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 (07–08); 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

 

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eMedinewS Presents Audio News of the Day

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

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

 
  Editorial …

28th May 2012, Monday

Give thiazides only to obese hypertensives

Hypertensive patients, who have a normal weight or who are overweight but not obese, appear to be better off on a non–diuretic–based regimen as per ACCOMPLISH trial.

Among normal–weight patients, a combination of the ACE inhibitor benazepril and the calcium channel blocker amlodipine was significantly better at reducing cardiovascular events than a combination of benazepril and hydrochlorothiazide (HR 0.57, P=0.0037), according to Michael Weber, MD, of SUNY Downstate Medical Center in Brooklyn, N.Y.

The amlodipine–based regimen also was superior in overweight patients (HR 0.76, P=0.0369) but not in obese patients (P=0.3189), Weber reported at the American Society of Hypertension meeting in New York.

In non–obese patients, thiazides may stimulate certain adverse mechanisms –– including increased activity in the sympathetic and renin angiotensin systems –– that result in poorer cardiovascular outcomes compared with those seen in obese patients.

Previous trials –– including SHEP, LIFE, and INVEST –– have shown that among patients receiving treatment for hypertension, leaner patients have higher cardiovascular event rates compared with those with a higher body mass index. Most of the patients in those studies were receiving thiazide diuretics. (MedPage)

For More editorials…

Dr KK Aggarwal
Group Editor in Chief

 
  eMedinewS Audio PostCard

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

Give thiazides only to obese hypertensives

Audio PostCard
 
    Photo Feature (from the HCFI Photo Gallery)

World Earth Day 2012

Padma Shri and Dr BC Roy National Awardee Dr KK Aggarwal delivers speech on World Earth Day. The Event was jointly organized by Heart Care Foundation of India, Delhi Public School and Ministry of Earth Sciences.

 
Dr K K Aggarwal
 
    National News

Med colleges can set up campuses in underserved states

The Health Ministry has passed a proposal forwarded by the Medical Council of India (MCI) to allow existing medical colleges to open new campuses in underserved states like Bihar, Chhattisgarh, Jharkhand, West Bengal, Rajasthan and parts of Uttar Pradesh and Madhya Pradesh, besides the Northeastern states. Under the revised norms, new campuses can be located within a distance of 10 km from any government or private hospital provided the latter is more than three years old. "We have decided to allow relaxation to existing medical colleges to open up another campus within 10 km of the existing hospitals to help set up more medical colleges in infrastructure deficient states," MCI chairman K K Talwar was quoted as saying by PTI. The ministry is planning to double the availability of undergraduate and PG seats by 2021. In its presentation before the Parliamentary Consultative Committee on Health recently, the ministry set itself a target of 80,000 MBBS and 45,000 PG seats — against the current 41,569 UG and 22,194 PG seats. (Source: Indian Express, May 26 2012)

For comments and archives

Medical team visit dengue–affected areas

MADURAI: A six–member medical team from the Union health ministry visited the dengue–prone areas of Tirunelveli on Friday to study the gravity of the situation and submit a report to the ministry. The visit comes in the wake of a severe outbreak of dengue that claimed 29 lives in Tirunelveli as well as neighbouring Tuticorin, Virudhunagar and Kanyakumari districts in the last two months. The disease has also spread to Madurai taking the life of one child. The team, which was led by P K Srivastava, joint director of National Vector Borne Disease Control Programme and M Agarwal, joint director of National Centre for Disease Control, New Delhi visited the government hospital at Tirunelveli and Tenkasi as well as dengue–hit areas in Kadayanallur and Sankarankoil. (Source: TOI, May 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)

FDA issues warning on alkali dosing errors in dialysis

Clinicians ordering dialysate acid concentrates containing acetic acid, acetate, or citrate for patients receiving hemodialysis should be on guard against alkali dosing errors that could lead to metabolic alkalosis and a higher risk for death, the US Food and Drug Administration (FDA) announced today. The human body can convert the substances cited by the agency to bicarbonate, which can contribute to metabolic alkalosis. Excessive alkali levels, in turn, are a risk factor for cardiopulmonary arrest, low blood pressure, hypokalemia, hypoxemia, hypercapnia, and cardiac arrhythmia. (Source: Medscape)

