CIMS News CIMS R Care & Cureboon in case of emergency surgery. In using these arteries, there are...

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CIMS News Care & Cure Volume-6 | Issue-70 | May 25, 2016 Price : ` 5/- Care Institute of Medical Sciences CIMS R 1

Transcript of CIMS News CIMS R Care & Cureboon in case of emergency surgery. In using these arteries, there are...

Page 1: CIMS News CIMS R Care & Cureboon in case of emergency surgery. In using these arteries, there are some disadvantages too, such as pain development in the area from which the artery

CIMS News

Care & CureVolume-6 | Issue-70 | May 25, 2016

Price : ` 5/-

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1

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ykÃk rLk{trºkík AkuMkeBMk nkuÂMÃkx÷ yãíkLk ykhkuøÞ Mkuðkyku Ãkwhe Ãkkzðk {kxu rðþk¤ søÞk{kt

íkuLke MkwrðÄkykuLkku rðMíkkh fhe hne Au.

yíÞkÄwrLkf MkwrðÄkyku íkÚkk Wå[ økwýð¥kkÞwõík xufLkku÷kuS MkkÚku Lkðku 10 {k¤Lkku “MkeBMk RMx ç÷kuf”

y™u MkeBMk ¾Bçkkíkk r÷Lkuf (hurzÞkuÚkuhkÃke) MkuLxh (y™u MkeBMk fuLMkh MkuLxh).

yk «Mktøku ykÃkLke nkshe íkÚkk ykrþðkoË ykÃkðk y{khe «u{¼he rðLktíke.

MkeBMk Mke.yuMk.ykh. y™u MkeBMk VkWLzuþLk MkkÚku Areez Khambatta Benevolent Trust Lke yuf Ãknu÷

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Earning Trust with World Class Practices

íkkhe¾ : hrððkh, sqLk 19, 2016.

Mk{Þ : Mkðkhu 11 Úke çkÃkkuhu 3 f÷kf MkwÄe

MÚk¤ : MkeBMk nkuÂMÃkx÷, MkeBMk nkuÂMÃkx÷ hkuz,

ykuV MkkÞLMk Mkexe hkuz, Mkku÷k, y{ËkðkË-380060.

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CIMS News

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CIMS Hospital is expanding its facilities to

provide advanced healthcare.

The new 10 - storey “CIMS East Block” (multi-super specialty) and

CIMS Khambatta Linac (Radiotherapy) Centre* (and CIMS Cancer Centre)

with state-of-the-art facilities and latest technology.

Please join us to celebrate and bless us on this occasion.

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Earning Trust with World Class Practices

YOU ARE INVITED

*An initiative of CIMS CSR and CIMS Foundation alongwith Areez Khambatta Benevolent Trust

Date

Time

Venue

Sunday, June 19, 2016

11.00 am to 3 pm

CIMS HospitalCIMS Hospital Road, Off Science City Road, Sola, Ahmedabad-380060

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The additional important arteries of the body which are used in the Coronary Arterial Bypass surgery

In today's day and age, diseases of the coronary arteries are one of the leading causes of premature death.

Whenever a blockage is detected within an artery it is possible to treat it with medication or angioplasty, though only up to a certain extent. But, when diseases (blockages) are present in multiple arteries, it becomes necessary to undergo a coronary artery bypass surgery for which excess arteries present in the body itself are used. These additional arteries are grafted before and after the blockage thus it is referred to as Coronary Artery Bypass Grafting Surgery.

In the front portion of our chest, God has placed one extra artery each on the left and right-hand side that, in medical terminology, are known as Left & Right Internal Mammary Artery. It is a miracle of nature that diseases rarely occur in these arteries and in fact, they are in fairly good condition until the late stages of our life. Thus, these arteries are most often used for the surgery.

The second preference for use in the surgery is often given to arteries of the hand (Radial Artery). The specialty of the radial artery is that it is of good length due to which it can be used in performing the bypass surgery for multiple arteries. The main vein of leg, the saphenous vein, is also used a lot in surgeries. The specialty of this vein is that it can be easily removed from the leg, many times which turns out to be a boon in case of emergency surgery. In using these arteries, there are some disadvantages too, such as pain development in the area from which the artery has been taken. Also, there can be a loss of sensation in the harvesting area but these are not considered to be critical problems.

