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

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

Padma Shri and Dr B C Roy National Awardee
Dr KK Aggarwal
President, Heart Care Foundation of India; Sr Consultant Physician, Cardiologist and Dean Medical Education Moolchand Medcity; Chairman Ethical Committee Delhi Medical Council; Chairman (Delhi Chapter) International Medical Sciences Academy; Hony Director IMA AKN Sinha Institute (08–09); Hony Finance Secretary National IMA (07–08); Chairman IMA Academy of Medical Specialties (06–07); President Delhi Medical Association (05–06), President IMA New Delhi Branch (94–95, 02–04); Editor in Chief IJCP Group of Publications & Hony. Visiting Professor (Clinical Research) DIPSAR

  Editorial …

23rd March, 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

Government withdraws Service tax on healthcare

In what must come as a relief to all, the government has announced withdrawal of the proposed 5% service tax on airconditioned hospitals with more than 25 beds and on diagnostic services.

This proposed service tax met with stiff opposition from medical professionals when a new service tax on healthcare services was announced at the time the budget was presented. And there had been constant appeals to the Government to roll back this hike.

A large majority of people use the health care systems provided by the Government. But, Government hospitals struggle to cope with the huge crowds. This may impact quality of health care. As a result, many turn to the Private health sector, including those who cannot really afford treatment at the private hospitals. Most have no health insurance. Treatment then becomes a costly concern for the people as most of the health expenditure is financed out of the patient’s pocket. The 5% service tax on healthcare would have further added to the costs of treatment making it very expensive and even out of reach for many.

Air–conditioning in hospitals is an essential medical requirement, and not a luxury. For accreditation, the National Accreditation Board for Hospitals and Healthcare Providers guidelines for air conditioning state that hospitals should have central air–conditioning and not split or window air–conditioning, which encourage bacterial growth. The service tax would have had an adverse impact on the quality and safety measures leading to an increase in the already high infection rates in the hospitals.

Dr KK Aggarwal
Editor in Chief
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  eMedinewS Audio PostCard

HIV Update

Dr Nalin Nag Speaks on
‘The Human Immunodeficiency Virus’

Audio PostCard
    Photo Feature (from the HCFI Photo Gallery)

Medifinance Conference On Portfolio Management for Doctors and update on Budget 2011

Panel discussion during a Session in the Medifinance Conference organized at Auditorium, Delhi TB Association, Lodhi Road, New Delhi on 13th March 2011.

Dr K K Aggarwal
    National News

Indian Article Rated Best by Bio Med Lib in the Category of Metabolic Syndrome and Echo as the Topped Article Published in the Domain

Monday, March 21, 2011
Highly relevant, fast, and simple–to–use search engine for the 20 million articles of MEDLINE has cited the following:

Chopra HK, Aggarwal KK, Krishna CK, Sambi RS, Parashar SK, Gupta R, Kasliwal RR, Mittal S, Bansal M, Gaur AK, Anand V, Bali AK, Langer V, Vermani A, Jagadeesh KN, Mishra S, Nanda NC: 3D echocardiography: "The most powerful predictor of masked CVD in metabolic syndrome". Indian Heart J; 2009 May–Jun;61(3):231–41
Go to the article

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)

Worksite wellness programs decrease healthcare costs

Highmark Inc., a health insurance company (which is an independent licensee of the Blue Cross and Blue Shield Association), recently conducted a study to evaluate the effectiveness of workplace wellness initiatives. The study, published in the American Journal of Health Promotion, evaluated the impact of worksite wellness programs on health care costs and utilization over a period of four years by matching over 10,000 wellness program participants at 47 Highmark employer groups with a comparison group that did not participate in workplace wellness programs. They found that company healthcare costs were significantly lower in companies that offered wellness programs.

(Dr GM Singh)

Key questions on epilepsy

Hyponatremia is virtually universal in patients receiving carbamazepine. With levels of 130mmol/l or above I tend not to worry. Below that I tend to keep a closer watch. Low sodium levels tend to be precipitated by the addition of another drug such as bendroflumethiazide. I would start to be concerned at levels below 128mmol/l.

