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 DAILY 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 (07–08c); Chairman IMA Academy of Medical Specialties (06–07); President Delhi Medical Association (05–06), President IMA New Delhi Branch (94–95, 02–04); Editor in Chief IJCP Group of Publications & Hony. Visiting Professor (Clinical Research) DIPSAR

 

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

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eMedinewS Presents Audio News of the Day

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

ASAR Aamir Khan & Dr KK Aggarwal on Satyamev Jayate

Photos of Workshop on Stress Management and How to be Happy and Healthy

 
    Dr KK Aggarwal on Social Media …

ASAR–Aamir Khan & Dr KK Aggarwal on Satyamev Jayate Watch Video
Docs vs Aamir Khan Headlines today 9th June 2012 7.30pm Watch Video
Aamir Khan Workshop with kids on dangerous areas Watch Video
DR KK Aggarwal on Doctor Bhagwan Hai ya Shaitan Watch Video

 
  Editorial …

27th June 2012, Wednesday

Skin care

Discussion with Dr. JS Pasricha, Professor Dermatology (Retd.), AIIMS, New Delhi

  1. Clean with soap and water.
  2. Moisturizers can make the skin dirty.
  3. Dryness is better than dirtiness.
  4. No soap is a better soap.
  5. Glycerin is the safest moisturizer.
  6. One should rub hard but should not cause bruises.
  7. Soap emulsifies, therefore, one should remove 100% of surface part.
  8. Killing the normal flora of the skin is a bad idea. Therefore, do not use antiseptic soaps.
  9. Remember, Dettol does not kill pseudomonas infection.

Can creams and oils penetrate skin?

  1. The answer is no.
  2. Oil cannot be absorbed.
  3. Nutrition cannot be absorbed from the skin.
  4. Almond cannot be absorbed from the skin.
  5. Unless the skin is damaged, nothing can be absorbed.
  6. For absorption, an occlusive dressing has to be used over a patch with a bandage, only then the drug can be absorbed. The bandage damages the skin because of preparation of moisturizer and heat.Any agent which is irritating can cause inflammation, erosion and then only a drug can be absorbed.
  7. If the skin is damaged, it can cause inflammation and can cause dermal pigmentation.
  8. Ultrasound techniques can be used to increase absorption.
  9. Newer drugs are getting absorbed through nano techniques.

For More editorials…

Dr KK Aggarwal
Group Editor in Chief

 
    eMedinewS Audio PostCard

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

Skin care

Audio PostCard
 
    Photo Feature (from the HCFI Photo Gallery)

Bimaari Ek Ilaj Anek

All pathy consensus organized by Heart Care Foundation of India in association with All India Radio

 
Dr K K Aggarwal
 
    National News

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 re build the image of the medical profession.

Swine flu far more lethal than India thought, study shows

NEW DELHI: India may have grossly underestimated the might of 21st century’s most aggressive pandemic. A US Centers for Disease Control and Prevention (CDC), Atlanta, study with help from the All India Institute of Medical Sciences, (AIIMS), Delhi, to be published in the medical journal Lancet on Tuesday says the deaths caused by H1N1 pandemic flu in its first year (2009–10) could be 15 times higher than the number of laboratory–confirmed deaths previously reported to the World Health Organization. During the pandemic, 18,500 laboratory–confirmed H1N1–deaths were reported worldwide from April, 2009, to August, 2010. The new research indicates that the death toll was anywhere between 1.51 lakh and 5.75 lakh during the first year when the virus circulated in each country worldwide. The results say that 80% of the deaths occurred in people younger than 65 years, contrary to seasonal influenza where most deaths occur among the elderly. Additionally, the study suggests that 51% of the deaths may have occurred in south–east Asia and Africa, continents which are home to 38% of the world’s population. The scientists say, "China and India, where about a third of the world’s population live have garnered little information about the burden of influenza." (Source: TOI, Jun 26, 2012)