In order to extend the life of a bypass surgery, it is necessary to take a few precautions such as maintaining a strict diet, refraining from tobacco, performing light exercises etc.

yksLkk s{kLkk{kt ÓËÞLke Ä{Lkeyku{kt Úkíkk hkuøkku yu ËwrLkÞk¼h{kt yfk¤u Úkíkk {]íÞwLkwt yøkúuMkh fkhý Au. Ä{LkeykuLke ytËh ç÷kufus ykðu íÞkhu y{qf nË MkwÄe ËðkykuÚke yÚkðk yuLSÞkuÃ÷kMxe Úke Mkkhðkh

þfÞ Au Ãkhtíkwt sÞkhu ðÄkhu Ä{Lkeyku{kt hkuøkku nkuÞ íÞkhu હૃદય Lke Ä{LkeykuLke çkkÞÃkkMk Mksohe fhkððe sYhe nkuÞ Au, yLku íku {kxu þheh{ktÚke s ðÄkhkLke Ä{Lkeyku WÃkÞkuøk{kt ÷uðk{kt ykðu Au.yk

Ä{LkeykuLku ç÷kuuf Ãknu÷k yLku ÃkAe òuzðk{kt ykðu Au yLku íkuLku fkuhkuLkhe ykxohe çkkÞÃkkMk økúkVxªøk Mksohe fnuðk{kt ykðu Au.

¼økðkLku ykÃkýe AkíkeLkk ykøk¤Lkk ¼køk{kt zkçke yLku s{ýe çkkswt yuf-yuf ðÄkhkLke Ä{Lkeyku {qfe Au, suLku {uzef÷ ¼k»kk{kt Left & Right Internal Mammary Artery íkhefu yku¤¾kÞ Au. fwËhíkLke fhk{ík swyku fu yk Ä{Lkeyku{kt ¼køÞus hkuøkku Úkíkk nkuÞ Au yLku SðLkLkk AuÕ÷k íkçkffk MkwÄe yu Mkkhe ftzeþLk{kt nkuÞ Au.

suLkku WÃkÞkuøk MksoheLke ytËh MkkiÚke ðÄkhu fhðk{kt ykðu Au.

çkeò Lktçkhu nkÚkLke Ä{Lkeyku (Redial Artery) Lkku WÃkÞkuøk MkkiÚke ðÄkhu fhðk{kt ykðu Au. nkÚkLke Ä{LkeLke rðþu»kíkk yu Au fu yu ÷tçkkE{kt Mkkhe nkuðkÚke íkuLkku yuf Úke ðÄkhu Ä{LkeykuLke çkkÞÃkkMk Mksohe fhðk{kt íkuLkku WÃkÞkuøk ÚkkÞ Au.

ÃkøkLke ÄkuheLkMk Saphenous Vein Lkku Ãký Mksohe{kt Äýku WÃkÞkuøk Úkíkku nkuÞ Au. yk LkMkLke rðþu»kíkk yu Au fu íku Ãkøk{ktÚke fkZðkLke ¾qçk s Mkh¤ nkuÞ Au , suÚke fheLku Äýe ð¾ík E{hsLMke Mksohe{kt yk LkMk ðhËkLk YÃk Mkkrçkík Úkíke nkuÞ Au.

yk Ä{LkeykuLku WÃkÞkuøk{kt ÷uðkLkk y{qf økuhVkÞËkyku Ãký Au suðk fu, sÞktÚke Ä{Lke ÷eÄe nkuÞ íÞkt Úkkuzku Ëw:¾kðku Úkðku yÚkðk íkku íÞkt Ãkøk{kt Úkkuzk MkuLMkuMkLk ÷kuMk Úkðk Ãkhtíkwt yu çknw {níðLke ðMíkwt nkuíke LkÚke. ÓËÞLke Ä{LkeykuLke çkkÞÃkkMk MksoheLke ykðhËk ðÄkhðk {kxu Úkkuze íkfuËkhe hk¾ðe Ãký sYhe Au, su{ fu ¾kuhkfLke ÃkhuS Ãkk¤ðe, ÔÞMkLkkuÚke Ëqh hnuðwt , n¤ðe fMkhíkku fhðe, ðøkuhu.ðøkuhu

