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


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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 …

14th March 2012, Wednesday

Rs. 2.84–Lakh liver and kidney cancer drug to cost just Rs. 8,880/–

The kidney and liver cancer drug sorafenib tosylate (Nexavar) will soon be available to patients at Rs. 8,880/– a pack of 120 tablets. This has been made possible due to the ministry invoking an international trade rule allowing the generic production of an unaffordable drug that is patented. Bayer, a German multinational, holds the patent for Nexavar and sells at Rs.2.84 lakh.

Indian Controller–General of Patents, Designs and Trade Marks granted the first–ever ‘compulsory licence’ in India to Natco under Section 84 of the Indian Patent Act.

The drug is used for the treatment at the advanced stages of kidney and liver cancer. The drug stops the growth of new blood vessels and targets other important cellular growth factors. Though it is not a life–saving drug, it is a life–extending drug. In the case of kidney cancer, it can extend the life of a patient by 4–5 years, while in the case of liver cancer it can extend life by about 6–8 months.

Under the order, Natco will also supply the drug free of cost to at least 600 needy and deserving patients every year. Natco Pharma will also have to pay a royalty to Bayer at the rate of 6%of the net sales on a quarterly basis, and the licence shall be valid till the entire balance period of the patent — it was granted in 2008 and will expire in 2020.

Compulsory licensing under the Indian Patent Law

The Indian Patent Law has provided for adequate powers to the Controller of Patents to issue compulsory licenses to deal with the following extreme and/or urgent situations.

A) Section 84—To prevent the abuse of patent as a monopoly and to make way for commercial exploitation of invention by an interested person.

B) Sections 92 (1) and 92 (3)—Circumstances of national emergency or extreme urgency.

C) Section 92 A—For exports of pharmaceutical products to foreign countries with public health problems.

(A) Section 84—The law provides for compulsory license under section 84 of the Indian Patent Act, to prevent the abuse of patent as a monopoly and to make way for commercial exploitation of invention by an interested person. Under this section, any person can make an application for grant of compulsory licence for a patent after three years, from the date of grant of that patent, on any of the following grounds:

(a) The reasonable requirements of the public with respect to the patented invention have not been satisfied;

(b) The patented invention is not available to the public at a reasonably affordable price.

(c) The patented invention is not worked in the territory of India.

Moreover, Section 89 specifies and explains the general purposes of granting compulsory license under Section 84 as:

(i) That the patented inventions are worked on a commercial scale in the territory of India without undue delay and to the fullest extent that is reasonably practicable;

(ii) That the interests of any person for the time being working or developing an invention in the territory of India under the protection of a patent are not unfairly prejudiced.

Further, the subsection 6 of Section 84 elaborates that the Controller shall take into account the following factors while considering the application under section 84.

(1) The nature of the invention, the time which has elapsed since the sealing of the patent and the measures already taken by the patent or licensee to make full use of the invention;

(2) The ability of the applicant to work the invention to the public advantage;

(3) The capacity of the applicant to undertake the risk in providing capital and working the invention, if the application were granted;

(4) As to whether the applicant has made efforts to obtain a license from the patentee on reasonable terms and conditions and such efforts have not been successful within a reasonable period as the Controller may deem fit. Notably, Section 90 of the Act also empowers the controllers to settle the terms and conditions for compulsory licences.

For More editorials…

2 weeks after eradication a case of suspected polio

Barely two weeks after WHO declared India as a polio–free nation, an 18–month–old female child, Sumi, a resident of Indrabala village near Baruipur in South 24 Parganas was admitted to a state–run hospital in Kolkata with suspected polio – acute flaccid paralysis (paralysis with disability in movement and fever) on Monday.

The child’s stool samples have been sent to the National Institute of Virology in Pune and School of Tropical Medicine in Kolkata for confirmatory tests. The reports are expected next week.

The last polio case in the country was detected in January last year when a two–year–old girl from Howrah district was afflicted with the virus. There were no reports of other polio cases in the country in the following 12 months, and India was declared polio–free.

