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 & 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

18th January 2013, Friday


1 Age of accused for rape should be reduced to 16 years and should be tried as major As per section 375 (f) of Indian Penal Code, 1860, ‘A man is said to commit" rape" who, except in the case hereinafter excepted, has sexual intercourse with a woman With or without her consent, when she is under sixteen years of age.’ When the age to give consent to have sexual intercourse is 16 years and more, and the same does not amount to rape, then age of man who is 16 years and more should be tried as major and not as per juvenile laws because he is mature enough to know what is sexual intercourse and consequence of the same.
2 More Forensic Labs to be made in the country
The numbers of forensic lab in the country are very less as compare to work load. The report of examination of rape victim from forensic lab takes lots of time due to the work load and the trial gets delayed due to the said reason. Justice delay is justice denied. If the labs are increased in the country, the report can be available expeditiously and would help to expedite the trial of the case
3 Scientific help/proof should be admissible in law
Forensic report on DNA test along with medical report for forced sexual intercourse should be accepted as conclusive proof for rape.
4 Medical test for rape should also be done on the request of the victim and not only on the request of the police, and, if possible, should be done within 24 hours of the sexual assault
5 Fast track trial before court should be there essentially in cases of rape.
6 Identity of unsound person and minor as is with the major cannot be disclosed in any condition not even with the consent of parents/guardians.
7 Testing including HIV and Follow up for sexually transmitted diseases should be made compulsory
At present prior consent even of the accused is required for HIV test. It needs to be changed in case of sexual assaults. Seeing the gravity of disease and antisocial habits of the accused, HIV and other tests should be mandatory for them even without their consent
8 Prophylactic HIV medicine for the victim:
In view of the antisocial behavior of sexual assaulters, they are more prone to sexually transmitted diseases. (STDs)
HIV is a serious disease which is transmitted sexually. Proper precautions taken initially may prevent the transmission of the disease to the victim. So the victim should be given the course of prophylactic medicine immediate after the crime.
9 In Rare cases there should be provision of capital punishment.
Even the adolescent assaulters should be given the same punishment as in the case of adults in such cases
10 Chemical castration is not an answer. It is not effective as rapes are not linked only to increased desire but also involve people with criminal mind and high hormone levels does not mean that a person will have sexual deviations. Chemicals are not medically safe and require an informed consent. Their effects are reversible.
11 For Molestation & eve teasing, laws should be stringent and strictly implemented. Preventive measures should be taken by Govt. (like CCTVs/security guards at public places & in public transport.

For More editorials…

Dr KK Aggarwal
Group Editor in Chief

Register for 4th eMedinewS–revisiting 2012 conference

    Constipation Update

What is the role of lactulose in constipation?

Lactulose increases stool frequency, decreases the severity of constipation symptoms and reduces the need for other laxatives in older adult patients. However, in one study, lactulose was less effective than low–dose polyethylene glycol (PEG) and also had a higher incidence of flatus (Gut 1999;44(2):226–30). In another study, PEG 3350 compared with lactulose provided a higher success rate with fewer side effects (Gut 2004 Nov;53(11):1590–4).

Dr K K Aggarwal
  eMedinewS Audio PostCard

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

Ventilator-associated tracheobronchitis

Audio PostCard
    Photo Feature (From HCFI Photo Gallery)

In a Press Conference on 16th January 2013 Dr KK Aggarwal formerly announces that eMedinewS and Heart Care Foundation of India will be organizing a daylong conference on 20th January, 2013 at Maulana Azad Medical College. The conference will revisit the happenings of the year 2012.

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

“Be Human Stop Child Abuse”

Dear Colleague,

Greetings from Team India Medical Association for CMAAO meet

Indian Medical Association will be hosting the 49th CMAAO Council Meeting on the subject “Be Human Stop Child Abuse” from 12th to 14th September, 2013, at Hotel Shangri-La, Ashoka Road, New Delhi.

We have created a facebook page on the theme. It can be seen on the following link:


Kindly join this page by liking it.


