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 DAILY 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 (07–08c); 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

 

Live Web Cast of 3rd eMedinewS – Revisiting 2011, on January 22, 2012

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eMedinewS Presents Audio News of the Day

Photos and Videos of 2nd eMedinewS – Revisiting 2010

 
  Editorial …

4th January 2012, Wednesday

Revisiting Drugs in 2011

  1. Labeling changes to glitazones were made in 2011. Rosiglitazone and all rosiglitazone–containing products now include information regarding a possible increased risk for heart attacks.
  2. Pioglitazone and all pioglitazone–containing medicines now include information regarding a possible increased risk for bladder cancer associated with use for more than 1 year.
  3. The strength of prescription acetaminophen products was limited to 325 mg per dose. Prescription products containing acetaminophen are to include a black box warning with information about risk for severe liver injury with use and an addition to the warning section regarding risk for severe allergic reactions with use.
  4. The FDA has also issued a warning to parents about potential confusion stemming from the recent introduction of a new 160 mg/5 mL strength of acetaminophen marketed for use in infants and young children.
  5. FDA warning to healthcare professionals that prolonged use of prescription PPIs –– usually longer than one year–– may result in hypomagnesemia.
  6. FDA reported that risk for fracture and osteoporosis is unlikely with OTC PPIs due to low–dose and short–term indications for use.
  7. The FDA approved rivaroxaban, an oral factor Xa inhibitor, for prevention of deep venous thrombosis after knee or hip replacement surgery as well as to prevent stroke and systemic embolism in patients with nonvalvular atrial fibrillation.
  8. The FDA warned that simvastatin 80 mg (should not be used in new patients or in patients already taking lower doses due to risk for myopathy. The recommended dose for use with amiodarone was raised to 20 mg from the 10 mg originally recommended in June.
  9. The FDA warned that fenofibric acid may not reduce risk for heart attack or stroke.
  10. Linagliptin, a dipeptidyl peptidase–4 inhibitor, was approved on May 2 to improve blood glucose control in adults with type 2 diabetes.
  11. The glucagon–like peptide–1 receptor agonist exenatide received expanded approval as an adjunct to insulin glargine, with or without metformin and/or thiazolidinedione therapy, in patients with type 2 diabetes not controlled on insulin glargine alone.
  12. The FDA warned that an increased risk for high–grade prostate cancer is associated with use of 5–alpha reductase inhibitors (5–ARIs). These agents, including finasteride and dutasteride.
  13. Previously licensed for patients between 10 and 64 years of age, Tdap (tetanus toxoid/reduced diphtheria/acellular pertussis) was approved on July 8 for adults 65 years and older.
  14. On July 1, the FDA approved indacaterol inhalation powder (a once–daily, long–acting beta–2 adrenergic agonist (LABA) for treatment of COPD in adults.
  15. On March 1, once–daily, oral roflumilast was approved to decrease the frequency of COPD exacerbations.
  16. Roflumilast is the first in a new class of drugs for COPD called phosphodiesterase type 4 inhibitors.
  17. The antiplatelet agent, ticagrelor was approved after a protracted process. The approval comes with a boxed warning stating that use of ticagrelor with aspirin doses above 100 mg/day decreases the effectiveness of the medication.
  18. In December, the combination of azilsartan medoxomil and chlorthalidone was approved for the treatment of hypertension.
  19. On July 22, the FDA reported labeling changes for varenicline with updated information on use in patients with stable cardiovascular disease and COPD, as well as alternative directions for use.
  20. The FDA warned that long–term, high–dose fluconazole may be associated with birth defects.
  21. A possible increased risk for cognitive delay in children born to mothers who have taken valproate sodium, valproic acid, or divalproex sodium was announced.

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

Revisiting Drugs in 2011

Audio PostCard
 
    Photo Feature (from the HCFI Photo Gallery)

18th MTNL Perfect Helath Mela
Harmony–An Inter School Health Festival at Perfect Health Mela

Competitions like debate, model display, slogan writing, role play, dance, yoga etc will be organized on the spot.

