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Chettinad Academy of Research and Education (CARE)

Chettinad Health City Medical Journal is published by the Chettinad Academy of Research and Education. Apart from the fair dealing for the purposes of research or private study, or criticism or review, no part of the publication can be reproduced, stored, or transmitted in any form or by any means without prior permission. Chettinad Health City Medical Journal and /or its publisher cannot be held responsible for errors or for any consequences arising from the use of the information contained in this journal. The appearance of advertising or product information in the various sections of the journal does not constitute an endorsement or approval by the journal and / or its publisher of the quality or the value of the said product or of claims made for it by its manufacturer.


Dr. D. Raja
Dept. of Community Medicine, CHRI.


Chettinad Academy of Research & Education


All disputes within the jurisdiction of the Madras High Court only.

Advanced Research Publications

Chief Patron
Mrs Geetha Muthiah

Chancellor - CARE
Dr.Sridhar. R

Vice Chancellor - CARE
Registrar - CARE
Editorial Advisors
Prof. Dr. Meenakshi. N
Dean i/c, CHRI

Dr Jayakar Thomas
Director Research-CARE &
HOD - Dept. of Dermatology, CHRI.

Dr Ramesh V G
Professor, & HOD
Dept. of Neurosurgery, CHRI.
Dr Jagannathan N R
Professor - Eminence,
Dept. of Radiology, CHRI.

Dr Arun Kumar R
Vice Principal & Professor,
Dept. of Pharmacology, CHRI.
Dr. D. Raja
Professor, Dept. of Community Medicine,

Deputy Editor-in Chief

Dr Ahamed Basha Abdul Bari
Professor, Dept. of Physiology, CHRI



Dr Durga Krishnan
Professor, Dept. of General Medicine, CHRI

Dr Anbarasi M
Professor, Dept. of Physiology, CHRI.

Dr Surajit Pathak
Professor, FAHS, CHRI.

Dr Hepsibah S
Principal, College of Nursing, CARE.

Dr Lakshmi K
Dean i/c, School of Pharmaceutical Sciences, CARE.

 Associate Editor
Dr Shoba Narayan R
Research Co-ordinator& Associate Professor, Dept. of FAHS, CHRI.
Section Editors
Dr Priyadarshini Shanmugam
Professor & HOD - Dept. of Microbiology, CHRI.

Dr Jaishree Vasudevan
Professor & HOD, Dept. of Paediatrics, CHRI.

Dr Suruliraman S M
Professor & HOD - Dept. of Community Medicine, CHRI.

Dr Shankar C
HOD & Professor, Dept. of Ophthalmology, CHRI.

Dr Anuradha G
Professor, Dept. of Biochemistry, CHRI.

Dr Priya K
Professor, Dept. of ENT, CHRI.
Dr Sudakshina Chakrabarti
Associate Professor, Dept. of Anatomy, CHRI.

Dr Kailash S
Associate Professor, Dept. of Psychiatry, CHRI.

Dr Senthil P
Dean i/c, School of Physiotherapy, CARE.

Dr Merlin Shalini Ruth
Professor, Dept. of Anaesthesiology, CHRI.

Dr Namasivaya Navin
Assistant Professor, Dept. of ENT, CHRI.

Dr Shiek Fareeth Ahmed SSJ
Associate Professor, Dept. of FAHS, CHRI.
Design & IT Support
Mr Sathish Kumar
Manager - IT, CARE

Mr Manigandan S T
Sr Web Designer, CARE

Mr Prabhakar
Sr Programmer, CARE

Mr Immanuel Prabhu J
Creative Visualizer, CARE
Legal Support
Mr Dhinakaran

 National Editors
Dr M Balasubramanyam
Madras Diabetes Research Foundation

Dr Dalim Kumar Baidya
AIIMS, New Delhi.

Dr K Jaishankar
Madras Medical Mission, Chennai

Dr Mathangi D C
Sri Ramachandra Institute of Higher Education & Research, Chennai

Dr A G Narayana Swamy
Saveetha Medical College, Chennai

Dr Pradeep G Nayar
MIOT Hospital, Chennai

Dr T Prathima
Manipal University, Manipal

Dr Praveen Varma
Amrita Institute of Medical Sciences, Kochi

Dr D Ramesh Raja
Nakshatra Men, Women & Fertility Clinic, Chennai

Dr Satish Kumar
Adiga Manipal University, Manipal.

Dr P Seshagiri
IISc, Bangalore.
Dr Shah Dupesh Khan
Metro male Clinic, Chennai

Dr Suresh Nair Sri Chitra Institute of
Medical Sciences & Technology, Thiruvananthapuram.

Dr Thilaka Muthiah
AIIMS, New Delhi

Dr P Thirunavukarasu
Sri Ramachandra Medical College & Research Institute, Chennai

Dr Vedantam Rajshekhar
CMC, Vellore.

Dr Melvin George
SRM Medical, College

Dr SudhirAdalti
Sr. Consultant Cardiothoracic & Vascular Surgeon, Ahmadabad, India

Dr Surapaneni Krishna Mohan
Panimalar Medical College Hospital & Research Institute, Chennai

Dr Kaviya S Saveetha
Medical College, Chennai
 International Editors
Dr Anandhi Upendran
University of Missouri, Columbia, USA

Dr Arun Chandran
University of Florida, USA.

Prof Arun Dharmarajan
Curtin University, Perth, Australia

Dr Jayant G Mehta
BHR University Hospitals, NHS Trust, UK

Dr Ram Dhillon
Middlesex University, UK

Dr Sandro Esteves
Andrology & Human Reproduction Clinic, Brazil.

Dr P Sarah Subhashini
Al-Ahli Hospital, Doha.

Dr Shankar Gopinath
Baylor College of Medicine, USA.

Dr Sudha Sundar
University of Birmingham, UK

Prof Rosa Di Liddo
University of Padova, Italy
Professor Asim K Duttaroy
University of Oslo, Norway

Prof Francesco Marotta
Director, Regenera Research Group, Milan, Italy

Dr Sujay Paul
Tecnologico de Monterrey, Campus Querétaro, Mexico

Professor Dr AtilBisgin
Cukurova University AGENTEM (Adana Genetic Diseases Diagnosis & Treatment Center) & Medical Genetics, Adana, Turkey.

Prof Xiao Feng Sun
University of Linkoping, Sweden.

Prof Hong Zhang
Orebro University, Sweden

Dr. MuralidharanAnbalagan Tulane
University School of Medicine, New Orleans, USA

Dr. EzeodiliIkechukwu
University of Nigeria, Enugu Campus.

Dr. Kamal Dua
University of Technology Sydney, Australia
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