CMAAO is a Confederation of Medical Associations of Asia and Oceania. The associated countries are : Australian Medical Association; Bangladesh Medical Association; Cambodian Medical Association; The Hong Kong Medical Association; Indian Medical Association; Indonesian Medical Association; Japan Medical Association; Korean Medical Association; Macau Medical Association; Malaysian Medical Association; Myanmar Medical Association; Nepal Medical Association; New Zealand Medical Association; Philippine Medical Association; Singapore Medical Association; Sri Lanka Medical Association; Taiwan Medical Association and The Medical Association of Thailand. The secretariat of the CMAAO is in Tokyo under Japan Medical Association.

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

    My Profession My Concern

Good Samaritan’s safety

The recent Delhi gang-rape victim has opened another discussion regarding protecting the good Samaritans while handling a road traffic accident.

In the present case, no passerby came to the rescue when the victims were lying on the road. It took a lot of time for them to get a medical help. Even Police took 31 minutes to reach Safdarjung Hospital. Medically, there is a possibility that if the patient could have been brought to the hospital in time, the medical results would have been different.

In France it is a crime refusing to provide assistance to somebody in serious peril unless doing so would be harmful. In that country, bystander has an absolute legal duty to contact emergency authorities.

In France, paparazzi went to jail when they failed to reach medical assistance or contact emergency authorities when Princes Diana’s car crashed and chose to take pictures instead.

Germany also requires that all people should get driver’s license, take basic first aid classes to facilitate this duty.

The Argentinean penal code makes it mandatory for a passerby to help or else face charges of ignoring an accident victim which is an offence punishable with imprisonment ranging from 2-6 years.

Australia, Canada and few States in the United States provide immunity from prosecution to the first responder who rescues the victim. It is under consideration of Supreme Court of India to lay down guidelines to protect good Samaritans from future Police harassment or repeated appearances as witness in the court.

At the moment, the court is of the opinion that they cannot give immunity to them from appearance in court as witnesses however; the court can examine enacting a provision to insulate them from police harassment. By March, Supreme Court is likely to come out with some solutions.

The above is based on an article written by Shri Dhananjay Mahapatra and information from a writ petition under consideration in the Court of Swatantra Kumar and Madan B Lokhar.

Personally, I agree with the Supreme Court observations as the person who saves the life is an important witness and cannot be discharged.

In any way, it is also a person’s duty to help a court as witness. However, the safety of the witness should be the responsibility of the government and for that the court should come out with clear-cut guidelines.

For comments and archives

    Valvular Heart Disease Update

Bicuspid aortic valve is a genetic disorder with autosomal dominant inheritance

(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


Prof Atul Gupta made an excellent oration on “Aerosol Therapy – pitfalls” a problem often faced by pediatricians. It demystified the prevailing concepts of aerosol therapy in asthma and related

pulmopathies in the form of clinical case scenarios and focused intensively on day to day questions faced by clinicians for these common disorders. He also impressed upon the audience the emerging trends in aerosol therapy and its safety and effectiveness while adopting latest clinical guidelines.

For comments and archives

(Contributed by Dr Monica and Brahm Vasudev)

Longer waits for breast cancer patients on Medicare

Women with a new diagnosis of breast cancer who are covered by Medicare are waiting longer and longer to get treatment, according to a new nationwide study. Researchers found that between 1992 and 2005, the average waiting time between being diagnosed and having surgery rose from 21 days to 32 days. The delay was especially long for black and Hispanic women, and for those living in large cities.

Flu vaccine poses no risk to unborn

Fears and misconceptions often surround the flu vaccine: Does it really work? Will it make me sick? Could it hurt my baby? Researchers from Norway say the last question was a big concern during the 2009 H1N1 pandemic; anecdotal reports of fetal deaths caused many pregnant women to avoid getting vaccinated despite health officials’ pleas. To determine the accuracy of these reports, the Norwegian researchers analyzed data from more than 100,000 pregnancies during the 2009-2010 flu season. Their results were published this week in the New England Journal of Medicine.

