Head Office: E–219, Greater Kailash, Part 1, New Delhi–110 048, India. e–mail: emedinews@gmail.com, Website: www.ijcpgroup.com
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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 1st Mega Ajmer Health Camp 2012

  Editorial …

4th March 2012, Sunday

Can Vitamin D Treat Pain?

Women with dysmenorrhea who take a single high dose of vitamin D suffer much less menstrual pain and have no need of pain medications for any reason for up to 2 months says Antonino Lasco, MD, from the Department of Internal Medicine, University of Messina, Italy. One should use cholecalciferol in these patients, especially when exhibiting low plasmatic levels of 25(OH)D (25–hydroxyvitamin D). The study is published February 27 in the Archives of Internal Medicine.

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Dr KK Aggarwal
Group Editor in Chief

  eMedinewS Audio PostCard

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

Can Vitamin D Treat Pain?

Audio PostCard
    Photo Feature (from the HCFI Photo Gallery)

First Mega Ajmer Health Camp – Distribution of Tricycles

Tricycles were distributed at the camp by the Ministry of Social Welfare, Government of Rajasthan to physically challenged people.

Dr K K Aggarwal
    National News

Cabinet OKs tougher penalties under Motor Vehicle Act

NEW DELHI: The Union Cabinet on Thursday approved the proposed changes in the Motor Vehicle Act. This paves way for passing the legislation in Parliament to increase penalty on traffic rule violators across the country. The new bill which will be introduced in the Rajya Sabha during the Budget session has provision to slap Rs 500 fine for not wearing seat belt and helmet or for jumping a red light for the first time. The bill introduces fines for using mobile phone while driving. The fines will multiply in case the same offender violates the traffic rules subsequently. As per the new provision drunk driving would be dealt with high penality and even jail term. Drunk driving will be graded according to alcohol levels in the blood with a punishment that can go up to a two–year jail term and Rs 5,000 fine or both. Repeat traffic offences will fetch stiff fines with jumping red lights or not using seat belts and helmets attracting fine between Rs 500 to Rs 1,500. The first offence of using cellphone will mean Rs 500 fine and subsequent infringements can set the offender back by Rs 5,000 in penalties. To discourage the use of cellphones, which have emerged as a key reason for road accidents all over the world, the new bill has proposed stiff fines. (Source: TOI, March 1, 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

Sacroiliac steroid injections do not predict ablation relief

One quarter of patients with chronic sacroiliac joint pain may be disqualified from receiving radiofrequency ablation (RFA) treatment based on inaccurate criteria for patient selection, a new study suggests. The new report shows that response to intraarticular sacroiliac steroid injections (SISI), which is commonly used to predict a patient’s response to RFA of lateral branches, was not an accurate predictor of their subsequent outcomes with this latter treatment, reported Jianguo Cheng, MD, PhD, from the Department of Neuroscience and the Department of Pain Management at the Cleveland Clinic in Ohio, here at the American Academy of Pain Medicine (AAPM) 28th Annual Meeting. (Source: Medscape Medical News)

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Groups outline TAVI program basics

Teamwork is key in transcatheter aortic valve implantation (TAVI), according to new recommendations published jointly by four cardiology and surgical societies. Creating and maintaining TAVI programs should be "a joint, institutionally based activity for cardiologists and cardiac surgeons," Carl L. Tommaso, MD, and colleagues wrote in the expert consensus statement. Without a multidisciplinary team, "valve therapy programs should not be established." (Source: Medpage Today)

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Bleeding risk with blood thinner cited

A cluster of bleeding episodes in patients treated with dabigatran (Pradaxa) led a group of New Zealand hematologists to express concern and call for better prescriber education. A two–month review identified 78 bleeding episodes, including a dozen major bleeds, one of which might have contributed to a patient’s death, the hematologists wrote in a letter published in the March 1 issue of the New England Journal of Medicine. (Source: Medpage Today)

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More evidence omega–3 rich diet may protect aging brain

New data from the Framingham Offspring Study cohort suggest that higher dietary intake of the omega–3 fatty acids docosahexaenoic acid (DHA) and eicosapentaenoic acid (EPA) may help protect the aging brain. (Source: Medscape Medical News)

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    Twitter of the Day

@DrKKAggarwal: #AJCC Intravascular ultrasound improves TLR outcomes of bifurcation lesions PCI…www.emedinews.in Dr K K Aggarwalfb.me/1bYkvScAg

@DeepakChopra: We can affect change every day through our thoughts, our words, and our actions.