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

Ms. Vartika on Crime against women–Women Empowernment

Audio PostCard
    Photo Feature (from the HCFI Photo Gallery)

Yadein, the Musical 

Yadein, the musical concert was organized in the memory of ghazal maestro shri Jagjit Singh. The evening was organized by Heart Care Foundation of India, Humkhayal and eMedinews.

Dr K K Aggarwal
    National News

From e–mail to eye mail

Globalization and advances in technology have changed how we learn, work and connect forever.

Forget email, it’s now eye mail. When we meet new clients it is always easier to get that "connectedness" with the client when the meet and greet is face to face. Globalization and technology have raised the bar; the challenge is now to get that "connectedness" by meeting and greeting online. This is why Social Intelligence right now has become the new science of success. So how do you build a relationship with a person that you have never met and how do you create a good first impression online?

To answer this eMedinewS and Moolchand Medcity are organizing a lecture on Friday 16th March 9am at Moolchand Auditorium New Delhi by Mary Keightley, Speaker, Trainer, and Coach at Mind Associates Ltd.

Using the S.P.A.C.E model, Mary will show you how to become situationally aware, more perceptive and create a connectedness will other people. Social Intelligence will help you make better judgments, improve your decision making and increase your influence.

You are welcome to attend.

For Comments and archives

NRHM to become National Health Mission soon

The government proposes to convert the National Rural Health Mission (NRHM) into a National Health Mission to provide health care to the urban poor also, in the course of the 12th Plan. Universal access to free generic essential medicines in public health institutions in a phased and time–bound manner will be ensured. Announcing major initiatives to provide universal healthcare, President Pratibha Patil on Monday said the government would endeavour to increase both Plan and Non–Plan public expenditure in the Centre and the States taken together to 2.5 per cent of the gross domestic product (GDP) by the end of the 12th Plan. "People need to be healthy if they have to learn, earn and lead a productive and fulfilling life. Our National Rural Health Mission has started making a difference as reflected in the health indicators," Ms. Patil said in her speech to the joint session of the first day of the Budget session of Parliament, as she recounted the achievements of this ambitious programme. (Source: The Hindu, March 13, 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

Metformin Tx prevents plaque in at–risk HIV patients

HIV–infected patients who also had metabolic syndrome had less build up of coronary artery calcification (CAC) with daily metformin treatment, researchers said at the Conference on Retroviruses and Opportunistic Infections. (Source: Medpage Today)

For comments and archives

Springing ahead may uncoil the heart

When the clocks are moved ahead for daylight saving time, the disrupted circadian rhythm could result in a heart attack, some researchers contend. (Source: Medpage Today)

For comments and archives

‘Superinfection’ with HIV raises questions

People who have repeated exposure to HIV can acquire different viral strains at different times, a phenomenon called "superinfection," a researcher said at the annual Conference on Retroviruses and Opportunistic Infections. (Source: Medpage Today)

For comments and archives

FDA asked to treat superbugs like rare diseases

The Infectious Diseases Society of America is proposing a new approach to the problem of drug–resistant bacteria: turn infections into a rare disease. The group offered a plan on Thursday that would allow the U.S. Food and Drug Administration (FDA) to review certain kinds of antibiotics like it reviews "orphan" drugs for rare diseases, making it easier for companies to gain approval. Misuse of medications and other factors have fueled the evolution of multi–drug resistant "superbugs" for which there are few treatment options. (Source: Medscape)

For comments and archives

    Twitter of the Day

@DrKKAggarwal: #AJD Novel study in TN to know gestational diabetes effects For the first time in the country, 14,000 pregnant… fb.me/ut1z4wiw

@DeepakChopra: Reaching your purpose means that you act from your highest values. Don’t sink to the level of those who criticize and oppose you.

    Spiritual Update

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

The Riddle of Consciousness: Menas Kafatos

Sages and Scientists, 2nd March San Diego

Many experiments conducted with light particles in 1997 and 1982 indicate that photons, having been ejected in opposite directions from a single source, somehow interacted instantly with one another while traveling to detectors seven…

For comments and archives

    Infertility Update

(Dr Kaberi Banerjee, IVF expert, New Delhi)

If I have hydrosalpinx, can I have a baby?

