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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

  Editorial …

25th February, 2011, Friday                                eMedinewS Presents Audio News of the Day

View Photos and Videos of 2nd eMedinewS – Revisiting 2010

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

Women, work, stress, and heart disease: 5 ways to protect yourself

Harvard researchers have uncovered strong links between women’s job stress and cardiovascular disease. Findings from the Women’s Health Study, involving more than 17,000 female health professionals, show that women whose work is highly stressful have a 40% increased risk of heart disease (including heart attacks and the need for coronary artery surgery) compared with their less–stressed colleagues. The results, which were presented at an American Heart Association meeting in 2010, also showed that women who worry about losing their jobs are more likely to have high blood pressure and unhealthy cholesterol levels and to be obese. "Job strain" combines psychological demand and degree of control. "Demand" refers to the amount, pace, and difficulty of the work. "Control" means the ability to make work–related decisions or be creative at work.

A large 15–year study of nurses in Denmark also concluded that the greater the work pressure, the higher the risk for heart disease among women ages 51 and under. And in a study of white–collar workers in Beijing, job strain was associated in women (but not in men) with increased thickness of the carotid artery wall, an early sign of cardiovascular disease.

Stress with a "fight–or–flight" response, triggers a cascade of chemicals and hormones that speed the heart rate, quicken breathing, increase blood pressure, and boost the amount of energy (sugar) supplied to muscles. The body does not differentiate between grave, imminent dangers and less momentous ongoing sources of stress, such as financial difficulties, job strain, and even worries about potential problems that haven’t yet arisen. When the fight–or–flight response is chronically in the "on" position, the body suffers.

The stress may aggravate inflammation in coronary arteries, leading to blood clots that can trigger a heart attack. Stress also makes it harder to practice heart–healthy habits, such as exercise, a good diet, not smoking, and adequate sleep. It’s hard to tell what proportion of heart attack risk is due to psychological stress as opposed to, say, smoking or lack of exercise. And some women may be predisposed (genetically or from early life experience) to react less effectively than others to stressors.

  1. Foster mutually supportive relationships with friends, family, and co–workers.
  2. Get regular exercise. It’s good for the heart, reduces anxiety and depression, and improves sleep.
  3. Limit intrusions (such as work–related e–mails) on your life outside of work.
  4. Practice relaxation techniques, such as meditation, deep breathing, progressive relaxation, or visualization.
  5. If you’re feeling overwhelmed, seek help from a mental health professional.

(Source: Health Beat Harvard)

Dr KK Aggarwal
Editor in Chief
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  eMedinewS Audio PostCard

 Treating Diabetes Post 2010

Dr Ambrish Mithal speaks on
Combining insulin with oral antidiabetics

Audio PostCard
  SMS of the Day

(By Dr GM Singh)

When you reach for the stars, you may not quite get one, but you won’t come up with a handful of mud either.

    Photo Feature (From HCFi file)

2nd eMedinewS: Revisiting 2010 - Excellence Award

Dr Anoop Gupta received the eMedinewS Distinguished Speaker of the Year 2010 Award at the 2nd eMedinewS: Revisiting 2010 held on 9th January this year at Maulana Azad Medical College, New Delhi

Dr K K Aggarwal
    National News

Certificate courses in 2D and 3D Echocardiography/Fellowship Diploma in non invasive cardiology

Contact Dr KK Aggarwal, Moolchand Medcity, email: emedinews@gmail.com

Kerala to launch SMS alerts for vaccinations of infants

Thiruvananthapuram: Parents of new born babies in Kerala will soon get SMS reminders on their mobile phones about the details of mandatory vaccinations for the infant. The system has been developed by Information Kerala Mission (IKM),the e–governance project of the Government of Kerala, as part of the ‘Hospital Kiosks’. The messages will be sent to the parents who register online the birth of their child through the Hospital Kiosks, the facility arranged at the hospitals for birth and death registrations, said A Shaji, Director (Implementation), Information Kerala Mission. "The SMS facility is an integrated project connected with r Hospital Kiosk programme through which people can register birth and death at the respective hospitals and get the certificates easily," Shaji said. "The mobile numbers mentioned in the birth registration forms will be collected and details of vaccination will be sent as SMS to the number. There are several vaccinations and injections to be administered to the new–borns. The SMS facility will help parents to remember the exact date and period of vaccinations and its significance," he said. The IKM is planning to launch the programme state wide from next month in all hospitals which have the Hospital Kiosks. At present, 365 hospitals––both government and private––across the state have Kiosks, Shaji said. (Source: http://www.zeenews.com/news689256.html)