    Spiritual Update

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

Removing negativity from the mind

One of the ways to remain healthy is by removing the negativity present in the various layers around the consciousness. Memories and desires do not allow us to be in touch with the consciousness and rather constantly attach us to the worldly objects.

According to Bhagawad Gita, the five obstacles for acquiring spiritual health are: Attachment, desire, anger, greed and ego.

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    Infertility Update

(Dr Kaberi Banerjee, IVF expert, New Delhi)

What is abnormal menstrual function?

The ovulatory cycle is easily affected by hormonal abnormalities. Excess LH or insulin may cause the ovaries to overproduce androgens. Ongoing high levels of androgens may result in hirsutism, acne, lack of menstruation, anovulation (lack of ovulation), and in extreme cases, virilization. Insufficient FSH may impair ovarian follicle development and prevent ovulation, resulting in infertility. Eventually, the multiple small cysts formed in the ovary from follicles that failed to mature and ovulate result in PCOS. Lack of ovulation in PCOS results in continuous high levels of estrogen and insufficient progesterone. Unopposed by progesterone, ongoing estrogen exposure may cause the endometrium to become excessively thickened, which can lead to heavy and/or irregular bleeding.

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

(Dr Naresh Kumar Bhatia)


Atman (Hinduism) and Jiva

In Hinduism, the Sanskrit words most closely corresponding to soul are "Jeev", "Aatma" and "Purusha", meaning the individual Self. The term "soul" is misleading as it implies an object possessed, whereas Self signifies the subject which perceives all objects. This self is held to be distinct from the various mental faculties such as desires, thinking, understanding, reasoning and self–image (ego), all of which are considered to be part of Prakriti (nature).

All the three major schools of Hindu philosophy agree, on the basis of the Vedic revelation, that the Aatma or jeevaatma (individual Self) is related to Brahman (lit. "the Immensity") or the Supreme Self of the Universe (ParamAatma). But they differ in the nature of this relationship. In Advaita Vedanta (non–dualism), the Individual Self (jeevaatma) and the Supreme Self (param aatman) are one and the same. Dvaita or dualistic rejects this concept of identity, instead identifying the Self as separate but similar part of supreme Self (God), but it never lose its individual identity. Vishishtadvaita or Qualified Non–dualism takes a middle path and accepts the jeevatman as a "mode" (prakara) or attribute of the Brahman. For an alternative atheistic and dualistic view of the soul in ancient Hindu philosophy, see Samkhya.

The jeevatman becomes involved in the process of becoming and transmigrating through cycles of birth and death because of ignorance of its own true nature. The spiritual path consists of Self–realization – a process in which one acquires the knowledge of the Self (brahma–jñanam) and through this knowledge applied through meditation and realization one then returns to the Source which is Brahman.

The qualities which are common to both Brahman and jeevaatma are: being (sat), consciousness (chit), and bliss/love (ananda). Liberation or Moksha (final release) is liberation from all limiting adjuncts (upadhis) and the unification with Brahman.

The Mandukya Upanishad verse 7 describes the Aatma in the following way:–

"Not inwardly cognitive, not outwardly cognitive, not both–wise cognitive, not a cognition–mass, not cognitive, not non–cognitive, unseen, with which there can be no dealing, ungraspable, having no distinctive mark, non–thinkable, that cannot be designated, the essence of the assurance of which is the state of being one with the Self, the cessation of development, tranquil, benign, without a second (a–dvaita)—(such) they think is the fourth. That is the Self. That should be discerned."

In Bhagavad – Gita 2.20 Lord Krishna describes the soul in the following way:

na jayate mriyate va kadacin nayam bhutva bhavita va na bhuyah ajo nityah sasvato yam purano na hanyate hanyamane sarire

"For the soul there is neither birth nor death at any time. He has not come into being, does not come into being, and will not come into being. He is unborn, eternal, ever – existing and primeval. He is not slain when the body is slain."