 
Dr K K Aggarwal
 
    National News

Govt changes norms for cancer docs training

NEW DELHI: India has found a way to increase the number of doctors specifically to treat cancer. The Union health ministry will soon allow every professor of three disciplines – radiotherapy, medical oncology and surgical oncology – to teach three students as against the existing norm of two. Besides, associate professors across all specialities will be allowed to take two students under their wing as against one as per the present norm. Assistant professors, who qualify to be associate professors, will also be allowed to take one student under their care. A ministry official told TOI "The Medical Council of India has sent us these recommendations. We will clear the proposal, and ask MCI to notify the new rules this week itself." (Source: TOI, Jan 3, 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

Sleep woes tied to blood sugar levels in diabetic kids

Children with type 1 diabetes may be more likely to have sleep problems that worsen not only their blood sugar control, but also their quality of life, researchers found. (Source: Medpage Today)

For comments and archives

Good nutrition keeps brain in shape

A diet rich in vitamins and healthy fats may help older adults stay cognitively sharp, an observational study suggested. In older adults who don’t have dementia, high plasma levels of vitamins B, C, D, and E, as well as high plasma marine omega–3 fatty acids were associated with better cognitive performance and a healthier brain as seen on MRI, Gene L. Bowman, ND, MPH, of Oregon Health & Science University in Portland, and colleagues found. (Source: Medpage Today)

For comments and archives

Drug–eluting stents lower event rates in oldest patients

In the oldest of patients undergoing percutaneous coronary intervention, adverse–event rates were lower with drug–eluting stents than with bare–mental stents, researchers found, despite the fact that use of those stents declined significantly in that population. (Source: Medpage Today)

For comments and archives

 
    Cardiology eMedinewS

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

Take Blood Pressure Drugs at Night

Read More

hS Troponin I at 0 and 3 hours

Read More

Role of Medical Management in Sudden Cardiac Death Survivors

Read More

 
    Twitter of the Day

@DrKKAggarwal: X Ray Can be Normal in Pneumonia.
http://blog.kkaggarwal.com/2012/01/03/x–ray–can–be–normal–in–pneumonia/

@DeepakChopra: The entire physical universe is sensations images feelings & thoughts in consciousness, forms of awareness within awareness –self interaction

 
    Spiritual Update

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

Why is the Mahamritunjaya Mantra called a Mahamantra?

The Mahamritunjaya Mantra

"Om Tryambakkam Yajamahe Sugandhim Pushtivardhanam
Urvarookameva Bandanaan Mrityormoksheeya Maamritaat"

For comments and archives

 
    Infertility Update

(Dr Kaberi Banerjee, IVF expert, New Delhi)

What do you understand by Egg Donation?

If you’re over 40, and have not succeeded with other therapies, or if you have premature ovarian failure, also known as early menopause, your treatment options are limited. One option is egg donation, which involves the use of eggs donated by another woman who is typically in her 20s or early 30s. If you are over 40, eggs from a younger woman are more likely to result in pregnancy and are less likely to end in miscarriage. Your chance of pregnancy is much higher in IVF cycles using donor eggs. The high success rate with egg donation confirms that egg quality is the primary barrier to pregnancy in older women.

For comments and archives

 
    An Inspirational Story

(Ms Ritu Sinha)

This is Good!

The story is told of a king in Africa who had a close friend with whom he grew up. The friend had a habit of looking at every situation that ever occurred in his life (positive or negative) and remarking, "This is good!"

One day the king and his friend were out on a hunting expedition. The friend would load and prepare the guns for the king. The friend had apparently done something wrong in preparing one of the guns, for after taking the gun from his friend, the king fired it and his thumb was blown off.

Examining the situation the friend remarked as usual, "This is good!" To which the king replied, "No, this is NOT good!" and proceeded to send his friend to jail.

