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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 & Dean Medical Education Moolchand Medcity; Chairman Ethical Committee Delhi Medical Council; Chairman (Delhi Chapter) International Medical Sciences Academy; National Vice President Elect Elect, Indian Medical Association; 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 & Hony. Visiting Professor (Clinical Research) DIPSAR

For updates follow at www.twitter.com/DrKKAggarwal     www.facebook.com/Dr KKAggarwal

    Health Videos…
Nobility of medical profession Video 1 to 9 Health and Religion Video 1 to 7
DD Take Care Holistically Video 1 to 9 Chat with Dr KK On life Style Disorders
Health Update Video 1 to 15 Science and Spirituality
Obesity to Towards all Pathy Consensus ALLOVEDA: A Dialogue with Dr KK Aggarwal
  Editorial …

9th January 2012, Wednesday

Tweet of the day @drkkaggarwal: Examination of a sexually assaulted patient

  1. In the US, one in three women will be a victim of sexual assault during her lifetime
  2. In the US, 7-10% of sexual assault victims are male.
  3. In the US, only 10-15% of sexual assaults are reported to the police
  4. Evaluation of sexual assault victim should be performed by a trained provider.
  5. Evaluation of sexual assault victim: Do psychological assessment
  6. Evaluation of sexual assault victim: Evaluate areas of trauma; examine breasts, pelvic, anorectal areas.
  7. Evaluation of the sexual assault victim: Do colposcopy if possible, to detect genital trauma.
  8. Evaluation of the sexual assault victim: Do it as soon as possible after an assault.
  9. Evaluation of the sexual assault victim: Screening for sexually transmitted disease not necessary if prophylactic treatment is to be given.
  10. Evaluation of the sexual assault victim: Test for pregnancy testing in women of childbearing age.
  11. Evaluation of the sexual assault victim: Do baseline tests for syphilis, hepatitis B
  12. Evaluation of the sexual assault victim: Provide HIV counseling
  13. Provide empiric treatment of sexually transmitted infections if the patient has declined testing for STD.
  14. Empiric therapy for sexual assault victim: Ceftriaxone 250 mg IM for gonorrhea
  15. Empiric therapy for sexual assault victim: Azithromycin 1 gram oral stat or doxycycline 100 mg oral twice daily for 7 days for chlamydia.
  16. Empiric therapy for sexual assault victim: Metronidazole 2 grams oral stat for trichomoniasis.
  17. Empiric therapy for sexual assault victim: Hepatitis B vaccine if not been previously immunized.
  18. Empiric therapy for sexual assault victim: Prophylactic treatment for HIV is controversial.
  19. Empiric therapy for sexual assault victim: The risk of HIV is low. But most recommend treatment if can be given in < 72 hours and ideally within 4 hours.
  20. Empiric therapy for sexual assault victim: Give post coital contraception
  21. Empiric therapy for sexual assault victim: Acute crisis counseling should be offered.
  22. Sexual assault victim: Many patients experience psychological and physical symptoms over many months following the assault.
  23. Sexual assault victim: Follow-up at 2 weeks, with psychosocial counseling, STD testing for patients who did not take empiric therapy or who have symptoms, and pregnancy testing.
  24. Sexual assault victim: Give Hepatitis B vaccine at one and six months to complete the vaccine course)
  25. Sexual assault victim: Repeat HIV and RPR testing at 12 and 24 weeks; some also recommend testing at six weeks.

For More editorials…

Dr KK Aggarwal
Group Editor in Chief

Register for 4th eMedinewS–revisiting 2012 conference

    Constipation Update

What is the role of colonoscopy in constipation?

A colonoscopy allows for direct visualization of the colon to exclude mucosal lesions (e.g., solitary rectal ulcer syndrome, inflammation, malignancy) and should be performed in patients if they have alarm symptoms and also as indicated for colorectal cancer screening.

 
Dr K K Aggarwal
    eMedinewS Audio PostCard

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

Proton–pump inhibitors to carry warning about C

Audio PostCard
    Photo Feature (from the HCFI Photo Gallery)

Padma Shri and Dr BC Roy National Awardee Dr KK Aggarwal was felicitated by Sh L K Advani at DMA Annual Conference on 6th January 2013.

