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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

  Editorial …

8th May 2011, Sunday                                 eMedinewS Presents Audio News of the Day

View Photos and Videos of 2nd eMedinewS – Revisiting 2010

For regular emedinews updates follow at www.twitter.com/DrKKAggarwal

Char Dhaam Yatra Special – Traveling Precautions

People with certain medical conditions need to take special precautions when traveling at high altitudes.
  1. Diabetics be aware: Blood glucose meters can give inaccurate results at high altitudes. Consult the manufacturer of the meter for recommendations about high altitude readings. Above 5000 m, some of the diabetic climbers experience hypoglycemia after dinner with nocturnal hyperglycemia probably because of delayed absorption of carbohydrates at altitude and rapid absorption of the Lispro Insulin used. One should delay insulin administration until the end of dinner.
  2. If one has angina or had a heart attack in the past: Have a cardiac evaluation. One should consult if there is chest pain, shortness of breath, or dizziness while travelling.
  3. At high altitude, the blood thickens and the blood pressure rises. This may increase the risk of a stroke.
  4. Asthma does not worsen at high altitudes.
  5. If one uses oxygen because of lung disease, a higher oxygen flow rate is needed at high altitude. If one does require oxygen for the lung disease at home, one might need oxygen at high altitude.
  6. In sickle cell disease, oxygen will be needed for travel above 7,000 feet (2,100 meters). If one has sickle cell trait, altitude–related complications are rare, except at very high altitude (over 14,000 feet or 4,200 meters).

Dr KK Aggarwal
Editor in Chief
drkkaggarwal Dr K K Aggarwal on Twitter
Blogs.kkaggarwal.com Dr K K Aggarwal on blogs
Krishan Kumar Aggarwal Dr k k Aggarwal on Facebook

    Changing Practice – Evidence which has changed practice in last one year

Treatment for gonorrhea

Give a single injection of ceftriaxone (250 mg) for the treatment of uncomplicated gonococcal infections at the point of care, as suggested by the Centers for Disease Control.

    eMedinewS Audio PostCard

Rheumatoid arthritis Update

Dr Harvinder S Luthra Speaks on
‘Diagnosis of RA: CCP antibodies’

Audio PostCard
    Photo Feature

World Earth Day 2011

The winning student of the best slogan and painting competition at a function held at DPS Public School, Mathura Road to mark the World Earth Day 2011