Cashless facility for patients

Moolchand is proud to have been selected by India’s leading insurance companies (National Insurance Company Ltd., United India Insurance Company Ltd., The New India Assurance Company Ltd. and The Oriental Insurance Company Ltd.) to extend cashless facility for patients.

    International News

(Contributed by Rajat Bhatnagar, International Sports & Fitness Distribution, LLC http://www.isfdistribution.com)

February is Heart Health Month

The more colorful the vegetable, the more heart–protective antioxidants contained within. Steaming is better than using the microwave for preserving nutrients. However, over–steaming or boiling will remove many of these heart healthy elements.

(Dr Monica and Brahm Vasudev)

Do not deliver even a day earlier

A new study from Boston has shown that delivery even a bit early may mean developmental delay. The study is published in the Journal Pediatrics. Previously, these infants were categorized as small full term infants but nowadays, they are defined as pre–term infants.

Pre diabetes

One of the three American adults may have pre–diabetes and 39% jump over 2008 estimates, according to a new CDC report.

Kidney stones and CAD link

Young adults with kidney stones may be at risk of coronary blockages later in life as per a new report published in Journal of Urology.

Breast implant and cancer

Not a good news for women with breast transplant. FDI has given a warning about possible link between breast implants and rare lymphomatous cancer.

    Infertility Update

Dr. Kaberi Banerjee, Director Precious Baby Foundation

How do fertility treatment and the resulting birth of a child affect the possibility of conceiving again, either, with or without treatment?

I don’t identify the answer to this, but I visualize it depends on what the initial analysis was. If the original problem was blocked tubes that were repaired, chances are they will be fine the next time around. However, if the cause was male factor that required ICSI, chances are ICSI will be required the next time around, too.

For queries contact: banerjee.kaberi@gmail.com

    Hepatology Update

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

We have only one liver. How can a person donate liver?

Liver is the only organ in body which regenerates. Therefore one can donate a part of liver and the healthy liver would soon regenerate. Liver is divided into 2 lobes – right and left and into a total 8 segments. Each lobe has a separate arterial (hepatic artery – right and Left branches) venous (Portal vein – right & left branches) ductal (bile duct – right and left) supply.

What is the time taken by the liver to regenerate back?

It takes less than 3–4 weeks for more than 80–90% of the liver to regenerate.

For queries contact: drneelam@yahoo.com

    Medicolegal Update

Dr Sudhir Gupta, Associate Professor, Forensic Medicine & Toxicology, AIIMS

What is the American Society of Anesthesia (ASA) classification for deaths during surgical procedures?

The general principle is that unexpected deaths should be investigated, though in the British coroner system and India there are no exceptions to such investigations, once reported to the appropriate legal authority however in USA the ASA has five classifications.

  • ASA 1 – those with no serious disease.
  • ASA 2 – those who may have a serious disease, but may no limitations on their activities.
  • ASA 3 – those with serious disease and limitations to their activities.
  • ASA 4 – those with a serious disease that is a constant threat to their health and that limits their activities.
  • ASA 5 – those with such serious disease that their death can be expected within 24 hours, with or without treatment.

The society recommended that the classes 1–3 require full investigation, as they were expected to survive; those in Class 4 that were elective and not emergency procedures, with no expectation of death are also included.

    Rabies Update

Dr. AK Gupta, Author of "RABIES – the worst death"

How is rabies transmitted?

Rabies is transmitted by infected secretions. Most commonly, transmission to humans takes place through exposure to saliva during a bite by an infected animal. Rabies virus can be excreted in saliva, tears, urine, sweat, nasal discharge and respiratory secretions.

Man–to–man transmission of rabies is possible. Rabies can be transmitted following bite by a rabies patient. In 2004, three cases of human rabies were reported in U.S. following liver and kidney transplantation from rabies patients.