 
Dr K K Aggarwal
    National News

Dear Colleague, Let’s celebrate New Year by learning CPR-10 and saving the life of a person

Watch English or Hindi Video @http://emedinews.in/videos/cpr/index.html

Dr K K Aggarwal

National AIDS body to test, record prevalence of HIV-2

The National AIDS Control Organisation (NACO) has established a testing facility to confirm and record the prevalence of Human Immunodeficiency Virus-2 (HIV-2) in India. Pune-based National Aids Research Institute (NARI) will soon train staff from 13 laboratories to perform an advanced test to detect the relatively less prevalent HIV-2 virus. In the past few years, doctors have identified an increasing number of HIV-2 infections, necessitating the need for a testing facility to confirm these cases. At present, laboratories send the samples to the HIV national reference laboratory that performs a rapid test, which can only determine whether the patient is suffering from HIV-2 or HIV-1 plus HIV-2. Mumbai’s JJ Hospital has reported 290 cases. “Right now, we cannot confirm whether these patients are clear cases of HIV-2 infections. With the advance test in place, we will be able to clearly distinguish these cases as HIV-2 or HIV-1 plus HIV-2 and then decide on what treatment to administer,” said Dr Aruna Shankar, National Reference Laboratory, National Institute of Immunohematology, which has received around 311 samples from western India. Dr Alka Deshpande, former director, centre of excellence of HIV, JJ hospital, said Mumbai was the first to identify these cases and seems to be a pocket of HIV-2 infections. “Testing the patient for HIV-2 is a must, as it will help the doctor give specific medication. This is because the drugs administered to patients suffering from HIV-1 will not work in case of patients with HIV-2,” Dr Om Shrivastav, infectious disease specialist, Jaslok hospital said. According to Dr Arun Risbud, scientist F, NARI the prevalence of HIV-2 of all the HIV positive samples tested at NARI not more than 5%. (Source: Hindustan Times, January 05, 2013)

For comments and archives

Medical mistakes in Indian movies

Dear all, eMedinewS is starting a special series on ‘Medical mistakes in Indian movies’. We invite all our readers to share with us the following information:

  1. Scene/s where the image of the medical profession has been maligned in an unrealistic manner, or
  2. Scene/s where medical care and approach has been depicted incorrectly, or
  3. Scenes where the medical profession has been portrayed correctly.

Send us the clippings or description of the scenes. This would be a start to a special campaign to rebuild the image of the medical profession.

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

 
    Valvular Heart Disease Update

What is the indication of surgery in a valve patient with atrial fibrillation?

Atrial fibrillation is not an absolute indication for surgery in an asymptomatic patient with preserved left ventricular function but the burden of this arrhythmia in a patient with borderline left ventricular function (LVEF 55–60%) may be considered as an indication for surgery, especially if the risk of surgery is low and the valve appears to be amenable to repair.

(Experts: Dr Ganesh K Mani, Dr Yugal Mishra, Dr Deepak Khurana, Dr Rajesh Kaushish, Dr K S Rathor, Dr Sandeep Singh and Dr KK Aggarwal)

 
    International News

(Contributed by Dr Monica and Brahm Vasudev)

Catheter disinfection caps cut infection rates

Central line–associated bloodstream infections (CLABSIs) declined sharply during a study that tested alcohol-impregnated disinfection caps with catheters in place of the standard scrubbing protocol. The suburban Chicago hospitals involved in the study have since adopted the use of the cap as standard practice. (Source: Medscape)

For comments and archives

Antibiotic tied to higher risk of miscarriage

Use of the antibiotic clarithromycin (Biaxin) in the first trimester of pregnancy is associated with an increased risk of miscarriage, Danish researchers reported. (Source: Medpage Today)