For comments and archives

Phentermine returns for weight loss, but at a low dose

The combination of low–dose phentermine plus extended–release topiramate (Qnexa, Vivus) might help overweight and obese people lose weight, regardless of their obesity–related risk or the extent of their comorbidities. Stephan Rössner, MD, PhD, professor emeritus of health–related behavioral science at the Karolinska Institute in Stockholm, Sweden, presented results from the CONQUER trial here at the 19th European Congress on Obesity. Subjects receiving the combination had significantly greater weight loss, regardless of their baseline Edmonton Obesity Staging System (EOSS) stage, than subjects just modifying their lifestyle. (Source: Medscape)

For comments and archives

Latent autoimmune diabetes in adults often misdiagnosed

Almost half of nonobese adult with poorly controlled diabetes have latent autoimmune diabetes that has been misdiagnosed as type 2 diabetes, according to a study presented here at the American Association of Clinical Endocrinologists 21st Annual Meeting and Clinical Congress. (Source: Medscape)

For comments and archives

Sleep apnea linked to cancer mortality for the first time

In a study that followed more than 1500 state employees in Wisconsin for more than 20 years, sleep apnea — particularly if it was severe — was found to be associated with a greatly increased risk for death from cancer, researchers reported here at the American Thoracic Society 2012 International Conference. (Source: Medscape)

For comments and archives

IBD meds appear safe in pregnancy

Women who have inflammatory bowel disease can safely remain on their medications during pregnancy, a researcher said at the annual Digestive Disease Week. (Source: Medpage Today)

For comments and archives

(Contributed by Dr SK Verma)

Increased incidence of Alzheimer’s by eating too much red meat and butter

Researchers from a women’s hospital in Boston attached to Harvard Medical School have found that older women who ate too much red meat, butter and other foods that contain high level of saturated fats had worse memories than those who ate more monounsaturated fats – found in olive oil, sunflower oils, seed etc after looking at the results from 6000 women aged over 65 years. (Courtesy TOI)

 
  Twitter of the Day

@DrKKAggarwal: Comparison of shear bond strength of three different company composites cured with plasma arc curing light…http://fb.me/1T9WN5wLg

@DrKKAggarwal: Pay attention to the richness of your inner life. Daydream, imagine, and reflect. It’s the source of infinite creativity.

 
    Spiritual Update

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

Forgetfulness and Age

By the time we cross 40, most of us suffer from minimal cognitive impairment and have a memory loss of very recent events or objects. This is age related and should not be confused with dementia.

For comments and archives

 
    Infertility Update

(Dr Kaberi Banerjee, IVF expert, New Delhi)

What are the risks factors for multiple pregnancies?

Your race, age, heredity, or history of prior pregnancy does not increase your chances of having identical twins, but does increase your chance of having non identical twins:

Race. Twins occur in approximately 1 of every 90 pregnancies in North America. The incidence is higher in Africa, with a rate of 1 in 20 births in Nigeria. Twins are less common in Asia. In Japan, for example, twins occur only once in every 155 births.

Heredity. The mother’s family history may be of more significance than that of the father.

Maternal age and prior pregnancy history. The frequency of twins increases with maternal age and number of pregnancies. Women between 35 to 40 years of age with four or more children are three times more likely to have twins than a woman under 20 without children.

Maternal height and weight. Non–identical twins are more common in large and tall women than in small women. This may be related more to nutrition than to body size alone.

Fertility Drugs and Assisted Reproductive Technology: Multiple pregnancies are more common in women who utilize fertility medications to undergo ovulation induction or superovulation. Approximately 20% of pregnancies resulting from gonadotropins are multiples. While most of these pregnancies are twins, up to 5% are triplets or greater due to the release of more eggs than expected.

For comments and archives

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

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

Anti RhD immunoglobulin (Anti-D RhIG)

Description: Prepared from plasma containing high levels of anti–RhD antibody from previously immunized persons

Indications

  • Idiopathic autoimmune thrombocytopenic purpura and some other immune disorders
  • Treatment of immune deficiency states
  • Hypogammaglobulinemia
  • HIV–related disease "

For comments and archives

 
    An Inspirational Story

(Ms Ritu Sinha)

Flying

Once upon a time there was a little boy who was raised in an orphanage. The little boy had always wished that he could fly like a bird. It was very difficult for him to understand why he could not fly. There were birds at the zoo that were much bigger than he, and they could fly.

"Why can’t I?" he thought. "Is there something wrong with me?" he wondered. There was another little boy who was crippled. He had always wished that he could walk and run like other little boys and girls. "Why can’t I be like them?" he thought.

One day the little orphan boy who had wanted to fly like a bird ran away from the orphanage. He came upon a park where he saw the little boy who could not walk or run playing in the sandbox. He ran over to the little boy and asked him if he had ever wanted to fly like a bird.

