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

eMedinewS is now available online on www.emedinews.in or www.emedinews.org

  From the Desk of Editor–in–Chief
Dr KK Aggarwal

Padma Shri and Dr B C Roy National Awardee
Dr KK Aggarwal
President, Heart Care Foundation of India; Sr Consultant Physician, Cardiologist and Dean Medical Education Moolchand Medcity; Chairman Ethical Committee Delhi Medical Council; Chairman (Delhi Chapter) International Medical Sciences Academy; Hony Director IMA AKN Sinha Institute (08–09); Hony Finance Secretary National IMA (07–08); 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 …

14th June 2011, Tuesday                                eMedinewS Present Audio News of the Day

View Photos and Videos of 2nd eMedinewS – Revisiting 2010

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

Today is World Blood Donor Day

The theme for World Blood Donor Day 2011 is "More blood. More life."

Blood Donation: Facts

  1. Around 92 million blood donations are collected annually from all types of blood donors (voluntary unpaid, family/replacement and paid).
  2. Approximately half of these blood donations are collected in high–income countries, home to 15% of the world’s population.
  3. In 62 countries, national blood supplies are based on 100% or almost 100% (more than 99.9%) voluntary unpaid blood donations.
  4. Forty countries collect less than 25% of their blood supplies from voluntary unpaid blood donors.
  5. The World Health Organization’s (WHO) goal is for all countries to obtain all blood supplies from voluntary unpaid donors by 2020.
  6. About 8000 blood centres in 159 countries report on their collections.
  7. The average annual collection per blood centre is 30,000 in high–income countries, 6500 in middle–income countries and 3700 in low–income countries.
  8. In 39 countries, blood donations are still not routinely tested for transfusion–transmissible infections (TTIs) including HIV, hepatitis B, hepatitis C and syphilis.
  9. 47% donations in low–income countries are tested in laboratories without quality assurance.
  10. Only 31% of the blood collected in low–income countries is separated into blood components.
  11. Globally, 106 countries have national guidelines on the appropriate clinical use of blood.
  12. 92 million units of blood are donated every year in the world.
  13. 45% of the donors are less than 25 years age.
  14. 40% of all donors are females.

Why donate blood

  1. One gets free blood tests facility at the time of donation.
  2. One gets a satisfaction of saving atleast three lives.
  3. There is one study, which says that donating blood reduces chances of heart attack.
  4. One gets a card which entitles him for free blood when in need. Donating blood is like paying a LIC premium for blood transfusion in the future.
Dr KK Aggarwal
Editor in Chief
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    Changing Practice – Evidence which has changed practice in last one year

The previous recommendation of aldosterone antagonist therapy for patients with NYHA functional class III to IV HF and LVEF <35 has been extended to include patients with NYHA class II HF and LVEF ≤30 percent.

 
  eMedinewS Audio PostCard

Evidence-based Management of Hirsutism

Dr Alka Kriplani Speaks on
‘Clinical evaluation of Hirsutism’
 

Audio PostCard
 
    Photo Feature (from the HCFI Photo Gallery)

Conference on ‘Importance of Health in Religion’

Prof Rajni Abbi, Mayor, Delhi was felicitated at a function organized by World Fellowship of Religions on 12th June 2011. The function was organized to commemorate the 86th Birth Anniversary of Late Acharya Sushil Muni Ji Maharaj.

 
Dr K K Aggarwal
 
    National News

Gujarat gets 200 more medical seats

AHMEDABAD: Here is some more good news for those seeking admission in undergraduate medical courses. The Medical Council of India (MCI) has approved 200 additional seats in two more colleges–new 150–seats college to be run by the Gujarat Cancer and Research Society, and 50 seats in Bhavnagar Medical College. State government sources said that MCI on Saturday approved these 200 seats. Last week, MCI had approved 300 seats, including a new 150–seats medical college at Sola Civil Hospital and gave permission for the existing 150–seats Adani Medical College at Bhuj. (Source: TOI, June 12, 2001)

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, http://www.isfdistribution.com)

Creative ways to be active

At work

  • Arrive five minutes early and take a wake–up walk before getting the day started.
  • Walk to the coffee or vending machine two floors up instead of getting coffee on your floor.
  • Walk to co–workers’ desks instead of calling or emailing them.
  • Stand while talking on the phone. You will burn 33% more calories than if you stay seated during the call.
  • Stop every hour to stretch or go for a brisk, five–minute walk. You will come back energized. And the minutes will really add up by the end of the day.

