emedinews
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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 & 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 Ö
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 …

9th September 2012, Sunday

Ivabradine may reduce HF Readmissions

Ivabradine added to standard heart failure therapy reduced HF readmissions by a third in patients with systolic heart failure compared with patients on standard treatment, according to a post hoc analysis of data from the SHIFT trial, reports Jeffery S. Borer, MD, of the State University of New York Downstate Medical Center in Brooklyn and colleagues in European Heart Journal.

The trial randomized 3,268 patients to ivabradine at a maximum dose of 7.5 mg twice daily or to matched placebo on top of beta–blocker therapy. All patients had symptomatic heart failure and left ventricular function of less than 35%.

The trial randomized 3,268 patients to ivabradine at a maximum dose of 7.5 mg twice daily or to matched placebo on top of beta–blocker therapy. All patients had symptomatic heart failure and left ventricular function of less than 35%.

For More editorials…

Dr KK Aggarwal
Group Editor in Chief

    Constipation Update

What role does imaging play in evaluating an elderly patient with constipation?

There is limited data to support the role of imaging in the evaluation of constipation in the older adult.

For comments and archives

 
Dr K K Aggarwal
  eMedinewS Audio PostCard

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

FDA OKs first drug-eluting stents for use in MI

Audio PostCard
    Photo Feature (from the 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

Plan panel for 200% rise in health ministry outlay

NEW DELHI: Good health will be the toast for the UPA’s 12th five year plan (2012–17) with the Planning Commission proposing a 200% increase in fund allocation for the ministry of health and family welfare. Even though the final decision on how much each sector will get for the 12th Plan will be taken at an all–important meeting to be chaired by Prime Minister Manmohan Singh on September 15, sources in the Commission told TOI that the allocation for the ministry of health is expected to be around Rs 280,551 crore — 232.65% higher than 11th plan outlay of Rs 84,339 crore. The focus will be on developing India’s traditional medicines as the department of Ayush (ayurveda, unani, siddha and homeopathy) expected to get Rs 6,044 crore which is 99.33% higher than the Rs 3,032 crore allocation for the 11th Plan. Health research is another priority area. The funding for department of health research is expected to see an increase of 112.74%. The allocation will be hiked to Rs 4,029 crore as against Rs 1,894 crore allocated in the 11th Plan. Ministry officials had told TOI that "as against India’s Rs 90,000 crore health budget for the 11th Plan, we expect Rs 3 lakh crore in the 12th Plan." The Plan panel’s high–level expert group on universal health coverage had first proposed increasing the health budget to 2.5% of GDP by 2017 and to at least 3% of GDP by 2022. It predicted "increased public expenditures, in our estimate, will lead to a sharp decline in the proportion of private out–of–pocket spending on health — from around 67% today to around 33% by 2022."

India devoted among the lowest proportion of total public spending to health — at or below 4.4% of total government spending between 1999 and 2009 — according to WHO. Only nine countries (out of 191) devoted a smaller share of government spending to health than India. The expert group said, "Increasing public health spending to our recommendations will result in a five–fold increase in real per capita health expenditures by the government (from Rs 670 in 2011–12 to Rs 3,432 by 2021–22)." (Source: TOI, Sep 8, 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.

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

How is the severity of MR assessed?

Regardless of echo–Doppler grading, severe chronic mitral regurgitation (MR) does not exist (with rare exceptions) without clear evidence of left atrial or left ventricular enlargement. If the left ventricular end–diastolic dimension is less than 60 mm (approximately 35 mm/m2) on echocardiography, then the diagnosis of severe chronic MR should be seriously questioned. Left atrial size may reflect the "history" (severity and duration) of chronic MR.

