emedinews
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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 & 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 …

eMediTube (videos), eMedipics, eMediSlide, eMediLaw

 
  Editorial …

26th March 2013, Tuesday

Should Sanjay Dutt be pardoned?

If the law is clear that under Section 25 (1 A) of the arms act that after the possession of arms without license, there is a minimum punishment of five year imprisonment, then why a long trial. As I understand the role of a judge is to look for the mitigating circumstances at the time of crime.

The Supreme Court judges did use their discretion while giving the verdict by reducing the sentence of Sanjay Dutt from 6 to 5 years. Making this less than five years was not under the powers of Supreme Court of India.

“Section 25 (1 A) of the Arms Act states that if a person has in his possession a prohibited weapon without a licence, he shall be awarded punishment of not less than 5 years imprisonment and not more than 10 years”.

This mean the judges were convinced that the circumstances were not that he could be labeled as a criminal mentally, or a terrorist or had a link with them. In that case they could have given a sentence of not less than ten years. The very face the court reduced the sentence from 6 to 5 years means the court took a positive and lenient stand in his favor.
Only the President of India or the Governor can grant a pardon.

Article 161 in the constitution of India 1949 defines the power of Governor to grant pardons, etc, and to suspend, remit or commute sentences in certain cases. The Governor of a State shall have the power to grant pardons, reprieves, respites or remissions of punishment or to suspend, remit or commute the sentence of any person convicted of any offence against any law relating to a matter to which the executive power of the State extends.

Public is also supreme. The Public elects the government and government elects governors and the President of India. Both the governor and the President of India normally respect the sentiments of the people.

It is easy to say that the law should be equal and everybody should be punished but there are always grounds for a mercy. All of us make mistakes and seek pardon.

Even Bill Clinton was pardoned by the American society. Hanumana was also pardoned by Ravana when he went to Lanka as an envoy of Lord Rama. He was not killed.

Nanavati was pardoned by the government when he was facing murder charges. Harbhajan Singh was pardoned by the society when he spoke in an abusive manner about Symonds, which was mistaken by the Australian as racial remark and under the cover of racial discrimination remark; his abuse to Symonds was totally forgotten by the community. The society forgave Phoolan Devi and elected her to the Parliament. In our day to day life, we always pardon our children when they use filthy abusive language, tease girls or other such actions.

I personally feel that everybody who wants to change and can show that he has changed should be given a special consideration and under the Constitution, if the case can be filed convincingly before the President of India or the Governor of the State, he or she should be pardoned.

Sanjay Dutt has already been in the jail for over 18 months and now considering that he has totally reformed, one should take it positively. He may be given a suspended sentence under which he may be allowed to live a free life, provided he does not break the Law of the Land for next 3 ½ years for which he is being sentenced. In case he breaks any Law during this period he may be liable to go to prison for the law that he breaks + 3 ½ years.

There are two types of suspended sentences. A judge may unconditionally discharge the defendant of all obligations and restraints. An unconditionally suspended sentence ends the court system's involvement in the matter, and the defendant has no penalty.

A Munich court recently handed an 18-month suspended sentence and a 200,000 Euro fine to former Force India driver Adrian Sutil after he was found guilty of injuring the chief executive of the then Renault Formula One team at a night club in China last year.

The purpose of giving punishment is to reform a person and as we all know Sanjay Dutt is already a reformed person so the very purpose of the punishment is defeated if he not pardoned.

This is my personal opinion and Vedic philosophy clearly talks that every personal opinion needs to be respected. Only if my opinion is agreed by 51% of my friends it will be called as a public opinion and 49% may still differ.

For Comments and archives…

Dr KK Aggarwal
Group Editor in Chief

  eMedinewS Audio PostCard

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

Intensive medical treatment prevents second stroke not intracranial stenting

Audio PostCard
    Photo Feature (from the HCFI Photo Gallery)

A symposium on prayer, faith, meditation and healing was organised by Heart Care Foundation of India jointly with Bhartiya Vidya Bhavan at Bhavan’s Auditorium. Speakers from various religions participated in the symposium.

 
Dr K K Aggarwal
    National News

Standing committee on health

Sharing the list of members of Standing committee on health. It Includes Dr Saha & Dr Tarun Mandal, who visited IMA HQ recently.

