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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


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  Editorial …

29th September 2011, Thursday

1st Navratri to Diwali a one–month long spiritual Yagna:
Amavasya to Amavasya

One day someone asked me why do Muslims and Hindus fight with each other when they worship each other’s Gods. Hindus worship ALI in DIWALI and Muslims worship RAMA in RAMAZAN.

Diwali and Ramadan both have one thing in common and that is one month of spiritual Yagna.

In the Hindu spiritual Yagna, the process starts from first day of Navratri on Amavasya and ends on Diwali, again on Amavasya. The first 10 days involve intense spiritual practice and the rest 20 days entail receiving its benefits.

The first nine days, called Navratri are devoted to a process of purification and detoxification of mind, body and soul. During this period, a person is required to lead a Satwik spiritual life devoting first three days to activities, which reduce negativity in the mind and the body. For the next three days he is required to engage himself in positive behavior and activities and in the last three days he is supposed to read and learn about spiritual positive things in life.

Respectively, these three phases of purification are symbolized as worshiping the Goddesses Kali, Laxmi and Saraswati. The spiritual purification process involves eating only Satwik food, one which is offered to God, and following the principles of Satwik lifestyle, which include Satwik Ahaar, Satwik Vichar, Satwik Vyavahaar and Satwik Achaar. There is a custom of worshiping wheat and barley grass during this period. These are detoxifying when consumed in the form of juices. The Satwik fast observed during this period helps in cleansing the internal body.

Once the nine–day purification process is complete, on the 10th day, one gets the first benefits as symbolized by Vijaydashmi as one conquers Tamas (Kumbhakaran), Rajas (Meghnad) and Ego (Ravana). The victory over the Ego entails the ruling of Satwa (Vibhishan) and reunion of Mind (Lakshamana), Body (Sita) and Soul (Rama).

As per the Yoga Sutras of Patanjali, one is likely to get benefits over a period of time when one attains an ego–free mind.

The first benefit is seen on the fourth day after Vijaydashmi, on Sharad Purnima, a day known for health benefits. People on this day gather in the night and eat kheer rich in moon rays.

Again after four days on the day of karvachauth one gets benefit of the longevity of the spouse which gives safety to the family. On this day all married women fast and prey for their husbands.

Four days later on "hoi ashtami" one prays for the longevity of their children. This ensures old age protection for the family.

Four days later again on "dhanteras" one gets the benefit of wealth. On this day, people worship silver items. On this day no dealings are done and people spend only to invest in silver and gold items for future needs of the family.

By this time the person, who has indulged in the process of purification, learns the true purpose of his or her existence. The inner ignorance and darkness goes away and one gets the true meaning of wealth and that is inner happiness. This day is called Diwali where on the day of amavasya (darkness) one gets internal light (Diwali).

Diwali, therefore, is a one–month long spiritual Yagna with nine days of purification and 21 days of acquiring spiritual benefits out of it.

Ramadan similarly involves a deep intense purification process of mind, body and soul. Among Christians, the similar spiritual purification process is celebrated as Easter.

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

1st Navratri to Diwali a one–month long
spiritual Yagna: Amavasya to Amavasya

Audio PostCard
    Photo Feature (from the HCFI Photo Gallery)

18th MTNL Perfect Health Mela to be

Addressing a press conference, Padma Shri & Dr. B.C. Roy National Awardee, Dr. KK Aggarwal, President Heart Care Foundation of India and Perfect Health Mela, with Team of Dharna Unlimited.

Dr K K Aggarwal
    National News

National Conference on Insight on Medico Legal Issues – For the First time any conference was posted live on Facebook & Twitter


Health centres must treat bio–waste: Govt

The environment ministry has notified new draft rules making scientifically treating medical waste a must for every health establishment. The new rules to be called Bio–Medical Waste (Management and Handling) Rules, 2011, scraps the earlier provision of making bio–medical waste rules applicable only to institutions providing service to more than 1,000 patients a month. "Every occupier or operator, irrespective of the number of patients being in services or the quantum of bio-medical waste generated is required to obtain the authorisation," the draft rules notified this week said.