For Comments and archives

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

 
    International News

(Contributed by Dr Monica and Brahm Vasudev)

Contraception guidelines updated for women at HIV risk

The US Centers for Disease Control and Prevention (CDC) has updated its 2010 recommendations regarding the use of hormonal contraception among women at high risk for HIV infection. The new guideline, which is based on a CDC review of recent evidence regarding hormonal contraceptive use and the risk for HIV acquisition, transmission, and disease progression, is published in the June 22 issue of Morbidity and Mortality Weekly Report. (Source: Medscape)

For comments and archives

Long–term pesticide exposure is harmful: STM study

Long–time exposure to pesticides via inhalation may cause moderate to severe blood toxicity and reduction in the total number of bone marrow cells, leading to several degenerative diseases like aplastic anaemia, researchers at the School of Tropical Medicine (STM) here say. (Source: The Pioneer, June 20, 2012)

For comments and archives

Miscarriage, stillbirth rates higher with mild thyroid dysfunction

In women with even mild thyroid dysfunction during early pregnancy, rates for miscarriage are double those of women with normal levels, and the risk for stillbirth is as much as 7 times greater, according to research presented here at ENDO 2012: the Endocrine Society 94th Annual Meeting. (Source: Medscape)

For comments and archives

More bile duct injuries with single–incision laparoscopic cholecystectomy

An extensive literature review from the University of North Carolina shows that bile duct injuries are more common with single incision laparoscopic cholecystectomy (SILC) vs standard four port laparoscopic cholecystectomy (FPLC). (Source: Medscape)

For comments and archives

Routine BRCA mutation testing urged in ovarian cancer

Findings from the Australian Ovarian Cancer Study Group support BRCA1 and BRCA2 gene mutation testing in all women with nonmucinous, ovarian carcinoma, regardless of family history. "BRCA mutation status has a major influence on survival in ovarian cancer patients and should be an additional stratification factor in clinical trials," the researchers reported online June 18th in the Journal of Clinical Oncology. (Source: Medscape)

For comments and archives

 
    Twitter of the Day

@DrKKAggarwal: Panel discussion on Rog ek Elaaj Anek 1st July is observed as Doctors Day every year. To ear mark the (cont) http://tl.gd/i10nm3

@DeepakChopra: Inspiration is that state in which mind and heart are connected.

 
    Spiritual Update

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

Do not tell others, it’s a secret?

Most Asians are known for two habits, firstly crab nature and secondly the habit of telling others that "I am telling you a secret and please do not tell others"

Crab nature mean pulling each other’s legs and not allowing any one to rise.

For comments and archives

 
    4th Asia Pacific Vascular Intervention Course (APVIC)

4th Asia Pacific Vascular Intervention Course–Excerpts from a Panel discussion Read More

The 4th Asia Pacific Vascular Interventional Course begins Read More

Excerpts of a talk and interview with Dr. Jacques Busquet by Padma Shri & Dr. B.C. Roy National Awardee, Dr. KK Aggarwal, President Heart Care Foundation of India and Editor–in–Chief Cardiology eMedinewS Read More

4th Asia Pacific Vascular Intervention Course – Dr KK Aggarwal with Faculty Read More

Press Conference on 4th Asia Pacific Vascular Intervention Course – Dr KK Aggarwal with Faculty
Read More

4th Asia pacific vascular intervention course Read More

4th Asia pacific vascular intervention course paper clippings Read More

 
    Infertility Update

(Dr Kaberi Banerjee, IVF expert, New Delhi)

What do you understand by ovarian reserves?

Ovarian reserve refers to the fertility potential in the absence of any problems in the reproductive tract (fallopian tubes, uterus and vagina). It mainly depends on the number and quality of eggs in ovaries and how well the ovarian follicles are responding to the hormonal signals from brain.

For comments and archives

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

(Dr. Neelam Mohan, Director, Department of Pediatric Gastroenterology, Hepatology & Liver Transplantation , Medanta – The Medicity Hospital)

What about our experience?