(Dr Monica and Brahm Vasudev)

Transplant–rejection drug may benefit LAM patients

According to a study in the New England Journal of Medicine, sirolimus (Rapamycin) improved both lung function and quality–of–life (QOL) in women who have lymphangioleiomyomatosis (LAM).

Lower–dose cytarabine for AML yields comparable outcomes, less adverse effects

A lower dose of the drug cytarabine works as well as the high doses that are typically used to treat acute myeloid leukemia (AML), according to a study in the New England Journal of Medicine.

    IJCP Special

Dr Good Dr Bad

Situation: A patient came with an eGFR value of 25.
Dr. Bad: You need immediate dialysis.
Dr. Good: Hold on till proper investigations are done.
Lesson: According to a study published on December 6 in Canadian Medical Association Journal, starting dialysis too soon can be associated with high mortality.

Make Sure

Situation: A rape victim developed HIV infection.
Reaction: Oh my God! Why was she not given post exposure ART prophylaxis?
Lesson: Make sure all rape victims are counseled for HIV post exposure ART prophylaxis.

    An Inspirational Story

(Dr Prachi Garg)

Your Weakness

This is a story of one 10–year–old boy who decided to study judo despite the fact that he had lost his left arm in a devastating car accident. The boy began lessons with an old Japanese judo master. The boy was doing well, so he couldn’t understand why, after three months of training, the master had taught him only one move. "Sensei," the boy finally said, "Shouldn’t I be learning more moves?"

"This is the only move you know, but this is the only move you’ll ever need to know," the Sensei replied. Not quite understanding, but believing in his teacher, the boy kept training.

Several months later, the Sensei took the boy to his first tournament. Surprising himself, the boy easily won his first two matches. The third match proved to be more difficult, but after some time, his opponent became impatient and charged; the boy deftly used his one move to win the match. Still amazed by his success, the boy was now in the finals.

This time, his opponent was bigger, stronger, and more experienced. For a while, the boy appeared to be overmatched. Concerned that the boy might get hurt, the referee called a time–out. He was about to stop the match when the Sensei intervened. "No," the Sensei insisted, "Let him continue."

Soon after the match resumed, his opponent made a critical mistake: he dropped his guard. Instantly, the boy used his move to pin him. The boy had won the match and the tournament. He was the champion. On the way home, the boy and Sensei reviewed every move in each and every match. Then the boy summoned the courage to ask what was really on his mind. "Sensei, how did I win the tournament with only one move?" "You won for two reasons," the Sensei answered. "First, you’ve almost mastered one of the most difficult throws in all of judo. And second, the only known defence for that move is for your opponent to grab your left arm."

The boy’s greatest weakness had become his greatest strength.

    Infertility Update

(Dr. Kaberi Banerjee, Director Precious Baby Foundation)

What is a typical IVF calendar ?

The sequence of events depends on the treatment protocol that has been planned for you. Usually OPD–based injections are started on Day 20 of previous menses, further gonadotrophins with follicular monitoring and blood tests start from 2nd day of menses for about 10 days. You may need daycare admission for oocyte retrieval as you will be administered anesthesia. Two days later you will come back for Embryo transfer which is an OPD USG–guided procedure. In a different protocol, stimulation starts from Day 2/3 of period and collection is done around day 15 after 10–12 days of stimulation.

    Hepatology Update

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

How is a patient of chronic hepatitis B treated?

Consensus guidelines for the treatment of chronic HBV in children have not been established, and indications for antiviral therapy in adults with chronic HBV infection may not be applicable to children. Factors that are predictive of a positive response to interferon (IFN) or nucleoside analogues include high pretreatment levels of aminotransferase (>2 × ULN), low pretreatment HBV DNA levels (<105 copies/mL or 20,000 IU/mL), late acquisition of HBV infection, and higher hepatocellular inflammation. Treatment should be considered if patients have persistently elevated ALT levels >2 × ULN and evidence of active viral replication (HBeAg seropositive, and/or HBV DNA levels >105 copies/mL or 20,000 IU/mL in their serum) for more than 3 months. Treatment aims to achieve long term remission so that the chance of hepatocellular carcinoma and chronic liver disease is decreased.

Symptomatic children with ongoing viral replication and active liver disease need treatment. Therapy aims to prevent HBV replication and decrease inflammation and normalize transaminases.

