It is expected that CMIILs need to be written at the level of fifth or sixth standard level to help the consumers with limited reading skill. In our study most of the CMILs assessed by the FRE and FK-GL methods were either eighth standard level or above that. This observation shows that there is a lack of awareness among the providers regarding ISRIB clinical trial the readability issues. This highlights the need for development of scales for which will match Indian education levels. Flesch Reading Ease (FRE) and Flesch–Kincaid Grade Level (FK-GL) methods were used for readability assessment and Baker Able Leaflet Design (BALD) method was used for assessing layout and designing. When consumers’

perceptions were assessed for readability, most of them were graduates and could read the CMILs tested. But with consumers of high school level could not read the CMILs tested. Consumer perception on readability and layout and design reflected the need

for improvement of CMILs in these aspects. Consumers were not satisfied with the layout and design of the leaflets tested. Readability scores showed by the standard methods did not match the perception of the consumers studied. This is because the consumers were either highly qualified like graduates or with high school level education who cannot read English properly. Consumers find more with college level education only can understand the CMILs provided by pharmaceutical companies. This study concludes that many of the pharmaceutical companies (leaflets providers) are not taking the reading level of consumers into consideration which may not achieve the intended purpose. There is a need for developing CMILs having good readability

score according to Indian set up. The companies should also look for the possible ways to produce leaflets in national language of the country. All authors have none to declare. “
“Cancer is the fundamental cause of death in developed countries. Cancer affects people at all ages and is classified as uncontrolled division of cells.1 Cancer is spread either by direct growth invading the adjacent tissue or by metastasis. Severity in symptoms Ketanserin depends on the site, character of malignancy and metastasis.2 This unregulated growth may be caused by DNA damage, which may result in gene mutation that is responsible for cell division controlling proteins.3 and 4 Cell proliferation or division exists in relatively all tissues. The equilibrium between cell proliferation and programmed cell death is habitually monitored by uprightness of organs and tissues. This unsuppressed cell proliferation guides to either a benign or malignant tumour.5 Cancer can be treated by many therapies and the choice of therapy eternally depends on the location, tumour grade and disease stage depends on patients’ natural stage.6 Histones acetylation state modulation plays a substantial role in administration of gene expression.