About a year later, the king was hunting in an area that he should have known to stay clear of. Cannibals captured him and took them to their village. They tied his hands, stacked some wood, set up a stake and bound him to the stake. As they came near to setting fire to the wood, they noticed that the king was missing a thumb. Being superstitious, they never ate anyone that was less than whole. So untying the king, they sent him on his way.

As he returned home, he was reminded of the event that had taken his thumb and felt remorse for his treatment of his friend. He went immediately to the jail to speak with his friend. "You were right," he said, "it was good that my thumb was blown off."

And he proceeded to tell the friend all that had just happened. "And so I am very sorry for sending you to jail for so long. It was bad for me to do this." "No," his friend replied, "This is good!"

"What do you mean, ‘This is good’? How could it be good that I sent my friend to jail for a year?" "If I had NOT been in jail, I would have been with you."

Situations may not always seem pleasant while we are in them, but the promise of God is clear. If we love Him and live our lives according to His precepts, even that which seems to be bleak and hopeless will be turned by God for His glory and our benefit. Hold on, God is faithful! May God bless you this week as you seek His will in every situation.

For comments and archives

 
    Fitness Update

(Contributed by Rajat Bhatnagar, International Sports & Fitness Distribution, LLC, http://www.isfdistribution.com)

Does caffeine enhance exercise performance? The Debate continues.

Caffeine is regarded by some as being a potent stimulant, but the debate continues as to whether it enhances exercise performance. A range of expert opinions capture the scope of this ongoing debate in an informative roundtable discussion published in Journal of Caffeine Research, a quarterly peer–reviewed journal from Mary Ann Liebert, Inc. Led by Journal of Caffeine Research Editor–in–Chief Jack E. James, PhD, National University of Ireland, Galway, Ireland, the roundtable "Caffeine and Physical Performance" presents a range of views on the extent to which caffeine may enhance athletic performance. While the participants appear to agree that caffeine is likely to have performance–enhancing effects and seems to have the broadest effects of known stimulants for enhancing performance and endurance, they emphasize that the study data have been mixed. Many factors can affect caffeine’s impact on performance, including the type of exercise or sport and whether it is aerobic or anaerobic, caffeine dosing, the use of other stimulants (poly–supplementation), and the length of rest intervals. Additional studies are needed to understand what factors can boost or inhibit the effects of caffeine and why some people may achieve enhanced performance with caffeine while others will not.

For comments and archives

 
    Legal Question of the Day

(Dr MC Gupta, Advocate & Medico-legal Consultant)

Q. Why should the physician report a case of poisoning to the police when the patient is conscious and states that he has himself consumed the poison in a suicidal attempt?

Ans.

  1. The first tendency in such a case on the part of the treating physician is to not inform the police so as to save embarrassment and harassment to the individual and the family. That is certainly a noble thought on the part of the doctor born out of empathy.
  2. The physician does not know the circumstances of the poisoning. His only source of information is what is told by the patient himself. If the patient is not legally capable of giving consent or enter into contract or making a legally valid statement or if the act of poisoning occurs within seven years of marriage, the patient’s statement about self–poisoning cannot be a ground for not reporting to police. Even when such circumstances are not there, the patient may retract his statement later or additional evidence may come to light pointing towards criminality. For example, it may transpire later that even though the patient knowingly took the poison himself, he was encouraged or instigated or compelled or forced to do so by other persons or circumstances created by them, in which case the other persons might be liable for abetment to suicide/attempt to suicide, which is a criminal offence. Hence reporting to the police is desirable.
  3. If the poisoning results in death, the case will certainly have to be reported to the police which may ask the physician why the police report was not made earlier because valuable evidence might be lost between the time of poisoning and the time of death.
  4. The doctor’s job is to treat a person who has poisoning. It is his job to determine the nature of poisoning by trying to detect the poison. It is not his job to determine or analyse the circumstances of the poisoning. Poisoning/Death by poisoning/suicide are unnatural acts and it is in the interest of the society to investigate and prevent unnatural acts injurious to health. From this angle also, it is desirable to report cases of self–poisoning to police.
  5. All said and done, the role of the GP as the confidence holder of the public and patients cannot be denied and he has also to take care of the important aspect of privileged communication/breach of confidentiality. At the same time, he has to save himself against legal complications later. It is a tricky situation where the physician has to use his own discretion. If, using such discretion, he decides not to inform the police, he must take all steps necessary for a regular MLR and maintain the records accordingly and preserve them carefully in a documented manner. This will help him if there is a police inquiry later.
  6. If there is a police or court or medical council inquiry in such a case, the inquiring authority is likely to place reliance on the views of other experts. Two such views are given below:
    1. In JIAFM, 2005: 27 (2), Prof. R.K. Gorea wrote as follows: "In poisoning cases inform police; give treatment, record signs/symptoms carefully." http://medind.nic.in/jal/t05/i2/jalt05i2p67.pdf
    2. In http://www.medindia.net/indian_health_act/consumer_protection
      _act_and_medical_profession_doctor_patient_relationship.htm it is written as follows as regards duties of a physician:

      "5. Duty not to do anything illegal or hide illegal acts
      1. Perform illegal abortions/sterilizations
      2. Issue death certificates where cause of death is not known.
      3. Not informing police a case of accident, burns, poisoning, suicide, grievous hurt, gas gangrene."

For comments and archives

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    Healthy Driving

(Conceptualized by Heart Care Foundation of India and Supported by Transport Department; Govt. of NCT of Delhi)

Epilepsy and driving

Antiallergic drug Benadryl, in a 50 mg dose can impair driving ability similar to that of alcohol. Newer nonsedating antiallergic drugs have no effect on seizures.

 
    Medicine Update

(Dr. Neelam Mohan, Director Pediatric Gastroenterology, Hepatology and Liver Transplantation, Medanta)

What is the role of chest radiograph in diagnosis of asthma?

A baseline chest X–Ray is advisable in every case to exclude other diagnostic possibilities mimicking asthma e.g. congenital anomalies, foreign body. Repeat radiographs at frequent intervals or with every exacerbation are not required. In most cases, the chest X–Ray is normal between episodes. Evidence of generalized hyperinflation may be present in those with severe symptoms or in poorly–controlled cases. If an asthmatic is not responding to the usual treatment than a radiograph of chest is important to rule out consolidation, collapse, foreign body or pneumothorax.

For comments and archives

 
    IJCP Special

Dr Good Dr Bad

Situation: A diabetic patient was found unconscious.
Dr Bad: He has suffered a stroke.
Dr Good: First rule out hypoglycemia.
Lesson: In diabetics, sudden loss of consciousness is hypoglycemia unless proved otherwise.

For comments and archives

Make Sure

Situation: A patient with pyogenic meningitis developed complications.
Reaction: Oh my God! Why were antibiotics not given when the meningitis was suspected?
Lesson: Make sure that first dose of antibiotics is given at the time meningitis is suspected.

For comments and archives

 
  Quote of the Day

(Dr GM Singh)

The poor man is not he who is without a cent, but he who is without a dream. Harry Kemp

 
    Lab Update

(Dr Arpan Gandhi and Dr Navin Dang)

Tests for Adrenal Insufficiency & Addison’s Disease

Adrenocorticotropic hormone (ACTH): A pituitary hormone that signals the adrenal glands to produce cortisol. This test is primarily ordered as a baseline test to evaluate whether or not the pituitary is producing appropriate amounts of ACTH. In a patient with adrenal insufficiency, low ACTH levels indicate secondary adrenal insufficiency, while high levels indicate primary adrenal insufficiency (Addison’s disease). The ACTH test is often ordered along with the ACTH stimulation test.

ACTH stimulation test: This test involves measuring the level of cortisol in a patient’s blood before and after an injection of synthetic ACTH.