If your fallopian tubes are completely blocked, an egg cannot travel through them to your womb. You will need to be treated by a doctor before you can get pregnant. If there is too much damage to the tubes, an egg might not be able to travel through them even if they are opened. You will need treatments that do not involve the tubes to help you get pregnant. One of these treatments is called in vitro fertilization (IVF). In this procedure, your egg and the man’s sperm are joined (fertilized) in the laboratory. The doctor then places the fertilized eggs (embryos) into your womb.

For comments and archives

    Tat Tam Asi………and the Life Continues……

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

Organ transplantation: History

Successful human allotransplants have a relatively long history; operative skills were present long before the necessities for postoperative survival were discovered. Rejection and the side effects of preventing rejection (especially infection and nephropathy) were, are, and may always be the key problem.

Several apocryphal accounts of transplants exist well prior to the scientific understanding and advancements that would be necessary for them to have actually occurred. The Chinese physician Pien Chi’ao reportedly exchanged hearts between a man of strong spirit but weak will with one of a man of weak spirit but strong will in an attempt to achieve balance in each man. Roman Catholic accounts report the 3rd–century saints Damian and Cosmas as replacing the gangrenous leg of the Roman deacon Justinian with the leg of a recently deceased Ethiopian. Most accounts have the saints performing the transplant in the 4th century, decades after their deaths; some accounts have them only instructing living surgeons who performed the procedure.

The more likely accounts of early transplants deal with skin transplantation. The first reasonable account is of the Indian surgeon Sushruta in the 2nd century BC, who used autografted skin transplantation in nose reconstruction rhinoplasty. Success or failure of these procedures is not well documented. Centuries later, the Italian surgeon Gasparo Tagliacozzi performed successful skin autografts; he also failed consistently with allografts, offering the first suggestion of rejection centuries before that mechanism could possibly be understood. He attributed it to the "force and power of individuality" in his 1596 work De Curtorum Chirurgia per Insitionem.

The first successful corneal allograft transplant was performed in 1837 in a gazelle model; the first successful human corneal transplant, a keratoplastic operation, was performed by Eduard Zirm at Olomouc Eye Clinic, now Czech Republic, in 1905. Pioneering work in the surgical technique of transplantation was made in the early 1900s by the French surgeon Alexis Carrel, with Charles Guthrie, with the transplantation of arteries or veins. Their skilful anastomosis operations, the new suturing techniques, laid the groundwork for later transplant surgery and won Carrel the 1912 Nobel Prize in Physiology or Medicine. From 1902 Carrel performed transplant experiments on dogs. Surgically successful in moving kidneys, hearts and spleens, he was one of the first to identify the problem of rejection, which remained insurmountable for decades.

Major steps in skin transplantation occurred during the First World War, notably in the work of Harold Gillies at Aldershot. Among his advances was the tubed pedicle graft, maintaining a flesh connection from the donor site until the graft established its own blood flow. Gillies’ assistant, Archibald McIndoe, carried on the work into the Second World War as reconstructive surgery. In 1962 the first successful replantation surgery was performed – re–attaching a severed limb and restoring (limited) function and feeling.

The first attempted human deceased-donor transplant was performed by the Ukrainian surgeon Yu Yu Voronoy in the 1930s; rejection resulted in failure. Joseph Murray and J. Hartwell Harrison performed the first successful transplant, a kidney transplant between identical twins, in 1954, successful because no immunosuppression was necessary in genetically identical twins.

For comments and archives

    An Inspirational Story

(Dr GM Singh)

True friend

Horror gripped the heart of the World War I soldier as he saw his lifelong friend fall in battle. Caught in a trench with continuous gunfire whizzing over his head, the soldier asked his lieutenant if he might go out into the "no man’s land" between the trenches to bring his fallen comrade back.

"You can go," said the lieutenant, "but I don’t think it will be worth it. Your friend is probably dead and you may throw your life away." The lieutenant’s advice didn’t matter, and the soldier went anyway. Miraculously he managed to reach his friend, hoist him onto his shoulder and bring him back to their company’s trench. As the two of them tumbled in together to the bottom of the trench, the officer checked the wounded soldier, and then looked kindly at his friend.