   Twitter of the Day

@DrKKAggarwal: Child below 14 cannot work There is a total ban all work for children under the age of 14, and restrict (cont) http://tl.gd/knuqq8

@DeepakChopra: Your world reflects your brain, which reflects your mind, which reflects your soul.

    Spiritual Update

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

Uttarayana versus Dakshinayana Festivals

Most festivals involving vrat (fast) are held in the month of Dakshinayana i.e. from mid July to mid January. Dakshinayana is a period of longer nights, shorter days, depression and more negative thoughts in the mind. To balance this negativity of the mind, most of the festivals are so designed so as to detoxify the mind and the body.

For comments and archives

    Be Human Stop Child Abuse (Team IMA for CMAAO)

Child Abuse in India

As per 2007, Indian Government published results of a study carried out in conjunction with Unicef and Save the Children involving over 12,000 children

  1. Two thirds of children are victims of physical abuse.
  2. The majority are beaten in school, and over half have to work seven days a week.
  3. Over 50% have faced some kind of sexual abuse, and over 20% of them severe abuse.
  4. Half of children also face emotional abuse.

For comments and archives

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

What do you mean by assisted hatching?

Assisted hatching is a procedure that is done in the laboratory three days after fertilization. During assisted hatching, the outer shell of the embryo is artificially weakened by making a small hole in the shell. This is done just before the embryo is put into the uterus.

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

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

What is the importance of knowledge of blood groups?

For all practical and routine purposes, it is ideal to transfuse to the patient the same group of blood, which he belongs to. It is only under very dire emergency that we take O Group as universal donor and AB Groups as universal recipient. Under no circumstances O group can get any other blood except O. Similarly, A Group patient cannot be given B group blood and vice versa.

For comments and archives

   An Inspirational Story

To Believe

To believe… is to know that every day is a new beginning. It is to trust that miracles happen, and dreams really do come true.

To believe… is to see Angels dancing among the clouds, to know the wonder of a stardust sky, and the wisdom of the man in the moon.

To believe… is to know the value of a nurturing heart, the innocence of a child’s eyes and the beauty of an aging hand, for it is through their teachings we learn to love.

To believe… is to find the strength and courage that lies within us. When it is time to pick up the pieces and begin again.

To believe… is to know we are not alone, that life is a gift and this is our time to cherish it.

To believe… is to know that wonderful surprises are just waiting to happen, and all our hopes and dreams are within reach. If only we believe.

For comments and archives

   Cardiology eMedinewS

Blueberries And Strawberries May Reduce Women's Risk Of Heart Attack
Read More

IPSCs Define Optimal Treatment For Managing Life-Threatening Arrhythmias Read More

   Pediatric eMedinewS

50th PEDICON Golden Jubilee National Conference of Indian Academy of Pediatrics 16th January 2013 Read More

India's babies receive first breath of life Read More

Monitoring & evaluation Module of IAP NNF NRP FGM Project Read More

Welcome Message -Dr Pallab Chatterjee, Joint Organising Secretary, PEDICON 2013 Read More

Welcome Note -Dr Jaydeep Choudhury, Organizing Secretary, Pedicon 2013 Read More

    IJCP Special

Dr Good Dr Bad

Situation: A patient with fever and low TSH had ESR > 100.
Dr Bad: It’s TB.
Dr Good: Its thyroiditis.
Lesson: Thyroiditis typically has very high ESR and low TSH.

Make Sure

Situation: A patient was brought to the ICU in cardiogenic shock.
Reaction: Oh my God! Why didn’t you take him for emergency angiography and subsequent PTCA.
Lesson: Make Sure to perform an emergency diagnostic angiography and mechanical revascularization with PTCA in patients of cardiogenic shock. Results of NRMI–2, an ongoing trial suggest that this intervention is much better than thrombolytic therapy in such patients.