ÓËÞLke Ä{LkeykuLke çkkÞÃkkMk Mksohe{kt ðÃkhkíke þhehLke

ðÄkhkLke yøkíÞLke Ä{Lkeyku

MkkisLÞzkì. Äð÷ LkkÞf

({ku) +91-90991 11133Email:

fkzeoÞkuÚkkuhkMkef MksoLk (ÓËÞLke MksoheLkk rLk»ýktík)M.S. (Gold Medalist), DNB (CTS), Fellow RPAH (Sydney)

[email protected]

Courtesy

Dr. Dhaval Naik

(M) +91-90991 11133Email:

Cardio Thoracic SurgeonM.S. (Gold Medalist), DNB (CTS), Fellow RPAH (Sydney)

[email protected]

MkeBMk fkŠzÞkf Mksohe xe{zkì. ÄehuLk þkn

+91-98255 75933zkì. Äð÷ LkkRf

+91-90991 11133zkì. {LkLk ËuMkkE

+91-96385 96669

MkeBMk fkŠzÞkf yuLMÚkuxeMx xe{zkì. rLkhuLk ¼kðMkkh+91-98795 71917

zkì. rnhuLk Äku÷feÞk+91-95863 75818

zkì. r[tíkLk þuX+91-91732 04454

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Lasers in Cancer Treatment

The word LASER stands for Light Amplification by

Stimulated Emission of Radiation. Laser light is different

from regular light. The light from the sun or from a light

bulb has many wavelengths and spreads out in all

directions. Laser light, on the other hand, has a single

wavelength and can be focused in a very narrow beam.

This makes it both powerful and precise. Lasers can be

used instead of blades (scalpels) for very careful surgical

work such as cutting through body tissue.

Types of lasers

Many types of lasers are used to treat

medical problems. Today, 3 kinds of lasers are

commonly used in cancer treatment: carbon

dioxide (CO2), argon and neodymium:

yttrium aluminum garnet (Nd:YAG).

Carbon dioxide (CO2) lasers

The CO2 laser is mainly a surgical tool. It can

cut or vaporize (dissolve) tissue with fairly

little bleeding as the light energy changes to heat. This

type of laser is used to remove thin layers from the surface

of the skin without going into the deeper layers.

Argon Lasers

The argon laser only goes a short distance into tissue. It's

sometime used during colonoscopies (tests to look for

colon cancer) to remove growths called Polyps before they

become cancer.

Nd:YAG ( Neodymium : Yttrium-Aluminum-Garnet)

lasers

Light from this laser can go deeper into tissue than light

from other types of lasers. This light can also travel

through optical fibers which can be bent and put into a

tumor to heat it up and destroy it.

Advantages of Laser Surgery

Lasers are more precise and exact than blades (scalpels).

The heat produced by lasers helps clean (sterilize) the

÷uMkh þçË yu ÷kRx yuÂBÃ÷rVfuþLk çkkÞ MxeBÞw÷uxuz yur{þLk ykuV hurzÞuþLkLkwt xqtfwt MðYÃk Au. ÷uMkh ÷kRx yu Mkk{kLÞ «fkþ fhíkk y÷øk nkuÞ Au. MkqÞo yÚkðk ÷kRx çkÕçkLkk «fkþ{kt yLkuf íkhtøk÷tçkkR nkuÞ Au yLku íku Ëhuf rËþk{kt Vu÷kÞ Au. çkeS íkhV ÷uMkh «fkþ{kt yuf s íkhtøk÷tçkkR nkuÞ Au yLku íku yuf çknw Mkktfzk rfhý (çke{) Ãkh furLÿík nkuÞ Au. íkuLkkÚke íku þÂõíkþk¤e yLku Mk[kux çkLku Au. yíÞtík fk¤SÃkqðof MkŠsf÷ fk{ fhðwt nkuÞ, su{ fu þhehLke ÃkuþeykuLku [ehðe nkuÞ íÞkhu ç÷uzLke (MfkÕÃku÷) søÞkyu ÷uMkhLkku WÃkÞkuøk fhe þfkÞ Au.