Srila Prabhupada, a great Vaishnava saint of the modern time further explains: The soul does not take birth there, and the soul does not die…And because the soul has no birth, he therefore has no past, present or future. He is eternal, ever-existing and primeval – that is, there is no trace in history of his coming into being.
Since the quality of Aatma is primarily consciousness, all sentient and insentient beings are pervaded by Aatma, including plants, animals, humans and gods. The difference between them is the contracted or expanded state of that consciousness. For example, animals and humans share in common the desire to live, fear of death, desire to procreate and to protect their families and territory and the need for sleep, but animals’ consciousness is more contracted and has less possibility to expand than does human consciousness.
When the Aatma becomes embodied it is called birth, when the Aatma leaves a body it is called death. The Aatma transmigrates from one body to another body based on karmic (performed deeds) reactions.
In Hinduism, the Sanskrit word most closely corresponding to soul is "Aatma", which can mean soul or even God. It is seen as the portion of Brahman within us. Hinduism contains many variant beliefs on the origin, purpose, and fate of the soul. For example, advaita or non–dualistic conception of the soul accords it union with Brahman, the absolute uncreated (roughly, the Godhead), in eventuality or in pre–existing fact. Dvaita or dualistic concepts reject this, instead identifying the soul as a different and incompatible substance

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    An Inspirational Story

(Ms Ritu Sinha)

This One Is Absolutely Worth Your Reading

A nurse took the tired, anxious serviceman to the bedside."Your son is here," she said to the old man. She had to repeat the words several times before the patient’s eyes opened. Heavily sedated because of the pain of his heart attack, he dimly saw the young uniformed Marine standing outside the oxygen tent. He reached out his hand. The Marine wrapped his toughened fingers around the old man’s limp ones, squeezing a message of love and encouragement.

The nurse brought a chair so that the Marine could sit beside the bed. All through the night, the young Marine sat there in the poorly lighted ward, holding the old man’s hand and offering him words of love and strength. Occasionally, the nurse suggested that the Marine move away and rest awhile. He refused. Whenever the nurse came into the ward, the Marine was oblivious of her and of the night noises of the hospital – the clanking of the oxygen tank, the laughter of the night staff members exchanging greetings, the cries and moans of the other patients. Now and then she heard him say a few gentle words. The dying man said nothing, only held tightly to his son all through the night.

Along towards dawn, the old man died. The Marine released the now lifeless hand he had been holding and went to tell the nurse. While she did what she had to do, he waited. Finally, she returned. She started to offer words of sympathy, but the Marine interrupted her. "Who was that man?" he asked.

The nurse was startled, "He was your father," she answered."No, he wasn’t," the Marine replied. "I never saw him before in my life."

"Then why didn’t you say something when I took you to him?"

"I knew right away there had been a mistake, but I also knew he needed his son, and his son just wasn’t here. When I realized that he was too sick to tell whether or not I was his son, knowing how much he needed me, I stayed. I came here tonight to find a Mr. William Grey. His Son was Killed in Iraq today, and I was sent to inform him. What was this Gentleman’s Name?"

The Nurse with Tears in Her Eyes Answered, Mr. William Grey…………

The next time someone needs you … just be there… Stay

For comments and archives

    Cardiology eMedinewS

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

Newer Anti Platelets Does Not Draw More Prescriptions Read More

LDL Cholesterol May Not Impact Stroke Risk As Much As Triglycerides.Read More

In Cocaine Users Think About Levamisole Read More

Pregnancy Issues Portend CV Risk Read More

    Pediatric eMedinewS

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

Active Video Games No Fix For Kids’ Fitness Read More

Mothers’ Migraine Linked To Colic In Infants Read More

Kids, Teens Ignore Sun Risks Read More

Urgent Care Necessary For Many Children Self–Referred To Ed Read More

    IJCP Special

Dr Good Dr Bad

Situation: A female diabetic patient with BP of 135/85 mmHg came for evaluation.
Dr Bad: Continue with antidiabetic treatment only, your BP is perfect.
Dr Good: You also need to control your BP. It is towards higher side.
Lesson: The threshold for initiating anti hypertensive therapy is lower (BP of atleast 130/80 mmHg) in women with NIDDM than it is in non diabetic patients.

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Make Sure

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

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    Quote of the Day

(Dr GM Singh)

The secret of your future is hidden in your daily routine. Mike Murdock

    Lab Update

(Dr Arpan Gandhi and Dr Navin Dang)

Liver function tests (LFTs)

  • To screen for, detect, evaluate, and monitor for liver inflammation and damage.
  • To evaluate liver function periodically whenever you are at risk for liver injury, when you have a liver disease or when you have symptoms such as jaundice.
    Mind Teaser

Read this…………………

Which is not true regarding BRCA mutations in breast cancer?

a) BRCA 1 tumors are high grade as compared to BRCA 2.
b) BRCA 1 breast cancer are hormone receptor positive.
c) BRCA 1 breast tumor are aneuploid.
d) BRCA 1 breast cancer have an increased S phase fraction.