House -Rajya Sabha

Member -9 Vacant-1

S.NO. Member Name Party
1 Shri Brajesh Pathak B.S.P.
2 Shri D. Raja C.P.I.
3 Shri Rasheed Masood I.N.C.
4 Dr. Prabhakar Kore B.J.P.
5 Shri Jagat Prakash Nadda B.J.P.
6 Dr. Vijaylaxmi Sadho I.N.C.
7 Shri Arvind Kumar Singh S.P.
8 Shri H.K. Dua Nom.
9 Smt. B. Jayashree Nom.
10 Vacant  

House - Lok Sabha

Member -20 Vacant-1

S.NO.    
1 Shri Sucharu Ranjan Haldar A.I.T.C.
2 Shri Chowdhury Mohan Jatua1 A.I.T.C.
3 Dr. Monazir Hassan J.D.(U)
4 Smt. Sarika Devendra Singh Baghel R.L.D.
5 Dr. Anup Kumar Saha C.P.I.(M)
6 Dr. Raghuvansh Prasad Singh R.J.D.
7 Shri Harin Pathak B.J.P.
8 Dr. Sanjay Jaiswal B.J.P.
9 Shri Kunwarjibhai M. Bavaliya I.N.C.
10 Smt. Priya Dutt I.N.C.
11 Shri P. T. Thomas I.N.C.
12 Dr. Tarun Mandal Ind.
13 Shri Ramkishun S.P.
14 Shri Kirti Azad B.J.P.
15 Smt. Jayshreeben Patel B.J.P.
16 Shri Mohammad Asrarul Haque I.N.C.
17 Shri Mohammed Azharuddin I.N.C.
18 Shri Zafar Ali Naqvi I.N.C.
19 Shri Mahabal Mishra I.N.C.
20 Dr. Arvind Kumar Sharma I.N.C.
21 Vacant  

For Comments and archives…

Medical Council of India's dissolved governing body may be revived soon

The union government is planning to revive the dissolved governing body of the Medical Council of India (MCI) and a proposal is being made in this regard. However, there will be an overarching body to control the entire gamut of health education in the country, said V Narayanaswami, Union minister of state at the prime minister’s office (PMO).

The governing body of the top medical regulatory body in the country was dissolved by the central government in May 2010 through a Presidential ordinance. After the dissolution, the government had formed a board of governors comprising seven-members to replace the MCI.

For Comments and archives…

Medical mistakes in Indian movies

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

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

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

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

    Be Human Stop Child Abuse (Team IMA for CMAAO)

(http://behumanstopchildabuse.emedinews.in/)

Adolescents Drinking

NIAAA recommends two questions for youth aged 14 to 18

  • In the past year, on how many days have you had more than a few sips of beer, wine, or any drink containing alcohol?”
  • “If your friends drink, how many drinks do they usually drink on an occasion?”

Any day’s drinking, and any friends drinking more than 3-4 drinks (2 for girls) in a day suggest the need for further discussion and advice.

For Comments and archives…

    Valvular Heart Disease Update

Valvular thickening or sclerosis of the aortic and mitral valve is a frequent occurrence in hemodialysis patients and occur in 55 to 69 percent of individuals.

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

 
    International News

(Contributed by Dr Monica and Brahm Vasudev)

Rivaroxaban gets ACS indication recommendation from European Regulators

In a surprise move, the European Medicines Agency (EMA) Committee for Medicinal Products for Human Use (CHMP) has adopted a "positive opinion" regarding extending the indication for rivaroxaban (Xarelto, Bayer Pharma/Janssen Pharmaceuticals) to include prevention of atherothrombotic events in adult patients with acute coronary syndromes. (Source: Medscape)

For Comments and archives…

Women haunted by false-positive mammograms

Psychological after-effects of false-positive mammograms persisted for at least 3 years after women received the erroneous findings, investigators reported. (Source: Medpage Today)

For Comments and archives…

NCCN issues new treatment guidelines for penile cancer

The National Comprehensive Cancer Network (NCCN) has issued new treatment guidelines for penile cancer. (Source: Medscape)

For Comments and archives…

ACOG Advises against planned cesareans

In the absence of a medical reason, cesarean delivery at the request of the mother should not be used over planned vaginal delivery, according to a committee opinion from the American College of Obstetricians and Gynecologists (ACOG). (Source: Medpage Today)

For Comments and archives…

MR-guided ultrasound safe, effective for fibroid ablation

Advances in magnetic resonance-guided focused ultrasound technology have led to improved results for uterine fibroid ablation, with few safety concerns, a new study shows (European Congress of Radiology (ECR) 2013). (Source: Medscape)

