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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 & 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 & Hony. Visiting Professor (Clinical Research) DIPSAR

 

For updates follow at www.twitter.com/DrKKAggarwal     www.facebook.com/Dr KKAggarwal

    Health Videos…
Nobility of medical profession Video 1 to 9 Health and Religion Video 1–7
DD Take Care Holistically Video 1–4 Chat with Dr KK On life Style Disorders
Health Update Video 1–15 Science and Spirituality
Obesity–Towards all Pathy Consensus ALLOVEDA: A Dialogue with Dr KK Aggarwal
  Editorial…

7th September 2012, Friday

Dramatic Rise in Extensively Drug–Resistant Tuberculosis

Almost half (43.7%) of patients with multidrug–resistant (MDR) tuberculosis in 8 countries studied were resistant to at least 1 second–line drug, and 6.7% had extensively drug–resistant (XDR) tuberculosis, according to a study published online August 30 in the Lancet by Tracy Dalton, PhD, a senior service fellow in the Division of Tuberculosis Elimination at the Centers for Disease Control and Prevention in Atlanta, Georgia. MDR tuberculosis is caused by Mycobacterium tuberculosis that is resistant to at least isoniazid and rifampicin. XDR tuberculosis is caused by M tuberculosis strains that are resistant to isoniazid, rifampicin, and at least 1 drug within the fluoroquinolones and 1 antituberculosis injectable drug. Fluoroquinolones and injectable drugs are second–line antituberculosis drugs.

Most international recommendations for tuberculosis control have been developed for (MDR) tuberculosis prevalence of up to around 5%. Yet we now face prevalence up to 10 times higher in some places, where almost half of the patients with infectious disease are transmitting MDR strains of Mycobacterium tuberculosis.

According to data from the World Health Organization, 5.4% of patients with MDR tuberculosis have XDR tuberculosis.

For More editorials…

Dr KK Aggarwal
Group Editor in Chief

 
    Constipation Update

What is the approach to managing constipation in the elderly?

The first step in management of constipation in older adults is to exclude secondary causes of constipation.

For comments and archives

 
Dr K K Aggarwal
  eMedinewS Audio PostCard

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

Is it time to stop using fulfonylureas

Audio PostCard
 
    Photo Feature (From HCFI Photo Gallery)

Seminar on Diet, Health & Religion

An Inter Religion Seminar on Diet, Health & Religion was organized at Bharatiya Vidya Bhavan in association with Heart Care Foundation of India

 
Dr K K Aggarwal
 
    National News

India commits to improve health of elderly

NEW DELHI: The country’s elderly, who have long been neglected, finally have a reason to smile with India on Wednesday joining 10 South–East Asian countries to adopt the Yogyakarta Declaration on ‘Ageing and Health’, committing to improving national response to the health of ageing populations. The declaration comes at an important juncture with India’s health ministry expecting 51% of the elderly population in India to be women by 2016. Overall, nearly 7.5% of India’s population is presently aged 60 years and above. According to the ministry, India will soon become home to the second largest number of older people in the world. The challenges are unique with this population. A majority (80%) of them are in the rural areas thus making service delivery a challenge, and 30% of the elderly being below poverty line. What’s worse, at present 1 in every 4 among India’s elderly population are depressed, 1 in 3 suffer from arthritis while 1 in 5 can’t hear. While 1 in 3 suffer from hypertension in India, almost half have poor vision. Around 1 in 10 experience a fall that results in fracture while 2 in 5 are anemic. One in 10 in rural India and 2 in 5 in urban suffer from diabetes with nearly 31% suffering from bowel disorders.

By adopting the Yogyakarta Declaration, the health ministry acknowledges that healthy ageing is a major public health challenge. "WHO follows a life–course approach to promoting healthy, active ageing. People who get the right start in life, follow healthy lifestyles and take good care of their health can expect to remain active during their eighth, ninth and even tenth decade of life," said Dr Margaret Chan, WHO director general.

According to the report of the Union health ministry’s working group on non communicable disease burden for the 12th five year plan, while in the 11th plan, Rs 1000 crores was allocated to take care of the elderly, Rs 3147 crore will be required to upscale the programme over the next five years. Ministry estimates say the number of people in the 60–plus age group in India will increase to 100 million in 2013 and to 198 million in 2030. The elderly population will increase to 12% of the total population by 2025, 10% of which would be bedridden, requiring utmost care.