Yesterday’s Mind Teaser: Which is not an indication of splenectomy in idiopathic thrombocytopenia (ITP)?

a) Asymptomatic patients with platelet count between 30000–50000 cu mm
b) Refractory thrombocytopenia
c) Relapse after glucocorticoid therapy
d) Platelet count of 10000 despite management for 6 weeks but no bleeding.

Answer for Yesterday’s Mind Teaser: A) Asymptomatic patients with platelet count between 30000–50000 cu mm

Correct answers received from: Dr K Vidyashankar, Yogindra Vasavada, Dr Mrs S Das, Dr PC Das,
Dr Chandresh Jardosh, Raju Kuppusamy, Dr Jainendra Upadhyay, Muthumperumal Thirumalpillai, Deepali Chatterjee.

Answer for 2nd March Mind Teaser: d) Splenectomy is required in all cases.
Correct answers received from: Dr Arshad Hussain, Dr Avtar Krishan.

Send your answer to ijcp12@gmail.com

   Laugh a While

(Dr GM Singh)

100 Camels for Wife

A man and his wife are traveling in the Middle East. An Arab approaches the husband, saying, "I’ll give you 100 camels for your woman." After a long silence, the husband says, "She’s not for sale."

The indignant wife says, "What took you so long to answer?" The husband replied, "I was trying to figure out how to get 100 camels back home."

    Medicolegal Update

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

How does the poison enter into the body?

The way the poison enters the body is called the route of exposure or the route of absorption. The amount of poison that gets into the blood during a given time depends on the route.

  • Through the mouth by swallowing: This is the most common route of poisoning. Small children often swallow poison accidentally, and adults who want to poison themselves may swallow poison. If people eat, drink or smoke after they have been handling poisons, without first washing their hands, they may accidentally swallow some of the poison. This is a common cause of pesticide poisoning.
  • After ingestion, some poisons can pass through the gut walls and into the blood vessels. This can be stopped by giving activated charcoal (because this binds some poisons so that they cannot pass through the gut walls) or laxatives (to make the poison move through the gut and out of the body) more quickly. ere are two other ways to stop poisons passing from the gut into the blood: (1) give
  • Poisons that do not pass through the gut walls do not get into the blood and so cannot affect other parts of the body. For e.g., mercury metal cannot pass through the gut walls; if mercury from a thermometer is swallowed, it passes out of the body in the feces and does not cause poisoning.

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    Public Forum

(Press Release for use by the newspapers)

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

Say no to alcohol during Holi

Consumption of alcohol during holi can be dangerous. It makes one prone to accidents and drinkers may end up with unnecessary quarrels, said Dr. KK Aggarwal, Padma Shri & Dr. B.C. Roy National Awardee and President, Heart Care Foundation of India.

For social drinking one should restrict the intake to less than 70 grams per week. There is no evidence that non drinkers should start drinking.

Alcohol impairs the intellect, which in turn impairs the power to judge individuals and discriminate between the opposites. The impairment in judgment can also lead to errors while driving leading to fatal accidents.

Three to four drinks are sufficient to raise the blood pressure to dangerously high levels in susceptible individuals. In patients who are prone to heart attacks, this dangerous rise in blood pressure can precipitate heart attack, paralysis and brain hemorrhage. The incidence of paralytic attacks is found to be high within 24 hours of heavy drinking.

Binge drinking (more than 5 pegs in one hour) is also associated with irregular heart beats and increased incidence of sudden death. Heart and high blood pressure patients are therefore specifically cautioned not to indulge into heavy drinking. Drinking one peg of alcohol (one ounce) in one hour can still be considered as safe (social drinking) as this amount of alcohol can be totally metabolized by the liver during one hour.

Consuming six tablets of paracetamol with alcohol, which is a common practice to reduce the hang over specifically by women, can produce fatal liver damage. Taking aspirin, also, to reduce the hang over can produce fatal hemorrhage in the stomach and hence should be avoided.

The festival of Holi is to share happiness with each other while forgetting all the differences.

Similarly, the practice of consuming bhang, which can cause impairment in judgment and brain functioning, should also be avoided.