÷uMkhLkk «fkhíkçkeçke Mkkhðkh {kxu yLkuf «fkhLkk ÷uMkh ðÃkhkÞ Au. yksu fuLMkhLke Mkkhðkh{kt 3 «fkhLkk ÷uMkhLkku Mkk{kLÞ heíku WÃkÞkuøk ÚkkÞ Au: fkçkoLk zkÞkuõMkkRz (CO2), yuøkkuoLk yLku rLkÞkuzkÞr{Þ{: ðkÞxÙeÞ{ yuÕÞwr{rLkÞ{ økkLkuox (yuLkze:ðkÞyuS)

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çkk»Ãke¼ðLk ÚkkÞ (ykuøk¤e òÞ) Au yufË{ ykuAwt ÷kune ðnu Au. yk «fkhLkk ÷uMkhLkku WÃkÞkuøk Ÿzk Míkhu økÞk ðøkh íð[k ÃkhLkk Ãkkík¤k MíkhLku Ëqh fhðk {kxu ÚkkÞ Au.

yuøkkuoLk ÷uMkhyuøkkuoLk ÷uMkh Ãkuþeyku{kt xqtfk ytíkh MkwÄe s òÞ Au. fux÷ef ð¾ík íkuLkku WÃkÞkuøk fku÷kuLkkuMfkurÃkÍ Ëhr{ÞkLk ÚkkÞ Au yLku Ãkkur÷ÃMk íkhefu yku¤¾kíke ð]rØ fuLMkh çkLku íku Ãknu÷k íkuLku Ëqh fhðk{kt ykðu Au.

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÷uMkh MksoheLkk VkÞËk÷uMkh yu ç÷uz (MfkÕÃku÷) fhíkk ðÄkhu Mk[kux nkuÞ Au. ÷uMkMko îkhk ÃkuËk Úkíke økh{e þhehLke ÃkuþeykuLke ÄkhLku MðåA (stíkw{wõík) fhe þfu Au suÚke [uÃk ÷køkðkLkku ¾íkhku ½xe òÞ Au. ÷uMkhLke økh{eÚke hõíkðkneLke

fuLMkhLke Mkkhðkh{kt ÷uMkh

CIMS News

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MkkisLÞCourtesy

zkì. sÞuþ ðe. Ãkxu÷

({ku) +91-9825049874

(fuLMkh MksoheLkk rLk»ýktík)MkSof÷ ykuLfku÷kuS økúwÃk

MS

Dr. Jayesh V. Patel

(M) +91-9825049874Email:

Surgical Oncology GroupMS

[email protected]

edges of the body tissue that is cut thus reducing the risk

of infection. Since laser heat seals blood vessels there is

less bleeding, swelling, pain or scarring. Laser surgery may

mean less cutting and damage to healthy tissues. More

procedures may be done in outpatient settings. Healing

time is often shorter.

Disadvantages of Laser Surgery

Laser equipment costs a lot of money and is bulky

compared to the usual surgical tools used. Strict safety

precautions must be followed in the operating room when

lasers are used. The entire surgical team and the patient

must wear eye protection.

Treating Cancer With Lasers

u To cut or incise and excise various pre-cancerous

lesions like leukoplakia and erythroplakia

To take incisional biopsies of various oral cancers

To shrink or destroy a tumor with heat

Trans-oral endoscopic laser excision of upper

aerodigstive and laryngeal cancers

Small tumors on the vocal cords may be treated with

lasers instead of radiation in some patients

Tumors blocking the upper airway can be partly

removed to make breathing easier.

Laser-induced interstitial thermotherapy (LITT) . The

laser light is passed through a fiber optic wire and

right into a tumor, where it heats up, damaging or

killing cancer cells.

