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Author: Amit Bhatt

Power POSHAN helping kids & parents lead happy life

Ravita, a two-year-old, is inquisitive and curious as she ought to be like others of her age. Her mother replies to all her queries, but misses some most of the time. It looks like one small happy family with her mother, grandmother and father alongside her. But a year back, things were not all fine and happy. She was suffering from life-threatening Severe Acute Malnutrition (SAM) and her family was dejected about her condition, until they came across POSHAN programme. The Sahariya tribe Ravita belongs to is one of the most vulnerable tribal groups in Southern Rajasthan. Her village ‘Kushalpura’ at ‘Shahabad’ block is one of the remotest in Baran district which remains mostly barren throughout the year, a reason which drives many to become migrants. Some like her parents often find petty work at the agricultural fields nearby as daily wage labourers. When moving out to work, her parents often left her in the care of her grandmother who fed her with anything little that was at home without realising the nutritional requirements of the child.Time passed and Ravita fell sick with diarrhoeal issues, lack of appetite, and became lethargic. The lack of child care practices among the family, deteriorated her condition. Out of desperation, her parents took her to a local quack in the village, but to no avail. Things went out of control and after counseling by the community mobilizers, her parents took her to a Malnutrition Treatment Centre (MTC) where she stayed for a few days and after she showed signs of recovery, she was discharged. But because of continuous engagement of the parents in the fields and lack of care again deteriorated her condition- both physical and cognitive developments. They again sought treatment at MTC, but financial burden took toll and made the parents leave the treatment midway again as the family found it difficult to stay in MTC.During the next six months, Ravita’s growth fluctuated more often until the government of Rajasthan launched the phase-II of the POSHAN programme at Baran. Now as the treatment was just a doorstep away, the parents could completely do away with their trips to MTC. Also they could maintain a balance between their work and family life. Within eight weeks of undertaking the programme she grew healthy. The POSHAN programme effectively changed the life of Ravita and her family and perhaps of many more like her.SUDDEN TRANSFORMATIONRavita’s growth fluctuated more often until the government of Rajasthan launched the phase-II of the POSHAN programme at Baran. Now as the treatment was just a doorstep away, the parents could completely do away with their trips to MTC. Also they could maintain a balance between their work and family life. Within eight weeks of undertaking the programme the child grew healthy.

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104-yr-old lady survives complicated hernia surgery

Doctors at a city hospital gave a fresh lease of life to a 104-year-old lady by performing a complicated Hernioplasty surgery. The patient, Usha Gupta was suffering from severe pain and swelling for the past two years having symptoms of a typical condition of non-reducible inguinal hernia in the inguinal region. Post surgery she has recovered very well and is now back to living a normal life.“Considering her age, conducting hernia surgery was a challenging task,” Dr Prashant Garg, consultant, general surgery, Manipal Hospitals said. “In general, all hernias should be repaired to avoid the possibility of future intestinal strangulation. But her case needed immediate medical assistance, as her bowel movements were not normal and her condition was deteriorating,” Dr Garg added.Hernioplasty surgery was performed to restore her bowel movements and control other symptoms. Hernia occurs when an organ or fatty tissue squeezes through a weak spot in a surrounding muscle or connective tissue called fascia. Hernias are most common in the abdomen, but they can also appear in the upper thigh, umbilicus, and groin areas. “This was a very challenging case and giving anesthesia at this age is always risky. But with all facilities it was done comfortably,” Dr Suneet Saxena, HoD anesthesia said. Most hernias are not immediately life-threatening, but they don’t go away on their own. Sometimes they may require surgery to prevent potential dangerous complications. If left untreated, hernia may grow and become more painful. A portion of the intestine could become trapped in the abdominal wall. This can obstruct your bowel and cause severe pain, nausea, or constipation. An untreated hernia can also put too much pressure on nearby tissues.This can cause swelling and pain in the surrounding area.“It’s a proud moment for us. Her recovery has been remarkable as she has now resumed her normal routine back home,” G Karthihaivelan, unit head, Manipal Hospitals said. New lease of life“Considering her age, conducting hernia surgery was a challenging task,” Dr Prashant Garg, consultant, general surgery, Manipal Hospitals said. “In general, all hernias should be repaired to avoid the possibility of future intestinal strangulation. But her case needed immediate medical assistance, as her bowel movements were not normal and her condition was deteriorating,” Dr Garg added. Hernioplasty surgery was performed to restore her bowel movements and control other symptoms. Hernia occurs when an organ or fatty tissue squeezes through a weak spot in a surrounding muscle or connective tissue called fascia. Hernias are most common in the abdomen, but they can also appear in the upper thigh, umbilicus, and groin areas.

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After Talkathon, doctors spike strike

After a marathon eight-hour talk and intervention of four ministers and state BJP president, the in-service doctors agreed to call off their 12-day strike on Wednesday.As per the agreement signed between All Rajasthan In Service Doctors Association (ARISDA) ARISDA and the govrnment, demands, including removal of the officer of Rajasthan Administrative Service (RAS) Girish Parashar from the health department and adjustment of leaves taken by doctors during their agitation in earlier months of this year agitation, with their earned leaves has been accepted. The agreement also reiterates the execution of the agreement done on November 12 and withdrawal of cases registered against doctors, under Rajasthan Essential Services Management Act (RESMA), during their agitation.About the recent transfers that forced the doctors to go on strike for second time in two months, nothing was mentioned in the agreement, but later on Ashok Parnami state BJP president said that ARISDA president Dr Ajay Chaudhary will be posted as Chief Medical & Health Officer (CM&HO) in Sikar.During the talks a seven-point agreement also signed between the government and resident doctors. As per the agreement, government has given assurance to initiate proceeding over demands related to stipend appreciation, hostel or transit quarters allotment, pay fixation, revised LPC, benefits payment according to 7th pay commission and age limit increase for senior residents.In the talks with doctors and resident doctors, Health Minister Kalicharan Saraf, Health Minister (state) Banshidhar Bajiya, PWD Minister Yunus Khan, Co-operative Minister Ajay Singh Kilak, State BJP President Ashok Parnami, Principal Secretary (Health) Veenu Gupta, and Secretary (Medical Education) Anand Kumar were present. PRESCRIPTIONDuring the talks, a seven-point agreement was also signed between the government and resident doctors The government has given assurance to initiate proceeding over demands related to stipend appreciation, hostel or transit quarters allotment, pay fixation, revised LPC, benefits payment according to 7th pay commission and age limit increase for senior residents

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Doctors strike: Health system crippled, patients left in lurch

The ongoing agitation of government doctors became serious on Monday as resident doctors joined the strike and boycott the work. The move resulted into crippled health services at the medical colleges associated hospitals also. Medical services were already affected at district hospitals including CHCs and PHCs as doctors, associated to All Rajasthan In Service Doctors Association (ARISDA) had gone on indefinite strike since Saturday.JAIPUR PICTUREIn the SMS hospital, the largest government health facility in the state, around 900 residents doctors and 100 senior resident doctors started work boycott on Monday. This reflected into number of patients in OPD and IPD as well. On Monday 8,246 patients were registered in OPD which is around 10,000 in any normal day. Considering the threat of work boycott from residents, in the morning SMS medical college principal, Dr US Agrawal held a meeting for alternative measures, but these measures proved insufficient.JODHPUR SCENEAfter the arrest of doctors on the health centers of the villages, in-service doctors at many places are not coming to work from the past few days. The highest impact of the strike is being seen at the primary health centers of the villages. Due to the strike of in-service doctors, The medical arrangements are getting worse at 85 Primary Health Centers, 25 Community Health Centers and 30 Urban Primary Health Centers.The arrangements have started to deteriorate due to the strike of resident doctors in Dr SN Medical College affiliated Mathuradas Mathur Hospital, Mahatma Gandhi Hospital and Umaid Hospital. in this episode of the movement, They went on strike on Monday.The arrest of the doctors here also continued on Monday. Three doctors have been arrested in Jodhpur division. For this reason, most of the in-service doctors have gone underground. Dr Balwant Mund, District President of the in-service doctors Association Jodhpur has gone underground after switching off his phone.During the strike, the services of the doctors of the Railways, AIIMS, Army and BSF related to the Central Government medical services are being taken in Jodhpur. MGH Superintendent Dr PB Vyas, MDMH Superintendent Dr. Shatansingh Rathore, and Umaid Hospital Superintendent Dr Ranjana Desai told that all senior doctors have been put on the work. conditions will remain in full control.Villagers in many rural areas of the district, such as Phalodi, had to face many problems. Resident doctors of Dr SN Medical However, all these deaths were during the strike. According to the statistics, 33 deaths in MDMH, 9 in MGH and 13 in Umaid hospital.HIDING DOCTORSMost of the leaders of ARISDA remained underground keeping their phones witched off, to avoid any possible arrest as the government has already extended RESMA. Additional DGP told DNA that till Monday morning 85 doctors were arrested across the state.

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Health services cripple, as doctors-Rajasthan govt in battle of attrition

Indefinite strike call by the in-service government doctors on Saturday severely hampered the health services at government health facilities across the state. The doctors posted in District Hospitals, Sub Divisional Hospitals, Community Health Centers (CHCs) and Primary Health Centers (PHCs) remained absent after declaring an indefinite strike, 48 hours prior to the given ultimatum.Meanwhile, the government remained firm on its stand and arrest of doctors continued on the second day. Doctors have called the government action the “Rowlatt Act”.Till Saturday evening, as per the state police headquarters, 52 doctors were arrested across the state for not attending their duties as the Rajasthan Essential Services Maintenance Act (RESMA) is in force. The arrests were made in various districts including Ajmer, Sriganganagar, Bundi, Kota, Karauli, Dholpur, Swai Madhopur, Jhunjhunu, Jhalawar, Jaislamer, Tonk, Barmer and Bhilwara. Though, no doctor was arrested in Jaipur, the police raids were going on to nab the agitating doctors.It is worth mentioning that after the announcement of indefinite strike from December 18 made by the All Rajasthan In Service Doctors Association (ARISDA), state government has already extended RESM, imposed in September for next three months. This is the reason why the office-bearers of ARISDA, including main leaders of the agitation, have gone underground and switched off their mobile phones. However, these leaders are seeking support for the agitation social media.In an another development, the resident doctors have extended their support to in-service doctors’ agitation. In a statement, the Jaipur Association of Resident Doctors (JARD) said that any repressive action against the agitating doctors, resident doctors associated with JARD will also go on indefinite leave from December 18. In Jodhpur many doctors boycotted the work on Saturday to protest against the arrest of doctors. Jodhpur Collector Dr Ravi Kumar Surpur said that if the doctors refuse to resume their duties they will be arrested RESMA Act. He said that arrangements have been made to take the services of the doctors of Railways, AIIMS, army and BSF. He said that during the strike period AYUSH doctors will be deployed at primary health centres. Instructions have been issued to the ANM and other medical personnel to provide immediate treatment and refer serious patients to the district and medical colleges. He said that all relevant senior officers and police officers have been given instructions to take action against the striking doctors.

