Chettinad Health City Medical Journal

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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.

EDITORIAL OFFICE

Dr. D. Raja
Editor-in-Chief,
Professor,
Dept. of Community Medicine, CHRI.

Email:
editor@care.edu.in

PUBLISHED BY
Chettinad Academy of Research & Education

WEBSITE
www.chcmj.ac.in

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

PUBLISHED BY
Advanced Research Publications

Chief Patron Mrs Geetha Muthiah Chancellor - CARE



Patron Dr.Sridhar. R Vice Chancellor - CARE	Ms.S.Jeyendrasaraswathi 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.



Editor-in-Chief Dr. D. Raja Professor, Dept. of Community Medicine, CHRI.

Deputy Editor-in Chief
Dr Ahamed Basha Abdul Bari Professor, Dept. of Physiology, CHRI



Editors
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 CARE



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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