"No," said the little boy who could not walk or run. "But I have wondered what it would be like to walk and run like other boys and girls." "That is very sad." said the little boy who wanted to fly. "Do you think we could be friends?" he said to the little boy in the sandbox.

"Sure." said the little boy. The two little boys played for hours. They made sand castles and made really funny sounds with their mouths. Sounds which made them laugh real hard. Then the little boy’s father came with a wheelchair to pick up his son. The little boy who had always wanted to fly ran over to the boy’s father and whispered something into his ear.

"That would be OK," said the man. The little boy who had always wanted to fly like a bird ran over to his new friend and said, "You are my only friend and I wish that there was something that I could do to make you walk and run like other little boys and girls. But I can’t. But there is something that I can do for you."

The little orphan boy turned around and told his new friend to slide up onto his back. He then began to run across the grass. Faster and faster he ran, carrying the little crippled boy on his back. Faster and harder he ran across the park. Harder and harder he made his legs travel. Soon the wind just whistled across the two little boys’ faces.

The little boy’s father began to cry as he watched his beautiful little crippled son flapping his arms up and down in the wind, all the while yelling at the top of his voice,

"I’M FLYING, DADDY. I’M FLYING!"

For comments and archives

 
  Cardiology eMedinewS

New 2012 Heart Failure Guidelines (Part 1) Read More

Calcium Pills May Raise Risk of Heart Attack Read More

t-PA OK for Octogenarians Read More

 
  Pediatric eMedinewS

Low Maternal Vitamin D May Lead To Higher Body Fat In Kids Read More

Fatty Liver Disease On Rise In Teens Read More

Fever During Pregnancy May Boost Autism Risk Read More

 
    IJCP Special

Dr Good Dr Bad

Situation: A diabetic patient came with tremors.
Dr Bad: It may be Parkinsonism.
Dr Good:
Check your blood sugar first.
Lesson: Older adults may have more neuroglycopenic manifestations of hypoglycemia (dizziness, weakness, delirium, confusion) compared with adrenergic manifestations (tremors, sweating). These symptoms may be missed or misconstrued as primary neurological disease (such as a transient ischemic attack), leading to inappropriate reporting of hypoglycemic episodes by the patients. Hypoglycemic episodes in these individuals also increase the risk of adverse events with cardiovascular and coronary disease (Diabetes Care 1997;20:135).

For comments and archives

Make Sure

Situation: A patient on binasal oxygen developed Nasal Mucosal damage.
Reaction: Oh my God! Why was the oxygen given at 4 liter per minute?
Lesson: Make sure that oxygen via nasal catheter is not given at a rate of more than 3 liter per minute.

For comments and archives

 
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  Legal Question of the day

(Prof. M C Gupta Advocate & Medico–legal Consultant)

India’s sex ratio is very low, next only to China. Girls are eliminated selectively at various levels. The PNDT Act has failed to improve the sex ratio. What other legal approach can be taken?

Ans:

  • Low sex ratio does not have its root cause in the ultrasound machine. It was low even before ultrasound became common. All that the ultrasound has done is to hasten a pre–existing trend. Banning ultrasound cannot banish the pre–existing trend.
  • Even without ultrasound, several techniques have been used in the society for centuries to eliminate the girl child. Some of these are as follows:
    • Physically smothering the baby girl at birth
    • Letting her choke on milk/water poured in her mouth
    • Burying her alive in the ground or throwing her in a pond etc.
    • Chronic deprivation of the girl child from food, nutrition, medicines etc.
  • The root causes of female killing are: poverty, lack of security as regards crimes against women, a girl is seen as an economic burden, especially when viewed in the context of dowry. All these basically converge into a single attribute—Non–empowerment of women/low socioeconomic status of women.
  • If sex ratio has to be improved, the root causes need to be addressed, rather than focus all attention upon restricting the use of ultrasound. Measures to raise the social status and empowerment of women on a war footing can yield effective results within one generation.
  • Some of the legal and administrative measures that can be taken to improve sex ratio are as follows:
    • The goal of 100% female literacy (defining literacy as education up to primary school) should be achieved at whatever cost by whatever means. It must be remembered that education is the best means of empowerment. If necessary, specific central or state laws should be made for this purpose. The performance of states and districts as regards achievement of this time bound goal should be strictly monitored and bottlenecks removed; incentives given; and, disincentives/punishment imposed.
    • The PNDT Act should be scrapped or radically altered to provide for the following:
      • It should be recognised that ultrasound is a very useful investigation for a large number of disease conditions and its free use, including 3–D and 4–D ultrasound, should be encouraged rather than suppressed.
      • There should be no restriction on doing USG or buying an ultrasound machine.
      • There should be no restriction on doing USG in pregnancy.
      • The following specific measures should be adopted:

        ONE––Every person performing a USG on a pregnant woman and reporting the sex as female should be promised Rs. 2000/–, payable on delivery of the female child.

