugs hit one in 12 kids Read More

 
    IJCP Special

Dr Good Dr Bad

Situation: A patient with heart failure had low total cholesterol levels.
Dr Bad: It’s ok.
Dr Good: It’s a matter of concern.
Lesson: Low serum cholesterol in patients with heart failure is associated with higher mortality. Whether low cholesterol has a causative role or is simply a marker of more severe debilitation (i.e. cardiac cachexia, liver dysfunction, and inadequate nutrition), has not been determined (J Card Fail 2002;8:216).

For comments and archives

Make Sure

Situation: A 20–year–old college student complained of dysuria, frequency and pyuria.
Reaction: Oh my God! Why did you not advise a macrolide?
Lesson: Make sure to remember that macrolides are very effective against E. coli, S. saprophyticus and C. trachomatis infection.

For comments and archives

 
    Legal Question of the day

(Prof. M C Gupta, Advocate & Medico–legal Consultant)

Q. Can an MBBS legally perform surgery for hernia, piles, fistula, removal of uterus or appendix and cesarean section etc.?

Ans.

  1. An MBBS is a graduate in surgery and hence he cannot be legally denied the right to perform surgery. However, law operates not in vacuum but in a real situation with respect to time, place and person. All the surgeries mentioned by you could be validly performed in a remote place where there is no surgeon available to alleviate the suffering of people, especially in emergency. None of these would be expected to be done by an MBBS where qualified surgeons are easily available.
  2. No hard and fast rule can be made applicable in all situations. However, I suggest the following guidelines would seem appropriate:
    1. An MBBS doctor can undertake those surgeries about which he has been taught/trained in his MBBS course and in which he is experienced.
    2. He should preferably not undertake surgery involving general anesthesia.
    3. He should not routinely hold out as a surgeon, especially when a qualified surgeon is available in the area.
    4. Relaxation in the above norms may be permissible in emergencies where it is a question of saving life.
  3. Attention is drawn to the following guidelines issued by the AP Medical Council regarding surgery that may be performed by MBBS doctors.

    "What Can an MBBS Doctor do:–
    1. He can do all the Minor Surgical Procedures for which he is trained in MBBS Course and Houseman Ship.
    2. He can do Deliveries and its related procedures as trained.
    3. He can do National Programmes like Tubectomies & Vasectomies.
    4. In emergencies if a qualified surgeon is not available in the near vicinity, as a life savings measure he can do first aid and a Surgical Procedure based on his experience.
    5. He should not do Elective Major Surgical procedures and the care should be taken to refer to a nearby Hospital where a Surgeon/Gynecologist available."

For comments and archives

 
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  Quote of the Day

(Dr GM Singh)

How to improve your life

Personality: Don't compare your life to others'. You have no idea what their journey is all about.

 
    Lab Update

(Dr Arpan Gandhi and Dr Navin Dang)

Lipid Profile, insist that the lab provides a direct estimated LDL value and not a calculated LDL value for more accurate results.

 
    Mind Teaser

Read this…………………

Nurse Katrina would recognize that the demonstration of crutch walking with tripod gait was understood when the client places weight on the:

a. Palms of the hands and axillary regions
b. Palms of the hand
c. Axillary regions
d. Feet, which are set apart

Yesterday’s Mind Teaser: What is not true for HNPCC?

a) It is the most common hereditary colorectal cancer syndrome in USA.
b) It is associated with MMR gene mutation.
c) It is associated with APC mutation.
d) It is associated with carcinoma colon and extraintestinal cancers.

Answer for yesterday’s Mind Teaser: c) It is associated with APC mutation.

Correct answers received from: Dr. Sushma Chawla, Dr. P. C. Das, Dr.Chandresh Jardosh, Raju Kuppusamy, Dr. Thakor Hitendrsinh G, Dr Jainendra Upadhyay, Dr U.Gaur

Answer for 30th May Mind Teaser: Prolonged reperfusion of the toes after blanching
Correct answers received from: Dr. Thakor Hitendrsinh G, Dr Jainendra Upadhyay, Dr U.Gaur

Send your answer to ijcp12@gmail.com

 
    Laugh a While

(Dr GM Singh)

Grandparents Answering Machine

At present we are not at home but, please leave your message after you hear the beep.

If you are one of our children, dial 1 and then select the option from 1 to 5 in order of "arrival" so we know who it is.

If you need us to stay with the children, press 2
If you want to borrow the car, press 3
If you want us to wash your clothes and ironing, press 4
If you want the grandchildren to sleep here tonight, press 5
If you want us to pick up the kids at school, press 6
If you want us to prepare a meal for Sunday or to have it delivered to your home, press 7
If you want to come to eat here, press 8
If you need money, press 9
If you are going to invite us to dinner, or, taking us to the theater start talking we are listening !!!!!!!!!!!"

 
    Medicolegal Update

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

What is injury, assault and hurt in medicolegal cases as per Indian penal code?

The words injury, assault and hurt are invariably used by doctors in hospital practice. Though used as synonymous, all these three words have different meaning in law. They are defined by Indian penal code as below:

  • Injury: Section 44 IPC defines injury as any harm whatever illegally caused to any person in body, mind, reputation or property.
  • Assault: Section 351 IPC defines assault as threat or attempt to apply force on the body of another in a hostile manner. It may be a common/simple assault or an intention to murder.
  • Hurt: Section 319 IPC defines hurt as ‘whoever causes bodily pain, disease or infirmity to any person is said to cause hurt.’