The ministry’s revised National Programme for the Health Care of the Elderly (NPHCE) expects to have 20 institutions with capacity to produce 40 postgraduates in MD in geriatric medicine per year, additional 6400 beds in district hospitals and 1000 beds in medical colleges for the elderly by 2017. According to the 2006 World Population Prospects, by 2050, the number of Indians aged above 80 will increase more than six times from the current number of 78 lakh to nearly 5.14 crore. At present, 20% of this category in India suffers from Alzheimer’s. The number of people over 65 years of age in the country is expected to quadruple from 6.4 crore in 2005 to 23.9 crore, while those aged 60 and above will increase from 8.4 crore to 33.5 crore in the next 43 years. (Source: TOI, Sep 6, 2012)

For comments and archives

4th Dil Ka Darbar

September 23, 2012, 9:00 AM–6:00 PM , Tal Katora Indoor Stadium, Connaught Place, New Delhi

A non stop question answer–session between all top cardiologists of the NCR region and the public.

My Profession My Concern

Clinical Situations

  • Unintentional administration of concentrated electrolytes (potassium chloride (≥ 2 mEq/ml concentrated), potassium phosphate (≥ 3 mmol/ml), sodium chloride (> 0.9% concentrated), and magnesium sulfate (≥ 50% concentrated))
  • Errors can occur when staff is not properly oriented to the patient care unit, when contract nurses are used and not properly oriented, or during emergencies.

Four clinical situations

High–alert (or high–hazard) medications are medications that are most likely to cause significant harm to the patient, even when used as intended. The Institute for Safe Medication Practices (ISMP) reports that, although mistakes may not be more common in the use of these medications, when errors occur the impact on the patient can be significant. The Campaign has chosen to focus on the following four groups of high alert medications because they represent areas of greatest harm and greatest opportunity for improvement.

  • Anticoagulants
  • Narcotics and opiates
  • Insulins
  • Sedatives
    • Warfarin and insulins, caused one in every seven estimated adverse drug events treated in emergency departments, and more than a quarter of all estimated hospitalizations.
    • In the elderly, insulin, warfarin, and digoxin are implicated in one in every three estimated adverse drug events treated in emergency departments, and 41.5% of estimated hospitalizations.

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

 
    Valvular Heart Disease Update

When is surgery indicated in an asymptomatic patient with flail leaflet and severe MR?

For asymptomatic patients with severe MR, surgical correction should be considered early in the course of the disease if valve repair is feasible with a >90 percent likelihood of success.

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

For comments and archives

 
    International News

(Contributed by Dr Monica and Brahm Vasudev)

Uncontrolled BP major problem in U.S., CDC says

An estimated 35.8 million U.S. adults with hypertension have uncontrolled blood pressure levels, even though the vast majority have regular access to healthcare and insurance coverage, the CDC reported Tuesday.

For comments and archives

High–dose vitamin D may speed recovery from tuberculosis

Patients with pulmonary infections who receive vitamin D supplementation in addition to antibiotics may have faster resolution of inflammatory responses, which have been linked to higher risk for mortality, according to findings of a longitudinal study published online September 3 in the Proceedings of the Natural Academy of Sciences. (Source: Medscape)

For comments and archives

More evidence that central line infections are preventable

In a recent trial, central line–associated bloodstream infections (CLABSIs) were dramatically reduced with a nurse–led intervention involving evidence-based prevention tactics and a program to improve patient safety, communication and teamwork. Results of the multicenter, phased cluster–randomized controlled trial, reported online in Critical Care Medicine, add to a growing body of evidence that these infections can be prevented. (Source: Medscape)

For comments and archives

FDA panel votes in favor of tobramycin powder in cystic fibrosis

In a 13–to–1 vote, a US Food and Drug Administration (FDA) advisory panel today said that evidence supports the safety and efficacy of tobramycin inhalation powder (TIP; TOBI Podhaler, Novartis) in the management of cystic fibrosis (CF) patients infected with Pseudomonas aeruginosa. The votes were cast today in a meeting of the FDA’s Advisory Committee for Anti–Infective Drugs, held in Silver Spring, Maryland. During the meeting, data were presented from the C2301 and C2303 trials, which were designed to demonstrate superior efficacy of TIP to placebo in forced expiratory volume in 1 second (FEV1), microbiological activity, and clinical outcomes, and the C2302 trial, which compared inhaled tobramycin dry powder to nebulized tobramycin solution with respect to safety, microbiological activity, pharmacokinetics, and clinical outcomes. (Source: Medscape)

For comments and archives

 
   Twitter of the Day

@DrKKAggarwal: DD India’s Take Care Holistically–Rheumatoid Arthritis…http://youtu.be/AOGSGlqEM–A

@DeepakChopra: Staying well or getting healthier starts with a clear definition of your wellness mission.