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Precarious parenting

How much do 400 rupees mean to most of us? May be a popcorn bucket for kids on a weekend movie show or petrol bill for a couple of days office commutation during week days. But for Kamali a 23-year-old from Jharniya village in Banswara district, it is an amount enough to put her ‘to be born’ baby on risk. Kamali, is an expecting mother with a due date to deliver an issue in February. In her 30th week of pregnancy, Kamali did not go for any Ante Natal Checkup (ANC) so far. She has a reason for that.“We are daily wage labourers and that’s how we feed our five-member family,” Kamali explained. “Due to my pregnancy, our earning has already reduced to half as I am unable to go for work and in such a condition I cannot afford to take my husband along, who has to cover a distance of 28 kilometre to reach his workplace, for my check up at Anganwadi Center as it will mean a complete loss of a day’s earning. We can’t afford,” she added.Kamali represents lakhs of pregnant women in Rajasthan who have not received a single ANC during their pregnancy and her reason to avoid mother and child care facilities is the most common one that puts lakhs of mothers and their unborns life at risk. “Clearly, we see that financial loss matters more for them compared to the health. So there was a need to compensate their financial loss in order to motivate them to visit Anganwadi or health centres.” Manoj Jain, Additional Director (Nutrition) at Integrated Child Development Services (ICDS) said.“For the purpose, State Women and Child Development Department has rolled out the Pradhan Mantri Matru Vandana Yojana (PMMVY) in the state. Now, all the pregnant women and lactating mothers, in the state, who have their first pregnancy can get the benefits of PMMVY. PMMVY is the union government aided scheme to benefit pregnant women and lactating mothers for the birth of their first live child. Beneficiary will get Rs 5,000 in three instalments at the stage of early registration of pregnancy, after six months of pregnancy on at least one antenatal check-up and registration of child birth and first cycle of immunization of the child. All the pregnant women and lactating mothers who have their first pregnancy on or after 1 January 2017 can avail the scheme benefits now.“The benefit amount would be send directly to the bank account of the beneficiary through Direct Benefit Transfer mode,” said Manoj Jain.SCHEME TO CONTROL INFANT MORTALITY RATEAs per SRS bulletin 2016, IMR in Rajasthan is 41 deaths per 1,000 live births It is far more than the national IMR of 34 per 1,000 live births. Birth asphyxia, low birth weight are leading causes of deaths of infants in the state. IMR in rural areas is 45 which is almost 50% more than the IMR in urban areas. IMR in rural Rajasthan is 30 which is 30% more than the national rural IMR figure of 23. ABOUT PRADHAN MANTRI MATRU VANDANA YOJANARajasthan rolled out the scheme on December 5, 2017. 5-6 lakh pregnant women will be benefited per year. Total Rs 5,000 will be given to each pregnant woman and lactating mother. Scheme means to motivate for ANC and immunization, through financial assistance. THE AMOUNT WILL BE PAID IN 3 INSTALLMENTSRs 1000 at the time of registration of pregnancy.Rs 2,000 At least one ANC carried out after six months of pregnancy.Rs 2,000 The birth of child registered and the child received first cycle of vaccines, including BCG, OPV, DPT and hepatitis-B.

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Rajasthan to give financial aid to mums, pregnant women

Given that many women do not visit Anganwadi centres for antenatal check-ups for fear of losing on a day's wage, the government rolled out the PMMVY scheme. "We see that financial loss matters more to them compared to health, So there was a need to compensate their financial loss in order to motivate them to visit Anganwadi or health centres," Manoj Jain, Additional Director (Nutrition) at Integrated Child Development Services (ICDS) said.”
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<!–end of artlbotbor–><!–end of artlsocl–>Written ByAmit Bhatt <!–end of artlbotbor–>Friday 15 December 2017 2:40 ISTMust readSec 144 imposed at Udaipur, net, social media muzzledNGC gears up: Solar energy of ‘Thar’ to illuminate Gujarat & Punjab<!–end of artlmustredbx–><!–end of articllftpbx–>Rajasthan Women and Child Development Department has rolled out the Pradhan Mantri Matru Vandana Yojana (PMMVY) under which all pregnant women and lactating mothers in the state will get financial aid during their first pregnancy.Beneficiaries will get Rs 5,000 in three instalments — first during the early registration of pregnancy, second after six months on at least one antenatal check-up, and the last one during the first cycle of the child’s immunisation.Given that many women do not visit Anganwadi centres for antenatal check-ups for fear of losing on a day’s wage, the government rolled out the PMMVY scheme. “We see that financial loss matters more to them compared to health, So there was a need to compensate their financial loss in order to motivate them to visit Anganwadi or health centres,” Manoj Jain, Additional Director (Nutrition) at Integrated Child Development Services (ICDS) said.

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Stubbing the stub

At a time when number of deaths caused by cancer continue to be a matter of concern among governments and health experts, Rajasthan has recorded a significant decrease in overall tobacco consumption including smoking and smokeless tobacco use. The second edition of the Global Adults Tobacco Survey (GATS 2) revealed that tobacco consumption has been the main reason of oral cancer during last seven years.According to Global Adult Tobacco Survey (GATS-2) released by state health minister Kalicharan Saraf here on Monday, consumption of smokeless tobacco such as khaini and gutkha went down by 4.8 per cent from 18.9 in 2009-10 to 14.1 in 2016-17 and smoking went down by 5.6 per cent from 18.8 to 13.2. From GATS 1 to GATS 2, the prevalence of any tobacco use has also significantly decreased by 7.6 percentage points from 32.3 per cent in GATS 1 to 24.7 per cent in GATS 2.“It is the efforts made by the state government that is reflecting in GATS 2,” Saraf said. Though he denied any possibility of total tobacco ban in the state. “Ban (on tobacco) is not a solution as it involves the risks of malpractices such as smuggling and black marketing. We are committed to reduce tobacco consumption and for that awareness will be spread at the grassroots,” said Saraf.As per the survey, bidi and gutka are the two most commonly used tobacco products in the state as 11.4 per cent of adults smoke bidi and 9.0 per cent of adults use gutka. The mean age for initiation of tobacco use has increased from 17.0 years in GATS1 to 18.4 years in GATS 2.Principal secretary, health, Veenu Gupta said that the actions should be taken considering the youth between the age group of 18 to 35 years. She also suggested that at the places in the state where manufacturing is associated with people’s livelihood, bidi workers should to be trained for alternative means of living through skill development.

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It took almost one month to confirm lethal Japanese Encephalitis infection

At the time when seasonal diseases are producing challenges in front of state medical and health department, recent cases of lethal disease Japanese Encephalitis (JE) have exposed the lacunae at monitoring and testing system of diseases in the state. In October, Rajasthan registered first death case due to JE, but it took 25 days to confirm that the deceased patient was infected with JE virus. Meanwhile, two more patients from Keshoraipatan in Bundi were infected with JE but by the time it was confirmed, both of them recovered from the disease. The disheartening fact is, that for almost 2 months they remained unattended by medical officials, within the community. In such a condition if there was no outbreak, we should thank the Almighty.Followed by the report from National Institute of Virology (NIV), Pune, and DNA report, published on November 13, about the first death for JE in Rajasthan a team of specialists from Jaipur, sent to Keshoraipatan, had collected 7 blood samples of JE suspects.“Samples were sent to NIV on November 16, and report confirms that two out of them, namely Ghanshyam (80) and Bhalchandra (35), were infected with JE and other two are reported indeterminate cases,” Dr Ravi Prakash Mathur, Director (Rural Health) told DNA. It is worth mentioning that it took more than 20 days for confirmation of JE in blood samples, by the time Bhalchandra got recovered from the disease. Ghanshyam too has no symptoms left now but, being an old man, has been admitted to medicine ward C in Hospital of Kota Medical college. “Patient has no fever, headache, unconsciousness or fits like symptoms.” DR Manoj Saluja, who is taking care of Ghanshyam told DNA. “Sample was drawn on November 13. It seems that he was infected at that time and was lately confirmed. But since the report is positive, he has been kept under observation for next twodays,” said Dr Saluja.
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Another case of JE detected in Rajasthan

It is worth mentioning that Rajasthan has already registered the first death due of Japanese Encephalitis in the Kota division in October. The victim was a 30-year-old woman who was died in MBS hospital on October 16. Twenty-five days after her death, it was confirmed in the report from National Institute of Virology (NIV), Pune, that she was suffering from Japanese Encephalitis. “Followed by the death of a person due to JE in October, a team of experts was sent to Kishoraipatan in November,” Dr S N Dholpuria, SNO, IDSP, said.”
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<!–end of artlbotbor–><!–end of artlsocl–>Written ByAmit Bhatt <!–end of artlbotbor–>Wednesday 6 December 2017 6:45 ISTMust readBride-to-be refuses to marry over demand for dowryTortured by in-laws, woman says cops too didn’t help<!–end of artlmustredbx–><!–end of articllftpbx–>One more person was found positive with the lethal Japanese Encephalitis (JE) in the state. This is the second case of JE within a period of two months. After the confirmation report from National Institute of Virology (NIV), Pune, state health department is on on its toes. The patient named Ghanshyam, an 80-year-old is from ward no 3 of Kishoraipatan in Bundi, was admitted to Kota Medical College on Tuesday.It is worth mentioning that Rajasthan has already registered the first death due of Japanese Encephalitis in the Kota division in October. The victim was a 30-year-old woman who was died in MBS hospital on October 16. Twenty-five days after her death, it was confirmed in the report from National Institute of Virology (NIV), Pune, that she was suffering from Japanese Encephalitis. “Followed by the death of a person due to JE in October, a team of experts was sent to Kishoraipatan in November,” Dr S N Dholpuria, SNO, IDSP, said.
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Cushion for the mothers: Schemes, benefits in pipeline

Pradhan Mantri Matru Vandana Yojana (PMMVY), the union government aided scheme to benefit pregnant women and lactating mothers for the birth of their first live child, will be rolled out in Rajasthan from next month, Anita Bhadel, state women and child development minister announced on Monday while stating the achievements of the BJP government in last four years.“All the pregnant women and lactating mothers who have their first pregnancy on or after January 1, 2017 can avail the scheme benefits. The benefit amount would be send directly to the bank account of the beneficiary through Direct Benefit Transfer mode,” Bhadel said.Direct Benefit Transfer of Rs5000 in beneficiary’s bank or post office account will be done in three instalments at the stage of early registration of pregnancy, after six months of pregnancy on at least one antenatal check-up and registration of child birth and first cycle of immunisation of the child.Badhel also announced that Anganwadi Centres will be developed as ‘Adarsh Centres’, and under National Nutrition Mission (NNM) monitoring will be done online.Comparing BJP government’s data with that of the former Congress government’s initiatives and achievements in the area of women and child welfare, Bhadel informed that the annual budget of WCD department has been raised to Rs2,88 crore, which was only Rs19 crore during the previous Gehlot government.She also said that the BJP government has initiated awareness campaign to curb child marriages in the state. “As a result the figure of child marriage in state has dropped by 30 per cent,” said Bhadel.Stating the figures of Rajshri Scheme, Bhadel said that under the scheme, meant to encourage positive environment for daughters, Rs177.13 crore was given to 7,08534 daughters as first instalment and Rs22.63 crore was given to 90,502 daughters as second instalment.
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World AIDS Day: Hope floats

Devid (name changed), a 15-year-old boy, does not remember when his parents died, but he still remember the day when his uncle left him at SMS Hospital in Jaipur. “It was Christmas eve in 2007 when he brought me here from our home in Shriganganagar.” said Devid. “I didn’t know at that time the cause of my parents death and why my relatives were abandoning me, but it was painful and I cried a lot.”Devid is one of those thousands of children in the state who are abandoned by their relatives after death of their parents. Reason: these kids are born HIV positive, came in the world with the infection transmitted to them from their parents. “The disease involves stigma, so people do not want to even accept the relation with children,” Smriti Singh, secretary, FAITH said. Singh runs a shelter home in the outskirts of urban Jaipur where 83 HIV positive children are living. “One can see here that these kids can live normal lives. All of them go to different schools where they study and play with around other 2,000 children. To reduce the viral effect of infection they are being provided with the daily doze of ART including calcium and zinc tablets. When at home, they play musical instruments and grow organic vegetables in kitchen garden,” Singh said.These children know nothing more than the fact that they are like other kids, except that unlike others they have to take a daily doze of ART and practice specific precautions in case of any bruise or bleeding. Like every aspiring child for whom sky is the limit, Devid has a dream to play in Pro-Kabaddi League one day.
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Rajasthan ‘first state’ to get ombudsman to redress grievances of people with HIV/AIDS

<!– /11440465/Dna_Article_Middle_300x250_BTF –>Rajasthan has become the first state in the country which have an ombudsman to redress grievances of people with HIV/AIDS. For the purpose, the state has started the work on formulating guidelines and rules as per the provisions of the Human Immunodeficiency Virus and Acquired Immune Deficiency Syndrome (Prevention and Control) Act 2017, which brings in legal accountability and establishes formal mechanisms for inquiring into complaints and redressing grievances of HIV positive people.Recently, a meeting of representatives from various departments including health, woman and child development, police, transport, railways, social justice and empowerment, Rajasthan State Legal Services Authority, NGOs, Network of People Living with HIV (PLHIV) and development partners was held.