 
    Mind Teaser

Read this…………………

siinformationde

Yesterday’s Mind Teaser: Which one of the following is the investigation of choice for evaluation of suspected Perthe’s disease?

1. Plain X–ray
2. Ultrasonography (US)
3. Computed tomography (CT)
4. Magnetic resonance imaging (MRI)

Answer for yesterday’s Mind Teaser: 4. Magnetic resonance imaging (MRI)

Correct answers received from: Yogindra Vasavada, Dr Mrs S Das, Dr PC Das, Dr Indu Sharma,
Dr Surendra Kumar, Dr Ragavan Sivaramakrishnan Moudgalya, Dr KV Sarma, Dr PC Manoria, Dr Chandresh Jardosh, Muthumperumal Thirumalpillai, Dr Prabha Luhadia, Anil Bairaria, Dr Jainendra Upadhyay,
Dr Neelam Nath, Rajiv Sridharan.

Answer for 2nd January Mind Teaser: getting it all under
Correct answers received from: Dr Thakor Hitendrasinh G, Dr Vijay Kansal, Dr Avtar Krishan, Raju Kuppusamy.

Send your answer to ijcp12@gmail.com

 
    Laugh a While

(Dr GM Singh)

Medical terms

  • Artery – Study of painting
  • Bacteria – Back door of cafeteria
  • Bowel – Letter like A.E.I.O.U.
  • Caesarean section – District in Rome
  • Cat scan – Searching for kitty
 
    Medicolegal Update

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

Taking someone else’s medicine is also a kind of misuse

  • Women who take medicine to try to end a pregnancy are misusing the medicine, and may poison themselves
  • Poisoning accidents can occur when safety warnings are ignored and chemicals are used in the wrong way. For example, there is usually a warning on a bleach container that bleach should not be mixed with any other cleaner. If people ignore the warning and use bleach with another household cleaner, they may be poisoned by the gases emitted.
  • Another example of misuse of a product is when insecticides that are meant to be used on plants or buildings are used to kill insects living on people, in their hair or on their bodies.
  • Sometimes people poison themselves by misusing medicines. They may take more than the doctor prescribed because they think, wrongly, that a larger dose will make them better more quickly.
  • Taking someone else’s medicine is also a kind of misuse. People who take someone else’s medicine may be harmed if they take the wrong dose or take a medicine that is not meant for treating their condition.

For comments and archives

 
    Public Forum

(Press Release for use by the newspapers)

Get your Press release online http://hcfi.emedinews.in (English/Hindi/Audio/Video/Photo)

Heart Failure and Snoring not a Welcome Combination

Two types of sleep–disordered breathing are common among patients with heart failure: snoring–related obstructive sleep apnea–hypopnea (OSAH) and snoring unrelated Cheyne–Stokes breathing (CSB). They are collectively referred to as sleep–disordered breathing (SDB), said Padma Shri & Dr. B.C. Roy National Awardee, Dr. KK Aggarwal, President, Heart Care Foundation of India.

OSAH is characterized by reductions or cessations of airflow during sleep, despite ongoing respiratory effort. It is due to upper airway obstruction and is clinically associated with snoring.

CSB is characterized by cyclic crescendo–decrescendo respiratory effort and airflow during wakefulness or sleep, without upper airway obstruction. The decrescendo effort may be accompanied by cessation of respiration during sleep (central sleep apnea syndrome).

Patients who have heart failure and SDB can be asymptomatic or symptomatic. When OSAH is the predominant type of SDB, snoring and symptoms related to poor sleep quality (e.g. fatigue) are common. When CSB is the predominant type of SDB, symptoms due to CSB may be subtle or indistinguishable from those due to the underlying heart failure.

Night time angina and recurrent refractory arrhythmias (irregular heart beats) may occur with either type of SDB. The evaluation of patients with heart failure should include questions about potential SDB symptoms.

Patients who report snoring, excessive daytime fatigue, or poor sleep quality may benefit from assessment via sleep lab. Sleep testing should also be considered in patients with heart failure who have night angina, recurrent arrhythmias, or refractory heart failure symptoms.