According to the American guidelines, the pediatric patients should be referred to pediatric liver specialist for development of strategy for monitoring, treatment, and/or cancer evaluation.

    Vascular Disease Update

Dr. Rajiv Parakh, Chairman, Div of Peripheral Vascular & Endovascular Sciences, Medanta–The Medicity, Gurgaon NCR, Secretary General, International Society of Vascular Surgery, USA

My Mom is 80 years of age and has had edema of both legs most of her life. However as of late this condition has worsened and is causing her some distress. She has been treated with medications to decrease fluid retention but it is not working. She has been given a clean bill of health as regards her heart and lungs. She is unable to use compression stockings because the legs are too swollen. Are their any other treatments? Is surgery an option? Thanks!

She must get a venous ultrasound done to assess for veins for her to be treated for the same. If there are any varicosities, compression bandaging may help after which she can start wearing stockings which will help reduce the edema.

    Medicolegal Update

(Dr Sudhir Gupta, Asso Professor, Forensic Medicine & Toxicology, AIIMS)

A restraint on the Bolam standard was disclosed in the decision made on 12th November 1997, by the House of Lords, in Bolitho v City and Hackney Health Authority

  • Here, the applicability of the Bolam test was affirmed but it was subject to the proviso that in cases involving the weighing of risks against benefits it could be demonstrated that the experts who had formulated their view had directed their minds to the question of comparative risks and benefits and had reached a defensible conclusion on the matter.
  • That is, before a practice could be described as being in accordance with the practice accepted as proper by a ‘responsible’ or ‘reasonable’ or ‘respectable’ body of professional opinion the exponents of that opinion could demonstrate that such opinion had a logical basis.
  • If the courts were not convinced that a logical conclusion was reached by the medical profession, then the law would set the standard for them.
  • However, the principal qualification to this apparent revision of the Bolam standard was expressed by Lord Browne–Wilkinson when he said that "It would ‘very seldom’ be right for a judge to conclude that the genuine views of a competent medical expert were illogical… though he reserved the right to do so."
    Obesity Update

Dr. Parveen Bhatia and Dr. Pulkit Nandwani

Obesity and pregnancy: complications

Maternal Morbidity – Carbohydrate intolerance

As the prevalence of obesity has risen in developed countries, excess weight among pregnant women has become increasingly common. The incidence of obesity among pregnant women ranges from 18.5% to 38.3%. Pregravid overweight is therefore one of the most frequent high–risk obstetric situations.

Overweight is a risk factor for impairment of carbohydrate tolerance both in the nonpregnant state and during pregnancy. Fasting and postabsorptive plasma insulin concentrations are higher in obese pregnant women than in nonobese pregnant women.

Even in moderately overweight subjects (BMI 25–30 or weight 120–150% of ideal body weight), the incidence of gestational diabetes is 1.8 to 6.5 times greater than that in normal–weight subjects. In obese women (BMI >30 or weight >150% of ideal body weight), the incidence of gestational diabetes is 1.4– to 20–fold higher than that in normal–weight subjects. Screening for gestational diabetes must be performed early to allow for efficient management.

    Legal Question of the Day

(Dr M C Gupta, Advocate)

Q. How long is the given consent valid? If a patient gives consent for surgery which is not performed due to some reason and is proposed to be performed after 6 months, will the earlier consent be valid?

Ans. Law does not lay down definite limits for many things. Much depends up on the circumstances that vary from case to case. Common sense, reason and discretion must be used whenever there is doubt. Legal reasoning would dictate that if a person has right to give consent, he has right to revoke it also. If sufficient time has elapsed after consent was given, there is a possibility that the person might have had second thoughts and might not be willing to go along with the earlier consent. When it comes to a suffering, weak or even not fully conscious patient, it is even possible that he might not be alert or bold enough to actively withdraw consent even if he has had second thoughts. Hence it is always preferable to have consent on the day previous to surgery. It would be perfectly in order to get a repeat consent on the day of surgery as well. It is obvious that a consent given 6 months ago may not be valid.