Incredible woman gives life to 3 patients

<!– /11440465/Dna_Article_Middle_300x250_BTF –>One 59-year-old woman, a mother, from a rural region in Jaipur, gave a lease of new life to three people through cadaver transplant on Thursday. The incredible woman was declared brain dead following a road accident.The woman’s family allowed her organs to be donated on Thursday. Her liver was transplanted to a patient in Medanta NIMS Hospital, and the two kidneys were transplanted to individual patients admitted to the SMS Hospital and Mahatma Gandhi Hospital in Jaipur.Lali Meena, a resident of Mudia village in Jaipur, sustained head injuries on November 14, when the motorcycle, her son Buddhi Prakash was driving, carrying her behind, slipped on the Highway on way to NIwai.Lali devi was admitted to EHCC hospital, where doctors declared her as brain dead on Wednesday. After counselling, as her family members got ready to organ donation, her liver and the pair of kidneys were harvested in EHCC Hospital.Around 6 o’ clock on Thursday morning, a semi-green corridor was created and Lali devi’s kidneys were sent to SMS and MG Hospitals. Her her liver was sent to Medanta NIMS hospital, Delhi Road where it was transplanted to a patient. “After a 5-hour surgery, we successfully performed the cadaver liver transplant. The recipient patient is in ICU and is being kept under round the clock observation,” Dr Ankur A Gupta, specialist at Medanta NIMS Liver Transplant Center told DNA.CORRIDORS CREATEDAround 6 o’ clock on Thursday morning, a semi-green corridor was created and Lali devi’s kidneys were sent to SMS and MG Hospitals. Her her liver was sent to Medanta NIMS hospital, Delhi Road where it was transplanted to a patient.

Health department wakes up to threat

<!– /11440465/Dna_Article_Middle_300x250_BTF –>Better late than never, the state health department has finally woken up to the threat of Japanese Encephalitis after the first death was reported in the state. On Monday, 4 days after the report from National Institute of Virology, (NIV), Pune confirmed that the death was caused by JE, a team of specialists was sent to Keshoraipatan in Bundi.“A three-member central team of Integrated Disease Surveillance Program (IDPS) from state headquarter has been sent to the area, the deceased belonged from,” Dr Ravi Prakash Mathur, Director (Rural Health) told DNA.“The team, including epidemiologist, microbiologist and entomologist, will visit Keshoraipatan, including Bundi and Kota. It will investigate from where and how the victim got the virus infection. Her travel history will be investigated and the team will submit its finding report by this Thursday,” he added.On November 9, a NIV report of serum sample of Manju (30), confirmed that she was positive for JEIgM Elisa. Manju, wife of Parasram, was a resident of Chamunda colony in Kishoraipatan in Bundi district. She was brought to a private hospital in Kota after running high fever and several spell of un-consciousnesses. Later, she was admitted to MBS hospital, Kota where she breathed her last on October 16. After 25 days of her death it was confirmed that she was infected with JE virus.Though, the health directorate appeared to be in a state of alleged “slumber” in response to the lethal disease, but health official at Bundi, meanwhile, conducted prevention activities as they got the report from Kota Medical College.“Anti-larval activity including fogging has been conducted in the region. I have also sought a fact finding report in the matter,” Dr Suresh Kumar Jain,Chief Medical and Health Officer, Bundi,told DNA.

Rajasthan: After seven days of protests, doctors finally call off strike

<!– /11440465/Dna_Article_Middle_300x250_BTF –>After seven days of protests, the Rajasthan doctors finally called off their strike on Sunday night. The strike ended after a detailed discussion between government officials and a four-member team from the Rajasthan Doctors’ Association (ARISDA).Earlier, the doctors went on strike with a 33-point demand. Both, the government and ARISDA came to a compromise and a draft was signed.The meeting started at the secretariat around 2 pm. In the meeting, health minister Kalicharan Saraf and officials, including ACS (Finance) DB Gupta, Principal Secretary (Home) Deepak Upreti, Principal Secretary (Health) Veenu Gupta, secretary (Medical Education) Anand Kumar and Secretary (Budget) Manju Rajpal were present.The meeting that went on for around nine hours, at one point appeared to have failed again. But around 11:15 pm, Saraf announced that agreement was signed. Soon after, ARISDA president Dr Ajay Chaudhary came out of the meeting room and said, “A positive agreement on 33 point demand has come out and right from the moment doctors will come back to their duties at hospitals.”“As per the agreement government promise to execute all our demands. The only demand, to run hospitals in single shift, will be referred to chief minister and she will take a call on it,” Dr Jagdish Modi, coordinator of ARISDA said.

Sunday blinkers: Docs strike off stir

<!– /11440465/Dna_Article_Middle_300x250_BTF –>The much-awaited news to provide respite to lakhs of patients in the state finally came on Sunday night when agitating doctors called off their strike. On the seventh day, in a talkathon between the government and the four-member delegation of ARISDA, the body under which doctors were agitating in the support of their 33-point demand, both the parties reached to a common solution and a draft was signed.The meeting started at the secretariat around 2 pm. In the meeting, health minister Kalicharan Saraf and officials, including ACS (Finance) DB Gupta, Principal Secretary (Home) Deepak Upreti, Principal Secretary (Health) Veenu Gupta, secretary (Medical Education) Anand Kumar and Secretary (Budget) Manju Rajpal were present.The two-round meeting that went on for around 9 hours, at one point appeared to be failed again. But around 11:15 pm minister Kalicharan Saraf announced that agreement was signed. Soon after, ARISDA president Dr Ajay Chaudhary came out of the meeting room and said that “A positive agreement on 33 point demand has come out and right from the moment doctors will come back to their duties at hospitals.”“As per the agreement government promise to execute all our demands. The only demand, to run hospitals in single shift, will be referred to chief minister and she will take a call on it,” Dr Jagdish Modi, coordinator of ARISDA said.WHAT HAPPENED ON SUNDAYLate on Saturday, the government agreed to hold a talkathon on Sunday. Talks began at 2pm in the secretariat
Around 6.30pm channels flashed the news that a truce had been reached
However, at 8.30pm it seemed to be a short-lived one as resident doctors were called in for a huddle meet at the secretariat. The purpose of which is yet to be ascertained.
Holding the state at ransom, around close to midnight, the health minister Kalicharan Saraf announced a truce with the striking doctors

DNA Exclusive: First case of Japanese encephalitis reported from Rajasthan

<!– /11440465/Dna_Article_Middle_300x250_BTF –>Rajasthan has registered the first case of Japanese encephalitis in Kota division. The victim, a 30-year-old woman, died in Maharawal Bhim Singh (MBS) hospital on October 16. Twenty-five days after her death, it has been confirmed in the report from National Institute of Virology (NIV), Pune that she was suffering from Japanese encephalitis.The deceased Manju, wife of Parasram, was a resident of Chamunda colony in Kishoraipatan in Bundi district, 24 kilometers away from Kota divisional headquarters. “She had fever on October 6. After consulting with local doctors, we took her to New Medical College, Kota on October 8 from where she was admitted in Sudha Hospital at Talwandi. After four days treatment she was referred to MBS hospital where she died on October 16,” said Parasram.During her admittance in Sudha Hospital, Dr Amit Dev, a neurologist at the hospital, through central lab of MBS hospital, sent the blood sample to NIV for serum test as he suspected Manju of having Japanese encephalitis.The disease has 60% chance of survival. Only recently, hundreds of children died in Baba Raghav Das Hospital in Uttar Pradesh’s Gorakhpur district. But in Rajasthan, so far no action has been taken by state health department. Efforts to contact Bundi Chief Medical & Health Officer went futile. Dr VK Mathur, Director (public health) did not respond to phone calls.

Stern but cautious state govt again calls docs for talkathon

<!– /11440465/Dna_Article_Middle_300x250_BTF –>As in-service government doctors’ strike in the state entered the sixth day 6, on Saturday, the state government is continuing its efforts to break deadlock by inviting leaders of striking doctors for talks. Meanwhile, the government claimed that many doctors have resumed their duties on Saturday.The government has invited All Rajasthan In-Service Doctors Association (ARISDA), the body under which doctors are agitating, for talks with health minister. “The meeting with a five-member delegation of ARISDA will be held at 2pm on Sunday,” health minister Kalicharan Saraf said. “From the government side, along with me, ACS finance, commissioner home, principal secretary health, secretary medical education and secretary finance will be there in the meeting,” said Saraf. It is worth mentioning that previous three rounds of talks produced no results. According to government officials, around 100 striking doctors have resumed their duties at hospitals in Jaipur, Ajmer, Dausa, Sikar, Rajsamand, Churu, Jalore, Barmer, Baran, Pali and Suratgarh. Saraf said that district collectors were given power to appoint new doctors at a salary of Rs 56,000 a month. “On urgent basis 24 doctors have been appointed under the scheme,” said Saraf. In Kanwatiya hospital of Jaipur, 11 doctors reported for work on Saturday, Dr L Harshvardhan, hospital superintendent said.Govt cracks down On Saturday, police conducted raids at many places in the state to arrest the doctors, absent from duties, under RESMA. In Jhalawar, Principal Medical Officer of district hospital was detained while one anesthesiologist was arrested in Bundi when he was operating a patient at a private hospital. Doctors were also reportedly detained in Churu, Barmer, Pali, Sikar and Ajmer as well, who were set free over the promise that they will resume their duties. In Jaipur, no arrest has been made because, as per the police, all doctors and their leaders went underground. However, Dr Ajay Chaudhary, president of ARISDA, was seen sitting in a live show of a regional news channel. Dholpur police raided places in Morena , Gwalior and Agra in search of absentee doctors, though unable to catch any.Resident support: Meanwhile, senior resident doctors and residents doctors of AIIMS, Delhi also extended their support to doctors’ agitation .Kota’s quotaIn Kota, where currently 216 residents and 90 in service doctors are on strike, 57 senior resident doctors including 35 to 37 from clinical side of Kota medical college have announced to join the strike from Sunday morning. The move will hit medical and health services at medical college hospital and Maharao Bheem Singh (MBS) hospital, the biggest hospital of the region. Medical college authority has, however, asked the resident and senior residents who have been selected through Rajasthan Public Service Commission (RPSC) to resume duty at hospitals or face termination of services.

Dengue gallop: 5 doctors send to Kota and Jaipur

<!– /11440465/Dna_Article_Middle_300x250_BTF –>In view of rising number of dengue patients in the state, especially in Jaipur and Kota, the health department has deputed five additional epidemiologists and intensified the prevention and control activities. The measures have been taken on the direction by health minister Kalicharan Saraf followed by a meeting to review the situation.“Health minister said that there is need to strengthen the manpower in most affected areas in order to control the disease,” Dr Ravi Prakash Mathur, Additional Director, Rural Health told DNA. “As per the directions of health minister, three additional epidemiologists are deputed in Jaipur and two are deputed in Kota. Epidemiologist does an analysis of the cause, patterns, and effects of health and disease conditions along with identifying the risk factors for disease and targets for preventive healthcare,” he added.Dr Mathur informed that apart from this, the department also intensifying the prevention and control activities. “Six teams of Jaipur Municipal Corporation, medical and health department and district administration will be doing anti-larval and fogging activities for 15 days in Jaipur. In Kota, 125 liters of pyrethrum and 11 fogging machines have been issued recently along with an additional ELISA machine has been sent for dengue diagnosis,” said Dr Mathur.

Doctors’ strike: Deadlock still continues

<!– /11440465/Dna_Article_Middle_300x250_BTF –>It was a repeat telecast at the secretariat as the government and striking doctors failed to reach an agreement and the parleys were called off after 11 pm on Thursday.Earlier, in-service government doctors deployed at PHCs CHCs and District hospitals across the state continued to remain absent from their duties on Thursday, for the fourth consecutive day. To break the deadlock, a meeting was held between delegation of All Rajasthan In-Service Doctors Association (ARISDA) and the state government at secretariat which began at 6 pm.As the previous two negotiations failed to yield any result mainly because of the fact that the health minister Kalicharan Saraf had clearly said that he was not endorsed to take a call on the financial aspects of the striking doctors.As a result, officials from state’s finance department, including the ACS (finance) DB Gupta, Principal Secretary (finance) Deepak Upreti and Secretary (budget) Manju Rajpal were roped in for the talks, including Saraf, Principal Secretary (Health) Veenu Gupta and secretary (Medical Education) Anand Kumar. According to sources, after a five-hour long two rounds of talks, the deadlock continued. Saraf said, “It seems that the striking doctors were not in a mood to resolve the deadlock. Even as the government was willing to fulfil 5 out of six financial issues and take a fresh load of Rs 200 crore to pacify the striking doctors, but the striking medicos left the talks in a huff. Now the government has to think to initiate action against them.However, on the other hand, Dr Ajay Chaudhary, president ARISDA, told DNA that, “The government, it seems, was to get us to talks on gun-point. The administrative officers have been behaving rudely with us.”Meanwhile, as the doctors’ strike entered in 4th day, in the support of doctors 33-point demands resident doctors also tried to build pressure on the government. Arrangements at OPD in hospitals attached to medical colleges in five divisional headquarters including the capital Jaipur, also got effected as resident doctors announced to go on indefinite strike after handing over a memorandum to their respective college principals.