(Dr GM Singh)

Should all pregnant woman with hyperthyroidism receive specialist endocrinology management?

  • In Graves’ disease, the TSH–receptor antibody responsible for the hyperthyroidism crosses the placenta and, if the mother is hyperthyroid, the fetus is too. Good control of maternal thyroid function is therefore important as it will be mirrored in the fetus throughout pregnancy.
  • All pregnant patients with hyperthyroidism due to Graves’ disease should be managed in a specialist clinic and reviewed every 4 to 6 weeks.
  • Autoimmune disease tends to improve during pregnancy, so the dose of antithyroid drug needed to maintain a normal serum TSH concentration is usually in the order of 5–10 mg of carbimazole daily or 50–100 mg of propylthiouracil daily.
  • It’s customary to stop the antithyroid drug some four weeks before the expected date of delivery, when brain growth is at a maximum, to avoid any possibility of fetal hypothyroidism. It’s unusual for hyperthyroidism to recur before three months post–partum.
  • It’s important to distinguish between recurrent Graves’ disease for which treatment is necessary and post–partum thyroiditis in which the hyperthyroidism is short–lived, followed by an equally transient episode of hypothyroidism, then recovery.
  • In Graves’ disease, the TSH–receptor antibody is detected in serum and isotope uptake by the thyroid is normal or increased. But in post–partum thyroiditis, the TSH–receptor antibody is usually absent and the isotope uptake by the thyroid gland negligible.

(Dr Monica and Brahm Vasudev)

Dubai’s ‘Miracle Baby’ undergoes 16 surgical operations

Life is a wonder for Dubai–born 14–month–old Ria. The little girl has already experienced 16 surgical operations, and had been put on a life support system since birth. The cute baby girl took birth after a complicated pregnancy, and immediately after her birth, the obstetricians at the Dubai Hospital noticed irregular respiration, and kept her under observation. After medical probe were carried out, physicians identified the baby was suffering from a congenital defect, called Tracheo–Esophageal Fistula or TEF. Tracheo–Esophageal Fistula is a very rare state, which affects one in every 8,000 children. Ria was immediately shifted to the Al Wasal Hospital, where critical surgical operations were carried out. But, despite the success of the first surgical operation, Ria’s breathing was irregular shortly, and she had to be put on ventilator machine. It was then that medical specialists diagnosed that the baby was suffering from another congenital irregularity, Laryngo–Tracheo–Oesophageal Cleft Type 2 (LTEC–2). This condition affects one in every 20,000 babies.

Laryngo–Tracheo–Oesophageal Cleft Type 2 being a rare congenital disease, physicians in Dubai suggested the baby’s parents to shift to another nation for further treatment. After that, Ria was taken to Mumbai from Dubai, on ventilator support. After a series of surgical operations, the baby made entry in her own home for the first time when she was one year and two months old. Ria’s mother Delna stated, "She is put on ventilator for only three hours each day. Soon she will be able to breadth independently. I always knew she would make it. My faith has paid off." Besides, Ria's mom has decided to begin a foundation to aid similar patients.
(Source:http://newstonight.net/content/dubais–miracle–baby–undergoes-16-surgical–operations, 06/12/2011)

FDA Okays PET/MRI scanner

The FDA has cleared the first device that simultaneously performs PET and MRI scans. Using a single system, the Siemens Biograph mMR shows the function of organs, soft tissues, and other internal bodily structures (PET), while providing simultaneous images (MRI) of those organs. The PET/MRI scanner offers reduced total radiation dose and increased soft–tissue contrast, the FDA said in a statement. Although the PET component will still require the injection of a radioactive contrast agent to obtain the scan, there is no ionizing radiation used during the MRI scan. PET/MRI allows for imaging at a significantly lower radiation dose compared to PET/CT. Lower radiation is important for children and adult patients undergoing multiple scans. (Source: Medpage Today)

 
    Twitter of the Day

@DrKKAggarwal: Press coverage of Religon & Health Seminar held on Sunday 12th June in Loksatya http://twitpic.com/5axcpc

@SanjivChopra: Never try. Do it or don’t.