In addition, lasers can seal nerve endings to reduce pain

after surgery and seal lymph vessels to reduce swelling

and limit the spread of tumor cells.

Though lasers can be used alone, they are most often used

with other cancer treatments, such as chemotherapy or

radiation.

u

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Mke÷ ÚkR òÞ Au íkuÚke ykuAwt ÷kune ðnu Au, Mkkuòu, Ãkezk yLku s¾{Lkk rLkþkLk ½xe òÞ Au. ÷uMkh MksoheLkk fkhýu íktËwhMík ÃkuþeykuLke ðkZfkÃk yLku LkwfMkkLk ½xe òÞ Au. ykWxÃkuþLx Mku®xøk{kt ðÄkhu «r¢Þk fhe þfkÞ Au. íku{kt ½ýe ðkh Mkkò Úkðk{kt ykuAku Mk{Þ ÷køku Au.

÷uMkh MksoheLkk økuhVkÞËk÷uMkh MkkÄLkkuLkku ¼khu ¾[o ykðu Au yLku Mkk{kLÞ MkŠsf÷ MkkÄLkkuLke Mkh¾k{ýe{kt íku {kuxk yLku ðsLkËkh nkuÞ Au. ÷uMkhLkku ßÞkt WÃkÞkuøk Úkíkku nkuÞ íku ykuÃkhuþLk Y{{kt MkwhûkkLke [wMík fk¤S hk¾ðe sYhe Au. Mk{økú MkŠsf÷ xe{ yLku ËËeoyu ykt¾Lkwt hûký fhíkk MkkÄLk Ãknuhðk VhrsÞkík Au.

÷uMkMko îkhk fuLMkhLke Mkkhðkhu ÕÞwfkuÃkurfÞk yLku yurhÚkúkuÃ÷urfÞk suðk rðrðÄ r«-fuLMkhøkúMík

sÏ{kuLku fkÃkðk fu Ëqh fhðk.u {kuZkLkk rðrðÄ fuLMkh {kxu RÂLMkÍLk÷ çkkÞkuÃMke ÷uðk.u økh{e îkhk økktXLku Mktfku[ðk yÚkðk Lkkþ fhðk.u yÃkh yuhkuzkRsÂMxð yLku ÷urhÂLsÞ÷ fuLMkhLkk xÙkLMk-ykuh÷

yuLzkuMfkurÃkf ÷uMkh yuÂõMkÍLk.u Mðhíktíkwyku ÃkhLke LkkLke økktXkuLku fux÷kf ËËeoyku{kt hurzÞuþLkLkk

çkË÷u ÷uMkh îkhk Mkkhðkh fhe þfkÞ Au. u WÃkhLkk nðkLkk {køkoLku yðhkuÄíke økktXkuLku yktrþf heíku Ëqh fhe

ïkMk ÷uðkLkwt Mkh¤ çkLkkðe þfkÞ.u ÷uMkh RLzâwMz RLxhÂMxrþÞ÷ Úk{kuoÚkuhuÃke (yu÷ykRxexe). ÷uMkh

÷kRx yuf VkRçkh ykuÂÃxf ðkÞh{ktÚke MkeÄe økktX{kt ÃkMkkh ÚkkÞ Au ßÞkt íku økh{e ÃkuËk fhu Au yLku fuLMkhLkk fku»kLku LkwfMkkLk fhu Au yÚkðk ¾ík{ fhu Au.

yk WÃkhktík ÷uMkhÚke Mksohe ÃkAe Ãkezk ½xkzðk {kxu [uíkkíktíkwykuLkk AuzkLku Mke÷ fhe þfkÞ Au yLku Mkkuòu ½xkzðk íkÚkk økktXLkk fku»kLku «Mkhíkk yxfkððk r÷BV ðuMku÷Lku (LkMk) Mke÷ fhe þfkÞ Au.

yuf÷k ÷uMkMkoLkku WÃkÞkuøk fhe þfkÞ Au, Ãkhtíkw {kuxk ¼køku íku fuLMkhLke yLÞ Mkkhðkh MkkÚku ðÃkhkÞ Au su{ fu fu{kuÚkuhuÃke yÚkðk hurzÞuþLk MkkÚku.