Four daughters carry mother to her funeral

<!– /11440465/Dna_Article_Middle_300x250_BTF –>In Jhunjhunu, one of the districts with the top sex ratio in the state, daughters have taken one more brazen step to model an outstanding example. In Singhana, 62 kilometers away from the district headquarter, four sisters shouldered the dead body of their mother to the Mokshdham to perform her last rites on Wednesday evening, defying the age-old tradition of son’s performing last rites.According to recent provisional data, Jhunjhunu has a sex ratio of 949, which is far better than the figure of 939 for the state. The district also tops the list of female literacy rate in Rajasthan.In Singhana, Savitiri Devi breathed her last on Wednesday, leaving behind four daughters. She had no son, so four sisters shouldered the bier to the cremation ground and one of the sisters, Savita, performed the last rite of ‘mukhagni’ and lit her mother’s funeral pyrein the presence of other relatives.Savita, who is also an elected sarpanch of Dhana Gram Panchayat, said, “Our mother brought up four of us, Sunita, Sarita, Satoj and me, just like a son. She provided us with the best resources and never craved for a son. In a male dominant society, she never let us feel inferior by any mean at any time. So for her last rites, we performed all the rituals that traditionally a son performs.””Jhunjhunu has always been ahead in the state when it comes to women empowerment,” Santosh Ahlawat, Member of Parliament from Jhunjhunu constituency, said. “The district has higher female literacy and sex ratio compared to others, and it is our proud daughters like Savita, that the name of Jhunjhunu is among the top in the ‘beti bachao, beti padhao’ abhiyan.”On the right roadAccording to recent provisional data, Jhunjhunu has a sex ratio of 949, which is far better than the figure of 939 for the state. It also tops the list of female literacy rate

Still on a drip: Striking docs’ talks with Saraf now in ICU

<!– /11440465/Dna_Article_Middle_300x250_BTF –>After the much talked about parleys between the striking doctors and health minister Kalicharan Saraf began at 6.30 pm, the entire battery of media were glued to the spot. However, around 10.30 pm, Saraf, who had still held his calm addressed the media and said that government was not going to hold further talk with the doctors.After three-rounds of negotiation between the government and leaders of All Rajasthan In-Service Doctors Association (ARISDA), the body under which doctors are agitating it seemed that the talks had hit a stonewall. Saraf had plainly said the talks were over. As the minister’s byte was being made into headlines, the agitating doctors turned pro-active and were all over the electronic media.Within 15 minutes, they managed to get the administration back into the talk mode.In the meeting, on the government side, Health Minister Kalicharan Saraf, Principal Secretary (Health) Veenu Gupta and Anand Kumar, Secretary, Medical Education were present. On behalf of doctors, a twenty member delegation of ARISDA including its president. general secretary, mahamantri were present.“Government wants to find a solution but the doctors are reluctant,” said Saraf. “Most of the demands from their charters were accepted. But there were six demands which are related to the finance department which he could not endorse. I am not authorized to take a call on the finance issues, what more can I say,” Saraf asked.Saraf said there was light at the end of the tunnel but however things went awry due to a single word on the draft. “For their demands, involving financial burden, we used the word ‘Nistaran’, but they wanted it to be replaced by the word ‘kriyanvayan’,” said Saraf.Refusing any possibility of further talks, Saraf said that government will cope up with the situation by alternative arrangements at all government health facilities. “We cannot leave our people at their mercy. Alternative arrangements have already done at hospitals.” he said.Attributed this failure to agitating doctors, Saraf made an appeal to doctors that they should resume their duties and simultaneously gave an indication of strictness.“Doctors should consider the problems people are facing due to this agitation, I appeal them to resume their duties otherwise government will take strict measures according to the law,” said Saraf.After this announcement ARISDA president Dr Ajay Chaudhary said the talks haven’t failed and that the next level of dialogue would continue after some time. They managed to stop the minister for a while. But it didn’t work and Saraf with his officials left the Health Directorate.SARAF SPEAK“Doctors should consider the problems people are facing due to this agitation, I appeal them to resume their duties otherwise government will take strict measures according to the law“Government wants to find a solution but the doctors are reluctant”“I am not authorized to take a call on the finance issues, what more can I say”“We can’t leave our people at their mercy. Alternative arrangements have already done at hospitals”

Ban on horses takes the shine off Pushkar mela

<!– /11440465/Dna_Article_Middle_300x250_BTF –>The internationally known Pushkar Fair, one of the biggest events in the world for cattle trade, ended up on a disappointing note this year. The number of cattle participated and traded in the fair reduced by half as against last year.The sharp drop in the trade has been attributed to the ban on trading of horses at the market following a spurt in cases of Glanders diseases this time.According to a report released by the Animal Husbandry Department, 4,200 animals of different species reached the market this time. The number was 8,700 last year.Cattle trade related figures have also seen a huge drop this time. Last year, 2,558 cattle in the fair were traded and total business of worth Rs 7.06 crore was done. This time, 827 cattle were sold for Rs.1.72 crore.Behind the less number of cattle arrival in the fair and decline in trade, the department believes that the figures on horses have not been captured this time.”The negative impact of horse infectious disease has been observed on the fair this year. Due to a spurt of Glanders disease, arrival and trade of horses in the fair was banned. The ban has left its effect on the trade figures,” Subhendu Dixit, senior veterinary officer told DNA.This year, the most expensive animal was a buffalo that was sold at Rs 70,000, while the most expensive camel has been sold for Rs 51,000.BUSINESS HAMPEREDYear Cattle arrived Cattle traded Turnover2017 4,200 827 Rs 1.72 crore2016 8,700 2,558 Rs 7.06 crore

Putting Rajasthan in ‘doc’

<!– /11440465/Dna_Article_Middle_300x250_BTF –>The threat of crippled health service is looming large. With around 10,000 doctors expected to tender their resignation on Monday, government health facilities across the state medical and health services will be in dire straits and will have to hold its own. On Sunday, many rounds of negotiations between the government and in-service doctors, agitating in the support of their 33-point demands, produced no result.After a two-hour long meeting held at Swasthya Bhavan on Sunday evening, in which health minister Kalicharan Saraf; principal secretary, health Veenu Gupta; principal secretary, home, Deepak Upreti and director, public health, Dr VK Mathur were present, office bearers of All Rajasthan In-Service Doctors Association (ARISDA), the body under which doctors are agitating, made it clear that all ten thousand government doctors in the state will hand over their resignations to director(public health) on Monday and they will not go on their duties at all the district hospitals, satellite hospitals, sub divisional hospitals, community health centres and primary health centres.Government sought time till December 31 to take action on doctors’ demands, but doctors were adamant on written assurance from the government. ARISDA president Dr Ajay Chaudhary said that the government, instead of fulfilling doctors’ demand or giving any written assurance, is only giving oral assurance and they are not ready to accept it.“Doctors do not have intentions to create problems for patients by submitting mass resignation, but we are forced to do it,” said Dr Chaudhary.Meanwhile, in the day time, chief minister also took feedback of the situation. Health minister Kalicharan Saraf told that government is ready to fulfill most of the demands. “We are committed to take positive action on most of the demands raised by doctors, but running hospitals in single shift can not be fulfilled as it is a matter related to public health services,” said Saraf.

Irked doctors collect 8K resignations

<!– /11440465/Dna_Article_Middle_300x250_BTF –>Agitating for the past three months to fulfil their 33 long-pending demands, around 10,000 government doctors posted at government health facilities across the state have come in a battle mode. As the next step to their agitation strategy, these doctors have announced to tender mass resignation. In a state where seasonal diseases are looming and a large number of patients are reaching in hospitals daily, it is going to be a tough period for people and government as well.Asking the government to fulfil their pending demands, around four thousand in-service doctors gathered in a ‘Deepawali Sneh Milan’ at Mahaveer School Ground in the state capital Jaipur on Sunday, under the banner of In-Service Doctors Association (ARISDA), the body under which doctors are agitating. As per the ARISDA officials, resignation from more than eight thousand doctors across the state have been collected till date and these will be submitted to the government soon.“Mass resignation will be effective from November 6,” Dr Ajay Chaudhary, president ARISDA, said. “For around last four months, we have been agitating peacefully in a Gandhian way, but the government appears not serious as no action on our pending demands has been taken so far. The 33 points demands,is a white paper, not only for the doctors but also for improving health facilities in the state. Doctors do not have intentions to create problems for patients by submitting a mass resignation, but we are forced to do it. From November 6 we will not go on duties at hospitals,” said Dr Chaudhary.It is worth mentioning that in September, the doctors had gone on mass leave. From Gandhi Jayanti, the doctors have started noncooperation movement under which they are not cooperating with the health department in other routine works other than medical duties.DEMAND BY DOCTORSTheir 33 demands mainly include hazardous services allowance, increase in rural allowance, to remove DACP discrepancies, the establishment of separate cadre, single shift at government hospitals and doctors should not come under Panchayati Raj in rural areas.
They also demand that the recent posting of a RAS officer at the post of additional director (gazetted), should also be replaced from a doctor. Earlier, the post was held by a doctor.
The next step to their agitation strategy, these doctors have announced to tender mass resignation. In a state where seasonal diseases are looming and a large number of patients are reaching in hospitals daily, it is going to be a tough period for people and government as well.
As per the ARISDA officials, resignation from more than eight thousand doctors across the state have been collected till date and these will be submitted to the government soon.

Don’t step on gas but beware the sting

<!– /11440465/Dna_Article_Middle_300x250_BTF –>After swine flu now the woes of dengue are increasing in the state as more than a thousand people have been reported positive. Till now, two deaths have been reported across the state in the last 15 days. In Sawai Man Singh Hospital, the largest hospital in the state, not a single death due to dengue has been reported so far this year.As per the health department, from January 1, 2017 a total 3,651 dengue positive cases have been detected and five deaths have occurred across the state. Kota is on top with 1,192 dengue cases reported this year followed by Jaipur with 1089 cases. Out of total 5 deaths in the state, 3 deaths have been reported in Kota and 2 were reported from Jaipur. As per official stats, in SMS Hospital, a total of 226 dengue patients were admitted from January till last Friday and no deaths have been reported in the hospital so far. Though, 18 dengue patients have been admitted in the hospital during last 24 hours but doctors said there was no need to panic.“Conditions are not alarming so far,” Dr Raman Sharma, senior professor, Sawai Man Singh Medical College told DNA. “There are patients coming with usual complications but in such cases the best treatment is oral fluid or intravenous (IV) fluid (in case of patient can not take it orally)to reverse the mortality,” he added.It is worth mentioning that despite increasing numbers in recent days, dengue has been on a leash this year compared to last year. In 2016, a total of 5264 dengue cases were registered. The respective figures read 4043 and 1243 in 2015 and 2014. Similarly, 16 deaths occurred due to dengue in 2016 and 7 deaths occurred in 2015 and 2014 each.Weather likely to change equation Weather likely to change equation Experts are sure that with the advent of winter, dengue cases will decrease in the state. “So far, cases are being reported because the environment is suitable for mosquito breeding. It has been observed that dengue cases decrease with the dip in temperature, yet the department is fully prepared in terms of medicines and facilities to handle the situation,” Dr VK Mathur, Director Public Health said.

Doctors take out 3-inch long screw from boy’s stomach in Rajasthan

<!– /11440465/Dna_Article_Middle_300x250_BTF –>Dula Ram and his wife Sharda Devi, a couple from Singhi Bas Village in Deedwana were panic-stricken after their one-year-old son Devesh swallowed a three-inch long screw while playing with it. When Dula Ram took the little one to doctors in Deedwana and Jaipur, they suggested him an open surgery as the only option to take the screw out.But in a miracle of a sort, doctors at a hospital in the state capital Jaipur successfully took out the screw without any open surgery. Importantly, the child did not have to stay in the hospital, the process did not involve any blood loss and the expenditure for the entire process cost the family only Rs3.5 thousand.“We took him to doctor in Deedwana and he said that it could be taken out by open surgery only. Expense for the surgery was estimated around Rs50,000, which was difficult for me to afford,” Dula Ram told DNA.“It was very risky, during the investigation we found that the screw was slightly bigger,” said Dr Saket Agrawal, Gastroenterologist at Narayana Hospital. “ The screw was trapped in the small intestine, at the junction slightly above the small intestine and large intestine. It could tear the intestine, leading to intestinal bleeding, which could be proved life-threatening for the kid. For this reason it was almost impossible to take it out without open surgery. But we decided to go for endoscopic technique,” Dr Saket added.The team of doctors, with the help of telescope, angulate the screw carefully and after a two and half hour long process, successfully took out the screw from the kid’s intestine. “Holding the screw was a great challenge as it was stuck at Ileocecal Valve (a sphincter muscle valve that separates the small intestine and the large intestine). It has a high risk of internal bleeding involved as any effort to push or pull the screw could damage the inner layer of intestine,” said Dr Saket.Devesh is completely healthy after the operation and was discharged within two hours.