 
    Spiritual Update

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

Why do we close our eyes for meditation?

Whenever we pray, think of God, undertake an internal healing procedure, make love, kiss someone, or meditate, we automatically close our eyes. It is a common Vedic saying that the soul resides in the heart and all the feelings are felt at the level of heart. Most learning procedures in meditation involves sitting in an erect, straight posture, closing the…

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 is the impact of cigarette smoking on assisted reproductive therapy outcomes?

According to western figures, nearly twice as many in vitro fertilization (IVF) attempts are required to conceive in smokers than in nonsmokers. Studies of IVF have reported that female smokers require higher doses of gonadotropins to stimulate their ovaries, have lower peak estradiol levels, fewer oocytes obtained, more canceled cycles, lower implantation rates and undergo more cycles with failed fertilization than nonsmokers. Miscarriage rates are also increased.

For comments and archives

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

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

What does pre transplant evaluation include?

Pre transplant Immunizations: Most units including ours consider live vaccines to be contraindicated after liver transplant because of the risk of dissemination secondary to immunosuppression. It is therefore better to complete normal immunizations before transplant. These include: BCG, DPT + Hib, Hepatitis B, Measles, MMR. It’s suggested to give even optional vaccine such as Hepatitis A, Typhoid, Chickenpox, Influenza, Rotavirus and Pneumococcal vaccines. The vaccination schedule may be expedited and may differ from the normal recommendations.

Management of hepatic complications: It is important to ensure that specific hepatic complications are appropriately managed while the patient waits for transplant. These include portal hypertension, esophageal varices, ascites, hypoproteinemia etc.

Nutritional support: It has been demonstrated in several studies that nutritional status at liver transplant is an important prognostic factor in survival i.e. better outcome is seen in patients with good nutritional status. The patient needs to be on a high calorie diet (150–200% calories good protein intake) with two times the RDA of multi vitamins and in patients with cholestasis, supplementation with fat–soluble vitamins like vitamin A, D, E, and K is done. In patients with cholestasis, MCT oil as in coconut oil is used for cooking. If a child is not able to feed well orally then tube feed supplementation is done, which could be for overnight feeds or during the day as per the need.

For comments and archives

 
   An Inspirational Story (Paramjit Chadha)

The story of an ant

A tiny ant was seen carrying a huge feather across to the back terrace. Several times it was confronted by obstacles in its path and after a momentary pause, it would make the necessary detour. At one point, the ant had to negotiate a crack in the concrete about 10mm wide. After brief contemplation, the ant laid the feather over the crack, walked across it and picked up the feather on the other side then continued on its way.

This ingenuity on the part of ant – one of God’s smallest creatures – was really fascinating. It served to reinforce the miracle of creation. Here was a minute insect, lacking in size yet equipped with a brain to reason, explore, discover and overcome. But this ant, like the two–legged co–residents of this planet, also shares human failings.

After some time the ant finally reached its destination – a flower bed at the end of the terrace and a small hole that was the entrance to its underground home. And it was here that the ant finally met its match. How could that large feather possibly fit down that small hole? Of course it couldn’t. So the ant, after all this trouble and exercising great ingenuity, overcoming problems all along the way, just abandoned the feather and went inside the hole.

The ant had not thought the problem through before it began its epic journey and in the end the feather was nothing more than a burden.

Isn’t life like that!

We worry about our family, we worry about money or the lack of it; we worry about work, about where we live, about all sorts of things. These are all burdens – the things we pick up along life’s path and lug them around the obstacles and over the crevasses that life will bring, only to find that at the destination they are useless and we can’t take them with us!

For comments and archives

 
   Cardiology eMedinewS

hs–cTnT rules out acute MI quickly Read More

Epinephrine for out–of–hospital cardiac arrest Read More

 
   Pediatric eMedinewS

FDA: Do not prescribe sildenafil off–label to kids with PAH Read More

Cancer risk triples in kids with arthritis Read More

 
    IJCP Special

Dr Good Dr Bad

Situation: A pregnant lady developed hypotension with respiratory distress immediately after delivery.
Dr Bad: This is an internal bleed.
Dr Good: It looks like AFES.
Lesson: Amniotic fluid embolism syndrome (AFES) is a catastrophic condition that occurs during pregnancy or shortly after delivery. It is characterized by the abrupt and fulminant onset of hypotension due to cardiogenic shock, hypoxemia, respiratory failure, and disseminated intravascular coagulation (DIC). Clinicians should suspect AFES whenever shock or respiratory compromise develops during labor and delivery, or immediately postpartum. Other causes of sudden intrapartum or postpartum cardiorespiratory failure must be excluded.