Dr K K Aggarwal
    National News

Carbon dioxide monitoring or capnography in CPR

  1. Capnography is noninvasive measurement of the partial pressure of carbon dioxide (CO2) in exhaled breath expressed as the CO2 concentration over time.
  2. CO2 waveform is called capnogram.
  3. Changes in the shape of the capnogram are diagnostic of disease conditions.
  4. Changes in end–tidal CO2 (EtCO2), the maximum CO2 concentration at the end of each tidal breath, can be used to assess disease severity and response to treatment.
  5. Capnography is also the most reliable indicator that an endotracheal tube is placed in the trachea after intubation.
  6. Pulse oximetry provides instantaneous feedback about oxygenation. Capnography provides instantaneous information about ventilation (how effectively CO2 is being eliminated by the pulmonary system), perfusion (how effectively CO2 is being transported through the vascular system), and metabolism (how effectively CO2 is being produced by cellular metabolism).
  7. CO2 Waveform consists of four phases. Patients with normal lung function have characteristic rectangular capnograms and narrow gradients between their alveolar CO2 (i.e, EtCO2) and arterial CO2 concentration (PaCO2) of 0 to 5 mmHg.
  8. Following intubation, the presence of a waveform with all four phases indicates the ETT is through the vocal cords. A normal waveform can occur when the tube has been placed in the right mainstem bronchus.
  9. A flatline waveform generally indicates esophageal placement, but can occur in several other situations, including: Prolonged cardiac arrest with diffuse cellular death (in which no CO2 is produced because of an absence of cellular respiration and CO2 exchange in the pulmonary bed is severely compromised); Tracheal placement with inadequate pulmonary blood flow (eg, poor chest compressions); ETT obstruction; Complete airway obstruction distal to the ETT (eg, foreign body) and Technical malfunction of the monitor or tubing
  10. Effectiveness of CPR: End–tidal CO2 (EtCO2) levels reflect cardiac output during cardiopulmonary resuscitation (CPR) and can be used as a noninvasive measure of cardiac output. During cardiac arrest, when alveolar ventilation and metabolism are essentially constant, EtCO2 reflects pulmonary blood flow. EtCO2 can be used as a gauge of the effectiveness of cardiac compressions. As effective CPR leads to a higher cardiac output, EtCO2 will rise, reflecting the increase in perfusion. An EtCO2 level <3 mmHg immediately after cardiac arrest, with a higher level generated during cardiac compressions and a mean peak >7.5 mmHg just before return of spontaneous circulation (ROSC). This peak in EtCO2 level is the earliest sign of ROSC and may occur before return of a palpable pulse or blood pressure.
  11. During cardiac arrest, EtCO2 is the earliest indicator of the return of spontaneous circulation. When the heart restarts, the dramatic increase in cardiac output, and resulting increase in perfusion, leads to a rapid increase in EtCO2 as the CO2 that has accumulated during cardiac arrest is effectively transported to the lungs and exhaled. This process manifests as a sudden rise in EtCO2.
  12. American Heart Association (AHA) guidelines for cardiac resuscitation emphasize the importance of continuing chest compressions without interruption until a perfusing rhythm is reestablished. Experimental evidence indicates that interruptions in chest compressions are followed by sustained periods of reduced blood flow, which only gradually return to preinterruption levels. Capnographic waveform monitoring virtually eliminates the need to stop chest compressions to check for pulses. Reestablishment of a perfusing rhythm is accompanied immediately by a dramatic increase in EtCO2. Once this rise in EtCO2 is noted, chest compressions can safely be stopped while cardiac rhythm and blood pressure are assessed.
  13. EtCO2 levels of ≤10 mmHg measured 20 minutes after the initiation of advanced cardiac life support accurately predicted death in adult patients with cardiac arrest.
  14. EtCO2 may also be helpful in determining the etiology of cardiac arrest. There is higher EtCO2 levels at the onset of cardiac arrest caused by primary asphyxia than arrest caused by ventricular fibrillation. Patients in the asphyxia group (initial rhythm of asystole or pulseless electrical activity associated with conditions such as airway foreign body, aspiration, asthma, or drowning) had higher EtCO2 levels compared with patients in the ventricular tachycardia/fibrillation group (initial rhythm of ventricular tachycardia/fibrillation associated with acute myocardial infarction).

Normal CO2 waveform

Dr K K Aggarwal

A – B: Dead space ventilation
B – C: Ascending expiratory phase
C – D: Alveolar plateau
D: End–tidal CO2
D – E: Descending inspiratory phase

New dengue case reported, MCD blames it on coolers

A 29–year–old man, Ashwini, was diagnosed with dengue on April 26 taking the total number of dengue cases this season to four. Health experts said the vector–borne disease is spreading, even though the weather is not conducive for the breeding of dengue–carrier aedes agypti mosquitoes. The first case of dengue was reported on March 3 after a doctor from All India Institute of Medical Sciences tested positive. "Dengue cases being reported during extreme summers and winters clearly indicates that the epidemiology of dengue fever is changing. This could also happen because of new mosquitoes or those who have tested positive are old cases," said V K Monga, chairperson of Public Health Committee, Municipal Corporation of Delhi. (Source: Indian Express, May 04 2011)

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 Rajat Bhatnagar, International Sports & Fitness Distribution, LLC)

Nutrition Fit Facts and Tips

Adequate nutrients within calorie needs

  • Consume a variety of nutrient–dense foods and beverages within and among the basic food groups while choosing foods that limit the intake of saturated and trans fats, cholesterol, added sugars, salt, and alcohol.
  • Meet recommended intakes within energy needs by adopting a balanced eating pattern, such as the US Department of Agriculture (USDA) Food Guide or the Dietary Approaches to Stop Hypertension (DASH) Eating Plan.