For Comments and archives…

 
    Twitter of the Day

@DrKKAggarwal: Blue and Green Holi Colours may be Dangerous http://bit.ly/Zl09Kg #Health’

@DrKKAggarwal: I explore the traits of visionary leaders in today's #RabbitHole. Pls watch & share http://youtu.be/O4QAaCwPk2o

 
    Spiritual Update

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

Science Behind Holasthak

In the year 2013, the time period between 19th March 2013 and 27th March 2013 is called celebrated as the festival of Holashtak. It refers to the eight days prior to Holi festival and is considered inauspicious in mythology.

For Comments and archives…

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

What is gamete donation?

When a couple is unable to get pregnant on their own, sometimes they use a donor’s egg or sperm. This is called "gamete donation". When a child is conceived this way, parents must decide whether to tell their child or keep this information private.

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

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

What is blood and what is its quantity in a human being?

Blood is the red colored fluid in a human, flowing continuously in our body in the circulatory system. Each healthy individual has about 1/12th of his body weight as blood in him. On an average, about 5 liters of blood is present in every human being.

For Comments and archives…

 
    An Inspirational Story

The 12 gifts of birth

Once upon a time, a long time ago, when princes and princesses lived in faraway kingdoms, royal children were given 12 special gifts when they were born. You may have heard the stories. Twelve wise women of the kingdom, or fairy godmothers as they were often called, traveled swiftly to the castle whenever a new prince or princess came into the world. Each fairy godmother pronounced a noble gift upon the royal baby.

As time went on, the wise women came to understand that the 12 royal gifts of birth belong to every child, born anywhere at any time. They yearned to proclaim the gifts to all children, but the customs of the land did not allow that.

One day when the wise women gathered together they made this prophecy:

Someday, all the children of the world will learn the truth about their noble inheritance. When that happens a miracle will unfold on the kingdom of Earth.

Some day is near. Here is the secret they want you to know.

At the wondrous moment you were born, as you took your first breath, a great celebration was held in the heavens and 12 magnificent gifts were granted to you.

  1. Strength is the first gift. May you remember to call upon it whenever you need it.
  2. Beauty is the second gift. May your deeds reflect its depth.
  3. Courage is the third gift. May you speak and act with confidence and use courage to follow your own path.
  4. Compassion is the fourth gift. May you be gentle with yourself and others. May you forgive those who hurt you and yourself when you make mistakes.
  5. Hope is the fifth gift. Through each passage and season, may you trust the goodness of life.
  6. Joy is the sixth gift. May it keep your heart open and filled with light.
  7. Talent is the seventh gift. May you discover your own special abilities and contribute them toward a better world.
  8. Imagination is the eighth gift. May it nourish your visions and dreams.
  9. Reverence is the ninth gift. May you appreciate the wonder that you are and the miracle of all creation.
  10. Wisdom is the tenth gift. Guiding your way, wisdom will lead you through knowledge to understanding. May you hear its soft voice.
  11. Love is the eleventh gift. It will grow each time you give it away.
  12. Faith is the twelfth gift. May you believe.

Now you know about your 12 gifts of birth. But there is more to the secret that the wise women knew. Use your gifts well and you will discover others, among them a gift that is uniquely you. See these noble gifts in other people. Share the truth and be ready for the miracle to unfold as the prophecy of the wise women comes true.

For comments and archives

 
   Cardiology eMedinewS

Excess salt blamed for 2.3 million deaths from CVD worldwide in 2010
Read More

Energy drinks may put heart at risk Read More

 
   Pedia News

Checklist helps curb pediatric ureteroscopy radiation exposure
Read More

Norovirus main gastroenteritis culprit in kids Read More

 
    Rabies Update

Dr. A K Gupta, Author of "RABIES - the worst death", Joint Secretary, Association for Prevention and Control of Rabies in India (APCRI)

Whether the dog bite wound should be allowed to bleed, bandaged, or stitched?

Do not bandage the wound as far as possible and if unavoidable, apply non-adherent, absorbent dressings (paraffin gauze or Melolin) to absorb the discharge from the wound. Tincture iodine should not be used.

Avoid suturing the bite wound as a rule since it there is a risk of inoculation of the virus deep into the wound. However, if the wound has to be sutured, it should be done as late as possible from several hours to 3 days after infiltration of RIGs. If RIGs is not available, as a last resort, the wound must be flushed with povidone iodine before suturing. The suture should be loose and not interfere with free bleeding and drainage.