(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)

    International News

(Contributed by Dr Monica and Brahm Vasudev)

Better survival seen in stage I NSCLC

Survival in early–stage non–small cell lung cancer (NSCLC) has improved significantly, in part, because of better outcomes with primary radiation therapy, according to a study reported at the Chicago Multidisciplinary Symposium in Thoracic Oncology. (Source: Medpage Today)

For comments and archives

Tularemia is easily missed

Tularemia, a potentially fatal bacterial infection, remained undiagnosed in a majority of their cases in Missouri until cultures returned positive, researchers say. It is difficult to include tularemia in the differential diagnosis because "infection is widespread but rare, exposures diverse, and the clinical spectrum is exceedingly broad," Dr. Ingrid Weber from the Centers for Disease Control and Prevention in Atlanta and colleagues pointed out online August 21 in Clinical Infectious Diseases. Tularemia is caused by gram negative bacteria Francisella tularensis and acquired through tick bites or contact with infected animals. "The most common presentations are ulceroglandular, with a non–healing tender sore on the skin and associated large lymph nodes in that area, or glandular tularemia, with an infected lymph node that is not responding to typical beta lactam antibiotics," Dr. Snowden said. Patients may also present with a febrile (typhoidal) or pneumonia type illness. (Source: Medscape)

For comments and archives

Skin product approved for diabetic foot ulcers in Canada

A human fibroblast–derived dermal substitute (Dermagraft, Shire Regenerative Medicine) has been approved by Health Canada as a class 4 medical device for the treatment of diabetic foot ulcers, according to a manufacturer press release. The product is currently available in the United States, where it received approval as a class 3 medical device in September 2001 and will be available in Canada in the first quarter of 2013. Health Canada’s approval of the dermal substitute, which was granted on August 21, is based on a Canadian device license application, submitted by Shire Regenerative Medicine in 2011. (Source: Medscape)

For comments and archives

Neuroimaging adds value in predicting SAD treatment response

Brain imaging with functional magnetic resonance imaging (fMRI) substantially enhances the ability to predict how well patients with social anxiety disorder (SAD) will respond to cognitive–behavioral intervention, new research shows. (Source: Medscape)

For comments and archives

Don’t give up yet! Longer in–hospital resuscitation effort may improve survival

Many professionals treating in–hospital cardiac arrest often find it difficult to give up their resuscitation even after the effort is probably futile, so researchers analyzed hospitals’ tendency toward longer or shorter resuscitation efforts. Their findings, published online September 4, 2012 in the Lancet, suggest that systematically extending the duration of these resuscitation attempts could save lives. (Source: Medscape)

For comments and archives

    Twitter of the Day

@DrKKAggarwal: Differentiate Between Different Types Of Fever
http://blog.kkaggarwal.com/2012/09/differentiate–between–different–types–of–fever/

@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)

The Right Action

Dharma is the path of righteousness and living one’s life according to the codes of conduct as described by the Vedas and Upanishads. Its equivalents in the West might include morality, ethics, virtue, righteousness and purity. The term dharma can best be explained as the "law of being" without which things cannot exist.

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 procedure for the selection of donor sperm?

Sperm donors should be of legal age and ideally less than 40 years of age to minimize the potential hazards of aging. Both anonymous donors and donors known to the recipient–though not necessarily intimate sexual partners–undergo the same initial and periodic screening and testing process. A donor is ineligible if either screening or testing indicates the presence of a communicable disease or of a risk factor for a communicable disease. Particular attention is paid to the potential donor’s personal and sexual history to exclude those males who are at high risk for communicable disease including HIV, Hepatitis B, and other sexually transmitted diseases. For anonymous donors, testing for Treponema pallidum (syphilis), Chlamydia trachomatis, Neisseria gonorrhea, HIV–1, HIV–2, HTLV–I and HTLV–II, CMV, Hepatitis B surface antigen (HBsAg) and Hepatitis C antibody are performed prior to donation and thereafter should occur at six–month intervals.

For comments and archives

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

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

What is the composition of blood?

Blood mainly contains a fluid called plasma and in this are suspended cellular elements. Three types of cells namely red blood cells or RBCs, white blood cells or WBCs and tiny platelets form the cellular element.

For comments and archives

    An Inspirational Story (Ms Ritu Sinha)

The mouse trap

A mouse looked through the crack in the wall to see the farmer and his wife open a package. "What food might this contain?" the mouse wondered. He was devastated to discover it was a mousetrap.