 
    Spiritual Update

Hanuman Chalisa

Om Sri Hanumate Namah, Yatra Yatra Raghunatha Kirtanam; Tatra Tatra Kritha Masthakanjalim
Bhaspavaari Paripurna Lochanam; Maarutim Namata Raakshasanthakam

Meaning: We bow to Maruti, Sri Hanumana, who stands with his palms folded above his forehead, with a torrent of tears flowing down his eyes wherever the name of Lord Rama is sung.

Spiritual significance: Chanting the bija sound ‘RAM’ makes one acquire all the powers of Hanumana.

 
    An Inspirational Story

(Sudesh Nirwan)

There was once a washerman who had a donkey and a dog. One night when the whole world was sleeping, a thief broke into the house, the washerman was fast asleep too but the donkey and the dog were awake. The dog decided not to bark since the master did not take good care of him and wanted to teach him a lesson.

The donkey got worried and said to the dog that if he doesn’t bark, the donkey will have to do something himself. The dog did not change his mind and the donkey started braying loudly. Hearing the donkey bray, the thief ran away, the master woke up and started beating the donkey for braying in the middle of the night for no reason.

Moral of the story: "One must not engage in duties other than his own"

Now take a new look at the same story…

The washerman was a well-educated man from a premier management institute. He looked at the bigger picture and thought out of the box. He was convinced that there must be some reason for the donkey to bray in the night. He walked outside a little and did some fact finding, applied a bottom up approach, figured out from the ground realities that there was a thief who broke in and the donkey only wanted to alert him about it. Looking at the donkey’s extra initiative and going beyond the call of the duty, he rewarded him with lot of hay and other perks and became his favorite pet. The dog’s life didn’t change much, except that now the donkey was more motivated in doing the dog’s duties as well. In the annual appraisal the dog managed "ME" (Met Expectations).

Soon the dog realized that the donkey is taking care of his duties and he can enjoy his life sleeping and lazing around. The donkey was rated as "star performer". The donkey had to live up to his already high performance standards. Soon he was over burdened with work and always under pressure and now is looking for a NEW JOB…

Moral of the story: "……hmmm, same as above."
 

 
    Pediatric Update

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

Effects of secondhand smoke in children

Secondhand smoke relates to many illnesses in children including sudden infant death syndrome (SIDS), asthma, respiratory diseases like bronchitis, pneumonia, colds and other respiratory infections. The incidence of these diseases are higher in children exposed to secondhand smoke than those living in smoke–free environments. Secondhand smoke exposure can cause the buildup of fluid in the middle ear. In the United States, 21 million children (35%) live in homes where residents or visitors smoke in the home on a regular basis. Affected children have detectable levels of cotinine, a product of nicotine, in their blood.

 
  Did You Know

(Dr Uday Kakroo)

Heroin is the brand name of morphine once marketed by ‘Bayer’.

 
    IJCP Special

Dr Good Dr Bad

Situation: A patient came with black stools.
Dr. Bad: This is bleeding from the lower GI tract.
Dr. Good: No, this is upper GI bleeding.
Lesson: Black stools usually indicate upper GI bleeding.

Make Sure

Situation: A patient with renal failure came to a doctor.
Reaction: Oh, my God! Why was he given painkillers?
Lesson: Make sure to avoid painkillers in renal failure as most painkillers (barring nimesulide, paracetamol) are not kidney–friendly drugs.

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  SMS of the Day

(Dr GM Singh)

Life's like a play, it's not the length, but the excellence of the acting that matters. Seneca

 
  GP Pearls

(Dr Pawan Gupta)

Criteria for exudates

a. Fluid protein: > 3gm/dl (Sensitivity 84%)
b. Fluid cholesterol: > 60mg/dl (Sensitivity 96%)
c. Fluid/Serum cholesterol ratio: > 0.3 (Sensitivity 98%)
d. Serum/Fluid albumin gradient: 1.2gm/dl (Sensitivity 88%)

Fluid cholesterol level is the single most important simple and cost-effective parameter, whereas fluid total protein has the lowest accuracy.