"I told you it wouldn’t be worth it," he said. "Your friend is dead and you are mortally wounded." "It was worth it, though, sir," said the soldier. "What do you mean, worth it?" responded the Lieutenant. "Your friend is dead."

"Yes, Sir" the private answered. "But it was worth it because when I got to him, he was still alive and I had the satisfaction of hearing him saying, "Jim…, I knew you’d come."

Many times in life, whether a thing is worth doing or not, really depends on how you look at it. Take up all your courage and do something your heart tells you to do so that you may not regret not doing it later in your life. May each and every one of you be blessed with the company of true friends.

A true friend is one who walks in, when the rest of the world walks out. War doesn’t determine who’s right. War only determines who’s left.

Source: http://academictips.org/blogs/military–story–true–friend/

For comments and archives

    Cardiology eMedinewS

Trimetazidine for Heart Failure Read More

New Troponin Threshold For Periprocedural MI Read More

FDA Adds New Safety Warnings To Statins. Read More

Obese People Have Lower Levels Of Antinuclear Antibodies Read More

    Pediatric eMedinewS

Epilepsy Common In Children After Stroke Read More

Injury Rates From Stairs Tumble But Kids Still At Risk Read More

Study Finds Electronic Access To Images May Add More Costs Read More

‘Whole–Body CT Scans May Miss Serious Problems If Performed Too Early. Read More

    IJCP Special

Dr Good Dr Bad

Situation: A 44–year–old male came with painless blood in the urine.
Dr. Bad: Do not worry. It is benign condition.
Dr. Good: I need to rule out cancer of the urinary bladder.
Lesson: Cancer of the urinary bladder usually presents with painless blood in the urine.

For comments and archives

Make Sure

Situation: A patient with uncomplicated gonorrhea comes to hospital for treatment.
Reaction: Oh my God! Why did I advise ampicillin to this patient?
Lesson: Make sure to remember that cure can be elicited by administering oral doxycycline to patients with uncomplicated gonorrhoea.

For comments and archives

    Microbial World: The Good and the Bad they do

(Dr Sunil Sharma, Senior Consultant Microbiology, Medanta The Medicity)

Infection control in the era of NDM–1

The bacteria are becoming resistant to antibiotics at an alarming rate. In countries like India, where people have easy access to antibiotics, it is a serious community problem. The controversy of New Delhi metallo–beta–lactamase–1 (NDM–1) is the proof of alarming public concerns it can raise. It is an even greater problem in patients who are hospitalized for a longer duration. The bacteria which are resistant to multiple antibiotics are known as Multi Drug Resistant Organisms (MDRO). We will look at the origins, causes, implications and possible solutions to this problem in our subsequent columns.

For comments and archives

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  Quote of the Day

(Dr GM Singh)

Selfishness is not living as one wishes to live, it is asking others to live as one wishes to live. Oscar Wilde

    12 Most Common Technology Hazards (Part 5)

(Dr Arpan Gandhi and Dr Navin Dang)

Failing to pay sufficient attention to new device connectivity

Hazards can arise from software problems, interoperability between systems, and poor network performance. Problems could create a domino effect, in which changes to one component of the system affect the operation of another. Potential problems also include issues about wireless networks, cybersecurity and software upgrades.

    Lab Update

(Dr Arpan Gandhi and Dr Navin Dang)

Allergy Testing

Allergies are hypersensitivities, overreactions of the immune system to substances that do not cause reactions in most people. Immunoassay and Line Blot Tests are used to screen for type I allergen–specific IgE antibodies.

    Mind Teaser

Read this…………………

Which of the following is not true about gastric lymphoma?

a) Stomach is the most common organ in the GI system, which is involved in lymphoma.
b) Peak incidence of lymphomas is seen in 6th–7th decades.
c) Endoscopy usually reveals gastritis–like picture or gastric ulcer.
d) MALT lymphoma is the commonest variety.

Yesterday’s Mind Teaser: Which does not predispose to carcinoma stomach?

a) Low fat and protein diet
b) Salted meat and fish
c) Low nitrate consumption
d) High complex carbohydrate consumption

Answer for yesterday’s Mind Teaser: c) Low nitrate consumption

Correct answers received from: Dr Stellaselina, Dr Mrs S Das, Dr PC Das, Yogindra Vasavada,
Dr Thakor Hitendrasinh G, Raju Kuppusamy, Dr Surendra Bahadur Mathur, Dr Chandresh Jardosh, Muthumperumal Thirumalpillai, Anil Bairaria, Dr Jainendra Upadhyay, Dr Valluri Ramarao.