For comments and archives

Subtle cognitive declines follow menopause

The year after a woman's final menstrual period -- a phase classified as early postmenopause -- is a time in which subtle changes in cognition occur, researchers found. Compared with women in an earlier stage of menopause known as the late menopausal transition phase, those in early postmenopause scored worse on tests of verbal learning (B = -0.93, P<0.01) and verbal memory (B = -0.80, P=0.01), according to Miriam T. Weber, PhD, of the University of Rochester in New York, and colleagues. In addition, women in early postmenopause fared worse on measures of fine motor skills (B = -0.70, P=0.0) and attention/working memory (B = -0.55, P=0.04), the researchers reported online in Menopause. (Source: Medpage Today)

For comments and archives

FDA moves to prevent foodborne disease

Proposed FDA rules outlining hygiene standards for produce farms and food manufacturers are aimed at preventing foodborne illness, agency director Margaret Hamburg, MD, announced Friday. The two rules, now available for public comment, are a "major step forward" in implementing the FDA Food Safety Modernization Act, Hamburg told reporters in a telephone briefing. The act, signed into law last January, is intended to stop foodborne illnesses before they start, Hamburg said. (Source: Medpage Today)

For comments and archives

 
    Twitter of the Day

@DrKKAggarwal: Nitrate-rich diet good for the heart Do not heat leafy vegetables twice Nitrates in foods such as spinach, beet... http://fb.me/2FsV8gRC5

@DrKKAggarwal: What makes people act with lesser love after receiving so much? My#askdeepak reply http://tinyurl.com/atcyqdo

 
    Spiritual Update

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

Be positive, be different and be persistent

You should be not only positive, different but also persistent. Of the 10 incarnations of Lord Vishnu, the first one was a Machhli (fish) which indicates to be different in life. The second incarnation is a tortoise which indicates that you should be different but learn to withdraw when the need arises. The third is a boar which indicates persistence.

For comments and archives

 
    Infertility Update (Dr Kaberi Banerjee, IVF expert, New Delhi)

What causes a hydrosalpinx?

Hydrosalpinx is commonly caused by an old infection in the fallopian tubes. These infections may be caused by a sexually transmitted disease. Other causes include previous surgery (particularly surgeries on the tube) or severe adhesions of your pelvis.

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

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

Holy Quran…………

"Men who celebrate the praises of Allah, standing, sitting, and lying down on their sides, and contemplate the (wonders of) creation in the heavens and the earth, (With the thought): "Our Lord! not for naught Hast Thou created (all) this! Glory to Thee! Give us salvation from the penalty of the Fire." Qur’an 3:191

The Quran says: "and whoever saves a life it would be as if he saved the life of all the people." Perhaps there is no better way to implement this concept than in the area of saving lives by transplanting donated organs to replace failing vital ones.

Organ donation awareness

The successful implementation of organ donation hinges on the education of the masses and having more trained transplant co–ordinators. What is needed is a proactive attitude towards cadaveric organ donation, counselling for relatives for organ donation in the event of brain death, adequate hospital infrastructure, matching and distribution of the organs and co–ordination amongst hospitals. The Indian society, mired in traditional beliefs, is not very amenable to the idea of cadaver organ transplants, as they want the last rites to be performed without any damage to the bodies at all. What they fail to realize is that in a country with a long waiting list for transplants, they are spoiling the chance of somebody to lead a normal life for, say another few years, just because they want to consign the whole body to flames.

 
    An Inspirational Story

A gardener and the portrait

A very wealthy man and his son loved to collect rare works of art. They had everything in their collection, from Picasso to Raphael. They would often sit together and admire the great works of art. When the Vietnam conflict broke out, the son went to war. He was very courageous and died in battle while rescuing another soldier.

The father was notified and he grieved deeply for his only son. About a month later, just before Christmas, there was a knock at the door. A young man stood at the door with a large package in his hands. He said, "Sir, you don't know me, but I am the soldier for whom your son gave his life. He saved many lives that day, and he was carrying me to safety when a bullet struck him in the heart and he died instantly. He often talked about you, and your love for art."

The young man held out his package. "I know this isn't much. I'm not really a great artist, but I think your son would have wanted you to have this." The father opened the package. It was a portrait of his son, painted by the young man. He stared in awe at the way the soldier had captured the personality of his son in the painting. The father was so drawn to the eyes that his own eyes welled up with tears.