 
    Medicolegal Update

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

How will a doctor judge/assess the decision-making capacity of a patient?

Competent and conscious patients have the exclusive right to refuse medical care.

  • The patient's right to refuse care is determinative even in cases where the patient's wishes may conflict with those of his or her family or legal agency.
  • Decisions become more difficult when patients have some cognitive impairment, such as moderate Alzheimer’s disease, senile dementia. In such situation, the first step is to try to determine if the patient is able to make decisions for him or herself. If not, the next step would be to determine whether they have made any previous instructions for their care.
  • Mental Competence is a legal term and must be determined by a judge and not a doctor after a thorough medical examination report and relates to whether individuals have the legal right to make their own decisions and whether others should respect the decisions they make.
  • Mental Capacity is the clinical cousin to the legal term ‘competence’. A patient may have the capacity to express their values and preferences and make decisions regarding treatment even if they are unable to carry out other functions of higher reasoning such as balancing their money/property or living independently.
  • On the other hand, a patient without capacity may seem intact in superficial conversation but be unable to make decisions regarding their medical care on their own preferences and values. Capacity does not require a formal legal determination or psychiatric/medical evaluation but can be done by clinicians.
 
  Vitamins—Open Secrets revealed

(Dr Jitendra Ingole, MD Internal Medicine)

Vitamin D Miracles

Sunlight and vitamin D are critical to all life forms. Standard textbooks state that the principal function of vitamin D is to promote calcium absorption in the gut and calcium transfer across cell membranes, thus contributing to strong bones and a calm, contented nervous system. It is also well recognized that vitamin D aids in the absorption of magnesium, iron and zinc, as well as calcium.

Vitamin D controls the levels of calcium in the blood. If there is not enough calcium in the diet, then it will be drawn from the bone. High levels of vitamin D (from the diet or from sunlight) will actually demineralize bone if sufficient calcium is not present.

Vitamin D will also enhance the uptake of toxic metals like lead, cadmium, aluminum and strontium if calcium, magnesium and phosphorus are not present in adequate amounts. Vitamin D supplementation should never be suggested unless calcium intake is sufficient or supplemented at the same time.

 
    Mind Teaser

Read this…………………

Twelve patients with fever and a generalized vesicular or pustular eruption were admitted to the hospital over the previous 2 days. After an initial investigation, it is deemed that the cases are highly suspicious for smallpox.

Which of the following smallpox vaccination strategies is most likely to have the best risk/benefit ratio?

A. National mass vaccination program
B. Ring vaccination and containment
C. Vaccination of immediate family only
D. Vaccination of the index cases

Yesterday’s Mind Teaser: Two women and two doctors walk into an ice cream parlor. They each order an ice cream cone. When their ice creams come, there is only 1 strawberry, 1 chocolate and 1 vanilla. How come they didn't complain?

Answer for Yesterday’s Mind Teaser: One of the women was a doctor!

Correct answers received from: Dr Rashmi Chhibber, Dr BB Aggarwal, Dr Muthumperumal Thirumalpillai, Dr Deepali Chatterjee, Dr BN Gangadhar.

Answer for 12th June Mind Teaser: C. A cluster of similar cases in previously healthy people
Correct answers received from: Dr Upendra Hansdah, Dr KG Varshney, Dr Mohit Gupta,
Dr Rakesh Bhasin, Dr Nishi Singh, Dr Rashida Malek, Dr BB Aggarwal.

Send your answer to ijcp12@gmail.com

 
    Medi Finance Update

(Dr GM Singh)

Settlement Commission

  • Entities on whom search is initiated can file an application before the settlement commission if additional tax payable on disclosed income exceeds INR 50 Lacs.
  • Entities related (to be defined) to a tax payer on whom the search is initiated would be allowed to file an application before the settlement commission if additional tax payable on disclosed income exceeds INR 10 Lacs. Such entities should also be subject to search proceedings.
 
    Laugh a While

(Dr. GM Singh)

A farmer rode a horse into town on Friday stayed for three days and then left on Friday. How did he do it?

The horse’s name was Friday!