Those who cannot restrict should only take red wine as it contains antioxidants, polyphenols that slow cell deterioration. They also prevent plaque build up and inhibit platelet formation. Natural sources of polyphenols are grape seeds, grape skin, aloe vera, green tea, chocolate and cocoa. The types of polyphenols in cocoa are flavonoids and flavanols, and contain catechins, epicatechins and procyandins.

    Readers Responses
  1. Dear Sir, eMedinewS is full of information. Regards: Dr Subodh
    Forthcoming Events
Dr K K Aggarwal

On the occasion of World Kidney Day Delhi Nephrology Society is organising a Pannel discussion On

on 10th March, 2012 at 4–6 PM in PGIMER, RML Hospital.

  1. Topic: Role of Physician in Prevention of CKD, Speaker: Prof. Sham Sunder, PGIMER, RML Hospital
  2. Topic: Option of Treatment for End Stage Renal Disease, Speaker: Dr D Bhawmik Ad. Prof. Nephrology, AIIMS
  3. Topic: Overview of Kidney Transplantation,Speaker: Dr S C Tiwari, Dir. Nephrology, Fortis Hospital
  4. Topic: Status of Deceased Organ Transplant in India, Speaker: Maj. Gen. P P Varma, Head, Dept. Of Nephrology, R & R Hospital
  5. Topic: Role of Transplant co–ordinator/ ICU– sister in Organ Donation, Speaker: Lt. Col. Pradhi, R & R Hospital.

For further details please contact
Dr.Sham Sunder Dr.N.P.Singh
President, DNS Secretary, DNS

Study Camp on ‘Mind–Body Medicine and Beyond’

16–23 June 2012, Nainital Centre (Van Nivas)

Sri Aurobindo Ashram – Delhi Branch will organize the 5th Study Camp on ‘Mind–Body Medicine and Beyond’ for doctors, medical students and other health professionals at its Nainital Centre (Van Nivas) from 16–23 June 2012. The camp, consisting of lectures, practice, and participatory and experiential sessions, will help the participants get better, feel better, and bring elements of mind–body medicine into their practice. The camp will be conducted by Prof. Ramesh Bijlani, M.D., former Professor, AIIMS, founder of a mind–body medicine clinic at AIIMS, and the author of Back to Health through Yoga and Essays on Yoga. For more details, send an e–mail to the Ashram (aurobindo@vsnl.com) or to Dr. Bijlani (rambij@gmail.com).

National Summit on "Stress Management" and Workshop on "How to be happy and Healthy"

Date: Saturday 2PM–Sunday 4PM, 21–22 April 2012
Venue: Om Shanti Retreat Center, Bhora Kalan, on Pataudi Road, Manesar
Course Directors: Padmashri and Dr B C Roy National Awardee Dr KK Aggarwal and BK sapna
Organisers: Heart Care Foundation of India, Prajapati Brahma Kumari Ishwariya Vidyalaya and eMedinewS
Fee: No fee, donations welcome in favour of Om Shanti Retreat Center
Facilities: Lodging and boarding provided ( One room per family or one room for two persons). Limited rooms for first three registrants.
Course: Meditation, Lectures, Practical workshops,
Atmosphere: Silence of Nature, Pyramid Meditation, Night Walk,
Registration: Rekha 9899974439 rekhapapola@gmail.com, BK Sapna 9350170370 bksapna@hotmail.com

Study Camp on ‘Mind–Body Medicine and Beyond’

16–23 June 2012, Nainital Centre (Van Nivas)

Sri Aurobindo Ashram – Delhi Branch will organize the 5th Study Camp on ‘Mind–Body Medicine and Beyond’ for doctors, medical students and other health professionals at its Nainital Centre (Van Nivas) from 16–23 June 2012. The camp, consisting of lectures, practice, and participatory and experiential sessions, will help the participants get better, feel better, and bring elements of mind–body medicine into their practice. The camp will be conducted by Prof. Ramesh Bijlani, M.D., former Professor, AIIMS, founder of a mind–body medicine clinic at AIIMS, and the author of Back to Health through Yoga and Essays on Yoga. For more details, send an e–mail to the Ashram (aurobindo@vsnl.com) or to Dr. Bijlani (rambij@gmail.com).

BSNL Dil Ka Darbar

September 23, 2012 at 9:00 AM – 6:00 PM
Tal Katora Indoor Stadium, Connaught Place, New Delhi, 110001

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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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