Human and animal bite wounds are best closed by secondary sutures after one week and after proper cleansing and daily wound care. Primary surgical intervention must be avoided if possible.

 
    IJCP Special

Dr Good Dr Bad

Situation: A patient with burn injury on the hand came with blisters.
Dr. Bad: I will puncture them.
Dr. Good: Be careful; do not puncture them.
Lesson: Blisters are a natural dressing and should not be punctured.

Make Sure

Situation: A patient with hypertension developed bleeding at the puncture site while on integrilin therapy.
Reaction: Oh my God! Why was the anti–platelet agent started?
Lesson: Make Sure that before starting integrilin, the BP is checked. Severe hypertension i.e., systolic BP = 200 mmHg or diastolic BP >110 mmHg not adequately controlled on antihypertensive therapy is a contraindication for integrilin therapy.

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Photos and Videos of 4th eMedinewS – RevisitinG 2012 on 20th January 2013

Photos of Doctor’s Day Celebration

 
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  Quote of the Day (Dr GM Singh)

A total commitment is paramount to reaching the ultimate in performance Tom Flores

 
  Legal Question of the Day (Dr MC Gupta, Advocate & Medico-legal Consultant)

Q. Why do the courts insist on school certificate etc. for proof of age instead of the scientific approach of bone ossification? There is a possibility that documents may be false. For example, a main accused in the recent Delhi gang rape case (Nirbhaya case) appears to be an adult by all appearances. Is it fair?

Ans.

  • It is not a valid question. Courts are bound by law. They cannot import their own idea of fairness into their judgments in violation of law.
  • The courts insist on school certificate etc. for proof of age instead of the scientific approach of bone ossification because Rule 12(3) of the Juvenile Justice (Care and Protection of Children) Rules, 2007, reads as follows:

    “3) In every case concerning a child or juvenile in conflict with law, the age determination inquiry shall be conducted by the court or the Board or, as the case may be, the Committee by seeking evidence by obtaining –

    (a) (i) the matriculation or equivalent certificates, if available; and in the absence whereof;
    (ii) the date of birth certificate from the school (other than a play school) first attended; and in the absence whereof;
    (iii) the birth certificate given by a corporation or a municipal authority or a panchayat;

    (b) and only in the absence of either (i), (ii) or (iii) of clause (a) above, the medical opinion will be sought from a duly constituted Medical Board, which will declare the age of the juvenile or child. In case exact assessment of the age cannot be done, the Court or the Board or, as the case may be, the Committee, for the reasons to be recorded by them, may, if considered necessary, give benefit to the child or juvenile by considering his/her age on lower side within the margin of one year and, while passing orders in such case shall, after taking into consideration such evidence as may be available, or the medical opinion, as the case may be, record a finding in respect of his age and either of the evidence specified in any of the clauses (a)(i), (ii), (iii) or in the absence whereof, clause (b) shall be the conclusive proof of the age as regards such child or the juvenile in conflict with law.”
    http://wcd.nic.in/icpsmon/pdf/jjrules2007.pdf
  • It is clear from the above that the ossification test can be done only when documentary evidence is not available.
  • It is also clear that ossification test report cannot be given by a single doctor. It must be given by a duly constituted board. This is clear from a recent direction given by Delhi High Court as follows:

    “Allowing a plea, a bench of HC said, "The Juvenile Justice (Care and Protection of Children) Rules envisage that to determine the age of the offender based on the ossification test, the report must come from a duly constituted medical board and not from any single member team who alone may not be competent to give the correct opinion."

    Therefore, HC said, this matter deserves to be remanded back to the trial court with a direction to call for a fresh report from a duly constituted medical board of a government hospital comprising a minimum of one dentist, one general physician and one radiologist.”

    (Times of India, 26 February 2013, http://timesofindia.indiatimes.com/city/delhi/HC-throws-out-bone-test-by-single-doctors/articleshow/18683819.cms)
 
    Mind Teaser

Read this…………………

A triple-lumen indwelling urinary catheter is inserted for continuous bladder irrigation following a transurethral resection of the prostate. In addition to balloon inflation, the nurse is aware that the functions of the three lumens include:

a. Continuous inflow and outflow of irrigation solution.
b. Intermittent inflow and continuous outflow of irrigation solution.
c. Continuous inflow and intermittent outflow of irrigation solution.
d. Intermittent flow of irrigation solution and prevention of hemorrhage.