 
    Drug Update

List of approved drugs from 01.01.2010 to 31.8.2010

Drug Name
Indication
DCI Approval Date
Dried Aluminium Hydroxide Gel IP 600mg + Magnesium Hydroxide IP 300mg + Simethicone IP 25mg + Oxetacaine BP 10mg per 5ml syrup
For the treatment of symptoms of functional gastrointestinal disorders like irritable bowel syndrome, functional dyspepsia, peptic ulcer, gastroesophageal reflux disease which include smooth muscle spasms, flatulence, abdominal distension, hyperacidity, gastric distress, bloating etc.
05.10.10
 
    Obesity Update

Dr. Parveen Bhatia and Dr. Pulkit Nandwani

Laparoscopic Sleeve Gastrectomy : FAQs

After sleeve surgery, when should the next follow up with the doctor be?

Schedule OPD visits at 2 weeks, 4 weeks, 6 weeks, 3 months, 6 months, and yearly to monitor patient’s progress.

 
    IMSA Update

International Medical Science Academy (IMSA) Update

Oocyte triggering in antagonist assisted reproductive technology cycles

A Cochrane review recommends against routine use of GnRH agonists as a final oocyte maturation trigger in fresh autologous cycles because of lowered live birth rates and ongoing pregnancy rates. An exception could be made for women with high risk of OHSS, after appropriate counseling.

 
    Public Forum

(Press Release for use by the newspapers)

14th June is World Blood Donor Day

One should donate blood at least once every year. You can choose your birthday or that of any of your nearest and dearest as the day to donate blood, said Padma Shri & Dr. B.C. Roy National Awardee, Dr. KK Aggarwal President Heart Care Foundation of India.

Dr. Aggarwal said that it has also been clearly written in our Shastras that donating blood is the biggest spiritual charity one can do in his lifetime.

Today, by donating blood one can save three lives.  Dr. Aggarwal further said that regular blood donation also reduces chances of future heart attack. According to a western study, regular donation of the blood decreases excess of iron, reduces free radicals in the body and prevents chances of future heart attack.

Dr N.K Bhatia, Transfusion Specialist, said that donating blood also gives one an opportunity to get a free blood check done which includes tests for Hepatitis B, Hepatitis C, Malaria, Hemoglobin, HIV etc. Another benefit of regular blood donation is that a person is then entitled to a free blood donation card against which he can take blood whenever such a need arises. It is like paying an LIC premium but here it is used for availability of blood in the future.  

Out of 92 million blood donations annually in the world, 45% donors are under the age of 25 years and females constitute 40% of all donors.

Dr. Aggarwal further said that paid blood donations are banned in India. Replacement blood donation is also not safe as many paid blood donors are brought in the disguise of replacement donors and relations who donate for replacement may not disclose their high risk behavior.

As per World Health Organization, every country should have a target of achieving 100% blood donation by the year 2020.

 
    Readers Responses
  1. Dear Dr KK Aggarwal, Thank you for the nice information on common causes of nose bleeding.
    I would like to add the following to above: Bleeding disorders in children, leukemia, aplastic anemia and decreased platelet count. Dr TS Saherwala, Australia.
  2. Dear Dr Aggarwal, Your views are always forthright and clear. The editorial on 13th June was as expected hard–hitting and merciless on the medical profession. We need more people like you in every profession. With best wishes,Yours sincerely: Anuj Sinha
 
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    Forthcoming Events

National Conference on "Insight on Medico Legal Issues"
Date: Sunday, 10th July, 2011
Venue: Auditorium, Chinmaya Mission, 89, Lodhi Road, New Delhi–110003

eMedinewS and Heart Care Foundation of India are jointly organizing the first-ever National Conference on "Insight on Medico Legal Issues" to commemorate "Doctors’ Day".
The one–day conference will provide total insight into all the medicolegal and ethical issues concerning the practicing doctors. Both medical and legal experts will interact with the delegates on important issues.
You are requested to kindly register in advance as seats are limited. There will be no registration fee. You can register by sending your request at rekhapapola@gmail.com or at 9899974439.

For Programme
Details <.. Click here ..>

………………………………………………………………

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
medifilmfestinhealthmela@gmail.com

………………………………………………………………

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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 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