        TWO––Every woman carrying a female fetus should be promised the following:

        FIRSTLY--A reward of Rs. 5000/–, payable on delivery of the female child.

        SECONDLY––Immediate preferential Adhar/UID registration of the whole family (with consequential benefits) on USG diagnosis of the female sex of the child.

        THIRDLY––Immediate FREE one year special Mediclaim policy for the mother which would provide complete health cover (including the pregnancy related cover), the insurance expenses being borne by the government. This one year policy should also cover the baby, in utero as well as ex utero, for a period of 365 days commencing from the date of the policy.

        FOURTHLY––A special FREE LIC policy for the girl child from birth till the age of 18 years.

        FIFTHLY––A monthly cash allowance of Rs. 1000/- for the female fetus/girl child till she attains the age of 18 years.

        SIXTHLY––FREE education for the girl up to whatever level she wants to study.
    • The bill for one–third reservation of women in legislatures/Parliament should be passed without delay. This will be a step towards empowerment of women.
    • The following recommendation of the Law Commission in its Report dated 2008 should be implemented by the Centre without delay:
      • A "Marriage and Divorce Registration Act" (hereinafter referred to as the "proposed law”) should be enacted by Parliament, to be made applicable in the whole of India and to all citizens irrespective of their religion and personal law and without any exceptions or exemptions."

        Such an Act will go a long way in empowering women and reducing crimes against them.
    • The compulsory registration of pregnancies, as conceptualised in India’s National Population Policy, 2000, should be implemented. This will ensure monitoring of pregnancies and will help in identifying and avoiding attempts at selective female foeticide.
    • The income tax law should be amended to provide the following:
      • Further increase substantially the relief in income tax in case of women;
      • A legal provision to recognise housekeeping as a legitimate activity for the purpose of income tax, providing thereby that one–fourth of the husband’s income (with a certain maximum limit) would be deemed to have been paid to the wife towards the service of housekeeping. This amount paid should be treated as the wife’s independent non–taxable income. (Suitable provisions would need to be included where the main earning spouse is the wife and house–keeping is done mainly by the husband).
    • Investigation and trial related to crime against women should be fast paced in a time bound manner by taking necessary measures.
  • 100 worst districts as regards sex ratio should be identified and subjected to more intense funding, monitoring and evaluation etc. aimed at bringing them at par with the remaining districts within a specified period.

For comments and archives

 
  Quote of the Day

(Dr GM Singh)

When small men begin to cast big shadows, it means that the sun is about to set. Lyn Yutang

 
    Lab Update

(Dr Arpan Gandhi and Dr Navin Dang)

Prostate specific antigen (PSA)

Digital rectal examination (DRE) has minimal effect on PSA levels, leading to transient elevations of only 0.26 to 0.4 ng/mL, and PSA can be measured immediately after DRE.

 
    Mind Teaser

Read this…………………

Lydia is scheduled for elective splenectomy. Before the clients goes to surgery, the nurse in charge’s final assessment would be:

a. Signed consent
b. Vital signs
c. Name band
d. Empty bladder

Yesterday’s Mind Teaser: Karina, a client with myasthenia gravis is to receive immunosuppressive therapy. The nurse understands that this therapy is effective because it:

a. Promotes the removal of antibodies that impair the transmission of impulses
b. Stimulates the production of acetylcholine at the neuromuscular junction.
c. Decreases the production of autoantibodies that attack the acetylcholine receptors.
d. Inhibits the breakdown of acetylcholine at the neuromuscular junction.

Answer for Yesterday’s  Mind Teaser: c. Decreases the production of autoantibodies that attack the acetylcholine receptors.

Correct answers received from: Dr Jainendra Upadhyay, Dr.Chandresh Jardosh, Raju Kuppusamy, Dr. L. C. Dhoka, Muthumperumal Thirumalpillai, DrValluriRamarao, N Prabakar, Dr. P. C. Das, Yogindra Vasavada, Niraj Gupta

Answer for 26th May Mind Teaser: c. Hoarseness
Correct answers received from: Surinder Grover

Send your answer to ijcp12@gmail.com

 
    Laugh a While

(Dr GM Singh)

Some Physics Laws as applied to Cats

Law of Bag/Box Occupancy: All bags and boxes in a given room must contain a cat within the earliest possible nanosecond.