(Dr Monica and Brahm Vasudev)

Rheumatoid arthritis with carotid plaque at risk of CAD

Patients with rheumatoid arthritis found to have atherosclerosis as evidenced by the presence of carotid plaque are at high risk for acute coronary events. Among RA patients with no carotid plaque and no history of coronary events, the incidence of new acute events was 1.1 (95% CI 0.6 to 1.7) per 100 person–years, according to Inmaculada del Rincón, MD, of the University of Texas at San Antonio, and colleagues.

New drug

Tredaptive is a new once–daily combination pill for cholesterol from Merck. It contains extended release niacin and laropiprant (1000 mg nicotinic acid/20 mg laropiprant). Tredaptive is a lipid–modifying therapy for patients with mixed dyslipidemia and primary hypercholesterolemia.

Staying up late at night may lead to weight gain

According to a study published online May 4 in the journal Obesity, staying up late at night can lead to an additional two pounds a month weight gain.

Stress may predict development of impaired glucose metabolism in normoglycemic individuals

Perceived stress and stressful life events predict the development of impaired glucose metabolism (IGM) over five years in previously normoglycemic individuals, according to results from the Australian Diabetes, Obesity, and Lifestyle study (AusDiab).

    Twitter of the Day

@DrKKAggarwal:Sugarcane juice is the best juice to break any fast. Sattu is the best natural fast food for summer.

@DeepakChopra:The four most important qualities of a great leader are to inspire: hope, trust, stability, compassion and live up to them.

   Spiritual Update

Hanuman Chalisa

Shankar Suvna Kesari Nandan
Tej Pratap Maha Jag Vandan

Meaning: Oh Hanumanaji! You are the emanation of ‘SHIVA’ and you delight Shri Keshri. Being ever effulgent, you hold vast sway over the universe. The entire world proptiates. You are adorable of all.

Spiritual Significance: Kesri Nandan or Lord Hanumana is known to be the incarnation of Lord Shiva. It is believed that when Lord Vishnu took birth, in the form of Ram to free the earth from Ravana, the greatest demon king, the other Gods were also born in monkey and bear races to help him. God Sheshnag and Lord Shiva were incarnated as Lakshman and Hanumana respectively.

    IJCP Special

Dr Good Dr Bad

Situation: A patient came with fever with chills and rigors.
Dr. Bad: It is classical malaria.
Dr. Good: It can be due to other causes also.
Lesson: Fever with chills and rigors can be seen in malaria, UTI and even viral infections.

Make Sure

Situation: A patient died after consuming six pegs of alcohol.
Reaction: Oh my God! why was he allowed to consume six pegs?
Lesson: Make sure that no patient is allowed binge alcohol i.e. consuming more than six pegs in a day or five pegs at a time.

    An Inspirational Story

(Dr Prachi Garg)

One day, the farmer’s horse ran away, and all the neighbors gathered in the evening and said ‘that’s too bad.’ He said ‘maybe.’ Next day, the horse came back and brought with it seven wild horses. ‘Wow!’ they said, ‘Aren’t you lucky!’ He said ‘maybe.’

The next day, his son grappled with one of these wild horses and tried to break it in, and he got thrown and broke his leg. And all the neighbors said ‘oh, that’s too bad that your son broke his leg.’ He said, ‘maybe.’

The next day, the conscription officers came around, gathering young men for the army, and they rejected his son because he had a broken leg. And the visitors all came around and said ‘Isn’t that great! Your son got out.’ He said, ‘maybe.’

Lesson: You never really know in which direction progress lies. Life unfolds not always as we expect it to.

    Pediatric Update

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

Can celiac disease present with constipation?

Yes, celiac disease may manifest with constipation, though diarrhea is the commonest manifestation. In western data, constipation may be seen in around 5% of children.

    Medicolegal Update

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

No two people except identical twins have the same DNA structure

DNA testing is done by taking DNA extracts from biological sample putting them into a gel matrix and then using probes to help extract certain markers. Human being has a unique signature that lives within every cell of our body. This signature is commonly known as DNA.