The definition includes waste from animal, laboratories, microbiology and bio–technology, human anatomy and medicines. The rules also prohibit mixing of bio–medical waste with other forms of waste and it will have to be sent for treatment within 48 hours. The rules clearly mention that every medical service provider will have to set up requisite bio–medical waste treatment equipment prior to the commencement of its operation or will have to make arrangements for treatment of bio–medical waste through an authorised common bio–medical waste treatment facility. The bio–medical waste treatment facility will have to take approval of either the Central Pollution Control Board (CPCB) or the state pollution control boards. The technology to be used in the facility should have approval of CPCB or environment ministry. The rules makes operator of the bio–medical waste facility liable for action in case of any lapse or damage to the environment. The new rules once notified will replace the bio–medical waste rules of 1998 and will cover persons who generate, collect, receive, store, transport, treat and dispose and handle bio–medical waste in any form. (Source: Hindustan Times, September 25, 2011)

For comments and archives

Moolchand Heart Hospital™ organizes Heart Awareness Week

To commemorate World Heart Day, Moolchand Heart Hospital™ is organizing a Heart Awareness Week. The free offerings at this Heart Awareness Week are: Consultation by senior cardiologist, ECG, ECHO, cholesterol test, blood sugar estimation, height, weight, BMI estimation, blood pressure and second opinion on possible procedure and surgeries. The tests available at the camp with upto 50% discount are: Lipid profile, TMT, Stress ECHO, Holter, Chest x–ray, ECHO colour Doppler and Lab packages. Angiography is being offered at a price of Rs. 6,999 only.

Heart Awareness Week Details

Date: September 29, 2011
Timing: 10:30 am to 03:00 pm, Venue: Dilli Haat, opposite INA Market, Kidwai Nagar, New Delhi 110 024

For more information, please call Program Coordinator at + 91 99589 97293

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

(Dr Monica and Brahm Vasudev)

Frequent care best to get to diabetes goal

For diabetes patients, more frequent office visits boost glucose and risk factor control, a study suggested. Halving the time between primary care visits reduced time to target for hemoglobin A1c by up to 35% while cutting time to blood pressure control by 87% and to LDL cholesterol control by 27% (all P<0.001), Alexander Turchin, MD, of Brigham and Women's Hospital in Boston, and colleagues found. Primary care visits every two weeks achieved these goals most rapidly, they reported in the Sept. 26 issue of the Archives of Internal Medicine. (Source: Medpage Today)

For comments and archives

FDA still reviewing clot risk for birth control pills

Four months after announcing that it was reviewing the safety of certain drospirenone–containing oral contraceptives, following reports of heightened risk for blood clots, the FDA said Monday that it still had not reached a conclusion. Data from a large FDA–funded epidemiologic study have now undergone preliminary analysis and suggest a 1.5–fold increase in venous thromboembolism (VTE) risk associated with the drospirenone–containing contraceptives, the FDA said. Nevertheless, the agency is not yet prepared to state conclusively that these products –– sold under five different brand names –– pose a risk to women. Before making changes to the drugs’ labeling or restricting access to them, the agency plans to have two of its advisory committees review the available data at a joint meeting in December. (Source: Medpage Today)

For comments and archives

Coffee May Keep the Blues Away

Coffee appears to protect against depression in women, and the more the better, researchers found. In a prospective cohort study, women who drank two or three cups of coffee a day were 15% less likely to develop depression than those who drank one cup or less, according to Alberto Ascherio, MD, DrPH, of Harvard School of Public Health in Boston, and colleagues. And the effect was slightly more pronounced for women who drank four or more cups a day, Ascherio and colleagues reported in the Sept. 26 issue of Archives of Internal Medicine. (Source: Medpage Today)

For comments and archives

    Twitter of the Day

@DrKKAggarwal: #AJPP Breast–feeding linked to higher 14–month mental development Breast–feeding is linked to higher mental… t.co/Sl9CLWwS

@DeepakChopra: #CosmicConsciousness Only the observed can be measured and quantified. The observer being infinite potential is beyond quantification

    Dr KK Answers

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

How serious is ventilator–associated tracheobronchitis?