Transplantation of rabies infected cornea can cause rabies in recipient. Therefore a careful neurological history of donor must be taken before cornea transplantation.

    Useful Website

(Dr Surendernikhil Gupta)


NTD implementation through preventive chemotherapy


    Lab Update

(Dr Arpan Gandhi and Dr Navin Dang)


iron deficiency anemia (earliest sign)

    Medi Finance Update

(By Dr. GM Singh)

What is net asset value (NAV)?

Net asset value (NAV) is the actual value of one unit of a given scheme on any given business day. The NAV reflects the liquidation value of the fund’s investments on that particular day after accounting for all expenses. It is calculated by deducting all liabilities (except unit capital) of the fund from the realizable value of all assets and dividing it by number of units outstanding.

    Drug Update

List of approved drugs from 01.01.2010 to 31.8.2010

Drug Name
DCI Approval Date
Pantoprazole 40mg + Cinitapride (ER) 3mg Capsules
For the treatment of patients suffering from non–ulcer dyspepsia (NUD) or gasteroesophageal reflux disease (GERD)
    IMSA Update

International Medical Science Academy (IMSA) Update

Screening for lung cancer

In a randomized trial involving over 3,000 individuals at high risk for lung cancer, the cumulative probability of a false positive finding after two rounds of annual screening by low–dose CT was 33 % and after two annual chest x–rays was 15%. Seven percent of CT screening participants underwent at least one invasive procedure (usually bronchoscopy) as a result of a false positive finding.

    IJCP Special

Dr Good Dr Bad

Situation: A woman with rheumatoid arthritis became pregnant while taking Leflunomide.
Dr. Bad: You can continue to take it.
Dr. Good: Stop it immediately.
Lesson: In women with rheumatoid arthritis who become pregnant while taking leflunomide, healthy pregnancy outcomes usually occur, if the drug is discontinued at the earliest and a cholestyramine drug elimination procedure is done. (Arthritis Rheum 2010;62:1494)

Make Sure

Situation: A dengue patient with BP 100/90 developed shock.
Reaction: Oh my God! Why was rapid fluid challenge not given?
Lesson: Make sure that pulse pressure (upper minus lower blood pressure) is maintained above 40 in all patients with dengue.

Five common eye myths dispelled

Myth: Doing eye exercises will delay the need for glasses.
Fact: Eye exercises will not improve or preserve vision or reduce the need for glasses. Your vision depends on many factors, including the shape of your eye and the health of the eye tissues, none of which can be significantly altered with eye exercises.

Our Contributors
  Docconnect Dr Veena Aggarwal
  Docconnect Dr Arpan Gandhi
  Docconnect Dr Aru Handa
  Docconnect Dr Ashish Verma
  Docconnect Dr A K Gupta
  Docconnect Dr Brahm Vasudev
  Docconnect Dr GM Singh
  Docconnect Dr Jitendra Ingole
  Docconnect Dr. Kaberi Banerjee
  Docconnect Dr Monica Vasudev
  Docconnect Dr MC Gupta
  Docconnect Dr. Neelam Mohan
  Docconnect Dr. Naveen Dang
  Docconnect Dr Prabha Sanghi
  Docconnect Dr Prachi Garg
  Docconnect Rajat Bhatnagar
  Docconnect Dr Sudhir Gupta
    Lighter Side of Reading

An Inspirational Story
(Contributed by Dr. Anupam Sethi Malhotra)

Forgive and Forget

This is the most powerful aid to peace of mind. We often develop ill feelings inside our heart for the person who insults us or harms us. We nurture grievances. This in turn results in loss of sleep, development of stomach ulcers, and high blood pressure. This insult or injury was done once, but nourishing of grievance goes on forever by constantly remembering it. Get over this bad habit. Believe in the justice of God and the doctrine of Karma. Let Him judge the act of the one who insulted you. Life is too short to waste in such trifles.
Forgive, Forget, and march on. Love flourishes in giving and forgiving.