Patients who have heart failure and SDB are likely to have a poorer prognosis than patients who have heart failure without SDB. Optimization of the medical management of heart failure is the primary therapy for patients whose heart failure is complicated by SDB because it improves heart failure–related outcomes and may improve SDB. For patients who have heart failure complicated by SDB positive airway pressure with CPAP machine improve cardiac function, blood pressure, exercise capacity, and quality of life.

For comments and archives

 
    Readers Responses
  1. New Year Wishes, I wish you Health…So you may enjoy each day in comfort. I wish you the Love of friends and family… And Peace within your heart. I wish you the Beauty of nature… That you may enjoy the work of God. I wish you Wisdom to choose priorities… For those things that really matter in life. I wish you Generosity so you may share… All good things that come to you. I wish you Happiness and Joy… And Blessings for the New Year. I wish you the best of everything… That you so well deserve. Wish you & ur loved ones a very happy new year ! Suman Sinha
 
    Forthcoming Events

eMedinewS Events: Register at emedinews@gmail.com

3rd eMedinewS Revisiting 2011

The 3rd eMedinewS – revisiting 2011 conference will be held at Maulana Azad Medical College, New Delhi on Sunday January 22nd 2012.

The one–day conference will revisit and cover all the new advances in the year 2011. There will also be a webcast of the event. An eminent faculty is being invited to speak.

There will be no registration fee. All delegates to get registration kit, Attractive gifts, Conference Newsletter, certificates, Morning Snacks, lunch will be provided. The event will end with a live cultural evening, Doctor of the Year award, cocktails and dinner. Kindly register at www.emedinews.in/ rekhapapola@gmail.com/drpawangupta2006@yahoo.com

3rd eMedinewS Doctor of the Year Award

Dear Colleague, The Third eMedinews "Doctor of the Year Award" function will be held on 22nd January, 2012 at Maulana Azad Medical College at 5 pm. It will be a part of the entertainment programme being organized at the venue. If you know of any medical doctor who you feel has made significance achievement in the year 2011, send his/her biodata: emedinews@gmail.com

3rd eMedinewS Revisiting 2011

Dr K K Aggarwal – Revisiting the Year 2011, M K Doogar – Health Insurance, What’s New, Central Bank of India – Financial Health Update, LIC – Schemes, Dr N K Bhatia – What ís New in Transfusion Medicine, Dr Praveen Chandra – Antiplatelets in Cardiology, Dr Ambrish Mithal – Obesity as a Precursor for Diabetes, Dr Ajay Kriplani – Surgery in Diabetes, Dr Kaberi Banerjee – Infertility Update, Dr Kailash Singla – Gastro Update, Dr Surjit Jha – Diabetes Update, Dr Sheh Rawat – What’s New in Radiation Oncology, Dr Amit Bhargava – Cancer Update, Dr Sanjay Chaudhary – Automation in Cataract Surgery with Femto–second laser, Dr Neelam Mohan – Liver Transplant Update, Dr Vikram Sanghi – Imaging Update, Dr Surender Kumar – Diabetes in 2012, Dr S K Khanna – Cardiac Surgery in 2012

For Complete Details Click

IMSOCN2012

The Annual conference of Indian Menopause Society is to be held from 17 to 19th Feb 2012 in Hotel The Claridges, Surajkund Faridabad. It is multidisciplinary approach to the problems of midlife onwards in women. This conference has participation of British Menopause Society and South Asian Federation Of Menopause Societies and opportunity to hear from international faculties.

For information Contact Dr. Maninder Ahuja (Organizing Chairperson) 9810881048 down load forms from web sit http://indianwoman35plus.com/ or Indianmenopausesociety.org or http://fogsi.org/

Contact at ahuja.maninder@gmail.com
Call for free papers and posters on theme topics of conference.

Early Registration till 30th Dec 2011

 
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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