Yesterday’s Mind Teaser: A 26-year-old female client seeks care for a possible infection. Her symptoms include burning on urination and frequent, urgent voiding of small amounts of urine. She’s placed on trimethoprim-sulfamethoxazole to treat possible infection. Another medication is prescribed to decrease the pain and frequency. Which of the following is the most likely medication prescribed?

a. Nitrofurantoin
b. Ibuprofen (Motrin)
c. Acetaminophen with codeine
d. Phenazopyridine

Answer for Yesterday’s Mind Teaser: d. Phenazopyridine

Correct answers received from: Dr Gajveer, Dr Bharat Bhushan Aggarwal, Dr TH Saherwala,
Dr KV Sarma, Dr PC Das, Dr BB Gupta, Dr Kanta Jain, Dr Thakor Hitendrsinh G, Dr K Raju, Dr Chandresh Jardosh, Pinky Naik, Dr K Raju.

Answer for 24th March Mind Teaser: c. Bacteria are absent on urine culture.

Correct answers received from: Dr KV Sarma.

Send your answer to ijcp12@gmail.com

 
    Laugh a While (Dr GM Singh)

Get yourself a train!

Dear Dad

Berlin is wonderful, people are nice and I really like it here, but Dad, I am bit ashamed to arrive to my college with my Gold Mercedes, when all my Teachers travel by train.

Your Son

Nasser

Sometime later Nasser gets reply to his e-mail from his Dad:

Loving son

Twenty Million Dollars transferred to your account, please stop embarrassing us, go and get yourself a train too.

 
  Medicolegal Update

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

Medical Testimony of Doctor in the Court of law

Medical literature/document produced as evidence in the court of law must be a published one. For a document to serve as legitimate evidence in a trial/debate, it must exist in the public domain i.e. the document must potentially be available to any debater researching the topic or lawyer/interested party of cross examining side. Unpublished documents are privileged information, and using such information gives the doctor an unfair advantage. Academic debate does not have a discovery rule. The only opportunity your opponents have to examine your documents prior to a trial/debate is to have found the documents during their own research. That they may not have taken the opportunity to do so, or did not discover a document, does not obviate the rule. The advent of the Internet has created a new form of publication – electronic documents like this e–medinews. Electronic documents are accepted as published if they are accessible by the general public. Thus, electronic files to which other debaters would be denied access are not published. However, files and documents which other debaters may access, even if they have no subscription to a commercial service to do so, satisfy the publication rule.

For comments and archives

 
    Public Forum

(Press Release for use by the newspapers)

Play safe this Holi: Balloons may be Harmful

Water balloons used by children during Holi can be dangerous and can cause blunt eye injury or even head injury. There can be bleeding in the eyes, lens subluxation, macular edema or retinal detachment. These can lead to loss of vision or even loss of the eye, said Padma Shri & Dr. BC Roy National Awardee, Dr. KK Aggarwal, President Heart Care Foundation of India & National Vice President-Elect IMA.

Most synthetic colours are harmful to the eyes or skin. Home-made colours from flowers are always better. Chemical colours may contain heavy metals like lead, which is harmful to the eyes and skin. Other health hazards due to the exposure to heavy metals include skin allergies, dermatitis, drying and chapping of the skin, skin cancer, rhinitis, asthma and pneumonia.

Make your own colours

  • Mix ‘Haldi’ (turmeric) with besan (gram flour) to get yellow colour
  • Soak Tesu flowers overnight or boil them to get saffron or bright orange colour.
  • Soak ‘Beetroot’ pieces in water for magenta colour.

Chemicals that enter the eye may cause mild allergy or even severe chemical burn in the eye. A patient may present with allergic conjunctivitis, chemical burn, corneal abrasion or blunt eye injury. Most colours used during Holi usually cause mild redness and irritation lasting for up to 48 hours. If clarity of vision is affected, it’s an emergency. The particles in colour powders (shining mica particles in ‘gulal’) can cause damage to the cornea. Corneal abrasion is an emergency and one should immediately consult the eye doctor or ophthalmologist.

First aid: Splash your eyes with a lot of tap water, if colour enters the eye. If there is loss of vision or corneal abrasions, rush to the eye doctor.

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 31340 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.”

 
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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 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