— — — — — — — — — —

Mind Teaser

Read this…………………


Yesterday’s Mind Teaser: minI’LL BE THEREute
Answer for yesterday’s Mind Teaser:
I’ll be there in a minute

Correct answers received from: Dr Susheela Gupta, Dr B.N.Ganagdhar, Dr Tara Natarajan, Dr Rashmi Chhibber, Dr S. Upadhyaya, Dr Rajshree Aggarwal, Dr Riyazul Qamar Khan, Dr Chandresh Jardosh, Dr Neelam Nath, Dr Muthumperumal Thirumalpillai, Dr K Raju, Dr Rajiv Dhir, Dr Vinay Sakhuja, Dr Anil Bairaria, Dr Prabha Sanghi

Answer for 23rd February Mind Teaser: Fork in the road
Correct answers received from: Dr Rashmi Chhibber, Dr Vijay Kansal, Dr M.C.Kothandaraman, Dr Rohini Vaswani

Send your answer to ijcp12@gmail.com

— — — — — — — — — —

Laugh a While
(Contributed by Dr GM Singh)

A Horoscope For The Workplace

Astrology tells us about you and your future simply by your birthday. The Chinese Zodiac uses the year of your birth. Demographics tell us what you like, dislike, whom you vote for, what you buy, and what you watch on TV. Well, the Corporate Zodiac goes a step further: simply by your job title, people will have you all figured out…

MARKETING: You are ambitious yet stupid. You chose a marketing degree to avoid having to study in college, concentrating instead on drinking and socializing, which is pretty much what your job responsibilities are now. Least compatible with Sales.

— — — — — — — — — —

Knowledge is amusing

BUTTERFLIES taste with their feet.

— — — — — — — — — —

    Readers Responses

Dear sir, please tell me the HbA1C values to be maintained in a patient with gdm during pregnancy. Regards: Dr. R. Muralitharan

  1. Hemoglobin A1C values provide an assessment of the degree of chronic glycemic control, reflecting the mean blood glucose concentration during the preceding few weeks.
  2. In nonpregnant individuals, A1C reflects the mean blood glucose over the previous 8 to 12 weeks.
  3. This period is shorter in pregnancy because the mean age of red blood cells is shortened in pregnant women due to increased production.
  4. Most women can be followed with monthly A1C determinations.
  5. The goal is to achieve a value at or near the normal range without inducing hypoglycemia.
  6. The rationale for choosing this target is that observational studies have shown that A1C values up to 1 percent above normal are associated with rates of congenital anomalies and miscarriage similar to the rates in the general population.
  7. However, hypoglycemia is more common with this level of glycemic control and studies have not rigorously evaluated the risk versus benefit of this approach.

target blood glucose values – The American College of Obstetricians and Gynecologists (ACOG) and the American Diabetes Association (ADA) capillary glucose targets are:


  • Fasting glucose concentrations ≤95 mg/dL (5.3 mmol/L)
  • Preprandial glucose concentrations no higher than 100 mg/dL (5.6 mmol/L)
  • One–hour postprandial glucose concentrations no higher than 140 mg/dL (7.8 mmol/L)
  • Two–hour postprandial glucose concentrations no higher than 120 mg/dL (6.7 mmol/L)
  • Mean capillary glucose 100 mg/dL (5.6 mmol/L) and glycosylated A1C ≤6 percent
  • During the night, glucose levels should not decrease to less than 60 mg/dL (3.3 mmol/L)


  • Preprandial, bedtime, and overnight glucose concentrations 60 to 99 mg/dL (3.3 to 5.5 mmol/L)
  • Peak postprandial glucose concentrations 100 to 129 mg/dL (5.6 to 7.2 mmol/L)
  • A1C less than 6.0 percent
    Public Forum

(Press Release for use by the newspapers)

New epidemics of the society

Iron deficiency anemia, vitamin D deficiency, osteoporosis, metabolic syndrome resulting in high blood pressure, diabetes, heart diseases and obesity, breast cancer and high levels of stress are the new epidemics in women in the society.

Addressing a press conference here today, Dr. KK Aggarwal, Padma Shri & Dr. B.C. Roy National Awardee, President Heart Care Foundation of India, Acharya Dr. Sadhvi Sadhna ji Maharaj, Chairperson World Fellowship of Religions, Dr. Kaberi Banerjee, Infertility Specialist Max Hospital,
Dr. Vandana Chadha
, Fetal Gynecologist, Moolchand Medcity, in a joint statement said that most of the women disorders today are preventable and occur due to faulty lifestyle.