As of Jan 2012

Total number of transplants: 1164

Pediatric liver transplants: 85

Mean age: 6 years (5 months – 17 years)

Outcome: 90%

Indications Acute liver failure: 21(25.3%)

Chronic Liver disease: 56 (67.4%)

Others:6 (7.2%)

For comments and archives

 
    An Inspirational Story

(Ms Ritu Sinha)

Three yellow roses

I walked into the grocery store not particularly interested in buying groceries. I wasn’t hungry. The pain of losing my husband of 37 years was still too raw. And this grocery store held so many sweet memories.

Rudy often came with me and almost every time he’d pretend to go off and look for something special. I knew what he was up to. I’d always spot him walking down the aisle with the three yellow roses in his hands. Rudy knew I loved yellow roses.

With a heart filled with grief, I only wanted to buy my few items and leave, but even grocery shopping was different since Rudy had passed on. Shopping for one took time, a little more thought than it had for two.

Standing by the meat, I searched for the perfect small steak and remembered how Rudy had loved his steak. Suddenly a woman came beside me. She was blond, slim and lovely in a soft green pantsuit. I watched as she picked up a large pack of T–bones, dropped them in her basket, hesitated, and then put them back. She turned to go and once again reached for the pack of steaks.

She saw me watching her and she smiled. "My husband loves T–bones, but honestly, at these prices, I don’t know." I swallowed the emotion down my throat and met her pale blue eyes. "My husband passed away eight days ago," I told her. Glancing at the package in her hands, I fought to control the tremble in my voice. "Buy him the steaks. And cherish every moment you have together." She shook her head and I saw the emotion in her eyes as she placed the package in her basket and wheeled away. I turned and pushed my cart across the length of the store to the dairy products. There I stood; trying to decide which size milk I should buy. A quart, I finally decided and moved on to the ice cream section near the front of the store. If nothing else, I could always fix myself an ice cream cone. I placed the ice cream in my cart and looked down the aisle toward the front.

I saw first the green suit, and then recognized the pretty lady coming towards me. In her arms she carried a package. On her face was the brightest smile I had ever seen. I would swear a soft halo encircled her blonde hair as she kept walking towards me, her eyes holding mine. As she came closer, I saw what she held and tears began misting in my eyes.

"These are for you" she said and placed three beautiful long stemmed yellow roses in my arms. "When you go through the line, they’ll know these are paid for." She leaned over and placed a gentle kiss on my cheek, then smiled again.

I wanted to tell her what she’d done, what the roses meant, but still unable to speak, I watched as she walked away, tears clouding my vision. I looked down at the beautiful roses nestled in the green tissue wrapping and found it almost unreal. How did she know? Suddenly the answer seemed so clear. I wasn’t alone.

"Oh, Rudy, you haven’t forgotten me, have you?" I whispered, with tears in my eyes. He was still with me, and she was his angel.

For comments and archives

 
    Cardiology eMedinewS

No impact on lipids with vitamin–D supplementation Read More

Green banana flour pasta a tasty alternative for gluten–free diets
Read More

 
    Pediatric eMedinewS

New ACIP recommendations on pneumococcal, influenza vaccines
Read More

Fast food common choice for city kids Read More

 
    IJCP Special

Dr Good Dr Bad

Situation: A patient with heart failure came for cardiac evaluation.
Dr. Bad: Go for Echo test.
Dr. Good: Go for Tissue Doppler Echo test.
Lesson: A patient with heart failure must go for Tissue Doppler Echo Test for evaluation of diastolic functions.

For comments and archives

Make Sure

Situation: A patient on ACE inhibitor developed angioneurotic edema.
Reaction: Oh my God! Why was ACE inhibitor continued?
Lesson: Make sure that patients on ACE inhibitors are advised to watch for symptoms of urticaria and stop the drug immediately in case swelling of lip, face or tongue develops (Br J Clin Pharmacol 1999;48(6):861–5).