Retreating to the farmyard, the mouse proclaimed the warning: "There is a mousetrap in the house! There is a mousetrap in the house!" The chicken clucked and scratched, raised her head and said "Mr. Mouse, I can tell this is a grave concern to you, but it is of no consequence to me. I cannot be bothered by it."

The mouse turned to the pig and told him "There is a mousetrap in the house! There is a mousetrap in the house!" The pig sympathized, but said "I am so very sorry, Mr. Mouse, but there is nothing I can do about it but pray. Be assured you are in my prayers."

The mouse turned to the cow and said "There is a mousetrap in the house! There is a mousetrap in the house!" The cow said "Wow, Mr. Mouse. I’m sorry for you, but it’s no skin off my nose." So, the mouse returned to the house, head down and dejected, to face the farmer’s mousetrap alone.

That very night a sound was heard throughout the house – like the sound of a mousetrap catching its prey. The farmer’s wife rushed to see what was caught. In the darkness, she did not see it was a venomous snake whose tail the trap had caught. The snake bit the farmer’s wife. The farmer rushed her to the hospital and she returned home with a fever.

Everyone knows you treat a fever with fresh chicken soup, so the farmer took his hatchet to the farmyard for the soup’s main ingredient. But his wife’s sickness continued, so friends and neighbors came to sit with her around the clock. To feed them, the farmer butchered the pig. The farmer’s wife did not get well, she died. So many people came for her funeral; the farmer had the cow slaughtered to provide enough meat for all of them.

The mouse looked upon it all from his crack in the wall with great sadness. So, the next time you hear someone is facing a problem and think it doesn’t concern you, remember: when one of us is threatened, we are all at risk. We are all involved in this journey called life. We must keep an eye out for one another and make an extra effort to encourage one another. Each of us is a vital thread in another person’s tapestry.

For comments and archives

    Cardiology eMedinewS

Vitamin D fails to lower cholesterol Read More

Aortic stiffness leads to high BP, not vice versa Read More

    Pediatric eMedinewS

Second–hand tobacco smoke tied to flu complications in kids Read More

Study links autism, bipolar, and schizophrenia Read More

    IJCP Special

Dr Good Dr Bad

Situation: A patient with COPD developed Herpes zoster.
Dr Bad: They are not related.
Dr Good: They are related.
Lesson: People with chronic obstructive pulmonary disease, or COPD, are more likely to develop shingles than the general population (CMAJ 2011 Mar 22;183(5):E275–8).

For comments and archives

Make Sure

Situation: A patient on 10 units of insulin developed hypoglycemia after taking light breakfast.
Reaction: Oh my God! Why was the insulin dose not reduced?
Lesson: Make sure that insulin dose is correct. The formula is 500/total daily dose. The value will be the amount of sugar fluctuation with 10 grams of carbohydrates.

For comments and archives

    Quote of the Day (Dr GM Singh)

I asked GOD to make my handicapped child whole. GOD said no his spirit is whole, his body is only temporary.

    Legal Question of the Day (Dr M C Gupta)

Q. When psychiatrists give ECT, they take consent only from the relatives. Is this legally correct?

Ans.

  • The law is clear that if a person is capable of giving consent, the consent given by somebody else on his behalf is not legally valid. Samira Kohli case (SC) refers.
  • Wikipedia has this to say about informed consent before giving ECT:

    "It is widely acknowledged internationally that obtaining the written, informed consent of the patient is important before ECT is administered. The World Health Organization, in its 2005 publication "Human Rights and Legislation WHO Resource Book on Mental Health,"
    specifically states, "ECT should be administered only after obtaining informed consent."

    In the US, this doctrine places a legal obligation on a doctor to make a patient aware of: the reason for treatment, the risks and benefits of a proposed treatment, the risks and benefits of alternative treatment, and the risks and benefits of receiving no treatment. The patient is then given the opportunity to accept or reject the treatment. The form states how many treatments are recommended and also makes the patient aware that the treatment may be revoked at any time during a course of ECT. The Surgeon General’s Report on Mental Health states that patients should be warned that the benefits of ECT are short–lived without active continuation treatment in the form of drugs or further ECT, and that there may be some risk of permanent, severe memory loss after ECT. The report advises psychiatrists to involve patients in discussion, possibly with the aid of leaflets or videos, both before and during a course of ECT…………………………………………In one of the few jurisdictions where recent statistics on ECT usage are available, a national audit of ECT by the Scottish ECT Accreditation Network indicated that 77% of patients who received the treatment in 2008 were capable of giving informed consent.