Most of the traditional rituals were designed so as to prevent lifestyle disorders. In a study conducted by Heart Care Foundation of India, it has been found that women who are observing a weekly fast have a much lower incidence of metabolic syndrome than those women who do not observe any fast. The experts said that the weekly fast ritual of our country was made so that the general public could omit eating carbohydrates at least once in a week which prevents the onset of insulin resistance in them thereby preventing diabetes, high blood pressure and heart diseases.

The ritual of eating gur-chana every Friday in the form of Vrat prevents the development of iron deficiency in the society. Today, even the WHO has endorsed that all women should eat 50mg of iron every week.

Worshiping sun in the month of Magh, Vaishakh and Kartik and eating calcium–rich foods like sesame and urad dal has long been a ritual for Indians. It prevented Indians from developing Vitamin D deficiency, which is now a new epidemic of the society.

The press conference was organized to earmark the Dr. Sadhna International Women Empowerment Day being observed on Sunday, 27th February, 2011. Dr. Sadhna International Women Empowerment Awards will be distributed to eminent women of the society by Dr. Sadhna International Women Rights Protection Trust. The awardees for this year will include Ms Abheeta Khanna, Ms Aarti Upadhaya, Ms Gauri Karan, Ms Nainika Karan Vadera, Dr Kaberi Banerjee, Dr Veena Jaju, Ms Shakun Goyal, Ms Madhavi Kotwal Samson, Ms Trishla Jain, Ms Monica Rastogi, Ms Rashmi Singh IAS, Ms Ratan Kaul, Ms. Anju Uppal, Ms Neeva Konwar, Ms Jamuna Solanki, Ms Radhika Makan.

Justice Hima Kohli, Ms Shobhana Bhartiya, Ms Sarjana Sharma, Mrs. Vasvi Bharat Ram. Smt. Mohsina Kidwai (INC) MP will be the Chief Guest and Sh J P Aggarwal MP will preside over the function. Shri H T Sangliana, Vice Chairman, National Commission for Minorities will be the Guest of Honour.

A special free heart checkup camp is also being organized on the occasion. More than 350 members of the public will be attending the function.

Talking about the Women Rights Protection Trust and heart diseases, the experts said that Harvard researchers have uncovered strong links between women’s job stress and cardiovascular disease. Findings from the Women’s Health Study, involving more than 17,000 female health professionals, show that women whose work is highly stressful have a 40% increased risk of heart disease (including heart attacks and the need for coronary artery surgery) compared with their less-stressed colleagues. (American Heart Association 2010) Women who worry about losing their jobs are more likely to have high blood pressure and unhealthy cholesterol levels and to be obese.

Job stress is the interaction between demand (amount, pace, and difficulty of the work) and degree of control (ability to make work–related decisions or be creative at work). The stress may aggravate inflammation in coronary arteries, leading to blood clots that can trigger a heart attack.

Talking about women and alcohol, the experts said that women cannot digest alcohol more than 50% of what men can. The safe limit of alcohol for a woman is one peg against two pegs in men. Talking about polycystic disease in young and adolescent girls, the experts said that eating high amounts of white rice, white sugar and white maida can lead to infertility in children. Today, the medical advancement has gone to such a level that no couple should be infertile as long as they have one sperm and one functional ova to spare.

Talking about congenital heart diseases in children, the experts said that one out of 1000 children are born with congenital heart diseases and 30% of them with major cardiac disorders necessitating intervention within few days, which if not done is associated with high mortality. Eighty percent of such children born in India die before their diagnosis or receipt of treatment.

All parents should insist on ultrasound during pregnancy at 18–20 weeks and to have the heart of the fetus checked up at that particular time.