Tribal yatra seeks to restore traditional food practices

<!– /11440465/Dna_Article_Middle_300x250_BTF –>Rati Ram, an 88-year-old from Gangar Talai in Banswara, though unsure of his own age, remembers that food was tastier and more nutritious when he was younger. “In those times, only indigenous fertilisers and pest control methods were used in fields, but now chemicals have replaced them. This has abolished varieties of leafy vegetables which used to grow with main crops. Gradually, we also lost our traditional nutritional food practices. I also remember people were rarely sick in older times when we used to cook the food in Mahua oil.”Just like Rati Ram, several elders from Vagad (area of southeastern Rajasthan including Banswara and Dungarpur district) shared their years old experiences about local food and traditional farming practices for better nutrition in rural areas during Janjatiya Kisan Swaraj Yatra, which started on Gandhi Jayanti and concluded in Banswara on World Food Day.“In Vagad, people used to say “Genhu Chhor Makka Khana, Vagad Chhor Kahi Nahi Jana’,” PL Patel, a farmer and activist said. “This tag line has its roots in food system of the region which was synonymous with general food habits where maize was the main constituent of the diet. But with time, the situation has changed and wheat has become the a major food grains, thanks to the public distribution system. Majority of other food grains which were part and parcel of our food culture also moved from our plate and reached the list of fodder,” he added.The Yatra covered 101 villages of 12 blocks in seven districts of three states and witnessed participation of around 20,000 men and women from tribal communities. These tribal farming practices established that traditional food and agriculture has always remained the key to good public health and people have become vulnerable to diseases after losing the nutrition they used to get from traditional local food. To curb malnutrition, a return to growing traditional local food is a must.WEEDS ALA LEAFY VEGETABLE“This region has leafy veggies like Rajan, Luni, Dhimada, Dhimadi, Jhumka, Arri that are not available in the market but have been famous as nutritious substances in the tribal tradition and have the capacity to curb malnutrition in this area,” Rohit Samariya, Project Manager told. “Unfortunately, many such plants are also called weeds at many places but here these are used as leafy vegetable or herbal medicine. We have found Dhimadi to have carbohydrate, fibre, protein, Sodium, Vitamins and Calcium many times more when compared to Spinach,” he added.

Burn injuries mar celebration

<!– /11440465/Dna_Article_Middle_300x250_BTF –>Diwali celebrations turned into a nightmare for at least 51 people in and around the state capital who suffered burn injuries. Out of them, four persons had suffered deep burn injuries and are admitted in the hospital.As per the SMS Hospital officials, more than 125 people were brought to the hospital during 24 hours on the day of Diwali and 51 of them had sustained with burn injuries from firecrackers.“All of them were discharged soon after first aid, but four injured had to be hospitalised because of deep burns,” Dr SS Yadav, spokesperson at SMS Hospital told DNA.“More than 120 cases were reported in emergency on Diwali night and 12 of them were suffering from food poisoning. Moreover, 51 patients had come with burn injuries while four of them were admitted in burn ward due to serious injuries and rest were given first aid and released,” said Dr Yadav.As per hospital officials, four patients with 30 per cent or more burn injuries on sensitive areas like the eyes and head were admitted. “In most of the burn cases, the victims were of the age group between 7-25 years,” Dr Yadav said.Last year, SMS hospital witnessed 169 cases of injuries including 49 of burn patients during Diwali.Before that in 2015, 98 people were brought to SMS Hospital with burn injuries on the day of the festival while in 2014, 111 burn cases were reported in the hospital.

Kulfi poisoning lands 180 kids in hospital

<!– /11440465/Dna_Article_Middle_300x250_BTF –>The five-day long Diwali festivities came a nasty halt on Friday evening for the families of at least 200 children in Dungarpur who suffered from food poisoning after they consumed kulfi at a fair. Howeverm almost all, except three, were sent home after primary medical treatment. Two children have been referred to the higher medical center, while one girl is still hospitalised in the district hospital. Meanwhile, the factory where the kulfi was produced has been seized and a team of health department officials have collected samples of the kulfi.According to sources, a Diwali fair had been organised At Mara Gamri village, 16 kilometers from Dungarpur district headquarter, in Ramsagra police station area. Following the incident, children were rushed to Gamri Ahara community health center from where they were further referred to district hospital.”Around 180 children complained of vomiting and abdominal pain and were brought to the hospital,” Dr Indar Lal Panchal, Principle Medical Officer at Dungarpur District Hospital told DNA. “Around 86 of them were immediately admitted to the hospital and the rest were given first aid and discharged. By Saturday evening, almost all of them have been discharged, as their condition improved. Only one girl is still admitted to the the hospital, though her condition is normal as well, but is being kept under observation. Two other children have been referred to higher center in Udaipur, ” Dr Panchal said.The kulfi was produced at a factory situated in the industrial area of the city. Ram Sagra police caught the factory manager and registered a case against him. On Saturday, a team of health department inspected and seized the factory and even collected samples of stored kulfi. “We have registered a case under relevant sections for further investigation. We area now awaiting results of the sample tests,” said Ajay Singh Rao, SHO, Ramsagra police station.

Dead Manan turns Santa on Diwali, ‘gifts’ organs

<!– /11440465/Dna_Article_Middle_300x250_BTF –>For the Agarwals (name changed), this Diwali would be worth remembering. The diyas would glow brighter for 21-year-old youth from Malviya Nagar in Jaipur, who was declared brain dead following a road accident on Saturday gave a new lease of life to four persons by cadaver transplant. His Liver was transplanted to a patient in Medanta NIMS Hospital and the kidneys were transplanted to two patients at the EHCC Hospital, while his heart was sent to Fortis Hospital, Okhla, New Delhi.On the fateful morning of October 8, Manan Jain, who worked at a call centre, was rammed by a car 10:15am at Adinath Nagar while he was heading towards his office on his two-wheeler after dropping his younger brother at a friend’s place.Seriously injured Manan was admitted to EHCC hospital where despite medical treatment for five days, doctors declared him brain dead on Saturday.However, the grieving family expressed a wish to donate his organ, his heart, liver and the pair of kidneys were harvested in EHCC Hospital.“We were aware of organ donation so family discussed it,” Mukesh Jain, Manan’s Uncle told DNA. “Though our family is in deep sorrow as we have lost our child in his young age at the same time it is also an overwhelming feeling that our child has given new life to four people and all we are proud of that,” said Jain.Can save lakhs of livesThe total number of brain deaths due to accidents in India is nearly 1.5 lakhs annually. Other causes of brain death would potentially add many more numbers. There is a need of 2 lakh kidneys, 50,000 hearts and 50,000 livers for transplantation every year. Even if 5-10% of all brain deaths are harvested properly for organ donation, there would be no requirement for a living person to donate organs.One person dies of kidney failure every 5 minutes. This amounts to roughly 290 deaths every day due to kidney failure.

Brain-dead Jaipur man donates organs, saves 4

<!– /11440465/Dna_Article_Middle_300x250_BTF –>A 21-year-old from Malviya Nagar in Jaipur, who was declared brain dead following a road accident on Saturday, gave a new lease of life to four person by cadaver transplant.Manan Jain’s liver was transplanted to a patient in Medanta NIMS Hospital and the kidneys were transplanted to two patients at the EHCC Hospital; his heart was sent to Fortis Hospital, Okhla, New Delhi.It was a fateful Sunday on October 8 for Jain, who worked in a call center. At around 10:15 am, a car rammed into him in Adinath Nagar when he was heading to office on his motorcycle, after dropping off his younger brother at a friend’s place.Manan was admitted to EHCC hospital, where after five days, the doctors declared him brain dead on Saturday.After his family expressed a desire to donate his organs, his heart, liver and kidneys were harvested in the hospital.”We were aware of organ donation, so the family discussed it,” says Mukesh Jain, Manan’s uncle. “Though our family is in deep sorrow as we have lost our child at such a young age, there is also an overwhelming pride that he has given new life to four others.”Manan’s liver was sent to Medanta NIMS hospital, Delhi Road, via a green corridor, where it was transplanted to a patient. “We successfully performed the transplant. The recipient is under round-the-clock observation,” said Dr Ankur A Gupta, a specialist at Medanta NIMS Liver Transplant Centre.Manan’s remains were cremated on Saturday evening at Jhalana crematorium.Nearly 1.5 lakh people are declared brain dead, only due to accidents, in India annually. About 2 lakh kidneys, 50,000 hearts and 50,000 livers are needed for transplant every year. Even if five to 10% of all brain deaths were harvested for organ donation, there would be no requirement for a living person to donate organs.One person dies of kidney failure every five minutes – amounting to roughly 290 deaths every day due to kidney failure.

Now, pregnant women to get nutrition diet on monthly basis

<!– /11440465/Dna_Article_Middle_300x250_BTF –>In order to ensure proper nutrition for pregnant women, the state government has planned to give them supplementary nutrition under the Integrated Child Development Services (ICDS) Scheme on a monthly basis, instead of the current practice of giving it every week. For the purpose, a pilot project has been launched in Banswara district on October 5.It is worth mentioning that it was found during separate investigations by ICDS and health department, done after more than 90 deaths of newborns with low birth weight in Banswara District Hospital was recorded in the months of August-September, that pregnant women in remote areas are mostly reluctant to visit Anganwadi Centres to collect supplementary food.“We are daily wage labourers and I with my husband Mukesh have to work daily to feed our five-member family,”Vesti, a 22-year-old from Surpur village in Ghatol Tahsil of Banswara said. Vesti is one of the mothers who lost her newborn a couple of months ago. “Our earning went down to half as being a pregnant I was unable to go on work. At that time taking my husband with me to Anganwadi centre would have made him miss on a day’s work leading to complete loss of a day’s wage, which we could not afford,” she explained her reason for not going to Anganwadi centre to collect supplementary food.ICDS Scheme of Ministry of Women and Child Development is one of the flagship programmes of the Government of India and represents one of the world’s largest and unique programmes for early childhood care and development. Under the scheme, once in a week pregnant women, lactating mothers and 6-36 month-old kids are given a free of cost packet of supplementary nutrition at Aganwadi centres.This ready to eat food contains sugar, edible oil and dry mixture of wheat, chana dal and soya bean flour. The pregnant women, lactating mothers and adolescent girls get a pack of 950 grams and the children get 750 gm of the supplementary nutrition every week. Now, in Banswara four packets are being given to pregnant women once in four weeks.“The motive behind giving four packets at one go is to cut their visits to Anganwadi centres,” Suchi Sharma, director, ICDS told DNA. “Being from a poor family and a daily labourer, most of them are used to be least interested in visiting Anganwadi centres to collect supplementary nutrition. We have started it at 1,979 centers in Banswara district and it will be implemented in more than 61,000 Anganwadi centres across the state if the pilot is successful,” she added.