Answer for 12th March Mind Teaser: c) Inactivation of c–met
Correct answers received from: Dr Jainendra Upadhyay, Dr Valluri Ramarao.

Send your answer to ijcp12@gmail.com

For comments and archives

    Laugh a While

(Dr GM Singh)

Science Lesson

Miss Jones had been giving her second-grade students a lesson on science. She had explained about magnets and showed how they would pick up nails and other bits of iron. Now it was question time, and she asked, "My name begins with the letter 'M' and I pick up things. What am I?"

A little boy on the front row proudly said, "You're a mother!"

    Medicolegal Update

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

Cross–examination Debate For Standards Of Medical Care

The cross–examination format involves eight speeches and four cross–examination sessions. The first four speeches are designated as constructive speeches. These are longer speeches, and are open to new lines of argument at any point in time. The final four speeches are designated as rebuttal speeches. These shorter speeches are reserved for summaries, which mean they are not open to new lines of argument. Interspersed between the constructive speeches are short cross–examination sessions, in which the debater who has just finished speaking is questioned by an opponent. During the course of the medical debate, each debater will deliver a constructive speech, a rebuttal speech, be cross–examined by an opponent and cross–examine an opponent. The order of speech is arranged to give the affirmative the open and closing speeches in the debate.

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)

Keep your BP < 120/80 : Javed Akhtar

Inaugurating a musical concert in the memory of Legendary Ghazal Maestro Shri Jagjit Singh, poet, lyricist and scriptwriter, Javed Akhtar, said that the only way we can keep Jagjit Singh alive is through his ghazals.

Yadein, the musical concert was organized in his memory as well as to create awareness about prevention of brain hemorrhage. Brain hemorrhage can be avoided in 40 percent of people if blood pressure can be kept lower than 120/80.

The evening was organized by Heart Care Foundation of India, Humkhayal and eMedinewS.

Padma Shri and Dr. B.C. Roy National Awardee, Dr. KK Aggarwal, President Heart Care Foundation of India, said that music and health are linked together. Singing and listening to music for 20 minutes is like a meditation provided you are absorbed into it. He said that vowel chanting produces aspirin–like substances in body and nasal consonants chanting produces diazepam–like substances in the body.

There was an extraordinary performance by Tauseef Akhtar, a disciple of Jagjit Singh followed by performance by Neerja Pandit. There was also a special performance by Padma Bhushan Uma Sharma on the song "Tumko dekha to yeh khayal aayaa". The musical evening was hosted by filmmaker and social activist Shri Ashoke Pandit.

The others who spoke on the occasion were Ms Geeta Thakur (Roshini), President Humkhayal.

Facts about music and health

  1. Music relaxes and provides benefits like that of meditation.
  2. Chanting of nasal consonant sounds has vibratory effects on sympathetic plexus.
  3. Music acts like an intent in the process of meditation.

Facts about blood pressure

  1. Research has shown that if BP is kept < 20/80 mmHg, 45% of all heart attacks/strokes can be prevented.
  2. Benefits of lowering BP are reduction of stroke incidence by 35–40%; heart attack by 20–25% and heart failure by 50%.
  3. A 5mm reduction in diastolic lower blood pressure can reduce risk of heart disease by 21%.
  4. If we can eliminate pre–hypertension from the society, we can prevent about 47% of all heart attacks.
  5. Lifestyle such as weight control, regular physical activity and changes in diet are recommended for people with pre–hypertension.
  6. The importance of pre–hypertension has been enlisted as one of the Top 10 recent advances in cardiology.
  Conference Calendar

ISCCP 2012 – VII National conference of the Indian Society of Colposcopy and Cervical Pathology – 16 Mar to 18 Mar, PSG Institute of Medical Sciences, Coimbatore, Tamil Nadu.

    Readers Responses
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    Forthcoming Events
Dr K K Aggarwal

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

    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