    In the UK, in order for consent to be valid it requires an explanation in "broad terms" of the nature of the procedure and its likely effects. One review from 2005 found that only about half of patients felt they were given sufficient information about ECT and its adverse effects."
    http://en.wikipedia.org/wiki/Electroconvulsive_therapy#Informed_consent
  • If psychiatrists in India routinely give ECT on the basis of substitute consent, they are committing an illegality for which they may be held liable. I know of a practicing advocate who is currently suing a doctor for giving him ECT though he refused consent. The doctor relied upon his brother’s consent.
  • As per principles of law, substitute consent for an aggressive and potentially harmful procedure like ECT (electric shock) would be admissible as legally valid only when the following conditions are fulfilled:
    • The person is not capable of giving free informed consent; AND,
    • The person who gives substitute consent is his legal guardian; AND,
    • A board of doctors certifies in writing that:
      • The ECT has to be given as a life saving measure;
      • That there is no alternative treatment except ECT.
      • That the ECT treatment recommended by the board is valid for a specified number of ECT sessions".

For comments and archives

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   Rabies Update (Dr A K Gupta, Author of "RABIES – the worst death")

Can we apply local antibiotics or antimicrobial agents on the site of bite?

After cleansing of the bite wounds, local antimicrobial agents can be applied.

What is a street virus?

Street virus is a type of rabies virus, which is virulent and has a long and variable incubation period of about 3 weeks to 3 months.

   Stem Cell Update (Dr S K Verma, Consultant Ophthalmologist, New Delhi)

Do you know how animals adapt to sub–zero temperatures? It is because these animals use various biochemical processes including anti–freeze compounds to adapt and live in these environments. The interesting fact is researchers have now identified one of the most active anti–freeze compounds isolated till date called Xylomannan in an Alaskan beetle and more interesting is that this compound is based on glycan in contrast to other anti–freeze compounds which are usually protein based. (Courtesy: Journal of Stem cell and Regenerative Medicine 2012 Aug, Vol. 3, Issue 13)

    Lab Update (Dr Navin Dang and Dr Arpan Gandhi)

Tests for celiac disease

The best initial laboratory test for diagnosis of celiac disease is anti–tissue transglutaminase antibody (anti–tTG), IgA. If this test is positive, it is likely that the patient has celiac disease.

The doctor may request an

  • Intestinal biopsy to determine whether there is damage to the intestinal villi.
  • CBC (complete blood count) to look for anemia.
  • ESR (erythrocyte sedimentation rate) and CRP (C–reactive protein) to evaluate inflammation.
  • CMP (complete metabolic panel) to determine electrolyte, protein, and calcium levels and to verify the status of the kidney and liver.
  • Vitamin D, E, and B12 to measure vitamin deficiencies
  • Stool fat, to help evaluate malabsorption.
    Mind Teaser

Read this…………………

Which statement by the client indicates to the nurse that the patient understands precautions necessary during internal radiation therapy for cancer of the cervix?

A. "I should get out of bed and walk around in my room."
B. "My 7 year old twins should not come to visit me while Iím receiving treatment."
C. "I will try not to cough, because the force might make me expel the application."
D. "I know that my primary nurse has to wear one of those badges like the people in the x–ray department, but they are not necessary for anyone else who comes in here."

Yesterday’s Mind Teaser: A post-operative complication of mastectomy is lymphedema. This can be prevented by

A. Ensuring patency of wound drainage tube
B. Placing the arm on the affected side in a dependent position
C. Restricting movement of the affected arm
D. Frequently elevating the arm of the affected side above the level of the heart.

Answer for Yesterday’s Mind Teaser: D. Frequently elevating the arm of the affected side above the level of the heart.