Ventilator–associated tracheobronchitis (VAT) has the same clinical implications as ventilator–associated pneumonia (VAP). An observational study of 28 patients with VAT and 83 patients with VAP showed that VAT groups had a similar length of intensive care unit stay, length of hospital stay, duration of mechanical ventilation, survival rate to discharge, need for tracheostomy, and need for antibiotics.

For comments and archives

    Spiritual Update

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

Singhara Flour – A Favorite Navratra Diet

In Navratra fast one needs to omit wheat flour from the diet and substitute it with buckwheat flour (kuttu flour) or water chestnut (Singhara flour). Singhara is not a cereal but a fruit and hence a good substitute for a Navratra fasts where cereals are not to be eaten……

For comments and archives

    An Inspirational Story

(Dr Anil Kumar Jain)

When Arjuna gets disillusioned – in the battle field of Mahabharata, Krishna guides him and shows the right path to him – as is written in the Bhagwat Gita.

We get the lesson that whenever we get disillusioned in our personal lives, we can get back to our dharma and our scriptures where wisdom of ancient sages is described.

Only three persons ARJUNA, SANJAY AND HANUMAN heard the Gita DIRECTLY from Lord KRISHNA’s mouth.

Sanjay was Dhritrashtra’s advisor and was narrating what was happening in the battlefield, and thus he got Gita gyaan.

Hanuman too was present there in the form of a small monkey, on the flag of Arjuna's chariot and received direct Gita gyan.

But why was Hanuman protecting the chariot of Arjun?

The incident that led to this was an earlier encounter between Hanuman and Arjuna, wherein Hanuman appeared as a small talkative monkey before Arjuna at Rameshwaram, where Rama had built the great bridge to cross over to Lanka to rescue Sita. After seeing the bridge Arjuna wondered aloud at Rama taking the help of monkeys rather than building a bridge of arrows. Hanuman heard him and challenged him to build such a bridge capable of bearing him alone.

Arjuna, unaware of the Hanuman’s true identity, accepted the challenge. Hanuman then proceeded to repeatedly destroy the bridges made by Arjuna, who at last vowed to take his own life if Hanuman could destroy his last arrow made creature.

Hanuman tried his best to destroy this last one but could not succeed. While he was toiling in his efforts he saw that the water under the bridge was fast becoming red. He immediately stopped his efforts and inspected what was happening under the bridge!!

To the surprise of Arjun and Hanuman, Lord Krishna was bearing the weight and thrusts of Hanuman on his shoulders to protect the bridge made from arrows. And the water was turning red as his shoulder was bleeding profusely.

Both Hanuman and Arjuna saluted Lord Krishna with folded hands.

Krishna hugged both of them and introduced both of them to each other and said that they both were equally dear to him but how could he let Arjuna take his life according to his vow.

Here lord Krishna took a promise from Hanuman that he would protect the chariot of Arjuna in the battle field of Mahabharata.

Thus Hanuman remained on the top of Arjuna’s chariot throughout the battle of Mahabharata.

For comments and archives

    Legal Question of the Day

(Contributed by Dr MC Gupta, Advocate)

Should gazette Notification No 44, F–18–15/93–TD.V/TS.IV dated 1st March, 1995 not apply to the medical field even though the MCI does not recognise the distance learning courses like PGDMCH and PGDGM conducted by the IGNOU?