  Quote of the Day (Dr GM Singh)


"To fear love is to fear life, and those who fear life are already three parts dead." Bertrand Russell

    Mind Teaser

Read this…………………

Which is often a physiological response to surgery-related stress?

a) Bronchial constriction
b) Decreased cortisol levels
c) Peripheral vasodilation
d) Sodium and water retention

Yesterday’s Mind Teaser: A patient on the unit is prepared for a bronchoscopic procedure. The nurse administers the IV sedative and instructs the licensed practical nurse (LPN) to:

a) educate the patient about the pending procedure.
b) give the patient small sips of water only.
c) take the patient to the bathroom one more time.
d) take the patient's blood pressure and pulse readings.

Answer for yesterday’s Mind Teaser: D) take the patient's blood pressure and pulse readings.

Correct answers received from: Dr Ajay Gandhi, Rajiv Kohli, Dr. Vishal D Wahane, Dr. P. C. Das, Dr Shagufta Moin, Dr Kanta Jain, Dr. Bharat Bhushan Aggarwal, Dr.(Maj. Gen.) Anil Bairaria, Dr Chandresh Jardosh, Dr.Raghavendra Jayesh, Dr.K.V.Sarma, Dr Jainendra Upadhyay, Muthumperumal Thirumalpillai, Dr. Thakor Hitendrsinh G, Dr Avtar Krishan

Answer for 16th January Mind Teaser: the competency for the tasks was verified during orientation

Correct answers received from: Dr Avtar Krishan, Dr B K Agarwal

Send your answer to ijcp12@gmail.com

    Laugh a While (Dr GM Singh)

A little boy went up to his father and asked: "Dad, where did all of my Intelligence come from?"
The father replied. "Well son, you must have got it from your mother, cause I still have mine"

    Medicolegal Update

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

Medical Testimony of Doctor in the Court of law

A doctor should not be dogmatic about his opinion, and lawyers also should not expect him to be so. He should be reasonable in his opinions and should not overstate the likelihood of a relationship between cause and effect. The doctor should be ready to defend every finding and conclusion on the report on clinical and scientific grounds in the court of law. He should be aware of professional and scientific viewpoints which might differ from his, and should be familiar with the latest scientific literature in relation to the subject involved. For the purpose of illustrating and clarifying his testimony in the court of law, the medical expert may employ photographs, maps, diagrams, charts, X–rays, skeletons, models, slides, films, tapes, etc., when they are properly verified. The doctor should avoid talking too much, talking too soon, and talking to the wrong persons. Prejudicial and sensational statements should not be made prior to trial. Courts of law are open to the public and the junior doctors should attend the Courts, where they can follow the proceedings, hear the evidence given by their senior medical colleague as a witness, to familiarize themselves with the procedures of the court of law.

For comments and archives

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Photos and Videos of 3rd eMedinewS – RevisitinG 2011 on 22nd January 2012

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    Public Forum

(Press Release for use by the newspapers)

Natural food and not the supplement for preventing heart disease

One should take seasonal and locally grown natural food and vegetables grown out of organic farms, said Padma Shri & Dr. B.C. Roy National Awardee, Dr. KK Aggarwal, President, Heart Care Foundation of India & National Vice President Elect IMA.

Eat less, dinner lighter then the lunch, eat natural and in moderation- are few of the mantras. Eating the food supplements can be harmful.

According to The American Heart Association supplementation with beta carotene and vitamin E, either alone or in combination with each other or other antioxidant vitamins does not prevent heart disease.

High dose vitamin E supplementation (400 IU/day) may be associated with an increase in all-cause mortality.

Supplementation with vitamin C does not prevent second heart attack.

Beta carotene supplementation may be dangerous and should be discouraged.

Vitamin E supplementation may be of benefit for only secondary prevention of heart patients with chronic renal failure who are undergoing hemodialysis.

The American Heart Association concluded that current data do not justify the use of antioxidant supplements for the prevention or treatment of cardiovascular disease risk.

The above recommendations apply to supplementation only. Diets high in natural antioxidants are associated with lower cardiovascular mortality.