    Mind Teaser

Read this…………………


Yesterday’s Mind Teaser: : Hi Way

Answer for Yesterday’s Mind Teaser: Highway overpass

Correct answers received from: Dr Manjesha, Dr Susheela Gupta, Dr Rakesh Bhasin, Dr Jainendra Upadhyay, Dr Sudipto Samaddar, Dr Rajiv Dhir, Dr Y J Vasavada, Dr Chandresh Jardosh, Dr Rashmi Chhibber, Dr Nandini Kapoor, Dr Muthumperumal Thirumalpillai, Dr Neelam Nath, Dr Anil Bairaria, Dr Kushal J Manjesh

Answer for 21st March Mind Teaser: Splitting headache
Correct answers received from: Dr SS Ahuja, Dr Rakesh Bhasin, Dr Muthumperumal Thirumalpillai, Dr Anupam Sethi Malhotra, Dr Sandeep Thadani, Dr Yogindra Vasavada, Dr U Gaur, Dr Anil kumar

Send your answer to ijcp12@gmail.com

    Lighter Side of Reading

Laugh a While
(Dr G M Singh)

An Addiction

Connie told her 4–year–old grandson, Dean, not to jump on the beds. After several warnings she punished him, explaining that should he fall, he would hurt himself badly. Several minutes passed… and he was back to jumping on the beds. Connie said, "Dean, you weren’t jumping on the beds again, were you?" He stood with his little head dropped low and said, "I’m trying, but it’s so hard to quit."

    Useful Website

(Dr Surendernikhil Gupta)


Cochrane Review, Vitamin A/ Vitamin A In Bangladesh


    Lab Update

(Dr Arpan Gandhi and Dr Navin Dang)


Polycythemia is defined as an increase in total body erythrocyte mass. As opposed to the situation with anemias, RBC mass may be directly measured using radiolabeling by 51 chromium, so as to differentiate polycythemia (absolute erythrocytosis, as seen in polycythemia vera, chronic hypoxia, smoker’s polycythemia, ectopic erythropoietin production, methemoglobinemia, and high O2 affinity hemoglobins) from relative erythrocytosis (as seen in stress polycythemia and dehydration)

    Medi Finance Update

How to read a balance sheet

Current Assets Ratio

Current asset ratio is arrived at by dividing the current assets by current liabilities plus current loans (excluding long term loans). It is considered best if it is above 1.33.

    Drug Update

List of approved drugs from 01.01.2010 to 31.8.2010

Drug Name
DCI Approval Date
Liquid paraffin 6% + White soft paraffin 15% w/v Cream
For symptomatic relief of dermatological condition associated with dry skin including atopic dermatitis, eczema, pruritus, ichthyosis, xerosis, psoriasis
    IMSA Update

International Medical Science Academy (IMSA) Update

Pediatric migraine

In children, red ear syndrome is a highly specific sign for migraine. According to the univariate statistical analysis, RES showed a statistically significant association with male gender, throbbing quality of the pain, vomiting and phonophobia. (Ref: Raieli V, et al. Prevalence of red ear syndrome in juvenile primary headaches. Cephalalgia. 2010 Dec 1. Epub ahead of print)

(Dr Vinay Sakhuja)

Latin Quotes

Absentem qui rodit amicum, Qui non defendit, alio culpante, solutos Qui captat risus hominum famamque dicacis, Fingere qui non visa potest, Commissa tacere Qui nequit, hic niger est, hune tu Romane, caveto.

He that shall rail against his absent friends, Or hears them scandalized, and not defends; Sports with their fame, and speaks whatever he can. And only to be thought a witty man; Tells tales and brings his friends in disesteem; That man’s a knave; be sure beware of him.

  Quote of the Day

(Dr Vasant Shenoy)

When Snake is alive, Snake eats Ants. When Snake is dead, Ants eat Snake.
Time can take any turn at any time. Don’t neglect anyone in your life.