Correct answers received from: Dr Jella, YJ Vasavada, Dr Ajay Gandhi, Dr BB Gupta, Dr K P Chandra, Dr PC Das, Dr (Maj. Gen.) Anil Bairaria, Dr Thakor Hitendrsinh G, Dr K Raju, Sagar, Dr Vishal Wahane,
Dr Pankaj Agarwal, Dr Jainendra Upadhyay, Dr Chandresh Jardosh, Muthumperumal Thirumalpillai.

Answer for 7th September Mind Teaser: B. It affects both normal and tumor cells
Correct answers received from: Dr Helee Thakar, Dr Kanta Jain, Dr Avtar Krishan.

Send your answer to ijcp12@gmail.com

   Laugh a While (Dr GM Singh)

A Horoscope for the Workplace

Senior Management: Catty, cut–throat, yet completely spineless, you are destined to remain at your current job for the rest of your life. Unable to make a single decision you tend to measure your worth by the number of meetings you can schedule for yourself. Best suited to marry other "Senior Managers," as everyone in your social circle is a "Senior Manager."

    Medicolegal Update

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

Malpractice

Supreme Court of Georgia echoed the Illinois decision, albeit with somewhat different wording

  • Every person who enters into a learned profession undertakes to bring to the exercise of his profession a reasonable degree of care and skill. He does not undertake to use the highest possible degree of skill, for there may be persons who, for having enjoyed a better education and greater advantages, are possessed of greater skill in their profession; but he undertakes that he will bring a fair, reasonable, and competent degree of skill…He is not responsible for an error in judgment…if such error arises from the peculiar circumstance of the case, and not from the want of proper care or competent skill on his part.
  • Nearly a half–century later, a state of New York appeals court issued an opinion as to what constitutes the standard of care of a medical physician. Although the lawsuit did not involve radiology, the court decision could have well applied to radiologic interpretation
  • The law requires a physician to possess the skill and learning which is possessed by the average member of the medical profession…and to apply that skill and learning with ordinary reasonable care. He is not liable for a mere error in judgment, provided he does what he thinks is best after a careful examination. He does not guarantee a good result.

For comments and archives

    Public Forum

Public Forum (Press Release for use by the newspapers)

Monsoon reduces the immunity of the body

Monsoon is welcome by all but it comes with lots of diseases as the immunity of the body is reduced. The diseases associated with monsoon are malaria, dengue, Chikungunya, jaundice, gastrointestinal infections like typhoid and cholera, said Padma Shri & Dr. B.C. Roy National Awardee Dr. KK Aggarwal, President, Heart Care Foundation of India. Apart from these, viral infections like cold and cough are also common.

Patients with Chikungunya, typically have joint pains, which will get relieved by flexing the limbs. Dengue, if not adequately managed, can be fatal in 1–4% of cases. Chikungunya, though not fatal, can cause chronic debilitating joint pains lasting for years. Management of dengue involves fluid resuscitation and not platelet resuscitation. If enough fluids are given, mortality can be reduced. The mortality period usually starts when the fever subsides. Inappropriate misuse of anti fever medicines can precipitate bleeding in dengue patients.

The water that gets collected due to rain becomes a breeding ground for mosquitoes. Contamination of drinking water is common. It is important to drink clean and pure water to prevent diarrhea and gastrointestinal infections.

Walking in dirty water during rainy season leads to numerous fungal infections, which affect toes and nails. Diabetic patients have to take care of infections, which affect toes, and nails. Diabetic patients have to take a special care about their feet. Always keep the feet dry and clean. Avoid walking in dirty water. Keep the shoes, socks and raincoats dry and clean.

Precautions have to be taken to prevent dampness and growth of fungus (mold) on and around the house were asthmatic patients are living. Avoid fumigation in case of asthmatic patients.

Worms from underground comes to the surface and contaminate the surface vegetables. In the presence of weak digestive fire, this can cause gastric disturbances. It is because of this reason that community lunches and marriage are prohibited in this season.

One should eat light foods. Consuming barley, rice and wheat is good. Water should be boiled before use. Adding ginger and green in daily diet is helpful. Eating warm food is the rule.

    Readers Responses
  1. Dear Sir emedinews is very informative
    Forthcoming Events
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

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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