  • Testing can be done on DNA to help determine parentage, ancestry, presence of genetically-based diseases and to help identify someone who may have been present at a crime scene
  • Most DNA tests are run at least twice, both independent of each other. This not only builds upon the credibility of the test but also helps ensure that no wrong data or incorrect marker analysis was performed on the first test. If any discrepancies are detected between the two tests then a new sample is used and the entire test is performed again to understand where the discrepancy may lay.
  • We get our DNA from our biological mother and biological father. Each of them contributes 50% of our chromosomes that makes up our DNA, which will stay with us for our entire lives without change. This is the very reason that makes DNA such a great choice for uniquely identifying a person.
  • Questions may arise as to how accurate DNA tests are. After all, in the past blood tests cannot have been as accurate as we might have hoped. They often left a bit of uncertainty or could not be conclusive in many areas. But thanks to the uniqueness of DNA almost all of these doubts can now be taken away.
  • Modern testing procedures and rules for DNA analysis mean that with rare exception DNA testing results can be guaranteed to be more than 90% accurate for most paternity, forensic and genetically-based disease analysis. However human error can come into play. A lab may mistakenly switch samples or key in data incorrectly. All of these factors are possible, but are very rare in occurrence. If there is ever any doubt as to the authenticity or correctness of a test it can simply be performed again to confirm accuracy.
    Obesity Update

Dr. Parveen Bhatia and Dr. Pulkit Nandwani

Life after Bariatric surgery

Post operative (Stage 2)

Pureed/Soft: After one week on a full liquid diet, a pureed or blended diet is started. Starches such as "doughy" breads, pasta and rice, chips should be avoided, as they tend to form a gummy ball in the pouch and cause discomfort. Protein continues to be critical. Protein should be the first food to be eaten at each meal.

The meal should provide with 1000–1100 calories, 1 gram per kg body weight as protiens and 15% fats from total calories.

    Mind Teaser

Read this…………………

ONCE 4:56pm

Yesterday’s Mind Teaser: Eskimos are very good hunters, but they never hunt penguins. Why not?

Answer for yesterday’s Mind Teaser:
Eskimos live at the North pole, penguins at the South pole.

Correct answers received from: Dr Pramod M Kulkarni, Dr K Raju, Dr Muthumperumal Thirumalpillai, Dr Chandresh Jardosh, Dr S K Bansal, Dr Sunil Sekhri, Dr Pawan Sulaniya.

Answer for 6th May Mind Teaser: Both would weigh the same, a ton!
Correct answers received from: Dr Vijay Kansal, Dr Pramod M Kulkarni, Dr Rajiv Kohli, Dr Anindita Sarkar, Dr Venkata Ganesh, Dr Prabha Sanghi.

Send your answer to ijcp12@gmail.com

    Laugh a While

(Dr. GM Singh)


The shipwrecked mariner had spent several years on a deserted island. Then one morning he was thrilled to see a ship offshore and a smaller vessel pulling out toward him. When the boat grounded on the beach, the officer in charge handed the marooned sailor a bundle of newspapers and told him, "The captain said to read through these and let us know if you still want to be rescued

    Lab Update

(Dr Arpan Gandhi and Dr Navin Dang)

Urine cytology

Examining a urine sample under a microscope may reveal cancer cells that could come from the bladder, ureters or kidneys. This is an important screening test.

    Medi Finance Update

Goals of the Mutual Fund

Many funds are designed to invest in companies that meet specific investor goals, like growth, value, dividend or income to name a few. Only companies that meet certain criteria will be included in the fund. For example, a growth fund looks for companies with significant, untapped growth potential, whereas a value fund will look for companies that are undervalued by the market as a way to increase investor returns. Both of these types of funds are designed for long–term capital appreciation.

    Drug Update

List of approved drugs from 01.01.2010 to 31.8.2010

Drug Name


DCI Approval Date

Lidocaine HCl Ophthalmic Sterile Gel 35 mg/ml

Indicated for ocular surface anaesthesia during ophthalmologic procedures.