For comments and archives

Make Sure

Situation: An elderly patient with unstable angina presented with URTI and was found to be positive for Chlamydia pneumoniae infection.
Reaction: Start a macrolide antibiotic immediately.
Lesson: Make sure to remember that erythromycin 2 g/day for 10–14 days reverses the increased risk of atherosclerosis.

For comments and archives

 
  Quote of the Day (Dr GM Singh)

Six essential qualities that are the key to success: Sincerity, personal integrity, humility, courtesy, wisdom, charity. William Menninger

 
    Legal Question of the Day (Dr M C Gupta)

Q. I am a lawyer practicing in Delhi. I went to a doctor in Chennai for consultation. I was given ECT by him even though I refused to give consent. He obtained proxy consent from my brother. I understand ECT is banned in many countries. I have filed complaints with DMC and NHRC. What are your comments?

Ans. My comments are as follows:

  1. ECT is given for serious mental disorders usually called psychoses (plural of psychosis). A person with psychosis may or may not have legal capacity to consent depending upon the nature and stage of the disease.
  2. Proxy consent has no validity in the case of a conscious adult capable of giving consent as held by the SC in Samira Kohli case. Giving any treatment, especially ECT, without valid consent is a grave crime. Valid consent may come from the patient or the guardian.
  3. The crucial points in your case are—
    1. Were you capable of giving consent at the time of ECT?
    2. Was the consent given by your brother valid in law? If ECT was given without valid consent, the doctor is liable.
  4. Complaint to DMC is likely to be infructuous if the Chennai doctor was not registered with it. You should find out with which SMC he is registered. You should complain to that SMC. You can find this out from the MCI web site. If you cannot find out, send the complaint to the MCI and they will refer it to the SMC concerned.
  5. Complaint to the NHRC is likely to be infructuous in the absence of expert medical opinion.
  6. You can also file a consumer complaint and a police complaint.

For comments and archives

 
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    Lab Update (Dr Navin Dang and Dr Arpan Gandhi)

Protein C

Formal name: Protein C Functional or Antigen; Protein S Free (Functional) or Antigen (Total).

Tests for Protein C and Protein S are usually ordered to help diagnose the cause of a venous thromboembolism (VTE). Functional tests for Protein C and free Protein S are usually ordered, along with other tests for hypercoagulability, to screen for sufficient, normal, factor activity.

  • High Protein C and Protein S levels are not usually associated with medical problems. Low levels of Protein C or Protein S can result in excessive formation of blood clots.
  • Low Protein C and Protein S levels may be seen with vitamin K deficiency, liver disease, severe infections (inflammatory conditions), renal disease, cancers, disseminated intravascular coagulation (DIC), HIV, during pregnancy, immediately following a thrombotic episode, and with warfarin or heparin anticoagulant therapy.
 
    Mind Teaser

Read this…………………

A chemotherapeutic agent 5FU is ordered as an adjunct measure to surgery. Which of the ff. statements about chemotherapy is true?

A. It is a local treatment affecting only tumor cells
B. It affects both normal and tumor cells
C. It has been proven as a complete cure for cancer
D. It is often used as a palliative measure.

Yesterday’s Mind Teaser: A patient is hemorrhaging from multiple trauma sites. The nurse expects that compensatory mechanisms associated with hypovolemia would cause all of the following symptoms EXCEPT

A. Hypertension
B. Oliguria
C. Tachycardia
D. Tachypnea

Answer for yesterday’s Mind Teaser: A. Hypertension

Correct answers received from: Niraj Gupta, Rajiv Kohli, Dr Mohit Sharma, Dr PC Das, Dr K Raju,
Dr (Maj. Gen.) Anil Bairaria, Dr BB Gupta, Dr Sudipto Samaddar, Dr KV Sarma, Dr Pankaj Agarwal,
Dr AK Jalewa, Dr Chandresh Jardosh, Dr Jainendra Upadhyay, Dr Kanta Jain, Dr LC Dhoka, Dr Avtar Krishan, Dr Arvind, Dr Thakur Om Prakash Singh.