He thanked the young man and offered to pay him for the picture. “Oh, no sir, I could never repay what your son did for me. It's a gift." The father hung the portrait over his mantle. Every time visitors came to his home he took them to see the portrait of his son, before he showed them any of the other great works he had collected. The man died a few months later. There was to be a great auction of his paintings.

Many influential people gathered, excited over seeing the great paintings and having an opportunity to purchase one for their collection. On the platform sat the painting of the son. The auctioneer pounded his gavel. "We will start the bidding with this picture of the son. Who will bid for this picture?" There was silence. Then a voice in the back of the room shouted, "We want to see the famous paintings. Skip this one." But the auctioneer persisted.

"Will someone bid for this painting? Who will start the bidding? $100, $200?" Another voice shouted angrily. "We didn't come to see this painting. We came to see the Van Goghs, the Rembrandts. Get on with the real bids!" But still the auctioneer continued. "The son! The son! Who'll take the son?"

Finally, a voice came from the very back of the room. It was the longtime gardener of the man and his son. "I'll give $10 for the painting." Being a poor man, it was all he could afford. "We have $10, who will bid $20?" "Give it to him for $10. Let's see the masters." "$10 is the bid, won't someone bid $20?"

The crowd was becoming angry. They didn't want the picture of the son. They wanted the more worthy investments for their collections. The auctioneer pounded the gavel. "Going once, twice, SOLD for $10!" A man sitting on the second row shouted, "Now let's get on with the collection!" The auctioneer laid down his gavel. "I'm sorry, the auction is over." "What about the paintings?"

"I am sorry. When I was called to conduct this auction, I was told of a secret stipulation in the will. I was not allowed to reveal that stipulation until this time. Only the painting of the son would be auctioned. Whoever bought that painting would inherit the entire estate, including the paintings. The man who took the son gets everything!"

For comments and archives

 
    Cardiology eMedinewS

Metformin superior to glipizide for reducing CVD events in diabetics with CAD Read More

TAVI may be safe for sickest patients Read More

 
    Pediatric eMedinewS

Dad's distress may make for troubled toddler Read More

 
    IJCP Special

Dr Good Dr Bad

Situation: A patient developed tetany after he was given metoclopramide.
Dr Bad: Give calcium.
Dr Good: Stop metoclopramide. Give inj promethazine.
Lesson: Metoclopramide can cause extrapyramidal symptoms.

Make Sure

Situation: A patient with angina and abnormal endothelial functions was put on atenolol.
Reaction: Oh my God! Why you did not consider nebivolol?
Lesson: Make sure that nebivolol is used as the beta–blocker of choice in patients with proven endothelial dysfunction (Kardiologiia 2004;44(2):15–18).

 
  Quote of the Day (Dr GM Singh)

Keep your dreams alive. Understand to achieve anything requires faith and belief in yourself, vision, hard work, determination, and dedication. Remember all things are possible for those who believe. Gail Devers

 
    Legal Question of the Day (M C Gupta)

Q. A doctor retired from service 5 years ago. The state govt. did not pay pension. The HC ordered payment. The govt. appealed to the SC. The appeal was rejected 4 months ago. Pension has not been paid yet. The amount payable is Rs. 41 lakh. The local court has initiated action and has sealed a govt. vehicle. What will happen if pension is still not paid till the next hearing before the Sessions judge?

Ans. Nothing is to be done by the doctor now. Execution proceedings have started. Govt. property has been sealed. If payment is not made, the following can happen:

  • The sealed vehicle can be auctioned.
  • More vehicles can be seized/sealed and auctioned.
  • Govt. building can be sealed.
  • The concerned officer can be asked to attend court in person. If he does not behave as per law, he can be arrested.

    All the above will not happen. Payment will be made before the next hearing. Just sit and relax and watch the show.
 