 
    Medicolegal Update

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

Can medical care be refused? Euthanasia and doctor assisted suicide

Seizing on the broad recognition of a right to refuse medical care, some have advocated expanding the right to include euthanasia and doctor–assisted suicide. In India, there is no provision of law/ethics, which permit doctor assisted suicide even for terminally ill/untreatable patient of carcinoma. In June 1997, the US Supreme Court ruled unanimously that there is no constitutional right to euthanasia or physician–assisted suicide. The majority view, written by Chief Justice Rehnquist, drew a distinction between the right to withdraw or withhold life–sustaining treatments as a liberty interest in being free of unwanted bodily invasion vs the right to physician–assisted suicide, which does not contain a liberty interest. The unanimity of the ruling suggests that it is unlikely to be overturned in the near future. Importantly, the Supreme Court did permit individual states to legalize these interventions.

For comments and archives

 
    Public Forum

(Press Release for use by the newspapers)

Smoking can cause mutation in genes

Smoking, both active and passive, is known to cause mutation in tumour suppressing genes, said Padma Shri and Dr B C Roy National Awardee Dr KK Aggarwal, President Heart Care Foundation of India.

Smoking can cause gene defects by causing aberration in tumour–suppressing genes leading to mutations. Tumour producing genes are called oncogenes and cancer–suppressing genes are called tumour–suppressing genes.

There is an important link between tobacco smoke and increased production of prostaglandin E2. In smokers, the levels of EGFR (epidermal growth factor receptor gene) ligandin are increased, which can lead to tumour cell growth. There is an association between EGFR mutations and the amount and duration of cigarette smoking, with the highest incidence of mutations seen in never smokers. Mutations were less common in people who stopped smoking cigarettes less than 25 years ago.

Tobacco addiction is one of the biggest menaces to the mankind. The only way to curb this menace is to declare tobacco a ‘drug’ and cigarettes and bidis as the vehicles of the drug. Nicotine present in tobacco and cigarette has been used in many medicinal preparations in conditions like Alzheimer’s disease and ulcerative colitis.

Once tobacco–related products come under FDA or Drugs Controller of India their availability on the roads can be banned and they can be made available only through chemist for de-addiction or for selected medical indications.

One minute of smoking reduces one minute of a person’s life. An average cigarette reduces six minutes of life. Smoking is practically related to every possible disease including heart attack, cancer and paralysis. Fifty percent of tobacco consumers ultimately die of disease related to tobacco.

Tobacco smoking strongly increases the risk of developing cancer of the lung, oral cavity (mouth), pharynx, larynx, oesophagus, pancreas, bladder and renal pelvis (the kidney outlet). It also increases the risk of cancers of the nasal cavities (nose) and sinuses, stomach, liver, kidney, cervix (neck of the uterus) and bone marrow (myeloid leukaemia).

There has been a change in the scenario of occurrence of cancers in the country. Today the most common cancer in men is lung cancer and the cancer of the head and neck. While the cancer of the cervix is still no. 1 cancer in the country, but in metros like Delhi and Mumbai, cancer of the breast has now overtaken it to be the no. 1 cancer in women.

It is the nicotine in tobacco, which is addicting and responsible for cardiovascular complications; while tar in tobacco is carcinogenic and related to cancers. Tobacco consumption can also cause early cataract and many eye disorders. Smoking during pregnancy is related to miscarriage, premature delivery and low birth–weight babies.

The combination of different cancer factors can produce an effect greater than the sum of their individual effects. In particular, synergies have been found between smoking and the following:

  • Exposure to arsenic, asbestos and radon at the workplace for lung cancer
  • Alcohol consumption for cancers of the oral cavity, pharynx, larynx and oesophagus
  • Human papillomavirus infection for cervix cancer (neck of the uterus)

About one thousand million people worldwide smoke tobacco. While the percentage of smokers has decreased in developed countries, it is rising in the developing countries and among women.

 
    Readers Response
  1. Tale of 2 seas: very nice! Anju Virmani
 
    Forthcoming Events
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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  Mental Diseases

  Perfect Health Mela

  FAQs Good Eating

  Towards Well Being

  First Aid Basics

  Dil Ki Batein

  How to Use

  Pesticides Safely

 
    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, Dr Usha K Baveja