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” of 23921 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 Response
  1. Dear sir, I read your daily eMedinewS very regularly, You are doing wonderful service to medical profession Your material is always short and sweet and to the point I read your many column but I very much like inspirational Story All inspirational Stories are worth reading. You are doing yomen services. I wish you all the best. Dr Prakash shah, President Gujarat state branch 1985-86, District governor lions international dist 323F 1994-95
    Forthcoming Events

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 IM Chugh (Pulmonoagy)
Dr AK Dhar (Hemato oncology)
Dr Neeraj Jain (Pain Management)

Register at: www.emedinews.in/


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

4th eMedinewS Revisiting 2012
9.00-9.15 AM Dr KK Aggarwal Revisiting 2012
9.15 to 9.45 AM Dr Ashish Jain eMedinewS Oration Orthopedics in 2012
9.45 - 10.15 AM Dr Vivek Bhatia Dr K B Sharma eMedinewS Oration GI in 2012
10.15 - 10.30 AM P C Joshi IJCP Oration Financial Health
10.30 - 11.00 AM Dr N K Bhatia Dr Col K L Chopra eMedinewS Oration Transfusion Medicine 2012
11.00 - 11.30 AM Dr Praveen Chandra Heart Care Foundation of India Oration Interventional cardiology 2012
11.30 AM- 12.00 Noon Dr Ambrish Mithal AJD Oration Diabetes 2012
12.00-12.15 PM Dr S K Parashar IJCP Oration Echo 2012
12:15-12:30 PM Discussion Forum
12.30- 12.50 pm Dr Praveen Bhatia G L Sanghi eMedinewS Oration Robotic Bariatric Surgery for Super Obese
1.00-1.30 pm Dr Kaberi Banerjee AJOG Oration Infertility Update
1.30 - 2.00 pm Dr Yugal Mishra,
Dr Manju Gupta,
Dr Saurabh Juneja,
Dr Deepak Khurana
AJCC Oration 2012 Valve Update
2.00-2.30 PM Dr Rajnish Malhotra Dr J J Sood eMedinewS Oration Cardiac Surgery 2012
2.30-3.00 PM Dr Brig A K Dhar eMedinews Distinguished Lecture Hematooncology Update
3.00 - 3.15 PM Dr I M Chugh eMedinews Distinguished Lecture Chest Update
3.15 - 3.30 PM Dr Kailash Singla eMedinews Distinguished Lecture Gastro Update
3.30 - 3.45 PM Dr Neeraj Jain eMedinews Distinguished Lecture Pain Management
3.45 - 4.15 PM Dr Ganesh Mani eMedinews Distinguished Lecture Valve in 2012
4.15 - 4.30 PM Dr Sanjay Chaudhary IJCP Oration Bladeless Femtosecond for Cataract Surgery
4.30 - 4.45 PM Dr Anil Goel eMedinews Distinguished Lecture Vision 2015
4.45 - 5.00 PM Dr Sukhendy Roy eMedinews Distinguished Lecture IMA RNTCP Project
5.00 - 5.15 PM Dr K K Aggarwal Take home messages
5.00- 5.15 PM (Maj.Gen) Dr.A.S.Bath eMedinews Distinguished Lecture Autologus therapy in Restorative Surgery
5.15-5.30 PM Dr. S.K Mittal eMedinews Distinguished Lecture Paediatrics in 2012
5.30 - 5.45 PM Dr. J P S Sawhney   eMedinews Distinguished Lecture C.V risk assessement in clinical practice
5.45 -6.00 PM Dr K K Aggarwal Take home messages
6:00 - 8.00 PM Cultural Evening and Doctor of the Year Award. Live Performance by Mr Anand Parmar (Mumbai), Dr N Subramanian, Dr Lalita, Dr Praveen Khillani, Dr Aarti Pathak & Others Chief Guest Dr AK Agarwal, President DMC
Lunch 12 Noon to 4 PM, Dinner 6 Pm to 8 Pm

DMC (CME Accredited 8 Hours)
    eMedinewS Special

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3. eMedinewS audio lectures (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