    Readers Responses
  1. It is astonishing to see the opposition to foreign educational institutions by our leadership and the reasons given seem out of place to me. Foreign institutions will preferably employ a Faculty who have both Indian and overseas qualifications and experience as that is a good criteria to select high quality doctors to perform and compete in the markets. In my opinion, a large majority of such doctors are practicing overseas and find it difficult to work with 20th century mindsets still prevalent in majority government and corporate sector hospitals of India. Opening of this foreign sector will attract high quality Indian Diaspora to return home and practice and educate good ethical and modern medicine and be well–paid as well for giving good and genuine service which will help the community, reduce doctor shortages and counter prevailing cut and commission practices recently highlighted by this newspaper. I request MCI and MoH&FW to reconsider their opposition to this bill and instead go for a pilot project in a time bound manner and then take an informed decision for the best interest of the country. Best wishes, Vivek Chhabra, Former Sr Specialist, Medical Preparedness, NDMA, Govt of India.
    Public Forum

(Press Release for use by the newspapers)

Eating fast food can cause liver damage

Eating at least two fast foods meals every day and restricting levels of physical activity to no more than 5,000 steps a day can lead to signs of liver damage or gain weight as per a Swedish study by Dr. Fredrik H. Nystrom of University Hospital of Linkoping, Sweden and colleagues published in the journal Gut, said Dr. KK Aggarwal, Padma Shri & Dr. B.C. Roy National Awardee and President, Heart Care Foundation of India, while quoting the Swedish study.

At the end of the 4 weeks, the fast food eaters had put on an average of 6.5 kilograms (14.3 pounds). After just one week on the fast food diet, blood tests showed sharp increases in a liver enzyme called SGPT. SGPT levels were more than quadrupled over the 4-week study period. Increased SGPT levels are used to diagnose liver disease before symptoms develop. In 11 fast food eaters, SGPT rose to levels suggestive of liver damage. The SGPT increases were linked to weight gain and higher sugar and carbohydrate intake.

    eMedinewS Special

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

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

Activities eBooks


  Playing Cards

  Dadi Ma ke Nuskhe

  Personal Cleanliness

  Mental Diseases

  Perfect Health Mela

FAQs Good Eating

  Towards Well Being

    Situation Vacant

Vacancy for a post of Consultant in Pediatric ICU at Medanta – The Medicity Hospital, Sector – 38, Gurgaon.

Interested candidates may please contact: drneelam@yahoo.com/9811043475.
*Eligibility: Post MD/DNB/DCH

    Forthcoming Events

eMedinewS Events: Register at emedinews@gmail.com

March 25–27, 2011, 2nd Delhi Knee Course, at Sitaram Bhartia Institute of Science and Research. Course Director: Dr. J. Maheshwari, Knee & Shoulder Clinic. Faculty includes knee surgeons from Switzerland, Austria, Singapore and US, in addition to experienced Indian surgeons. Contact 9717133885, 9811109833.


March 26–27, 2011, CME on Pediatric Hepatology – 2011 In association with Gastroenterology Chapter of IAP
Auditorium, Medanta – The Medicity, Gurgaon; Organizing Chairperson Dr Neelam Mohan, Director, Department of Pediatric Gastroenterology. No registration fee. Prior registration is must. For More information please contact: 09971018789/ 09717840850/ 09999669415/ 09899996682. Click


Sunday 3rd April, 2011, World Fellowships of Religions and Perfect Health Parade First ever Conference which will talk about science behind all Religions, Dharmas and Pathies under one roof on Global Warming, Ethnic Crises, How to be Healthy
Venue: Maulana Azad Medical College Auditorium, New Delhi;Time: 8 AM – 4 PM.
Parade through tableaus to be flagged off at 10 am from outside MAMC to move till 5 pm on different predefined routes in Delhi to create awareness about health matters.
Parade Route: Vikas Marg – Shahdara – Seemapuri – Guru Tegh Bahadur Hospital – Seelampur Pusta – Gandhinagar, to ISBT Kashmiri Gate – Civil Lines – Delhi University North Campus – Azadpur – Punjabi Bagh – Mayapuri – Raja Garden – Janakpuri – Tilak Nagar – Tihar Jail Road – Delhi Cantt. – R.K Puram – Munirka – IIT Gate – Panchsheel Park – Chirag Delhi Flyover – Nehru Place – Modi Mill Flyover – Ashram – Nizamuddin – Sunder Nagar – Pragati Maidan – ITO – finally culminate at Maulana Azad Medical College at 4pm. Full day conference on ethnic crisis and global warming. Pre lunch session to be addressed by religious representatives who would talk on what each religion has to say. Post lunch to be addressed by doctors from all streams of medicinal practice (allopathy, ISM)
Register: rekhapapola@gmail.com