As doctors we deal with cases of hurt/body injury mean bodily pain, wound, disease or infirmity voluntarily caused to any person in medico–legal cases. These include abrasion, contusion, laceration, stab wound, electric shock, fire arm or ligatures etc resulting in human body injury.

The doctor who is certifying an injury report should keep in mind the Penal provision which is required by police to book the case as follows:

  • Simple injury: Section 323 of IPC
  • Simple injury caused by dangerous weapons: Section 324 of IPC
  • Grievous injury: Section 325 of IPC
  • Grievous injury caused by dangerous weapons: Section 326 of IPC
  • Dangerous injury: Section 307 IPC
  • Injury likely to cause death: Section 304 of IPC
  • Injury sufficient to cause death: Section 302 IPC
  • Causing hurt by means of poison: Section 328 of IPC

For comments and archives

 
    Public Forum

(Press Release for use by the newspapers)

DMA and Heart Care Foundation of India Demands complete ban on Gutka, Tobacco & Tobacco Products

DMA and Heart Care Foundation of India demanded ban on Gutka, Tobacco and Tobacco Products in Delhi on the occasion of World No Tobacco Day. On this occasion of World No Tobacco Day, Hon’ble Chief Minister Delhi Smt. Shiela Dikshit Ji released a poster to highlight the ill-effects of tobacco and how to Quit Tobacco. Delhi Medical Association’s poster will be distributed / pasted to all the nursing homes and medical establishments in Delhi for creating awareness amongst the general masses.

Dr. Harish Gupta, President, DMA said that there are more than 9 lakhs deaths, 1.5 lakh cancers patients, 3.7 million lung disease, 8.3 million cases of coronary artery diseases and chronic obstructive airway diseases are attributable to tobacco every year in India.

Tobacco related cancers account for nearly half of all cancers among men and one-fourth among women. Once addicted, rate of quieting tobacco in India is around 5-10% as compared to USA & UK where it is around 30-40%. DMA is working towards establishing tobacco cessation clinics by providing training to its doctors on de-addiction. DMA is creating awareness amongst the public about hazards of tobacco and has suggested ways on how to quit tobacco. DMA requested Delhi Govt. to start tobacco cessation clinics in all government hospitals and give support to private doctors for taking up this initiative in public interest.

Due to tobacco consumption, not only the consumer who suffers and treads his life to death but along with him life of his close one also comes to a grave end.

Dr. Vijay Kohli, Hony, State Secretary, DMA demanded ban on Gutka, Tobacco and Tobacco products in Delhi. DMA will organize various workshops, seminars and lectures for public as well as for doctors to train them and to create awareness in the public about the harms of tobacco. He further informed that seminar on Quit Tobacco was organized at DMA House Daryaganj, New Delhi on the 30th May 2012 on the above issue. Dr. Sandeep Budhiraja (Director-Internal Medicine, Max Health Care) and Dr. Sameer Malhotra (Health –Mental Health & Behavioral Sciences, Max Health Care) delivered their talks on Smoking Cessation Therapies and Tobacco Cessation & Relapse Prevention respectively.

Padmashri & Dr. B.C. Roy National Awardee, Dr. KK Aggarwal, President Heart Care Foundation of India & Chairman, World No Tobacco Day, said that Tobacco is easy to start but difficult to Quit. Tobacco causes addiction and this needs de-addiction as it is an illness. Quitting needs family as well as doctor support. There are very few trained doctors, or de-addiction clinics and limited numbers of de-addiction centers in Govt hospitals.

 
    Readers Response
  1. Dear Dr Atul Agarwal, it is a pleasure to read your reply to Aamir Khan, the so-called social activist and social reformer. I think all of us should understand one thing that all the human beings created by God are unique and each has a purpose in this world. By reacting to Aamir Khan we are wasting our time because he is not doing a noble service to the community free of cost. He charges 3 or 5 crores per show and project himself as a reincarnation of Gandhiji. All these talk shows about doctors would never have an impact on patients who knows his physician well. A patient chooses his doctor out of choice and not out of compulsion. All of us have flaws in our personality irrespective of the profession we choose. Since Aamir Khan is getting old he wants a different platform to make money. Let us do our duty and not over react to people who know nothing about medicine. Dr. R Mani.
  2. Well done Aamir Khan, cheap sensation and headlines can be created very easily by blaming doctors; the amount of hard work right from education to training cannot be matched by any other profession. The long endless working hours, 24-hour worry and tension for patients highlight mat karo, that is not a big deal just highlight bad points which is in every field including film industry, casting couch, black money, underworld money all sorts of sex and drug abuse, apne girah ban mein jhank kar dekho, taking shortcut for cheap publicity and higher TRPs, well done Aamir. Next illness mein generic medicines kha kar dikhana. All the best: Vivek Kumar, Varanasi.
 
    Forthcoming Events
Dr K K Aggarwal

4th Asia Pacific Vascular Intervention Course (APVIC-IV)

Date: June 8-10-2012

THE OBEROI, Dr. Zakir Hussain Marg, New Delhi
In association with 'International Society of Endovascular Specialists' 'Vascular Society of India' 'Society of Cardiovascular Angiography & Interventions'

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

 
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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, Dr Usha K Baveja