1. The above notification was referred to in the Parliament as follows:



ANSWERED ON 20.03.2007



Will the Minister of HUMAN RESOURCE DEVELOPMENT be pleased to state:–

  • the names of the Universities and Institutes approved by Distance Education Council (DEC) of Indira Gandhi National Open University as on date, State–wise;
  • the details of Distance Education Programmes offered by them, both approved by DEC and not yet approved by DEC;
  • the number of students pursuing Distance Education Courses not approved by DEC through these Universities and Institutes;
  • whether such students are eligible to apply in posts and services under the Central/State Governments;
  • if so, the details thereof and if not, the reasons therefore; and
  • the steps taken by the Government to redress the situation?



(a) and (b) A State–wise list of universities and institutes along with their programmes, approved by Distance Education Council (DEC) of Indira Gandhi National Open University, is annexed.

(c) IGNOU does not maintain the information on the number of students pursuing Distance Education Courses not approved by DEC.

(d) to (f) In order to ensure recruitment of manpower of high caliber for Government jobs, a Notification No 44, F–18–15/93–TD.V/TS.IV dated 1st March, 1995 was issued in the Gazette of India, stating inter alia that qualifications awarded through Distance Education by the Universities established by an Act of Parliament or State Legislature, Institutions Deemed to be Universities under Section 3 of the UGC Act, 1956 and Institutions of National Importance declared under an Act of Parliament stand automatically recognized for the purpose of employment to posts and services under the Central Government provided it has been approved by Distance Education Council and AICTE, wherever necessary."

2. No proper comment can be made without knowing the full contents of the above notification. In general, the following legal principles would apply:

  • No gazette notification regarding the HRD Ministry in the context of distance learning courses can operate against a central law in the nature of IMC Act, 1956.
  • Whenever there is a conflict of laws, the controversy has to be resolved in a court of law. If a medical person wants to take advantage of the above notification but feels aggrieved because the same is denied to him, the way for him to put it to judicial scrutiny by filing a writ petition in the High Court.

For comments and archives

    Malaria Update

AC Dhariwal, Hitendrasinh G Thakor, Directorate of NVBDCP, New Delhi

How can one suspect/diagnose a case of malaria?

Clinical symptoms associated with history of travel to areas that have identified malarial risk suggest malaria as a probable diagnosis, so recognition of travel history is essential. Unfortunately, many diseases can mimic symptoms of malaria (for example, yellow fever, dengue fever, typhoid fever, cholera, filariasis, and even measles and tuberculosis). Consequently, physicians need to order the correct special tests to diagnose malaria, especially in areas where malaria is seldom seen. Without the travel history, it is likely that other tests will be ordered initially. In addition, the long incubation periods may tend to allow people to forget the initial exposure to infected mosquitoes.

For comments and archives

    Medicine Update

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

Diagnosis of varices in children

A study was recently published in Journal of Pediatric Gastroenterology & Nutrition 2010 February 50(2):188–193, according to which, presence of esophageal varices can be predicted by simple non invasive markers thereby reducing the need of screening endoscopy in those with a very low probability of portal hypertension.

Fifty–one consecutive children with liver disease or portal hypertension who underwent endoscopy were included in the study. At endoscopy, variceal size was graded on a 4–point Likert scale. Results of physical examination, blood tests, and abdominal ultrasound scan (USS) were recorded. Spleen length on USS was expressed as a standard deviation score (z score). Variables found to differ significantly between children with and without varices included platelet/spleen–length z score ratio (p < 0.001), platelet count (p < 0.001), international normalized ratio (p = 0.001), aspartate aminotransferase/alanine aminotransferase ratio (p = 0.002), and albumin (p = 0.003). Using multivariate logistic regression, a model with platelet count, spleen length z score, and albumin as the independent variables had the best fit. Identification of children who are at high risk for having esophageal varices using noninvasive tests would enable the selection of children for future studies of primary prophylaxis of variceal hemorrhage.