April 16–17, 2011, National Conference on Gynae–Endocrinology–2011 under aegis of FOGSI, ICOG and AOGD , Focus on newer advances in management of endocrinal problems in gynaecology with emphasis on PCOS, hyperprolactinemia, amenorrhoea, hormonal contraception. Gyne– endocrinology is a topic of high importance especially for practitioner. Detailed programme http://www.aiims.edu and http://www.aiims.ac.in
For details please contact: Prof Alka Kriplani, Organizing Chairperson, 9810828717 kriplanialka@gmail.com/Dr Nutan Agarwal, Organizing Secretary, 9810107464/9868397310 nutan.agarwal1@gmail.com


May 7–8, 2011, National Seminar On Stress Prevention
A Stress Prevention Residential Seminar cum spiritual retreat with Dr KK Aggarwal and Experts from Brahma Kumaris.
Co–organizers: eMedinews, Brahma Kumaris, Heart Care Foundation of India, IMA New Delhi Branch and IMA Janak Puri Branch, IMSA (Delhi Chapter)
Venue: Om Shanti Retreat Centre, National Highway 8, Bilaspur Chowk, Pataudi Road, Near Manesar.
Timings: Saturday 7th May (2 pm onwards) and Sunday 8th May (7 am–4 pm). There will be no registration charges, limited rooms, kindly book in advance; stay and food (satvik) will be provided. Voluntary contributions welcome. For booking e–mail and SMS to Dr KK Aggarwal: 9899974439, emedinews@gmail.com, rekhapapola@gmail.com; BK Sapna: 9811796962, bksapna@hotmail.com


September 30 – October 02, 2011;XVIth World Congress on Cardiology, Echocardiography & Allied Imaging Techniques Venue: The Leela Kempinski, Delhi (NCR), September 29, 2011: A unique & highly educative Pre–Conference CME, International & national icons in the field of cardiology & echocardiography will form the teaching faculty.
Highlights of Pre – Conference CME: Case based learning experience & audience interaction, Maximum 250 delegates for CME will be accepted, who will be divided in 5 batches and will rotate to different halls every 90 minutes. The topics are:(A) Right heart pressures & functions (From basics to newer methods (RV anatomy, echo views, echo assessment of RV function, prognostic impact of RV function) (B) Carotid Doppler: How do I assess and interpret in my daily practice.: Technical tips (Anatomy of the vessel, views of ultrasound scanning, Normal & abnormal Doppler hemodynamics, how to measure IMT) (C) Valvular stenosis: Assessment, limitations and their solution: (Anatomy of the valves, 2–D findings of stenotic lesions, quantitation of lesion, limitations) (D) How do I assess and report ventricular dyssynchrony in my lab. (What is ventricular dyssynchrony, what are the types of dyssynchrony, in whom, when & why do we assess it, various echo methods to assess it ) (E) Live 3–D Echo: Protocol for acquisition. How to slice and get full information. Aim is that by end of the day, every participant is well conversant with all the topics.
Dr (Col) S.K. Parashar, President, e–mail: drparashar@yahoo.com, Mob:09810146231/Dr Rakesh Gupta, Secretary General, email:jrop2001@yahoo.com, Mob:09811013246
worldcon2011@in.kyoni.com, www.worldcon2011.org


ICC Cricket World Cup 2011

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    Our Contributors

Dr Veena Aggarwal, Dr Arpan Gandhi, Dr Aru Handa, Dr Ashish Verma, Dr A K Gupta, Dr Brahm Vasudev, Dr GM Singh, Dr Jitendra Ingole, Dr Kaberi Banerjee (banerjee.kaberi@gmail.com), Dr Monica Vasudev, Dr MC Gupta, Dr Neelam Mohan (drneelam@yahoo.com), Dr Naveen Dang, Dr Prabha Sanghi, Dr Prachi Garg, Rajat Bhatnagar (http://www.isfdistribution.com), Dr. Rajiv Parakh, Dr Sudhir Gupta