Answer for 5th September Mind Teaser: B. Recognize that Kathy is experiencing denial, a normal stage of the grieving process
Correct answers received from: Dr Thakur Om Prakash Singh, Dr Ajay Gandhi, Dr KV Sarma, Shashi Saini.

Send your answer to ijcp12@gmail.com

 
    Laugh a While (Dr GM Singh)

Railroad accident

In a terrible accident at a railroad crossing, a train smashed into a car and pushed it nearly four hundred yards down the track. Though no one was killed, the driver took the train company to court.

At the trial, the engineer insisted that he had given the driver ample warning by waving his lantern back and forth for nearly a minute. He even stood and convincingly demonstrated how he’d done it. The court believed his story, and the suit was dismissed.

"Congratulations," the lawyer said to the engineer when it was over. "You did superbly under cross–examination."

"Thanks," he said, "but he sure had me worried."

"How’s that?" the lawyer asked.

"I was afraid he was going to ask if the lantern was lit!"

 
    Medicolegal Update

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

What is Touch DNA?

Locard’s Exchange 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, that item is collected as possible evidence.

  • It is the DNA in skin cells that is left at a crime scene and may be sampled from a variety of items including gun grips, steering wheels, eating utensils, luggage handles, and clothing.
  • Humans 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 is not Low Copy Number DNA (LCN DNA).
  • LCN DNA profiling allows a very small amount of DNA to be analyzed, from as little as 10 to 30 cells.
  • Touch DNA samples are processed exactly the same way as blood, semen, saliva etc, and can stand up to scrutiny in court much better than LCN DNA.
  • Touch DNA analysis may be able to link the perpetrator to the crime scene, by collecting the skin cells and analyzing them.

For comments and archives

 
    Public Forum

(Press Release for use by the newspapers)

Differentiate between different types of Fever

Different fevers can be differentiated clinically, said Padma Shri and Dr B C Roy National Awardee Dr KK Aggarwal President Heart Care Foundation of India.

Following are few tips

  • If a patient comes with fever with chills and rigors, think of Malaria in north and filaria in Vidarbha region in India.
  • In malaria, chills are in the afternoon; in filarial, the chills occur in the evening.
  • Fever with joint pains on extension often is due to Chikungunya (flexion improves the pain)
  • Think of dengue if there is fever with itching, rash and periorbital pain.
  • In presence of fever with single chills think of pneumonia.
  • Fever with sore throat, no cough, no nasal discharge: Think of streptococcal sore throat, especially in the children.
  • Fever with red angry–looking throat: Think of streptococcal sore throat
  • Fever with red epiglottis: Think of Hemophilus infection
  • Fever with cough and or nasal discharge: Think of common flu
  • Fever with cough, nasal discharge, nausea and vomiting: Think of H1N1 flu
  • Fever with toxic look, persistent fever: Look for typhoid
  • Fever with no or low rise in pulse: Look for typhoid
  • Fever with urinary symptoms (burning, frequency): Rule out urinary infection.
  • Fever with high TLC (white cell count) and liver pain: Rule out liver abscess
  • Fever with watery diarrhea, with no blood or mucous: Rule out acute gastroenteritis
  • After the fever is over, jaundice appears: This is viral hepatitis
  • After the fever is over, one feels very weak: Rule our dengue hemorrhagic fever.
 
    Readers Response
  1. Heartiest congratulations for being elected as National Vice President IMA for the year 2013–14, a reward of your good work. Keep it up. Vivek Kumar, Varanasi
 
    Forthcoming Events
Dr K K Aggarwal


Dr K K Aggarwal

Dil Ka Darbar

September 23, 2012 at 9:00 AM – 6:00 PM
Tal Katora Indoor Stadium, Connaught Place, New Delhi, 110001
A non stop question answer-session between all the top cardiologists of the NCR region and the public. Event will be promoted through hoardings, our publications and the press. Public health discussions
http://www.heartcarefoundation.org

TOGETHER WE CAN

RELAX *RECREATE* REJUVENATE

Weekend Retreat for Doctors on
Mind – Body – Medicine

8 (Sat) – 9 (Sun) September 2012 At Brahma Kumaris Om Shanti Retreat Centre NH–8, Bhorakalan, Pataudi Road, Bilaspur Chowk, Distt.-Gurgaon

There is NO REGISTRATION FEE but REGISTRATION is MUST
Visit us at: www.togetherwecan.in
Contact: BK Sister Sapna – M – 9650692204
E–mail: bksapna108@gmail.com

 
    eMedinewS Special

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

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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, Dr Usha K Baveja