    IMSA Update

International Medical Science Academy (IMSA) Update

Screening for cervical cancer

Two randomized trials of cervical cancer screening showed that HPV testing led to earlier detection of high–grade cervical lesions but identified large numbers of women, especially at younger ages, with lesions that would regress without treatment.

  Quote of the Day

(Dr GM Singh)

If you have zest and enthusiasm you attract zest and enthusiasm. Life does give back in kind. Norman Vincent Peale

    Readers Responses
  1. Dear Dr Aggarwal, I compliment you for the contents of emedinews. Regarding asthma, the notes were excellent for a practitioner but the psychological aspects were not mentioned. Asthma is one of the commonest condition which is precipitated by stress in any form. Dr. R Mani.
    Public Forum

(Press Release for use by the newspapers )

Meditation better than Medication

Inaugurating a two-day practical workshop-cum-seminar on stress management and prevention of lifestyle disorders, Mr. Rakesh Mehta, Election Commissioner Govt of Delhi said that meditation is better than medication if incorporated in medical management. He said that most schools today are incorporating yoga, relaxation, pranayama and meditation as part of school curriculum. Scientific studies have shown that regular meditation not only makes one healthier but also improves efficiency and reduces stress-related disorders.

Mr. Mehta said that meditation, pranayama and relaxation techniques have now been validated by allopathy and should be included by allopathic doctors. He said that every hospital should have a Mind-Body Department which should deal in teaching such techniques.

Padma Shri and Dr. B C Roy Awardee Dr. K K Aggarwal, President Heart Care Foundation of India, said that all Vedantic yogic techniques shift one from sympathetic mode to parasympathetic mode. The healing is better when mind and body are relaxed. It is possible to reduce blood pressure, diabetes, anxiety, depression, insomnia and heart diseases just by living a yogic lifestyle. A mind-body yogic lifestyle should be an integral part of allopathic healing.

BK Shanti & BK Brij Mohan from Om Shanti Retreat Centre said that doing meditation 20 minutes a day gives you similar benefits as that obtained with 7 hours of deep sleep.

BK Sapna, Dr. Dinesh Negi, President, IMA New Delhi Branch; Dr. Vinod Khetarpal, President, DMA also spoke on the occasion.

    eMedinewS Special

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

2. eMedinewS audio lectures (This may take a few minutes to open)

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

Activities eBooks


  Playing Cards

  Dadi Ma ke Nuskhe

  Personal Cleanliness

  Mental Diseases

  Perfect Health Mela

  FAQs Good Eating

  Towards Well Being

  First Aid Basics

  Dil Ki Batein

  How to Use

  Pesticides Safely

  Towards Well Being

    Forthcoming Events

May 7–8, 2011, National Seminar On Stress Prevention

A Stress Prevention Residential Seminar cum spiritual retreat with Dr KK Aggarwal and Experts from Brahma Kumaris.
Organized by: Brahma Kumaris and Heart Care Foundation of India
Venue: Om Shanti Retreat Centre, National Highway 8, Bilaspur Chowk, Pataudi Road, Near Manesar.
Timings: Saturday 7th May (2 pm onwards) and Sunday 8th May (7 am–4 pm). There will be no registration charges, limited rooms, kindly book in advance; stay and food (satvik) will be provided. Voluntary contributions welcome. For booking e–mail and SMS to Dr KK Aggarwal: 9899974439, emedinews@gmail.com, rekhapapola@gmail.com; BK Sapna: 9811796962, bksapna@hotmail.com.