For comments and archives

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    Fitness Update

(Rajat Bhatnagar, International Sports & Fitness Distribution, www.isfdistribution.com)

Happy days are here again

Being physically active can do more than burn calories and improve your health. It can also improve your state of mind. Specifically, it has been shown to reduce feelings of anxiety and depression. It often elevates mood and promotes a general sense of well–being. It can be a great buffer against the stresses of everyday living. It can also help you build confidence in yourself which makes you feel better.

Tip: Vary your activity and find fun things to do.

 
    Health News Bulletin

Domestic drug makers urge PMO to not insist on CCI filter for pharma deals

The Financial Express, Soma Das

Mumbai: Top domestic drug makers have urged the Prime Minister’s office (PMO) to not insist on making Competition Commission of India (CCI) the only filter to vet proposed brownfield pharma deals in the country. In a letter sent last week to PMO principal secretary Pulok Chatterji, Indian Pharma Alliance, an industry association of leading Indian pharma companies, has requested the PMO to debate the feasibility of the CCI’s mandate and ability to regulate acquisitions from the public health perspective. This section of domestic industry argues that a competition body cannot be expected to stop a proposed acquisition strictly and solely on the grounds of public health — the very reason which prompted the government to conceive of placing filters to vet acquisition proposals in the pharma sector last year. "Not only the Competition Act does not have such a provision, but even if it had, the CCI does not have wherewithal to take a call on the grounds of public health. It is therefore appropriate that the Foreign Investment Promotion Board (FIPB) examines all brownfield investment proposals from the public health perspective and CCI examines it under the provisions of the Competition Act," said an IPA letter addressed to Chatterji. The domestic industry’s stated concerns in this regard are similar to what has been echoed by the commerce ministry and the health ministry.

 
  Quote of the Day

(Dr GM Singh)

He who learns but does not think, is lost! He who thinks but does not learn is in great danger. Confucius

 
  Lab Update

(Dr Navin Dang and Dr Arpan Gandhi)

Iron deficiency anemia

In iron deficiency anemia, the serum iron concentration is reduced, and the level of transferring also measured as total iron binding capacity (TIBC) is elevated; the latter finding reflects the reciprocal relationship between serum iron and transferrin gene expression in most nonerythroid cells.

 
  Microbial World: The Good and the Bad They Do

(Dr Usha K Baveja, Prof. and Senior Consultant Microbiology, Medanta – The Medicity, Gurgaon)

DPT Vaccines

DPT vaccines are used to prevent and control diphtheria, pertussis and whooping cough. Different types of older version of DPT vaccines are now available for use in different age groups. Why do we have different types of DPT vaccine? It is because the traditional DPT vaccine contains the whole killed bacterial cells of B. pertussis and these have been known to cause complications in some of the vaccinated infants/children and adults. There are many such reports from all over the world. There was a need to have safer and effective vaccines. Hence, now there are different types of DPT vaccines as follows:

  • DPwT contains entire killed form of B. pertussis organisms along with toxoids from diphtheria and tetanus.
  • DPaT contains both toxoids and some proteins derived from B pertussis organisms.
  • TdaP contains lesser strength of diphtheria toxoid and pertussis proteins. A single dose of Tdap is recommended for people 11 through 64 years of age (used in USA).
  • DTaP is a safer version of an older vaccine called DTP. DTP is no longer used in the United States. DTaP is not licensed for use in adolescents, adults, or children 7 years of age and older in USA.

DPwT and DPaT and DTaP are very effective but DPaT has fewer side effects. TdaP, due to minimal strength of vaccine is useful to boost immunity in older children, adults (11–64 years) and prevent side effects.

We still use DPT in India for EPI. The DPT vaccine as per the I.P. requirements for Diphtheria Toxoid, Tetanus Toxoid and Pertussis contains:

Diphtheria toxoid                                                ≤25 Lf.

Tetanus toxoid                                                   ≥5 Lf.