Infant deaths rise in urban Rajasthan

<!– /11440465/Dna_Article_Middle_300x250_BTF –>Rajasthan notched up a decline in the infant mortality rate (IMR) in 2016 from a year ago but in-depth analysis of data reveals some disturbing facts for urban Rajasthan. A recent survey revealed that the cities of Rajasthan recorded more infant deaths than poorer states like Bihar, Jharkhand, and Assam. It is a common view that healthcare facilities in urban areas are better than rural, but according to the findings of the sample registration survey (SRS) of 2016, released last week by the union ministry of health and family welfare, reflects a higher urban infant mortality rate (IMR) in Rajasthan in comparison to many states with worse health indicators and poor administrative facilities . In fact, Rajasthan is the only state other than Jammu and Kashmir, in the country which recorded increase in urban infant mortality.As per the estimate, around 9% of total infants in the state live in urban area, which has worst infant mortality rate of 30 deaths per thousand live births in its cities compared to other BIMARU states like Bihar- 29, Assam- 22 and Jharkhand- 21. It is also 30% more than the national urban infant mortality rate.As per the report, total urban IMR in the state has been recorded 30 which was 27 during last two consecutive years. Girl child in the state cities aremore vulnerable as the survey record clearly reveal that female IMR in Rajasthan cities witnessed an increase of 25%. This year the girl child death rose to 35 deaths per thousand live births which were 28 deaths per thousand during 2016. Male IMR in urban Rajasthan also surged to 27, with an increase of 1 deaths per thousand live births from 26 last year.Importantly, poorer state Bihar has been succeeding to control the female infant deaths in urban areas, as the data shows a significant decline from 52 to 34 deaths per thousand live births. Urban registered a decrease with an IMR of 15 deaths per thousand. Other least developed states (as per Raghuram Rajan panel) including Odisha, Madhya Pradesh, Uttar Pradesh also registered a decrease in urban IMR, in which Rajasthan once again could not better it’s urban IMR for the second consecutive year.41Rajasthan stands in the list of bottom 5 states with infant mortality rate of 4130Rajasthan urban IMR increased to 30 from 27 as per the SRS bulletin9%As per an estimate around 9% of total infant population live in urban areas.

Rajasthan in five worst states on infant mortality

<!– /11440465/Dna_Article_Middle_300x250_BTF –>Rajasthan is among the worst states in the country when it comes to survival of a newborn baby, reveals Sample Registration System (SRS) bulletin 2016. The report issued by the center shows that 41 infants out of per 1,000 live births in Rajasthan died in 2016 within one year of their birth. It is worst among the poorer states like Bihar, Jharkhand and Chhattisgarh. Though, Infant Mortality Rate (IMR) in Rajasthan, has been improved slightly by 2 points, yet the state is among the top five states in the country with highest IMR.As per the SRS bulletin 2016, IMR in Rajasthan remained at 41 deaths per 1,000 live births in 2016 which is far more than the national IMR of 34 per 1,000 live births. In fact, Rajasthan lags behind poorer states including Jharkhand, Bihar and Chhatisgarh where IMR in 2016 remained at 29, 38 and 39 respectively.Among the 10 least developed states (as per Raghuram Rajan Panel), Rajasthan stands fifth from the top in IMR list only after Madhya Pradesh, Odisha, Assam and Uttar Pradesh with IMR of 47, 44, 44 and 43 per thousand live births respectively. Other least developed states like Arunachal Pradesh and Meghalaya also have a better IMR of 36 and 39 than Rajasthan. Rajasthan, in bigger states, also lags behind West Bengal where IMR in 2016 remained at 25.Figures of IMR also indicate towards a large gap in distribution of medical and healthcare services between urban and rural Rajasthan. SRS bulletin 2016 shows that IMR in rural areas is 45, which is almost 50 per cent more than the IMR in urban areas.However, top officials of the state’s health department said that the government is committed to cutting the IMR of Rajasthan to as low as 24.NOS AT A GLANCERajasthan stands fifth in the IMR list after Madhya Pradesh, Odisha, Assam and Uttar Pradesh with IMR of 47, 44, 44 and 43 per thousand live births respectively. Rajasthan has 41 deaths per 1,000 live births

Rajasthan: Spurned man, his father burn girl alive for rejecting proposal

<!– /11440465/Dna_Article_Middle_300x250_BTF –>A girl was burnt alive by a man after she refused to reciprocate to his advances, it has been reported. The incident comes out of Isarvla village, located 20 kilometres from Banswara district headquarters.According to information, the victim, Seema, 18, was brought to MB Hospital in Udaipur on Saturday midnight. She had come in with 75% burns.According to the victim’s father, Seema had rejected the proposal of one Ravi. Unable to take the rejection, Ravi, along with his father chased her in the village, doused her with kerosene and set her on fire.She was initially admitted to MG Hospital in Banswara, from where doctors referred her to Udaipur. An FIR was registered in the Hospital police station.The victim’s father also said that he had filed a complaint with the police regarding Ravi’s harassment, but no action was taken.

Mysterious malady spreading fast in Khandela

<!– /11440465/Dna_Article_Middle_300x250_BTF –>The state health department is on its toes as outbreak of an unknown deadly disease is suspected in Khandela of Sikar, the constituency of Banshidhar Bajiya, Minister of State, medical and health. So far three deaths due to this mysterious malady have been registered in Rampura village and around three dozen people, mostly children, have been found to be under the grip of high fever and are having breathing problems.A team of Integrated Diseases Surveillance Programme (IDSP) collected samples from the area after uproar surfaced, but district health officials showed no concern for more than two months and took cognizance only after minister Bajiya paid condolence to a family after their daughter died on Saturday.Khandela is in panic ridden state after the death of three girls due to the unknown disease.The recent death reported was that of Kajal Meena, a student of class VII in Rampura. Before this, one Tanu Kumawat died on Wednesday and on 14 August, Shashi Kanta Meena, a class IV student had died because of same reasons. Meanwhile, Jatin (9), brother of deceased Tanu, was admitted at Khandela CHC on Sunday. On Saturday, when a team of doctors visited Kajal’s home, they found all eight family members laid up with high fever and facing breathing problems. Rekha, Kajal’s sister, was sent to SMS Hospital in Jaipur as her condition was serious. “She is under medical observation. Necessary medical tests have been conducted and anything about the disease could be said only after we receive the reports,” Dr DS Meena, superintendent, SMS Hospital. Followed by the uproar, a team of 4 doctors, 32 technicians and ANMs with Sikar CM&HO, Deputy CM&HO and Block CM&HO visited the area for sampling and fogging.

RESMA slapped after Rajasthan doctors go on mass leave

<!– /11440465/Dna_Article_Middle_300x250_BTF –>Around 10,000 doctors in public hospitals including District Hospitals, Primary Health Centres (PHC) and Community Health Centres (CHC) went on a mass leave on Monday. The call was made by All Rajasthan In Service Doctors Association (ARISDA).The one-day mass leave, asking the government to fulfil their 33-point demands, affected medical facilities at districts and rural areas badly. Considering the agitation by ARISDA, the Rajasthan government declared RESMA (Rajasthan Essential Services Maintenance Act) on Monday.The one-day mass leave affected services around 4,000 public health facilities in the state. People faced problems as there was no doctor to attend patients at these hospitals. This mass leave took at least two lives in Nagaur District Hospital. One old lady Bhanvari Devi was brought to the hospital as she was injured in a road accident. Her relatives alleged that she died because there was no doctor to attend her. In the same hospital, a newborn, who was brought in a serious condition, died due to the absence of child specialist after one and a half hours of waiting.In-service doctors in the state are on agitation for the last couple of months. Considering it, the state government decided to impose RESMA in Rajasthan health services for the next 3 months on Monday.

City docs remove one of the largest tumours in world

<!– /11440465/Dna_Article_Middle_300x250_BTF –>Doctors at a hospital in city successfully removed 1.2 feet long tumor from a woman’s liver. It is reportedly one of the largest liver tumors in the world found in a 45 year old woman from Sikar. The tumour was half-a-foot wide and had covered over 75 per cent of her liver. The largest reported case of liver hemangioma in the world is 1.31 feet.Savitri Devi, a resident of Khudi Badi village in Laxmangarh block was suffering from abdominal pain and swelling for the last three years and had already been diagnosed with liver hemangioma, a non-cancerous tumor of liver. The tumor had grown over the duration of last three years and even a small injury to the abdomen could have led to possible rupture, bleeding and even death.“Operating on such a large tumor is a high-risk procedure,” Dr. Kapileswar Vijay, Consultant – Laparoscopic, GI & Bariatric Surgery at Narayana Hospital told DNA. “It could lead to bleeding during surgery, post-surgery liver failure or infection, which are all life-threatening. We are happy that we could successfully remove the tumor and give a new lease of life to the patient,” he added. After running special diagnostic tests, doctors decided that the best course of treatment would be to surgically remove the tumor through a procedure known as extended left hepatectomy. The surgery took two-and-a-half hours, loss of blood was minimum and the tumor was successfully removed.“She did not face any complication and was discharged within five days of surgery,” Harlal Prasad, husband of Savitri Devi said. “We came here after consulting many doctors. My wife is now doing well and is under regular follow up at the hospital,” Harlal added.Was suffering from abdominal painSavitri Devi, a resident of Khudi Badi village in Laxmangarh block was suffering from abdominal pain and swelling for the last three years and had already been diagnosed with liver hemangioma, a non-cancerous tumor of liver. The tumor had grown over the duration of last three years and even a small injury to the abdomen could have led to possible rupture, bleeding and even death.

Anganwadi centres declared tobbaco free

<!– /11440465/Dna_Article_Middle_300x250_BTF –>The tobacco products can no longer be sold near Anganbadi Centers in Rajasthan. The director of Integrated Child Development Services (ICDS), in a fresh order released to deputy directors and child development project directors, said like different health facilities and education institutes, the Anganbadi centers from on is being declared ‘tobacco free’.The move comes in order to comply with the rules of Cigarette and Other Tobacco Products Act (COTPA).As per the order issued by Shuchi Sharma, ICDS director, all Anganbadi centers will be developed as ‘tobacco free’ zone, where any use of product or pan masala by any visitor or employee is banned.”Anganbadi Centers are the place that belongs to children between age of 0-6 years, mothers and pregnant women. Hence, it is necessary to keep these centers tobacco free to save them from ill effects,” the order issued by ICDS director read.There are around 68,000 Anganbadi centers in Rajasthan. As per the order, any sell or advertisement and display of any tobacco product has been banned within 100 yards of Anganbadi Center and signage boards of 30X60 cm size, bearing warning will have to be displayed at each center. Order allows use of untied fund available at village health sanitation and nutrition committee.”It is a big step forward for public health in the state,” Priyanka Lodha, programme officer at Vaagdhara, an NGO working for tobacco free Rajasthan said. “Effective implementation and enforcement of COTPA near Anganbadis will ensure safety of our children and mothers from ill effects of tobacco. The government should take measure to control the availability of tobacco products by coming up with a vendor licensing policy to sell tobacco products,” she added.FOR SAFETYDirector of Integrated Child Development Services (ICDS), in a fresh order released to deputy directors and child development project directors, said like different health facilities and education institutes, the Anganbadi centers from on is being declared ‘tobacco free’.

Rajasthan launches world’s first processed olive leaf tea

<!– /11440465/Dna_Article_Middle_300x250_BTF –>Rajasthan has added one more feather to its cap with launching of world’s maiden processed olive leaf tea. Chief minister Vasundhara Raje inaugurated the new initiative on Saturday.On the occasion Raje said that by taking such a step, the state will be able to reach the target of doubling the income of the farmers of the state by 2022 and it will also bring international recognition to the quality of olives grown by the farmers here.Raje, who is termed as the pioneer of olive farming in Rajasthan, also said that the state government has been making efforts to promote olive cultivation since last few years, and efforts have now started producing results.India’s first processed olive leaf tea unit has been set up at Bassi in Rajasthan. Spread on 20,000 square feet area with investment of approximately Rs3 crore, now the processed olive leaf tea is ready to be served to people of India and rest of the world as well. Agriculture minister Prabhu Lal Saini said that olive tea has been a great innovation and it really feels good that Rajasthan has grown olives and is the first to set up a tea unit. He further added that olive tea has great health benefits such as it reduces risk of cancer, keeps heart healthy, anti-viral properties, rich in antioxidants, reduces blood pressure, amplifies immunity, rejuvenates skin, aids in diabetes and is an anti-inflammatory agent.Being rich in antioxidants and vitamin C and being free of caffeine, it has a potential to become an alternative to the daily drinks that people consume at large such as green tea, coffee, black tea and more. Coming at a time when people want to make a shift to healthy habits due to the ever increasing stress that comes with fast-paced lifestyle, olive tea is definitely going to help the people.