    Forthcoming Events

ICC Cricket World Cup 2011

World Cup Schedule… very very creative


6th Annual Conference of Indian Academy of Nephrology (IANCON-2011)

Date: March 12–13, 2011
Venue: Taj Deccan, Banjara Hills, Hyderabad–34
Faculty: Dr MS Amarsen, Dr KV Jhony, Dr SC Dash, Dr Kashivishweswaran, Dr V Sakhuja, Dr RK Sharma, Dr Girishnarayan, Dr Anuradha, Dr SK Agarwal, Dr P Sundarajan, Dr P Keshivya, Dr Ravi Raju, Dr Dilip Pahari, Dr LC Sharma, Dr Sanjeev Saxena, Dr Sanjay Gupta, Dr Abhijit Tarapdhar, Dr PP Verma, Dr Harun Rashid, Dr Sampath Kumar, Dr Sanjib Sharma, Dr S Padmanabhan.
Topics: CKD Symposium (From India, Nepal, Bangladesh), Newer concepts in the pathogenesis of hypertension, Fluid and Electrolyte & AKI, RAAS in treatment of Diabetic Nephropathy, Primary Prevention of CKD: Trials & tribulation in Indian condition, Vitamin–D andchronic kidney disease, Mycophenolate Vs Cyclyophosphamide in Lupus nephritis, Individual zinganemia therapy, How to monitor Immunosuppression minimization, Obesity Diabetes epidemic, Life Style changes & therapeutics, BKV and CMV Nephropathy, Leptospira and Acute Kidney Injury, HIV Nephropathy, Hypophosphatemia and Renal Disease, Immunosuppressant and risk of Malignancy, Pregnancy ARF, Expanding Dialysis services in Andhra Pradesh,Making kidney transplant easier for less privileged, Cardiovascular risk reduction in CKD

Organizing Secretary: Dr. Sree Bhushan Raju, Associate Professor, Dept of Nephrology, NIMS, Hyderabad
Contact: Mob: 09848492951, sreebhushan@hotmail.com
Website: www.ian2011.in
Note: "Prof SC Dash oration in Nephrology" from this year onwards. Three awards each in oral, poster and imaging in Nephrology sessions

Registration for Delegates Amount
Up to 15th February 2011
Rs. 1500/–
Up to 5th March 2011
Rs. 2000/–
Spot registration
Rs. 2500/–
Rs. 500/–

DD/Cheque in favor of "IANCON– 2011" payable at Hyderabad. Add Rs 100/– for outstation cheque.

eMedinewS Events: Register at emedinews@gmail.com

Medifinance Conference On Portfolio Management for Doctors

Date: 13th March 2011
Time: 10 Am – 4 Pm
Speakers: Top of line from finance sector.

Free entry on first cum first serve basis.
Registration open. Contact: 9811090206.

Separate sessions for portfolio management, insurance, mediclaim, banking sector, investments primary market, secondary market, taxation, loans for setting up hospitals, nursing homes, labs, etc. all under one roof.

World Fellowships of Religions and Perfect Health Parade

First ever Conference which will talk about science behind all Religions, Dharmas and Pathies under one roof
Subject: Global Warming, Ethnic Crises, How to be Healthy
Date: Sunday 3rd April, 2011
Venue: Maulana Azad Medical College Auditorium, New Delhi
Time: 8 AM – 4 PM
Parade through tableaus to be flagged off at 10 am from outside MAMC to move till 5 pm on different predefined routes in Delhi to create awareness about health matters.

Parade Route: Vikas Marg – Shahdara – Seemapuri – Guru Tegh Bhadur Hospital – Seelampur Pusta – Gandhinagar, to ISBT Kashmiri Gate – Civil Lines – Delhi University North Campus – Azadpur – Punjabi Bagh – Mayapuri – Raja Garden – Janakpuri – Tilak Nagar – Tihar Jail Road – Delhi Cantt. – R.K Puram – Munirka – IIT Gate – Panchsheel Park – Chirag Delhi Flyover – Nehru Place – Modi Mill Flyover – Ashram – Nizamuddin – Sunder Nagar – Pragati Maidan – ITO – finally culminate at Maulana Azad Medical College at 4pm.

Pre lunch session to be addressed by religious representatives who would talk on what each religion has to say. Post lunch to be addressed by doctors from all streams of medicinal practice (allopathy, ISM)
Register: rekhapapola@gmail.com

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