B. Pertussis                                                        ≥4 IU

Adsorbed on Aluminum Phosphate (AlPO4)                ≥1.5 mg.

Thiomersal                                                         0.01% as preservative.

For comments and archives

 
    Mind Teaser

Read this…………………

The nurse needs to carefully assess the complaint of pain of the elderly because older people

A. Are expected to experience chronic pain
B. Have a decreased pain threshold
C. Experience reduced sensory perception
D. Have altered mental function

Yesterday’s Mind Teaser: Following surgery, Mario complains of mild incisional pain while performing deep breathing and coughing exercises. The nurse’s best response would be:

A. Pain will become less each day.
B. This is a normal reaction after surgery.
C. With a pillow, apply pressure against the incision.
D. I will give you the pain medication the physician ordered.

Answer for yesterday’s Mind Teaser: C. With a pillow, apply pressure against the incision. Applying pressure against the incision with a pillow will help lessen the intra–abdominal pressure created by coughing which causes tension on the incision that leads to pain.

Correct answers received from: Yogindra Vasavada, Dr PC Das, Prabha Sanghi, Dr Sushma Chawla,
Dr Kanta Jain, Dr LC Dhoka, Anil Bairaria, Muthumperumal Thirumalpillai, Raju Kuppusamy, Dr Chandresh Jardosh, Dr Valluri Ramarao, Dr Avtar Krishan, Dr ValluriRamarao.

Answer for 25th June Mind Teaser: a. Keep trachea free of secretions

Correct answers received from: Dr Kanta Jain, Dr Avtar Krishan, Sri San.

Send your answer to ijcp12@gmail.com

For comments and archives

 
    Laugh a While

(Dr GM Singh)

Finding perfect men

At a local coffee bar, a young woman was expounding on her idea of the perfect mate to some of her friends. "The man I marry must be a shining light amongst company. He must be musical, tell jokes, sing and stay home at night!"

An old granny overheard and spoke up, "Honey, if that’s all you want, get a TV set!"

 
    Medicolegal Update

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

World Medical Association (WMA) guidelines for medical doctors in biomedical research involving human subjects

  • Doctors should abstain from engaging in research projects involving human subjects unless they are satisfied that the hazards involved are believed to be predictable. Doctors should cease any investigation if the hazards are found to outweigh the potential benefits.
  • In publication of the results of his or research, the doctor is obliged to preserve the accuracy of the results. Reports of experimentation not in accordance with the principles laid down in this Declaration should not be accepted for publication.
  • In any research on human beings, each potential subject must be adequately informed of the aims, methods, anticipated benefits and potential hazards of the study and the discomfort, it may entail. He or she should be informed that he or she is at liberty to abstain from participation in the study and that he or she is free to withdraw his or her consent to participation at any time. The doctor should then obtain the subject’s freely given informed consent, preferably in writing.
  • When obtaining informed consent for the research project the doctor should be particularly cautious if the subject is in a dependent relationship to him or her or may consent under duress. In that case the informed consent should be obtained by a doctor who is not engaged in the investigation and who is completely independent of this official relationship.
  • In case of legal incompetence, informed consent should be obtained from the legal guardian in accordance with national legislation. Where physical or mental incapacity makes it impossible to obtain informed consent, or when the subject is a minor, permission from the responsible relative replaces that of the subject in accordance with national legislation.
  • The research protocol should always contain a statement of the ethical consideration involved and should indicate that the principles enunciated in the present Declaration are complied with.

(Ref: 18th World Medical Assembly, Helsinki, Finland, 1964 and revised by the 29th World Medical Assembly, Tokyo, Japan, 1975).

For comments and archives

 
    Public Forum

(Press Release for use by the newspapers)

Justice AP Shah to speak on nobility of medical profession

Justice A P Shah Retd. Chief Justice Delhi High Court will deliver a keynote address on "Nobility of Medical Profession" on the occasion of Doctors Day on Sunday, July 1 at India International Center. The function has been jointly organized by eMedinewS and Heart Care Foundation of India.