Take your call: Medicine or physiotherapy

<!– /11440465/Dna_Article_Middle_300x250_BTF –>At the time when many researches have proved that the physiotherapy can be a cure and provide relief even in treating lethal disease like cancer, that too without taking medicines, it is quite startling that people have not used it for their benefit. DNA on the eve of World Physiotherapy Day ( celebrated worldwide on September 8) interacted with doctors to decipher the significance of physiotherapy and its effectiveness.Experts say that Physiotherapy is a primary therapy method of modern medicine. And due to side effects of modern lifestyle, people have forgotten to keep their body healthy. Usually, when there is a disease, people take medicines or go for an operation as ultimate option. On the other hand, doctors say that by adopting physiotherapy from the very beginning, many diseases can be avoided. Lack of awareness, they say needs to be put to rest. “If this therapy is adopted during the treatment of bone diseases such as arthritis, sprain, muscle strain, back pain or neck pain, the patient gets quick benefits, faster than the benefits of medicine,” Dr Vikas Mathur, senior physiotherapist of Narayana Hospital said. “Apart from this, even after the hip and knee operation, doctors prescribe physiotherapy to make the patient move and run. Unfortunately, people in our country lack knowledge about it.Due to this, physiotherapy is not being practiced on patients at the right time,” he added.Effective for all Doctors assure that serious illness can be cured by physiotherapy and has proved useful for all age groups, for the treatment of women in particular. Children or elderly, with the regular practicing of physiotherapy, can overcome long-term diseases.India is considered to be the hub of diseases like diabetes and BP (hypertension). This therapy is also useful in getting rid of chronic pain, injury, muscular weakness, stretch and paralysis.

Another baby enters world under open sky

<!– /11440465/Dna_Article_Middle_300x250_BTF –>Despite all efforts and claims towards ensuring mother and child health care made by the state health department, facilities seem to be out of approach of the public at large in the state. One more incident occurred in desert district Barmer on Wednesday when a woman delivered her baby at footpath right outside the district hospital.The pregnant woman was forced to deliver the baby under open sky because, in the absence of government ambulance, she was brought to the hospital in a private ambulance that caused a delay in rushing her to the hospital. Though after the incident medical staff at the hospital attended the newborn and mother. Both were admitted to the hospital and are reportedly healthy.One Chanani Devi, a resident of Jalipa, around 10 km from Barmer district hospital was brought to the district hospital in a private ambulance. “We called 104 ambulance many times but it was not available so after waiting for around an hour we arranged a private vehicle,” a family member of Channani Devi told DNA. “Her husband Tejnath was along with her. After getting down from the vehicle she was sitting at footpath and Tejnath went inside the hospital to complete registration formality. Meanwhile, Chanani felt labour pain and before family members could understand the situation, she delivered at the spot,” he added.“The private ambulance driver left the pregnant woman outside the hospital, though she was near to delivery,” Dr BL Munsiriya, Principal Medical Officer at District Hospital told DNA. “One nursing student and another private ambulance driver took both newborn and the woman to the Mother and Child Health Center and staff at the hospital immediately atended them. Both are under observation and healthy,” said Dr Munsiriya.

Major gaps in mother-child care services at Banswara hospital

<!– /11440465/Dna_Article_Middle_300x250_BTF –>Seeta is a 24-year-old resident of Ragaava village in Tejpur block of Talwada nearly 5 km away from Banswara district headquarter.When she was brought to MG hospital last month, it was the third time she was to deliver a baby. Though hospital has no record of her weight, it seems to be around 35 kg. During her pregnancy, Seeta underwent Ante Natal Checkup (ANC) only once, her hemoglobin was not tested at any stage of pregnancy and despite couple of visits to Anganbadi Centre, no nutritional supplement was provided to her. Seeta delivered a baby of 1,400 grams and the low birth weight infant died within a week. Seeta is one of those 90 mothers who lost their newborn at MG Hospital in Banswara during last two months.The probe committee formed by the health department to investigate newborn deaths in the hospital has come up with certain findings. The committee headed by Dr SM Mittal, director (RCH) has found major gaps and serious laxity towards mother-child health and care in the district. Committee has filed its report after investigating 81 newborn death cases in the hospital during July and August and has proposed the health department to write to Integrated Child Development Services regarding the findings. Action has been already taken against 15 health officials on the basis of the report.DNA has the copy of the report that reveals that mothers in tribal district are not getting proper antenatal services, and lack of nutrition has been a major root cause of newborn deaths. Moreover, it seems that women in the area are getting pregnant at an early age and early pregnancy results in premature delivery and low birth weight that minimizes survival chances of the baby.REPORT FINDINGSAs per the probe report, mothers did not get proper antenatal care that includes supplement food and regular check ups. As a result of these laxity, growth of mother and child was adversely affected causing pre-maturity and low birth weight.Lacuna in registering weight and ageOut of 81 cases, only 30 mothers’ weight was mentioned in the record. 15 of them weighed between 40-45 kg & 15 weighed near 55 kg while remaining were admitted without registering their weight. Also there was no clarity over age.No care during pregnancyPanels visited 4 houses, where women lost their baby and checked antenatal facilities. It was found that despite visiting Anganbadi Centres many a times, mothers were not given nutritional supplements and ANC even for a single time.86% newborns had low birth weightAs per the report, 71 out of these 81 newborns had low birth weight and 12 had extremely low birth weight. 20 babies were premature with respiratory distress syndrome and 42 died due to birth asphyxia as their lungs were not developed.

Blame hospital for newborn deaths

<!– /11440465/Dna_Article_Middle_300x250_BTF –>After the shocking report of 86 newborn deaths in Banswara District Hospital (MG Hospital) in just two months came out, the government officials are said on Saturday the incidents happened only due to the carelessness of the hospital staff. However, health experts suggest that the problem is just a tip of the iceberg.According to experts, low weight during birth indicates that the pregnant mother did not receive proper care. “Low birth weight is related to maternal nutrition. It indicates that the mother was either undernourished or was not in a proper physical condition to give birth to a baby,” Dr Ashok Gupta, superintendent, JK Lon Hospital told DNA. “Thirty per cent babies in the state are born underweight. It suggests that the baby’s organs, especially the lungs, are weak,” he added. At a time when the state is aiming to curb neonatal mortality rate and focusing on critical issues such as maternal health and nutrition of pregnant women, the incidents of newborn deaths reflect more attention should be paid towards the marriage of adolescents. Also, early pregnancy emerged as one of the main causes of these deaths.“Seventy per cent of the mothers, whose newborns died in MG hospital, had very poor health. Some of them were having their third child at the age of below 20,” Naveen Jain, MD, National Health Mission told DNA. “The pregnant women must get proper health facilities before and after the baby is born. Rajasthan has successfully completed the Community Based Management of Acute Malnutrition (CMAM) programme. More such programmes should be made so that the pregnant women could be taken care of within the community,” said Jain.Harrowing figures86 newborn deaths during July and August 73 were born underweight20 weighed even less than a kilo As per the hospital record18 deaths occurred due to low birth weight37 newborns died due to birth asphyxia, as their lungs were not properly developedIt indicates that the mothers were undernourished.

Callous Behror hospital staff force woman to deliver under open sky

<!– /11440465/Dna_Article_Middle_300x250_BTF –>An incident of callous attitude of state government hospitals came to light on Sunday when a woman was forced to deliver a child on the premises of the Behror Referral Hospital in Alwar as the staff paid no attention to her condition.District Chief Medical & Health Officer (CM&HO) has ordered an inquiry into the matter after the video of the incident went viral.The video clip shows Neha, a woman belonging to the nomad community and a resident of Mavdi village, delivering a baby in the hospital compound. According to Neha’s family, she was brought to the hospital for delivery but lady doctor and nurse on duty told that there was a delay in delivery time.Neha started experiencing labour pains while sitting in the compound. Women, who accompanied Neha, rushed inside the hospital to call a doctor but before medical staff could reach the spot, Neha’s condition worsened and it became risky to move her. In such a condition, she delivered a baby girl under the open sky.“Primarily, it appears that there was negligence. I have asked SDM, Behror Suresh Yadav and Block Chief Medical Officer (BCMO) Dr Ram Swarup Arya to probe the matter,” Dr SS Agrawal, CM&HO, Alwar told DNA. “They have been asked to file factual report. Action will be taken against the staff responsible for the incident,” said Dr Agrawal.“We have recorded statements of the victim, hospital staff, including the doctor who was at the duty, when incident occurred and yes, there was negligence on the part of the hospital staff ,” Suresh Yadav, SDM, Behror, said. It is worth mentioning here that a woman delivered a baby right outside Jaipuria hospital in city on July 29. Ashoka Bai, a construction worker, alleged she had to deliver on the road as the doctors failed to attend to her.Family speaksNeha started experiencing labour pains while sitting in the compound. Women, who accompanied Neha, rushed inside the hospital to call a doctor but before the medical staff could reach the spot, Neha’s condition worsened forcing her to deliver.

No loo? SDM orders cutting off village’s power supply

<!– /11440465/Dna_Article_Middle_300x250_BTF –>If not having a toilet could be a reason for a divorce, then the SDM of Jahajpur block Bhilwara district has taken the idea to another level. The government official has asked to cut-off the electric supply of the entire Gangithala hamlet if any of its villagers don’t have a toilet. The village is around 100km from the district headquarters.This is not the first time that Kartar Singh, the SDM of Jahajpur block, is sending out such orders. On Friday, six people – Goru, Banshi, Ghisu, Jagdish, Ramlal and Shrawan – from Piplund and Shringar Chanvari villages, who were relieving themselves in the open, caught the eye of the SDM. The six were immediately detained by the local police for six hours and released only after their family members signed personal bail bonds of Rs 10,000 each.In its order to the Ajmer Vidyut Vitran Nigam Limited (AVVNL), Kartar Singh said that the Gangithala village has only built 19% toilets under Swachh Bharat Mission (Rural). After a 15-day ultimatum, toilets have not been built and the people are still defecating in the open. So an order was issued to cut domestic power supply of village.Surprisingly, the electricity department has also issued a notice to cut the domestic power supply to the village on Saturday, creating an uproar in the region.”It’s an autocracy. How can the SDM issue such an order which has no constitutional validity? Arresting the poor for defecating in the open is against the law. The government should to take disciplinary action against such officers,” said Mukesh Goswami of Soochna evam Rojgar Abhiyan.Despite several efforts, SDM Kartar Singh could not be contacted by DNA for his reaction. Muktanand Agrawal, District Collector Bhilwara, on the other hand, said the orders are not as per the law. “As an administrator, I cannot support of such an order which has no legal binding. Instead of compelling, people should to be motivated. Officer concerned has been asked to modify the orders,” Agrawal said.

‘Free Wi-Fi’ at SMS Hospital comes with strings attached

<!– /11440465/Dna_Article_Middle_300x250_BTF –>As the saying goes, there is no such thing as free lunch. The much-hyped free Wi-Fi service launched at SMS hospital came with strings attached as service provider company BSNL has fixed higher charges for internet usage. Earlier, it was publicised in such a way as if it is going to be available free. Even Medical and Health Minister Kalicharan Saraf appeared ignorant as he termed it as a“free service” for several times during his speech.Saraf launched the Wi-Fi service at the SMS hospital on Wednesday. People at the hospital were happy that they were going to have powerful internet network at the hospital to ease their online formalities. But their excitement evaporated as soon as they saw handbill detailing Wi-Fi charges.“We had a thought that online filing of government schemes related documents will be easy, specially when you have your relative admitted to the hospital. But charges are so high that it has lost its relevance,” Harish Kumar, an attendant with a patient in the hospital told DNA. As per the tariff, company is providing only 100MB data for free, that too for the first time users. From then people will have to buy Hot Spot Vouchers at the cost ranging from Rs 40 to Rs 1,999.“At the time when mobile companies are providing data at competitively cheaper cost, such high tariffs by a government company are not justified. Moreover, if Wi-Fi services at Railway Stations can be provided free, then why not here?,” he added. Dr SS Ranawat who signed MoU with the company on the behalf of the hospital remained silent on the issue, while Dr DS Meena, superintendent at SMS Hospital, made an excuse. “We are not the technical side, a meeting with BSNL officers is scheduled on August 18, issue of free Wi-Fi service will be discussed during that meeting,” Dr Meena, said.Only 100 mb dataAs per the tariff, company is providing only 100MB data for free, that too for the first time users. From then people will have to buy Hot Spot Vouchers at the cost ranging from rupees forty to rupees one thousand and ninety nine.