For comments and archives

    Infertility Update

(Dr. Kaberi Banerjee, Infertility and IVF Specialist)

Under the aegis on AOGD

Infertility is still an enigma to us. The most advanced technique gives a pregnancy rate of at best 50–60% per attempt. Definitely there is lot more to be understood. We are hosting a Conference on 8th–9th of October at Le’ Meridian, New Delhi on Current Practices and Recent Advances in ART (CUPART 2011). We have invited a very respectable panel of International and National faculty whose experiences will be a wealth of knowledge to us.

Under the aegis on AOGD

Organizing Chairperson–Dr Kaberi Banerjee

Day–1 Interesting Highlights

Panel Discussion 1–Obstetric Outcome in ART Pregnancies

This interesting panel discussion will cover all aspects relevant to ART pregnancies. This would include miscarriages, multiple pregnancies, congenital malformations, fetal reductions and preterm deliveries.

Panelists: Anita Kaul, New Delhi; Sudarshan Ghosh Dastidar, Kolkata; Nandita Dimri, New Delhi; Ashutosh Gupta, New Delhi; Jaishree Sundar, New Delhi; Kiran Guleria, New Delhi.

Inauguration & Welcome Address by Chief ICMR New Delhi at 7.00pm followed by Shaan–e–Hindustan–Sufi Night with Adil Hussaini, Hyderabad & Fellowship Dinner

For Registration Please Contact: E–23 Ayurvigyan Nagar New Delhi–110049

For details contact +91 9871250235

For comments and archives

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    Lab Update

(Dr Arpan Gandhi and Dr Navin Dang)

Tests to measure bone loss

  • C–telopeptide (C–terminal telopeptide of type 1 collagen (CTx))
  • Deoxypyridinoline (DPD)
  • Pyridinium Crosslinks
  • Tartrate–resistant acid phosphatase (TRAP) 5b

These tests help evaluate and monitor the rate of bone resorption and formation before treatment and again after treatment.

For comments and archives

    IJCP Special

Dr Good Dr Bad

Situation: A pregnant dead lady needed an immediate LSCS to deliver the baby.
Dr Bad: Take consent.
Dr Good: No consent is needed.
Lesson: There are no published reports of physician liability for performing perimortem cesarean delivery without consent following maternal cardiac arrest.

For comments and archives

Make Sure

Situation: A chronic smoker developed cancer of lung.
Reaction: Oh my God! Why was he not screened for the cancer?
Lesson: Make sure all chronic smokers are given an option for lung cancer screening with low dose spiral CT.

For comments and archives

  Quote of the Day

(Dr Chandresh Jardosh)

One of the biggest challenges in any1’s life is knowing how 2 interpret failures. How we deal with adversity n challenges will shape our life.


In the Bag: To have something secured.

  Sri Chanukah Niti–Sastra: The Political Ethics of Chanakya Pandit

(Dr Anupam Sethi Malhotra)

Wise men should never go into a country where there are no means of earning one’s livelihood, where the people have no dread of anybody, have no sense of shame, no intelligence, or a charitable disposition.

    Medicolegal Update

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

What is the Touch DNA TEST?

  • Locard principle states that with contact between two items, there will always be an exchange. So, when a crime is committed, if the perpetrator deposits a sufficient number of skin cells on an item at the scene, and that item is collected as possible evidence
  • Human being shed tens of thousands of skin cells each day, and these cells are transferred to every surface with which human skin comes into contact.
  • Touch DNA samples are also processed exactly the same way as blood, semen, and saliva etc, Touch DNA analysis may be able to link the perpetrator to the crime scene, by collecting the skin cells and analyzing them.
  • The key to obtaining successful Touch DNA results depends on recognizing items which may be suitable for Touch DNA analysis and using the sampling technique or collection method that will recover the highest number of skin cells.
  • DNA test is done by using visible biological samples like blood saliva, semen etc. however touch DNA is usually not visible and since it is often deposited in smaller amounts than the DNA found in blood stains or other body fluids, it is more difficult to obtain DNA profiles from these samples. These means that low copy DNA profiling allows a very small amount of DNA to be analyzed, from as little as 10 to 30 cells.
  • DNA in skin cells that are left at a crime scene may be sampled from a variety of items including gun grips, steering wheels, eating utensils, luggage handles, and clothing.
  • Swabbing: The surface of the item is rubbed with a cotton swab to collect possible cells. This method is preferred for hard items such as glass or plastic.
  • Cutting: May be used for soft items, such as clothing, in which fabric from areas of interest is cut to collect possible cells.
  • In addition to the commonly used swabbing and cutting methods, the latest technologies have recently started using the "Scraping" and "Tape Lift" methods, in which the surface of soft items such as clothing are either scraped with a blade, or sampled with a small piece of tape, to collect possible cells.