    Mind Teaser

Read this…………………

In ulcerative colitis with toxic megacolon, the lowest rate of recurrence is seen in

a) Complete proctocolectomy and Brook's ileostomy
b) Ileorectal anastomoses
c) Kock's pouch
d) Ileo anal pull-through procedure

Yesterday’s Mind Teaser: The initial nursing goal for a client with myasthenia gravis during the diagnostic phase of her hospitalization would be to:

A. Develop a teaching plan
B. Facilitate psychologic adjustment
C. Maintain the present muscle strength
D. Prepare for the appearance of myasthenic crisis

Answer for yesterday’s Mind Teaser: C. Maintain the present muscle strength

Correct answers received from: Dr KV Sarma, Dr Vishal D Wahane, Dr Arpan Gandhi, Dr pankaj Agarwal, Dr Bharat Bhushan Aggarwal, Dr (Maj. Gen.) Anil Bairaria, Dr Thakor Hitendrsinh G, Dr Chandresh jardosh, Dr Jainendra Upadhyay, Dr PC Das, Muthumperumal Thirumalpillai, Dr Avtar Krishan,
Dr VM Kartha, Dr Bharat Bhushan Aggarwal, Dr Kusum Mahajan.

Answer for 7th January Mind Teaser: C. Rapid but brief symptomatic improvement

Correct answers received from: Dr PC Das, Muthumperumal Thirumalpillai,
Dr Avtar Krishan, Dr VM Kartha, Dr Bharat Bhushan Aggarwal.

Send your answer to ijcp12@gmail.com

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    Laugh a While (Dr GM Singh)

Loud and rowdy

A group of loud and rowdy drunks were making a racket in the street. It was the wee small hours of the morning and the lady of the house flung open a window and shouted at them to keep quiet.

"Is this where Frank lives?" one of the drunks asked.
"Yes, it is," the woman replied.

"Well then," said the drunk, "Could you come and pick him out so the rest of us can go home?"

 
    Medicolegal Update

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

Contact with a poison leads to illness

The very old, very young or those in poor health suffer greater damage

When people come in contact with a poison they are said to be exposed to it. The effect of exposure depends partly on how long the contact lasts and how much poison gets into the body and partly on how much poison the body can get rid of during this time. Exposure may happen only once or many times.

  • Acute exposure is a single contact that lasts for seconds, minutes or hours, or several exposures over about a day or less.
  • Chronic exposure is contact that lasts for many days, months or years. It may be continuous or broken by periods when there is no contact. Exposure that happens only at work, for example, is not continuous. Chronic exposure to small amounts of poison may not cause any signs or symptoms of poisoning at first. It may be many days or months before there is enough chemical inside the body to cause poisoning. For example, a person may use pesticide every day. Each day the person is exposed to only a small amount of pesticide, but the amount of pesticide in the body gradually builds up, until eventually, after many days, it adds up to a poisonous dose. Only then does the person begin to feel unwell.

For comments and archives

 
    Public Forum

(Press Release for use by the newspapers)

Delhi Shivers: Preventing Cold Deaths

Cold deaths are occurring in Delhi and Northern States of India. These deaths are caused because of hypothermia, said Padma Shri & Dr. B.C. Roy National Awardee, Dr. KK Aggarwal, President, Heart Care Foundation of India & Vice President-Elect IMA.

  1. Hypothermia is defined as a core temperature below 35ºC (95ºF), and can be further classified by severity:
    1. Mild hypothermia: Core temperature 32 to 35ºC (90 to 95ºF); findings include confusion, tachycardia and increased shivering.
    2. Moderate hypothermia: Core temperature 28 to 32ºC (82 to 90ºF); findings include lethargy, bradycardia and arrhythmia, loss of pupillary reflexes and decreased shivering.
    3. Severe hypothermia: Core temperature below 28ºC (82ºF); findings include coma, hypotension, arrhythmia, pulmonary edema and rigidity
  2. Causes include outdoor exposure, cold water submersion, medical conditions (low thyroid state, sepsis), toxins (alcohol abuse) and drugs (oral anti diabetics, sedative-hypnotics).
  3. Risk increases in elderly patients.
  4. Many standard thermometers only read down to a minimum of 34ºC (93ºF).
  5. The initial treatment is directed toward resuscitation, assessment of the extent of injury and rewarming.
  6. Endotracheal intubation is needed in respiratory distress.
  7. Patients with moderate or severe hypothermia for low BP need aggressive fluid resuscitation.
  8. Passive external rewarming is the treatment of choice for mild hypothermia and is a supplemental method in patients with moderate to severe hypothermia.
  9. After wet clothing is removed, the patient is covered with blankets or other types of insulation.
  10. Room temperature should be maintained at approximately 24ºC (75ºF).
  11. Active external rewarming is needed in moderate hypothermia, refractory mild hypothermia and as an adjunct in severe hypothermia.
  12. It consists of some combination of warm blankets, radiant heat, or forced warm air applied directly to the patient's skin.
  13. Re-warming of the trunk should be done BEFORE the extremities to minimize hypotension and acidemia due to arterial vasodilation and core temperature after drop.
  14. For severe and recalcitrant moderate hypothermia, give warmed IV crystalloid, warmed pleural lavage.
  15. For salvageable, nonperfusing patients with severe hypothermia, treatment is cardiopulmonary bypass.
  16. Cardiopulmonary resuscitation (CPR) should continue until the patient is rewarmed to 30 to 32ºC (86 to 90ºF) at which point renewed attempts at defibrillation and resuscitation are undertaken.