DNA Impact: Delivery outside hosp | Health dept initiates inquiry

<!– /11440465/Dna_Article_Middle_300x250_BTF –>Rajasthan’s health department has initiated an inquiry into the matter of roadside delivery in Jhunjhunu district. Meanwhile, the nurse who denied admission to the pregnant lady has been put on Awaiting Posting Order (APO) status on Monday, two days after the incident occurred. “Staff nurse Sarita Meel has been put on APO,” Dr Rajkumar Dangi, Chief Medical & Health Officer (CM&HO) told DNA.”Soon after the incident came to light, Block Chief Medical Officer (BCMO) Malasisar was sent to Mahansar community health center (CHC) to probe. According to his preliminary findings, nurse Sarita was guilty of denying her duties, Hence, she has been put on APO at the health directorate in Jaipur. A charge sheet against her is also being prepared,” said Dr Dangi.On Saturday evening, Sonu Bhopa (22), a local labourer, was brought to the Mahansar CHC for delivery, but nurses at the hospital did not attend her and instead asked her family to take the pregnant woman to Bisau Hospital.On the way, Sonu started experience labout pains and had to deliver the baby in the vehicle she was being carried in. On Sunday, people gathered outside the health centre and locked its the main gate.It is worth mentioning that a couple of weeks ago in the state capital of Jaipur, another woman had given birth under the open skies. The incident had occurred in the constituency of state health minister Kali Charan Saraf.After the latest incident in Jhunjhunu, Saraf repeated the same words he had said at that time. “These type of incidents are not tolerable at all. A probe is in progress and those responsible will be punished as per the rules,” Saraf had said.

Woman forced to deliver in car as hosp denies her admission

<!– /11440465/Dna_Article_Middle_300x250_BTF –>In an inhuman approach by hospital authorities, a woman had to deliver her baby in a vehicle in Mahansar, just 40 kilometres from Jhunjhunu district headquarter, as she was denied admission by the hospital staff.Agitated people locked out the hospital on Sunday. The incident occurred at a time when the state Health Minister, Kalicharan Saraf, was on a visit to the district.As per information, 22-year-old Sonu Bhopa, a labour from Mahansar was brought to the Mahansar community health centre (CHC) on Saturday evening by her family members as she was close to delivery. “The ANM at the hospital, without attending to the pregnant woman, said that there was no doctor and her family members to take her to Bisau Hospital,” one of the relatives told DNA.”On the way to Bisau, 8 km from Mahansar, Bhopa started experiencing labour pain and had to deliver the baby in the vehicle,” he added. Family members returned to Mahansar CHC with the newborn and the mother where both were admitted.It was only the next day that the locals, who got to know about the incident, created a ruckus outside the hospital. They put a lock on the main gate after dragging the hospital staff out.

Rajasthan floods: Rescue ops continue

<!– /11440465/Dna_Article_Middle_300x250_BTF –>The Southwest monsoon continues to cast a spell over Rajasthan with 11 districts of the state being affected the most. These districts have been experiencing moderate rains along with few heavy spells due to which flash floods have been wreaking havoc in the state.Villages in Jalore, Pali, Barmer and Sirohi have been flooded and roads have also been washed off. Conditions in Jalore have deteriorated with several villages losing contact due to the flooding.Water released from Jawai dam has increased the flow of water due to which the water level in the Jawai river is expected to rise. The road connection between Jalore and Raniwada closed completely due to rains.After heavy rain spells on Saturday night in Pali district many villages have flooded with water entering many colonies causing flooding.In rescue operations in Jalore and Barmer districts more than 140 people were relocated to safer places by different agencies, including the Army.The Disaster Management and Relief Department secretary Hemant Gera said that since July 22, 17 persons have died, including six in Jalore, four each in Pali and Sirohi and three in Barmer district in rain-related incidents. Rescue operations were also carried out in Barmer where the swollen Luni river has inundated several villages. Fifty-five people were rescued, Gera said.The MeT department has predicted heavy rainfall at isolated place in Udaipur and Jodhpur during the next 24 hours.(With agency inputs)

‘Had body not been cremated, it would have caused serious health hazards’

<!– /11440465/Dna_Article_Middle_300x250_BTF –>Taking note of the the State Human Right’s Commission’s notice, slain gangster Anandpal’s body was cremated in Sanwrad on Thursday.Medical experts believed the cremation must have taken place long ago as the body was around 20 days old and it is hazardous for people to keep a body even in deep freezer without embalming.“Just because it was kept in a deep freezer, it was not appropriate to consider that the body would not have got decomposed,” Dr DK Sharma, medical jurist and associate professor (forensic medical) at SMS medical college, Jaipur told DNA.“Decomposition of a body is an unstoppable natural process, though, keeping it in a deep fridge makes the decomposition process only slower. If not cremated for another 15 days, the skin would have start to peel off and soft parts like fingers and toes would have detached from the body,” Dr Sharma added.Anandpal’s body was kept in his home at Sanwrad village as his family members along with supporters had continued to be in the proximity of the body for several days. As per medical experts, these people could have come under contact with infection.“To keep the body intact for long time, even after embalming, precautions and care is needed while handling the body,” Dr Sharma further added.

Seven more districts to get mother’s milk bank

<!– /11440465/Dna_Article_Middle_300x250_BTF –>Seven more districts in the state will soon have mother’s milk bank as the government is further expanding its ambitious scheme in more districts in order to control infant mortality and prevent malnutrition in children by providing infants mother’s milk soon after birth. This is the next stage after successful establishment and encouraging results of 10 mother’s milk banks at various district hospitals, where mothers can donate their fresh milk for those infants whose mothers are unable to breastfeed them.“Last week we got in principle nod to establish seven new mother’s milk banks,” Devendra Agrawal, consultant to the state government told DNA.“These banks will be established in Sirohi, Rajsamand, Jalore, Barmer, Sawai Madhopur, Karauli and Dholpur. These seven districts have been selected just because of having high Infant Mortality Rate (IMR). We have started the process of identifying appropriate space at these districts headquarters,” said Agrawal.According to Annual Health Survey 2012-13, Jalore, Barmer, Karauli, Sawai Madhopur, Sirohi, Rajsamand and Dholpur has IMR of 72, 70, 69, 67, 65, 59 and 58 death per 1000 births respectively which is far more than that of state at 55. According to Sample Registration System (SRS) 2016, state’s infant mortality rate is 45.4 per 1,000 live births as compared to India’s IMR of 38.7.“This has been proved beneficial for thousands of mothers who suffer from hyper-lactation and infants whose mothers are ill. These new banks will be established with the budget of Rs5 crore for which file has been moved to finance department, hopefully it will be approved in a couple of days,” said Agrawal.COUNT SO FARAt present the state has 13 human milk banks at 10 district hospitals in Beawer (Ajmer) Alwar, Banswara, Baran, Bhilwara, Bharatpur, Bundi, Chittorgarh, Churu, Sawai Madhopur and Tonk, at Rabindra Nath Tagore Medical College in Udaipur, at Sawai Man Singh Medical College in Jaipur run by the Norway government, and one in private Mahatma Gandhi Medical College in Jaipur.

‘All work & no play triggers population boom’

<!– /11440465/Dna_Article_Middle_300x250_BTF –>At a time when demographers are estimating that India’s population could surpass that of China around 2024, making our nation the most populated country in the world, Rajasthan minister is blaming the urge to reproduce on the ‘utter lack of entertainment’.Banshidhar Bajiya, MoS, Medical and Health came up with this explanation in his address during a state-level programme in Jaipur coinciding with the world population day on Tuesday.State health minister Kali Charan Saraf, Jaipur Zila Pramukh Mool Chand Meena, Principle secretary, Medical and Health, Veenu Gupta, Secretary Naveen Jain were among those blessed souls who got to hear the incredible take of the minister. “Our observations show that places where people aren’t having sufficient means of entertainment reflect a higher than average rate of population growth,” Bajiya said speaking his mind.But Bajiya wasn’t done yet. Replying to the query from media persons who questioned the lack of entertainment argument in the age of Direct to Home TV, mobiles and internet network, he made a confident prediction. He said, when people will find round-the-clock entertainment, the upcoming census shall reflect a lower rate of population growth in these areas. Rajasthan has a higher annual population growth rate than the country’s. While India’s population growth rate is 1.63, Rajasthan’s population growth rate is 1.93.This isn’t the first time the argument claiming reproductive procreation is inversely proportional to the availability of means of entertainment. In the year 2009, the then central health and family welfare minister Ghulam Nabi Azad also had expressed similar views about population boom endorsed so confidently by minister Bajiya on Tuesday.At that time, emphasizing on the need of electricity supply in villages, the Congress leader had gone on to advising people to watch TV instead of having sex as then health minister in UPA government. “In old era people had no other entertainment other that sex, so the number of children were high.Today, TV is the biggest source of entertainment. Hence, it is important that there is electricity in every village so that people watch TV till late in the night. By the time the serials are over, they’ll be too tired to have sex and will fall asleep. Then they won’t get a chance to reproduce. When there is no electricity, there is nothing else to do but produce babies,” he had said.

Rajasthan to adopt Assam model to curb Neonatal Mortality Rate

<!– /11440465/Dna_Article_Middle_300x250_BTF –>In order to arrest Neonatal Mortality Rate (NMR) in the state, the National Health Mission (NHM) has introduced the Assam model for effective implementation and monitoring of house based neonatal care (HBNC) programme. For the purpose, now HBNC voucher scheme will be implemented in two districts as pilot project. Under this, the health department wants to effectively monitor working of Accredited Social Health Activist (ASHA) in HBNC programme to cut the NMR in state.Under HBNC programme, it is mandatory for ASHA to make six visits to the mother and the newborn on 3rd, 7th, 14th, 21st, 28th and 42nd day for institutional delivery and seven visits on 1st, 3rd, 7th, 14th, 21st, 28th and 42nd day in case of the delivery at home. This step has been taken because despite launching the scheme more than five years ago, NMR in state has not been reduced to the desired level.Under the new scheme, now the mother after delivery will be given a seven flaps voucher by the ANMs concerned at the delivery points. The mother will sign two copies of the vouchers and give them to ASHA on every visit she makes to check the newborn. The pilot projects are going start in Dungarpur and Rajsamand districts by this month end after giving training to ASHAs.“The HBNC voucher scheme is meant to ensure participation and ownership in the programme. This voucher system will also ensure that the ASHAs are visiting the house properly and it will also help in streamlining the incentive payment to them,” Dr VK Mathur, Director Public Health.STATE NO 4 IN COUNTRYHBNC program started in Rajasthan in 2012-13.
Despite the HBNC program NMR has not declined.
As per SRS-2001 NMR in Rajasthan was 47.
In SRS-2015 NMR in Rajasthan was 30.
It is worse than national NMR of 25.
Rajasthan is no. 4 in India for high NMR.
As per Annual Health Survey 2012-13, NMR in Rajsamand was 38
As per Annual Health Survey 2012-13, NMR in Dungarpur was 41

Swine flu loses steam as number of cases recede

<!– /11440465/Dna_Article_Middle_300x250_BTF –>With the change in weather, the swine flu virus that is highly active in the state for last four months, appeared to slow down, hence providing a much-needed relief to public and health department as well. With the decreasing number of reported cases of people tested positive for the H1N1 virus in June, officials at the health department are expecting that the number of positive cases will go as minimum as zero by the next month.According to the daily status report of influenza A (H1N1) in the state, only 20 people have been found positive for swine flu including 2 reported deaths during first 19 days of June month so far. A number of positive cases dropped drastically during last 10 days as 14 out of these 20 positive cases are reported before June 8.In June so far, 65 suspects were tested for influenza A (H1N1), out of which, only 6 have been tested positive and 59 are tested negative. In the capital Jaipur, where almost half of the total cases of across the state are reported, only 3 people tested positive for swine flu out of 26 total samples tested in June.“Till the date last year, more than 20 deaths and around 120 positive cases were reported,” Dr Aditya Atrey, Director, Rural Health said. “Along with the change in weather, it could be attributed to the active and passive surveillance by the health department that resulted in early diagnosis and treatment of vulnerable public and also immunity development in the community that decreased the number of positive cases,” he added.It is worth to mention that until last month, the H1N1 virus has put health department to be on its toes as 177 deaths, maximum in a month this year, occurred due to Swine flu in the state. Despite the hot conditions, 148 deaths were reported in April and 39 deaths were reported in March month.THE CASES SO FARIn June so far, 65 suspects were tested for influenza A (H1N1), out of which, only 6 have been tested positive and 59 are tested negative. In the capital Jaipur, where almost half of the total cases of across the state are reported, only 3 people tested positive for swine flu out of 26 total samples tested in June. It is worth to mention that until last month, the H1N1 virus has put health department to be on its toes as 177 deaths in state.

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