For comments and archives

    Mind Teaser

Read this…………………

Which of the following statements is correct regarding treatment of early stage breast cancer?

1. Mastectomy has shown a better survival compared with breast conservative surgery and radiation therapy.
2. Adjuvant hormone therapy in ER/PR negative breast cancer reduces the risk of recurrence.
3. Axillary lymph node assessment is important to guide adjuvant therapy.
4. Adjuvant trastuzumab reduces breast cancer mortality irrespective of tumor HER2 protein status.

Yesterday’s Mind Teaser: Which of the following HPV types are included in the quadrivalent HPV vaccine?


Answer for Yesterday’s Mind Teaser: b.6,11,16,18

Correct answers received from: Dr Shirish Singhal, Dr Anil Kumar Jain, Dr K Raju, Arun Madhab Boruah, Dr Kalpana Verma, Shikha Jain, Dr.Sukanta Sen, Dr.Ramesh.P, Dr Jainendra Upadhyay, Anil Bairaria, Dr. Dilip Kumar Jha, Anasuya Rajeev, Apurva Koirala, Dr Rajani Sarwate.

Answer for 27th September Mind Teaser
: b. Liver
Correct answers received from: YJ Vasavada, Dr Rama Sharma, Dr PC Das, Dr Anmol Nagpal, Dr Jainendra Upadhyay.

Send your answer to ijcp12@gmail.com

    Laugh a While

(Dr Veena Aggarwal)

Murphy’s Laws for Humour

To Err is human, to forgive is not a COMPANY policy.

    Drug Update

List of Approved Drug From 01–01–2011 to 30–06–2011

Drug Name
DCI Approval Date
Paracetamol 325mg + Tramadol Hydrochloride 37.5 mg Tablets
Additional indication. (For symptomatic treatment of moderate to severe pain.)


    Public Forum

(Press Release for use by the newspapers)

Get your Press release online http://hcfi.emedinews.in (English/Hindi/Audio/Video/Photo)

Anger prone people at risk of heart failure

Individuals who are prone to anger may have a higher risk for heart failure, according to a study presented at the Heart Failure Society of America meeting, said Padma Shri and Dr B C Roy National Awardee Dr K K Aggarwal President Heart Care Foundation of India and MTNL Perfect Health Mela.

Doctors, in a study of black and white men and women, found that high levels of anger were associated with a greater risk of developing heart failure.

In those who are hospitalized for heart failure, high anger levels are associated with a greater risk of getting readmitted.

Uptil now fear was linked to hypertension, anger to heart attacks and possessiveness to heart failure.

For comments and archives

    Readers Responses
  1. Respected Dr. Aggarwal Sir, Thanks a lot for very enriching, new information in most lucid yet simple presentation. Wishing you a long, healthy active life on the eve of World Heart Day for the benefits of millions. Dr Mahadev Desai, Consultant Physician, Ahmedabad, Gujarat.
    Forthcoming Events

18th MTNL Perfect Health Mela

Date: 14th–18th October
Different locations in Delhi
19th–23rd October
Venue: NDMC Ground, Opp. Indira Nari Niketan Working Girls Hostel
Near Philanji Village, Laxmibai Nagar, New Delhi
Theme: Science Behind Rituals


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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