Dr. Reedham MehtaMaxillofacial Surgeon

MDS

(M) +91-88666 56956Email: [email protected]

zkì. heÄ{ {nuíkk{uÂõMk÷kuVurMkÞ÷ MksoLk

MDS({ku) +91-8866656956

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y{urhfLk fku÷us ykuV fkŠzÞku÷kuS (yuMkeMke) MkuLxh ykuV yuõMku÷LMk íkhefu «{krýík ¼khíkLkwt yuf{kºk fuLÿ

xÙkLMkfuÚkuxh yuykuŠxf ðkÕð rhÃ÷uMk{uLx TAVR (TAVI)

yuf ÷½wík{ ðkZfkÃk

fhðe Ãkzu íkuðe MkŠsf÷

«r¢Þk suLkkÚke sqLkk,

ûkríkøkúMík ðkÕðLku Ëqh

fÞko ðøkh ðkÕðLku rhÃkuh

fhe þfkÞ

CIMS

¼khíkLkwt yuf{kºk{ktLkwt fuLÿ fu ßÞkt ík{k{ Mkt¼rðík ÃkõÞwoxurLkÞMk fkŠzÞkf RLxhðuLþLk fhðk{kt ykðu Au

ÃkõÞwoxurLkÞMk xÙkLMkÕÞwr{Lk÷ MkuÃx÷ {kÞkufkŠzÞ÷ yuç÷uþLk (PTSMA)

ÓËÞLkk MLkkÞwykuLke ðÄkhu

Ãkzíke ð]rØLku ½xkzðk {kxu

÷½wík{ ðkZfkÃk fhðe Ãkzu

íkuðe «r¢Þk (MkuÃx÷

çkúkL[{kt yuçMkkuÕÞwx

ykÕfkunku÷ Ëk¾÷ fhðwt)

hkuxkç÷uþLk

hkuxkç÷uþLk{kt yuf x[wfze zÙe÷Lkku WÃkÞkuøk fheLku Ä{Lkeyku{kt ò{u÷wt fuÂÕþÞ{ Ëqh fhðk{kt ykðu Au. yk zÙe÷ fkuB«uMz nðkÚke fk{ fhu Au. 1990Úke MkeBMk fkŠzÞku÷kuSLku yk çkkçkík{kt MkkiÚke ðÄw yLkw¼ð Au yLku MkUfzku fuMk{kt hkuxkç÷uþLkLkku WÃkÞkuøk fhkÞku Au.

TEVAR ÚkkuhurMkf yuLzkuðuMõÞw÷h yuLÞwrhÍ{ rhÃkuh

Ä{LkeLke rËðk÷ yMkkÄkhý heíku Vw÷e økR nkuÞ íkuLke Mkkhðkh fhðkLke LkkuLkMkŠsf÷ ÃkØrík

R÷uõxÙkurVrsÞku÷kuS

fkxkuo 3 rMkMx{

ËËeoLkk ÓËÞ{kt yuf Úke

ðÄkhu fuÚkuxMkoLku Mk[kux heíku

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yuÃkkuRLx{uLx {kxu VkuLk : +91-79-3010 1200, 3010 1008 MkeBMk nkuÂMÃkx÷, þwfLk {ku÷ LkSf, ykuV MkkÞLMk Mkexe hkuz, Mkku÷k, y{ËkðkË-380060.

CIMS News

Care & CureVolume-6 | Issue-70 | May 25, 2016

Page 8: CIMS News CIMS R Care & Cureboon in case of emergency surgery. In using these arteries, there are some disadvantages too, such as pain development in the area from which the artery

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ykÃkýwt þheh yuf yr¼Òk Ãkrhðkh suðwt Au. ßÞkhu yuf ytøk ÔÞkfw¤ nkuÞ,

íÞkhu yLÞ ytøkku{kt Ãký Ãkezk yLkw¼ðkÞ Au.

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Care & CureVolume-6 | Issue-70 | May 25, 2016