About HCFI: The only National Not for profit NGO, on whose mega community health education events, Govt. of India has released two National commemorative stamps and one cancellation stamp, and who has conducted one to one training on” Hands only CPR 10” of 23061 people since 1st November 2012.

The CPR 10 Mantra is – “within 10 minutes of death, earlier the better; at least for the next 10minutes, longer the better; compress the centre of the chest of the dead person continuously and effectively with a speed of 10x10 i.e. 100 per minute.”

 
    Readers Responses
  1. New Year Resolution for All Indians 1.1.13

    By Dr P H Mishra

    “Jwalant”

    Jalati rahe ye aag sada, Jo hai aaj hamare seene mein, Hum unko dein ab aisi sazza..

    Sadbudhi jaga de auro mein, Fir na koi dushkarm kare, Unhe aisa mazaa chakha denge,

    Jis aurat ko abla samjha, Uska durga roop dikha denge, Fir aurat ko devi mane, Is duniya ko sikhla denge, Jo sir aaj sharm se jhuka hua, Use fir garva se utha denge.


    Dr. Param Hans Mishra, Medical Superintendent. Indian Spinal Injuries Centre, C Block, Vasant Kunj, New Delhi-110070
 
    Forthcoming Events
Dr K K Aggarwal

4th eMedinews Revisiting 2012

The 4th eMedinewS–revisiting 2012 conference is being held at Maulana Azad Medical College, New Delhi on Sunday January 20th 2013 (8 AM to 8 PM).

The one–day conference will revisit and discuss all the major advances in medicine in the year 2012. An eminent faculty will speak at the conference.

There is no registration fee. All delegates will get Registration Kit, Attractive gifts, Certificates. Morning snacks and lunch will be provided.

Eminent Faculty:

Dr Praveen Chandra (Cardiology)
Dr NK Bhatia (Transfusion Medicine)
Dr Ambrish Mithal (Diabetes)
Dr Kaberi Banerjee (Infertility)
Dr Yougal Mishra, Dr Manju Gupta, Dr Somesh Juneja, Dr Deepak Khurana (Valve Surgery)
Dr Rajnish Malhotra (Cardiology)
Dr Vivek Bhatia (GI)
Dr Ashish Jain (Ortho)
Dr Kailash Singla (GI)
Dr Navdeep Chabbra (Beriatric Surgery)
Dr IM Chugh (Pulmonoagy)
Dr AK Dhar (Hemato oncology)

Register at: www.emedinews.in/

rawat.vandana89@gmail.com/drpawangupta2006@yahoo.com

Dr Pawan Gupta, Past President IMA Haryana, Organizing Secretary

4th eMedinewS Doctor of the Year Awards

Nominations invited for 4th eMedinewS Doctor of the year Award in plain paper. Nominated by 2 professional colleagues along with details of your contributions in the year 2012.

pls send his/her Biodata at: emedinews@gmail.com

 
    eMedinewS Special

1. IJCP’s ejournals (This may take a few minutes to open)

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

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

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

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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