There will also be a special panel discussion on ‘Restoring the Image of Medical Profession’ moderated by Padma Shri and Dr B C Roy National Awardee Dr KK Aggarwal and Mr. Vijay Dutt Former Editor HT.

The panelists will include Dr D S Rana Chairman Ganga Ram Hospital, Padma Shri Awardee Dr Ashok Vaid Chairman Oncology Medanta – The Medicity, Sameer Sinha Industrialist, Nripendra Mishra Former Textile and Telecom Secretary, Rajiv Dogra Former Ambassador and Secretary External Affairs, Priya Hingorani Sr Advocate, Prakash Singh Former DG BSF, Dr. Sanjiv Malik Past National President IMA, Dr A K Aggarwal President Delhi Medical Council, Dr D R Rai Secretary General IMA, Dr Harish Gupta President DMA and Dr Neelam Mohan Director Pediatric Gastroenterology and Hepatology Medanta – The Medicity.

Dr Pawan Gupta, Dr Sudesh Ratan, Dr O P Jain, Dr G M Singh, Dr A K Kansal, Dr N K Gupta and Dr Dinesh Negi, the core members of Dr KK Study Circle will also interact.

Giving details, Dr K K Aggarwal, President Heart Care Foundation of India said that following the episode on Healthcare on Aamir Khan’s Satyamev Jayate, it has become important to talk on the subject on Doctor’s Day by involving people from all segments of the society.

A commercial show presented by a commercial actor, an endorser of harmful health products cannot be allowed to take the medical profession for a ride.

 
    Readers Responses
  1. Barring friends who else would agree to such an adventure ! Great work ! Medical fraternity shall remain indebted to you and salutes you. Warm Regards, Dr RK Sharma
 
    Forthcoming Events
Dr K K Aggarwal


Dr K K Aggarwal


Dr K K Aggarwal


Dr K K Aggarwal

IYCNCON 2012

All are cordially invited for the 2nd National Conference of IYCF Chapter of IAP. This conference is organized by: IYCF Chapter, MOH&FW GOI, MOWCD GOI, WHO, UNICEF, IMLEA, SDHE Trust.
The theme of the conference is: "Proper Nutrition: Defeat Malnutrition – Investing in the Future"
Venue: India Habitat Centre, Lodhi Road, New Delhi – 110 003.
Date: 5th Aug 2012
For further details contact:
Conference Secretariat: Dr. Balraj Yadav, E–Mail: drbalraj@ymail.com, drvisheshkumar@gmail.com,
Ph: +91.124.2223836, Mobile: +91.9811108230

Dil Ka Darbar

September 23, 2012 at 9:00 AM – 6:00 PM
Tal Katora Indoor Stadium, Connaught Place, New Delhi, 110001
http://www.heartcarefoundation.org

A non stop question answer session between all the top cardiologists of the NCR region and the mass public. Event will be promoted through hoardings, our publications and the press. Public health discussions

 
    eMedinewS Special

1. IJCP’s ejournals (This may take a few minutes to open)

2. eMedinewS audio PPT (This may take a few minutes to download)

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

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

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    Our Contributors

Dr Veena Aggarwal, Dr Arpan Gandhi, Dr Aru Handa, Dr Ashish Verma, Dr A K Gupta, Dr Brahm Vasudev, Dr GM Singh, Dr Jitendra Ingole, Dr Kaberi Banerjee (banerjee.kaberi@gmail.com), Dr Monica Vasudev, Dr MC Gupta, Dr Neelam Mohan (drneelam@yahoo.com), Dr Navin Dang, Dr Pawan Gupta(drpawangupta2006@yahoo.com), Dr Parveen Bhatia, (bhatiaglobal@gmail.com), Dr Prabha Sanghi, Dr Prachi Garg, Rajat Bhatnagar (http://www.isfdistribution.com), Dr. Rajiv Parakh, Dr Sudhir Gupta