Saturday 7th May 2011

2.00 pm – 4.00 pm : Registration
4.00 pm – 4.30 pm : Tea
4.30 pm – 5.30 pm : Dr K K Aggarwal
5.30 pm – 6.30 pm : Inauguration
6.30 pm – 8.00 pm : Session by Brahma Kumaris
8.00 pm – 8.30 pm : Dinner
8.30 pm – 10.00 pm : Dr K K Aggarwal

Sunday 8th May 2011
7.00 am – 8.30 am : Meditation Session
8.30 am – 9.00 am : Breakfast
9.00 am – 10.30 am : Dr K K Aggarwal
10.30 am – 11.00 am : Tea Break
11.00 am – 12.30 pm : Session by Brahma Kumaris
12.30 pm – 01.30 pm : Dr K K Aggarwal
1.30 pm – 2.00 pm : Prasad and Blessings
02.00 : Lunch

Farewell for a New Beginning


September 30th to October 2nd, 2011, Worldcon 2011 – XVI World Congress of Cardiology, Echocardiography & Allied Imaging Techniques at The Leela Kempinski, Gurgaon (Delhi NCR), INDIA

from Sept 29, 2011: A unique & highly educative Pre–Conference CME, International & national icons in the field of cardiology & echocardiography will form the teaching faculty.
• Provisional Scientific Program at http://worldcon2011.org/day1.html
• Provisional program for Pre Congress CME at http://worldcon2011.org/Pre_Conference_CME.html
• Abstract submission at http://worldcon2011.org/scientificprogram.html
• Important dates at http://worldcon2011.org/importantDates.html
• Congress website at http://www.worldcon2011.org
• Entertainment – Kingdom of Dreams at http://worldcon2011.org/Pre_Post_Tours.html

Key Contacts
Dr. (Col.) Satish Parashar, President Organizing Committee, + 91 9810146231
Dr. Rakesh Gupta, Secretary General, + 91 9811013246

Congress Secretariat: Rajat Khurana, C–1 / 16, Ashok Vihar – Phase II, Delhi 110 052, INDIA., Phone: + 91–11–2741–9505, Fax: + 91–11–2741–5646, Mobile: + 91 9560188488, 9811911800,
Email: worldcon2011@gmail.com, jrop2001@yahoo.com, worldcon2011@in.kuoni.com


Medifilmfest (1st International Health Film Festival in Delhi)

October 14–23, 2011, As part of 18th MTNL Perfect Health Mela 2011(Screening of films October 14–17, Jury Screening at Jamia Hamdarad University Auditorium October 18–19, award winning films at TalKatora Stadium October 19–23, 2011)
Organized by: Heart Care Foundation of India, World Fellowships of Religions, FACES, Bahudha Utkarsh Foundation and Dept of Health and Family Welfare Govt of NCT of Delhi.
Entries Invited: from feature films, Ad Films, Serials, Documentary Films, Cartoon Films, Animation Films, Educational films; films on Yoga, Siddha, Ayurveda, Unani, Homeopathy; Indigenous Healing, Films promoting the Bio–cultural Diversity, Medical Tourism, Visual and Medical Anthropology, Gender sensitization, awareness drive on socio–medical issues and health journalism. The films can be of variable durations (0–1 minute, upto 3 minutes, upto ten minutes, upto 45 minutes and upto an hour and beyond).
Separate entries are also invited for "factual mistakes in feature films concerning health". This can be in the form of 1–5 minutes footages.

Categories:Competitive category/ Non Competitive category/ Special screening
Sub Categories:

1. General: Documentaries, animation films, corporate films, Ad films, TV health programs/reports, health chat shows.

2. Special: Short instances of "depiction of wrong health messages" through the films.

Subjects: Health, disease, sanitation, yoga, spiritual health, environment, social issues, food, better living, Indigenous healing, medical tourism, visual & medical anthropology, gender sensitization, health journalism. Duration: 0–10 seconds; <30 minutes, 30–60 minutes, 1–3 hours. Language: English or Hindi, or sub tilled in English/Hindi. Fee: No fees from participants. Entry to the film show free. Format: Any format duly converted into DVD (compatible to the latest players/systems) Boarding, Lodging and Travel Expenses: Own, the participants may raise their own sponsorships

For details contact: Dr KK Aggarwal/Dr Kailash Kumar Mishra/Mr M Malik at


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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 Naveen Dang, Dr Parveen Bhatia, (bhatiaglobal@gmail.com), Dr Prabha Sanghi, Dr Prachi Garg, Rajat Bhatnagar (http://www.isfdistribution.com), Dr. Rajiv Parakh, Dr Sudhir Gupta